MEMORIAL HERMANN HEALTH SYSTEM: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: MEMORIAL HERMANN HEALTH SYSTEM (EIN 74-1152597)
Tax period: 2022-07-01 to 2023-06-30
Filed: 2024-05-14
IRS object ID: 202421359349301807
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-05-14T06:55:26-05:00	ReturnTs
Tax Period End	2023-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	425 HOUSTON STREET STE 600	AddressLine1Txt
City	FORT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	741152597	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Memorial Hermann Health System	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% SYSTEM TAX DEPARTMENT	InCareOfNm
Business Name Control	MEMO	BusinessNameControlTxt
Phone	7133384552	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	929 Gessner Rd Suite 1900	AddressLine1Txt
City	Houston	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77024	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Alec King	PersonNm
Person Title	EVP & CFO	PersonTitleTxt
Phone	7133384552	PhoneNum
Signature	2024-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Alec	PersonFirstNm
Person Last	King	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Melva Scott Sr Manager	PreparerPersonNm
PTIN	P01207335	PTIN
Phone	8173351900	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	David L Callender MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	929 Gessner Rd1900	AddressLine1Txt
City	Houston	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77024	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$7,581,409,425	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.memorialhermann.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1910	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	MEMORIAL HERMANN HEALTH SYSTEM IS A NONPROFIT, VALUES-DRIVEN, COMMUNITY-OWNED HEALTH SYSTEM DEDICATED TO IMPROVING HEALTH.	ActivityOrMissionDesc
Voting Members Governing Body	31	VotingMembersGoverningBodyCnt
Voting Members Independent	29	VotingMembersIndependentCnt
Total Employee	34353	TotalEmployeeCnt
Total Volunteers	2079	TotalVolunteersCnt
Total Gross UBI	$31,693,301	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$140,727,497	PYContributionsGrantsAmt
CY Contributions Grants	$23,122,913	CYContributionsGrantsAmt
PY Program Service Revenue	$6,694,634,314	PYProgramServiceRevenueAmt
CY Program Service Revenue	$7,338,786,979	CYProgramServiceRevenueAmt
PY Investment Income	$417,785,697	PYInvestmentIncomeAmt
CY Investment Income	$161,142,930	CYInvestmentIncomeAmt
PY Other Revenue	$60,916,182	PYOtherRevenueAmt
CY Other Revenue	$58,356,603	CYOtherRevenueAmt
PY Total Revenue	$7,314,063,690	PYTotalRevenueAmt
CY Total Revenue	$7,581,409,425	CYTotalRevenueAmt
PY Grants And Similar Paid	$18,524,963	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$27,652,821	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$3,028,267,511	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$3,160,501,202	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,376,903,874	PYOtherExpensesAmt
CY Other Expenses	$3,764,155,613	CYOtherExpensesAmt
PY Total Expenses	$6,423,696,348	PYTotalExpensesAmt
CY Total Expenses	$6,952,309,636	CYTotalExpensesAmt
PY Revenues Less Expenses	$890,367,342	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$629,099,789	CYRevenuesLessExpensesAmt
Total Assets BOY	$11,387,026,051	TotalAssetsBOYAmt
Total Assets EOY	$12,081,212,202	TotalAssetsEOYAmt
Total Liabilities BOY	$4,182,669,254	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,011,573,280	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$7,204,356,797	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$8,069,638,922	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	MEMORIAL HERMANN HEALTH SYSTEM IS A NONPROFIT, VALUES-DRIVEN, COMMUNITY-OWNED HEALTH SYSTEM DEDICATED TO IMPROVING HEALTH. OUR VISION IS TO CREATE HEALTHIER COMMUNITIES, NOW AND FOR GENERATIONS TO COME. OUR VALUES ARE COMMUNITY, COMPASSION, CREDIBILITY, AND COURAGE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$5,948,979,655	ExpenseAmt
Grant	$27,652,821	GrantAmt
Revenue	$7,338,786,978	RevenueAmt
Desc	Memorial Hermann Health System is a nonprofit, values-driven, community-owned health system dedicated to improving health. Our vision is to create healthier communities, now and for generations to come. Our values are community, compassion, credibility, and courage. Charting a better future. A future that's built upon the HEALTH of our community. This is the driving force for Memorial Hermann, redefining health care for the individuals and many diverse populations we serve. Our 6,600+ affiliated physicians and 33,000+ employees practice the highest standards of safe, evidence-based, quality care to provide a personalized and outcome-oriented experience across our more than 260 care delivery sites. As one of the largest not-for-profit health systems in Southeast Texas, Memorial Hermann has an award-winning and nationally acclaimed Accountable Care Organization, 17 hospitals and numerous specialty programs and services conveniently located throughout the Greater Houston area (Memorial Hermann Health System owns and operates 14 hospitals and has joint ventures with three other hospital facilities, including Memorial Hermann Surgical Hospital First Colony, Memorial Hermann Surgical Hospital Kingwood and Memorial Hermann Rehabilitation Hospital-Katy). Beginning in 1990, U.S. News & World Report has ranked our nation's leading hospitals annually. And in every one of those years, TIRR Memorial Hermann has been named among the very best rehabilitation hospitals in the United States. TIRR Memorial Hermann ranks best in Texas and No. 3 in the nation for rehabilitation. Memorial Hermann-Texas Medical Center is one of the nation's busiest Level I trauma centers and serves as the primary teaching hospital for McGovern Medical School at UTHealth. Memorial Hermann-Texas Medical Center was ranked #4 best hospital in Texas, and also listed in the U.S. News rankings in the specialty areas of Cardiology and Heart Surgery, Ear, Nose and Throat, and Gastroenterology and GI Surgery. Also making the Top 10 statewide rankings were Memorial Hermann Greater Heights Hospital and Memorial Hermann Memorial City Medical Center were tied at #6. Children's Memorial Hermann Hospital was nationally ranked in Pediatric Cardiology and Heart Surgery, as well as Pediatric Neurology and Neurosurgery. The Heart Center at Children's Memorial Hermann Hospital has earned the Society of Thoracic Surgeons' (STS) highest rating for quality related to patient care and congenital heart surgery outcomes. Only 12 pediatric heart programs in the United States and Canada earned the distinguished STS three-star rating for congenital heart surgery, following analysis of data collected from 119 participating programs from January 2014 to December 2017. The STS star rating system is one of the most highly regarded overall measures of quality in health care, comparing the nationally benchmarked outcomes of cardiothoracic surgery programs in the U.S. and Canada. For the seventh time, Memorial Hermann Memorial City Medical Center was named one of the nation's top 100 hospitals by IBM Watson Health. Formerly known as the Truven Health Analytics 100 Top Hospitals, the study spotlights the best-performing hospitals based on a scorecard of publicly available clinical, operational and patient satisfaction metrics and data. Memorial Hermann Southeast Hospital, Memorial Hermann Greater Heights Hospital, Memorial Hermann Southwest Hospital and Memorial Hermann The Woodlands Medical Center all have received Chest Pain Center accreditation from The Joint Commission (TJC). An independent, not-for-profit organization, TJC accredits and certifies nearly 21,000 healthcare organizations and programs in the United States. Healthcare organizations that have received this accreditation have demonstrated a high level of expertise in dealing with patients with heart attack symptoms. Memorial Hermann-Texas Medical Center (TMC) and Memorial Hermann Memorial City Medical Center earned national recognition as top performers for superior quality and safety by the Vizient Quality and Accountability Study. Memorial Hermann-TMC received the 2018 Bernard A. Birnbaum, MD, Quality Leadership Award for Academic Medical Centers, and ranked ninth of 99 participating academic medical centers. Memorial Hermann Memorial City received the 2018 Bernard A. Birnbaum, MD, Quality Leadership Award for Complex Teaching Medical Centers, ranking seventh among 100 participating teaching medical centers. Memorial Hermann Sugar Land Hospital was named a recipient of the 2016 Malcolm Baldrige National Quality Award, the nation's highest Presidential honor for performance excellence. U.S. Commerce Secretary Penny Pritzker made the announcement recognizing Memorial Hermann Sugar Land for its outstanding commitment to sustainable excellence through innovation, improvement and visionary leadership. Since the healthcare category was introduced in 1999, only 21 healthcare organizations nationwide have been awarded the Malcolm Baldrige National Quality Award. Memorial Hermann Sugar Land was the first Houston area hospital and the third in Texas to win the prestigious award. For more than 114 years, our focus has been the best interest of our community. During the fiscal year, Memorial Hermann Health System provided community benefits of more than $470 million (as reported on the Internal Revenue Service Form 990, Schedule H) annually through financial assistance, school-based health centers, and other community benefit programs. During the fiscal year, Memorial Hermann admitted 182,518 patients resulting in 1,020,604 days of care, delivered 28,195 babies, had 748,087 emergency visits, 4,000+ life flight missions, and over 931,000 diagnostic and therapy visits. For more than 114 years, our focus has been the best interest of our community, contributing more than $474 million annually through school-based health centers and other community benefit programs. Now and for generations to come, the health of our community will be at the center of what we do - charting a better future for all.	Desc
Total Program Service Expenses	$5,948,979,655	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	1120	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	34353	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Foreign Country	EI	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	31	GoverningBodyVotingMembersCnt
Independent Voting Member	29	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	SYSTEM TAX DEPARTMENT	PersonNm
Phone	7133384552	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	929 GESSNER RD STE 1900	AddressLine1Txt
City	Houston	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77024	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (60 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
David L Callender MD
CEO/PRESIDENT	40.0	1.0	Yes (X)	Yes (X)	$3,539,897	$0	$477,530
Erin S Asprec
EVP/COO	40.0	1.0			$1,906,929	$0	$280,413	Yes (X)
Deborah Gordon
EVP/CAO/CLO/SECRETARY	40.0	1.0		Yes (X)	$1,617,976	$0	$252,924
James McCarthy MD
EVP, CPE	40.0	1.0			$1,586,711	$0	$250,785	Yes (X)
Alec King
EVP/CFO/TREASURER	40.0	1.0		Yes (X)	$1,388,329	$0	$237,433
Joshua Urban
SVP/PRES COMM HOSP	40.0	1.0			$1,393,222	$0	$212,529	Yes (X)
Feby Abraham
EVP, CSO	40.0	1.0			$1,352,391	$0	$240,461	Yes (X)
Gregory L Haralson
SVP, CEO - TMC	40.0	1.0			$1,323,760	$0	$234,436	Yes (X)
Kyle Price
SVP, Srvc Lines	40.0	1.0			$1,150,204	$0	$199,873	Yes (X)
Heath Rushing
SVP, Srvc Lines	40.0	1.0			$1,150,546	$0	$199,293	Yes (X)
Lori P Knowles
SVP/CHRO	40.0	1.0			$1,136,873	$0	$161,754	Yes (X)
Eric Smith
SVP, CDO	40.0	1.0			$1,107,371	$0	$139,911	Yes (X)
Paul C O'Sullivan
SVP, CEO- MC & GH	40.0	1.0			$1,051,324	$0	$144,558	Yes (X)
Anne E Neeson
EVP, CEO - Foundation	40.0	1.0			$1,049,872	$0	$113,903	Yes (X)
Amanda Hammel
SVP/CIO	40.0	1.0			$991,038	$0	$147,003	Yes (X)
Obiefuna Chikelue
SVP, CIO	40.0	1.0			$893,709	$0	$142,906	Yes (X)
Malisha S Patel
SVP, CEO - SW & SL	40.0	1.0			$873,524	$0	$124,735	Yes (X)
Justin P Kendrick
SVP, CEO - NE & TW	40.0	1.0			$811,623	$0	$145,424	Yes (X)
Teal Holden
SVP/AMB & POST-ACUTE SVCS	40.0	1.0			$790,806	$0	$107,833	Yes (X)
Jeffrey Katz
VP, CMO - TMC	40.0	1.0			$768,416	$0	$121,101		Yes (X)
Jerry A Ashworth
SVP, CEO - Cypress & Katy	40.0	1.0			$740,663	$0	$122,694	Yes (X)
Richard Lyman
SVP/REV CYCLE	40.0	1.0			$737,030	$0	$116,343		Yes (X)
Noel J Cardenas
SVP, CEO - SE & PL	40.0	1.0			$745,271	$0	$106,114	Yes (X)
Howard Scott
VP, CMO - MC & GH	40.0	1.0			$708,670	$0	$128,981		Yes (X)
Carol J Paret
SVP/CCHO	40.0	1.0			$692,378	$0	$144,756	Yes (X)
Kristel Poffinbarger
VP, CMO, SW & SL	40.0	1.0			$702,079	$0	$134,713		Yes (X)
Victoria Regan
VP, WCH	40.0	1.0			$722,014	$0	$111,582		Yes (X)
Cynthia A De Moya
FORMER CFO	40.0	1.0			$714,049	$0	$116,296			Yes (X)
Nicole J Clarke Luck
SVP, SI	40.0	1.0			$700,237	$0	$103,310	Yes (X)
Warren Shea
VP/ASST SECRETARY	40.0	1.0		Yes (X)	$578,715	$0	$113,580
J Kevin Giglio MD
DIRECTOR	1.0	1.0	Yes (X)		$0	$167,130	$0
Gary J Sheppard MD
DIRECTOR	1.0	1.0	Yes (X)		$0	$7,200	$0
Alan V Ytterberg
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Anne Taylor
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
David J Graham
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Donald M Woo
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Edward B Adams Jr
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Gary R Petersen
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Gregory Armstrong
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Ira L Flax MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Jarvis V Hollingsworth
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Jason B Few
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Jay Schneider
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
John Graf
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
John M Esquivel
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Melinda H Perrin
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Monica Benton
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Neelofer S Durrani MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Peter R Huntsman
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
R Emmett McDonald MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Richard S Figueroa
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Rishi Varma
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Roland Garcia Jr
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Sara N Ortwein
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Stacy P Methvin
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Stephen H Pouns
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Susan Sarofim
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
William H Easter III
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
William J Campbell
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Willoughby C Williams Jr
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$29,508,533	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$4,553,693	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	6853	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AYA Healthcare Inc
Dept 3519 PO Box 123519	DALLAS	TX	75312	contract Services	$45,610,816
MAXIM HEALTHCARE SERVICES
10777 Westheimer Rd Suite 955	HOUSTON	TX	77042	Healthcare	$44,364,541
Austin Commerical LP
3535 Travis Street Ste 300	DALLAS	TX	75204	Construction	$42,526,704
MEDTRONIC USA INC
710 Medtronic Parkway	MINNEAPOLIS	MN	554325604	Healthcare Tech	$40,119,186
Crothhall Healthcare
13028 Collection Center Dr	CHICAGO	IL	60693	Facilities Mgmt	$39,626,646

