METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS INC (EIN 74-1287016)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-11
IRS object ID: 202233159349307188
Schema version: 2021v4.2
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 H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-11T23:30:08+00:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

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 ST SUITE 600	AddressLine1Txt
City	FT WORTH	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	741287016	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Methodist Healthcare Ministries of South Texas Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	METH	BusinessNameControlTxt
Phone	2106920234	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4507 MEDICAL DRIVE	AddressLine1Txt
City	SAN ANTONIO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	782294401	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JAMIE WESOLOWSKI	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	2106920234	PhoneNum
Signature	2022-11-11	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	TONY	PersonFirstNm
Person Last	LOBASSO	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

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

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4507 MEDICAL DRIVE	AddressLine1Txt
City	SAN ANTONIO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	782294401	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$571,236,397	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MHM.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1955	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	MISSION STATEMENT: 'SERVING HUMANITY TO HONOR GOD" VISION STATEMENT: "TO BE THE LEADER FOR IMPROVING WELLNESS OF THE LEAST SERVED".	ActivityOrMissionDesc
Voting Members Governing Body	27	VotingMembersGoverningBodyCnt
Voting Members Independent	27	VotingMembersIndependentCnt
Total Employee	515	TotalEmployeeCnt
Total Volunteers	2	TotalVolunteersCnt
Total Gross UBI	-$245,445	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$561,180	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$34,726	PYContributionsGrantsAmt
CY Contributions Grants	$40,758	CYContributionsGrantsAmt
PY Program Service Revenue	$186,034,367	PYProgramServiceRevenueAmt
CY Program Service Revenue	$257,514,418	CYProgramServiceRevenueAmt
PY Investment Income	$41,411,756	PYInvestmentIncomeAmt
CY Investment Income	$71,819,402	CYInvestmentIncomeAmt
PY Other Revenue	$2,073,651	PYOtherRevenueAmt
CY Other Revenue	$744,368	CYOtherRevenueAmt
PY Total Revenue	$229,554,500	PYTotalRevenueAmt
CY Total Revenue	$330,118,946	CYTotalRevenueAmt
PY Grants And Similar Paid	$34,484,835	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$35,805,628	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$38,012,773	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$39,295,587	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$25,059,398	PYOtherExpensesAmt
CY Other Expenses	$26,642,892	CYOtherExpensesAmt
PY Total Expenses	$97,557,006	PYTotalExpensesAmt
CY Total Expenses	$101,744,107	CYTotalExpensesAmt
PY Revenues Less Expenses	$131,997,494	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$228,374,839	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,428,553,371	TotalAssetsBOYAmt
Total Assets EOY	$1,649,903,020	TotalAssetsEOYAmt
Total Liabilities BOY	$12,816,899	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$12,524,167	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,415,736,472	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,637,378,853	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	IN FURTHERANCE OF THE FOUNDERS' VISION OF "SERVING HUMANITY TO HONOR GOD," METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. (MHM) HAS A TWO-FOLD MISSION, BOTH EQUALLY IMPORTANT: TO IMPROVE THE PHYSICAL, MENTAL, AND SPIRITUAL HEALTH OF THOSE LEAST SERVED IN THE RIO TEXAS CONFERENCE AREA OF THE UNITED METHODIST CHURCH, WHICH CONSISTS OF 74 COUNTIES ACROSS SOUTH TEXAS; AND AS THE LOCAL HALF-OWNER OF METHODIST HEALTHCARE SYSTEM (MHS) - THE LARGEST HEALTHCARE SYSTEM IN SOUTH TEXAS - MHM IS COMMITTED TO ENSURING MHS CONTINUES TO BE A BENEFIT TO THE COMMUNITY BY PROVIDING QUALITY CARE TO ALL AND CHARITABLE CARE WHEN NEEDED.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$35,805,628	ExpenseAmt
Grant	$35,805,628	GrantAmt
Revenue	$0	RevenueAmt
Desc	SINCE 1996, MHM HAS PROVIDED COMMUNITY GRANTS TO PARTNERS THAT SHARE IN ITS MISSION OF SERVING THE LEAST SERVED: LOW-INCOME FAMILIES AND THE UNINSURED, AND THAT ARE SUCCESSFULLY DELIVERING HEALTHCARE AND SOCIAL SERVICES TO THIS POPULATION IN THEIR RESPECTIVE COMMUNITIES THROUGHOUT SOUTH TEXAS OR ADDRESSING SOCIAL DETERMINANTS OF HEALTH NEEDS IN THEIR RESPECTIVE COMMUNITIES. SHORT-TERM GRANTS INCLUDE DIRECT SERVICES TO PATIENTS AS WELL AS CAPITAL FUNDING FOR CONSTRUCTION OF NEW AND/OR RENOVATIONS TO EXISTING FACILITIES USED FOR THE DELIVERY OF SERVICES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$21,777,877	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$54,680	RevenueAmt
Desc	MHM OWNS AND OPERATES TWO PRIMARY CARE CLINICS AT TWO LOCATIONS - WESLEY HEALTH & WELLNESS CENTER AND DIXON HEALTH & WELLNESS CENTER - IN SAN ANTONIO WHERE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES ARE OFFERED TO UNINSURED INDIVIDUALS AND FAMILIES WHO DO NOT QUALIFY FOR ANY TYPE OF BENEFITS SUCH AS MEDICAID OR MEDICARE. SERVICES ARE BASED ON A SLIDING-SCALE FEE determine by HOUSEHOLD INCOME AND FAMILY SIZE. HOWEVER, NO ONE IS DENIED BASED ON THEIR ABILITY TO PAY. MHM ALSO OPERATES SCHOOL BASED HEALTH CENTERS WHICH PROVIDE PRIMARY MEDICAL CARE, DENTAL CARE, AND COUNSELING TO SCHOOL-AGE CHILDREN AND THEIR SIBLINGS UP TO THE AGE OF 21 IN TWO SCHOOL DISTRICTS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$20,866,322	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$257,459,738	RevenueAmt
Desc	OTHER PROGRAM SERVICES OWNED AND OPERATED BY MHM FOR LOW-INCOME AND UNINSURED PATIENTS/CLIENTS INCLUDE: COMMUNITY COUNSELING SERVICES: COMMUNITY COUNSELORS HELP PEOPLE WHO ARE UNINSURED, WHOSE EXISTING COVERAGE DOES NOT PROVIDE MENTAL HEALTH SERVICES BENEFITS, ARE LOW-INCOME AND LACK THE MONEY TO PAY FOR COUNSELING SERVICES, OR WHO WOULD NOT RECEIVE TREATMENT ANY OTHER WAY. COUNSELING SERVICES ARE PROVIDED BY TRAINED, LICENSED, PROFESSIONAL, COUNSELORS AND SOCIAL WORKERS IN LOCAL CHURCHES ACROSS THE RIO GRANDE VALLEY, LAREDO, KERRVILLE AND THE COASTAL BEND. COMMUNITY HEALTH WORKERS OR PROMOTORES DE SALUD: COMMUNITY HEALTH WORKERS HAVE THE DISTINCT ABILITY TO REACH VULNERABLE, LOW-INCOME AND UNDERSERVED MEMBERS OF THE COMMUNITY THROUGH THEIR SPECIALIZED KNOWLEDGE OF THE COMMUNITIES MHM SERVES AND THEIR UNIQUE ABILITY TO ENGAGE COMMUNITY MEMBERS AT A HANDS-ON LEVEL. COMMUNITY HEALTH WORKERS SUPPORT HEALTH EDUCATION AND PREVENTION EFFORTS AND BRIDGE ACCESS TO COMMUNITY-BASED HEALTH PROGRAMS AND ADVOCATES. THE GET FIT (FAMILIES IN TRAINING) PROGRAM IS A PREVENTION PROGRAM AIMED AT AVERTING TYPE II DIABETES, OBESITY AND SEDENTARY LIFESTYLES, FOCUSING ON CHILDREN AND FAMILIES IN RURAL COMMUNITIES. IN ADDITION TO THE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES IDENTIFIED UNDER PROGRAM SERVICE ACTIVITY #2, THE FOLLOWING PROGRAMS ARE PARENTING PROGRAMS DESIGNED TO HELP PARENTS AND GUARDIANS LEARN PARENTING SKILLS SO THEY WILL BE MORE CONFIDENT AND MORE COMPETENT LEADERS WITHIN THEIR FAMILIES. PROGRAMS INCLUDE: PEER PARENTING; PARENTS HELPING PARENTS; PARENTS AS TEACHERS; AND THE NURTURING PARENTING PROGRAMS. RECREATION & ENRICHMENT PROGRAMS: AVAILABLE AT MHM'S WESLEY HEALTH & WELLNESS CENTER OFFERS YOUTH, ADULTS AND SENIORS FREE, SAFE AND FUN ACTIVITIES THAT PROMOTE HEALTH, WELLNESS AND LEARNING SKILLS. PROGRAMS CONSIST OF YOUTH DEVELOPMENT PROGRAMS SUCH AS CAMP WESLEY, A FREE 8-WEEK SUMMER CAMP FOR YOUTH AGES 6-18 AND 'LOS MARIACHITOS DE WESLEY,' A FREE CULTURAL ARTS PROGRAM FOR YOUTH AGES 6-18. THE YOUTH DEVELOPMENT PROGRAM AT WESLEY HEALTH & WELLNESS CENTER IS A NEIGHBORHOOD RECREATION PROGRAM AND IS NOT REGULATED BY STATE CHILDCARE LICENSING AND IS NOT A DAY CARE FACILITY. ADULT PROGRAMMING INCLUDES EXERCISE CLASSES, PARENT AND FAMILY TRAININGS AND COMMUNITY-BASED SUPPORT GROUPS SUCH AS ALCOHOLICS ANONYMOUS AND THE COMMUNITY JUSTICE PROGRAM. HEALTH EDUCATION & NUTRITION: OFFERED AT THE WESLEY HEALTH & WELLNESS CENTER (WHWC) AND THE DIXON HEALTH & WELLNESS CENTER ARE DESIGNED TO TEACH AND MODEL HEALTH AND WELLNESS THROUGH HEALTHY COOKING, DIRECT HEALTH EDUCATION WITH CLIENTS AND THROUGH THE PROVISION OF HEALTHY AND NUTRITIOUS MEALS PREPARED BY PROFESSIONAL CULINARY ARTISTS AT MHM'S WESLEY CAFE LOCATED AT WHWC. HEALTH EDUCATION IS OFFERED UNDER THE REGISTERED NURSES AND DIETICIANS AND IS PRIMARILY DESIGNED FOR DIABETIC CLIENTS IN ONE-ON-ONE AND GROUP SETTINGS AND INCLUDES DISTRIBUTION OF GLUCOMETER STRIPS TO HELP MANAGE THEIR DISEASE. THE WESLEY CAFE PREPARES HEALTHY AND NUTRITIOUS MEALS FOR THE CHILDREN AND GUESTS OF THE WHWC AND SERVES AS AN EMERGENCY FOOD PANTRY AND BREAD LINE TO THOSE IN NEED.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$10,620,850	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	THE WESLEY NURSE PROGRAM SPANS 80 SITES THROUGHOUT SOUTH TEXAS AND IS MHM'S LARGEST GEOGRAPHIC OUTREACH PROGRAM. A KEY COMPONENT WESLEY NURSES UNDERTAKE IN THEIR COMMUNITIES IS PROVIDING HEALTH EDUCATION, HEALTH PROMOTION, AND FACILITATION OF RESOURCES. WHILE THE WESLEY NURSE PROGRAM IS A COMPONENT OF MHM'S ECUMENICAL OUTREACH, AND LOCATED WITHIN CHURCHES, IT DOES NOT TEACH A PARTICULAR SET OF DENOMINATIONAL BELIEFS. ALL WESLEY NURSE PROGRAMS ARE FREE AND ALL MEMBERS OF THE COMMUNITY ARE WELCOME. PROGRAMS ARE OFFERED TO GROUPS OR ON AN INDIVIDUAL BASIS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$10,620,850	TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses	$89,070,677	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
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	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	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	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
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	false	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	191	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	515	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	false	ForeignFinancialAccountInd
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	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	27	GoverningBodyVotingMembersCnt
Independent Voting Member	27	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	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
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TONY LOBASSO CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2106920234	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4507 MEDICAL DRIVE	AddressLine1Txt
City	SAN ANTONIO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78229	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (44 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ALICE H GANNON
IMMEDIATE PAST CHAIR	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
ASHLEY LANDERS
SECRETARY (BEGIN 6/27/21)	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
DOUGLAS W BECKER
VC OF OPERATIONS	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
LAVONNE GARRISON
CHAIR ELECT	6.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL F PORTER JR
VICE CHAIR OF MISSION	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL J LANE MD
CHAIR	6.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
MINDI ALTERMAN
SECRETARY (TERM 6/27/21)	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
THOMAS SANDER
TREASURER	4.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
ALAN KRAMER
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
ASHLEY HIXON
DIRECTOR (BEG 6/27/21)	2.0	0.0	Yes (X)		$0	$0	$0
BARBARA LYONS
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
BISHOP ROBERT SCHANSE
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
BONNIE K BERRY
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
CLAUDIA HURA MD
DIRECTOR (NON-VOTING)	2.0	0.0	Yes (X)		$0	$0	$0
DUDLEY HARRAL
DIRECTOR (NON-VOTING)	2.0	0.0	Yes (X)		$0	$0	$0
JIM RICE
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
JOE E JOHNSTON
DIRECTOR (TERM 6/27/21)	2.0	0.0	Yes (X)		$0	$0	$0
JOHN HORNBEAK
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
JOHN STOLL DR
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
KAREN ANGELINI
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
KERWIN OVERBY
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
LOTT MCILHENNY
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
MARC RANEY
DIRECTOR (NON-VOTING)(TERM 6/27/21)	2.0	0.0	Yes (X)		$0	$0	$0
PENDLETON WICKERSHAM
DIRECTOR (TERM 6/27/21)	2.0	0.0	Yes (X)		$0	$0	$0
RAYMOND CHACON
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
REV CYNTHIA ENGSTROM
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
REV GREG HACKETT
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
REV JAMES AMERSON
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
REV JAVIER LEYVA
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
REV LAURA MERRILL
DIRECTOR (TERM 6/27/21)	2.0	0.0	Yes (X)		$0	$0	$0
REV ROBERT LOPEZ DR
DIRECTOR (BEG 6/27/21)	2.0	0.0	Yes (X)		$0	$0	$0
REV VIRGILIO VAZQUEZ-GARZA
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
SAM DAWSON
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
SAM O'KRENT
CHAIR OF GOVERNANCE (NON-VOTING)	4.0	0.0	Yes (X)		$0	$0	$0
SCOTT D BRYAN
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
SUSAN HELLUMS
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
ANTHONY LOBASSO
CHIEF FINANCIAL OFFICER	39.0	1.0		Yes (X)	$319,578	$0	$38,730
JAIME WESOLOWSKI
CEO & PRESIDENT	39.0	1.0		Yes (X)	$544,577	$0	$71,403
XOCHY HURTADO
CHIEF OPERATING OFFICER	39.0	1.0		Yes (X)	$312,399	$0	$48,430
CYNTHIA MCCLOY
VP OF ACCOUNTING & CONTROLLER	40.0	0.0			$200,125	$0	$30,332	Yes (X)
DEANNA BOKINSKY
VP OF STRATEGIC PLNG & GROWTH	40.0	0.0			$229,187	$0	$22,803	Yes (X)
JENNIFER KNOULTON
VP OF COMMUNITY HEALTH & WELLNESS	40.0	0.0			$190,330	$0	$43,256	Yes (X)
LETICIA ORTIZ-JOHNSON
VP OF CLINICAL OPERATIONS	40.0	0.0			$173,641	$0	$33,697	Yes (X)
OANH MARONEY-OMITADE
VP OF ORG. EXCELLENCE	40.0	0.0			$205,820	$0	$58,672	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,175,657	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$347,323	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	40	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line1ContractorAddress/ForeignAddress/AddressLine1Txt	CityContractorAddress/ForeignAddress/CityNm	Province Or StateContractorAddress/ForeignAddress/ProvinceOrStateNm	CountryContractorAddress/ForeignAddress/CountryCd
Chatham Asset Management
26 Main St	Suite 204	Chatham	NJ	07928	Investment Manager	$1,471,265
Abbey Capital Limited
					Investment Manager	$1,011,847	1-2 Cavendish Row	Dublin	1	EI
Sendero Wealth Management
250 W Nottingham	Suite 300	San Antonio	TX	78209	Investment Manager	$905,545
Balyasny Asset Management
444 W Lake Street		Chicago	IL	60606	Investment Manager	$833,648
Evanston Capital Management
1560 Sherman Ave	Suite 960	Evanston	IL	60201	Investment Manager	$736,729

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	24	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$0	GovernmentGrantsAmt
All Other Contributions	$40,758	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$40,758	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
ORDINARY INCOME FROM MHS	622110	$257,406,473	$257,644,508	-$238,035	$0
CLINIC REVENUE - DIRECT MHM	621498	$54,680	$54,680	$0	$0
WESLEY KITCHEN - DIRECT MHM	900099	$53,265	$53,265	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$257,514,418	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,936,896	TotalRevenueColumnAmt
Unrelated Business Revenue	-$7,410	UnrelatedBusinessRevenueAmt
Exclusion	$22,944,306	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$9,186,917	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$8,588,721	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$598,196	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$598,196	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$598,196	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$281,411,236	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$232,528,730	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$48,882,506	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$48,882,506	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$48,882,506	ExclusionAmt

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

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
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

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
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	All other revenue	Desc
Business	900099	BusinessCd
Total Revenue Column	$146,172	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$146,172	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$146,172	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$330,118,946	TotalRevenueColumnAmt
Related Or Exempt Func Income	$257,752,453	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$245,445	UnrelatedBusinessRevenueAmt
Exclusion	$72,571,180	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$35,755,825	TotalAmt
Program Services	$35,755,825	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$49,803	TotalAmt
Program Services	$49,803	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,335,117	TotalAmt
Management And General	$1,335,117	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$29,395,597	TotalAmt
Program Services	$25,479,133	ProgramServicesAmt
Management And General	$3,916,464	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,929,015	TotalAmt
Program Services	$1,587,415	ProgramServicesAmt
Management And General	$341,600	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,615,144	TotalAmt
Program Services	$3,739,371	ProgramServicesAmt
Management And General	$875,773	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,020,714	TotalAmt
Program Services	$1,691,156	ProgramServicesAmt
Management And General	$329,558	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$136,487	TotalAmt
Management And General	$136,487	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$59,000	TotalAmt
Management And General	$59,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$169,000	TotalAmt
Program Services	$169,000	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,565,217	TotalAmt
Management And General	$2,565,217	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$9,417,221	TotalAmt
Program Services	$8,465,144	ProgramServicesAmt
Management And General	$952,077	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$80,062	TotalAmt
Management And General	$80,062	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,274,726	TotalAmt
Program Services	$1,105,116	ProgramServicesAmt
Management And General	$169,610	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,802,244	TotalAmt
Program Services	$1,078,103	ProgramServicesAmt
Management And General	$724,141	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,119,102	TotalAmt
Program Services	$907,104	ProgramServicesAmt
Management And General	$211,998	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$248,430	TotalAmt
Program Services	$236,369	ProgramServicesAmt
Management And General	$12,061	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$97,391	TotalAmt
Program Services	$83,646	ProgramServicesAmt
Management And General	$13,745	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,139,017	TotalAmt
Program Services	$1,835,211	ProgramServicesAmt
Management And General	$303,806	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$323,279	TotalAmt
Program Services	$196,923	ProgramServicesAmt
Management And General	$126,356	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Pharmacy Charges & Delivery	$2,572,498	$2,572,498
K-1 Expenses	$1,941,920	$1,941,920
Lab Supplies	$512,782	$512,782
Dues/Subscriptions	$508,297	$366,161	$142,136

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,676,219	TotalAmt
Program Services	$1,317,997	ProgramServicesAmt
Management And General	$358,222	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$101,744,107	TotalAmt
Program Services	$89,090,677	ProgramServicesAmt
Management And General	$12,653,430	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$11,605,419	BOYAmt
EOY	$2,091,966	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$89,071,488	BOYAmt
EOY	$99,022,713	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$59,606	BOYAmt
EOY	$28,810	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,127,519	BOYAmt
EOY	$1,339,014	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$56,912,708	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$23,135,808	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$34,812,568	BOYAmt
EOY	$33,776,900	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$482,300,818	BOYAmt
EOY	$594,184,764	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$166,532,991	BOYAmt
EOY	$229,408,486	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$642,803,752	BOYAmt
EOY	$689,805,343	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$239,210	BOYAmt
EOY	$245,024	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,428,553,371	BOYAmt
EOY	$1,649,903,020	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$7,053,868	BOYAmt
EOY	$6,681,956	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$5,748,397	BOYAmt
EOY	$5,827,278	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$14,634	BOYAmt
EOY	$14,933	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

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

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$12,816,899	BOYAmt
EOY	$12,524,167	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	$1,415,636,472	BOYAmt
EOY	$1,637,278,853	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$100,000	BOYAmt
EOY	$100,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,415,736,472	BOYAmt
EOY	$1,637,378,853	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,428,553,371	BOYAmt
EOY	$1,649,903,020	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$228,374,839	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$44,960,061	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$51,692,519	OtherChangesInNetAssetsAmt
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	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule A, Part I, Line 3 PUBLIC CHARITY STATUS	FormAndLineReferenceDesc
Explanation	METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. HAS A DUAL PUBLIC CHARITY STATUS AS A SECTION 509 (A)(1) AND SECTION 509 (A)(3) SUPPORTING ORGANIZATION. METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. IS A HOSPITAL AND SUPPORTS THE RIO TEXAS CONFERENCE OF THE UNITED METHODIST CHURCH.	ExplanationTxt

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)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$295,050	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$13,829	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$42,785	OtherActivitiesAmt
Total Lobbying Expenditures	$351,664	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	LOBBYING ACTIVITIES: FUNDING FOR PARTNERS TO FORMALLY COORDINATE A COALITION THAT WILL FOCUS ON MOBILIZING INTERESTED STAKEHOLDERS TO WORK WITH STATE LEADERS TO IMPROVE POLICIES AND INCREASE FUNDING FOR HEALTH SERVICES AND ACCESS TO CARE IN TEXAS; EXPLORE AND DISCUSS STRATEGIES FOR LEGISLATIVE SESSIONS; REGISTRATION FEES AND MEMBERSHIP DUES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$239,210	BeginningYearBalanceAmt
Investment Earnings Or Losses	$10,814	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,000	OtherExpendituresAmt
End Year Balance	$245,024	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$223,277	BeginningYearBalanceAmt
Investment Earnings Or Losses	$20,933	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,000	OtherExpendituresAmt
End Year Balance	$239,210	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$207,109	BeginningYearBalanceAmt
Investment Earnings Or Losses	$23,239	InvestmentEarningsOrLossesAmt
Other Expenditures	$7,071	OtherExpendituresAmt
End Year Balance	$223,277	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$218,922	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$5,324	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,489	OtherExpendituresAmt
End Year Balance	$207,109	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$206,142	BeginningYearBalanceAmt
Investment Earnings Or Losses	$20,791	InvestmentEarningsOrLossesAmt
Other Expenditures	$8,011	OtherExpendituresAmt
End Year Balance	$218,922	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.59	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.41	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,557,349	OtherCostOrOtherBasisAmt
Book Value	$4,557,349	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,555,998	OtherCostOrOtherBasisAmt
Depreciation	$15,892,692	DepreciationAmt
Book Value	$25,663,306	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$73,381	OtherCostOrOtherBasisAmt
Depreciation	$32,384	DepreciationAmt
Book Value	$40,997	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,584,803	OtherCostOrOtherBasisAmt
Depreciation	$5,619,364	DepreciationAmt
Book Value	$1,965,439	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,141,177	OtherCostOrOtherBasisAmt
Depreciation	$1,591,368	DepreciationAmt
Book Value	$1,549,809	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$33,776,900	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (19 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
BBT Master Fund Liquidating Trust	$0
Balyasny Atlas Global Investments, Ltd.	$36,666,312	F
Evanston Weatherlow Offshore Fund I Ltd	$65,594,702	F
Evanston Credit Opportunities Fund	$14,552,391	F
ACL Alternative Fund SAC Limited	$25,170,313	F
Chatham Asset High Yield Offshore Fund, Ltd	$33,628,030	F
Huizenga Venture Investments II, LLC	$2,196,894	F
DWS RREEF America REIT II	$5,531,786	F
Portfolio Advisors Secondary Fund IV (Offshore) LP	$14,592,335	F
SEI Core Property Fund LP	$6,348,799	F
SEI Energy Debt Fund LP	$1,875,922	F
SEI Structured Credit Fund LP	$5,948,696	F
SEI Special Situations Fund LP	$11,853,353	F
SEI GPA IV Private Equity Fund LP	$1,220,206	F
SEI GPA V Private Asset Fund LP	$199,702	F
Incube Ventures II, LP	$533,649	C
Targeted Technology Fund I, LP	$167,612	C
Targeted Technology Fund II, LP	$266,069	C
Texas Methodist Foundation	$3,061,715	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$229,408,486	TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	Equity Ownership in MHS	Desc
Book Value	$689,805,343	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$689,805,343	TotalBookValueProgramRltdAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part V, Line 4 Intended uses of endowment funds	FormAndLineReferenceDesc
Explanation	MHM'S ENDOWMENT CONSISTS OF TWO INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED FUNDS AND FUNDS DESIGNATED BY THE BOARD TO FUNCTION AS ENDOWMENTS.	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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
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	$65,046,728	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,474,861	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$59,571,867	NetCommunityBenefitExpnsAmt
Total Expense	0.0550	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$108,695,187	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$168,662,688	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$647,994	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$682,045	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$174,389,909	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$174,819,594	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$59,571,867	NetCommunityBenefitExpnsAmt
Total Expense	0.0550	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$54,949,152	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$281,383	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,667,769	NetCommunityBenefitExpnsAmt
Total Expense	0.0504	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,611,451	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,582	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,585,869	NetCommunityBenefitExpnsAmt
Total Expense	0.0015	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	-$6,516	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,516	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Research ResearchGrp

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	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,755,825	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,755,825	NetCommunityBenefitExpnsAmt
Total Expense	0.0330	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$92,316,428	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$300,449	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$92,015,979	NetCommunityBenefitExpnsAmt
Total Expense	0.0849	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$266,706,337	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$175,120,043	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$151,587,846	NetCommunityBenefitExpnsAmt
Total Expense	0.1399	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$9,678,965	BadDebtExpenseAmt
Bad Debt Expense Attributable	$386,594	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$211,991,854	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$207,103,470	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$4,888,384	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (7 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
METH AMB SUR CTR MC
FREESTANDING ASC	0.514	0.486
METH AMB SUR CTR NC
FREESTANDING ASC	0.558	0.442
CTR SPECIAL SURGERY
FREESTANDING ASC	0.51	0.49
METH AMB SUR CTR - BOERNE
FREESTANDING ASC	0.685	0.315
METH AMB SUR CTR - LANDMARK
FREESTANDING ASC UNDER CONSTRUCTION	0.51	0.49
COMP RAD MGMT SVCS
IMAGING SERVICES	0.5	0.5
HEALTH AT HOME SA LLC
HOME HEALTH AND HOSPICE	0.8	0.2

