Civic Intelligence

Methodist Patient Centered Aco

990 • Fiscal year 2015 • EIN 35-2436666

Oct 01, 2014 to Sep 30, 2015 • Filed on Jul 18, 2016

1441 N Beckley Ave Tax DeptDallas, TX 75203

(214) 947-4527

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Up

$5,260,903

Up $5,260,903 from 2014

Net Assets

Up

-$702,808

Up $148,304 (+17%) from 2014

Liabilities

Up

$5,963,711

Up $5,112,599 (+601%) from 2014

Revenue And Expenses

Revenue

Down

$5,260,903

Down $970,565 (-16%) from 2014

Expenses

Down

$5,978,271

Down $238,637 (-3.8%) from 2014

Net Income

Down

-$717,368

Down $731,928 (-5027%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$10M$5.0M$0-$5.0MAssets 2014: $0Liabilities 2014: $851,112Net Assets 2014: -$851,1122014Assets 2015: $5,260,903Liabilities 2015: $5,963,711Net Assets 2015: -$702,8082015Assets 2016: $5,552,036Liabilities 2016: $5,552,036Net Assets 2016: $02016Assets 2017: $3,290,714Liabilities 2017: $3,290,714Net Assets 2017: $02017Assets 2018: $6,772,649Liabilities 2018: $6,772,649Net Assets 2018: $02018Assets 2019: $4,825,353Liabilities 2019: $4,825,353Net Assets 2019: $02019Assets 2020: $3,165,152Liabilities 2020: $3,165,152Net Assets 2020: $02020Assets 2021: $1,181,995Liabilities 2021: $1,181,995Net Assets 2021: $02021Assets 2022: $8,133,362Liabilities 2022: $8,133,362Net Assets 2022: $02022Assets 2023: $7,849,824Liabilities 2023: $7,849,824Net Assets 2023: $02023Assets 2024: $5,601,499Liabilities 2024: $5,601,499Net Assets 2024: $02024

Highlighted filing

2015

Assets$5,260,903
Liabilities$5,963,711
Net Assets-$702,808

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$10M$5.0M$0-$5.0MRevenue 2014: $6,231,468Expenses 2014: $6,216,908Net Income 2014: $14,5602014Revenue 2015: $5,260,903Expenses 2015: $5,978,271Net Income 2015: -$717,3682015Revenue 2016: $8,437,128Expenses 2016: $8,459,801Net Income 2016: -$22,6732016Revenue 2017: $5,057,583Expenses 2017: $6,688,812Net Income 2017: -$1,631,2292017Revenue 2018: $7,096,303Expenses 2018: $7,403,834Net Income 2018: -$307,5312018Revenue 2019: $6,779,994Expenses 2019: $7,475,004Net Income 2019: -$695,0102019Revenue 2020: $4,414,379Expenses 2020: $5,672,409Net Income 2020: -$1,258,0302020Revenue 2021: $6,532,302Expenses 2021: $7,802,034Net Income 2021: -$1,269,7322021Revenue 2022: $5,219,838Expenses 2022: $6,445,832Net Income 2022: -$1,225,9942022Revenue 2023: $5,283,244Expenses 2023: $6,515,357Net Income 2023: -$1,232,1132023Revenue 2024: $3,491,205Expenses 2024: $5,636,012Net Income 2024: -$2,144,8072024

Highlighted filing

2015

Revenue$5,260,903
Expenses$5,978,271
Net Income-$717,368
Jump To
Filing Snapshot
Filing Period
Oct 1, 2014 to Sep 30, 2015
Signed
Jul 18, 2016
Return Version
2014v6.0
Gross Receipts
$5,260,903
Mission and Program Overview

Mission

To operate an accountable care organization (aco) to (a) participate in the medicare shared savings program (mssp) as set forth in section 1899 of the social security act and released regulations, (b) serve as a vehicle for advancing methodist health system's clinical integration and quality initiatives, (c) serve as a vehicle to manage, coordinate, and promote accountability for the quality, patient safety, cost and overall care of patients, including medicare beneficiaries, and (d) serve as a network to provide coordinated quality and cost-effective medical and health services.