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1206	CntrctRcvdGreaterThan100KCnt
Related Organizations	$4,781,699	RelatedOrganizationsAmt
Government Grants	$18,341,214	GovernmentGrantsAmt
Total Contributions	$23,122,913	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	622110	$7,230,467,416	$7,230,467,416
RENTAL INCOME	531120	$98,969,625	$98,969,625
CORPORATE SERVICES	561110	$1,577,411	$1,577,411
MANAGEMENT FEES	561110	$7,772,527	$7,772,527

Field	Value	IRS element (for citing)
Total Program Service Revenue	$7,338,786,979	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$161,142,930	TotalRevenueColumnAmt
Unrelated Business Revenue	$25,386,418	UnrelatedBusinessRevenueAmt
Exclusion	$135,756,512	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,720,436	TotalRevenueColumnAmt
Exclusion	$1,720,436	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA	722514	$26,744,072	$26,744,072
PARKING	812930	$16,882,692	$16,882,692
LAUNDRY	561612	$6,306,883		$6,306,883

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,702,520	TotalRevenueColumnAmt
Exclusion	$6,702,520	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$56,636,167	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,581,409,425	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,338,786,979	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$31,693,301	UnrelatedBusinessRevenueAmt
Exclusion	$187,806,232	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$27,652,821	TotalAmt
Program Services	$27,652,821	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$8,206,388	TotalAmt
Management And General	$8,206,388	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$366,127	TotalAmt
Program Services	$310,838	ProgramServicesAmt
Management And General	$55,289	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,545,341,805	TotalAmt
Program Services	$2,144,551,382	ProgramServicesAmt
Management And General	$400,790,423	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$113,727,783	TotalAmt
Program Services	$94,002,493	ProgramServicesAmt
Management And General	$19,725,290	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$310,442,189	TotalAmt
Program Services	$269,499,784	ProgramServicesAmt
Management And General	$40,942,405	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$182,416,910	TotalAmt
Program Services	$148,842,753	ProgramServicesAmt
Management And General	$33,574,157	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$36,698,690	TotalAmt
Management And General	$36,698,690	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,907,788	TotalAmt
Management And General	$3,907,788	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$4,114,062	TotalAmt
Management And General	$4,114,062	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,498,142	TotalAmt
Program Services	$1,498,142	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$4,471,745	TotalAmt
Management And General	$4,471,745	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,385,979,944	TotalAmt
Program Services	$1,151,177,054	ProgramServicesAmt
Management And General	$234,802,890	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$26,538,536	TotalAmt
Program Services	$3,528,667	ProgramServicesAmt
Management And General	$23,009,869	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$90,654,755	TotalAmt
Program Services	$82,375,131	ProgramServicesAmt
Management And General	$8,279,624	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$14,508,702	TotalAmt
Program Services	$4,754,963	ProgramServicesAmt
Management And General	$9,753,739	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$215,368,804	TotalAmt
Program Services	$194,181,448	ProgramServicesAmt
Management And General	$21,187,356	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$6,088,366	TotalAmt
Program Services	$3,968,451	ProgramServicesAmt
Management And General	$2,119,915	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$4,667,420	TotalAmt
Program Services	$3,339,390	ProgramServicesAmt
Management And General	$1,328,030	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$110,186,713	TotalAmt
Program Services	$53,533,532	ProgramServicesAmt
Management And General	$56,653,181	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$359,835,447	TotalAmt
Program Services	$318,226,243	ProgramServicesAmt
Management And General	$41,609,204	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$64,504,854	TotalAmt
Program Services	$57,720,264	ProgramServicesAmt
Management And General	$6,784,590	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$1,187,282,114	$1,186,879,974	$402,140
EQUIPMENT RENTAL & MAINTENANCE	$216,231,514	$178,465,573	$37,765,941
SPECIAL FUNCTIONS	$7,848,047	$5,375,827	$2,472,220
RECRUITMENT	$6,612,771	$4,608,836	$2,003,935

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$17,157,199	TotalAmt
Program Services	$14,486,089	ProgramServicesAmt
Management And General	$2,671,110	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,952,309,636	TotalAmt
Program Services	$5,948,979,655	ProgramServicesAmt
Management And General	$1,003,329,981	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$249,362,771	BOYAmt
EOY	$197,991,064	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$378,637,894	BOYAmt
EOY	$567,115,801	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,046,156,801	BOYAmt
EOY	$988,108,589	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$12,880,265	BOYAmt
EOY	$25,635,717	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$51,790,837	BOYAmt
EOY	$51,286,921	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$163,276,599	BOYAmt
EOY	$203,093,167	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$8,757,170,735	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$5,177,549,535	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$3,529,700,626	BOYAmt
EOY	$3,579,621,200	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,349,699,394	BOYAmt
EOY	$1,366,950,516	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,758,251,018	BOYAmt
EOY	$3,120,513,955	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$174,919,901	BOYAmt
EOY	$183,173,884	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,672,349,945	BOYAmt
EOY	$1,797,721,388	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,387,026,051	BOYAmt
EOY	$12,081,212,202	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$977,788,152	BOYAmt
EOY	$908,805,991	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$143,898,027	BOYAmt
EOY	$149,217,667	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,637,491,344	BOYAmt
EOY	$1,589,097,848	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$7,038,265	BOYAmt
EOY	$3,635,048	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,416,453,466	BOYAmt
EOY	$1,360,816,726	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,182,669,254	BOYAmt
EOY	$4,011,573,280	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,199,139,411	BOYAmt
EOY	$8,063,870,390	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,217,386	BOYAmt
EOY	$5,768,532	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,204,356,797	BOYAmt
EOY	$8,069,638,922	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$11,387,026,051	BOYAmt
EOY	$12,081,212,202	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$629,099,789	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$250,524,272	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$14,341,936	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	Yes (true)	MailingsMembersInd
Publications Or Broadcast	Yes (true)	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Rallies Demonstrations	Yes (true)	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$1,498,142	OtherActivitiesAmt
Total Lobbying Expenditures	$1,498,142	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	Memorial Hermann engages with national, state, and local representatives and their staff members to educate legislators regarding the dynamics, impact, and challenges of health care policies impacting the greater Houston community, including uninsured and indigent populations. Memorial Hermann has relationships with industry associations which may communicate research and educational materials. Forms of communication may involve direct contact, telephone conversations, and written correspondence. The amount of time and money involved with these activities is insubstantial. Memorial Hermann has not intervened in any political campaign.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,778,306	BeginningYearBalanceAmt
Investment Earnings Or Losses	$496,743	InvestmentEarningsOrLossesAmt
End Year Balance	$5,275,049	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,183,989	BeginningYearBalanceAmt
Investment Earnings Or Losses	$594,317	InvestmentEarningsOrLossesAmt
End Year Balance	$4,778,306	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$165,590,944	OtherCostOrOtherBasisAmt
Book Value	$165,590,944	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,011,767,343	OtherCostOrOtherBasisAmt
Depreciation	$2,534,928,957	DepreciationAmt
Book Value	$2,476,838,386	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$585,275,486	OtherCostOrOtherBasisAmt
Depreciation	$431,624,268	DepreciationAmt
Book Value	$153,651,218	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,740,112,978	OtherCostOrOtherBasisAmt
Depreciation	$217,535,386	DepreciationAmt
Book Value	$569,577,592	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$254,423,984	OtherCostOrOtherBasisAmt
Depreciation	$40,460,924	DepreciationAmt
Book Value	$213,963,060	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$3,579,621,200	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
FIXED INCOME	$358,660,629	F
ALTERNATIVE INVESTMENTS	$2,757,994,942	F
CASH & CASH EQUIVALENTS	$3,858,384	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$3,120,513,955	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES, NET	$1,746,064,999
DEPOSITS	$5,374,586
PHYSICIAN GUARANTEE RECEIVABLE	$3,958,260
OTHER ASSETS	$42,323,543

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,797,721,388	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
CAPITALIZED LEASES	$683,215,726
POB LEASE OBLIGATION	$16,549,280
VARIABLE DEBT SWAP LIABILITY	$8,493,316
L/T THIRD PARTY SETTLEMENTS	$48,495,987
OTHER ACCRUED LIABILITIES	$99,173,313
L/T RIGHT OF USE LIABILITY	$456,255,204
TAXABLE BOND	$48,633,900

Field	Value	IRS element (for citing)
Total Liability	$1,360,816,726	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 4	As of June 30, 2022 Memorial Hermann does not directly hold any endowment funds.
Part X, Line 2	For fiscal years ending June 30, 2023 and 2022, Memorial Hermann management has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated balance sheets.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (9 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	Investments	$787,411,473
Europe (Including Iceland and Greenland)	Investments	$244,163,136
North America	Investments	$44,454,584
East Asia and the Pacific	Investments	$23,936,734
South America	Investments	$2,480,133
South Asia	Investments	$2,076,363
Russia and the Newly Independent States	Investments	$1,990,646
Middle East and North Africa	Investments	$434,876
Sub-Saharan Africa	Investments	$287,661

