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ObjectId: 202021059349300017 - Submission: 2020-04-14
TIN: 75-1788520
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
18
Open to Public Inspection
Name of the organization
Methodist Richardson Medical Center Foundation Inc
Employer identification number
75-1788520
Part I
Identification of Disregarded Entities
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
Part II
Identification of Related Tax-Exempt Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
ASSOCIATES IN SURGICAL ACUTE CARE
1441 N BECKLEY AVE
DALLAS
,
TX
75203
26-2126265
MEDICAL SERVICES
TX
501(c)(3)
Type I
METHODIST HOSPITALS OF DALLAS
No
(2)
DALLAS METHODIST HOSPITALS FOUNDATION
1441 N BECKLEY AVE
DALLAS
,
TX
75203
75-1548343
FUND RAISING TO SUPPORT EXEMPT FUNCTIONS OF MHS
TX
501(c)(3)
7
METHODIST HOSPITALS OF DALLAS
No
(3)
DALLAS METHODIST PHYSICIANS NETWORK
1441 N BECKLEY AVE
DALLAS
,
TX
75203
75-2693707
HEALTH CARE CONTRACTING
TX
501(c)(6)
METHODIST HOSPITALS OF DALLAS
No
(4)
MEDHEALTH
1441 N BECKLEY AVE
DALLAS
,
TX
75203
75-2896138
MEDICAL SERVICES
TX
501(c)(3)
Type I
METHODIST HOSPITALS OF DALLAS
No
(5)
METHODIST CDI
1441 N BECKLEY AVE
DALLAS
,
TX
75203
46-5265469
MEDICAL SERVICES
TX
501(c)(3)
3
METHODIST HOSPITALS OF DALLAS
No
(6)
Methodist Hospitals of Dallas
1441 N BECKLEY AVE
Dallas
,
TX
75203
75-0800661
Medical Services
TX
501(c)(3)
3
NA
No
(7)
METHODIST PATIENT CENTERED ACO
1441 N BECKLEY AVE
DALLAS
,
TX
75203
35-2436666
MEDICAL SERVICES
TX
501(c)(3)
10
METHODIST HOSPITALS OF DALLAS
No
(8)
Methodist Puerto Rico Transplant Administration Corporation
1441 N Beckley Ave
Dallas
,
TX
75203
82-4253307
Transplant Administration
TX
501(c)(3)
Type II
Methodist Hospitals of Dallas
No
(9)
METHODIST TRANSPLANT PHYSICIANS
1441 N BECKLEY AVE
DALLAS
,
TX
75203
01-0612870
MEDICAL SERVICES
TX
501(c)(3)
Type I
METHODIST HOSPITALS OF DALLAS
No
(10)
METHODIST URGENT CARE
1441 N BECKLEY AVE
DALLAS
,
TX
75203
47-1054059
MEDICAL SERVICES
TX
501(c)(3)
3
METHODIST HOSPITALS OF DALLAS
No
(11)
MHSR MEDICAL CENTER
1441 N BECKLEY AVE
DALLAS
,
TX
75203
26-4193362
MEDICAL SERVICES
TX
501(c)(3)
Type I
METHODIST HOSPITALS OF DALLAS
No
(12)
NELLE NORRELL FOUNDATION
1441 N BECKLEY AVE
DALLAS
,
TX
75203
75-6034201
FUND RAISING TO SUPPORT EXEMPT FUNCTIONS OF MHS
TX
501(c)(3)
Type I
METHODIST HOSPITALS OF DALLAS
No
(13)
PAVILION PROPERTIES
1441 N BECKLEY AVE
DALLAS
,
TX
75203
75-2284449
REAL ESTATE TITLE HOLDING
TX
501(c)(2)
METHODIST HOSPITALS OF DALLAS
No
(14)
PHYSICANS ASSOC OF SW DALLAS
1441 N BECKLEY AVE
DALLAS
,
TX
75203
75-2966610
MEDICAL SERVICES
TX
501(c)(3)
Type I
METHODIST HOSPITALS OF DALLAS
No
(15)
CareFlite
3110 S GREATSOUTHWEST PKWY
GRAND PRARIE
,
TX
75052
75-1657155
MEDICAL TRANSPORT
TX
501(c)(3)
10
NA
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2018
Page 2
Schedule R (Form 990) 2018
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
(1)
METDALSPI HOLDING LLC
11221 ROE AVE
LEAWOOD
,
KS
66211
26-3207402
Holding Company
TX
METHODIST HOSPITAL OF DALLAS
N/A
(2)
METDALSPI LLC
11221 ROE AVE
LEAWOOD
,
KS
66211
26-3195791
HOSPITAL
TX
METDALSPI HOLDING LLC
N/A
(3)
METHODIST DIAGNOSTIC IMAGING OF TEXAS LLC
5775 WAYZATA BLVD
400
ST LOUIS PARK
,
MN
55416
47-2352211
MEDICAL SERVICES
TX
METHODIST HOSPITAL OF DALLAS
N/A
(4)
METHODIST MCKINNEY HOSPITAL PROPERTY
11221 ROE AVE
LEAWOOD
,
KS
66211
26-1943814
REAL ESTATE HOLDING
TX
METHODIST HOSPITAL OF DALLAS
N/A
(5)
METHODIST MCKINNEY HOSPITAL LLC
11221 ROE AVE
LEAWOOD
,
KS
66211
20-8847736
HOSPITAL
TX
METHODIST HOSPITAL OF DALLAS
N/A
(6)
METHODIST URGENT CARE OF TEXAS LLC
265 BROOKVIEW CENTRE WAY
400
KNOXVILLE
,
TN
37919
35-2509140
MEDICAL SERVICES
