MEMORIAL HERMANN HEALTH SYSTEM: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: MEMORIAL HERMANN HEALTH SYSTEM (EIN 74-1152597)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-05-13
IRS object ID: 202241339349308289
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-05-13T16:07:00-05:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	741152597	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Alec King	PersonNm
Person Title	EVP & CFO	PersonTitleTxt
Phone	7133384552	PhoneNum
Signature	2022-05-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

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

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Melva Scott Sr Manager	PreparerPersonNm
PTIN	P01207335	PTIN
Phone	8173351900	PhoneNum
Preparation	2022-05-12	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

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

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$6,794,591,620	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.memorialhermann.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1910	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	MEMORIAL HERMANN HEALTH SYSTEM IS A NONPROFIT, VALUES-DRIVEN, COMMUNITY-OWNED HEALTH SYSTEM DEDICATED TO IMPROVING HEALTH.	ActivityOrMissionDesc
Voting Members Governing Body	23	VotingMembersGoverningBodyCnt
Voting Members Independent	21	VotingMembersIndependentCnt
Total Employee	30198	TotalEmployeeCnt
Total Volunteers	1020	TotalVolunteersCnt
Total Gross UBI	-$6,590,322	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$125,135,396	PYContributionsGrantsAmt
CY Contributions Grants	$119,318,624	CYContributionsGrantsAmt
PY Program Service Revenue	$5,314,364,945	PYProgramServiceRevenueAmt
CY Program Service Revenue	$6,253,677,268	CYProgramServiceRevenueAmt
PY Investment Income	$115,795,304	PYInvestmentIncomeAmt
CY Investment Income	$369,653,366	CYInvestmentIncomeAmt
PY Other Revenue	$54,201,437	PYOtherRevenueAmt
CY Other Revenue	$51,942,362	CYOtherRevenueAmt
PY Total Revenue	$5,609,497,082	PYTotalRevenueAmt
CY Total Revenue	$6,794,591,620	CYTotalRevenueAmt
PY Grants And Similar Paid	$15,082,302	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$15,229,304	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,352,605,531	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,670,225,641	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$2,823,085,161	PYOtherExpensesAmt
CY Other Expenses	$3,239,940,278	CYOtherExpensesAmt
PY Total Expenses	$5,190,772,994	PYTotalExpensesAmt
CY Total Expenses	$5,925,395,223	CYTotalExpensesAmt
PY Revenues Less Expenses	$418,724,088	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$869,196,397	CYRevenuesLessExpensesAmt
Total Assets BOY	$10,233,853,414	TotalAssetsBOYAmt
Total Assets EOY	$11,477,325,693	TotalAssetsEOYAmt
Total Liabilities BOY	$5,145,643,097	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,638,784,149	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$5,088,210,317	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$6,838,541,544	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	MEMORIAL HERMANN HEALTH SYSTEM IS A NONPROFIT, VALUES-DRIVEN, COMMUNITY-OWNED HEALTH SYSTEM DEDICATED TO IMPROVING HEALTH. OUR VISION IS TO CREATE HEALTHIER COMMUNITIES, NOW AND FOR GENERATIONS TO COME. OUR VALUES ARE COMMUNITY, COMPASSION, CREDIBILITY, AND COURAGE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$4,994,907,847	ExpenseAmt
Grant	$15,229,304	GrantAmt
Revenue	$6,253,677,268	RevenueAmt
Desc	Memorial Hermann Health System is a nonprofit, values-driven, community-owned health system dedicated to improving health. Our vision is to create healthier communities, now and for generations to come. Our values are community, compassion, credibility, and courage. Charting a better future. A future that's built upon the HEALTH of our community. This is the driving force for Memorial Hermann, redefining health care for the individuals and many diverse populations we serve. Our 6,100 affiliated physicians and 29,000 employees practice the highest standards of safe, evidence-based, quality care to provide a personalized and outcome-oriented experience across our more than 270 care delivery sites. As one of the largest not-for-profit health systems in Southeast Texas, Memorial Hermann has an award-winning and nationally acclaimed Accountable Care Organization, 17 hospitals and numerous specialty programs and services conveniently located throughout the Greater Houston area (Memorial Hermann Health System owns and operates 14 hospitals and has joint ventures with three other hospital facilities, including Memorial Hermann Surgical Hospital First Colony, Memorial Hermann Surgical Hospital Kingwood and Memorial Hermann Rehabilitation Hospital-Katy). Memorial Hermann-Texas Medical Center is one of the nation's busiest Level I trauma centers and serves as the primary teaching hospital for McGovern Medical School at UTHealth. U.S. News & World Report for 2020-2021 ranks TIRR Memorial Hermann as the best rehabilitation hospital in Texas and No. 2 in the United States. This is the 30th consecutive year TIRR Memorial Hermann has been ranked in the top 10 nationally. Memorial Hermann-Texas Medical Center was ranked #4 best hospital in Texas, and also listed in the U.S. News rankings in the specialty areas of Cardiology and Heart Surgery, Ear, Nose and Throat, and Gastroenterology and GI Surgery. Also making the Top 10 statewide rankings were Memorial Hermann Greater Heights Hospital and Memorial Hermann Memorial City Medical Center were tied at #6. Children's Memorial Hermann Hospital was nationally ranked in Pediatric Cardiology and Heart Surgery, as well as Pediatric Neurology and Neurosurgery. The Heart Center at Children's Memorial Hermann Hospital has earned the Society of Thoracic Surgeons' (STS) highest rating for quality related to patient care and congenital heart surgery outcomes. Only 12 pediatric heart programs in the United States and Canada earned the distinguished STS three-star rating for congenital heart surgery, following analysis of data collected from 119 participating programs from January 2014 to December 2017. The STS star rating system is one of the most highly regarded overall measures of quality in health care, comparing the nationally benchmarked outcomes of cardiothoracic surgery programs in the U.S. and Canada. For the seventh time, Memorial Hermann Memorial City Medical Center was named one of the nation's top 100 hospitals by IBM Watson Health. Formerly known as the Truven Health Analytics 100 Top Hospitals, the study spotlights the best-performing hospitals based on a scorecard of publicly available clinical, operational and patient satisfaction metrics and data. Memorial Hermann Southeast Hospital, Memorial Hermann Greater Heights Hospital, Memorial Hermann Southwest Hospital and Memorial Hermann The Woodlands Medical Center all have received Chest Pain Center accreditation from The Joint Commission (TJC). An independent, not-for-profit organization, TJC accredits and certifies nearly 21,000 healthcare organizations and programs in the United States. Healthcare organizations that have received this accreditation have demonstrated a high level of expertise in dealing with patients with heart attack symptoms. Memorial Hermann-Texas Medical Center (TMC) and Memorial Hermann Memorial City Medical Center earned national recognition as top performers for superior quality and safety by the Vizient Quality and Accountability Study. Memorial Hermann-TMC received the 2018 Bernard A. Birnbaum, MD, Quality Leadership Award for Academic Medical Centers, and ranked ninth of 99 participating academic medical centers. Memorial Hermann Memorial City received the 2018 Bernard A. Birnbaum, MD, Quality Leadership Award for Complex Teaching Medical Centers, ranking seventh among 100 participating teaching medical centers. Memorial Hermann Sugar Land Hospital was named a recipient of the 2016 Malcolm Baldrige National Quality Award, the nation's highest Presidential honor for performance excellence. U.S. Commerce Secretary Penny Pritzker made the announcement recognizing Memorial Hermann Sugar Land for its outstanding commitment to sustainable excellence through innovation, improvement and visionary leadership. Since the healthcare category was introduced in 1999, only 21 healthcare organizations nationwide have been awarded the Malcolm Baldrige National Quality Award. Memorial Hermann Sugar Land was the first Houston area hospital and the third in Texas to win the prestigious award. For more than 114 years, our focus has been the best interest of our community. During the fiscal year, Memorial Hermann Health System provided community benefits of more than $474 million (as reported on the Internal Revenue Service Form 990, Schedule H) annually through financial assistance, school-based health centers, and other community benefit programs. During the fiscal year, Memorial Hermann admitted 143,400 patients resulting in 900,278 days of care, delivered 21,000 babies, had 500,400 emergency visits, 3,200 life flight missions, and over 700,000 diagnostic and therapy visits. Now and for generations to come, the health of our community will be at the center of what we do - charting a better future for all.	Desc
Total Program Service Expenses	$4,994,907,847	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	1042	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	30198	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Foreign Country	EI	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	23	GoverningBodyVotingMembersCnt
Independent Voting Member	21	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (62 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Charles D Stokes
Former CEO/President	0.0	0.0	Yes (X)	$3,692,550	$0	$19
David L Callender MD
CEO/President	40.0	1.0		$2,254,392	$0	$388,236	Yes (X)	Yes (X)
Erin S Asprec
EVP/COO	40.0	1.0		$2,381,033	$0	$252,963			Yes (X)
Deborah Gordon
EVP/CAO/CLO/Secretary	40.0	1.0		$2,238,586	$0	$195,262		Yes (X)
James McCarthy MD
EVP/CPE	40.0	1.0		$1,800,701	$0	$190,029			Yes (X)
Brian Dean
Former CFO	0.0	0.0	Yes (X)	$1,528,209	$0	$19
Lori P Knowles
SVP/CHRO	40.0	1.0		$1,252,217	$0	$106,272			Yes (X)
Amanda Hammel
SVP/CIO	40.0	1.0		$1,191,443	$0	$118,838			Yes (X)
Gregory L Haralson
SVP/CEO-TMC	40.0	1.0		$1,073,283	$0	$165,635			Yes (X)
Joshua Urban
SVP/Pres Comm Hosp	40.0	1.0		$1,085,734	$0	$130,878			Yes (X)
Christopher M Halaska
SVP/CIO 7/1-8/14	40.0	1.0		$1,123,466	$0	$19			Yes (X)
Paul C O'Sullivan
SVP/CEO-MC&GH	40.0	1.0		$1,001,591	$0	$115,499			Yes (X)
Kyle Price
SVP/SRVC LINES	40.0	1.0		$984,089	$0	$105,806			Yes (X)
Angela Shippy MD
SVP/CMQO 7/1/20-12/31/20	40.0	1.0		$972,563	$0	$113,596				Yes (X)
Feby Abraham
EVP/CSO	40.0	1.0		$865,315	$0	$185,104			Yes (X)
Heath Rushing
SVP/SRVC LINES	40.0	1.0		$932,845	$0	$107,647			Yes (X)
Anne E Neeson
EVP/Foundation	40.0	1.0		$951,753	$0	$81,828			Yes (X)
Malisha S Patel
SVP/CEO-SW&SL	40.0	1.0		$779,309	$0	$100,307			Yes (X)
Kristel Poffinbarger
VP/CMO-SW&SL	40.0	1.0		$779,524	$0	$82,906				Yes (X)
Bryan R Lee
VP/TMC	40.0	1.0		$861,459	$0	$19				Yes (X)
Jeffrey Katz
VP/CMO-TMC	40.0	1.0		$718,734	$0	$97,754				Yes (X)
Rebecca A Tucker
VP/SW&SL	40.0	1.0		$779,845	$0	$19				Yes (X)
Anne Pearson
SVP/CEO-PhyofMH	10.0	30.0		$127,611	$543,658	$104,850			Yes (X)
Cynthia A De Moya
CFO 7/1-9/30	40.0	1.0		$677,271	$0	$76,674		Yes (X)
Susan M Distefano
SVP/CEO-CH 7/1-9/1	40.0	1.0		$753,810	$0	$19			Yes (X)
Jerry A Ashworth
SVP/CEO-CY&KT	40.0	1.0		$612,645	$0	$77,993			Yes (X)
Justin P Kendrick
SVP/CEO-NE&TW	40.0	1.0		$560,728	$0	$80,438			Yes (X)
Eric Smith
SVP/CDO	40.0	1.0		$561,531	$0	$59,649			Yes (X)
Warren Shea
VP/ASST SECRETARY	40.0	1.0		$555,306	$0	$56,553		Yes (X)
Alexander Greengold
SVP,CEO	40.0	1.0		$440,697	$0	$59,163			Yes (X)
Alec King
EVP/CFO/Treasurer 10/1-6/30	40.0	1.0		$320,308	$0	$55,605		Yes (X)
Obiefuna Chikelue
VP/CIO 8/15-6/30	40.0	1.0		$307,163	$0	$0			Yes (X)
Myron M Shabot MD
Former CQO	0.0	0.0	Yes (X)	$146,779	$0	$0
J Kevin Giglio MD
Director	1.0	1.0		$0	$81,324	$0	Yes (X)
Clarence P Cazalot Jr
Director	1.0	0.0		$0	$0	$0	Yes (X)
David J Graham
Director	1.0	0.0		$0	$0	$0	Yes (X)
Deborah M Cannon
Director	1.0	0.0		$0	$0	$0	Yes (X)
Donald M Woo
Director	1.0	0.0		$0	$0	$0	Yes (X)
Edward B Adams Jr
Director	1.0	0.0		$0	$0	$0	Yes (X)
Gary R Petersen
Director	1.0	0.0		$0	$0	$0	Yes (X)
Gasper Mir III
Director	1.0	0.0		$0	$0	$0	Yes (X)
Greg Armstrong
Director	1.0	0.0		$0	$0	$0	Yes (X)
Ira L Flax MD
Director	1.0	0.0		$0	$0	$0	Yes (X)
James R Montague
Director	1.0	0.0		$0	$0	$0	Yes (X)
Jason B Few
Director	1.0	0.0		$0	$0	$0	Yes (X)
Jay Schneider
Director	1.0	0.0		$0	$0	$0	Yes (X)
John Graf
Director	1.0	0.0		$0	$0	$0	Yes (X)
Melinda H Perrin
Director	1.0	0.0		$0	$0	$0	Yes (X)
Monica Benton
Director	1.0	0.0		$0	$0	$0	Yes (X)
Peter R Huntsman
Director	1.0	0.0		$0	$0	$0	Yes (X)
R Emmett McDonald MD
Director	1.0	0.0		$0	$0	$0	Yes (X)
Richard S Figueroa
Director	1.0	0.0		$0	$0	$0	Yes (X)
Roland Garcia Jr
Director	1.0	0.0		$0	$0	$0	Yes (X)
Scott B McClelland
Director	1.0	0.0		$0	$0	$0	Yes (X)
Scott J McLean
Director	1.0	0.0		$0	$0	$0	Yes (X)
Stacy P Methvin
Director	1.0	0.0		$0	$0	$0	Yes (X)
Stephen H Pouns
Director	1.0	0.0		$0	$0	$0	Yes (X)
Susan Sarofim
Director	1.0	0.0		$0	$0	$0	Yes (X)
William F Galtney Jr
Director	1.0	0.0		$0	$0	$0	Yes (X)
William H Easter III
Director	1.0	0.0		$0	$0	$0	Yes (X)
William J Campbell
Director	1.0	0.0		$0	$0	$0	Yes (X)
Willoughby C Williams Jr
Director	1.0	0.0		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$30,807,333	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$543,658	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,720,198	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	4552	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AUSTIN COMMERICAL LP
3535 Travis Street Ste 300	DALLAS	TX	75204	Construction	$64,473,048
Quest Diagnostics Clinical
500 Plaza Drive	SECAUCUS	NJ	07094	Contract Services	$39,361,688
Crothall Healthcare
13028 Collection Center Dr	CHICAGO	IL	60693	Facilities Mgmt	$31,147,470
J T Vaughn Construction LLC
10355 West Park Dr	HOUSTON	TX	77042	Contractor	$26,829,364
9TH WONDER
1201 San Jacinto Street Ste 267	HOUSTON	TX	77002	Media Services	$25,065,583

