2021-11-19T16:51:17-06:00 2020-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2020-01-01 352410801 METHODIST HOSPITAL GROUP METH 8326676160 6565 FANNIN NO GB240 HOUSTON TX 770302703 KEVIN J BURNS EXEC VICE PRESIDENT, CFO, CBO 8326676160 2021-11-19 1 KEVIN BURNS 999009999 JEFFREY D FRANK P00287234 3174648600 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z MARC L BOOM MD 6565 FANNIN NO GB240 HOUSTON TX 770302703 2523863507 1 0 5792 X WWW.HOUSTONMETHODIST.ORG X SEE SCHEDULE O. 62 28 13903 720 0 0 42835545 44019080 2402795941 2387101248 1070666 78374 75801907 92316110 2522504059 2523514812 32353032 5214285 0 0 998618561 1069188435 0 0 0 1115453470 1277683543 2146425063 2352086263 376078996 171428549 4329282088 4637980776 992520791 982484964 3336761297 3655495812 X SEE SCHEDULE O. 0 0 2046150109 5214284 2479417358 SEE SCHEDULE O. 2046150109 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 13903 1 0 0 0 0 0 0 0 0 0 0 1 0 X 62 28 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X EDWARD L TYRRELL FACHE 8326676160 6565 FANNIN GB240 HOUSTON TX 77030 X ANDREW VON ESCHENBACH MD SEE SCHEDULE O 2.00 0.00 X 0 0 0 ANTONIO GOTTO JR MD DPHIL SEE SCHEDULE O 2.00 2.00 X 0 0 0 AUGUSTINE MK CHOI MD EX OFFICIO SEE SCHEDULE O 2.00 2.00 X 0 0 0 BISHOP SCOTT JONES SEE SCHEDULE O 2.00 0.00 X 0 0 0 BRENT ALLMON MD SEE SCHEDULE O 2.00 0.00 X 0 0 0 BRET T CURRAN SEE SCHEDULE O 27.00 0.00 X 554035 0 29319 BRIAN AQUINO MD SEE SCHEDULE O 2.00 0.00 X 0 0 0 CARLTON E BAUCUM SEE SCHEDULE O 4.00 0.00 X X 0 0 0 CARRIE L BYINGTON MD EX OFFICIO SEE SCHEDULE O 2.00 0.00 X 0 0 0 CHRISTOPHER P ROBBEN MD SEE SCHEDULE O 2.00 48.00 X X 0 515154 46285 CONNIE DYER SEE SCHEDULE O 4.00 0.00 X 0 0 0 DAN O DINGES SEE SCHEDULE O 2.00 0.00 X 0 0 0 DAVID C BAGGETT JR SEE SCHEDULE O 2.00 2.00 X 0 0 0 DAVID CHAO SEE SCHEDULE O 2.00 2.00 X 0 0 0 DAVID M UNDERWOOD JR SEE SCHEDULE O 2.00 4.00 X X 0 0 0 DOUGLAS E SWANSON JR SEE SCHEDULE O 4.00 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LAKE LANE HOUSTON TX 77041 MEDIA SERVICES 21763143 DPR CONSTRUCTION 3200 SOUTHWEST FRWY SUITE 1550 HOUSTON TX 77027 CONSTRUCTION SERVICES 19734050 219 15224237 28794843 44019080 PATIENT CARE SERVICES 622110 2298064742 2298064742 GROSS RENTS 531120 53782454 53782454 RELATED RESEARCH 541700 22010747 22010747 PARKING INCOME 900099 7715445 7715445 MEDICARE SHARED SAVING 622110 5527860 5527860 2387101248 427069 348695 78374 78374 78374 INTERCOMPANY SUPPORT 900099 110773989 110773989 OTHER INCOME 900099 -18457879 -18457879 92316110 2523514812 2479417358 0 78374 5200520 5200520 13765 13765 11921394 7488709 4432685 787359082 758958769 28400313 37334398 35906679 1427719 175273013 168167559 7105454 57300548 54958091 2342457 72180 72180 159474109 146582691 12891418 5329700 209084 5120616 20329941 19579209 750732 3687147 3316646 370501 27113174 26230542 882632 1008755 851809 156946 1002057 368015 634042 234328955 234328955 164397120 164397120 MEDICAL SUPPLIES & LAB 422459845 422363254 96591 INTERCOMPANY PHYSICIAN 137481878 137481878 LPPF PROVIDER TAX 37638055 37638055 RESEARCH EXPENSES 30414928 30414928 32945699 26022786 6922913 2352086263 2046150109 305936154 0 90824 100268 273055603 305885580 35130545 42485793 1854010 2686871 3862649925 1562440236 2253186246 2300209689 44419967 44419966 1721544893 1942192609 4329282088 4637980776 182212290 430637778 1153846 0 809154655 551847186 992520791 982484964 X 3336761297 3655495812 3336761297 3655495812 4329282088 4637980776 X 171428549 147305966 X X 0 1 X 1 1 1 X X 1 THE METHODIST HOSPITAL 741180155 3 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION A, LINE 1 SUPPORTED ORGANIZATIONS ARE DESIGNATED BY PURPOSE. THE METHODIST HOSPITAL IS THE PARENT ORGANIZATION OF HOUSTON METHODIST, AND IT IS SUPPORTED BY ALL OF THE NONPROFIT ENTITIES IN THE SYSTEM. THE GOVERNING DOCUMENTS OF TMH PHYSICIAN ASSOCIATES PLLC, METHODIST PATHOLOGY ASSOCIATES PLLC, METHODIST RADIOLOGY ASSOCIATES PLLC, TMH PHYSICIANS AND SURGEONS PLLC, AND LONE STAR PATHOLOGY PLLC INDICATE THE ENTITIES ARE OPERATED EXCLUSIVELY FOR TMH PHYSICIAN ORGANIZATION (D/B/A HM SPECIALTY PHYSICIAN GROUP), WHICH IS OPERATED EXCLUSIVELY FOR THE BENEFIT OF THE METHODIST HOSPITAL. THEREFORE, THESE ORGANIZATIONS SUPPORT THE METHODIST HOSPITAL THROUGH TMH PHYSICIAN ORGANIZATION. PART IV, SECTION A, LINE 2 THE METHODIST HOSPITAL RESEARCH INSTITUTE (D/B/A HOUSTON METHODIST RESEARCH INSTITUTE) AND TMH HEALTH CARE GROUP ARE TYPE I ORGANIZATIONS AS DESCRIBED IN SECTION 509(A)(3). PART IV, SECTION A, LINE 6: THE ORGANIZATION GIVES GRANTS AT THE DIRECTION OF ITS SUPPORTED ORGANIZATION. PART IV, SECTION C, LINE 1 THE METHODIST HOSPITAL, (D/B/A HOUSTON METHODIST HOSPITAL (HMH)) IS THE SOLE CORPORATE MEMBER OF TMH HEALTHCARE GROUP (THG) WHICH IS THE SOLE CORPORATE MEMBER OF DIAGNOSTIC CENTER HOSPITAL, HOUSTON METHODIST HEALTH CENTERS, SAN JACINTO METHODIST HOSPITAL (D/B/A HOUSTON METHODIST BAYTOWN HOSPITAL), HOUSTON METHODIST COORDINATED CARE, TMH MEDICAL OFFICE BUILDINGS, AND TMH PHYSICIAN ORGANIZATION (D/B/A HOUSTON METHODIST SPECIALTY PHYSICIAN GROUP (HMSPG)). HMSPG IS THE SOLE CORPORATE MEMBER OF METHODIST PATHOLOGY ASSOCIATES, PLLC, TMH PHYSICIAN ASSOCIATES, PLLC, METHODIST RADIOLOGY ASSOCIATES, PLLC, TMH PHYSICIANS AND SURGEONS, PLLC, AND LONE STAR PATHOLOGY, PLLC. HOUSTON METHODIST HOSPITAL IS ALSO THE SOLE CORPORATE MEMBER OF THE METHODIST HOSPITAL FOUNDATION, (D/B/A HOUSTON METHODIST HOSPITAL FOUNDATON). THEREFORE, HMH HAS THE AUTHORITY TO APPOINT AND REMOVE ALL BOARD MEMBERS OF TMH MEDICAL OFFICE BUILDINGS, DIAGNOSTIC CENTER HOSPITAL, AND METHODIST PATHOLOGY ASSOCIATES, PLLC, TMH PHYSICIAN ASSOCIATES, PLLC, METHODIST RADIOLOGY ASSOCIATES, PLLC, TMH PHYSICIANS AND SURGEONS,PLLC, LONE STAR PATHOLOGY, PLLC AND HOUSTON METHODIST COORDINATED CARE. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 118169922 118169922 2686764985 793987004 1892777981 30458622 23467470 6991152 1027256396 744985762 282270634 2300209689 CIP 179238116 INVESTMENT IN SUBS 1762954493 1942192609 DUE TO RELATED ORGANIZATION 551847186 551847186 1 1 X 1 X 1 X 500.000000000000 1 1 1 0 1 1 244189932 0 244189932 0.10380 180587349 148336912 32250437 0.01370 137269 132699 4570 0.00000 424914550 148469611 276444939 0.11750 1074536 400304 674232 0.00030 535393 0 535393 0.00020 1609929 400304 1209625 0.00050 426524479 148869915 277654564 0.11800 1 25478987 0 333553940 461673247 -128119307 X 1 1 7 1 HOUSTON METHODIST SUGAR LAND HOSPITAL 16655 SW FREEWAY SUGAR LAND TX 77479 WWW.HOUSTONMETHODIST.ORG 000823 X X X A 2 HOUSTON METHODIST WILLOWBROOK HOSPITAL 18220 TOMBALL PKWY HOUSTON TX 77070 WWW.HOUSTONMETHODIST.ORG 007247 X X X A 3 HOUSTON METHODIST WEST HOSPITAL 18500 KATY FREEWAY HOUSTON TX 77094 WWW.HOUSTONMETHODIST.ORG 100080 X X X A 4 HOUSTON METHODIST THE WOODLANDS HOSPITAL 17201 INTERSTATE 45 SOUTH THE WOODLANDS TX 77385 WWW.HOUSTONMETHODIST.ORG 100386 X X X A 5 HOUSTON METHODIST BAYTOWN HOSPITAL 4401 GARTH ROAD BAYTOWN TX 77521 WWW.HOUSTONMETHODIST.ORG 000405 X X X X A 6 HOUSTON METHODIST CLEAR LAKE HOSPITAL 18300 HOUSTON METHODIST DRIVE NASSAU BAY TX 77058 WWW.HOUSTONMETHODIST.ORG 100241 X X X A 7 HOUSTON METHODIST CONTINUING CARE HOSPITAL 701 S FRY ROAD KATY TX 77450 WWW.HOUSTONMETHODIST.ORG 100240 X LONG-TERM ACUTE CARE HOSPITAL A FACILITY REPORTING GROUP A 0 0 1 X X X X X X X X X 19 1 1 1 1 X HTTPS://WWW.HOUSTONMETHODIST.ORG/CHNA/ X X 1 19 1 HTTPS://WWW.HOUSTONMETHODIST.ORG/CHNA/ 0 1 X 200.000000000000 500.000000000000 X X X X X 1 1 X X X X 1 X HOUSTONMETHODIST.ORG/PAY-YOUR-BILL/NEW-POLICIES/ X SAME AS 16.A. X SAME AS 16.A. X X X X X X 1 X 0 X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: HOUSTON METHODIST SUGAR LAND HOSPITAL, - FACILITY 2: HOUSTON METHODIST WILLOWBROOK HOSPITAL, - FACILITY 7: HOUSTON METHODIST CONTINUING CARE HOSPITAL, - FACILITY 6: HOUSTON METHODIST CLEAR LAKE HOSPITAL, - FACILITY 5: HOUSTON METHODIST BAYTOWN HOSPITAL, - FACILITY 3: HOUSTON METHODIST WEST HOSPITAL, - FACILITY 4: HOUSTON METHODIST THE WOODLANDS HOSPITAL FACILITY REPORTING GROUP A PART V, SECTION B, LINE 5: GENERAL NOTE: POLICIES AND PROCEDURES FOR HOSPITALS IN THE METHODIST HOSPITAL GROUP TAX RETURN ARE CONSISTENT AMONG ALL SEVEN HOSPITALS (I.E., METHODIST HEALTH CENTERS DOING BUSINESS AS HOUSTON METHODIST SUGAR LAND HOSPITAL ("HMSL"), HOUSTON METHODIST WILLOWBROOK HOSPITAL ("HMWB"), HOUSTON METHODIST WEST HOSPITAL ("HMW"), HOUSTON METHODIST THE WOODLANDS HOSPITAL ("HMTW"), SAN JACINTO METHODIST HOSPITAL DOING BUSINESS AS HOUSTON METHODIST BAYTOWN HOSPITAL ("HMB"), HOUSTON