SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
Methodist Hospitals of Dallas
 
Employer identification number

75-0800661
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    107,022,181 326,913 106,695,268 8.39 %
b Medicaid (from Worksheet 3, column a) . . . . .     123,112,168 124,824,018 0 0 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     0 0 0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 230,134,349 125,150,931 106,695,268 8.39 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     2,107,906 40,288 2,067,618 0.16 %
f Health professions education (from Worksheet 5) . . .     31,880,134 8,835,746 23,044,388 1.81 %
g Subsidized health services (from Worksheet 6) . . . .     0 0 0 0 %
h Research (from Worksheet 7) .     2,179,256 2,703,606 0 0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     27,638,716 0 27,638,716 2.17 %
j Total. Other Benefits . . 0 0 63,806,012 11,579,640 52,750,722 4.15 %
k Total. Add lines 7d and 7j . 0 0 293,940,361 136,730,571 159,445,990 12.54 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing         0 0 %
2 Economic development     63,021   63,021 0 %
3 Community support         0 0 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members		         0 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy     356,409   356,409 0.03 %
8 Workforce development     1,632,967   1,632,967 0.13 %
9 Other         0 0 %
10 Total 0 0 2,052,397 0 2,052,397 0.16 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
244,015,212
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
243,690,000
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
266,833,000
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-23,143,000
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1METHODIST MCKINNEY HOSPITAL LLC
  		HOSPITAL 57.52 % 0 % 35.65 %
2SRP-MEDICA INVESTORS ADDISON LP
  		REAL ESTATE HOLDINGS ENTITY FOR METHODIST HOSPITAL FOR SURGERY 21.85 % 0 % 22.25 %
3METDALSPI LLC (METHODIST HOSPITAL FOR SURGERY) (THROUGH METDALSPI HOLDING L
LC) 		HOSPITAL 51 % 0 % 49 %
4MHSS-MOB ADDISON
  		MEDICAL OFFICE BUILDING 14.61 % 0 % 42.79 %
5METSL LLC (METHODIST SOUTHLAKE) (THROUGH METSL HOLDINGSLLC)
  		HOSPITAL 51 % 0 % 49 %
6MHD-USO MANAGEMENT COMPANY LP
  		MANAGEMENT SERVICES FOR ONCOLOGY PRACTICE 71.4 % 0 % 28.6 %
7
8
9
10
11
12
13
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?7Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 METHODIST MANSFIELD MEDICAL CENTER
2700 E BROAD STREET
DALLAS,TX76063
https://www.methodisthealthsystem.org/methodist-mansfield-medical-center/?L=true
008428 		X X         X     A
2 METHODIST RICHARDSON MEDICAL CENTER
2831 E GEORGE W BUSH HWY
RICHARDSON,TX75082
https://www.methodisthealthsystem.org/methodist-richardson-medical-center/?L=true
100131 		X X         X     A
3 METHODIST DALLAS MEDICAL CENTER
1441 N BECKLEY AVE
DALLAS,TX75203
HTTP://WWW.METHODISTHEALTHSYSTEM.ORG/
000255 		X X   X   X X     B
4 METHODIST CHARLTON MEDICAL CENTER
3500 W WHEATLAND RD
DALLAS,TX75237
https://www.methodisthealthsystem.org/methodist-charlton-medical-center/?L=true
000142 		X X   X     X     B
5 METHODIST REHABILITATION HOSPITAL
3020 W WHEATLAND RD
DALLAS,TX75237
HTTP://WWW.METHODIST-REHAB.COM/
008620 		X               REHABILITATION HOSPITAL B
6 METHODIST MCKINNEY HOSPITAL
8000 W ELDORADO PWKY
MCKINNEY,TX75070
HTTP://WWW.METHODISTMCKINNEYHOSPITAL.COM
100043 		X X         X     C
7 METHODIST HOSPITAL FOR SURGERY
17101 DALLAS PWKY
ADDISON,TX75001
HTTP://METHODISTHOSPITALFORSURGERY.COM
100075 		X X         X     D
Schedule H (Form 990) 2019
Page 4
Schedule H (Form 990) 2019
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.methodisthealthsystem.org/about/community-involvement/community-health-needs-assessment/
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2019
Page 5
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://www.methodisthealthsystem.org/patients-visitors/patient-tools-support/financial-assistance/
b
https://www.methodisthealthsystem.org/patients-visitors/patient-tools-support/financial-assistance/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Page 6
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Page 7
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Page 4
Schedule H (Form 990) 2019
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
B
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.methodisthealthsystem.org/about/community-involvement/community-health-needs-assessment/
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2019
Page 5
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
B
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://www.methodisthealthsystem.org/patients-visitors/patient-tools-support/financial-assistance/
b
https://www.methodisthealthsystem.org/patients-visitors/patient-tools-support/financial-assistance/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Page 6
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
B
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Page 7
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
B
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Page 4
Schedule H (Form 990) 2019
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
C
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		6
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://methodistmckinneyhospital.com/
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2019
Page 5
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
C
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://methodistmckinneyhospital.com/patient-info/financial-information/
b
https://methodistmckinneyhospital.com/patient-info/financial-information/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Page 6
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
C
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Page 7
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
C
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Page 4
Schedule H (Form 990) 2019
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
D
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		7
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://methodisthospitalforsurgery.com/about-us/community-health-assessment
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2019
Page 5
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
D
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://methodisthospitalforsurgery.com/about-us/financial-information
b
https://methodisthospitalforsurgery.com/about-us/financial-information
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Page 6
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
D
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Page 7
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
D
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Page 8
Schedule H (Form 990) 2019
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 3E The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA.
Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - Methodist Mansfield Medical Center. In addition to analyzing quantitative data, two (2) focus groups with a total of 19 participants, as well as five (5) key informant interviews, were conducted July 2018 through March 2019 to take into account the input of persons representing the broad interests of the community served. In the focus group sessions and interviews, participants identified and discussed the factors that contribute to the current health status of the community, and then identified the greatest barriers and strengths that contribute to the overall health of the community. Participation in the qualitative assessment was included from at least one state, local, or regional governmental public health department (or equivalent department or agency) with knowledge, information, or expertise relevant to the health needs of the community, as well as individuals or organizations who served and/or represented the interests of medically underserved, low-income and minority populations in the community. Participation from community leaders/groups, public health organizations, other healthcare organizations, and other healthcare providers ensured that the input received represented the broad interests of the community served. A list of the organizations providing input is listed below. Representing medically underserved and low-income, and/or minority populations: Area Agency on Aging/United Way of Tarrant County; Arlington Life Shelter; GRACE; Mount Olive Baptist Church; My Health My Resources (MHMR) of Tarrant County; North Texas Area Community Health Centers; Project Access Tarrant County; Texas Rehabilitation Hospital of Fort Worth; Union Gospel Mission; United Way of Tarrant County; Cancer Care Services; Metrocare; Fort Worth Independent School District; Texas Christian University and Red Cross. Representing low-income and minority populations: Eastside Ministries; Fort Worth Housing Solutions Representing low-income populations: Salvation Army; Tarrant Area Food Bank; Tarrant County Homeless Coalition All Others: Epidemiology Associates; JPS Health; Tarrant County Public Health
Schedule H, Part V, Section B, Line 5 Facility A, 2 Facility A, 2 - METHODIST RICHARDSON MEDICAL CENTER. In addition to analyzing quantitative data, three (3) focus groups with a total of 33 participants, as well as eight (8) key informant interviews, were conducted July 2018 through March 2019 to take into account the input of persons representing the broad interests of the community served. In the focus group sessions and interviews, participants identified and discussed the factors that contribute to the current health status of the community, and then identified the greatest barriers and strengths that contribute to the overall health of the community. Participation in the qualitative assessment was included from at least one state, local, or regional governmental public health department (or equivalent department or agency) with knowledge, information, or expertise relevant to the health needs of the community, as well as individuals or organizations who served and/or represented the interests of medically underserved, low-income and minority populations in the community. Participation from community leaders/groups, public health organizations, other healthcare organizations, and other healthcare providers ensured that the input received represented the broad interests of the community served. A list of the organizations providing input is listed below. Representing medically underserved and low-income, and/or minority populations: Agape Clinic; Bridge Breast Network; City of Plano; CitySquare; Community Lifeline Center; Cornerstone Baptist Church; D/FW Hindu Temple Society; Dallas Area Interfaith; Family Promise of Irving; Frisco Family Services; Genesis Women's Shelter & Support; Hope Clinic; Hope Clinic of McKinney; Los Barrios Unidos Community Clinic; Many Helping Hands Ministry; McKinney City Council; Office of the County Judge - Dallas County; Plano Fire-Rescue; Society of St. Vincent de Paul of North Texas; Texas Muslim Women's Foundation; United Way Metropolitan Dallas; Urban Inter-Tribal Center of Texas; YMCA; Cancer Care Services; Metrocare; PCI ProComp Solutions, LLC; University of Texas-Dallas; Assistance Center of Collin County; Methodist Golden Cross Academic Clinic; The Visiting Nurse Association of North Texas (VNA). Representing low-income populations: Goodwill Industries of Dallas; Legal Aid of Northwest Texas; LifePath Systems; North Texas Food Bank; Project Access-Collin County; Sharing Life Community Outreach Inc; The Samaritan Inn; Veterans Center of North Texas; Dallas County Health and Human Services All Others: Community Council
Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - ALL FACILITIES IN REPORTING GROUP A. Methodist Richardson Medical Center (MRMC) operates a 443 licensed bed hospital across two campuses. Mansfield Medical Center (MMMC) IS a 262 licensed bed hospital. Both serve different areas in the DFW metroplex.
Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - Methodist Mansfield Medical Center. Through the prioritization process, the following five significant needs were selected to be addressed via the Methodist Mansfield CHNA Implementation Strategy: Atrial Fibrillation; Obesity; Diabetes; Opioid Addiction; Cancer. The following programs/activities are how the hospital facility is addressing the selected significant needs in its most recently conducted CHNA: ATRIAL FIBRILLATION Grow cryo-ablation services; Enhance EP program; Pursue partnerships with cardiologist group, local EMS and fire depts. and CareFlite; Evaluate new technologies; Explore anticoagulation clinic; Add patient navigator services; Partner with Fire department and EMS to offer A-Fib education events. OBESITY Add bariatric nutritional support; Offer workshops with bariatric navigator; City Health & Wellness Initiative partnership; Run with Heart event; Participate and sponsor area runs; Heart of the Community program; City of Mansfield partnership; Pursue comprehensive bariatric COE. DIABETES Tarrant County Diabetes Coalition partnership; Mansfield Mission Center partnership. OPIOID ADDICTION Establish IP opioid stewardship team; Continue to employ best practice ordering guidelines in the ED; Community education; Staff and provider education; Establish Methodist drug disposal program. CANCER Prettier in Pink promotion; Continue community education and awareness events; Walgreens partnership for cancer related beauty products; Comprehensive women's imaging with breast radiologist and breast navigator. The following identified significant needs are not being addressed through the implementation strategy: Mental Health (e.g.: Providers, Alzheimer's Disease/Dementia; Depression; Schizophrenia and Other Psychotic Disorders; Intentional Self-Harm; Suicide); Access to Care (e.g.: Transportation; Primary Care Providers); Social Determinants of Health (e.g.: Civilian-Veteran Population; Social Isolation); Maternal and Child Health (e.g.: First Trimester Entry into Prenatal Care); Preventable Hospitalizations (e.g.: Perforated Appendix Admissions); Injury and Death - Children (e.g.: Infant Mortality); Environment (e.g.: Food Insecurity). These other significant health needs were not chosen to be addressed for a combination of the following reasons: * The need was not well-aligned with organizational strengths. * There are not enough existing organizational resources to adequately address the need. * Implementation efforts would not impact as many community residents (magnitude) as those that were chosen.
Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - METHODIST RICHARDSON MEDICAL CENTER. Through the prioritization process, the following three significant needs were selected to be addressed via the Methodist Richardson CHNA Implementation Strategy: Chronic Heart Failure, Cancer, Stroke The following programs/activities are how the hospital facility is addressing the selected significant needs in its most recently conducted CHNA: CONGESTIVE HEART FAILURE Expand palliative care awareness and promotion of physician on staff through articles and lunch-n-learn events; Offer nutritional cooking classes ; Offer smoking cessation classes including vaping with 2 certified COPD instructors on staff; Officer exercise and activity classes; Sponsorship of Richardson's Corporate Challenge community-wide event; Sponsorship of annual Richardson ISD Spirit Run 10K and 5K fun runs; Sponsorship of Gobble Hobble Boys & Girls club event. STROKE Obtain comprehensive stroke designation; Offer stroke support group; Offer community education awareness events; Offer smoking cessation classes; Build rapid response process; Increase awareness of stroke rehab program; Offer navigation resources. CANCER Obtain COC re-accreditation; Expand screenings; Expand community education and awareness events; Offer smoking cessation classes; Promote low dose CT; Increase support groups; Expand research trials (access) & modality; Expand navigation resources with approximately 2 FTEs. The following identified significant needs are not being addressed through the implementation strategy: Health Behaviors (e.g.: Adolescent Behavioral Health); Social Determinants of Health (e.g.: Language Barriers (Non- English Speaking Households); Poverty (Adults/Children); Social Isolation); Mental Health (e.g.: Schizophrenia and Other Psychotic Disorders; Depression); Environment (e.g.: Food Insecurity; Housing; Renter-occupied Housing; Homicides; Violent Crime Offenses); Health Behaviors - Substance Abuse e.g.: Drug Overdose Deaths - Opioids; Drug Poisoning Death Rate; Motor Vehicle Driving Deaths with Alcohol Involvement); Injury and Death - Children (e.g.: Child Mortality; Infant Mortality); Preventable Hospitalizations (e.g.: Adult and Pediatric Perforated Appendix Admission). These other significant health needs were not chosen to be addressed for a combination of the following reasons: * The need was not well-aligned with organizational strengths. * There are not enough existing organizational resources to adequately address the need. * Implementation efforts would not impact as many community residents (magnitude) as those that were chosen.
Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - All Facilities. MHS will take into account the income level, family size, and amount of hospital charges in order to determine eligibility for the levels of financial assistance. In certain extraordinary cases where these factors may not accurately reflect the patient's ability to pay, MHS may take into account the earning status and potential of the patient and family, and frequency of their hospital and medical bills.
Schedule H, Part V, Section B, Line 20 Facility A, 1 Facility A, 1 - All Facilities. AT THE CURRENT TIME MHS DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS (ECAS), THEREFORE BOX E IS SELECTED TO INDICATE THAT NO EFFORTS WERE MADE BY THE HOSPITAL FACILITIES OR OTHER AUTHORIZED PARTY BEFORE INITIATING AN ECA.
Schedule H, Part V, Section B, Line 3E The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA.
Schedule H, Part V, Section B, Line 5 Facility B, 1 Facility B, 1 - Methodist Dallas Medical Center, METHODIST CHARLTON MEDICAL CENTER, & METHODIST REHABILITATION HOSPITAL. In addition to analyzing quantitative data, two (2) focus groups with a total of 22 participants, as well as five (5) key informant interviews, were conducted July 2018 through March 2019 to take into account the input of persons representing the broad interests of the community served. In the focus group sessions and interviews, participants identified and discussed the factors that contribute to the current health status of the community, and then identified the greatest barriers and strengths that contribute to the overall health of the community. Participation in the qualitative assessment was included from at least one state, local, or regional governmental public health department (or equivalent department or agency) with knowledge, information, or expertise relevant to the health needs of the community, as well as individuals or organizations who served and/or represented the interests of medically underserved, low-income and minority populations in the community. Participation from community leaders/groups, public health organizations, other healthcare organizations, and other healthcare providers ensured that the input received represented the broad interests of the community served. A list of the organizations providing input is listed below. Representing medically underserved, low-income, and/or minority populations: Agape Clinic; Bridge Breast Network; CitySquare; Cornerstone Baptist Church; Dallas Area Interfaith; Genesis Women's Shelter & Support; Hope Clinic; Los Barrios Unidos Community Clinic; Office of the County Judge - Dallas County; Society of St. Vincent de Paul of North Texas; United Way Metropolitan Dallas; Urban Inter-Tribal Center of Texas; YMCA; Cancer Care Services; Metrocare; Methodist Golden Cross Academic Clinic; The Visiting Nurse Association of North Texas (VNA); and D/FW Hindu Temple Society. Representing medically underserved and low-income populations: Family Promise of Irving; Many Helping Hands Ministry Representing low-income populations: Goodwill Industries of Dallas; Legal Aid of Northwest Texas; North Texas Food Bank; Sharing Life Community Outreach Inc; Dallas County Health and Human Services All Others: Community Council
Schedule H, Part V, Section B, Line 6a Facility B, 1 Facility B, 1 - All Facilities in Reporting Group B. METHODIST DALLAS MEDICAL CENTER, METHODIST CHARLTON MEDICAL CENTER, and METHODIST REHABILITATION HOSPITAL are acute care hospitals serving Dallas county. The aforementioned hospitals conduct a single CHNA.
Schedule H, Part V, Section B, Line 11 Facility B, 1 Facility B, 1 - Methodist Dallas Medical Center. Through the prioritization process, the following four significant needs were selected to be addressed via the Methodist Charlton, Methodist Dallas, and Methodist Rehabilitation joint CHNA Implementation Strategy: Hypertension; Stroke; Diabetes; HIV. The following programs/activities are how the hospital facility is addressing the selected significant needs in its most recently conducted CHNA: HYPERTENSION / DIABETES Offer support groups, healthy cooking classes/demos with health fair or at local recreation centers; Collaborate with population subgroups from different neighborhoods in surrounding Oak Cliff and West Dallas community to host health pop-up events; Expand existing programs/screenings by the Methodist Faith Community Nursing program to additional churches in the community; Include education on diabetes and hypertension in discharge instructions; Add hypertension screenings to mobile mammography unit. STROKE Promote F.A.S.T (education) in Methodist Family Health Centers; Offer support group for families of stroke victims HIV Added HIV specialists; Work with PCPs to communicate the importance of HIV testing; support HIV advocacy groups with sponsorships and engage people at events by bringing team members from Infectious Disease and pharmacy. The following identified significant needs are not being addressed by any of the three facilities through the joint implementation strategy: Mental Health (e.g.: Providers, Frequent Mental Distress; Intentional Self-Harm; Suicide); Environment (e.g.: Food Insecurity; Housing); Social Determinants of Health (e.g.: Poverty (Adults and Children); Language Barriers); Access to Care (e.g.: Uninsured Adults and Children; Transportation); Injury and Death - Children (e.g.: Infant and Child Mortality); Health Behaviors - Substance Abuse (e.g.: Drug Overdose Deaths - Opioids; Drug Poisoning Deaths; Motor Vehicle Driving Deaths with Alcohol Involvement); Preventable Hospitalizations (e.g.: Adult and Pediatric Perforated Appendix Admissions) These other significant health needs were not chosen to be addressed for a combination of the following reasons: * The need was not well-aligned with organizational strengths. * There are not enough existing organizational resources to adequately address the need. * Implementation efforts would not impact as many community residents (magnitude) as those that were chosen.
