METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS INC (EIN 74-1287016)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-03
IRS object ID: 202103079349303465
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-03T21:18:20-05:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	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	BusinessNameLine1Txt
Business Name Line2	OF SOUTH TEXAS INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
In Care Of	% TONY LOBASSO CFO	InCareOfNm
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	Tony LoBasso	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	2106920234	PhoneNum
Signature	2021-11-02	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

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

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

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

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Jamie Wesolowski	PrincipalOfficerNm

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	$441,493,937	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	30	VotingMembersGoverningBodyCnt
Voting Members Independent	30	VotingMembersIndependentCnt
Total Employee	479	TotalEmployeeCnt
Total Volunteers	6	TotalVolunteersCnt
Total Gross UBI	-$419,481	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$561,135	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,445,043	PYContributionsGrantsAmt
CY Contributions Grants	$34,726	CYContributionsGrantsAmt
PY Program Service Revenue	$152,940,662	PYProgramServiceRevenueAmt
CY Program Service Revenue	$186,034,367	CYProgramServiceRevenueAmt
PY Investment Income	$47,739,793	PYInvestmentIncomeAmt
CY Investment Income	$41,411,756	CYInvestmentIncomeAmt
PY Other Revenue	$2,856,600	PYOtherRevenueAmt
CY Other Revenue	$2,073,651	CYOtherRevenueAmt
PY Total Revenue	$207,982,098	PYTotalRevenueAmt
CY Total Revenue	$229,554,500	CYTotalRevenueAmt
PY Grants And Similar Paid	$10,916,310	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$34,484,835	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$37,436,177	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$38,012,773	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$30,224,889	PYOtherExpensesAmt
CY Other Expenses	$25,059,398	CYOtherExpensesAmt
PY Total Expenses	$78,577,376	PYTotalExpensesAmt
CY Total Expenses	$97,557,006	CYTotalExpensesAmt
PY Revenues Less Expenses	$129,404,722	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$131,997,494	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,281,813,200	TotalAssetsBOYAmt
Total Assets EOY	$1,428,553,371	TotalAssetsEOYAmt
Total Liabilities BOY	$13,362,158	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$12,816,899	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,268,451,042	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,415,736,472	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	$34,221,860	ExpenseAmt
Grant	$34,221,860	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	$20,883,880	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$32,846	RevenueAmt
Desc	MHM OWNS AND OPERATES TWO PRIMARY CARE CLINICS AT TWO LOCATIONS - WESLEY HEALTH & WELLNESS CENTER AND THE BISHOP ERNEST T. DIXON, JR. CLINIC - 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, 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	$11,176,798	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	$19,401,575	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$186,001,521	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$85,684,113	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	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	228	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	479	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	30	GoverningBodyVotingMembersCnt
Independent Voting Member	30	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

Field	Value	IRS element (for citing)
Person	TONY LOBASSO CFO	PersonNm
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 (48 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Jaime Wesolowski
CEO & President	39.0	1.0	Yes (X)	$526,830	$0	$67,174
Xochy Hurtado
Chief Operating Officer	39.0	1.0	Yes (X)	$303,587	$0	$47,181
Anthony LoBasso
Chief Financial Officer	39.0	1.0	Yes (X)	$308,359	$0	$38,378
Oanh Maroney-Omitade
VP of Org. Excellence	40.0	0.0		$192,173	$0	$57,403	Yes (X)
Jennifer Knoulton
VP of Regional Operations	40.0	0.0		$182,698	$0	$44,446	Yes (X)
DeAnna Bokinsky
VP of Strategic PLNG & Growth	40.0	0.0		$190,986	$0	$31,850	Yes (X)
Cynthia McCloy
VP of Accounting & Controller	40.0	0.0		$191,537	$0	$30,334	Yes (X)
Bridget Lamme-Kerr
Director of Human Resources	40.0	0.0		$171,057	$0	$24,906	Yes (X)
Alice H Gannon beg 62720
Immediate Past Chair	4.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
Michael J Lane MD
Chair (beg 6/27/20)	6.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
George N Ricks
IMMED Past Chair(TERM 6/26/20)	4.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
Michael F Porter Jr
Vice Chair of Mission	4.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
Lavonne Garrison
Chair Elect (beg 6/27/20)	6.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
Douglas W Becker
VC of Operations (beg 6/27/20)	4.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
Mindi Alterman
Secretary (beg 6/27/20)	4.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
Thomas Sander
Treasurer (beg 6/27/20)	4.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
Sam O'Krent beg 62720
Chair of Governance	4.0	0.0		$0	$0	$0		Yes (X)
Marc Raney
Director (Non-Voting)	2.0	0.0		$0	$0	$0		Yes (X)
R Dan Johnson
Dir.(Non-Voting)(TERM 6/26/20)	2.0	0.0		$0	$0	$0		Yes (X)
Rev James Amerson
Director (beg 6/27/20)	2.0	0.0		$0	$0	$0		Yes (X)
Karen Angelini
Director	2.0	0.0		$0	$0	$0		Yes (X)
Bonnie K Berry
Director	2.0	0.0		$0	$0	$0		Yes (X)
Raymond Chacon
Director	2.0	0.0		$0	$0	$0		Yes (X)
Sam Dawson
Director (beg 6/27/20)	2.0	0.0		$0	$0	$0		Yes (X)
Susan Hellums
Director	2.0	0.0		$0	$0	$0		Yes (X)
Susan W Holmes
Director (TERM 6/26/20)	2.0	0.0		$0	$0	$0		Yes (X)
John Hornbeak
Director	2.0	0.0		$0	$0	$0		Yes (X)
Joe E Johnston
Director	2.0	0.0		$0	$0	$0		Yes (X)
Margaret A Kelley MD
Director (TERM 6/26/20)	2.0	0.0		$0	$0	$0		Yes (X)
Alan Kramer
Director	2.0	0.0		$0	$0	$0		Yes (X)
Ashley Landers
Director	2.0	0.0		$0	$0	$0		Yes (X)
Barbara Lyons
Director	2.0	0.0		$0	$0	$0		Yes (X)
Nancy F May
Director (TERM 6/26/20)	2.0	0.0		$0	$0	$0		Yes (X)
Lott McIlhenny
Director	2.0	0.0		$0	$0	$0		Yes (X)
Kerwin Overby
Director	2.0	0.0		$0	$0	$0		Yes (X)
Jim Rice
Director	2.0	0.0		$0	$0	$0		Yes (X)
Dr John Stoll
Director (beg 6/27/20)	2.0	0.0		$0	$0	$0		Yes (X)
Rev Virgilio Vazquez-Garza
Director	2.0	0.0		$0	$0	$0		Yes (X)
Pendleton Wickersham
Director	2.0	0.0		$0	$0	$0		Yes (X)
Bishop Robert Schanse
Director	2.0	0.0		$0	$0	$0		Yes (X)
Rev Cynthia Engstrom
Director	2.0	0.0		$0	$0	$0		Yes (X)
Rev Greg Hackett
Director	2.0	0.0		$0	$0	$0		Yes (X)
Rev Javier Leyva
Director	2.0	0.0		$0	$0	$0		Yes (X)
Rev Laura Merrill
Director	2.0	0.0		$0	$0	$0		Yes (X)
Scott D Bryan
Director (Non-Voting)	2.0	0.0		$0	$0	$0		Yes (X)
James A Garcia
Dir.(Non-Voting)(TERM 6/26/20)	2.0	0.0		$0	$0	$0		Yes (X)
Dudley Harral
Director (Non-Voting)	2.0	0.0		$0	$0	$0		Yes (X)
Claudia Hura MD
Director (Non-Voting)	2.0	0.0		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,067,227	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$341,672	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	41	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	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 STE 204	CHATHAM	NJ	07928	INVESTMENT MANAGER	$1,632,936
BALYASNY ASSET MANAGEMENT
444 W LAKE STREET 50TH FLOOR	CHICAGO	IL	60606	INVESTMENT MANAGER	$1,602,562
EVANSTON CAPITAL MANAGEMENT
1560 SHERMAN AVENUE STE 960	EVANSTON	IL	60201	INVESTMENT MANAGER	$1,403,532
SENDERO WEALTH MANAGEMENT
250 W NOTTINGHAM SUITE 300	SAN ANTONIO	TX	78209	INVESTMENT MANAGER	$737,590
ABBEY CAPITAL LIMITED
				INVESTMENT MANAGER	$502,265	1-2 CAVENDISH ROW	DUBLIN	0	EI

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	$34,726	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$34,726	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
ORDINARY INCOME FROM MHS	622110	$185,984,291	$186,397,537	-$413,246	$0
CLINIC REVENUE-DIRECT MHM	621498	$32,846	$32,846	$0	$0
WESLEY KITCHEN-DIRECT MHM	900099	$17,230	$17,230	$0	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$186,034,367	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,371,799	TotalRevenueColumnAmt
Unrelated Business Revenue	-$6,235	UnrelatedBusinessRevenueAmt
Exclusion	$19,378,034	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$8,783,385	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$7,495,418	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,287,967	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,287,967	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$226,483,976	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$204,444,019	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$22,039,957	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,039,957	TotalRevenueColumnAmt