Field	Value	IRS element (for citing)
Hospital Facilities	8	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (8 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Childrens HospitalChildrensHospitalInd
METHODIST HOSPITAL
1	7700 FLOYD CURL DRIVE	SAN ANTONIO	TX	78229	WWW.SAHEALTH.COM	000154	Yes (X)	Yes (X)	Yes (X)	A
METHODIST CHILDREN'S HOSPITAL
2	7700 FLOYD CURL DRIVE	SAN ANTONIO	TX	78229	WWW.SAHEALTH.COM	000154	Yes (X)		Yes (X)	A	Yes (X)
METHODIST HOSPITAL METROPOLITAN
3	1310 MCCULLOUGH AVENUE	SAN ANTONIO	TX	78212	WWW.SAHEALTH.COM	000154	Yes (X)	Yes (X)	Yes (X)	A
METHODIST HOSPITAL STONE OAK
4	1139 E SONTERRA BOULEVARD	SAN ANTONIO	TX	78258	WWW.SAHEALTH.COM	008741	Yes (X)	Yes (X)	Yes (X)	A
METHODIST HOSPITAL NORTHEAST
5	12412 JUDSON ROAD	Live Oak	TX	78233	WWW.SAHEALTH.COM	000154	Yes (X)	Yes (X)	Yes (X)	A
METHODIST SPECIALTY & TRANSPLANT
6	8026 FLOYD CURL DRIVE	SAN ANTONIO	TX	78229	WWW.SAHEALTH.COM	000154	Yes (X)	Yes (X)	Yes (X)	A
METHODIST HOSPITAL TEXSAN
7	6700 IH 10 WEST	SAN ANTONIO	TX	78201	WWW.SAHEALTH.COM	000154	Yes (X)	Yes (X)	Yes (X)	A
METHODIST HOSPITAL ATASCOSA
8	1905 HIGHWAY 97 EAST	JOURDANTON	TX	78026	WWW.SAHEALTH.COM	100391	Yes (X)	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
Other	Yes (X)	OtherInd
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://sahealth.com/about/community/	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	http://www.healthcollaborative.net/reports/	OtherWebsiteURLTxt
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://sahealth.com/about/community/	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	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
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
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://sahealth.com/about/mission-values/financial-assistance-policy-and-application.dot	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://sahealth.com/about/mission-values/financial-assistance-policy-and-application.dot	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://sahealth.com/about/mission-values/financial-assistance-policy-and-application.dot	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
Other Publicity	Yes (X)	OtherPublicityInd
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
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN EACH HOSPITAL FACILITY'S CHNA ARE PRESENTED AS A PRIORITIZED DESCRIPTION.
Schedule H, Part V, Section B, Line 3 Facility A, 1	Facility A, 1 - Group A. IN 2019, EACH METHODIST HOSPITAL, AS WELL AS THE SYSTEM (MHS), ADOPTED THE HEALTH PRIORITY AREAS BASED UPON THE BEXAR COUNTY COMMUNITY HEALTH ASSESSMENT (UNDERTAKEN BY THE HEALTH COLLABORATIVE), THE BEXAR COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) AND THE SA 2020 GOALS. ADDITIONAL INFORMATION ABOUT THE HEALTH COLLABORATIVE'S ASSESSMENT PROCESS IS NOTED BELOW. IT IS IMPORTANT TO NOTE THAT THE FIVE PRIORITY AREAS IDENTIFIED IN THE PRIOR CHNA HAVE NOT CHANGED IN THE 2019 PLAN. IN 2013, MHS'S IMPLEMENTATION STRATEGY, INCLUDING AN EXECUTION PLAN AND PRIORITIZATION OF HEALTH NEEDS, SERVICES AND METRICS FOR EACH HOSPITAL WERE PRESENTED TO AND APPROVED BY THE MHS COMMUNITY BENEFITS COMMITTEE, THE MHS COMMUNITY BOARD, THE MHS BOARD OF GOVERNORS, AND THE METHODIST HEALTHCARE MINISTRIES BOARD OF GOVERNORS. IN 2016, THE MHS COMMUNITY BENEFITS COMMITTEE, THE MHS COMMUNITY BOARD AND THE MHS BOARD OF GOVERNORS APPROVED THE IMPLEMENTATION STRATEGY FOR 2017 - 2019. IN 2019, THE MHS COMMUNITY BENEFITS COMMITTEE, THE MHS COMMUNITY BOARD AND THE MHS BOARD OF GOVERNORS APPROVED THE IMPLEMENTATION STRATEGY FOR 2020-2022. IN ORDER TO ASSESS THE RURAL AREAS METHODIST HEALTHCARE SERVES, MHS UTILIZED ASSESSMENT INFORMATION FROM THE REGIONAL HEALTHCARE PARTNERSHIP 6 PLAN SUBMITTED TO THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION AS PART OF THE MEDICAID 1115 WAIVER PROGRAM. UNIVERSITY HEALTHCARE SYSTEM (RHP6 ANCHOR) LEAD THIS PROCESS WHICH INCLUDED MULTIPLE MEETINGS, CONFERENCE CALLS AND PUBLIC FORUMS. PARTICIPANTS IN THIS PROCESS INCLUDED HOSPITAL CEOS, COUNTY JUDGES, COUNTY COMMISSIONERS, PHYSICIANS FROM THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO, UNIVERSITY HEALTH SYSTEM AND CHRISTUS SANTA ROSA. INPUT WAS ALSO OBTAINED FROM FEDERALLY QUALIFIED HEALTH CENTERS, HOME HEALTH AGENCIES, CITY GOVERNMENT OFFICIALS, INDIGENT CARE COORDINATORS, ADVOCACY GROUPS AND HEALTHCARE ACCESS SAN ANTONIO. METHODIST HEALTHCARE MINISTRIES (MHM) AND MHS ARE MEMBERS OF THE HEALTH COLLABORATIVE (THC) WHICH CONSISTS OF THE FOLLOWING MEMBERS: APPDICTION STUDIOS, BAPTIST HEALTH SYSTEM, CHRISTUS SANTA ROSA HEALTH SYSTEM, BEXAR COUNTY DEPARTMENT OF COMMUNITY RESOURCES, COMMUNITY FIRST HEALTH PLANS, SAN ANTONIO METROPOLITAN HEALTH DISTRICT (METRO HEALTH), OUR LADY OF THE LAKE UNIVERSITY, SAN ANTONIO CLUBHOUSE, UNIVERSITY HEALTH SYSTEM, THE UNIVERSITY OF THE INCARNATE WORD, THE UT HEALTH SCIENCE CENTER AT SAN ANTONIO DEPT. OF FAMILY AND COMMUNITY MEDICINE, THE YMCA AND COMMUNITY MEMBERS AT LARGE. FUNDERS OF THC COMMUNITY HEALTH ASSESSMENT ARE BAPTIST HEALTH FOUNDATION, BEXAR COUNTY, THE KRONKOSKY CHARITABLE FOUNDATION, THE UNITED WAY OF SAN ANTONIO, SAN ANTONIO METROPOLITAN HEALTH DEPARTMENT AND MHM. AS NOTED ABOVE, METHODIST HEALTHCARE SYSTEM IS A PARTNER OF THC. THE COLLABORATIVE UNDERTAKES A COUNTY-WIDE COMMUNITY ASSESSMENT STUDY EVERY THREE YEARS TO GUIDE THE COMMUNITY HEALTH STRATEGIC PLANNING PROCESS. FOR THE 2019 ASSESSMENT PROCESS, THE COLLABORATIVE SHIFTED TO A REGIONAL FOCUS, EXPANDING THE ASSESSMENT TO INCLUDE BEXAR COUNTY, AND ATASCOSA COUNTY. ATASCOSA COUNTY IS LOCATED JUST SOUTH OF BEXAR COUNTY, HOWEVER THE ASSESSMENT NOTED MARKED DIFFERENCES IN MANY SOCIAL DETERMINANTS AS WELL AS DIFFERENCES IN HEALTH BEHAVIORS AND RISK. THC ALSO INDICATED IN THE PREFACE TO THE 2019 PLAN, THAT IT WILL CONTINUE TO EXPAND THE REGIONAL FOCUS IN FUTURE PLANS, ADDING ONE OR TWO ADJOINING COUNTIES IN FUTURE ASSESSMENTS UNTIL ALL COUNTIES SURROUNDING BEXAR COUNTY ARE INCLUDED. THC CONTRACTED WITH COMMUNITY INFORMATION NOW (CI:NOW), A NONPROFIT LOCAL DATA INTERMEDIARY SERVING SOUTH CENTRAL TEXAS, FOR QUANTITATIVE DATA COLLECTION AND ANALYSIS AND FOR DEVELOPMENT OF THE ASSESSMENT NARRATIVE. UNDER THE SUPERVISION OF DR. MELISSA VALERIO-SHEWMAKER, GRADUATE STUDENTS AT THE UTHEALTH HOUSTON SCHOOL OF PUBLIC HEALTH IN SAN ANTONIO ASSISTED IN DEVELOPING THE FOCUS GROUP QUESTIONS AND CONDUCTING THE GROUPS THEMSELVES. SCHOOL OF PUBLIC HEALTH STAFF MS. KATE MARTIN AND MS. SONIA RAMOS CONDUCTED THE KEY INFORMATION INTERVIEWS. THC STAFF HANDLED ALL FOCUS GROUP AND KEY INFORMANT INTERVIEW RECRUITMENT AND SCHEDULING. ALL QUALITATIVE ANALYSIS WAS CONDUCTED BY DR. CAROLINE BERGERON, MS. JORDAN MCILVEEN, AND MS. JENNIFER QUACKENBUSH AT THC. THE 2019 ASSESSMENT CONTAINS QUANTITATIVE DATA ON APPROXIMATELY 150 INDICATORS, EACH BROKEN OUT BY RACE/ETHNICITY GROUP AND SUB-COUNTY GEOGRAPHY (ZIP CODE TABULATION AREA [ZCTA], SECTOR, CENSUS TRACT OR BLOCK GROUP) WHEREVER POSSIBLE. INDICATORS WERE ALSO DISAGGREGATED BY AGE GROUP AND SEX WHERE THOSE VARIABLES WERE THOUGHT TO ADD CRITICAL INFORMATION. THE LIST OF INDICATORS WAS DEVELOPED OVER SEVERAL MONTHS IN THE SUMMER AND FALL OF 2018. AN EXTENSIVE LIST OF CANDIDATE INDICATORS AND ISSUES WAS GENERATED USING PAST ASSESSMENTS, THE COMMUNITY HEALTH IMPROVEMENT PLAN, HEALTH PEOPLE 2020, THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY COUNTY HEALTH RANKINGS, SA2020, LOCAL SUBJECT MATTER EXPERTS, AND A NUMBER OF REFERENCES ON THE "UPSTREAM" SOCIAL, ECONOMIC, AND ENVIRONMENTAL CONDITIONS THAT AFFECT HEALTH. TO NARROW THE LIST, THE COMMUNITY NEEDS ASSESSMENT STEERING COMMITTEE USED AN ANONYMOUS DIGITAL SURVEY TO RATE EACH INDICATOR AS HIGH, MEDIUM, OR LOW PRIORITY, SUGGESTING MODIFICATIONS TO THE INDICATOR IF DESIRED. INDICATORS RATED AS LOW PRIORITY WITH A HIGH LEVEL OF AGREEMENT (ABOUT 65% OR MORE OF RESPONDING MEMBERS) WERE DROPPED WITHOUT DISCUSSION, AND HIGH-AGREEMENT, HIGH-PRIORITY MEASURES WERE INCLUDED WITHOUT DISCUSSION. THOSE WITHOUT CLEAR CONSENSUS WERE DISCUSSED UNTIL GENERAL AGREEMENT WAS REACHED. BUDGET CONSTRAINTS PREVENTED THE INCLUSION OF SOME INDICATORS ON WHICH THERE WAS AGREEMENT BUT FOR WHICH THE DATA WAS ESPECIALLY TIME CONSUMING TO FIND, ACQUIRE AND/OR CALCULATE. THE FOLLOWING SOURCES WERE USED HEAVILY FOR THE 2019 ASSESSMENT: - POPULATION AND HOUSING DATA FROM THE U.S. CENSUS BUREAU 2010 SUMMARY FILE 1 - POPULATION ESTIMATES AND PROJECTIONS FROM THE TEXAS STATE DEMOGRAPHIC CENTER AT THE UNIVERSITY OF TEXAS AT SAN ANTONIO - PHYSICAL, SOCIAL, AND ECONOMIC CONDITIONS DATA FROM THE U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY ONE-YEAR ESTIMATES, FIVE-YEAR ESTIMATES, AND SUPPLEMENTAL ESTIMATES - CRIME DATA FROM THE U.S. DEPARTMENT OF JUSTICE UNIFORM CRIME REPORT - BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), VITAL STATISTICS, INJURY, BLOOD LEAD, HOSPITAL DISCHARGES, HOSPITAL BED, AND HEALTH - PROFESSIONS DATA FROM THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES HEALTH DATA QUERY SYSTEM AND BY SPECIAL REQUEST - MEDICAID AND PUBLIC HEALTH BENEFITS DATA FROM THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION - MORTALITY DATA FROM THE CDC WONDER QUERY SYSTEM - MOTOR VEHICLE CRASH DATA FROM THE TEXAS DEPARTMENT OF TRANSPORTATION - COMMUNICABLE DISEASE AND VITAL STATISTICS DATA FROM THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES - THE WITTE MUSEUM
Schedule H, Part V, Section B, Line 3 Facility A, 2	Facility A, 2 - GROUP A, CONTINUED. FINALLY, DATA IS COLLECTED AT THE NEIGHBORHOOD LEVEL WITH THE INTENT OF DESCRIBING THE SOCIAL CONTEXTS THAT POSSIBLY GIVE RISE TO HEALTH-RELATED BEHAVIORS DESCRIBED IN THE HEALTH PROFILES AND BRFSS SURVEY DATA. DISCUSSION GROUPS AND INTERVIEWS WERE CONDUCTED CITY-WIDE WITH OVER 160 PARTICIPANTS, RANGING FROM COMMUNITY RESIDENTS, SERVICE PROVIDERS, GOVERNMENT STAFF AND OFFICIALS, AND ADVOCATES FOR THE HEALTH OF BEXAR COUNTY'S LOW- INCOME, MEDICALLY-UNDERSERVED AND MINORITY POPULATIONS. THESE INTERVIEWS AND MEETINGS TOOK PLACE DURING FEBRUARY AND MAY OF 2019. THC CONTRACTED WITH COMMUNITY INFORMATION NOW (CI:NOW), A LOCAL DATA INTERMEDIARY SERVING SOUTH CENTRAL TEXAS, FOR QUANTITATIVE DATA COLLECTION AND ANALYSIS FOR DEVELOPMENT OF THE ASSESSMENT NARRATIVE. USING INFORMATION FROM THE 2016 COLLABORATIVE'S COMMUNITY HEALTH NEEDS ASSESSMENT, AS WELL AS OTHER DATA, METHODIST HEALTHCARE SYSTEM DEVELOPED INDIVIDUAL PLANS FOR EACH CAMPUS, WHICH INCLUDED A 3-YEAR PLAN FOR 2017-2019. THE IMPLEMENTATION STRATEGY INCLUDES THE FOLLOWING: COMMUNICATION PLAN, PRIORITY INITIATIVE WORK PLAN, ROLE AND RESPONSIBILITY ASSIGNMENTS, AND MEASURES/INDICATORS FOR SUCCESS ALONG WITH BASELINE DATA. ADDITIONAL MONITORING OF THE PLAN WILL OCCUR THROUGH THE QUARTERLY COMMUNITY BENEFITS REPORTS TO THE MHS COMMUNITY BENEFITS COMMITTEE AND THE ANNUAL CHARITY CARE REPORT. THE 2017-2019 PLAN HAS BEEN APPROVED BY THE MHS COMMUNITY BENEFITS COMMITTEE, THE MHS COMMUNITY BOARD, AND THE MHS BOARD OF GOVERNORS. METHODIST HEALTHCARE SYSTEM USED INFORMATION FROM THE COLLABORATIVE'S 2019 COMMUNITY HEALTH NEEDS ASSESSMENT TO DEVELOP A 3-YEAR PLAN FOR 2020-2022. LIKE THE IMPLEMENTATION STRATEGY DEVELOPED FOR THE 2017-2019 PLAN, THE PLAN FOR 2020-2022 INCLUDES A COMMUNICATION PLAN, A PRIORITY INITIATIVE WORK PLAN, ROLE AND RESPONSIBILITY ASSIGNMENTS, AND MEASURES/INDICATORS FOR SUCCESS. MONITORING WILL CONTINUE THROUGH THE QUARTERLY REPORTS TO THE MHS COMMUNITY BENEFITS COMMITTEE, AND THE MHS ANNUAL CHARITY CARE REPORT. THE 2020-2022 PLAN HAS BEEN APPROVED BY THE MHS COMMUNITY BENEFITS COMMITTEE, THE MHS COMMUNITY BOARD, AND THE MHS BOARD OF GOVERNORS.
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - GROUP A. AS NOTED ABOVE, DISCUSSIONS AND INTERVIEWS WERE HELD WITH MULTIPLE STAKEHOLDERS IN THE COMMUNITY. KEY REGIONAL GROUPS AND CITY OFFICIALS INCLUDED THE FOLLOWING: HAVEN FOR HOPE, UNIVERSITY HEALTH SYSTEM, NATIONAL ALLIANCE ON MENTAL HEALTH ILLNESS, SAN ANTONIO FOOD BANK, BEXAR COUNTY ECONOMIC DEVELOPMENT, SAN ANTONIO HOUSING AUTHORITY, COMMUNICARE, SAN ANTONIO METROPOLITAN HEALTH DISTRICT, HEALTHY FUTURES OF TEXAS, THE RIVARD REPORT, ROY MAAS YOUTH ALTERNATIVES, NELSON WOLFF, J.D. - BEXAR COUNTY JUDGE, AND NORTHSIDE INDEPENDENT SCHOOL DISTRICT. OTHER DISCUSSION GROUPS INCLUDED INDIVIDUALS REPRESENTING FAITH ORGANIZATIONS, SOCIAL SERVICE PROVIDERS, HOSPITALS, PUBLIC HEALTH LEADERS, ACADEMIC RESEARCHERS, COMMUNITY PLANNING AGENCIES, COMMUNITY FOCUSED ORGANIZATIONS, INDIVIDUAL COMMUNITY MEMBERS, AND BUSINESS LEADERS.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - GROUP A. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: METHODIST HEALTHCARE SYSTEM (METHODIST HOSPITAL, METHODIST CHILDREN'S HOSPITAL, A CAMPUS OF METHODIST HOSPITAL, METHODIST SPECIALTY AND TRANSPLANT HOSPITAL, A CAMPUS OF METHODIST HOSPITAL, METROPOLITAN METHODIST HOSPITAL, A CAMPUS OF METHODIST HOSPITAL, NORTHEAST METHODIST HOSPITAL, A CAMPUS OF METHODIST HOSPITAL, METHODIST TEXSAN HOSPITAL, A CAMPUS OF METHODIST HOSPITAL, METHODIST STONE OAK HOSPITAL, METHODIST AMBULATORY SURGERY HOSPITAL - NORTHWEST, METHODIST HOSPITAL AT ATASCOSA; BAPTIST HEALTH SYSTEM (BAPTIST MEDICAL CENTER, NORTH CENTRAL BAPTIST HOSPITAL, MISSION TRAILS BAPTIST HOSPITAL, ST. LUKE'S BAPTIST HOSPITAL, NORTHEAST BAPTIST HOSPITAL); CHRISTUS SANTA ROSA HEALTH SYSTEM (CHRISTUS SANTA ROSA MEDICAL CENTER, CHRISTUS SANTA ROSA WESTOVER HILLS, CHILDREN'S HOSPITAL OF SAN ANTONIO) AND UNIVERSITY HOSPITAL.
Schedule H, Part V, Section B, Line 6b Facility A, 1	Facility A, 1 - GROUP A. IN ADDITION TO THE HOSPITAL FACILITIES LISTED ABOVE, THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN CONJUNCTION WITH THE FOLLOWING NON-HOSPITAL ORGANIZATIONS: APPDICTION STUDIO, BEXAR COUNTY DEPARTMENT OF COMMUNITY RESOURCES, COMMUNITY FIRST HEALTH PLANS, INTERLEX COMMUNICATIONS, METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC., THE CITY OF SAN ANTONIO METROPOLITAN HEALTH DISTRICT, OUR LADY OF THE LAKE UNIVERSITY, SAN ANTONIO CLUBHOUSE, THE UNIVERSITY OF THE INCARNATE WORD, THE UT HEALTH SCIENCE CENTER AT SAN ANTONIO DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE, THE YMCA OF GREATER SAN ANTONIO, AND COMMUNITY MEMBERS AT LARGE.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - GROUP A. AS NOTED ABOVE, METHODIST HEALTHCARE SYSTEM HAS DEVELOPED A COMMUNITY HEALTH IMPROVEMENT PLAN BASED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT. PRIORITIES AND SPECIFIC TACTICS INCLUDE THE FOLLOWING, WITH THE INITIAL IMPLEMENTATION IN 2014, AND YEARLY UPDATES THROUGH 2022: METHODIST HEALTHCARE SYSTEM'S COMMUNITY HEALTH IMPROVEMENT PLAN INCLUDED THE FOLLOWING: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -COMMUNITY GOAL - TO FOSTER SOCIAL CHANGE AND STRENGTHEN POSITIVE BEHAVIORS AROUND HEALTHY EATING AND ACTIVE LIVING TO ENSURE ACCESS TO NUTRITIOUS FOODS AND BUILD ENVIRONMENTS THAT ENABLE ALL RESIDENTS TO MAKE HEALTHY CHOICES AND LEAD HEALTHY LIVES. TACTICS - COMMUNITY HEALTH PRIORITY NO. 1: -HOST AN ANNUAL FOOD DRIVE THAT BENEFITS THE SAN ANTONIO FOOD BANK. METHODIST HELD 5 DRIVES AND COLLECTED 433,168 SERVINGS. -CONTINUE TO PROVIDE HEALTH SCREENING SERVICES AT COMMUNITY EVENTS (COVID-19 CONDITIONS PERMITTING) OR THROUGH ONLINE HEALTH RISK ASSESSMENTS. THE ONLINE HEALTH RISK ASSESSMENT PROVIDES SCREENING FOR WEIGHT LOSS, HEALTHY HEART, KNEE & HIP, AND STROKE RISK. 1,836 INDIVIDUALS COMPLETED ONLINE HEALTH RISK ASSESSMENTS IN 2021 (990 IN 2020). METHODIST PERFORMED 519 IN PERSON SCREENINGS AT THE NCAA WOMEN'S BASKETBALL TOURNAMENT, AND HELD 11 VIRTUAL HEALTH FAIRS WITH 24,959 ATTENDEES DURING 2021. -CONTINUE INVOLVEMENT WITH THE HEALTHY ME PROGRAM IN PARTNERSHIP WITH THE HEALTH COLLABORATIVE. THE COLLABORATIVE SUSPENDED ALL IN-PERSON CLASSES DUE TO COVID-19 CONCERNS. -CONTINUE OUTREACH PROGRAMS GEARED TOWARD IMPROVING THE HEALTH AND WELLNESS OF THE COMMUNITY THROUGH FREE HEALTH EDUCATION SEMINARS ON HEALTHY EATING AND ACTIVE LIVING, HEALTH SERVICES, AND EXERCISE ACTIVITIES. METHODIST HELD 84 OUTREACH EVENTS WITH 4,580 IN ATTENDANCE IN 2021. METHODIST'S ATHLETIC TRAINERS PROVIDED SERVICES AT 2,312 LOCAL HIGH SCHOOL SPORTING EVENTS DURING 2021. -METHODIST HEALTHCARE SYSTEM MADE MONETARY CONTRIBUTIONS TOTALLING $379,353 TO MULTIPLE CHARITABLE ORGANIZATIONS TO INCLUDE THE AMERICAN HEART ASSOCIATION, THE AMERICAN CANCER SOCIETY, AND THE NORTHSIDE EDUCATIONAL FOUNDATION. -METHODIST EXPANDED VIRTUAL OUTREACH IN 2021. 91 ENEWS CAMPAIGNS OCCURRED IN 2021, COVERING TOPICS SUCH AS BREAST CANCER AND HEART HEALTH. METHODIST ALSO PRODUCED THE "KEEPING WELL" PUBLICATION WITH 3 ISSUES MAILED DURING 2021. METHODIST ALSO PUBLISHED THE INAUGURAL ISSUE OF "METHODIST MAGAZINE" IN 2021. THIS PUBLICATION, GEARED TO MHS EMPLOYEES AND CLINICAL STAFF, RELEASED FOUR ISSUES IN 2021. METHODIST'S WEBSITE, SAHEALTH.COM NOTED AN OVERALL INCREASE IN TRAFFIC AND WEB VIEW IN 2021 WITH 3,265,605 VIEWS. -METHODIST ALSO CONTINUED ITS PRESENCE ON SOCIAL MEDIA AND NOTED 1,217 NEW FACEBOOK FANS, 6 NEW TWITTER FOLLOWERS, AND 560 NEW INSTAGRAM FOLLOWERS IN 2021. METHODIST ALSO PRODUCED HEALTH RELATED VIDEOS AND POSTED THIS INFORMATION TO YOUTUBE, FACEBOOK, AND INSTAGRAM. COMMUNITY HEALTH PRIORITY NO 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -COMMUNITY GOAL - TO MAKE PREGNANCY AND EARLY CHILDHOOD THE FOCUS OF SYSTEM LEVEL CHANGES THAT SUPPORT HEALTH CHILD AND FAMILY DEVELOPMENT. TACTICS: COMMUNITY HEALTH PRIORITY NO. 2: -CONTINUE TO OFFER COMPLIMENTARY PREGNANCY TESTING AND PHYSICIAN REFERRALS THROUGH METHODIST FAMILY HEALTH CENTERS. IN 2021, THERE WERE 3,667 VISITS AND 1,679 PREGNANCY TESTS PROVIDED. -THE METHODIST COMMUNITY HEALTH CENTER -East ON SAN ANTONIO'S EAST SIDE, OFFERED SERVICES FREE OF CHARGE. IN 2021, THE CLINIC LOGGED 1,044 VISITS. -CONTINUE TO OFFER CALL-A-NURSE FOR CHILDREN HEALTH LINE TELEPHONE SERVICES, WHICH OFFERS FREE MEDICAL ADVICE TO PARENTS OF SICK OR INJURED CHILDREN. IN 2021, THE CALL A NURSE LINE LOGGED 32,290 CALLS. CALL A NURSE AND THE METHODIST HEALTH LINE ALSO PROVIDED 1,759 PHYSICIAN REFERRALS IN 2021. -CONTINUE TO OFFER THE COMMUNITY PARENTING CLASSES, CAR SEAT INSTALLATIONS, CAR SEAT DISTRIBUTIONS AND LACTATION CONSULTATIONS. METHODIST PROVIDED 15 CAR SEATS AND CONDUCTED 102 SESSIONS FOR CAR SEAT INSTALLATION. METHODIST PROVIDED 41,252 LACTATION CONSULTATIONS AND IN-PERSON CHILDBIRTH EDUCATION CLASSES IN 2021 WITH 2,926 IN ATTENDANCE. -PARTNER WITH AREA SCHOOL DISTRICTS TO ESTABLISH A STUDENT/WORK PROGRAM IN METHODIST HEALTHCARE HOSPITALS. 9 STUDENTS PARTICIPATED IN THE PROGRAM DURING 2021. -METHODIST PARTNERED WITH THE HEALTH COLLABORATIVE TO SERVE LOCAL EMPLOYER GROUPS THROUGH THE COLLABORATIVE'S PATHWAYS COMMUNITY HUB. METHODIST PROVIDED ASSISTANCE TO 1,126 COMMUNITY HUB CLIENTS IN 2021. -METHODIST IMPLEMENTED A COVID-19 RESPONSE ASSURANCE LINE IN 2021 AND LOGGED 3,898 CALLS. -METHODIST FACILITIES CONDUCTED 2 BACK-TO-SCHOOL DRIVES IN 2021 AND COLLECTED 500 ITEMS FOR STUDENTS IN NEED. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -COMMUNITY GOAL - TO DEVELOP SAFE NEIGHBORHOODS BY IDENTIFYING WHAT WORKS LOCALLY, PLANNING HOW TO REPLICATE SUCCESS IN OUR NEIGHBORHOODS, AND ENHANCING SYSTEMS THAT RESPOND EFFECTIVELY TO COMMUNITY IDENTIFIED SAFETY NEEDS. TACTICS: COMMUNITY HEALTH PRIORITY NO. 3: -PARTNER WITH METHODIST HEALTHCARE SERVICE AREA POLICE DEPARTMENTS AND HOST AN ANNUAL SUBSTANCE TAKE-BACK DAY TO REDUCE THE PREVALENCE OF OVERPRESCRIBED PRESCRIPTIONS IN HOUSEHOLDS. METHODIST COLLECTED 1,128 POUNDS OF PRESCRIPTION DRUGS IN 2021. -PARTNER WITH THE AMERICAN HEART ASSOCIATION TO OFFER HANDS-ONLY CPR CLASSES TO THE COMMUNITY AND CONDUCT POST EVALUATION TO MEASURE KNOWLEDGE GAINED. PARTNER WITH THE SOUTH TEXAS REGIONAL ADVISORY COUNCIL (STRAC) TO OFFER "STOP THE BLEED" PROGRAMS TO THE COMMUNITY. METHODIST ALSO SPONSORED SEVERAL SEXUAL ASSAULT RESPONSE TRAINING (SART) SESSIONS IN 2021. METHODIST LOGGED 111 EVENTS WITH 29,255 ATTENDEES FOR THESE PROGRAMS IN 2021. -METHODIST ALSO PROVIDED CARE TO 1,158 SEXUAL ASSAULT VICTIMS SEEKING TREATMENT IN 2021. -METHODIST OFFERED TRANSPORTATION SERVICES, HEALTH BUS AND WELL WALDO'S WHEELS AND PROVIDED 5,556 TRANSPORTS IN 2021. METHODIST PLANS TO ADD A MARKETING CAMPAIGN IN AN EFFORT TO INCREASE RIDERSHIP BACK TO PRE-COVID-19 LEVELS. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL HEALTH AND MENTAL WELL-BEING -COMMUNITY GOAL - TO IMPROVE COMPREHENSIVE BEHAVIORAL HEALTH SERVICES AND ACCESS FOR ALL. TACTICS: COMMUNITY HEALTH PRIORITY NO. 4: -CONTINUE METHODIST HEALTHARE TELE-PSYCHIATRY PROGRAM TO IMPROVE ACCESS TO PSYCHIATRISTS AS WELL AS PLACEMENT TO THE APPROPRIATE SETTING. METHODIST PROVIDED 10,085 TELE-PSYCHIATRY CONSULTATIONS IN 2021. -METHODIST PROVIDED BEHAVIORAL HEALTH TRAINING AT 84 EVENTS WITH 1,049 CLINICAL STAFFERS IN ATTENDANCE. -METHODIST HOSTED 356 EVENTS FOCUSING ON MENTAL HEALTH ISSUES WITH 2,421 IN ATTENDANCE DURING 2021. -CONTINUE TO PROVIDE ONGOING 24/7/365 PASTORAL CARE PRESENCE WITH PATIENTS, FAMILIES AND HEALTHCARE PROFESSIONALS WITH CHAPLAIN CLINICIANS. METHODIST'S CHAPLAIN CLINICIANS PROVIDED BEREAVEMENT SUPPORT TO 3,068 INDIVIDUALS IN 2021. -METHODIST'S THREE FACILITY DOGS LOGGED 8,200 VISITS OUTSIDE OF MHS FACILITIES IN 2021. COMMUNITY HEALTH PRIORITY NO. 5: SEXUAL HEALTH -COMMUNITY GOAL - TO IMPROVE THE SEXUAL HEALTH OF METHODIST HEALTHCARE'S COMMUNITY BY OFFERING FREE SEXUAL HEALTH SCREENINGS AND FREE OR LOW-COST HUMAN PAPILLOMAVIRUS (HPV) VACCINATIONS. TACTICS: COMMUNITY HEALTH PRIORITY NO. 5: -PROVIDE FREE HUMAN IMMUNODEFICIENCY VIRUS (HIV) SCREENING TESTS TO THE COMMUNITY IN METHODIST HEALTHCARE SERVICE AREAS. METHODIST'S CAMPUSES PROVIDED 8,159 HIV SCREENINGS IN 2021. -SEE INFORMATION REPORTED ABOVE RELATED TO EVENTS AND PRESENTATIONS. THE INFORMATION ABOVE REFLECTS THE PLAN FOR MHS SYSTEM.
Schedule H, Part V, Section B, Line 11 Facility A, 2	Facility A, 2 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -PROVIDE DIABETES EDUCATION TO PATIENTS LIVING WITH, OR AT RISK FOR, DIABETES PRIOR TO DISCHARGE AND OFFER CLASSES TO THE COMMUNITY. 2,059 DIABETES EDUCATION VISITS WERE PROVIDED IN 2021. -PARTNER WITH THE HEALTH COLLABORATIVE TO PROMOTE THE "IS YOUR DRINK SUGAR PACKED" CAMPAIGN TO PATIENTS AND THEIR FAMILIES WHO ARE IN THE SURGICAL WAITING ROOMS OF METHODIST HOSPITAL. THIS PROGRAM WAS PLACED ON HOLD IN 2020 DUE TO COVID-19 AND CONTINUED IN 2021. -PROVIDE A HEALTHY RECIPE BOOKLET THAT TARGETS SPECIFIC ACUTE AND CHRONIC DISEASES. NO RECIPE BOOKS WERE PROVIDED IN 2021. -CONDUCT AN ANNUAL HEALTHY FOOD DRIVE FOR THE SAN ANTONIO FOOD BANK AND PROVIDE VOLUNTEER SUPPORT BY METHODIST HOSPITAL STAFF. METHODIST HEALTHCARE SYSTEM HELD A CEREAL DRIVE IN 2021 AND COLLECTED 433,168 SERVINGS. -PARTNER WITH THE AMERICAN HEART ASSOCIATION TO HOST AN ANNUAL CARDIAC EDUCATION EVENT WITH FOCUS ON HYPERTENSION, DIABETES AND HYPERLIPIDIMIA. SEE REPORTING IN METHODIST HEALTHCARE SYSTEM ABOVE. -METHODIST HOSPITAL PLANNED TO HOST A VIRTUAL HEALTH LITERACY CONFERENCE IN THE FOURTH QUARTER OF 2021, HOWEVER THIS DID NOT OCCUR. -METHODIST CONTRIBUTED $5,000 TO THE LEUKEMIA AND LYMPHOMA SOCIETY AS A SPONSOR OF THEIR "LIGHT THE NIGHT" EVENT. COMMUNITY HEALTH PRIORITY NO 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -OFFER THE COMMUNITY PARENTING CLASSES INCLUDING "BUCKLE UP BABY, GETTING READY FOR CHILDBIRTH, PEEK-A-BOO TOURS AND INFANT AND CHILD CPR". METHODIST HOSTED 904 EVENTS, AND 2,926 INDIVIDUALS ATTENDED THESE EVENTS IN 2021. -PARTNER WITH GLEN OAKS ELEMENTARY IN THE NORTHSIDE INDEPENDENT SCHOOL DISTRICT TO ADOPT THE SCHOOL AND PROVIDE AT LEAST TWO SCHOOL SUPPLY DRIVES EACH YEAR. ONE DRIVE WAS HELD IN 2021 WITH 15 BOXES OF SUPPLIES COLLECTED. -PROVIDE THE COMMUNITY WITH COMPLIMENTARY LACTATION CONSULTATION IN-PERSON AND OVER THE PHONE. METHODIST HEALTHCARE SYSTEM PROVIDED 41,252 CONSULTS IN 2021. -IMPLEMENT PERINATAL NURSE NAVIGATORS TO ENSURE CONTINUITY OF CARE FOR CHILDREN AND CHILD-BEARING WOMEN. THIS PROGRAM CONTINUED A "HOLD" STATUS IN 2021. -DISTRIBUTE CALL-A-NURSE MAGNETS TO RAISE AWARENESS OF THE FREE OFFERING TO THE COMMUNITY FOR PEDIATRIC MEDICAL ADVISE TO PARENTS OF SICK/INJURED CHILDREN. THE METHODIST CALL-A-NURSES SERVICE PROVIDED MEDICAL ADVICE TO 32,290 CALLERS DURING 2021. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -PARTNER WITH KRAV MAGA TRAINING CENTER TO PROVIDE FREE SELF-DEFENSE CLASSES FOR WOMEN BIANNUALLY. METHODIST WAS NOT ABLE TO HOLD THESE SESSIONS IN 2021 DUE TO COVID-19. -PARTNER WITH BEXAR COUNTY SHERIFF'S OFFICE AND IMPLEMENT BI-ANNUAL SEMINARS TO EMPLOYEES ON PROVIDING SAFER COMMUNITIES AND EDUCATION ON IDENTIFYING VIOLENCE. DUE TO COVID-19 RESTRICTIONS, METHODIST WAS NOT ABLE TO HOST THESE FORUMS IN 2021. -PARTNER WITH THE TEXAS POISON CONTROL CENTER NETWORK TO PROVIDE LITERATURE IN METHODIST HOSPITAL WAITING ROOMS. LITERATURE DISTRIBUTION IN WAITING ROOMS WAS SUSPENDED IN 2021 DUE TO COVID-19. -PARTNER WITH BEACON HEALTH TO PROVIDE DOMESTIC VIOLENCE AND ABUSE CLASSES TO EMPLOYEES AND DISTRIBUTE LITERATURE IN THE HOSPITAL. THIS PROGRAM CONTINUED TO BE ON HOLD IN 2021 DUE TO COVID-19. -METHODIST HEALTHCARE FACILITIES COLLECTED 1,128 POUNDS OF PRESCRIPTION DRUGS IN THE 2021 CRUSH THE CRISIS DRIVE. METHODIST HOSPITAL HOSTED ONE BLOOD DRIVE IN 2021. 85 UNITS OF BLOOD WERE COLLECTED. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL HEALTH AND MENTAL WELL-BEING - THIS PRIORITY IS ADDRESSED AT THE SYSTEM LEVEL. PLEASE REFER TO COMMENTS IN THE METHODIST HEALTHCARE SYSTEM SECTION ABOVE. - METHODIST HOSPITAL RECEIVED AN ADDITIONAL THERAPY ANIMAL IN 2021. BAMBI, A MINI-HORSE JOINED METHODIST'S THREE FACILITY DOGS. BAMBI VISITED TWO ELEMENTARY SCHOOLS, THE WESTOVER HILLS GROUNDBREAKING, AND THE OPENING OF METHODIST EMERGENCY DEPARTMENT \| HELOTES IN ADDITION TO HER HOSPITAL PATIENT VISITS. COMMUNITY HEALTH PRIORITY NO 5: SEXUAL HEALTH -PARTNER WITH NORTHSIDE INDEPENDENT SCHOOL DISTRICT TO PROVIDE "ASK AN RN" SESSION TO CREATE A SAFE ENVIRONMENT FOR STUDENTS TO ASK QUESTIONS REGARDING SEXUAL HEALTH. THIS PROGRAM WAS NOT HELD IN 2020 DUE TO COVID-19 AND CONTINUED TO BE ON HOLD IN 2021. -PARTNER WITH JOHN MARSHALL HIGH SCHOOL DURING STD AWARENESS MONTH (APRIL) TO PROVIDE EDUCATION TO STUDENTS ON STD PREVENTION. THIS PROGRAM WAS ALSO PRE-EMPTED BY COVID-19. -PROMOTE TEEN PREGNANCY AWARENESS AND PROVIDE RESOURCES TO CARE THROUGH METHODIST WOMEN AND TEEN CENTERS. THE CENTER WAS CLOSED IN 2020 DUE TO COVID-19 RESTRICTIONS AND HAS NOT REOPENED.