METHODIST CLEAR LAKE HOSPITAL ("HMCL") AND HOUSTON METHODIST CONTINUING CARE HOSPITAL ("HMCCH")). THE METHODIST HOSPITAL DOING BUSINESS AS HOUSTON METHODIST HOSPITAL ("HMH"), IS FILED AS A SEPARATE FORM 990 TAX RETURN. HOUSTON METHODIST, AS A SYSTEM, IS REPRESENTED AS HOUSTON METHODIST.PART V, SECTION B, LINE 5: IN 2019, HOUSTON METHODIST IDENTIFIED ITS' COMMUNITY HEALTH PRIORITIES THROUGH THE EXECUTION OF A LARGE-SCALE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA"). KEY COMPONENTS OF THE ASSESSMENT INCLUDED SURVEYING PATIENTS AND COMMUNITY MEMBERS LIVING WITHIN THE METROPOLITAN STATISTICAL AREA ("MSA") THAT HOUSTON METHODIST FACILITIES ARE LOCATED WITHIN, ALONG WITH OTHER TECHNIQUES DESIGNED TO ADDRESS ANY INFORMATION GAPS AND UNCOVER THE MOST PRESSING CONCERNS OF THE SURROUNDING COMMUNITY.PHASE 1: COMMUNITY FEEDBACK COLLECTIONDEVELOPING SURVEY QUESTIONS: THE FIRST STEP IN DEVELOPING THE CHNA FOR HOUSTON METHODIST REQUIRED THE HOSPITAL SYSTEM TO FIRST UNDERSTAND WHAT MATTERED MOST TO THE POPULATION SURROUNDING ITS EIGHT HOSPITALS IN GREATER HOUSTON. TO DO THIS, THE OFFICE OF COMMUNITY BENEFITS WORKED WITH LEADERS IN PUBLIC HEALTH AND CONDUCTED SECONDARY RESEARCH TO DEVELOP NEW AND REFINE PAST SURVEY QUESTIONS THAT WOULD HELP HOUSTON METHODIST GAIN THE INSIGHT INTO THE TOP SOCIAL AND HEALTH PRIORITIES OF OUR CITY. THE SURVEY CONSISTED OF 29 QUESTIONS AND WERE DIVIDED UNDER THE CATEGORIES OF: - TELL US ABOUT YOURSELF - TELL US ABOUT YOUR HEALTH - TELL US ABOUT YOUR COMMUNITY - TELL US HOW YOU FEELDISTRIBUTING THE SURVEY: AFTER THE QUESTIONS WERE DEVELOPED FOR THE SURVEY, THE SURVEYS WERE THEN DISTRIBUTED ELECTRONICALLY AND IN HARD COPY FORM ACROSS THE GREATER HOUSTON COMMUNITY. HARD COPY SURVEYS WERE DISTRIBUTED TO 10 DIFFERENT FACILITIES PROVIDING HEALTH CARE SERVICES TO THE UNINSURED AND UNDERSERVED POPULATION:-CHRIST CLINIC-EL CENTRO DE CORAZON-HEALTHCARE FOR THE HOMELESS-HOPE CLINIC-INTERFAITH CLINIC-LEGACY COMMUNITY HEALTH-NORTHWEST ASSISTANCE MINISTRIES-SAN JOSE CLINIC-STEPHEN F. AUSTIN CLINIC-VECINO HEALTH CENTERSHARD COPY SURVEYS WERE DISTRIBUTED AT HOUSTON METHODIST'S FLAGSHIP LOCATION IN THE TEXAS MEDICAL CENTER DUE TO THE VARIETY OF PATIENTS AND GUESTS WHO COME TO THE LOCATION FROM MORE THAN EIGHT COUNTIES AND AT HOUSTON METHODIST WEST. ELECTRONIC SURVEYS WERE POSTED ON VARIOUS SOCIAL NETWORKING SITES TO CAPTURE AN UNCONTROLLED GROUP OF RESPONDENTS. OVERALL, MORE THAN 980 PEOPLE WERE SURVEYED.SURVEY RESULTS ANALYZED: SURVEYED FACILITIES WERE GIVEN ONE MONTH TO COLLECT RESPONSES FROM THE CLIENT/PATIENT BASE BEING SERVICED. RESPONSE COLLECTION BEGAN JULY 9, 2019 AND ENDED AUGUST 9, 2019. ONCE ALL RESPONSES WERE COLLECTED, HOUSTON METHODIST CONTRACTED AN EXTERNAL MARKET ANALYSIS AGENCY TO CONDUCT SIMPLE ANALYSIS OF THE DATA TO LAY THE FOUNDATION FOR THE ASSESSMENT.PHASE 2: COMMUNITY LEADERS AND STAKEHOLDER FEEDBACK SELECTION OF PUBLIC HEALTH AND COMMUNITY LEADERS WITH SPECIAL KNOWLEDGE, INCLUDING LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, AND LOCAL AND STATE HEALTH AGENCIES: HOUSTON METHODIST COLLABORATED WITH EPISCOPAL HEALTH FOUNDATION, TEXAS CHILDREN'S HOSPITAL, MEMORIAL HERMANN HOSPITAL AND CHI ST. LUKE'S HOSPITAL TO COMPILE A LIST OF TOP HEALTH AND COMMUNITY EXPERTS FROM AROUND THE GREATER HOUSTON COMMUNITY AND STATE TO SUPPORT THE STAKEHOLDER INTERVIEW PROCESS CONDUCTED BY A THIRD PARTY, HEALTH RESOURCES IN ACTION. THE THIRD PARTY DEVELOPED A SET OF KEY QUESTIONS COVERING RELEVANT HEALTH AND SOCIAL TOPICS BASED ON THE COLLABORATIVE FEEDBACK. EXPERTS AND LEADERS WERE PULLED FROM A VARIETY OF SPECIALTY AREAS, INCLUDING BUT NOT LIMITED TO DISEASE SPECIALISTS, INSURANCE COMPANY REPRESENTATIVES, NONPROFIT LEADERS AND MORE. THOSE ENGAGED WERE EXPERTS IN THEIR FIELD AND REPRESENTED FEDERALLY QUALIFIED HEALTH CENTERS, FREE/CHARITY CLINICS, LOCAL GOVERNMENTAL AGENCIES, HOSPITALS, MULTISERVICE AGENCIES, HIGHER EDUCATION AND MORE.SELECTION OF MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS: THE OFFICE OF COMMUNITY BENEFITS RECEIVED THE PRIMARY INPUT ON THE NEEDS OF THE UNDERSERVED COMMUNITY THROUGH THE DISTRIBUTION OF A SURVEY IN WHICH MEMBERS WERE ASKED TO ANSWER A SERIES OF QUESTIONS SUCH AS:- WHAT ARE THE 5 MOST IMPORTANT THINGS THAT ARE NEEDED FOR YOUR CITY/COMMUNITY TO BE CONSIDERED HEALTHY?- WHAT ARE THE 5 BIGGEST BARRIERS THAT PREVENT FRIENDS AND FAMILY FROM SEEKING MEDICAL TREATMENT?INPUT COLLECTION: INPUT FROM PERSON(S) WITH SPECIAL KNOWLEDGE-VICE PRESIDENT, POPULATION HEALTH - HOUSTON METHODIST-DIRECTOR OF SYSTEM PSYCHIATRIC SERVICES - HMH-PRESIDENT/CHIEF EXECUTIVE OFFICER - THE ROSE-EXECUTIVE DIRECTOR - FORT BEND WOMEN'S CENTER-SERGEANT - FORT BEND COUNTY SHERIFF'S OFFICE-ASSISTANT VICE PRESIDENT, COMMUNITY RELATIONS - UNITED WAY OF HARRIS AND MONTGOMERY COUNTY-EXECUTIVE DIRECTOR - COASTAL AREA HEALTH EDUCATION CENTERS (AHEC)-FORMER CEO - COMMUNITY HEALTH CHOICE-PRESIDENT & CEO - ASSOCIATION FOR THE ADVANCEMENT OF MEXICAN AMERICANS-INTERIM SUPERINTENDENT - HOUSTON INDEPENDENT SCHOOL DISTRICT-EXECUTIVE DIRECTOR - AVENUE CDC-VICE PRESIDENT, PSYCHIATRY - HMH-DIRECTOR OF HUMAN RESOURCES - HMH-CHIEF EXECUTIVE OFFICER - CHILD ADVOCATES OF FORT BEND-MANAGER OF SEXUAL ASSAULT ADVOCATE TEAM - MONTGOMERY COUNTY WOMEN'S CENTER-EXECUTIVE DIRECTOR - TRI COUNTY SERVICES BEHAVIORAL HEALTHCARE-PRESIDENT/CHIEF EXECUTIVE OFFICER - CHILDREN AT RISK-CHIEF EXECUTIVE OFFICER - SANTA MARIA HOSTEL, INC.-ANONYMOUS REPRESENTATIVE - CHAMBERS COUNTY-FORMER EXECUTIVE DIRECTOR - MIDTOWN ARTS AND THEATER CENTER HOUSTON-PROGRAM DIRECTOR, HOUSTON METHODIST ENDOCRINOLOGY FELLOWSHIP - HMH-REPRESENTATIVE - CITY OF HOUSTON DEPARTMENT OF PARKS AND RECREATION-CHIEF EXECUTIVE OFFICER - THE HARRIS CENTER FOR MENTAL HEALTH AND IDD (MHMRA)INPUT COLLECTION: INPUT FROM FEDERAL, REGIONAL, STATE OR LOCAL HEALTH DEPARTMENTS /AGENCIES -SECTOR REPRESENTATIVE - GALVESTON COUNTY HEALTH DISTRICT-DIRECTOR - FORT BEND COUNTY HEALTH & HUMAN SERVICES-SECTOR REPRESENTATIVE - HOUSTON HEALTH DEPARTMENT-ANONYMOUS REPRESENTATIVE - HARRIS COUNTY-EXECUTIVE DIRECTOR - HARRIS COUNTY PHES-SENIOR POLICY PLANNER - HARRIS COUNTY PHESINPUT COLLECTION: INPUT FROM LEADERS AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME POPULATIONS-CEO - THE WOMEN'S HOME-PRESIDENT & CEO - NEIGHBORHOOD CENTERS HEAD START/EARLY HEAD START PROGRAM SERVICES/BAKER RIPLEY-VP OF HEALTH AND WELLNESS - NEIGHBORHOOD CENTERS HEAD START/EARLY HEAD START PROGRAM SERVICES/BAKER RIPLEY-CEO - FORT BEND SENIORS-FORMER PRESIDENT & CEO - UNITED WAY OF GREATER HOUSTON-ASSOCIATE CENTER DIRECTOR - MAMIE GEORGE COMMUNITY CENTER, CATHOLIC CHARITIES- FORT BEND-EXECUTIVE VICE PRESIDENT - GULF COAST MEDICAL FOUNDATION-CEO - LEGACY COMMUNITY HEALTH-CMO - LEGACY COMMUNITY HEALTH-CEO - HOPE CLINIC (FQHC)-PRESIDENT & CEO - CATHOLIC CHARITIES - ARCHDIOCESE OF GALVESTON-CEO - PATIENT CARE INTERVENTION CENTER (PCIC)-CEO - FORT BEND FAMILY HEALTH CENTER, INC. DBA ACCESSHEALTH-PRESIDENT & CEO - HOUSTON AREA FOOD BANK-CEO - LONE STAR FAMILY HEALTH CENTER-PRESIDENT/CHIEF EXECUTIVE OFFICER - INTERFAITH-CEO - CHRIST CLINIC-CEO - HEALTHCARE FOR THE HOMELESS-HOUSTON-CEO - HEALTHCARE FOR THE HOMELESS - HOUSTON-CEO - THE ARC OF FORT BEND COUNTY - FORT BEND-COMMUNITY OUTREACH DIRECTOR - UNITED WAY OF BRAZORIA COUNTY-CEO - EL CENTRO DE CORAZON-CMO - EL CENTRO DE CORAZON-DIRECTOR, CLINIC OPERATIONS - INTERFAITH COMMUNITY CLINIC-CEO - FORT BEND REGIONAL COUNCIL ON SUBSTANCE ABUSE-SENIOR VICE PRESIDENT - HOUSTON HOUSING AUTHORITY-CEO - AIDS FOUNDATION OF HOUSTONINPUT COLLECTION: INPUT FROM MEMBERS WITH BROAD INTERESTS IN THE COMMUNITY-MENTAL HEALTH UNIT COMMANDER - GALVESTON COUNTY MENTAL HEALTH DEPUTIES-COUNTY JUDGE - WALLER COUNTY-PRESIDENT & CEO - GREATER HOUSTON PARTNERSHIP-EXECUTIVE DIRECTOR - HDEART CONSORTIUM, PRAIRIE VIEW A&M-PRESIDENT & CEO - EPISCOPAL HEALTH FOUNDATION-SHERIFF - LIBERTY COUNTY SHERIFF'S OFFICE-DIRECTOR, DIVISION OF NUTRITION, PHYSICAL ACTIVITY, AND OBESITY - CENTERS FOR DISEASE CONTROL AND PREVENTION FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6A: THE CHNA CONDUCTED IN 2019 PER ACA GUIDELINES WAS DONE WITH THE FOLLOWING FACILITIES:- HMH- HMSL- HMWB- HMW- HMTW- HMB- HMCL- HMCCH FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6B: HOUSTON METHODIST COLLABORATED WITH EPISCOPAL HEALTH FOUNDATION, TEXAS CHILDREN'S HOSPITAL, MEMORIAL HERMANN HOSPITAL AND CHI ST. LUKE'S HOSPITAL TO COMPILE A LIST OF TOP HEALTH AND COMMUNITY EXPERTS FROM AROUND THE GREATER HOUSTON COMMUNITY AND STATE TO SUPPORT THE STAKEHOLDER INTERVIEW PROCESS CONDUCTED BY A THIRD PARTY, HEALTH RESOURCES IN ACTION. THE THIRD PARTY DEVELOPED A SET OF KEY QUESTIONS COVERING RELEVANT HEALTH AND SOCIAL TOPICS BASED ON THE COLLABORATIVE FEEDBACK. EXPERTS AND LEADERS WERE PULLED FROM A VARIETY OF SPECIALTY AREAS, INCLUDING BUT NOT LIMITED TO DISEASE SPECIALISTS, INSURANCE COMPANY REPRESENTATIVES, NONPROFIT LEADERS AND MORE. THOSE ENGAGED WERE EXPERTS IN THEIR FIELD AND REPRESENTED FEDERALLY QUALIFIED HEALTH CENTERS, FREE/CHARITY CLINICS, LOCAL GOVERNMENTAL AGENCIES, HOSPITALS, MULTI-SERVICE AGENCIES, HIGHER EDUCATION AND MORE. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 7D: IN ADDITION TO THE CONDUCTED CHNA BEING MADE EASILY ACCESSIBLE THROUGH THE HOUSTON METHODIST WEBSITE AND THE OFFICE OF COMMUNITY BENEFITS MAKING A HARD COPY AVAILABLE FOR PUBLIC INSPECTION FREE OF CHARGE, THE CHNA WAS ALSO WIDELY DISTRIBUTED VIA AN EMAIL BLAST TO MORE THAN 1,000 RECIPIENTS AROUND THE CITY, FACILITATED BY HARRIS COUNTY PUBLIC HEALTH, OF WHICH INCLUDED STAKEHOLDERS, OTHER HEALTH CARE FACILITIES, ETC. IN ADDITION, THE REPRESENTATIVES OF THE HOUSTON METHODIST OFFICE OF COMMUNITY BENEFITS PRESENTED THE CHNA FINDINGS TO AUDIENCES AT HMH AND OTHER EXTERNAL STAKEHOLDERS TO FURTHER PUBLICIZE EFFORTS. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11: HOUSTON METHODIST WAS ABLE TO IDENTIFY THE TOP FOUR HEALTH PRIORITIES OF THE COMMUNITIES SURROUNDING EACH OF ITS COMMUNITY HOSPITALS VIA THE 2019 CHNA PROCESS. THE HEALTH PRIORITIES THAT HOUSTON METHODIST IDENTIFIED THROUGH THE CHNA ARE AS FOLLOWS:- INCREASE ACCESS TO PRIMARY CARE SERVICES FOR THE SURROUNDING COMMUNITIES- REDUCE BARRIERS TO ACCESSING SPECIALTY CARE SERVICES FOR THE SURROUNDING UNDERSERVED COMMUNITY- PROMOTE HEALTHY LIVING BEHAVIORS TO REDUCE THE LIKELIHOOD OF CHRONIC DISEASE DEVELOPMENT- INCREASE ACCESS TO MENTAL HEALTH CARE SERVICES WITHIN SURROUNDING UNDERSERVED COMMUNITY2020 HEALTH NEED: INCREASE ACCESS TO PRIMARY CARE SERVICES FOR THE SURROUNDING COMMUNITIESHMSL2020 OBJECTIVES:- TO WORK DIRECTLY WITH THE HOUSTON METHODIST OFFICE OF COMMUNITY BENEFITS TO DISCUSS OPPORTUNITY TO INTEGRATE THE NETWORK OF CARE PROGRAM INTO HOSPITAL ACTIVITIES WITH A GOAL TO OPERATIONALIZE IN 2021. AT THE END OF 2021, A BASELINE FOR ESTIMATED NUMBER OF REFERRED PATIENTS MOVING FORWARD WILL BE ESTABLISHED.- TO INCREASE VOLUME AT THE HMSL PRIMARY CARE CLINIC TO 2,079 ANNUALIZED VISITS BY END OF 2020, LEADING TO OVER 600 MORE PATIENT VISITS OVER THREE YEARS.2020 OUTCOMES:- AT THE END OF 2020, THE GOAL TO INTEGRATE THE NETWORK OF CARE PROGRAM AT HMSL WAS NOT MET. DUE TO A CHANGE IN PRIORITIES, THE PROGRAM FOCUSED ON EFFORTS TO EXPAND AT HMTW AND HMWB. FOR 2021, THE GOAL WILL BE ADJUSTED TO REFLECT ACTIVITIES TO JUMPSTART THE NETWORK OF CARE PROGRAM AT HMSL AND WILL FOCUS ON GETTING THE EFFORT FULLY OPERATIONAL BY Q2 OF 2022. THIS DELAY IS DUE TO LIMITED STAFF RESOURCES.- IN 2020, 1,926 PATIENTS WERE SEEN IN SAME DAY CLINICS IN THE HMSL SERVICE AREA. THE PROGRAM IS ON TRACK TO MEET TARGETS IN 2021.HMWB2020 OBJECTIVES:- TO INCREASE VOLUME ACROSS THE HMWB PRIMARY CARE CLINIC TO 979 ANNUALIZED VISITS BY END OF Q4 OF 2020, LEADING TO OVER 600 MORE PATIENT VISITS OVER 3 YEARS.- TO INCREASE THE NEW PATIENT FIVE-DAY RATE FROM 20.1% TO 30% BY END OF Q4.- TO IMPLEMENT THE COMMUNITY NETWORK OF CARE PROGRAM AT HMWB AS AN ED-DIVERSION INITIATIVE DESIGNED TO IMPROVE ACCESS TO CARE FOR LOW ACUITY ED PATIENTS WHILE AIMING FOR A MINIMUM SHOW RATE OF 65% BY END OF Q4.2020 OUTCOMES:- IN 2020, 1,742 PATIENTS SEEN IN THE SAME DAY CLINICS IN THE HMWB SERVICE AREA.- IN 2020, THE NEW PATIENT FIVE-DAY RATE INCREASED TO 37.8%. TWO NEW PRIMARY CARE CLINICS WERE OPENED IN THE MARKET (TOWNE LAKE AND TOMBALL), FOR A TOTAL OF SIX PRIMARY CARE CLINICS IN THE REGION.- IN 2020, 99 PATIENTS WERE REFERRED TO THE COMMUNITY NETWORK OF CARE PROGRAM, WITH 72 PATIENTS ACCEPTING APPOINTMENTS, 38 ELIGIBLE REFERRED PATIENTS ACCEPTING COPAY ASSISTANCE, TRANSPORTATION ASSISTANCE AND FOOD SUPPORT AND 33% OF PATIENTS SHOWING FOR SCHEDULED APPOINTMENTS.HMW2020 OBJECTIVES:- TO INCREASE THE REFERRAL OF EMERGENCY DEPARTMENT PATIENTS TO A VISIT WITH A HOUSTON METHODIST PRIMARY CARE GROUP PHYSICIAN BY 30% BY END OF Q4.- TO INCREASE THE SHOW RATE OF HMW UNDERSERVED PATIENTS REFERRED VIA THE COMMUNITY NETWORK OF CARE PROGRAM FROM 51% TO 65% BY END OF Q4.2020 OUTCOMES:- BY THE END OF 2020, THE GOAL TO INCREASE THE REFERRAL OF EMERGENCY DEPARTMENT PATIENTS TO A VISIT WITH A HOUSTON METHODIST PRIMARY CARE GROUP PHYSICIAN WAS NOT MET.- IN 2020, 314 ELIGIBLE PATIENTS WERE REFERRED TO THE COMMUNITY NETWORK OF CARE PROGRAM, WITH 252 PATIENTS ACCEPTING APPOINTMENTS, 215 ELIGIBLE REFERRED PATIENTS ACCEPTING COPAY ASSISTANCE, TRANSPORTATION ASSISTANCE AND FOOD SUPPORT AND 65% PERCENT OF PATIENTS SHOWING FOR SCHEDULED APPOINTMENTS.HMTW2020 OBJECTIVES:- HMTW WILL WORK DIRECTLY WITH THE HOUSTON METHODIST OFFICE OF COMMUNITY BENEFITS TO ESTABLISH A PROCESS FOR REFERRING PATIENTS THROUGH THE NETWORK OF CARE AND IDENTIFYING A BASELINE FOR ESTIMATED NUMBER OF REFERRED PATIENTS, AIMING FOR A MINIMUM SHOW RATE OF 65% BY END OF Q4.- RECRUIT 4 PRIMARY CARE PHYSICIANS TO SERVE IN HOUSTON METHODIST PRIMARY CARE CLINICS IN THE HMTW AREA IN 2020.- TO INCREASE VOLUME AT THE HMTW PRIMARY CARE CLINIC TO 1,500 ANNUALIZED VISITS BY END OF 2020, LEADING TO OVER 600 MORE PATIENT VISITS OVER 3 YEARS.2020 OUTCOMES:- IN 2020, 35 ELIGIBLE PATIENTS REFERRED TO THE COMMUNITY NETWORK OF CARE PROGRAM, WITH 20 PATIENTS ACCEPTING APPOINTMENTS, 10 ELIGIBLE REFERRED PATIENTS ACCEPTING COPAY ASSISTANCE AND 65% OF PATIENTS SHOWING FOR SCHEDULED APPOINTMENTS.- AT THE END OF 2020, ONE PRIMARY CARE PHYSICIAN WAS RECRUITED TO SERVE IN THE HOUSTON METHODIST PRIMARY CARE CLINICS IN THE HMTW SERVICE AREA. DUE TO COVID-19, PRIMARY CARE OFFICES REMAINED EXTREMELY BUSY AND RECRUITMENT WAS DELAYED DUE TO THE CHANGE IN PRIORITIES.- IN 2020, 1,490 PATIENTS WERE SEEN IN SAME DAY CLINICS IN THE HMTW SERVICE AREA.HMB2020 OBJECTIVES:- TO IMPLEMENT THE COMMUNITY NETWORK OF CARE PROGRAM AT HMB AS AN ED-DIVERSION INITIATIVE DESIGNED TO IMPROVE ACCESS TO CARE FOR LOW ACUITY ED PATIENTS WHILE AIMING FOR A MINIMUM SHOW RATE OF 65% BY END OF Q4.- TO INCREASE THE NUMBER OF STUDENTS THAT RECEIVE PRE-PARTICIPATION PHYSICALS FROM 2,200 IN 2019 TO 2,500 IN 2020.- TO HAVE 25 COACHES/COMMUNITY MEMBERS ATTEND EACH CAMPUS OUTREACH PROGRAM BY END OF Q2 2020.- TO INCREASE VOLUME TO 500 PATIENT VISITS ACROSS PRIMARY CARE SAME DAY CLINICS BY END OF Q4.2020 OUTCOMES:- 565 ELIGIBLE PATIENTS WERE REFERRED TO THE COMMUNITY NETWORK OF CARE PROGRAM, WITH 465 PATIENTS ACCEPTING APPOINTMENTS, 258 ELIGIBLE REFERRED PATIENTS ACCEPTING COPAY ASSISTANCE, TRANSPORTATION ASSISTANCE AND FOOD SUPPORT AND 52% PERCENT OF PATIENTS SHOWING FOR SCHEDULED APPOINTMENTS.- AT THE END OF 2020, THE GOAL TO INCREASE PRE-PARTICIPATION PHYSICALS AND ENGAGEMENT IN AWARENESS PROGRAMS WERE NOT MET. DUE TO COVID-19, RELATED EVENTS AND OUTREACH VISITS THAT WERE TO BEGIN IN APRIL WERE CANCELLED IN 2020. PLANS ARE BEING MADE TO HOST EVENTS AGAIN IN SPRING OF 2021 PENDING THE STATE OF COVID-19.- AT THE END OF 2020, 1,166 PATIENTS WERE SEEN IN SAME DAY CLINICS IN HMB SERVICE AREA, A 32.8% INCREASE OVER THE ORIGINAL GOAL OF 500. HMCL2020 OBJECTIVES:- TO WORK DIRECTLY WITH THE HOUSTON METHODIST OFFICE OF COMMUNITY BENEFITS TO DISCUSS OPPORTUNITY TO INTEGRATE THE NETWORK OF CARE PROGRAM INTO HOSPITAL ACTIVITIES WITH A GOAL TO OPERATIONALIZE IN 2021.- RECRUIT THREE NEW PRIMARY CARE PHYSICIANS (PCPS) IN THE HMCL MARKET BY 2020, INCREASING NUMBER OF PRIMARY CARE PHYSICIANS FROM 15 TO 18 PCPS SERVING THE AREA.- TO SEE 539 PATIENTS AT THE HMCL PRIMARY CARE CLINIC BY END OF Q4.2020 OUTCOMES:- AT THE END OF 2020, THE GOAL TO INTEGRATE THE NETWORK OF CARE PROGRAM AT HMCL WAS NOT MET. DUE TO A CHANGE IN PRIORITIES, THE PROGRAM FOCUSED ON EFFORTS TO EXPAND AT HMTW AND HMWB. FOR 2021, THE GOAL WILL BE ADJUSTED TO REFLECT ACTIVITIES TO JUMPSTART THE NETWORK OF CARE PROGRAM AT HMCL AND WILL FOCUS ON GETTING THE EFFORT FULLY OPERATIONAL BY Q2 OF 2022. THIS DELAY IS DUE TO LIMITED STAFF RESOURCES.- AT THE END OF 2020, ONE NEW PRIMARY CARE PHYSICIAN WAS RECRUITED AND ONBOARDED AT HOUSTON METHODIST CLEAR LAKE, WITH PLANS TO ONBOARD THE ADDITIONAL TWO PRIMARY CARE PHYSICIANS IN 2021, ONE STARTING IN Q1 2021. ADDITIONALLY, A NEW CLINIC SPACE IN PASADENA OPENED IN OCTOBER OF 2020 WITH A PRIMARY CARE SPORTS MEDICINE PHYSICIAN, WHO FALLS UNDER THE ORTHOPEDIC UMBRELLA BUT SEES PRIMARY CARE PATIENTS, ALLOWING FOR AN INCREASE IN ACCESS TO PRIMARY CARE SERVICES WITHIN THE REGION. - IN 2020, 2,661 PATIENTS WERE SEEN IN THE SAME DAY CLINICS IN THE HMCL SERVICE AREA. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 13B: DISCOUNTED CARE IS PROVIDED FOR PATIENTS GREATER THAN 500% OF THE FEDERAL POVERTY GUIDELINES WHEN THE PATIENT'S ACCOUNT BALANCE IS GREATER THAN 10% OF THEIR FAMILY INCOME. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 15E: THE PATIENT IS ALSO PROVIDED AN EXHIBIT TITLED FINANCIAL ASSISTANCE GUIDELINES LISTING THE COUNSELOR CONTACT INFORMATION AND THE FEDERAL POVERTY GUIDELINES. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 20A: ECA ARE NOT USED; THEREFORE, PROVIDING NOTICE DOES NOT APPLY. PART V, SECTION B, LINE 11 (CONTINUED) 2020 HEALTH NEED: REDUCE BARRIERS TO ACCESSING SPECIALTY CARE SERVICES FOR THE SURROUNDING UNDERSERVED COMMUNITYHMSL2020 OBJECTIVES:- TO EXPAND PSYCHOSOCIAL SUPPORT THROUGH AN ONCOLOGY SOCIAL WORKER WHO WILL SERVE AT LEAST 10% OF THE ELIGIBLE CANCER PATIENTS REFERRED.- TO IMPROVE EFFICIENCY OF FINANCIAL NAVIGATION TO INCREASE PATIENTS SERVED BY 10% (422 PATIENTS) IN 2020 OVER 2019 ANNUALIZED RATE OF 384.- TO INCREASE LUNG SCREENING (LDCT) BY 10% (154 PATIENTS) IN 2020 OVER 2019 ANNUALIZED RATE OF 140.- INCREASE CLINICAL TRIAL ACCRUAL RATE IN 2020 FOR INCLUSION OF WOMEN BY 25% (FOR A TOTAL OF 12.5 PATIENTS FROM BASELINE OF 10 PATIENTS) AND MINORITIES BY 25% (A TOTAL OF 10 PATIENTS FROM BASELINE 8).- TO EXPAND THE ABILITY FOR CHARITY CLINIC PARTNERS IN THE HMSL SERVICE AREA THAT ARE RECEIVING FINANCIAL SUPPORT VIA THE COMMUNITY BENEFITS GRANT PROGRAM TO SEND TESTS AND PATIENTS FOR RADIOLOGY TO HMSL THEREBY REMOVING BARRIERS TO ACCESS WITH A GOAL OF A 100% SHOW RATE FOR RADIOLOGY APPOINTMENTS SCHEDULED.2020 OUTCOMES:- AN ONCOLOGY SOCIAL WORKER WAS HIRED IN MARCH 2020. 991 UNIQUE PATIENTS WERE SEEN BY ONCOLOGY SOCIAL WORKER IN 2020, WITH 123 PATIENTS IDENTIFIED AS ELIGIBLE FOR SOCIAL WORK SUPPORT AFTER A DISTRESS SCREENING SCORE OF GREATER THAN OR EQUAL TO 4 AND 116 PATIENTS RECEIVING SOCIAL WORK SERVICES POST SCREENING.- THE POSITION WAS FILLED FOR A FINANCIAL NAVIGATOR IN JANUARY 2020. 770 PATIENTS WERE SERVED IN 2020, AN INCREASE OF 101% FROM 2019. APPROXIMATELY $17.8 MILLION IN DRUG ASSISTANCE WAS PROVIDED TO PATIENTS, A 16% INCREASE FROM 2019.- 140 PATIENTS RECEIVED LUNG SCREENING IN 2020, A 6% DECREASE FROM 2019 (149 SCREENED). DUE TO COVID-19, LUNG CANCER SCREENINGS WERE SUSPENDED IN APRIL 2020, CONTRIBUTING TO THE DECLINE.- 23 CANDIDATES WERE ENROLLED IN CLINICAL TRIALS (19 FEMALE CANDIDATES AND FOUR MALE CANDIDATES; THREE BLACK/AFRICAN AMERICAN, THREE HISPANIC/LATINO, ONE ASIAN AND 16 CAUCASIAN). THOUGH THE GOAL TO ENROLL EIGHT MINORITY PATIENTS IN CLINICAL TRIALS WAS NOT MET DUE TO COVID-19, SEVEN MINORITY PATIENTS WERE ENROLLED AT THE END OF 2020.- AT THE END OF 2020, THE GOAL TO EXPAND LAB AND RADIOLOGY TESTING TO HMSL WAS NOT MET. DISCUSSIONS TO BEGIN THE PROCESS OF ONBOARDING COMMUNITY CLINICS TO TAKE PLACE IN Q3 2021.HMWB2020 OBJECTIVES:- TO ENGAGE WITH HOUSTON METHODIST SPECIALTY PHYSICIAN GROUP ("HMSPG") PHYSICIANS TO PROVIDE CARE IN THE COMMUNITY, ESTABLISHING CLINIC HOURS AND ROTATING TO HOUSTON METHODIST CLINICS IN CYPRESS, TOMBALL AND MAGNOLIA.- TO INCREASE NUMBER OF HMSPG PHYSICIANS ROTATING TO COMMUNITY PARTNER CLINICS AS PART OF A LONG-RANGE PLAN TO INCREASE NUMBER OF SPECIALISTS BY FIVE.- TO PROVIDE TRAINING TO CURRENT STAFF TO EXPAND CURRENT NAVIGATION PROGRAMS TO INCLUDE DIGESTIVE HEALTH, SPINE AND CANCER (DISEASE SPECIFIC).- OFFER COMMUNITY MEMBERS ACCESS TO A MINIMUM OF FOUR LICENSED CLINICAL SPECIALISTS TO HELP NAVIGATE THEIR JOURNEY RELATED TO THESE DISEASE STATES BY 2020.- SCHEDULE FOLLOW UP CLINIC APPOINTMENTS WITHIN FIVE DAYS OF DISCHARGE WITH CARDIOLOGIST FOR A TARGET RATE OF 38%, A 10% INCREASE OF BASELINE RATE OF 28% BY END OF Q4 2020.- TO ONBOARD THE HMWB LAB AND RADIOLOGY TEAM TO SUPPORT PATIENT REFERRALS FROM SELECT CHARITY CLINIC PARTNERS THAT ARE ACTIVELY RECEIVING GRANT SUPPORT VIA THE COMMUNITY BENEFITS PROGRAM. ONCE ONBOARDED, 90% OF REFERRED PATIENTS WILL SHOW FOR SCHEDULED APPOINTMENTS BY END OF Q4 2021.2020 OUTCOMES:- IN 2020, 12 PHYSICIAN SPECIALISTS ROTATING IN CLINICS AND THREE MIDWIVES PROVIDED SPECIALTY CARE IN THE COMMUNITY.- NINE DIFFERENT SPECIALTIES WERE REPRESENTED IN COMMUNITY CLINICS IN CYPRESS AND TOMBALL IN 2020.- AT THE END OF 2020, THE SPINE NAVIGATION PROGRAM WAS FULLY LAUNCHED. DUE TO COVID-19, THE EXPANSION OF DIGESTIVE HEALTH NAVIGATION WAS DELAYED, WITH PLANS TO LAUNCH THE COLONOSCOPY NAVIGATION PROGRAM IN 2021 AND THE HERNIA NAVIGATION PROGRAM IN 2022.- IN 2020, 265 REFLUX, 98 SPINE AND 850 CANCER PATIENTS WERE PROVIDED NAVIGATION SERVICES.- AT THE END OF 2020, THE GOAL TO SCHEDULE HEART FAILURE PATIENTS WITH FOLLOW-UP CLINIC APPOINTMENTS WITHIN FIVE DAYS OF DISCHARGE WAS NOT MET, WITH A 30% RATE OF FOLLOW UP APPOINTMENTS WITH A CARDIOLOGIST. DUE TO COVID-19, MANY PATIENTS WERE ELECTING TO MAKE THEIR OWN FOLLOW-UP APPOINTMENTS AFTER DISCHARGE AND/OR WERE NOT COMFORTABLE WITH VIRTUAL OPTIONS. EFFORTS ARE BEING MADE TO UPDATE SCRIPTING FOR PATIENTS AND REPORTING IN EPIC.- AT THE END OF 2020, ONE CHARITY CLINIC, TOMAGWA HEALTH MINISTRIES, WAS ONBOARDED TO PROCESS LAB SERVICES AT HMWB. TO ONBOARD TOMAGWA HEALTH MINISTRIES, A WORKGROUP WAS FORMED INCLUDING RADIOLOGY LEADERSHIP AND LABORATORY LEADERSHIP FROM THE HOSPITAL AND THE CHARITY CLINIC TO FOCUS ON THIS INITIATIVE. IN DECEMBER 2020, PROJECT TASKS WERE COMPLETED FOR TRANSITIONING LABORATORY SERVICES TO HMWB AND THE CHARITY CLINIC IS EXPECTED TO BEGIN SENDING LABS TO THE HOSPITAL. THE EFFORT TO TRANSITION RADIOLOGY SERVICES IS STILL IN PROGRESS AND EXPECTED TO GO-LIVE IN Q3 2021.HMW2020 OBJECTIVES:- TO EXPAND THE ABILITY FOR CHARITY CLINIC PARTNERS IN THE HMW SERVICE AREA THAT ARE RECEIVING FINANCIAL SUPPORT VIA THE COMMUNITY BENEFITS GRANT PROGRAM TO SEND TESTS AND PATIENTS FOR RADIOLOGY TO HMW THEREBY REMOVING BARRIERS TO ACCESS WITH A GOAL OF A 100% SHOW RATE FOR RADIOLOGY APPOINTMENTS SCHEDULED.- TO DECREASE THE READMISSION RATE FOR CONGESTIVE HEART FAILURE (CHF) PATIENTS BY 3% FROM 17.7% TO 17.1% BY END OF Q4.- TO INCREASE REFERRALS FROM ED FROM 100 PATIENTS TO 150 PATIENTS TO THE SPINE CENTER BY Q4.- TO INCREASE PERCENTAGE OF APPOINTMENTS FOR PATIENT WHO ARE AT RISK FOR READMISSION WITH CARDIOLOGIST FROM 30% TO 35% BY END OF Q4.- TO PROVIDE 10 PATIENT REFERRALS TO PSYCHIATRIST/PSYCHOLOGIST/LCSW TO SUPPORT CANCER PATIENT'S NEEDS BY OF END OF Q4.- TO PROVIDE FINANCIAL NAVIGATION SUPPORT TO AT LEAST 25 CANCER PATIENTS IN NEED OF FINANCIAL ASSISTANCE BY END OF Q4.- TO INCREASE ACCRUAL RATE BY 2% IN CLINICAL TRIALS INCLUSIVE OF MINORITY POPULATIONS BY END OF Q4.2020 OUTCOMES:- AT THE END OF 2020, THE GOAL TO EXPAND LAB AND RADIOLOGY TESTING TO HMW WAS NOT MET. DUE TO COVID-19, PRIORITIES SHIFTED TO FOCUS ON OTHER PROGRAM EXPANSIONS. HOWEVER, THIS GOAL WILL BE REVISED, AND HMW IS EXPECTED TO BE ONBOARDED BY Q4 OF 2021.- 123 FOLLOW UP VISITS (88%) WITH CARDIOLOGIST WERE ATTENDED IN 2020 VS 2% READMISSION RATE FOR THOSE WHO ATTENDED THEIR APPOINTMENTS.- IN 2020, THERE WERE 200 SPINE CENTER REFERRALS FROM THE EMERGENCY DEPARTMENT TO THE SPINE CENTER.- IN 2020, 139 APPOINTMENTS (28%) WERE MADE WITH A CARDIOLOGIST.- IN 2020, 20 PATIENTS WERE PROVIDED WITH A REFERRAL TO A PSYCHIATRIST FOR MENTAL HEALTH SUPPORT.- IN 2020, 257 PATIENTS RECEIVED FINANCIAL ONCOLOGY NAVIGATION, SUCH AS INSURANCE OPTIMIZATION, DRUG REPLACEMENT, AND COPAY ASSISTANCE. 185 PATIENTS ENROLLED IN ASSISTANCE PLANS, $70,335 TOTAL FUNDS WERE SECURED TO SUPPORT PATIENTS AND $63,109 TOTAL FUNDS WERE PAID TO SUPPORT PATIENTS.- BY THE END OF 2020, THERE WERE 38.88% ENROLLED MINORITIES IN OUR CLINICAL TRIALS, WITH 22 CLINICAL TRIALS IDENTIFIED.HMTW2020 OBJECTIVES:- TO DECREASE CONGESTIVE HEART FAILURE ("CHF") READMISSION RATE FROM 10% TO 8% BY Q4.- TO ESTABLISH NEW PROGRAM TO PROVIDE PSYCHOSOCIAL SUPPORT TO AT LEAST 15 CANCER PATIENTS THROUGH SOCIAL WORK ENCOUNTERS BY END OF Q4.- TO HIRE A NEW ONCOLOGY NURSE NAVIGATOR AND PROVIDE FINANCIAL NAVIGATION SUPPORT TO 15 CANCER PATIENTS IN NEED OF FINANCIAL ASSISTANCE BY END OF Q4.- TO INCREASE LUNG CANCER SCREENING UTILIZATION FROM 39 PATIENTS IN 2018 BY 20% BY Q4.