2011-11-08T13:56:59-06:00 2010-12-31 ERNST & YOUNG US LLP 1111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2010-01-01 741287016 METHODIST HEALTHCARE MINISTRIES of SOUTH TEXAS INC METH 2106920234 4507 Medical Drive San Antonio TX 78229 PEGGY CARY 2106920234 2011-11-08 3176817000 2010 2016-03-07 17:11:31Z Kevin C Moriarty 4507 Medical Drive San Antonio TX 78229 194687796 false X www.mhm.org X 1955 TX To serve by improving the physical, mental, and spiritual health of those least served in the Southwest Texas Conference of The United Methodist Church. 30 26 294 182 2554354 811280 196579 134787 97617058 104876935 -2693550 10005092 435540 2525162 95555627 117541976 14315000 23041419 0 0 13565689 15085728 0 0 0 15000340 18054849 42881029 56181996 52674598 61359980 514343853 656168333 16034627 62344631 498309226 593823702 X 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. false false 22987210 22987210 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. 10517305 89162 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. 6591241 1320 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. 10661326 104786453 50757082 true true false true false false false false true true true true false true false false true false false false false false false false false true false true true true false false false false false false false true false false false false false true true true false false true 166 0 true 294 true true true false false false false false false false false false false X 30 26 true false false false false false false true true false false true true true true true true true true true true X X KEVIN C MORIARTY PRES CEO 2106920234 4507 Medical Drive San Antonio TX 78229 Richard T Gilby 6.0 X X 0 0 0 Scott D Bryan 6.0 X X 0 0 0 Paula Larson 4.0 X X 0 0 0 James A Garcia 2.0 X X 0 0 0 George N Ricks 2.0 X X 0 0 0 Paul M Anderson 4.0 X X 0 0 0 Polin Barraza 2.0 X 0 0 0 Fred C Campbell Jr MD 2.0 X 0 0 0 Roy R Campbell III 2.0 X 0 0 0 Martin F Casey Jr 2.0 X 0 0 0 Blas Catalani II 2.0 X 0 0 0 Nancy Cook-Monroe 2.0 X 0 0 0 Bishop James Dorff 2.0 X 0 0 0 Alice H Gannon 2.0 X 0 0 0 Rinaldo J Gonzalez 2.0 X 0 0 0 Sherry Herndon 2.0 X 0 0 0 R Dan Johnson 2.0 X 0 0 0 Rev Jean Ann Karm 2.0 X 0 0 0 Julie S Meyer 2.0 X 0 0 0 Jesse Moss MD 2.0 X 0 0 0 Kerwin L Overby 2.0 X 0 0 0 Mahendra C Patel MD 2.0 X 0 0 0 Rev Carl Rohlfs 2.0 X 0 0 0 Darrel Frank Smith 2.0 X 0 0 0 Paula X Stallcup 2.0 X 0 0 0 John F Stoll MD 2.0 X 0 0 0 Rev Virgilio Vazquez-Garza 2.0 X 0 0 0 Shirley S Watkins 2.0 X 0 0 0 Sandy Wilder 2.0 X 0 0 0 George Mac Williams Jr 2.0 X 0 0 0 Jack Davis 2.0 X 0 0 0 Dudley Harral 2.0 X 0 0 0 Mary Tom Hefte 2.0 X 0 0 0 Claudia Hura MD 2.0 X 0 0 0 Kevin Moriarty 40.0 X 320111 0 31929 Peggy Cary 40.0 X 162863 0 24394 Joseph Babb 40.0 X 130475 0 35160 Maria Del Pilar Oates 40.0 X 134308 0 21228 Bryan Jaax 40.0 X 102063 0 31388 849820 0 144099 5 false true false 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 10 32617 102170 17679 134787 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 104876935 5213593 266839 4946754 0 0 8158600 5651572 2507028 2507028 2507028 76285747 71221490 272758 5064257 -272758 4791499 4791499 0 0 0 All other revenue 900099 18134 18134 18134 117541976 102589420 2554354 12263415 22987210 22987210 54209 54209 0 0 551134 551134 0 11164951 9609474 1555477 389834 326648 63186 2150755 1774834 375921 829054 705246 123808 0 206785 206785 43571 43571 157267 157267 0 1082285 1082285 3385407 2704212 681195 77987 3900 74087 1503302 1357471 145831 343233 343233 0 490621 318446 172175 310239 261793 48446 0 231531 125478 106053 6319 6319 0 1673989 1266684 407305 195105 136187 58918 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 670917 498522 172395 56181996 50757082 5424914 0 24175544 9708516 7732 11831 195711 250059 29979500 5362722 21013970 24616778 147625295 240729520 44738579 55733224 276487022 325018405 100000 100000 514343853 656168333 1858167 2070486 14176460 25274145 35000000 16034627 62344631 X 498188069 593699511 21157 24191 100000 100000 498309226 593823702 514343853 656168333 X 61359980 34154496 X false true true X false X X X false false false Southwest Texas Conference of the United Methodist Church 741326672 01 true true true 321461 1 321461 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false true 3985 true 205537 true 3762 true 2890 true 2270 218444 false Other Lobbying Activities Schedule C, Part II 1-i Other lobbying activities includes: print and online subscriptions and American League of Lobbyists membership. 