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	235	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,839,279	RelatedOrganizationsAmt
Government Grants	$115,479,345	GovernmentGrantsAmt
Total Contributions	$119,318,624	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	622110	$6,142,615,798	$6,142,615,798
RENTAL INCOME	531120	$91,618,924	$91,618,924
CORPORATE SERVICES	561110	$2,721,723	$2,721,723
MANAGEMENT FEES	561110	$16,720,823	$16,720,823

Field	Value	IRS element (for citing)
Total Program Service Revenue	$6,253,677,268	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$369,653,366	TotalRevenueColumnAmt
Unrelated Business Revenue	-$12,133,047	UnrelatedBusinessRevenueAmt
Exclusion	$381,786,413	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,224,748	TotalRevenueColumnAmt
Exclusion	$1,224,748	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA	722514	$19,016,892	$19,016,892
PARKING	812930	$11,856,703	$11,856,703
LAUNDRY	561612	$5,542,725		$5,542,725

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,301,294	TotalRevenueColumnAmt
Exclusion	$14,301,294	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$50,717,614	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,794,591,620	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,253,677,268	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$6,590,322	UnrelatedBusinessRevenueAmt
Exclusion	$428,186,050	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$15,229,304	TotalAmt
Program Services	$15,229,304	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,045,863	TotalAmt
Management And General	$6,045,863	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$344,882	TotalAmt
Program Services	$86,354	ProgramServicesAmt
Management And General	$258,528	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,167,140,853	TotalAmt
Program Services	$1,808,783,540	ProgramServicesAmt
Management And General	$358,357,313	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$82,658,008	TotalAmt
Program Services	$69,035,148	ProgramServicesAmt
Management And General	$13,622,860	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$263,424,261	TotalAmt
Program Services	$219,332,956	ProgramServicesAmt
Management And General	$44,091,305	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$150,611,774	TotalAmt
Program Services	$125,350,813	ProgramServicesAmt
Management And General	$25,260,961	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$29,404,752	TotalAmt
Management And General	$29,404,752	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$10,124,286	TotalAmt
Management And General	$10,124,286	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,230,276	TotalAmt
Management And General	$1,230,276	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,238,185	TotalAmt
Program Services	$1,238,185	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,276,821	TotalAmt
Management And General	$1,276,821	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,134,174,656	TotalAmt
Program Services	$896,816,803	ProgramServicesAmt
Management And General	$237,357,853	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$35,368,182	TotalAmt
Program Services	$2,261,267	ProgramServicesAmt
Management And General	$33,106,915	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$108,599,295	TotalAmt
Program Services	$69,851,132	ProgramServicesAmt
Management And General	$38,748,163	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$27,672,891	TotalAmt
Program Services	$27,353,098	ProgramServicesAmt
Management And General	$319,793	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$203,494,610	TotalAmt
Program Services	$186,712,983	ProgramServicesAmt
Management And General	$16,781,627	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,964,393	TotalAmt
Program Services	$1,607,280	ProgramServicesAmt
Management And General	$357,113	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,064,707	TotalAmt
Program Services	$1,767,427	ProgramServicesAmt
Management And General	$297,280	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$91,159,824	TotalAmt
Program Services	$53,271,483	ProgramServicesAmt
Management And General	$37,888,341	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$329,271,544	TotalAmt
Program Services	$288,655,401	ProgramServicesAmt
Management And General	$40,616,143	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$22,022,426	TotalAmt
Program Services	$17,113,504	ProgramServicesAmt
Management And General	$4,908,922	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$1,024,577,151	$1,004,742,035	$19,835,116
EQUIPMENT RENTAL & MAINTENANCE	$181,756,013	$178,773,110	$2,982,903
LICENSING	$7,026,862	$4,518,291	$2,508,571
RECRUITMENT	$6,388,859	$4,101,458	$2,287,401

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$21,124,545	TotalAmt
Program Services	$18,306,275	ProgramServicesAmt
Management And General	$2,818,270	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,925,395,223	TotalAmt
Program Services	$4,994,907,847	ProgramServicesAmt
Management And General	$930,487,376	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$244,580,880	BOYAmt
EOY	$163,794,818	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$978,069,152	BOYAmt
EOY	$678,562,320	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$701,257,103	BOYAmt
EOY	$966,318,236	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,780,265	BOYAmt
EOY	$5,780,265	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$99,353,556	BOYAmt
EOY	$71,279,760	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$73,258,679	BOYAmt
EOY	$131,488,244	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$8,073,730,810	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$4,462,631,555	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$3,718,921,406	BOYAmt
EOY	$3,611,099,255	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,091,106,658	BOYAmt
EOY	$1,664,581,927	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,813,317,630	BOYAmt
EOY	$2,461,872,716	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$176,443,767	BOYAmt
EOY	$174,919,901	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,335,764,318	BOYAmt
EOY	$1,547,628,251	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,233,853,414	BOYAmt
EOY	$11,477,325,693	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,194,779,515	BOYAmt
EOY	$1,230,687,756	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$133,821,341	BOYAmt
EOY	$138,767,866	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,589,248,243	BOYAmt
EOY	$1,549,254,115	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$24,177,034	BOYAmt
EOY	$14,945,295	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,203,616,964	BOYAmt
EOY	$1,705,129,117	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,145,643,097	BOYAmt
EOY	$4,638,784,149	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,078,616,396	BOYAmt
EOY	$6,833,659,627	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,593,921	BOYAmt
EOY	$4,881,917	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,088,210,317	BOYAmt
EOY	$6,838,541,544	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$10,233,853,414	BOYAmt
EOY	$11,477,325,693	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$869,196,397	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$702,422,672	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$34,997,298	DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets	$143,714,860	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	Yes (true)	MailingsMembersInd
Publications Or Broadcast	Yes (true)	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Rallies Demonstrations	Yes (true)	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$1,238,185	OtherActivitiesAmt
Total Lobbying Expenditures	$1,238,185	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,275,049	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$18,515	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,235,949	OtherExpendituresAmt
End Year Balance	$20,585	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,060,798	BeginningYearBalanceAmt
Investment Earnings Or Losses	$123,191	InvestmentEarningsOrLossesAmt
End Year Balance	$4,183,989	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,435,819	BeginningYearBalanceAmt
Investment Earnings Or Losses	$129,452	InvestmentEarningsOrLossesAmt
Other Expenditures	$504,473	OtherExpendituresAmt
End Year Balance	$4,060,798	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$143,543,658	OtherCostOrOtherBasisAmt
Book Value	$143,543,658	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,654,119,091	OtherCostOrOtherBasisAmt
Depreciation	$2,123,888,641	DepreciationAmt
Book Value	$2,530,230,450	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$615,248,514	OtherCostOrOtherBasisAmt
Depreciation	$414,262,126	DepreciationAmt
Book Value	$200,986,388	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,441,595,605	OtherCostOrOtherBasisAmt
Depreciation	$1,924,480,788	DepreciationAmt
Book Value	$517,114,817	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$219,223,942	OtherCostOrOtherBasisAmt
Book Value	$219,223,942	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$3,611,099,255	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
FIXED INCOME	$385,342,607	F
ALTERNATIVE INVESTMENTS	$2,054,198,551	F
CASH & CASH EQUIVALENTS	$22,331,558	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$2,461,872,716	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES, NET	$1,417,543,054
DEPOSITS	$5,483,390
PHYSICIAN GUARANTEE RECEIVABLE	$5,718,881
OTHER ASSETS	$118,882,926