Schedule H, Part V, Section B, Line 11 Facility A, 3	Facility A, 3 - GROUP A, CONTINUED. RESULTS FROM METHODIST CHILDREN'S HOSPITAL ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING - PARTICIPATE IN THE HEALTHY ME, HEALTHY WE PROGRAM THROUGH THE HEALTH COLLABORATIVE. IN 2021 37 SESSIONS WERE HELD WITH 740 IN ATTENDANCE. - CONDUCT AN ANNUAL HEALTHY FOOD DRIVE FOR THE SAN ANTONIO FOOD BANK AND PROVIDE VOLUNTEER SUPPORT BY METHODIST HOSPITAL STAFF. METHODIST HEALTHCARE SYSTEM HELD A CEREAL DRIVE IN 2021 AND COLLECTED 433,168 SERVINGS. - METHODIST CHILDREN'S HAD PLANNED THE FOLLOWING PROGRAMS IN 2021, HOWEVER ALL CONTINUED TO BE ON HOLD DUE TO COVID-19: WIC COOKING CLASSES, BOTANICAL GARDENS CHEF PROGRAM, FOOD PANTRY, YOGA CLASSES AND THE LITTLE HEROES PROM. - TWO SESSION OF CAMP BRAVE HEARTS OCCURRED IN 2021 WITH 335 IN ATTENDANCE. COMMUNITY HEALTH PRIORITY NO 2: HEALTHY CHILD AND FAMILY DEVELOPMENT - OFFER THE COMMUNITY PARENTING CLASSES INCLUDING "BUCKLE UP BABY, GETTING READY FOR CHILDBIRTH, PEEK -A-BOO TOURS AND INFANT AND CHILD CPR". METHODIST HOSTED 904 EVENTS, WITH 2,926 INDIVIDUALS ATTENDING. - PROVIDE THE COMMUNITY WITH COMPLIMENTARY LACTATION CONSULTATION IN-PERSON AND OVER THE PHONE. METHODIST HEALTHCARE SYSTEM PROVIDED 41,252 CONSULTS IN 2021. - CONTINUE TO OFFER COMPLIMENTARY PREGNANCY TESTING AND PHYSICIAN REFERRALS THROUGH METHODIST FAMILY HEALTH CENTERS. IN 2021, THERE WERE 3,667 VISITS AND 1,679 PREGNANCY TEST PROVIDED. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES - METHODIST OFFERS TRANSPORTATION SERVICES, HEALTH BUS AND WELL WALDO'S WHEELS AND PROVIDED 5,556 TRANSPORTS IN 2021. METHODIST PLANS TO ADD A MARKETING CAMPAIGN IN AN EFFORT TO INCREASE RIDERSHIP BACK TO PRE-COVID-19 LEVELS. - METHODIST CHILDREN'S HOSPITAL'S BUCKLE UP BABY PROGRAM DISTRIBUTED 15 CAR SEATS AND PROVIDED INSTALLATION INSTRUCTION TO 102 FAMILIES IN 2021. - METHODIST CHILDREN'S HOSPITAL OPENED 32 CASES FOR CARE ASSESSMENTS IN 2021. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL HEALTH AND MENTAL WELL-BEING - THIS PRIORITY IS ADDRESSED AT THE SYSTEM LEVEL. PLEASE REFER TO COMMENTS IN THE METHODIST HEALTHCARE SYSTEM SECTION ABOVE. - THE WAGS OVER TEXAS FACILITY DOG PROGRAM LOGGED 2,705 VISITS IN 2021. - METHODIST CHILDREN'S HOSPITAL PLANNED TO START A FAMILY COUNSELING PROGRAM IN 2021, HOWEVER THE PROGRAM DID NOT START DUE TO COVID-19 CONCERNS. - METHODIST CHILDREN'S HOSPITAL STARTED A "SENSORY FRIENDLY" PROGRAM IN 2021. THE GOAL OF THIS PROGRAM IS TO PROVIDE SUPPORTIVE ITEMS/DESIGN ELEMENTS TO HELP NEURO-SENSITIVE CHILDREN WHO ARE IN THE ER AND HOSPITAL. THE GOAL IS TO EXPAND THIS PROGRAM TO METHODIST'S FREE-STANDING ERS AS WELL. - IN PARTNERSHIP WITH UNIVERSITY OF THE INCARNATE WORD, METHODIST CHILDREN'S HOSTED 24 MUSIC THERAPY SESSIONS WITH 144 IN ATTENDANCE. COMMUNITY HEALTH PRIORITY NO 5: SEXUAL HEALTH - ALL PLANNED ACTIVITIES RELATED TO THIS INITIATIVE WERE PRE-EMPTED BY COVID-19 IN 2021.
Schedule H, Part V, Section B, Line 11 Facility A, 4	Facility A, 4 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL \| METROPOLITAN ("METROPOLITAN") ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -METHODIST HOSPITAL \| METROPOLITAN HELD 4 BREAST CANCER AWARENESS SESSIONS WITH 100 IN ATTENDANCE. THE HOSPITAL CAFETERIA ALSO HOSTED "PINK TUESDAYS", PROVIDING EDUCATIONAL MATERIALS TO PATIENTS AND VISITORS. METROPOLITAN HOSTED A FACEBOOK LIVE EVENT, "MAKE YOUR MAMMO" WITH A QUESTION AND ANSWER SESSION FEATURING DR. PORTILLO. METROPOLITAN ALSO HOSTED BREAST CANCER SUPPORT GROUPS - THREE SESSIONS WERE HELD WITH 45 IN ATTENDANCE. LIVE EVENT PARTICIPATION CONTINUED TO BE LIMITED DUE TO COVID-19. -METROPOLITAN'S BARIATRIC PROGRAM HOSTED 24 INFORMATIONAL SESSIONS WITH 1,560 ATTENDING IN 2021. -METHODIST HOSPITAL \| METROPOLITAN IS AN EVENT SPONSOR FOR THE AMERICAN HEART ASSOCIATION HEART WALK. THIS EVENT RAISED $545,000 FOR THE ASSOCIATION IN 2021. -EMPLOYEES OF METHODIST HOSPITAL \| METROPOLITAN PROVIDED HEALTH SCREENINGS TO 6,548 INDIVIDUALS ATTENDING THE NCAA WOMEN'S BASKETBALL TOURNAMENT. COMMUNITY HEALTH PRIORITY NO 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -OFFER THE COMMUNITY PARENTING CLASSES INCLUDING "BUCKLE UP BABY, GETTING READY FOR CHILDBIRTH, PEEK-A-BOO TOURS AND INFANT AND CHILD CPR". METHODIST HOSTED 904 EVENTS WITH 2,926 INDIVIDUALS ATTENDING. -CONTINUE TO OFFER COMPLIMENTARY PREGNANCY TESTING AND PHYSICIAN REFERRALS THROUGH METHODIST FAMILY HEALTH CENTERS. IN 2021, THERE WERE 3,667 VISITS AND 1,679 PREGNANCY TEST PROVIDED. -PROVIDE THE COMMUNITY WITH COMPLIMENTARY LACTATION CONSULTATION IN-PERSON AND OVER THE PHONE. METHODIST HEALTHCARE SYSTEM PROVIDED 41,252 CONSULTS IN 2021. -METHODIST HOSPITAL \| METROPOLITAN PROVIDED ASSISTANCE TO 2,127 INDIVIDUALS ENROLLING IN THE WIC PROGRAM. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -METHODIST OFFERS TRANSPORTATION SERVICES, HEALTH BUS AND WELL WALDO'S WHEELS AND PROVIDED 5,556 TRANSPORTS IN 2021. METHODIST PLANS TO ADD A MARKETING CAMPAIGN IN AN EFFORT TO INCREASE RIDERSHIP BACK TO PRE-COVID-19 LEVELS. -METHODIST HOSPTIAL \| METROPOLITAN PARTICIPATED IN THE NATIONAL NIGHT OUT EVENT IN 2021, DISTRIBUTING EDUCATIONAL MATERIALS. -EMPLOYEES OF METHODIST HOSPITAL \| METROPOLITAN PARTICIPATED IN THE ANNUAL TOBIN HILL COMMUNITY CLEANUP. -METHODIST HEALTHCARE FACILITIES COLLECTED 1,128 POUNDS OF PRESCRIPTION DRUGS AT THE 2021 CRUSH THE CRISIS DRIVE. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL HEALTH AND MENTAL WELL-BEING -THIS PRIORITY IS ADDRESSED AT THE SYSTEM LEVEL. PLEASE REFER TO COMMENTS IN THE METHODIST HEALTHCARE SYSTEM SECTION ABOVE. -METHODIST HOSPITAL \| METROPOLITAN'S FACILITY DOG AND OTHER MHS FACILITY ANIMALS PROVIDED OUTREACH TO 8,200 INDIVIDUALS IN 2021. COMMUNITY HEALTH PRIORITY NO 5: SEXUAL HEALTH -PROVIDE FREE HUMAN IMMUNODEFICIENCY VIRUS (HIV) SCREENING TESTS TO THE COMMUNITY IN METHODIST HEALTHCARE SERVICE AREAS. METHODIST'S CAMPUSES PROVIDED 8,159 HIV SCREENINGS IN 2021. -PROMOTE TEEN PREGNANCY AWARENESS AND PROVIDE RESOURCES TO CARE THROUGH METHODIST FAMILY HEALTH CENTERS. 1,679 PREGNANCY TESTS WERE PROVIDED IN 2021.
Schedule H, Part V, Section B, Line 11 Facility A, 5	Facility A, 5 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL \| STONE OAK ("MSOH") ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING - CONDUCT AN ANNUAL HEALTHY FOOD DRIVE FOR THE SAN ANTONIO FOOD BANK AND PROVIDE VOLUNTEER SUPPORT BY METHODIST HOSPITAL STAFF. METHODIST HEALTHCARE SYSTEM HELD A CEREAL DRIVE IN 2021 AND COLLECTED 433,168 SERVINGS. - METHODIST HOSPITAL \| STONE OAK HELD ONE HEALTHY HEART COOKING DEMONSTRATION IN 2021 WITH 25 IN ATTENDANCE. - METHODIST HOSPITAL \| STONE OAK CONTRIBUTED $5,000 TO THE AMERICAN HEART ASSOCIATION HEART WALK. - METHODIST HOSPITAL \| STONE OAK'S CAFETERIA CONTINUED TO PROVIDE INFORMATION ON HEALTHY FOOD OPTIONS WITH LABELING AND NUTRITIONAL INFORMATION. - OTHER EVENTS PLANNED FOR 2021 DID NOT OCCUR DUE TO COVID-19 CONCERNS. THIS INCLUDED THE CARDIAC CONNECTION EVENTS AND BREAST CANCER AWARENESS EVENTS. COMMUNITY HEALTH PRIORITY NO. 2: HEALTHY CHILD AND FAMILY DEVELOPMENT - OFFER THE COMMUNITY PARENTING CLASSES INCLUDING "BUCKLE UP BABY, GETTING READY FOR CHILDBIRTH, PEEK-A-BOO TOURS AND INFANT AND CHILD CPR". METHODIST HOSTED 904 EVENTS WITH 2,926 INDIVIDUALS ATTENDING. - PROVIDE THE COMMUNITY WITH COMPLIMENTARY LACTATION CONSULTATION IN-PERSON AND OVER THE PHONE. METHODIST HEALTHCARE SYSTEM PROVIDED 41,252 CONSULTS IN 2021. - METHODIST HOSPITAL \| STONE OAK HAD PLANNED TO START A NEW PROGRAM "PERIOD OF PURPLE CRYING PROGRAM" IN 2021, BUT THIS WAS DEFERRED DUE TO COVID-19 CONCERNS. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES - METHODIST HOSPITAL \| STONE OAK HOSTED ONE BLOOD DRIVE IN 2021. 52 UNITS OF BLOOD WERE COLLECTED. - METHODIST HOSPITAL \| STONE OAK, ALONG WITH OTHER MHS FACILITIES HOSTED HAND ONLY CPR CLASSES. 8 SESSION WITH 28,717 WERE HELD IN 2021. ATTENDANCE AT THESE SESSIONs WAS BOOSTED DUE TO PUBLIC SERVICE ANNOUNCEMENTS FEATURING THE SAN ANTONIO SPURS COYOTE. - DOMESTIC VIOLENCE SCREENINGS AND THE BABY SAFE HAVEN PROGRAM DID NOT OCCUR IN 2021 DUE TO COVID-19 CONCERNS. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL HEALTH AND MENTAL WELL-BEING - THIS PRIORITY IS ADDRESSED AT THE SYSTEM LEVEL. PLEASE REFER TO COMMENTS IN THE METHODIST HEALTHCARE SYSTEM SECTION ABOVE. - METHODIST HOSPITAL \| STONE OAK'S FACILITY DOG PARTICIPATED WITH OTHER MHS FACILITY ANIMALS IN PROVIDING OUTREACH TO 8,200 INDIVIDUALS IN 2021. COMMUNITY HEALTH PRIORITY NO 5: SEXUAL HEALTH - PRESENTATIONS RELATED TO SEXUAL HEALTH AND PLANNED TRAINING SESSIONS ON THE TOPIC OF HUMAN TRAFFICKING DID NOT OCCUR DUE TO COVID-19 CONCERNS.
Schedule H, Part V, Section B, Line 11 Facility A, 6	Facility A, 6 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL \| NORTHEAST "NEMH" ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -METHODIST HOSPITAL \| NORTHEAST PARTICIPATED IN THE CONVERSE HEALTH AND WHOLENESS FAIR IN 2021 AND PROVIDED SCREENINGS FOR 520 INDIVIDUALS. -THE DIABETES EDUCATOR AT METHODIST HOSPITAL \| NORTHEAST CONDUCTED 158 VISITS IN 2021. -MINDFUL EATING PROGRAM - THIS ONGOING PROGRAM DESIGNATES HEALTHY FOOD OPTIONS IN THE HOSPITAL'S CAFETERIA AND INCLUDES NUTRITIONAL INFORMATION. -EMPLOYEES OF METHODIST HOSPITAL \| NORTHEAST CONTRIBUTED 320 SERVINGS TO GREATER RANDOLPH AREA SERVICE PROJECTS AND FOOD PANTRY. -PLANNED CARDIAC CONNECTIONS EVENTS AND BREAST CANCER AWARENESS EVENTS WERE PRE-EMPTED IN 2021 DUE TO COVID-19 CONCERNS. COMMUNITY HEALTH PRIORITY NO. 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -METHODIST HOSPITAL \| NORTHEAST PROVIDED SUPPORT FOR THE JUDSON HIGH SCHOOL SENIOR SUNRISE EVENT IN 2021. -OTHER PROGRAMS, SUCH AS HEALTHY FOODS PRESENTATIONS TO NEIGHBORING SCHOOL DISTRICTS AND THE MEDS-TO-BEDS PROGRAM WERE PLACED ON HOLD IN 2021 DUE TO COVID-19. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -METHODIST OFFERS TRANSPORTATION SERVICES, HEALTH BUS AND WELL WALDO'S WHEELS AND PROVIDED 5,556 TRANSPORTS IN 2021. METHODIST PLANS TO ADD A MARKETING CAMPAIGN IN AN EFFORT TO INCREASE RIDERSHIP BACK TO PRE-COVID-19 LEVELS. -METHODIST HOSPITAL \| NORTHEAST SPONSORED AND WORKED A TENT AT THE SKYLIGHT BALLOON FESTIVAL SUPPORTING THE SCHERTZ/CIBOLO CHAMBER OF COMMERCE. 15,000 ATTENDED THIS THREE-DAY EVENT. -METHODIST HEALTHCARE FACILITIES COLLECTED 1,128 POUNDS OF PRESCRIPTION DRUGS IN THE 2021 CRUSH THE CRISIS DRIVE. -METHODIST HOSPITAL \| NORTHEAST HOSTED ONE BLOOD DRIVE IN 2021. 23 UNITS OF BLOOD WERE COLLECTED. COMMUNITY HEALTH PRIORITY NO.4 : BEHAVIORAL AND MENTAL WELL BEING -THIS PRIORITY IS ADDRESSED AT THE SYSTEM LEVEL. PLEASE REFER TO COMMENTS IN THE METHODIST HEALTHCARE SYSTEM SECTION ABOVE. COMMUNITY HEALTH PRIORITY NO.5 : SEXUAL HEALTH -PRESENTATIONS RELATED TO SEXUAL HEALTH AND PLANNED TRAINING SESSIONS ON THE TOPIC OF HUMAN TRAFFICKING DID NOT OCCUR DUE TO COVID-19 CONCERNS.
Schedule H, Part V, Section B, Line 11 Facility A, 7	Facility A, 7 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT ("MSTH") ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -PROVIDE DIABETES EDUCATION TO PATIENTS LIVING WITH, OR AT RISK FOR, DIABETES PRIOR TO DISCHARGE AND OFFER CLASSES TO THE COMMUNITY. 2,860 DIABETES EDUCATION VISITS WERE PROVIDED IN 2021. -METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT SPONSORED THE WALK TO END PKD, CONTRIBUTING $2,500 IN 2021. -METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT HOSTED TWELVE FARMERS MARKET SESSIONS WITH 85 IN ATTENDANCE. -THE BARIATRIC PROGRAM AT METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT HELD THREE EDUCATIONAL SESSIONS WITH 10 ATTENDEES. -EMPLOYEES AT METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT RAISED $6,000 TO SUPPORT THE LEUKEMIA AND LYMPHOMA SOCIETY. -HEALTHY EATING CLASSES AND GROCERY STORE TOURS DID NOT OCCUR IN 2021 DUE TO COVID -19 CONCERNS. COMMUNITY HEALTH Priority NO. 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT HELD TWO CLOTHING DRIVES IN 2021. EMPLOYEES DONATED FIVE BAGS OF CLOTHING. -METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT HAD PLANNED TO HOST A NAMI BASICS CLASS AND NUTRITION CLASSES IN 2021, BUT THOSE DID NOT OCCUR DUE TO COVID-19. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT HOSTED 29 SEXUAL ASSAULT FORENSIC EXAMINER (SAFE) PRESENTATIONS IN 2021 WITH 427 ATTENDING. -THE SEXUAL ASSAULT response TEAM (SART) AT METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT INVESTIGATED 1,158 CASES IN 2021. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL HEALTH AND MENTAL WELL BEING -PROVIDE BEHAVIORAL HEALTH EDUCATIONAL MATERIALS/PRESENTATIONS AT COMMUNITY EVENTS - METHODIST HOSPTIAL \| SPECIALTY AND TRANSPLANT PARTICIPATED IN 25 EVENTS IN 1,538 IN ATTENDANCE. -METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT PROVIDED IN-KIND PRINTING SERVICES TO LOCAL ORGANIZATIONs. 23,980 EDUCATIONAL NEWSLETTERS AND MANUALS WERE PRINTED IN 2021. -METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT PROVIDED TWO TRAINING SESSIONS FOR THE SAN ANTONIO FIRE DEPARTMENT AND THE SAN ANTONIO POLICE DEPARTMENT WITH 55 IN ATTENDANCE. -METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT CONDUCTED 52 CLINICAL STAFF EDUCATIONAL SESSIONs WITH 291 ATTENDING. -METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT HAD PLANNED TO SPONSOR A BEHAVIORAL HEALTH CME EVENT AND PROVIDE DEPRESSION SCREENINGS IN 2021. THESE EVENTS DID NOT OCCUR DUE TO COVID-19. -METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT ALONG WITH OTHER METHODIST CAMPUSES SPONSORED THE WALK TO END ALZHEIMER'S CONTRIBUTING $25,000 TO THE ALZHEIMER'S ASSOCIATION. -SEE ADDITIONAL COMMENTS IN THE METHODIST HEALTHCARE SYSTEM SECTION ABOVE REGARDING THIS INITIATIVE. COMMUNITY HEALTH PRIORITY NO. 5: SEXUAL HEALTH -METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT SPONSORED THE ZERO PROSTATE CANCER RUN IN 2021 CONTRIBUTING OVER $3,000 FOR THIS EVENT. -METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT HAD PLANNED TO HOST EDUCATIONAL EVENTS ON SEXUAL ASSAULT, SEXUAL HEALTH AND HUMAN TRAFFICKING IN 2021, HOWEVER THESE DID NOT OCCUR DUE TO COVID-19.
Schedule H, Part V, Section B, Line 11 Facility A, 8	Facility A, 8 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL \| TEXSAN "TEXSAN" ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -METHODIST HOSPITAL \| TEXSAN'S CAFETERIA CONTINUED TO PROVIDE INFORMATION ON HEALTHY FOOD OPTIONS WITH LABELING AND NUTRITIONAL INFORMATION. -METHODIST HOSPITAL \| TEXSAN HOSTED A FOOD DRIVE TO SUPPORT THE SAN ANTONIO FOOD BANK. EMPLOYEES COLLECTED 294 SERVINGS OF FOOD. -PLANNED CARDIAC CONNECTIONS EVENTS AND HEALTHY COOKING DEMONSTRATIONS DID NOT OCCUR IN 2021 DUE TO COVID-19 CONCERNS. COMMUNITY HEALTH PRIORITY NO 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -PARTNER WITH ARNOLD ELEMENTARY TO ADOPT THE SCHOOL AND COLLECT SUPPLIES FOR STUDENTS IN NEED. THE 2021 DRIVE COLLECTED 250 ITEMS FOR STUDENTS. -STATISTICS FOR PARTICIPATION IN THE UTSA FAN DAY IN 2021 WERE NOT AVAILABLE. -PRESENTATIONS TO SCHOOL DISTRICTS ON HEALTH-RELATED TOPICS DID NOT OCCUR IN 2021 DUE TO COVID-19 CONCERNS. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -EVENTS PLANNED FOR 2021 WITH THE BALCONES HEIGHTS POLICE DEPARTMENT DID NOT OCCUR DUE TO COVID-19 CONCERNS. -METHODIST HEALTHCARE FACILITIES COLLECTED 1,128 POUNDS OF PRESCRIPTION DRUGS IN THE 2021 CRUSH THE CRISIS DRIVE. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL AND MENTAL WELL-BEING -THIS PRIORITY IS ADDRESSED AT THE SYSTEM LEVEL. PLEASE REFER TO COMMENTS IN THE METHODIST HEALTHCARE SYSTEM SECTION ABOVE. COMMUNITY HEALTH PRIORITY NO 5: SEXUAL HEALTH - PROVIDE FREE HUMAN IMMUNODEFICIENCY VIRUS (HIV) SCREENING TESTS TO THE COMMUNITY IN METHODIST HEALTHCARE SERVICE AREAS. METHODIST'S CAMPUSES PROVIDED 8,159 HIV SCREENINGS IN 2021.
Schedule H, Part V, Section B, Line 11 Facility A, 9	Facility A, 9 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL \| ATASCOSA ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -METHODIST HOSPITAL \| ATASCOSA CONDUCTED A BACKPACK DRIVE BENEFITTING JOURDANTON ISD AND CHARLOTTE ISD - 75 BACKPACKS STUFFED WITH FOOD FOR THANKSGIVING WERE DISTRIBUTED. -METHODIST HOSPITAL \| ATASCOSA HAD PLANNED TO HOLD CLASSES FOR "A MATTER OF BALANCE" AND SPONSOR A HEALTH FAIR, HOWEVER THIS DID NOT OCCUR DUE TO COVID-19 CONCERNS. COMMUNITY HEALTH PRIORTY NO. 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -METHODIST HOSPITAL \| ATASCOSA HOSTED A SILVER SANTA DRIVE COLLECTING GIFTS FOR INDIVIDUALS IN SENIOR LIVING FACILITIES. GIFTS FOR 40 PEOPLE WERE COLLECTED IN 2021. -METHODIST HOSPITAL \| ATASCOSA PARTICIPATED IN NOVEMBER VETERAN'S DAY PARADE DISTRIBUTING METHODIST HEALTHCARE CAPS TO ALL VETERANS IN ATTENDANCE. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -METHODIST HOSPITAL \| ATASCOSA SPONSORED A COAT AND BLANKET DRIVE TO BENEFIT HAVEN FOR HOPE. FIFTY COATS AND/OR BLANKETS WERE COLLECTED. -METHODIST HOSPITAL \| ATASCOSA DID NOT PARTICIPATE IN THE 2021 NATIONAL NIGHT OUT DUE TO COVID-19 CONCERNS. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL AND MENTAL WELL-BEING -THIS PRIORITY IS ADDRESSED At THE SYSTEM LEVEL. PLEASE REFER TO COMMENTS IN THE METHODIST HEALTHCARE SYSTEM SECTION ABOVE. -METHODIST HOSPITAL \| ATASCOSA ALSO PARTICIPATED IN THE ONE-EIGHT PROGRAM WHICH PROVIDES A HOSPITAL BASED INPATIENT MEDICAL WITHDRAWAL SERVICE FROM ALCOHOL, OPIOIDS, OR OTHER DRUGS. SIXTY-ONE INDIVIDUALS WERE TREATED IN 2021. COMMUNITY HEALTH PRIORITY NO. 5: SEXUAL HEALTH -ALL PLANNED EDUCATIONAL PROGRAMMING DID NOT OCCUR IN 2021 DUE TO COVID-19 CONCERNS.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - GROUP A. METHODIST HEALTHCARE SYSTEM USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. THE FOLLOWING IS A SUMMARY OF THE CHARITY CARE POLICY ADOPTED BY METHODIST HEALTHCARE SYSTEM AND METHODIST HEALTHCARE MINISTRIES: FINANCIAL ASSISTANCE ELIGIBILITY SYSTEM - METHODIST REQUIRES THE COMPLETION OF AN APPLICATION, WHICH ALLOWS FOR THE COLLECTION OF APPROPRIATE INFORMATION. - VERIFICATION OF FAMILY MEMBERS IN THE HOUSEHOLD - ADULTS: PATIENT, PATIENT'S SPOUSE AND ANY DEPENDENTS. MINORS: PATIENT, PATIENT'S MOTHER AND FATHER, AND DEPENDENTS OF BOTH. - INCOME CALCULATION - ADULTS: SUM OF THE TOTAL YEARLY GROSS INCOME OF THE PATIENT AND THE PATIENT'S SPOUSE. MINORS: TOTAL YEARLY GROSS INCOME OF THE PATIENT, AND THE PATIENT'S MOTHER AND FATHER. - DOCUMENTATION - VARIOUS OFFICIAL INCOME REPORTING DOCUMENTATION IS REQUIRED (E.G. W-2, WAGE AND TAX STATEMENT, PAYCHECK REMITTANCE AND OTHERS). DOCUMENTATION ASSOCIATED WITH THE PARTICIPATION IN A PUBLIC BENEFIT PROGRAM CAN BE PROVIDED IN LIEU OF INCOME DOCUMENTATION (PROOF OF PARTICIPATION INDICATES THE PATIENT HAS BEEN DEEMED FINANCIALLY INDIGENT AND THEREFORE IS NOT REQUIRED TO PROVIDE INCOME INFORMATION). THERE IS ALSO A VERIFICATION PROCESS IN PLACE FOR PATIENTS THAT DO NOT HAVE APPROPRIATE DOCUMENTATION. - ZIP CODE WRITE-OFF ELIGIBILITY - METHODIST WILL ACCEPT UNINSURED RESIDENTIAL INDIGENT PATIENTS AS ELIGIBLE FOR CHARITY WRITE-OFF UPON EXHAUSTION OF INSURANCE ELIGIBILITY DETERMINATION (I.E. MEDICAID) AND EFFORTS TO OBTAIN A COMPLETED CHARITY APPLICATION WITH SUPPORTING PROOF OF INCOME. THE WRITE-OFF WILL APPLY TO ALL PATIENT TYPES. A RESIDENTIAL INDIGENT PATIENT IS AN UNINSURED PERSON WHO IS ACCEPTED FOR CARE WITH NO OBLIGATION OR WITH A DISCOUNTED OBLIGATION TO PAY FOR THE SERVICES RENDERED, AND LIVES IN SPECIFICALLY DEFINED ZIP CODES--THOSE WITH HIGH POVERTY POPULATIONS. FOR THE YEAR ENDED DECEMBER 31, 2021, THE CHARITY CARE WRITE OFF RELATED TO THIS ELIGIBILITY PROCESS WAS $303.9 MILLION ($265.3 MILLION IN 2020). CHARITY ELIGIBILITY CLASSIFICATIONS - FINANCIALLY INDIGENT - YEARLY INCOME IS LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY GUIDELINES. - MEDICALLY INDIGENT - THE AMOUNT OWED BY THE PATIENT AFTER PAYMENT BY ALL THIRD-PARTY PAYORS MUST EXCEED TEN PERCENT OF THE PATIENT'S YEARLY INCOME AND THE PATIENT MUST BE UNABLE TO PAY THE REMAINING BILL. ACCEPTANCE BY MHS IS BASED ON MEETING EITHER OF TWO CRITERIA: YEARLY INCOME MUST BE GREATER THAN 200%, BUT LESS THAN OR EQUAL TO 500% OF THE FEDERAL POVERTY GUIDELINES. ALTERNATIVELY, PATIENTS WITH ABNORMALLY LARGE ACCOUNTS MAY QUALIFY AS CATASTROPHICALLY ELIGIBLE WHEN THEIR REMAINING BALANCE EXCEEDS A SPECIFIC PERCENTAGE OF THEIR INCOME. IT IS IMPORTANT TO NOTE THAT THE GUIDELINES APPLIED FOR CATASTROPHIC ELIGIBILITY RANGE FROM 201% OF THE FEDERAL POVERTY GUIDELINES TO OVER 1000% OF THE FEDERAL POVERTY GUIDELINES.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - GROUP A. METHODIST HEALTHCARE SYSTEM USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. THE FOLLOWING IS A SUMMARY OF THE CHARITY CARE POLICY ADOPTED BY METHODIST HEALTHCARE SYSTEM AND METHODIST HEALTHCARE MINISTRIES: FINANCIAL ASSISTANCE ELIGIBILITY SYSTEM - METHODIST REQUIRES THE COMPLETION OF AN APPLICATION, WHICH ALLOWS FOR THE COLLECTION OF APPROPRIATE INFORMATION. - VERIFICATION OF FAMILY MEMBERS IN THE HOUSEHOLD - ADULTS: PATIENT, PATIENT'S SPOUSE AND ANY DEPENDENTS. MINORS: PATIENT, PATIENT'S MOTHER AND FATHER, AND DEPENDENTS OF BOTH. - INCOME CALCULATION - ADULTS: SUM OF THE TOTAL YEARLY GROSS INCOME OF THE PATIENT AND THE PATIENT'S SPOUSE. MINORS: TOTAL YEARLY GROSS INCOME OF THE PATIENT, AND THE PATIENT'S MOTHER AND FATHER. - DOCUMENTATION - VARIOUS OFFICIAL INCOME REPORTING DOCUMENTATION IS REQUIRED (E.G. W-2, WAGE AND TAX STATEMENT, PAYCHECK REMITTANCE AND OTHERS). DOCUMENTATION ASSOCIATED WITH THE PARTICIPATION IN A PUBLIC BENEFIT PROGRAM CAN BE PROVIDED IN LIEU OF INCOME DOCUMENTATION (PROOF OF PARTICIPATION INDICATES THE PATIENT HAS BEEN DEEMED FINANCIALLY INDIGENT AND THEREFORE IS NOT REQUIRED TO PROVIDE INCOME INFORMATION). THERE IS ALSO A VERIFICATION PROCESS IN PLACE FOR PATIENTS THAT DO NOT HAVE APPROPRIATE DOCUMENTATION. - ZIP CODE WRITE-OFF ELIGIBILITY - METHODIST WILL ACCEPT UNINSURED RESIDENTIAL INDIGENT PATIENTS AS ELIGIBLE FOR CHARITY WRITE-OFF UPON EXHAUSTION OF INSURANCE ELIGIBILITY DETERMINATION (I.E. MEDICAID) AND EFFORTS TO OBTAIN A COMPLETED CHARITY APPLICATION WITH SUPPORTING PROOF OF INCOME. THE WRITE-OFF WILL APPLY TO ALL PATIENT TYPES. A RESIDENTIAL INDIGENT PATIENT IS AN UNINSURED PERSON WHO IS ACCEPTED FOR CARE WITH NO OBLIGATION OR WITH A DISCOUNTED OBLIGATION TO PAY FOR THE SERVICES RENDERED, AND LIVES IN SPECIFICALLY DEFINED ZIP CODES--THOSE WITH HIGH POVERTY POPULATIONS. FOR THE YEAR ENDED DECEMBER 31, 2021 THE CHARITY CARE WRITE OFF RELATED TO THIS ELIGIBILITY PROCESS WAS $303.9 MILLION ($265.3 MILLION IN 2020). CHARITY ELIGIBILITY CLASSIFICATIONS - FINANCIALLY INDIGENT - YEARLY INCOME IS LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY GUIDELINES. - MEDICALLY INDIGENT - THE AMOUNT OWED BY THE PATIENT AFTER PAYMENT BY ALL THIRD-PARTY PAYORS MUST EXCEED TEN PERCENT OF THE PATIENT'S YEARLY INCOME AND THE PATIENT MUST BE UNABLE TO PAY THE REMAINING BILL. ACCEPTANCE BY MHS IS BASED ON MEETING EITHER OF TWO CRITERIA: YEARLY INCOME MUST BE GREATER THAN 200%, BUT LESS THAN OR EQUAL TO 500% OF THE FEDERAL POVERTY GUIDELINES. ALTERNATIVELY, PATIENTS WITH ABNORMALLY LARGE ACCOUNTS MAY QUALIFY AS CATASTROPHICALLY ELIGIBLE WHEN THEIR REMAINING BALANCE EXCEEDS A SPECIFIC PERCENTAGE OF THEIR INCOME. IT IS IMPORTANT TO NOTE THAT THE GUIDELINES APPLIED FOR CATASTROPHIC ELIGIBILITY RANGE FROM 201% OF THE FEDERAL POVERTY GUIDELINES TO OVER 1000% OF THE FEDERAL POVERTY GUIDELINES.
Schedule H, Part V, Section B, Line 15 Facility A, 1	Facility A, 1 - GROUP A. METHODIST HEALTHCARE SYSTEM USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. THE FOLLOWING IS A SUMMARY OF THE CHARITY CARE POLICY ADOPTED BY METHODIST HEALTHCARE SYSTEM AND METHODIST HEALTHCARE MINISTRIES: FINANCIAL ASSISTANCE ELIGIBILITY SYSTEM - METHODIST REQUIRES THE COMPLETION OF AN APPLICATION, WHICH ALLOWS FOR THE COLLECTION OF APPROPRIATE INFORMATION. - VERIFICATION OF FAMILY MEMBERS IN THE HOUSEHOLD - ADULTS: PATIENT, PATIENT'S SPOUSE AND ANY DEPENDENTS. MINORS: PATIENT, PATIENT'S MOTHER AND FATHER, AND DEPENDENTS OF BOTH. - INCOME CALCULATION - ADULTS: SUM OF THE TOTAL YEARLY GROSS INCOME OF THE PATIENT AND THE PATIENT'S SPOUSE. MINORS: TOTAL YEARLY GROSS INCOME OF THE PATIENT, AND THE PATIENT'S MOTHER AND FATHER. - DOCUMENTATION - VARIOUS OFFICIAL INCOME REPORTING DOCUMENTATION IS REQUIRED (E.G. W-2, WAGE AND TAX STATEMENT, PAYCHECK REMITTANCE AND OTHERS). DOCUMENTATION ASSOCIATED WITH THE PARTICIPATION IN A PUBLIC BENEFIT PROGRAM CAN BE PROVIDED IN LIEU OF INCOME DOCUMENTATION (PROOF OF PARTICIPATION INDICATES THE PATIENT HAS BEEN DEEMED FINANCIALLY INDIGENT AND THEREFORE IS NOT REQUIRED TO PROVIDE INCOME INFORMATION). THERE IS ALSO A VERIFICATION PROCESS IN PLACE FOR PATIENTS THAT DO NOT HAVE APPROPRIATE DOCUMENTATION. - ZIP CODE WRITE-OFF ELIGIBILITY - METHODIST WILL ACCEPT UNINSURED RESIDENTIAL INDIGENT PATIENTS AS ELIGIBLE FOR CHARITY WRITE-OFF UPON EXHAUSTION OF INSURANCE ELIGIBILITY DETERMINATION (I.E. MEDICAID) AND EFFORTS TO OBTAIN A COMPLETED CHARITY APPLICATION WITH SUPPORTING PROOF OF INCOME. THE WRITE-OFF WILL APPLY TO ALL PATIENT TYPES. A RESIDENTIAL INDIGENT PATIENT IS AN UNINSURED PERSON WHO IS ACCEPTED FOR CARE WITH NO OBLIGATION OR WITH A DISCOUNTED OBLIGATION TO PAY FOR THE SERVICES RENDERED, AND LIVES IN SPECIFICALLY DEFINED ZIP CODES--THOSE WITH HIGH POVERTY POPULATIONS. FOR THE YEAR ENDED DECEMBER 31, 2021, THE CHARITY CARE WRITE OFF RELATED TO THIS ELIGIBILITY PROCESS WAS $303.9 MILLION ($265.3 MILLION IN 2020). CHARITY ELIGIBILITY CLASSIFICATIONS - FINANCIALLY INDIGENT - YEARLY INCOME IS LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY GUIDELINES. - MEDICALLY INDIGENT - THE AMOUNT OWED BY THE PATIENT AFTER PAYMENT BY ALL THIRD-PARTY PAYORS MUST EXCEED TEN PERCENT OF THE PATIENT'S YEARLY INCOME AND THE PATIENT MUST BE UNABLE TO PAY THE REMAINING BILL. ACCEPTANCE BY MHS IS BASED ON MEETING EITHER OF TWO CRITERIA: YEARLY INCOME MUST BE GREATER THAN 200%, BUT LESS THAN OR EQUAL TO 500% OF THE FEDERAL POVERTY GUIDELINES. ALTERNATIVELY, PATIENTS WITH ABNORMALLY LARGE ACCOUNTS MAY QUALIFY AS CATASTROPHICALLY ELIGIBLE WHEN THEIR REMAINING BALANCE EXCEEDS A SPECIFIC PERCENTAGE OF THEIR INCOME. IT IS IMPORTANT TO NOTE THAT THE GUIDELINES APPLIED FOR CATASTROPHIC ELIGIBILITY RANGE FROM 201% OF THE FEDERAL POVERTY GUIDELINES TO OVER 1000% OF THE FEDERAL POVERTY GUIDELINES.
Schedule H, Part V, Section B, Line 16 Facility A, 1	Facility A, 1 - GROUP A. MHS HAS TAKEN STEPS OVER THE PAST SEVERAL YEARS TO HEIGHTEN COMMUNITY AWARENESS REGARDING MHS'S CHARITABLE MISSION. SIGNS THAT PROMINENTLY PRESENT INFORMATION ABOUT THE CHARITY MISSION AND GUIDELINES ARE PRESENT AT ALL POINTS OF ADMISSION. MHS ALSO PUBLISHES A NOTICE OF ITS CHARITY POLICY ANNUALLY IN THE SAN ANTONIO EXPRESS-NEWS. A PATIENT BROCHURE, ENTITLED "A GUIDE TO YOUR HOSPITAL BILL", EXPLAINS THE HOSPITAL BILLING PROCESS AND INFORMS PATIENTS OF THE CHARITY POLICY IN THE EVENT THEY NEED FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS ALSO AVAILABLE IN ENGLISH AND SPANISH ON MHS'S WEBSITE WWW.SAHEALTH.COM. ALL SHARED SERVICE CENTER PERSONNEL RECEIVE TRAINING AND AN ANNUAL REFRESHER COURSE ON THE POLICY AND UNDERSTAND THE CRUCIAL ROLE THEY PLAY IN INFORMING PATIENTS ABOUT THE POLICY. FINANCIAL COUNSELORS AND HOSPITAL CASE MANAGEMENT STAFF EDUCATE PATIENTS AND ARE AVAILABLE TO ASSIST THEM WITH THE CHARITY CARE APPLICATION PROCESS. IN ADDITION TO PROVIDING INFORMATION DURING THE ADMITTING PROCESS, MHS CONTINUES TO PROVIDE INFORMATION ABOUT THE AVAILABILITY OF CHARITY CARE ASSISTANCE DURING THE COLLECTION PROCESS FOR THOSE PATIENTS WHO HAVE BEEN BILLED BUT HAVE NOT PAID.
Schedule H, Part V, Section B, Line 20 Facility A, 1	Facility A, 1 - GROUP A. MHS HAS TAKEN STEPS OVER THE PAST SEVERAL YEARS TO HEIGHTEN COMMUNITY AWARENESS REGARDING MHS'S CHARITABLE MISSION. SIGNS THAT PROMINENTLY PRESENT INFORMATION ABOUT THE CHARITY MISSION AND GUIDELINES ARE PRESENT AT ALL POINTS OF ADMISSION. MHS ALSO PUBLISHES A NOTICE OF ITS CHARITY POLICY ANNUALLY IN THE SAN ANTONIO EXPRESS-NEWS. A PATIENT BROCHURE, ENTITLED "A GUIDE TO YOUR HOSPITAL BILL", EXPLAINS THE HOSPITAL BILLING PROCESS AND INFORMS PATIENTS OF THE CHARITY POLICY IN THE EVENT THEY NEED FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS ALSO AVAILABLE IN ENGLISH AND SPANISH ON MHS'S WEBSITE WWW.SAHEALTH.COM. ALL SHARED SERVICE CENTER PERSONNEL RECEIVE TRAINING AND AN ANNUAL REFRESHER COURSE ON THE POLICY AND UNDERSTAND THE CRUCIAL ROLE THEY PLAY IN INFORMING PATIENTS ABOUT THE POLICY. FINANCIAL COUNSELORS AND HOSPITAL CASE MANAGEMENT STAFF EDUCATE PATIENTS AND ARE AVAILABLE TO ASSIST THEM WITH THE CHARITY CARE APPLICATION PROCESS. IN ADDITION TO PROVIDING INFORMATION DURING THE ADMITTING PROCESS, MHS CONTINUES TO PROVIDE INFORMATION ABOUT THE AVAILABILITY OF CHARITY CARE ASSISTANCE DURING THE COLLECTION PROCESS FOR THOSE PATIENTS WHO HAVE BEEN BILLED BUT HAVE NOT PAID.

