METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS INC (EIN 74-1287016)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-08
IRS object ID: 201143129349300449
Schema version: 2010v3.4
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-08T13:56:59-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1111 MONUMENT CIRCLE SUITE 2600	AddressLine1
City	INDIANAPOLIS	City
State	IN	State
ZIP Code	46204	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	741287016	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	METHODIST HEALTHCARE MINISTRIES of SOUTH	BusinessNameLine1
Business Name Line2	TEXAS INC	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	METH	NameControl
Phone	2106920234	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4507 Medical Drive	AddressLine1
City	San Antonio	City
State	TX	State
ZIP Code	78229	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	PEGGY CARY	Name
Title	CFO	Title
Phone	2106920234	Phone
Date Signed	2011-11-08	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3176817000	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Kevin C Moriarty	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	4507 Medical Drive	AddressLine1
City	San Antonio	City
State	TX	State
ZIP Code	78229	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	194687796	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.mhm.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1955	YearFormation
State Legal Domicile	TX	StateLegalDomicile
Activity Or Mission Description	To serve by improving the physical, mental, and spiritual health of those least served in the Southwest Texas Conference of The United Methodist Church.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	30	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	26	NbrIndependentVotingMembers
Total Nbr Employees	294	TotalNbrEmployees
Total Nbr Volunteers	182	TotalNbrVolunteers
Total Gross UBI	2554354	TotalGrossUBI
Net Unrelated Business Txbl Income	811280	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	196579	ContributionsGrantsPriorYear
Contributions Grants Current Year	134787	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	97617058	ProgramServiceRevenuePriorYear
Program Service Revenue CY	104876935	ProgramServiceRevenueCY
Investment Income Prior Year	-2693550	InvestmentIncomePriorYear
Investment Income Current Year	10005092	InvestmentIncomeCurrentYear
Other Revenue Prior Year	435540	OtherRevenuePriorYear
Other Revenue Current Year	2525162	OtherRevenueCurrentYear
Total Revenue Prior Year	95555627	TotalRevenuePriorYear
Total Revenue Current Year	117541976	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	14315000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	23041419	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	13565689	SalariesEtcPriorYear
Salaries Etc Current Year	15085728	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	15000340	OtherExpensePriorYear
Other Expenses Current Year	18054849	OtherExpensesCurrentYear
Total Expenses Prior Year	42881029	TotalExpensesPriorYear
Total Expenses Current Year	56181996	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	52674598	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	61359980	RevenuesLessExpensesCY
Total Assets BOY	514343853	TotalAssetsBOY
Total Assets EOY	656168333	TotalAssetsEOY
Total Liabilities BOY	16034627	TotalLiabilitiesBOY
Total Liabilities EOY	62344631	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	498309226	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	593823702	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	In furtherance of the founders' vision of "Serving Humanity to Honor God", Methodist Healthcare Ministries (MHM) has a two-fold mission, both equally important. One mission is to improve the physical, mental and spiritual health of those least served in the Southwest Texas Conference area of The United Methodist Church (San Antonio and South Texas). As one-half owner of the Methodist Healthcare System (MHS) the largest healthcare system in South Texas MHMs mission is committed to ensuring that MHS provides quality care to all and that charity care is available and provided to the community as needed.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	22987210	Expense
Grants	22987210	Grants
Description	Since 1996, MHM has funded grants to partners with missions similar to MHM, i.e. to provide services to underserved and unserved people throughout South Texas. This includes long-term relationships with existing community health centers in underserved areas of San Antonio, the Rio Grande Valley, and South Texas. Additionally, short-term grants are made from time to time for direct services to patients and capital funding for construction of new clinic facilities and renovations to existing clinic facilities for the underserved.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	10517305	Expense
Revenue	89162	Revenue
Description	MHM owns and operates the Wesley Health & Wellness Center at Columbia Heights and Bishop Ernest T. Dixon Jr. Clinic. Both sites provide full-time medical and/or dental services and counseling/ support services to individuals and families who do not qualify for Medicaid or Medicare and who are not offered or cannot afford health insurance. Patient revenue is nominal and is based on a sliding fee scale determined by family size and income level. MHM also operates School Based Health Centers in two local school districts, providing medical, dental and support services.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	6591241	Expense
Revenue	1320	Revenue
Description	Wesley Nurse Health Ministries provides specially trained registered nurses who are based in churches throughout South Texas. Wesley Nurses are charged with defining the health and wellness needs of the least-served of the congregations they serve and the community as a whole. They facilitate meeting the needs of the least-served by interfacing with other community resources.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	10661326	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	104786453	TotalOfOtherProgramServiceRev
Total Program Service Expense	50757082	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	true	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	false	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	166	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	294	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Excess Business Holdings	false	ExcessBusinessHoldings
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	30	NbrVotingGoverningBodyMembers
Number Independent Voting Members	26	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
Own Website	X	OwnWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	KEVIN C MORIARTY PRES CEO	NamePerson
Telephone Number	2106920234	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	4507 Medical Drive	AddressLine1
City	San Antonio	City
State	TX	State
ZIP Code	78229	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (39 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
Richard T Gilby
Chair	6.0	X	X	0	0	0
Scott D Bryan
Senior Vice Chair	6.0	X	X	0	0	0
Paula Larson
Vice Chair	4.0	X	X	0	0	0
James A Garcia
Vice Chair	2.0	X	X	0	0	0
George N Ricks
Secretary	2.0	X	X	0	0	0
Paul M Anderson
Treasurer	4.0	X	X	0	0	0
Polin Barraza
Director	2.0	X		0	0	0
Fred C Campbell Jr MD
Director	2.0	X		0	0	0
Roy R Campbell III
Director	2.0	X		0	0	0
Martin F Casey Jr
Director	2.0	X		0	0	0
Blas Catalani II
Director	2.0	X		0	0	0
Nancy Cook-Monroe
Director	2.0	X		0	0	0
Bishop James Dorff
Director	2.0	X		0	0	0
Alice H Gannon
Director from July 2010	2.0	X		0	0	0
Rinaldo J Gonzalez
Director from June 2010	2.0	X		0	0	0
Sherry Herndon
Director	2.0	X		0	0	0
R Dan Johnson
Director	2.0	X		0	0	0
Rev Jean Ann Karm
Director	2.0	X		0	0	0
Julie S Meyer
Director	2.0	X		0	0	0
Jesse Moss MD
Director	2.0	X		0	0	0
Kerwin L Overby
Director	2.0	X		0	0	0
Mahendra C Patel MD
Director	2.0	X		0	0	0
Rev Carl Rohlfs
Director	2.0	X		0	0	0
Darrel Frank Smith
Director	2.0	X		0	0	0
Paula X Stallcup
Director	2.0	X		0	0	0
John F Stoll MD
Director	2.0	X		0	0	0
Rev Virgilio Vazquez-Garza
Director	2.0	X		0	0	0
Shirley S Watkins
Director	2.0	X		0	0	0
Sandy Wilder
Director	2.0	X		0	0	0
George Mac Williams Jr
Director	2.0	X		0	0	0
Jack Davis
Director until December 2010	2.0	X		0	0	0
Dudley Harral
Director until June 2010	2.0	X		0	0	0
Mary Tom Hefte
Director until June 2010	2.0	X		0	0	0
Claudia Hura MD
Director until June 2010	2.0	X		0	0	0
Kevin Moriarty
Chief Executive Officer	40.0		X	320111	0	31929
Peggy Cary
Chief Financial Officer	40.0		X	162863	0	24394
Joseph Babb
Executive Director	40.0			130475	0	35160	X
Maria Del Pilar Oates
Executive Director	40.0			134308	0	21228	X
Bryan Jaax
Director of Investments	40.0			102063	0	31388	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	849820	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	144099	TotalOtherCompensation
Number Individuals GT100 K	5	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Carlson Cap Double BlackBlack Dia
2100 McKinney Avenue	DALLAS	TX	75201	INVESTMENT MANAGER	569199
BBT Overseas Cap
201 Main St Suite 3300	FORTH WORTH	TX	76102	Investment Manager	357234
O'Neill Associates
1303 McCullough Ave 125	SAN ANTONIO	TX	78212	LAB SERVICES	241906
Quest Diagnostics
PO Box 841725	DALLAS	TX	75284	LAB SERVICES	200250
Eagle Capital
499 Park Avenue 17th Floor	NEW YORK	NY	10022	INVESTMENT MANAGER	199626