100000 4107 4107 100000 100000 5515 5515 100000 100000 5514 5514 100000 1.00000 false false 2217477 2217477 22608044 2757152 19850892 421309 393092 28217 4732670 2212478 2520192 24616778 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 55733224 Equity ownership in Methodist 325018405 C 325018405 0 Frost Bank Line of Credit 35000000 35000000 Wheatley Endowment Fund Schedule D Part V 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. true true X true X true X 500. true true false true true 16946243 2217416 14728828 0.02390 68632527 103396427 -34763900 0.05650 2770886 3325811 -554925 0.00090 88349656 108939654 -20589997 0.03350 29341358 282600 29058758 0.04720 1400022 50854 1349168 0.00220 22987210 22987210 0.03740 53728590 333454 53395136 0.08680 142078246 109273108 32805139 0.05330 false 11363180 1228586 167461324 169022715 -1561391 X true true 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 7 1 METHODIST HOSPITAL

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FAMILY HEALTH CENTER 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 true 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 STE 320 San Antonio TX 78227 742633697 501(c)(3) 60000 MENTAL HEALTH & COUNSELING SERVICES 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 Cottages 1-9 San Antonio TX 78207 262592058 501(c)(3) 50000 Access to Early Autism Intervention 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 Bldg 1 San Antonio TX 78205 742393714 501(c)(3) 100000 mental health services for at-risk youth 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 STE 200 Corpus Christi TX 78404 742049746 501(c)(3) 76692 crisis counseling & support services 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 Suite 1200 Washington DC 20036 133206571 501(c)(3) 7000 funding partner contribution 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 Building One Suite 200 San Antonio TX 78207 742690192 501(c)(3) 165000 equip for vision center at haven for hope 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 Suite 250 San Antonio TX 78231 741759254 501(c)(3) 189489 Fund counseling and outreach to children and youth 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 Building One Suite 400 San Antonio TX 78207 742428161 501(c)(3) 306557 dental care of indigent services 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 Suite 101 San Antonio TX 78217 421580967 501(c)(3) 50050 Mental Health Services for Underserved Women With Cancer 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 Suite 200 San Antonio TX 78227 742896432 501(c)(3) 197600 Improving Heart Attack Care in the Greater San Antonio Community 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 Suite 300 Austin TX 78759 746066186 501(c)(3) 246118 Resource and Network Development for The Benefit Bank of Texas ThriveWell Cancer Foundation 4383 Medical Drive Suite 4078 San Antonio TX 78229 260371270 501(c)(3) 40000 deriving inspiration & vitality thru activity 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 Building One Suite 200 San Antonio TX 78207 742987232 501(c)(3) 52500 salary supplement 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 Suite 2-240 San Antonio TX 78227 742920912 501(c)(3) 251450 patient care, breast cancer 74 1 Electricity Assistance 134 27972 Water Assistance 30 3377 Rent/Mortgage Assistance 50 19669 Phone Assistance 1 118 Healthcare Program Assistance 15 3073 Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants 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. X X X X X false false false false false false false false false 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 FROST BANK SEE SUPPLEMENTAL SCHEDULE 35000000 SEE SUPPLEMENTAL SCHEDULE false BUSINESS TRANSACTION INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV 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. 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 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 Methodist Healthcare System 8109 Fredericksburg Rd San Antonio TX 78229 742730328 Hospital System TX Related 108647074 452414298 false 0 false 0.50000 false true false false false false false false false false false false false false false false true true Wesley Primary Care Clinic q 1891498 Southwest Texas Conference of the UMC b 321461 Methodist Healthcare System of San Antonio r 101000000