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	ALL OTHER REVENUE	Desc
Business	900099	BusinessCd
Total Revenue Column	$785,684	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$785,684	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$785,684	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$229,554,500	TotalRevenueColumnAmt
Related Or Exempt Func Income	$186,447,613	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$419,481	UnrelatedBusinessRevenueAmt
Exclusion	$20,163,718	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$34,376,837	TotalAmt
Program Services	$34,376,837	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$107,998	TotalAmt
Program Services	$107,998	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,291,509	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,291,509	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$28,202,067	TotalAmt
Program Services	$24,350,917	ProgramServicesAmt
Management And General	$3,851,150	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,793,737	TotalAmt
Program Services	$1,466,517	ProgramServicesAmt
Management And General	$327,220	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,292,615	TotalAmt
Program Services	$4,153,507	ProgramServicesAmt
Management And General	$1,139,108	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,432,845	TotalAmt
Program Services	$1,133,790	ProgramServicesAmt
Management And General	$299,055	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$118,121	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$118,121	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$61,250	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$61,250	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$116,250	TotalAmt
Program Services	$116,250	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,919,686	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,919,686	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,372,989	TotalAmt
Program Services	$7,499,256	ProgramServicesAmt
Management And General	$873,733	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$73,414	TotalAmt
Management And General	$73,414	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,368,941	TotalAmt
Program Services	$1,194,883	ProgramServicesAmt
Management And General	$174,058	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,717,830	TotalAmt
Program Services	$963,518	ProgramServicesAmt
Management And General	$754,312	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,050,736	TotalAmt
Program Services	$825,947	ProgramServicesAmt
Management And General	$224,789	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$177,033	TotalAmt
Program Services	$156,586	ProgramServicesAmt
Management And General	$20,447	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$71,320	TotalAmt
Program Services	$53,731	ProgramServicesAmt
Management And General	$17,589	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

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

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,117,916	TotalAmt
Program Services	$1,821,275	ProgramServicesAmt
Management And General	$296,641	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$295,212	TotalAmt
Program Services	$198,350	ProgramServicesAmt
Management And General	$96,862	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PHARMACY & DELIVERY	$3,043,547	$3,043,547	$0	$0
K-1 EXPENSES	$1,725,744	$1,725,744	$0	$0
MEDICAL SUPPLIES	$746,259	$743,772	$2,487	$0
DUES/SUBSCRIPTION	$652,400	$514,857	$137,543	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,430,750	TotalAmt
Program Services	$1,236,831	ProgramServicesAmt
Management And General	$193,919	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$97,557,006	TotalAmt
Program Services	$85,684,113	ProgramServicesAmt
Management And General	$11,872,893	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,177,556	BOYAmt
EOY	$11,605,419	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$19,943,398	BOYAmt
EOY	$89,071,488	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$28,626	BOYAmt
EOY	$59,606	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,030,702	BOYAmt
EOY	$1,127,519	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$56,067,764	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$21,255,196	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$36,505,464	BOYAmt
EOY	$34,812,568	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$452,349,407	BOYAmt
EOY	$482,300,818	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$107,700,547	BOYAmt
EOY	$166,532,991	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$660,854,223	BOYAmt
EOY	$642,803,752	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$223,277	BOYAmt
EOY	$239,210	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,281,813,200	BOYAmt
EOY	$1,428,553,371	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$6,609,282	BOYAmt
EOY	$7,053,868	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$6,710,302	BOYAmt
EOY	$5,748,397	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$42,574	BOYAmt
EOY	$14,634	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
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	$13,362,158	BOYAmt
EOY	$12,816,899	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	$1,268,351,042	BOYAmt
EOY	$1,415,636,472	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	$1,268,451,042	BOYAmt
EOY	$1,415,736,472	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,281,813,200	BOYAmt
EOY	$1,428,553,371	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$131,997,494	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$63,089,434	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$47,801,498	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	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

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	FormAndLineReferenceDesc
Explanation	Methodist Healthcare Ministries of South Texas, Inc. has a dual public charity status as a section 509(a)(1) and a 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)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$107,250	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$16,996	DirectContactLegislatorsAmt
Rallies Demonstrations	Yes (true)	RalliesDemonstrationsInd
Rallies Demonstrations	$5,645	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$53,280	OtherActivitiesAmt
Total Lobbying Expenditures	$183,171	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:	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

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

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$201,733	BeginningYearBalanceAmt
Investment Earnings Or Losses	$7,419	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,010	OtherExpendituresAmt
End Year Balance	$206,142	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.58000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.42000	PrmnntEndowmentBalanceEOYPct
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	$3,875,759	OtherCostOrOtherBasisAmt
Book Value	$3,875,759	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,555,998	OtherCostOrOtherBasisAmt
Depreciation	$14,444,580	DepreciationAmt
Book Value	$27,111,418	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$48,882	OtherCostOrOtherBasisAmt
Depreciation	$26,032	DepreciationAmt
Book Value	$22,850	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,769,138	OtherCostOrOtherBasisAmt
Depreciation	$5,373,297	DepreciationAmt
Book Value	$2,395,841	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,817,987	OtherCostOrOtherBasisAmt
Depreciation	$1,411,287	DepreciationAmt
Book Value	$1,406,700	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$34,812,568	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (16 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
SEI STRUCTURED CREDIT FUND LP	$1,297,890	F
SEI ENERGY DEBT FUND LP	$1,387,295	F
SEI CORP PROPERTIES FUND, LP	$1,264,293	F
INCUBE VENTURES II, LP	$771,725	C
TARGETED TECH. FUND II, LP	$434,253	C
TARGETED TECH. FUND I, LP	$242,920	C
SEI GLOBAL PRIVATE ASSETS IV	$592,482	F
BALYASNY ATLAS GLOBAL INV LTD	$26,883,371	F
EVANSTON WEATHERLOW OFFSHORE	$61,960,040	F
ACL ALTERNATIVE FUND SAC LTD	$23,240,460	F
CHATHAM ASSET HIGH YIELD OFFSH	$29,639,918	F
SEI SPECIAL SITUATIONS FUND LP	$3,070,846	F
TEXAS METHODIST FOUNDATION	$3,019,174	F
BBT MASTER FUND LIQ TRUST	$194,715	F
EVANSTON CREDIT OPP. FUND	$12,500,000	F
SEI GPA V PRIVATE ASSET FUND	$33,609	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$166,532,991	TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	EQUITY OWNERSHIP IN MHS	Desc
Book Value	$642,803,752	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$642,803,752	TotalBookValueProgramRltdAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Intended use of endowment funds	FormAndLineReferenceDesc
Explanation	SCHEDULE D, PART V, LINE 4: 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	$76,619,819	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,580,007	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$71,039,812	NetCommunityBenefitExpnsAmt
Total Expense	0.07520	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$94,910,490	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$176,029,192	DirectOffsettingRevenueAmt

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$539,110	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$723,875	DirectOffsettingRevenueAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$172,069,419	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$182,333,074	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$71,039,812	NetCommunityBenefitExpnsAmt
Total Expense	0.07520	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,721,617	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$211,574	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,510,043	NetCommunityBenefitExpnsAmt
Total Expense	0.05560	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,432,977	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,607	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,408,370	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,329,838	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$34,329,838	NetCommunityBenefitExpnsAmt
Total Expense	0.03640	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$88,484,432	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$236,181	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$88,248,251	NetCommunityBenefitExpnsAmt
Total Expense	0.09350	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$260,553,851	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$182,569,255	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$159,288,063	NetCommunityBenefitExpnsAmt
Total Expense	0.16870	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$5,812,225	BadDebtExpenseAmt
Bad Debt Expense Attributable	$410,552	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$218,952,391	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$211,013,172	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$7,939,219	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 (6 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
Meth Amb Sur Ctr MC
FREESTANDING ASC	0.603	0.0	0.397
Meth Amb Sur Ctr nC
FREESTANDING ASC	0.625	0.0	0.375
Ctr Special Surgery
FREESTANDING ASC	0.51	0.0	0.49
Meth Amb Sur Ctr
FREESTANDING ASC	0.685	0.0	0.315
Meth Amb Sur Ctr
FREESTANDING ASC UNDER CONST	0.51	0.0	0.49
Comp Rad Mgmt Svcs
IMAGING SERVICES	0.5	0.0	0.5