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	10	NumberOfContractorsGT100K
Government Grants	32617	GovernmentGrants
All Other Contributions	102170	AllOtherContributions
Noncash Contributions	17679	NoncashContributions
Total Contributions	134787	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
ORDINARY INCOME FROM MHS	622110	104784466	102496951	2287515
Clinic Revenue - Direct program of MHM	621498	89162	89162
CAYOP Program Fees - Direct program of MHM	611620	1987	1987
WESLEY NURSE SYMPOSIUM-DIRECT MHM PROG	611430	1320	1320

Field	Value	IRS element (for citing)
Total Program Service Revenue	104876935	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	5213593	TotalRevenueColumn
Unrelated Business Revenue	266839	UnrelatedBusinessRevenue
Exclusion	$4,946,754	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	8158600	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	5651572	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	2507028	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2507028	TotalRevenueColumn
Exclusion	$2,507,028	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	76285747	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	71221490	Securities
Other	272758	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	5064257	Securities
Other	-272758	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	4791499	TotalRevenueColumn
Exclusion	$4,791,499	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	All other revenue	Description
Business Code	900099	BusinessCode
Total Revenue Column	18134	TotalRevenueColumn
Exclusion	$18,134	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	18134	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	117541976	TotalRevenueColumn
Related Or Exempt Function Income	102589420	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2554354	UnrelatedBusinessRevenue
Exclusion	$12,263,415	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	22987210	Total
Program Services	22987210	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	54209	Total
Program Services	54209	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	551134	Total
Management And General	551134	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	11164951	Total
Program Services	9609474	ProgramServices
Management And General	1555477	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	389834	Total
Program Services	326648	ProgramServices
Management And General	63186	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	2150755	Total
Program Services	1774834	ProgramServices
Management And General	375921	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	829054	Total
Program Services	705246	ProgramServices
Management And General	123808	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	206785	Total
Management And General	206785	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	43571	Total
Management And General	43571	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	157267	Total
Program Services	157267	ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	1082285	Total
Program Services	1082285	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	3385407	Total
Program Services	2704212	ProgramServices
Management And General	681195	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	77987	Total
Program Services	3900	ProgramServices
Management And General	74087	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1503302	Total
Program Services	1357471	ProgramServices
Management And General	145831	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	343233	Total
Management And General	343233	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	490621	Total
Program Services	318446	ProgramServices
Management And General	172175	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	310239	Total
Program Services	261793	ProgramServices
Management And General	48446	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	231531	Total
Program Services	125478	ProgramServices
Management And General	106053	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	6319	Total
Management And General	6319	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1673989	Total
Program Services	1266684	ProgramServices
Management And General	407305	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	195105	Total
Program Services	136187	ProgramServices
Management And General	58918	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Pharmaceuticals	3557167	3557167
K-1 EXPENSES-INCL ALLOC DEPR	3299810	3299810
Community Outreach	391194	391194
Federal Income Tax UBIT	289075		289075
Parenting Group Expenses	139045	139045

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	670917	Total
Program Services	498522	ProgramServices
Management And General	172395	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	56181996	Total
Program Services	50757082	ProgramServices
Management And General	5424914	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	24175544	BOY
EOY	9708516	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	7732	BOY
EOY	11831	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	195711	BOY
EOY	250059	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	29979500	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	5362722	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	21013970	BOY
EOY	24616778	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	147625295	BOY
EOY	240729520	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	44738579	BOY
EOY	55733224	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	276487022	BOY
EOY	325018405	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	100000	BOY
EOY	100000	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	514343853	BOY
EOY	656168333	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1858167	BOY
EOY	2070486	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	14176460	BOY
EOY	25274145	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
EOY	35000000	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	16034627	BOY
EOY	62344631	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	498188069	BOY
EOY	593699511	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	21157	BOY
EOY	24191	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	100000	BOY
EOY	100000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	498309226	BOY
EOY	593823702	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	514343853	BOY
EOY	656168333	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	61359980	ReconcilationRevenueExpenses
Reconcilation Other Changes	34154496	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	X	SupportingOrganization509a3
Supporting Org509a3 Type1	X	SupportingOrg509a3Type1
Certification Checkbox	X	CertificationCheckbox
Contrib By Controlling Individual	false	ContribByControllingIndividual
Contribution By Related Party	false	ContributionByRelatedParty
Contrib By35 Controlled Entity	false	ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Southwest Texas Conference of the United Methodist Church	BusinessNameLine1

Field	Value	IRS element (for citing)
EIN	741326672	EIN
Type Of Organization	01	TypeOfOrganization
Listed In Governing Doc	true	ListedInGoverningDoc
Supported Organization Notified	true	SupportedOrganizationNotified
Organized In US	true	OrganizedInUS
Amount	$321,461	Amount

Field	Value	IRS element (for citing)
Total Number Of Supported Orgs	1	TotalNumberOfSupportedOrgs
Sum Of Amounts	321461	SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	true	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	true	PublicationsOrBroadcast
Publications Or Broadcast	$3,985	PublicationsOrBroadcastAmount
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$205,537	GrantsOtherOrganizationsAmount
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$3,762	DirectContactLegislatorsAmount
Rallies Demonstrations	true	RalliesDemonstrations
Rallies Demonstrations	$2,890	RalliesDemonstrationsAmount
Other Activities	true	OtherActivities
Other Activities	$2,270	OtherActivitiesAmount
Total Lobbying Expenditures IIB	218444	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Other Lobbying Activities	Identifier
Return Reference	Schedule C, Part II 1-i	ReturnReference
Explanation	Other lobbying activities includes: print and online subscriptions and American League of Lobbyists membership.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	100000	BeginningOfYearBalance
Investment Earnings Or Losses	4107	InvestmentEarningsOrLosses
Other Expenditures	4107	OtherExpenditures
End Of Year Balance	100000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	100000	BeginningOfYearBalance
Investment Earnings Or Losses	5515	InvestmentEarningsOrLosses
Other Expenditures	5515	OtherExpenditures
End Of Year Balance	100000	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	100000	BeginningOfYearBalance
Investment Earnings Or Losses	5514	InvestmentEarningsOrLosses
Other Expenditures	5514	OtherExpenditures
End Of Year Balance	100000	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2217477	OtherCostOrOtherBasis
Book Value	2217477	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	22608044	OtherCostOrOtherBasis
Depreciation	2757152	Depreciation
Book Value	19850892	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	421309	OtherCostOrOtherBasis
Depreciation	393092	Depreciation
Book Value	28217	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4732670	OtherCostOrOtherBasis
Depreciation	2212478	Depreciation
Book Value	2520192	BookValue