Schedule H, Part V, Section B, Line 11 Facility B, 2 Facility B, 2 - Methodist Charlton Medical Center. Through the prioritization process, the following four significant needs were selected to be addressed via the Methodist Charlton, Methodist Dallas, and Methodist Rehabilitation joint CHNA Implementation Strategy: Hypertension; Stroke; Diabetes; HIV. The following programs/activities are how the hospital facility is addressing the selected significant needs in its most recently conducted CHNA: HYPERTENSION / DIABETES / STROKE Enhance education through retail pharmacy; Enhance support groups with expanded topics and membership; Establish an IV infusion program; Continue to grow Cardiomems program; Collaborate with the Best Southwest Partnership to provide enhanced educational opportunities and screening options, information regarding stroke warning signs, sponsor and promote community fitness programs, address costs for diabetes control and testing supplies, and promote diabetes self-management classes; Provide ongoing lunch-n-learn events; Launch new standing section of the ongoing SHINE newsletter dedicated to these topics; Increase reach of education opportunities through use of social mediums such as social platforms, website, video education and email publications; Monthly Heart Health and Diabetes workshops; Produce Heart to Heart community event. HIV is one of the needs selected by the three facilities in the joint CHNA. However, HIV is being addressed by Methodist Dallas Medical Center in the three facilities' joint implementation strategy and not by Methodist Charlton. The following identified significant needs are not being addressed by any of the three facilities through the joint implementation strategy: Mental Health (e.g.: Providers, Frequent Mental Distress; Intentional Self-Harm; Suicide); Environment (e.g.: Food Insecurity; Housing); Social Determinants of Health (e.g.: Poverty (Adults and Children); Language Barriers); Access to Care (e.g.: Uninsured Adults and Children; Transportation); Injury and Death - Children (e.g.: Infant and Child Mortality); Health Behaviors - Substance Abuse (e.g.: Drug Overdose Deaths - Opioids; Drug Poisoning Deaths; Motor Vehicle Driving Deaths with Alcohol Involvement); Preventable Hospitalizations (e.g.: Adult and Pediatric Perforated Appendix Admissions). These other significant health needs were not chosen to be addressed for a combination of the following reasons: * The need was not well-aligned with organizational strengths. * There are not enough existing organizational resources to adequately address the need. * Implementation efforts would not impact as many community residents (magnitude) as those that were chosen.
Schedule H, Part V, Section B, Line 11 Facility B, 3 Facility B, 3 - Methodist Rehabilitation Hospital. Through the prioritization process, the following four significant needs were selected to be addressed via the Methodist Charlton, Methodist Dallas, and Methodist Rehabilitation joint CHNA Implementation Strategy: Hypertension; Stroke; Diabetes; HIV. The following programs/activities are how the hospital facility is addressing the selected significant needs in its most recently conducted CHNA: STROKE Provider education about rehab services; Stroke support group; Patient education. Hypertension, Diabetes and HIV are needs selected by the three facilities in the joint CHNA. However, HIV is being addressed by Methodist Dallas Medical Center and Hypertension and Diabetes are both being addressed by Methodist Dallas and Methodist Charlton Medical Centers in the three facilities' joint implementation strategy and not by Methodist Rehabilitation Hospital. The following identified significant needs are not being addressed by any of the three facilities through the joint implementation strategy: Mental Health (e.g.: Providers, Frequent Mental Distress; Intentional Self-Harm; Suicide); Environment (e.g.: Food Insecurity; Housing); Social Determinants of Health (e.g.: Poverty (Adults and Children); Language Barriers); Access to Care (e.g.: Uninsured Adults and Children; Transportation); Injury and Death - Children (e.g.: Infant and Child Mortality); Health Behaviors - Substance Abuse (e.g.: Drug Overdose Deaths - Opioids; Drug Poisoning Deaths; Motor Vehicle Driving Deaths with Alcohol Involvement); Preventable Hospitalizations (e.g.: Adult and Pediatric Perforated Appendix Admissions). These other significant health needs were not chosen to be addressed for a combination of the following reasons: * The need was not well-aligned with organizational strengths. * There are not enough existing organizational resources to adequately address the need. * Implementation efforts would not impact as many community residents (magnitude) as those that were chosen.
Schedule H, Part V, Section B, Line 13 Facility B, 1 Facility B, 1 - METHODIST DALLAS MEDICAL CENTER, METHODIST CHARLTON MEDICAL CENTER, & METHODIST REHABILITATION HOSPITAL. MHS will take into account the income level, family size, and amount of hospital charges in order to determine eligibility for the levels of financial assistance. In certain extraordinary cases where these factors may not accurately reflect the patient's ability to pay, MHS may take into account the earning status and potential of the patient and family, and frequency of their hospital and medical bills.
Schedule H, Part V, Section B, Line 20 Facility B, 1 Facility B, 1 - All Facilities. AT THE CURRENT TIME MHS DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS (ECAS), THEREFORE BOX E IS SELECTED TO INDICATE THAT NO EFFORTS WERE MADE BY THE HOSPITAL FACILITIES OR OTHER AUTHORIZED PARTY BEFORE INITIATING AN ECA.
Schedule H, Part V, Section B, Line 3E The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA.