Field	Value	IRS element (for citing)
Facility	31	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (32 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
METHODIST AMBULATORY SURGERY CENTER - MC
4411 MEDICAL DRIVE SUITE 200	SAN ANTONIO	TX	78229	FREESTANDING AMB SURGERY CENTER
METHODIST STONE OAK REHABILITATION Center
19126 STONEHUE	SAN ANTONIO	TX	78258	FREESTANDING REHABILITATION CENTER
Center FOR SPECIAL SURGERY TX CTR ATHL
21 SPURS LANE SL-100	SAN ANTONIO	TX	78240	FREESTANDING AMB SURGERY CENTER
METHODIST AMBULATORY SURG CenTeR-N CENTRAL
19010 STONE OAK PARKWAY	SAN ANTONIO	TX	78258	FREESTANDING AMB SURGERY CENTER
METHODIST ER - BOERNE
134 MENGER SPRINGS	BOERNE	TX	78006	EMERGENCY DEPARTMENT
METHODIST ER CONVERSE
6402 MALLARD MEADOW	SAN ANTONIO	TX	78244	EMERGENCY DEPARTMENT
METHODIST ER WESTOVER HILLS
5538 W Loop 1604 N	SAN ANTONIO	TX	78251	EMERGENCY DEPARTMENT
METHODIST ER- ALAMO HEIGHTS
250 EAST BASSE ROAD 101	SAN ANTONIO	TX	78209	EMERGENCY DEPARTMENT
METHODIST CARDIOLOGY PHYSICIANS
8109 FREDERICKSBURG ROAD	SAN ANTONIO	TX	78229	TX CERTIFIED NONPROFIT HEALTHCARE CORP
TEXAS INSTITUTE OF MEDICINE AND SURGERY
8109 FREDERICKSBURG ROAD	SAN ANTONIO	TX	78229	TX CERTIFIED NONPROFIT HEALTHCARE CORP
METHODIST PHYSICIAN PRACTICE SVC LLC
8109 FREDERICKSBURG ROAD	SAN ANTONIO	TX	78229	MSO
METHODIST PHYSICIAN PRACTICES PLLC
8109 FREDERICKSBURG ROAD	SAN ANTONIO	TX	78229	PHYSICIAN PRACTICE
CARDIOLOGY CLINIC OF SAN ANTONIO PLLC
8109 FREDERICKSBURG ROAD	SAN ANTONIO	TX	78229	PHYSICIAN PRACTICE
METHODIST CARENOW PHYSICIAN ASSOCIATES
8109 FREDERICKSBURG ROAD	SAN ANTONIO	TX	78229	MSO
METHODIST ER - DEZAVALA
12805 W IH-10	SAN ANTONIO	TX	78249	EMERGENCY DEPARTMENT
METHODIST ER - LEGACY TRAILS
9211 POTRANCO ROAD	SAN ANTONIO	TX	78251	EMERGENCY DEPARTMENT
METHODIST ER - NACOGDOCHES
13434 NACOGDOCHES RD	SAN ANTONIO	TX	78217	EMERGENCY DEPARTMENT
METHODIST SURGERY Center OF BOERNE
110 MENGER SPRINGS	SAN ANTONIO	TX	78006	Surgery Center
HEALTH AT HOME - SAN ANTONIO LLC
140 HEIMER RD STE 120A	SAN ANTONIO	TX	78232	HOME HEALTH AGENCY
HEALTH AT HOME HOSPICE - SAN ANTONIO LLC
140 HEIMER RD STE 120B	SAN ANTONIO	TX	78232	HOSPICE
CARENOW Urgent Care - DE ZAVALA
12840 IH 10 WEST SUITE 101	SAN ANTONIO	TX	78249	URGENT CARE CLINIC
CARENOW Urgent Care - BULVERDE RD
17122 BULVERDE RD SUITE 104	SAN ANTONIO	TX	78247	URGENT CARE CLINIC
CARENOW Urgent Care- ALAMO HEIGHTS
5410 BROADWAY	ALAMO HEIGHTS	TX	78209	URGENT CARE CLINIC
CARENOW Urgent Care - STONE OAK
20780 US HWY 281 North	SAN ANTONIO	TX	78258	URGENT CARE CLINIC
CARENOW Urgent Care - POTRANCO
10538 POTRANCO BLDG 1	SAN ANTONIO	TX	78251	URGENT CARE CLINIC
METHODIST SURG Center LANDMARK
5510-B PRESIDIO PARKWAY SUITE 100	SAN ANTONIO	TX	78249	Surgery Center
CARENOW Urgent Care - LEON VALLEY
5755 NW LOOP 410 SUITE 102	SAN ANTONIO	TX	78238	URGENT CARE CLINIC
METHODIST FAMILTY Health Center -E SOUTHCROSS
2338 E SOUTHCROSS	SAN ANTONIO	TX	78223	FAMILY HEALTH CENTER
METHODIST FAMILY Health Center - LAS PALMAS
803 CASTROVILLE RD SUITE 131	SAN ANTONIO	TX	78237	FAMILY HEALTH CENTER
Methodist Family Health Center - East
507 ST JAMES	SAN ANTONIO	TX	78202	PRIMARY CARE CLINIC
PEDIATRIC ANESTHESIA CONS OF SAPLLC
7700 FLOYD CURL DR	SAN ANTONIO	TX	78229	PHYSICIAN PRACTICE
Methodist ER Helotes
12285 Bandera Rd	San Antonio	TX	78023	Emergency Department