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,547,628,251	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
CAPITALIZED LEASES	$698,553,876
POB LEASE OBLIGATION	$45,131,554
VARIABLE DEBT SWAP LIABILITY	$70,481,087
L/T THIRD PARTY SETTLEMENTS	$65,319,032
OTHER ACCRUED LIABILITIES	$257,545,699
L/T RIGHT OF USE LIABILITY	$568,097,869

Field	Value	IRS element (for citing)
Total Liability	$1,705,129,117	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4

The endowment funds of Memorial Hermann Health System consist of permanent endowment funds obtained from donor initiatives for charitable contributions through outright or planned gifts. The permanent funds consist of donations and investment income for which the donor's stipulations restrict the Foundation to using only the income resulting from the investment of the donation on a total return basis. The assets of the permanent funds income may only be used to support the charitable exempt operations, programs, and purposes of Memorial Hermann Health System through the purchase of supplies, equipment, and other expenditures necessary for the performance of those operations and programs. ASC 958 does not use the term "temporarily restricted net assets." Memorial Hermann has opted to report all net assets subject to donor-imposed restrictions on 2b, permanent endowment.

Part X, Line 2

At June 30, 2021 and 2020, Memorial Hermann System management has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated balance sheets.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (7 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	Investments	$870,497,154
Europe (Including Iceland and Greenland)	Investments	$243,383,812
East Asia and the Pacific	Investments	$53,353,060
North America	Investments	$46,143,889
South America	Investments	$7,661,302
South Asia	Investments	$6,125,653
Russia and the Newly Independent States	Investments	$964,836

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$1,228,129,706	SubtotalSpentAmt
Total Spent	$1,228,129,706	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$353,363,648	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$353,363,648	NetCommunityBenefitExpnsAmt
Total Expense	0.05960	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$908,841,553	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$886,496,596	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,344,957	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,588,560	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,666,928	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$921,632	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,294,793,761	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$918,163,524	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$376,630,237	NetCommunityBenefitExpnsAmt
Total Expense	0.06360	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

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

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$74,541,665	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,358,417	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$59,183,248	NetCommunityBenefitExpnsAmt
Total Expense	0.01000	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$384,297,033	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$359,314,491	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,982,542	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,884,694	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,434,369	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,450,325	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,590,393	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,590,393	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$478,313,785	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$380,107,277	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$98,206,508	NetCommunityBenefitExpnsAmt
Total Expense	0.01660	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,773,107,546	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,298,270,801	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$474,836,745	NetCommunityBenefitExpnsAmt
Total Expense	0.08020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$581,911,420	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$1,774,602,017	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$2,074,754,487	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$300,152,470	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

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

Hospital Facilities HospitalFacilitiesGrp (13 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
Memorial Hermann Hospital - TMC
1	6411 fannin st	houston	TX	77030	www.memorialhermann.org	000347	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
MH The Woodlands Medical Center
2	9250 pinecroft drive	the woodlands	TX	77381	www.memorialhermann.org	000615	Yes (X)	Yes (X)				Yes (X)	A
MH Memorial City Medical Center
3	921 gessner road	houston	TX	77024	www.memorialhermann.org	000302	Yes (X)	Yes (X)				Yes (X)	A
Memorial Hermann Southeast Hospital
4	11800 astoria blvd	houston	TX	77089	www.memorialhermann.org	000119	Yes (X)	Yes (X)				Yes (X)	A
Memorial Hermann Southwest Hospital
5	7600 beechnut street	houston	TX	77074	www.memorialhermann.org	000407	Yes (X)	Yes (X)		Yes (X)		Yes (X)	A
Memorial Hermann Katy Hospital
6	23900 katy freeway	katy	TX	77494	www.memorialhermann.org	000534	Yes (X)	Yes (X)				Yes (X)	A
Memorial Hermann Northeast
7	18951 Memorial North	Humble	TX	77338	www.memorialhermann.org	0008471	Yes (X)	Yes (X)				Yes (X)	A
Memorial Hermann Sugar Land
8	17500 west grand parkway south	sugar land	TX	77479	www.memorialhermann.org	000609	Yes (X)	Yes (X)				Yes (X)	A
MH Greater Heights Hospital
9	1635 North Loop West	Houston	TX	77008	www.memorialhermann.org	000172	Yes (X)	Yes (X)				Yes (X)	A
TIRR Memorial Hermann
10	1333 moursund street	houston	TX	77030	www.memorialhermann.org	100189	Yes (X)	Yes (X)			Yes (X)		A
MH Surgical Hospital First Colony
11	16906 Southwest Freeway	Sugar Land	TX	77479	www.memorialhermann.org	100161	Yes (X)	Yes (X)					A
MH Specialty Hospital Kingwood LLC
12	300 Kingwood Medical Drive	Kingwood	TX	77339	www.memorialhermann.org	008591	Yes (X)	Yes (X)					A
MH Rehabilitation Hospital Katy
13	21720 Kingsland Blvd Ste 102	Katy	TX	77450	www.memorialhermann.org	100009	Yes (X)	Yes (X)					A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.memorialhermann.org	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.memorialhermann.org	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.memorialhermann.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.memorialhermann.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.memorialhermann.	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5	Memorial Hermann Health System joined with the Episcopal Health Foundation (EHF) in their key informant interview initiative supporting four greater Houston area hospital systems in preparing their Community Health Needs Assessments. The collaborating hospitals of this initiative included Memorial Hermann, Chi St. Luke's health, Houston Methodist, and Texas Children's. Through this partnership, a total of 53 interviews were conducted with stakeholders from a range of sectors such as government, healthcare, business, and community service organizations. An additional 11 interviews were conducted for Memorial Hermann counties not shared by the collaborative. While social and epidemiological data can provide a helpful portrait of a community, it does not tell the whole story. It is critical to understand people's health issues of concern, their perceptions of the health of their community, the perceived strengths and assets of the community, and the vision that residents have for the future of their community. Secondary data was supplemented by a community survey collected through an online survey. This survey consisted of 11 questions related to top health needs in the community, individuals' perception of their overall health, and weekly exercise habits. The community survey was distributed online through SurveyMonkey from October 23rd through November 27th of 2018. The survey was made available in both English and Spanish. Paper surveys were also made available and answers to the paper survey were entered into the SurveyMonkey tool. A total of 285 responses were collected. Survey respondents were asked to select top issues most affecting the community's quality of life. The majority of respondents identified diabetes, obesity/overweight, substance abuse, and mental health and mental disorders as top issues in the community. Interviewees who were asked to participate were recognized as having expertise in public health, special knowledge of community health needs and/or represented the broad interest of the community served by the hospital, and/or could speak to the needs of medically underserved or vulnerable populations. Community leaders with specific experience working with priority populations, such as women, children, people of color, the disabled, and more, were also a focus. The following list of organizations contributed key informant interviews; AccessHealth (FQHC) (Fort Bend Family Health Center); Aids Foundation of Houston; Association for the Advancement of Mexican Americans; Avenue CDC; Catholic Charities - Archdiocese of Galveston; Catholic Charities - Fort Bend; Child Advocates of Fort Bend; Children at Risk; Christ Clinic; City of Houston, Department of Parks and Recreation; Coastal Area Health Education Centers (AHEC); Community Health Choice; El Centro de Corazon; Episcopal Health Foundation; Fort Bend County Health and Human Services; Fort Bend County Sheriff's Office; Fort Bend Regional Council on Substance Abuse; Fort Bend Seniors Meals on Wheels; Fort Bend Women's Center; Galveston County Health District; Galveston County Mental Health Deputies; Greater Houston Partnership; Greater Houston Women's Chamber of Commerce; Gulf Coast Medical Foundation; Harris County Public Health; Healthcare for the Homeless - Houston; Hope Clinic (FQHC); Houston Food Bank; Houston Health Department; Houston Housing Authority; Houston Independent School District; Interfaith Community Clinic; Kinder Institute; Legacy Community Health; Liberty County Sheriff's Office; Lone Star Family Health Center; Midtown Arts and Theater Center Houston; Montgomery County Women's Center; Baker-Ripley Early Head Start; Patient Care Intervention Center (PCIC); Prairie View A&M University; Santa Maria Hostel, Inc.; The Arc Of Fort Bend County; The Harris Center for Mental Health and IDD (formerly MHMRA); The Rose; The Women's Home; Tri-County Services Behavioral Healthcare; United Way Of Brazoria County; United Way of Greater Houston; United Way of Harris and Montgomery County; West Chambers Medical Center (FQHC); YMCA of Greater Houston. CHNA'S were designed in accordance with CHNA requirements identified in the Patient Protection and Affordable Care Act and further addressed in the Internal Revenue Service final regulations released on December 29, 2014.
PART V, SECTION B, LINE 6A	Chi St. Luke's Health, Houston Methodist, Texas Children's
PART V, SECTION B, LINE 6B	Episcopal Health Foundation
PART V, SECTION B, LINE 11	As the largest health system in southeast Texas serving the fourth largest and fastest-growing metropolitan area in the United States, Memorial Hermann is committed to being a steward of the community's health-not only by delivering high quality services for the adults and children who seek care at a Memorial Hermann facility, but through programs and collaborations committed to making the greater Houston area a healthier and more vital place to live. Health education, healthy foods, safe places to exercise, and access to health and behavioral health services are vital to improving the overall health of residents since lack of these efforts contributes to the escalating chronic disease epidemic. Thus to support and engage our community, our foundation for our work rests on four pillars: focusing on improving access through programming, education and social service support; promoting the importance of a healthy diet through screening and creating access to nutritious foods; fostering improved health through exercise with culturally appropriate activities; and, addressing emotional well-being through innovative access points. Signature, cornerstone initiatives supporting the four pillars include: health centers for schools; mobile dental vans; ER navigators; community resource center; nurse health line; Stephealthy (reduce obesity); park activations; neighborhood health centers; and mental health crisis clinics. The 2019 CHNA findings resulted from the analysis of an extensive set of secondary data (over 100 indicators from national and state data sources) and primary data collected from community leaders, non-health professionals, and organizations serving the community at large, vulnerable populations, and/or populations with unmet health needs. Through an examination of the primary and secondary data, the following top health needs were identified: access to health services; cancers; children's health; diabetes; economy; education; food insecurity; heart disease/stroke; lack of health insurance; low-income/underserved; mental health; obesity; older adults/aging; substance abuse; transportation. Stakeholders from the 13 licensed facilities in the Memorial Hermann Health System completed a survey to prioritize the significant health issues, based on criteria including health impact and risk as well as consideration of Memorial Hermann's strategic focus. With Memorial Hermann's four pillars designed to deliver effective upstream interventions, addressing the above identified community needs continue to fall within our four pillars: access to healthcare; emotional well-being; food as health; exercise is medicine. The CHNA process enables each hospital within Memorial Hermann to develop programs and services that advance the health of its community, building the foundation for systemic change across the greater Houston area. Many are represented within the specific hospital's implementations strategies, and include the signature, cornerstone initiatives delineated above. Others are ongoing programs collected via community benefit inventory for social accountability (CBISA) and have historically included the following in previous years (Covid has seriously impacted outreach since march 2020): athletic medical coverage for schools; medical coverage for races; injury clinics; workshops for coaches; blood drives; classes and seminars: breast feeding, cardiovascular; colorectal; infant CPR; cooking demonstrations; fitness and nutrition; joint symposium and joint replacement; pediatric weight management; super sibling; teen pregnancy/parenting; teen driver safety; trauma and bleeding control; weight loss. Child and safety seat distribution. Community health education: Alzheimer's disease; breast cancer awareness; cancer prevention and testing; career night; discounted diabetes education; distracted driving; education/outreach for seniors; education and support groups for cancer patients: art, self-guided art therapy, lymphedema, breast cancer, oncology nutrition therapy, stress relief, look good feel better, yoga, meditation and health eating advices; immunotherapy; injury and fall prevention and awareness; kidney diseases; men's health; mental health and anxiety in students; opioids; parenting/siblings; prostate cancer awareness; sleep apnea; stroke signs; women's health; wound care. Education for nurses, nursing students, and school nurses. Food, book, backpack drives; health fairs; insurance coverage assistance; medical transportation, transportation vouchers; navigation services to meet the needs of uninsured and underinsured patients; post-polio patients; veterans and research subjects supported by special funds; promotion of access to healthy food; farmers markets; safe physical activities; nutrition therapy. Screenings: athletic heart screenings; biometric, blood pressure; impact concussion testing; low dose CT lung cancer, mammograms and breast ultrasounds for underserved women; prostate; stroke; skin; sports physicals; support of area walk/run/tri events; support groups for: Alzheimer's; amputees; bariatric; better breathers; breast feeding; caregiver; chronic disease; diabetics; epilepsy; grief; mended hearts; multiple sclerosis NICU; obesity; Parkinson's disease; smoking cessation; substance abuse; stroke; teen parents; transplant patients; traumatic brain injury; telemedicine consults for stroke and pediatric surgery; volunteer clinics; walk with a doc; weight management.

