Civic Intelligence

Methodist Patient Centered Aco

990 • Fiscal year 2021 • EIN 35-2436666

Oct 01, 2020 to Sep 30, 2021 • Filed on Aug 11, 2022

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

94th percentile

1.00x

Higher debt load relative to assets than 94% of similar nonprofits.

2021 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2021

Liabilities / Revenue

53rd percentile

0.18x

Higher debt load relative to revenue than 53% of similar nonprofits.

2021 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2021

Net Margin

9th percentile

-19%

Higher net margin than 9% of similar nonprofits.

2021 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2021

Top Officer Pay

100th percentile

$2,933,996

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 44.9% of source-year revenue.

2021 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2021

Asset Growth

1st percentile

-63%

Faster asset growth than 1% of similar nonprofits.

2021 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2020 to 2021

Revenue Growth

78th percentile

48%

Faster revenue growth than 78% of similar nonprofits.

2021 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2020 to 2021

Assets

Down

$1,181,995

Down $1,983,157 (-63%) from 2020

Net Assets

Flat

$0

Flat from 2020

Liabilities

Down

$1,181,995

Down $1,983,157 (-63%) from 2020

Revenue

Up

$6,532,302

Up $2,117,923 (+48%) from 2020

Expenses

Up

$7,802,034

Up $2,129,625 (+38%) from 2020

Net Income

Down

-$1,269,732

Down $11,702 (-0.9%) from 2020

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

2021

Assets$1,181,995
Liabilities$1,181,995
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

2021

Revenue$6,532,302
Expenses$7,802,034
Net Income-$1,269,732
Jump To
Filing Snapshot
Filing Period
Oct 1, 2020 to Sep 30, 2021
Signed
Aug 11, 2022
Return Version
2020v4.0
Gross Receipts
$6,532,302
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 improve and save lives through managed coordinated care by providing quality and cost-effective medical and health services to patients.

Balance Sheet Detail
LineBeginningEndChange
Assets
Pd in Cap Srpls Land Bldg Eqp Fund$4,572,227$5,841,959▲ $1,269,732
Accounts Receivable$1,800,835$0▼ $1,800,835
Cash and Non-Interest-Bearing Accounts$1,364,317$1,181,995▼ $182,322
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Land, Buildings, and Equipment, Net$0$0→ $0
Loans From Officers Directors$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$-4,572,227$-5,841,959▼ $1,269,732
Total Assets$3,165,152$1,181,995▼ $1,983,157
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$3,165,152$1,181,995▼ $1,983,157
Other Liabilities$0$0→ $0
Total Liabilities$3,165,152$1,181,995▼ $1,983,157
Net Assets / Fund Balance
Total Net Assets Fund Balance$0$0→ $0
Total Liabilities and Net Assets / Fund Balance$3,165,152$1,181,995▼ $1,983,157
Compensation and Service Providers

Board Members and Trustees

NameTitle
-Chair / Chief Medical Officer
-President
-Director
-Secretary / VP of Compliance
-Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$6,532,302
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-1,269,732
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$7,802,034
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$7,113,215$0$0$7,113,215
Information Technology-$262,848-$262,848
Office Expenses-$209,436-$209,436
Other Expenses-$133,142-$133,142
Occupancy$75,076--$75,076
Depreciation Depletion$6,008--$6,008
Travel$2,309--$2,309
Total Functional Expenses$7,196,608$605,426$0$7,802,034
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $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 35% controlled entity
No
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 2 Family/business relationships amongst interested persons

Craig Bjerke and James Scoggin - Business relationship, Samuel Cullison and George Williams - Business relationship

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

MHD as the sole member of Methodist Patient Centered ACO has the right to appoint, remove, and replace the individuals serving as directors and/or change the number of directors constituting the board of directors.

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; - Appointment or removal of Directors of the Corporation

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

There are no committees 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 DEPARTMENTS 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

Methodist Hospitals of Dallas facilitates the conflict of interest disclosure process for itself and its affiliates. Each affiliate organization is subject to the conflict of interest policy and its procedures, as described herein. 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
George Williams MD
Title
President
Signed
2022-08-11
Discuss with paid preparer
Yes

Organization Details

Formed
2012
Legal Domicile
TX
Voting Board Members
14
Independent Board Members
5
Employees
0
Volunteers
27

Preparer

Firm
Crowe Llp
Address
750 N St Paul Suite 850, Dallas, TX 75201-3246
Preparer
Andrew J Gray
Phone
2147775200
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G Other Fees

Contracted services - Total Expense: 4346883, Program Service Expense: 4346883, Management and General Expenses: , Fundraising Expenses: ; Savings share with physicians - Total Expense: 2188424, Program Service Expense: 2188424, Management and General Expenses: , Fundraising Expenses: ; Savings share with hospitals - Total Expense: 577908, Program Service Expense: 577908, 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, 2021, READS AS FOLLOWS: MHS, MMG, Methodist-CDI, MTP, PASD 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, 2021 and 2020 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, 2021 and 2020. MHS is no longer subject to examination by U.S. federal and state taxing authorities for years through September 30, 2018.

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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt0Brian Jones MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt1George Williams MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt2Shannon Huggins
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt3Alfonso Ramirez MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt4Bassam Mostafa-Elsawy MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt5James C Scoggin Jr
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt6Lucious Willliams MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt7Martin L Koonsman MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt8Matt Muller MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt9Michael L Finch MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt10Michael S Marshall MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt11Nancy GEORGEKUTTY ALEXANDER MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt12Samir Nangia MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt13Samuel Cullison MD
IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt14Craig Bjerke
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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 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.
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0DESCRIPTION - MISCELLANEOUS INCOME, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 150.0, COLUMN D - 0.0, COLUMN E - 0.0, COLUMN F - 150.0;
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0Methodist 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, 2021, READS AS FOLLOWS: MHS, MMG, Methodist-CDI, MTP, PASD 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, 2021 and 2020 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, 2021 and 2020. MHS is no longer subject to examination by U.S. federal and state taxing authorities for years through September 30, 2018.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote
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