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 6a SCHEDULE H, PART I, LINE 6A	METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., LLP ('MHS') FILES ANNUAL STATEMENTS OF COMMUNITY BENEFITS AS REQUIRED BY THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES, PER PROVISIONS OF THE TEXAS HEALTH MINISTRIES OF SOUTH TEXAS, INC. ('MHM') OWNS A 50% INTEREST OF MHS SO ONLY 50% OF MHS' FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS ARE REPORTED ON MHM'S FORM 990 SCHEDULE H.
Schedule H, Part VI, Line 2 SCHEDULE H, PART VI, LINE 2, CONTINUED	THE HCA HEALTHCARE HOPE FUND RESPONDED TO EMPLOYEES IMPACTED BY THE WEATHER AND EXTREMELY LOW TEMPERATURES, KNOWING EXTENDED POWER OUTAGES MAY CREATE UNSAFE LIVING CONDITIONS. THE HCA HEALTHCARE HOPE FUND EXECUTIVE COMMITTEE APPROVED A $10,000 GRANT MAXIMUM FOR THIS WINTER STORM (UP FROM THE REGULAR DISASTER GRANT MAXIMUM OF JUST $6,100.) EXTENSIONS OF MEDICAL DOCUMENTATION DUE DATES FOR ALL DISABILITY AND LEAVE CLAIMS WERE GRANTED FOR AFFECTED EMPLOYEES IN AREAS THAT ISSUE A STATE OF EMERGENCY. FOR FMLA/LEAVE OF ABSENCE: 5 BUSINESS DAY EXTENSION OF MEDICAL DUE DATES. FOR SHORT-TERM DISABILITY: 30 CALENDAR DAY EXTENSION OF MEDICAL DUE DATES. COUNSELING RESOURCES WERE AVAILABLE TO ALL EMPLOYEES AND THEIR FAMILY MEMBERS VIA ONLINE OR THE TALKSPACE APP. THE HCA HOPE FUND DONATED $50,000 TO THE SAN ANTONIO AREA FOUNDATION TO HELP FUND MAYOR NIRENBERG'S PIPE REPAIR PROGRAM. THE PROGRAM HELPED MANY COMMUNITY MEMBERS, PAY FOR DAMAGED WATER PIPES IN MOSTLY IMPOVERISHED AREAS OF THE CITY. HOSPITAL SERVICE GROWTH METHODIST HEALTHCARE BROKE GROUND ON A NEW MEDICAL CAMPUS IN WESTOVER HILLS. IT WILL INCLUDE A 54-BED ACUTE CARE COMMUNITY HOSPITAL AND MEDICAL OFFICE BUILDING. THE METHODIST HOSPITAL CAMPUS ADDED THE FOLLOWING SERVICES IN 2021: METHODIST EXPANDED ACCESS TO EMERGENCY CARE WITH THE OPENING OF METHODIST ER \| HELOTES. METHODIST CONTINUED TO EXPAND ITS ROBOTIC SURGERY PROGRAM WITH THE ADDITION OF A SINGLE PORT ROBOT IN 2021. METHODIST PERFORMED OVER 3,550 ROBOTIC CASES IN 2021. METHODIST HOSPITAL WAS ALSO THE FIRST FDA COMMERCIAL APPROVED HOSPITAL IN TEXAS TO PIONEER AN ORGAN CARE SYSTEM (OSC) TO ALLOW PHYSICIANS THE ABILITY TO TRAVEL FURTHER DISTANCES TO PROCURE TRANSPLANT ORGANS. METHODIST HOSPITAL HAS THE LARGEST EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) PROGRAM IN THE NATION. THE PROGRAM HAS RECEIVED THE ELSO - EXTRACORPOREAL LIFE SUPPORT ORGANIZATION GOLD LEVEL CENTER OF EXCELLENCE AWARD. METHODIST HOSPITAL HIT RECORD CARDIOVASCULAR SURGICAL/PROCEDURAL VOLUMES IN AORTIC, VASCULAR, HEART TRANSPLANT AND TAVR. METHODIST WAS THE FIRST HOSPITAL IN THE NATION TO IMPLANT A NEWLY DESIGNED CARDIAC MECHANICAL PUMP ON A PATIENT WITH SEVERE HEART FAILURE AS AN ALTERNATIVE TO TRANSPLANTATION. METHODIST HOSPITAL IS THE FIRST IN SOUTH TEXAS TO PERFORM A ROBOT-ASSISTED ESOPHAGECTOMY, ONE OF THE MOST ADVANCED SURGERIES A THORATIC SURGEON CAN PERFORM. METHODIST HOSPITAL IS THE FIRST FACILITY IN THE NATION TO IMPLANT A NEWLY DESIGNED CARDIAC MECHANICAL PUMP, EVAHEART*2, ON A PATIENT WITH SEVERE HEART FAILURE ON THE COMPETENCE TRIAL. METHODIST HOSPITAL IS THE FIRST IN SOUTH TEXAS, AND SECOND IN THE STATE, TO PERFORM THE TULSA PROCEDURE, AN MRI-GUIDED TRANSURETHRAL ULTRASOUND ABLATION TO TREAT PROSTATE DISEASE. METHODIST HOSPITAL OPENED A NEW SLEEP CENTER AT 4330 MEDICAL DRIVE. THE EIGHT-BED SPECIALIZED CARE CENTER PROVIDES TESTING TO PATIENTS OF ALL AGES WITH VARIOUS SLEEPING DISORDERS THAT AFFECT THEIR HEALTH AND WELL-BEING. METHODIST CHILDREN'S HOSPITAL IS PROUD TO ANNOUNCE A 17% GROWTH IN OB SERVICES THE LAST TWO YEARS. THE HOSPITAL BROKE ITS RECORD FOR NUMBER OF BABIES DELIVERED IN A SINGLE YEAR WITH 6,364 BABIES BORN. IN AUGUST 2021, THE HOSPITAL BROKE ITS MONTHLY BIRTH RECORD BY 59 BIRTHS, DELIVERING A TOTAL OF 643 BABIES. IN MARCH 2021, METHODIST CHILDREN'S HOSPITAL LAUNCHED A MIDWIFERY PROGRAM AND EXPANDED ITS PERINATAL NAVIGATOR PROGRAM TO GUIDE HIGH-RISK MATERNAL PATIENTS THROUGH THE HEALTH CARE PROCESS. METHODIST CHILDREN'S HOSPITAL LAUNCHED THE FIRST TELE-MATERNAL FETAL MEDICINE (MFM) CLINIC IN LAREDO, PROVIDING HIGH-RISK SPECIALTY CARE IN A COMMUNITY WHERE ACCESS TO SPECIALIZED CARE WAS LACKING. THIS SERVICE DEVELOPS PATHWAYS OF HIGH-RISK DELIVERIES FROM THE LAREDO COMMUNITY TO OUR HOSPITAL. THE FDA APPROVED RYLAZE, A CHEMOTHERAPY DRUG IN JUNE OF 2021. METHODIST CHILDREN'S HOSPITAL WAS THE FIRST SITE IN THE COUNTRY TO ENROLL A PEDIATRIC PATIENT IN THE DRUG'S CLINICAL RESEARCH TRIAL. ACCORDING TO THE FDA, THE DRUG'S EFFICACY WAS STUDIED IN 102 PATIENTS, SIX OF WHICH ARE PATIENT'S AT METHODIST CHILDREN'S HOSPITAL. THE HOSPITAL HIRED A SECOND FULL-TIME PATIENT TECHNOLOGY SPECIALIST TO HELP PROVIDE BENEFITS OF VIRTUAL REALITY AND GAMING AS PART OF THE PATIENT'S HEALING PROCESS. METHODIST CHILDREN'S HOSPITAL ALSO ANNOUNCED THAT IT IS THE FIRST SENSORY-FRIENDLY PEDIATRIC EMERGENCY ROOM IN SOUTH TEXAS. METHODIST HOSPITAL \| NORTHEAST EXPANDED ACCESS TO EMERGENCY CARE WITH THE OPENING OF METHODIST ER \| NACOGDOCHES. IN OCTOBER 2021, THE HOSPITAL OPENED THEIR ELECTROPHYSIOLOGY (EP) LAB USED TO DIAGNOSE ABNORMAL HEARTBEATS AND ARRHYTHMIA. THE 6-FLOOR STAFF PARKING GARAGE OPENED IN DECEMBER 2021, ADDING 555 TOTAL PARKING SPOTS AND FREEING UP SURFACE PARKING FOR PATIENTS AND THEIR FAMILIES. METHODIST HOSPITAL \| STONE OAK WAS THE FIRST SITE TO LAUNCH THE METHODIST CARE COORDINATION PROGRAM TO BETTER CONNECT EMERGENCY ROOM PATIENTS WITH MHS-ALIGNED SPECIALISTS IN ORTHOPEDIC AND CARDIOVASCULAR SERVICES. IN THE FIRST THREE MONTHS OF THE PROGRAM, THE ER PATIENT EXPERIENCE SCORES TRIPLED, THE FOLLOW-UP APPOINTMENT RATE FOR THESE PATIENTS DOUBLED, AND GENERATED $150,000 IN INCREMENTAL REVENUE. METHODIST HOSPITAL \| TEXSAN WAS THE FIRST IN SOUTH TEXAS TO IMPLANT ABBOTT'S AMPLATZER AMULET DEVICE AFTER BEING APPROVED BY THE FDA, WHICH REPRESENTS A LONG-STANDING COMMITMENT TO EXCELLENCE IN CARDIOVASCULAR MEDICINE. THIS DEVICE IS THE FIRST AND ONLY MINIMALLY INVASIVE TREATMENT OPTION TO OFFER IMMEDIATE CLOSURE TO THE LEFT ATRIAL APPENDAGE. THE AMPLATZER AMULET DEVICE WAS CREATED TO TREAT PEOPLE WITH ATRIAL FIBRILLATION (A-FIB), THE MOST COMMON SUSTAINED CARDIAC ARRHYTHMIA. THE CATH LAB AT METHODIST HOSPITAL \| METROPOLITAN SURPASSED 500 CHRONIC TOTAL OCCLUSION PROCEDURES IN THEIR NEWLY UPGRADED CATH LAB. METHODIST HOSPITAL \| METROPOLITAN'S SUZELL WALLER WOMEN'S PAVILLION EARNED LEVEL III DESIGNATIONS AS A NICU AND MATERNAL CARE FACILITY. METHODIST HOSPITAL \| METROPOLITAN LAUNCHED A HEARTBURN AND REFLUX PROGRAM TO SERVE THOSE SUFFERING FROM HEARTBURN AND REFLUX. METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT - ACCORDING TO THE SCIENTIFIC REGISTRY OF TRANSPLANT RECIPIENTS (SRTR) AND UNITED NETWORK FOR ORGAN SHARING (UNOS), THE METHODIST TRANSPLANT INSTITUTE AT METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT IS THE ONLY PROGRAM IN HISTORY TO HAVE PERFORMED OVER 200 LIVING AND 200 DECEASED KIDNEY TRANSPLANTS IN A SINGLE YEAR. THE PROGRAM ALSO CELEBRATED 20 YEARS OF LIVER TRANSPLANTATION. THE HOSPITAL WAS THE FIRST IN SAN ANTONIO TO COMPLETE THE 50TH TRANSCAROTID ARTERY REVASCULARIZATION PROCEDURE (TCAR) REVERSING DIRECTION OF BLOOD FLOW DURING OPERATION AND SIGNIFICANTLY REDUCING RISK OF STROKE. IN 2021 THE KIDNEY TRANSPLANT PROGRAM LEAD THE NATION IN PERFORMING THE MOST LIVING DONOR KIDNEY TRANSPLANTS (221). THE KIDNEY PROGRAM CONTINUES TO BE AN INTERNATIONALLY RECOGNIZED LEADER IN PAIRED KIDNEY DONOR EXCHANGE TRANSPLANTS WITH 2021 MARKING THE 12TH TIME IN 13 YEARS, THAT THE LIVING KIDNEY DONOR PROGRAM HAS REACHED THIS ESTEEMED NATIONALly RECOGNIZED MILESTONE. METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT CELEBRATED THE EXPANSION OF ITS OUTPATIENT BEHAVIORAL HEALTH SERVICES. THE DEPARTMENT ADDED GROUP THERAPY ROOMS AND EXPANDED ITS INTENSIVE OUTPATIENT PROGRAM WITH ADDITIONAL DAYS AND TIMES OFFERED TO ACCOMMODATE PATIENT SCHEDULES. THE HOSPITAL ALSO LAUNCHed THE HEARTBURN AND REFLUX PROGRAM TO PROVIDE COMPREHENSIVE CARE FOR THOSE SUFFERING FROM GASTROESOPHAGEAL REFLUX DISEASe (GERD). METHODIST HOSPITAL \| ATASCOSA ACQUIRED THEIR FIRST SURGICAL ROBOT TO OFFER MINIMALLY INVASIVE SURGICAL OPTIONS TO THOSE THEY SERVE. IMPORTANT DESIGNATIONS METHODIST HOSPITAL/METHODIST CHILDREN'S HOSPITAL - METHODIST HOSPITAL EXPANDED THE LEVEL OF MATERNAL FETAL CARE SERVICES BY RECEIVING A LEVEL IV MATERNAL DESIGNATION, AND A LEVEL IV RE-DESIGNATION FOR NEONATAL INTENSIVE CARE. - METHODIST HOSPITAL RECEIVED AN "A" LEAPFROG HOSPITAL SAFETY GRADE IN 5 OF THE LAST 6 REPORTING PERIODS. - METHODIST HOSPITAL RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES - STROKE GOLD PLUS WITH HONOR ROLL ELITE AND TARGET: TYPE 2 DIABETES HONOR ROLL ACHIEVEMENT AWARD. - METHODIST WAS RECOGNIZED AS THE BEST REGIONAL HOSPITAL BY "U.S. NEWS AND WORLD REPORT" FOR THE THIRD CONSECUTIVE YEAR. - IN CONTINUING THE COMMITMENT TO BEING AN ANIMAL FRIENDLY FACILITY, METHODIST HOSPITAL WELCOMED MAJOR, A FACILITY DOG DESIGNATED TO ADULT ICU CARE, AS WELL AS BAMBI, THE FIRST THERAPY MINI-HORSE IN TEXAS. - THROUGH THE ROWAN WINDHAM MEMORIAL CEREAL DRIVE, METHODIST CHILDREN'S HOSPTIAL DONATED $61,772 TO THE SAN ANTONIO FOOD BANK TO ENSURE CHILDREN WERE FED DURING THE SUMMER MONTHS.
Schedule H, Part VI, Line 2 SCHEDULE H, PART VI, LINE 2, CONTINUED	METHODIST HOSPITAL \| NORTHEAST - METHODIST HOSPITAL \| NORTHEAST RECEIVED AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES: STROKE GOLD PLUS WITH HONOR ROLL ELITE AND TARGET: TYPE 2 DIABETES HONOR ROLL ACHIEVEMENT AWARD. - METHODIST HOSPITAL \| NORTHEAST RECEIVED A "B" LEAPFROG HOSPITAL SAFETY GRADE. - IN 2021, THE YOUR SA READER'S CHOICE AWARDS RECOGNIZED METHODIST HOSPITAL \| NORTHEAST AS THE "BEST HOSPITAL" IN SAN ANTONIO. METHODIST HOSPITAL \| STONE OAK - METHODIST HOSPITAL \| STONE OAK WAS RECERTIFIED AS AN ADVANCED PRIMARY STROKE CENTER BY THE JOINT COMMISSION. - METHODIST HOSPITAL \| STONE OAK RECEIVED A LEVEL III MATERNAL AND NICU DESIGNATION - METHODIST HOSPITAL \| STONE OAK RECEIVED A 4-STAR CMS RATING FOR OVERALL QUALITY AND PATIENT SAFETY MEASURES - METHODIST HOSPITAL \| STONE OAK WAS THE RECIPIENT OF ACTION REGISTRY/NCDR PLATINUM PERFORMANCE ACHIEVEMENT AWARD FOR CARDIAC EXCELLENCE. - METHODIST HOSPITAL \| STONE OAK RECEIVED AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES: STROKE GOLD PLUS WITH HONOR ROLL ELITE AND TARGET: TYPE 2 DIABETES HONOR ROLL ACHIEVEMENT AWARD. - METHODIST HOSPITAL \| STONE OAK RECEIVED THE HEALTHGRADES LABOR AND DELIVERY EXCELLENCE AWARD, AS WELL AS THE OBSTRETICS AND GYNECOLOGY EXCELLENCE AWARD. - METHODIST HOSPITAL \| STONE OAK RECEIVED A "B" LEAPFROG HOSPITAL SAFETY GRADE. METHODIST HOSPITAL \| TEXSAN - METHODIST HOSPITAL \| TEXSAN RECEIVED THEIR 5TH CONSECUTIVE "A" LEAPFROG GRADE FOR PATIENT SAFTEY. - METHODIST HOSPITAL \| TEXSAN WAS AWARDED THE HEARTCARE CENTER NATIONAL DISTINCTION OF EXCELLENCE BY THE AMERICAN COLLEGE OF CARDIOLOGY (ACC) FOR ITS DEMONSTRATED COMMITMENT TO COMPREHENSIVE, HIGH-QUALITY CARDIOVASCULAR CARE. - METHODIST HOSPITAL \| TEXSAN WAS THE FIRST AND ONLY HOSPITAL IN SAN ANTONIO TO RECEIVE A 3-STAR RATING BY THE SOCIETY OF THORACIC SURGEONS, PERFORMING IN THE TOP 7.5% OF HEART PROGRAMS IN THE U.S. - METHODIST HOSPITAL \| TEXSAN WAS AWARDED THE AMERICAN COLLEGE OF CARDIOLOGY'S (ACC) NCDR CHEST PAIN-MI REGISTRY PLATINUM PERFORMANCE ACHIEVEMENT AWARD FOR 2021. - METHODIST HOSPITAL \| TEXSAN EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR HIP/KNEE REPLACEMENT AND SPINE SURGERY CERTIFICATIONS. - METHODIST HOSPITAL \| TEXSAN DEMONSTRATED EXPERTISE AND COMMITMENT IN CARDIAC CATH LAB CARE, BY EARNING A 4-STAR RATING FOR THEIR ACC CATH PCI REGISTRY PERFORMANCE METRICS. METHODIST HOSPITAL \| METROPOLITAN - METHODIST HOSPITAL \| METROPOLITAN RECEIVED THEIR 11TH "A" LEAPFROG HOSPITAL SAFETY GRADE (MOST CONSECUTIVE "A'S" IN THE METHODIST HEALTHCARE SYSTEM). - METHODIST HOSPITAL \| METROPOLITAN RECEIVED AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES: STROKE GOLD PLUS WITH HONOR ROLL ELITE AND TARGET: TYPE 2 DIABETES HONOR ROLL ACHIEVEMENT AWARD. - METHODIST HOSPITAL \| METROPOLITAN EARNED THEIR FOURTH CONSECUTIVE DESIGNATION AS A LEADER IN LGBTQ+ HEALTHCARE EQUALITY BY HUMAN RIGHT CAMPAIGN FOUNDATION. - METHODIST HOSPITAL \| METROPOLITAN WAS AWARDED AN OR EXCELLENCE AWARD FOR DIVERSITY, EQUITY, AND INCLUSION BY "OUTPATIENT SURGERY" MAGAZINE FOR THE CARE THEY PROVIDE THE LGBTQ+ COMMUNITY AND THEIR FAMILIES. - METHODIST HOSPITAL \| METROPOLITAN'S BREAST CANCER PROGRAM CELEBRATED 10 YEARS OF SERVING BREAST CANCER PATIENTS DURING NATIONAL BREAST CANCER AWARENESS MONTH. METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT - METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT RECEIVED THEIR 8TH CONSECUTIVE "A" LEAPFROG GRADE FOR PATIENT SAFETY. - METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT'S LIVER TRANSPLANT PROGRAM CONTINUES TO DEMONSTRATE EXCEPTIONAL OUTCOMES WITH 95.61% THREE-YEAR PATIENT SURVIVAL RATES, WHICH IS THE BEST IN THE NATION. - METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT WAS AWARDED PATHWAYS TO EXCELLENCE DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) FOR THEIR COMMITMENT TO CREATING A POSITIVE WORK ENVIRONMENT THAT EMPOWERS AND ENGAGES STAFF. THIS RECOGNITION IDENTIFIES THE BEST PLACES FOR NURSES TO WORK. - METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT IS CERTIFIED IN CHEST PAIN CARE. METHODIST HOSPITAL \| ATASCOSA - METHODIST HOSPITAL \| ATASCOSA RECEIVED AN "A" LEAPFROG HOSPITAL SAFETY GRADE. - METHODIST HOSPITAL \| ATASCOSA RENAMED IN 2021 TO BETTER REFLECT THE COMMUNITY IT SERVES.
Schedule H, Part I, Line 7a SCHEDULE H, PARTI, LINE 7A	IN THE STATE OF TEXAS 86TH LEGISLATIVE REGULAR SESSION, A BILL WAS PASSED WHICH AMENDED THE HEALTH AND SAFETY CODE, AUTHORIZING BEXAR COUNTY HOSPITAL DISTRICT TO CREATE A NONPUBLIC HOSPITAL PROVIDER PARTICIPATION PROGRAM. THE PROVIDER PARTICIPATION PROGRAM ALLOWS THE COLLECTION OF MANDATORY PAYMENTS FROM NONPUBLIC HOSPITALS. THESE PAYMENTS WILL BE DEPOSITED IN A LOCAL PROVIDER PARTICIPATION FUND (LPPF) TO FUND INTERGOVERNMENTAL TRANSFERS (IGTS) TO BE USED BY HHSC AS THE NONFEDERAL SHARE TO DRAW DOWN MEDICAID SUPPLEMENTAL PAYMENTS UNDER THE 1115 WAIVER PROGRAM AND THE UNIFORM HOSPITAL RATE INCREASE PROGRAM (UHRIP). THE BILL WAS EFFECTIVE JUNE 10, 2019, HOWEVER THE LPPF PROGRAM COMMENCED JANUARY 1, 2020. THE PARTNERSHIP MADE PAYMENTS UNDER THIS LPPF OF $64.9 MILLION AND $56.5 MILLION FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2020, RESPECTIVELY. OF THE $64.9 MILLION PAID IN 2021, APPROXIMATELY $33.1 MILLION WAS DESIGNATED TOWARDS THE COMPREHENSIVE HOSPITAL REIMBURSEMENT INCREASE PROGRAM (CHIRP) BEGINNING SEPTEMBER 1, 2021. AS CHIRP WAS UNAPPROVED UNTIL MARCH 25, 2022, THE PARTNERSHIP RECORDED THIS LPPF PAYMENT AS A PREPAID EXPENSE IN ITS CONSOLIDATED BALANCE SHEET. THE REMAINING LPPF EXPENSE IS RECORDED WITHIN OTHER OPERATING EXPENSE IN MHS'S CONSOLIDATED STATEMENTS OF INCOME. IN MARCH 2022, THE PARTNERSHIP EXPENSED THE $33.1 MILLION PREPAID DUE TO THE APPROVAL OF CHIRP, OF WHICH TWO-THIRDS, OR $22.1 MILLION WAS RELATED TO 2021.
Schedule H, Part I, Line 7 Schedule H, Part I, Line 7	COSTING METHODOLOGY - COST TO CHARGE RATIOS FROM WORKSHEET 2 USED.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	COSTING METHODOLOGY - COST TO CHARGE RATIOS FROM WORKSHEET 2 USED. MHM AND MHS JOINTLY ANALYZED ZIP CODES WHERE, BASED ON FINANCIAL DEMOGRAPHICS, IT APPEARED THAT THE PATIENTS IN THOSE ZIP CODES WOULD LIKELY QUALIFY FOR CHARITY CARE. AN ANALYSIS OF PAST COLLECTIONS IN THE ZIP CODE AREAS AND SEVERAL FEDERAL POVERTY GUIDELINE SURVEYS USING THE ZIP CODES RESULTED IN MHM'S CONCLUSION THAT ALL PATIENTS IN THE IDENTIFIED ZIP CODES ARE PATIENTS THAT, UNDER MHS FINANCIAL ASSISTANCE POLICIES, WOULD LIKELY QUALIFY FOR CHARITY CARE. THE ESTIMATED AMOUNT OF MHS' BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS CALCULATED USING ZIP CODE DATA.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	COSTING METHODOLOGY - COST TO CHARGE RATIOS FROM WORKSHEET 2 USED. MHM AND MHS JOINTLY ANALYZED ZIP CODES WHERE, BASED ON FINANCIAL DEMOGRAPHICS, IT APPEARED THAT THE PATIENTS IN THOSE ZIP CODES WOULD LIKELY QUALIFY FOR CHARITY CARE. AN ANALYSIS OF PAST COLLECTIONS IN THE ZIP CODE AREAS AND SEVERAL FEDERAL POVERTY GUIDELINE SURVEYS USING THE ZIP CODES RESULTED IN MHM'S CONCLUSION THAT ALL PATIENTS IN THE IDENTIFIED ZIP CODES ARE PATIENTS THAT, UNDER MHS FINANCIAL ASSISTANCE POLICIES, WOULD LIKELY QUALIFY FOR CHARITY CARE. THE ESTIMATED AMOUNT OF MHS' BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS CALCULATED USING ZIP CODE DATA.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	BAD DEBT FOOTNOTE FROM METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD, LLP'S CONSOLIDATED FINANCIAL STATEMENTS: IN MAY 2014, THE FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ISSUED A NEW STANDARD RELATED TO REVENUE RECOGNITION. THE PARTNERSHIP ADOPTED THE NEW STANDARD EFFECTIVE JANUARY 1, 2018, USING THE FULL RETROSPECTIVE METHOD. THE ADOPTION OF THE NEW STANDARD DID NOT HAVE AN IMPACT ON THE RECOGNITION OF NET PATIENT REVENUES FOR ANY PERIODS PRIOR TO ADOPTION. THE MOST SIGNIFICANT IMPACT OF ADOPTING THE NEW STANDARD IS THAT THE CONSOLIDATED STATEMENTS OF INCOME NO LONGER PRESENTS THE "PROVISION FOR DOUBTFUL ACCOUNTS" AS A SEPARATE LINE ITEM, INSTEAD NET PATIENT REVENUE IS PRESENTED NET OF ESTIMATED IMPLICIT PRICE CONCESSION REVENUE DEDUCTIONS. IN ADDITION, THE "ALLOWANCE FOR DOUBTFUL ACCOUNTS" IS NO LONGER PRESENTED ON THE CONSOLIDATED BALANCE SHEETS AS A RESULT OF THE ADOPTION OF THE NEW STANDARD. NET PATIENT REVENUE GENERALLY RELATES TO CONTRACTS WITH PATIENTS IN WHICH THE PARTNERSHIP'S PERFORMANCE OBLIGATIONS ARE TO PROVIDE HEALTH CARE SERVICES TO THE PATIENTS. REVENUE IS RECORDED DURING THE PERIOD THAT THE OBLIGATIONS TO PROVIDE HEALTH CARE SERVICES ARE SATISFIED. PERFORMANCE OBLIGATIONS FOR INPATIENT SERVICES ARE GENERALLY SATISFIED OVER PERIODS THAT AVERAGE APPROXIMATELY FIVE DAYS AND PERFORMANCE OBLIGATIONS FOR OUTPATIENT SERVICES ARE GENERALLY SATISFIED OVER A PERIOD OF LESS THAN ONE DAY. THE CONTRACTUAL RELATIONSHIPS WITH PATIENTS, IN MOST CASES, ALSO INVOLVE A THIRD PARTY PAYER (MEDICARE, MEDICAID, MANAGED CARE HEALTH PLANS, AND COMMERCIAL INSURANCE COMPANIES) AND THE TRANSACTION PRICES FOR THE SERVICES PROVIDED ARE DEPENDENT UPON THE TERMS PROVIDED BY (MEDICARE AND MEDICAID) OR NEGOTIATED WITH (MANAGED CARE HEALTH PLANS AND COMMERCIAL INSURANCE COMPANIES) THE THIRD PARTY PAYERS. THE PAYMENT ARRANGEMENTS WITH THIRD PARTY PAYERS FOR THE SERVICES PROVIDED TO THE RELATED PATIENTS TYPICALLY SPECIFY PAYMENTS AT AMOUNTS LESS THAN THE PARTNERSHIP'S STANDARD CHARGES. MEDICARE GENERALLY PAYS FOR INPATIENT AND OUTPATIENT SERVICES AT PROSPECTIVELY DETERMINED RATES BASED ON CLINICAL, DIAGNOSTIC AND OTHER FACTORS. SERVICES PROVIDED TO PATIENTS HAVING MEDICAID COVERAGE ARE GENERALLY PAID AT PROSPECTIVELY DETERMINED RATES PER DISCHARGE OR IDENTIFIED SERVICE. AGREEMENTS WITH COMMERCIAL INSURANCE CARRIERS, MANAGED CARE AND PREFERRED PROVIDER ORGANIZATIONS GENERALLY PROVIDE FOR PAYMENTS BASED UPON PREDETERMINED RATES PER DIAGNOSIS, PER DIEM RATES OR DISCOUNTED FEE-FOR-SERVICE RATES. MANAGEMENT CONTINUALLY REVIEWS THE ESTIMATED TRANSACTION PRICE TO BE RECEIVED FROM THE THIRD-PARTY PAYER TO CONSIDER AND INCORPORATE UPDATES TO LAWS AND REGULATIONS AND THE FREQUENT CHANGES IN MANAGED CARE CONTRACTUAL TERMS RESULTING FROM CONTRACT RE-NEGOTIATIONS AND RENEWALS. NET PATIENT REVENUE IS BASED UPON THE ESTIMATED AMOUNTS EXPECTED TO BE RECEIVED FROM PATIENTS AND THIRD-PARTY PAYERS. THE ESTIMATED TRANSACTION PRICE TO BE RECEIVED UNDER MANAGED CARE AND COMMERCIAL INSURANCE PLANS IS BASED UPON THE PAYMENT TERMS SPECIFIED IN THE RELATED CONTRACTUAL AGREEMENTS. REVENUE RELATED TO UNINSURED PATIENTS AND UNINSURED CO-PAYMENT AND DEDUCTIBLE AMOUNTS FOR PATIENTS WHO HAVE HEALTH CARE COVERAGE MAY HAVE AN IMPLICIT PRICE CONCESSION APPLIED. AN ESTIMATED IMPLICIT PRICE CONCESSION (BASED PRIMARILY ON PAYER HISTORICAL COLLECTION EXPERIENCE) IS RECORDED WITHIN NET PATIENT REVENUE TO RECORD SELF-PAY REVENUE AT THE ESTIMATED AMOUNTS TO BE COLLECTED. AS OF DECEMBER 31, 2021, THE BAD DEBT INCLUDED IN REVENUE DEDUCTIONS WAS $195,502,050. THIS AMOUNT IS NOT REFLECTED ON MHM'S 990 PART IX EXPENSES DUE TO THE BAD DEBT AMOUNT BEING REPORTED IN THE METHODIST HEALTHCARE SYSTEM'S FINANCIALS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE AMOUNTS REPORTED ON PART III, LINES 5-7 HAVE BEEN DETERMINED BY AGGREGATING THE INFORMATION FROM THE INDIVIDUAL FACILITY COST REPORT(S) FOR EACH OF THE HOSPITALS OPERATED BY MHS. THE HOSPITALS OPERATED BY MHS MAY HAVE COST REPORT YEAR ENDS OTHER THAN DECEMBER 31, 2021. ACCORDINGLY, FOR A FACILITY WITH A NON-CALENDAR COST REPORT YEAR END, THE COST REPORT THAT WAS FILED FOR THE COST REPORT YEAR END THAT ENDED DURING 2021 WAS UTILIZED. IT IS IMPORTANT TO NOTE THAT AMOUNTS INCLUDED IN LINES 5-7 DO NOT INCLUDE MEDICARE REVENUE AND RELATED COST FOR FREESTANDING AMBULATORY SURGERY SERVICES AND FOR PHYSICIAN SERVICES.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	MHS HAS A POLICY TO PROVIDE DISCOUNTS TO THOSE INDIVIDUALS WHO DO NOT HAVE INSURANCE OR ARE NOT COVERED BY A GOVERNMENTAL REIMBURSEMENT PROGRAM. IF A PATIENT QUALIFIES FOR MEDICAID, THEN HE OR SHE IS ONLY RESPONSIBLE FOR ANY NON-COVERED CHARGES. IF THE PATIENT DOES NOT QUALIFY FOR MEDICAID, HE OR SHE MAY COMPLETE THE MHS FINANCIAL ASSISTANCE APPLICATION TO HAVE THE ENCOUNTER REVIEWED FOR A POTENTIAL CHARITY DISCOUNT. IF THE PATIENT'S YEARLY INCOME IS LESS THAN OR EQUAL TO 200% OF THE POVERTY GUIDELINES UPDATED ANNUALLY IN THE FEDERAL REGISTER BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES ("FEDERAL POVERTY GUIDELINES"), THE PATIENT WILL BE GRANTED CLASSIFICATION AS FINANCIALLY INDIGENT, AND THE ACCOUNT WILL BE WRITTEN OFF TO CHARITY. LETTERS ARE THEN SENT TO THE PATIENT NOTIFYING THAT THE ACCOUNT HAS QUALIFIED FOR THE CHARITY DISCOUNT AND IS CONSIDERED CLOSED. IN ADDITION, A SLIDING SCALE DISCOUNT IS APPLIED TO ACCOUNTS FOR PATIENTS WHOSE INCOME IS BETWEEN 200% AND 500% OF THE FEDERAL POVERTY GUIDELINES, AND WHOSE REMAINING ACCOUNT BALANCE, AFTER ANY THIRD-PARTY PAYMENTS, EXCEEDS A PERCENTAGE OF THEIR INCOME ("MEDICALLY INDIGENT"). IN ADDITION, PATIENTS WITH ABNORMALLY LARGE ACCOUNTS MAY QUALIFY AS CATASTROPHICALLY ELIGIBLE WHEN THEIR REMAINING BALANCE EXCEEDS A SPECIFIC PERCENTAGE OF THEIR INCOME. IF A PATIENT DOES NOT QUALIFY FOR A CHARITY DISCOUNT, AN UNINSURED DISCOUNT IS APPLIED TO TOTAL CHARGES. IF A PATIENT IS UNABLE TO PAY THE REMAINING BALANCE IN FULL, AFTER APPLYING ANY CHARITY OR UNINSURED DISCOUNTS, MHS WILL WORK WITH THE PATIENT TO SET UP A MONTHLY PAYMENT ARRANGEMENT. THROUGHOUT THE DEBT COLLECTION PROCESS, MHS CONTINUES TO INFORM PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE.