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$1,107,235,606	SubtotalSpentAmt
Total Spent	$1,107,235,606	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 3	FormAndLineReferenceDesc
Explanation	ACCRUAL METHOD	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	false	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$307,172,517	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$307,172,517	NetCommunityBenefitExpnsAmt
Total Expense	0.04420	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,247,627,540	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,247,627,540	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,095,129	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,703,773	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,391,356	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,574,895,186	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,261,331,313	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$313,563,873	NetCommunityBenefitExpnsAmt
Total Expense	0.04510	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$87,531,607	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,379,472	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$68,152,135	NetCommunityBenefitExpnsAmt
Total Expense	0.00980	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$438,028,068	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$368,484,651	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$69,543,417	NetCommunityBenefitExpnsAmt
Total Expense	0.01000	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,746,755	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,841,417	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,905,338	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,081,657	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,081,657	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$550,388,087	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$393,705,540	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$156,682,547	NetCommunityBenefitExpnsAmt
Total Expense	0.02250	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,125,283,273	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,655,036,853	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$470,246,420	NetCommunityBenefitExpnsAmt
Total Expense	0.06760	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$536,206,489	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$772,808,980	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$874,406,986	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$101,598,006	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	13	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (13 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
Memorial Hermann Hospital - TMC
1	6411 fannin st	houston	TX	77030	www.memorialhermann.org	000347	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
MH The Woodlands Medical Center
2	9250 pinecroft drive	the woodlands	TX	77381	www.memorialhermann.org	000615	Yes (X)	Yes (X)				Yes (X)	A
MH Memorial City Medical Center
3	921 gessner road	houston	TX	77024	www.memorialhermann.org	000302	Yes (X)	Yes (X)				Yes (X)	A
Memorial Hermann Southeast Hospital
4	11800 astoria blvd	houston	TX	77089	www.memorialhermann.org	000119	Yes (X)	Yes (X)				Yes (X)	A
Memorial Hermann Southwest Hospital
5	7600 beechnut street	houston	TX	77074	www.memorialhermann.org	000407	Yes (X)	Yes (X)		Yes (X)		Yes (X)	A
Memorial Hermann Katy Hospital
6	23900 katy freeway	katy	TX	77494	www.memorialhermann.org	000534	Yes (X)	Yes (X)				Yes (X)	A
Memorial Hermann Northeast
7	18951 Memorial North	Humble	TX	77338	www.memorialhermann.org	008471	Yes (X)	Yes (X)				Yes (X)	A
Memorial Hermann Sugar Land
8	17500 west grand parkway south	sugar land	TX	77479	www.memorialhermann.org	000609	Yes (X)	Yes (X)				Yes (X)	A
MH Greater Heights Hospital
9	1635 North Loop West	Houston	TX	77008	www.memorialhermann.org	00172	Yes (X)	Yes (X)				Yes (X)	A
TIRR Memorial Hermann
10	1333 moursund street	houston	TX	77030	www.memorialhermann.org	100189	Yes (X)	Yes (X)			Yes (X)		A
MH Rehabilitation Hospital Katy
11	21720 Kingsland Blvd Ste 102	Katy	TX	77450	www.memorialhermann.org	100009	Yes (X)	Yes (X)					A
MH Specialty Hospital Kingwood LLC
12	300 Kingwood Medical Drive	Kingwood	TX	77339	www.memorialhermann.org	008591	Yes (X)	Yes (X)					A
MH Surgical Hospital First Colony
13	16906 Southwest Freeway	Sugar Land	TX	77479	www.memorialhermann.org	100161	Yes (X)	Yes (X)					A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See supplemental statement	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See supplemental statement	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See supplemental information	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See supplemental information	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See supplemental information	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5	Memorial Hermann Health System took into account input from persons representing the community through key informant interviews and a community survey. A total of 47 key informant interviews were conducted with leaders and staff from organizations that provide services directly to the community and officials that represent governmental and non-governmental entities. Interviewees invited to participate were recognized as having expertise in public health, special knowledge of community health needs, representing the broad interests of the community served by the hospital, and/or being able to speak to the needs of medically underserved or vulnerable populations. The interviews took place between October 25, 2021, and February 11, 2022. Interview questions focused on the interviewee's background and organization, the biggest perceived health needs and barriers of concern in the community, and the impact of health issues on the populations they serve. Input from community residents was collected through an online survey. The survey consisted of 12 questions related to top health needs in the community, individuals' perception of their overall health, individuals' access to health care services, as well as demographic, social, and economic determinants of health. The community survey was distributed online through SurveyMonkey from November 17, 2021 to January 28, 2022. Online survey distribution included email outreach and social media posts. Paper surveys were also made available and answers to the paper survey were entered into the SurveyMonkey tool. Both online and paper formats of the survey were made available in English and Spanish. A total of 1,056 responses were collected. Survey respondents were asked to select top issues most affecting the community's quality of life. The majority of respondents identified Obesity/ Overweight, Mental Health and Mental Disorders, Diabetes, Substance Abuse (alcohol, tobacco, drugs, etc.), and Cancers as top issues in the community. The following list of organizations contributed key informant interviews: AccessHealth (FQHC); Alvin City; Alvin ISD Board of Trustees; Avenue CDC; Baker Ripley; Catholic Charities - Archdiocese of Galveston; Child Advocates of Fort Bend; Children at Risk; Colorado County - Indigent Health Care; Department of State Health Services; East Fort Bend Human Needs Ministry; El Centro de Corazon; Episcopal Health Foundation; Fort Bend County Health and Human Services; Fort Bend County Sheriff's Office; Healthcare for the Homeless - Houston; Houston Galveston Institute (HGI); Houston Health Department; Houston Housing Authority; Interfaith Community Clinic; Kinder Institute for Urban Research; Legacy Community Health; Liberty County Sheriff's Office; LoneStar Family Health Center; Montgomery County Food Bank; Patient Care Intervention Center (PCIC); Pearland ISD School Board; Prairie View A&M - College of Nursing; Santa Maria Hostel, Inc.; Texas House of Representatives - District 29. CHNAs were designed in accordance with CHNA requirements identified in the Patient Protection and Affordable Care Act and further addressed in the Internal Revenue Service final regulations released on December 29, 2014.
Part V, Section B, Line 7	https://www.memorialhermann.org/giving-back/community-benefit/reports-comm unity
Part V, Section B, Line 10	https://www.memorialhermann.org/giving-back/community-benefit/reports-comm unity
Part V, Section B, Line 11	Memorial Hermann continually identifies and meets the region's healthcare needs, committed to making greater Houston a healthier and more vital place to live. To support and engage our community, the foundation for our work rests on four intersecting pillars - Access to Health Care, Emotional Well-being; Food as Health, and Exercise is Medicine - designed: to provide care for uninsured and underinsured; to reach those Houstonians needing low-cost care; to address mental and behavioral care services through innovative access points; to work against food insecurity and physical inactivity; and to educate individuals and their families on how to access the services needed by and available to them. These four tenets are the system's expanded focus to address the 60% of health that is determined by lifestyle and environment to impact the 20% of health that is impacted by traditional health care. Signature, cornerstone initiatives supporting the four pillars include: health centers for schools; mobile dental vans; ER and inpatient navigators; community resource centers; nurse health line; StepHEALTHY (physical activity programming); park activations; culture of food health (nutrition literacy and food access); neighborhood health centers; and mental health crisis clinics. The 2022 CHNA findings resulted from the analysis of an extensive set of secondary data (over 200 indicators from national and state public secondary data sources) and primary data collected from community leaders, non-health professionals, and organizations serving the community at large, vulnerable populations, and/or populations with unmet health needs. Through an examination of the primary and secondary data, the following top health needs were identified: access to healthcare; cancers; children's health; diabetes; heart disease/stroke; injuries, violence, and safety; mental health and mental disorders; obesity/overweight; older adults/elderly care; oral health; physical activity; respiratory/lung disease (asthma, COPD, etc.); substance abuse (alcohol, tobacco, drugs, etc.); wellness and lifestyle; women's health. Eighty stakeholders from the 13 licensed facilities in the Memorial Hermann Health System completed a survey to prioritize the significant health issues, based on criteria including: Ability to Impact: the perceived likelihood of positive impact on each health issue; and, Scope & Severity: gauge on the magnitude of each health issue. With Memorial Hermann's four pillars designed to deliver effective upstream interventions, addressing the above identified community needs continue to fall within our four pillars: access to healthcare; emotional well-being; food as health; and exercise is medicine. The CHNA process enables each hospital within Memorial Hermann to develop programs and services that advance the health of its community, building the foundation for systemic change across the greater Houston area. Memorial Hermann supports initiatives that increase patients' access to care to ensure they receive care at the right location, at the right cost, at the right time. Ongoing efforts include system-wide programs like Nurse Health Line - a 24/7 free resource where community members (uninsured and insured) within the greater Houston community can call to discuss their health concerns, receive recommendations on the appropriate setting for care, and get connected to appropriate resources; and, ER Navigation - navigating uninsured and Medicaid patients that access the ER for primary care, and treatable and avoidable issues, to a medical home. Within ER Navigation is the Multi-Visit program which aims to identify and address the social or environmental root causes of ER visits for patients who have 10+ ER visits within one year. Through this program, an interdisciplinary ER team from across the city focuses on identifying and consistently addressing the underlying root cause issue that is driving the overutilization (homelessness, isolation, hunger, mental health) and this driver guides development of the patient's treatment plan accordingly. Additional efforts include: transportation vouchers to provide a safe way home upon discharge; vouchers to our three strategically placed Neighborhood Health Centers to promote awareness of and improve access for the appropriate level of care; access to teen pregnancy information and resources to students at schools including at-risk, low income, underserved children; participation in Project Mammogram - a community program offering free mammograms and breast ultrasounds to qualifying area women and men; partnerships with schools to provide a concussion trained PCP or ED physician on site at High School sports events; short-term medications/prescriptions provided upon discharge for uninsured until they can get connected with an FQHC; participation in a Physician Match Program for those lacking health insurance where physicians at the hospital may provide services to patients without insurance and the hospital matches the physician contribution; offering Resource Assistance Connections; and, offering Community Resource Centers on the campuses of select hospitals to engage a variety of service providers to provide a continuum of community care to underinsured, discharged patients and community clients. System-wide initiatives focusing on emotional well-being and that connect and care for community members experiencing a mental health concern include access to appropriate psychiatric specialists at the time of their crisis with the Memorial Hermann Crisis Clinics; ER support and community connections through the Memorial Hermann Psychiatric Response team and, connections between medical and mental health providers with the Memorial Hermann Integrated Care Program. Implemented initiatives concentrating on food as health and increased awareness of food insecurity, provision of food programs, and education that promotes the reduction/postponement of chronic disease include: screening for food insecurity via Community Health Workers and care managers and connecting patients to Houston Food Bank for SNAP eligibility and food pantry connections. Memorial Hermann hospitals also conduct various education and support groups for members within the hospitals and the surrounding communities, including Amputation Support Group; Mended Hearts Support Group; and Heart and Stroke Support Groups (including STEMI) to encourage a change in knowledge and health status; Diabetes Support Group, including nutrition classes with healthy nutritional recipes to individuals with a diabetes diagnosis. Memorial Hermann hospitals also provide blood pressure screenings at community and hospital events; low-cost/free heart screenings to youth athletes; low-cost/free school athletic physicals; seasonal community food and supply drives to support those struggling with food insecurity; access to information/services to support management of chronic or life-threatening diseases through free Oncology Nutrition Therapy consults to cancer patients and their caregivers; and, free breastfeeding support groups, general education about breastfeeding and donation, and acts as Milk Bank Donor Depot donation centers via a partnership with the Austin milk bank. Implemented initiatives that encourage physical activities and that promote improved health, social cohesion, and emotional well-being through exercise is medicine include: health and social cohesion through Walking Clubs (including Walk with a Doc, Dancing with a Doc, and Senior Fitness); participating in a Pediatric Weight Loss Management Program in which a population 12-17 years are taught nutrition including healthy meal recipes, how to pack a healthy lunch, how to eat out healthy, how to read food labels, and exercising for better health; providing support of local adaptive sports leagues; offering physical activity classes such as yoga, tai chi, Zumba, and Pilates; and, working with Healthy Outdoor Communities - a community collaborative to create thriving parks and communities and contribute to integrated programming and resources that promote more active and healthy outdoor lifestyles leading to better mental health, well-being, and resiliency in children and youth of color and their families as well as the community at large. The following additional significant health needs emerged: Older Adults and Elderly Care, Cancer, Children's Health and Women's Health. These topics have not been specifically prioritized, but due to the interrelationship of social determinants and health, many of these areas fall, tangentially, within the prioritized health needs and may be addressed through the upstream efforts of the prioritized health needs. Additionally, many of them are addressed within ongoing programs and services within the Memorial Hermann Health System, such as: receiving a Level 3 designation, becoming the first hospital in Houston and the second in Texas to receive geriatric emergency department accre
Part V, Section B, Line 16	https://www.memorialhermann.org/patients-visitors/patient-services/financi al-care/financial-assistance-program

Field	Value	IRS element (for citing)
Facility	23	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Pinecroft Surgery Center LLC
9305 Pinecroft Dr Suite 200	The Woodlands	TX	77380	Ambulatory Surgical Center
MH Surgery Center The Woodlands LLP
9200 Pinecroft Drive Suite 200 MO	The Woodlands	TX	77380	Ambulatory Surgical Center
MH Surgery Center Sugar Land LLP
17510 W Grand Pkwy S Ste 200	Sugar Land	TX	77479	Ambulatory Surgical Center
MH Surgery Center Woodlands Parkway LLC
1441 Woodstead Court Suite 100	The Woodlands	TX	77380	Ambulatory Surgical Center
MH Surgery Center Texas Medical Center L
6400 Fannin Street Suite 1500	Houston	TX	77030	Ambulatory Surgical Center
United Surgery Center - Southeast Ltd
5146 Preston Ave	Pasadena	TX	77505	Ambulatory Surgical Center
MH Surgery Center Katy LLP
23920 Katy Freeway Suite 200	Katy	TX	77494	Ambulatory Surgical Center
MH Surgery Center Kingsland LLC
21720 Kingsland Blvd Suite 101	Katy	TX	77450	Ambulatory Surgical Center
MH Surgery Center Memorial City LLC
1120 Business Center Drive Suite 1	Houston	TX	77043	Ambulatory Surgical Center
MH Surgery Center Kirby LLC
2459 South Braeswood Blvd	Houston	TX	77030	Ambulatory Surgical Center
Conroe Surgery Center 2 LLC
1501 River Pointe Dr Suite 200	Conroe	TX	77304	Ambulatory Surgical Center
MH Surgery Center Southwest LLP
7789 Southwest Freeway Suite 200	Houston	TX	77074	Ambulatory Surgical Center
MH Bay Area Endoscopy Center LLC
444 FM 1959 Suite B	Houston	TX	77034	Ambulatory Surgical Center
MH Surgery Center Northwest LLP
1631 North Loop West Suite 300	Houston	TX	77008	Ambulatory Surgical Center
MH Surgery Center Main Street LLC
7515 Main Street Suite 800	Houston	TX	77030	Ambulatory Surgical Center
MH Texas International Endoscopy Center
6620 Main Street Suite 1500	Houston	TX	77030	Ambulatory Surgical Center
MH Surgery Center Richmond LLC
21155 Southwest Freeway	Richmond	TX	77469	Ambulatory Surgical Center
MH Endoscopy & Surgery Center North Hous
275 Lantern Bend Suite 400	Houston	TX	77090	Ambulatory Surgical Center
MH Endoscopy Center North Freeway LLC
1900 North Loop Freeway West Suite	Houston	TX	77018	Ambulatory Surgical Center
West Houston Ambulatory Surgical Associa
970 Campbell Road	Houston	TX	77024	Ambulatory Surgical Center
MH Surgery Center Brazoria LLC
2760 Brazos Parkway	Angleton	TX	77515	Ambulatory Surgical Center
University Place
7480 Beechnut	Houston	TX	77074	Senior Living
Doctors Outpatient SurgiCenter Ltd
5146 Preston Ave	Pasadena	TX	77505	Ambulatory Surgical Center