Field	Value	IRS element (for citing)
Hospital Facilities	9	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (9 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	SAN ANTONIO	TX	78223	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 SOUTH
8	1905 HIGHWAY 97 EAST	JOURDANTON	TX	78026	www.SAHealth.com	100391	Yes (X)	Yes (X)	Yes (X)	A
Methodist Hospital Ambulatory Surgery
9	9150 HUEBNER ROAD SUITE 100	SAN ANTONIO	TX	78240	www.SAHealth.com	000681	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)
Facility	9	FacilityNum
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	SEE PART V, SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART V, SECTION C	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	See Part V, Section C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.	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	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	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 (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Sec 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, Sec B, Line 3J:	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 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 MARCH 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, Sec B, Line 5:	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 WOFF, 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, Sec B, Line 6A:	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 SOUTH ); 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, Sec B, Line 6B:	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, Sec B, Line 7a:	HTTPS://SAHEALTH.COM/ABOUT/COMMUNITY/INDEX.DOT Schedule H, Part V, Sec B, Line 7B: http://HEALTHCOLLABORATIVE.NET/REPORTS/
Schedule H, Part V, Sec B, Line 10A:	HTTPS://SAHEALTH.COM/ABOUT/COMMUNITY/INDEX.DOT
Schedule H, Part V, Sec B, Line 11:	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: - PROMOTE AND REFER PATIENTS LIVING WITH, OR AT RISK FOR, DIABETES TO THE LIVING WITH DIABETES PROGRAM. IN 2020, THIS PROGRAM WAS PLACED ON HOLD DUE TO COVID-19. - HOST AN ANNUAL FOOD DRIVE THAT BENEFITS THE SAN ANTONIO FOOD BANK. DUE TO COVID-19, METHODIST HOSTED A VIRTUAL CEREAL DRIVE. SERVING DONATIONS WERE MADE AS MONETARY DONATIONS. TOTAL COLLECTED WAS $702,253. - CONTINUE METHODIST HEALTHCARE'S EMPLOYER SOLUTION PROGRAM, HEALTHPOWER, IN PARTNERING WITH LOCAL BUSINESSES WHO PARTICIPATE IN METHODIST HEALTHCARE-sponsored WELLNESS ACTIVITIES TO INCLUDE CHALLENGE WEIGH-INS, GLUCOSE, AND BLOOD PRESSURE CHECKS. METHODIST HELD 3 EVENTS WITH 50 ATTENDEES, 5 HEALTH FAIRS WITH 2,250 ATTENDEES AND 4 SCREENING EVENTS WITH 91 ATTENDEES IN THE FIRST QUARTER OF 2020. ALL PLANNED EVENTS AFTER THE FIRST QUARTER WERE CANCELLED DUE TO COVID-19. - CONTINUE INVOLVEMENT WITH THE HEALTHY ME PROGRAM IN PARTNERSHIP WITH THE HEALTH COLLABORATIVE. PRIOR TO COVID-19 CANCELLATIONS, METHODIST PARTICIPATED IN 126 EVENTS WITH 6,722 IN ATTENDANCE. - 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 30 OUTREACH EVENTS WITH 450 IN ATTENDANCE EARLY IN 2020. OTHER 2020 PROGRAMS WERE CANCELLED DUE TO COVID-19. - PARTNER WITH THE AMERICAN CANCER SOCIETY TO OFFER TOBACCO CESSATION PROGRAMS TO THE PATIENTS OF METHODIST HEALTHCARE AND COMMUNITY MEMBERS. NO EVENTS HELD IN 2020 DUE TO COVID-19. 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 THROUGH METHODIST FAMILY HEALTH CENTERS AND METHODIST WOMEN AND TEEN CENTERS. IN 2020, THERE WERE 4,257 VISITS AND 2,163 PREGNANCY TESTS PROVIDED. - 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 2020, THE CALL A NURSE LINE LOGGED 18,219 CALLS, AND PROVIDED 4,305 PHYSICIAN REFERRALS. - CONTINUE TO OFFER THE COMMUNITY PARENTING CLASSES, CAR SEAT INSTALLATIONS, CAR SEAT DISTRIBUTIONS AND LACTATION CONSULTATIONS. NO CAR SEAT DISTRIBUTIONS IN 2020 DUE TO COVID-19. FIVE VIRTUAL INSTALLATION SESSIONS PROVIDED CAR SEAT INSTALLATION INSTRUCTION TO 112 INDIVIDUALS. METHODIST PROVIDED 38,569 LACTATION CONSULTS IN 2020. METHODIST ALSO HELD VIRTUAL CHILDBIRTH EDUCATION COURSES FOR 1,115 ATTENDEES. - PARTNER WITH AREA SCHOOL DISTRICTS TO ESTABLISH A STUDENT/WORK PROGRAM IN METHODIST HEALTHCARE HOSPITALS. THE FIRST GROUP OF STUDENTS GRADUATED IN JUNE OF 2020. METHODIST HOPES TO EXPAND the PROGRAM IN 2021. - PARTNER WITH THE ARCHDIOCESE OF SAN ANTONIO AND ESTABLISH THE CATHOLIC BABY UNIVERSITY TO PROVIDE PARENTING CLASSES AND SUPPORT GROUPS FOR YOUNG PARENTS AS WELL AS CONNECT THEM WITH THE CATHOLIC RELIGION. DUE TO COVID-19, METHODIST WAS UNABLE TO IMPLEMENT THIS PROGRAM. - CONTINUE PARTNERSHIP WITH THE SOUTH TEXAS RADIOLOGY IMAGING CENTERS (STRIC) IN PROVIDING MAMMOGRAMS TO WOMEN IN THE COMMUNITY. METHODIST COULD NOT IMPLEMENT THIS PROGRAM IN 2020 DUE TO COVID-19. - CONTINUE TO PROVIDE ATHLETIC TRAINING IN THE METHODIST HEALTHCARE SERVICE AREA SCHOOL DISTRICTS, AS WELL AS THE VERY IMPORTANT ATHLETE (VIA) PROGRAM AND VERY IMPORTANT KID (VIK) PROGRAM. THESE PROGRAMS WERE LIMITED IN 2020 DUE TO COVID-19. 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. - 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 65.8 POUNDS IN PRESCRIPTION DRUGS IN 2020. - PARTNER WITH THE AMERICAN HEART ASSOCIATION TO OFFER HANDS-ONLY CPR CLASSES TO THE COMMUNITY AND CONDUCT POST EVALUTION TO MEASURE KNOWLEDGE GAINED. METHODIST AND THE AMERICAN HEART ASSOCIATION HELD 40 SESSIONS WITH 7,129 IN ATTENDANCE. - PARTNER WITH THE SOUTH TEXAS RADIOLOGY ADVISORY COUNCIL (STRAC) TO OFFER "STOP THE BLEED" PROGRAMS TO THE COMMUNITY. METHODIST AND STRAC HOSTED THREE SESSIONS WITH 150 IN ATTENDANCE. - PARTNER WITH MOTHERS AGAINST DRUNK DRIVING (MADD) IN PROVIDING BREATHALYZERS TO THE COMMUNITY. PROGRAM DELAYED DUE TO COVID-19; HOWEVER, THIS ACTIVITY IS PLANNED FOR 2021. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL HEALTH AND MENTAL WELL-BEING - COMMUNITY GOAL - TO IMPROVE COMPREHENSIVE BEHAVIORAL HEALTH SERVICES AND ACCESS FOR ALL. - CONTINUE METHODIST HEALTHARE TELE-PSYCHIATRY PROGRAM TO IMPROVE ACCESS TO PSYCHIATRISTS AS WELL AS PLACEMENT TO THE APPROPRIATE SETTING. METHODIST PROVIDED 8,678 TELE-PSYCHIATRY CONSULTATIONS IN 2020. - PARTNER WITH THE ALZHEIMER'S ASSOCIATION TO PROVIDE CONTINUING MEDICAL EDUCATION (CME) CLASSES TO MEDICAL PROFESSIONALS ON PROPERLY IDENTIFYING, DIAGNOSING AND COMMUNICATING ON ALZHEIMER'S DISEASE. PROGRAM WAS DELAYED DUE TO COVID-19; HOWEVER, METHODIST'S CME STAFF PLANS TO ROLL OUT OFFERING IN 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 8,313 INDIVIDUALS IN 2020. COMMUNITY HEALTH PRIORITY NO. 5: SEXUAL HEALTH - COMMUNITY GOAL - ENSURE THAT MALES AND FEMALES HAVE ACCESS TO EDUCATION AND RESOURCES TO PROMOTE SEXUAL HEALTH. - PROVIDE FREE HUMAN IMMUNODEFICIENCY VIRUS (HIV) SCREENING TESTS TO THE COMMUNITY IN METHODIST HEALTHCARE SERVICE AREAS. METHODIST'S CAMPUSES PROVIDED 8,424 HIV SCREENINGS IN 2020. - PARTNER WITH METHODIST HEALTHCARE MINISTRIES TO PROVIDE FREE EDUCATION REGARDING THE HUMAN PAPILLOMA VIRUS (HPV) VACCINATION TO THE COMMUNITY. THIS PROGRAM WAS NOT OFFERED IN 2020 DUE TO COVID-19. THE INFORMATION ABOVE REFLECTS THE PLAN FOR MHS SYSTEM. RESULTS FROM METHODIST HOSPITAL ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING - PROVIDE DIABETES EDUCATION TO PATIENTS LIVING WITH, OR AT RISK FOR, DIABETES PRIOR TO DISCHARGE AND OFFER CLASSES TO THE COMMUNITY. 1,970 DIABETES EDUCATION VISITS WERE PROVIDED IN 2020. - 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. - PROVIDE A HEALTHY RECIPE BOOKLET THAT TARGETS SPECIFIC ACUTE AND CHRONIC DISEASES. THIS PROGRAM WAS ALSO PLACED ON HOLD IN 2020 DUE TO COVID-19. - CONDUCT AN ANNUAL HEALTH FOOD DRIVE FOR THE SAN ANTONIO FOOD BANK AND PROVIDE VOLUNTEER SUPPORT BY METHODIST HOSPITAL STAFF. METHODIST HEALTHCARE SYSTEM HELD A VIRTUAL CEREAL DRIVE IN 2020 AND COLLECTED 491,575 VIRUTAL SERVINGS THROUGH MONETARY DONATIONS. - PARTNER WITH THE AMERICAN HEART ASSOCIATION TO HOST AN ANNUAL CARDIAC EDUCATION EVENT WITH FOCUS ON HYPERTENSION, DIABETES AND HYPERLIPIDIMIA. THESE EVENTS WERE CANCELLED IN 2020 DUE TO COVID-19. - METHODIST HOSPITAL ALSO HOSTED A VIRTUAL HEALTH LITERACY CONFERENCE IN THE FOURTH QUARTER OF 2020. 714 INDIVIDUALS REGISTERED FOR THIS CONFERENCE. - METHODIST HOSPITAL PARTNERED WITH SOUTH TEXAS RADIOLOGY IMAGING CENTERS TO SPONSOR A BREAST CANCER SCREENING EVENT WHICH ENCOURAGED WOMEN TO HAVE THEIR ANNUAL MAMMOGRAMS. 8,408 SCREENINGS WERE PROVIDED. 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 156 EVENTS, MANY OF THEM VIRTUAL, DURING 2020. 1,115 ATTENDED THESE EVENTS. - 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. DUE TO COVID-19, ONLY ONE DRIVE WAS HELD IN 2020. 724 ITEMS WERE COLLECTED FOR STUDENTS ATTENDING GLEN OAKS. - PROVIDE
Schedule H, Part V, Sec B, Lines 13B, 13H and 15E:	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, 2020, THE CHARITY CARE WRITE OFF RELATED TO THIS ELIGIBILITY PROCESS WAS $265.3 MILLION ($330.6 MILLION IN 2019). 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, Sec B, Lines 16A:	Https://Sahealth.Com/About/Mission-Values/Financial-Assistance-Policy.Dot Schedule H, Part V, Sec B, Lines 16b - c: https://sahealth.com/about/mission-values/financial-assistance-policy-and- application.dot
Schedule H, Part V, Sec B, Lines 16J and 20E:	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	29	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (29 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 ASC Surgery Center
METHODIST AMBULATORY SURG CTR-N CENTRAL
19010 STONE OAK PARKWAY	SAN ANTONIO	TX	78258	FREESTANDING ASC Surgery Center
CTR FOR SPECIAL SURGERY TX CTR ATHL
21 SPURS LANE SL-100	SAN ANTONIO	TX	78240	FREESTANDING ASC 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 STONE OAK REHABILITATION CTR
19126 Stonehue	SAN ANTONIO	TX	78258	FREESTANDING REHABILITATION CENTER
METHODIST ER WESTOVER HILLS
5538 W 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
CARENOW SAN ANTONIO - STONE OAK
20780 HIGHWAY US 281 N	SAN ANTONIO	TX	78259	URGENT CARE CLINIC
CARENOW SAN ANTONIO - LEON VALLEY
5755 NW Loop 410 Suite 102	SAN ANTONIO	TX	78238	URGENT CARE CLINIC
CARENOW SAN ANTONIO - DEZAVALA
12840 IH 10 West Suite 101	SAN ANTONIO	TX	78249	URGENT CARE CLINIC
METHODIST AMB SURGERY CTR OF Boerne
110 Menger Springs	SAN ANTONIO	TX	78006	FREESTANDING ASC
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
CARENOW SAN ANTONIO - POTRANCO
10538 POTRANCO BLDG 1	SAN ANTONIO	TX	78251	URGENT CARE CLINIC
CARENOW SAN ANTONIO - BULVERDE
17122 BULVERDE RD SUITE 104	SAN ANTONI	TX	78247	URGENT CARE CLINIC
CARENOW SAN ANTONIO - ALAMO HEIGHTS
5410 BROADWAy	Alamo Heights	TX	78209	URGENT CARE CLINIC
METHODIST WOMEN AND TEEN CENTER
1739 SW LOOP 410 SUITE 402	San Antonio	TX	78227	FAMILY HEALTH CENTER
METHODIST FAMILTY HLTH CTR -E SOUThcross
2338 E SOUTHCROSS	San Antonio	TX	78223	FAMILY HEALTH CENTER
METHODIST FAMILY Hlt CTR - LAS PALmas
803 CASTROVILLE RD SUITE 131	SAN ANTONio	TX	78237	FAMILY HEALTH CENTER
METHODIST COMMUNITY HEALTH CENTER
507 ST JAMES	San Antonio	TX	78202	PRIMARY CARE CLINIC
PEDIATRIC ANESTHESIA CONS OF SAPLLC
8109 FREDERICKSBURG Road	San Antonio	TX	78229	PHYSICIAN PRACTICE
METHODIST AMBULATORY Surg CTR LANDMark
5510 PRESIDIO PARKWAY SUITE 100	San Antonio	TX	78249	FREESTANDING ASC

