2024-11-11T16:40:41+00:00 2023-12-31 346565596 ERNST & YOUNG US LLP 425 HOUSTON ST FORT WORTH TX 76102 990 2023-01-01 741287016 Methodist Healthcare Ministries of South Texas Inc METH 2106920234 4507 MEDICAL DRIVE SAN ANTONIO TX 782294401 JAMIE WESOLOWSKI CEO 2106920234 2024-11-11 true Melva Scott P01207335 8173351900 2024-10-23 2023 2024-10-15 13:58:12Z JAMIE WESOLOWSKI 4507 MEDICAL DRIVE SAN ANTONIO TX 782294401 715269400 false X WWW.MHM.ORG X 1955 TX MISSION STATEMENT: 'SERVING HUMANITY TO HONOR GOD" VISION STATEMENT: "TO BE THE LEADER FOR IMPROVING WELLNESS OF THE LEAST SERVED". 31 31 582 55 1180342 779083 56390 73904 312820989 300251706 65654148 93194556 246671 431588 378778198 393951754 38238356 54253679 0 0 43034793 47952076 0 0 30131836 37500992 111404985 139706747 267373213 254245007 1722279205 1960567569 12961645 17817451 1709317560 1942750118 X IN FURTHERANCE OF THE FOUNDERS' VISION OF "SERVING HUMANITY TO HONOR GOD," METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. (MHM) HAS A TWO-FOLD MISSION, BOTH EQUALLY IMPORTANT: TO IMPROVE THE PHYSICAL, MENTAL, AND SPIRITUAL HEALTH OF THOSE LEAST SERVED IN THE RIO TEXAS CONFERENCE AREA OF THE UNITED METHODIST CHURCH, WHICH CONSISTS OF 74 COUNTIES ACROSS SOUTH TEXAS; AND AS THE LOCAL HALF-OWNER OF METHODIST HEALTHCARE SYSTEM (MHS) - THE LARGEST HEALTHCARE SYSTEM IN SOUTH TEXAS - MHM IS COMMITTED TO ENSURING MHS CONTINUES TO BE A BENEFIT TO THE COMMUNITY BY PROVIDING QUALITY CARE TO ALL AND CHARITABLE CARE WHEN NEEDED. false false 54253679 54253679 0 SINCE 1996, MHM HAS PROVIDED COMMUNITY GRANTS TO PARTNERS THAT SHARE IN ITS MISSION OF SERVING THE LEAST SERVED: LOW-INCOME FAMILIES AND THE UNINSURED, AND THAT ARE SUCCESSFULLY DELIVERING HEALTHCARE AND SOCIAL SERVICES TO THIS POPULATION IN THEIR RESPECTIVE COMMUNITIES THROUGHOUT SOUTH TEXAS OR ADDRESSING SOCIAL DETERMINANTS OF HEALTH NEEDS IN THEIR RESPECTIVE COMMUNITIES. SHORT-TERM GRANTS INCLUDE DIRECT SERVICES TO PATIENTS AS WELL AS CAPITAL FUNDING FOR CONSTRUCTION OF NEW AND/OR RENOVATIONS TO EXISTING FACILITIES USED FOR THE DELIVERY OF SERVICES. 27628270 0 300199922 OTHER PROGRAM SERVICES OWNED AND OPERATED BY MHM FOR LOW-INCOME AND UNINSURED PATIENTS/CLIENTS INCLUDE: COMMUNITY COUNSELING SERVICES: COMMUNITY COUNSELORS HELP PEOPLE WHO ARE UNINSURED, WHOSE EXISTING COVERAGE DOES NOT PROVIDE MENTAL HEALTH SERVICES BENEFITS, ARE LOW-INCOME AND LACK THE MONEY TO PAY FOR COUNSELING SERVICES, OR WHO WOULD NOT RECEIVE TREATMENT ANY OTHER WAY. COUNSELING SERVICES ARE PROVIDED BY TRAINED, LICENSED, PROFESSIONAL COUNSELORS AND SOCIAL WORKERS IN LOCAL CHURCHES ACROSS THE RIO GRANDE VALLEY, LAREDO, KERRVILLE AND THE COASTAL BEND. COMMUNITY HEALTH WORKERS OR PROMOTORES DE SALUD: COMMUNITY HEALTH WORKERS HAVE THE DISTINCT ABILITY TO REACH VULNERABLE, LOW-INCOME AND UNDERSERVED MEMBERS OF THE COMMUNITY THROUGH THEIR SPECIALIZED KNOWLEDGE OF THE COMMUNITIES MHM SERVES AND THEIR UNIQUE ABILITY TO ENGAGE COMMUNITY MEMBERS AT A HANDS-ON LEVEL. COMMUNITY HEALTH WORKERS SUPPORT HEALTH EDUCATION AND PREVENTION EFFORTS AND BRIDGE ACCESS TO COMMUNITY-BASED HEALTH PROGRAMS AND ADVOCATES. THE GET FIT (FAMILIES IN TRAINING) PROGRAM IS A PREVENTION PROGRAM AIMED AT AVERTING TYPE II DIABETES, OBESITY AND SEDENTARY LIFESTYLES, FOCUSING ON CHILDREN AND FAMILIES IN RURAL COMMUNITIES. IN ADDITION TO THE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES IDENTIFIED UNDER PROGRAM SERVICE ACTIVITY #3, THE FOLLOWING PROGRAMS ARE PARENTING PROGRAMS DESIGNED TO HELP PARENTS AND GUARDIANS LEARN PARENTING SKILLS SO THEY WILL BE MORE CONFIDENT AND MORE COMPETENT LEADERS WITHIN THEIR FAMILIES. PROGRAMS INCLUDE: PEER PARENTING; PARENTS HELPING PARENTS; PARENTS AS TEACHERS; AND THE NURTURING PARENTING PROGRAMS. RECREATION & ENRICHMENT PROGRAMS: AVAILABLE AT MHM'S WESLEY HEALTH & WELLNESS CENTER OFFERS YOUTH, ADULTS AND SENIORS FREE, SAFE AND FUN ACTIVITIES THAT PROMOTE HEALTH, WELLNESS AND LEARNING SKILLS. PROGRAMS CONSIST OF YOUTH DEVELOPMENT PROGRAMS SUCH AS CAMP WESLEY, A FREE 8-WEEK SUMMER CAMP FOR YOUTH AGES 6-18 AND 'LOS MARIACHITOS DE WESLEY,' A FREE CULTURAL ARTS PROGRAM FOR YOUTH AGES 6-18. THE YOUTH DEVELOPMENT PROGRAM AT WESLEY HEALTH & WELLNESS CENTER IS A NEIGHBORHOOD RECREATION PROGRAM AND IS NOT REGULATED BY STATE CHILDCARE LICENSING AND IS NOT A DAY CARE FACILITY. ADULT PROGRAMMING INCLUDES EXERCISE CLASSES, PARENT AND FAMILY TRAININGS AND COMMUNITY-BASED SUPPORT GROUPS SUCH AS ALCOHOLICS ANONYMOUS AND THE COMMUNITY JUSTICE PROGRAM. HEALTH EDUCATION & NUTRITION: OFFERED AT THE WESLEY HEALTH & WELLNESS CENTER (WHWC) AND THE DIXON HEALTH & WELLNESS CENTER ARE DESIGNED TO TEACH AND MODEL HEALTH AND WELLNESS THROUGH HEALTHY COOKING, DIRECT HEALTH EDUCATION WITH CLIENTS AND THROUGH THE PROVISION OF HEALTHY AND NUTRITIOUS MEALS PREPARED BY PROFESSIONAL CULINARY ARTISTS AT MHM'S WESLEY CAFE LOCATED AT WHWC. HEALTH EDUCATION IS OFFERED UNDER THE REGISTERED NURSES AND DIETICIANS AND IS PRIMARILY DESIGNED FOR DIABETIC CLIENTS IN ONE-ON-ONE AND GROUP SETTINGS AND INCLUDES DISTRIBUTION OF GLUCOMETER STRIPS TO HELP MANAGE THEIR DISEASE. THE WESLEY CAFE PREPARES HEALTHY AND NUTRITIOUS MEALS FOR THE CHILDREN AND GUESTS OF THE WHWC AND SERVES AS AN EMERGENCY FOOD PANTRY AND BREAD LINE TO THOSE IN NEED. 27118982 0 51784 MHM OWNS AND OPERATES TWO PRIMARY CARE CLINICS AT TWO LOCATIONS - WESLEY HEALTH & WELLNESS CENTER AND DIXON HEALTH & WELLNESS CENTER - IN SAN ANTONIO WHERE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES ARE OFFERED TO UNINSURED INDIVIDUALS AND FAMILIES WHO DO NOT QUALIFY FOR ANY TYPE OF BENEFITS SUCH AS MEDICAID OR MEDICARE. SERVICES ARE BASED ON A SLIDING-SCALE FEE determined by HOUSEHOLD INCOME AND FAMILY SIZE. HOWEVER, NO ONE IS DENIED BASED ON THEIR ABILITY TO PAY. MHM ALSO OPERATES SCHOOL BASED HEALTH CENTERS WHICH PROVIDE PRIMARY MEDICAL CARE, DENTAL CARE, AND COUNSELING TO SCHOOL-AGE CHILDREN AND THEIR SIBLINGS UP TO THE AGE OF 21 IN TWO SCHOOL DISTRICTS. 15145690 0 0 THE WESLEY NURSE PROGRAM SPANS 80 SITES THROUGHOUT SOUTH TEXAS AND IS MHM'S LARGEST GEOGRAPHIC OUTREACH PROGRAM. A KEY COMPONENT WESLEY NURSES UNDERTAKE IN THEIR COMMUNITIES IS PROVIDING HEALTH EDUCATION, HEALTH PROMOTION, AND FACILITATION OF RESOURCES. WHILE THE WESLEY NURSE PROGRAM IS A COMPONENT OF MHM'S ECUMENICAL OUTREACH, AND LOCATED WITHIN CHURCHES, IT DOES NOT TEACH A PARTICULAR SET OF DENOMINATIONAL BELIEFS. ALL WESLEY NURSE PROGRAMS ARE FREE AND ALL MEMBERS OF THE COMMUNITY ARE WELCOME. PROGRAMS ARE OFFERED TO GROUPS OR ON AN INDIVIDUAL BASIS. 15145690 124146621 true true false true false false false false true true true true false false false false true false false true false false false false false true true true true true false false false false false false false false false false false false true true true true false false true 198 0 true 582 true true true false false false false false false false false false false false X 31 31 false false false false false false false true true false false true true true true true true true true true true X X TONY LOBASSO CFO 2106920234 4507 MEDICAL DRIVE SAN ANTONIO TX 782294401 ALAN KRAMER TREASURER 4.0 0.0 X X 0 0 0 ALICE H GANNON ADVISORY BOARD REP TO GOVERNANCE COMMITTEE (NON-VOTING) 2.0 0.0 X X 0 0 0 ASHLEY LANDERS SECRETARY 4.0 0.0 X X 0 0 0 KERWIN OVERBY VICE CHAIR OF MISSION 4.0 0.0 X X 0 0 0 LAVONNE GARRISON CHAIR 6.0 0.0 X X 0 0 0 MICHAEL F PORTER JR CHAIR ELECT 6.0 0.0 X X 0 0 0 MICHAEL J LANE MD IMMEDIATE PAST CHAIR/CHAIR MHS BOARD OF GOVENORS 4.0 0.0 X X 0 0 0 THOMAS SANDERS VICE CHAIR OF OPERATIONS 4.0 0.0 X X 0 0 0 ASHLEY HIXON DIRECTOR 2.0 0.0 X 0 0 0 BARBARA LYONS DIRECTOR 2.0 0.0 X 0 0 0 BISHOP ROBERT SCHANSE DIRECTOR 2.0 0.0 X 0 0 0 CLAUDIA HURA MD HON BOARD REP TO BOARD OF GOVENORS (NON-VOTING) (TERM 6/27/23) 2.0 0.0 X 0 0 0 DOUG BECKER DIRECTOR (BEGIN 6/27/23) 2.0 0.0 X 0 0 0 DUDLEY HARRAL HON BOARD REP TO GOVERNANCE COMMITTEE (NON-VOTING) (TERM 6/27/23) 2.0 0.0 X 0 0 0 EDWIN MILES DIRECTOR (BEGIN 6/27/23) 2.0 0.0 X 0 0 0 ERICA SOSA PHD DIRECTOR 2.0 0.0 X 0 0 0 ERIKA PROSPER DIRECTOR 2.0 0.0 X 0 0 0 JACQUELINE PUGH MD DIRECTOR 2.0 0.0 X 0 0 0 JIM GARCIA ADVISORY BOARD CHAIR (NON-VOTING) (BEGIN 6/27/23) 2.0 0.0 X 0 0 0 JIM RICE DIRECTOR 2.0 0.0 X 0 0 0 JOHN HORNBEAK DIRECTOR 2.0 0.0 X 0 0 0 JOHN STOLL MD DIRECTOR 2.0 0.0 X 0 0 0 KAREN ANGELINI DIRECTOR 2.0 0.0 X 0 0 0 LOTT MCILHENNY DIRECTOR 2.0 0.0 X 0 0 0 MIKE BACON DIRECTOR 2.0 0.0 X 0 0 0 MINDI ALTERMAN CHAIR OF GOVERNANCE (NON-VOTING) (BEGIN 6/27/23) 4.0 0.0 X 0 0 0 PENDLETON WICKERSHAM DIRECTOR 2.0 0.0 X 0 0 0 RAYMOND CHACON DIRECTOR 2.0 0.0 X 0 0 0 REV CYNTHIA ENGSTROM DIRECTOR 2.0 0.0 X 0 0 0 REV GREG HACKETT DIRECTOR (TERM 6/27/23) 2.0 0.0 X 0 0 0 REV JAMES AMERSON DIRECTOR 2.0 0.0 X 0 0 0 REV JAVIER LEYVA DIRECTOR 2.0 0.0 X 0 0 0 REV ROBERT LOPEZ MD DIRECTOR 2.0 0.0 X 0 0 0 REV ROBERT ORTIZ PHD DIRECTOR (BEGIN 6/27/23) 2.0 0.0 X 0 0 0 REV VIRGILIO VAZQUEZ-GARZA DIRECTOR 2.0 0.0 X 0 0 0 RUDYARD HILLARD MD DIRECTOR (BEGIN 6/27/23) 2.0 0.0 X 0 0 0 SAM DAWSON DIRECTOR (TERM 6/27/23) 2.0 0.0 X 0 0 0 SAM O'KRENT CHAIR OF GOVERNANCE (NON-VOTING) (TERM 6/27/23) 4.0 0.0 X 0 0 0 SCOTT D BRYAN ADVISORY BOARD REP TO BOARD OF GOVERNORS (NON-VOTING) 2.0 0.0 X 0 0 0 SUSAN HELLUMS DIRECTOR 2.0 0.0 X 0 0 0 ANTHONY LOBASSO CHIEF FINANCIAL OFFICER 39.0 1.0 X 366693 0 46002 JAIME WESOLOWSKI CEO & PRESIDENT 39.0 1.0 X 598414 0 79881 XOCHY HURTADO CHIEF OPERATING OFFICER 39.0 1.0 X 334258 0 55127 CHRISTINE YANAS RICHARDSON VP OF POLICY & ADVOCACY 40.0 0.0 X 205918 0 25753 CYNTHIA MCCLOY VP OF ACCOUNTING & CONTROLLER 40.0 0.0 X 224347 0 31890 JENNIFER KNOULTON VP OF COMMUNITY HEALTH & WELLNESS 40.0 0.0 X 212305 0 48326 LETICIA ORTIZ-JOHNSON VP OF CLINICAL OPERATIONS 40.0 0.0 X 209058 0 44726 OANH MARONEY-OMITADE VP OF ORG. EXCELLENCE 40.0 0.0 X 219787 0 65909 2370780 0 397614 72 false true false Balyasny Asset Management 444 W Lake Street 50th Floor Chicago IL 60606 Investment Manager 985155 Sendero Wealth Management 250 W Nottingham Suite 300 San Antonio TX 78209 Investment Manager 895532 VHS San Antonio Imaging Partners LP PO Box 849553 Dallas TX 752849553 Radiology Services 672737 Chatham Asset Management 26 Main St Suite 204 Chatham NJ 07928 Investment Manager 570657 Allied Universal Security Services PO Box 31001-2374 Pasadena CA 911102374 Security Services 532945 28 73904 73904 ORDINARY INCOME FROM MHS 622110 300110189 298938652 1171537 CLINIC REVENUE - DIRECT MHM 621498 51784 51784 WESLEY KITCHEN - DIRECT MHM 900099 89733 89733 0 0 0 0 300251706 68023096 8805 68014291 9538289 9148195 390094 0 390094 390094 337340911 312169451 25171460 0 25171460 25171460 All other revenue 900099 41494 41494 0 0 0 0 41494 393951754 299080169 1180342 93617339 X 54129492 54129492 124187 124187 0 0 1480375 1480375 35311790 30733988 4577802 2216113 1820367 395746 6319002 5239402 1079600 2624796 2232008 392788 215808 21500 194308 67400 67400 100000 100000 2779858 2779858 16007645 14614592 1393053 0 137821 1149 136672 1436517 1217221 219296 2744573 1801398 943175 1360063 1041447 318616 1021457 935763 85694 233402 205622 27780 1956812 1703013 253799 450295 301777 148518 K-1 Expenses 2424605 2424605 Pharmacy Charges & Delivery 2161698 2161698 Special Events 682476 354322 328154 Cost of Food 647727 554868 92859 3072835 2428202 644633 0 139706747 124146621 15560126 0 2820578 5309721 196881946 191832210 23670 20464 0 0 1355733 1666258 67948600 24018276 43113753 43930324 483204106 584420839 244702751 254066597 749959520 879093600 217148 227556 1722279205 1960567569 6839508 7371886 6116860 10445565 5277 0 0 0 0 12961645 17817451 X 1709217560 1942650118 100000 100000 1709317560 1942750118 1722279205 1960567569 X 254245007 78711474 0 0 0 -99523923 X false true X true false X Schedule A, Part I, Line 3 PUBLIC CHARITY STATUS METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. HAS A DUAL PUBLIC CHARITY STATUS AS A SECTION 509 (A)(1) AND SECTION 509 (A)(3) SUPPORTING ORGANIZATION. METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. IS A HOSPITAL AND SUPPORTS THE RIO TEXAS CONFERENCE OF THE UNITED METHODIST CHURCH. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false true 1043 true 357950 true 39343 false true 56943 455279 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING ACTIVITIES: FUNDING FOR PARTNERS TO FORMALLY COORDINATE A COALITION THAT WILL FOCUS ON MOBILIZING INTERESTED STAKEHOLDERS TO WORK WITH STATE LEADERS TO IMPROVE POLICIES AND INCREASE FUNDING FOR HEALTH SERVICES AND ACCESS TO CARE IN TEXAS; EXPLORE AND DISCUSS STRATEGIES FOR LEGISLATIVE SESSIONS; REGISTRATION FEES AND MEMBERSHIP DUES. 217148 15408 5000 227556 245024 -22876 5000 217148 239210 10814 5000 245024 223277 20933 5000 239210 207109 23239 7071 223277 0.56 0.44 0.0 true false 17853625 17853625 36955998 16620302 20335696 73381 45494 27887 8049575 5874176 2175399 5016021 1478304 3537717 43930324 Balyasny Atlas Enhanced Fund, Ltd. 41299375 F Evanston Weatherlow Offshore Fund I Ltd 64557535 F Evanston Credit Opportunities Fund 14627459 F ACL Alternative Fund SAC Limited 18284648 F Chatham Asset High Yield Offshore Fund, Ltd 39956380 F Huizenga Venture Investments II, LLC 4545039 F Huizenga Venture Investments III, LLC 901178 F DWS RREEF America REIT II 18284548 F Portfolio Advisors Secondary Fund IV (Offshore) LP 19433104 F SEI Core Property Fund LP 6385656 F SEI Energy Debt Fund LP 232107 F SEI Structured Credit Fund LP 6969911 F SEI Special Situations Fund LP 12995496 F SEI GPA IV Private Asset Fund LP 1214318 F SEI GPA V Private Asset Fund LP 452999 F Incube Ventures II, LP 355521 C Targeted Technology Fund I, LP 146399 C Targeted Technology Fund II, LP 190836 C Texas Methodist Foundation 3234088 F 254066597 Equity Ownership in MHS 879093600 C 879093600 Schedule D, Part V, Line 4 Intended uses of endowment funds MHM'S ENDOWMENT CONSISTS OF TWO INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED FUNDS AND FUNDS DESIGNATED BY THE BOARD TO FUNCTION AS ENDOWMENTS. Central America and the Caribbean Investments 454699 0 0 0 0 0 0 454699 0 454699 true false false false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEA true true X true X true X 500 true true false true true 101338200 9497620 91840580 0.0682 120669160 238913333 0 0.0 1176197 971862 204335 0.0002 0 0 223183557 249382815 92044915 0.0683 71394430 291509 71102921 0.0528 1951476 26680 1924796 0.0014 0 9124 0 0.0 0 0 0 0.0 54129492 0 54129492 0.0402 0 0 127475398 327313 127157209 0.0944 0 0 350658955 249710128 219202124 0.1627 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 5781443 702350 239295922 226716186 12579736 X true true METH AMB SUR CTR MC FREESTANDING ASC 0.514 0.486 METH AMB SUR CTR NC FREESTANDING ASC 0.574 0.426 CTR SPECIAL SURGERY FREESTANDING ASC 0.584 0.416 METH AMB SUR CTR - BOERNE FREESTANDING ASC 0.628 0.372 METH AMB SUR CTR - LANDMARK FREESTANDING ASC UNDER CONSTRUCTION 0.51 0.49 COMP RAD MGMT SVCS IMAGING SERVICES 0.5 0.5 HEALTH AT HOME SA LLC HOME HEALTH AND HOSPICE 0.8 0.2 STONE OAK SURGERY CENTER Freestanding ASC 0.531 0.469 10 1 METHODIST HOSPITAL 7700 FLOYD CURL DRIVE SAN ANTONIO TX 78229 WWW.SAHEALTH.COM 000154 X X X A 2 METHODIST CHILDREN'S HOSPITAL 7700 FLOYD CURL DRIVE SAN ANTONIO TX 78229 WWW.SAHEALTH.COM 000154 X X X A 3 METHODIST HOSPITAL METROPOLITAN 1310 MCCULLOUGH AVENUE SAN ANTONIO TX 78212 WWW.SAHEALTH.COM 000154 X X X A 4 METHODIST HOSPITAL STONE OAK 1139 E SONTERRA BOULEVARD SAN ANTONIO TX 78258 WWW.SAHEALTH.COM 008741 X X X A 5 METHODIST HOSPITAL NORTHEAST 12412 JUDSON ROAD Live Oak TX 78233 WWW.SAHEALTH.COM 000154 X X X A 6 METHODIST SPECIALTY & TRANSPLANT 8026 FLOYD CURL DRIVE SAN ANTONIO TX 78229 WWW.SAHEALTH.COM 000154 X X X A 7 METHODIST HOSPITAL TEXSAN 6700 IH 10 WEST SAN ANTONIO TX 78201 WWW.SAHEALTH.COM 000154 X X X A 8 METHODIST HOSPITAL HILL COUNTRY 1020 STATE HIGHWAY 16 SOUTH FREDERICKSBURG TX 78624 WWW.SAHEALTH.COM 000219 X X X B 9 METHODIST HOSPITAL ATASCOSA 1905 HIGHWAY 97 EAST JOURDANTON TX 78026 WWW.SAHEALTH.COM 100391 X X X A 10 METHODIST HOSPITAL LANDMARK 5510 PRESIDIO PARKWAY SAN ANTONIO TX 78249 WWW.SAHEALTH.COM 000154 X X X B A 8 false false true X X X X X X X X X X 22 true true true true X https://www.sahealth.com/about-us/community X www.healthcollaborativechna.net X X true 22 true https://www.sahealth.com/about-us/community false true X 200.0 500.0 X X X X X X true true X X X X true X https://www.sahealth.com/patient-resources/patient-financial-resources/financial-assistance X https://www.sahealth.com/patient-resources/patient-financial-resources/financial-assistance X https://www.sahealth.com/patient-resources/patient-financial-resources/financial-assistance X X X X X X X true X false X X X X X true X false false B 2 true true false false true X 200.0 500.0 X X X X X X true true X X X X true X https://www.sahealth.com/patient-resources/patient-financial-resources/financial-assistance X https://www.sahealth.com/patient-resources/patient-financial-resources/financial-assistance X https://www.sahealth.com/patient-resources/patient-financial-resources/financial-assistance X X X X X X X true X false X X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN EACH HOSPITAL FACILITY'S CHNA ARE PRESENTED AS A PRIORITIZED DESCRIPTION. Schedule H, Part V, Section B, Line 3 Facility A, 1 Facility A, 1 - Group A. IN 2022, EACH METHODIST HOSPITAL, AS WELL AS THE SYSTEM (MHS), ADOPTED THE HEALTH PRIORITY AREAS BASED UPON THE BEXAR COUNTY COMMUNITY HEALTH ASSESSMENT (UNDERTAKEN BY THE HEALTH COLLABORATIVE), THE BEXAR COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) AND THE SA 2020 GOALS. ADDITIONAL INFORMATION ABOUT THE HEALTH COLLABORATIVE'S ASSESSMENT PROCESS IS NOTED BELOW. IT IS IMPORTANT TO NOTE THAT THE FIVE PRIORITY AREAS IDENTIFIED IN THE PRIOR CHNA HAVE NOT CHANGED IN THE 2022 PLAN. IN 2019, EACH METHODIST HOSPITAL, AS WELL AS THE SYSTEM, ADOPTED THE HEALTH PRIORITY AREAS BASED UPON THE BEXAR COUNTY COMMUNITY HEALTH ASSESSMENT (UNDERTAKEN BY THE HEALTH COLLABORATIVE), THE BEXAR COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) AND THE SA 2020 GOALS. ADDITIONAL INFORMATION ABOUT THE HEALTH COLLABORATIVE'S ASSESSMENT PROCESS IS NOTED BELOW. IT IS IMPORTANT TO NOTE THAT THE FIVE PRIORITY AREAS IDENTIFIED IN THE PRIOR CHNA HAVE NOT CHANGED IN THE 2019 PLAN. IN 2013, MHS'S IMPLEMENTATION STRATEGY, INCLUDING AN EXECUTION PLAN AND PRIORITIZATION OF HEALTH NEEDS, SERVICES AND METRICS FOR EACH HOSPITAL WERE PRESENTED TO AND APPROVED BY THE MHS COMMUNITY BENEFITS COMMITTEE, THE MHS COMMUNITY BOARD, THE MHS BOARD OF GOVERNORS, AND THE METHODIST HEALTHCARE MINISTRIES BOARD OF GOVERNORS. IN 2016, THE MHS COMMUNITY BENEFITS COMMITTEE, THE MHS COMMUNITY BOARD AND THE MHS BOARD OF GOVERNORS APPROVED THE IMPLEMENTATION STRATEGY FOR 2017 - 2019. IN 2019, THE MHS COMMUNITY BENEFITS COMMITTEE, THE MHS COMMUNITY BOARD AND THE MHS BOARD OF GOVERNORS APPROVED THE IMPLEMENTATION STRATEGY FOR 2020-2022, AND IN 2022 THE SAME GROUPS APPROVED THE IMPLEMENTATION STRATEGY FOR 2023-2025. METHODIST HEALTHCARE MINISTRIES (MHM) AND MHS ARE MEMBERS OF THE HEALTH COLLABORATIVE (THC) WHICH CONSISTS OF THE FOLLOWING MEMBERS: APPDICTION STUDIOS, BAPTIST HEALTH SYSTEM, CHRISTUS SANTA ROSA HEALTH SYSTEM, BEXAR COUNTY DEPARTMENT OF COMMUNITY RESOURCES, COMMUNITY FIRST HEALTH PLANS, SAN ANTONIO METROPOLITAN HEALTH DISTRICT (METRO HEALTH), INTERLEX COMMUNICATIONS, OUR LADY OF THE LAKE UNIVERSITY, SAN ANTONIO CLUBHOUSE, UNIVERSITY HEALTH SYSTEM, THE UNIVERSITY OF THE INCARNATE WORD, THE UT HEALTH SCIENCE CENTER AT SAN ANTONIO