Schedule H, Part V, Section B, Line 16a FAP website	A - METHODIST HOSPITAL: Line 16a URL: https://sahealth.com/about/mission-values/financial-assistance-policy-and-application.dot;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - METHODIST HOSPITAL: Line 16b URL: https://sahealth.com/about/mission-values/financial-assistance-policy-and-application.dot;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - METHODIST HOSPITAL: Line 16c URL: https://sahealth.com/about/mission-values/financial-assistance-policy-and-application.dot;
Schedule H, Part VI, Line 2 Needs assessment	IN ADDITION TO THE ITEMS SPECIFICALLY NOTED TO ADDRESS THE COMMUNITY HEALTH PRIORITIES, OTHER HIGHLIGHTS FROM 2021 INCLUDE THE FOLLOWING: IN LATE 2011, THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION FILED AN APPLICATION FOR A WAIVER OF CERTAIN FEDERAL MEDICAID REQUIREMENTS UNDER SECTION 1115 OF THE SOCIAL SECURITY ACT. AS A RESULT OF THE GRANTING OF THIS APPLICATION THE TEXAS HEALTH CARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM WAS DEVELOPED TO PROVIDE PAYMENTS (DELIVERY REFORM INCENTIVE PAYMENTS, OR DSRIP) TO HOSPITAL AND OTHER PROVIDERS UPON THEIR ACHIEVING CERTAIN GOALS THAT ARE INTENDED TO IMPROVE THE QUALITY AND LOWER THE COST OF CARE. THIS INITIATIVE DIVIDES THE STATE INTO TWENTY DIFFERENT REGIONS, EACH REGION DEVELOPED A COMMUNITY HEALTH NEEDS ASSESSMENT, AND PROVIDERS IN THE REGION WILL SUBMIT PROJECTS FOR FUNDING CONSIDERATION TO ADDRESS THOSE NEEDS. METHODIST HEALTHCARE SYSTEM RECEIVED APPROVAL FOR THE FOLLOWING PROJECTS: INTRODUCE, EXPAND OR ENHANCE TELEMEDICINE/TELEHEALTH - METHODIST WILL IMPLEMENT A TELEHEALTH PROGRAM THAT WILL PROVIDE TELEHEALTH CONSULTATIONS WITH TRAINED SPECIALISTS IN SELECTED SERVICES. BY THE END OF 2017, THE TELE-STROKE PROGRAM EXPANDED TO INCLUDE TWELVE LOCATIONS. THROUGH THIS PROGRAM, PHYSICIANS CAN DRAMATICALLY INCREASE RESPONSE TIME, TRANSFERS CAN BE MINIMIZED, AND PATIENTS CAN OFTEN RECEIVE LIFESAVING CARE MORE RAPIDLY, OFTEN TIMES AT THEIR HOME HOSPITAL. THE BEHAVIORAL HEALTH TELEMEDICINE PROGRAM'S OPERATIONS STARTED IN JANUARY 2014. THE GOAL OF THIS PROGRAM IS TO PROVIDE TIMELY CONSULTATIONS, DIAGNOSIS AND TREATMENT RECOMMENDATIONS FOR BEHAVIORAL HEALTH/SUBSTANCE ABUSE PATIENTS IN EVERY METHODIST EMERGENCY DEPARTMENT OR IN MEDICAL ACUTE UNITS THROUGHOUT METHODIST. 4,227 BEHAVIORAL HEALTH AND 803 TELE-STROKE CONSULTATIONS WERE PROVIDED FOR THE DSRIP REPORTING PERIOD ENDED SEPTEMBER 30, 2021. OVER 50% OF THE CONSULTATIONS PROVIDED WERE TO MEDICAID OR LOW-INCOME UNINSURED PATIENTS. ENHANCE BEHAVIORAL HEALTH SERVICES - PATIENTS REQUIRING PSYCHIATRIC SERVICES ARE OFTEN ONE OF THE MOST UNDERSERVED POPULATIONS IN THE COMMUNITY, AND METHODIST STRIVES TO ENSURE THAT THESE PATIENTS HAVE ACCESS TO APPROPRIATE CARE. METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT IS ONE OF THE THREE SAN ANTONIO HOSPITALS THAT PROVIDE PSYCHIATRIC EMERGENCY SERVICES (PES) THROUGH THE SOUTHWEST TEXAS CRISIS COLLABORATIVE OF THE SOUTHWEST TEXAS REGIONAL ADVISORY COUNCIL. METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT PROVIDES SIX PES BEDS PROVIDING IMMEDIATE PSYCHIATRIC EVALUATIONS, CLINICAL ASSESSMENTS, AND LINKAGE TO THE NEXT APPROPRIATE LEVEL OF CARE TO ADULT MENTAL HEALTH PATIENTS. ESTABLISH MORE PRIMARY CARE CLINICS - METHODIST OPENED THE METHODIST COMMUNITY HEALTH CENTER -East IN 2014. THE CENTER IS AN URGENT CARE CENTER LOCATED IN EAST SAN ANTONIO. THE METHODIST Family HEALTH CENTER - East PROVIDES SERVICES TO ALL PATIENTS AT NO COST. THE CENTER PROVIDED 1,525 ENCOUNTERS FOR THE DSRIP REPORTING PERIOD ENDING SEPTEMBER 30, 2021. OF THESE ENCOUNTERS, 80% WERE PROVIDED TO MEDICAID OR LOW-INCOME UNINSURED PATIENTS. THIS LOCATION NOTED AN OVERALL DECREASE IN VOLUME IN 2021 AS A RESULT OF COVID-19. REDESIGN TO IMPROVE THE PATIENT EXPERIENCE - THE FOCUS FOR THIS PROJECT IS TO IMPROVE HOW PATIENTS EXPERIENCE CLINICAL AREA AS WELL AS THE PATIENT'S SATISFACTION WITH THEIR CARE. METHODIST ROLLED OUT A NEW ONLINE REPORTING RESOURCE IN THE FOURTH QUARTER OF 2019 THAT PROVIDES MULTIPLE SCORECARDS AND REPORTS THAT ALLOW UNITS TO PRIORITIZE OPPORTUNITIES FOR IMPROVEMENT. METHODIST LAUNCHED A NEW INITIATIVE WITH STAFF THAT FOCUSES ON "COMPASSIONATE, CONNECTED, CARE". THIS INITIATIVE PROVIDES NURSING LEADERS AND STAFF WITH ADDITIONAL TOOLS AND GUIDANCE TO ENHANCE PATIENT EXPERIENCE WITH TRAINING AND TOOLKITS TO USE REGARDING THIS TOPIC AS THE ROUND ON PATIENTS. METHODIST HAS CONTINUED TO NOTE IMPROVEMENT IN THE PERCENTAGE OF PATIENTS WHO WOULD RATE THEIR EXPERIENCE A "9" OR "10" AS WELL AS IMPROVEMENT IN THE PERCENTAGE OF PATIENTS WHO WOULD "DEFINITELY RECOMMEND" THE HOSPITAL. APPLY PROCESS IMPROVEMENT METHODOLOGY TO IMPROVE QUALITY/EFFICIENCIES SPECIFIC TO SEPSIS - IMPROVEMENT OF SEPSIS MANAGEMENT IS A KEY INITIATIVE IN METHODIST'S CLINICAL EXCELLENCE PLAN. METHODIST HAS DEVELOPED AND CONTINUES TO REFINE THE SEPSIS EARLY RECOGNITION SCREENING TOOL, WHICH WILL ALLOW CLINICAL STAFF TO BETTER IDENTIFY PATIENTS IN EARLY SEPSIS AND TO PROVIDE RAPID INTERVENTION AND REDUCTION OF PATIENTS DEVELOPING SEVERE SEPSIS AND/OR SEPTIC SHOCK. SEPSIS BUNDLE ELEMENTS ARE NOT INCLUDED IN THE ELECTRONIC TRIAGE SCREENING FOR ED, ICU, IN HOSPITAL NURSING, AND RAPID RESPONSE TEAMS. EVIDENCE BASED ORDER SETS FOR CPOE CONTINUE TO BE REFINED BASED UPON INPUT FROM THE MEDICAL AND NURSING STAFF. STAFF CONTINUE TO USE THE SEPSIS PREVENTION & OPTIMIZATION OF THERAPY (SPOT) MONITORING TOOL TO VIEW ALL PATIENT LABS AND VITALS IN REAL TIME AND TO AID IN THE EARLY DETECTION OF PATIENTS AT RISK FOR SEPSIS. SIMILAR TO 2020, THE YEAR 2021 UNFOLDED IN WAYS MHS COULD NOT PREDICT. AFTER WELCOMING A COVID-19 VACCINE AND QUICKLY STANDING UP ON -SITE VACCINATION CLINICS, THE HOPE WAS THAT WE FOUND AMMUNITION TO BEAT THE PANDEMIC. BUT EVEN WITH THE PROMISE OF SLOWING THE SPREAD, MUCH OF MHS'S FOCUS REMAINED ON MANAGING THE VIRUS. AS A SYSTEM, MHS TESTED 103,018 PEOPLE FOR COVID-19, OF WHICH 12,964 WERE POSITIVE. 10,298 WERE ADMITTED TO ONE MHS'S HOSPITALS AND 1,435 UNFORTUNATELY EXPIRED FROM BATTLING THIS TERRIBLE DISEASE. OF THOSE ADMITTED TO MHS HOSPITALS, 3,788 WERE IN THE ICUS, 1,535 WERE TREATED ON VENTILATORS, AND 111 WERE TREATED ON OUR ECMO MACHINES. METHODIST HOSPITAL IS STILL THE ONLY PRIVATE HOSPITAL IN SOUTH TEXAS THAT OFFERS THE OPTION OF ECMO TREATMENT. TO THIS DAY, MHS'S COVID-19 RESPONSE REMAINS ONGOING, BUT WE ARE PROUD OF THE STEPS WE HAVE TAKEN TO HELP KEEP OUR STAFF, PATIENTS, AND COMMUNITIES SAFE. OUR RESPONSE HAS BEEN POSSIBLE BECAUSE OF THE UNWAVERING COMMITMENT AND TREMENDOUS SACRIFICE OF OUR METHODIST HEALTHCARE STAFF. MAIN ELEMENTS OF MHS'S RESPONSE ARE IMPORTANT TO KNOW: WE ACTED EARLY. OUR PREPARATIONS BEGAN BEFORE THE WORLD HEALTH ORGANIZATION (WHO) DECLEARED A GLOBAL HEALTH EMERGENCY OR THE FIRST CASE WAS IDENTIFIED IN THE U.S. THAT PREPAREDNESS WAS INVALUABLE WHEN METHODIST HOSPITAL \| TEXSAN CARED FOR THE FIRST POSITIVE COVID-19 CASE IN TEXAS. SINCE MHS SAW THAT FIRST CASE IN FEBRUARY OF 2020, OUR FACILITIES HAVE CARED FOR OVER 50,000 COVID-19 PATIENTS. MHS DID NOT LAYOFF OR FURLOUGH ANY EMPLOYEES DUE TO THE PANDEMIC. IN 2021, THE METHODIST HEALTHCARE COVID-19 RESPONSE AND ASSURANCE LINE ASSISTED 4,000 COMMUNITY MEMBERS WITH INFORMATION ABOUT COVID-19 AND THEIR HEALTH. 58% WERE CLINICAL TRIAGES WITH 35% TRIAGED TO THE ER. WE PROTECTED OUR STAFF BOTH PHYSICALLY AND FINANCIALLY. IN 2021, WE DISTRIBUTED ALMOST 78 MILLION PIECES OF PERSONAL PROTECTIVE EQUIPMENT, AN INCREASE OF 71% COMPARED TO 2019 (PRIOR TO THE PANDEMIC). OUR NOVEL PANDEMIC PAY PROGRAM ALLOWED US TO CONTINUE TO PAY OUR STAFF, EVEN WHEN THEIR HOURS WERE AFFECTED BY THE SIGNIFICANT DECREASE IN PATIENTS. WE PROVIDED MULTIPLE RESOURCES TO STAFF WHO WORKED ENDLESS HOURS AND SHIFTS SUCH AS: VIRTUAL MENTAL WELLNESS SEMINARS, COUNSELING, 24/7 ADVICE LINES AND COPING TOOLS AND FREE "DOCTOR ON DEMAND" TELEHEALTH VISITS. COLLABORATED WITH HEARTS NEED ART AND THE SAN ANTONIO SYMPHONY TO PROVIDE "ART AND MUSIC" RESPITES FOR STAFF ACROSS ALL FACILITIES TO HELP ALLEVIATE STRESS AND ANXIETY AMONG OUR STAFF. FACILITATED AN MHS AND MHM BOARD MEMBER GRATITUDE TOUR TO THANK HOSPITAL STAFF FOR THEIR RESILIENCE DURING THE PANDEMIC. OVER 2,000 PRAYER CARDS WERE DISTRIBUTED. MHS CONTINUES TO WORK WITH COMMUNITY PARTNERS TO HELP WITH THE IMPACT OF THE PANDEMIC SUCH AS THE SOUTH TEXAS BLOOD AND TISSUE CENTER (BLOOD DRIVES), AMERICAN CANCER SOCIETY (IMPORTANCE OF CANCER SCREENINGS, EVEN IN TIME OF PANDEMIC), AMERICAN HEART ASSOCIATION (FOOD INSECURITY) AND THE ALAMO COMMUNITY COLLEGE DISTRICT (JOB TRAINING). IN ADDITION TO THE CONTINUING PANDEMIC, 2021 BROUGHT A RECORD WINTER STORM. MHS ENCOUNTERED MULTIPLE CHALLENGES BUT WAS SUCCESSFUL IN MAINTAINING REGULAR OPERATIONS DURING THE WINTER STORM. TO ENSURE THE SAFETY OF OUR STAFF, MHS OFFERED HUNDREDS OF NEARBY HOTEL ROOMS, FREE-OF-CHARGES SO THAT EMPLOYEES DID NOT HAVE TO TRAVEL TO AND FROM THEIR HOMES IN HAZARDOUS CONDITIONS. SEVERAL HUNDRED OTHER EMPLOYEES OPTED TO SHELTER IN PLACE At MHS HOSPITALS TO NOT ONLY AVOID ROADWAYS, BUT TO REMAIN ONSITE TO GUARANTEE THEIR AVAILABILITY FOR THEIR PATIENTS WHEN THEIR SHIFTS BEGAN. ADMINISTRATORS AND OTHER STAFF PERSONALLY TRANSPORTED EMPLOYEES TO AND FROM THEIR HOMES WHEN THEY WERE UNABLE TO DRIVE THEMSELVES. MHS UNDERSTOOD AND APPRECIATED THE RISK ASSOCIATED WITH TRAVELING DURING A STORM OF THIS MAGNITUDE AND OFFERED EXTENDED PAY PRACTICES TO EMPLOYEES THAT WORKED THROUGHOUT THE STORM.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	MHS HAS TAKEN STEPS OVER THE PAST SEVERAL YEARS TO HEIGHTEN COMMUNITY AWARENESS REGARDING MHS'S CHARITABLE MISSION. SIGNS THAT PROMINENTLY PRESENT INFORMATION ABOUT THE CHARITY MISSION AND GUIDELINES ARE PRESENT AT ALL POINTS OF ADMISSION. MHS ALSO PUBLISHES A NOTICE OF ITS FINANCIAL ASSISTANCE POLICY ANNUALLY IN THE SAN ANTONIO EXPRESS-NEWS. A PATIENT BROCHURE, ENTITLED "A GUIDE TO YOUR HOSPITAL BILL", EXPLAINS THE HOSPITAL BILLING PROCESS AND INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY IN THE EVENT THEY NEED FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS ALSO AVAILABLE IN ENGLISH AND SPANISH ON MHS'S WEBSITE WWW.SAHEALTH.COM. ALL SHARED SERVICE CENTER PERSONNEL RECEIVE TRAINING AND AN ANNUAL REFRESHER COURSE ON THE POLICY AND UNDERSTAND THE CRUCIAL ROLE THEY PLAY IN INFORMING PATIENTS ABOUT THE POLICY. FINANCIAL COUNSELORS AND HOSPITAL CASE MANAGEMENT STAFF EDUCATE PATIENTS AND ARE AVAILABLE TO ASSIST THEM WITH THE FINANCIAL POLICY APPLICATION PROCESS. IN ADDITION TO PROVIDING INFORMATION DURING THE ADMITTING PROCESS, MHS CONTINUES TO PROVIDE INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THE COLLECTION PROCESS FOR THOSE PATIENTS WHO HAVE BEEN BILLED BUT HAVE NOT PAID. AS NOTED ABOVE, MHS USES MULTIPLE METHODS TO COMMUNICATE AND PUBLICIZE FINANCIAL ASSISTANCE POLICIES. INFORMATION SYSTEMS PROGRAMMING CHANGES HAVE BEEN IMPLEMENTED. THESE CHANGES WILL ALLOW A MESSAGE ABOUT THE POLICIES TO PRINT ON PATIENT BILLING STATEMENTS.
Schedule H, Part VI, Line 4 Community information	THE SAN ANTONIO METROPOLITAN STATISTICAL AREA (MSA) OF 2.5 MILLION PEOPLE INCLUDES THE SEVENTH LARGEST PERCENTAGE OF HISPANICS IN THE UNITED STATES. 60% OF THE LOCAL POPULATION IS HISPANIC, 28% IS WHITE NON-HISPANIC, 7% IS BLACK, 3% IS ASIAN AND 2% IS OTHER. TEXAS AND SAN ANTONIO CONTINUE TO LEAD THE NATION IN THE NUMBER OF UNINSURED ADULTS AND CHILDREN (TEXAS IS RANKED NO. 1 WITH 17.7% UNINSURED AND THE U.S. IS 8.9%). OVER ELEVEN PERCENT OF CHILDREN IN TEXAS ARE WITHOUT HEALTH INSURANCE COMPARED TO THE U.S. AT 5.5%. IN SAN ANTONIO, ONE OUT OF FOUR ADULTS AND CLOSE TO ONE OUT OF THREE CHILDREN DO NOT HAVE HEALTH INSURANCE. THE MEDIAN HOUSEHOLD INCOME IN SAN ANTONIO IS $53,410, COMPARED TO $63,826 FOR TEXAS AND $79,900 FOR THE NATION. SAN ANTONIO HAS A LARGE POPULATION LIVING IN POVERTY WHEN COMPARED TO OTHER PARTS OF TEXAS. 18.6% OF SAN ANTONIO RESIDENTS LIVE AT OR BELOW THE POVERTY LEVEL, AND BEXAR COUNTY IS AT 16.4%, COMPARED TO 15.5% FOR TEXAS, AND 14.1% FOR THE U.S. SAN ANTONIO'S PERCENT OF HOUSEHOLDS RECEIVING FOOD STAMPS IS 15.6%, WITH TEXAS AT 13.1%, AND THE U.S. AT 13.3%. METHODIST HEALTHCARE SERVES AN ESTIMATED POPULATION OF NEARLY 2.9 MILLION IN BEXAR AND 26 SOUTH AND CENTRAL TEXAS COUNTIES: ATASCOSA, BANDERA, CALDWELL, COMAL, DEWITT, DIMMIT, EDWARDS, FRIO, GILLESPIE, GONZALES, GUADALUPE, KARNES, KENDALL, KERR, KINNEY, LA SALLE, LAVACA, MAVERICK, MCMULLEN, MEDINA, REAL, UVALDE, VAL VERDE, WEBB, WILSON AND ZAVALA. SINCE THIS GEOGRAPHIC AREA IS MAJORITY HISPANIC, MHS SEES THIS REFLECTED IN OUR PATIENT POPULATION.
Schedule H, Part VI, Line 5 Promotion of community health	SEE RESPONSES FOR SCHEDULE H, PART VI, LINE 2.
Schedule H, Part VI, Line 6 Affiliated health care system	ALL SHARED SERVICE CENTER PERSONNEL RECEIVE TRAINING AND AN ANNUAL REFRESHER COURSE ON THE POLICY AND UNDERSTAND THE CRUCIAL ROLE THEY PLAY IN INFORMING PATIENTS ABOUT THE POLICY. FINANCIAL COUNSELORS AND HOSPITAL CASE MANAGEMENT STAFF EDUCATE PATIENTS AND ARE AVAILABLE TO ASSIST THEM WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. IN ADDITION TO PROVIDING INFORMATION DURING THE ADMITTING PROCESS, MHS CONTINUES TO PROVIDE INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THE COLLECTION PROCESS FOR THOSE PATIENTS WHO HAVE BEEN BILLED BUT HAVE NOT PAID. AS NOTED ABOVE, MHS USES MULTIPLE METHODS TO COMMUNICATE AND PUBLICIZE FINANCIAL ASSISTANCE POLICIES. INFORMATION SYSTEMS PROGRAMMING CHANGES HAVE BEEN IMPLEMENTED. THESE CHANGES WILL ALLOW A MESSAGE ABOUT THE POLICIES TO PRINT ON PATIENT BILLING STATEMENTS. LATE IN 2009 METHODIST CONSOLIDATED ALL BED PLACEMENT SERVICES, INCLUDING RURAL ED TRANSFER ASSISTANCE, INTO A SYSTEM-WIDE PATIENT PLACEMENT CENTER. RURAL TRANSFERS THROUGH THE CENTER INCREASED IN 2021 BY 18.9%. THE ACCEPTANCE RATE IN 2021 WAS 95.4% COMPARED TO 82% IN 2020. SELF-PAY PATIENTS ACCOUNTED FOR 12.4% OF ALL TRANSFERS IN 2021 AS COMPARED TO 15.7% IN 2020. PEDIATRIC AND HIGH-RISK MATERNAL TRANSFERS ARE ALSO NOW HANDLED THROUGH THESE CONSOLIDATED PLACEMENT SERVICES. THE ACCEPTANCE RATE FOR THESE TRANSFERS WAS 98.4% IN 2021 (99.4% IN 2020). MHS SELF-PAY AND CHARITY PATIENTS ACCOUNTED FOR 5.4% OF ALL PEDIATRIC (AGES 0-17) AND MATERNAL TRANSFERS AS COMPARED TO 8.3% IN 2020. METHODIST AIRCARE, IN PARTNERSHIP WITH REACH AIR MEDICAL SERVICES, HAS THREE RURAL HELICOPTERS IN THE REGION. SPECIALIZED SERVICES AVAILABLE AT MHS FACILITIES INCLUDE THE FOLLOWING: NEONATOLOGY SERVICES, PEDIATRIC SUBSPECIALTY SERVICES, BONE MARROW TRANSPLANT, KIDNEY TRANSPLANTS, HEART TRANSPLANTS, LIVER TRANSPLANTS, PANCREAS TRANSPLANTS, HYPERBARIC OXYGEN TREATMENT, STROKE CARE, MEDICAL AIR TRANSPORT, GAMMA KNIFE RADIOSURGERY, AND BARIATRIC SURGERY. SEE RESPONSES FOR QUESTION 2 ABOVE REGARDING EXPANSION OF SERVICES IN 2021. THE MAJORITY OF CHARITY CARE PROVIDED BY THE HOSPITALS IS FROM PATIENTS RECEIVING EMERGENCY SERVICES. EMERGENCY DEPARTMENT (ED) VISITS TO METHODIST FACILITIES TOTALED 357,251 IN 2021(277,951 IN 2020), UP ALMOST 29% FROM 2020 (2020 WAS DOWN DUE TO COVID-19). 28.5% OF TOTAL ED VISITS RESULTED IN INPATIENT ADMISSIONS WITH A 12.3% INCREASE IN ED ADMISSIONS OVER 2020. IN ADDITION, 20.3% OF ALL VISITS TO METHODIST EMERGENCY DEPARTMENTS IN 2021 WERE MADE BY CHARITY OR SELF-PAY PATIENTS. METHODIST CONTINUES TO FOCUS ON IMPROVING ACCESS TO CARE FOR THE COMMUNITY BY IMPROVING EMERGENCY DEPARTMENT ACCESS. WHEN COMPARING 2021 TO 2020, METHODIST SAW A 28% INCREASE IN THE PATIENT-ARRIVAL-TO-BED (ATB) METRIC AND A 48% IINCREASE IN ARRIVAL-TO GREET (ATG) METRIC. THE AVERAGE LENGTH OF STAY FOR ALL PATIENTS INCREASED FROM 270.7 MINUTES IN 2020 TO 283.8 MINUTES IN 2021. TEXAS TRANSPLANT INSTITUTE (TTI), AT METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT, A CAMPUS OF METHODIST HOSPITAL, CONTINUES TO PROVIDE INCREASED ACCESS FOR PATIENTS REQUIRING KIDNEY TRANSPLANTS. TTI IS THE HOME OF THE BUSIEST PAIRED EXCHANGE KIDNEY TRANSPLANT PROGRAM IN THE NATION, AND THE NATION'S NO. 1 LIVING DONOR KIDNEY TRANSPLANT PROGRAM. MHS ALSO OPERATES THREE HEALTH BUSES ON THE EAST, SOUTH AND WEST SIDE OF SAN ANTONIO OFFERING COMPLIMENTARY TRANSPORTATION TO VARIOUS HEALTH CARE FACILITIES. THERE WERE 5,556 TRANSPORTS IN 2021, WITH THE SYSTEM STILL SEEING LOWER OVERALL TRANSPORTS AS A RESULT OF COVID-19. METHODIST HOSPITAL \| METROPOLITAN IN CONJUNCTION WITH METHODIST HOSPITAL WOMEN'S SERVICES AND COMMUNICARE, OPERATES THREE FAMILY HEALTH CENTERS THAT PROVIDE COMPLIMENTARY PREGNANCY TESTING (1,679 TESTS IN 2021), PHYSICIAN REFERRALS, COUNSELING, HEALTH EDUCATION AND SCREENING PROGRAMS. MHS ALSO OPERATES CALL-A-NURSE FOR CHILDREN, A TELEPHONE SERVICE OFFERING FREE MEDICAL ADVICE BY TRAINED EMERGENCY CARE PEDIATRIC NURSES TO PARENTS OF SICK/ INJURED CHILDREN. THE SERVICE OPERATES FROM 5:00 P.M. TO 8:00 A.M. MONDAY THROUGH FRIDAY AND AROUND THE CLOCK ON WEEKENDS AND HOLIDAYS (WHEN PHYSICIANS' OFFICES ARE CLOSED). CALL VOLUMES IN 2021 WERE 35,124. IN 2015, THE METHODIST CONTACT CENTER WAS SOLD TO HCA WITH THE AGREEMENT TO CONTINUE OPERATING A COMMUNITY PHONE-IN HEALTH RESOURCE CALLED HEALTHLINE DURING NORMAL BUSINESS HOURS. HEALTHLINE CALLERS SCHEDULE ATTENDANCE TO HEALTH AND WELLNESS EVENTS, PARENTING CLASSES, AND RECEIVE PHYSICIAN REFERRALS THROUGH THE METHODIST DOCTORSOURCE PROGRAM. IN 2021, METHODIST REFERRED PHYSICIANS TO 1,759 FIND A DOCTOR CALLERS (UP TO THREE PHYSICIANS MAY BE REFERRED TO EACH CALLER). IN ONE OTHER COMMUNITY BENEFITS CATEGORY, METHODIST PROVIDED OVER $378,353 IN CHARITABLE CONTRIBUTIONS TO NON- PROFIT HEALTH AND HUMAN SERVICE AGENCIES SERVING THE COMMUNITY. METHODIST HEALTHCARE ONCE AGAIN CONTRIBUTED ANNUAL FUNDING TO STRAC'S CRISIS COLLABORATIVE (STCC) IN THE AMOUNT OF $1,620,450. STCC IS AN EFFORT FOCUSED ON ENDING INEFFECTIVE UTILIZATION OF SERVICES FOR THE SAFETY NET POPULATION AT THE INTERSECTION OF MENTAL ILLNESS, HOMELESSNESS, AND HIGH EMERGENCY DEPARTMENT UTILIZATION IN SOUTHWEST TEXAS. STCC IS COMMITTED TO IMPROVEMENT BY DEVELOPING A COMPREHENSIVE, INTEGRATED CRISIS SYSTEM ACROSS ALL MAJOR PUBLIC PAYORS, HOSPITAL PROVIDERS, PHILANTHROPY, PUBLIC SAFETY AND BEHAVIORAL HEALTH PROVIDERS. MHS COMMITMENT GOES BEYOND ITS FINANCIAL CONTRIBUTION. FOR EXAMPLE, WHEN THE NIX HEALTHCARE SYSTEM SHUT DOWN IT PSYCHIATRIC EMERGENCY SERVICE (PES), MHS ESTABLISHED A SIX-BED PES AS METHODIST HOSPITAL \| SPECIALTY AND TRANSPLANT TO HELP FILL THE VOID. MOREOVER, THE LOCAL MENTAL HEALTH AUTHORITY, CHCS, HAS EMBEDDED STAFF IN THE PES UNITS TO ASSURE CARE COORDINATION FOR THE OUTPATIENT SERVICES THAT CHCS WILL PROVIDE FOR PATIENTS THAT ARE TREATED AND RELEASED. MHS FUNDING HAS ALSO SUPPORTED FIVE OTHER STCC INITIATIVES: LAW ENFORCEMENT NAVIGATION OF PATIENTS TAKEN INTO CUSTODY WHO REQUIRE PSYCHIATRIC EVALUATION AND ARE REQUIRED TO DO SO VIA AN EMERGENCY DETENTION ORDER. IT IS SAFE TO SAY THAT, ABSENT THIS CAPABILITY, THE CLOSURE OF ALL PSYCHIATRIC BEDS AT THE NIX WOULD HAVE PRODUCED SEVERE "BOARDING" PROBLEMS IN THE EMERGENCY ROOMS OF HOSPITALS WITH NO PSYCHIATRIC UNITS. ACUTE CARE STATION AT HAVEN FOR HOPE, WHICH PROVIDES AN ONSITE PARAMEDIC TO SCREEN 911 CALLS, AND HAS RESULTED IN AN ALMOST 50% REDUCTIONS IN TRANSPORTS BY EMS TO THE EMERGENCY ROOMS OF AREA HOSPITALS. PROGRAM FOR INTENSIVE CARE COORDINATION (PICC), WHICH INTERVENES AND FOLLOWS HIGH UTILIZER (USUALLY HOMELESS) PATIENTS THAT HAVE EXPERIENCED MORE THAN SIX EMERGENCY DETENTIONS WITHIN A YEAR. CROSSPOINT, A 35- BED BEHAVIORAL HEALTH DIVERSION PROGRAM. SIGNIFY, A CLOUD-BASED CARE COORDINATION PLATFORM, STILL IN DEVELOPMENT. METHODIST PLAYS A LEADING ROLE IN THE SUPPORT OF THE HEALTH COLLABORATIVE, INCLUDING THE UTILIZATION OF THEIR COMMUNITY HEALTH NEEDS ASSESSMENT TO ASSIST IN THE DETERMINATION OF WHERE MHS SHOULD CONCENTRATE COMMUNITY ACTIVITIES (SEE ADDITIONAL INFORMATION IN line 2, SECTION V). MHS HAS AN OPEN ADMISSIONS POLICY WHICH ALLOWS MEDICAL STAFF TO ADMIT PATIENTS DIRECTLY TO ANY MHS FACILITY REGARDLESS OF THE PATIENT'S ABILITY TO PAY. MHS FUNDS AND PROVIDES TRAINING AND CONTINUING EDUCATION TO PHYSICIANS, NURSES, EMS PROFESSIONALS AND OTHER ALLIED HEALTH PROFESSIONALS. MHS PARTICIPATES IN ALL QUALITY MEASURES (CMS, JCAHO, ETC.). MHS USES THE CMS CORE MEASURES AS THE PRIMARY QUALITY INDICATORS FOR CLINICAL CARE.
Schedule H, Part VI, Line 7 State filing of community benefit report	TX

