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← METHODIST-CDI

Form 990 for tax year 2022

Filed by METHODIST-CDI.

Totals

Total revenue
$21,804,417
Total expenses
$24,277,654
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$21,804,417
Investment income
$0
Other revenue
$0
Total assets, end of year
$3,309,898
Total liabilities, end of year
$32,854,483
Net assets or fund balances, end of year
-$29,544,585
Program services expenses (Part IX)
$24,260,654
Management and general expenses
$17,000
Fundraising expenses
$0
Program service expenses (Part III)
$24,260,654

Program services were 99.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: Imaging Revenue

    total $21,804,417 · related or exempt $21,804,417

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 11g · Fees: other

    total $24,277,654 · program services $24,260,654 · management and general $17,000 · fundraising $0

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $489,679 · end of year $301,214

  • 4 · Accounts receivable

    beginning of year $2,720,866 · end of year $3,008,684

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $0

  • 10b · Land, buildings and equipment: accumulated depreciation

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,230,928 · end of year $1,161,668

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $29,050,965 · end of year $31,692,815

  • 31 · Retained earnings, endowment or other funds

    beginning of year -$27,071,348 · end of year -$29,544,585

Mission and programs · 2022

Mission

TO SUPPORT THE MISSION OF METHODIST HOSPITALS OF DALLAS WHICH IS TO IMPROVE AND SAVE LIVES THROUGH COMPASSIONATE QUALITY HEALTH CARE.

Activities or mission (Part I)

TO SUPPORT THE MISSION OF METHODIST HOSPITALS OF DALLAS WHICH IS TO IMPROVE AND SAVE LIVES.

  • THE ORGANIZATION SUPPORTS THE MISSION OF METHODIST HOSPITALS OF DALLAS PRIMARILY BY PROVIDING IMAGING AND DIAGNOSTIC SERVICES IN OUTPATIENT SETTINGS IN THE METHODIST HOSPITALS OF DALLAS SERVICE AREA. THE ORGANIZATION OPERATES SEVERAL FACILITIES ACROSS THE DFW METROPLEX AND JOINTLY THESE FACILITIES PROVIDED 18,896 MRI'S, 13,179 CT'S, 24 DTI'S, 17,480 MAMMOGRAMS, 21,892 US PROCEDURES, 34,425 OTHER R&F, 4,942 DEXA AND 892 OTHER PROCEDURES IN 2022. TOTAL PROCEDURES EQUALED 111,706.

    Expenses $24,260,654 · Revenue $21,804,417

As filed on the 2022 return.

Listed in Part VII

  • Brian Kenjarski

    Chair (Beginning Nov 2022)

    Total calculated
    $833,830
    From this org
    $0
    From related orgs
    $790,614
    Other
    $43,216
    Hours/week
    5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $469,780 related
    Bonus
    $0 + $229,969 related
    Other
    $0 + $90,865 related
    Deferred
    $0 + $33,388 related
    Nontaxable benefits
    $0 + $9,828 related
    Filer's total
    $0 + $833,830 related

  • George Williams MD

    CHAIR (THROUGH NOV 2022)

    Total calculated
    $687,254
    From this org
    $0
    From related orgs
    $661,493
    Other
    $25,761
    Hours/week
    5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $254,426 related
    Bonus
    $0 + $250 related
    Other
    $0 + $406,817 related
    Deferred
    $0 + $12,890 related
    Nontaxable benefits
    $0 + $12,871 related
    Filer's total
    $0 + $687,254 related

  • Brian Jones MD

    DIRECTOR (BEGINNING NOV 2022)

    Total calculated
    $602,566
    From this org
    $0
    From related orgs
    $508,383
    Other
    $94,183
    Hours/week
    2 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $399,666 related
    Bonus
    $0 + $108,117 related
    Other
    $0 + $600 related
    Deferred
    $0 + $56,003 related
    Nontaxable benefits
    $0 + $38,180 related
    Filer's total
    $0 + $602,566 related

  • Cheryl Vera-Burkhalter MD

    DIRECTOR (THROUGH NOV 2022)

    Total calculated
    $207,165
    From this org
    $0
    From related orgs
    $171,119
    Other
    $36,046
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $159,417 related
    Bonus
    $0 + $11,702 related
    Other
    $0
    Deferred
    $0 + $8,886 related
    Nontaxable benefits
    $0 + $27,160 related
    Filer's total
    $0 + $207,165 related

  • Kelly E Farris MD

    DIRECTOR (BEGINNING NOV 2022)