Schedule H, Part V, Section B, Line 5 Facility C, 1 Facility C, 1 - Methodist McKinney Hospital. In addition to analyzing quantitative data, one (1) focus groups with a total of 11 participants, as well as five (5) key informant interviews, were conducted July 2018 through March 2019 to take into account the input of persons representing the broad interests of the community served. In the focus group sessions and interviews, participants identified and discussed the factors that contribute to the current health status of the community, and then identified the greatest barriers and strengths that contribute to the overall health of the community. Participation in the qualitative assessment was included from at least one state, local, or regional governmental public health department (or equivalent department or agency) with knowledge, information, or expertise relevant to the health needs of the community, as well as individuals or organizations who served and/or represented the interests of medically underserved, low-income and minority populations in the community. Although input was solicited from the Collin County Public Health Department they did not participate in the focus groups or interviews. However, other sources of input for the public health perspective were obtained and are marked in the report. Participation from community leaders/groups, organizations with public health perspective, other healthcare organizations, and other healthcare providers ensured that the input received represented the broad interests of the community served. A list of the organizations providing input is listed below. Representing medically underserved and low-income, and/or minority populations: City of Plano; Community Lifeline Center; Frisco Family Services; Hope Clinic of McKinney; McKinney City Council; Plano Fire-Rescue); Texas Muslim Women's Foundation; Cancer Care Services; Metrocare; PCI ProComp Solutions, LLC; University of Texas - Dallas; Assistance Center of Collin County. Representing low-income populations: LifePath Systems; Project Access-Collin County; The Samaritan Inn; Veterans Center of North Texas.
Schedule H, Part V, Section B, Line 11 Facility C, 1 Facility C, 1 - Methodist McKinney Hospital. Through the prioritization process, the following two significant needs were selected to be addressed via the Methodist McKinney Hospital CHNA Implementation Strategy: Access to Care: Primary Care and Cost; Coordination of Services/ Care. The following programs/activities are how the hospital facility is addressing the selected significant needs in its most recently conducted CHNA: ACCESS TO CARE: PRIMARY CARE AND COST Coordination of Services/Care; PCP Recruitment > PCPs/Non-physician PCPs; Medical Office Development > PCPs/Non-physician PCPs; Increase Charitable care allowances; Joint education classes; Greater Therapy Center partnership; Collin College - Scholarships for Nursing students; McKinney Community Health Clinic; COE Total Joint / Patient Portal Research. COORDINATION OF SERVICES/CARE Provide nurse navigation services The following identified significant needs are not being addressed through the implementation strategy: Health Behaviors - Substance Abuse (e.g.: Motor Vehicle Accidents with Alcohol involved); Preventable Hospitalizations (e.g.: Adult and Pediatric Perforated Appendix Admissions); Social Determinants of Health (e.g.: Social Isolation); Cancer (e.g.: Cancer Incidence - Breast); Mental Health (e.g.: Providers, Intentional Self-Harm; Suicide) These other significant health needs were not chosen to be addressed for a combination of the following reasons: * The need was not well-aligned with organizational strengths. * There are not enough existing organizational resources to adequately address the need. * Implementation efforts would not impact as many community residents (magnitude) as those that were chosen.
Schedule H, Part V, Section B, Line 13 Facility C, 1 Facility C, 1 - METHODIST MCKINNEY HOSPITAL. MHS will take into account the income level, family size, and amount of hospital charges in order to determine eligibility for the levels of financial assistance. In certain extraordinary cases where these factors may not accurately reflect the patient's ability to pay, MHS may take into account the earning status and potential of the patient and family, and frequency of their hospital and medical bills.
Schedule H, Part V, Section B, Line 20 Facility C, 1 Facility C, 1 - METHODIST MCKINNEY HOSPITAL. AT THE CURRENT TIME MHS DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS (ECAS), THEREFORE BOX E IS SELECTED TO INDICATE THAT NO EFFORTS WERE MADE BY THE HOSPITAL FACILITIES OR OTHER AUTHORIZED PARTY BEFORE INITIATING AN ECA.
Schedule H, Part V, Section B, Line 3E The significant health needs are a prioritized description of the significant health needs of the community and identified through the CHNA.
Schedule H, Part V, Section B, Line 5 Facility D, 1 Facility D, 1 - Methodist Hospital of Surgery. In addition to analyzing quantitative data, four (4) focus groups with a total of 45 participants, as well as ten (10) key informant interviews, were conducted July 2018 through March 2019 to take into account the input of persons representing the broad interests of the community served. In the focus group sessions and interviews, participants identified and discussed the factors that contribute to the current health status of the community, and then identified the greatest barriers and strengths that contribute to the overall health of the community. Participation in the qualitative assessment was included from at least one state, local, or regional governmental public health department (or equivalent department or agency) with knowledge, information, or expertise relevant to the health needs of the community, as well as individuals or organizations who served and/or represented the interests of medically underserved, low-income and minority populations in the community. Participation from community leaders/groups, public health organizations, other healthcare organizations, and other healthcare providers ensured that the input received represented the broad interests of the community served. A list of the organizations providing input is listed below. Representing medically underserved and low-income, and/or minority populations: Agape Clinic; Bridge Breast Network; City of Plano; CitySquare; Community Lifeline Center; Cornerstone Baptist Church; Dallas Area Interfaith; Denton County Public Health; Family Promise of Irving; First Refuge Ministries; Frisco Family Services; Genesis Women's Shelter & Support; Giving Hope, Inc.; Goodwill Industries of Fort Worth; Health services of North Texas; Hope Clinic; Hope Clinic of McKinney; Los Barrios Unidos Community Clinic; Many Helping Hands Ministry; McKinney City Council; Office of the County Judge - Dallas County; Our Daily Bread; Plano Fire-Rescue; Society of St. Vincent de Paul of North Texas; United Way; United Way Metropolitan Dallas; University of North Texas; Urban Inter-Tribal Center of Texas; YMCA; Cancer Care Services; Metrocare; PCI ProComp Solutions, LLC; University of Texas - Dallas; Assistance Center of Collin County; Denton County Court Appointed Special Advocates (CASA); Methodist Golden Cross Academic Clinic; The Visiting Nurse Association of North Texas (VNA). Representing low-income and minority populations: City of Denton; D/FW Hindu Temple Society; Refuge for Women North Texas; Texas Muslim Women's Foundation Representing low-income populations: Denton Community Food Center; Goodwill Industries of Dallas; Legal Aid of Northwest Texas; LifePath Systems; North Texas Food Bank; Project Access-Collin County; Serve Denton; Sharing Life Community Outreach Inc; The Samaritan Inn; Veterans Center of North Texas; Dallas County Health and Human Services; Denton County Food Center All Others: Community Council
Schedule H, Part V, Section B, Line 11 Facility D, 1 Facility D, 1 - Methodist Hospital for Surgery. Through the prioritization process, the following two significant needs were selected to be addressed via the Methodist Hospital for Surgery CHNA Implementation Strategy: Poverty, Food Insecurity The following programs/activities are how the hospital facility is addressing the selected significant needs in its most recently conducted CHNA: POVERTY / FOOD INSECURITY Metrocrest Services - Food Pantry (Leadership and management volunteer in person quarterly at food distribution center and/or pantry); Leverage employees for volunteer opportunities; Assist Metrocrest Services back to school programs that may include backpacks for school age children; Contribute to summer food program; R L Turner High School Bio Med Academy (Carrollton Farmers Branch ISD) (Provide education to academy students who are pursuing a career in healthcare); R L Turner High School Bio Med Academy (Carrollton Farmers Branch ISD) (Recruit academy students to MHFS volunteer and JR volunteer program who are pursuing a career in healthcare). The following identified significant needs are not being addressed through the implementation strategy: Health Behaviors - Substance Abuse (e.g.: Alcohol Abuse; Motor Vehicle Accidents with Alcohol involved; Drug Overdose Deaths - Opioids); Chronic Conditions (e.g.: Diabetes; Heart Disease); Access to Care (e.g.: Uninsured (Adults and Children); Transportation; Primary Care Providers); Cancer (e.g.: Cancer Incidence - Breast, Prostate); Mental Health (e.g.: Providers, Alzheimer's Disease/Dementia; Depression; Schizophrenia and Other Psychotic Disorders; Intentional Self-Harm; Suicide); Preventable Hospitalizations (e.g.: Adult and Pediatric Perforated Appendix Admissions); Injury and Death - Children (e.g.: Infant and Child Mortality). These other significant health needs were not chosen to be addressed for a combination of the following reasons: * The need was not well-aligned with organizational strengths. * There are not enough existing organizational resources to adequately address the need. * Implementation efforts would not impact as many community residents (magnitude) as those that were chosen.