DEPT. OF FAMILY AND COMMUNITY MEDICINE, THE YMCA AND COMMUNITY MEMBERS AT LARGE. FUNDERS OF THC COMMUNITY HEALTH ASSESSMENT ARE BAPTIST HEALTH FOUNDATION, BEXAR COUNTY, THE KRONKOSKY CHARITABLE FOUNDATION, THE UNITED WAY OF SAN ANTONIO, SAN ANTONIO METROPOLITAN HEALTH DEPARTMENT AND MHM. AS NOTED ABOVE, METHODIST HEALTHCARE SYSTEM (MHS) IS A PARTNER OF THC. THE COLLABORATIVE UNDERTAKES A COUNTY-WIDE COMMUNITY ASSESSMENT STUDY EVERY THREE YEARS TO GUIDE THE COMMUNITY HEALTH STRATEGIC PLANNING PROCESS. FOR THE 2019 ASSESSMENT PROCESS, THE COLLABORATIVE SHIFTED TO A REGIONAL FOCUS, EXPANDING THE ASSESSMENT TO INCLUDE BEXAR COUNTY, AND ATASCOSA COUNTY. ATASCOSA COUNTY IS LOCATED JUST SOUTH OF BEXAR COUNTY, HOWEVER THE ASSESSMENT NOTED MARKED DIFFERENCES IN MANY SOCIAL DETERMINANTS AS WELL AS DIFFERENCES IN HEALTH BEHAVIORS AND RISK. FOR 2022, THE HEALTH COLLABORATIVE DETERMINED THAT SEPARATE ASSESSMENTS WOULD BE CONDUCTED FOR BEXAR AND ATASCOSA COUNTIES, HOWEVER THE FIVE PRIORITY AREAS IDENTIFIED IN THE 2019 PLAN FOR BOTH BEXAR AND ATASCOSA COUNTIES CONTINUE IN BOTH THE BEXAR AND ATASCOSA COMMUNITY HEALTH NEEDS ASSESSMENTS FOR 2022. THC CONTRACTED WITH COMMUNITY INFORMATION NOW (CI:NOW), A NONPROFIT LOCAL DATA INTERMEDIARY SERVING SOUTH CENTRAL TEXAS, FOR QUANTITATIVE DATA COLLECTION AND ANALYSIS AND FOR DEVELOPMENT OF THE ASSESSMENT NARRATIVE. THE HEALTH COLLABORATIVE'S VOLUNTEER COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE PROVIDED DIRECTION ON GENERAL APPROACH, SCOPE, POTENTIAL DATA SOURCES, DATA INTERPRETATION AND HIGHLIGHTS, AND MEDIA MESSAGING. THE HEALTH COLLABORATIVE STAFF HANDLED ALL RECRUITMENT, SCHEDULING AND MODERATING OF THE FOCUS GROUPS AND KEY INFORMATION INTERVIEWS. QUALITATIVE ANALYSIS WAS CONDUCTED BY CI:NOW USING A GROUNDED THEORY THEMATIC ANALYSIS IN THE PROGRAM DEDOOSE. THE 2022 ASSESSMENT CONTAINS QUANTITATIVE DATA ON APPROXIMATELY 150 INDICATORS, EACH BROKEN OUT BY RACE/ETHNICITY GROUP AND SUB-COUNTY GEOGRAPHY (ZIP CODE TABULATION AREA [ZCTA], SECTOR, CENSUS TRACT OR BLOCK GROUP) WHEREVER POSSIBLE. INDICATORS WERE ALSO DISAGGREGATED BY AGE GROUP AND SEX WHERE THOSE VARIABLES WERE THOUGHT TO ADD CRITICAL INFORMATION. THE LIST OF INDICATORS WAS DEVELOPED OVER SEVERAL MONTHS AND FINALIZED IN FEBRUARY OF 2022. THE 2022 ASSESSMENT REFINED THE INDICATOR LIST TO PRIORITIZE HEALTH OUTCOME INDICATORS AND SOCIAL DETERMINANT INDICATORS THAT WERE NOT ALREADY BETTER-ADDRESSED IN SOME OTHER VERY RECENT LOCAL REPORTS. INDICATORS FOR WHICH NO NEW DATA WAS AVAILABLE SINCE THE 2019 REPORT WAS ELIMINATED. SOME OTHER 2019 HEALTHCARE ACCESS AND UTILIZATION INDICATORS WERE CUT BECAUSE THEY WILL BE COVERED IN MUCH GREATER DETAIL IN A SEPARATE REPORT EXPECTED TO BE RELEASED IN EARLY 2023. THE FOLLOWING SOURCES WERE USED HEAVILY FOR THE 2022 ASSESSMENT: -POPULATION AND HOUSING DATA FROM THE U.S. CENSUS BUREAU 2010 SUMMARY FILE 1 -POPULATION ESTIMATES AND PROJECTIONS FROM THE TEXAS STATE DEMOGRAPHIC CENTER AT THE UNIVERSITY OF TEXAS AT SAN ANTONIO -PHYSICAL, SOCIAL, AND ECONOMIC CONDITIONS DATA FROM THE U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY ONE-YEAR ESTIMATES, FIVE-YEAR ESTIMATES, AND SUPPLEMENTAL ESTIMATES -CRIME DATA FROM THE U.S. DEPARTMENT OF JUSTICE UNIFORM CRIME REPORT -BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), VITAL STATISTICS, INJURY, BLOOD LEAD, HOSPITAL DISCHARGES, HOSPITAL BED, AND HEALTH PROFESSIONS DATA FROM THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES HEALTH DATA QUERY SYSTEM AND BY SPECIAL REQUEST -MEDICAID AND PUBLIC HEALTH BENEFITS DATA FROM THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION -MORTALITY DATA FROM THE CDC WONDER QUERY SYSTEM -MOTOR VEHICLE CRASH DATA FROM THE TEXAS DEPARTMENT OF TRANSPORTATION -COMMUNICABLE DISEASE AND VITAL STATISTICS DATA FROM THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES. Schedule H, Part V, Section B, Line 3 Facility A, 2 Facility A, 2 - GROUP A, CONTINUED. USING INFORMATION FROM THE 2016 COLLABORATIVE'S COMMUNITY HEALTH NEEDS ASSESSMENT, AS WELL AS OTHER DATA, MHS DEVELOPED INDIVIDUAL PLANS FOR EACH CAMPUS, WHICH INCLUDED A 3- YEAR PLAN FOR 2017-2019. THE IMPLEMENTATION STRATEGY INCLUDES THE FOLLOWING: COMMUNICATION PLAN, PRIORITY INITIATIVE WORK PLAN, ROLE AND RESPONSIBILITY ASSIGNMENTS, AND MEASURES/INDICATORS FOR SUCCESS ALONG WITH BASELINE DATA. ADDITIONAL MONITORING OF THE PLAN WILL OCCUR THROUGH THE QUARTERLY COMMUNITY BENEFITS REPORTS TO THE MHS COMMUNITY BENEFITS COMMITTEE AND THE ANNUAL CHARITY CARE REPORT. THE 2017-2019 PLAN HAS BEEN APPROVED BY THE MHS COMMUNITY BENEFITS COMMITTEE, THE MHS COMMUNITY BOARD, AND THE MHS BOARD OF GOVERNORS. MHS USED INFORMATION FROM THE COLLABORATIVE'S 2019 COMMUNITY HEALTH NEEDS ASSESSMENT TO DEVELOP A 3-YEAR PLAN FOR 2020-2022. LIKE THE IMPLEMENTATION STRATEGY DEVELOPED FOR THE 2017-2019 PLAN, THE PLAN FOR 2020-2022 INCLUDES A COMMUNICATION PLAN, A PRIORITY INITIATIVE WORK PLAN, ROLE AND RESPONSIBILITY ASSIGNMENTS, AND MEASURES/INDICATORS FOR SUCCESS. MONITORING WILL CONTINUE THROUGH THE QUARTERLY REPORTS TO THE MHS COMMUNITY BENEFITS COMMITTEE, AND THE MHS ANNUAL CHARITY CARE REPORT. THE 2020-2022 PLAN HAS BEEN APPROVED BY THE MHS COMMUNITY BENEFITS COMMITTEE, THE MHS COMMUNITY BOARD, AND THE MHS BOARD OF GOVERNORS. MHS USED INFORMATION FROM THE COLLABORATIVE'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT TO DEVELOP A 3-YEAR PLAN FOR 2023-2025. LIKE THE IMPLEMENTATION STRATEGY DEVELOPED FOR THE 2020-2022 PLAN, THE PLAN FOR 2023-2025 INCLUDES A COMMUNICATION PLAN, A PRIROTY INITIATIVE WORK PLAN, ROLE AND RESPONSIBILITY ASSIGNMENTS, AND MESASURES/INDICATORS FOR SUCCESS. MONITORING WILL CONTINUE THROUGH THE QUARTERLY REPORTS TO THE MHS COMMUNITY BENEFITS COMMITTEE, AND THE MHS ANNUAL CHARITY CARE REPORT. THE 2023-2025 PLAN HAS BEEN APPROVED BY THE MHS COMMUNITY BENEFITS COMMITTEE, THE MHS COMMUNITY BOARD, AND THE MHS BOARD OF GOVERNORS. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - GROUP A. AS NOTED ABOVE, THE COLLABORATIVE AND THE CHNA STEERING COMMITTEE VOLUNTEER FOCUS GROUP PARTICIPANTS WERE SELECTED WITH AN EYE TOWARD ENGAGING IN MEANINGFUL AND SUBSTANTIVE INPUT FROM MEDICALLY UNDERSERVED LOW-INCOME AND MINORITY POPULATIONS. THE FOCUS GROUP QUESTIONS WERE DEVELOPED BY THE HEALTH COLLABORATIVE, THE CHNA STEERING COMMITTEE, AND THE UT HEALTH HOUSTON SCHOOL OF PUBLIC HEALTH IN SAN ANTONIO. THE HEALTH COLLABORATIVE SCHEDULED FIVE FOCUS GROUPS AND SIX KEY INFORMANT INTERVIEWS WITH THE HELP OF ITS PARTNERING AGENCIES: THE MEXICAN AMERICAN UNITY COUNCIL, THE RAZAKAAR FOUNDATION WITH INTERPRETER SUPPORT FROM SHUKRIYA HOTOKAY, THE HOUSE OF NEIGHBORLY SERVICE, HARPER'S CHAPEL MINISTRIES, MEADOWS MENTAL HEALTH POLICY, SAN ANTONIO AREA FOUNDATION, ALAMO WORKFORCE SOLUTIONS, SAN ANTONIO METROPOLITAN HEALTH DISTRICT, THE CITY OF SAN ANTONIO, AND SOUTHSIDE INDEPENDENT SCHOOL DISTRICT. UTHEALTH FACILITATED AND RECORDED THE INTERVIEWS. AS WITH THE BEXAR ASSESSMENT, THE GILLESPIE, BLANCO AND KENDALL COUNTY ASSESSMENT TARGETED SIMILARLY SITUATED FOCUS GROUP PARTICIPANTS TO ENSURE INPUT FROM UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. STRATASAN FACILITATED THE INTERVIEW PROCESS FOR THE HOSPITAL. Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - GROUP A. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: METHODIST HEALTHCARE SYSTEM (METHODIST HOSPITAL, METHODIST CHILDREN'S HOSPITAL, A CAMPUS OF METHODIST HOSPITAL, METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT HOSPITAL, A CAMPUS OF METHODIST HOSPITAL, METHODIST HOSPITAL | METROPOLITAN, A CAMPUS OF METHODIST HOSPITAL, METHODIST HOSPITAL | NORTHEAST, A CAMPUS OF METHODIST HOSPITAL, METHODIST HOSPITAL | TEXSAN , A CAMPUS OF METHODIST HOSPITAL, METHODIST HOSPITAL | STONE OAK, METHODIST HOSPITAL | ATASCOSA; BAPTIST HEALTH SYSTEM (BAPTIST MEDICAL CENTER, NORTH CENTRAL BAPTIST HOSPITAL, MISSION TRAILS BAPTIST HOSPITAL, ST. LUKE'S BAPTIST HOSPITAL, NORTHEAST BAPTIST HOSPITAL); CHRISTUS SANTA ROSA HEALTH SYSTEM (CHRISTUS SANTA ROSA MEDICAL CENTER, CHRISTUS SANTA ROSA WESTOVER HILLS, CHILDREN'S HOSPITAL OF SAN ANTONIO) AND UNIVERSITY HOSPITAL. Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - GROUP A. IN ADDITION TO THE HOSPITAL FACILITIES LISTED ABOVE, THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN CONJUNCTION WITH THE FOLLOWING NON-HOSPITAL ORGANIZATIONS: APPDICTION STUDIO, BEXAR COUNTY DEPARTMENT OF COMMUNITY RESOURCES, COMMUNITY FIRST HEALTH PLANS, INTERLEX COMMUNICATIONS, METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC., THE CITY OF SAN ANTONIO METROPOLITAN HEALTH DISTRICT, OUR LADY OF THE LAKE UNIVERSITY, SAN ANTONIO CLUBHOUSE, THE UNIVERSITY OF THE INCARNATE WORD, THE UT HEALTH SCIENCE CENTER AT SAN ANTONIO DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE, THE YMCA OF GREATER SAN ANTONIO, AND COMMUNITY MEMBERS AT LARGE. Schedule H, Part V, Section B, Line 7 Facility A, 1 Facility A, 1 - GROUP A. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON THE FOLLOWING WEBSITES, AND ALSO IS AVAILABLE UPON REQUEST FROM THE HOSPITAL. HTTPS://SAHEALTH.COM/ABOUT/COMMUNITY HTTPS://WWW.HEALTHCOLLABORATIVE.NET THE LINK AVAILABLE ON SAHEALTH.COM INCLUDES THE CHNA ASSESSMENTS FOR BEXAR, ATASCOSA, GILLESPIE, BLANCO, AND KENDALL COUNTIES. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - GROUP A. AS NOTED ABOVE, METHODIST HEALTHCARE SYSTEM (MHS) HAS DEVELOPED A COMMUNITY HEALTH IMPROVEMENT PLAN BASED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT. PRIORITIES AND SPECIFIC TACTICS INCLUDE THE FOLLOWING, WITH THE INITIAL IMPLEMENTATION IN 2014, AND YEARLY UPDATES THROUGH 2023. METHODIST HEALTHCARE SYSTEM'S COMMUNITY HEALTH IMPROVEMENT PLAN INCLUDED THE FOLLOWING: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -COMMUNITY GOAL - TO FOSTER SOCIAL CHANGE AND STRENGTHEN POSITIVE BEHAVIORS AROUND HEALTHY EATING AND ACTIVE LIVING TO ENSURE ACCESS TO NUTRITIOUS FOODS AND BUILD ENVIRONMENTS THAT ENABLE ALL RESIDENTS TO MAKE HEALTHY CHOICES AND LEAD HEALTHY LIVES. TACTICS: COMMUNITY HEALTH PRIORITY NO. 1: -HOST AN ANNUAL FOOD DRIVE THAT BENEFITS THE SAN ANTONIO FOOD BANK. METHODIST HELD 1 SYSTEM-WIDE DRIVE AND COLLECTED 225,132 SERVINGS. -CONTINUE TO PROVIDE HEALTH SCREENING SERVICES AT COMMUNITY EVENTS (COVID-19 CONDITIONS PERMITTING) OR THROUGH ONLINE HEALTH RISK ASSESSMENTS. THE ONLINE HEALTH RISK ASSESSMENT PROVIDES SCREENING FOR WEIGHT LOSS, HEALTHY HEART, KNEE & HIP, BREAST CANCER, LUNG DISEASE, COLORECTAL DISEASE, AND STROKE RISK. 3,136 INDIVIDUALS COMPLETED ONLINE HEALTH RISK ASSESSMENTS IN 2023 (3,880 IN 2022). -CONTINUE INVOLVEMENT WITH THE HEALTHY ME PROGRAM IN PARTNERSHIP WITH THE HEALTH COLLABORATIVE. STATISTICS ARE INCLUDED AS PART OF THE OUTREACH PROGRAMS LISTED BELOW. -CONTINUE OUTREACH PROGRAMS GEARED TOWARD IMPROVING THE HEALTH AND WELLNESS OF THE COMMUNITY THROUGH FREE HEALTH EDUCATION SEMINARS ON HEALTHY EATING AND ACTIVE LIVING, HEALTH SERVICES, AND EXERCISE ACTIVITIES. METHODIST HELD 19 OUTREACH EVENTS WITH 8,544 IN ATTENDANCE IN 2023. METHODIST'S ATHLETIC TRAINERS PROVIDED SERVICES AT 2,372 LOCAL HIGH SCHOOL SPORTING EVENTS DURING 2023. -METHODIST HEALTHCARE SYSTEM MADE MONETARY CONTRIBUTIONS TOTALING $585,700 TO MULTIPLE CHARITABLE ORGANIZATIONS TO INCLUDE THE AMERICAN HEART ASSOCIATION, THE AMERICAN CANCER SOCIETY, TEXAS CAVALIERS, UNITED WAY, AND THE AMERICAN RED CROSS. -METHODIST CONTINUED VIRTUAL OUTREACH IN 2023 COVERING TOPICS SUCH AS BREAST CANCER AND HEART HEALTH. METHODIST ALSO PRODUCED THE "KEEPING WELL" PUBLICATION WITH 3 ISSUES MAILED DURING 2023. METHODIST ALSO PUBLISHED 4 ISSUES OF "METHODIST MAGAZINE" IN 2023. THIS PUBLICATION, GEARED TO MHS EMPLOYEES AND CLINICAL STAFF. TRACKING DATA AND METRICS FOR METHODIST'S WEBSITE SAHEALTH.COM, CHANGED IN 2023, AND COMPLETE REPORTING DATA WAS NOT AVAILABLE, HOWEVER PARTIAL YEAR DATA FOR 2023 NOTED 969,929 VIEWS. METHODIST EXPECTS TO RESUME TRACKING IN THE SECOND QUARTER OF 2024. -METHODIST ALSO CONTINUED ITS PRESENCE ON SOCIAL MEDIA, AND NOTED 943 NEW FACEBOOK FANS, 1,015 NEW INSTAGRAM FOLLOWERS, AND 2,078 LINKEDIN CONNECTIONS. YOU TUBE FOLLOWERS WERE NOT TRACKED IN 2023. COMMUNITY HEALTH PRIORITY NO 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -COMMUNITY GOAL - TO MAKE PREGNANCY AND EARLY CHILDHOOD THE FOCUS OF SYSTEM LEVEL CHANGES THAT SUPPORT HEALTHY CHILD AND FAMILY DEVELOPMENT. TACTICS: COMMUNITY HEALTH PRIORITY NO. 2: -CONTINUE TO OFFER COMPLIMENTARY PREGNANCY TESTING AND PHYSICIAN REFERRALS THROUGH METHODIST FAMILY HEALTH CENTERS. IN 2023, THERE WERE 1,483 VISITS AND PREGNANCY TESTS PROVIDED (914 in 2022). -THE METHODIST COMMUNITY HEALTH CENTER -EAST ON SAN ANTONIO'S EAST SIDE, OFFERS SERVICES FREE OF CHARGE. IN 2023, THE CLINIC LOGGED 1,150 VISITS. -CONTINUE TO OFFER CALL-A-NURSE FOR CHILDREN HEALTH LINE TELEPHONE SERVICES, WHICH OFFERS FREE MEDICAL ADVICE TO PARENTS OF SICK OR INJURED CHILDREN. IN 2023, THE CALL A NURSE LINE LOGGED 33,310 CALLS. CALL A NURSE AND THE METHODIST HEALTH LINE ALSO PROVIDED 2,093 PHYSICIAN REFERRALS IN 2023. -CONTINUE TO OFFER THE COMMUNITY PARENTING CLASSES, CAR SEAT INSTALLATIONS, CAR SEAT DISTRIBUTIONS AND LACTATION CONSULTATIONS. METHODIST PROVIDED 84 CAR SEATS AND CONDUCTED 195 SESSIONS FOR CAR SEAT INSTALLATION. METHODIST PROVIDED 5,378 OUTPATIENT LACTATION CONSULTATIONS (6,315 IN 2022) AND IN-PERSON CHILDBIRTH EDUCATION CLASSES IN 2023 WITH 3,208 IN ATTENDANCE. IT IS IMPORTANT TO NOTE THAT 2022 LACTATION CONSULTATION DATA INCLUDED BOTH INPATIENT AND OUTPATIENT CONSULTS. IN ORDER TO MORE ACCURATELY ASSESS SERVICES PROVIDED TO THE COMMUNITY, MHS COUNTED ONLY OUTPATIENT CONSULTATIONS IN 2023. METHODIST ALSO DISTRIBUTED 29 PACK AND PLAY SYSTEMS AS PART OF THE SAFE SLEEP INITIATIVE THAT STARTED IN 2022. -METHODIST PARTNERED WITH THE HEALTH COLLABORATIVE TO SERVE LOCAL EMPLOYER GROUPS THROUGH THE COLLABORATIVE'S PATHWAYS COMMUNITY HUB. METHODIST PROVIDED ASSISTANCE TO 392 COMMUNITY HUB CLIENTS IN 2023. -METHODIST FUNDED $6,500 IN SCHOLARSHIPS FOR STUDENTS PURSUING CAREERS IN HEALTHCARE THROUGH THE BOERNE FSER AND CONTRIBUTIONS TO THE REY FEO FOUNDATION. -METHODIST FACILITIES CONDUCTED 2 BACK-TO-SCHOOL DRIVES IN 2023. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -COMMUNITY GOAL - TO DEVELOP SAFE NEIGHBORHOODS BY IDENTIFYING WHAT WORKS LOCALLY, PLANNING HOW TO REPLICATE SUCCESS IN OUR NEIGHBORHOODS, AND ENHANCING SYSTEMS THAT RESPOND EFFECTIVELY TO COMMUNITY IDENTIFIED SAFETY NEEDS. TACTICS: COMMUNITY HEALTH PRIORITY NO. 3: -PARTNER WITH METHODIST HEALTHCARE SERVICE AREA POLICE DEPARTMENTS AND HOST AN ANNUAL SUBSTANCE TAKE-BACK DAY TO REDUCE THE PREVALENCE OF OVERPRESCRIBED PRESCRIPTIONS IN HOUSEHOLDS. METHODIST COLLECTED 1,638 POUNDS OF PRESCRIPTION DRUGS IN 2023. -PARTNER WITH THE AMERICAN HEART ASSOCIATION TO OFFER HANDS-ONLY CPR CLASSES TO THE COMMUNITY AND CONDUCT POST EVALUATION TO MEASURE KNOWLEDGE GAINED. METHODIST ALSO PARTNERS WITH THE SOUTH TEXAS REGIONAL ADVISORY COUNCIL (STRAC) TO OFFER "STOP THE BLEED" PROGRAMS TO THE COMMUNITY. METHODIST ALSO SPONSORED SEVERAL SEXUAL ASSAULT RESPONSE TRAINING (SART) SESSIONS IN 2023. METHODIST LOGGED 46 EVENTS WITH 8,232 ATTENDEES FOR THESE PROGRAMS. -METHODIST ALSO PROVIDED CARE TO 700 SEXUAL ASSAULT VICTIMS SEEKING TREATMENT IN 2023 AND 15 CHILD ABUSE RESOURCE EDUCATION CONSULTS (2023 REPORTING FOR PARTIAL YEAR). -METHODIST OFFERS TRANSPORTATION SERVICES, HEALTH BUS AND WELL WALDO'S WHEELS AND PROVIDED 6,962 TRANSPORTS IN 2023. IN 2022, METHODIST STARTED A NEW PROGRAM TO PROVIDE COMPLIMENTARY RIDES HOME FROM MHS HOSPITALS. METHODIST PROVIDED 15,826 RIDES IN 2023. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL HEALTH AND MENTAL WELL-BEING -COMMUNITY GOAL - TO IMPROVE COMPREHENSIVE BEHAVIORAL HEALTH SERVICES AND ACCESS FOR ALL. TACTICS: COMMUNITY HEALTH PRIORITY NO. 4: - METHODIST HEALTHARE TELE-PSYCHIATRY PROGRAM IMPROVES ACCESS TO PSYCHIATRISTS AS WELL AS PLACEMENT TO THE APPROPRIATE SETTING. METHODIST PROVIDED 13,258 TELE-PSYCHIATRY CONSULTATIONS IN 2023. -METHODIST PROVIDED BEHAVIORAL HEALTH TRAINING AT 42 EVENTS WITH 430 CLINICAL STAFFERS IN ATTENDANCE. -METHODIST HOSTED 594 EVENTS FOCUSING ON MENTAL HEALTH ISSUES WITH 8,768 IN ATTENDANCE DURING 2023. -CONTINUE TO PROVIDE ONGOING 24/7/365 PASTORAL CARE PRESENCE WITH PATIENTS, FAMILIES AND HEALTHCARE PROFESSIONALS WITH CHAPLAIN CLINICIANS. METHODIST'S CHAPLAIN CLINICIANS MET WITH 362,986 PATIENTS/FAMILIES IN 2023 AND PROVIDED 11,390 BEREAVEMENT SUPPORT VISITS. -METHODIST'S THREE EMS DOGS LOGGED 6,200 VISITS OUTSIDE OF MHS FACILITIES IN 2023. METHODIST'S IN-HOUSE SUPPORT ANIMALS (2 DOGS) VISITED 4,467 PATIENTS IN 2023 . -METHODIST BEGAN OFFERING A VIRTUAL EDUCATION PROGRAM, EVERFI MENTAL WELLNESS BASICS FREE OF CHARGE TO 8TH-10TH GRADE STUDENTS IN THE COMMUNITY. 329 STUDENTS AND 10 TEACHERS AT 10 SCHOOLS PARTICIPATED IN THIS PROGRAM IN 2023. -METHODIST PARTNERED WITH THE CENTER FOR HEALTHCARE SERVICES AND THE SOUTHWEST TEXAS REGIONAL ADVISORY COMMITTEE (STRAC) TO PROVIDE 4,476 DAYS OF CARE FOR UNFUNDED PATIENTS. THE CENTER FOR HEALTHCARE SERVICES REIMBURSES PARTICIPATING FACILITIES AT A SET RATE THROUGH THIS PROGRAM. COMMUNITY HEALTH PRIORITY NO. 5: SEXUAL HEALTH -COMMUNITY GOAL - TO IMPROVE THE SEXUAL HEALTH OF METHODIST HEALTHCARE'S COMMUNITY BY OFFERING FREE SEXUAL HEALTH SCREENINGS AND FREE OR LOW-COST HUMAN PAPILLOMAVIRUS (HPV) VACCINATIONS. TACTICS: COMMUNITY HEALTH PRIORITY NO. 5: -PROVIDE FREE HUMAN IMMUNODEFICIENCY VIRUS (HIV) SCREENING TESTS TO THE COMMUNITY IN METHODIST HEALTHCARE SERVICE AREAS. METHODIST'S CAMPUSES PROVIDED 11,661 HIV SCREENINGS IN 2023 AT METHODIST HOSPITAL | METROPOLITAN AND METHODIST HOSPITAL | NORTHEAST. -SEE INFORMATION REPORTED ABOVE RELATED TO EVENTS AND PRESENTATIONS. THE INFORMATION ABOVE REFLECTS THE PLAN FOR MHS SYSTEM. Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -PROVIDE DIABETES EDUCATION TO PATIENTS LIVING WITH, OR AT RISK FOR, DIABETES PRIOR TO DISCHARGE AND OFFER CLASSES TO THE COMMUNITY. 1,551 DIABETES EDUCATION VISITS WERE PROVIDED IN 2023. -CONDUCT AN ANNUAL HEALTHY FOOD DRIVE FOR THE SAN ANTONIO FOOD BANK AND PROVIDE VOLUNTEER SUPPORT BY METHODIST HOSPITAL STAFF. METHODIST HEALTHCARE SYSTEM (MHS) HELD A CEREAL DRIVE IN 2023 AND COLLECTED 225,132 SERVINGS. -METHODIST CONTRIBUTED OVER $20,000 TO THE LEUKEMIA AND LYMPHOMA SOCIETY AS A SPONSOR OF THEIR "LIGHT THE NIGHT" EVENT. -METHODIST HOSPITAL SPONSORED MONTHLY "WALK WITH A DOC" EVENTS, AND 262 INDIVIDUALS PARTICIPATED IN 2023. COMMUNITY HEALTH PRIORITY NO 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -OFFER THE COMMUNITY PARENTING CLASSES INCLUDING "BUCKLE UP BABY, GETTING READY FOR CHILDBIRTH, PEEK-A-BOO TOURS AND INFANT AND CHILD CPR". SEE MHS INFORMATION ABOVE. -PARTNER WITH GLEN OAKS ELEMENTARY IN THE NORTHSIDE INDEPENDENT SCHOOL DISTRICT TO ADOPT THE SCHOOL AND PROVIDE AT LEAST TWO SCHOOL SUPPLY DRIVES EACH YEAR. ONE DRIVE WAS HELD IN 2023. -PROVIDE THE COMMUNITY WITH COMPLIMENTARY LACTATION CONSULTATION IN-PERSON AND OVER THE PHONE. SEE MHS INFORMATION ABOVE. -METHODIST FUNDED A STUDENT SCHOLARSHIP FOR $1,500 IN 2023. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -METHODIST HOSPITAL NOTED THAT 71 UNITS OF BLOOD WERE COLLECTED AT BLOOD DRIVES IN 2023. -METHODIST HOSPITAL DISTRIBUTED 29 PACK AND PLAY UNITS AS PART OF ITS SAFE SLEEP PROGRAM. -METHODIST HOSPITAL PROVIDED 2,135 RIDES TO PATIENTS IN 2023 (THESE NUMBERS ARE PART OF THE MHS TOTAL NOTED ABOVE). -METHODIST HOSPITAL PARTICIPATED IN THE 2023 CRUSH THE CRISIS EVENT. SEE MHS INFOMRATION ABOVE. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL HEALTH AND MENTAL WELL-BEING -THIS PRIORITY IS ADDRESSED AT THE SYSTEM LEVEL. PLEASE REFER TO COMMENTS IN THE MHS SECTION ABOVE. -METHODIST HOSPITAL'S THERAPY DOG VISITED 4,020 PATIENTS IN 2023. BAMBI, THE MINI HORSE DID NOT MAKE COMMUNITY VISITS IN 2023, AS SHE DID NOT HAVE A HANDLER. COMMUNITY HEALTH PRIORITY NO 5: SEXUAL HEALTH -SEE MHS INFORMATION ABOVE. Schedule H, Part V, Section B, Line 11 Facility A, 3 Facility A, 3 - GROUP A, CONTINUED. RESULTS FROM METHODIST CHILDREN'S HOSPITAL ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -PARTNER WITH THE BEXAR COUNTY HEALTH COLLABORATIVE IN THE HEALTHY ME HEALTHY WE PROGRAM - 75 SESSIONS WITH 412 IN ATTENDANCE WERE HELD IN 2023. -CONDUCT AN ANNUAL HEALTHY FOOD DRIVE FOR THE SAN ANTONIO FOOD BANK AND PROVIDE VOLUNTEER SUPPORT BY METHODIST HOSPITAL STAFF. METHODIST HEALTHCARE SYSTEM (MHS) HELD A CEREAL DRIVE IN 2023, AND COLLECTED 225,132 SERVINGS. -HOST CAMP BRAVE HEARTS EVENTS - 1 EVENT WAS HELD IN 2023 WITH 25 IN ATTENDANCE. COMMUNITY HEALTH PRIORITY NO 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -OFFER THE COMMUNITY PARENTING CLASSES INCLUDING "BUCKLE UP BABY, GETTING READY FOR CHILDBIRTH, PEEK-A-BOO TOURS AND INFANT AND CHILD CPR". SEE MHS INFORMATION ABOVE. -METHODIST CHIDREN'S PLANNED TO HOST SESSIONS FOR GRANDPARENTS RAISING GRANDCHILDREN IN PARTNERSHIP WITH THE BEXAR COUNTY HEALTH COLLABORATIVE, BUT THIS PROGRAM DID NOT OCCUR IN 2023. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -METHODIST CHILDREN'S HOSPITAL DISTRIBUTED 79 CAR SEATS AND PROVIDED INSTALLATION INSTRUCTION TO 194 FAMILIES IN 2023. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL HEALTH AND MENTAL WELL-BEING -METHODIST CHILDREN'S HOSPITAL OFFERS A SENSORY FRIENDLY HOSPITAL PROGRAM TO NEURODIVERSE CHILDREN AND THEIR FAMILIES. 1,600 PATIENTS PARTICIPATED IN 2023. -METHODIST CHILDREN'S HOSPITAL OFFERED CRAFTING SESSIONS TO PATIENTS (CRAFTS WITH CARRIE). 135 CHILDREN ATTENDED 8 SESSION IN 2023. -THE "GAME TIME WITH ALEXANDER" CONTINUED IN 2023, AND 446 CHILDREN PARTICIPATED. COMMUNITY HEALTH PRIORITY NO 5: SEXUAL HEALTH SEE MHS INFORMATION ABOVE. Schedule H, Part V, Section B, Line 11 Facility A, 4 Facility A, 4 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL | METROPOLITAN ("METROPOLITAN") ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO 1: HEALTHY EATING AND ACTIVE LIVING -PROVIDE DIABETES EDUCATION TO PATIENTS LIVING WITH , OR AT RISK FOR, DIABETES PRIOR TO DISCHARGE AND OFFER CLASSES TO THE COMMUNITY. 689 DIABETES EDUCATION VISITS WERE PROVIDED IN 2023. -METHODIST HOSPITAL | METROPOLITAN HOSTED 4 BREAST CANCER AWARENESS EVENTS WITH 322 PARTICIPANTS IN 2023. -METHODIST HOSPITAL | METROPOLITAN ALSO HOSTED BREAST CANCER SUPPORT GROUP MEETINGS 133 INDIVIDUALS ATTENDED 8 SESSIONS IN 2023. -METHODIST HOSPITAL | METROPOLITAN HOSTED 13 BARIATRIC INFORMATIONAL SESSIONS IN 2023 WITH 71 IN ATTENDANCE. COMMUNITY HEALTH PRIORITY NO 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -CONTINUE TO OFFER COMPLIMENTARY PREGNANCY TESTING AND PHYSICIAN REFERRALS THROUGH METHODIST FAMILY HEALTH CENTERS. IN 2023, THERE WERE 1,483 VISITS/PREGNANCY TESTS PROVIDED (914 IN 2022). -THE METHODIST COMMUNITY HEALTH CENTER ON SAN ANTONIO'S EAST SIDE, OFFERS SERVICES FREE OF CHARGE. IN 2023, THE CLINIC LOGGED 1,150 VISITS. -METHODIST HOSPITAL | METROPOLITAN HOSTED ONE BACK-TO-SCHOOL DRIVE IN 2023 FOR BOOKER T WASHINGTON ELEMENTARY SCHOOL. HOSPITAL EMPLOYEES DONATED 350 SUPPLY ITEMS TO THE SCHOOL. COMMUNITY HEALTH PRIORITY NO 3: SAFE COMMUNITIES -METHODIST HOSPITAL | METROPOLITAN PARTICIPATED IN THE 2023 CRUSH THE CRISIS EVENT. SEE MHS INFORMATION ABOVE. COMMUNITY HEALTH PRIORITY NO 4: BEHAVIORAL AND MENTAL WELL BEING -THIS PRIORITY IS ADDRESSED AT THE SYSTEM LEVEL. PLEASE REFER TO COMMENTS IN THE METHODIST HEALTHCARE SYSTEM (MHS) SECTION ABOVE. COMMUNITY HEALTH PRIORITY NO 5: SEXUAL HEALTH -PROVIDE FREE HUMAN IMMUNODEFICIENCY VIRUS (HIV) SCREENING TESTS TO THE COMMUNITY IN METHODIST HEALTHCARE SERVICE AREAS. METHODIST'S CAMPUSES PROVIDED 11,661 HIV SCREENINGS IN 2023 AT METHODIST HOSPITAL | METROPOLITAN AND METHODIST HOSPITAL | NORTHEAST. Schedule H, Part V, Section B, Line 11 Facility A, 5 Facility A, 5 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL | STONE OAK ("MSOH") ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -METHODIST HOSPITAL | STONE OAK EMPLOYEES HELD A FOOD DRIVE AND COLLECTED 7 BARRELS OF FOOD FOR THE SAN ANTONIO FOOD BANK IN 2023. COMMUNITY HEALTH PRIORITY NO. 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -OFFER THE COMMUNITY PARENTING CLASSES INCLUDING "BUCKLE UP BABY, GETTING READY FOR CHILDBIRTH, PEEK-A-BOO TOURS AND INFANT AND CHILD CPR". SEE MHS INFORMATION ABOVE. -METHODIST HOSPITAL | STONE OAK EMPLOYEES PARTICIPATED IN DR. SEUSS DAY/READING ACROSS AMERICA IN 2023. EMPLOYEES READ TO STUDENTS AT 12 SCHOOLS. -METHODIST HOSPITAL | STONE OAK EMPLOYEES VOLUNTEERED AT THE RONALD MCDONALD HOUSE IN 2023, SERVING LUNCHES TO FAMILIES. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -METHODIST HOSPITAL | STONE OAK EMPLOYEES DONATED 21 UNITS OF BLOOD TO THE SOUTH TEXAS BLOOD AND TISSUE CENTER IN 2023. -METHODIST HOSPITAL | STONE OAK DISTRIBUTED 14 CAR SEATS AND PROVIDED CAR SEAT INSTALLATION INSTRUCTION TO 45 FAMILIES IN 2023. -METHODIST HOSPITAL | STONE OAK PARTICIPATED IN THE 2023 CRUSH THE CRISIS EVENT. SEE MHS INFORMATION ABOVE. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL HEALTH AND MENTAL WELL-BEING -THIS PRIORITY IS ADDRESSED AT THE SYSTEM LEVEL. PLEASE REFER TO COMMENTS IN THE MHS SECTION ABOVE. -METHODIST HOSPITAL | STONE OAK PARTNERS WITH THE HEARTS NEED ART ORGANIZATION TO PROVIDE LIVE MUSIC AND ART ACTIVITIES TO PATIENTS AND STAFF. COMMUNITY HEALTH PRIORITY NO 5: SEXUAL HEALTH -SEE MHS INFORMATION ABOVE. Schedule H, Part V, Section B, Line 11 Facility A, 6 Facility A, 6 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL | NORTHEAST ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -PROVIDE DIABETES EDUCATION TO PATIENTS LIVING WITH, OR AT RISK FOR, DIABETES PRIOR TO DISCHARGE AND OFFER CLASSES TO THE COMMUNITY. 562 DIABETES EDUCATION VISITS WERE PROVIDED IN 2023. -METHODIST HOSPITAL | NORTHEAST EMPLOYEES HOSTED A FOOD DRIVE FOR THE SAN ANTONIO FOOD BANK AND DELIVERED 3 TRUCK LOADS OF FOOD; COLLECTED 225,132 SERVINGS. -METHODIST HOSPITAL | NORTHEAST PARTICIPATED IN THE CONVERSE HEALTH AND HOME FAIR. 371 INDIVIDUALS ATTENDED IN 2023. COMMUNITY HEALTH PRIORITY NO. 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -METHODIST HOSPITAL | NORTHEAST HAD PLANNED, BUT DID NOT HOST ANY BACK-TO-SCHOOL DRIVES IN 2023. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -METHODIST HOSPITAL | NORTHEAST SPONSORED THE SKYLIGHT BALLOON FESTIVAL. 18,000 INDIVIDUALS ATTENDED THE EVENT IN 2023. COMMUNITY HEALTH PRIORITY NO. 4 : BEHAVIORAL AND MENTAL WELL BEING -THIS PRIORITY IS ADDRESSED AT THE SYSTEM LEVEL. PLEASE REFER TO COMMENTS IN THE METHODIST HEALTHCARE SYSTEM (MHS) SECTION ABOVE. -METHODIST HOSPITAL | NORTHEAST PARTNERS WITH THE HEARTS NEED ART ORGANIZATION TO PROVIDE LIVE MUSIC AND ART ACTIVITIES TO PATIENTS AND STAFF. COMMUNITY HEALTH PRIORITY NO. 5 : SEXUAL HEALTH -PROVIDE FREE HUMAN IMMOUNODEFICIENCY VIRUS (HIV) SCREENING TESTS TO THE COMMUNITY IN METHODIST HEALTHCARE SERVICE AREAS. METHODIST'S CAMPUSES PROVIDED 11,661 HIV SCREENINGS IN 2023 AT METHODIST HOSPITAL | METROPOLITAN AND METHODIST HOSPITAL | NORTHEAST. Schedule H, Part V, Section B, Line 11 Facility A, 7 Facility A, 7 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -PROVIDE DIABETES EDUCATION TO PATIENTS LIVING WITH, OR AT RISK FOR, DIABETES PRIOR TO DISCHARGE AND OFFER CLASSES TO THE COMMUNITY. 3,114 DIABETES EDUCATION VISITS WERE PROVIDED IN 2023. -METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT HOSTED 5 BARIATRIC PROGRAM SESSIONS IN 2023 WITH 90 IN ATTENDANCE. -METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT WAS AN EVENT SPONSOR FOR THE WALK TO END PKD (POLYCYSTIC KIDNEY DISEASE), CONTRIBUTING $2,500 FOR THIS EVENT. COMMUNITY HEALTH PRIORITY NO. 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT HAD PLANNED TO HOST A BACK TO SCHOOL DRIVE IN 2023, BUT THAT DID NOT OCCUR. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT EMPLOYEES DONATED 27 UNITS OF BLOOD TO THE SOUTH TEXAS BLOOD AND TISSUE CENTER IN 2023. -METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT'S SEXUAL ASSAULT RESPONSE TEAM PROVIDED CARE TO 700 SEXUAL ASSAULT VICTIMS SEEKING TREATMENT IN 2023, AND 15 CHILD ABUSE RESOURCE EDUCATION CONSULTS (2023 REPORTING FOR PARTIAL YEAR). THE SART TEAM ALSO CONSULTED ON 379 OTHER CASES IN 2023. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL AND MENTAL WELL BEING -METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT'S PSYCHIATRIC EMERGENCY SERVICE AND MOBILE CRISIS OBSERVATION TEAM PROVIDED 4,476 DAYS OF CARE TO INDIVIDUALS SEEKING TREATMENT FOR MENTAL ILLNESS IN 2023. COMMUNITY HEALTH PRIORITY NO. 5: SEXUAL HEALTH -METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT SPONSORED THE ZERO PROSTATE CANCER RUN IN 2023 AND CONTRIBUTED $2,500. -METHODIST HOSPTIAL | SPECIALTY AND TRANSPLANT ALSO SPONSORED PRESENTATIONS ON SECUAL ASSAULT AND HUMAN TRAFFICKING. 7 SESSIONS OCCRED WITH 98 IN ATTENDANCE AND 5 HUMAN TRAFFICKING SESSIONS OCCURRED WITH 121 IN ATTENDANCE. Schedule H, Part V, Section B, Line 11 Facility A, 8 Facility A, 8 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL | TEXSAN ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO 1: HEALTHY EATING AND ACTIVE LIVING -METHODIST CONTRIBUTED OVER $20,000 TO THE LEUKEMIA AND LYMPHOMA SOCIETY AS A SPONSOR OF THEIR "LIGHT THE NIGHT" EVENT. METHODIST HOSPITAL | TEXSAN EMPLOYEES PARTICIPATED IN THIS EVENT. -METHODIST HOSPITAL | TEXSAN EMPLOYEES ALSO PARTICIPATED IN THE ROWAN WINDHAM CEREAL DRIVE - SEE MHS INFORMATION ABOVE. COMMUNITY HEALTH PRIORITY NO 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -METHODIST HOSPITAL | TEXSAN HOSTED A BACK-TO-SCHOOL DRIVE TO SUPPORT ARNOLD ELEMENTARY IN 2023. COMMUNITY HEALTH PRIORITY NO 3: SAFE COMMUNITIES -METHODIST HOSPITAL | TEXSAN EMPLOYEES DONATED 27 UNITS OF BLOOD TO THE SOUTH TEXAS BLOOD AND TISSUE CENTER IN 2023. COMMUNITY HEALTH PRIORITY NO 4: BEHAVIORAL AND MENTAL WELL BEING -THIS PRIORITY IS ADDRESSED AT THE SYSTEM LEVEL. PLEASE REFER TO COMMENTS IN THE MHS SECTION ABOVE. COMMUNITY HEALTH PRIORITY NO 5: SEXUAL HEALTH SEE MHS INFORMATION ABOVE. Schedule H, Part V, Section B, Line 11 Facility A, 9 Facility A, 9 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL | ATASCOSA ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO 1: HEALTHY EATING AND ACTIVE LIVING -METHODIST HOSPITAL | ATASCOSA EMPLOYEES SPONSORED A FOOD DRIVE FOR JOURDANTON ISD STUDENTS. THE PROGRAM PROVIDES STUDENTS FOOD OVER EXTENDED SCHOOL BREAKS. 60 STUDENTS WERE SERVED IN 2023. COMMUNITY HEALTH PRIORITY NO 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -METHODIST HOSPTIAL | ATASCOSA EMPLOYEES DONATED BLANKETS AND GIFTS FOR SENIOR CITIZENS RESIDING IN LOCAL NURSING HOMES IN 2023. - METHODIST HOSPTIAL | ATASCOSA DONATED $10,000 TO THE ATASCOSA LIVESTOCK SALE. PROCEEDS FROM THE SALE ARE USED TO FUND STUDENT SCHOLARSHIPS. COMMUNITY HEALTH PRIORITY NO 3: SAFE COMMUNITIES -METHODIST HOSPITAL | ATASCOSA DONATED 37 UNITS OF BLOOD IN 2023. COMMUNITY HEALTH PRIORITY NO 4: BEHAVIORAL AND MENTAL WELL BEING -THIS PRIORITY IS ADDRESSED AT THE SYSTEM LEVEL. PLEASE REFER TO COMMENTS IN THE MHS SECTION ABOVE. COMMUNITY HEALTH PRIORITY NO 5: SEXUAL HEALTH SEE MHS INFORMATION ABOVE. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - GROUP A. METHODIST HEALTHCARE SYSTEM USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. THE FOLLOWING IS A SUMMARY OF THE CHARITY CARE POLICY ADOPTED BY METHODIST HEALTHCARE SYSTEM AND METHODIST HEALTHCARE MINISTRIES: FINANCIAL ASSISTANCE ELIGIBILITY SYSTEM -METHODIST REQUIRES THE COMPLETION OF AN APPLICATION, WHICH ALLOWS FOR THE COLLECTION OF APPROPRIATE INFORMATION. -VERIFICATION OF FAMILY MEMBERS IN THE HOUSEHOLD - ADULTS: PATIENT, PATIENT'S SPOUSE AND ANY DEPENDENTS. MINORS: PATIENT, PATIENT'S MOTHER AND FATHER, AND DEPENDENTS OF BOTH. -INCOME CALCULATION - ADULTS: SUM OF THE TOTAL YEARLY GROSS INCOME OF THE PATIENT AND THE PATIENT'S SPOUSE. MINORS: TOTAL YEARLY GROSS INCOME OF THE PATIENT, AND THE PATIENT'S MOTHER AND FATHER. -DOCUMENTATION - VARIOUS OFFICIAL INCOME REPORTING DOCUMENTATION IS REQUIRED (E.G. W-2, WAGE AND TAX STATEMENT, PAYCHECK REMITTANCE AND OTHERS). DOCUMENTATION ASSOCIATED WITH THE PARTICIPATION IN A PUBLIC BENEFIT PROGRAM CAN BE PROVIDED IN LIEU OF INCOME DOCUMENTATION (PROOF OF PARTICIPATION INDICATES THE PATIENT HAS BEEN DEEMED FINANCIALLY INDIGENT AND THEREFORE IS NOT REQUIRED TO PROVIDE INCOME INFORMATION). THERE IS ALSO A VERIFICATION PROCESS IN PLACE FOR PATIENTS THAT DO NOT HAVE APPROPRIATE DOCUMENTATION. -ZIP CODE WRITE-OFF ELIGIBILITY - METHODIST WILL ACCEPT UNINSURED RESIDENTIAL INDIGENT PATIENTS AS ELIGIBLE FOR CHARITY WRITE-OFF UPON EXHAUSTION OF INSURANCE ELIGIBILITY DETERMINATION (I.E. MEDICAID) AND EFFORTS TO OBTAIN A COMPLETED CHARITY APPLICATION WITH SUPPORTING PROOF OF INCOME. THE WRITE-OFF WILL APPLY TO ALL PATIENT TYPES. A RESIDENTIAL INDIGENT PATIENT IS AN UNINSURED PERSON WHO IS ACCEPTED FOR CARE WITH NO OBLIGATION OR WITH A DISCOUNTED OBLIGATION TO PAY FOR THE SERVICES RENDERED, AND LIVES IN SPECIFICALLY DEFINED ZIP CODES--THOSE WITH HIGH POVERTY POPULATIONS. FOR THE YEAR ENDED DECEMBER 31, 2023, THE CHARITY CARE WRITE OFF RELATED TO THIS ELIGIBILITY PROCESS WAS $273.2 MILLION ($318.6 MILLION IN 2022). CHARITY ELIGIBILITY CLASSIFICATIONS -FINANCIALLY INDIGENT - YEARLY INCOME IS LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY GUIDELINES. -MEDICALLY INDIGENT - THE AMOUNT OWED BY THE PATIENT AFTER PAYMENT BY ALL THIRD-PARTY PAYORS MUST EXCEED TEN PERCENT OF THE PATIENT'S YEARLY INCOME AND THE PATIENT MUST BE UNABLE TO PAY THE REMAINING BILL. ACCEPTANCE BY MHS IS BASED ON MEETING EITHER OF TWO CRITERIA: YEARLY INCOME MUST BE GREATER THAN 200%, BUT LESS THAN OR EQUAL TO 500% OF THE FEDERAL POVERTY GUIDELINES. ALTERNATIVELY, PATIENTS WITH ABNORMALLY LARGE ACCOUNTS MAY QUALIFY AS CATASTROPHICALLY ELIGIBLE WHEN THEIR REMAINING BALANCE EXCEEDS A SPECIFIC PERCENTAGE OF THEIR INCOME. IT IS IMPORTANT TO NOTE THAT THE GUIDELINES APPLIED FOR CATASTROPHIC ELIGIBILITY RANGE FROM 201% OF THE FEDERAL POVERTY GUIDELINES TO OVER 1000% OF THE FEDERAL POVERTY GUIDELINES. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - GROUP A. METHODIST HEALTHCARE SYSTEM USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. THE FOLLOWING IS A SUMMARY OF THE CHARITY CARE POLICY ADOPTED BY METHODIST HEALTHCARE SYSTEM AND METHODIST HEALTHCARE MINISTRIES: FINANCIAL ASSISTANCE ELIGIBILITY SYSTEM -METHODIST REQUIRES THE COMPLETION OF AN APPLICATION, WHICH ALLOWS FOR THE COLLECTION OF APPROPRIATE INFORMATION. -VERIFICATION OF FAMILY MEMBERS IN THE HOUSEHOLD - ADULTS: PATIENT, PATIENT'S SPOUSE AND ANY DEPENDENTS. MINORS: PATIENT, PATIENT'S MOTHER AND FATHER, AND DEPENDENTS OF BOTH. -INCOME CALCULATION - ADULTS: SUM OF THE TOTAL YEARLY GROSS INCOME OF THE PATIENT AND THE PATIENT'S SPOUSE. MINORS: TOTAL YEARLY GROSS INCOME OF THE PATIENT, AND THE PATIENT'S MOTHER AND FATHER. -DOCUMENTATION - VARIOUS OFFICIAL INCOME REPORTING DOCUMENTATION IS REQUIRED (E.G. W-2, WAGE AND TAX STATEMENT, PAYCHECK REMITTANCE AND OTHERS). DOCUMENTATION ASSOCIATED WITH THE PARTICIPATION IN A PUBLIC BENEFIT PROGRAM CAN BE PROVIDED IN LIEU OF INCOME DOCUMENTATION (PROOF OF PARTICIPATION INDICATES THE PATIENT HAS BEEN DEEMED FINANCIALLY INDIGENT AND THEREFORE IS NOT REQUIRED TO PROVIDE INCOME INFORMATION). THERE IS ALSO A VERIFICATION PROCESS IN PLACE FOR PATIENTS THAT DO NOT HAVE APPROPRIATE DOCUMENTATION. -ZIP CODE WRITE-OFF ELIGIBILITY - METHODIST WILL ACCEPT UNINSURED RESIDENTIAL INDIGENT PATIENTS AS ELIGIBLE FOR CHARITY WRITE-OFF UPON EXHAUSTION OF INSURANCE ELIGIBILITY DETERMINATION (I.E. MEDICAID) AND EFFORTS TO OBTAIN A COMPLETED CHARITY APPLICATION WITH SUPPORTING PROOF OF INCOME. THE WRITE-OFF WILL APPLY TO ALL PATIENT TYPES. A RESIDENTIAL INDIGENT PATIENT IS AN UNINSURED PERSON WHO IS ACCEPTED FOR CARE WITH NO OBLIGATION OR WITH A DISCOUNTED OBLIGATION TO PAY FOR THE SERVICES RENDERED, AND LIVES IN SPECIFICALLY DEFINED ZIP CODES--THOSE WITH HIGH POVERTY POPULATIONS. FOR THE YEAR ENDED DECEMBER 31, 2023 THE CHARITY CARE WRITE OFF RELATED TO THIS ELIGIBILITY PROCESS WAS $273.2 MILLION ($318.6 MILLION IN 2022). CHARITY ELIGIBILITY CLASSIFICATIONS -FINANCIALLY INDIGENT - YEARLY INCOME IS LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY GUIDELINES. -MEDICALLY INDIGENT - THE AMOUNT OWED BY THE PATIENT AFTER PAYMENT BY ALL THIRD-PARTY PAYORS MUST EXCEED TEN PERCENT OF THE PATIENT'S YEARLY INCOME AND THE PATIENT MUST BE UNABLE TO PAY THE REMAINING BILL. ACCEPTANCE BY MHS IS BASED ON MEETING EITHER OF TWO CRITERIA: YEARLY INCOME MUST BE GREATER THAN 200%, BUT LESS THAN OR EQUAL TO 500% OF THE FEDERAL POVERTY GUIDELINES. ALTERNATIVELY, PATIENTS WITH ABNORMALLY LARGE ACCOUNTS MAY QUALIFY AS CATASTROPHICALLY ELIGIBLE WHEN THEIR REMAINING BALANCE EXCEEDS A SPECIFIC PERCENTAGE OF THEIR INCOME. IT IS IMPORTANT TO NOTE THAT THE GUIDELINES APPLIED FOR CATASTROPHIC ELIGIBILITY RANGE FROM 201% OF THE FEDERAL POVERTY GUIDELINES TO OVER 1000% OF THE FEDERAL POVERTY GUIDELINES. Schedule H, Part V, Section B, Line 15 Facility A, 1 Facility A, 1 - GROUP A. METHODIST HEALTHCARE SYSTEM USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. THE FOLLOWING IS A SUMMARY OF THE CHARITY CARE POLICY ADOPTED BY METHODIST HEALTHCARE SYSTEM AND METHODIST HEALTHCARE MINISTRIES: FINANCIAL ASSISTANCE ELIGIBILITY SYSTEM -METHODIST REQUIRES THE COMPLETION OF AN APPLICATION, WHICH ALLOWS FOR THE COLLECTION OF APPROPRIATE INFORMATION. -VERIFICATION OF FAMILY MEMBERS IN THE HOUSEHOLD - ADULTS: PATIENT, PATIENT'S SPOUSE AND ANY DEPENDENTS. MINORS: PATIENT, PATIENT'S MOTHER AND FATHER, AND DEPENDENTS OF BOTH. -INCOME CALCULATION - ADULTS: SUM OF THE TOTAL YEARLY GROSS INCOME OF THE PATIENT AND THE PATIENT'S SPOUSE. MINORS: TOTAL YEARLY GROSS INCOME OF THE PATIENT, AND THE PATIENT'S MOTHER AND FATHER. -DOCUMENTATION - VARIOUS OFFICIAL INCOME REPORTING DOCUMENTATION IS REQUIRED (E.G. W-2, WAGE AND TAX STATEMENT, PAYCHECK REMITTANCE AND OTHERS). DOCUMENTATION ASSOCIATED WITH THE PARTICIPATION IN A PUBLIC BENEFIT PROGRAM CAN BE PROVIDED IN LIEU OF INCOME DOCUMENTATION (PROOF OF PARTICIPATION INDICATES THE PATIENT HAS BEEN DEEMED FINANCIALLY INDIGENT AND THEREFORE IS NOT REQUIRED TO PROVIDE INCOME INFORMATION). THERE IS ALSO A VERIFICATION PROCESS IN PLACE FOR PATIENTS THAT DO NOT HAVE APPROPRIATE DOCUMENTATION. -ZIP CODE WRITE-OFF ELIGIBILITY - METHODIST WILL ACCEPT UNINSURED RESIDENTIAL INDIGENT PATIENTS AS ELIGIBLE FOR CHARITY WRITE-OFF UPON EXHAUSTION OF INSURANCE ELIGIBILITY DETERMINATION (I.E. MEDICAID) AND EFFORTS TO OBTAIN A COMPLETED CHARITY APPLICATION WITH SUPPORTING PROOF OF INCOME. THE WRITE-OFF WILL APPLY TO ALL PATIENT TYPES. A RESIDENTIAL INDIGENT PATIENT IS AN UNINSURED PERSON WHO IS ACCEPTED FOR CARE WITH NO OBLIGATION OR WITH A DISCOUNTED OBLIGATION TO PAY FOR THE SERVICES RENDERED, AND LIVES IN SPECIFICALLY DEFINED ZIP CODES--THOSE WITH HIGH POVERTY POPULATIONS. FOR THE YEAR ENDED DECEMBER 31, 2023, THE CHARITY CARE WRITE OFF RELATED TO THIS ELIGIBILITY PROCESS WAS $273.2 MILLION ($318.6 MILLION IN 2022). CHARITY ELIGIBILITY CLASSIFICATIONS -FINANCIALLY INDIGENT - YEARLY INCOME IS LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY GUIDELINES. -MEDICALLY INDIGENT - THE AMOUNT OWED BY THE PATIENT AFTER PAYMENT BY ALL THIRD-PARTY PAYORS MUST EXCEED TEN PERCENT OF THE PATIENT'S YEARLY INCOME AND THE PATIENT MUST BE UNABLE TO PAY THE REMAINING BILL. ACCEPTANCE BY MHS IS BASED ON MEETING EITHER OF TWO CRITERIA: YEARLY INCOME MUST BE GREATER THAN 200%, BUT LESS THAN OR EQUAL TO 500% OF THE FEDERAL POVERTY GUIDELINES. ALTERNATIVELY, PATIENTS WITH ABNORMALLY LARGE ACCOUNTS MAY QUALIFY AS CATASTROPHICALLY ELIGIBLE WHEN THEIR REMAINING BALANCE EXCEEDS A SPECIFIC PERCENTAGE OF THEIR INCOME. IT IS IMPORTANT TO NOTE THAT THE GUIDELINES APPLIED FOR CATASTROPHIC ELIGIBILITY RANGE FROM 201% OF THE FEDERAL POVERTY GUIDELINES TO OVER 1000% OF THE FEDERAL POVERTY GUIDELINES. Schedule H, Part V, Section B, Line 16 Facility A, 1 Facility A, 1 - GROUP A. MHS HAS TAKEN STEPS OVER THE PAST SEVERAL YEARS TO HEIGHTEN COMMUNITY AWARENESS REGARDING MHS'S CHARITABLE MISSION. SIGNS THAT PROMINENTLY PRESENT INFORMATION ABOUT THE CHARITY MISSION AND GUIDELINES ARE PRESENT AT ALL POINTS OF ADMISSION. MHS ALSO PUBLISHES A NOTICE OF ITS FINANCIAL ASSISTANCE POLICY ANNUALLY IN THE SAN ANTONIO EXPRESS-NEWS. A PATIENT BROCHURE, ENTITLED "A GUIDE TO YOUR HOSPITAL BILL", EXPLAINS THE HOSPITAL BILLING PROCESS AND INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY IN THE EVENT THEY NEED FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS ALSO AVAILABLE IN ENGLISH AND SPANISH ON MHS'S WEBSITE WWW.SAHEALTH.COM. ALL SHARED SERVICE CENTER PERSONNEL RECEIVE TRAINING AND AN ANNUAL REFRESHER COURSE ON THE POLICY AND UNDERSTAND THE CRUCIAL ROLE THEY PLAY IN INFORMING PATIENTS ABOUT THE POLICY. FINANCIAL COUNSELORS AND HOSPITAL CASE MANAGEMENT STAFF EDUCATE PATIENTS AND ARE AVAILABLE TO ASSIST THEM WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. IN ADDITION TO PROVIDING INFORMATION DURING THE ADMITTING PROCESS, MHS CONTINUES TO PROVIDE INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THE COLLECTION PROCESS FOR THOSE PATIENTS WHO HAVE BEEN BILLED BUT HAVE NOT PAID. Schedule H, Part V, Section B, Line 20 Facility A, 1 Facility A, 1 - GROUP A. MHS HAS TAKEN STEPS OVER THE PAST SEVERAL YEARS TO HEIGHTEN COMMUNITY AWARENESS REGARDING MHS'S CHARITABLE MISSION. SIGNS THAT PROMINENTLY PRESENT INFORMATION ABOUT THE CHARITY MISSION AND GUIDELINES ARE PRESENT AT ALL POINTS OF ADMISSION. MHS ALSO PUBLISHES A NOTICE OF ITS CHARITY POLICY ANNUALLY IN THE SAN ANTONIO EXPRESS-NEWS. A PATIENT BROCHURE, ENTITLED "A GUIDE TO YOUR HOSPITAL BILL", EXPLAINS THE HOSPITAL BILLING PROCESS AND INFORMS PATIENTS OF THE CHARITY POLICY IN THE EVENT THEY NEED FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS ALSO AVAILABLE IN ENGLISH AND SPANISH ON MHS'S WEBSITE WWW.SAHEALTH.COM. ALL SHARED SERVICE CENTER PERSONNEL RECEIVE TRAINING AND AN ANNUAL REFRESHER COURSE ON THE POLICY AND UNDERSTAND THE CRUCIAL ROLE THEY PLAY IN INFORMING PATIENTS ABOUT THE POLICY. FINANCIAL COUNSELORS AND HOSPITAL CASE MANAGEMENT STAFF EDUCATE PATIENTS AND ARE AVAILABLE TO ASSIST THEM WITH THE CHARITY CARE APPLICATION PROCESS. IN ADDITION TO PROVIDING INFORMATION DURING THE ADMITTING PROCESS, MHS CONTINUES TO PROVIDE INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THE COLLECTION PROCESS FOR THOSE PATIENTS WHO HAVE BEEN BILLED BUT HAVE NOT PAID. Schedule H, Part V, Section B, Line 2 On March 31, 2023, Methodist Healthcare System of San Antonio acquired and licensed an 84-bed general acute care community hospital that consists of eight medical clinics, one immediate care clinic, an ambulatory surgery center, and a home health and hospice agency from Hill Country Memorial Hospital, a Texas not-for-profit corporation and a 501(c)(3) tax-exempt charitable entity. Methodist Hospital Landmark, a surgical hospital for shorter patient stays, was licensed on August 18, 2023 and began operating late in 2023. Schedule H, Part V, Section B, Line 13 Facility B, 1 Facility B, 1 - GROUP B. METHODIST HEALTHCARE SYSTEM USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. THE FOLLOWING IS A SUMMARY OF THE CHARITY CARE POLICY ADOPTED BY METHODIST HEALTHCARE SYSTEM AND METHODIST HEALTHCARE MINISTRIES: FINANCIAL ASSISTANCE ELIGIBILITY SYSTEM -METHODIST REQUIRES THE COMPLETION OF AN APPLICATION, WHICH ALLOWS FOR THE COLLECTION OF APPROPRIATE INFORMATION. -VERIFICATION OF FAMILY MEMBERS IN THE HOUSEHOLD - ADULTS: PATIENT, PATIENT'S SPOUSE AND ANY DEPENDENTS. MINORS: PATIENT, PATIENT'S MOTHER AND FATHER, AND DEPENDENTS OF BOTH. -INCOME CALCULATION - ADULTS: SUM OF THE TOTAL YEARLY GROSS INCOME OF THE PATIENT AND THE PATIENT'S SPOUSE. MINORS: TOTAL YEARLY GROSS INCOME OF THE PATIENT, AND THE PATIENT'S MOTHER AND FATHER. -DOCUMENTATION - VARIOUS OFFICIAL INCOME REPORTING DOCUMENTATION IS REQUIRED (E.G. W-2, WAGE AND TAX STATEMENT, PAYCHECK REMITTANCE AND OTHERS). DOCUMENTATION ASSOCIATED WITH THE PARTICIPATION IN A PUBLIC BENEFIT PROGRAM CAN BE PROVIDED IN LIEU OF INCOME DOCUMENTATION (PROOF OF PARTICIPATION INDICATES THE PATIENT HAS BEEN DEEMED FINANCIALLY INDIGENT AND THEREFORE IS NOT REQUIRED TO PROVIDE INCOME INFORMATION). THERE IS ALSO A VERIFICATION PROCESS IN PLACE FOR PATIENTS THAT DO NOT HAVE APPROPRIATE DOCUMENTATION. -ZIP CODE WRITE-OFF ELIGIBILITY - METHODIST WILL ACCEPT UNINSURED RESIDENTIAL INDIGENT PATIENTS AS ELIGIBLE FOR CHARITY WRITE-OFF UPON EXHAUSTION OF INSURANCE ELIGIBILITY DETERMINATION (I.E. MEDICAID) AND EFFORTS TO OBTAIN A COMPLETED CHARITY APPLICATION WITH SUPPORTING PROOF OF INCOME. THE WRITE-OFF WILL APPLY TO ALL PATIENT TYPES. A RESIDENTIAL INDIGENT PATIENT IS AN UNINSURED PERSON WHO IS ACCEPTED FOR CARE WITH NO OBLIGATION OR WITH A DISCOUNTED OBLIGATION TO PAY FOR THE SERVICES RENDERED, AND LIVES IN SPECIFICALLY DEFINED ZIP CODES--THOSE WITH HIGH POVERTY POPULATIONS. FOR THE YEAR ENDED DECEMBER 31, 2023, THE CHARITY CARE WRITE OFF RELATED TO THIS ELIGIBILITY PROCESS WAS $273.2 MILLION ($318.6 MILLION IN 2022). CHARITY ELIGIBILITY CLASSIFICATIONS -FINANCIALLY INDIGENT - YEARLY INCOME IS LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY GUIDELINES. -MEDICALLY INDIGENT - THE AMOUNT OWED BY THE PATIENT AFTER PAYMENT BY ALL THIRD-PARTY PAYORS MUST EXCEED TEN PERCENT OF THE PATIENT'S YEARLY INCOME AND THE PATIENT MUST BE UNABLE TO PAY THE REMAINING BILL. ACCEPTANCE BY MHS IS BASED ON MEETING EITHER OF TWO CRITERIA: YEARLY INCOME MUST BE GREATER THAN 200%, BUT LESS THAN OR EQUAL TO 500% OF THE FEDERAL POVERTY GUIDELINES. ALTERNATIVELY, PATIENTS WITH ABNORMALLY LARGE ACCOUNTS MAY QUALIFY AS CATASTROPHICALLY ELIGIBLE WHEN THEIR REMAINING BALANCE EXCEEDS A SPECIFIC PERCENTAGE OF THEIR INCOME. IT IS IMPORTANT TO NOTE THAT THE GUIDELINES APPLIED FOR CATASTROPHIC ELIGIBILITY RANGE FROM 201% OF THE FEDERAL POVERTY GUIDELINES TO OVER 1000% OF THE FEDERAL POVERTY GUIDELINES. Schedule H, Part V, Section B, Line 13 Facility B, 1 Facility B, 1 - GROUP B. METHODIST HEALTHCARE SYSTEM USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. THE FOLLOWING IS A SUMMARY OF THE CHARITY CARE POLICY ADOPTED BY METHODIST HEALTHCARE SYSTEM AND METHODIST HEALTHCARE MINISTRIES: FINANCIAL ASSISTANCE ELIGIBILITY SYSTEM -METHODIST REQUIRES THE COMPLETION OF AN APPLICATION, WHICH ALLOWS FOR THE COLLECTION OF APPROPRIATE INFORMATION. -VERIFICATION OF FAMILY MEMBERS IN THE HOUSEHOLD - ADULTS: PATIENT, PATIENT'S SPOUSE AND ANY DEPENDENTS. MINORS: PATIENT, PATIENT'S MOTHER AND FATHER, AND DEPENDENTS OF BOTH. -INCOME CALCULATION - ADULTS: SUM OF THE TOTAL YEARLY GROSS INCOME OF THE PATIENT AND THE PATIENT'S SPOUSE. MINORS: TOTAL YEARLY GROSS INCOME OF THE PATIENT, AND THE PATIENT'S MOTHER AND FATHER. -DOCUMENTATION - VARIOUS OFFICIAL INCOME REPORTING DOCUMENTATION IS REQUIRED (E.G. W-2, WAGE AND TAX STATEMENT, PAYCHECK REMITTANCE AND OTHERS). DOCUMENTATION ASSOCIATED WITH THE PARTICIPATION IN A PUBLIC BENEFIT PROGRAM CAN BE PROVIDED IN LIEU OF INCOME DOCUMENTATION (PROOF OF PARTICIPATION INDICATES THE PATIENT HAS BEEN DEEMED FINANCIALLY INDIGENT AND THEREFORE IS NOT REQUIRED TO PROVIDE INCOME INFORMATION). THERE IS ALSO A VERIFICATION PROCESS IN PLACE FOR PATIENTS THAT DO NOT HAVE APPROPRIATE DOCUMENTATION. -ZIP CODE WRITE-OFF ELIGIBILITY - METHODIST WILL ACCEPT UNINSURED RESIDENTIAL INDIGENT PATIENTS AS ELIGIBLE FOR CHARITY WRITE-OFF UPON EXHAUSTION OF INSURANCE ELIGIBILITY DETERMINATION (I.E. MEDICAID) AND EFFORTS TO OBTAIN A COMPLETED CHARITY APPLICATION WITH SUPPORTING PROOF OF INCOME. THE WRITE-OFF WILL APPLY TO ALL PATIENT TYPES. A RESIDENTIAL INDIGENT PATIENT IS AN UNINSURED PERSON WHO IS ACCEPTED FOR CARE WITH NO OBLIGATION OR WITH A DISCOUNTED OBLIGATION TO PAY FOR THE SERVICES RENDERED, AND LIVES IN SPECIFICALLY DEFINED ZIP CODES--THOSE WITH HIGH POVERTY POPULATIONS. FOR THE YEAR ENDED DECEMBER 31, 2023 THE CHARITY CARE WRITE OFF RELATED TO THIS ELIGIBILITY PROCESS WAS $273.2 MILLION ($318.6 MILLION IN 2022). CHARITY ELIGIBILITY CLASSIFICATIONS -FINANCIALLY INDIGENT - YEARLY INCOME IS LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY GUIDELINES. -MEDICALLY INDIGENT - THE AMOUNT OWED BY THE PATIENT AFTER PAYMENT BY ALL THIRD-PARTY PAYORS MUST EXCEED TEN PERCENT OF THE PATIENT'S YEARLY INCOME AND THE PATIENT MUST BE UNABLE TO PAY THE REMAINING BILL. ACCEPTANCE BY MHS IS BASED ON MEETING EITHER OF TWO CRITERIA: YEARLY INCOME MUST BE GREATER THAN 200%, BUT LESS THAN OR EQUAL TO 500% OF THE FEDERAL POVERTY GUIDELINES. ALTERNATIVELY, PATIENTS WITH ABNORMALLY LARGE ACCOUNTS MAY QUALIFY AS CATASTROPHICALLY ELIGIBLE WHEN THEIR REMAINING BALANCE EXCEEDS A SPECIFIC PERCENTAGE OF THEIR INCOME. IT IS IMPORTANT TO NOTE THAT THE GUIDELINES APPLIED FOR CATASTROPHIC ELIGIBILITY RANGE FROM 201% OF THE FEDERAL POVERTY GUIDELINES TO OVER 1000% OF THE FEDERAL POVERTY GUIDELINES. Schedule H, Part V, Section B, Line 15 Facility B, 1 Facility B, 1 - GROUP B. METHODIST HEALTHCARE SYSTEM USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. THE FOLLOWING IS A SUMMARY OF THE CHARITY CARE POLICY ADOPTED BY METHODIST HEALTHCARE SYSTEM AND METHODIST HEALTHCARE MINISTRIES: FINANCIAL ASSISTANCE ELIGIBILITY SYSTEM -METHODIST REQUIRES THE COMPLETION OF AN APPLICATION, WHICH ALLOWS FOR THE COLLECTION OF APPROPRIATE INFORMATION. -VERIFICATION OF FAMILY MEMBERS IN THE HOUSEHOLD - ADULTS: PATIENT, PATIENT'S SPOUSE AND ANY DEPENDENTS. MINORS: PATIENT, PATIENT'S MOTHER AND FATHER, AND DEPENDENTS OF BOTH. -INCOME CALCULATION - ADULTS: SUM OF THE TOTAL YEARLY GROSS INCOME OF THE PATIENT AND THE PATIENT'S SPOUSE. MINORS: TOTAL YEARLY GROSS INCOME OF THE PATIENT, AND THE PATIENT'S MOTHER AND FATHER. -DOCUMENTATION - VARIOUS OFFICIAL INCOME REPORTING DOCUMENTATION IS REQUIRED (E.G. W-2, WAGE AND TAX STATEMENT, PAYCHECK REMITTANCE AND OTHERS). DOCUMENTATION ASSOCIATED WITH THE PARTICIPATION IN A PUBLIC BENEFIT PROGRAM CAN BE PROVIDED IN LIEU OF INCOME DOCUMENTATION (PROOF OF PARTICIPATION INDICATES THE PATIENT HAS BEEN DEEMED FINANCIALLY INDIGENT AND THEREFORE IS NOT REQUIRED TO PROVIDE INCOME INFORMATION). THERE IS ALSO A VERIFICATION PROCESS IN PLACE FOR PATIENTS THAT DO NOT HAVE APPROPRIATE DOCUMENTATION. -ZIP CODE WRITE-OFF ELIGIBILITY - METHODIST WILL ACCEPT UNINSURED RESIDENTIAL INDIGENT PATIENTS AS ELIGIBLE FOR CHARITY WRITE-OFF UPON EXHAUSTION OF INSURANCE ELIGIBILITY DETERMINATION (I.E. MEDICAID) AND EFFORTS TO OBTAIN A COMPLETED CHARITY APPLICATION WITH SUPPORTING PROOF OF INCOME. THE WRITE-OFF WILL APPLY TO ALL PATIENT TYPES. A RESIDENTIAL INDIGENT PATIENT IS AN UNINSURED PERSON WHO IS ACCEPTED FOR CARE WITH NO OBLIGATION OR WITH A DISCOUNTED OBLIGATION TO PAY FOR THE SERVICES RENDERED, AND LIVES IN SPECIFICALLY DEFINED ZIP CODES--THOSE WITH HIGH POVERTY POPULATIONS. FOR THE YEAR ENDED DECEMBER 31, 2023, THE CHARITY CARE WRITE OFF RELATED TO THIS ELIGIBILITY PROCESS WAS $273.2 MILLION ($318.6 MILLION IN 2022). CHARITY ELIGIBILITY CLASSIFICATIONS -FINANCIALLY INDIGENT - YEARLY INCOME IS LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY GUIDELINES. -MEDICALLY INDIGENT - THE AMOUNT OWED BY THE PATIENT AFTER PAYMENT BY ALL THIRD-PARTY PAYORS MUST EXCEED TEN PERCENT OF THE PATIENT'S YEARLY INCOME AND THE PATIENT MUST BE UNABLE TO PAY THE REMAINING BILL. ACCEPTANCE BY MHS IS BASED ON MEETING EITHER OF TWO CRITERIA: YEARLY INCOME MUST BE GREATER THAN 200%, BUT LESS THAN OR EQUAL TO 500% OF THE FEDERAL POVERTY GUIDELINES. ALTERNATIVELY, PATIENTS WITH ABNORMALLY LARGE ACCOUNTS MAY QUALIFY AS CATASTROPHICALLY ELIGIBLE WHEN THEIR REMAINING BALANCE EXCEEDS A SPECIFIC PERCENTAGE OF THEIR INCOME. IT IS IMPORTANT TO NOTE THAT THE GUIDELINES APPLIED FOR CATASTROPHIC ELIGIBILITY RANGE FROM 201% OF THE FEDERAL POVERTY GUIDELINES TO OVER 1000% OF THE FEDERAL POVERTY GUIDELINES. Schedule H, Part V, Section B, Line 16 Facility B, 1 Facility B, 1 - GROUP B. MHS HAS TAKEN STEPS OVER THE PAST SEVERAL YEARS TO HEIGHTEN COMMUNITY AWARENESS REGARDING MHS'S CHARITABLE MISSION. SIGNS THAT PROMINENTLY PRESENT INFORMATION ABOUT THE CHARITY MISSION AND GUIDELINES ARE PRESENT AT ALL POINTS OF ADMISSION. MHS ALSO PUBLISHES A NOTICE OF ITS FINANCIAL ASSISTANCE POLICY ANNUALLY IN THE SAN ANTONIO EXPRESS-NEWS. A PATIENT BROCHURE, ENTITLED "A GUIDE TO YOUR HOSPITAL BILL", EXPLAINS THE HOSPITAL BILLING PROCESS AND INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY IN THE EVENT THEY NEED FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS ALSO AVAILABLE IN ENGLISH AND SPANISH ON MHS'S WEBSITE WWW.SAHEALTH.COM. ALL SHARED SERVICE CENTER PERSONNEL RECEIVE TRAINING AND AN ANNUAL REFRESHER COURSE ON THE POLICY AND UNDERSTAND THE CRUCIAL ROLE THEY PLAY IN INFORMING PATIENTS ABOUT THE POLICY. FINANCIAL COUNSELORS AND HOSPITAL CASE MANAGEMENT STAFF EDUCATE PATIENTS AND ARE AVAILABLE TO ASSIST THEM WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. IN ADDITION TO PROVIDING INFORMATION DURING THE ADMITTING PROCESS, MHS CONTINUES TO PROVIDE INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THE COLLECTION PROCESS FOR THOSE PATIENTS WHO HAVE BEEN BILLED BUT HAVE NOT PAID. Schedule H, Part V, Section B, Line 20 Facility B, 1 Facility B, 1 - GROUP B. MHS HAS TAKEN STEPS OVER THE PAST SEVERAL YEARS TO HEIGHTEN COMMUNITY AWARENESS REGARDING MHS'S CHARITABLE MISSION. SIGNS THAT PROMINENTLY PRESENT INFORMATION ABOUT THE CHARITY MISSION AND GUIDELINES ARE PRESENT AT ALL POINTS OF ADMISSION. MHS ALSO PUBLISHES A NOTICE OF ITS CHARITY POLICY ANNUALLY IN THE SAN ANTONIO EXPRESS-NEWS. A PATIENT BROCHURE, ENTITLED "A GUIDE TO YOUR HOSPITAL BILL", EXPLAINS THE HOSPITAL BILLING PROCESS AND INFORMS PATIENTS OF THE CHARITY POLICY IN THE EVENT THEY NEED FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS ALSO AVAILABLE IN ENGLISH AND SPANISH ON MHS'S WEBSITE WWW.SAHEALTH.COM. ALL SHARED SERVICE CENTER PERSONNEL RECEIVE TRAINING AND AN ANNUAL REFRESHER COURSE ON THE POLICY AND UNDERSTAND THE CRUCIAL ROLE THEY PLAY IN INFORMING PATIENTS ABOUT THE POLICY. FINANCIAL COUNSELORS AND HOSPITAL CASE MANAGEMENT STAFF EDUCATE PATIENTS AND ARE AVAILABLE TO ASSIST THEM WITH THE CHARITY CARE APPLICATION PROCESS. IN ADDITION TO PROVIDING INFORMATION DURING THE ADMITTING PROCESS, MHS CONTINUES TO PROVIDE INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THE COLLECTION PROCESS FOR THOSE PATIENTS WHO HAVE BEEN BILLED BUT HAVE NOT PAID. 57 METHODIST AMBULATORY SURGERY CENTER - MC 4411 MEDICAL DRIVE SUITE 200 SAN ANTONIO TX 78229 FREESTANDING AMB SURGERY CENTER METHODIST HOSPITAL STONE OAK REHABILITATION Center 1139 E SONTERRA BLVD SAN ANTONIO TX 78258 FREESTANDING REHABILITATION CENTER CENTER FOR SPECIAL SURGERY TX CTR ATHL 21 SPURS LANE SL-100 SAN ANTONIO TX 78240 FREESTANDING AMB SURGERY CENTER METHODIST AMBULATORY SURG CENTER-N CENTRAL 19010 STONE OAK PARKWAY SAN ANTONIO TX 78258 FREESTANDING AMB SURGERY CENTER METHODIST SURGERY CENTER LANDMARK 5510-B PRESIDIO PARKWAY SUITE 100 SAN ANTONIO TX 78249 FREESTANDING AMB SURGERY CENTER METHODIST ER - BOERNE 134 MENGER SPRINGS RD BOERNE TX 78006 EMERGENCY DEPARTMENT STONE OAK SURGICENTER 123 N Loop 1604 East Suite 107 SAN ANTONIO TX 78232 FREESTANDING AMB SURGERY CENTER METHODIST ER WESTOVER HILLS 5538 W Loop 1604 N SAN ANTONIO TX 78251 EMERGENCY DEPARTMENT METHODIST ER CONVERSE 6402 MALLARD MEADOW SAN ANTONIO TX 78244 EMERGENCY DEPARTMENT METHODIST CARDIOLOGY PHYSICIANS 15727 Anthem Parkway Suite 115 SAN ANTONIO TX 78249 TX CERTIFIED NONPROFIT HEALTHCARE CORP TEXAS INSTITUTE OF MEDICINE AND SURGERY 15727 Anthem Parkway Suite 115 SAN ANTONIO TX 78249 TX CERTIFIED NONPROFIT HEALTHCARE CORP METHODIST INPATIENT MANAGEMENT GROUP 15727 Anthem Parkway Suite 115 SAN ANTONIO TX 78249 TX CERTIFIED NONPROFIT HEALTHCARE CORP METHODIST PHYSICIAN PRACTICE SVC LLC 15727 Anthem Parkway Suite 115 SAN ANTONIO TX 78249 MSO METHODIST PHYSICIAN PRACTICES PLLC 15727 Anthem Parkway Suite 115 SAN ANTONIO TX 78249 PHYSICIAN PRACTICE CARDIOLOGY CLINIC OF SAN ANTONIO PLLC 15727 Anthem Parkway Suite 115 SAN ANTONIO TX 78249 PHYSICIAN PRACTICE METHODIST PHYSICIANS RIVERCITY CARDIOVASCULAR 15727 Anthem Parkway Suite 115 SAN ANTONIO TX 78249 PHYSICIAN PRACTICE METHODIST CARENOW PHYSICIAN ASSOCIATES 15727 Anthem Parkway Suite 115 SAN ANTONIO TX 78249 MSO METHODIST ER - LEGACY TRAILS 9211 POTRANCO ROAD SAN ANTONIO TX 78251 EMERGENCY DEPARTMENT METHODIST ER- ALAMO HEIGHTS 250 EAST BASSE ROAD 101 SAN ANTONIO TX 78209 EMERGENCY DEPARTMENT METHODIST ER - DE ZAVALA W 12805 IH-10 SAN ANTONIO TX 78249 EMERGENCY DEPARTMENT METHODIST ER - HELOTES 12285 BANDERA ROAD SAN ANTONIO TX 78023 EMERGENCY DEPARTMENT METHODIST ER - NACOGDOCHES 13434 NACOGDOCHES RD SAN ANTONIO TX 78217 EMERGENCY DEPARTMENT Methodist Ambulatory Surgery Center of Boerne 110 MENGER SPRINGS SAN ANTONIO TX 78006 FREESTANDING AMB SURGERY CENTER METHODIST ER - CITYBASE 3154 SE MILITARY DRIVE 103 SAN ANTONIO TX 78223 EMERGENCY DEPARTMENT METHODIST HOSPICE & FAMILY CARE HILL COUNTRY 808 REUBEN STREET 2ND FLOOR FREDERICKSBURG TX 78624 HOSPICE METHODIST HEALTHCARE AT HOME 140 HEIMER RD STE 120A SAN ANTONIO TX 78232 HOME HEALTH AGENCY SOUTH TEXAS PHYSICIAN GROUP PLLC 15727 Anthem Parkway Suite 115 SAN ANTONIO TX 78249 PHYSICIAN PRACTICE MSO - SOUTH TEXAS PHYSICIAN GROUP 15727 Anthem Parkway Suite 115 SAN ANTONIO TX 78249 MSO CARENOW Urgent Care - DE ZAVALA 12840 IH-10 WEST SUITE 101 SAN ANTONIO TX 78249 URGENT CARE CLINIC METHODIST HOSPICE & FAMILY CARE 140 HEIMER RD STE 120B SAN ANTONIO TX 78232 HOSPICE Methodist Healthcare Hill Country Health Care at Home 808 REUBEN STREET 2ND FLOOR FREDERICKSBURG TX 78624 HOME HEALTH AGENCY CARENOW Urgent Care - BULVERDE RD 17122 BULVERDE RD SUITE 104 SAN ANTONIO TX 78247 URGENT CARE CLINIC METHODIST ER NEW BRAUNFELS 1850 W TX-46 109 NEW BRAUNFELS TX 78132 EMERGENCY DEPARTMENT CARENOW Urgent Care - STONE OAK 20780 US HWY 281 North SAN ANTONIO TX 78258 URGENT CARE CLINIC CARENOW Urgent Care - POTRANCO 10538 POTRANCO BLDG 1 SAN ANTONIO TX 78251 URGENT CARE CLINIC CARENOW Urgent Care - LEON VALLEY 5755 NW LOOP 410 SUITE 102 SAN ANTONIO TX 78238 URGENT CARE CLINIC CARENOW Urgent Care- ALAMO HEIGHTS 5410 BROADWAY ALAMO HEIGHTS TX 78209 URGENT CARE CLINIC PEDIATRIC ANESTHESIA CONS OF SAPLLC 7700 FLOYD CURL DR SAN ANTONIO TX 78229 PHYSICIAN PRACTICE CARENOW SAN ANTONIO - MCCRELESS 4130 S NEW BRAUNFELS AVE SUITE 112 SAN ANTONIO TX 78223 URGENT CARE CLINIC CARENOW - NEW BRAUNFELS 160 CREEKSIDE WAY NEW BRAUNFELS TX 78130 URGENT CARE CLINIC CARENOW SAN ANTONIO - BANDERA 9234 NORTH LOOP 1604 W 110 SAN ANTONIO TX 78249 URGENT CARE CLINIC CARENOW SAN ANTONIO - KITTY