Civic Intelligence

Methodist Patient Centered Aco

990 • Fiscal year 2017 • EIN 35-2436666

Oct 01, 2016 to Sep 30, 2017 • Filed on Aug 14, 2018

1441 N Beckley AveDallas, TX 75203

(214) 947-4510

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

92nd percentile

1.00x

Higher debt load relative to assets than 92% of similar nonprofits.

2017 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2017

Liabilities / Revenue

76th percentile

0.65x

Higher debt load relative to revenue than 76% of similar nonprofits.

2017 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2017

Net Margin

8th percentile

-32%

Higher net margin than 8% of similar nonprofits.

2017 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2017

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2017

Asset Growth

1st percentile

-41%

Faster asset growth than 1% of similar nonprofits.

2017 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2016 to 2017

Revenue Growth

6th percentile

-40%

Faster revenue growth than 6% of similar nonprofits.

2017 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2016 to 2017

Assets

Down

$3,290,714

Down $2,261,322 (-41%) from 2016

Net Assets

Flat

$0

Flat from 2016

Liabilities

Down

$3,290,714

Down $2,261,322 (-41%) from 2016

Revenue

Down

$5,057,583

Down $3,379,545 (-40%) from 2016

Expenses

Down

$6,688,812

Down $1,770,989 (-21%) from 2016

Net Income

Down

-$1,631,229

Down $1,608,556 (-7095%) from 2016

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

2017

Assets$3,290,714
Liabilities$3,290,714
Net Assets$0

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

2017

Revenue$5,057,583
Expenses$6,688,812
Net Income-$1,631,229
Jump To
Filing Snapshot
Filing Period
Oct 1, 2016 to Sep 30, 2017
Signed
Aug 14, 2018
Return Version
2016v3.0
Gross Receipts
$5,057,583
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.

Our mission is to improve and save lives through coordinated care for our patients, making it easier for you to get the answers you need and the quality care you deserve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$5,552,036$0▼ $5,552,036
Accounts Receivable$0$3,290,714▲ $3,290,714
Pd in Cap Srpls Land Bldg Eqp Fund$725,481$2,312,178▲ $1,586,697
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Land, Buildings, and Equipment, Net-$0-
Cap Stk Tr Prin Current Funds$0--
Rtn Earn Endowment Incm Other Fnds$-725,481$-2,312,178▼ $1,586,697
Total Assets$5,552,036$3,290,714▼ $2,261,322
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$5,552,036$3,290,714▼ $2,261,322
Other Liabilities$0$0→ $0
Total Liabilities$5,552,036$3,290,714▼ $2,261,322
Net Assets / Fund Balance
Total Net Assets Fund Balance$0$0→ $0
Total Liabilities and Net Assets / Fund Balance$5,552,036$3,290,714▼ $2,261,322
Compensation and Service Providers

Board Members and Trustees

NameTitle
-Chair
-President
-Board of Directors
-Board of Directors (Through July 2017)
-Board of Directors (Through March 2017)
-Secretary / Treasurer
-VP Compliance

Highest Paid Contractors

ContractorServicesLocationCompensation
Texas Physicians Resources LLPMedicare Shared Savings Participating with Physicians6451 BRENTWOOD STAIR ROAD, Suite 200, Fort Worth, TX 76112$362,676
Dallas Hospitalists PaContract Payments for Physician Services & DMPN LIABILITY TO PHYSICIANS1441 NORTH BECKLEY AVENUE, 5TH FL EAST BLDG, Dallas, TX 75203$296,705
N Texas Village Health Partners PaMedicare Shared Savings Participating with Physicians5425 WEST SPRING CREEK PARKWAY, SUITE 200, Plano, TX 75024$241,137
North Texas Cardiovascular AssocContract payments for Physician Services221 WEST COLORADO BOULEVARD, PAV II SUITE 831, Dallas, TX 75203$223,193
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$5,057,583
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-1,631,229
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$6,674,995
Salaries, Compensation, and Employee Benefits$13,817
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$6,297,994$0$0$6,297,994
Occupancy$72,874--$72,874
Information Technology$57,370--$57,370
Office Expenses-$27,644-$27,644
Depreciation Depletion$14,497--$14,497
Current Officers, Directors, Trustees, and Key Employees$13,817--$13,817
Travel$11,294--$11,294
Conferences and Meetings$3,263--$3,263
Other Expenses$2,500$187,559-$2,500
Total Functional Expenses$6,473,609$215,203$0$6,688,812
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15 Lines 15A & 15B- Process to Establish Compensation

Lines 15A & 15B are answered no in accordance with the IRS instructions. The organization does not compensate officers or directors; all compensation reported is from a related entity.