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 6A:	METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., LLP ('MHS') FILES ANNUAL STATEMENTS OF COMMUNITY BENEFITS AS REQUIRED BY THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES, PER PROVISIONS OF THE TEXAS HEALTH AND SAFETY CODE, CHAPTER 311, SUBCHAPTERS C AND D. METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. ('MHM') OWNS A 50% INTEREST OF MHS SO ONLY 50% OF MHS' FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS ARE REPORTED ON MHM'S FORM 990 SCHEDULE H. SCHEDULE H, PART I, LINE 7: COSTING METHODOLOGY - COST TO CHARGE RATIOS FROM WORKSHEET 2 USED. PART I, LINE 7A EXPLANATION - IN THE STATE OF TEXAS 86TH LEGISLATIVE REGULAR SESSION, A BILL WAS PASSED WHICH AMENDED THE HEALTH AND SAFETY CODE, AUTHORIZING THE BEXAR COUNTY HOSPITAL DISTRICT TO CREATE A NONPUBLIC HOSPITAL PROVIDER PARTICIPATION PROGRAM. THE 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 UNIFORM HOSPITAL RATE INCREASE PROGRAM (UHRIP). THE BILL WAS EFFECTIVE JUNE 10, 2019, HOWEVER THE LPPF PROGRAM COMMENCED ON JANUARY 1, 2020. THE PARTNERSHIP MADE PAYMENTS UNDER THIS LPPF OF $56.5 MILLION FOR THE YEAR ENDED DECEMBER 31, 2020. THE LPPF EXPENSE IS RECORDED WITHIN THE OTHER OPERATING EXPENSES IN THE PARTNERSHIP'S CONSOLIDATED INCOME STATEMENT.
Schedule H, Part III, Lines 2 & 3:	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 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 renegotiations 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, 2020, THE BAD DEBT INCLUDED IN REVENUE DEDUCTIONS WAS $112,592,217. 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: 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, 2020. 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 2020 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: 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 VI, LINE 2:	IN ADDITION TO THE ITEMS SPECIFICALLY NOTED TO ADDRESS THE COMMUNITY HEALTH PRIORITIES, OTHER HIGHLIGHTS FROM 2020 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. 4,200 BEHAVIORAL HEALTH AND 575 TELE-STROKE CONSULTATIONS WERE PROVIDED FOR THE DSRIP REPORTING PERIOD ENDED SEPTEMBER 30, 2020. 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 IN 2014. THE CENTER IS AN URGENT CARE CENTER LOCATED IN EAST SAN ANTONIO. THE METHODIST COMMUNITY HEALTH CENTER PROVIDES SERVICES TO ALL PATIENTS AT NO COST. THE CENTER PROVIDED 1,608 ENCOUNTERS FOR THE DSRIP REPORTING PERIOD ENDING SEPTEMBER 30, 2020. OF THESE ENCOUNTERS, 80% WERE PROVIDED TO MEDICAID OR LOW-INCOME UNINSURED PATIENTS. THIS LOCATION NOTED AN OVERALL DECREASE IN VOLUME IN 2020 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. IN 2016, METHODIST IMPLEMENTED STANDARDIZED GOAL ALIGNMENT BOARDS AT ALL LOCATIONS. THESE DISPLAYS, LOCATED IN PUBLIC AREAS, PROVIDE AN OVERVIEW OF PILLAR GOALS, AS WELL AS PROGRESS TOWARDS MEETING THESE GOALS. METHODIST CONTINUES TO USE THESE BOARDS TO TRACK PROGRESS, AND ALSO STANDARDIZED REPORTING, ADDING PATIENT SAFETY AS A KEY FOCUS. 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. 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. A NEW TOOL, THE SEPSIS PREVENTION & OPTIMIZATION OF THERAPY (SPOT) IS BEING USED AT ALL CAMPUSES. SPOT IS AN APPLICATION THAT MONITORS ALL PATIENT LABS AND VITALS IN REAL TIME AND USES THE INFORMATION TO IDENTIFY PATIENTS WHO ARE AT RISK FOR SEPSIS. TWO METHODIST CAMPUSES HAVE ALSO RECEIVED EITHER SEPSIS CERTIFICATION OR RE-CERTIFICATION FROM THE JOINT COMMISSION. WHEN FACED WITH A THREAT TO PUBLIC HEALTH AND SAFETY, LIKE THAT OF A PANDEMIC, METHODIST HEALTHCARE IS COMMITTED TO DOING WHAT IS RIGHT FOR OUR PEOPLE, OUR PATIENTS, AND OUT COMMUNITIES. SINCE CONFIRMING THE FIRST PATIENT CASE IN FEBRUARY 2020 (THE FIRST CASE IN TEXAS), METHODIST TREATED 8,968 COVID-19 PATIENTS THROUGH DECEMBER 31, 2020. A RESPONSE OF THIS MAGNITUDE WAS POSSIBLE DUE TO THE UNWAVERING COMMITMENT AND TREMENDOUS SACRIFICE OF METHODIST'S EMPLOYEES, WHO HAVE BEEN GUIDED THROUGHOUT THE SYSTEM'S RESPONSE TO COVID-19 BY THESE FOUR CORE PRINCIPLES: 1. BE THERE FOR OUR PATIENTS. 2. PROTECT OUR EMPLOYEES AND CAREGIVERS, BOTH PHYSICALLY AND FINANCIALLY. 3. PARTNER WITH OTHERS TO IMPROVE CARE BEYOND OUR OWN ORGANIZATION. 4. BE A RESOURCE FOR OUR COMMUNITIES AND GOVERNMENTS. BE THERE FOR OUR PATIENTS EARLY ON, METHODIST IMPLEMENTED PROTOCOLS TO ENSURE IT'S FACILITIES WERE SAFE PLACES TO CARE FOR OUR PATIENTS. METHODIST ENHANCED CLEANING PROCEDURES, ENHANCED SCREENING PROTOCOLS, LIMITED VISITORS AND SEPARATED COVID-19 PATIENTS FROM OTHER PATIENTS. METHODIST HEALTHCARE SYSTEM WAS ONE OF THE FIRST HEALTH SYSTEMS IN SOUTH TEXAS TO IMPLEMENT A UNIVERSAL MASKING POLICY FOR ALL STAFF AND PROVIDERS TO HELP REDUCE THE SPREAD OF THE VIRUS - EVEN BEFORE THE U.S. CENTERS FOR DISEASE CONTROL RECOMMENDED SUCH A POLICY. DURING 2020, METHODIST HOSPITALS PERFORMED 127,181 COVID-19 TESTS FOR THE SAN ANTONIO AND CENTRAL AND WEST TEXAS DIVISIONS OF HCA. METHODIST ALSO SHIPPED COVID-19 TESTING INSTRUMENTS AND TEST KITS TO THE HCA GULF COAST AND CONTINENTAL DIVISIONS TO AID WITH THEIR COVID-19 TESTING. METHODIST HOSPITAL WAS THE 2ND HOSPITAL IN TEXAS AND THE FIRST IN HCA TO RECEIVE AND PERFORM THE ABBOTT COVID-19 RAPID TEST. 99.5% OF ALL COVID-19 TESTS PERFORMED IN THE SAN ANTONIO DIVISION WERE COMPLETED IN LESS THAN 24 HOURS FROM COLLECTION TIME. COVID-19 POSTITIVE PATIENTS DID NOT HAVE TO PAY FOR THEIR TREATMENT IN MHS'S HOSPITALS. METHODIST, THROUGH ITS PARTNERSHIP WITH HCA, OFFERED A FREE DEDICATED HOTLINE FOR PATIENTS WHO LOST JOBS AND/OR HEALTH INSURANCE TO GUIDE THEM THROUGH THEIR COVERAGE OPTIONS. AS OF DECEMBER 2020, 7,200 PATIENTS WERE ASSISTED THROUGH THE HOTLINE, WHICH ADDRESSED MORE THAN 20,300 CALLS. PROTECT OUR EMPLOYEES AND CAREGIVERS, BOTH PHYSICALLY AND FINANCIALLY IN 2020, OUR SUPPLY CHAIN DISTRIBUTED 374,092 N95 MASKS, 62,869,606 EXAM GLOVES, 2,697,154 LEVEL I MASKS, 43,692 FACE SHIELDS AND 2,433,138 ISOLATION GOWNS. AS THE PANDEMIC CONTINUES, WE CONTINUE TO WORK TIRELESSLY TO ENSURE WE HAVE ENOUGH PERSONAL PROTECTIVE EQUIPMENT TO PROTECT OUR CAREGIVERS. METHODIST COLLABORATED WITH MAJOR HOTEL CHAINS TO PROVIDE HOUSING FOR PROVIDERS WHO WORK DIRECTLY WITH COVID-19 PATIENTS AND OFFERED SCRUB LAUNDERING FOR THOSE CARING FOR COVID-19 PATIENTS. AT A TIME WHEN HUNDREDS OF HOSPITALS AND HEALTHCARE SYSTEMS WERE LAYING OFF OR FURLOUGHING EMPLOYEES, METHODIST INTRODUCED A PANDEMIC PAY PROGRAM THAT HELPED PROVIDE PAYCHECKS TO EMPLOYEES UNABLE TO WORK AS GOVERNMENT MANDATES HALTED MANY ELECTIVE PROCEDURES. METHODIST ALSO OFFERED QUARANTINE PAY FOR PATIENT CARE STAFF WHO MET CRITERIA FOR EXPOSURE TO COVID-19. METHODIST PROVIDED MULTIPLE RESOURCES TO STAFF WHO WORKED ENDLESS HOURS AND SHIFTS SUCH AS: VIRUTAL MENTAL WELLNESS SEMINARS, COUNSELING, 24/7 ADVICE LINES AND COPING TOOLS, FINANCIAL ASSISTANCE IN THE FORM OF TOOL KITS, WEBINARS AND ADVICE LINES; EMERGENCY CHILDCARE OPTIONS; ON-SITE MINI MARTS AND FREE "DOCTOR ON DEMAND" TELEHEALTH VISITS. TOP MHS EXECUTIVES TOOK A 30% PAY CUT AND HOSPITAL CEO'S DONATED 30% OF THEIR PAY FOR THE MONTHS OF APRIL AND MAY TO THE HCA HOPE FUND TO HELP STAFF IN NEED DURING THE PANDEMIC. MHS OFFERED STAFF EASY ACCESS TO COVID-19 TESTING AT THE CARENOW URGENT CARE AND A DRIVE-THROUGH SITE AT METHODIST HOSPITAL AMUBLATORY SURGERY. PARTNER WITH OTHERS TO IMPROVE CARE BEYOND OUR OWN ORGANIZATION THROUGH HCA, METHODIST JOINED A COALITION OF THE NATION'S LEADING MENTAL HEALTH ORGANIZATIONS TO SUPPORT PSYCH HUB'S COVID-19 MENTAL RESOURCE HUB, WHICH PROVIDES EMPLOYEES