- TO EXPAND THE ABILITY FOR CHARITY CLINIC PARTNERS IN THE HMTW SERVICE AREA THAT ARE RECEIVING FINANCIAL SUPPORT VIA THE COMMUNITY BENEFITS GRANT PROGRAM TO SEND TESTS AND PATIENTS FOR RADIOLOGY TO HMTW THEREBY REMOVING BARRIERS TO ACCESS WITH A GOAL OF A 100% SHOW RATE FOR RADIOLOGY APPOINTMENTS SCHEDULED.2020 OUTCOMES:- AT THE END OF 2020, THE GOAL TO DECREASE THE CHF READMISSION RATE TO LESS THAN 10% WAS NOT MET. IN Q2, AN EDUCATIONAL PROGRAM WAS DEVELOPED AND PROVIDED TO THE NURSE PRACTITIONER ("NP"). A DAILY REPORT WAS GENERATED OF NEW CHF PATIENTS FOR THE NP TO VISIT. HOWEVER, BY Q3, DUE TO COVID-19, THERE WAS A SHIFT IN PRIORITIES AND THIS PROJECT HAS BEEN PLACED ON HOLD. PROGRESS WILL BE EVALUATED, AND CARE SENSE WILL BE ROLLED OUT TO THE CHF PATIENTS IN 2021.- IN 2020, THERE WERE 2 REFERRALS TO LCSW FROM THE CANCER CENTER.- DUE TO BUDGET AND VOLUMES, THE GOAL TO HIRE A NEW ONCOLOGY NURSE WAS PUT ON HOLD. THERE ARE PLANS TO RECRUIT AND HIRE AN ADDITIONAL ONCOLOGY NURSE NAVIGATOR IN Q1 2021.- IN 2020, 98 LUNG CANCER SCREENINGS WERE PROVIDED.- AT THE END OF 2020, THE GOAL TO EXPAND LAB AND RADIOLOGY TESTING TO HMTW WAS NOT MET. DISCUSSIONS WILL CONTINUE IN 2021 TO IDENTIFY OPPORTUNITIES TO EXPAND SERVICES FOR COMMUNITY PARTNERS TO HMTW. PART V, SECTION B, LINE 11 (CONTINUED) HMB2020 OBJECTIVES:- TO PROVIDE FINANCIAL NAVIGATION SUPPORT TO AT LEAST 25 CANCER PATIENTS IN NEED OF FINANCIAL ASSISTANCE BY END OF Q4.- TO INCREASE LUNG CANCER SCREENING UTILIZATION BY 20% BY END OF Q4.- TO IDENTIFY CLINICAL RESEARCH OPPORTUNITY AND CLINICAL TRIAL RESEARCH BY A CLINICAL RESEARCH COORDINATOR.2020 OUTCOMES:- 89 PATIENTS WERE PROVIDED FINANCIAL NAVIGATION IN 2020, WITH ONE SOCIAL WORKER AND ONE NURSE NAVIGATOR ADDED TO THE PROGRAM.- THERE WERE 344 LUNG SCREENING REFERRALS IN 2020, WITH 196 LDCT CANCER SCREENINGS PERFORMED.- IN 2020, 20 PATIENTS WERE ENROLLED IN CANCER CLINICAL TRIALS, WHICH IS SIMILAR TO PREVIOUS YEARS. A CLINICAL TRIAL COORDINATOR POSITION WAS APPROVED.HMCL2020 OBJECTIVES:- TO ESTABLISH A SUPPORT GROUP OF TWELVE MEMBERS FOR BREAST CANCER SURVIVORS UNDER 50 YEARS OF AGE THROUGH THE CREATION OF A YOUNG SURVIVOR AND CO-SURVIVOR SOCIAL GROUP BY THE END OF Q4.- TO EXPAND ONCOLOGY FOCUSED CLINICAL TRIALS FROM 12 TO 24 TRIALS BY THE END OF Q4.- TO INCREASE LUNG CANCER SCREENINGS BY 10% FROM 140 TO 155 BY END OF Q4.2020 OUTCOMES:- AT THE END OF 2020, THE GOAL TO ESTABLISH A YOUNG SURVIVOR AND CO-SURVIVOR SUPPORT GROUP WAS NOT MET. DUE TO COVID-19, PLANS TO REBOOT THE SUPPORT GROUP PAUSED IN Q2.- 102 PATIENTS WERE SCREENED, WITH FOUR ENROLLED REFERRED PATIENTS AND 25 APPROVED IRB (INSTITUTIONAL REVIEW BOARD) OPEN CLINICAL TRIALS.- IN 2020, THERE WERE 166 TOTAL LUNG SCREENINGS, AN 18.6% INCREASE FROM 2019.HMCCH2020 OBJECTIVES:- TO CREDENTIAL ONE GASTROINTESTINAL SPECIALIST TO PROVIDE GASTROINTESTINAL CONSULTS AT HMCCH AND PREVENT PATIENTS FROM BEING UNNECESSARILY TRANSFERRED TO HMW FOR CONTINUATION OF CARE BY END OF Q4.- TO CREDENTIAL ONE UROLOGY SPECIALISTS TO PROVIDE UROLOGY CONSULTS AT HMCCH AND PREVENT PATIENTS FROM BEING TRANSFERRED TO HMW BY END OF Q4.2020 OUTCOMES:- IN 2020, 54 GASTROINTESTINAL CONSULTS WERE PERFORMED AT HMCCH AND 22 PATIENTS WERE TRANSFERRED TO HMW FOR GASTROINTESTINAL CONSULTS. TWO CREDENTIALED GASTROINTESTINAL SPECIALISTS WERE ALREADY ONBOARDED TO PROVIDE CONSULTS AT HMCCH IN 2020.- IN 2020, 22 UROLOGY CONSULTS WERE PERFORMED AT HMCCH AND FOUR PATIENTS TRANSFERRED TO HMW FOR UROLOGY CONSULTS. THREE CREDENTIALED UROLOGY SPECIALISTS WERE ALREADY ONBOARDED TO PROVIDE CONSULTS AT HMCCH IN 2020.2020 HEALTH NEED: PROMOTE HEALTHY LIVING BEHAVIORS THAT REDUCE THE LIKELIHOOD OF CHRONIC DISEASE DEVELOPMENTHMSL2020 OBJECTIVES:- SEND ONE TEAM OF TWO PEOPLE TO THE FOUR-DAY CHRONIC DISEASE SELF-MANAGEMENT TRAINING IN 2020.- HOST ONE CHRONIC DISEASE SELF-MANAGEMENT COURSE AND SERVE AT LEAST TEN PATIENTS IN 2020.2020 OUTCOMES:- AT THE END OF 2020, THE GOAL TO SEND A TEAM TO RECEIVE TRAINING WAS NOT MET. DUE TO COVID-19, TRAININGS WERE ON HOLD UNTIL Q3. HOWEVER, DESPITE THE CHALLENGES, ONE FACILITATOR WAS TRAINED AND AN AGREEMENT WITH THE AREA AGENCY ON AGING WAS ESTABLISHED IN Q1.- THE 2020 GOAL TO HOST ONE CHRONIC DISEASE SELF-MANAGEMENT COURSE WAS MET. SEVEN PEOPLE REGISTERED FOR THE SESSIONS IN 2020, WITH FOUR PEOPLE ABLE TO COMPLETE AND FINISH ALL SIX SESSIONS AND THREE PEOPLE ATTENDING AT LEAST TWO SESSIONS.HMWB2020 OBJECTIVES:- GROW MENDED HEARTS SUPPORT GROUP BY END OF 2020, OFFERING A MONTHLY MEETING WITH MORE THAN FIVE PEOPLE ATTENDING CONSISTENTLY. OFFER EDUCATIONAL PROGRAMS THROUGHOUT 2020 THAT COVER A VARIETY OF PERTINENT TOPICS FOR PATIENTS, FAMILIES AND CAREGIVERS.- DEVELOP THE HEALTH CARE SERIES IN COLLABORATION WITH THE YMCA AND LAUNCH IN Q1 2020. PROVIDE FOUR EDUCATIONAL SESSIONS IN 2020.- TO ONBOARD TWO NEW FAITH AGENCIES TO THE FAITH HEALTH INITIATIVE IN PROXIMITY OF THE PATIENT POPULATION IMMEDIATELY SURROUNDING NETWORK OF CARE FACILITIES THAT ARE LOCATED WITHIN A 10-MILE RADIUS OF HMWB BY END OF Q4.2020 OUTCOMES:- IN 2020, FIVE MENDED HEARTS MEETINGS WERE HELD IN Q1, WITH 25 TOTAL ATTENDEES. TOPICS INCLUDED EARLY HEART ATTACK CARE ATRIAL FIBRILLATION AND HEART FAILURE. DUE TO COVID-19, MONTHLY SUPPORT GROUPS WERE CANCELED IN Q2. THIS GOAL WILL BE REENGAGED IN 2021, WITH PLANS TO REINTRODUCE THE MENDED HEARTS ACCREDITED VISITOR AT COMMITTEE MEETINGS AND PROVIDE MENDED HEARTS INFORMATION TO DISCHARGING CARDIOVASCULAR PATIENTS, RESTARTING MENDED HEARTS SUPPORT GROUP MEETINGS IN Q3 2021.- AT THE END OF 2020, THE GOAL TO PROVIDE FOUR EDUCATIONAL SESSIONS IN COLLABORATION WITH THE YMCA WAS NOT MET. DUE TO COVID-19, PLANNING WAS DELAYED UNTIL Q3. TWO VIRTUAL EVENTS WERE HOSTED IN Q4 FOR 20 TOTAL ATTENDEES, WITH TOPICS ON SPORTS MEDICINE AND NUTRITION. YMCA WILL CONTINUE TO ENHANCE PROMOTION TO INCREASE ATTENDANCE FOR FUTURE EVENTS.- AT THE END OF 2020, THE GOAL TO ONBOARD TWO NEW FAITH AGENCIES TO THE FAITH HEALTH INITIATIVE WAS NOT MET DUE TO THE RESTRICTIONS CAUSED BY COVID-19. OUTREACH TO FAITH ORGANIZATIONS AND IDENTIFIED FAITH LEADERS WILL CONTINUE IN 2021. HMW2020 OBJECTIVES:- INCREASE COMMUNITY PARTICIPATION TO THE MENDED HEARTS EDUCATION AND SUPPORT GROUP FROM 20 PATIENTS TO 25 PATIENTS IN 2020.- TO PROVIDE ALL PATIENTS EDUCATION ON SPECIFIC INDIVIDUALIZED FUNCTIONAL DEFICITS DETERMINED DURING INITIAL EVALUATION AND 50% OF REHABILITATION PATIENTS WILL RECEIVE EVIDENCE-BASED EDUCATION ON ADDITIONAL TOPIC CHOSEN BY STAFF PER QUARTER TO INCREASE COMMUNITY AWARENESS BY Q4.- PARTNER WITH LOCAL EMS PROVIDER(S) TO PROVIDE A MINIMUM OF ONE HANDS-ON CPR (HOCPR) EVENT(S) IN KATY OR THE SURROUNDING AREA IN 2020.- COLLABORATE WITH HMW COMMUNITY OUTREACH SPECIALIST, CORPORATE EMPLOYER OUTREACH SPECIALIST AND PHYSICIAN LIAISONS TO PROVIDE HEART ATTACK & STROKE EDUCATION AT TWO HEALTH FAIRS IN 2020 TO LOCAL BUSINESSES.- TO ONBOARD A MINIMUM OF 4 NEW FAITH AGENCIES TO THE FAITH HEALTH INITIATIVE WITH 50% BEING THE METHODIST DENOMINATION AND THE REMAINING A MIX OF OTHERS MOST ALIGNED WITH PATIENT POPULATION IMMEDIATELY SURROUNDING NETWORK OF CARE FACILITIES LOCATED WITHIN THE KATY/SPRING BRANCH COMMUNITY WHICH IS CLOSEST PROXIMITY TO HMW BY END OF Q4.2020 OUTCOMES:- AT THE END OF 2020, THE GOAL TO INCREASE PARTICIPATION TO SUPPORT GROUPS WAS NOT MET. DUE TO COVID-19, EVENTS WERE CANCELLED. THE MENDED HEARTS SUPPORT GROUP IS CONSIDERING VIRTUAL VISITS IN 2021. - IN 2020, 2,018 PATIENTS RECEIVED EDUCATIONAL INFORMATION ON EVIDENCE-BASED TOPIC AND 100% OF PATIENTS PROVIDED EDUCATIONAL MATERIAL AT INITIAL EVALUATION. QUARTERLY TOPICS INCLUDED STRETCHING, CARDIOVASCULAR DISEASE, NUTRITION AND METABOLISM.- AT THE END OF 2020, NO PROGRESS WAS MADE TO THE GOAL TO PARTNER WITH LOCAL EMS TO PROVIDE ONE CPR TRAINING EVENT. DUE TO COVID-19, ALL EVENTS WERE CANCELLED. THE CHEST PAIN COMMITTEE IS CURRENTLY REVIEWING COMMUNITY EDUCATION REQUIREMENTS BEFORE MOVING FORWARD IN 2021.- IN 2020, 3 HEALTH FAIRS WERE ATTENDED (ACADEMY HEALTH FAIR, SECOND BAPTIST HEALTH FAIR, SPRING FOREST MIDDLE SCHOOL HEALTH FAIR), WITH 1,800 PEOPLE IN ATTENDANCE. HOUSTON METHODIST EMPLOYEES PROVIDED HEART ATTACK AND STROKE EDUCATIONAL BROCHURES AND BLOOD PRESSURE AND CHOLESTEROL SCREENINGS AT THE HEALTH FAIRS.- AT THE END OF 2020, ONE FAITH ORGANIZATION WAS ONBOARDED TO THE FAITH HEALTH INITIATIVE, TO BEGIN PROVIDING SERVICES OF COMPASSIONATE CARE IN JANUARY 2021. DUE TO THE RESTRICTIONS CAUSED BY COVID-19, THE GOAL FOR 2020 WAS NOT MET. OUTREACH TO NEW ORGANIZATIONS AND IDENTIFIED FAITH LEADERS WILL CONTINUE INTO 2021 TO ACHIEVE THE THREE-YEAR OBJECTIVE OF 20 FAITH AGENCIES BY Q4 OF 2022. PART V, SECTION B, LINE 11 (CONTINUED) HMTW2020 OBJECTIVES:- TO ESTABLISH A MONTHLY HEART SUPPORT GROUP AND INCREASE PARTICIPATION BY 5% EACH YEAR. BASELINE FOR GROWTH WILL BE DEVELOPED AT THE END OF 2020.