Form 990, Part VI, Line 6 Classes of members or stockholders

Methodist Patient Centered ACO has as its sole member its parent organization which is Methodist Hospitals of Dallas a 501(c)(3) hospital.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

MHS as the sole member of Methodist Patient Centered ACO has the right to appoint any board member.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

Methodist Hospitals of Dallas D/B/A Methodist Health Systems is the sole member of Methodist Patient Centered ACO and has certain reserve powers over Methodist Patient Centered ACO to insure that its operations are consistent with the tax-exempt purpose and mission of both organizations. PER THE BYLAWS, WHILE THE AFFAIRS OF THE CORPORATION SHALL BE MANAGED BY ITS BOARD OF DIRECTORS, NO ACTION MAY BE TAKEN BY THE BOARD OF DIRECTORS WITH RESPECT TO ANY OF THE SUBJECTS INDICATED BELOW, AND THE AUTHORITY TO ACT WITH RESPECT TO THE SUBJECTS INDICATED BELOW SHALL BE RESERVED EXCLUSIVELY TO THE MEMBER OF THE CORPORATION. - Establishment of or any change in the activities, philosophy, mission, or purpose of the Corporation as set by the Member; - Alteration, amendment or repeal of the Certificate of Formation or of the Bylaws of the Corporation; - Voluntary dissolution of the Corporation; - Election or removal of Directors of the Corporation

Form 990, Part VI, Line 8B Documentation of meetings held by committees of governing body

There was no committee with the authority to act on behalf of the governing body.

Form 990, Part VI, Line 11B Review of form 990 by governing body

THE FORM 990 IS PREPARED BY An outside PUBLIC ACCOUNTING FIRM. DURING THE RETURN PREPARATION AND REVIEW PROCESS, THE PUBLIC ACCOUNTING FIRM COLLABORATES WITH THE ORGANIZATION'S 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 ORGANIZATION'S APPLICABLE SENIOR FINANCIAL OFFICER PRIOR TO FILING.

Form 990, Part VI, Line 12C Conflict of interest policy

Annually, each director, officer, and trustee shall complete and submit a conflicts of interest disclosure form to the board of directors, disclosing any financial interests and external loyalties. During the year, each director, officer, or trustee shall disclose any financial interest or external loyalty, orally or in writing, when he or she becomes aware that a related contract, transaction or other relevant decision is under consideration or that a financial interest or external loyalty has not been disclosed. Each director, officer, and trustee shall seek and accept resolution of any conflicts of interest arising from financial interests or external loyalties, to the satisfaction of the board of directors. In the event of any finding that potential conflict of interest issues are present, the issue(s) are reported to the board chairman and the audit & corporate oversight committee ("audit committee") chair, together with a recommended resolution for the potential conflict. The board chair and audit committee may approve the proposed resolution or either may recommend further measures. Either the board chairman or the audit committee may refer an issue to the full audit committee for further review and action. A director, officer, or trustee who has, or whose relative has, private interests or relationships that might constitute a financial interest or an external loyalty has an affirmative duty to (a) disclose the facts on the financial interest or external loyalty to the board of directors; (b) request a determination by the board of directors on whether the facts disclosed raise questions of actual or apparent potential conflicts of interest; (c) resolve to the board's satisfaction any issue raised by financial interests or external loyalties in the event the board then or later deems them to be potential conflicts of interest; and (d) not vote on or otherwise participate in mhs's decisions on contracts, transactions, or relationships that affect financial interests or external loyalties.