Field	Value	IRS element (for citing)
Other Land Buildings		OtherLandBuildings
Total Of Book Value Land Buildings	24616778	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities (7 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
Overseas CAP Partners, Inc.	17406341	F
Black Diamond Ltd	8858806	F
Double Black Diamond Ltd	11280906	F
EAGLE INCOME APPRECIATIONS LLC	9103098	F
Incube Ventures II, LP	180805	F
Targeted Technology Fund, LP	236439	F
Texas Methodist Foundation	8666829	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	55733224	TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
Description	Equity ownership in Methodist	Description
Book Value	325018405	BookValue
Method Of Valuation	C	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	325018405	TotalOfBookValueProgramRelated
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Frost Bank Line of Credit	Description
Amount	$35,000,000	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	35000000	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Wheatley Endowment Fund	Identifier
Return Reference	Schedule D Part V	ReturnReference
Explanation	The endowment fund is considered a permanently restricted asset. The investment is to be held in perpetuity with the income designated for charity care. LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48/ASC 740 Schedule D, Part X THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF DECEMBER 31, 2010.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	500.	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16946243	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2217416	DirectOffsettingRevenue
Net Community Benefit Expense	14728828	NetCommunityBenefitExpense
Percent Of Total Expense	0.02390	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	68632527	TotalCommunityBenefitExpense
Direct Offsetting Revenue	103396427	DirectOffsettingRevenue
Net Community Benefit Expense	-34763900	NetCommunityBenefitExpense
Percent Of Total Expense	0.05650	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2770886	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3325811	DirectOffsettingRevenue
Net Community Benefit Expense	-554925	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	88349656	TotalCommunityBenefitExpense
Direct Offsetting Revenue	108939654	DirectOffsettingRevenue
Net Community Benefit Expense	-20589997	NetCommunityBenefitExpense
Percent Of Total Expense	0.03350	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	29341358	TotalCommunityBenefitExpense
Direct Offsetting Revenue	282600	DirectOffsettingRevenue
Net Community Benefit Expense	29058758	NetCommunityBenefitExpense
Percent Of Total Expense	0.04720	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1400022	TotalCommunityBenefitExpense
Direct Offsetting Revenue	50854	DirectOffsettingRevenue
Net Community Benefit Expense	1349168	NetCommunityBenefitExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	22987210	TotalCommunityBenefitExpense
Net Community Benefit Expense	22987210	NetCommunityBenefitExpense
Percent Of Total Expense	0.03740	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	53728590	TotalCommunityBenefitExpense
Direct Offsetting Revenue	333454	DirectOffsettingRevenue
Net Community Benefit Expense	53395136	NetCommunityBenefitExpense
Percent Of Total Expense	0.08680	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	142078246	TotalCommunityBenefitExpense
Direct Offsetting Revenue	109273108	DirectOffsettingRevenue
Net Community Benefit Expense	32805139	NetCommunityBenefitExpense
Percent Of Total Expense	0.05330	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$11,363,180	BadDebtExpenseAmount
Amount Attributable To	1228586	AmountAttributableTo
Amount Reimbursed By Medicare	167461324	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	169022715	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1561391	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
METH AMB SURG CTR-MC
FREESTANDING ASC	0.39250	0.00000	0.10750
COMP RAD MGMT SVCS
IMAGING SERVICES	0.25000	0.00000	0.25000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	7	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (7 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	Childrens HospitalChildrensHospital
METHODIST HOSPITAL
1	7700 FLOYD CURL DRIVE	SAN ANTONIO	TX	78229	X	X	X
METHODIST CHILDREN'S HOSPITAL
2	7700 FLOYD CURL DRIVE	SAN ANTONIO	TX	78229	X		X	X
METROPOLITAN METHODIST HOSPITAL
3	1310 MCCULLOUGH AVENUE	SAN ANTONIO	TX	78212	X	X	X
METHODIST SPECIALTY & TRANSPLANT HOSP
4	8026 FLOYD CURL DRIVE	SAN ANTONIO	TX	78229	X	X	X
NORTHEAST METHODIST HOSPITAL
5	12412 JUDSON ROAD	SAN ANTONIO	TX	78223	X	X	X
METHODIST STONE OAK HOSPITAL
6	1139 E SONTERRA BLVD	SAN ANTONIO	TX	78258	X	X	X
METHODIST AMBULATORY SURGERY HOSPITAL
7	9150 HUEBNER RD SUITE 100	SAN ANTONIO	TX	78240	X	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (7 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	Medicaid MedicareMedicaidMedicare	Other FactorsOtherFactors	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Provided On AdmissionProvidedOnAdmission	Available On RequestAvailableOnRequest	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Report To Credit AgencyReportToCreditAgency	Notify Upon AdmissionNotifyUponAdmission	Notify Before DischargeNotifyBeforeDischarge	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
METHODIST HOSPITAL
1	true	true	200.	true	500.	true	X	X	X	X	X	X	X	true	true	X	X	X	X	X	true	true	X	X	X	X	X	true	X	false	false
METHODIST CHILDREN'S HOSPITAL
2	true	true	200.	true	500.	true	X	X	X	X	X	X	X	true	true	X	X	X	X	X	true	true	X	X	X	X	X	true	X	false	false
METROPOLITAN METHODIST HOSPITAL
3	true	true	200.	true	500.	true	X	X	X	X	X	X	X	true	true	X	X	X	X	X	true	true	X	X	X	X	X	true	X	false	false
METHODIST SPECIALTY & TRANSPLANT HOSP
4	true	true	200.	true	500.	true	X	X	X	X	X	X	X	true	true	X	X	X	X	X	true	true	X	X	X	X	X	true	X	false	false
NORTHEAST METHODIST HOSPITAL
5	true	true	200.	true	500.	true	X	X	X	X	X	X	X	true	true	X	X	X	X	X	true	true	X	X	X	X	X	true	X	false	false
METHODIST STONE OAK HOSPITAL
6	true	true	200.	true	500.	true	X	X	X	X	X	X	X	true	true	X	X	X	X	X	true	true	X	X	X	X	X	true	X	false	false
METHODIST AMBULATORY SURGERY HOSPITAL
7	true	true	200.	true	500.	true	X	X	X	X	X	X	X	true	true	X	X	X	X	X	true	true	X	X	X	X	X	true	X	false	false