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c	Uninsured patients meeting the following criteria will be considered Presumptively Eligible for a one hundred percent (100%) reduction of emergent or eligible service charges: i. Homeless or received care from a homeless clinic; ii. Participation in Women, Infants and Children programs (WIC); iii. Food stamp eligibility; iv. Supplemental Nutrition Assistance Program (SNAP); v. Eligibility for other state or local assistance programs (e.g., Medicaid spend-down); vi. Low income/subsidized housing is provided as a valid address; vii. Receipt of grant assistance for medical services; viii. Mental incapacitation with no one to act on patient's behalf; ix. Recent personal bankruptcy; x. Incarceration in a penal institution; xi. Patient is deceased with no known estate; or xii. As determined by an electronic scoring model (described below).
Part I, Line 6a	Memorial Hermann Health System prepares and files an annual report of community benefit plan with the Texas Department of State Health Services. This report is made available through the organization's webpage at https://communitybenefit.memorialhermann.org/about-us/report-to-the-commun ity/
Part I, Line 7	A cost-to-charge ratio is used to calculate the amounts on line 7a. The remaining lines are calculated from the books and records of specific segments of the organization.
Part I, Line 7, Column (F)	The bad debt expense is included on Form 990, Part IX, Line 25, column (a), but removed for purposes of calculating the percentage in column (f) totaled $0.
Part III, Line 2	Bad debt expense is determined based on GAAP and is explained under significant accounting policies within section net patient service revenue and patient accounts receivable in the consolidated audited financial statements.
Part III, Line 4	Footnotes related to Accounts Receivable and Allowance for Doubtful Accounts can be located on pages 8 through 11 on Memorial Hermann Health System's fiscal year ending 2023 consolidated audited financial statements. Memorial Hermann entered zero on Schedule H, Part III, Line 3. From prior experience, the organization believes a portion of bad debt expense may be attributable to patients whom would otherwise qualify for financial assistance. The organization estimates this could range from 0-5 percent. Memorial Hermann makes efforts to educate patients about its financial assistance program. Regardless, patients may choose not to apply for financial assistance or provide incomplete applications. See Part VI supplemental information line 3c narrative for more information regarding Memorial Hermann's efforts to inform and educate patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's financial assistance policy.
Part III, Line 8	Reasons why the Medicare shortfall reported on Line 7, if any, should be treated as a community benefit include: absent the Medicare program, many of the individuals would likely qualify for financial assistance or other needs-based government programs; as payments to treat Medicare individuals are below cost of care, the burdens of government are relieved relative to these patients, Memorial Hermann Health System provides care to Medicare patients regardless of any Medicare shortfall; the real possibility that continued reductions in reimbursement may create further difficulties in access to care for Medicare patients; financial resources utilized to cover any Medicare shortfall is no longer available to cover financial assistance and any other community benefit needs; IRS Revenue Ruling 69-545 provides, in part, that hospitals serving patients with governmental health benefits, including as an example Medicare, is an indication that the hospital operates for the promotion of health in the community; Texas nonprofit hospitals must provide a minimum level of community benefit in order to obtain exemption from state and local taxes. According to the current Texas health and safety code, the unreimbursed cost of Medicare is considered to be a community benefit in determining these state statutory requirements as it helps relieve a governmental burden of providing this care that would otherwise be provided through the county hospital system in Texas. The amount reported in Part III, Section b, on Line 7 was calculated in accordance with the Schedule H instructions utilizing the organization's allowable cost reported in the Medicare cost reported based on cost accounting.
Part III, Line 9b	Memorial Hermann Health System's billing and collection policy prohibits any collection efforts for the portion of a patient's account balance that qualifies for assistance under the organization's financial assistance policy. With respect to any remaining balance due, if any, the billing and collection policy contains actions which may be taken in the event of nonpayment and are applied equally to all patient types.
Part VI, Line 2	Improving the health of a community is essential to enhancing the quality of life for residents in the region and supporting future social and economic well-being. In 2013, in 2016, 2019 and most recently in 2022, Memorial Hermann Health System engaged in a community health planning process that was two-fold: (1) a Community Health Needs Assessment (CHNA) to identify the health-related needs and strengths of the community and (2) a Strategic Implementation Plan (SIP) to identify major health priorities, develop goals, and select strategies and identify partners to address these priority issues across the community. The CHNA was guided by a participatory, collaborative approach, which examined health in its broadest sense. This process included integrating existing secondary data on social, economic, and health issues in the region with qualitative information from a community survey with community residents and service providers and interviews with community stakeholders. The CHNAs were conducted in accordance with state and federal guidelines including IRC Section 501(r) and the Texas Health and Safety Code Section 311.
Part VI, Line 3	Memorial Hermann Health System is committed to making healthier communities, now and for generations to come. Patients who qualify for financial assistance through Memorial Hermann's Financial Assistance Program may be notified in the following ways: patient consent-the health care consent that is signed upon registration for healthcare services includes a statement that if charity services are required, eligibility determination should be requested upon admission to the hospital or upon receipt of itemized bill or statement; financial counseling: Memorial Hermann patients are encouraged to seek information from their hospital's financial counselor if they anticipate difficulty paying their portion of the hospital bill. Our financial counselors will make every effort to assist patients who are uninsured, underinsured, or face other financial challenges associated with paying for the health care services we provide. Financial counselors may screen patients for eligibility for a variety of government funded programs, assist with a worker's compensation or liability claim, set up an extended time payment plan, or help patients apply for financial assistance, plain language summary and application. A paper copy of the plain language summary of Memorial Hermann's FAP and a paper copy of the financial assistance application will be made available to all patients at the earliest practical time of service. Memorial Hermann will have free paper copies of these documents available upon request in the emergency department and registration areas. Free paper copies are also available by mail or by calling 713-338-5502 or 1-800-526-2121, option 5; translated copies available: Memorial Hermann translates its FAP, plain language summary, financial assistance application, and billing and collections policy for limited English proficient individuals representing the lesser of five percent or 1,000 individuals of the community served by its hospital facilities. Memorial Hermann makes free copies of these documents available on the Memorial Hermann website and upon request in the emergency department and hospital registration areas. Free paper copies are also available by mail by calling 713-338-5502 or 1-800-526-2121, option 5; signage- all financial assistance signage will be clearly and conspicuously posted in locations that are visible to the public, including, but not limited to, Memorial Hermann emergency department and patient registration areas. Signage will indicate that financial assistance is available and the phone number to reach a financial counselor for more information; website - Memorial Hermann's post notice in a prominent place on its website that financial assistance is available, with an explanation of the financial assistance application process. Memorial Hermann posts its FAP with a list of providers who are covered and not covered under the FAP, plain language summary, financial assistance application, and the billing and collections policy on Memorial Hermann's website; patient bills and statements - patient statements will include a request that the patient is responsible to inform Memorial Hermann of any available health insurance coverage, and will include a notice of the Memorial Hermann FAP, a telephone number to request financial assistance, and the website address where financial assistance documents can be obtained; mail or fax: patients may mail or fax a written request for free copies of these documents to the address below and including the individual's full name and return mailing address to which they want Memorial Hermann to send the copies. Memorial Hermann Health System, ATTN: Financial Assistance, 909 Frostwood, Suite 3:100 Houston, Texas 77024, fax: 713-338-6500 Assistance, 909 Frostwood, Suite 3:100 Houston, Texas 77024, fax: 713-338-6500 713-338-6500 713-338-6500 713-338-6500 713-338-6500 713-338-6500.
Part VI, Line 4	Demographics: Memorial Hermann serves the region of Greater Houston, including areas along the Gulf Coast in Southeast Texas, where several counties are without hospital district services. The Metropolitan Service Area is home to roughly 7.3 million people-the fifth largest in the U.S.-and it continues to be one of the fastest growing. We are proud of our diversity, with no racial or ethnic majority present; the population is 33% White, 39% Hispanic, 17% Black, and 8% Asian. Nearly 1 in 4 residents are foreign born, contributing to a wide variety of cultures and ethnicities throughout the region. Immigration is a valued part of our identity, and roughly 48% of residents speak languages other than English at home. Twenty-five percent of the total population are minors, and 11% are over 65 years of age, with 63% comprising the potential workforce between ages 18 and 64. Notably, only 35% of those 25 years of age and older have a college degree or higher. 20% of all residents fell at or below the Federal Poverty Threshold. Major Employers: Houston's unemployment rate spiked during 2020 due to the COVID-19 pandemic, but is currently 4.2% The energy industry dominates the Houston economy, but grocery stores and health care (including Memorial Hermann Health System, MD Anderson Cancer Center, and Houston Methodist) are the largest employers, along with United Airlines. Memorial Hermann collaborates with these health systems on community improvement efforts. Reducing poverty and increasing existing graduation rates (a goal of our Health Centers for Schools initiative) is paramount to supporting our economy's continued strength and prosperity across all sectors. Key Community Health Needs Assessment Findings (Significant Health and Social Service Challenges): The percentage of Harris County's population without health insurance totals 24.7%, more than double the national average of 10.8%. Without insurance, people skip services that detect underlying health issues, leading to delayed treatment, poor outcomes, and higher costs. The rising rate of obesity is the single biggest threat to the Greater Houston area; 33.5% of adults are overweight, increasing the risk of dying from cancer, heart disease, stroke, diabetes, liver disease and kidney disease. With 20% of adults self-reporting five or more poor mental health days a year, the need for increased access to behavioral health care is significant and projected only to escalate in the aftermath of the pandemic. In addition, health disparities exist across different races and ethnicities: half of Hispanics are without a usual source of care; African American women are three times more likely to die from a pregnancy related death than other racial groups; and African Americans have experienced significantly higher infection and death rates from COVID-19 than white Americans.
Part VI, Line 5	Memorial Hermann Health Center for Schools Memorial Hermann Health Centers for Schools is comprised of nine school-based clinics and three mobile dental vans and designed to be a holistic medical, mental health, and dental home for uninsured and underinsured children and a secondary access point for insured children. Health Centers for Schools in five school districts-- Houston, Pasadena, Alief, Aldine and Lamar Consolidated. These school-based health centers (SBHCs) are located in schools and school districts with students with documented barriers to healthcare. Through transportation from feeder schools, the SBHCs offer accessible healthcare to children who would otherwise not obtain it and keep children in school where they can learn. With appropriate consent, students can be seen without their parent. No payment is collected beyond billing Medicaid. All ten Health Centers for Schools operate Monday through Friday, 40 hours/week, 12 months/year. Providing services to patients from a variety of cultural and socio-economic backgrounds, Health Centers for Schools serve individuals who have barriers to health care beyond the status of insurance. Neighborhood Health Centers - Northeast, Northwest, and Southwest Bridging the gap for primary care, for individuals and families without private health insurance and who do not qualify for sliding-scale federal poverty coverage at area FQHCs, are our three Neighborhood Health Centers (NHCs). Each center provides preventative, acute, and chronic care affordable costs, inclusive of lab. An essential step in establishing the NHC as a patient's primary care home is education on how to navigate the healthcare delivery system and the importance of maintaining wellness visits and good health. NHCs are open every day, with extended hours for walk-ins as well as scheduled appointments. ER Navigators (Community Health Workers) Placed in all Memorial Hermann ERs, Community Health Workers (CHWs) meet with patients to help eliminate barriers to healthcare access issues and connect to medical homes. With 26,000 annual initial ER interventions, each with follow-up calls, ER Navigation realizes a 72% decrease in ER visits in the 6-month pre/post navigation intervention time frame and 62% in the 12-month time frame. Imbedded in the ER Navigation program is the Multi-Visit Program which aims to identify and address the social or environmental root causes of ER visits for patients who have 10+ ER visits within one year. Through this program, an interdisciplinary ER team from across the city focuses on identifying and consistently addressing the underlying root cause issue that is driving the overutilization (homelessness, isolation, hunger, mental health) and this driver guides development of the patient's treatment plan accordingly. The Community Resource Centers at Memorial Hermann Hospitals Southwest, Greater Heights, and Northeast The Memorial Hermann Community Resource Centers, located in professional buildings at Memorial Hermann Hospitals Southwest, Greater Heights and Northeast are designed to offer the patients as well as community members with accessing community resources, some of which are scheduled services on site; completing eligibility applications; and, receiving education and education on public health and social services. The Centers support clients in becoming more engaged in their own disease prevention through decision-making and self-management. Through an intake screening tool which addresses food insecurity, transportation, health literacy, access to and understanding of medications, financial strain, housing, employment, education and emotional well-being, community health workers identify the appropriate partners to support each individual client. The program builds collaborative partner capacity through provision of access to services (medical home connections, application assistance, encouragement for follow-through); wrap-around support (NMDOH); education (health literacy); and bridging people to social supports. Pathways for Health, Pathways for Costs Pathways for Health, Pathways for Costs is a program that engages under-insured and uninsured patients being discharged from the hospital. The program is appropriate when clinicians think the patient will require further hospital services as a result of not having the support structures in place to follow through with their health issue post-discharge. Pathways are designed to identify patients, assist them in scheduling and understanding their upcoming outpatient procedures, and assess other needs or barriers to care. The initial effort is a paracentesis pathway (i.e., needle or catheter is inserted into the peritoneal cavity to obtain ascitic fluid for diagnostic or therapeutic purposes) in which patients admitted for abdominal distortion, liver disease or ascites (i.e., accumulation of fluid in the peritoneal cavity, causing abdominal swelling) are placed on regular outpatient schedules. This process results in patients not postponing their care, avoid costly ER visits and emergency procedures, and remain more in control of their health with improved quality of life. Food as Health Recognizing that the lack of access to and understanding of healthy foods is a connection to health, the Food as Health program was initiated in 2015. Efforts reside in a variety of environments, all with the goal of reducing food insecurities and freeing up purchasing dollars for other needs. Patients identified as food insecure receive a referral to the Houston Food Bank and guidance on questions to ask for an appropriate food pantry referral. Discharged patients at hospitals with Community Resource Centers are provided with a basic food care package. Food distribution occurs bi-monthly in the Near Northside. School-based clinic families, educated by our dietitians on utilizing affordable whole foods have access to at least 30 pounds of free fruits and vegetables plus additional whole foods twice a month. All of the programs provide access to Community Health Workers to assist in enrolling for the very essential SNAP benefits. Creating a healthy eating environment that is fruitful, educational, and sustainable, the Culture of Food Health initiative focuses on enhancing green spaces by creating nutrition hubs in which community residents can attend nutrition education classes, agricultural and gardening workshops, and offer an access point to obtain healthier food items through a community garden. Exercise is Medicine (EIM) EIM focuses on helping residents to self-manage their health and wellness with exercise and physical activity programming, Memorial Hermann collaborates with partners across the region to activate park features and promote safe, engaging, culturally appropriate opportunities for people to get fit within their own neighborhoods and communities. Physical activity is promoted through a variety of programs, all with the goal of providing education on the benefits of regular exercise from emotional wellbeing to support in combating chronic diseases and health complications. To date, EIM has engaged with Moody, Clark, Highland, Forum, and Bayland-Burnett parks. Memorial Hermann Mental Health Crisis Clinics Memorial Hermann is a safety net system for Greater Houston's most vulnerable, especially patients with mental health issues. In 2013, the Memorial Hermann Mental Health Crisis Clinics (MHCC), were created as an innovative access point. Three clinic locations are located in retail centers with careful signage to minimize the stigma associated with accessing behavioral health. The MHCCs eliminate the 90-plus day wait time to be connected to outpatient behavioral health, offering psychiatric urgent care, so any patient in need can walk-in, without an appointment, and be immediately assessed and cared for by a licensed mental health team. Extended and weekend hours enable patients to access care during non-traditional hours. Our care team includes board certified adult and child psychiatrists, psychiatric-focused nurse practitioners and physician assistants, behavioral health clinicians and support staff. Every patient is systematically screened for suicide risk, assessed by our team and participates in psycho-social education. As appropriate, clinicians create a safety plan with patients and make referrals to other community resources. Within 72 hours, clinicians follow-up with patients and answer supplemental questions. Nurse Help Line Nurse Health Line (NHL) is a free telephone triage service created for people experiencing a health concern but unsure about what to do. Nurse advisors respond to caller's immediate health concerns, questions about a particular condition, recent clinic or hospital visit, or questions about where to go for medical care. The goal is increased education and improved care transitions. The service is an essential extension of Harris County's Emergency Corps Northwest Community Health and the City of Housto
Part VI, Line 6	Memorial Hermann Health System is a non-profit, values-driven, community-owned health system dedicated to improving the health of the communities we serve. We are one of the largest not-for-profit health systems in southeast Texas, with a vision to create healthier communities, now and for generations to come. Governed by a Board of 22 community members, our integrated system of 6,600 affiliated physicians and 33,000 employees practices the highest standards of safe, evidence-based quality care as we strive to provide a personalized and outcome-oriented experience across our 260 care delivery sites, including 17 hospitals and numerous specialty programs and services conveniently located throughout the greater Houston area. With 116 years of history serving our region, our system is a trusted source for health care ranging from burn treatment and wound care, oncology, pediatrics, maternal health, diabetes and endocrinology, digestive health, general surgery, cardiovascular care, neurology and neurosurgery, nutrition, ophthalmology, orthopedics, rehabilitation, robotic surgery, transplants, weight loss and more. Our flagship hospital, Memorial Hermann-Texas Medical Center, houses one of the nation's busiest Level 1 trauma centers and serves as the primary teaching hospital for McGovern Medical School at UTHealth Houston. Memorial Hermann Life Flight, spearheaded by the late legend Dr. Red Duke, is the only hospital-based air ambulance service in Houston. Our system also runs the only comprehensive burn center in Houston and our Mischer Neuroscience Institute is the largest and most comprehensive neuroscience program in Texas. TIRR Memorial Hermann, located in the Texas Medical Center, is a national leader in rehabilitation treatment and care. All aspects of the health system - care delivery, physicians and health solutions are brought together to create a truly integrated health system. This breadth of service uniquely positions Memorial Hermann to collaborate with other providers to assess and create health care solutions for individuals in greater Houston's diverse communities; to provide superior quality, cost-efficient, innovative and compassionate care; to support teaching and research to advance the health professionals and health care of tomorrow; and to provide holistic health care which addresses the physical, social, psychological and spiritual needs of individuals. Memorial Hermann has an award-winning and nationally acclaimed Accountable Care Organization, and our Memorial Hermann physician network, MHMD, comprises physicians from Memorial Hermann Medical Group, UTHealth and private physicians and specialists. We offer leading-edge clinical expertise, patient-centered care, and leading-edge technology and innovation. Through Memorial Hermann's subsidiary, Memorial Hermann Community Benefit Corporation (MHCBC), Memorial Hermann implements programs to work with other healthcare providers, government agencies, business leaders and community stakeholders to ensure that all residents of the greater Houston area have access to the care they need to improve their quality of life and the overall health of the community. The mission of Memorial Hermann Community Benefit Corporation is to test and measure innovative solutions that promote good health for the individual, the health system and the community. MHCBC collaborates with others as well as creates signature, evidence-based ways to improve the communities where people live, work, learn, and play. MHCBC areas of expertise span access and navigation, nutrition and physical activity, support of the whole person, and rigorous outcome measurement. Primary program focus include education on, access to, and provision of primary medical, dental, mental health, and social service support to underserved populations; food as health; and, exercise as medicine. New programs are piloted, and proved programs are replicated in the community. Community benefit corporation funding tenets include: provision of primary and/or specialty care for the uninsured and underinsured; contribution to the existing infrastructure of non-profit clinics and FQHC's; programs, practices, and policies that affect the health of individuals, families, and communities; commitment to measurement; existence of collaborative partners; programmatic inclusion of health education and literacy; strive towards sustainability. As required by the Community Health Needs Assessment-Section 501(r)(3)-requirement of the ACA, Memorial Hermann Community Benefit Corporation supports the Memorial Hermann Health System licensed acute care, rehab, and surgical and ER hospitals in conducting community needs assessments. The corresponding implementations strategies balance the individuality of the different hospitals with the system strategy of collectively supporting community objectives to achieve the necessary alignment and leverage to impact true community change.
Part VI, Line 7	Texas