Field	Value	IRS element (for citing)
Facility	21	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MH Surgery Center Texas Medical Center
6400 Fannin Street STE 1500	Houston	TX	77030	Ambulatory Surgical Center
MH Surgery Center The Woodlands - Pinecr
9305 Pinecroft Drive STE 200	The Woodlands	TX	77380	Ambulatory Surgical Center
MH Surgery Center Woodlands Parkway
1441 Woodstead Court STE 100	The Woodlands	TX	77380	Ambulatory Surgical Center
Doctors United Surgery Center
5146 Preston Avenue	Pasadena	TX	77504	Ambulatory Surgical Center
MH Surgery Center Memorial Village
1120 Business Center Dr STE 110	Houston	TX	77043	Ambulatory Surgical Center
MH Surgery Center Kirby Glen
2457 S Braeswood Blvd	Houston	TX	77030	Ambulatory Surgical Center
MH The Woodlands Medical Center Surgery
9200 Pinecroft Drive STE 200	The Woodlands	TX	77380	Ambulatory Surgical Center
MH Surgery Center Sugar Land
17510 W Grand Parkway STE 200	Sugar Land	TX	77479	Ambulatory Surgical Center
MH Surgery Center Conroe
1501 River Pointe Dr STE 200	Conroe	TX	77304	Ambulatory Surgical Center
MH Surgery Center Katy
23920 Katy Freeway STE 200	Katy	TX	77494	Ambulatory Surgical Center
MH Surgery Center Bay Area Endoscopy Cen
444 FM 1959 STE B	Houston	TX	77034	Ambulatory Surgical Center
MH Surgery Center Southwest
7789 SW Freeway STE 200	Houston	TX	77074	Ambulatory Surgical Center
MH Surgery Center Kingsland
21720 Kingsland Blvd STE 101	Katy	TX	77450	Ambulatory Surgical Center
MH Surgery Center Greater Heights
1631 North Loop West STE 300	Houston	TX	77008	Ambulatory Surgical Center
MH Surgery Center West Houston
970 Campbell Road STE 101	Houston	TX	77024	Ambulatory Surgical Center
MH Surgery Center Texas International En
6620 Main St STE 1500	Houston	TX	77030	Ambulatory Surgical Center
MH Endoscopy & Surgery Center North Hous
275 Lantern Bend 400	Houston	TX	77090	Ambulatory Surgical Center
Memorial Hermann Prevention & Recovery
3043 Gessner	Houston	TX	77080	Drug & Alcohol Rehab
MH Surgery Center Richmond
1517 Thompson Road STE 100	Richmond	TX	77469	Ambulatory Surgical Center
MH Surgery Center Brazoria
2760 Brazos Parkway	Angleton	TX	77515	Ambulatory Surgical Center
University Place
7480 Beechnut	Houston	TX	77074	Senior Living