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	22	NumberOfOtherFacilities

Other Facilities OtherFacilities (22 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
METHODIST AMBULATORY SURGERY CTR-MED CTR
4411 MEDICAL DRIVE SUITE 200	SAN ANTONIO	TX	78229	FREESTANDING ASC
CARDIOLOGY CLINIC OF SAN ANTONIO
8109 Fredericksburg Road	San Antonio	TX	78229	MSO
METHODIST BOERNE EMERGENCY CENTER
134 MENGER SPRINGS	BOERNE	TX	78006	EMERGENCY DEPARTMENT
SOUTH TEXAS CARDIOVASCULAR
8109 FREDERICKSBURG ROAD	SAN ANTONIO	TX	78229	MSO
METHODIST AMBULATORY SURG CTR-N CENTRAL
19010 STONE OAK PARKWAY	SAN ANTONIO	TX	78258	FREESTANDING ASC
INTERNAL MEDICINE (IMED)
8109 FREDERICKSBURG ROAD	SAN ANTONIO	TX	78229	MSO
NORTHEAST INTERNAL MEDICINE ASSOCIATES
8109 Fredericksburg Road	San Antonio	TX	78229	MSO
SAN ANTONIO PRACTICE MANAGEMENT SERVICES
8109 Fredericksburg Road	San Antonio	TX	78229	MSO
METHODIST INPATIENT MANAGEMENT GROUP
8109 FREDERICKSBURG ROAD	SAN ANTONIO	TX	78229	NONPROFIT HEALTHCARE CORP
CARDIOLOGY OF SOUTH TEXAS
8109 FREDERICKSBURG ROAD	SAN ANTONIO	TX	78229	MSO
SAN ANTONIO INTERNAL MEDICINE
8109 FREDERICKSBURG ROAD	SAN ANTONIO	TX	78229	MSO
PEDIATRIC ANESTHESIA CONSULTANTS OF SA
8109 FREDERICKSBURG ROAD	SAN ANTONIO	TX	78229	MSO
TEXAS INSTITUTE OF PEDIATRICS
8109 FREDERICKSBURG ROAD	SAN ANTONIO	TX	78229	MSO
CHILDREN'S CRITICAL CARE SPECIALIST
8109 FREDERICKSBURG ROAD	SAN ANTONIO	TX	78229	MSO
UTOPIA MEDICAL CLINIC
100 BRANDON STREET	UTOPIA	TX	78884	RURAL HEALTH CLINIC
TEXAS INSTITUTE OF MEDICINE & SURGERY
8109 FREDERICKSBURG ROAD	SAN ANTONIO	TX	78229	NONPROFIT HEALTHCARE CORP
METHODIST CARDIOLOGY PHYSICIANS
8109 FREDERICKSBURG ROAD	SAN ANTONIO	TX	78229	NONPROFIT HEALTHCARE CORP
CHILDREN'S HOSPITAL INTENSIVE CARE ASSOC
8109 FREDERICSBURG ROAD	SAN ANTONIO	TX	78229	NONPROFIT HEALTHCARE CORP
METHODIST FAMILY HEALTH CTR-AUSTIN HWY
1533 AUSTIN HWY SUITE 105	SAN ANTONIO	TX	78218	FAMILY HEALTH CENTER
METHODIST FAMILY HEALTH CTR-E SOUTHCROSS
2338 E SOUTHCROSS	SAN ANTONIO	TX	78223	FAMILY HEALTH CENTER
METHODIST FAMILY HEALTH CENTER-LAS PALMA
803 CASTROVILLE RD SUITES 131	SAN ANTONIO	TX	78237	FAMILY HEALTH CENTER
METHODIST FAMILY HEALTH CTR-SW MILITARY
137 SW MILITARY DRIVE	SAN ANTONIO	TX	78221	FAMILY HEALTH CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Annual Community Benefit Report	Schedule H, Part I line 6a	Methodist Healthcare System of San Antonio, Ltd, LLP ("MHS", the Partnership, EIN: 74-2730328), a Texas limited partnership, was formed on January 11, 1995, and filed a certificate to add the designation of limited liability partnership June 5, 2003. The Partnership is structured with two general partners, Columbia/HCA Healthcare Corporation of Central Texas, an indirect wholly owned subsidiary of HCA, Inc., and Methodist Healthcare Ministries of South Texas, Inc. ("MHM"), a Texas nonprofit corporation, each with a 20% general partnership interest. The two general partners also each hold equal 30% limited partner interests. Only 50% of MHS financial assistance and other community benefits are reported on MHM's 990 Schedule H. MHS provides a full range of inpatient and outpatient services primarily through the operation of Methodist Hospital and its affiliated campuses of Methodist Children's Hospital, Metropolitan Methodist Hospital, Methodist Specialty & Transplant Hospital, Northeast Methodist Hospital, and Methodist Texsan Hospital, as well as Methodist Stone Oak Hospital and Methodist Ambulatory Surgery Hospital - Northwest, as permitted by the licenses issued to them from the State of Texas. Activities associated with the provision of healthcare services within the hospital setting are the major and central operations of the hospitals. The Partnership is the sole corporate member of four Texas certified nonprofit healthcare corporations, which employ physicians who provide health care services to the community. MHS files Annual Statements of Community Benefits as required by the Texas Department of State Health Services, per provisions of the Texas Health and Safety Code, Chapter 311, Subchapters C and D. On December 31, 2010, the Partnership acquired 100% of the interest in Heart Hospital of San Antonio, L.P., a Texas limited partnership d/b/a Texsan Heart Hospital. The hospital was renamed Methodist Texsan Hospital, and is a provider based campus of Methodist Hospital.
Costing Methodology	Schedule H, Part I line 7:	Cost to charge ratios from Worksheet 2 used.
Charity Care at Cost	SCHEDULE H, PART I, LINE 7A	MHS has entered into an Indigent Care Affiliation Agreement with the Bexar County Hospital District (University Health System), Baptist Health System, Christus Santa Rosa Healthcare and Southwest General Hosital to provide funding for the healthcare services to indigent patients in Bexar County. Funds are paid to Bexar County Clinical Services, a Certified Non-Profit Healthcare Organization (CHO). BCCS disburses funds to various healthcare providers for the provision of healthcare services to indigent patients in Bexar County.
Organization's financial statement bad debt expense footnote	Schedule H, Part III Section Line 4:	MHS Bad Debt Footnote: Additions to the allowance for doubtful accounts are made by means of the provision for doubtful accounts. Accounts written off as uncollectible are deducted from the allowance and subsequent recoveries are added. The amount of the provision for doubtful accounts is based upon assessment of historical and expected net collections, business and economic conditions, trends in federal and state governmental and private employer health care coverage, and other collection indicators. The provision for doubtful accounts and the allowance for doubtful accounts relate primarily to "uninsured" amounts (including co-payment and deductible amounts from patients who have health care coverage) due directly from patients. Accounts are written off when all reasonable internal and external collection efforts have been performed. The return of an account from the secondary external collection agency is considered to be the culmination of reasonable collection efforts and the timing basis for writing off the account balance. Write-offs are based upon specific identification and the write-off process requires a write-off adjustment entry to the patient accounting system. Management relies on the results of the detailed reviews of historical write-offs and recoveries at facilities that represent a majority of revenues and accounts receivable (the hindsight analysis) as a primary source of information to utilize in estimating the collectability of accounts receivable. The hindsight analysis is performed quarterly, utilizing rolling twelve-month accounts receivable collection and write-off data. The results of the detailed review of historical collections and write-offs experience, adjusted for changes in trends and conditions, are used to evaluate the allowance amount for the current period. At December 31, 2010 and 2009, respectively, the Partnership's combined allowance for doubtful accounts and self-pay discounts represented approximately 94% of the $210,000,000 and 95% of the $228,000,000 total patient due accounts receivable balance, including accounts, net of estimated contractual discounts, related to patients for which eligibility for Medicaid coverage was being evaluated (pending Medicaid accounts). Adverse changes in general economic conditions, business office operations, payor mix, or trends in federal or state governmental health care coverage could affect the Partnership's collection of accounts receivable, cash flows, and results of operations.
Costing Methodology	Schedule H, Part III, Line 4	Cost to charge ratios from Worksheet 2 used. MHM and MHS jointly analyzed zip codes where, based on financial demographics, it appeared that the patients in those zip codes would likely qualify for charity care. An analysis of past collections in the zip code areas and several federal poverty guideline surveys using the zip codes resulted in MHM's conclusion that all patients in the identified zip codes are patients that, under MHS charity care policies, would likely qualify for charity care. The estimated amount of MHS's bad debt expense (at cost) attributable to patients eligible under the organization's financial assistance policy was calculated using zip code data. Transactions included in the total reported on line 3 were from zip codes where the median income would qualify a patient for MHS's Charity Care Program.