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (90 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Memorial Hermann Community Benefits Corp
929 Gessner Rd St 1900	HOUSTON	TX	77024	680511504	501(c)(3)	$16,081,657	Support Charitable Programs
MEMORIAL HERMANN FOUNDATION
929 GESSNER STE 1900	HOUSTON	TX	77024	741653640	501(c)(3)	$8,370,203	Support Charitable Programs
American Heart Association Inc
7272 GREENVILLE AVE	DALLAS	TX	75231	135613797	501(c)(3)	$223,500	Support Charitable Programs
LAMAR CONSOLIDATED ISD
3911 AVE I	ROSENBURG	TX	77471	746002016	State of TX	$150,000	Support Community Programs
KATY INDEPENDENT SCHOOL
DISTRICT 6301 S STADIUM LN	KATY	TX	77494	746001484	State of TX	$111,250	Support Community Programs
ISHI MINISTRIES
550 S 4TH STREET	MINNEAPOLIS	MN	55415	941347393	501(c)(3)	$101,050	general fundraising
PROMEDICA INTERNATIONAL CME
300 CARLSBAD VLG DR STE 108A-326	CARLSBAD	CA	92008	800891393		$100,000	general fundraising
HOUSTON BAPTIST UNIVERSITY
7502 FONDREN ROAD	HOUSTON	TX	77074	741400699	501(c)(3)	$65,000	general fundraising
Spring Branch Education Foundation
955 Campbell Rd Ste 206	HOUSTON	TX	77024	760392316	501(c)(3)	$60,000	Support Community Programs
Ward & Ames Special Events Inc
7500 San Felipe Ste 350	HOUSTON	TX	77063	760676383		$55,000	Sponsorship
THE ROSE
12700 N FEATHERWOOD DR	HOUSTON	TX	77034	760193812	501(c)(3)	$55,000	Support Charitable Programs
UNITED WAY OF GREATER HOUSTON
50 WAUGH DR	HOUSTON	TX	77007	741167964	501(c)(3)	$52,500	Support Charitable Programs
Hermann Park Conservancy
1700 Hermann Dr	Housron	TX	77004	760327389	501(c)(3)	$50,000	general fundraising
MARCH OF DIMES INC
1275 MAMARONECK AVE	WHITE PLAIN	NY	10605	131846366	501(c)(3)	$50,000	Support Charitable Programs
JEWISH FAMILY SERVICE
4131 S BRAESWOOD BLVD	HOUSTON	TX	77025	741152607	501(c)(3)	$50,000	Support Charitable Programs
CANCARE INC
9575 KATY FWY STE 428	HOUSTON	TX	77024	760305357	501(c)(3)	$40,000	Support Charitable Programs
CY-FAIR HOUSTON CHAMBER OF COMMERCE
8711 HIGHWAY 6 N STE 120	HOUSTON	TX	77095	760194069	501(c)(6)	$38,150	Support Community Programs
OVARCOME NON-PROFIT INC
2525 ROBINHOOD ST STE 203	HOUSTON	TX	77005	454716979	501(c)(3)	$37,500	Support Charitable Programs
US Men's Clay Court Tournament MG Championship
1600 River Oaks Blvd	HOUSTON	TX	77019	272853480		$37,500	Sponsorship
FORT BEND JUNIOR SERVICE LEAGUE
PO BOX 17387	SUGAR LAND	TX	77496	760664152	501(c)(3)	$35,000	Support Charitable Programs
WOODLANDS RELIGIIOUS COMMUNITY INC
4242 INTERFAITH WAY	THE WOODLANDS	TX	77381	741804123	501(c)(3)	$31,500	general fundraising
BARBARA BUSH HOUSTON LITERACY FOUNDATION
7887 SAN FELIPE STE 250	HOUSTON	TX	77063	465037878	501(c)(3)	$30,000	Support Charitable Programs
JOHN P MCGOVERN MUSEUM OF HEALTH & MEDICAL SCIENCE
1515 HERMANN DR	HOUSTON	TX	77004	746106357	501(c)(3)	$30,000	Support Charitable Programs
THE THORACIC SURGERY FOUNDATION
633 N SAINT CLAIR ST STE 2100	CHICAGO	IL	60611	363635910	501(c)(3)	$25,000	Support Charitable Programs
Philosophical Society of Texas
PO Box 160144	Austin	TX	78716	510148098	501(c)(3)	$25,000	general fundraising
MONTGOMERY COUNTY FOOD BANK
ONE FOOD FOR LIFE WAY	CONROE	TX	77385	760153892	501(c)(3)	$25,000	Support Community Programs
Greater Heights Area Chamber of Commerce
2020 North Loop W	HOUSTON	TX	77018	760234699	501 (C)(6)	$24,700	Sponsorship
HOUSTON BALLET FOUNDATION
601 PRESTON ST	HOUSTON	TX	77002	741394920	501(c)(3)	$23,570	Support Charitable Programs
KATY ISD EDUCATION FOUNDATION INC
6301 S STADIUM LN	KATY	TX	77494	800732375	501(c)(3)	$22,500	general fundraising
EDUCATIONAL FOUNDATION OF THE SOUTHEAST TEXAS CHAP
6207 CANYON RUN COURT	KATY	TX	77450	454519800	501(c)(3)	$18,000	Support Charitable Programs
CHRIST CLINIC
25722 KINGSLAND BLVD STE 101	KATY	TX	77494	900789318	501(c)(3)	$17,545	general fundraising
TEAM CATAPULT
1806 SEAMIST CT	HOUSTON	TX	77008	475137944	501(c)(3)	$17,000	Support Charitable Programs
YOUNG MEN'S CHRISTIAN ASSOC OF THE GREATER HOUSTON
2600 NORTH LOOP WEST SUITE 300	HOUSTON	TX	77092	741109737	501(c)(3)	$16,800	Support Charitable Programs
HOLOCAUST MUSEUM HOUSTON
9220 KIRBY DR STE 100	HOUSTON	TX	77054	760331398	501(c)(3)	$16,000	Support Charitable Programs
The Posse Foundation Inc
2600 NO LOOP WEST STE 300	NewYork	NY	10005	133840394	501(c)(3)	$15,000	general fundraising
CLUTCH CITY FOUNDATION
1510 POLK ST	HOUSTON	TX	77002	760495717	501(c)(3)	$15,000	general fundraising
WILLIAMS MARSH RICE UNIVERSITY
6100 MAIN ST MS-70	HOUSTON	TX	77005	741109620	501(c)(3)	$15,000	Support Charitable Programs
American Leadership Forum Houston Gulf Coast Chapt
3101 RICHMOND AVE STE140	HOUSTON	TX	77098	760284248	501(c)(3)	$15,000	general fundraising
KNOWLEDGE ARTS FOUNDATION
2900 WESLAYAN SUITE 375	HOUSTON	TX	77027	202425139	501(c)(3)	$15,000	Support Charitable Programs
SAM HOUSTON AREA COUNCIL BOY SCOUTS OF AMERICA
2225 NORTH LOOP W	HOUSTON	TX	77008	760239833	501(c)(3)	$15,000	Support Community Programs
CHILDREN AT RISK
2900 WESLAYAN STE 400	Houston	TX	770275132	760360533	501(c)(3)	$15,000	general fundraising
FORT BEND CHAMBER OF COMMERCE
445 COMMERCE GREEN BOULEVARD	SUGAR LAND	TX	77478	741751927	501(c)(6)	$14,290	general fundraising
CY-FAIR ISD
10300 JONES ROAD	HOUSTON	TX	77065	746000654	State of TX	$13,500	Support Community Programs
RONALD MCDONALD HOUSE OF HOUSTON INC
1907 HOLCOMBE BLVD	HOUSTON	TX	77030	741984499	501(c)(3)	$12,500	Support Charitable Programs
Pearland Independent School District
1928 N Main St	Pearland	TX	77581	766001854	State of TX	$12,500	Sponsorship
AMERICAN CANCER SOCIETY INC
250 Williams Street NW 400	Atlanta	GA	30303	131788491	501(c)(3)	$12,500	Support Charitable Programs
FAITH IN PRACTICE
7500 BEECHNUT ST STE 208	HOUSTON	TX	77074	760415986	501(c)(3)	$12,500	general fundraising
Albert Schweitzer Fellowship Houston-Galveston
6431 FANNIN ST JJL400	HOUSTON	TX	77030	463641306	501(c)(3)	$12,500	general fundraising
THE ARTS OF HEALING FOUNDATION
2364 DUNSTAN RD	HOUSTON	TX	77005	822515875	501(c)(3)	$12,000	general fundraising
Phi Beta Sigma Fraternity Inc
145 Kennedy St NW	Washington	DC	20011	111709989	501(c)(10)	$10,500	Sponsorship
City of League City
300 W Walker St	LEAGUE CITY	TX	77573	741468969		$10,000	Sponsorship
MEDICAL BRIDGES INC
PO BOX 300245	HOUSTON	TX	77230	760548161	501(c)(3)	$10,000	general fundraising
Citizens Fire Academy Alumni of Sugar Land
10405 Corporate Dr	SUGAR LAND	TX	77478	260784466	501(c)(3)	$10,000	Sponsorship
NORAS GIFT FOUNDATION INC
8300 EL RIO ST	HOUSTON	TX	77054	621763895	501(c)(3)	$10,000	general fundraising
DR MARINE ROSE FOUNDATION INC
4545 BISSONNET ST STE 112	BELLAIRE	TX	77401	452774942	501(c)(3)	$10,000	general fundraising
THE JUNIOR LEAGUE OF HOUSTON INC
1811 BRIAR OAKS LN	HOUSTON	TX	77027	741185659	501(c)(3)	$10,000	Support Charitable Programs
Kick Drugs out of America Foundation
10222 Westheimer	HOUSTON	TX	77042	521706526	501(c)(3)	$10,000	Sponsorship
The Asian Chamber of Commerce
3525 Briarpark Dr Ste 108	HOUSTON	TX	77042	760316809	501(c)(6)	$10,000	Sponsorship
The Will Erwin Heradache Foundation Research Found
609 Main St Ste 2350	HOUSTON	TX	77002	464886305	501(c)(3)	$10,000	general fundraising
JUNIOR ACHIEVEMENT OF SOUTHEAST TEXAS INC
2115 E GOVERNORS CIRCLE	HOUSTON	TX	77092	741153957	501(c)(3)	$10,000
HOUSTON AREA URBAN LEAGUE INC
1301 TEXAS AVE	HOUSTON	TX	77002	741611455	501(c)(3)	$10,000	general fundraising
COMMUNITIES IN SCHOOLS OF HOUSTON INC
1235 NORTH LOOP W STE 300	HOUSTON	TX	77008	760031827	501(c)(3)	$10,000	general fundraising
TEXAS NEW COMMUNITY ALLIANCE
PO BOX 7181	THE WOODLANDS	TX	77387	141925138	501(c)(3)	$10,000	general fundraising
RIVER POINTE COMMUNITY CHURCH
21000 SOUTHWEST FWY	RICHMOND	TX	77469	760521517	501(c)(3)	$10,000	Sponsorship
CULLINAN PARK CONSERVANCY
PO BOX 422	SUGAR LAND	TX	77487	454477343	501(c)(3)	$10,000	Support Charitable Programs
EAST BERNARD ISD
723 COLLEGE ST	EAST BERNARD	TX	77435	746000708	State of TX	$10,000	Support Community Programs
AMERICAN JEWISH COMMITTEE
165 EAST 56TH STREET	NEW YORK	NY	100222709	135563393	501(c)(3)	$10,000	general fundraising
THE ENSEMBLE THEATRE
3535 MAIN ST	HOUSTON	TX	77002	741941943	501(c)(3)	$10,000	general fundraising
INTERFAITH CAREPARTNERS INC
701 N POST OAK RD STE 330	HOUSTON	TX	77024	760253480	501(c)(3)	$10,000	general fundraising
EL CAMPO ISD
700 W NORRIS	EL CAMPO	TX	77437	746000730	State of TX	$10,000	Support Community Programs
SAN JOSE CLINIC
711 LOUISIANA ST STE 2300	HOUSTON	TX	77002	760373703	501(c)(3)	$10,000	general fundraising
THE WOODLANDS ROTARY CLUB FOUNDATION
PO BOX 7353	THE WOODLANDS	TX	77387	680586779	501(c)(3)	$10,000	Support Charitable Programs
Houston Childrens Charity
1600 West Loop So Ste 610	HOUSTON	TX	77027	760135741	501(c)(3)	$10,000	general fundraising
Performing Arts of Houston
615 Louisiana St Ste 100	HOUSTON	TX	77002	746077505	501(c)(3)	$10,000	Sponsorship
INDO-AMERICAN CHAMBER OF COMMERCE OF GRTR HOUSTON
ONE RIVERWAY STE 1700	HOUSTON	TX	77056	760609781	501(c)(6)	$10,000	general fundraising
Victory Houston Inc
PO Box 56252	HOUSTON	TX	77258	883476550	501(c)(3)	$10,000	Sponsorship
Texas Southern University Foundation
3100 Cleburne St Hanna Hall Ste 201	HOUSTON	TX	77004	741620415	501(c)(3)	$10,000	Sponsorship
THE KATY ROTARY FUND
20501 KATY FREEWAY 217	KATY	TX	77450	760538180	501(c)(3)	$10,000	general fundraising
Emancipation Park Conservancy
3018 Emancipation Ave	HOUSTON	TX	77004	472199904	501(c)(3)	$10,000	general fundraising
CY-FAIR EDUCATIONAL FOUNDATION
PO BOX 1698	CYPRESS	TX	774101698	237079589	501(c)(3)	$9,700
KATY CHAMBER OF COMMERCE
814 EAST AVE STE G	KATY	TX	77493	742028745	501(c)(3)	$9,000	Support Charitable Programs
National Diversity Council
PO Box 59028	HOUSTON	TX	772590258	711037612	501(c)(3)	$7,500	Sponsorship
MEN OF DISTINCTION OF GREATER HOUSTON
7914 S WELLINGTON COURT	HOUSTON	TX	77055	260421594	501(c)(3)	$7,500	Support Charitable Programs
CHILDRENS MUSEUM INC
1500 BINZ ST	HOUSTON	TX	77004	742178563	501(c)(3)	$7,500	Support Charitable Programs
NEEDVILLE INDEPENDENT SCHOOL
DISTRICT PO BOX 412	NEEDVILLE	TX	77461	746001773	State of TX	$7,000	Support Community Programs
CENTRAL FORT BEND CHAMBER ALLIANCE
4120 AVENUE H	ROSENBERG	TX	77471	741653742	501(c)(6)	$6,870	general fundraising
GREATER HOUSTON AREA WOMEN'S CHAMBER OF COMMERCE
3201 KIRBY DR	HOUSTON	TX	77098	261536004	501(c)(6)	$6,500	general fundraising
The Womens Fund for Health Education and Research
5433 Westheimer Ste 924	HOUSTON	TX	77056	742013710	501(c)(3)	$6,000	general fundraising
THEATRE UNDER THE STARTS INC
800 BAGBY STREET 200	HOUSTON	TX	77002	741621647	501(c)(3)	$5,580	Support Charitable Programs
Memorial Hermann Medical Group
929 Gessner Rd Ste 1900	Houston	TX	77024	204923281	501(c)(3)	$22,591,537	Support Charitable Programs