TX
METHODIST HOSPITAL OF DALLAS
N/A
(7)
METSL HOLDINGS LLC
11221 ROE AVE
LEAWOOD
,
KS
66211
81-2295479
Holding Company
TX
NORTH TEXAS HEALTH FACILITIES MGMT
N/A
(8)
METSL LLC
11221 ROE AVE
LEAWOOD
,
KS
66211
81-2332488
Hospital
TX
METSL HOLDINGS LLC
N/A
(9)
MHD-USO GENERAL LLC
ONE POST STREET
35TH FL ATTN TAX DEPT
SAN FRANCISCO
,
CA
94104
20-3843579
MEDICAL SERVICES
TX
NORTH TEXAS HEALTH FACILITIES MGMT
N/A
(10)
MHD-USO MANAGEMENT COMPANY LP
ONE POST STREET
35TH FL
SAN FRANCISCO
,
CA
94104
20-3844027
MEDICAL SERVICES
TX
NORTH TEXAS HEALTH FACILITIES MGMT
N/A
(11)
MHS-CHC ILP
3020 W WHEATLAND RD
DALLAS
,
TX
75237
20-5000978
REHAB HOSPITAL
TX
MHS-CHC LLC
N/A
(12)
MHS-CHC LLC
3020 W WHEATLAND RD
DALLAS
,
TX
75237
20-4921888
Holding Company
TX
METHODIST HOSPITAL OF DALLAS
N/A
(13)
Methodist Mansfield Ambulatory Surgery Center LLC
PO Box 655999
Dallas
,
TX
75265
26-0869371
Ambulatory Services
TX
Methodist Hospitals of Dallas
N/A
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
(1)
NORTH TEXAS HEALTH FACILITIES MANAGEMENT
1441 N BECKELY AVE
DALLAS
,
TX
75203
75-1700994
FACILITY AND PHYSICIAN MGMT
TX
METHODIST HOSPITALS OF DALLAS
C Corporation
No
(2)
COLLECTECH FINANCIAL SERVICES INC
1441 N BECKELY AVE
DALLAS
,
TX
75203
75-2369856
BILLING AND COLLECTION
TX
NORTH TEXAS Health FACILITIES MGMT
C Corporation
No
(3)
RICHARDSON PHYSICIAN ALLIANCE
1441 N BECKELY AVE
DALLAS
,
TX
75203
75-0591925
PHYSICIAN SERVICES
TX
METHODIST HOSPITALS OF DALLAS
C Corporation
No
Schedule R (Form 990) 2018
Page 3
Schedule R (Form 990) 2018
Page
3
Part V
Transactions With Related Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.....................
1a
No
b
Gift, grant, or capital contribution to related organization(s)
............................
1b
Yes
c
Gift, grant, or capital contribution from related organization(s)
............................
1c
No
d
Loans or loan guarantees to or for related organization(s)
............................
1d
No
e
Loans or loan guarantees by related organization(s)
............................
1e
Yes
f
Dividends from related organization(s)
............................
1f
No
g
Sale of assets to related organization(s)
............................
1g
No
h
Purchase of assets from related organization(s)
............................
1h
No
i
Exchange of assets with related organization(s)
............................
1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
.......................
1j
No
k
Lease of facilities, equipment, or other assets from related organization(s)
......................
1k
No
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
No
m
Performance of services or membership or fundraising solicitations by related organization(s)
.................
1m
Yes
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
...................
1n
No
o
Sharing of paid employees with related organization(s)
............................
1o
No
p
Reimbursement paid to related organization(s) for expenses
............................
1p
No
q
Reimbursement paid by related organization(s) for expenses
............................
1q
No
r
Other transfer of cash or property to related organization(s)
............................
1r
No
s
Other transfer of cash or property from related organization(s)
............................
1s
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
Schedule R (Form 990) 2018
Page 4
Schedule R (Form 990) 2018
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2018
Page 5
Schedule R (Form 990) 2018
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference
Explanation
Schedule R (Form 990) 2018
Additional Data
Software ID:
18007697
Software Version:
2018v3.1