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c	Patients who have an outstanding account balance owed on their hospital bills may be eligible for a discount if all of the following criteria are met: 1) balance exceeds ten percent of the person's annual gross family income; 2) they are unable to pay all or a portion of the remaining bill balance; and 3) the bill balance is at least $5,000. Under these circumstances, the patient or guarantor is expected to cooperate with the financial assistance process and supply personal or financial information and documentation relevant to making a determination of eligibility. If approved, the patient will be responsible for paying no more than ten percent of their annual gross family income towards the remaining outstanding account balances or AGB discount will be applied, whichever is less and most beneficial for the patient's financial situation.
Part I, Line 6a	Memorial Hermann Health System prepares and files an annual report of community benefit plan with the Texas Department of State Health Services. This report is made available through the organization's webpage at https://communitybenefit.memorialhermann.org/about-us/report-to-the-commun ity/
Part I, Line 7	A cost-to-charge ratio (from worksheet 2) is used to calculate the amounts on lines 7a through 7c. The amounts for lines 7e through 7i come from the books and records of specific segments of the organization and are not based on a cost-to-charge ratio.
Part I, Line 7, Column (F)	The bad debt expense is included on Form 990, Part IX, Line 25, column (a), but removed for purposes of calculating the percentage in column (f) totaled $0.
Part III, Line 2	Bad debt expense is determined based on GAAP and is explained under significant accounting policies within section net patient service revenue and patient accounts receivable in the consolidated audited financial statements.
Part III, Line 4	Footnotes related to Accounts Receivable and Allowance for Doubtful Accounts can be located on pages 8 through 11 on Memorial Hermann Health System's fiscal year ending 2021 consolidated audited financial statements. Memorial Hermann entered zero on Schedule H, Part III, Line 3. From prior experience, the organization believes a portion of bad debt expense may be attributable to patients who would otherwise qualify for financial assistance. The organization estimates this could range from 0-5 percent. Memorial Hermann makes efforts to educate patients about its financial assistance program. Regardless, patients may choose not to apply for financial assistance or provide complete applications. See Part VI supplemental information line 3c narrative for more information regarding Memorial Hermann's efforts to inform and educate patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's financial assistance policy.
Part III, Line 8	Reasons why the Medicare shortfall reported on Line 7, if any, should be treated as a community benefit include: absent the Medicare program, many of the individuals would likely qualify for financial assistance or other needs-based government programs; as payments to treat Medicare individuals are below cost of care, the burdens of government are relieved relative to these patients, Memorial Hermann Health System provides care to Medicare patients regardless of any Medicare shortfall; the real possibility that continued reductions in reimbursement may create further difficulties in access to care for Medicare patients; financial resources utilized to cover any Medicare shortfall is no longer available to cover financial assistance and any other community benefit needs; IRS Revenue Ruling 69-545 provides, in part, that hospitals serving patients with governmental health benefits, including as an example Medicare, is an indication that the hospital operates for the promotion of health in the community; Texas nonprofit hospitals must provide a minimum level of community benefit in order to obtain exemption from state and local taxes. According to the current Texas health and safety code, the unreimbursed cost of Medicare is considered to be a community benefit in determining these state statutory requirements as it helps relieve a governmental burden of providing this care that would otherwise be provided through the county hospital system in Texas. The amount reported in Part III, Section b, on Line 7 was calculated in accordance with the Schedule H instructions utilizing the organization's allowable cost reported in the Medicare cost reported based on a cost to charge ratio.
Part III, Line 9b	Memorial Hermann Health System's billing and collection policy prohibits any collection efforts for the portion of a patient's account balance that qualifies for assistance under the organization's financial assistance policy. With respect to any remaining balance due, if any, the billing and collection policy contains actions which may be taken in the event of nonpayment and are applied equally to all patient types.
Part VI, Line 2	Improving the health of a community is essential to enhancing the quality of life for residents in the region and supporting future social and economic well-being. In 2013, in 2016, and most recently in 2019, Memorial Hermann Health System engaged in a community health planning process that was two-fold: (1) a Community Health Needs Assessment (CHNA) to identify the health-related needs and strengths of the community and (2) a Strategic Implementation Plan (SIP) to identify major health priorities, develop goals, and select strategies and identify partners to address these priority issues across the community. The CHNA was guided by a participatory, collaborative approach, which examined health in its broadest sense. This process included integrating existing secondary data on social, economic, and health issues in the region with qualitative information from a community survey with community residents and service providers and interviews with community stakeholders. The CHNAs were conducted in accordance with state and federal guidelines including IRC Section 501(r) and the Texas Health and Safety Code Section 311.
Part VI, Line 3	Memorial Hermann Health System is committed to making healthier communities, now and for generations to come. Patients who qualify for financial assistance through Memorial Hermann's Financial Assistance Program may be notified in the following ways: patient consent-the health care consent that is signed upon registration for healthcare services includes a statement that if charity services are required, eligibility determination should be requested upon admission to the hospital or upon receipt of itemized bill or statement; financial counseling: Memorial Hermann patients are encouraged to seek information from their hospital's financial counselor if they anticipate difficulty paying their portion of the hospital bill. Our financial counselors will make every effort to assist patients who are uninsured, underinsured, or face other financial challenges associated with paying for the health care services we provide. Financial counselors may screen patients for eligibility for a variety of government funded programs, assist with a worker's compensation or liability claim, set up an extended time payment plan, or help patients apply for financial assistance; plain language summary and application-a paper copy of the plain language summary of Memorial Hermann's FAP and a paper copy of the financial assistance application will be made available to all patients at the earliest practical time of service. Memorial Hermann will have free paper copies of these documents available upon request in the emergency department and registration areas. Free paper copies are also available by mail or by calling 713-338-5502 or 1-800-526-2121, option 5; translated copies available: Memorial Hermann translates its FAP, plain language summary, financial assistance application, and billing and collections policy for limited English proficient individuals representing the lesser of five percent or 1,000 individuals of the community served by its hospital facilities. Memorial Hermann makes free copies of these documents available on the Memorial Hermann website and upon request in the emergency department and hospital registration areas. Free paper copies are also available by mail by calling 713-338-5502 or 1-800-526-2121, option 5; signage- all financial assistance signage will be clearly and conspicuously posted in locations that are visible to the public, including, but not limited to, Memorial Hermann emergency department and patient registration areas. Signage will indicate that financial assistance is available and the phone number to reach a financial counselor for more information; website - Memorial Hermann's post notice in a prominent place on its website that financial assistance is available, with an explanation of the financial assistance application process. Memorial Hermann posts its FAP with a list of providers who are covered and not covered under the FAP, plain language summary, financial assistance application, and the billing and collections policy on Memorial Hermann's website; patient bills and statements - patient statements will include a request that the patient is responsible to inform Memorial Hermann of any available health insurance coverage, and will include a notice of the Memorial Hermann FAP, a telephone number to request financial assistance, and the website address where financial assistance documents can be obtained; mail or fax: patients may mail or fax a written request for free copies of these documents to the address below and including the individual's full name and return mailing address to which they want Memorial Hermann to send the copies. Memorial Hermann Health System, ATTN: Financial Assistance, 909 Frostwood, Suite 3:100 Houston, Texas 77024, fax: 713-338-6500
Part VI, Line 4	Population Size: Memorial Hermann serves "Greater Houston", a multi-county area along the Gulf Coast in Southeast Texas where several counties are without hospital district services. At 6.9 million people the Houston MSA is the 5th largest in the U.S., and one of the fastest growing. This growth has strained health and social infrastructure, with some communities lacking access to healthy foods, safe parks, adequate sidewalks, and social service capacity. Demographics: Prizing our diversity, greater Houston has no racial or ethnic majority. Made up of 36% White, 38% Hispanic, 17% Black, and 7% Asian, nearly 1 in 4 residents are foreign born contributing to a wide variety of cultures and ethnicities present in the region. Roughly 49% of residents speak languages other than English at home. Twenty-seven percent of the total population are minors and 10% are over 65 years of age, resulting in a potential workforce of approximately 4.3 million. Despite this possibility for economic success, only 30% of the 25+ years of age population have a college degree or higher, readying them for Houston's growth business and industry opportunities. There are pockets of poverty throughout the area and some residents face tough economic challenges which can affect their health and the health of their family. Prior to COVID-19, 16% of all residents fell at or below the Federal Poverty Threshold. Major Employers: The energy industry dominates the Houston economy but grocery stores (Walmart and San Antonio based H-E-B) and healthcare (Memorial Hermann, MD Anderson and Methodist) are the largest employers, along with United Airlines. These healthcare organizations are collaborators with Memorial Hermann on community improvement efforts. Reducing poverty and strengthening existing graduation rates (currently 77% for high schoolers) is paramount to supporting all sector's continued strength and prosperity. Key Community Health Assessment Findings: The percentage of Harris County's population without health insurance totals 20.8%, higher than the state average of 17.7% and more than double the national average of 8.9%. Pre-COVID, 16.6% of the population was food insecure, with rates escalating as COVID-19 continues. Coupled with this is the rising rate of obesity as the single biggest threat to the Greater Houston area--34% of Houston area adults are overweight, increasing the risk of dying from cancer, heart disease, stroke, diabetes, liver disease and kidney disease. With 20% of adults self-reporting five or more poor mental health days a year, the need for increased access to behavioral health care is significant and set only to escalate in the aftermath of COVID-19. Health disparities exist across race and ethnicity, among them are: half of Hispanics are without a usual source of care; African American women are three times more likely to die from a pregnancy related death than other racial groups; and, most currently, Blacks are experiencing significantly higher contractual and death rates from COVID-19 than Whites. Significant Health and Social Service Challenges: Without insurance people skip services that detect underlying health issues, leading to delayed treatment, worsening outcomes, and higher costs. With the increase in population, a burden is placed on existing public health, social, and healthcare infrastructure. With upstream challenges of access to insurance, health literacy, safe parks, and nutritious, affordable food, chronic and mental health conditions escalate.
Part VI, Line 5	Memorial Hermann Health System works with other healthcare providers, government agencies, business leaders and community stakeholders to ensure that all residents of the greater Houston area have access to the care and services they need to improve their quality of life and the overall health of the community. Programs are designed to provide care for uninsured and underinsured children; to reach those Houstonians needing affordable care; to support the existing infrastructure of non-profit clinics and FQHCS; to educate individuals and their families on how to access the healthcare available to them; and to promote a culture of health through health initiatives designed to reduce obesity and increase access to healthy food, increase physical activity, improve health and reduce chronic conditions. Health education, healthy foods, safe places to exercise, and access to health and behavioral health services are vital to improving the overall health of residents since lack of these efforts contributes to the escalating chronic disease epidemic. Thus to support and engage our community our foundation for our work rests on four pillars--focusing on improving access through programming, education and social service support; promoting the importance of a healthy diet through screening and creating access to nutritious foods; fostering improved health through exercise with culturally appropriate activities; and, addressing emotional well-being through innovative access points. Committed to making the greater Houston area a healthier and more vital place to live, and spanning these four interconnecting pillars, memorial Hermann supports the following initiatives: ten Memorial Hermann health centers for schools, established in 1996, offer access to primary medical and mental health services to underserved children at 85 schools in the greater Houston area. The memorial Hermann mobile dental clinic, established in 2000, has three dental vans and provides access to preventative and restorative dental services at nine health centers for schools' sites and is accessible as a dental home for uninsured students. Serving the community since 2008, the Memorial Hermann ER navigation program places certified community health workers who have the training, cultural understanding and linguistic capacity to help the uninsured, who disproportionately use emergency rooms for healthcare, 'navigate' the complex health system, obtain a medical home, schedule appointments, secure needed social services and cope with future healthcare concerns. In 2017, added components were health literacy outreach, health care and disease prevention workshops and health promotion. Memorial Hermann neighborhood health centers are strategically located near two of Houston's busiest ERs, are open extended hours and serve as a medical home to uninsured and underinsured working families. The goal is to provide this population with the provision of preventive, acute, and chronic care. Memorial Hermann medical missions (MHMM) exists to finance, facilitate, and encourage physician led teams into third world countries. MHMM provides supplies, pharmaceuticals, and scholarships for non-physician team members. MHMM facilitates by linking physicians and support teams together; advising on passports, vaccinations, air travel; and coordinating necessary supplies. MHMM encourages by sharing the knowledge of past experiences; communicating what a medical mission means to a poverty or disaster-stricken area; and coaching on safety practices so that participants feel comfortable in their new surroundings. In 2014 the psychiatric response case management program was introduced to address the gap in the mental and behavioral care services by connecting patients to outpatient treatment and other community resources. The initiative was designed to provide intensive, community-based case management services for those with behavioral health diagnosis and a history of multiple hospitalizations. Under this program, patients are actively engaged in the development of their own mental health care plan and long-term recovery goals with the ultimate objective of improved patient wellness and goal achievement. The case management program works closely with Memorial Hermann's psychiatric response team, in which mental health clinicians evaluate, stabilize, arrange for transfers and develop aftercare plans for patients in emergency room and medical inpatient settings. The psychiatric response team refers patients to more than 200 mental health community treatment providers within Harris, Fort Bend and Montgomery counties. This large referral network allows the program to leverage the patients with insurance to obtain care for those without. This network also eliminates a single facility from competing with all local emergency centers for limited psychiatric resources. The nurse health line was established in 2014 as a free telephone service for greater Houston residents who are experiencing a health concern and are unsure of what to do or where to go. Experienced, bilingual nurses use their training and expertise to conduct assessments by phone and are available to answer calls 24 hours a day, seven days a week for any resident living in Harris or surrounding counties. They help callers decide when and where to go for medical care and assist with social service referrals and transportation needs. Callers receive healthcare advice and education using nationally recognized standardized protocols. Memorial Hermann began screening patients for food insecurity in 2015 in a few select clinics and have since expanded throughout the system. Patients identified as food insecure receive support in applying for benefits, a referral to the Houston Food Bank, and guidance on questions to ask for an appropriate food pantry referral. Since rolling out the questions we have teamed up with several agencies to take programming support to a next level. In a pilot program, meals that heal, discharged patients identified in need of prepared, hot meals to support a successful healing process at home are delivered nutritious meals for as long as is necessary. The trajectory of the food initiative leads to exercise, and implementation of the evidenced-based exercise is medicine program which incorporates exercise as a vital sign into physician offices, exercise prescriptions, and activation of parks. Together these programs improve the health and well-being of our community through combating behaviors leading to chronic disease. Our work increasingly encompasses working within collaboratives and grants. Through CMS' accountable health communities grant we are, along with the school of public health and two other health systems, screening and referring for social determinants of health to determine the impact that addressing social determinants of health has on health status. Through Pasadena vibrant community collaborative agency goals revolve around the engagement in ongoing dialogues about and activities around the importance of healthy behaviors. Through Healthy Women Houston we are collaborating to address maternal mortality and morbidity in specific, high risk communities integrating health, behavioral, and social supports for pregnant and post-partum women. A new model for working with partners is our memorial Hermann community resource center at southwest hospital. The center is designed to offer the ER department, onsite physicians and care managers, as well as community members with: accessing community resources, some of which will provide scheduled services on site; completing eligibility applications; and, receiving information and education on public health and social services. To date, specific services include: assistance enrolling in public health insurance; applications for public social services (SNAP, WIC, etc.); and referrals to the onsite partners that have begun to provide weekly schedules at the center (Houston food bank, area federally qualified health centers, Houston lawyer referral service and chronic disease prescription assistance). As we work with our clients and community, we are continually assessing the need and opportunities for new partners. The goal is for collaboration with patients, the community, and service providers to result in upstream factors and efforts. A second effort to bridge the community's needs is Onebridge health network, under implementation to address the need for specialty care for the uninsured population at 150% of poverty. The network will allow specialists to provide care to uninsured patients in a controlled environment by agreeing to see 'x' patients per year. The role of the provider health network is to vet the patients, ensure pre-specialty visit testing is completed, provide navigation support for other quality of life needs, and ensure seamless transition from referring primary care provider to specialist and back to primary care provider. Memorial Hermann financi
Part VI, Line 6	Charting a better future. A future that's built upon the health of our community. This is the driving force for Memorial Hermann, redefining health care for the individuals and many diverse populations we serve. Our 6,100 affiliated physicians and 28,000 employees practice the highest standards of safe, evidence-based, quality care to provide a personalized and outcome-oriented experience across our more than 300 care delivery sites. As one of the largest not-for-profit health systems in southeast Texas, Memorial Hermann has an award-winning and nationally acclaimed Accountable Care Organization, 17 hospitals and numerous specialty programs and services conveniently located throughout the greater Houston area. Memorial Hermann-Texas Medical Center is one of the nation's busiest level I trauma centers and serves as the primary teaching hospital for McGovern Medical School at UTHealth. For more than 113 years, our focus has been the best interest of our community, contributing more than $521 million annually through school-based health centers and other community benefit programs. Now and for generations to come, the health of our community will be at the center of what we do - charting a better future for all. All aspects of the health system - care delivery, physicians and health solutions are brought together to create a truly integrated health system. This breadth of service uniquely positions Memorial Hermann to collaborate with other providers to assess and create health care solutions for individuals in greater Houston's diverse communities; to provide superior quality, cost-efficient, innovative and compassionate care; to support teaching and research to advance the health professionals and health care of tomorrow; and to provide holistic health care which addresses the physical, social, psychological and spiritual needs of individuals. Our Memorial Hermann physician network, MHMD, comprises physicians from Memorial Hermann Medical Group, UTHealth and private physicians and specialists. We offer leading-edge clinical expertise, patient-centered care, and leading-edge technology and innovation. Through Memorial Hermann's subsidiary, Memorial Hermann Community Benefit Corporation (MHCBC), Memorial Hermann implements programs to work with other healthcare providers, government agencies, business leaders and community stakeholders to ensure that all residents of the greater Houston area have access to the care they need to improve their quality of life and the overall health of the community. The mission of Memorial Hermann Community Benefit Corporation is to test and measure innovative solutions that promote good health for the individual, the health system and the community. MHCBC collaborates with others as well as creates signature, evidence-based ways to improve the communities where people live, work, learn, and play. MHCBC areas of expertise span access and navigation, nutrition and physical activity, support of the whole person, and rigorous outcome measurement. Primary program focus include education on, access to, and provision of primary medical, dental, mental health, and social service support to underserved populations; food as health; and, exercise as medicine. New programs are piloted, and proved programs are replicated in the community. Community benefit corporation funding tenets include: provision of primary and/or specialty care for the uninsured and underinsured; contribution to the existing infrastructure of non-profit clinics and FQHC's; programs, practices, and policies that affect the health of individuals, families, and communities; commitment to measurement; existence of collaborative partners; programmatic inclusion of health education and literacy; strive towards sustainability. As required by the Community Health Needs Assessment-Section 501(r)(3)-requirement of the aca, Memorial Hermann Community Benefit Corporation supports the Memorial Hermann Health System licensed acute care, rehab, and surgical and ER hospitals in conducting community needs assessments. The corresponding implementations strategies balance the individuality of the different hospitals with the system strategy of collectively supporting community objectives to achieve the necessary alignment and leverage to impact true community change.
Part VI, Line 7	Texas
Part VI, Rev. Proc. 2015-21	Memorial Hermann performed a routine audit of its compliance with IRC Section 501(r) and related regulations during FY20-21. The affected population includes FY16-21. Memorial Hermann identified approximately 1,000 patients who were charged more than Amounts Generally Billed (AGB). Memorial Hermann contacted the affected patient population to notify them in writing of the change to their patient billing statement. Memorial Hermann refunded all necessary patient payments made in excess of AGB. Memorial Hermann updated its internal procedures to ensure eligible patients are not charged more than AGB.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (49 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Memorial Hermann Community Benefits Corp
929 Gessner Rd St 1900	Houston	TX	77024	680511504	501(c)(3)	$7,123,276	Support Charitable Support Charitable Support Educational Support Charitable Support Charitable Support Educational Support Educational Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Educational Support Charitable Support Charitable Support Community Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Community Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Community Support Mission Support Charitable Support Charitable Support Charitable Support Charitable Support Educational Support Charitable Support Charitable Support Charitable Support Educational Support Educational Support Educational Support Educational Support Charitable Support Charitable Support Charitable Support Charitable Support C
MEMORIAL HERMANN FOUNDATION
929 GESSNER STE 1900	Houston	TX	77024	741653640	501(c)(3)	$6,205,037
Learfield IMG College
505 Hobbs Rd	Jefferson City	MO	65109	470911648	N/A	$409,218
MARCH OF DIMES INC
1550 CRYSTAL DR STE 1300	Arlington	VA	22202	131846366	501(c)(3)	$200,000
American Heart Association Inc
7272 GREENVILLE AVE	DALLAS	TX	75231	135613797	501(c)(3)	$175,000
KATY INDEPENDENT SCHOOL
DISTRICT 6301 S STADIUM LN	KATY	TX	77494	746001484	State of TX	$110,000
Spring Branch Education Foundation
955 Campbell Rd Ste 206	Houston	TX	77024	760392316	501(c)(3)	$40,000
OVARCOME NON-PROFIT INC
2525 ROBINHOOD ST STE 203	Houston	TX	77005	454716979	501(c)(3)	$37,500
CANCARE INC
9575 KATY FREEWAY SUITE 428	Houston	TX	77024	760305357	501(c)(3)	$35,000
KNOWLEDGE ARTS FOUNDATION
2900 WESLAYAN SUITE 375	Houston	TX	77027	202425139	501(c)(3)	$30,000
BARBARA BUSH HOUSTON LITERACY FOUNDATION
7887 SAN FELIPE SUITE 250	Houston	TX	77063	465037878	501(c)(3)	$30,000
UNITED WAY OF GREATER HOUSTON
50 WAUGH DR	Houston	TX	77007	741167964	501(c)(3)	$27,500
JEWISH FAMILY SERVICE
4131 S BRAESWOOD BLVD	Houston	TX	77025	741152607	501(c)(3)	$25,000
AVDA
1001 TEXAS AVE STE 600	Houston	TX	77002	742141981	501(c)(3)	$22,500
JOHN P MCGOVERN MUSEUM OF HEALTH & MEDICAL SCIENCE
1515 HERMANN DR	Houston	TX	77004	746106357	501(c)(3)	$20,000
FORT BEND JUNIOR SERVICE LEAGUE
PO BOX 17387	SUGAR LAND	TX	77496	760664152	501(c)(3)	$20,000
YOUNG MEN'S CHRISTIAN ASSOCIATION OF THE GREATER H
2600 NORTH LOOP WEST SUITE 300	Houston	TX	77092	741109737	501(c)(3)	$19,550
NEW CANEY INDEPENDENT SCHOOL DISTRICT
21580 LOOP 494	NEW CANEY	TX	77357	746019972	State of TX	$18,000
AMERICAN CANCER SOCIETY INC
250 Williams Street NW 400	Atlanta	GA	30303	131788491	501(c)(3)	$17,500
CRISTO REY WORK STUDY PROGRAM
6700 MOUNT CARMEL STREET	Houston	TX	77087	263739361	501(c)(3)	$15,750
Hermann Park Conservancy
1700 Hermann Dr	Housron	TX	77004	760327389	501(c)(3)	$15,000
NORTHEAST HOSPITAL FOUNDATION
PO BOX 2738	HUMBLE	TX	77347	760224541	501(c)(3)	$15,000
HOUSTON PARKS BOARD
300 N POST OAK LANE	Houston	TX	77024	741860046	501(c)(3)	$15,000
American Leadership Forum Houston Gulf Coast Chapt
3101 RICHMOND AVE STE140	Houston	TX	77098	760284248	501(c)(3)	$15,000
WESLEY COMMUNITY CENTER INC OF HOUSTON TEXAS
1410 LEE STREET	Houston	TX	77009	741132578	501(c)(3)	$13,000
THE WOODLANDS ROTARY CLUB FOUNDATION
PO BOX 7353	THE WOODLANDS	TX	77387	680586779	501(c)(3)	$12,500
HUMBLE AREA CHAMBER OF COMMERCE INCORPORATED
110 W MAIN ST	HUMBLE	TX	77338	741341059	501(c)(6)	$11,060
Houston Childrens Charity
1600 West Loop South Ste 610	Houston	TX	77027	760135741	501(c)(3)	$10,000
HOLOCAUST MUSEUM HOUSTON
9220 KIRBY DR STE 100	Houston	TX	77054	760331398	501(c)(3)	$10,000
FAITH IN PRACTICE
7500 BEECHNUT ST STE 208	Houston	TX	77074	760415986	501(c)(3)	$10,000
CROHN'S & COLITIS FOUNDATION INC
733 THIRD AVE STE 510	NEW YORK	NY	10017	136193105	501(c)(3)	$10,000
COMMUNITIES IN SCHOOLS OF HOUSTON INC
1235 NORTH LOOP W STE 300	Houston	TX	77008	760031827	501(c)(3)	$10,000
EL CENTRO DE CORAZON
PO BOX 230209	Houston	TX	77223	760442781	501(c)(3)	$10,000
INTERFAITH CAREPARTNERS INC
701 N POST OAK RD STE 330	Houston	TX	77024	760253480	501(c)(3)	$10,000
GREATER HOUSTON AREA WOMEN'S CHAMBER OF COMMERCE
3201 KIRBY DR	Houston	TX	77098	261536004	501(c)(6)	$10,000
Brighter Bites
PO Box 25456	Houston	TX	77265	474070026	501(c)(3)	$10,000
AMERICAN JEWISH COMMITTEE
165 EAST 56TH STREET	NEW YORK	NY	100222709	135563393	501(c)(3)	$10,000
RONALD MCDONALD HOUSE OF HOUSTON INC
1907 HOLCOMBE BLVD	Houston	TX	77030	741984499	501(c)(3)	$10,000
WILLIAMS MARSH RICE UNIVERSITY
6100 MAIN ST MS-70	Houston	TX	77005	741109620	501(c)(3)	$10,000
RECIPE FOR SUCCESS FOUNDATION
PO BOX 56405	Houston	TX	77256	203377041	501(c)(3)	$8,000
UNIVERSITY OF HOUSTON
5000 GULF FWY RM 109	Houston	TX	77204	746001399	State of TX	$8,000
MEN OF DISTINCTION OF GREATER HOUSTON
7914 S WELLINGTON COURT	Houston	TX	77055	260421594	501(c)(3)	$7,500
CHILDRENS MUSEUM INC
1500 BINZ ST	Houston	TX	77004	742178563	501(c)(3)	$7,500
MEMORIAL ASSISTANCE MINISTRIES
1625 BLALOCK RD	Houston	TX	77080	760044172	501(c)(3)	$7,500
CY-FAIR ISD
10300 JONES ROAD	Houston	TX	77065	746000654	State of TX	$7,500
EL CAMPO ISD
700 W NORRIS	EL CAMPO	TX	77437	746000730	State of TX	$7,000
NEEDVILLE INDEPENDENT SCHOOL
DISTRICT PO BOX 412	NEEDVILLE	TX	77461	746001773	State of TX	$7,000
EAST BERNARD INDEPENDENT SCHOOL DISTRICT
723 COLLEGE ST	EAST BERNARD	TX	77435	746000708	State of TX	$7,000
WOODLANDS RELIGIIOUS COMMUNITY INC
4242 INTERFAITH WAY	THE WOODLANDS	TX	77381	741804123	501(c)(3)	$6,750