SCHEDULE H, PART VI, LINE 3:	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: 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 $57,379, COMPARED TO $60,629 FOR TEXAS AND $61,937 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: SEE RESPONSES FOR SCHEDULE H, PART VI, LINE 2.
SCHEDULE H, PART VI, LINE 6:	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 DECREASED IN 2020 BY 20%. THE ACCEPTANCE RATE IN 2020 WAS 82% COMPARED TO 98.7% IN 2019. SELF-PAY PATIENTS ACCOUNTED FOR 15.7% OF ALL TRANSFERS IN 2020 AS COMPARED TO 14.9% IN 2019. PEDIATRIC AND HIGH-RISK MATERNAL TRANSFERS ARE ALSO NOW HANDLED THROUGH THESE CONSOLIDATED PLACEMENT SERVICES. THE ACCEPTANCE RATE FOR THESE TRANSFERS WAS 99.4% IN 2020 (99.6% IN 2019). MHS SELF-PAY AND CHARITY PATIENTS ACCOUNTED FOR 8.3% OF ALL PEDIATRIC (AGES 0-17) AND MATERNAL TRANSFERS AS COMPARED TO 6.6% IN 2019. 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 LINE 2 ABOVE REGARDING EXPANSION OF SERVICES IN 2020. THE MAJORITY OF CHARITY CARE PROVIDED BY THE HOSPITALS IS FROM PATIENTS RECEIVING EMERGENCY SERVICES. EMERGENCY DEPARTMENT (ED) VISITS TO METHODIST FACILITIES TOTALED 277,951 IN 2020 (346,435 IN 2019), DOWN ALMOST 20% FROM 2019 DUE TO COVID-19. 20.21% OF TOTAL ED VISITS RESULTED IN INPATIENT ADMISSIONS WITH A 3.21% INCREASE IN ED ADMISSIONS OVER 2019. IN ADDITION, 24.24% OF ALL VISITS TO METHODIST EMERGENCY DEPARTMENTS IN 2020 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 2020 TO 2019, METHODIST SAW AN 8% DECREASE IN THE PATIENT-ARRIVAL-TO-BED (ATB) METRIC AND A 15% IMPROVEMENT IN ARRIVAL-TO-GREET (ATG) METRIC. THE AVERAGE LENGTH OF STAY FOR ALL PATIENTS INCREASED FROM 235.5 MINUTES IN 2019 TO 270.7 MINUTES IN 2020. 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 6,660 TRANSPORTS IN 2020, WITH THE DECREASE IN TRANSPORTS DUE TO COVID-19. METHODIST HOSPITAL \| METROPOLITAN IN CONJUNCTION WITH METHODIST HOSPITAL WOMEN'S SERVICES AND COMMUNICARE, OPERATES FOUR FAMILY HEALTH CENTERS THAT PROVIDE COMPLIMENTARY PREGNANCY TESTING (2,163 TESTS IN 2020), 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 2020 WERE 38,569. 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 2020, METHODIST REFERRED PHYSICIANS TO 4,305 DOCTORSOURCE CALLERS (UP TO THREE PHYSICIANS MAY BE REFERRED TO EACH CALLER). IN ONE OTHER COMMUNITY BENEFITS CATEGORY, METHODIST PROVIDED OVER $202,895 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, INTGEGRATED 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 PED 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: MHS FILES AN ANNUAL STATEMENT OF COMMUNITY BENEFITS WITH THE STATE OF TX.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (161 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
911 Park Place
911 Park Ave	Corpus Christi	TX	78401	742996340	501(C)(3)	$62,800	Operational and Covid Relief Support
Acacia Medical Mission
1781 E Ammann Rd	Bulverde	TX	78163	900401594	501(C)(3)	$41,122	Covid Relief Support
Alamo Colleges
201 W Sheridan	San Antonio	TX	78204	746002173	GOVT	$62,894	Program for nursing students to pursue advanced de
Alberto Esco Foundation Inc
804 Ringgold St	RGC	TX	78582	475658150	501(C)(3)	$12,500	Covid Relief Support
Alzheimers Association
10223 McCallister FWY	SA	TX	78216	133039601	501(C)(3)	$25,000	Donation
American Cancer Society
7800 West IH-10	San Antonio	TX	78230	131788491	501(C)(3)	$335,977	Donation
American Heart Association
8415 Wurzbach	San Antonio	TX	78229	135613797	501(C)(3)	$45,000	Donation
Amistad Community Health Center
1533 Brownlee Blvd	CC	TX	78404	203008507	501(C)(3)	$585,303	Integrated healthcare program, dental salary suppl
Arthur Nagel Community Clinic
1116 12th Street	Bandera	TX	78003	770697361	501(C)(3)	$128,771	Primary care services and behavioral health
Ascension DePaul Services
7607 Somerset Road	San Antonio	TX	78211	746106876	501(C)(3)	$585,614	Integrated healthcare program
Atascosa Health Center
310 W Oaklawn Rd	Pleasanton	TX	78064	742089103	501(C)(3)	$139,656	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)	$19,000	Covid Relief Support
Barrio Comp Family Health Care Center Inc
3066 E Commerce Street	SA	TX	78220	741724391	501(C)(3)	$1,848,604	Integrated healthcare program and dental program
Behavioral Health Solutions of South Texas
5510 N Cage Blvd	Pharr	TX	78577	742648885	501(C)(3)	$562,800	Integrated healthcare program INITIATIVE
Bexar County Health Collaborative
1002 N Flores	San Antonio	TX	78212	742953076	501(C)(3)	$30,000	Operational Support
Boys and Girls Club of Pharr
1026 S Fir Street	Pharr	TX	78577	752258513	501(C)(3)	$168,380	Youth Development Services and Covid Relief Suppor
Buda United Methodist Church
302 Elm Street	Buda	TX	78610	800600617	501(C)(3)	$15,540	Covid Relief Support
Camp Phoenix
3340 West SH71	Horsehoe Bay	TX	78657	260310507	501(C)(3)	$63,000	Covid Relief Support
Central Texas Food Bank
6500 Metropolis Dr	Austin	TX	78744	742217350	501(C)(3)	$50,000	Covid Relief Support
Children's Assoc For Maximum Potential Inc
2525 Ladd Street	Lackland AFB	TX	78236	742095766	501(C)(3)	$100,150	Family retreats
Children's Bereavement Center of South Tx
205 W Olmos Drive	San Antonio	TX	78212	742828178	501(C)(3)	$237,469	Healing programs for grieving youth
ChildSafe
7130 US Hwy 90	San Antonio	TX	78227	742633697	501(C)(3)	$90,000	Counseling services
Chow Train
217 Cedar Street	San Antonio	TX	78210	451223294	501(C)(3)	$16,800	Covid Relief Support
Christian Assistance Ministry
110 McCullough Ave	San Antonio	TX	78215	741947967	501(C)(3)	$35,500	Covid Relief Support
Christ's Kitchen
609 E Warren	Victoria	TX	77901	742387543	501(C)(3)	$27,750	Covid Relief Support INITIATIVE
Clarity Child Guidance Center
8535 Tom Slick Dr	San Antonio	TX	78229	741153067	501(C)(3)	$475,000	Behavioral health services for children, Covid Rel
Coastal Bend Food Bank
826 Krill St	Corpus Christi	TX	78408	742234089	501(C)(3)	$250,000	Covid Relief Support
Coastal Plains Community Center
200 Marriot	Portland	TX	78374	742919178	GOVT	$397,966	Integrated healthcare program
Coker United Methodist Church
231 East North Loop Road	SA	TX	78216	741367519	501(C)(3)	$67,500	Covid Relief Support
Comal Habitat for Humanity
1269 Industrial	NB	TX	78130	742667761	501(C)(3)	$90,000	Covid Relief Support
Communities in Schools of San Antonio Inc
1616 E Commerce St	SA	TX	78205	742393714	501(C)(3)	$212,633	Mental Health Services for At-Risk Youth and Covid
Community Health Centers of S Central Tx
228 St George Street	Gonzalez	TX	78629	741548089	501(C)(3)	$249,596	Integrated healthcare program
Community Health Development
908 S Evans	Uvalde	TX	78801	742269739	501(C)(3)	$318,846	Dental Program and Covid Relief Support
Comm Hope Projects Inc-DBA Hope Fam H Ctr)
2332 Jordan Road	McAllen	TX	78503	742742024	501(C)(3)	$433,840	Counseling services and Covid Relief Support
Concho Valley Center for Human Advancement
1501 West Beauregard	San Angelo	TX	76901	751251523	501(C)(3)	$110,734	Operational Support
Concho Valley Regional Food Bank
1313 S Hill St	San Angelo	TX	76903	751897032	501(C)(3)	$105,000	Covid Relief Support
Corpus Christi Metro Ministries
1919 Leopard Street	CC	TX	78408	742247261	501(C)(3)	$125,230	Medical services
Courage Ranch
3292 Hwy 97 West	Floresville	TX	78114	832819350	501(C)(3)	$38,239	Equine-assisted mental health program
Covenant United Methodist Church
4410 Duvall Road	Austin	TX	78727	742213549	501(C)(3)	$5,355	Covid Relief Support
Culture of Life Ministries
205 S 4th St	Harlingen	TX	78550	900978971	501(C)(3)	$16,000	Covid Relief Support
Dentists Who Care
307 E Railroad	Weslaco	TX	78596	742802622	501(C)(3)	$20,000	Covid Relief Support