- TO ESTABLISH A MONTHLY STROKE SUPPORT GROUP AND INCREASE PARTICIPATION BY 5% EACH YEAR. BASELINE FOR GROWTH WILL BE DEVELOPED AT THE END OF 2020.- TO HOST TWO EDUCATIONAL EVENTS, OPEN TO THE COMMUNITY, THAT WILL BE PROVIDED IN 2020 TO INCREASE ACCESS TO INFORMATION ON HEALTHY LIVING BEHAVIORS WITH VARYING EVENT TOPICS AND LOCATIONS.- TO ONBOARD A MINIMUM OF 2 NEW FAITH AGENCIES TO THE FAITH HEALTH INITIATIVE WITH 50% BEING THE METHODIST DENOMINATION AND THE REMAINING A MIX OF OTHERS MOST ALIGNED WITH PATIENT POPULATION IMMEDIATELY SURROUNDING NETWORK OF CARE FACILITIES LOCATED WITHIN THE WOODLANDS AREA WHICH IS CLOSEST PROXIMITY TO HMTW BY END OF Q4.2020 OUTCOMES:- DUE TO COVID-19 LIMITATIONS, THE HEART SUPPORT GROUP DID NOT MEET IN 2020.- DUE TO COVID-19 LIMITATIONS, IN-PERSON STROKE SUPPORT GROUPS WERE PUT ON HOLD AFTER Q1. HOWEVER, VIRTUAL STROKE SUPPORT GROUP OFFERINGS STARTED IN Q4. AT THE END OF 2020, TWO IN-PERSON AND ONE VIRTUAL STROKE SUPPORT GROUPS WERE HELD.- AT THE END OF 2020, THE GOAL TO HOST TWO EDUCATION EVENTS WITH TOPICS ON HEALTHY LIVING BEHAVIORS WAS NOT MET. DUE TO COVID-19, ALL EVENTS WERE CANCELLED, BUT WILL RESUME IN 2021 AS VIRTUAL EVENTS.- AT THE END OF 2020, THE GOAL TO ONBOARD TWO NEW FAITH AGENCIES TO THE FAITH HEALTH INITIATIVE WAS NOT MET. DUE TO THE MANY RESTRICTIONS AND CLOSURES OF FAITH ORGANIZATIONS CAUSED BY COVID-19, CONGREGATIONAL OUTREACH WAS MADE BUT NO SITE VISITS WERE HELD. HOWEVER, OUTREACH TO ORGANIZATIONS AND IDENTIFIED FAITH LEADERS CONTINUED AND MORE PROGRESS WILL BE MADE IN 2021. HMB2020 OBJECTIVES:- TO ONBOARD TWO NEW FAITH AGENCIES TO THE FAITH HEALTH INITIATIVE IN PROXIMITY OF THE PATIENT POPULATION MOST SERVED BY HMB BY END OF Q4.- TO INCREASE COMMUNITY HEALTH PREVENTION AND EDUCATION EVENTS BY 5% EACH YEAR.2020 OUTCOMES:- DUE TO THE MANY RESTRICTIONS AND CLOSURES OF FAITH ORGANIZATIONS CAUSED BY COVID-19, CONGREGATIONAL OUTREACH WAS LIMITED. HOWEVER, ONE FAITH ORGANIZATION WAS ONBOARDED IN Q4, TO BEGIN SERVICES IN 2021 Q1.- AT THE END OF 2020, 11 SEMINARS AND OUTREACH EVENTS TOOK PLACE. TOPICS INCLUDED DIABETES AND HEALTHY LIFESTYLES AND BREAST CANCER AWARENESS AND PROVIDING MAMMOGRAMS TO LOCAL EMPLOYEES. DUE TO COVID-19, EVENTS TRANSITIONED TO A VIRTUAL PLATFORM TO MAINTAIN SAFETY GUIDELINES. ADDITIONALLY, 16 DIRECT MAIL AND SOCIAL MEDIA CAMPAIGNS WERE PROVIDED TO INCREASE EDUCATION ON TOPICS SUCH AS COVID-19, LUNG CANCER SCREENING, HEART HEALTH AND PRIMARY CARE.HMCL2020 OBJECTIVES:- TO INCREASE THE NUMBER OF PARTICIPANTS TO THE HEART SCREENING EVENT, WEIGHT MANAGEMENT, DIABETES, AND BACK & NECK PAIN EVENTS BY 5% BY END OF 2020 WHICH REPRESENTS THE VOLUME GOING FROM 375 TO 393.- TO ONBOARD TWO NEW FAITH AGENCIES TO THE FAITH HEALTH INITIATIVE IN PROXIMITY OF THE PATIENT POPULATION IMMEDIATELY SURROUNDING NETWORK OF CARE FACILITIES THAT ARE LOCATED WITHIN A 10-MILE RADIUS OF HMCL BY END OF Q4.2020 OUTCOMES:- DESPITE THE CHALLENGES OF COVID-19, SIX EDUCATION SEMINARS WERE PROVIDED FOR THE COMMUNITY. TOPICS INCLUDED PROSTATE CANCER, HEART HEALTH, JOINT REPLACEMENT AND WEIGHT LOSS. EVENTS TRANSITIONED TO A VIRTUAL PLATFORM AND THE FIRST VIRTUAL EVENT WAS HELD IN Q3 AND FOCUSED ON PROSTATE CANCER.- AT THE END OF 2020, THE GOAL TO ONBOARD TWO NEW FAITH AGENCIES TO THE FAITH HEALTH INITIATIVE WAS NOT MET. DUE TO THE MANY RESTRICTIONS AND CLOSURES OF FAITH ORGANIZATIONS CAUSED BY COVID-19. HOWEVER, OUTREACH TO ORGANIZATIONS AND IDENTIFIED FAITH LEADERS CONTINUED AND MORE PROGRESS WILL BE MADE IN 2021.2020 HEALTH NEED: INCREASE ACCESS TO MENTAL HEALTH CARE SERVICES WITHIN HOUSTON METHODIST'S SURROUNDING UNDERSERVED COMMUNITYHMSL2020 OBJECTIVES:- TO LAUNCH A SYSTEM WIDE INITIATIVE ACROSS ALL EIGHT HOSPITALS FOR SUICIDE SCREENING, UTILIZING THE PATIENT HEALTH QUESTIONNAIRE (PHQ-9), WHICH WILL STRATIFY PATIENTS FOR SUICIDE RISK BASED ON THEIR RESPONSE. THE 2020 GOAL IS TO HARDWIRE STAFF UTILIZATION OF THE SUICIDE SCREENING TOOL, TRACK SCREENING COMPLIANCE WITH THE NEW EPIC UTILIZATION REPORT AND TO CREATE BASELINE FOR FOLLOWING YEARS. FOR HMSL, THE BASELINE GOAL WILL BE ESTABLISHED AT THE END OF 2020 AND WILL BE BUILT UPON FOR SUBSEQUENT YEARS OF THE PLAN FOR BOTH STAFF EDUCATION AND PATIENT SCREENING COMPLIANCE.- TO INCREASE TELEPSYCHIATRY UTILIZATION BY 5% ACROSS THE EIGHT HOSPITALS FOR PATIENTS WITH A PRIMARY OR SECONDARY PSYCHIATRIC DIAGNOSIS BY END OF Q4. A GOAL OF INCREASING HMSL UTILIZATION FROM 26 CALLS TO 27 CALLS.- TO INCREASE ACCESS TO MENTAL HEALTH SERVICES AND RESOURCES BY 50% BY PROVIDING MENTAL HEALTH SERVICES AND RESOURCES TO HMSL PATIENTS WITH EMPHASIS ON THE NEUROLOGY DEPARTMENT AND OUTLYING COMMUNITY PATIENTS AND CAREGIVERS DEALING WITH CHRONIC ILLNESS. - PROVIDE MENTAL HEALTH EDUCATION TO THE HOUSTON METHODIST SUGAR LAND NEUROLOGY SPECIALTY AND HOSPITAL LEADERSHIP BY PROVIDING SIX EDUCATIONAL SESSIONS OR SEMINARS BY END OF Q4.2020 OUTCOMES:- ACROSS THE SYSTEM IN 2020, THE INPATIENT COMPLIANCE RATE INCREASED TO 80% AND HOUSTON METHODIST EMERGENCY DEPARTMENTS HAVE AN 88% COMPLIANCE RATE. AT HMSL, THE INPATIENT COMPLIANCE RATE INCREASED TO 75% AND THE HMSL EMERGENCY DEPARTMENT HAS A 94% COMPLIANCE RATE. AS OF Q4 SYSTEM WIDE, HOUSTON METHODIST HAS A 98% TRAINING COMPLIANCE RATE AND HMSL HAS AN 100% TRAINING COMPLIANCE RATE.- IN 2020, THERE WERE 5,921 TELEPSYCHIATRY CALLS SYSTEM WIDE, WITH HMSL ACCOUNTING FOR 178 OF TOTAL TELEPSYCHIATRY CALLS SYSTEM WIDE.- AT THE END OF 2020, THE GOAL TO DECREASE OUTSOURCING OF MENTAL HEALTH SERVICES WAS NOT MET. DUE TO COVID-19, HOSPITAL PRIORITIES SHIFTED, AND STAFF OBJECTIVES WERE RE-ALIGNED TO FOCUS ON COVID-19 INITIATIVES. THE THREE-YEAR OBJECTIVE AND GOALS WILL BE REASSESSED IN 2021.HMWB2020 OBJECTIVES:- ASSIST PATIENTS IN ACCESSING OUTPATIENT MENTAL HEALTH SERVICES BY THE END OF Q4 2020 BY ALIGNING WITH PSYCHIATRISTS THROUGH THE HOUSTON METHODIST PHYSICIANS' ALLIANCE FOR QUALITY PROGRAM, FOSTERING RELATIONSHIPS BETWEEN THE NEUROSCIENCE CENTER AT WILLOWBROOK AND COMMUNITY PSYCHIATRISTS, AND PARTNERING WITH A PSYCHIATRIST TO HAVE SPACE ON-SITE AT HMWB TO PROVIDE OUTPATIENT CONSULTS ON CAMPUS, ALL IN AN EFFORT TO GROW INPATIENT PSYCHIATRY CONSULTS BY 25% BY END OF Q4 2020, COMPARED TO PRIOR YEAR.- TO LAUNCH A SYSTEM WIDE INITIATIVE ACROSS ALL EIGHT HOSPITALS FOR SUICIDE SCREENING, UTILIZING THE PATIENT HEALTH QUESTIONNAIRE (PHQ-9), WHICH WILL STRATIFY PATIENTS FOR SUICIDE RISK BASED ON THEIR RESPONSE. THE 2020 GOAL IS TO HARDWIRE STAFF UTILIZATION OF THE SUICIDE SCREENING TOOL, TRACK SCREENING COMPLIANCE WITH THE NEW EPIC UTILIZATION REPORT AND TO CREATE BASELINE FOR FOLLOWING YEARS. FOR HMWB, THE BASELINE GOAL WILL BE ESTABLISHED AT THE END OF 2020 AND WILL BE BUILT UPON FOR SUBSEQUENT YEARS OF THE PLAN FOR BOTH STAFF EDUCATION AND PATIENT SCREENING COMPLIANCE.- TO INCREASE TELEPSYCHIATRY UTILIZATION BY 5% ACROSS THE EIGHT HOSPITALS FOR PATIENTS WITH A PRIMARY OR SECONDARY PSYCHIATRIC DIAGNOSIS BY END OF Q4. A GOAL OF INCREASING HMWB UTILIZATION FROM 1,031 CALLS TO 1,083 CALLS.- TO HAVE A RESPONSE TIME OF 60 MINUTES OR LESS (FROM 75 MINUTES IN 2019) FOR 80% OF ALL MAT ASSESSMENTS (80% COMPLIANCE RATE) TO ENSURE THAT THE PATIENT IS PROVIDED THE APPROPRIATE ASSESSMENT, CUSTOMIZED DISCHARGE PLAN, AND POST-DISCHARGE FOLLOW-UP RESOURCES. PART V, SECTION B, LINE 11 (CONTINUED) 2020 OUTCOMES:- AT THE END OF 2020, THE GOAL TO PROVIDE OUTPATIENT MENTAL HEALTH SERVICES HAD SHIFTED FROM AN INTERNAL EMPLOYMENT STRATEGY TO ALIGNING WITH AREA PRIVATE PSYCHIATRISTS. PROGRESS WAS MADE ON INPATIENT CONSULTS, WITH 1,300 INPATIENT PSYCHIATRY CONSULTS IN 2020, A 29% INCREASE IN PSYCHIATRIC VISITS OVER 2019. THE SUBSTANTIAL GROWTH IN UTILIZATION WAS DUE TO AN INCREASE IN MENTAL HEALTH SERVICE NEEDS DUE TO COVID-19. HMWB HAS LAUNCHED A PSYCHIATRY INNOVATION WORKGROUP AND HAS HOSTED TWO COLLABORATIVE MEETINGS, ENGAGING A LOCAL PSYCHIATRIST, BEHAVIORAL HEALTH EXPERTS, AND THE HMWB TEAM. FOUR KEY INITIATIVES WERE ESTABLISHED TO IMPROVE MENTAL HEALTH RESOURCES AT THE HOSPITAL TO ASSIST IN PATIENT CARE NEEDS AND CONNECTING RESOURCES WITH AREA SCHOOL DISTRICTS. DUE TO THE THREE YEAR OBJECTIVE ALREADY BEING MET IN 2020, THE 2021 AND 2022 GOALS WILL BE ADJUSTED TO REFLECT AN INCREASED TARGET FOR INPATIENT PSYCHIATRY CONSULTS.