Methodist Patient Centered Aco

Nonprofit profile at a glance

EIN
352436666
IRS 990 coverage
2013–2024
Forms available
Form 990 2024
Location
Dallas, TX, USA
Phone
2149474510
Rating
64
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Nonmonetary Support N.E.C.
Affiliation
Christianity

Official website

Reported finances

Revenue
$5,143,597
Expenses
$5,204,277
Assets
$7,821,326
Liabilities
$7,821,326

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

15 people listed

Executive titles in this filing

  • BRIAN JONES MD (CHAIR / PRESIDENT / CHIEF MEDICAL OFFICER)

Highest reported compensation

  • JAMES C SCOGGIN JR (DIRECTOR): $4,078,719 total reported compensation
  • CRAIG BJERKE (TREASURER): $1,702,671 total reported compensation
  • MARTIN L KOONSMAN MD (DIRECTOR): $1,184,700 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

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.

What it reported doing in 2024

Methodist 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 july 1, 2012 the center for medicare and medicaid services (cms) selected mpcaco to participate in its mssp. Methodist hospitals of dallas (mhd) is a Texas nonprofit corporation and a 501(c)(3) organization. Mhd is the sole member of mpcaco. Mhd provides quality integrated care to improve and save lives of individuals throughout north Texas. 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, 2024 through december 31, 2024, medicare advised the aco it had properly reported on all required quality metrics and achieved medicare savings of $6,812,254 in one measurement period of 2024 on the medicare population served by the aco. Mpcaco moved from the basic track to enhanced track on july 1, 2019. Pursuant to the shared saving agreement, 73% of that total 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 electronic 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 administrative costs of the aco.

Operating model

Revenue model
Other-operating. 98% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and a relatively small share of voting board members are independent.

Rating breakdown

  • Financial Efficiency: 78
  • Transparency & Controls: 64
  • Accountability: 53
  • Sustainability: 32
  • Growth: 20

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 88.6%; rating input score 89
  • Program expense ratio: 87.3%; rating input score 87
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 42.9%; rating input score 43; 7th percentile among comparable filings
  • Governance controls: 6 of 9 controls in place; rating input score 67
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -1.2%; rating input score 29; 29th percentile among comparable filings
  • Total-asset coverage ratio: 1.5; rating input score 52; 52nd percentile among comparable filings
  • Liabilities to assets ratio: 1; rating input score 5; 5th percentile among comparable filings
  • Officer compensation ratio: 12.6%; rating input score 23; 23rd percentile among comparable filings

Growth

  • Program expense growth: -2.4% per year; rating input score 0; 8th percentile among comparable filings
  • Revenue growth: -3.2% per year; rating input score 0; 5th percentile among comparable filings
  • Asset growth: 7.8% per year; rating input score 100; 49th percentile among comparable filings

Details

  • Where the money goes: 88.6% of revenue deployed · 87.3% of spending went to programs
  • Governance: 6 of 14 board members independent · 6 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $4.5M in reported program spending
  • Leadership: top reported pay $4.1M · 15 people listed · 0 of 6 pay-setting controls reported
  • Consistency: 18 of 18 current checks pass
  • Schedules: 5 filed schedules · includes executive pay
  • Filing history: 12 filing years from 2013 to 2024
  • Contacts: How to reach this organization
  • Money network: 1 filed money-flow record
  • Related organizations: 27 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Moderate — Accountability: Independent voting board scored 43/100.
  • Review — Accountability: Governance controls: 3 of 9 not reported.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Sustainability: Operating margin scored 29/100.
  • Review — Sustainability: Total-asset coverage ratio scored 52/100.
  • High — Sustainability: Liabilities to assets ratio scored 5/100.
  • High — Sustainability: Officer compensation ratio scored 23/100.