Field	Value	IRS element (for citing)
Total501c3 Org	48	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (33 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
David L Callender MD
CEO/President	$1,276,316	$0	$803,777	$0	$174,299	$0	$386,561	$0	$1,675	$0	$2,642,628	$0	$0	$0
Deborah Gordon
EVP/CAO/CLO/Secretary	$640,817	$0	$1,247,300	$0	$350,469	$0	$193,587	$0	$1,675	$0	$2,433,848	$0	$128,367	$0
Warren Shea
VP/ASST SECRETARY	$301,350	$0	$112,164	$0	$141,792	$0	$54,878	$0	$1,675	$0	$611,859	$0	$53,591	$0
Alec King
EVP/CFO/Treasurer 10/1-6/30	$164,552	$0	$152,436	$0	$3,320	$0	$53,930	$0	$1,675	$0	$375,913	$0	$0	$0
Cynthia A De Moya
CFO 7/1-9/30	$344,775	$0	$134,803	$0	$197,693	$0	$74,999	$0	$1,675	$0	$753,945	$0	$147,946	$0
James McCarthy MD
EVP/CPE	$651,138	$0	$1,012,467	$0	$137,096	$0	$188,354	$0	$1,675	$0	$1,990,730	$0	$0	$0
Joshua Urban
SVP/Pres Comm Hosp	$518,643	$0	$329,776	$0	$237,315	$0	$129,203	$0	$1,675	$0	$1,216,612	$0	$82,628	$0
Erin S Asprec
EVP/COO	$751,588	$0	$1,214,681	$0	$414,764	$0	$251,288	$0	$1,675	$0	$2,633,996	$0	$116,022	$0
Gregory L Haralson
SVP/CEO-TMC	$552,846	$0	$353,407	$0	$167,030	$0	$163,960	$0	$1,675	$0	$1,238,918	$0	$60,606	$0
Paul C O'Sullivan
SVP/CEO-MC&GH	$440,712	$0	$345,842	$0	$215,037	$0	$113,824	$0	$1,675	$0	$1,117,090	$0	$83,226	$0
Kyle Price
SVP/SRVC LINES	$450,007	$0	$283,606	$0	$250,476	$0	$104,131	$0	$1,675	$0	$1,089,895	$0	$67,250	$0
Susan M Distefano
SVP/CEO-CH 7/1-9/1	$262,363	$0	$316,752	$0	$174,695	$0	$0	$0	$19	$0	$753,829	$0	$75,118	$0
Christopher M Halaska
SVP/CIO 7/1-8/14	$233,370	$0	$347,596	$0	$542,500	$0	$0	$0	$19	$0	$1,123,485	$0	$78,286	$0
Lori P Knowles
SVP/CHRO	$430,082	$0	$709,193	$0	$112,942	$0	$104,597	$0	$1,675	$0	$1,358,489	$0	$39,039	$0
Amanda Hammel
SVP/CIO	$419,460	$0	$617,291	$0	$154,692	$0	$117,163	$0	$1,675	$0	$1,310,281	$0	$46,154	$0
Feby Abraham
EVP/CSO	$645,631	$0	$175,841	$0	$43,843	$0	$183,429	$0	$1,675	$0	$1,050,419	$0	$0	$0
Anne E Neeson
EVP/Foundation	$339,425	$0	$544,104	$0	$68,224	$0	$80,153	$0	$1,675	$0	$1,033,581	$0	$0	$0
Eric Smith
SVP/CDO	$241,809	$0	$305,588	$0	$14,134	$0	$57,974	$0	$1,675	$0	$621,180	$0	$0	$0
Obiefuna Chikelue
VP/CIO 8/15-6/30	$191,820	$0	$99,808	$0	$15,535	$0	$0	$0	$0	$0	$307,163	$0	$0	$0
Heath Rushing
SVP/SRVC LINES	$455,995	$0	$288,291	$0	$188,559	$0	$105,972	$0	$1,675	$0	$1,040,492	$0	$54,632	$0
Justin P Kendrick
SVP/CEO-NE&TW	$336,930	$0	$123,769	$0	$100,029	$0	$78,763	$0	$1,675	$0	$641,166	$0	$42,509	$0
Malisha S Patel
SVP/CEO-SW&SL	$407,582	$0	$248,496	$0	$123,231	$0	$98,632	$0	$1,675	$0	$879,616	$0	$36,991	$0
Jerry A Ashworth
SVP/CEO-CY&KT	$331,366	$0	$202,203	$0	$79,076	$0	$76,318	$0	$1,675	$0	$690,638	$0	$2,318	$0
Anne Pearson
SVP/CEO-PhyofMH	$117,786	$297,516	$0	$200,883	$9,825	$45,259	$103,175	$0	$1,675	$0	$232,461	$543,658	$0	$0
Alexander Greengold
SVP,CEO	$296,494	$0	$111,022	$0	$33,181	$0	$57,488	$0	$1,675	$0	$499,860	$0	$0	$0
Jeffrey Katz
VP/CMO-TMC	$408,952	$0	$149,157	$0	$160,625	$0	$96,079	$0	$1,675	$0	$816,488	$0	$91,927	$0
Bryan R Lee
VP/TMC	$273,825	$0	$122,718	$0	$464,916	$0	$0	$0	$19	$0	$861,478	$0	$39,907	$0
Kristel Poffinbarger
VP/CMO-SW&SL	$349,756	$0	$125,740	$0	$304,028	$0	$81,231	$0	$1,675	$0	$862,430	$0	$233,836	$0
Rebecca A Tucker
VP/SW&SL	$237,428	$0	$103,878	$0	$438,539	$0	$0	$0	$19	$0	$779,864	$0	$29,502	$0
Angela Shippy MD
SVP/CMQO 7/1/20-12/31/20	$455,226	$0	$328,607	$0	$188,730	$0	$113,577	$0	$19	$0	$1,086,159	$0	$107,838	$0
Charles D Stokes
Former CEO/President	$33,462	$0	$1,428,567	$0	$2,230,521	$0	$0	$0	$19	$0	$3,692,569	$0	$318,132	$0
Myron M Shabot MD
Former CQO	$0	$0	$131,203	$0	$15,576	$0	$0	$0	$0	$0	$146,779	$0	$0	$0
Brian Dean
Former CFO	$371,501	$0	$902,574	$0	$254,134	$0	$0	$0	$19	$0	$1,528,228	$0	$127,084	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990 Schedule J Part I Line 4a	Charles D. Stokes ($1,450,000.00); Christopher M. Halaska ($396,053.00); Bryan R. Lee (($396,075.00); Rebecca A. Tucker ($312,416.00)
Form 990 Schedule J Part I Line 4b	MEMORIAL HERMANN HEALTH SYSTEM SPONSORS TWO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS; MEMORIAL HERMANN SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP); EXECUTIVE DEFERRED COMPENSATION PLAN (EDCP). THE FOLLOWING INDIVIDUALS PARTICIPATED IN AND/OR RECEIVED PAYMENTS (NOTED IN PARENTHESIS FOR SERP AND EDCP RESPECTIVELY) FROM MEMORIAL HERMANN HEALTH SYSTEM'S SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DURING THE TAX YEAR: CHARLES D. STOKES ($144,025.74/$318,132.38); WARREN SHEA ($0/$53,590.54); ERIN S. ASPREC ($53,553.27/$116,022.15); BRIAN DEAN ($0/$127,084.02); DEBORAH GORDON ($0/$128,367.08); GREGORY L. HARALSON ($0/$60,605.61); JOSHUA URBAN ($18,651.58; $82,628.22); ANGELA SHIPPY, M.D. ($0/$107,838.22); PAUL C. O'SULLIVAN ($15,532.74/$83,226.19); CHRISTOPHER M. HALASKA ($0/$78,285.71); KYLE PRICE ($16,737.15/$67,250.47); SUSAN M. DISTEFANO ($35,883.31/$75,118.19); LORI P. KNOWLES ($0/$39,039.01); AMANDA HAMMEL ($23,731.75/$46,153.59); CYNTHIA A. DE MOYA ($0/$147,946.13); HEATH RUSHING ($15,435.14/$54,631.59); KRISTEL POFFINBARGER ($7,570.97/$233,836.17); BRYAN R. LEE ($0/$39,907.34); REBECCA A. TUCKER ($0/$29,501.97); JUSTIN P. KENDRICK ($0/$42,508.59); MALISHA S. PATEL ($12,297.49/$36,990.63); JERRY A. ASHWORTH ($0/$2,317.74); JEFFREY KATZ ($0/$91,927.04).
Form 990 Schedule J Part I Line 7	MEMORIAL HERMANN HEALTH SYSTEM HAS TWO INCENTIVE PROGRAMS IN WHICH CERTAIN MANAGEMENT INDIVIDUALS MAY PARTICIPATE, THE MANAGEMENT INCENTIVE BONUS AND LONG TERM INCENTIVE PLAN. THE MANAGEMENT INCENTIVE BONUS IS AN ANNUAL INCENTIVE DESIGNED TO ATTRACT AND RETAIN KEY LEADERS AND ESTABLISH GREATER ACCOUNTABILITY AND ALIGNMENT TO BUSINESS PERFORMANCE. PAYMENT AMOUNT TARGETS ARE BASED UPON A PERCENTAGE OF BASE SALARY, DEVELOPED BY INDEPENDENT THIRD PARTY EXPERTS. MEMORIAL HERMANN'S COMPENSATION COMMITTEE AND GOVERNING BOARD HAVE FINAL DISCRETION WHETHER TO AWARD AMOUNTS TO INDIVIDUALS AND TO ADJUST THE PAYMENT AT THEIR SOLE DISCRETION. THE LONG TERM INCENTIVE PLAN IS BASED ON A THREE-YEAR PERFORMANCE PLAN, WHICH REWARDS KEY SENIOR LEADERS BY ALIGNING THEIR COMPENSATION TO STRATEGIC INITIATIVES OF MEMORIAL HERMANN. PERFORMANCE TARGETS ARE BASED UPON A PERCENTAGE OF THE INDIVIDUAL'S BASE SALARY AND ARE DEVELOPED BY INDEPENDENT THIRD PARTY EXPERTS USING MARKET COMPETITIVE DATA WITHIN THE GUIDES OF REASONABLENESS. AT THE END OF A THREE-YEAR PERIOD, MEMORIAL HERMANN'S COMPENSATION COMMITTEE REVIEWS PERFORMANCE AGAINST GOALS TO DETERMINE APPROPRIATE PAYOUT. MEMORIAL HERMANN'S COMPENSATION COMMITTEE AND GOVERNING BOARD HAVE FINAL DISCRETION WHETHER TO AWARD AMOUNTS TO INDIVIDUALS AND TO ADJUST THE PAYMENT AT THEIR SOLE DISCRETION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$141,335,000	$234,385,000	$468,778,930	$0	$0	$0	$3,629,482	$0	$0	$0	$465,149,448	$0	2013	Yes (true)	Yes (true)	Yes (true)	Yes (true)
B	$104,325,000	$28,270,000	$308,759,499	$0	$0	$0	$2,303,890	$0	$0	$306,455,609	$0	$0	2020	false	false	Yes (true)	Yes (true)
C	$8,885,000	$0	$152,153,046	$0	$0	$0	$1,216,215	$0	$0	$150,936,831	$0	$0	2018	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Any Research AgreementsAnyResearchAgreementsInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct
A	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	Yes (true)	false	0.00000
C	false		false		false	false	Yes (true)	false	0.00000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (5 entries)