To operate an accountable care organization (aco)to:(a)participate in the medicare shared savings program (mssp) as set forth in section 1899 of the social security act and related regulations,(b) serve as a vehicle for advancing methodist health system's clinical integration and quality initiatives,(c)serve as a vehicle to manage, coordinate and promote accountability for the quality, patient safety, cost and overall care of patients, including medicare beneficiaries, and (d) serve as a network to provide coordinated quality and cost-effective medical and health services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$14,560$5,260,903▲ $5,246,343
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$14,560$-702,808▼ $717,368
Total Assets$14,560$5,260,903▲ $5,246,343
Liabilities
Accounts Payable and Accrued Expenses-$5,963,711-
Total Liabilities$0$5,963,711▲ $5,963,711
Net Assets / Fund Balance
Total Net Assets Fund Balance$14,560$-702,808▼ $717,368
Total Liabilities and Net Assets / Fund Balance$14,560$5,260,903▲ $5,246,343
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Martin Koonsman MdDirector--$131,143$131,143
Arturo AvilesDirector--$64,907$64,907
Nhan Nguyen MdDirector--$31,250$31,250
Alfonso Ramirez MdDirector-$20,429$1,492$21,921
Melissa Gerdes MdChairman/CMO/directorPT$20,429$20,429$20,429
Nancy Georgekutty MdDirector-$20,429-$20,429
Michael Finch MdDirector--$20,000$20,000

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$5,260,903
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-717,368
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$4,418,193
Salaries, Compensation, and Employee Benefits$1,560,078
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$3,601,083$628,619-$4,229,702
Other Salaries and Wages$1,278,366--$1,278,366
Other Employee Benefits$281,712--$281,712
Occupancy$154,934--$154,934
Depreciation Depletion$15,704--$15,704
Other Expenses$14,223--$14,223
Advertising$3,630--$3,630
Total Functional Expenses$5,349,652$628,619$0$5,978,271
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

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

Form 990, Part VI, Section A, Line 7A

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

Form 990, Part VI, Section A, Line 7B

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

Form 990, Part VI, Section B, Line 11

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.

Form 990, Part VI, Section B, Line 12C

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.

Form 990, Part VI, Section B, Line 15

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.

Form 990, Part VI, Section C, Line 19

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

Filing and Contact Details

Filer

Filer Name
Methodist Patient Centered Aco
EIN
35-2436666
Phone
2149474527
Address
1441 N BECKLEY AVE TAX DEPT, DALLAS, TX 75203

Signing Officer

Name
Michael J Schaefer
Title
Treasurer
Phone
2149474527
Signed
2016-07-18
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Michael J Schaefer
Formed
2012
Legal Domicile
TX
Voting Board Members
15
Independent Board Members
2
Employees
0
Volunteers
0

Preparer

Firm
Methodist Hospitals of Dallas
Address
PO BOX 655999, DALLAS, TX 75265-5999
Preparer
Dwight Williams
Phone
2149474581
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Audit,legal & consulting: program service expenses 0. Management and general expenses 315235. Fundraising expenses 0. Total expenses 315235. Mhs admin & support: program service expenses 0. Management and general expenses 313384. Fundraising expenses 0. Total expenses 313384. Purchased services from mhs: program service expenses 3601083. Management and general expenses 0. Fundraising expenses 0. Total expenses 3601083.

FORM 990, PART XII, LINE 2C:

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.

Financial Statement Notes

PART X, LINE 2:

Methodist health system (mhs) has concluded that it does not have any unrecognized tax benefits resulting from current or prior period tax positions. Accordingly no additional disclosures have been made in the consolidated financial statements. Mhs does not have any outstanding interest or penalties, and none have been recorded in the consolidated statements of operations and changes in net assets for the years ended september 30, 2015 and 2014.

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IRS990/InfoInScheduleOPartXIIInd0X
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IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
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IRS990/MissionDesc0TO OPERATE AN ACCOUNTABLE CARE ORGANIZATION (ACO) TO: (A) PARTICIPATE IN THE MEDICARE SHARED SAVINGS PROGRAM (MSSP) AS SET FORTH IN SECTION 1899 OF THE SOCIAL SECURITY ACT AND RELATED REGULATIONS, (B) SERVE AS A VEHICLE FOR ADVANCING METHODIST HEALTH SYSTEM'S CLINICAL INTEGRATION AND QUALITY INITIATIVES, (C)SERVE AS A VEHICLE TO MANAGE, COORDINATE AND PROMOTE ACCOUNTABILITY FOR THE QUALITY, PATIENT SAFETY, COST AND OVERALL CARE OF PATIENTS, INCLUDING MEDICARE BENEFICIARIES, AND (D) SERVE AS A NETWORK TO PROVIDE COORDINATED QUALITY AND COST-EFFECTIVE MEDICAL AND HEALTH SERVICES.
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IRS990/ScheduleBRequiredInd00
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0METHODIST HEALTH SYSTEM (MHS) HAS CONCLUDED THAT IT DOES NOT HAVE ANY UNRECOGNIZED TAX BENEFITS RESULTING FROM CURRENT OR PRIOR PERIOD TAX POSITIONS. ACCORDINGLY NO ADDITIONAL DISCLOSURES HAVE BEEN MADE IN THE CONSOLIDATED FINANCIAL STATEMENTS. MHS DOES NOT HAVE ANY OUTSTANDING INTEREST OR PENALTIES, AND NONE HAVE BEEN RECORDED IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS FOR THE YEARS ENDED SEPTEMBER 30, 2015 AND 2014.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
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