- ACROSS THE SYSTEM IN 2020, THE INPATIENT COMPLIANCE RATE INCREASED TO 80% AND HOUSTON METHODIST EMERGENCY DEPARTMENTS HAVE AN 88% COMPLIANCE RATE. AT HMWB, THE INPATIENT COMPLIANCE RATE INCREASED TO 80% AND THE HMWB EMERGENCY DEPARTMENT HAS AN 87% COMPLIANCE RATE. AS OF Q4 SYSTEM WIDE, HOUSTON METHODIST HAS A 98% TRAINING COMPLIANCE RATE AND HMWB HAS AN 95% TRAINING COMPLIANCE RATE.- IN 2020, THERE WERE 5,921 TELEPSYCHIATRY CALLS SYSTEM WIDE, WITH HMWB ACCOUNTING FOR 1,479 OF TOTAL TELEPSYCHIATRY CALLS SYSTEM WIDE. HMW2020 OBJECTIVES:- TO INCREASE TELEPSYCHIATRY UTILIZATION BY 5% ACROSS THE EIGHT HOSPITALS FOR PATIENTS WITH A PRIMARY OR SECONDARY PSYCHIATRIC DIAGNOSIS BY END OF Q4. A GOAL OF INCREASING HMW UTILIZATION FROM 417 CALLS TO 438 CALLS.- TO LAUNCH A SYSTEM WIDE INITIATIVE ACROSS ALL EIGHT HOSPITALS FOR SUICIDE SCREENING, UTILIZING THE PATIENT HEALTH QUESTIONNAIRE (PHQ-9), WHICH WILL STRATIFY PATIENTS FOR SUICIDE RISK BASED ON THEIR RESPONSE. THE 2020 GOAL IS TO HARDWIRE STAFF UTILIZATION OF THE SUICIDE SCREENING TOOL, TRACK SCREENING COMPLIANCE WITH THE NEW EPIC UTILIZATION REPORT AND TO CREATE BASELINE FOR FOLLOWING YEARS. FOR HMW, THE BASELINE GOAL WILL BE ESTABLISHED AT THE END OF 2020 AND WILL BE BUILT UPON FOR SUBSEQUENT YEARS OF THE PLAN FOR BOTH STAFF EDUCATION AND PATIENT SCREENING COMPLIANCE.2020 OUTCOMES:- IN 2020, THERE WERE 5,921 TELEPSYCHIATRY CALLS SYSTEM WIDE, WITH HMW ACCOUNTING FOR 791 OF TOTAL TELEPSYCHIATRY CALLS SYSTEM WIDE.- ACROSS THE SYSTEM IN 2020, THE INPATIENT COMPLIANCE RATE INCREASED TO 80% AND HOUSTON METHODIST EMERGENCY DEPARTMENTS HAVE AN 88% COMPLIANCE RATE. AT HMW, THE INPATIENT COMPLIANCE RATE INCREASED TO 71% AND THE HMW EMERGENCY DEPARTMENT HAS AN 80% COMPLIANCE RATE. AS OF Q4 SYSTEM WIDE, HOUSTON METHODIST HAS A 98% TRAINING COMPLIANCE RATE AND HMW HAS A 100% TRAINING COMPLIANCE RATE.HMTW2020 OBJECTIVES:- TO LAUNCH A SYSTEM WIDE INITIATIVE ACROSS ALL EIGHT HOSPITALS FOR SUICIDE SCREENING, UTILIZING THE PATIENT HEALTH QUESTIONNAIRE (PHQ-9), WHICH WILL STRATIFY PATIENTS FOR SUICIDE RISK BASED ON THEIR RESPONSE. THE 2020 GOAL IS TO HARDWIRE STAFF UTILIZATION OF THE SUICIDE SCREENING TOOL, TRACK SCREENING COMPLIANCE WITH THE NEW EPIC UTILIZATION REPORT AND TO CREATE BASELINE FOR FOLLOWING YEARS. FOR HMTW, THE BASELINE GOAL WILL BE ESTABLISHED AT THE END OF 2020 AND WILL BE BUILT UPON FOR SUBSEQUENT YEARS OF THE PLAN FOR BOTH STAFF EDUCATION AND PATIENT SCREENING COMPLIANCE.- TO INCREASE TELEPSYCHIATRY UTILIZATION BY 5% ACROSS THE EIGHT HOSPITALS FOR PATIENTS WITH A PRIMARY OR SECONDARY PSYCHIATRIC DIAGNOSIS BY END OF Q4. A GOAL OF INCREASING HMTW UTILIZATION FROM 260 CALLS TO 273 CALLS.2020 OUTCOMES:- ACROSS THE SYSTEM IN 2020, THE INPATIENT COMPLIANCE RATE INCREASED TO 80% AND HOUSTON METHODIST EMERGENCY DEPARTMENTS HAVE AN 88% COMPLIANCE RATE. AT HMTW, THE INPATIENT COMPLIANCE RATE INCREASED TO 76% AND THE HMTW EMERGENCY DEPARTMENT HAS AN 87% COMPLIANCE RATE. AS OF Q4 SYSTEM WIDE, HOUSTON METHODIST HAS A 98% TRAINING COMPLIANCE RATE AND HMTW HAS A 100% TRAINING COMPLIANCE RATE.- IN 2020, THERE WERE 5,921 TELEPSYCHIATRY CALLS SYSTEMWIDE, WITH HMTW ACCOUNTING FOR 539 OF TOTAL TELEPSYCHIATRY CALLS SYSTEM WIDE.HMB2020 OBJECTIVES:- TO ACHIEVE A RATE OF 34% OF PATIENTS WITH A COMPLETED POST-DISCHARGE FOLLOW UP VISIT WITHIN 1-7 DAYS POST-DISCHARGE BY Q4. - TO ACHIEVE A RATE OF 54% OF PATIENTS WITH A COMPLETED POST-DISCHARGE FOLLOW UP VISIT WITHIN 8-30 DAYS POST-DISCHARGE BY Q4.- TO INCREASE TELEPSYCHIATRY UTILIZATION BY 5% ACROSS THE EIGHT HOSPITALS FOR PATIENTS WITH A PRIMARY OR SECONDARY PSYCHIATRIC DIAGNOSIS BY END OF Q4. A GOAL OF INCREASING HMB UTILIZATION FROM 1,673 CALLS TO 1,757 CALLS.- TO LAUNCH A SYSTEM WIDE INITIATIVE ACROSS ALL EIGHT HOSPITALS FOR SUICIDE SCREENING, UTILIZING THE PATIENT HEALTH QUESTIONNAIRE (PHQ-9), WHICH WILL STRATIFY PATIENTS FOR SUICIDE RISK BASED ON THEIR RESPONSE. THE 2020 GOAL IS TO HARDWIRE STAFF UTILIZATION OF THE SUICIDE SCREENING TOOL, TRACK SCREENING COMPLIANCE WITH THE NEW EPIC UTILIZATION REPORT AND TO CREATE BASELINE FOR FOLLOWING YEARS. FOR HMB, THE BASELINE GOAL WILL BE ESTABLISHED AT THE END OF 2020 AND WILL BE BUILT UPON FOR SUBSEQUENT YEARS OF THE PLAN FOR BOTH STAFF EDUCATION AND PATIENT SCREENING COMPLIANCE.2020 OUTCOMES:- THE PERCENTAGE OF COMPLETED FOLLOW-UP VISITS FOR PATIENTS DISCHARGED FROM HMB INPATIENT PSYCHIATRIC UNIT WITHIN 1 - 7 DAYS IS 22%.- THE PERCENTAGE OF COMPLETED FOLLOW-UP VISITS FOR PATIENTS DISCHARGED FROM HMB INPATIENT PSYCHIATRIC UNIT WITHIN 8 - 30 DAYS IS 39%.- THERE WERE 5,921 TELEPSYCHIATRY CALLS SYSTEM WIDE IN 2020, WITH HMB ACCOUNTING FOR 1,841 OF TOTAL TELEPSYCHIATRY CALLS SYSTEM WIDE.- ACROSS THE SYSTEM IN 2020, THE INPATIENT COMPLIANCE RATE INCREASED TO 80% AND HOUSTON METHODIST EMERGENCY DEPARTMENTS HAD AN 88% COMPLIANCE RATE. AT HMB, THE INPATIENT COMPLIANCE RATE INCREASED TO 87% AND THE HMB EMERGENCY DEPARTMENT HAS AN 85% COMPLIANCE RATE. AS OF Q4 SYSTEM WIDE, HOUSTON METHODIST HAS A 98% TRAINING COMPLIANCE RATE AND HMB HAS A 100% TRAINING COMPLIANCE RATE.HMCL2020 OBJECTIVES:- TO INCREASE TELEPSYCHIATRY UTILIZATION BY 5% ACROSS THE EIGHT HOSPITALS FOR PATIENTS WITH A PRIMARY OR SECONDARY PSYCHIATRIC DIAGNOSIS BY END OF Q4. A GOAL OF INCREASING HMCL UTILIZATION FROM 93 CALLS TO 98 CALLS.- TO LAUNCH A SYSTEM WIDE INITIATIVE ACROSS ALL EIGHT HOSPITALS FOR SUICIDE SCREENING, UTILIZING THE PATIENT HEALTH QUESTIONNAIRE (PHQ-9), WHICH WILL STRATIFY PATIENTS FOR SUICIDE RISK BASED ON THEIR RESPONSE. THE 2020 GOAL IS TO HARDWIRE STAFF UTILIZATION OF THE SUICIDE SCREENING TOOL, TRACK SCREENING COMPLIANCE WITH THE NEW EPIC UTILIZATION REPORT AND TO CREATE BASELINE FOR FOLLOWING YEARS. FOR HMCL, THE BASELINE GOAL WILL BE ESTABLISHED AT THE END OF 2020 AND WILL BE BUILT UPON FOR SUBSEQUENT YEARS OF THE PLAN FOR BOTH STAFF EDUCATION AND PATIENT SCREENING COMPLIANCE.2020 OUTCOMES:- IN 2020, THERE WERE 5,921 TELEPSYCHIATRY CALLS SYSTEMWIDE, WITH HMCL ACCOUNTING FOR 229 OF TOTAL TELEPSYCHIATRY CALLS SYSTEM WIDE.- ACROSS THE SYSTEM IN 2020, THE INPATIENT COMPLIANCE RATE INCREASED TO 80% AND HOUSTON METHODIST EMERGENCY DEPARTMENTS HAVE AN 88% COMPLIANCE RATE. AT HMCL, THE INPATIENT COMPLIANCE RATE INCREASED TO 78% AND THE HMCL EMERGENCY DEPARTMENT HAS A 94% COMPLIANCE RATE. AS OF Q4 SYSTEM WIDE, HOUSTON METHODIST HAS A 98% TRAINING COMPLIANCE RATE AND HMCL HAS A 100% TRAINING COMPLIANCE RATE.HMCCH2020 OBJECTIVES:- TO LAUNCH A SYSTEM WIDE INITIATIVE ACROSS ALL EIGHT HOSPITALS FOR SUICIDE SCREENING, UTILIZING THE PATIENT HEALTH QUESTIONNAIRE (PHQ-9), WHICH WILL STRATIFY PATIENTS FOR SUICIDE RISK BASED ON THEIR RESPONSE. THE 2020 GOAL IS TO HARDWIRE STAFF UTILIZATION OF THE SUICIDE SCREENING TOOL, TRACK SCREENING COMPLIANCE WITH THE NEW EPIC UTILIZATION REPORT AND TO CREATE BASELINE FOR FOLLOWING YEARS. FOR HMCCH, THE BASELINE GOAL WILL BE ESTABLISHED AT THE END OF 2020 AND WILL BE BUILT UPON FOR SUBSEQUENT YEARS OF THE PLAN FOR BOTH STAFF EDUCATION AND PATIENT SCREENING COMPLIANCE.- TO INCREASE TELEPSYCHIATRY UTILIZATION BY 5% ACROSS THE EIGHT HOSPITALS FOR PATIENTS WITH A PRIMARY OR SECONDARY PSYCHIATRIC DIAGNOSIS BY END OF Q4. A GOAL OF INCREASING HMCCH UTILIZATION FROM 26 CALLS TO 27 CALLS.2020 OUTCOMES:- ACROSS THE SYSTEM IN 2020, THE INPATIENT COMPLIANCE RATE INCREASED TO 80% AND HOUSTON METHODIST EMERGENCY DEPARTMENTS HAVE AN 88% COMPLIANCE RATE. AT HMCCH, THE INPATIENT COMPLIANCE RATE INCREASED TO 89%. AS OF Q4 SYSTEM WIDE, HOUSTON METHODIST HAS A 98% TRAINING COMPLIANCE RATE AND HMCCH HAS A 100% TRAINING COMPLIANCE RATE.