Field	Value	IRS element (for citing)
Total501c3 Org	70	Total501c3OrgCnt
Total Other Org	19	TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (31 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
David L Callender MD
CEO/PRESIDENT	$1,623,035	$0	$1,872,998	$0	$43,864	$0	$464,845	$0	$12,685	$0	$4,017,427	$0	$0	$0
J Kevin Giglio MD
DIRECTOR	$0	$167,130	$0	$0	$0	$0	$0	$0	$0	$0	$0	$167,130	$0	$0
Warren Shea
VP/ASST SECRETARY	$350,824	$0	$205,433	$0	$22,458	$0	$93,241	$0	$20,339	$0	$692,295	$0	$55,845	$0
Deborah Gordon
EVP/CAO/CLO/SECRETARY	$773,062	$0	$820,079	$0	$24,835	$0	$222,672	$0	$30,252	$0	$1,870,900	$0	$188,242	$0
Alec King
EVP/CFO/TREASURER	$790,362	$0	$575,562	$0	$22,405	$0	$209,771	$0	$27,662	$0	$1,625,762	$0	$0	$0
Carol J Paret
SVP/CCHO	$351,906	$0	$330,006	$0	$10,466	$0	$121,445	$0	$23,311	$0	$837,134	$0	$63,410	$0
Joshua Urban
SVP/PRES COMM HOSP	$761,037	$0	$607,506	$0	$24,679	$0	$208,221	$0	$4,308	$0	$1,605,751	$0	$86,855	$0
Paul C O'Sullivan
SVP, CEO- MC & GH	$510,285	$0	$517,707	$0	$23,332	$0	$130,938	$0	$13,620	$0	$1,195,882	$0	$76,733	$0
Heath Rushing
SVP, Srvc Lines	$615,298	$0	$512,513	$0	$22,735	$0	$171,589	$0	$27,704	$0	$1,349,839	$0	$77,540	$0
Kyle Price
SVP, Srvc Lines	$637,446	$0	$510,523	$0	$2,235	$0	$172,169	$0	$27,704	$0	$1,350,077	$0	$76,052	$0
Erin S Asprec
EVP/COO	$984,514	$0	$917,047	$0	$5,368	$0	$261,165	$0	$19,248	$0	$2,187,342	$0	$114,047	$0
Malisha S Patel
SVP, CEO - SW & SL	$485,249	$0	$387,160	$0	$1,115	$0	$107,156	$0	$17,579	$0	$998,259	$0	$39,643	$0
Nicole J Clarke Luck
SVP, SI	$370,665	$0	$328,291	$0	$1,281	$0	$75,606	$0	$27,704	$0	$803,547	$0	$57,093	$0
Justin P Kendrick
SVP, CEO - NE & TW	$466,193	$0	$323,799	$0	$21,631	$0	$116,745	$0	$28,679	$0	$957,047	$0	$47,733	$0
Teal Holden
SVP/AMB & POST-ACUTE SVCS	$452,902	$0	$336,875	$0	$1,029	$0	$96,798	$0	$11,035	$0	$898,639	$0	$39,913	$0
Amanda Hammel
SVP/CIO	$530,075	$0	$437,534	$0	$23,429	$0	$129,678	$0	$17,325	$0	$1,138,041	$0	$45,152	$0
Lori P Knowles
SVP/CHRO	$561,453	$0	$551,804	$0	$23,616	$0	$144,175	$0	$17,579	$0	$1,298,627	$0	$93,396	$0
Obiefuna Chikelue
SVP, CIO	$496,888	$0	$392,159	$0	$4,662	$0	$115,285	$0	$27,621	$0	$1,036,615	$0	$0	$0
Jerry A Ashworth
SVP, CEO - Cypress & Katy	$420,941	$0	$317,489	$0	$2,233	$0	$105,092	$0	$17,602	$0	$863,357	$0	$30,823	$0
Noel J Cardenas
SVP, CEO - SE & PL	$401,591	$0	$319,065	$0	$24,615	$0	$101,394	$0	$4,720	$0	$851,385	$0	$82,242	$0
Gregory L Haralson
SVP, CEO - TMC	$707,397	$0	$593,298	$0	$23,065	$0	$207,422	$0	$27,014	$0	$1,558,196	$0	$104,676	$0
Anne E Neeson
EVP, CEO - Foundation	$386,306	$0	$636,940	$0	$26,626	$0	$101,548	$0	$12,355	$0	$1,163,775	$0	$304,330	$0
James McCarthy MD
EVP, CPE	$777,730	$0	$784,146	$0	$24,835	$0	$223,081	$0	$27,704	$0	$1,837,496	$0	$151,198	$0
Feby Abraham
EVP, CSO	$761,572	$0	$589,025	$0	$1,794	$0	$212,757	$0	$27,704	$0	$1,592,852	$0	$0	$0
Eric Smith
SVP, CDO	$440,849	$0	$664,153	$0	$2,369	$0	$110,208	$0	$29,703	$0	$1,247,282	$0	$0	$0
Kristel Poffinbarger
VP, CMO, SW & SL	$413,120	$0	$264,149	$0	$24,810	$0	$107,261	$0	$27,452	$0	$836,792	$0	$80,392	$0
Jeffrey Katz
VP, CMO - TMC	$453,285	$0	$284,126	$0	$31,005	$0	$116,644	$0	$4,457	$0	$889,517	$0	$97,173	$0
Victoria Regan
VP, WCH	$327,485	$0	$368,758	$0	$25,771	$0	$87,721	$0	$23,861	$0	$833,596	$0	$227,955	$0
Richard Lyman
SVP/REV CYCLE	$360,836	$0	$344,522	$0	$31,672	$0	$95,282	$0	$21,061	$0	$853,373	$0	$75,983	$0
Howard Scott
VP, CMO - MC & GH	$414,153	$0	$261,342	$0	$33,175	$0	$107,920	$0	$21,061	$0	$837,651	$0	$88,390	$0
Cynthia A De Moya
FORMER CFO	$359,373	$0	$328,456	$0	$26,220	$0	$94,235	$0	$22,061	$0	$830,345	$0	$73,703	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Form 990 Schedule J Part I Line 4b