Schedule H, Part V, Section B, Line 13 Facility D, 1 Facility D, 1 - METHODIST HOSPITAL FOR SURGERY. MHS will take into account the income level, family size, and amount of hospital charges in order to determine eligibility for the levels of financial assistance. In certain extraordinary cases where these factors may not accurately reflect the patient's ability to pay, MHS may take into account the earning status and potential of the patient and family, and frequency of their hospital and medical bills.
   
   
Schedule H (Form 990) 2019
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Schedule H (Form 990) 2019
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Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?9
Name and address Type of Facility (describe)
1 GOLDEN CROSS ACADEMIC CLINIC
122 W COLORADO BLVD
DALLAS,TX75209 		FREE STANDING CLINIC AND DALLAS, TX 75209 TEACHING FACILITY
2 METHODIST CHARLTON FAMILY MEDICAL CENTER
3500 W WHEATLAND RD
DALLAS,TX75237 		OUTPATIENT CARE AND TEACHING CENTER
3 CDI - Richardson
4140 E Renner Rd Suite 100
Richardson,TX75082 		Imaging center
4 CDI - Village McKinney
7300 Eldorado Pkwy Suite 170
McKinney,TX75070 		Imaging center
5 CDI - Mansfield
2975 E Broad St Suite 101
Mansfield,TX76063 		Imaging center
6 CDI - DeSoto
1750 N Hampton Rd
Desoto,TX75115 		Imaging center
7 CDI - Willowbend
5025 W Park Blvd Suite 110
Plano,TX75093 		Imaging center
8 CDI - Village Legacy
5425 W Spring Pkwy Suite 110
Plano,TX75024 		Imaging center
9 CDI - Village Independence
8080 Independence Pkwy Suite 105
Plano,TX75025 		Imaging center
10
Schedule H (Form 990) 2019
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Schedule H (Form 990) 2019
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Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Schedule H, Part I, Line 3c Charity Care AS PART OF ITS MISSION, MHS PROVIDES CHARITY CARE TO PATIENTS WHO LACK THE ABILITY TO PAY. THE DETERMINATION OF THE ABILITY TO PAY MAY TAKE INTO ACCOUNT A NUMBER OF FINANCIAL VARIABLES, INCLUDING BUT NOT LIMITED TO: (1) INCOME LEVEL, (2)FAMILY SIZE AND (3) AMOUNT OF HOSPITAL CHARGES. IN CERTAIN EXTRAORDINARY CASES WHERE THESE FACTORS MAY NOT ACCURATELY REFLECT THE PATIENT'S ABILITY TO PAY, MHS MAY TAKE INTO ACCOUNT THE EARNING STATUS AND POTENTIAL OF THE PATIENT AND FAMILY, AND FREQUENCY OF THEIR HOSPITAL AND MEDICAL BILLS. Further, MHS may conclude, without a completed assessment of eligibility that a favorable classification for charity may be appropriate based on other information obtained.
Schedule H, Part V, Section B, Line 9 Implementation Strategy Facility Names: METHODIST MANSFIELD MEDICAL CENTER, METHODIST RICHARDSON MEDICAL CENTER, METHODIST DALLAS MEDICAL CENTER, METHODIST CHARLTON MEDICAL CENTER, METHODIST REHABILITATION HOSPITAL, METHODIST MCKINNEY HOSPITAL, Methodist Hospital for Surgery Description: An authorized body of the hospital facility adopted the implementation strategy for each facility on or before the 15th day of the fifth month after the end of the taxable year in which the hospital facility finished conducting its CHNA.
Schedule H, Part I, Line 7g Subsidized Health Services SUBSIDIZED HEALTH SERVICES INCLUDE THE FOLLOWING: METHODIST, ALONG WITH THE COUNTY HOSPITAL AND TWO OTHER NON-PROFIT HOSPITALS IN DALLAS, JOINTLY SPONSORS A REGIONAL HELICOPTER, FIXED WING, AND GROUND AMBULANCE SERVICE CALLED CAREFLITE. METHODIST DALLAS MAINTAINS HELIPADS FOR THE HELICOPTER SERVICE. ALSO, METHODIST DALLAS STAFFS THE NEONATAL TRANSPORT TEAMS THAT ARE RESPONSIBLE FOR TRANSPORTING THE ILL NEONATES FROM OUTLYING AREAS TO METHODIST DALLAS. METHODIST ALSO PARTICIPATES IN THE DALLAS COUNTY AND TARRANT COUNTY INDIGENT CARE PROGRAMS WHICH ARE DESIGNED TO ENHANCE ACCESS AND DELIVERY OF COST-EFFECTIVE HEALTHCARE SERVICES TO INDIGENT PATIENTS OF DALLAS AND TARRANT COUNTIES. METHODIST ALSO SUBSIDIZES TRAUMA SERVICES FOR ITS ER'S AND HOSPITALS AT ITS HOSPITALS.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The costs in the table were computed using the organization's cost-to-charge ratio. This ratio was determined using IRS Schedule H, Worksheet 2. The amounts reported at Line 7 are computed on the basis of the IRS Schedule H Worksheets for each respective Line 7 item.