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (156 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
911 Park Place
911 Park Avenue	Corpus Christi	TX	78401	742996340	501(c)(3)	$67,800	Operational and Winter Storm Support
Alberto Esco Foundation Inc
804 Ringgold Street	Rio Grande City	TX	78582	475658150	501(c)(3)	$52,500	Winter Storm Relief
Alzheimers Association
10223 McCallister Freeway	San Antonio	TX	78216	133039601	501(c)(3)	$25,000	Donation
American Cancer Society
7800 West IH-10	San Antonio	TX	78230	131788491	501(c)(3)	$54,293	Donation
American Heart Association
8415 Wurzbach	San Antonio	TX	78229	135613797	501(c)(3)	$60,000	Donation
Amistad Community Health Center
1533 Brownlee Blvd	Corpus Christi	TX	78404	203008507	501(c)(3)	$567,392	Integrated healthcare program, dental salary supplement, and cancer prevention
The Arc of San Antonio Inc
13430 West Avenue	San Antonio	TX	78216	741200110	501(c)(3)	$65,903	Nursing services and donation
Arthur Nagel Community Clinic
1116 12th Street	Bandera	TX	78003	770697361	501(c)(3)	$128,692	Integrated healthcare program
Ascension DePaul Services
7607 Somerset Road	San Antonio	TX	78211	746106876	501(c)(3)	$590,614	Integrated healthcare program / Prosperemos Juntos
Atascosa Health Center
310 W Oaklawn Rd	Pleasanton	TX	78064	742089103	501(c)(3)	$127,882	Integrated healthcare program
AYA Foundation
8823 Callaghan Rd	San Antonio	TX	78230	832929650	501(c)(3)	$10,000	Donation
Barnett Chapel United Methodist Church
710 Pashal Avenue	Kerrville	TX	78028	844165533	501(c)(3)	$25,000	Winter Storm Relief
Barrio Comprehensive Family Health Care Center Inc
3066 E Commerce Street	San Antonio	TX	78220	741724391	501(c)(3)	$1,942,890	Integrated healthcare and dental program
Behavioral Health Solutions of South Texas
5510 N Cage Blvd	Pharr	TX	78577	742648885	501(c)(3)	$562,798	Integrated healthcare program
Bexar County Health Collaborative
1002 N Flores	San Antonio	TX	78212	742953076	501(c)(3)	$10,000	Operational Support
Boys and Girls Club of Pharr
1026 S Fir Street	Pharr	TX	78577	752258513	501(c)(3)	$120,000	Youth Development Services, Winter Storm Relief and Donation
Caldwell County Christian Foundation
901 Bois DARC	Lockhart	TX	78644	741930729	501(c)(3)	$25,000	Winter Storm Relief
Catholic Charities of the Diocese of Laredo
1919 Cedar Ave	Laredo	TX	78040	742298185	501(c)(3)	$50,000	Winter Storm Relief
Central Texas Food Bank
6500 Metropolis Dr	Austin	TX	78744	742217350	501(c)(3)	$50,000	Winter Storm Relief
Children's Association For Maximum Potential Inc
2525 Ladd Street	Lackland AFB	TX	78236	742095766	501(c)(3)	$91,887	Family retreats and Donation
Children's Bereavement Center of South Texas
205 W Olmos Drive	San Antonio	TX	78212	742828178	501(c)(3)	$233,875	Healing programs for grieving youth
The Children's Shelter
2939 West Woodlawn Avenue	San Antonio	TX	78228	741109660	501(c)(3)	$329,448	Behavioral health and medical services for children
ChildSafe
7130 US Hwy 90	San Antonio	TX	78227	742633697	501(c)(3)	$89,842	Counseling services
Christ's Kitchen
609 E Warren	Victoria	TX	77901	742387543	501(c)(3)	$40,000	Winter Storm Relief
Christian Assistance Ministry
110 McCullough Ave	San Antonio	TX	78215	741947967	501(c)(3)	$25,500	Winter Storm Relief
Clarity Child Guidance Center
8535 Tom Slick Dr	San Antonio	TX	78229	741153067	501(c)(3)	$440,317	Behavioral health services for children, Winter Storm Relief and Donation
Coastal Bend Community Foundation
555 N Carancahua St	Corpus Christi	TX	78401	742190039	501(c)(3)	$100,000	Winter Storm Relief
Coastal Bend Disaster Recovery Group
111 North Odem 4	Sinton	TX	78387	475463138	501(C)(3)	$75,000	Winter Storm Relief
Coastal Bend Food Bank
826 Krill St	Corpus Christi	TX	78408	742234089	501(c)(3)	$250,000	Winter Storm Relief
Coastal Bend Wellness Foundation
2882 Holly Road	Corpus Christi	TX	78415	742429518	501(c)(3)	$284,083	Integrated healthcare program
Coastal Plains Community Center
200 Marriot	Portland	TX	78374	742919178	501(c)(3)	$401,383	Integrated healthcare program
Common Market of Texas Inc
2121 Gulf Central Dr	Houston	TX	77023	822421349	501(c)(3)	$100,000	Winter Storm Relief
Communities in Schools of San Antonio Inc
1616 E Commerce St	San Antonio	TX	78205	742393714	501(c)(3)	$175,376	Mental Health Services for At-Risk Youth and Donation
Community Health Centers of South Central Texas
228 St George Street	Gonzalez	TX	78629	741548089	501(c)(3)	$145,040	Integrated healthcare program
Community Council of South Central Texas Inc
801 N State Highway	Seguin	TX	78155	741541774	501(c)(3)	$100,000	Winter Storm Relief
Community Health Development
908 S Evans	Uvalde	TX	78801	742269739	501(c)(3)	$262,500	Dental Program
Community Hope Projects Inc (DBA Hope Family Health Center)
2332 Jordan Road	McAllen	TX	78503	742742024	501(c)(3)	$370,903	Counseling services
Community Resource Centers of Texas Inc
100 Legend Hills Blvd	Llano	TX	78643	470946288	501(c)(3)	$10,000	Winter Storm Relief
MHMR Services for the Concho Valley
404 S Irving St	San Angelo	TX	76903	751251523	501(c)(3)	$44,508	Operational Support
Concho Valley Regional Food Bank
1313 S Hill St	San Angelo	TX	76903	751897032	501(c)(3)	$100,000	Winter Storm Relief
Corpus Christi Metro Ministries
1919 Leopard Street	Corpus Christi	TX	78408	742247261	501(c)(3)	$149,462	Medical services and Donation
Courage Ranch
3292 Hwy 97 West	Floresville	TX	78114	832819350	501(c)(3)	$34,353	Equine-assisted mental health program
CRRC of Canyon Lake
1917 FM 2673	Canyon Lake	TX	78133	571148206	501(c)(3)	$10,000	Winter Storm Relief
Cuero Area Ministerial Alliance Inc
118 W Main	Cuero	TX	77954	742570715	501(c)(3)	$7,500	Winter Storm Relief
Dreamvoice LLC
1142 E Commerce St	San Antonio	TX	78205	460641552		$10,000	Donation
Ecumenical Center for Religion and Health
8310 Ewing Halsell Dr	San Antonio	TX	78229	741587388	501(c)(3)	$694,235	Medical ethics program, pastoral care, trauma and child therapy program
El Centro del Barrio (DBA CentroMed)
3750 Commercial Ave	San Antonio	TX	78221	741787031	501(c)(3)	$1,660,080	Integrated healthcare program	$1,538,410	FMV	Building Donation
Family Counseling Service
3833 S Staples	Corpus Christi	TX	78411	741321308	501(c)(3)	$131,500	Counseling services for children and families and donation
FII National (DBA UpTogether)
663 13th St	Oakland	TX	94612	020784790	501(c)(3)	$380,000	Financial empowerment program
Family Service Association of San Antonio Inc
702 San Pedro	San Antonio	TX	78212	741117341	501(c)(3)	$657,158	Child abuse prevention, mental health services, and Winter Storm Relief
Family Violence Prevention Services Inc
7911 Broadway	San Antonio	TX	78209	741994151	501(c)(3)	$75,793	Counseling services
First United Methodist Church Alice
111 N Adams	Alice	TX	78332	741367556	501(c)(3)	$10,000	Winter Storm Relief
First United Methodist Church Bastrop
1201 Main Street	Bastrop	TX	78602	746221803	501(c)(3)	$50,000	Winter Storm Relief
First United Methodist Church Brady
401 S Blackburn Street	Brady	TX	76825	741287299	501(c)(3)	$18,000	Winter Storm Relief
First United Methodist Church Eagle Pass
571Quarry Street	Eagle Pass	TX	78852	742584271	501(c)(3)	$20,000	Donation
First United Methodist Church Edinburg
3707 W University Drive	Edinburg	TX	78541	741309388	501(c)(3)	$10,000	Winter Storm Relief
First United Methodist Church Elgin
216 West 3rd Street	Elgin	TX	78621	741595512	501(c)(3)	$10,000	Winter Storm Relief
First United Methodist Church La Feria
318 Southeast Street	La Feria	TX	78559	742415587	501(c)(3)	$16,000	Winter Storm Relief
First United Methodist Church Raymondville
192 South 3rd Street	Raymondville	TX	78580	741272386	501(c)(3)	$7,000	Winter Storm Relief
First United Methodist Church Victoria
407 North Bridge Street	Victoria	TX	77901	741222281	501(c)(3)	$50,000	Winter Storm Relief
Food Bank of the Golden Crescent
3809 E Rio Grande St	Victoria	TX	77901	742534561	501(c)(3)	$100,000	Winter Storm Relief
Food Bank of the Rio Grande Valley
724 N Cage Blvd	Pharr	TX	78577	742421560	501(c)(3)	$160,000	Winter Storm Relief
Frontera Healthcare Network
604 Eaker Street	Eden	TX	76837	752854259	501(c)(3)	$152,150	Dental services and dental provider recruitment
Galilee Community Development Corp
39 Buick St	San Angelo	TX	76901	752865891	501(c)(3)	$20,000	Winter Storm Relief
Gateway Community Health Center Inc
1515 Pappas St	Laredo	TX	78041	742553409	501(c)(3)	$1,366,019	Integrated healthcare program, dental program and dentist/psychiatrist salary supplement
Grape Creek United Methodist Church
8045 US Highway 87 North	San Angelo	TX	76901	752644099	501(c)(3)	$12,500	Winter Storm Relief
Gruene United Methodist Church
2629 E Common St	New Braunfels	TX	78130	261531206	501(c)(3)	$10,000	Winter Storm Relief
The Good Samaritan Center
140 Industrial Loop	Fredericksburg	TX	78624	912129853	501(c)(3)	$60,000	Community health worker program
Greater Houston Community
515 Post Oak Blvd	Houston	TX	77027	237160400	501(c)(3)	$250,000	Texas Equitable vaccine uptake
Gulf Bend Mental Health Mental Retardation Center
6502 Nursery Drive	Victoria	TX	77904	741659064	501(c)(3)	$270,407	Integrated healthcare program
Haven for Hope
1 Haven for Hope Way	San Antonio	TX	78207	208075412	501(c)(3)	$100,000	Winter Storm Relief
Healthcare Access San Antonio
5535 Fredericksburg	San Antonio	TX	78229	203752122	501(c)(3)	$254,302	Operational support
Healy-Murphy Center
618 Live Oak	San Antonio	TX	78202	741667875	501(c)(3)	$64,118	Behavioral health services
Highland Lake Crisis Network
1000 Ridge Point Dr	Marble Falls	TX	78654	832515465	501(c)(3)	$11,500	Winter Storm Relief
Hill Country Community Needs Council
1904 N Llano	Fredericksburg	TX	78624	742276776	501(c)(3)	$20,000	Winter Storm Relief
Hill Country Christian Counseling Center Inc
1127 East Main Street	Kerville	TX	78028	742897680	501(c)(3)	$120,000	Integrated behavioral health program
Hill Country Daily Bread Ministries
234 West Bandera Road	Boerne	TX	78006	300148195	501(c)(3)	$87,774	Family mentoring program
Hill Country Family Services
114 West Advogt	Boerne	TX	78006	742425029	501(c)(3)	$58,000	Diabetes prevention program and Winter Storm Relief
Hill Country Mission Health
122 Commerce Avenue	Boerne	TX	78006	481262832	501(c)(3)	$101,000	Primary care and behavioral health services
Home of Living Faith
1523 John F Kennedy	Crystal City	TX	78839	843312047	501(c)(3)	$165,000	Winter Storm Relief
Holding Institute Inc
1102 Santa Maria Avenue	Laredo	TX	78040	740687050	501(c)(3)	$25,000	Winter Storm Relief
Horses Helping the Handicapped Inc
791 Backhaus Road	Pipe Creek	TX	78063	742746369	501(c)(3)	$204,351	Equine-assisted mental health program and Donation
House of Neighborly Services
407 North Calaveras	San Antonio	TX	78207	741153442	501(c)(3)	$26,560	Winter Storm Relief
I Care San Antonio
1 Haven for Hope Way	San Antonio	TX	78207	742690192	501(c)(3)	$125,000	Vision care for the Homeless
Infant & Family Nutrition Agency
1225 Boca Chica Boulevard	Brownsville	TX	78520	743005860	501(c)(3)	$20,000	Operational support
It's Time Texas
13492 Research Blvd	Austin	TX	78750	432051509	501(c)(3)	$194,340	Diabetes Prevention program
In The Streets Hands Up High Ministry
987 North Highway 95	Bastrop	TX	78602	272515162	501(c)(3)	$13,000	Winter Storm Relief
Jewish Family Service of San Antonio Inc
12500 NW Military Hwy	San Antonio	TX	78231	741759254	501(c)(3)	$241,669	Behavioral health services
Kerr County Vincentian Organization
1145 Broadway	Kerville	TX	78028	742966483	501(c)(3)	$25,000	Winter Storm Relief
Lower Rio Grande Valley Community Health Management Corporation Inc
901 E Vermont Ave	McAllen	TX	78503	742784427	501(c)(3)	$461,531	Integrated behavioral health program
La Union del Pueblo Entero
1601 US 83 Business	San Juan	TX	78589	931029197	501(c)(3)	$277,339	Healthcare services, patient education for colonia residents and Winter Storm Relief
Laurel Heights United Methodist Church
227 W Woodlawn Avenue	San Antonio	TX	78212	741272395	501(c)(3)	$10,000	Donation
Life Choices Medical Clinic
3234 Northwestern Drive	San Antonio	TX	78238	742809910	501(c)(3)	$105,000	Women's healthcare
Light on the Hill at Mount Wesley
610 Methodist Encampment Road	Kerville	TX	78028	833263624	501(c)(3)	$100,000	Winter Storm Relief
Magdelena House
6257 Babcock Road	San Antonio	TX	78240	800251526	501(c)(3)	$53,500	Family wellness program
Matagorda Episcopal Health Outreach Program
101 Ave F North	Bay City	TX	77414	200537948	501(c)(3)	$179,318	Integrated healthcare program
Meals on Wheels San Antonio
4306 NW Loop 410	San Antonio	TX	78229	741948646	501(c)(3)	$50,000	Winter Storm Relief
Mercy Ministries of Laredo
2500 Zacatecas Street	Laredo	TX	78046	200198462	501(c)(3)	$595,387	Integrated healthcare program and Donation
Morgan's Wonderland Inclusion Foundation
1202 WBitters	San Antonio	TX	78216	845124052	501(c)(3)	$10,000	Donation
National Center for Behavioral Health Solutions
6800 Park Ten Blvd	San Antonio	TX	78213	471857847	501(c)(3)	$397,670	Behavioral health services
New Braunfels Christian Ministries
169 S Hickory Ave	New Braunfels	TX	78130	262221231	501(c)(3)	$209,000	Medical and dental services
New Braunfels Housing Partners
801 W San Antonio St	New Braunfels	TX	78130	461955404	501(c)(3)	$150,000	Winter Storm Relief
Nuestra Clinica del Valle
801 W 1st Street	San Juan	TX	78577	741721807	501(c)(3)	$134,047	Dental salary supplement and integrated behavioral health program
People's Community Clinic
1101 Camino La Costa	Austin	TX	78752	237087608	501(c)(3)	$139,392	Integrated behavioral health program
Pillar
1403 North Seymour Avenue	Laredo	TX	78040	273656127	501(c)(3)	$47,802	Counseling services
Planned Living Assistance Network of Central Texas
4110 Guadalupe	Austin	TX	78751	742861614	501(c)(3)	$38,599	Behavioral health services
Planned Parenthood of San Antonio
2140 Babcock Road	San Antonio	TX	78229	741297211	501(c)(3)	$448,750	Health care services
Housing and Community Services Inc Prospera Housing Community Services
3419 Nacogdoches Road	San Antonio	TX	78217	742685268	501(c)(3)	$40,000	Winter Storm Relief
The Prosthetic Foundation
5047 Sherri Ann	San Antonio	TX	78233	010949598	501(c)(3)	$150,000	Operational support
Project Transformation
1902 Vance Jackson Road	San Antonio	TX	78123	842069964	501(c)(3)	$110,219	Children's literacy program and donation
Proyecto Azteca Inc
1600 East Business 83	San Juan	TX	78589	742609516	501(c)(3)	$15,420	Winter Storm Relief
Proyecto Desarrollo Humano Inc
17617 Sabal Palm Drive	Penitas	TX	78576	205709276	501(c)(3)	$30,704	Wellness program
Proyecto Juan Diego Inc
2216 Eduardo Avenue	Brownsville	TX	78526	810606967	501(c)(3)	$78,674	Diabetes program
Raphael Community Free Clinic Inc
1807 Water Street	Kerrville	TX	78028	742819628	501(c)(3)	$215,029	Integrated behavioral health services
Residential Energy Assistance Partnership Inc
500 McCullough Ave	San Antonio	TX	78215	460493200	501(c)(3)	$100,000	Winter Storm Relief
Respite Care of San Antonio
605 Belknap Place	San Antonio	TX	78212	742467770	501(c)(3)	$202,500	Medical services and Donation
RGV HIE
1816 E Harrison Street	Harlingen	TX	78550	364697880	501(c)(3)	$275,614	Operational support
RISE Recovery
10226 Ironside Dr	San Antonio	TX	78230	742216041	501(c)(3)	$75,000	Telehealth Support
Rio Texas Conference of the United Methodist Church
16400 Huebner Road	San Antonio	TX	78248	741326672	501(c)(3)	$654,447	Clergy Excellence & Wellness, Anti-Racism and Winter Support
Roy Maas Youth Alternatives Inc
3103 West Avenue	San Antonio	TX	78213	741914638	501(c)(3)	$108,670	Emergency shelter psychiatric services and donation
Salvation Army - Territorial Headquarters
7677 FM 1344	Floresville	TX	78114	580660607	501(c)(3)	$10,000	Winter Storm Relief
San Angelo Area Foundation
221 S Irving St	San Angelo	TX	76903	731634145	501(c)(3)	$100,000	Winter Storm Relief
San Antonio Christian Dental Clinic
1 Haven for Hope Way	San Antonio	TX	78207	742428161	501(c)(3)	$428,013	Dental services for homeless population and donation
San Antonio Clubhouse Inc
6851 Citizens Parkway	San Antonio	TX	78229	820559940	501(c)(3)	$206,000	Operational Support and donation
San Antonio Food Bank
5200 Enrique Barrera Parkway	San Antonio	TX	78227	742122979	501(c)(3)	$830,207	Social services outreach, mobile food pantry, and Winter Storm Relief
San Antonio Lifetime Recovery
10290 Southton Road	San Antonio	TX	78223	741540097	501(c)(3)	$75,000	Counseling services
San Antonio Metropolitan Ministry
1919 NW Loop 410	San Antonio	TX	78213	742285793	501(c)(3)	$130,000	Integrated health and wellness program and Winter Storm Relief
San Antonio Museum of Art
200 West Jones Avenue	San Antonio	TX	78215	742689943	501(c)(3)	$10,000	Donation
Schertz United Methodist Church
3460 Roy Richard Drive	Schertz	TX	78154	741472945	501(c)(3)	$100,000	Donation
SLEW Inc (Support Lending for Emotional Well-Being)
12521 Nacogdoches Road	San Antonio	TX	78217	421580967	501(c)(3)	$59,761	Mental health services for women with cancer
Smithville
300 Lynch Street	Smithville	TX	78957	204515999	501(c)(3)	$115,210	Medical services
South Texas Food Bank
2121 Jefferson	Laredo	TX	78041	742574983	501(c)(3)	$250,000	Winter Storm Relief
South Texas Rural Health Service
611 Thornton	Cotulla	TX	78014	741905196	501(c)(3)	$483,195	Dental salary supplement and integrated behavioral health program
Southwest Texas Regional Advisory Council
7500 US Hwy 90 West	San Antonio	TX	78227	742896432	501(c)(3)	$4,573,862	Women's and Men's transitional housing, acute care station and psychiatric bed capacity
Su Clinica Familiar
1706 Treasure Hills Blvd	Harlingen	TX	78550	742357970	501(c)(3)	$129,600	Integrated healthcare program
Sustainable Food Center Inc
2921 E 17TH St	Austin	TX	78702	742441468	501(c)(3)	$50,000	Winter Storm Relief
Teamability Inc
1711 N Trinity	San Antonio	TX	78201	300208271	501(c)(3)	$12,500	Donation
Tejas Health Care
753 East Travis Street	La Grange	TX	78945	753260266	501(c)(3)	$322,708	Integrated healthcare program
Texas A&M Health Science Center
209 North Water Street	Corpus Christi	TX	78401	742907553	Govt	$294,231	Diabetes prevention programs
Texas A&M International University
5201 University Boulevard	Laredo	TX	78041	741761398	Govt	$130,551	Nursing program
Texas A&M San Antonio Foundation
One University Way	San Antonio	TX	78224	260895198	501(c)(3)	$150,000	Digital Inclusion Program and Evaluation
Texas Association of Community Health Centers
5900 Southwest Parkway	Austin	TX	78735	742308695	501(c)(3)	$240,000	Telehealth Assessments
Texas Diaper Bank
5415 Bandera Road	San Antonio	TX	78238	742886380	501(c)(3)	$250,000	Assistance for low income families
Texas Kidney Foundation
45 Northeast Loop 410	Suite	TX	78216	274237653	501(c)(3)	$23,159	Diabetes screening program
ThriveWell Cancer Foundation
4383 Medical Drive	San Antonio	TX	78229	260371270	501(c)(3)	$55,000	Cancer patient transportation program and Donation
Timons Ministries
10501 South Padre Island Drive	Corpus Christi	TX	78418	311638327	501(c)(3)	$89,800	Medical and dental program
Un Nuevo Amanecer
9729 State Highway 16 South	Pipe Creek	TX	78063	611610450	501(c)(3)	$8,000	Winter Storm Relief
United Medical Centers
2525 North Veterans Blvd	Eagle Pass	TX	78852	741993570	501(c)(3)	$385,002	Integrated healthcare program, provider recruitment program
United Way of San Antonio
700 South Alamo Street	San Antonio	TX	78205	741272381	501(c)(3)	$7,500	Donation
University of Texas Rio Grande Valley
1201 West University Drive	Edinburg	TX	78539	465292740	GOVT	$351,256	Collaborative medical care programs
University of Texas Health Science Center at Houston
7000 Fannin Street UCT 1006	Houston	TX	77030	741761309	GOVT	$294,439	Diabetes prevention program and collective impact initiative
University of Texas Health Science Center San Antonio
7703 Floyd Curl Drive	San Antonio	TX	78229	741586031	Govt	$730,324	Medical and dental services, medical student training
Vida Y Salud Health Systems Inc
308 Cesar Chavez Avenue	Crystal City	TX	78839	741715419	501(c)(3)	$155,979	Dental salary supplement, integrated behavioral health program
Wesley Community Center
4015 MacArthur	Corpus Christi	TX	78416	741185657	501(c)(3)	$170,000	Homeless children's program
West Texas Counseling & Guidance Inc
242 North Magdalen	San Angelo	TX	76903	751561599	501(c)(3)	$594,691	Counseling services and Donation
Women Involved in Nurturing Giving Sharing Inc
7500 US Hwy 90 W	San Antonio	TX	78227	742920912	501(c)(3)	$259,001	Breast cancer treatment support