Ecumenical Center for Religion and Health
8310 Ewing Halsell Dr	SA	TX	78229	741587388	501(C)(3)	$753,277	Medical ethics program, pastoral care, trauma and
El Campo United Methodist Church
202 Olive Street	El Campo	TX	77437	800925242	501(C)(3)	$10,000	Covid Relief Support
El Centro d Family Health Care Center Inc
3750 Commercial Ave	San Antonio	TX	78221	741787031	501(C)(3)	$1,867,373	Integrated healthcare program
El Divino Redentor United Methodist Church
2421 West Maple Avenue	McAllen	TX	78501	741364727	501(C)(3)	$28,375	Covid Relief Support
Family Counseling Service
3833 S Staples	Corpus Christi	TX	78411	741321308	501(C)(3)	$130,866	Counseling services for children and families
Family Svc Association of San Antonio Inc
702 San Pedro	San Antonio	TX	78212	741117341	501(C)(3)	$710,304	Child abuse prevention, mental health services and
Family Violence Prevention Services Inc
7911 Broadway	San Antonio	TX	78209	741994151	501(C)(3)	$74,293	Counseling services
FII National
663 13th St	Oakland	CA	94612	020784790	501(C)(3)	$200,000	Financial empowerment program
First United Methodist Church Bastrop
1201 Main Street	Bastrop	TX	78602	746221803	501(C)(3)	$17,399	Donation and Covid relief support
First United Methodist Church Carrizo
602 West Nopal Street	CZT	TX	78834	742907468	501(C)(3)	$48,570	Covid relief support
First United Methodist Church Corpus Christi
900 South Shoreline Blvd	CC	TX	78401	741166910	501(C)(3)	$12,000	Covid relief support
First United Methodist Church Elgin
216 West 3rd Street	Elgin	TX	78621	741595512	501(C)(3)	$45,000	Covid relief support
First United Methodist Church Harlingen
321 East Harrison	Harlingen	TX	78550	741193449	501(C)(3)	$11,300	Donation and Covid relief support
First United Methodist Church La Feria
318 Southeast Street	La Feria	TX	78559	742415587	501(C)(3)	$35,539	Donation and Covid relief support
First United Methodist Church McAllen
4200 North McColl Road	McAllen	TX	78504	741222280	501(C)(3)	$8,300	Covid Relief Support
First United Methodist Church Raymondville
192 South 3rd St	Raymondville	TX	78580	741272386	501(C)(3)	$10,200	Covid Relief Support
First United Methodist Church Taft
302 McIntyre Avenue	Taft	TX	78390	742524820	501(C)(3)	$67,000	Donation and Covid relief support
First United Methodist Church Victoria
407 North Bridge St	Victoria	TX	77901	741222281	501(C)(3)	$57,000	Covid Relief Support
Floresville Food Pantry
5th St and A St	Floresville	TX	78114	472060636	501(C)(3)	$20,500	Covid Relief Support
Food Bank of the Golden Crescent
3809 E Rio Grande St	Victoria	TX	77901	742534561	501(C)(3)	$100,000	Covid Relief Support
Food Bank of the Rio Grande Valley
724 N Cage Blvd	Pharr	TX	78577	742421560	501(C)(3)	$240,000	Covid Relief Support
Frontera Healthcare Network
604 Eaker Street	Eden	TX	76837	752854259	501(C)(3)	$121,379	Dental services and dental provider recruitment
Fuerza Unida Inc
710 New Laredo Hwy	San Antonio	TX	78211	742615917	501(C)(3)	$7,425	Covid Relief Support
Gateway Community Family Health Care ctr
1515 Pappas St	Laredo	TX	78041	742553409	501(C)(3)	$1,216,662	Integrated healthcare program, dental program and
Good Samaritan Community Services
1600 Saltillo	San Antonio	TX	78207	741117340	501(C)(3)	$27,600	Covid Relief Support
Grace United Methodist Church
14521 Northwest Blvd	CC	TX	78410	742329986	501(C)(3)	$11,055	Covid Relief Support
Grape Creek United Methodist Church
8045 US Hwy 87 Nth	San Angelo	TX	76901	752644099	501(C)(3)	$10,350	Covid Relief Support
Gulf Bend Mental Health Mental Retardation Center
6502 Nursery Drive	Victoria	TX	77904	741659064	501(C)(3)	$193,961	Integrated healthcare program
Healthcare Access San Antonio
5535 Fredericksburg	San Antonio	TX	78229	203752122	501(C)(3)	$198,224	Operational support
Healy-Murphy Center
618 Live Oak	San Antonio	TX	78202	741667875	501(C)(3)	$66,432	Behavioral health services and Covid Relief Suppor
Highland Lake Crisis Network
1000 Ridge Point Dr	Marble Fls	TX	78654	832515465	501(C)(3)	$21,250	Covid Relief Support services
Hill Country Christian Counseling CTR Inc
1127 East Main Street	Kerrville	TX	78028	742897680	501(C)(3)	$175,464	Integrated behavioral health program and Covid Rel
Hill Country Community Needs Council
1904 N Llano	Fredericksburg	TX	78624	742276776	501(C)(3)	$60,000	Covid Relief Support
Hill Country Daily Bread Ministries
234 West Bandera Road	Boerne	TX	78006	300148195	501(C)(3)	$82,840	Family mentoring program
Hill Country Family Services
114 West Advogt	Boerne	TX	78006	742425029	501(C)(3)	$54,564	Diabetes prevention program and Covid Relief Suppo
Hill Country Mission Health
122 Commerce Avenue	Boerne	TX	78006	481262832	501(C)(3)	$111,000	Primary care services and behavioral health and Co
Holding Institute Inc
1102 Santa Maria Avenue	Laredo	TX	78040	740687050	501(C)(3)	$10,000	Covid Relief Support
Home of Living Faith
1523 JFK	Crystal City	TX	78839	843312047	501(C)(3)	$20,000	Covid Relief Support
Horses Helping the Handicapped Inc
791 Backhaus Road	Pipe Creek	TX	78063	742746369	501(C)(3)	$222,499	Equine-assisted mental health program and Covid re
Hosana Food Pantry
237 School Drive	Poteet	TX	78065	830723856	501(C)(3)	$14,625	Covid Relief Support
House of Neighborly Services
407 North Calaveras	SA	TX	78207	741153442	501(C)(3)	$30,780	Covid Relief Support
Hunt United Methodist Church
120 Meritt Road	Hunt	TX	78024	742521350	501(C)(3)	$6,000	Covid Relief Support
I Care San Antonio
1 Haven for Hope Way	SA	TX	78207	742690192	501(C)(3)	$171,350	Vision care and Covid Relief Support
Iglesia Methodista Unida El Principe de Paz
404 West Chapoy Street	Del Rio	TX	78840	742821214	501(c)(3)	$24,000	Covid Relief Support
Infant & Family Nutrition Agency
1225 Boca Chica BLVD	BSV	TX	78520	743005860	501(C)(3)	$20,000	Operational support
Jewish Family Service of San Antonio Inc
12500 NW Military Hwy	SA	TX	78231	741759254	501(C)(3)	$278,115	Behavioral health services and Covid Relief Suppor
La Union del Pueblo Entero
1601 US 83 Business	San Juan	TX	78589	931029197	501(C)(3)	$259,482	Healthcare services and patient education for colo
Lake Travis Crisis Ministries
107 RR 620 South	Lakeway	TX	78734	742612401	501(C)(3)	$15,000	Covid Relief Support
Laurel Heights United Methodist Church
227 W Woodlawn Avenue	SA	TX	78212	741272395	501(C)(3)	$10,000	Donation
Life Choices Medical Clinic
3234 Northwestern Drive	SA	TX	78238	742809910	501(C)(3)	$97,114	Women's healthcare
Light on the Hill at Mount Wesley
610 Meth Encampment Rd	Kerrville	TX	78028	833263624	501(C)(3)	$133,000	Covid Relief Support program
Lower Rio Grande Valley Comm H Mgmt Corp Inc
901 E Vermont Ave	McAllen	TX	78503	742784427	501(C)(3)	$469,000	Integrated behavioral health program
Magdelena House
6257 Babcock Road	San Antonio	TX	78240	800251526	501(C)(3)	$53,000	Family wellness program
Martinez Street Women's Center
801 North Olive Street	SA	TX	78202	742934053	501(C)(3)	$78,095	Covid Relief Support
Matagorda Episcopal Health Outreach Program
101 Ave F North	Bay City	TX	77414	200537948	501(C)(3)	$177,051	Integrated healthcare program recruit
Mercy Ministries of Laredo
2500 Zacatecas Street	Laredo	TX	78046	200198462	501(C)(3)	$599,255	Integrated healthcare program
Metropolitan Community Church of SA
611 East Myrtle	San Antonio	TX	78212	742741216	501(C)(3)	$6,520	Covid relief support
Mission Border Hope
811 North Bibb Ave	Eagle Pass	TX	78852	455327586	501(C)(3)	$41,500	Donation and Covid relief support tr
National Center for Behavioral Health Solutions
3130 IH 10 West	San Antonio	TX	78201	470857847	501(C)(3)	$401,104	Behavioral health services behavioral health program
New Braunfels Christian Ministries