Form 990, Part VI, Line 19 Required documents available to the public

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
2149474510
Address
1441 N Beckley Ave, Dallas, TX 75203
Doing Business As
Methodist Alliance for Patients and Physicians or MAP2

Signing Officer

Name
Craig Bjerke
Title
Interim Executive VP & CFO
Signed
2018-08-14
Discuss with paid preparer
Yes

Organization Details

Formed
2012
Legal Domicile
TX
Voting Board Members
14
Independent Board Members
5
Employees
0
Volunteers
50

Preparer

Firm
Crowe Llp
Address
750 N St Paul Suite 850, Dallas, TX 75201
Preparer
Rachel Spurlock
Phone
2147775200
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G Other Fees

Contracted Services - Total Expense: 2790238, Program Service Expense: 2790238, Management and General Expenses: , Fundraising Expenses: ; SAVINGS SHARE WITH PHYSICIANS - Total Expense: 2364436, Program Service Expense: 2364436, Management and General Expenses: , Fundraising Expenses: ; SAVINGS SHARE WITH HOSPITALS - Total Expense: 955823, Program Service Expense: 955823, Management and General Expenses: , Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 187497, Program Service Expense: 187497, Management and General Expenses: , Fundraising Expenses: ;

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

Methodist Patient Centered ACO's INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF METHODIST HEALTH SYSTEM (MHS), A RELATED ORGANIZATION. MHS'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED SEPTEMBER 30, 2017, READS AS FOLLOWS: MHS, MMG, and the Foundation are exempt from federal income taxes under Section 501(a) of the Internal Revenue Code (IRC), as an organization described in IRC Section 501(c)(3). They each have been classified as an organization that is not a private foundation under either IRC Section 509(a)(1) or 509(a)(3), and as such, contributions to them qualify for deduction as charitable contributions. Due to their organization structure, certain of the consolidated entities are taxable under the IRC and some entities are tax exempt but are required to pay income taxes for income generated from activities unrelated to their exempt purpose under IRC Section 511. In addition, certain of the consolidated entities file U.S. partnership income tax returns. The Texas Margin Tax applies to certain partnerships and taxable entities included in the consolidated financial statements. The overall impact of federal income taxes and Texas Margin Taxes to the MHS consolidated financial statements for the years ended September 30, 2017 and 2016 is not significant. 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 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, 2017 and 2016.

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IRS990/Desc0METHODIST PATIENT CENTERED ACO (MPCACO) IS A TEXAS NONPROFIT CORPORATION FORMED TO PARTICIPATE IN THE MEDICARE SHARED SAVINGS PROGRAM (MSSP) AS AN ACCOUNTABLE CARE ORGANIZATION (ACO). ON 7-1-12 THE CENTER FOR MEDICARE AND MEDICAID SERVICES (CMS) SELECTED MPCACO TO PARTICIPATE IN ITS MSSP. METHODIST HOSPITALS OF DALLAS IS A TEXAS NONPROFIT CORPORATION AND A 501(C)(3) ORGANIZATION AND THE SOLE MEMBER OF MPCACO. MHD PROVIDES QUALITY INTEGRATED CARE TO IMPROVE AND SAVE LIVES OF INDIVIDUALS THROUGHOUT NORTH TEXAS. In 2016, MHD AFFILIATES HAD 467,791 PATIENT VISITS and provided approximately $150 million in unreimbursed charity care, representing 11.77% of net patient service revenue. AS REQUIRED BY SECTION 425 106 (C) OF THE MSSP REGULATIONS, SECTION 321 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 ENSURE MPCACO IS OPERATED IN FURTHERANCE OF MHD'S EXEMPT PURPOSES. DURING THE MOST RECENT REPORTING PERIOD OF January 1, 2016 through December 31, 2016, MEDICARE ADVISED THE ACO IT HAD PROPERLY REPORTED ON all required QUALITY METRICS AND ACHIEVED MEDICARE SAVINGS OF $10,627,110 ON THE MEDICARE POPULATION SERVED BY THE ACO. PURSUANT TO THE SHARED SAVING AGREEMENT, 47.25% 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 ACHIEVED A MINIMUM NUMBER OF POINTS (10) BY COMPLETING TASKS OF PERFORMANCE IMPROVEMENT, ACO CITIZENSHIP, QUALITY AND/OR ELECTRICAL MEDICAL RECORDS. 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.
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt0GEORGE WILLIAMS MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt1Shannon Huggins
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt2Brian Jones MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt3Stephen L Mansfield PHD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt4LAURA IRVINE
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt5MARTIN L KOONSMAN MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt6Melissa Gerdes MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt7Michael S Marshall MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt8Padminie (Pam) Singh MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt9Nancy Georgekutty Alexander MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt10Alfonso Ramirez MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt11Bassam Mostafa-Elsawy MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt12Michael L Finch MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt13Lucious Williams
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt14Nhan Nguyen MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt15Arturo Aviles MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt16Michael J Schaefer
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