HAWK 902 KITTY HAWK RD 110 UNIVERSAL CITY TX 78148 URGENT CARE CLINIC CARENOW - SEGUIN 1347 E COURT ST SEGUIN TX 78155 URGENT CARE CLINIC CARENOW SAN ANTONIO - STONE OAK PARKWAY AND EVANS RD 20210 STONE OAK PARKWAY SAN ANTONIO TX 78258 URGENT CARE CLINIC CARENOW SAN ANTONIO - CONVERSE 8380 W FARM TO MARKET RD 78 CONVERSE TX 78109 URGENT CARE CLINIC CARENOW SAN ANTONIO - CIBOLO 513 CIBOLO VALLEY DR CIBOLO TX 78108 URGENT CARE CLINIC CARENOW SAN ANTONIO - NACOGDOCHES 13909 NACOGDOCHES RD SAN ANTONIO TX 78217 URGENT CARE CLINIC CARENOW SAN ANTONIO - POTRANCO RD AND HUNT LANE 9230 POTRANCO RD 108 SAN ANTONIO TX 78251 URGENT CARE CLINIC CARENOW SAN ANTONIO - THOUSAND OAKS 2951 THOUSAND OAKS SAN ANTONIO TX 78247 URGENT CARE CLINIC CARENOW SAN ANTONIO - WEST HILDEBRAND 115 ANGELES DR SUITE 103 SAN ANTONIO TX 78201 URGENT CARE CLINIC CARENOW SAN ANTONIO - DEERFIELD 16601 HUEBNER RD SAN ANTONIO TX 78248 URGENT CARE CLINIC CARENOW SAN ANTONIO - SAN PEDRO 6841 SAN PEDRO AVE SAN ANTONIO TX 78216 URGENT CARE CLINIC CARENOW SAN ANTONIO - SELMA 14774 1-35 FRONTAGE RD SELMA TX 78154 URGENT CARE CLINIC CARENOW SAN ANTONIO - TELEHEALTH 5575 NW LOOP 410 SUITE 102 SAN ANTONIO TX 78258 TELEHEALTH SERVICES METHODIST FAMILY HEALTH CENTER - EAST 2338 E SOUTHCROSS SAN ANTONIO TX 78223 FAMILY HEALTH CENTER METHODIST FAMILY HEALTH CENTER - LAS PALMAS 803 CASTROVILLE RD SUITE 131 SAN ANTONIO TX 78237 FAMILY HEALTH CENTER METHODIST FAMILY HEALTH CENTER - EAST OF DOWNTOWN 507 ST JAMES SAN ANTONIO TX 78202 FAMILY HEALTH CENTER Schedule H, Part I, Line 6a SCHEDULE H, PART I, LINE 6A METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., LLP ('MHS') FILES ANNUAL STATEMENTS OF COMMUNITY BENEFITS AS REQUIRED BY THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES, PER PROVISIONS OF THE TEXAS HEALTH AND SAFETY CODE, CHAPTER 311, SUBCHAPTERS C AND D. METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. ('MHM') OWNS A 50% INTEREST OF MHS SO ONLY 50% OF MHS' FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS ARE REPORTED ON MHM'S FORM 990 SCHEDULE H. Schedule H, Part VI, Line 2 SCHEDULE H, PART VI, LINE 2, CONTINUED METHODIST HOSPITAL | METROPOLITAN COMPLETED A FULL REFRESH OF THE 2ND FLOOR PATIENT TOWER. THE PROJECT INCLUDED UPDATES AND REFURBISHMENT OF TWENTY-NINE PATIENT ROOMS AS WELL AS INFRASTRUCTURE UPGRADES, AND TWO NEW AIR HANDLING UNITS. METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT EXPANDED OPERATIONS AT ITS PSYCHIATRIC EMERGENCY SERVICES UNIT. THE EXPANSION DOUBLED THE NUMBER OF AVAILABLE PES BEDS TO 14, AND INCREASED THE NUMBER OF BEHAVIORAL HEALTH PATIENT SERVICED FROM 100 TO 200 MONTHLY. IMPORTANT DESIGNATIONS AND FACILITY SERVICES METHODIST HEALTHCARE SYSTEM -JAIME WESOLOWSKI, PRESIDENT AND CEO OF METHODIST HEALTHCARE MINISTRIES AND DAN MILLER, PRESIDENT AND CEO OF METHODIST HEALTHCARE CO-CHAIRED THE 2023 WALK TO END ALZHEIMER'S. THEY HELPED RAISE $930,000 FOR THE ALZHEIMER'S ASSOCIATION. THE $930,000 RAISED WAS THE LARGEST AMOUNT EVER FOR THE SAN ANTONIO WALK. OF THE 640 WALK TO END ALZHEIMER'S EVENTS ACROSS THE COUNTRY, SAN ANTONIO CAME IN AT 15 BASED ON THE AMOUNT OF MONEY RAISED. -IN PARTNERSHIP WITH HCA'S HEALTHIER TOMORROW FUNDS, MHS AWARDED TWO ORGANIZATIONS WITH $25,000 GRANTS TO SUPPORT THEIR COMMUNITY PROGRAMMING. STUDENTS OF SERVICE RECEIVED $25,000 TO GROW THEIR YOUNG MEDICAL LEADERS PROGRAM, AND BOYS & GIRLS CLUBS OF SAN ANTONIO RECEIVED $25,000 TO CONTINUE THEIR CHEF PROGRAMMING WHICH ENCOURAGES CHILDREN TO MAKE HEALTHY FOOD CHOICES. -TO CELEBRATE HEART MONTH, MHS PARTNERED WITH AMERICAN HEALTH ASSOCIATION, THE SAN ANTONIO SPURS, LIVING FOR ZACHARY, AND CENTRAL CATHOLIC HIGH SCHOOL TO TEACH STUDENTS AND TEACHERS HANDS -ONLY CPR AND HOW TO USE AND AED. THE NBA AWARDED ITS FEBRUARY 2023 COMMUNITY ASSIT AWARD TO MHS FOR HOSTING THIS PROGRAM. MHS ALSO CONTINUES TO OFFER HANDS-ONLY CPR TRAINING TO THE COMMUNITY. IN 2023, MHS PROVIDED TRAINING FOR 8,232 INDIVIDUALS. MHS HAS TRAINED OVER 50,000 PEOPLE ON THIS TECHNIQUE OVER THE LAST FIVE YEARS. -METHODIST HEALTHCARE ALIGNED WITH THE DEA'S CRUSH THE CRISIS, AND COLLECTED AND SAFELY DISPOSED OF 1,638 POUNDS OF UNUSED MEDICATIONS TO REDUCE THE CHANCES OF IT ENDING UP IN THE WRONG HANDS. -IN THE FALL OF 2023, MHS ENTERED THE THIRD YEAR OF THE KIDS TEACHING KIDS, A PROGRAM FOCUSING ON NUTRITIONAL, PHYSICAL AND MENTAL HEALTH AT 24 LOCAL ELEMENTARY SCHOOLS. OVER 1,400 STUDENTS SIGNED UP TO PARTICIPATE IN THE 21-DAY HEALTHY SNACK CHALLENGE. 1,500 STUDENTS PARTICIPATED IN THIS PROGRAM IN 2022. -METHODIST STAFF MEMBERS PROUDLY TOOK PART IN THE MS150, A 150-MILE BIKE RIDE TO SUPPORT THE NATIONAL MULTIPLE SCLEROSIS SOCIETY, ULTIMATELY RAISING OVER $97,000. MHS'S TEAM FOR THE EVENT RANKED THIRD IN FUNDRAISING AMONG THE FIFTY-FOUR PARTICIPATING TEAMS. MHS ALSO RECEIVED TREMENDOUS SUPPORT FOR THE LEUKEMIA AND LYMPHOMA SOCIETY'S LIGHT THE NIGHT WALK, GENERATING $32,159 IN DONATIONS. MHS EMPLOYEES ALSO RAISED $18,516 FOR THE AMERICAN HEART ASSOCIATION'S ANNUAL HEART WALK. METHODIST HOSPITAL / METHODIST CHILDREN'S HOSPITAL -IN 2023, METHODIST HOSPITAL CELEBRATED 60 YEARS OF SERVICE AND METHODIST CHILDREN'S HOSPITAL. -METHODIST HOSPITAL WAS RECOGNIZED BY HEALTHGRADES AS ONE OF AMERICA'S BEST 250 HOSPITALS FOR 2023. -METHODIST HOSPITAL WAS RECOGNIZED BY HEALTHGRADES AS ONE OF AMERICA'S 100 BEST HOSPITALS FOR: CORONARY INTERVENTION, CRITICAL CARE, GASTROINTESTINAL CARE, ORTHOPEDIC SURGERY AND PROSTATE SURGERY. -METHODIST HOSPITAL RECEIVED A VASCULAR SURGERY EXCELLENCE AWARD FOR SUPERIOR CLINICAL OUTCOMES IN ABDOMINAL AORTIC ANEURYSM REPAIR, AROTID SURGERY, PERPHERAL VASCULAR BYPASS SURGERY. -THE AMERICAN HEART ASSOCIATION AWARDED METHODIST THE FOLLOWING: GET WITH GUIDELINES GOLD PLUS STROKE HONOR ROLL ELITE, TARGET STROKE ELITE HONOR ROLL, AND TARGET TYPE 2 DIABETES HONOR ROLL. -METHODIST HOSPITAL'S CARDIOPULMONARY REHAB DEPARTMENT RECEIVED AMERICAN ASSOCIATION OF CARDIOVASULAR AND PULMONARY REHABILITATION (AACVPR) ACCREDITATION. -METHODIST HOSPITAL'S EARNED THE GO CLEAR AWARD FOR ELIMINATING HAZARDOUS SMOKE IN SURGICAL PROCEDURE AREAS. -METHODIST CONTINUES TO PROVIDE STATE OF THE ART CARE IN SEVERAL DIFFERENT TREATMENT MODALITIES: THE GAMMA KNIFE FEATURES INCLUSIVE CT AND AI TARGETING ALLOW THE CLINICAL TEAM TO PRECISELY TARGET TUMORS. -METHODIST ALSO ADDED ENHANCEMENTS IN ITS NUCLEAR MEDICINE PROGRAM, PROVIDING CLINICIANS WITH IMPROVED IMAGING AND TREATMENT PLANNING CAPABILITIES. METHODIST HOSPITAL | METROPOLITAN -CELEBRATED THE 50TH ANNIVERSARY OF THE HOSPITAL'S SERVICE IN THE COMMUNITY. - METHODIST HOSPITAL | METROPOLITAN WAS RE-DESIGNATED AS A CERTIFIED QUALITY BREAST CENTER FOR EXCELLENCE - CLINICAL LEVEL - A DESIGNATION IT HAS HELD SINCE 2018, AND THE ONLY "CLINICAL" CERTIFIED QUALITY BREAST CENTER OF EXCELLENCE IN TEXAS. - METHODIST HOSPITAL | METROPOLITAN RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES - STROKE GOLD PLUS WITH HONOR ROLL AND THE TYPE 2 DIABETES HONOR ROLL ACHIEVEMENT AWARD. - METHODIST HOSPITAL | METROPOLITAN EXPANDED ACCESS TO ROBOTIC SURGERY SERVICES ADDING TWO ORTHOPEDIC ROBOTS TO THEIR FLEET IN 2023. - METHODIST HOSPITAL | METROPOLITAN WAS NAMED A "LEADER IN LGBTQ+ HEALTHCARE EQUALITY" FOR THE SEVENTH CONSECUTIVE YEAR BY HUMAN RIGHTS CAMPAIGN. - METHODIST HOSPITAL | METROPOLITAN'S CARDIOVASCULAR SURGERY PROGRAM CONTINUES TO GROW WITH 177 PROCEDURES IN 2023. - METHODIST HOSPITAL | METROPOLITAN PARTNERED WITH ALAMO COMMUNITY COLLEGES DISTRICT AND FOX TECH HIGH SCHOOL TO START AN H-TECH PROGRAM THAT PROVIDES STUDENTS THE OPPORTUNITY TO GRADUATE FROM HIGH SCHOOL WITH AN ASSOCIATE'S DEGREE IN APPLIED SCIENCE (AAS) AND ENROLL IN A HEALTHCARE-RELATED PROGRAM WITH A PATHWAY. METHODIST HOSPITAL | STONE OAK -METHODIST HOSPITAL | STONE OAK WAS RECOGNIZED BY HEALTHGRADES AS ONE OF AMERICA'S BEST 250 HOSPITALS FOR 2023. - METHODIST HOSPITAL | STONE OAK RECEIVED A PATIENT SAFETY EXCELLENCE AWARD FROM HEALTHGRADES. - METHODIST HOSPITAL | STONE OAK WAS RE-CERTIFIED AS AN ADVANCED PRIMARY STROKE CENTER BY THE JOINT COMMISSION. - METHODIST HOSPITAL | STONE OAK WAS NAMED BY HEALTHGRADES AS THE TOP 5% IN THE NATION FOR CRITICAL CARE AND THE TOP 10% IN THE NATION FOR CARDIOLOGY SERVICES. METHODIST HOSPITAL | STONE OAK RECEIVED A GET WITH THE GUIDELINES - STROKE GOLD PLUS WITH STROKE ELITE HONOR ROLL AND TYPE 2 DIABETES HONOR ROLL FROM THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION. - METHODIST HOSPITAL | STONE OAK RECEIVED SEVERAL DESIGNATIONS FROM HEALTHGRADES, INCLUDING A 5-STAR AWARD FOR TREATMENT OF SEPSIS, TREATMENT OF HIP FRACTURES, AND PERIPHERAL VASCULAR BYPASS. - METHODIST HOSPITAL | STONE OAK WAS RECOGNIZED BY NEWSWEEK AS A TOP 15 REHABILITATION CENTER IN TEXAS. - METHODIST HOSPITAL | STONE OAK UNVEILED IT'S CUTTING-EDGE DUAL SOURCE COMPUTED TOMOGRAPHY (CT) SCANNER, MARKING A MILESTONE AS THE FIRST HEALTHCARE FACILITY IN THE STONE OAK AREA TO PROVIDE PATIENTS AND PHYSICIANS WITH STATE OF THE ART CT TECHNOLOGY, DELIVERY HIGH ACCURACY, LOW DOSE, AND REMARKABLE HIGH-RESOLUTION IMAGES. - METHODIST HOSPITAL | STONE OAK'S CT PROGRAM WAS THE FIRST IN SAN ANTONIO TO WIN THE HEARTFLOW CT QUALITY AWARD. THE METRICS USED BY THIS PROGRAM EVALUATE THE QUALITY AND IMPLEMENTATION OF A FACILITY'S CARDIOVASCULAR IMAGING PROGRAM. METHODIST HOSPITAL | NORTHEAST -METHODIST HOSPITAL | NORTHEAST WAS RECOGNIZED BY HEALTHGRADES AS ONE OF AMERICA'S BEST 250 HOSPITALS FOR 2023. -THE SAN ANTONIO EXPRESS NEWS READERS' CHOICE PROGRAM AWARDED METHODIST HOSPITAL | NORTHEAST ITS "BEST HOSPITAL IN SAN ANTONIO" AGAIN IN 2023. MHNE ALSO RECEIVED THIS AWARD IN 2021 AND 2022. -METHODIST HOSPITAL | NORTHEAST RECEIVED AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES TARGET: STROKE GOLD PLUS AND STROKE ELITE HONOR ROLL AND TYPE 2 DIABETES HONOR ROLL. -METHODIST HOSPITAL | NORTHEAST RECEIVED AN "A" LEAPFROG HOSPITAL SAFETY GRADE. -METHODIST HOSPITAL | NORTHEAST BECAME ACCREDITED AS AN AMERICAN COLLEGE OF CARDIOLOGY (ACC) CHEST PAIN CENTER. -METHODIST HOSPITAL | NORTHEAST RECEIVED JOINT COMMISSION CERTIFICATIONS IN PRIMARY STROKE CENTER, ADVANCED PRIMARY STROKE CENTER AND JOINT CENTER - HIPS AND KNEES, AND STROKE REHABILITATION. Schedule H, Part VI, Line 2 SCHEDULE H, PART VI, LINE 2, CONTINUED METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT -CELEBRATED THE 50TH ANNIVERSARY OF THE HOSPITAL'S SERVICE IN THE COMMUNITY. - METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT RECEIVED THEIR 12TH CONSECUTIVE "A" LEAPFROG GRADE FOR PATIENT SAFETY. - METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT'S LIVER TRANSPLANT PROGRAM CONTINUES TO DEMONSTRATE EXCEPTIONAL OUTCOMES WITH 92.95% ONE-YEAR PATIENT SURVIVAL RATE. - METHODIST TRANSPLANT INSTITUTE PERFORMED 214 LIVING DONOR KIDNEY TRANSPLANTS AND 171 DECEASED DONOR KIDNEY TRANSPLANTS IN 2023. THE PROGRAM WAS RECOGNIZED AS THE LARGEST LIVING DONOR KIDNEY TRANSPLANT PROGRAM AND THE LARGEST HISPANIC KIDNEY TRANSPLANT PROGRAM IN THE NATION. THE PROGRAM ALSO RANKS AS NUMBER ONE IN TEXAS FOR ITS DECEASED DONOR PROGRAM AND IS THE LARGEST KIDNEY PAIRED DONATION PROGRAM IN THE NATION. - METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT EARNED THE JOIN COMMISSION'S GOLD SEAL OF APPROVAL FOR REHABILITATION STROKE ACCREDITATION. -SINCE 2005, METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT IS CERTIFIED AND HAS BEEN CERTIFIED AS A CENTER FOR METABOLIC AND BARIATRIC SURGERY BY THE AMERICAN SOCIETY OF BARIATRIC SURGERY. - METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT IS THE ONLY HOSPITAL WITHIN THE METHODIST HEALTHCARE SYSTEM TO HAVE THE SEXUAL ASSAULT RESPONSE TEAM, WHICH WORKS WITH VICTIMS AGE 13 YEARS AND OLDER IN MORE THAN 60 SOUTH TEXAS COUNTIES. THE PROGRAM PROVIDES SEXUAL ASSAULT NURSE EXAMINERS (SANE) TRAINED BY THE STATE ATTORNEY GENERAL'S OFFICE. THE PROGRAM WORKS CLOSELY WITH LOCAL LAW ENFORCEMENT OFFICIALS AND RAPE CRISIS CENTER REPRESENTATIVES. -THE AMERICAN NURSE CREDENTIALING CENTER HAS AWARDED ITS "PATHWAY TO EXCELLENCE AWARD" TO METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT. THE CURRENT CERTIFICATION RUNS THROUGH 2025. METHODIST HOSPITAL | TEXSAN -METHODIST HOSPITAL | TEXSAN EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR DISEASE-SPECIFIC CARE CERTIFICATION OF SPINE SURGERY BY DEMONSTRATING CONTINUOUS COMPLIANCE WITH ITS PERFORMANCE STANDARDS. - METHODIST HOSPITAL | TEXSAN ALSO RENEWED ITS JOINT COMMISSION GOLD SEAL OF APPROVAL FOR DISEASE-SPECIFIC CARE FOR TOTAL HIP AND KNEE JOINT REPLACEMENT. -METHODIST HOSPITAL | TEXSAN WAS RECOGNIZED FOR ITS DEMONSTRATED EXPERTISE AND COMMITMENT IN TREATING PATIENTS WHO COME TO AN ELECTROPHYSIOLOGY (EP) LAB AND CARDIAC CATH LAB FOR CARE, INCLUDING DIAGNOSTIC CATHETERIZATIONS AND PERCUTANEOUS CORONARY INTERVENTIONS (PCI) PROCEDURES, BY THE AMERICAN COLLEGE OF CARDIOLOGY (ACC). - METHODIST HOSPITAL | TEXSAN WAS DESIGNATED AS A HEARTCARE CENTER FOR THE FOURTH YEAR IN A ROW. -METHODIST HOSPITAL | TEXSAN PERFORMED 389 TOTAL KNEE REPLACEMENTS AND 140 TOTAL HIP REPLACEMENTS IN 2023. -METHODIST HOSPITAL | TEXSAN SUCCESSFULLY IMPLANETED THE WORLD'S FIRST DUAL-CHAMBER LEADLESS PACEMAKER SYSTEM TO EFFECTIVELY TREAT PEOPLE WITH ABNORMAL OR SLOW HEART RHYTHMS. METHODIST HOSPITAL | ATASCOSA -METHODIST HOSPITAL | ATASCOSA CELEBRATED 723 DAYS OF NO HOSPITAL-ACQUIRED INFECTIONS IN 2023. - METHODIST HOSPITAL | ATASCOSA RECEIVED THE CONGRESS CERTIFICATE OF RECOGNITION FOR NATIONAL GOOD NEIGHBOR DAY. - METHODIST HOSPITAL | ATASCOSA EARNED THE GO CLEAR AWARD FOR ELIMINATING HAZARDOUS SMOKE FROM SURGICAL PROCEDURE AREAS. -METHODIST HOSPITAL | ATASCOSA IS RANKED NUMBER TWO WITHIN HCA FOR HOSPTIAL CLEANLINESS. - METHODIST HOSPITAL | ATASCOSA COMPLETED RENOVATIONS OF ITS EMERGENCY DEPARTMENT IN 2023. AS ANOTHER MEANS OF INCREASING ACCESS, METHODIST HAS TAKEN STEPS OVER THE PAST SEVERAL YEARS TO HEIGHTEN COMMUNITY AWARENESS REGARDING OUR CHARITABLE MISSION: SIGNS THAT PROMINENTLY PRESENT OUR CHARITY MISSION AND GUIDELINES ARE PRESENT AT ALL POINTS OF ADMISSIONS. METHODIST PUBLISHES AN ANNUAL NOTICE OF OUR FINANCIAL ASSISTANCE POLICY IN THE SAN ANTONIO EXPRESS NEWS, DISTRIBUTION OF A PATIENT BROCHURE ("A GUIDE TO YOUR HOSPITAL BILL") THAT EXPLAINS THE HOSPITAL BILLING PROCESS AND INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY IN THE EVENT THEY NEED FINANCIAL ASSISTANCE, AND A FRONT PAGE LINK TO THE FINANCIAL ASSISTANCE POLICY ON METHODIST'S EXTERNAL HEALTH PORTAL (SAHEALTH.COM). THE COMBINED IMPACT OF THESE EFFORTS CONTINUES TO REMIND AND INCREASE OVERALL COMMUNITY AWARENESS OF METHODIST HEALTHCARE'S CHARITABLE MISSION. Methodist Hospital Hill Country was acquired in April of 2023 and Methodist Hospital Landmark was opened in September of 2023. These facilities do not have any designations to report for 2023. Schedule H, Part I, Line 7a SCHEDULE H, PART I, LINE 7A IN THE STATE OF TEXAS 86TH LEGISLATIVE REGULAR SESSION, A BILL WAS PASSED WHICH AMENDED THE HEALTH AND SAFETY CODE, AUTHORIZING BEXAR COUNTY HOSPITAL DISTRICT TO CREATE A NONPUBLIC HOSPITAL PROVIDER PARTICIPATION PROGRAM. THE PROVIDER PARTICIPATION PROGRAM ALLOWS THE COLLECTION OF MANDATORY PAYMENTS FROM NONPUBLIC HOSPITALS. THESE PAYMENTS WILL BE DEPOSITED IN A LOCAL PROVIDER PARTICIPATION FUND (LPPF) TO FUND INTERGOVERNMENTAL TRANSFERS (IGTS) TO BE USED BY HHSC AS THE NONFEDERAL SHARE TO DRAW DOWN MEDICAID SUPPLEMENTAL PAYMENTS UNDER THE 1115 WAIVER PROGRAM AND THE UNIFORM HOSPITAL RATE INCREASE PROGRAM (UHRIP). THE BILL WAS EFFECTIVE JUNE 10, 2019, HOWEVER THE LPPF PROGRAM COMMENCED JANUARY 1, 2020. The Partnership made payments under this LPPF of $122.3 million and $131.6 million for the years ended December 31, 2023 and 2022, respectively. Of the $122.3 million paid in 2023, approximately $62.8 million covered the Comprehensive Hospital Reimbursement Increase Program (CHIRP) for the period from January 2024 to August 2024 and was recorded as a prepaid expense in the accompanying consolidated balance sheet as of December 31, 2023. of the $131.6 million paid in 2022, approximately $50.4 million covered CHIRP for the period from January 2023 through August 2023 and was recorded as a prepaid expense in the accompanying consolidated balance sheet as of December 31, 2022. As CHIRP was unapproved until March 25, 2022, the Partnership recorded this LPPF payment as a prepaid expense in its consolidated balance sheets. The LPPF expense is recorded within other operating expenses in MHS's consolidated statements of income. In March 2022, the Partnership expensed the $33.1 million prepaid due to the approval of CHIRP, NOTE, AS PROVIDED FOR BY THE STATE OF TEXAS, THE LPPF FUNDS WERE USED TO OFFSET BOTH THE COST OF MEDICAID AND FINANCIAL ASSISTANCE/UNCOMPENSATED CARE. AS SUCH, THE PARTNERSHIP ALLOCATED ITS LPPF PROPORTIONATELY BETWEEN THESE EXPENSES, MAKING A REASONABLE ESTIMATE OF THE PROPORTIONAL AMOUNT INTENDED TO OFFSET FINANCIAL ASSISTANCE/UNCOMPENSATED CARE AND THE PROPORTIONAL AMOUNT INTENDED TO OFFSET MEDICAID. Schedule H, Part I, Line 7 SCHEDULE H, PART 1, LINE 7 COSTING METHODOLOGY - COST TO CHARGE RATIOS FROM WORKSHEET 2 USED. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount COSTING METHODOLOGY - COST TO CHARGE RATIOS FROM WORKSHEET 2 USED. MHM AND MHS JOINTLY ANALYZED ZIP CODES WHERE, BASED ON FINANCIAL DEMOGRAPHICS, IT APPEARED THAT THE PATIENTS IN THOSE ZIP CODES WOULD LIKELY QUALIFY FOR CHARITY CARE. AN ANALYSIS OF PAST COLLECTIONS IN THE ZIP CODE AREAS AND SEVERAL FEDERAL POVERTY GUIDELINE SURVEYS USING THE ZIP CODES RESULTED IN MHM'S CONCLUSION THAT ALL PATIENTS IN THE IDENTIFIED ZIP CODES ARE PATIENTS THAT, UNDER MHS FINANCIAL ASSISTANCE POLICIES, WOULD LIKELY QUALIFY FOR CHARITY CARE. THE ESTIMATED AMOUNT OF MHS' BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS CALCULATED USING ZIP CODE DATA. Schedule H, Part III, Line 3 Bad Debt Expense Methodology COSTING METHODOLOGY - COST TO CHARGE RATIOS FROM WORKSHEET 2 USED. MHM AND MHS JOINTLY ANALYZED ZIP CODES WHERE, BASED ON FINANCIAL DEMOGRAPHICS, IT APPEARED THAT THE PATIENTS IN THOSE ZIP CODES WOULD LIKELY QUALIFY FOR CHARITY CARE. AN ANALYSIS OF PAST COLLECTIONS IN THE ZIP CODE AREAS AND SEVERAL FEDERAL POVERTY GUIDELINE SURVEYS USING THE ZIP CODES RESULTED IN MHM'S CONCLUSION THAT ALL PATIENTS IN THE IDENTIFIED ZIP CODES ARE PATIENTS THAT, UNDER MHS FINANCIAL ASSISTANCE POLICIES, WOULD LIKELY QUALIFY FOR CHARITY CARE. THE ESTIMATED AMOUNT OF MHS' BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS CALCULATED USING ZIP CODE DATA. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote BAD DEBT FOOTNOTE FROM METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD, LLP'S CONSOLIDATED FINANCIAL STATEMENTS: IN MAY 2014, THE FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ISSUED A NEW STANDARD RELATED TO REVENUE RECOGNITION. THE PARTNERSHIP ADOPTED THE NEW STANDARD EFFECTIVE JANUARY 1, 2018, USING THE FULL RETROSPECTIVE METHOD. THE ADOPTION OF THE NEW STANDARD DID NOT HAVE AN IMPACT ON THE RECOGNITION OF NET PATIENT REVENUES FOR ANY PERIODS PRIOR TO ADOPTION. THE MOST SIGNIFICANT IMPACT OF ADOPTING THE NEW STANDARD IS THAT THE CONSOLIDATED STATEMENTS OF INCOME NO LONGER PRESENTS THE "PROVISION FOR DOUBTFUL ACCOUNTS" AS A SEPARATE LINE ITEM, INSTEAD NET PATIENT REVENUE IS PRESENTED NET OF ESTIMATED IMPLICIT PRICE CONCESSION REVENUE DEDUCTIONS. IN ADDITION, THE "ALLOWANCE FOR DOUBTFUL ACCOUNTS" IS NO LONGER PRESENTED ON THE CONSOLIDATED BALANCE SHEETS AS A RESULT OF THE ADOPTION OF THE NEW STANDARD. NET PATIENT REVENUE GENERALLY RELATES TO CONTRACTS WITH PATIENTS IN WHICH THE PARTNERSHIP'S PERFORMANCE OBLIGATIONS ARE TO PROVIDE HEALTH CARE SERVICES TO THE PATIENTS. REVENUES ARE RECORDED DURING THE PERIOD THAT THE OBLIGATIONS TO PROVIDE HEALTH CARE SERVICES ARE SATISFIED. PERFORMANCE OBLIGATIONS FOR INPATIENT SERVICES ARE GENERALLY SATISFIED OVER PERIODS THAT AVERAGE APPROXIMATELY FIVE DAYS AND PERFORMANCE OBLIGATIONS FOR OUTPATIENT SERVICES ARE GENERALLY SATISFIED OVER A PERIOD OF LESS THAN ONE DAY. THE CONTRACTUAL RELATIONSHIPS WITH PATIENTS, IN MOST CASES, ALSO INVOLVE A THIRD PARTY PAYER (MEDICARE, MEDICAID, MANAGED CARE HEALTH PLANS, AND COMMERCIAL INSURANCE COMPANIES) AND THE TRANSACTION PRICES FOR THE SERVICES PROVIDED ARE DEPENDENT UPON THE TERMS PROVIDED BY (MEDICARE AND MEDICAID) OR NEGOTIATED WITH (MANAGED CARE HEALTH PLANS AND COMMERCIAL INSURANCE COMPANIES) THE THIRD PARTY PAYERS. THE PAYMENT ARRANGEMENTS WITH THIRD PARTY PAYERS FOR THE SERVICES PROVIDED TO THE RELATED PATIENTS TYPICALLY SPECIFY PAYMENTS AT AMOUNTS LESS THAN THE PARTNERSHIP'S STANDARD CHARGES. MEDICARE GENERALLY PAYS FOR INPATIENT AND OUTPATIENT SERVICES AT PROSPECTIVELY DETERMINED RATES BASED ON CLINICAL, DIAGNOSTIC AND OTHER FACTORS. SERVICES PROVIDED TO PATIENTS HAVING MEDICAID COVERAGE ARE GENERALLY PAID AT PROSPECTIVELY DETERMINED RATES PER DISCHARGE OR IDENTIFIED SERVICE. AGREEMENTS WITH COMMERCIAL INSURANCE CARRIERS, MANAGED CARE AND PREFERRED PROVIDER ORGANIZATIONS GENERALLY PROVIDE FOR PAYMENTS BASED UPON PREDETERMINED RATES PER DIAGNOSIS, PER DIEM RATES OR DISCOUNTED FEE-FOR-SERVICE RATES. MANAGEMENT CONTINUALLY REVIEWS THE ESTIMATED TRANSACTION PRICE TO BE RECEIVED FROM THE THIRD-PARTY PAYER TO CONSIDER AND INCORPORATE UPDATES TO LAWS AND REGULATIONS AND THE FREQUENT CHANGES IN MANAGED CARE CONTRACTUAL TERMS RESULTING FROM CONTRACT RE-NEGOTIATIONS AND RENEWALS. NET PATIENT REVENUES ARE BASED UPON THE ESTIMATED AMOUNTS EXPECTED TO BE RECEIVED FROM PATIENTS AND THIRD-PARTY PAYERS. THE ESTIMATED TRANSACTION PRICE TO BE RECEIVED UNDER MANAGED CARE AND COMMERCIAL INSURANCE PLANS IS BASED UPON THE PAYMENT TERMS SPECIFIED IN THE RELATED CONTRACTUAL AGREEMENTS. REVENUES RELATED TO UNINSURED PATIENTS AND UNINSURED CO-PAYMENT AND DEDUCTIBLE AMOUNTS FOR PATIENTS WHO HAVE HEALTH CARE COVERAGE MAY HAVE AN IMPLICIT PRICE CONCESSION APPLIED (UNINSURED DISCOUNTS AND CONTRACTUAL DISCOUNTS). AN ESTIMATED IMPLICIT PRICE CONCESSION (BASED PRIMARILY ON PAYER HISTORICAL COLLECTION EXPERIENCE) IS RECORDED WITHIN NET PATIENT REVENUE TO RECORD SELF-PAY REVENUE AT THE ESTIMATED AMOUNTS TO BE COLLECTED. AS OF DECEMBER 31, 2023, THE BAD DEBT INCLUDED IN REVENUE DEDUCTIONS WAS $129,303,102. THIS AMOUNT IS NOT REFLECTED ON MHM'S 990 PART IX EXPENSES DUE TO THE BAD DEBT AMOUNT BEING REPORTED IN THE METHODIST HEALTHCARE SYSTEM'S FINANCIALS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE AMOUNTS REPORTED ON PART III, LINES 5-7 HAVE BEEN DETERMINED BY AGGREGATING THE INFORMATION FROM THE INDIVIDUAL FACILITY COST REPORT(S) FOR EACH OF THE HOSPITALS OPERATED BY MHS. THE HOSPITALS OPERATED BY MHS MAY HAVE COST REPORT YEAR ENDS OTHER THAN DECEMBER 31, 2023. ACCORDINGLY, FOR A FACILITY WITH A NON-CALENDAR COST REPORT YEAR END, THE COST REPORT THAT WAS FILED FOR THE COST REPORT YEAR END THAT ENDED DURING 2023 WAS UTILIZED. IT IS IMPORTANT TO NOTE THAT AMOUNTS INCLUDED IN LINES 5-7 DO NOT INCLUDE MEDICARE REVENUE AND RELATED COST FOR FREESTANDING AMBULATORY SURGERY SERVICES AND FOR PHYSICIAN SERVICES. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance MHS HAS A POLICY TO PROVIDE DISCOUNTS TO THOSE INDIVIDUALS WHO DO NOT HAVE INSURANCE OR ARE NOT COVERED BY A GOVERNMENTAL REIMBURSEMENT PROGRAM. IF A PATIENT QUALIFIES FOR MEDICAID, THEN HE OR SHE IS ONLY RESPONSIBLE FOR ANY NON-COVERED CHARGES. IF THE PATIENT DOES NOT QUALIFY FOR MEDICAID, HE OR SHE MAY COMPLETE THE MHS FINANCIAL ASSISTANCE APPLICATION TO HAVE THE ENCOUNTER REVIEWED FOR A POTENTIAL CHARITY DISCOUNT. IF THE PATIENT'S YEARLY INCOME IS LESS THAN OR EQUAL TO 200% OF THE POVERTY GUIDELINES UPDATED ANNUALLY IN THE FEDERAL REGISTER BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES ("FEDERAL POVERTY GUIDELINES"), THE PATIENT WILL BE GRANTED CLASSIFICATION AS FINANCIALLY INDIGENT, AND THE ACCOUNT WILL BE WRITTEN OFF TO CHARITY. LETTERS ARE THEN SENT TO THE PATIENT NOTIFYING THAT THE ACCOUNT HAS QUALIFIED FOR THE CHARITY DISCOUNT AND IS CONSIDERED CLOSED. IN ADDITION, A SLIDING SCALE DISCOUNT IS APPLIED TO ACCOUNTS FOR PATIENTS WHOSE INCOME IS BETWEEN 200% AND 500% OF THE FEDERAL POVERTY GUIDELINES, AND WHOSE REMAINING ACCOUNT BALANCE, AFTER ANY THIRD-PARTY PAYMENTS, EXCEEDS A PERCENTAGE OF THEIR INCOME ("MEDICALLY INDIGENT"). IN ADDITION, PATIENTS WITH ABNORMALLY LARGE ACCOUNTS MAY QUALIFY AS CATASTROPHICALLY ELIGIBLE WHEN THEIR REMAINING BALANCE EXCEEDS A SPECIFIC PERCENTAGE OF THEIR INCOME. IF A PATIENT DOES NOT QUALIFY FOR A CHARITY DISCOUNT, AN UNINSURED DISCOUNT IS APPLIED TO TOTAL CHARGES. IF A PATIENT IS UNABLE TO PAY THE REMAINING BALANCE IN FULL, AFTER APPLYING ANY CHARITY OR UNINSURED DISCOUNTS, MHS WILL WORK WITH THE PATIENT TO SET UP A MONTHLY PAYMENT ARRANGEMENT. THROUGHOUT THE DEBT COLLECTION PROCESS, MHS CONTINUES TO INFORM PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. Schedule H, Part V, Section B, Line 16a FAP website A - METHODIST HOSPITAL: Line 16a URL: https://www.sahealth.com/patient-resources/patient-financial-resources/financial-assistance; B - METHODIST HOSPITAL HILL COUNTRY: Line 16a URL: https://www.sahealth.com/patient-resources/patient-financial-resources/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website A - METHODIST HOSPITAL: Line 16b URL: https://www.sahealth.com/patient-resources/patient-financial-resources/financial-assistance; B - METHODIST HOSPITAL HILL COUNTRY: Line 16b URL: https://www.sahealth.com/patient-resources/patient-financial-resources/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - METHODIST HOSPITAL: Line 16c URL: https://www.sahealth.com/patient-resources/patient-financial-resources/financial-assistance; B - METHODIST HOSPITAL HILL COUNTRY: Line 16c URL: https://www.sahealth.com/patient-resources/patient-financial-resources/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment IN ADDITION TO THE ITEMS SPECIFICALLY NOTED TO ADDRESS THE COMMUNITY HEALTH PRIORITIES, OTHER HIGHLIGHTS FROM 2023 INCLUDE THE FOLLOWING: IN LATE 2011, THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION FILED AN APPLICATION FOR A WAIVER OF CERTAIN FEDERAL MEDICAID REQUIREMENTS UNDER SECTION 1115 OF THE SOCIAL SECURITY ACT. AS A RESULT OF THE GRANTING OF THIS APPLICATION THE TEXAS HEALTH CARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM WAS DEVELOPED TO PROVIDE PAYMENTS (DELIVERY REFORM INCENTIVE PAYMENTS, OR DSRIP) TO HOSPITAL AND OTHER PROVIDERS UPON THEIR ACHIEVING CERTAIN GOALS THAT ARE INTENDED TO IMPROVE THE QUALITY AND LOWER THE COST OF CARE. THIS INITIATIVE DIVIDES THE STATE INTO TWENTY DIFFERENT REGIONS, EACH REGION DEVELOPED A COMMUNITY HEALTH NEEDS ASSESSMENT, AND PROVIDERS IN THE REGION WILL SUBMIT PROJECTS FOR FUNDING CONSIDERATION TO ADDRESS THOSE NEEDS. THE FUNDING OF THIS PROGRAM ENDED IN OCTOBER 2021, HOWEVER METHODIST HEALTHCARE SYSTEM CONTINUES TO OPERATE THE PROJECTS IMPLEMENTED AS PART OF THIS PROGRAM. INTRODUCE, EXPAND OR ENHANCE TELEMEDICINE/TELEHEALTH - METHODIST IMPLEMENTED A TELEHEALTH PROGRAM THAT PROVIDES TELEHEALTH CONSULTATIONS WITH TRAINED SPECIALISTS IN SELECTED SERVICES. THE TELE-STROKE NETWORK PROVIDES SERVICES TO ELEVEN RURAL LOCATIONS. THROUGH THIS PROGRAM, PHYSICIANS CAN DRAMATICALLY DECREASE RESPONSE TIME, TRANSFERS CAN BE MINIMIZED, AND PATIENTS CAN OFTEN RECEIVE LIFESAVING CARE MORE RAPIDLY, OFTEN TIMES AT THEIR HOME HOSPITAL. THE BEHAVIORAL HEALTH TELEMEDICINE PROGRAM STARTED IN JANUARY 2014. ALL OF METHODIST HEALTHCARE'S HOSPITALS HAVE GONE LIVE WITH THIS SERVICE IN THEIR EMERGENCY DEPARTMENTS. THE GOAL OF THIS PROGRAM IS TO PROVIDE TIMELY CONSULTATIONS, DIAGNOSIS AND TREATMENT RECOMMENDATIONS FOR BEHAVIORAL HEALTH/SUBSTANCE ABUSE PATIENTS IN EVERY METHODIST EMERGENCY DEPARTMENT OR IN MEDICAL ACUTE UNITS THROUGHOUT METHODIST. METHODIST PROVIDED 4,420 BEHAVIORAL HEALTH AND 949 TELE-STROKE CONSULTATIONS IN CALENDAR YEAR 2023. OVER 50% OF THE CONSULTATIONS PROVIDED WERE TO MEDICAID OR LOW-INCOME UNINSURED PATIENTS. ENHANCE BEHAVIORAL HEALTH SERVICES - PATIENTS REQUIRING PSYCHIATRIC SERVICES ARE OFTEN ONE OF THE MOST UNDERSERVED POPULATIONS IN THE COMMUNITY, AND METHODIST STRIVES TO ENSURE THAT THESE PATIENTS HAVE ACCESS TO APPROPRIATE CARE. METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT IS ONE OF THE THREE SAN ANTONIO HOSPITALS THAT PROVIDE PSYCHIATRIC EMERGENCY SERVICES (PES) THROUGH THE SOUTHWEST TEXAS CRISIS COLLABORATIVE OF THE SOUTHWEST TEXAS REGIONAL ADVISORY COUNCIL. THE PES EXPANDED FROM 6 TO 14 BEDS IN APRIL 2023 TO HELP MEET THE COMMUNITY NEEDS RESULTING FROM THE CLOSURE OF TEXAS VISTA HOSPITAL. THE PES PROGRAM AT METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT PROVIDES IMMEDIATE PSYCHIATRIC EVALUATIONS, CLINICAL ASSESSMENTS, AND LINKAGE TO THE NEXT APPROPRIATE LEVEL OF CARE TO ADULT MENTAL HEALTH PATIENTS. ESTABLISH MORE PRIMARY CARE CLINICS - METHODIST OPENED THE METHODIST COMMUNITY HEALTH CENTER IN 2014. THE CENTER IS AN URGENT CARE CENTER LOCATED IN EAST SAN ANTONIO. THE METHODIST COMMUNITY HEALTH CENTER PROVIDES SERVICES TO ALL PATIENTS AT NO COST. THE CENTER PROVIDED 1,150 ENCOUNTERS IN CALENDAR YEAR 2023. OF THESE ENCOUNTERS, 80% WERE PROVIDED TO MEDICAID OR LOW-INCOME UNINSURED PATIENTS. VOLUMES AT THIS LOCATION SLOWED DURING COVID-19, AND HAVE NOT INCREASED TO PRE-COVID LEVELS. REDESIGN TO IMPROVE THE PATIENT EXPERIENCE - THE FOCUS FOR THIS PROJECT IS TO IMPROVE HOW PATIENTS EXPERIENCE CLINICAL CARE AS WELL AS THE PATIENT'S SATISFACTION WITH THEIR CARE. METHODIST'S CARE EXPERIENCE TEAM NOW EMAILS ALL PATIENT COMMENTS DAILY. THESE COMMENTS PROVIDE INFORMATION THAT IDENTIFIES OPPORTUNITIES FOR FURTHER COACHING AS WELL AS OPPORTUNITIES TO RECOGNIZE STAFF FOR PROVIDING EXCELLENT CARE. PRESS GANEY REPORTS ARE DISTRIBUTED WEEKLY, AND PROVIDE CURRENT AND TRENDED DATA BY SERVICE LINE. METHODIST HAS NOTED SOME DETERIORATION IN SCORES, AND CONTINUES TO WORK DILIGENTLY WITH PATIENT CARE STAFF TO REVERSE THIS TREND. APPLY PROCESS IMPROVEMENT METHODOLOGY TO IMPROVE QUALITY/EFFICIENCIES SPECIFIC TO SEPSIS - IMPROVEMENT OF SEPSIS MANAGEMENT IS A KEY INITIATIVE IN METHODIST'S CLINICAL EXCELLENCE PLAN. METHODIST HAS DEVELOPED AND CONTINUES TO REFINE THE SEPSIS EARLY RECOGNITION SCREENING TOOL, WHICH WILL ALLOW CLINICAL STAFF TO BETTER IDENTIFY PATIENTS IN EARLY SEPSIS AND TO PROVIDE RAPID INTERVENTION AND REDUCTION OF PATIENTS DEVELOPING SEVERE SEPSIS AND/OR SEPTIC SHOCK. SEPSIS BUNDLE ELEMENTS ARE NOT INCLUDED IN THE ELECTRONIC TRIAGE SCREENING FOR ED, ICU, IN HOSPITAL NURSING, AND RAPID RESPONSE TEAMS. EVIDENCE BASED ORDER SETS FOR CPOE CONTINUE TO BE REFINED BASED UPON INPUT FROM THE MEDICAL AND NURSING STAFF. STAFF CONTINUE TO USE THE SEPSIS PREVENTION & OPTIMIZATION OF THERAPY (SPOT) MONITORING TOOL TO VIEW ALL PATIENT LABS AND VITALS IN REAL TIME AND TO AID IN THE EARLY DETECTION OF PATIENTS AT RISK FOR SEPSIS. INFECTION PREVENTION PRACTITIONERS CONTINUE TO WORK WITH MEDICAL AND NURSING STAFF TO IDENTIFY ADDITIONAL TOOLS TO FURTHER IMPROVE OUTCOMES FOR THESE PATIENTS. CLINICAL STAFF CAN ALSO VIEW KEY SEPSIS METRICS USING THE SEVERE SEPSIS AND SEPTIC SHOCK DASHBOARD. METHODIST HEALTHCARE ONCE AGAIN CONTRIBUTED ANNUAL FUNDING TO THE SOUTHWEST TEXAS REGIONAL ADVISORY COUNCIL'S (STRAC) CRISIS COLLABORATIVE (STCC) IN THE AMOUNT OF $1,620,450. STCC IS AN EFFORT FOCUSED ON ENDING INEFFECTIVE UTILIZATION OF SERVICE FOR THE SAFETY NET POPULATION AT THE INTERSECTION OF MENTAL ILLNESS, HOMELESSNESS, AND HIGH EMERGENCY DEPARTMENT UTILIZATION IN SOUTHWEST TEXAS. STCC IS COMMITTED TO IMPROVEMENT BY DEVELOPING A COMPREHENSIVE, INTEGRATED CRISIS SYSTEM ACROSS ALL MAJOR PUBLIC PAYORS, HOSPITAL PROVIDERS, PHILANTHROPY, PUBLIC SAFETY, AND BEHAVIORAL HEALTH PROVIDERS. MHS FUNDING HAS ALSO SUPPORTED FIVE OTHER STCC INITIATIVES: -LAW ENFORCEMENT NAVIGATION OF PATIENTS TAKEN INTO CUSTODY WHO REQUIRE PSYCHIATRIC EVALUATION AND ARE REQUIRED TO DO SO VIA AN EMERGENCY DETENTION ORDER. -ACUTE CARE STATION AT HAVEN FOR HOPE, WHICH PROVIDES AN ONSITE PARAMEDIC TO SCREEN 911 CALLS AND HAS RESULTED IN AN ALMOST 50% REDUCTION IN TRANSPORTS BY EMS TO THE EMERGENCY ROOMS OF AREA HOSPITALS. -PROGRAM FOR INTENSIVE CARE COORDINATION (PICC), WHICH INTERVENES AND FOLLOW HIGH UTILIZER (USUALLY HOMELESS) PATIENTS THAT HAVE EXPERIENCED MORE THAN SIX EMERGENCY DETENTIONS WITHIN A YEAR. -CROSSPOINT, A 35-BED BEHAVIORAL HEALTH DIVERSION PROGRAM. -SIGNIFY, A CLOUD BASED CARD COORDINATION PLATFORM. HOSPITAL SERVICE GROWTH CONSTRUCTION CONTINUES ON THE NEW MEDICAL CAMPUS IN WESTOVER HILLS. IT WILL INCLUDE A 54- BED ACUTE CARE COMMUNITY HOSPITAL AND MEDICAL OFFICE BUILDING. IN APRIL 2023, METHODIST HEALTHCARE SYSTEM ACQUIRED AWARD-WINNING FREDERICKSBURG-BASED HILL COUNTRY MEMORIAL HOSPITAL. THE ACQUISITION INCLUDED A LICENSED HOSPICE AND HOME CARE PROVIDER, EIGHT MEDICAL CLINCS, ONE MEDICAL GROUP, AND AN 84-BED ACUTE CARE HOSPITAL, RENAMED METHODIST HOSPITAL | HILL COUNTRY. METHODIST PURCHASED 14 LOCAL URGENT CARE CENTERS TO BRING THE TOTAL NUMBER OF CARENOW URGENT CARE CLINICS TO 21 LOCATIONS ACROSS THE COMMUNITY. METHODIST ER | CITY BASE OPENED IN JANUARY 2023, SERVING THE SOUTHSIDE OF SAN ANTONIO. METHODIST HOSPITAL | LANDMARK OPENED IN SEPTEMBER 2023. THE FACILITY IS STRATEGICALLY LOCATED NEAR THE I-10 / LOOP 1604 CORRIDOR. THE 54-BED FACILITY WITH 12 ADVANCED OPERATING SUITES IS POISED TO BECOME A BEACON OF MEDICAL EXCELLENCE IN THE REGION. METHODIST HOSPITAL OPENED A NEW LUNG TRANSPLANT PROGRAM THAT COMPLETES THE WORLD-CLASS SOLID ORGAN TRANSPLANTATION SERVICES OF HEART, KIDNEY, LIVER, AND LUNG FOR METHODIST HEALTHCARE. THIS PROGRAM IS NOW THE LARGEST PROVIDER OF SOLID ORGAN TRANSPLANT PROGRAMS IN SOUTH TEXAS. METHODIST HOSPITAL IS THE ONLY ENTITY IN SOUTH TEXAS PROVIDING THE HEART-LUNG TRANSPLANT OPTION. METHODIST HOSPITAL EXPANDED IT'S INPATIENT REHABILITATION CAPACITY, ADDING 8 ADULT INPATIENT REHAB ROOMS IN 2023. EXPANSION CONTINUES AT THE METHODIST HOSPITAL | NORTHEAST CAMPUS. NORTHEAST METHODIST PLAZA II INCLUDES A 3-STORY MEDICAL OFFICE BUILDING WHICH WILL HOUSE A HOSPITAL-BASED OUTPATIENT SURGERY CENTER WITH FOUR OPERATING ROOM. METHODIST HOSPITAL | NORTHEAST EXPECTS THAT CONSTRUCTION WILL BE COMPLETE IN THE THIRD QUARTER OF 2024. METHODIST HOSPITAL | STONE OAK'S PROJECT TO EXPAND CATH LAB AND OR SERVICES BROKE GROUND EARLY IN 2023, WITH AN EXPECTED COMPLETION DATE IN MID-2024. METHODIST HOSPITAL | STONE OAK TRANSFORMED ITS EXISTING ANGIO SUITE INTO AN ADVANCED NEURO-INTERVENTIONAL SUITE, ALLOWING THE HOSPITALS' TEAM OF HIGHLY SKILLED PHYSICIANS, NURSES AND SPECIALISTS TO PROVIDE COMPREHENSIVE CARE FOR PATIENTS WITH CONDITIONS SUCH AS ANEURYSMS, ARTERIOVENOUS MALFORMATIONS, STROKE, CARTOID ARTERY STENOSIS, AND OTHER NEUROLOGICAL DISORDERS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance MHS HAS TAKEN STEPS OVER THE PAST SEVERAL YEARS TO HEIGHTEN COMMUNITY AWARENESS REGARDING MHS'S CHARITABLE MISSION. SIGNS THAT PROMINENTLY PRESENT INFORMATION ABOUT THE CHARITY MISSION AND GUIDELINES ARE PRESENT AT ALL POINTS OF ADMISSION. MHS ALSO PUBLISHES A NOTICE OF ITS FINANCIAL ASSISTANCE POLICY ANNUALLY IN THE SAN ANTONIO EXPRESS-NEWS. A PATIENT BROCHURE, ENTITLED "A GUIDE TO YOUR HOSPITAL BILL", EXPLAINS THE HOSPITAL BILLING PROCESS AND INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY IN THE EVENT THEY NEED FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS ALSO AVAILABLE IN ENGLISH AND SPANISH ON MHS'S WEBSITE WWW.SAHEALTH.COM. ALL SHARED SERVICE CENTER PERSONNEL RECEIVE TRAINING AND AN ANNUAL REFRESHER COURSE ON THE POLICY AND UNDERSTAND THE CRUCIAL ROLE THEY PLAY IN INFORMING PATIENTS ABOUT THE POLICY. FINANCIAL COUNSELORS AND HOSPITAL CASE MANAGEMENT STAFF EDUCATE PATIENTS AND ARE AVAILABLE TO ASSIST THEM WITH THE FINANCIAL POLICY APPLICATION PROCESS. IN ADDITION TO PROVIDING INFORMATION DURING THE ADMITTING PROCESS, MHS CONTINUES TO PROVIDE INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THE COLLECTION PROCESS FOR THOSE PATIENTS WHO HAVE BEEN BILLED BUT HAVE NOT PAID. AS NOTED ABOVE, MHS USES MULTIPLE METHODS TO COMMUNICATE AND PUBLICIZE FINANCIAL ASSISTANCE POLICIES. INFORMATION SYSTEMS PROGRAMMING CHANGES HAVE BEEN IMPLEMENTED. THESE CHANGES WILL ALLOW A MESSAGE ABOUT THE POLICIES TO PRINT ON PATIENT BILLING STATEMENTS. Schedule H, Part VI, Line 4 Community information THE SAN ANTONIO METROPOLITAN STATISTICAL AREA (MSA) OF 2.5 MILLION PEOPLE INCLUDES THE SEVENTH LARGEST PERCENTAGE OF HISPANICS IN THE UNITED STATES. 61% OF THE LOCAL POPULATION IS HISPANIC, 27% IS WHITE NON-HISPANIC, 7% IS BLACK, 3% IS ASIAN AND 2% IS OTHER. TEXAS AND SAN ANTONIO CONTINUE TO LEAD THE NATION IN THE NUMBER OF UNINSURED ADULTS AND CHILDREN (TEXAS IS RANKED NO. 1 WITH 17.7% UNINSURED AND THE U.S. IS 8.9%). OVER ELEVEN PERCENT OF CHILDREN IN TEXAS ARE WITHOUT HEALTH INSURANCE COMPARED TO THE U.S. AT 5.5%. IN SAN ANTONIO, ONE OUT OF FOUR ADULTS AND CLOSE TO ONE OUT OF THREE CHILDREN DO NOT HAVE HEALTH INSURANCE. THE MEDIAN HOUSEHOLD INCOME IN SAN ANTONIO IS $53,410, COMPARED TO $63,826 FOR TEXAS AND $79,900 FOR THE NATION. SAN ANTONIO HAS A LARGE POPULATION LIVING IN POVERTY WHEN COMPARED TO OTHER PARTS OF TEXAS. 