Methodist Patient Centered Aco

“Methodist hospitals of dallas (it's 501(c)(3) parent) is the sole member of the organization and has approval rights regarding actions of the board”

“Methodist hospitals of dallas (it's 501(c)(3) parent) is the sole member of the organization and has approval rights regarding actions of the board”

“Methodist hospitals of dallas (it's 501(c)(3) parent) is the sole member of the organization and has approval rights regarding actions of the board”

“The form 990 is prepared by the mhs tax department. During the return preparation process the tax department looks to other functional areas including finance, human resources, accounting, legal, corporate compliance, and treasury for assistance in preparing a complete and accurate return. Upon completion the return is reviewed with the reporting organizations applicable senior financial officer prior to filing. Further, as part of the annual financial audit of mhs the form 990's of all of its subsidiary organizations are provided to a national accounting firm for review. Mhs is the sole member and parent company of this reporting organization. The mhs individual return is reviewed with a committee of its senior board members and then provided electronically to all of the mhs board members prior to the filing of the mhs return. While the return of this reporting organization is not individually reviewed by its separate board mhs believes that sufficient quality control and overall governance oversight exists throughout the preparation stages of all of the mhs related returns. Further mhs believes that the level of detailed mhs board review of the parent organization's return is sufficient to insure that all of the intended tax-exempt and governance requirements for the entire organization are met. The form 990 of any of the mhs entities is always available to any board member at their request.”

“Mhs ,the parent organization, provides all officers and directors of all of its companies an annual conflict questionairre. There is also interal audit review and chief compliance officer review.”

“There are no employees of the organization. Services are provided via a shared services agreement with methodist health system the organizations sole member. Compensation of employees of the methodist health system are subject to the listed processes to assure fair market value compensation programs.”

“Governing documents, conflict of interest policy and financial statements are available upon request.”

“As required by section 425.106(c) of the mssp regulations, section 3.2.1 of the mpcaco amended and restated bylaws requires that at least 75% of the members of the board shall be aco participants as defined in the mssp regulations, or representatives of those participants. To insure mpcaco is operated in furtherance of mhd's exempt purposes. During the intial reporting period of july 1, 2012 through december 31, 2013 medicare advised the aco it had properly reported on 33 quality metrics and achieved medicare savings of $12,462,936 on the medicare population served by the aco. Pursuant to the shared savings agreement 50% of that savings was distributed to the aco. Subsequently a portion of that distribution was shared with physicians who had signed up for the shared savings program and had completed 3 benchmarks related to electronic medical records, continuing education particapation and performance improvement projects. An additional portion was distributed to the hospitals in the methodist health system and the balance was retained to offset a portion of the start-up and administrative costs of the aco.”

“Consulting: program service expenses 0. Management and general expenses 26013. Fundraising expenses 0. Total expenses 26013. Mhs shared services: program service expenses 1142912. Management and general expenses 0. Fundraising expenses 0. Total expenses 1142912. Shared savings distribution to physicians: program service expenses 2309687. Management and general expenses 0. Fundraising expenses 0. Total expenses 2309687. Shared savings distribution to hospitals: program service expenses 2309687. Management and general expenses 0. Fundraising expenses 0. Total expenses 2309687.”

“The selection of the independent auditors is made by the audit committee of the methodist health system board.(parent organization) there has been no change in the way the it was consolidated with the financial statements of the parent and at the parent level there were no changes in either the oversight process or the selection process.”