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$72,330,000	$0	$326,642,593	$0	$0	$0	$1,649,048	$0	$0	$149,508,545	$175,485,000	$0	2018	Yes (true)	false	Yes (true)	Yes (true)
B	$14,300,000	$0	$650,505,401	$0	$0	$0	$4,133,065	$0	$0	$372,825,803	$203,005,000	$70,541,533	2020	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$204,804,866	$0	$0	$0	$1,767,703	$0	$0	$0	$203,037,163	$0	2020	Yes (true)	false	Yes (true)	Yes (true)
D	$4,685,000	$0	$22,068,756	$0	$0	$0	$155,452	$0	$0	$0	$0	$21,913,304	2020	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	0.00000	false	Yes (true)
B	false	false	false	false	false	false	0.00000	false	Yes (true)
C	false	false	false	false	false	false	0.00000	false	Yes (true)
D	false	false	false	false	false	false		false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Angela Bell
Family member of Director	$86,354	Compensation	false
Sonal Patel
Family member of Key Employee	$79,889	Compensation	false
Victoria Ashworth
Family member of Key Employee	$178,639	Compensation	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, Line 6	The Corporation is a non-profit corporation existing under the Texas Business Organizations Code, as amended from time to time. The Corporation shall have individual corporate members.
Form 990, Part VI, Section A, Line 7a	The Corporation's Members shall have such powers, exercise such rights and perform such duties as Members of the Corporation as may be required by applicable law or by express provision of the Certificate of Formation or its Bylaws, and the Members shall have no other powers, rights, or duties. The Members shall elect Directors to fill any existing or soon to be existing vacancy occurring in the Board of Directors.
Form 990, Part VI, Section A, Line 7b	The following matters are reserved to the Corporation's Members and shall require the affirmative action of the Members to be effective: Any amendment to or restatement or repeal of the Certificate of Formation; Any amendment to or restatement or repeal of these Bylaws; The sale, transfer, or other disposition of all or substantially all of the assets of the Corporation and its Affiliates; The merger of the Corporation into, or the consolidation of the Corporation with, any other entity; or, the dissolution of the Corporation.
Form 990, Part VI, Section B, Line 11b	The Form 990 is prepared and reviewed by Memorial Hermann System Tax department. The System Tax department works with other departments throughout the organization to obtain the information needed to complete the Form 990. Upon completion, the Form 990 is reviewed by the organization's Chief Financial Officer, Chief Accounting Officer, and/or other key officers. A complete copy of the Form 990 is then provided to each member of the governing body prior to filing the Form 990.
Form 990, Part VI, Section B, Line 12c	Memorial Hermann Health System utilizes conflict of interest surveys and has codified its procedure in a policy. The policy is monitored by the organization's Corporate Compliance department through annual surveys of board members, corporate officers, management level employees, and other selected employees, physicians and vendors for all of its entities and related affiliates. In addition to responding to the survey, each recipient affirms that they have received a copy of the policy, have read and understood it, have agreed to comply with it, and understands that Memorial Hermann is a charitable organization to must engage in primarily tax-exempt purpose activities. The corporate compliance department, chief legal officer, and the corporate audit committee, consisting of independent board members, receive a report of all items disclosed. The audit committee chair reports the existence of any conflicts to the corporate board of directors. Memorial Hermann's conflicts of interest policy requires that board members excuse themselves from discussions in which they have a conflict of interest. The policy also subjects board members to disciplinary action if they are found to have violated the policy.
Form 990, Part VI, Section B, Line 15	The compensation committee of the Memorial Hermann board of directors retains the ultimate discretionary authority over all elements of executive compensation. The committee is comprised of individuals who are not employed by Memorial Hermann, and have no conflicting interests. The process for determining compensation for the organization's CEO and disqualified persons is modeled after the requirements in IRC section 4958 to establish the presumption of reasonable compensation. The compensation committee reviews and approves the total remuneration for the organization's disqualified persons in advance of being paid. On an annual basis, the compensation committee engages an independent third-party executive compensation consultant who uses comparable market data from published surveys and/or form 990 of similar organizations to perform a competitive analysis and write an opinion letter regarding the competitive position of Memorial Hermann's disqualified persons. The compensation committee reviews the comparability data and opinion letter, and documents its discussion and decisions in minutes that are retained with the organization's other governance materials. The analysis is performed annually and it includes the President and CEO, all executive vice presidents and senior vice presidents of the organization, as well as family members of disqualified persons who are employed by Memorial Hermann.
Form 990, Part VI, Section C, Line 19	Certain documents of the organization are available to the public through the Texas Secretary of State, such as the organization's certificate of formation and any amendments thereto. The organization is included in the consolidated audited financial statements, which are attached to the Form 990 and are made available to the public upon request. The organization's other governing documents and conflicts of interest policy are not made available to the public.
Form 990, Part XI, Line 9	Noncontrolling interests $84,159,374; Change in pension obligation $146,623,425; Contributions and grants received and other changes in net assets, net $26,501,300; Change in noncontrolling interests $4,525,825; Reclass of Fund Balances of Affiliated Companies $50,223,683.
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL CARE SERVICES FEES TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:INDIGENT CARE SERVICES FEES TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:ADMINISTRATIVE SERVICES FEES TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:PROPERTY MGMT SERVICES FEES TOTAL FEES:77140170
FORM 990 PART IX LINE 11G	DESCRIPTION:SUPPLY CHAIN MGMT SERVICES TOTAL FEES:7114251
FORM 990 PART IX LINE 11G	DESCRIPTION:TECHNOLOGY SERVICES FEE TOTAL FEES:4667993
FORM 990 PART IX LINE 11G	DESCRIPTION:MISC CONTRACT SERVICES FEES TOTAL FEES:83893065