    Total calculated
    $316,610
    From this org
    $0
    From related orgs
    $281,806
    Other
    $34,804
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $222,106 related
    Bonus
    $0 + $59,700 related
    Other
    $0
    Deferred
    $0 + $10,832 related
    Nontaxable benefits
    $0 + $23,972 related
    Filer's total
    $0 + $316,610 related

  • Samuel Cullison

    DIRECTOR (THROUGH NOV 2022)

    Total calculated
    $222,486
    From this org
    $0
    From related orgs
    $216,254
    Other
    $6,232
    Hours/week
    2 + 43 related

    Schedule J breakdown matched by us

    Base
    $0 + $24,342 related
    Bonus
    $0
    Other
    $0 + $191,912 related
    Deferred
    $0 + $6,232 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $222,486 related

  • Amy Garrigues

    ASSISTANT SECRETARY (BEGINNING NOV 2022)

    Total calculated
    $0
    Hours/week
    1

  • Craig Bjerke

    PRESIDENT & TREASURER (THROUGH NOV 2022)

    Total calculated
    $1,375,145
    From this org
    $0
    From related orgs
    $1,331,514
    Other
    $43,631
    Hours/week
    2 + 56 related

    Schedule J breakdown matched by us

    Base
    $0 + $620,580 related
    Bonus
    $0 + $560,948 related
    Other
    $0 + $149,986 related
    Deferred
    $0 + $17,963 related
    Nontaxable benefits
    $0 + $25,668 related
    Filer's total
    $0 + $1,375,145 related

  • Daniel Blizzard

    PRESIDENT & TREASURER (BEGINNING NOV 2022)

    Total calculated
    $365,528
    From this org
    $0
    From related orgs
    $319,293
    Other
    $46,235
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $259,567 related
    Bonus
    $0 + $59,126 related
    Other
    $0 + $600 related
    Deferred
    $0 + $30,547 related
    Nontaxable benefits
    $0 + $15,688 related
    Filer's total
    $0 + $365,528 related

  • Kim Schroder

    PRIVACY OFFICER (BEGINNING NOV 2022)

    Total calculated
    $0
    Hours/week
    1

  • Natalie Culhane

    COMPLIANCE OFFICER (BEGINNING NOV 2022)

    Total calculated
    $0
    Hours/week
    1

  • Ramona Ahren

    SPECIAL ASSISTANT SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Ryan Raschke

    CFO & ASSISTANT TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Scott Siemer

    SECRETARY

    Total calculated
    $545,599
    From this org
    $0
    From related orgs
    $499,368
    Other
    $46,231
    Hours/week
    1 + 43 related

    Schedule J breakdown matched by us

    Base
    $0 + $315,641 related
    Bonus
    $0 + $164,867 related
    Other
    $0 + $18,860 related
    Deferred
    $0 + $35,898 related
    Nontaxable benefits
    $0 + $10,333 related
    Filer's total
    $0 + $545,599 related

  • Susan Holman

    SPECIAL ASSISTANT SECRETARY

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS PAID BY METHODIST HOSPITALS OF DALLAS, WHICH USES A FORMAL REVIEW PROCESS TO REVIEW COMPENSATION OF EMPLOYEES. THE FORMAL REVIEW PROCESS INCLUDES THE USE OF THE FOLLOWING METHODS TO ESTABLISH COMPENSATION OF THE TOP MANAGEMENT OFFICIALS: 1) A COMPENSATION COMMITTEE, 2) AN INDEPENDENT COMPENSATION CONSULTANT, 3) A COMPENSATION SURVEY OR STUDY, 4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE, AND 5) CONTEMPORANEOUSLY SUBSTANTIATED THE DELIBERATION AND DECISION. OFFICERS COMPENSATION IS SUBJECT TO FURTHER REVIEW BY THE BOARD OF METHODIST HOSPITALS OF DALLAS.
Schedule J, Part I, Line 4a Severance or change-of-control payment
During calendar year 2022, George Williams and Samuel Cullison received severance payments in the amounts of $297,059 and $79,976, respectively. These severance payments were paid by Methodist Hospitals of Dallas, the sole member of Methodist-CDI.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
ANY OF THE OFFICERS WHO ARE DETAILED AS BEING PAID BY A RELATED ORGANIZATION MAY HAVE CONTRIBUTIONS TO A SECTION 457(F) NON-QUALIFIED PLAN WHICH ARE INCLUDED IN SCHEDULE J, PART II, COLUMN C. METHODIST HOSPITALS OF DALLAS OFFERS A 457(F) RETIREMENT ALLOWANCE PLAN TO OFFICERS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS AND DIVISION PRESIDENTS. EACH YEAR THE PLAN PROVIDES CREDITS, EXPRESSED AS DOLLAR AMOUNTS, DETERMINED BY A PERCENTAGE OF EACH PARTICIPANT'S BASE SALARY. THE PERCENTAGE FOR EACH PARTICIPANT IS DEFINED IN THE PLAN. IN ADDITION, PARTICIPANTS HAVE THE OPTION TO CONVERT UP TO 80 HOURS OF PAID TIME OFF BENEFITS ANNUALLY TO CREDITS IN THE PLAN. THE DEFERRED ALLOWANCE IS DEPOSITED IN A MUTUAL FUND ACCOUNT FOR EACH PARTICIPANT. THE PLAN DEFINES PROVISIONS FOR VESTING AND THE DISTRIBUTION OF BENEFITS. THE AMOUNTS BELOW; DEFERRED AND PAID, RESPECTIVELY, ARE INCLUDED IN THE AMOUNTS REPORTED ON SCHEDULE J, PART II, COLUMNS B(III), (C), OR (F). GEORGE WILLIAMS $0 / $50,044 CRAIG BJERKE $0 / $149,386 SCOTT SIEMER $20,500 / $18,260 Brian Kenjarski $20,500 / $90.265 Daniel Blizzard $20,500 / $0 Brian Jones $29,500 / $0