Schedule H, Part II Community Building Activities MHS BELIEVES THAT BY BEING FULLY ENGAGED IN COMMUNITY BUILDING ACTIVITIES INCLUDING, BUT NOT LIMITED TO, ECONOMIC AND WORKFORCE DEVELOPMENT, ENVIRONMENTAL AND SAFETY ISSUES, AS WELL AS COMMUNITY HEALTH ADVOCACY AND COMMUNITY SUPPORT IT CAN CONTRIBUTE BOTH DIRECTLY AND INDIRECTLY TO A HEALTHIER AND MORE VIBRANT COMMUNITY. MHS IS A MEMBER OF SEVERAL NATIONAL, STATE AND LOCAL HEALTHCARE ADVOCACY ORGANIZATIONS THAT PROMOTE HEALTHCARE POLICIES AND EDUCATE PEOPLE ON POLICIES THAT IMPACT HEALTHCARE ISSUES FACING THE COMMUNITIES. MHS ALSO PUBLISHES A COMMUNITY MAGAZINE TO KEEP THOSE IN ITS SERVICE AREA INFORMED OF ISSUES REGARDING THE CHANGES IN HEALTHCARE AS THEY ARISE AS WELL AS PROMOTING HEALTHY LIFESTYLES. MHS COMMITS SIGNIFICANT RESOURCES IN THE AREA OF PHYSICIAN RECRUITING FOR NEEDED SPECIALTIES AND IN UNDERSERVED AREAS.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount MHS PROVIDES HEALTH CARE SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. MHS MAINTAINS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM A PAYOR'S INABILITY TO MAKE PAYMENTS ON ACCOUNTS THE ALLOWANCE IS BASED ON HISTORICAL WRITE-OFFS AND THE AGING OF THE ACCOUNTS, MANAGEMENT CONTINUALLY MONITORS AND ADJUSTS THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE ACCOUNTS ARE WRITTEN OFF WHEN ROUTINE BILLING AND COMMUNICATION WITH THE PAYOR ARE NOT EXPECTED TO RESULT IN PAYMENT MHS COLLECTION EFFORTS CONTINUE, AND RECOVERIES OF ACCOUNTS WRITTEN OFF ARE ACCOUNTED FOR AS REDUCTIONS IN THE PROVISION FOR BAD DEBTS.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology MHS DOES NOT INCLUDE BAD DEBT AS A PORTION OF ITS COMMUNITY BENEFIT.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote MHS provides health care services to patients regardless of their ability to pay. MHS records an implicit price concession in the period services are provided for services provided to the uninsured and underinsured, including patient accounts for which the primary insurance company has paid but the patient responsibility remains outstanding. The implicit price concession is based on historical write-offs and expected collections based on health care coverage and other collection indicators; management continually monitors and adjusts the implicit price concession. Accounts are written off when routine billing and communication with the patient are not expected to result in payment. MHS collection efforts continue, and recoveries of accounts written off are accounted for as reductions in the implicit price concession.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The Texas nonprofit hospitals annual report includes unreimbursed cost of Medicare as a community benefit in determining the state's statutory reporting. The organization provides care to Medicare patients regardless of this shortfall, thereby relieving the state and federal government of the burden of paying the full cost for the care of Medicare beneficiaries. To determine the amount reported on line 6, the organization's cost accounting system is utilized.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance The CBO will provide all completed FAP applications to Prime Financial where eligibility will be determined and if in-eligible, documented reasons for denial will be provided to the patient. No Extraordinary Collection Actions (ECA's), as defined above will be engaged in by the CBO or PFS during the duration of the FAP Process, as outlined above and in Policy FIN 006 regarding Financial Assistance. Classification of an account as financial assistance will suspend efforts to collect the account from the patient. Routine activity may continue in order to ensure that MHS can identify changed circumstances in the future and ensure continuity with respect to subsequent visits. Efforts to collect from third parties will continue, and any resulting collection would be a charity recovery.
Schedule H, Part V, Section B, Line 16a FAP website A - METHODIST MANSFIELD MEDICAL CENTER: Line 16a URL: https://www.methodisthealthsystem.org/patients-visitors/patient-tools-support/financial-assistance/; B - METHODIST DALLAS MEDICAL CENTER: Line 16a URL: https://www.methodisthealthsystem.org/patients-visitors/patient-tools-support/financial-assistance/; C - METHODIST MCKINNEY HOSPITAL: Line 16a URL: https://methodistmckinneyhospital.com/patient-info/financial-information/; D - METHODIST HOSPITAL FOR SURGERY: Line 16a URL: https://methodisthospitalforsurgery.com/about-us/financial-information;
Schedule H, Part V, Section B, Line 16b FAP Application website A - METHODIST MANSFIELD MEDICAL CENTER: Line 16b URL: https://www.methodisthealthsystem.org/patients-visitors/patient-tools-support/financial-assistance/; B - METHODIST DALLAS MEDICAL CENTER: Line 16b URL: https://www.methodisthealthsystem.org/patients-visitors/patient-tools-support/financial-assistance/; C - METHODIST MCKINNEY HOSPITAL: Line 16b URL: https://methodistmckinneyhospital.com/patient-info/financial-information/; D - METHODIST HOSPITAL FOR SURGERY: Line 16b URL: https://methodisthospitalforsurgery.com/about-us/financial-information;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - METHODIST MANSFIELD MEDICAL CENTER: Line 16c URL: https://www.methodisthealthsystem.org/patients-visitors/patient-tools-support/financial-assistance/; B - METHODIST DALLAS MEDICAL CENTER: Line 16c URL: https://www.methodisthealthsystem.org/patients-visitors/patient-tools-support/financial-assistance/; C - METHODIST MCKINNEY HOSPITAL: Line 16c URL: https://methodistmckinneyhospital.com/patient-info/financial-information/; D - METHODIST HOSPITAL FOR SURGERY: Line 16c URL: https://methodisthospitalforsurgery.com/about-us/financial-information;
Schedule H, Part VI, Line 2 Needs assessment Methodist has relied upon the knowledge and interest of its directors and trustees to determine the effectiveness of its community benefit planning. The corporate Board of Directors consists of civic, business, and professional leaders from the communities served by the hospital system. In these exchanges with the communities served, Methodist is able to solicit their views on how we can better serve the needs of all. In addition, individual hospital advisory boards, created in 2009 at the request of the Methodist Health System Board of Directors, provides a way to strengthen our communication and influence with a diverse group of leaders in our service area. Along with representatives from Methodist's Board, these advisory boards consist of business owners, city and government officials, community and church leaders. Members have an opportunity to play an integral role in the future of our growth plans and health initiatives.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance The policy is posted on the MHS website in multiple languages including English, Mandarin, Korean, Spanish, Vietnamese, and Arabic. Further signage is in all access areas as well as written information is provided to patients upon intake. In addition, an annual posting for the organization's financial assistance policy is published in the local newspapers. The policy is attached to patient invoices and billing personnel follow up to provide the information when in contact with the patient. Contact information is provided so that individuals may have assistance with understanding and completing the Financial Assistance Application.