Costing Methodology	Schedule H, Part III, Section B, Line 8	The amounts reported on Part III, Lines 5-7 have been determined by aggregating the information from the individual facility cost report(s) for each of the hospitals operated by MHS. The hospitals operated by MHS may have cost report year ends other than December 31, 2010. Accordingly, for a facility with a non-calendar year end, the cost report that was filed for the cost report year end that ended during 2010 was utilized.
Written Debt Collection Policy	Schedule H, Part III Section C, Line 9b:	MHS has a policy to provide discounts to those individuals who do not have insurance or who are not covered by a governmental reimbursement program. If a patient qualifies for Medicaid, then he or she is only responsible for any non-covered charges. If the patient does not qualify for Medicaid, he or she may complete an application for Charity Assistance to have the encounter reviewed for a potential Charity discount. If the patient falls between 0-200% of Federal Poverty Guidelines, then 100% of the account will be written off to charity. Letters are then sent to the patients notifying them that the account has qualified for the charity discount and is considered closed and no further collections efforts are taken. In addition, a sliding scale charity discount is applied to accounts for patients whose income is between 200% and 500% of the federal poverty level, and whose remaining account balance, after any third-party payments, exceeds a specified percentage of their income. If a patient does not qualify for a charity discount, an uninsured discount is applied to total charges. If a patient is unable to pay the remaining balance in full, after applying any charity or uninsured discounts, MHS will work with the patient to set up a monthly payment arrangement. Throughout the debt collection process, MHS continues to inform patients about the availability of charity care assistance.
Financial Assistance Policy	Schedule H, Part V, Section B, Line 11h & Part VI, Question 3	The following is a summary of the Charity Care Policy adopted by MHS: Charity Care Eligibility System: - Methodist actively seeks the completion of an application, which allows for the collection of appropriate information. - Verification of family members in the household - Adults: patient, patient's spouse and any dependents. Minors: mother and father, and dependents of both. - Income calculation - Adults: sum of the total yearly gross income of the patient and the patient's spouse. Minors: total yearly gross income of the patient, and the patient's mother and father. - Documentation - various official income reporting documentation is sought (e.g. W-2, Wage and Tax Statement, Pay Check Remittance and others). Documentation associated with the participation in a Public Benefit Program can be provided in lieu of income documentation (proof of participation indicates the patient has been deemed financially indigent and therefore is not required to provide income information). There is also a verification process in place for patients that do not have appropriate documentation. Charity Eligibility Classifications - Financially Indigent - yearly income is less than or equal to 200% of the Federal Poverty Guidelines. - Medically Indigent - the amount owed by the patient after payment by all third-party payors must exceed ten percent of the patient's yearly income and the patient must be unable to pay the remaining bill. Acceptance by MHS is based on meeting either of two criteria: Yearly income must be greater than 200%, but less than or equal to 500% of the Federal Poverty Guidelines. Alternatively, patients with abnormally large accounts may qualify as catastrophically eligible when their remaining balance exceeds a specific percentage of their income. The guidelines applied for Catastrophic Eligibility range from 201% of the Federal Poverty Guidelines to over 1000% of the Federal Poverty Guidelines.
Publication of Financial Assistance Policy	Schedule H, Part V, Section B, Line 13g and Part VI Question 3	There is a link on MHS website for information on financial assistance. Signs that prominently present information about the charity mission and guidelines are present at all points of admission. MHS also publishes a notice of its charity policy annually in the San Antonio Express-News. A patient brochure, entitled "A Guide to Your Hospital Bill", explains the hospital billing process and informs patients of the charity policy in the event they need financial assistance. Admissions personnel receive training and an annual refresher course on the policy, and understand the crucial role they play in informing patients about the policy. Financial Counselors and Hospital Case Management staff educate patients and are available to assist them with the charity care application process. In addition to providing information during the admitting process, MHS continues to provide information about the availability of charity care assistance during the collection process for those patients who have been billed, but have not paid. MHS adopted an Uninsured Discount Policy. The policy was established to make hospital bills more affordable to the uninsured population. Uninsured patients who qualify for charity will receive either the charity discount or the uninsured discount, whichever is greater. Uninsured discounts granted for the year ended December 31, 2010 were $159.0 million in charges, and are recorded as a deduction of net patient revenue.
Charges for Medical Care	Schedule H, Part V, Section B, Line 19	MHS has adopted an Uninsured Discount Policy. The rates are based on average reimbursement rate for commercial PPO Plans. The discount rate varies based upon whether the case is an inpatient admission, emergency room visit, or other outpatient visit. For 2010, the discount rate applied to inpatient accounts was 78%, 73% for emergency room accounts, and 66% for all other outpatient accounts. Additional information regarding the program is included in the response for Schedule H, Part V, Section B, Line 13g.
Needs Assessment	Schedule H, Part VI, Question 2	MHM and MHS are members of the Bexar County Community Health Collaborative which consists the following members: Baptist Health System, Bexar County Department of Community Resources, Community First Health Plans, San Antonio Metropolitan Health District (Metro Health), WellMed Medical Management, the YMCA of Greater San Antonio, University Health System, and Community Member, Steve Blanchard, PhD. MHM and MHS are major funders of the Bexar County Community Health Collaborative's needs assessment. In 2009, MHS opened Methodist Stone Oak Hospital (MSOH), an 87-bed facility in North Central San Antonio. To address increasing patient volumes, MSOH added 10 beds to create a 23-hour observation area in the emergency room. Nine inpatient beds were also added to further accommodate medical/surgical patients, with 96 beds in service at the end of 2010. MSOH also started construction on an additional 44 beds, which are expected to open in the summer of 2011. In 2010, charity care charges provided at MSOH increased by $1.06 million. Methodist has also recognized that patients requiring psychiatric services are typically one of the most underserved populations in the community. Approximately 20% of the behavioral health services offered at Methodist Specialty & Transplant Hospital, A Campus of Methodist Hospital, and at Metropolitan Methodist Hospital, A Campus of Methodist Hospital, are provided to charity and self-pay patients. MHS employs a number of psychiatric hospitalists to support this program, as San Antonio behavioral health physicians in private practice typically will not treat hospitalized inpatients. Behavioral Health Services were also consolidated at Methodist Specialty & Transplant Hospital, A Campus of Methodist Hospital, in the fall of 2010. In order to accommodate additional adult and geriatric patients formerly admitted to Metropolitan Methodist Hospital, A Campus of Methodist Hospital, the child and adolescent program was discontinued. There are currently several other providers in the community offering child and adolescent services, and there was no material impact on community benefit/charity care because of the change. The total number of adult and geriatric psychiatric beds remains at 74, however ten of these beds were renovated and designated as psychiatric intensive care unit beds with enhancements for suicide prevention. MHS also recruited 56 physicians in 2010, and credentialed 233 physicians in many different specialties. Methodist Hospital also implemented a new cardiology hospitalist program that now provides in-house cardiology care 24/7/365. Metropolitan Methodist Hospital, A Campus of Methodist Hospital, Northeast Methodist Hospital, A Campus of Methodist Hospital, and Methodist Stone Oak Hospital received Stroke Certification from The Joint Commission, as well as Chest Pain Certification by the Society of Chest Pain Centers. Methodist Hospital received both these certifications in 2009. To further address community needs in Northeast San Antonio, Northeast Methodist Hospital, A Campus of Methodist Hospital provided the City of Schertz Emergency Medical Services with six resuscitation devices for their ambulance crews to provide life saving services in the community surrounding the Campus.