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
MHUSP Surgery Ctr III LLP
14201 Dallas Parkway	Dallas	TX	75254	200707543	Amb Srgry Ctr	TX	MH HealthSystem	Related	$9,633,573	$23,134,627	false	$0	Yes (true)	0.50100
MH Rehab Hospital Katy LLC
929 Gessner Rd Ste 1900	Houston	TX	77024	263896170	Rehabilitation	TX	MH HealthSystem	Related	$1,657,958	$27,886,981	false	$0	Yes (true)	0.60941
MHUSP Surgery Centers IV LLP
14201 Dallas Parkway	Dallas	TX	75254	208575266	Amb Srgry Ctr	TX	MH HealthSystem	Related	$16,201,337	$75,454,106	false	$0	false	0.50100
MH Surgery Ctr Memorial City LLC
14201 Dallas Parkway	Dallas	TX	75254	264276930	Amb Srgry Ctr	TX	NA	Related	$32,289	$6,690,322	false	$0	false	0.00779
MH Surgery Ctr Texas Medical Ctr LLP
14201 Dallas Parkway	Dallas	TX	75254	203233666	Amb Srgry Ctr	TX	NA	Related	$451,881	$26,134,836	false	$0	false	0.11989
MH Surgery Ctr The Woodlands
14201 Dallas Parkway	Dallas	TX	75254	201765863	Amb Srgry Ctr	TX	NA	Related	$545	$528,111	false	$0	false	0.00006

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
MHMD
929 Gessner Rd STE 1900	Houston	TX	77024	760074819	Integrated PN	TX	NA	C corp	$33,056,301	$2,342,158	1.00000	Yes (true)
The Health Professionals Ins Company LTD
					Investments		MH HealthSystem	C Corp	$37,654,472	$150,304,481	1.00000	Yes (true)	Barclays House 3rd Floor	Grand Cayman	CJ	CJ
Memorial Hermann Health Solutions Inc
929 Gessner Rd STE 1900	Houston	TX	77024	264419989	Insurance	TX	NA	C corp
Memorial Hermann Health Insurance Co
929 Gessner Rd STE 1900	Houston	TX	77024	760646301	Insurance	TX	na	C corp
Memorial Hermann Health Plan Inc
929 Gessner Rd STE 1900	Houston	TX	77024	462707092	Insurance	TX	na	C Corp
MH Health Plan Holdings LLC
929 Gessner Rd STE 1900	Houston	TX	77024	812971502	Insurance	TX	MH HealthSystem	C Corp	$92,687,572	$78,067,847	1.00000	Yes (true)
MH Commercial Health Plan Inc
929 Gessner Rd Ste 1900	Houston	TX	77024	206680981	Insurance	TX	NA	C Corp
Memorial Hermann Ventures LLC
929 Gessner Rd Ste 1900	Houston	TX	77024	825207571	Holding Company	TX	MH HealthSystem	C Corp	$12,002,277	$5,706,369	1.00000	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (32 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Memorial Hermann Foundation
C	$3,839,279	GAAP
MHS Physicians of Texas
R	$54,208,234	GAAP
MHS Physicians of Texas
S	$36,161,585	GAAP
Memorial Hermann Accountable Care Org
R	$22,644,552	GAAP
Memorial Hermann Accountable Care Org
S	$31,646,828	GAAP
Memorial Hermann Information Exchange
R	$5,497,306	GAAP
Memorial Hermann Information Exchange
S	$3,904,962	GAAP
Memorial Hermann Pharmacy Services LLC
R	$119,777,369	GAAP
Memorial Hermann Pharmacy Services LLC
S	$107,442,939	GAAP
Memorial Hermann Rehab Hospital Katy LLC
R	$32,554,996	GAAP
Memorial Hermann Rehab Hospital Katy LLC
S	$32,478,295	GAAP
Memorial Hermann Medical Group
R	$334,479,128	GAAP
Memorial Hermann Medical Group
S	$220,130,543	GAAP
Memorial Hermann Hosptial Based Phy Group
R	$53,478,258	GAAP
Memorial Hermann Hosptial Based Phy Group
S	$61,317,294	GAAP
Memorial Hermann Ventures LLC
R	$1,992,625	GAAP
Memorial Hermann Foundation
R	$12,886,488	GAAP
Memorial Hermann Foundation
S	$13,281,804	GAAP
Memorial Hermann Health Plan Holdings LLC
R	$1,000,000	GAAP
Memorial Hermann Health Plan Holdings LLC
S	$3,999,700	GAAP
Memorial Hermann Health Solutions Inc
R	$37,782,563	GAAP
Memorial Hermann Health Solutions Inc
S	$25,457,251	GAAP
Memorial Hermann Health Insurance Company
R	$11,985,564	GAAP
Memorial Hermann Health Insurance Company
S	$12,673,126	GAAP
Memorial Hermann Health Plan Inc
R	$43,039,061	GAAP
Memorial Hermann Health Plan Inc
R	$44,302,867	GAAP
Memorial Hermann Commerical Health Plan Inc
R	$11,289,155	GAAP
Memorial Hermann Commerical Health Plan Inc
S	$12,670,988	GAAP
MHMD
R	$44,033,575	GAAP
MHMD
S	$33,966,865	GAAP
Memorial Hermann Community Benefit Corp
R	$28,427,553	GAAP
Memorial Hermann Community Benefit Corp
S	$27,993,244	GAAP