Schedule H, Part VI, Line 4 Community information The Methodist service area is made up of the combined service areas of each of its four wholly-controlled hospitals, encompassing parts of Dallas County, the southeast quadrant of Tarrant County and northern Johnson County to the west and south of DFW; northern Ellis County to the southeast; and the southwest section of Collin County to the north. Parts of the service area, particularly in southern Dallas County, near Methodist Dallas and Methodist Charlton facilities, there are high percentages of households in poverty, low average household income, and high percentages of adults with less than high school education. Consequently, Methodist provides large amounts of uncompensated care. During the past year, conditions in Methodist's service area have not changed and Methodist continues to play a vital role in the community, particularly in caring for indigent patients. The far southern portions of the Methodist service area as well as the areas to the north, near Methodist Mansfield and Methodist Richardson, tend to be more economically stable with stronger socioeconomic indicators. These areas include Midlothian, Cedar Hill, Mansfield, Richardson and Plano.
Schedule H, Part VI, Line 5 Promotion of community health METHODIST HOSPITALS OF DALLAS (D/B/A) METHODIST HEALTH SYSTEM FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITIES IT SERVES IN NORTH TEXAS. SINCE ITS FOUNDING IN 1927, METHODIST HAS HAD A STRONG CONNECTION TO ITS COMMUNITIES. THE ORGANIZATION IS COMPRISED OF A COMMUNITY BOARD, EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS AND COMMITS SIGNIFICANT RESOURCES TO MEDICAL EDUCATION. WE ARE COMMITTED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF THE RESIDENTS IN OUR AREAS. THIS COMMITMENT IS ON DISPLAY EVERY DAY THROUGH THE MANY PROGRAMS AND SERVICES WE PROVIDE, INCLUDING: * COMMUNITY HEALTH NEEDS ASSESSMENTS * DELIVERY SYSTEM REFORM INCENTIVE PAYMENT * GENERATIONS, SENIOR SERVICES - HEALTH AND WELLNESS SEMINARS, SOCIAL ACTIVITIES AND SERVICES ASSISTING OLDER ADULTS * HEART OF THE COMMUNITY - COMMUNITY HEART HEALTH PROGRAM, RAISING AWARENESS OF HEART DISEASE * MOBILE MAMMOGRAPHY - EARLY DETECTION AND TREATMENT FOR BREAST CANCER * ASIAN BREAST HEALTH OUTREACH PROJECT - PROVIDING EDUCATION AND MAMMOGRAM SCREENINGS FOR UNINSURED AND UNDER INSURED ASIAN WOMEN OVER THE AGE OF 40 * LIFE SHINES BRIGHT PREGNANCY PROGRAM - WORKING IN PARTNERSHIP WITH THE MARCH OF DIMES TO REDUCE THE RISK OF PRETERM BIRTH * CONGREGATIONAL HEALTH MINISTRY - PROVIDING HEALTH RESOURCES TO AREA CHURCHES IN AN EFFORT TO IMPROVE THE PHYSICAL AND SPIRITUAL HEALTH OF THE PEOPLE IN THOSE CONGREGATIONS * COMMUNITY HEALTH EDUCATION EVENTS - INCLUDING PROGRAMS ON HEART HEALTH, WOMEN'S HEALTH, MEN'S HEALTH, WEIGHT-LOSS, BACK PAIN, AND MORE * CITY WELLNESS PROGRAMS - EDUCATIONAL PROGRAMS AND HEALTH SCREENINGS FOR LOCAL CITY EMPLOYEES
Schedule H, Part VI, Line 6 Affiliated health care system Methodist Health System ("MHS") is a d/b/a of Methodist Hospitals of Dallas ("MHD") which is a tax-exempt 501(c)(3) Texas nonprofit corporation which is comprised of acute care hospitals, rehabilitation hospitals, imaging centers, and other facilities located throughout the Dallas Fort Worth (DFW) Metroplex. Methodist has more than 1,100 active physicians on staff; 7,000 employees; and 1,600 licensed beds. Although the company has transitioned to using the MHS name for corporate operations, its true legal name remains Methodist Hospitals of Dallas. Its Board of Directors ("MHS Board"), which has the fiduciary role for the entire organization, can have up to 28 members. MHS's President/Chief Executive Officer has management accountability to the Board of Directors for all interests and operations in MHS, its divisions, subsidiaries, and related organizations. MHS is associated with the North Texas Conference of the United Methodist Church, pursuant to a formal covenant which defines their independence from each other and describes terms for their affiliation and support of each other; under those terms, MHS agrees to maintain "a commitment to Christian concepts of life and learning," and representatives of the Conference participate in the process of approving the list of persons nominated to the MHS Board and any amendments to MHS's bylaws. Additionally, as provided at Schedule H, Parts IV and V, the following hospitals are operated as separate legal entities with Methodist Hospitals of Dallas holding a majority investment position: Methodist Rehabilitation Hospital, Methodist Hospital for Surgery, and Methodist McKinney Hospital.
Schedule H, Part VI, Line 7 State filing of community benefit report TX
Schedule H (Form 990) 2019
Additional Data


Software ID: 19010655
Software Version: 2019v5.0