1659 State Hwy 46W	NB	TX	78132	262221231	501(C)(3)	$259,000	Medical and dental services and Covid Relief Suppo
Northern Hills United Methodist Church
3703 North Loop 1604 East	SA	TX	78247	741904431	501(C)(3)	$15,000	Donation and Covid relief support
Nuestra Clinica del Valle
801 W 1st Street	San Juan	TX	78577	741721807	501(C)(3)	$135,890	Dental salary supplement and integrated behavioral
People's Community Clinic
1101 Camino La Costa	Austin	TX	78752	237087608	501(C)(3)	$136,512	Integrated behavioral health program
Pillar
1403 North Seymour Ave	Laredo	TX	78040	273656127	501(C)(3)	$50,000	Counseling services
Planned Living Assistance Network of Central Texas
4110 Guadalupe	Austin	TX	78751	742861614	501(C)(3)	$38,632	Behavioral health services
Planned Parenthood of San Antonio
2140 Babcock Road	San Antonio	TX	78229	741297211	501(C)(3)	$432,900	Health care services
Project Transformation
1902 Vance Jackson Road	SA	TX	78123	842069964	501(C)(3)	$110,435	Children's literacy program
Promise Pointe
8550 US59	Victoria	TX	77905	812532681	501(C)(3)	$10,732	Covid Relief Support
Proyecto Desarrollo Humano Inc
17617 Sabal Palm Drive	Penitas	TX	78576	205709276	501(C)(3)	$26,941	Wellness program
Proyecto Juan Diego Inc
2216 Eduardo Avenue	Brownsville	TX	78526	810606967	501(C)(3)	$399,299	Diabetes programs and collective impact initiative
Raphael Community Free Clinic Inc
1807 Water Street	Kerrville	TX	78028	742819628	501(C)(3)	$203,042	Integrated behavioral health services
Respite Care of San Antonio
605 Belknap Place	San Antonio	TX	78212	742467770	501(C)(3)	$215,000	Medical services and Covid Relief Support
RGVHIE
1816 E Harrison St	Harlingen	TX	78550	364697880	501(C)(3)	$298,792	Operational support
Rio Texas Conf of the United MC
16400 Huebner Road	San Antonio	TX	78248	741326672	501(C)(3)	$480,106	Pastoral health and wellness education and chaplai
Roy Maas Youth Alternatives Inc
3103 West Avenue	San Antonio	TX	78213	741914638	501(C)(3)	$100,528	Emergency shelter psychiatric services
Rural Economic Assistance League Inc
301 Lucero Street	Alice	TX	78332	741784537	501(C)(3)	$130,275	Covid Relief Support
Rust Street Ministries
803 Rust Street	San Angelo	TX	76903	752950303	501(C)(3)	$27,500	Covid Relief Support
Salvation Army - Devine Service Unit
212 West Benton Avenue	Devine	TX	78016	580660607	501(C)(3)	$28,500	Covid Relief Support
San Antonio Christian Dental Clinic
1 Haven for Hope Way	SA	TX	78207	742428161	501(C)(3)	$429,219	Dental services for homeless population and Covid
San Antonio Clubhouse Inc
6851 Citizens Parkway	SA	TX	78229	820559940	501(C)(3)	$200,000	Operational Support
San Antonio Food Bank
5200 Enrique Barrera Parkway	SA	TX	78227	742122979	501(C)(3)	$559,745	Social services outreach and mobile food pantry an
San Antonio Lifetime Recovery
10290 Southton Road	San Antonio	TX	78223	741540097	501(C)(3)	$76,500	Counseling services
San Antonio Metropolitan Ministry
5254 Blanco Road	San Antonio	TX	78216	742285793	501(C)(3)	$119,545	Integrated health and wellness program
SLEW Inc (Sup Lending for Emo Well-Being)
12521 Nacogdoches Road	SA	TX	78217	421580967	501(C)(3)	$62,500	Mental health services for women with cancer
Smithville
300 Lynch Street	Smithville	TX	78957	204515999	501(C)(3)	$115,653	Medical services
Society of St Vincent de Paul Diocesan
500 East Travis Street	Luling	TX	78648	742763690	501(C)(3)	$18,315	Covid Relief Support
South Texas Food Bank
2121 Jefferson	Laredo	TX	78041	742574983	501(C)(3)	$225,000	Covid Relief Support
South Texas Rural Health Service
611 Thornton	Cotulla	TX	78014	741905196	501(C)(3)	$490,872	Dental salary supplement, integrated behavioral he
Southwest T Family Health Care Center Inc
7500 US Hwy 90 West	SA	TX	78227	742896432	501(C)(3)	$4,339,842	Women's and Men's transitional housing, acute care
Su Clinica Familiar
1706 Treasure Hills Blvd	HRL	TX	78550	742357970	501(C)(3)	$136,080	Integrated healthcare program
Tejas Health Care
753 East Travis St	La Grange	TX	78945	753260266	501(C)(3)	$256,078	Integrated healthcare program
Texas A&M Health Science Center
209 North Water Street	CC	TX	78401	742907553	not found	$281,735	Diabetes prevention programs
Texas A&M International University
5201 University BLVD	Laredo	TX	78041	741761398	501(C)(3)	$266,836	Nursing program
Texas Diaper Bank
5415 Bandera Road	San Antonio	TX	78238	742886380	501(C)(3)	$330,621	Assistance for low income families and Covid relie
Texas Kidney Foundation
45 Northeast Loop 410	Suite	TX	78216	274237653	501(C)(3)	$34,679	Diabetes screening program
Texas Lutheran University
1000 West Court Street	Seguin	TX	78155	741109748	501(C)(3)	$174,996	Nursing program
The Arc of San Antonio Inc
13430 West Avenue	San Antonio	TX	78216	741200110	501(C)(3)	$127,914	Nursing services and Covid Relief Support
The Children's Shelter
2939 West Woodlawn Avenue	SA	TX	78228	741109660	501(C)(3)	$411,988	Behavioral health and medical services for childre
The Good Samaritan Center
140 Ind Loop	Fredericksburg	TX	78624	912129853	501(C)(3)	$60,000	Community health worker program
The Prosthetic Foundation
5047 Sherrl Ann	San Antonio	TX	78233	010949598	501(C)(3)	$93,127	Operational support
ThriveWell Cancer Foundation
4383 Medical Drive	San Antonio	TX	78229	260371270	501(C)(3)	$107,000	Cancer patient transportation program and Covid re
Timons Ministries
10501 Sth Padre Isl Drive	CC	TX	78418	311638327	501(C)(3)	$89,424	Medical and dental program and capital
Travis Park United Methodist Church
230 East Travis Street	SA	TX	78205	741152600	501(C)(3)	$18,000	Covid Relief Support
United Medical Centers
2525 Nth Veterans Blvd	EG Pass	TX	78852	741993570	501(C)(3)	$390,777	Integrated healthcare program, provider recruitmen
United Way of San Antonio
700 South Alamo Street	SA	TX	78205	741272381	501(C)(3)	$9,000	Donation
University of Texas at Austin
110 Inner Campus Drive	Austin	TX	78712	746000203	GOVT	$210,030	Census outreach program
Univ of TX H Science Center at Houston
7000 Fannin St UCT 1006	HOU	TX	77030	741761309	GOVT	$474,591	Diabetes prevention program and collective impact
Univ of TX H Science Center San Antonio
7703 Floyd Curl Drive	SA	TX	78229	741586031	GOVT	$1,159,281	Medical and dental services, medical student train
University of Texas Rio Grande Valley
1201 West Univ Drive	Edinburg	TX	78539	465292740	GOVT	$328,453	Collaborative medical care programs
Vida Y Salud Health Systems Inc
308 Cesar Chavez Ave	CY city	TX	78839	741715419	501(C)(3)	$236,740	Dental salary supplement, integrated behavioral he
Wesley Community Center
4015 MacArthur	Corpus Christi	TX	78416	741185657	501(C)(3)	$220,531	Homeless children's program and Covid relief suppo
Wesley United Methodist Church
3915 Gollihar Road	CC	TX	78415	742131868	501(C)(3)	$20,850	Covid Relief Support
West Avenue Compassion
10715 West Avenue	San Antonio	TX	78213	800623205	501(C)(3)	$19,595	Covid Relief Support
West Texas Counseling & Guidance Inc
242 North Magdalen	San Angelo	TX	76903	751561599	501(C)(3)	$593,407	Counseling services
Westlawn United Methodist Church
122 South San Manuel	SA	TX	78237	742769878	501(C)(3)	$25,933	Donation and Covid relief support
William Taylor United Methodist Church
321 East Jones Street	Luling	TX	78648	943490519	501(C)(3)	$13,000	Covid Relief Support
Women Involved in Nurturing Giving Sharing Inc
7500 US Hwy 90 W	San Antonio	TX	78227	742920912	501(C)(3)	$302,986	Breast cancer treatment support
Yorktown Assistance Ministries
123 North Church	Yorktown	TX	78164	742689299	501(C)(3)	$7,290	Covid Relief Support
YWCA Corpus Christi
4601 Corona Drive	CC	TX	78411	741157366	501(C)(3)	$23,817	Covid Relief Support