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • METDALSPI HOLDING LLC

    N/A · Holding Company · TX

    Directly controlled by METHODIST HOSPITAL OF DALLAS

  • METDALSPI LLC

    N/A · HOSPITAL · TX

    Directly controlled by METDALSPI HOLDING LLC

  • METHODIST DIAGNOSTIC IMAGING OF TEXAS LLC

    N/A · MEDICAL SERVICES · TX

    Directly controlled by METHODIST HOSPITAL OF DALLAS

  • METHODIST MCKINNEY HOSPITAL LLC

    N/A · HOSPITAL · TX

    Directly controlled by METHODIST HOSPITAL OF DALLAS

  • METHODIST URGENT CARE OF TEXAS LLC

    N/A · MEDICAL SERVICES · TX

    Directly controlled by METHODIST HOSPITAL OF DALLAS

  • METSL HOLDINGS LLC

    N/A · Holding Company · TX

    Directly controlled by NORTH TEXAS HEALTH FACILITIES MGMT

  • METSL LLC

    N/A · Hospital · TX

    Directly controlled by METSL HOLDINGS LLC

  • MHD-USO GENERAL LLC

    N/A · MEDICAL SERVICES · TX

    Directly controlled by NORTH TEXAS HEALTH FACILITIES MGMT

  • MHD-USO MANAGEMENT COMPANY LP

    N/A · MEDICAL SERVICES · TX

    Directly controlled by NORTH TEXAS HEALTH FACILITIES MGMT

  • MHS-CHC I LP

    N/A · REHAB HOSPITAL · TX

    Directly controlled by MHS-CHC LLC

  • MHS-CHC LLC

    N/A · Holding Company · TX

    Directly controlled by METHODIST HOSPITAL OF DALLAS

  • METHODIST MANSFIELD AMBULATORY SURGERY CENTER LLC

    N/A · AMBULATORY SERVICES · TX

    Directly controlled by METHODIST HOSPITALS OF DALLAS

  • MetSL Property Investor LLC

    Related · GROUND LEASE · TX

    Directly controlled by METHODIST HOSPITALS OF DALLAS

  • METHODIST TRANSITIONAL CARE CENTER - DESOTO LLC

    Related · SKILLED NURSING AND REHABILITATION CENTER · TX

    Directly controlled by METHODIS T HOSPITALS OF DALLAS

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • NORTH TEXAS HEALTH FACILITIES MANAGEMENT

    C Corporation · FACILITY AND PHYSICIAN MGMT · TX

    Directly controlled by METHODIST HOSPITALS OF DALLAS

  • COLLECTECH FINANCIAL SERVICES INC

    C Corporation · BILLING AND COLLECTION · TX

    Directly controlled by NORTH TEXAS Health FACILITIES MGMT

  • RICHARDSON PHYSICIAN ALLIANCE

    C Corporation · PHYSICIAN SERVICES · TX

    Directly controlled by METHODIST HOSPITALS OF DALLAS

Provenance

Return type
form_990
Tax year
2022
Filed
15 November 2023
IRS schema version
2022v5.0
Source object
202313199349305146

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