Field	Value	IRS element (for citing)
Total501c3 Org	155	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
ELECTRICITY ASSISTANCE	96	$31,890
WATER ASSISTANCE	28	$7,012
RENT/MORTGAGE ASSISTANCE	19	$10,751
HEALTHCARE PROGRAM ASSISTANCE	1	$150

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	THE GRANTEE IS GIVEN A DISBURSEMENT REQUEST FORM AT THE BEGINNING OF THE FISCAL YEAR TO USE IN REQUESTING FUNDS. WHEN A REQUEST IS SUBMITTED FOR PAYMENT (MONTHLY, QUARTERLY OR ANNUALLY) THE ACCOUNTANT REVIEWS AND VERIFIES EXPENSES BASED ON ACTUAL INVOICES AND/OR THE ORGANIZATION'S GENERAL LEDGER. THE ORGANIZATION'S EXPENSES ARE VERIFIED TO THE APPROVED BUDGET SUBMITTED WITH THE GRANT APPLICATION. THE PAYMENT INFORMATION IS THEN ENTERED INTO THE GRANT TRACKING SOFTWARE (GIFTS). THE PROGRAM OFFICER REVIEWS REPORTED GOALS AND OUTCOMES FOR GRANT COMPLIANCE. AFTER THE EXPENSES HAVE BEEN VERIFIED AND DOCUMENTED, IT IS SUBMITTED TO THE GRANTS ACCOUNTING MANAGER AND VP OF ACCOUNTING & CONTROLLER FOR REVIEW AND APPROVAL. IF THE PAYMENT REQUEST IS GREATER THAN OR EQUAL TO $10,000, THE REQUEST REQUIRES CFO APPROVAL. THE PAYMENT REQUEST IS THEN FORWARDED TO THE ACCOUNTS PAYABLE DEPARTMENT FOR PAYMENT. A CHECK IS PROCESSED AND MAILED TO THE GRANTEE OR PAID VIA ACH. IN ADDITION TO THESE PROCEDURES, THE ACCOUNTANTS PERFORM SITE VISITS OR DESK AUDITS TO REVIEW PATIENT FILES OR EXPENSE BACKUP TO ENSURE THAT FUNDS ARE BEING USED APPROPRIATELY. EACH GRANTEE IS AUDITED EVERY YEAR OR EVERY OTHER YEAR BASED ON THE TYPE OF GRANT TO ENSURE COMPLIANCE WITH GRANT REQUIREMENTS. IN JUNE 2018, THE FASB ISSUED ASU NO. 2018-08, NOT-FOR PROFIT ENTITIES (TOPIC 958): CLARIFYING THE SCOPE AND THE ACCOUNTING GUIDANCE FOR CONTRIBUTIONS RECEIVED AND CONTRIBUTIONS MADE. THE ASU CLARIFIES AND IMPROVES THE SCOPE AND THE ACCOUNTING GUIDANCE FOR CONTRIBUTIONS RECEIVED AND CONTRIBUTIONS MADE. THE AMENDMENTS IN THE UPDATE SHOULD ASSIST ENTITIES IN (1) EVALUATING WHETHER TRANSACTIONS SHOULD BE ACCOUNTED FOR AS CONTRIBUTIONS (NONRECIPROCAL TRANSACTIONS) WITHIN THE SCOPE OF ASC TOPIC 958, NOT FOR-PROFIT ENTITIES, OR AS EXCHANGE (RECIPROCAL) TRANSACTIONS SUBJECT TO OTHER GUIDANCE AND (2) DETERMINING WHETHER A CONTRIBUTION IS CONDITIONAL. ASU NO. 2018-08 SHOULD BE APPLIED ON A MODIFIED-PROSPECTIVE BASIS. RETROSPECTIVE APPLICATIONS ARE PERMITTED. MHM ADOPTED THE MODIFIED-PROSPECTIVE BASIS BEGINNING JANUARY 1, 2019.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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	false	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	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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
JAIME WESOLOWSKI
CEO & PRESIDENT	$544,577	$0	$0	$0	$0	$0	$41,402	$0	$30,001	$0	$615,980	$0	$0	$0
XOCHY HURTADO
CHIEF OPERATING OFFICER	$312,399	$0	$0	$0	$0	$0	$28,930	$0	$19,500	$0	$360,829	$0	$0	$0
ANTHONY LOBASSO
CHIEF FINANCIAL OFFICER	$319,578	$0	$0	$0	$0	$0	$19,133	$0	$19,597	$0	$358,308	$0	$0	$0
OANH MARONEY-OMITADE
VP OF ORG. EXCELLENCE	$205,820	$0	$0	$0	$0	$0	$39,172	$0	$19,500	$0	$264,492	$0	$0	$0
DEANNA BOKINSKY
VP OF STRATEGIC PLNG & GROWTH	$229,187	$0	$0	$0	$0	$0	$13,805	$0	$8,998	$0	$251,990	$0	$0	$0
JENNIFER KNOULTON
VP OF COMMUNITY HEALTH & WELLNESS	$190,330	$0	$0	$0	$0	$0	$25,389	$0	$17,867	$0	$233,586	$0	$0	$0
CYNTHIA MCCLOY
VP OF ACCOUNTING & CONTROLLER	$200,125	$0	$0	$0	$0	$0	$13,607	$0	$16,725	$0	$230,457	$0	$0	$0
LETICIA ORTIZ-JOHNSON
VP OF CLINICAL OPERATIONS	$173,641	$0	$0	$0	$0	$0	$22,551	$0	$11,146	$0	$207,338	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, Part I, Line 4a Severance or change-of-control payment	FormAndLineReferenceDesc
Explanation	DeAnna Bokinsky, VP of Strategic Planning & Growth, termed on 6/4/21. DeAnna Bokinsky received a severance payment of $100,931 and a health insurance severance payment of $3,976.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 10,620,850 including grants of $ 0)(Revenue $ 0) THE WESLEY NURSE PROGRAM SPANS 80 SITES THROUGHOUT SOUTH TEXAS AND IS MHM'S LARGEST GEOGRAPHIC OUTREACH PROGRAM. A KEY COMPONENT WESLEY NURSES UNDERTAKE IN THEIR COMMUNITIES IS PROVIDING HEALTH EDUCATION, HEALTH PROMOTION, AND FACILITATION OF RESOURCES. WHILE THE WESLEY NURSE PROGRAM IS A COMPONENT OF MHM'S ECUMENICAL OUTREACH, AND LOCATED WITHIN CHURCHES, IT DOES NOT TEACH A PARTICULAR SET OF DENOMINATIONAL BELIEFS. ALL WESLEY NURSE PROGRAMS ARE FREE AND ALL MEMBERS OF THE COMMUNITY ARE WELCOME. PROGRAMS ARE OFFERED TO GROUPS OR ON AN INDIVIDUAL BASIS.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	JOE JOHNSTON (10% OWNERSHIP) AND PENDLETON WICKERSHAM (51% OWNERSHIP) - Business relationship
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FINANCE COMMITTEE REVIEWS A DRAFT OF THE FORM 990 TAX RETURN AND MAKES RECOMMENDATION TO THE FULL BOARD. AFTER THIS REVIEW, THE TAX RETURN IS FORWARDED TO THE FULL BOARD FOR REVIEW AND ACCEPTANCE PRIOR TO FILING.
Form 990, Part VI, Line 12c Conflict of interest policy	MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY ARTICLE 7 OF THE BOARD'S BYLAWS REQUIRE A CONFLICTS OF INTEREST POLICY. THE BOARD ADOPTED A POLICY ON DECEMBER 10, 1997, ARTICLE VI OF WHICH REQUIRES ANNUAL STATEMENTS. THE POLICY IS ENFORCED AND THE RESULTS ARE REPORTED ANNUALLY TO THE GOVERNANCE COMMITTEE AND TO THE FULL BOARD OF DIRECTORS.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	PRESIDENT & CEO - WERLING AND ASSOCIATES WAS RETAINED TO CONDUCT A TOTAL COMPENSATION STUDY IN 2020. THE COMPLETE STUDY WAS RECEIVED BY THE PERSONNEL COMMITTEE OF THE MHM BOARD.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	OFFICERS AND KEY EMPLOYEES - WERLING AND ASSOCIATES WAS RETAINED TO CONDUCT A TOTAL COMPENSATION STUDY IN 2020. THE COMPLETE STUDY WAS RECEIVED BY THE PERSONNEL COMMITTEE OF THE MHM BOARD.
Form 990, Part VI, Line 19 Required documents available to the public	DOCUMENTS ARE CURRENTLY PROVIDED UPON REQUEST. THE FINANCIAL STATEMENTS AND TAX RETURNS ARE ALSO AVAILABLE THROUGHOUT METHODIST HEALTHCARE MINISTRIES' WEBSITE AT: MHM.ORG>LIBRARY>FINANCIAL STATEMENTS AND TAX RETURNS.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	PARTNERSHIP EARNINGS OF THE BOOKS - 224001591; TAX PARTNERSHIP OF FORM 1065 - -XXX-XX-XXXX; WPCC REVENUE - 101034; WPCC EXPENSES - -5272263; OTHER - -98364;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 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
RIO TEXAS CONFERENCE OF THE UMC
16400 HUEBNER ROAD	SAN ANTONIO	TX	78248	741326672	CHURCH	TX	501(c)(3)	1	NA	false
WESLEY PRIMARY CARE CLINIC
4507 MEDICAL DRIVE	SAN ANTONIO	TX	78229	742784284	MEDICAL SERVICES	TX	501(c)(3)	Type I	MHM	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8109 FREDERICKSBURG ROAD	AddressLine1Txt
City	SAN ANTONIO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78229	ZIPCd

Field	Value	IRS element (for citing)
EIN	742730328	EIN
Primary Activities	HOSPITAL SYSTEM	PrimaryActivitiesTxt
Legal Domicile State	TX	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	Related	PredominantIncomeTypeTxt
Share Of Total Income	$272,907,513	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,325,291,316	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.5	OwnershipPct

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	false	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	false	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	false	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	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	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 (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
WESLEY PRIMARY CARE CLINIC
R	$5,251,251	CASH
RIO TEXAS CONFERENCE OF THE UMC
B	$654,447	CASH
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO
S	$177,000,000	CASH
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO
J	$89,301	CASH
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO
Q	$82,432	CASH