Patient Education of Eligibility for Assistance	Schedule H, Part VI, Question 3	There is a link on MHS website for information on financial assistance. Signs that prominently present information about the charity mission and guidelines are present at all points of admission. MHS also publishes a notice of its charity policy annually in the San Antonio Express-News. A patient brochure, entitled "A Guide to Your Hospital Bill", explains the hospital billing process and informs patients of the charity policy in the event they need financial assistance. Admissions personnel receive training and an annual refresher course on the policy, and understand the crucial role they play in informing patients about the policy. Financial Counselors and Hospital Case Management staff educate patients and are available to assist them with the charity care application process. In addition to providing information during the admitting process, MHS continues to provide information about the availability of charity care assistance during the collection process for those patients who have been billed, but have not paid. MHS adopted an Uninsured Discount Policy. The policy was established to make hospital bills more affordable to the uninsured population. Uninsured patients who qualify for charity will receive either the charity discount or the uninsured discount, whichever is greater. Uninsured discounts granted for the year ended December 31, 2010 were $159.0 million in charges, and are recorded as a deduction of net patient revenue. MHS also partners with Resource Corporation of America (RCA) to screen and to assist self-pay patients to determine their eligibility for Federal, State and County programs. RCA acts as a liaison for the patient to help them through the application process. Patients are referred to RCA in several ways -- through review of hospital census reports, review of insurance verification, from physicians' offices and from hospital case management staff.
Community Information	Schedule H, Part VI Question 4	San Antonio serves not only residents of Bexar and surrounding counties in Texas, but serves as the referral center for all of South Texas--especially for pediatric services, as the outlying areas typically do not offer those services in their communities.
Promoting the Health of the Community	Schedule H, Part VI, Question 5	MHS promotes the health of the community through various services it offers to San Antonio and surrounding communities. In 2010, MHS received 22.1% (up from 21%) of all inpatient admissions from South Texas counties, many of these admissions coming via transfers from rural hospital emergency departments. In late 2009, MHS consolidated all bed placement services, including rural emergency department transfer assistance, into a system-wide Patient Placement Center. By the end of 2010, the center assisted in the transfer of 6,976 patients. More importantly, 99% of all transfers were accepted compared to 96% in 2009. Self-pay patients accounted for 11% of all transfers, up slightly from 2009. Specialized services available at MHS facilities include the following: Neonatology services, Pediatric Subspecialty services, Bone Marrow Transplant, Kidney Transplants, Heart Transplants, Liver Transplants, Pancreas Transplants, Hyperbaric Oxygen Treatment, Stroke Care, Medical Air Transport, Gamma Knife Radiosurgery, and Bariatric Surgery. As indicated in the responses for Part VI Question 2, access was expanded in 2010 at Methodist Stone Oak Hospital, with additional beds expected to open in mid-2011. The majority of charity care provided by the hospitals is from patients receiving emergency services. MHS continued to improve access to care to the community by improving emergency department access. Emergency room visits to MHS facilities totaled 263,507 in 2010, an increase of 2.5% over 2009. 16.2% of total ER visits resulted in inpatient admissions. More importantly, 20.9% of all visits to MHS emergency rooms in 2010 were made by charity or self-pay patients. MHS saw a 40% improvement in the wait time from the Patient Arrival to Bed metric and a 38% improvement in the Arrival to time they are seen by a provider. The improvements in these metrics led to a drop in the Left Prior to Medical Screening Metric from 2.4% to 1.2%. MHS continues to have minimal ambulance diversion hours. By the fourth quarter of 2010, diversion hours for all MHS hospitals were close to zero. Texas Transplant Institute (TTI), at Methodist Specialty & Transplant Hospital, a Campus of Methodist Hospital, continues to provide increased access for patients requiring kidney transplants. TTI is the home of the busiest paired exchange kidney transplant program in the nation. In November 2010, 16 patients received kidneys over a three-day period as part of the world's largest paired kidney donation exchange. Because of the significant increase in access for patients requiring kidney transplants, the United Network of Organ Sharing (UNOS) named the Texas Transplant Instititute at Methodist Specialty & Transplant Hospital the largest living donor program in the nation. As indicated in the responses for Part VI Question 2, Behavioral Health Services were consolidated at Methodist Specialty & Transplant Hospital, a Campus of Methodist Hospital, during 2010. MHS also operates three Health Buses on the east, south and west side of San Antonio offering complimentary transportation to various health care facilities. There were 12,602 transports in 2010, up slightly from 2009. MHS also invested in three new buses during 2010. MHS also operates Call-a-Nurse for Children, a telephone service offering free medical advice by trained emergency care pediatric nurses to parents of sick/injured children. The service operates from 5:00 p.m. to 8:00 a.m. Monday through Friday and around the clock on weekends and holidays (when physicians offices are closed). In addition to inbound triage calls for Children's services, Methodist operates a discharge call program during normal business hours. A call by a registered nurse is made to all inpatient discharges within 48 hours of discharge to inquire about their inpatient stay, any concerns related to discharge orders, and current health conditions. MHS has an open admissions policy which allows medical staff to admit patients directly to any MHS facility regardless of the patient's ability to pay. MHS funds and provides training and continuing education to physicians, nurses, EMS professionals and other allied health professionals. MHS participates in all quality measures (CMS, JCAHO, etc). MHS uses the CMS Core Measures as the primary quality indicators for clinical care. By the end of 2010, all MHS hospitals were in the top quartile of CMS's measurement of all hospitals. MHS provided direct support to 55 non-profit health and human service organizations serving the community. As noted above, MHS plays a leading role in the support of the Bexar County Community Health Collaborative, including the utilization of their Community Health Assessment to assist in the determination of where MHS should concentrate community activities. MHS executive management also supports the YMCA through membership on YMCA's Executive Committee and through the provision of 23 health and wellness events in 2010. MHS is also a founding member of Health Access San Antonio and MHS leadership serves on their Board of Directors. All three of the above-mentioned organizations received funding from MHS in 2010.
Affiliated Health Care System	Schedule H, Part VI, Question 6	See answer to Part I line 6a.
State Filing of Community Benefit Report	Schedule H, Part VI, Question 7	Texas