Field	Value	IRS element (for citing)
Total501c3 Org	161	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

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

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
Electricity Assistance	170	$50,375
WATER ASSISTANCE	47	$9,059
RENT/MORTGAGE ASSISTANCE	82	$48,098
HEALTHCARE PROGRAM ASSISTANCE	3	$445

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2:	FormAndLineReferenceDesc
Explanation	DESCRIPTION OF ORGANIZATION'S PROCEDURE FOR MONITORING THE USE OF GRANTS 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. 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	false	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	$526,830	$0	$0	$0	$0	$0	$38,362	$0	$28,812	$0	$594,004	$0	$0	$0
Xochy Hurtado
Chief Operating Officer	$303,587	$0	$0	$0	$0	$0	$19,500	$0	$27,681	$0	$350,768	$0	$0	$0
Anthony LoBasso
Chief Financial Officer	$308,359	$0	$0	$0	$0	$0	$19,950	$0	$18,428	$0	$346,737	$0	$0	$0
Oanh Maroney-Omitade
VP of Org. Excellence	$192,173	$0	$0	$0	$0	$0	$19,072	$0	$38,331	$0	$249,576	$0	$0	$0
DeAnna Bokinsky
VP of Strategic PLNG & Growth	$190,986	$0	$0	$0	$0	$0	$11,848	$0	$20,002	$0	$222,836	$0	$0	$0
Cynthia McCloy
VP of Accounting & Controller	$191,537	$0	$0	$0	$0	$0	$17,405	$0	$12,929	$0	$221,871	$0	$0	$0
Jennifer Knoulton
VP of Regional Operations	$182,698	$0	$0	$0	$0	$0	$17,348	$0	$27,098	$0	$227,144	$0	$0	$0
Bridget Lamme-Kerr
Director of Human Resources	$171,057	$0	$0	$0	$0	$0	$12,170	$0	$12,736	$0	$195,963	$0	$0	$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4d	DESCRIPTION OF OTHER PROGRAM SERVICES 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: MELD; 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 BISHOP ERNEST T. DIXON, JR. CLINIC 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 CAF 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 CAF 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.
Form 990, Part VI, Line 2	FAMILY OR BUSINESS RELATIONSHIPS JOE JOHNSTON (10% OWNERSHIP) AND PENDLETON WICKERSHAM (51% OWNERSHIP) ARE PARTNERS IN A MEDICAL DEVICE COMPANY.
FORM 990, PART VI, LINE 11B	PROCESS TO REVIEW THE FORM 990 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	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, LINES 15A AND 15B:	PROCESS FOR DETERMINING COMPENSATION LINE 15A: 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. LINE 15B: 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:	PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC DOCUMENTS ARE CURRENTLY PROVIDED UPON REQUEST. THE FINANCIAL STATEMENTS AND TAX RETURNS ARE ALSO AVAILABLE THROUGHOUT METHODIST HEALTHCARE MINITRIES' WEBSITE AT: MHM.ORG>LIBRARY>FINANCIAL STATEMENTS AND TAX RETURNS.
Form 990, Part XI, Line 9	PARTNERSHIP EARNINGS OF THE BOOKS $156,949,529 TAX PARTNERSHIP OF FORM 1065 ($199,770,726) WPCC REVENUE $55,116 WPCC EXPENSES ($4,956,057) OTHER ($79,360) TOTAL ($47,801,498)

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 SERVI	TX	501(c)(3)	12a-TYPE 1	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 ANTON	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	$201,597,493	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,225,762,409	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.50000	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	$5,100,884	CASH
RIO TEXAS CONFERENCE OF THE UMC
b	$480,106	CASH
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO
s	$175,000,000	CASH
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO
j	$87,516	CASH
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO
q	$54,231	CASH

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule R, Part III, Line 1:	FormAndLineReferenceDesc
Explanation	Name: Methodist Healthcare System of San Antonio EIN: 74-2730328 Address: 8109 Fredericksburg Road San Antonio, TX 78229	ExplanationTxt