MEMORIAL HERMANN HEALTH SYSTEM SPONSORS TWO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS; MEMORIAL HERMANN SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP); EXECUTIVE DEFERRED COMPENSATION PLAN (EDCP). THE FOLLOWING INDIVIDUALS PARTICIPATED IN AND/OR RECEIVED PAYMENTS (NOTED IN PARENTHESIS FOR SERP AND EDCP RESPECTIVELY) FROM MEMORIAL HERMANN HEALTH SYSTEM'S SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DURING THE TAX YEAR: DEBORAH GORDON ($0/$188,242.21); WARREN SHEA ($0/$55,844.50); CYNTHIA DE MOYA ($0/$73,703.02); JOSHUA URBAN ($25,973.40/$86,854.78); ERIN S. ASPREC ($38,199.74/$114,046.92); GREGORY L. HARALSON ($0/$104,676.25); PAUL C. O'SULLIVAN ($16,384.49/$76,732.86); KYLE PRICE ($20,357.74/$76,051.51); TEAL HOLDEN ($0/$39,912.66); LORI P. KNOWLES ($0/$93,395.95); AMANDA HAMMEL ($16,506.30/$45,151.73); ANNE E. NEESON ($0/$304,330.37); CAROL J. PARET ($7,955.01/$63,410.33); HEATH RUSHING ($20,047.02/$77,539.51); JUSTIN P. KENDRICK ($0/$47,732.89); MALISHA S. PATEL ($13,316.99/$39,643.44); JERRY A. ASHWORTH ($0/$30,823.47); NOEL J. CARDENAS ($0/$82,242.32); JEFFREY KATZ ($0/$97,172.53); RICHARD LYMAN ($0/$75,982.96); HOWARD SCOTT ($0/$88,390.14); KRISTEL POFFINBARGER ($9,374.21/$80,391.95); NICOLE J. CLARKE LUCK ($8,372.95/$57,093.02); JAMES MCCARTHY, M.D. ($0/$151,198.27); VICTORIA REGAN ($0/$227,954.89).

Form 990 Schedule J Part I Line 7

MEMORIAL HERMANN HEALTH SYSTEM HAS TWO INCENTIVE PROGRAMS IN WHICH CERTAIN MANAGEMENT INDIVIDUALS MAY PARTICIPATE, THE MANAGEMENT INCENTIVE BONUS AND LONG TERM INCENTIVE PLAN. THE MANAGEMENT INCENTIVE BONUS IS AN ANNUAL INCENTIVE DESIGNED TO ATTRACT AND RETAIN KEY LEADERS AND ESTABLISH GREATER ACCOUNTABILITY AND ALIGNMENT TO BUSINESS PERFORMANCE. PAYMENT AMOUNT TARGETS ARE BASED UPON A PERCENTAGE OF BASE SALARY, DEVELOPED BY INDEPENDENT THIRD PARTY EXPERTS. MEMORIAL HERMANN'S COMPENSATION COMMITTEE AND GOVERNING BOARD HAVE FINAL DISCRETION WHETHER TO AWARD AMOUNTS TO INDIVIDUALS AND TO ADJUST THE PAYMENT AT THEIR SOLE DISCRETION. THE LONG TERM INCENTIVE PLAN IS BASED ON A THREE-YEAR PERFORMANCE PLAN, WHICH REWARDS KEY SENIOR LEADERS BY ALIGNING THEIR COMPENSATION TO STRATEGIC INITIATIVES OF MEMORIAL HERMANN. PERFORMANCE TARGETS ARE BASED UPON A PERCENTAGE OF THE INDIVIDUAL'S BASE SALARY AND ARE DEVELOPED BY INDEPENDENT THIRD PARTY EXPERTS USING MARKET COMPETITIVE DATA WITHIN THE GUIDES OF REASONABLENESS. AT THE END OF A THREE-YEAR PERIOD, MEMORIAL HERMANN'S COMPENSATION COMMITTEE REVIEWS PERFORMANCE AGAINST GOALS TO DETERMINE APPROPRIATE PAYOUT. MEMORIAL HERMANN'S COMPENSATION COMMITTEE AND GOVERNING BOARD HAVE FINAL DISCRETION WHETHER TO AWARD AMOUNTS TO INDIVIDUALS AND TO ADJUST THE PAYMENT AT THEIR SOLE DISCRETION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HARRIS COUNTY CULTURAL ED FAC FINANCE CORP
A	760337885	414009GR5	2013-03-28	$468,778,930	Refund Series 2004A and 2008B/C	Yes (true)	false	false
HARRIS COUNTY CULTURAL ED FAC FINANCE CORP
B	760337885	414009HL7	2014-06-11	$307,303,890	Construction of healthcare facilit	Yes (true)	false	false
HARRIS COUNTY CULTURAL ED FAC FINANCE CORP
C	760337885	414009KP4	2016-06-08	$151,216,215	Construction of healthcare facilit	false	false	false
Harris County Cultural Education Facilities
D	760337885	414009RS1	2022-06-01	$295,412,710	Construction of healthcare facilit	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$432,705,000	$0	$468,778,930	$0	$0	$0	$3,629,482	$0	$0	$0	$465,149,448	$0	2013	Yes (true)	Yes (true)	Yes (true)	Yes (true)
B	$106,500,000	$28,270,000	$308,759,499	$0	$0	$0	$2,303,890	$0	$0	$306,455,609	$0	$0	2020	false	false	Yes (true)	Yes (true)
C	$8,885,000	$0	$152,153,046	$0	$0	$0	$1,216,215	$0	$0	$150,936,831	$0	$0	2018	false	false	Yes (true)	Yes (true)
D	$0	$0	$299,154,040	$0	$0	$0	$2,892,303	$0	$0	$46,014,311	$145,520,407	$104,727,019		Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	false	Yes (true)
D	false	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd
0
A	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
B	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
C	false	Yes (true)	false	false	false	0	false	Yes (true)
0
D	false	Yes (true)	Yes (true)	false	Yes (true)	Natixis Funding Corp	false	Yes (true)	1.8	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II.B.3 SET 1	DIFFERENCE FROM ISSUE PRICE DUE TO INVESTMENT EARNINGS
PART II.C.3 SET 1	DIFFERENCE FROM ISSUE PRICE DUE TO INVESTMENT EARNINGS
PART IV.A.2 SET 1	04/26/2018
PART II.A.3 SET 2	DIFFERENCE FROM ISSUE PRICE DUE TO INVESTMENT EARNINGS
PART II.B.3 SET 2	DIFFERENCE FROM ISSUE PRICE DUE TO INVESTMENT EARNINGS
PART IV.B.2 SET 1	08/25/2017
PART IV.c.2 SET 1	06/08/2021

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HARRIS COUNTY CULTURAL ED FAC FINANCE CORP
A	760337885	414009KS8	2016-06-08	$326,305,000	Construction of healthcare facilit	false	false	false
HARRIS COUNTY CULTURAL ED FAC FINANCE CORP
B	760337885	414009MR8	2019-11-21	$649,138,065	Construction of healthcare facilit	false	false	false
HARRIS COUNTY CULTURAL ED FAC FINANCE CORP
C	760337885	414009PG9	2020-08-05	$204,804,866	Refund Series 2013A, 2014A, 2015A/	false	false	false
Harris County Cultural Education Facilities Financ
D	760337885	414009MV9	2020-03-03	$22,068,756	Refund Series 2010A 2020	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$72,330,000	$0	$326,642,593	$0	$0	$0	$1,649,048	$0	$0	$149,508,545	$175,485,000	$0	2018	Yes (true)	false	Yes (true)	Yes (true)
B	$154,735,000	$0	$650,506,518	$0	$0	$0	$4,133,065	$0	$0	$443,368,453	$203,005,000	$0	2023	Yes (true)	false	false	Yes (true)
C	$34,180,000	$0	$204,804,866	$0	$0	$0	$1,767,703	$0	$0	$0	$203,037,163	$0	2020	Yes (true)	false	Yes (true)	Yes (true)
D	$14,775,000	$0	$22,068,756	$0	$0	$0	$155,452	$0	$0	$0	$21,913,304	$0	2020	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	false	Yes (true)
D	false	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd
0
A	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
B	false		Yes (true)	false	false	0	false	Yes (true)	Yes (true)
0
C	false		Yes (true)	false	false	0	false	Yes (true)	Yes (true)
0
D	false		Yes (true)	false	false	0	false	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I.B Column(f)	Refunded bonds were issued 6/11/2014, 12/15/2015 and 6/8/2016
Part I.C Column (f)	Refunded bonds were issued on 11/30/2010
PART IV.A.2 SET 2	06/08/2021