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (75 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Address Line2AddressUS/AddressLine2
Alamo Community College Nursing Program
1300 San Pedro	San Antonio	TX	78212	746001273	501(c)(3)	1495679	Nursing Education Program
American Cancer Society
8115 Datapoint	San Antonio	TX	78229	741185665	501(c)(3)	101950	Transportation Services for Patients in South Texas
ChildSafe
7130 US Hwy 90	San Antonio	TX	78227	742633697	501(c)(3)	60000	MENTAL HEALTH & COUNSELING SERVICES	STE 320
Amistad Community Health Center
1533 Brownlee Blvd Ste 100	Corpus Christi	TX	78404	203008507	501(c)(3)	336545	HEALTHCARE SERVICES
Any Baby Can of the Texas Hill Country
624 Earl Garrett	Kerrville	TX	78028	010809682	501(c)(3)	26000	HEALTHCARE FOR CHRONICALLY ILL CHILDREN
Arthur Nagel Community Clinic
1116 12th Street 3	Bandera	TX	78003	770697361	501(c)(3)	63048	PRIMARY CARE SERVICES & WOMEN'S HEALTHCARE
Atascosa Health Center
310 Wl Oaklawn Rd	Pleasanton	TX	78064	742089103	501(c)(3)	149200	FUND MEDICAL, DENTAL, AND HEALTH SERVICES
Autism Service Center of San Antonio
701 South Zarzamora Street	San Antonio	TX	78207	262592058	501(c)(3)	50000	Access to Early Autism Intervention	Cottages 1-9
Bexar County Health Collaborative
816 Camaron St Ste 209	San Antonio	TX	78212	742953076	501(c)(3)	58455	prevention of obesity and diabetes
The Healthcare Bioscience Development Corp
602 E Commerce Street	San Antonio	TX	78205	203152735	501(c)(6)	61500	Operational support & workforce develop
Brighton School
14207 Higgins Rd	San Antonio	TX	78217	742331826	501(c)(3)	60656	operational support for pals program
Brownsville Community Health Center
2137 E 22nd St	Brownsville	TX	78520	742176836	501(c)(3)	40000	dental salary supplement
El Centro del Barrio
3750 Commercial Ave	San Antonio	TX	78221	741787031	501(c)(3)	2975920	primary healthcare, respite care
Children's Bereavement Center of South TX
205 W Olmos Drive	San Antonio	TX	78212	742828178	501(c)(3)	127500	healing programs for grieving youth
Christus Spohn Health System Corporation
725 Elizabeth Street 5	Corpus Christi	TX	78404	741109836	501(c)(3)	40762	Fund clinical pastoral education residency program
Barrio Comprehensive Family Health Care Ctr
3066 E Commerce Street	San Antonio	TX	78220	741724391	501(c)(3)	1785552	fund medical, dental & counseling services
Communities in Schools of San Antonio Inc
1616 E Commerce St	San Antonio	TX	78205	742393714	501(c)(3)	100000	mental health services for at-risk youth	Bldg 1
Community Health Centers of South Central
228 St George Street	Gonzalez	TX	78629	741548089	501(c)(3)	290000	dental salary supplement
Community Health Development
201 S Evans	Uvalde	TX	78801	742269739	501(c)(3)	250000	oral health service expansion
Community Hope Projects Inc
2332 W Jordan Road	McAllen	TX	78503	742742024	501(c)(3)	273767	family counseling services
Corpus Christi Metro Ministries
1919 Leopard Street	Corpus Christi	TX	78408	742247261	501(c)(3)	54000	medical services at Gabbard Health Clinic
Daughters of Charity Serivces
7607 Somerset Road	San Antonio	TX	78211	746106876	501(c)(3)	532868	medical and dental services
Ecumenical Center for Religion and Health
8310 Ewing Halsell Dr	San Antonio	TX	78229	741587388	501(c)(3)	634434	Pastoral counseling, holistic health workshops and National Speaker Series
Lower Rio Grande Valley Community Health
901 E Vermont Ave	McAllen	TX	78503	742784427	501(c)(3)	280710	fund wellness center & medical services
Family Outreach Corpus Christi Inc
1444 Baldwin Boulevard	Corpus Christi	TX	78404	742049746	501(c)(3)	76692	crisis counseling & support services	STE 200
Family Service Association of San Antonio
702 San Pedro	San Antonio	TX	78212	741117341	501(c)(3)	420656	Prevention of child abuse and neglect in rural areas
Family Violence Prevention Services Inc
7911 Broadway	San Antonio	TX	78209	741994151	501(c)(3)	71420	To provide on-site mental health services for residents of all San Antonio homeless shelters.
Gateway Community Health Center Inc
1515 Pappas St	Laredo	TX	78041	742553409	501(c)(3)	1640258	Fund diabetes education, eye care, dental salary supplement
Good Samaratin Community Services
1600 Saltillo	San Antonio	TX	78207	741117340	501(c)(3)	75000	youth development services
Grantmakers in Health
100 Connecticut Ave NW	Washington	DC	20036	133206571	501(c)(3)	7000	funding partner contribution	Suite 1200
Goodwill Industries of San Antonio
406 W Commerce	San Antonio	TX	78207	741238444	501(c)(3)	55000	acute healthcare clinic
Harlandale ISD
102 Genevieve Street	San Antonio	TX	78214	746001200	501(c)(3)	175000	Development of Shared Use Sports Fields at Columbia Heights Elementary
Healthcare Access San Antonio
3066 E Commerce Street	San Antonio	TX	78220	203752122	501(c)(3)	210000	operational cost for project implementation
Healy-Murphy Center
618 Live Oak	San Antonio	TX	78202	741667875	501(c)(3)	56069	fund behavioral services
Hispanic Religious Partnership for Comm
1701 W Woodlawn	San Antonio	TX	78201	742886380	501(c)(3)	203325	operational support
I Care San Antonio
One Haven for Hope Way	San Antonio	TX	78207	742690192	501(c)(3)	165000	equip for vision center at haven for hope	Building One Suite 200
Infant & Family Nutrition Agency
1225 Boca Chica Boulevard	Brownsville	TX	78520	743005860	501(c)(3)	20000	operational support
Jewish Family Service of San Antonio Inc
12500 NW Military Hwy	San Antonio	TX	78231	741759254	501(c)(3)	189489	Fund counseling and outreach to children and youth	Suite 250
Matagorda Episcopal Health Outreach Program
101 Ave F North	Bay City	TX	77414	200537948	501(c)(3)	219837	fund medical and dental services
Medical Center Alliance
4507 Medical Drive	San Antonio	TX	78229	742892751	501(c)(3)	100000	San Antonio Medical Center Improvements
Mercy Ministries of Laredo
2500 Zacatecas Street	Laredo	TX	78046	200198462	501(c)(3)	231420	dental services & women's health services
Mission 911
911 Park Avenue	Corpus Christi	TX	78401	742996340	501(c)(3)	45500	spiritual support to homeless men, equipment
Morningside Ministries Foundation Inc
700 Babcock Road	San Antonio	TX	78201	742927605	501(c)(3)	180000	care to older adults
New Braunfels Christian Ministries
1195 W San Antonio St	New Braunfels	TX	78130	262221231	501(c)(3)	60000	medical and dental care to uninsured, low-income Comal County residents.
Nuestra Clinica del Valle
801 W 1st Street	San Juan	TX	78577	741721807	501(c)(3)	40000	dental salary supplement
Our Lady Of The Lake Univ Of San Antonio
411 SW 24th Street	San Antonio	TX	78207	741109631	501(c)(3)	59110	OLLU/Haven for Hope Mental Health Care for Homeless
Planned Parenthood of San Antonio
104 Babcock Road	San Antonio	TX	78201	741297211	501(c)(3)	307500	diagnostic women's health care services
Roy Maas Youth Alternatives Inc
3103 West Ave	San Antonio	TX	78213	741914638	501(c)(3)	65220	bridge emergency shelter psychiatric services
San Antonio Christian Dental Clinic
One Haven for Hope Way	San Antonio	TX	78207	742428161	501(c)(3)	306557	dental care of indigent services	Building One Suite 400
San Antonio Clubhouse Inc
1530 North Alamo	San Antonio	TX	78215	820559940	501(c)(3)	177500	mental health services
San Antonio Food Bank
5200 Old Highway 90 W	San Antonio	TX	78227	742122979	501(c)(3)	205000	Social Services Outreach: CHIP & Medicaid Enrollment
San Antonio Metropolitan Ministry
5254 Blanco Road	San Antonio	TX	78216	742285793	501(c)(3)	127500	culture of poverty training and spiritual services
Sanctuary at the Medical Center
PO Box 15330	San Antonio	TX	78212	271342019	501(c)(3)	50000	hospitality house for families of hospital patients
SLEW Inc Support Lending for Emotional
12521 Nacogdoches Road	San Antonio	TX	78217	421580967	501(c)(3)	50050	Mental Health Services for Underserved Women With Cancer	Suite 101
South Texas Rural Health Service
304 Nueces Street	Cotulla	TX	78014	741905196	501(c)(3)	408507	substance abuse services
Southwest Texas Conference of the UMC
16400 Huebner Road	San Antonio	TX	78248	370771661	501(c)(3)	321461	chaplaincy programs
Southwest Texas Reg Adv Council for Trauma
7500 US Hwy 90 ATT Building	San Antonio	TX	78227	742896432	501(c)(3)	197600	Improving Heart Attack Care in the Greater San Antonio Community	Suite 200
State of Texas Kidney Foundation
PO Box 592180	San Antonio	TX	78259	274237653	501(c)(3)	75000	startup
Su Clinica Familiar
1706 Treasure Hills Blvd	Harlingen	TX	78550	742357970	501(c)(3)	30900	diabetic retinopathy screening program
Tejas Health Care
753 East Travis Street	La Grange	TX	78945	753260266	501(c)(3)	327342	medical services
Texas Health Institute
8501 North MoPac Expressway	Austin	TX	78759	746066186	501(c)(3)	246118	Resource and Network Development for The Benefit Bank of Texas	Suite 300
ThriveWell Cancer Foundation
4383 Medical Drive	San Antonio	TX	78229	260371270	501(c)(3)	40000	deriving inspiration & vitality thru activity	Suite 4078
Timons Ministries
10501 South Padre Island Drive	Corpus Christi	TX	78418	311638327	501(c)(3)	33658	eyecare equipment
The Transplant Association of Texas
7550 IH 10 W Suite 104	San Antonio	TX	78229	742514759	501(c)(3)	80365	general operating support salary support
Horses Helping the Handicapped Inc
791 Backhaus Road	Pipe Creek	TX	78063	742746369	501(c)(3)	229625	Equine-assisted children's mental health program
United Medical Centers
2525 N Veterans Blvd	Eagle Pass	TX	78852	741993570	501(c)(3)	409475	Diabetes and hypertension management program
United Way of San Antonio & Bexar County
PO Box 898	San Antonio	TX	78293	741272381	501(c)(3)	103500	collection, organization, analyze, geocode and post mental health data
University Health System
4502 Medical Dr	San Antonio	TX	78229	746002164	501(c)(3)	2215796	medical visits to low income uninsured patients
University of Incarnate Word
4301 Broadway	San Antonio	TX	78209	741109661	501(c)(3)	23585	fund minsterio de salud program
UT Health Science Center San Antonio
7703 Floyd Curl Drive	San Antonio	TX	78229	741586031	501(c)(3)	2311579	Fund dental services and dental information system
UT Health Science Center-Ctr Humanities & Ethics
7703 Floyd Curl Drive	San Antonio	TX	78229	741586031	501(c)(3)	26495	fund frentera de salud program
Vida Y Salud Health Systems Inc
308 Cesar Chavez Ave	Crystal City	TX	78839	741715419	501(c)(3)	40000	dental salary supplement
Voices for Children Community Research Center
One Haven for Hope Way	San Antonio	TX	78207	742987232	501(c)(3)	52500	salary supplement	Building One Suite 200
Wesley Community Center
PO Box 7099	Corpus Christi	TX	78467	741185657	501(c)(3)	17800	Deed Restriction Removal on Corpus Christi Facility
Women Involved in Nurturing Giving Sharing
7900 US Hwy 90 W	San Antonio	TX	78227	742920912	501(c)(3)	251450	patient care, breast cancer	Suite 2-240