18.6% OF SAN ANTONIO RESIDENTS LIVE AT OR BELOW THE POVERTY LEVEL, AND BEXAR COUNTY IS AT 16.4%, COMPARED TO 15.5% FOR TEXAS, AND 14.1% FOR THE U.S. SAN ANTONIO'S PERCENT OF HOUSEHOLDS RECEIVING FOOD STAMPS IS 15.6%, WITH TEXAS AT 13.1%, AND THE U.S. AT 13.3%. METHODIST HEALTHCARE SERVES AN ESTIMATED POPULATION OF NEARLY 2.9 MILLION IN BEXAR AND 26 SOUTH AND CENTRAL TEXAS COUNTIES: ATASCOSA, BANDERA, CALDWELL, COMAL, DEWITT, DIMMIT, EDWARDS, FRIO, GILLESPIE, GONZALES, GUADALUPE, KARNES, KENDALL, KERR, KINNEY, LA SALLE, LAVACA, MAVERICK, MCMULLEN, MEDINA, REAL, UVALDE, VAL VERDE, WEBB, WILSON AND ZAVALA. SINCE THIS GEOGRAPHIC AREA IS MAJORITY HISPANIC, MHS SEES THIS REFLECTED IN OUR PATIENT POPULATION. AS NOTED ABOVE, METHODIST HEALTHCARE SYSTEM ACQUIRED HILL COUNTRY MEMORIAL HOSPITAL IN FREDERICKSBURG, TEXAS IN THE SECOND QUARTER OF 2023. METHODIST HOSPITAL | HILL COUNTRY CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND DEVELOPED A THREE-YEAR IMPLEMENTATION PLAN PRIOR TO THE ACQUISITION FOR GILLESPIE, BLANCO, AND KERR COUNTIES. THE DEMOGRAPHIC INFORMATION INCLUDED IN THE ASSESSMENT NOTED THE FOLLOWING: THE POPULATION IN THE THREE COUNTIES IS PROJECTED TO INCREASE FORM 2021-2026 BY 2.57% PER YEAR, GREATER THAN THE PROJECTED INCREASE RATE OF 1.5% FOR THE STATE OF TEXAS. THE THREE COUNTIES HAD A HIGHER MEDIAN AGE (48.7 MEDIAN AGE COMPARED FOR 35.3 FOR TEXAS AND 38.8 FOR THE US). THE PERCENTAGE OF THE POPULATION AGED 65 AND OVER IS 26%, HIGHER THAN THAT OF THE US (17.2%). THE RATES OF POVERTY IN THE THREE COUNTIES - GILLESPIE - 9.2%, BLANCO - 9.8% AND KENDALL - 6.7 % WERE ALL LOWER THAN THE OVERALL RATE OF 13.4 % FOR TEXAS AND 11.9% FOR THE US. ALTHOUGH DEMOGRAPHICS FOR THESE THREE COUNTIES DIFFERS SIGNIFICANTLY FROM THE SAN ANTONIO METROPOLITAN STATISTICAL AREA, MANY OF THE SAME CONCERNS WERE VOICED RELATIVE TO ACCESS TO AFFORDABLE CARE, LACK OF MENTAL HEALTH RESOURCES, AND CONDITIONS RELATED TO AN AGING POPULATION. Schedule H, Part VI, Line 5 Promotion of community health SEE RESPONSES FOR SCHEDULE H, PART VI, LINE 2. Schedule H, Part VI, Line 6 Affiliated health care system ALL SHARED SERVICE CENTER PERSONNEL RECEIVE TRAINING AND AN ANNUAL REFRESHER COURSE ON THE POLICY AND UNDERSTAND THE CRUCIAL ROLE THEY PLAY IN INFORMING PATIENTS ABOUT THE POLICY. FINANCIAL COUNSELORS AND HOSPITAL CASE MANAGEMENT STAFF EDUCATE PATIENTS AND ARE AVAILABLE TO ASSIST THEM WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. IN ADDITION TO PROVIDING INFORMATION DURING THE ADMITTING PROCESS, MHS CONTINUES TO PROVIDE INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THE COLLECTION PROCESS FOR THOSE PATIENTS WHO HAVE BEEN BILLED BUT HAVE NOT PAID. AS NOTED ABOVE, MHS USES MULTIPLE METHODS TO COMMUNICATE AND PUBLICIZE FINANCIAL ASSISTANCE POLICIES. INFORMATION SYSTEMS PROGRAMMING CHANGES HAVE BEEN IMPLEMENTED. THESE CHANGES WILL ALLOW A MESSAGE ABOUT THE POLICIES TO PRINT ON PATIENT BILLING STATEMENTS. LATE IN 2009 METHODIST CONSOLIDATED ALL BED PLACEMENT SERVICES, INCLUDING RURAL ED TRANSFER ASSISTANCE, INTO A SYSTEM-WIDE PATIENT PLACEMENT CENTER. RURAL TRANSFERS THROUGH THE CENTER INCREASED IN 2023 BY 2.1%. THE ACCEPTANCE RATE IN 2023 WAS 91.6% COMPARED TO 93.8% IN 2022. SELF-PAY PATIENTS ACCOUNTED FOR 13.4% OF ALL TRANSFERS IN 2023 AS COMPARED TO 13.2% IN 2022. PEDIATRIC AND HIGH-RISK MATERNAL TRANSFERS ARE ALSO NOW HANDLED THROUGH THESE CONSOLIDATED PLACEMENT SERVICES. THE ACCEPTANCE RATE FOR THESE TRANSFERS WAS 94.2% IN 2023 (92.1% IN 2022). MHS SELF-PAY AND CHARITY PATIENTS ACCOUNTED FOR 6.6% OF ALL PEDIATRIC (AGES 0-17) AND MATERNAL TRANSFERS AS COMPARED TO 6.8% IN 2022. METHODIST AIRCARE, IN PARTNERSHIP WITH REACH AIR MEDICAL SERVICES, HAS THREE RURAL HELICOPTERS IN THE REGION. SPECIALIZED SERVICES AVAILABLE AT MHS FACILITIES INCLUDE THE FOLLOWING: NEONATOLOGY SERVICES, PEDIATRIC SUBSPECIALTY SERVICES, BONE MARROW TRANSPLANT, LUNG TRANSPLANTS, KIDNEY TRANSPLANTS, HEART TRANSPLANTS, LIVER TRANSPLANTS, PANCREAS TRANSPLANTS, HYPERBARIC OXYGEN TREATMENT, STROKE CARE, MEDICAL AIR TRANSPORT, GAMMA KNIFE RADIOSURGERY, EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) AND BARIATRIC SURGERY. See responses for question 2 above regarding expansion of services in 2023. The majority of charity care provided by the hospitals is from patients receiving emergency services. Emergency Department (ED) visits to Methodist facilities totaled 469,220 in 2023 (420,039 in 2022), up almost 11.7% from 2022. 15.6% of total ED visits resulted in inpatient admissions with a 9.3% increase in ED admissions over 2022. In addition, 19.9% of all visits to Methodist emergency departments in 2023 were made by charity or self-pay patients. Methodist continues to focus on improving access to care for the community by improving emergency department access. When comparing 2023 to 2022, Methodist noted no significant increase in either the Patient-Arrival-to-Bed (ATB) metric or Arrival-to-Greet (ATG) metrics. The Average Length of Stay for all patients decreased to 158 minutes in 2023 from 276.8 minutes in 2022. Texas Transplant Institute (TTI), at Methodist Specialty & Transplant Hospital, a Campus of Methodist Hospital, continues to provide increased access for patients requiring kidney transplants. TTI is the home of the busiest paired exchange kidney transplant program in the nation, and the nation's No. 1 living donor kidney transplant program. MHS also operates three Health Buses on the east, south and west side of San Antonio offering complimentary transportation to various health care facilities. In 2022, Methodist also started tracking all complimentary transportation for patients including rides through Uber, Lyft, taxi services, bus passes and ambulance rides after patients are discharged. MHS provided 22,788 complimentary transports in 2023, an increase of 30% over the 2022 transport totals. Metropolitan Methodist Hospital | Metropolitan in conjunction with Methodist Hospital Women's Services, operates three Family Health Centers that provide complimentary pregnancy testing (1,483 visits in 2023), physician referrals, counseling, health education and screening programs. MHS also operates Call-a-Nurse for Children, a telephone service offering free medical advice by trained emergency care pediatric nurses to parents of sick/ injured children. The service operates from 5:00 p.m. to 8:00 a.m. Monday through Friday and around the clock on weekends and holidays (when physicians' offices are closed). Call volumes in 2023 were 33,310, a 15% decrease from 2022. In 2015, the Methodist Contact Center was sold to HCA with the agreement to continue operating a community phone-in health resource called HealthLine during normal business hours. HealthLine callers schedule attendance to health and wellness events, parenting classes, and receive physician referrals through the Methodist Doctor Source program. In 2023, Methodist referred physicians to 2,093 Find A Doctor callers (up to three physicians may be referred to each caller). In one other community benefits category, Methodist provided over $585,700 in charitable contributions to non-profit health and human service agencies serving the community. Methodist Healthcare once again contributed annual funding to STRAC's Crisis Collaborative (STCC) in the amount of $1,620,450. STCC is an effort focused on ending ineffective utilization of services for the safety net population at the intersection of mental illness, homelessness, and high emergency department utilization in Southwest Texas. STCC is committed to improvement by developing a comprehensive, integrated crisis system across all major public payors, hospital providers, philanthropy, public safety and behavioral health providers. In 2023, Methodist Hospital | Specialty and Transplant expanded the number of Psychiatric Emergency Service Beds (PES) to fourteen. As a result, monthly patient encounters in this unit have doubled. MHS Funding has also supported five other STCC initiatives: - Law Enforcement Navigation of patients taken into custody who require psychiatric evaluation and are required to do so via an Emergency Detention Order. - Acute Care Station at Haven for Hope, which provides an onsite paramedic to screen 911 calls and has resulted in an almost 50% reduction in transports by EMS to the Emergency Rooms of area hospitals. - Program for Intensive Care Coordination (PICC), which intervenes and follows high utilizer (usually homeless) patients that have experienced more than six Emergency Detentions within a year. - Crosspoint, a 35-bed behavioral health diversion program. - Signify, a cloud-based card coordination platform. Methodist plays a leading role in the support of The Health Collaborative, including the utilization of their Community Health Needs Assessment to assist in the determination of where MHS should concentrate community activities (see additional information in Question 2, Section V). MHS has an open admissions policy which allows medical staff to admit patients directly to any MHS facility regardless of the patient's ability to pay. MHS funds and provides training and continuing education to physicians, nurses, EMS professionals and other allied health professionals. MHS participates in all quality measures (CMS, JCAHO, etc). MHS uses the CMS Core Measures as the primary quality indicators for clinical care. Schedule H, Part VI, Line 7 State filing of community benefit report TX true 911 Park Place 911 Park Avenue Corpus Christi TX 78401 742996340 501(c)(3) 101000 Operational Support Access Esperanza 916 East Hackberry Ave McAllen TX 78501 741655329 501(c)(3) 100000 Operational Support Alamo Colleges Foundation 2222 North Alamo St San Antonio TX 78215 742422589 501(c)(3) 89500 Capital Support Alzheimer's Association 10223 McCallister FWY San Antonio TX 78216 133039601 501(c)(3) 100000 Donation American Cancer Society 7800 W IH-10 San Antonio TX 78230 131788491 501(c)(3) 7000 Donation American Heart Association 8415 Wurzbach San Antonio TX 78229 135613797 501(c)(3) 243750 Donation Amistad Community Health Center 1533 Brownlee Blvd Corpus Christi TX 78404 203008507 501(c)(3) 433000 Integrated healthcare program The Arc of San Antonio Inc 13430 West Avenue San Antonio TX 78216 741200110 501(c)(3) 50000 Nursing services Arms of Hope 21300 State Hwy 16 North Medina TX 78055 510416193 501(c)(3) 50000 Donation Arthur Nagel Community Clinic 1116 12th Street Bandera TX 78003 770697361 501(c)(3) 153000 Integrated healthcare program Ascension DePaul Services 7607 Somerset Road San Antonio TX 78211 746106876 501(c)(3) 743844 Integrated healthcare program and community coalition project Aspen Institute One Dupont Cir NW Washington DC 20036 840399006 501(c)(3) 10000 Donation Asset Funders Network 2045 West Grand Avenue Chicago IL 60612 831215288 501(c)(3) 12500 Donation Atascosa Health Center 310 W Oaklawn Rd Pleasanton TX 78064 742089103 501(c)(3) 150000 Integrated healthcare program Avance - Austin 745 Mansell Avenue Austin TX 78702 911916705 501(c)(3) 100000 Parenting program AYA Foundation 8823 Callaghan Rd San Antonio TX 78230 832929650 501(c)(3) 10000 Donation Barrio Comprehensive Family Health Care Center Inc 3066 E Commerce Street San Antonio TX 78220 741724391 501(c)(3) 1410000 Dental program Barnett Chapel United Methodist Church 710 Pashal Avenue Kerrville TX 78028 844165533 501(c)(3) 56265 Community Garden program Bastrop County Cares 806 Water Street Bastrop TX 78602 473250104 501(c)(3) 88550 Operational Support Behavioral Health Solutions of South Texas 5510 N Cage Blvd Pharr TX 78577 742648885 501(c)(3) 355672 Integrated healthcare program Biomed SA 3463 Magic Drive San Antonio TX 78229 300104931 501(c)(3) 6000 Donation Black Outside 305 East Ramsey Road San Antonio TX 78216 833447384 501(c)(3) 6000 Donation Bluebonnet Children's Center 1901 Avenue I Hondo TX 78861 742999054 501(c)(3) 42600 Donation Border Missions 203 Ramon Ayala Drive Hidalgo TX 78557 746068350 501(c)(3) 14000 Donation Bountiful Blessings 602 North Main Pleasanton TX 78064 852653240 501(c)(3) 10000 Donation Boys & Girls Club of Live Oak County 310 Fannin Street George West TX 78022 510211273 501(c)(3) 100000 Capital Support Boys and Girls Club of Pharr 1026 S Fir Street Pharr TX 78577 752258513 501(c)(3) 100000 Youth Development Services Boysville 8555 East Loop 1604 North Converse TX 78109 741207553 501(c)(3) 65010 Data Infrastructure Upgrade Children's Association For Maximum Potential Inc 2525 Ladd Street Lackland AFB TX 78236 742095766 501(c)(3) 70000 Family retreats and Donation Central Texas Food Bank 6500 Metropolis Drive Austin TX 78744 742217350 501(c)(3) 489560 Nutrition Education program and donation Children's Bereavement Center of the Rio Grande Valley 2302 South 77 Sunshine Strip Harlingen TX 78550 843956044 501(c)(3) 157900 Healing programs for grieving youth Children's Bereavement Center of South Texas 205 W Olmos Drive San Antonio TX 78212 742828178 501(c)(3) 338063 Healing programs for grieving youth The Children's Shelter 2939 West Woodlawn Avenue San Antonio TX 78228 741109660 501(c)(3) 400400 Behavioral health and medical services for children ChildSafe 7130 US Hwy 90 San Antonio TX 78227 742633697 501(c)(3) 194355 Counseling services Christian Assistance Ministry 110 McCullough Ave San Antonio TX 78215 741947967 501(c)(3) 71800 Homeless support program and donation City Education Partners 303 Pearl Parkway San Antonio TX 78215 474539590 501(c)(3) 100000 Educator pipeline program City of Laredo 1110 Houston Street Laredo TX 78042 746001573 Govt 157875 Integrated healthcare program City of Pharr 118 South Cage Blvd Pharr TX 78577 746001875 Govt 1000000 Broadband Expansion Services City of Smithville 317 Main Street Smithville TX 78957 746002322 Govt 100000 Operational Support Clarity Child Guidance Center 8535 Tom Slick Dr San Antonio TX 78229 741153067 501(c)(3) 1413400 Behavioral health services for children and Donation Coastal Bend Food Bank 826 Krill Street Corpus Christi TX 78408 742234089 501(c)(3) 325400 Diabetes education program Coastal Bend Wellness Foundation 2882 Holly Road Corpus Christi TX 78415 742429518 501(c)(3) 160614 Integrated healthcare program Coastal Plains Community Center 200 Marriot Portland TX 78374 742919178 501(c)(3) 602048 Integrated healthcare program Common Market of Texas Inc 2121 Gulf Central Dr Houston TX 77023 822421349 501(c)(3) 193000 Food access program Communities in Schools of San Antonio Inc 1616 E Commerce St San Antonio TX 78205 742393714 501(c)(3) 271766 Mental Health Services for At-Risk Youth Community Council of South Central Texas Inc 801 N State Highway Seguin TX 78155 741541774 501(c)(3) 103500 Capital Support Community Health Centers of South Central Texas 228 St George Street Gonzalez TX 78629 741548089 501(c)(3) 156299 Integrated healthcare program Community Health Development 908 S Evans Uvalde TX 78801 742269739 501(c)(3) 802304 Dental Program and capital support Community Hope Projects Inc (DBA Hope Family Health Center) 2332 Jordan Road McAllen TX 78503 742742024 501(c)(3) 390391 Integrated healthcare program Community Tech Network 1390 Market Street San Francisco CA 94102 262119465 501(c)(3) 42825 Digital Inclusion program Concho Valley Regional Food Bank of Texas Inc 1313 Hill Street San Angelo TX 76903 751897032 501(c)(3) 250000 Capital Support and Donation Connections Individual and Family Services Inc 1414 West San Antonio Street New Braunfels TX 78130 742179169 501(c)(3) 100000 Capital Support Corazon Ministries Inc 230 East Travis Street San Antonio TX 78205 200319533 501(c)(3) 213000 Medical services Corpus Christi Literacy Council 4044 Greenwood Drive Corpus Christi TX 78416 742444906 501(c)(3) 30000 Operational Support MHMR Services for the Concho Valley 404 S Irving St San Angelo TX 76903 751251523 501(c)(3) 46639 Operational Support Corpus Christi Metro Ministries 1919 Leopard Street Corpus Christi TX 78408 742247261 501(c)(3) 146608 Integrated healthcare program Courage Ranch 3292 Hwy 97 West Floresville TX 78114 832819350 501(c)(3) 36900 Equine-assisted mental health program CRRC of Canyon Lake 1917 FM 2673 Canyon Lake TX 78133 742213549 501(c)(3) 145390 Operational Support Culturingua 8920 John Barrett Drive San Antonio TX 78240 841940407 501(c)(3) 6000 Donation Del Mar College Foundation 101 Baldwin Blvd Corpus Christi TX 78404 742286234 501(c)(3) 37500 Software upgrade Doyle Community Center 110 West Barnett Kerrville TX 78028 200266181 501(c)(3) 402000 Capacity building program Eagle Pass SAFE 2033 Fox Borough Eagle Pass TX 78852 831475408 501(c)(3) 10000 Community coalition project Economic Mobility Pathways 308 Congress Street Austin TX 02210 422104046 501(c)(3) 99784 Economic Mobility program Ecumenical Center for Religion and Health 8310 Ewing Halsell Dr San Antonio TX 78229 741587388 501(c)(3) 664313 Medical ethics program, pastoral care, trauma, and child therapy program Education to Employment Partners 5301 Weber Road Corpus Christi TX 78411 753137924 501(c)(3) 100000 Operational Support El Centro del Barrio (DBA CentroMed) 3750 Commercial Ave San Antonio TX 78221 741787031 501(c)(3) 3465131 Integrated healthcare program and building renovation Esperanza Peace and Justice 922 San Pedro Avenue San Antonio TX 78212 742419582 501(c)(3) 403215 Community coalition project Family Counseling Service 3833 S Staples Corpus Christi TX 78411 741321308 501(c)(3) 200900 Counseling services for children and families Family Service Association of San Antonio Inc 702 San Pedro San Antonio TX 78212 741117341 501(c)(3) 1587740 Child abuse prevention, mental health services, economic mobility program, and community coalition project Family Violence Prevention Services Inc 7911 Broadway San Antonio TX 78209 741994151 501(c)(3) 52500 Counseling services Fayette Community Foundation 1630 US77 La Grange TX 78945 742997477 501(c)(3) 28000 Donation First United Methodist Church of San Angelo 37 East Beauregard San Angelo TX 76901 756001559 501(c)(3) 74000 Capital Support First United Methodist Church of Carrizo Springs 602 Nopal Street Carrizo Springs TX 78834 742907468 501(c)(3) 506200 Community coalition project First United Methodist Church of Corpus Christi 900 South Shoreline Blvd Corpus Christi TX 78401 741166910 501(c)(3) 10000 Donation First United Methodist Church of Eagle Pass 571Quarry Street Eagle Pass TX 78852 742584271 501(c)(3) 20000 Donation Floresville Food Pantry 1201 A Street Floresville TX 78114 472060636 501(c)(3) 10000 Donation Food Bank of the Golden Crescent 3809 E Rio Grande St Victoria TX 77901 742534561 501(c)(3) 150000 Food stability program and donation Food Bank of the Rio Grande Valley Inc 724 N Cage Blvd Pharr TX 78577 742421560 501(c)(3) 701000 Food stability program and donation Frontera Healthcare Network 604 Eaker Street Eden TX 76837 752854259 501(c)(3) 148409 Operational Support Fuerza Unida 710 New Laredo Highway San Antonio TX 78211 742615917 501(c)(3) 50000 Operational support Gartopia 122 Timberlane Drive San Antonio TX 78209 474927209 501(c)(3) 6000 Donation Gateway Community Health Center Inc 1515 Pappas St Laredo TX 78041 742553409 501(c)(3) 1448547 Integrated healthcare program Girls Inc 2214 Basse Road San Antonio TX 78213 205468038 501(c)(3) 220000 Behavioral Health program Giving Tree 202 North Malinche Laredo TX 78043 821907333 501(c)(3) 10000 Donation The Good Samaritan Center 140 Industrial Loop Fredericksburg TX 78624 912129853 501(c)(3) 93366 Community health worker program Goodwill 406 West Commerce San Antonio TX 78207 741238444 501(c)(3) 509979 Digital Inclusion program Grow Local 710 Buffalo Street Corpus Christi TX 78401 462315450 501(c)(3) 36000 Farmers Market program Gulf Bend Mental Health Mental Retardation Center 6502 Nursery Drive Victoria TX 77904 741659064 501(c)(3) 244136 Integrated healthcare program Habitat for Humanity 311 Probandt San Antonio TX 78204 741897502 501(c)(3) 103713 Book Land Land Harlandale ISD 102 Genevieve Street San Antonio TX 78214 746002100 School 250000 Donation Health and Behavioral Wellness Council 212 Oak Cluster Drive Columbus TX 78934 871971858 501(c)(3) 12000 Donation Healthcare Access San Antonio 5535 Fredericksburg San Antonio TX 78229 203752122 501(c)(3) 158788 Operational support Healthcare Innovations & Sciences Centre 1781 East Ammann Road Bulverde TX 78163 823399298 501(c)(3) 500000 Capital Support Healy-Murphy Center 618 Live Oak San Antonio TX 78202 741667875 501(c)(3) 64000 Behavioral health services Hill Country Community Needs Council 1904 N Llano Fredericksburg TX 78624 742276776 501(c)(3) 100000 Community Needs support Hill Country Christian Counseling Center Inc 1127 East Main Street Kerrville TX 78028 742897680 501(c)(3) 98625 Counseling Services Hill Country Daily Bread Ministries 234 West Bandera Road Boerne TX 78006 300148195 501(c)(3) 100000 Family mentoring program Hill Country Family Services 114 West Advogt Boerne TX 78006 742425029 501(c)(3) 113838 Diabetes prevention program Hill Country Mission Health 122 Commerce Avenue Boerne TX 78006 481262832 501(c)(3) 101000 Primary care and behavioral health services Home of Living Faith 1523 John F Kennedy Crystal City TX 78839 843312047 501(c)(3) 55000 Operational support Horses Helping the Handicapped Inc 791 Backhaus Road Pipe Creek TX 78063 742746369 501(c)(3) 199500 Equine-assisted mental health program House of Neighborly Service 407 North Calaveras San Antonio TX 78207 741153442 501(c)(3) 306865 Food access program