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Harris County Cultural Education Facilities	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	760337885	BondIssuerEIN
Bond Issued	2022-12-01	BondIssuedDt
Issue Price	$17,355,000	IssuePriceAmt
Purpose	Refund Series 2013A	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$17,355,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$0	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$17,355,000	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2022	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Angela Bell
Family member of Director	$93,673	Compensation	false
Sonal Patel
Family member of Key Employee	$77,945	Compensation	false
Victoria Ashworth
Family member of Key Employee	$194,510	Compensation	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, Line 6	The Corporation is a non-profit corporation existing under the Texas Business Organizations Code, as amended from time to time. The Corporation shall have individual corporate members.
Form 990, Part VI, Section A, Line 7a	The Corporation's Members shall have such powers, exercise such rights and perform such duties as Members of the Corporation as may be required by applicable law or by express provision of the Certificate of Formation or its Bylaws, and the Members shall have no other powers, rights, or duties. The Members shall elect Directors to fill any existing or soon to be existing vacancy occurring in the Board of Directors.
Form 990, Part VI, Section A, Line 7b	The following matters are reserved to the Corporation's Members and shall require the affirmative action of the Members to be effective: Any amendment to or restatement or repeal of the Certificate of Formation; Any amendment to or restatement or repeal of these Bylaws; The sale, transfer, or other disposition of all or substantially all of the assets of the Corporation and its Affiliates; The merger of the Corporation into, or the consolidation of the Corporation with, any other entity; or, the dissolution of the Corporation.
Form 990, Part VI, Section B, Line 11b	The Form 990 is prepared and reviewed by Memorial Hermann System Tax department. The System Tax department works with other departments throughout the organization to obtain the information needed to complete the Form 990. Upon completion, the Form 990 is reviewed by the organization's Chief Financial Officer, Chief Accounting Officer, and/or other key officers. A complete copy of the Form 990 is then provided to each member of the governing body prior to filing the Form 990.
Form 990, Part VI, Section B, Line 12c	Memorial Hermann Health System utilizes conflict of interest surveys and has codified its procedure in a policy. The policy is monitored by the organization's Corporate Compliance department through annual surveys of board members, corporate officers, management level employees, and other selected employees, physicians and vendors for all of its entities and related affiliates. In addition to responding to the survey, each recipient affirms that they have received a copy of the policy, have read and understood it, have agreed to comply with it, and understands that Memorial Hermann is a charitable organization who must engage in primarily tax-exempt purpose activities. The corporate compliance department, chief legal officer, and the corporate audit committee, consisting of independent board members, receive a report of all items disclosed. The audit committee chair reports the existence of any conflicts to the corporate board of directors. Memorial Hermann's conflicts of interest policy requires that board members excuse themselves from discussions in which they have a conflict of interest. The policy also subjects board members to disciplinary action if they are found to have violated the policy.
Form 990, Part VI, Section B, Line 15	The compensation committee of the Memorial Hermann board of directors retains the ultimate discretionary authority over all elements of executive compensation. The committee is comprised of individuals who are not employed by Memorial Hermann, and have no conflicting interests. The process for determining compensation for the organization's CEO and disqualified persons is modeled after the requirements in IRC section 4958 to establish the presumption of reasonable compensation. The compensation committee reviews and approves the total remuneration for the organization's disqualified persons in advance of being paid. On an annual basis, the compensation committee engages an independent third-party executive compensation consultant who uses comparable market data from published surveys and/or form 990 of similar organizations to perform a competitive analysis and write an opinion letter regarding the competitive position of Memorial Hermann's disqualified persons. The compensation committee reviews the comparability data and opinion letter, and documents its discussion and decisions in minutes that are retained with the organization's other governance materials. The analysis is performed annually and it includes the President and CEO, all executive vice presidents and senior vice presidents of the organization, as well as family members of disqualified persons who are employed by Memorial Hermann.
Form 990, Part VI, Section C, Line 19	Certain documents of the organization are available to the public through the Texas Secretary of State, such as the organization's certificate of formation and any amendments thereto. The organization is included in the consolidated audited financial statements, which are attached to the Form 990 and are made available to the public upon request. The organization's other governing documents and conflicts of interest policy are not made available to the public.
Form 990, Part XI, Line 9	Noncontrolling interests ($85,281,000) Change in pension obligation ($17,847,000) Contributions and grants received, net $7,269,000 Change in noncontrolling interests $13,686,000 Reclass of Fund Balances of Affiliated Companies $96,514,936 Total Reported on Part XI Line 9 ($14,341,936)
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL CARE SVCS FEES TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:INDIGENT CARE SVCS FEES TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:MISC CONTRACT SVCS FEES TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:PROPERTY MANAGEMENT FEES TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:ADMINISTRATIVE SVCS FEES TOTAL FEES:53079951
FORM 990 PART IX LINE 11G	DESCRIPTION:SUPPLY CHAIN MGMT SVCS TOTAL FEES:2440719
FORM 990 PART IX LINE 11G	DESCRIPTION:TECHNOLOGY SERVICES FEE TOTAL FEES:1175893

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Memorial Hermann Community Benefit
929 Gessner Rd STE 1900	Houston	TX	77024	680511504	Community	TX	501(c)(3)	10	MHHS	Yes (true)
Memorial Hermann Medical Group
929 Gessner Rd STE 1900	Houston	TX	77024	204923281	Physician Svc	TX	501(c)(3)	10	MHHS	Yes (true)
MHS Physicians of Texas
929 Gessner Rd STE 1900	Houston	TX	77024	760385980	Physician Svc	TX	501(c)(3)	3	MHHS	Yes (true)
Memorial Hermann Foundation
929 Gessner Rd STE 1900	Houston	TX	77024	741653640	Fundraising	TX	501(c)(3)	12a I	MHHS	Yes (true)
Memorial Hermann Information Exchange
929 Gessner Rd STE 1900	Houston	TX	77024	020684202	Pop Health	TX	501(c)(3)	3	MHHS	Yes (true)
Memorial Hermann Accountable Care Org
929 Gessner Rd STE 1900	Houston	TX	77024	800778181	ACO	TX	501(c)(4)	N/A	MHHS	Yes (true)
Memorial Hermann Pharmacy Services LLC
929 Gessner Rd STE 1900	Houston	TX	77024	202184459	Pharmacy	TX	501(c)(3)	10	MHHS	Yes (true)
Memorial Hermann Hospital Based Physicia
929 Gessner Rd Ste 1900	Houston	TX	77024	844504483	PHYSICIAN SVC	TX	501(C)(3)	3	MHHS	Yes (true)
MHMG Primary Care
929 Gessner Rd Ste 1900	Houston	TX	77024	922193904	Physician Svc	TX	501 (c)(3)	10	MHHS	Yes (true)
Memorial Hermann Primary Care Alliance
929 Gessner Rd Ste 1900	Houston	TX	77024	920897835	Physician Svc	TX	501 (c)(3)	10	MHHS	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
MHUSP Surgery Ctr III LLP
14201 Dallas Pkwy	Dallas	TX	75254	200707543	Amb Srgry Ctr	TX	MH HealthSystem	Related	$9,209,166	$6,744,630	false	$0	Yes (true)	0.50100
MH Rehab Hospital Katy LLC
929 Gessner Rd Ste 1900	Houston	TX	77024	263896170	Rehabilitation	TX	MH Katy Rehab	Related	$1,996,599	$6,163,394	false	$0	Yes (true)	0.55522
MHUSP Surgery Centers IV LLP
14201 Dallas Pkwy	Dallas	TX	75254	208575266	Amb Srgry Ctr	TX	MH HealthSystem	Related	$17,562,895	$25,232,978	false	$0	Yes (true)	0.50100
Virtus Memorial WLZ LLC
835 W 6TH ST STE 1500	Austin	TX	78703	815162347	Investment	DE	MH Healthsystem	UNRELATED	-$484,821	$1,154,888	false	-$435,829	false	1.00000
INTREPID PRIVATE EQUITY SPV-NMP LP
540 MADISON AVENUE 25TH FLOOR	NEW YORK	NY	10022	844479929	INVESTMENT	NY	MH HEALTHSYSTEM	UNRELATED	$17,451,802	$1,005,601	false	$9,723,140	false	0.70588
MHUSP Surgery Centers VILLC
14201 Dallas Parkway	DALLAS	TX	75254	882478620	Amb Srgry Ctr	TX	MH HEALTHSYSTEM	RELATED	$1,030	$3,274,803	false	$0	Yes (true)	0.62500
MHUSP Surgery Centers VII LLC
14201 Dallas Parkway	DALLAS	TX	75254	882453369	Amb Srgry Ctr	TX	MH HEALTHSYSTEM	RELATED	$0	$815,753	false	$0	Yes (true)	0.50100
SP TAUM SAUK MOUNTAIN LLC
5761 FOREST HIGHLANDS DRIVE	FORT WORTH	TX	76132	862777477	INVESTMENT	TX	MH HEALTHSYSTEM	UNRELATED	$0	$977,575	false	$0	false	0.51282
REDBIRD VIDA CO- INVEST LP
440 ROYAL PALM WAY	PALM BEACH	FL	33480	842453088	INVESTMENT	FL	MH HEALTHSYSTEM	UNRELATED	$0	$27,696,620	false	$0	false	0.63756
COMMUNITY FIRST DEVELOPMENT LP
835 W 6TH ST STE 1500	AUSTIN	TX	78703	872484035	INVESTMENT	TX	MH HEALTHSYSTEM	UNRELATED	-$839,657	$943,497	false	-$839,657	false	0.95000
SL3 Trinity Holdings LLC
100 CRESCENT COURT SUITE 850	DALLAS	TX	75201	883875509	INVESTMENT	TX	MH HEALTHSYSTEM	UNRELATED	-$9,467	$5,039,533	false	$0	false	0.99000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
MHMD
929 Gessner Rd STE 1900	Houston	TX	77024	760074819	Integrated PN	TX	NA	C corp	$18,034,399	$2,905,485	1.00000	Yes (true)
The Health Professionals Ins Company LTD
					Investments		MHHS	C Corp	$30,156,669	$113,428,007	1.00000	Yes (true)	Barclays House 3rd Floor	Grand Cayman	CJ	CJ
Memorial Hermann Health Solutions Inc
929 Gessner Rd STE 1900	Houston	TX	77024	264419989	3RD PARTY ADMIN	TX	NA	C corp
Memorial Hermann Health Insurance Co
929 Gessner Rd STE 1900	Houston	TX	77024	760646301	Insurance	TX	na	C corp
Memorial Hermann Health Plan Inc
929 Gessner Rd STE 1900	Houston	TX	77024	462707092	Insurance	TX	na	C Corp
MH Health Plan Holdings LLC
929 Gessner Rd STE 1900	Houston	TX	77024	812971502	HOLDING COMPANY	TX	MH HealthSystem	C Corp	$56,336,028	$99,105,721	1.00000	Yes (true)
MH Commercial Health Plan Inc
929 Gessner Rd Ste 1900	Houston	TX	77024	206680981	Insurance	TX	NA	C Corp
Memorial Hermann Ventures LLC
929 Gessner Rd Ste 1900	Houston	TX	77024	825207571	Holding Compa	TX	MHHS	C Corp	$4,174,644	$13,349,885	1.00000	Yes (true)
Memorial Hermann Urgent Care PLLC
929 Gessner Rd Ste 1900	Houston	TX	77024	881580452	Urgent Care C	TX	MH Medical Grp	C Corp	$21,617,593	$8,587,315	1.00000	false
MH Holdco LLC
929 Gessner Rd Ste 1900	Houston	TX	77024	922484766	Holding Company	TX	MHHS	C Corp	$0	$0	1.00000	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	Yes (true)	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (52 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Memorial Hermann Foundation
C	$4,781,699	GAAP
MHS Physicians of Texas
R	$54,874,018	GAAP
MHS Physicians of Texas
S	$37,523,534	GAAP
Memorial Hermann Accountable Care Org
R	$1,703,751	GAAP
Memorial Hermann Accountable Care Org
S	$21,098,347	GAAP
Memorial Hermann Information Exchange
R	$7,240,641	GAAP
Memorial Hermann Information Exchange
S	$4,760,574	GAAP
Memorial Hermann Pharmacy Services LLC
R	$142,007,840	GAAP
Memorial Hermann Pharmacy Services LLC
S	$146,927,975	GAAP
MH Katy Rehab Mgmt LLC
R	$597,195	GAAP
MH Katy Rehab Mgmt LLC
S	$1,518,072	GAAP
MH Katy Rehab Hospital LLC
R	$29,100,846	GAAP
MH Katy Rehab Hospital LLC
S	$28,990,874	GAAP
Memorial Hermann Medical Group
R	$382,286,728	GAAP
Memorial Hermann Medical Group
S	$244,308,032	GAAP
MH Urgent Care PLLC
R	$27,503,105	GAAP
MH Urgent Care PLLC
S	$17,107,392	GAAP
Memorial Hermann Hospital Based Phy Group
R	$73,944,292	GAAP
Memorial Hermann Hospital Based Phy Group
S	$74,583,451	GAAP
Memorial Hermann Ventures LLC
R	$849,330	GAAP
Memorial Hermann Ventures LLC
S	$887,036	GAAP
Memorial Hermann Foundation
R	$16,801,964	GAAP
Memorial Hermann Foundation
S	$16,978,226	GAAP
Memorial Hermann Health Solutions Inc
R	$46,681,139	GAAP
Memorial Hermann Health Solutions Inc
S	$41,468,019	GAAP
Memorial Hermann Health Insurance Company
R	$8,905,539	GAAP
Memorial Hermann Health Insurance Company
S	$8,930,267	GAAP
Memorial Hermann Health Plan Inc
R	$43,737,114	GAAP
Memorial Hermann Health Plan Inc
S	$43,874,101	GAAP
Memorial Hermann Commercial Health Plan Inc
R	$608,810,851	GAAP
Memorial Hermann Commercial Health Plan Inc
S	$608,790,710	GAAP
MHMD
R	$51,937,369	GAAP
MHMD
S	$22,777,606	GAAP
MH Population Health Services Org LLC
R	$63,999,122	GAAP
MH Population Health Services Org LLC
S	$14,054,945	GAAP
Memorial Hermann Community Benefit Corp
R	$37,510,894	GAAP
Memorial Hermann Community Benefit Corp
S	$30,517,129	GAAP
The Health Professionals Insurance Co Ltd
R	$28,356,404	GAAP
The Health Professionals Insurance Co Ltd
S	$43,255,493	GAAP
Memorial Hermann Foundation
B	$8,370,203	GAAP
Memorial Hermann Community Benefit Corp
B	$16,081,657	GAAP
REDBIRD VIDA CO-INVEST LP
B	$46,166	TAX BASIS
COMMUNITY FIRST DEVELOPMENT LLC
B	$1,130,500	TAX BASIS
SL3 TRINITY HOLDINGS LLC
B	$5,049,000	TAX BASIS
INTREPID PRIVATE EQUITY SPV-NMP LP
B	$47,175	TAX BASIS
INTREPID PRIVATE EQUITY SPV-NMP LP
C	$15,215,564	TAX BASIS
MHUSP Surgery Centers VII LLC
B	$815,753	TAX BASIS
MHUSP Surgery Centers VI LLC
B	$3,273,773	TAX BASIS
MHUSP Surgery Centers IV LLP
C	$19,348,631	TAX BASIS
MHUSP Surgery Centers III LLC
C	$8,965,286	TAX BASIS
MH REHAB HOSPITAL KATY LLC
C	$2,402,934	TAX BASIS
Memorial Hermann Medical Group
B	$22,591,537	GAAP