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	74	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (5 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
Electricity Assistance	134	27972
Water Assistance	30	3377
Rent/Mortgage Assistance	50	19669
Phone Assistance	1	118
Healthcare Program Assistance	15	3073

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Form 990, Schedule I	Identifier
Return Reference	Description of Organization's Procedures for Monitoring the Use of Grants	ReturnReference
Explanation	The grantee is given a blank Invoice form in the beginning of the fiscal year to use in requesting funds. When a request is submitted for payment (yearly, quarterly, or monthly) the accountant reviews and verifies expenses based on actual invoices or the organization's general ledger. The organization's expense information is verified to the approved budget submitted with the grantee application. The expense information is then entered into the grant tracking software (GIFTS) and the grant schedule. After the expenses have been verified and documented, it is submitted to the Director of Accounting for approval and signature. The Grants Associate also reviews each grant request for compliance with budgeted goals and outcomes. It is then forwarded to the Accounts Payable department for payment. A check is processed and mailed to the grantee. The backup of the check request is returned to the accountant to file in the grant folder. In addition to these procedures, the accountants do site visits to review patient files or invoices to ensure that funds are being used appropriately.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Kevin Moriarty
282636	0	25000	0	12475	0	22000	0	9929	0	352040	0	0	0
Peggy Cary
162863	0	0	0	0	0	11837	0	24394	0	199094	0	0	0
Joseph Babb
127811	0	0	0	2664	0	11931	0	23229	0	165635	0	0	0
Maria Del Pilar Oates
133220	0	0	0	1088	0	11958	0	9270	0	155536	0	0	0

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	FROST BANK	NamePerson

Field	Value	IRS element (for citing)
Relationship	SEE SUPPLEMENTAL SCHEDULE	Relationship
Amount Of Transaction	35000000	AmountOfTransaction
Description Of Transaction	SEE SUPPLEMENTAL SCHEDULE	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	BUSINESS TRANSACTION INVOLVING INTERESTED PERSONS	Identifier
Return Reference	SCHEDULE L, PART IV	ReturnReference
Explanation	Roy R Campbell, III is a Board Member of Methodist Healthcare Ministries and is an employee, officer, and shareholder for Frost Bank. During 2010 Methodist Healthcare Ministries drew on a line of credit with Frost Bank for $35,000,000; he was not directly involved with the line of credit transaction. He excused himself from the meetings anytime there was discussion on the line of credit. Frost Bank aslo provided banking services to Methodist Healthcare Ministries during 2010. The $35,000,000 line of credit was repaid in March 2011.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Other Program Services	Form 990, Part III, Line 4d	Other program services owned and operated by MHM for clients that are least served include: -Parenting programs designed to inform parents of the importance of early education in the development of their children. Programs are offered to young moms, young dads, growing families and parents of children with special needs. -Counseling, case management and support services are provided by licensed professionals. A rural component is offered through a church-based counseling program. -Health and wellness education programs are offered under the direction of registered nurses at both clinic sites. -In addition to the clinic services identified under Program Service Activity #2, community programs are provided at the Wesley Health & Wellness Center. Family Wellness programs are available for children and youth to promote health and wellness and learning skills. Adult health and wellness programs create opportunities for social interaction, building family unity and education through exercise classes, parent and family trainings, support groups and free legal assistance as a Community Justice Program site.
Description of Relationships	Form 990, Part VI, Question 2	2010 relationships Two board members, Richard T. Gilby and James A. Garcia, participate in a 50/50 partnership related to construction and real estate.
Describe Process used by Management &/or Governing Body to Review 990	Form 990, Part VI, Question 11	The Audit Committee reviews a draft of the Form 990 tax return. After this review, the tax return is forwarded to the full Board for review prior to filing.
Description: Process to Monitor Transactions for Conflicts of Interest	Form 990, Part VI, Question 12c	Article 7 of the Board's Bylaws require a conflicts of interest policy. The Board adopted a policy on December 10, 1997, Article VI of which requires annual statements. The policy is enforced and the results are reported annually to the Audit Committee and to the full Board of Directors.
Offices & Positions for Which Process was Used, & Year Process was Begun	Form 990, Part VI, Question 15a	CEO - The lastest periodic compensation survey for the President & CEO included a report compiled by Werling Associates Inc. in December 2008. The report provided the necessary background information to establish competitive and equitable compensation for the position. The market estimates provided in the report focused on two general labor markets: the market for similar positions in not-for-profit organizations and the market for the positions in for-profit companies of similar size. The study used the survey subset with the closest median revenue or number of employees, if reported, to the revenue of number of employees at MHM. The total compensation figures included direct compensation, but did not include benefits provided to employees such as insurance or retirement. The report also provided additional information reported in Form 990s for a small set of organizations with similar operations to MHM. The annual review was conducted by the chair of the Board of Directors with the Boards Executive Committee, which made the compensation adjustment. In 2011, the Board's Executive Committee engaged Nygren Consulting to conduct a compensation study. In addition to their usual methodologies, they also used Form 990 of other organizations. The study was received by the Executive Committee who determined the amount of compensation. The results and compensation were presented to the CEO by the board chair and the senior vice chair on behalf of the Executive Committee.
Offices & Positions for Which Process was Used, & Year Process was Begun	Form 990, Part VI, Question 15b	CFO - The latest periodic compensation analysis for Chief Financial Officer was conducted in January 2008 by Werling Associates, Inc. This was a market data report, which compared CFOs in organizations with similar budget revenues or number of employees. The data used was from the San Antonio geographic region or adjusted to the San Antonio geographic region using information from the Economic Research Institute. Surveys used in the analysis included: 2007 Texas Society for Healthcare Human Resource Administration Wage & Benefit Survey; 2007/2008 Top Management Compensation Report Professional Positions Compensation Report, Watson Wyatt; 2007 Compensation Data Survey - Texas, Dolan Technologies. The report was reviewed by the CEO and considered by him in making the compensation adjustment. In 2011, MHM engaged Nygren Consulting to conduct a compensation study. In addition to their usual methodologies, they also used Form 990 of other organizations. The study was received by the CEO who determined the amount of compensation.
Avail of Gov Docs, Conflict of Interest Policy & Fin Stmts to Gen Public	Form 990, Part VI, Question 19	Documents are currently provided upon request. The financial statements and tax returns are also available through Methodist Healthcare Ministries website (under "Annual Report").
Other Changes in Net Assets or Fund Balances	Form 990, Part XI, Line 5	WPCC* Revenue on books but not on return: $ 180,004 WPCC* Expenses on books but not on return (2,064,067) Tax Partnership on Form 1065 (105,173,087) Partnership earnings on books 114,531,382 Net Asset Transfer to WPCC* (7,435) Unrealized Gains 26,687,699 ------------ Total $ 34,154,496 *Wesley Primary Care Clinic Total

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Wesley Primary Care Clinic
4507 Medical Drive	San Antonio	TX	78229	742784284	Medical Svcs	TX	501(c)(3)	11-Type I	MHM
Southwest Texas Conference of the UMC
16400 Huebner Road	San Antonio	TX	78248	741326672	Church	TX	501(c)(3)	1	NA

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Methodist Healthcare System	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	8109 Fredericksburg Rd	AddressLine1
City	San Antonio	City
State	TX	State
ZIP Code	78229	ZIPCode

Field	Value	IRS element (for citing)
EIN	742730328	EIN
Primary Activity	Hospital System	PrimaryActivity
Legal Domicile State	TX	LegalDomicileState
Predominant Income Type	Related	PredominantIncomeType
Share Of Total Income	108647074	ShareOfTotalIncome
Share Of EOY Assets	452414298	ShareOfEOYAssets
Disproportionate Allocations	false	DisproportionateAllocations
Code V	$0	CodeVAmount
General Or Managing Partner	false	GeneralOrManagingPartner
Percentage Ownership	0.50000	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
Wesley Primary Care Clinic
q	1891498
Southwest Texas Conference of the UMC
b	321461
Methodist Healthcare System of San Antonio
r	101000000