and Community coalition project I Care San Antonio 1 Haven for Hope Way San Antonio TX 78207 742690192 501(c)(3) 446000 Vision care for the Homeless and capital support It's Time Texas 13492 Research Blvd Austin TX 78750 432051509 501(c)(3) 286581 Diabetes Prevention program Jewish Family Service of San Antonio Inc 12500 NW Military Hwy San Antonio TX 78231 741759254 501(c)(3) 505000 Behavioral health services Just Community 701 Tillery Street Austin TX 78702 811447315 501(c)(3) 20000 Donation Lower Rio Grande Valley Community Health Management Corporation Inc 901 E Vermont Ave McAllen TX 78503 742784427 501(c)(3) 469000 Integrated behavioral health program Kaboom 7200 Wisconsin Avenue Bethesda MD 20814 521970904 501(c)(3) 225000 Emergency support Kleberg Co Adult Literacy 220 North Fourth Street Kingsville TX 78363 742987004 501(c)(3) 10000 Donation La Union del Pueblo Entero 1601 US 83 Business San Juan TX 78589 931029197 501(c)(3) 375000 Healthcare services, patient education for colonia residents League of Women Voters 1212 Guadalupe Street Austin TX 78701 823439854 501(c)(3) 10000 Donation Life Choices Medical Clinic 3234 Northwestern Drive San Antonio TX 78238 742809910 501(c)(3) 60243 Women's healthcare Light on the Hill at Mount Wesley 610 Methodist Encampment Road Kerrville TX 78028 833263624 501(c)(3) 80900 Operational support Local Initiatives Support Corporation 28 Liberty Street New York NY 10005 133030229 501(c)(3) 20000 Donation Magdalena House 6257 Babcock Road San Antonio TX 78240 800251526 501(c)(3) 200000 Family wellness program Martinez Street Women's Center 801 North Olive Street San Antonio TX 78202 742934053 501(c)(3) 1811627 Community coalition project and Economic Mobility program Matagorda Episcopal Health Outreach Program 101 Ave F North Bay City TX 77414 200537948 501(c)(3) 172370 Community Garden program Maverick County Hospital District 3406 Bob Rogers Drive Eagle Pass TX 78852 746000705 501(c)(3) 10000 Community coalition project Meadows 2800 Swiss Avenue Dallas TX 75204 463992618 501(c)(3) 317845 Mobile mental wellness program Mercy Ministries of Laredo 2500 Zacatecas Street Laredo TX 78046 200198462 501(c)(3) 696800 Integrated healthcare program MHP Salud 2142B Washtenaw Avenue Ypsilanti MI 48197 383092194 501(c)(3) 300000 Parenting program National Center for Behavioral Health Solutions 6800 Park Ten Blvd San Antonio TX 78213 471857847 501(c)(3) 401104 Behavioral health services NAMI Texas 4110 Guadalupe Austin TX 78751 742380175 501(c)(3) 10000 Donation National Digital Inclusion Alliance 3000 East Main Street Columbus OH 43209 822753773 501(c)(3) 7000 Donation New Braunfels Christian Ministries 169 S Hickory Ave New Braunfels TX 78130 262221231 501(c)(3) 250000 Medical and dental services New Braunfels Housing Partners 801 W San Antonio St New Braunfels TX 78130 461955404 501(c)(3) 200000 Housing stability project Northern Hills United Methodist Church 3703 North Loop 1604 East San Antonio TX 78247 741904431 501(c)(3) 430195 Community coalition project Nuestra Clinica del Valle 801 W 1st Street San Juan TX 78577 741721807 501(c)(3) 137500 Integrated behavioral health program People's Community Clinic 1101 Camino La Costa Austin TX 78752 237087608 501(c)(3) 94162 Integrated behavioral health program Phoenix Center 3340 State Highway 71 Marble Falls TX 78657 260310507 501(c)(3) 100000 Behavioral Health Services Pillar 1403 North Seymour Avenue Laredo TX 78040 273656127 501(c)(3) 100000 Counseling services Planned Living Assistance Network of Central Texas 4110 Guadalupe Austin TX 78751 742861614 501(c)(3) 13500 Counseling services Planned Parenthood of San Antonio 2140 Babcock Road San Antonio TX 78229 741297211 501(c)(3) 445000 Health care services The Prosthetic Foundation 5047 Sherrl Ann San Antonio TX 78233 010949598 501(c)(3) 92586 Operational support Project Transformation 1902 Vance Jackson Road San Antonio TX 78123 842069964 501(c)(3) 141000 Children's literacy program and donation Proyecto Desarrollo Humano Inc 17617 Sabal Palm Drive Penitas TX 78576 205709276 501(c)(3) 54000 Wellness program Proyecto Juan Diego Inc 2216 Eduardo Avenue Brownsville TX 78526 810606967 501(c)(3) 95184 Diabetes program Raise Texas 3507 North Lamar Blvd Austin TX 78703 262087882 501(c)(3) 25000 Donation Raphael Community Free Clinic Inc 1807 Water Street Kerrville TX 78028 742819628 501(c)(3) 226306 Integrated behavioral health services Respite Care of San Antonio 605 Belknap Place San Antonio TX 78212 742467770 501(c)(3) 136500 Medical services and Donation Restore Education 4205 San Pedro Avenue San Antonio TX 78212 262966263 501(c)(3) 57500 Capital Support Rio Grande International Study Center 1 West End Washington Street Laredo TX 78040 742742037 501(c)(3) 11000 Community coalition project RGV HIE 1816 E Harrison Street Harlingen TX 78550 364697880 501(c)(3) 200000 Operational Support Rio Texas Conference of the United Methodist Church 16400 Huebner Road San Antonio TX 78248 741326672 501(c)(3) 713349 Clergy Excellence & Wellness and donation Roy Maas Youth Alternatives Inc 3103 West Avenue San Antonio TX 78213 741914638 501(c)(3) 175000 Counseling services SA Hope Center 321 North General McMullen Drive San Antonio TX 78237 742989365 501(c)(3) 264753 Community coalition project and capital support SA Talent 112 East Pecan Street San Antonio TX 78205 813677054 501(c)(3) 100500 Operational support SA Youth 1215 West Poplar San Antonio TX 78207 742333088 501(c)(3) 97000 Academic achievement program San Antonio Chamber of Commerce 602 East Commerce San Antonio TX 78205 740878900 501(c)(3) 13000 Donation San Antonio Christian Dental Clinic 1 Haven for Hope Way San Antonio TX 78207 742428161 501(c)(3) 420500 Dental services for homeless population San Antonio Clubhouse Inc 6851 Citizens Parkway San Antonio TX 78229 820559940 501(c)(3) 450500 Operational Support San Antonio Educations Partnership 131 El Paso Street San Antonio TX 78204 742547643 501(c)(3) 50000 Operational Support San Antonio Food Bank 5200 Enrique Barrera Parkway San Antonio TX 78227 742122979 501(c)(3) 720000 Social services outreach, mobile food pantry, and donation San Antonio Foundation for Excellence in Education 2411 San Pedro Avenue San Antonio TX 78212 742861587 501(c)(3) 690000 Digital Inclusion program and community garden program San Antonio Hispanic Chamber of Commerce 200 East Grayson Street San Antonio TX 78215 742370616 501(c)(3) 6000 Donation San Antonio Lifetime Recovery 10290 Southton Road San Antonio TX 78223 741540097 501(c)(3) 286500 Counseling services San Antonio Metropolitan Ministry 1919 NW Loop 410 San Antonio TX 78213 742285793 501(c)(3) 228439 Integrated health and wellness program Sana Roots 1531 West French Place San Antonio TX 78201 931432281 501(c)(3) 286496 Community coalition project SLEW Inc (Support Lending for Emotional Well-Being) 12521 Nacogdoches Road San Antonio TX 78217 421580967 501(c)(3) 120000 Mental health services for women with cancer and donation Smithville Community Clinic 300 Lynch Street Smithville TX 78957 204515999 501(c)(3) 112760 Medical services South Texas Family Planning & Health Corporation 4455 South Padre Island Drive Corpus Christi TX 78411 741728621 501(c)(3) 250000 IT Infrastructure upgrade South Texas Food Bank 2121 Jefferson Laredo TX 78041 742574983 501(c)(3) 709500 Food access program and donation South Texas Juvenile Diabetes Association 313 West Nolana Avenue McAllen TX 78504 453645389 501(c)(3) 35000 Diabetes prevention program South Texas Rural Health Service 611 Thornton Cotulla TX 78014 741905196 501(c)(3) 487733 Integrated behavioral health program St Vinny's Bistro 1 Haven for Hope Way San Antonio TX 78207 850693231 501(c)(3) 50000 Homeless support program St Peter's by the sea 1541 Waldron Road Corpus Christi TX 78418 741723620 501(c)(3) 15000 Donation Southwest Texas Regional Advisory Council 7500 US Hwy 90 West San Antonio TX 78227 742896432 501(c)(3) 4844916 Women's and Men's transitional housing, acute care station, and psychiatric bed capacity Su Casa de Esperanza Inc 800 Cisne Pharr TX 78577 742610449 501(c)(3) 50000 Operational support Su Clinica Familiar 1706 Treasure Hills Blvd Harlingen TX 78550 742357970 501(c)(3) 692000 IT Infrastructure upgrade Sunrise Homeless Navigation Center 4430 Menchaca Road Austin TX 78745 311249618 501(c)(3) 193615 Capital Support Sustainable Food Center 2921 East 17th Street Austin TX 78702 742441468 501(c)(3) 122348 Local Food Advocacy program Sustainable Gangstas 11844 Bandera Road Helotes TX 78023 852024756 501(c)(3) 10000 Community coalition project Southwest Area Regional Transit 713 East Main Street Uvalde TX 78801 455383726 501(c)(3) 10000 Community coalition project Tejas Health Care 753 East Travis Street La Grange TX 78945 753260266 501(c)(3) 327375 Integrated healthcare program Texas A&M Health Science Center 209 North Water Street Corpus Christi TX 78401 742907553 SCHOOL 1139714 Diabetes prevention program and safe water project Texas Appleseed 1609 Shoal Creek Blvd Austin TX 78701 742804268 501(c)(3) 25000 Operational support Texas Diaper Bank 5415 Bandera Road San Antonio TX 78238 742886380 501(c)(3) 167500 Assistance for low income families ThriveWell Cancer Foundation 4383 Medical Drive San Antonio TX 78229 260371270 501(c)(3) 55000 Cancer patient transportation program and Donation Timons Ministries 10501 South Padre Island Drive Corpus Christi TX 78418 311638327 501(c)(3) 63000 Medical and dental program HFCC Inc 1215 Colzona Road San Antonio TX 78219 611861486 501(c)(3) 750000 Donation Tropical Texas Behavioral Health 1901 South 24th Avenue Edinburg TX 78539 741565510 GOV'T 442686 Telehealth expansion program United Medical Centers 2525 North Veterans Blvd Eagle Pass TX 78852 741993570 501(c)(3) 182000 Provider recruitment program University of Texas Health Science Center at Houston 7000 Fannin Street UCT 1006 Houston TX 77030 741761309 SCHOOL 294663 Diabetes prevention program University of Texas Health Science Center San Antonio 7703 Floyd Curl Drive San Antonio TX 78229 741586031 SCHOOL 767302 Dental Services program University of Texas at San Antonio One UTSA Circle San Antonio TX 78249 741717115 School 203715 Economic Mobility program P16Plus 11103 West Avenue San Antonio TX 78213 800174484 501(c)(3) 200000 Operational support Uvalde ISD PO Box 106 Uvalde TX 78802 882611151 501(c)(3) 1000000 Donation Valley Baptist Legacy Foundation 1267 North Stuart Place Road Harlingen TX 78552 741936869 501(c)(3) 8500 Donation Velasques House of Healing 215 Hollenbeck Avenue San Antonio TX 78211 871267309 17021 Community coalition project Valley Initiative for Development and Advancement 417 South Ohio Avenue Mercedes TX 78570 742768931 501(c)(3) 60000 Operational support Vida Y Salud Health Systems Inc 308 Cesar Chavez Avenue Crystal City TX 78839 741715419 501(c)(3) 153805 Integrated behavioral health program Wesley Community Center 4015 MacArthur Corpus Christi TX 78416 741185657 501(c)(3) 191580 Homeless children's program West Ave Compassion 10715 West Avenue San Antonio TX 78213 800623205 501(c)(3) 15000 Donation West Texas Counseling & Guidance Inc 242 North Magdalen San Angelo TX 76903 751561599 501(c)(3) 883540 Counseling services and Donation Women Involved in Nurturing Giving Sharing Inc 7500 US Hwy 90 W San Antonio TX 78227 742920912 501(c)(3) 241250 Breast cancer treatment support Young Women's Christian Association of San Antonio 503 Castroville Road San Antonio TX 78237 741143135 501(c)(3) 692048 Community support program and donation 193 3 ELECTRICITY ASSISTANCE 200 80553 WATER ASSISTANCE 23 6460 RENT/MORTGAGE ASSISTANCE 51 36954 HEALTHCARE PROGRAM ASSISTANCE 1 221 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE GRANTEE IS GIVEN A DISBURSEMENT REQUEST FORM AT THE BEGINNING OF THE FISCAL YEAR TO USE IN REQUESTING FUNDS. WHEN A REQUEST IS SUBMITTED FOR PAYMENT (MONTHLY, QUARTERLY OR ANNUALLY) THE ACCOUNTANT REVIEWS AND VERIFIES EXPENSES BASED ON ACTUAL INVOICES AND/OR THE ORGANIZATION'S GENERAL LEDGER. THE ORGANIZATION'S EXPENSES ARE VERIFIED TO THE APPROVED BUDGET SUBMITTED WITH THE GRANT APPLICATION. THE PAYMENT INFORMATION IS THEN ENTERED INTO THE GRANT TRACKING SOFTWARE (GIFTS). THE PROGRAM OFFICER REVIEWS REPORTED GOALS AND OUTCOMES FOR GRANT COMPLIANCE. AFTER THE EXPENSES HAVE BEEN VERIFIED AND DOCUMENTED, IT IS SUBMITTED TO THE GRANTS ACCOUNTING MANAGER AND VP OF ACCOUNTING & CONTROLLER FOR REVIEW AND APPROVAL. IF THE PAYMENT REQUEST IS GREATER THAN OR EQUAL TO $10,000, THE REQUEST REQUIRES CFO APPROVAL. THE PAYMENT REQUEST IS THEN FORWARDED TO THE ACCOUNTS PAYABLE DEPARTMENT FOR PAYMENT. A CHECK IS PROCESSED AND MAILED TO THE GRANTEE OR PAID VIA ACH. IN ADDITION TO THESE PROCEDURES, THE ACCOUNTANTS PERFORM SITE VISITS OR DESK AUDITS TO REVIEW PATIENT FILES OR EXPENSE BACKUP TO ENSURE THAT FUNDS ARE BEING USED APPROPRIATELY. EACH GRANTEE IS AUDITED EVERY YEAR OR EVERY OTHER YEAR BASED ON THE TYPE OF GRANT TO ENSURE COMPLIANCE WITH GRANT REQUIREMENTS. X X X X false false false false false false false false false JAIME WESOLOWSKI CEO & PRESIDENT 576764 0 14450 0 7200 0 45600 0 34281 0 678295 0 0 0 ANTHONY LOBASSO CHIEF FINANCIAL OFFICER 346093 0 0 0 20600 0 23100 0 22902 0 412695 0 0 0 XOCHY HURTADO CHIEF OPERATING OFFICER 331858 0 0 0 2400 0 19745 0 35382 0 389385 0 0 0 OANH MARONEY-OMITADE VP OF ORG. EXCELLENCE 219787 0 0 0 0 0 19116 0 46793 0 285696 0 0 0 CYNTHIA MCCLOY VP OF ACCOUNTING & CONTROLLER 201847 0 0 0 22500 0 17193 0 14697 0 256237 0 0 0 JENNIFER KNOULTON VP OF COMMUNITY HEALTH & WELLNESS 212305 0 0 0 0 0 17427 0 30899 0 260631 0 0 0 LETICIA ORTIZ-JOHNSON VP OF CLINICAL OPERATIONS 209058 0 0 0 0 0 13846 0 30880 0 253784 0 0 0 CHRISTINE YANAS RICHARDSON VP OF POLICY & ADVOCACY 183418 0 0 0 22500 0 10747 0 15006 0 231671 0 0 0 Form 990, Part III, Line 4d Description of other program services (Expenses $ 15,145,690 including grants of $ 0)(Revenue $ 0) THE WESLEY NURSE PROGRAM SPANS 80 SITES THROUGHOUT SOUTH TEXAS AND IS MHM'S LARGEST GEOGRAPHIC OUTREACH PROGRAM. A KEY COMPONENT WESLEY NURSES UNDERTAKE IN THEIR COMMUNITIES IS PROVIDING HEALTH EDUCATION, HEALTH PROMOTION, AND FACILITATION OF RESOURCES. WHILE THE WESLEY NURSE PROGRAM IS A COMPONENT OF MHM'S ECUMENICAL OUTREACH, AND LOCATED WITHIN CHURCHES, IT DOES NOT TEACH A PARTICULAR SET OF DENOMINATIONAL BELIEFS. ALL WESLEY NURSE PROGRAMS ARE FREE AND ALL MEMBERS OF THE COMMUNITY ARE WELCOME. PROGRAMS ARE OFFERED TO GROUPS OR ON AN INDIVIDUAL BASIS. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FINANCE COMMITTEE REVIEWS A DRAFT OF THE FORM 990 TAX RETURN AND MAKES RECOMMENDATION TO THE FULL BOARD. AFTER THIS REVIEW, THE TAX RETURN IS FORWARDED TO THE FULL BOARD FOR REVIEW AND ACCEPTANCE PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY ARTICLE 7 OF THE BOARD'S BYLAWS REQUIRE A CONFLICTS OF INTEREST POLICY. THE BOARD ADOPTED A POLICY ON DECEMBER 10, 1997, ARTICLE VI OF WHICH REQUIRES ANNUAL STATEMENTS. THE POLICY IS ENFORCED AND THE RESULTS ARE REPORTED ANNUALLY TO THE GOVERNANCE COMMITTEE AND TO THE FULL BOARD OF DIRECTORS. Form 990, Part VI, Line 15a Process to establish compensation of top management official PRESIDENT & CEO - WERLING AND ASSOCIATES WAS RETAINED TO CONDUCT A TOTAL COMPENSATION STUDY IN 2020. THE COMPLETE STUDY WAS RECEIVED BY THE PERSONNEL COMMITTEE OF THE MHM BOARD. Form 990, Part VI, Line 15b Process to establish compensation of other employees OFFICERS AND KEY EMPLOYEES - WERLING AND ASSOCIATES WAS RETAINED TO CONDUCT A TOTAL COMPENSATION STUDY IN 2020. THE COMPLETE STUDY WAS RECEIVED BY THE PERSONNEL COMMITTEE OF THE MHM BOARD. Form 990, Part VI, Line 19 Required documents available to the public DOCUMENTS ARE CURRENTLY PROVIDED UPON REQUEST. THE FINANCIAL STATEMENTS AND TAX RETURNS ARE ALSO AVAILABLE THROUGHOUT METHODIST HEALTHCARE MINISTRIES' WEBSITE AT: MHM.ORG>FINANCIALS Form 990, Part IX, Line 11g Other Fees Contract Labor - Total Expense: 266532, Program Service Expense: 225615, Management and General Expenses: 40917, Fundraising Expenses: ; Contract Services - Total Expense: 2780413, Program Service Expense: 2762413, Management and General Expenses: 18000, Fundraising Expenses: ; HR/Payroll Services - Total Expense: 103389, Program Service Expense: , Management and General Expenses: 103389, Fundraising Expenses: ; Other Purchased Services - Total Expense: 1822571, Program Service Expense: 1328689, Management and General Expenses: 493882, Fundraising Expenses: ; Security Services - Total Expense: 1066019, Program Service Expense: 991557, Management and General Expenses: 74462, Fundraising Expenses: ; Janitorial - Total Expense: 301107, Program Service Expense: 232690, Management and General Expenses: 68417, Fundraising Expenses: ; Equipment Maintenance/Contract - Total Expense: 236145, Program Service Expense: 225472, Management and General Expenses: 10673, Fundraising Expenses: ; Recruitment Fees - Total Expense: 43163, Program Service Expense: , Management and General Expenses: 43163, Fundraising Expenses: ; Other Professional Fees: Administrative - Total Expense: 1346935, Program Service Expense: 806785, Management and General Expenses: 540150, Fundraising Expenses: ; Xerox Copier Services - Total Expense: 87283, Program Service Expense: 87283, Management and General Expenses: , Fundraising Expenses: ; Get Fit - Payments to ISD - Total Expense: 425897, Program Service Expense: 425897, Management and General Expenses: , Fundraising Expenses: ; Specialty Referral - Total Expense: 3513290, Program Service Expense: 3513290, Management and General Expenses: , Fundraising Expenses: ; Outside Lab Fees - Total Expense: 535265, Program Service Expense: 535265, Management and General Expenses: , Fundraising Expenses: ; Outside Radiology Fees - Total Expense: 698639, Program Service Expense: 698639, Management and General Expenses: , Fundraising Expenses: ; Other Professional Fees: Patient Related - Total Expense: 149872, Program Service Expense: 149872, Management and General Expenses: , Fundraising Expenses: ; Strategic Initiatives Mental Health - Total Expense: 175000, Program Service Expense: 175000, Management and General Expenses: , Fundraising Expenses: ; Strategic Initiatives Big Ideas - Total Expense: 2357362, Program Service Expense: 2357362, Management and General Expenses: , Fundraising Expenses: ; Temporary Svcs/Agency Fees - Total Expense: 98763, Program Service Expense: 98763, Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances PARTNERSHIP EARNINGS OF THE BOOKS - XXX-XX-XXXX; TAX PARTNERSHIP OF FORM 1065 - -XXX-XX-XXXX; WPCC REVENUE - 124090; WPCC EXPENSES - -5312855; OTHER - -36279; MHM Real Co LLC 4507 Medical Drive San Antonio TX 78229 Real Estate TX 0 0 MHM RIO TEXAS CONFERENCE OF THE UMC 16400 HUEBNER ROAD SAN ANTONIO TX 78248 741326672 CHURCH TX 501(c)(3) 1 NA false WESLEY PRIMARY CARE CLINIC 4507 MEDICAL DRIVE SAN ANTONIO TX 78229 742784284 MEDICAL SERVICES TX 501(c)(3) Type I MHM true METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO 8109 FREDERICKSBURG ROAD SAN ANTONIO TX 78229 742730328 HOSPITAL SYSTEM TX NA Related 348110907 1691658255 false 0 true 0.5 false true false false false false false false false false false false false false false false true true true WESLEY PRIMARY CARE CLINIC R 5166638 CASH RIO TEXAS CONFERENCE OF THE UMC B 713349 CASH METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO S 122000000 CASH METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO Q 92534 CASH