- IN 2020, THERE WERE 5,921 TELEPSYCHIATRY CALLS SYSTEMWIDE, WITH HMCCH ACCOUNTING FOR 64 OF TOTAL TELEPSYCHIATRY CALLS SYSTEM WIDE. PART V, SECTION B, LINE 11 (CONTINUED) HEALTH NEEDS NOT BEING ADDRESSED:IN 2020, HOUSTON METHODIST EXPANDED UPON ITS PRIORITIES BASED ON THE SURVEY FINDINGS OF THE ORIGINAL 2019 CHNA TO FOCUS ON KEY AREAS THAT WERE ORIGINALLY UNABLE TO BE ADDRESSED. DUE TO AN EXPANSION OF THE SYSTEM'S FOCUS ON DIVERSITY, EQUITY AND INCLUSION, ADDITIONAL RESOURCES WERE ALLOCATED TO FOCUS ON ECONOMIC EMPOWERMENT, EDUCATIONAL EMPOWERMENT AND PROMOTING HEALTHY NEIGHBORHOODS WHICH ENCOMPASS THE ORIGINAL THREE AREAS THAT WERE FIRST THOUGHT TO BE UNABLE TO BE ADDRESSED, INCLUDING LOW CRIME/SAFE NEIGHBORHOOD, GOOD SCHOOLS/STRONG EDUCATION SYSTEM AND CLEAN AIR AND WATER QUALITY.THROUGH THE ESTABLISHMENT OF THE DIVERSITY, EQUITY & INCLUSION GRANT PROGRAM, HOUSTON METHODIST ESTABLISHED THE DIVERSITY, EQUITY & INCLUSION GRANT AND THE SOCIAL EQUITY GRANT WHICH FOCUS ON ADDRESSING THE ROOT CAUSES OF HEALTH INEQUITIES EXPERIENCED BY SOCIAL, RACIAL AND ETHNIC MINORITIES. THIS GRANT PROGRAM TARGETS THE SOCIAL DETERMINANTS OF HEALTH, THE CONDITIONS WITHIN WHICH PEOPLE ARE BORN AND LIVE, THAT ARE OFTEN THE UNDERLYING CAUSE OF TODAY'S MAJOR SOCIETAL HEALTH ISSUES SUCH AS LACK OF INSURANCE, OBESITY, POOR MENTAL HEALTH, HEART DISEASE AND MORE. SOCIAL DETERMINANTS TO BE ADDRESSED THROUGH GRANT FUNDING INCLUDE ACCESS TO HOUSING AND UTILITY SERVICES, ACCESS TO SAFE DRINKING WATER, CLEAN AIR, AND TOXIN-FREE ENVIRONMENTS, AVAILABILITY OF TRANSPORTATION, CRIME RATES AND EXPOSURE TO VIOLENT BEHAVIOR, EARLY CHILDHOOD EXPERIENCES AND DEVELOPMENT, EDUCATIONAL OPPORTUNITIES, FOOD INSECURITY AND INACCESSIBILITY OF NUTRITIOUS FOOD CHOICES, GENDER INEQUITY, INCOME LEVEL, NEIGHBORHOOD CONDITIONS AND PHYSICAL ENVIRONMENT, OCCUPATION, EMPLOYMENT STATUS, AND WORKPLACE SAFETY, RECREATIONAL AND LEISURE OPPORTUNITIES AND SOCIAL SUPPORT AND COMMUNITY INCLUSIVITY. PART I, LINE 3C: ELIGIBILITY CRITERIA INCLUDED IN THE FINANCIAL ASSISTANCE POLICY CONSISTS OF FEDERAL POVERTY GUIDELINES, INCOME LEVELS OTHER THAN FEDERAL POVERTY GUIDELINES, MEDICAL INDIGENCY, INSURANCE AND UNDERINSURANCE STATUS AND RESIDENCY. PART I, LINE 6A: HOUSTON METHODIST, OF WHICH HMH IS THE FLAGSHIP HOSPITAL, PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IS MADE AVAILABLE TO THE PUBLIC. THIS REPORT INCLUDES CHARITY CARE AND COMMUNITY BENEFITS PROVIDED BY HMH, HMSL, HMWB, HMW, HMTW, HMB, HMCL AND HMCCH WHICH ARE IN HARRIS COUNTY AND IN NEIGHBORING FORT BEND COUNTY AND MONTGOMERY COUNTY, TEXAS. PART I, LINE 7: THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE IN PART I, LINES 7A THRU 7C, WAS A COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 (RATIO OF PATIENT CARE COST TO CHARGES), AS PROVIDED IN THE INSTRUCTIONS TO FORM 990 SCHEDULE H. THE COSTING METHODOLOGY FOR LINES 7F THROUGH 7I WAS BASED ON ACTUAL EXPENDITURES.PART I, LINE 7A:IN CONNECTION WITH THE 2020 990 SCHEDULE H REPORTING REQUIREMENTS, THE COST OF CARE PROVIDED TO PATIENTS WHO HAVE MEDICARE AS THEIR PRIMARY INSURER AND MEDICAID AS SECONDARY HAS BEEN CLASSIFIED AS FINANCIAL ASSISTANCE (PART I, LINE 7A) SINCE THESE PATIENTS WERE PRESUMPTIVELY ELIGIBLE FOR FULL FINANCIAL ASSISTANCE. PART I, LINE 7G: HMSL, HMWB, HMW, HMTW, HMB, HMCL AND HMCCH HAVE NOT REPORTED ANY SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7(G).PART II, COMMUNITY BUILDING ACTIVITIES: HMSL, HMWB, HMW, HMTW, HMB, HMCL AND HMCCH HAVE NOT REPORTED ANY COMMUNITY BUILDING ACTIVITIES IN PART II, LINES 1-10. PART III, LINE 2: THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT OF BAD DEBT EXPENSE (AT COST) REPORTED ON LINE 2 (NO AMOUNT WAS REPORTED ON LINE 3) WAS DERIVED FROM APPLYING THE RATIO OF PATIENT CARE COST TO CHARGES (FROM WORKSHEET 2, LINE 11) TO THE SUM OF BAD DEBT PLUS SELF-PAY DISCOUNTS ATTRIBUTABLE TO PATIENT ACCOUNTS. PART III, LINE 3: HOUSTON METHODIST WILL NOT CLASSIFY AMOUNTS AS BAD DEBT IF PATIENT IS ELIGIBLE FOR CHARITY UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PART III, LINE 4: PLEASE REFER TO NOTE B OF THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF HOUSTON METHODIST, SECTION TITLED NET PATIENT REVENUE AND PATIENT ACCOUNTS RECEIVABLE, NET (PAGES 7 - 8). PART III, LINE 8: MEDICARE ALLOWABLE COSTS WERE DERIVED FROM HOUSTON METHODIST'S FILED MEDICARE COST REPORTS (BY FACILITY) FOR THE YEAR ENDED DECEMBER 31, 2020. THE ENTIRE MEDICARE SHORTFALL ($128.1 MILLION) AS REPORTED IN PART III, LINE 7, AS WELL AS THE UNREIMBURSED COST OF THE MEDICARE MANAGED CARE PROGRAM ($122.9 MILLION), AND TRICARE PROGRAMS ($15.7 MILLION) SHOULD BE TREATED AS A COMMUNITY BENEFIT, SINCE THESE SHORTFALLS, OR SUBSIDIES, REDUCE THE FEDERAL GOVERNMENT'S BURDEN IN PROVIDING HEALTH CARE TO MEDICARE BENEFICIARIES. PART III, LINE 9B: HOUSTON METHODIST HAS A WRITTEN BAD DEBT COLLECTION POLICY; HOWEVER, NO COLLECTION EFFORTS ARE PUT FORTH FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. PART VI, LINE 2: IN ADDITION TO THE ABOVE DESCRIBED PROCESS OF THE CHNA, HOUSTON METHODIST UTILIZES SEVERAL DIFFERENT METHODS TO IDENTIFY THE HEALTH PRIORITIES (HEALTH CARE NEEDS) OF THE COMMUNITIES IT SERVES WHICH INCLUDE BUT ARE NOT LIMITED TO THE REVIEW OF RELEVANT SECONDARY RESOURCES AND DATA FROM SOURCES SUCH AS UNITED STATES CENSUS BUREAU, CENTERS FOR DISEASE CONTROL AND PREVENTION, TEXAS STATE DATA CENTER, PUBLIC HEALTH EXPERT INTERVIEWS AND MORE. HOUSTON METHODIST IS ALSO ABLE TO IDENTIFY THE CHANGING NEEDS OF THE UNDERSERVED POPULATION THROUGH ESTABLISHED COMMUNITY PARTNERSHIPS WITH FEDERALLY QUALIFIED HEALTH CENTERS, SOCIAL SERVICE AGENCIES, THE HARRIS COUNTY PUBLIC HEALTH, AND CHARITY FACILITIES. THROUGH QUARTERLY REPORTING AND CONSISTENT COMMUNICATION, HOUSTON METHODIST CAN STAY ABREAST OF THE NEEDS. PART VI, LINE 3: FINANCIAL ASSISTANCE INFORMATION IS PROVIDED IN MULTIPLE LOCATIONS WITHIN HOUSTON METHODIST; AT THE POINT OF REGISTRATION, DURING CASE MANAGEMENT AND AT THE TIME OF COLLECTIONS POST DISCHARGE, EVERY CHECK-IN LOCATION HAS INFORMATION POSTED IN BOTH ENGLISH AND SPANISH STATING HOW THE PATIENT CAN ACCESS FINANCIAL ASSISTANCE INFORMATION.ADDITIONALLY, THIS INFORMATION IS INCLUDED IN THE PATIENT GUIDE PROVIDED TO THE PATIENT AT THE TIME OF REGISTRATION. HOUSTON METHODIST FINANCIAL COUNSELORS ACTIVELY SEEK ALL UNINSURED INPATIENTS AND OUTPATIENTS WITH SCHEDULED SERVICES FOR A PERSONAL VISIT. DURING THESE VISITS, THE FINANCIAL COUNSELORS WILL SCREEN THE PATIENT FOR FINANCIAL ASSISTANCE AND WILL PROVIDE THE PATIENT WITH THE FINANCIAL ASSISTANCE APPLICATION ("FAA"). THE PATIENT WILL THEN BE PROVIDED A LIST OF RESOURCES WITH CONTACT INFORMATION SHOULD THE PATIENT REQUIRE FURTHER ASSISTANCE IN COMPLETING THE APPLICATION.PRESUMPTIVE FINANCIAL ASSISTANCE MAY BE EVALUATED BASED ON THE FOLLOWING WITHOUT THE PATIENT COMPLETING THE FAA:- HOMELESS OR DECEASED;- ELIGIBLE FOR OTHER GOVERNMENT PROGRAMS INCLUDING MEDICAID, FOOD STAMPS, SUBSIDIZED HOUSING, AND WOMAN, INFANT, AND CHILDREN'S PROGRAMS (WIC) AND OTHER COMMUNITY/THIRD-PARTY APPROVED PROGRAMS;- ELIGIBLE BASED ON AN ELECTRONIC SCORING MODEL THAT DERIVES SCORES BASED ON FAMILY INCOME AND FAMILY MEMBERS IN THE HOUSEHOLD.HOUSTON METHODIST UTILIZES AN ELIGIBILITY PARTNER TO WORK CLOSELY WITH PATIENTS TO QUALIFY FOR STATE AND FEDERAL ASSISTANCE PROGRAMS (E.G., MEDICAID, SCHIP, CRIME VICTIMS, ETC.). THIS ELIGIBILITY PARTNER WILL MEET WITH ALL UNINSURED INPATIENTS TO DISCUSS STATE AND FEDERAL ASSISTANCE PROGRAMS; WHERE THE PATIENT IS NOT ELIGIBLE FOR THESE PROGRAMS, HOUSTON METHODIST'S INTERNAL FINANCIAL ASSISTANCE PROGRAM IS INTRODUCED.HOUSTON METHODIST'S CASE MANAGEMENT UNIT WORKS CLOSELY WITH THE PATIENT DURING PATIENT DISCHARGE MANAGEMENT TO ENSURE THE PATIENT IS INTRODUCED TO ALL RESOURCES THAT MAY BE NEEDED POST DISCHARGE (E.G., HOME HEALTH, SKILLED NURSING, ETC.). THE CASE MANAGEMENT UNIT WORKS WITH THE PATIENT TO QUALIFY THE PATIENT AND TO GAIN ACCESS TO THESE RESOURCES. ADDITIONALLY, THE CASE MANAGEMENT UNIT WORKS CLOSELY WITH THE FINANCIAL COUNSELORS WHEN THE PATIENT IS IDENTIFIED AS HAVING A NEED FOR FINANCIAL ASSISTANCE.HOUSTON METHODIST'S PATIENT ACCOUNTING UNIT WORKS CLOSELY WITH ALL UNINSURED PATIENTS POST DISCHARGE DURING THE BILLING AND COLLECTIONS PROCESS. HOUSTON METHODIST'S COLLECTIONS PERSONNEL WILL VERBALLY SCREEN PATIENTS FOR FINANCIAL ASSISTANCE DURING COLLECTION CALLS; WHERE APPLICABLE, THE PATIENT WILL BE SENT A FAA AVAILABLE IN 19 LANGUAGES. ADDITIONALLY, ALL BILLING STATEMENTS PROVIDE THE PATIENT WITH A PHONE NUMBER FOR CUSTOMER SERVICE TO OBTAIN PAYMENT OPTIONS. HOUSTON METHODIST UTILIZES OUTSIDE COLLECTION ASSISTANCE, FOR BOTH EARLY OUT AND BAD DEBT COLLECTIONS. EACH COLLECTION AGENCY MUST ADHERE TO HOUSTON METHODIST'S FINANCIAL ASSISTANCE POLICY AND PHILOSOPHY DURING ALL COMMUNICATION AND COLLECTION EVENTS WITH HOUSTON METHODIST PATIENTS.METHODIST PERSONNEL ARE PROVIDED WITH EDUCATIONAL IN-SERVICES IN THE ADMINISTERING OF THE FINANCIAL ASSISTANCE POLICY AS NEEDED. FAA IS REVIEWED PERIODICALLY AND UPDATED AS NEEDED. PART VI, LINE 4: HMSL:HMSL DEFINES THE HOUSTON-THE WOODLANDS-SUGAR LAND METROPOLITAN STATISTICAL AREA (MSA) AS ITS COMMUNITY. HMSL PRIMARILY SERVES THE COUNTIES OF HARRIS AND FORT BEND, ALTHOUGH THE FULL LIST OF COUNTIES WHICH FALL INTO THE SPECIFIED MSA ALSO INCLUDE MONTGOMERY, BRAZORIA, GALVESTON, LIBERTY, CHAMBERS, AND WALLER COUNTIES. THE HMSL COMMUNITY SPANS 2,567.9 SQUARE MILES AND CONTAINS AN ESTIMATED POPULATION OF 5,525,013 RESIDENTS. AS THE LARGEST COUNTY IN TEXAS AND THE COUNTY MOST SERVED BY HMSL, HARRIS COUNTY ACCOUNTS FOR AN ESTIMATED 4.7 MILLION OF HMSL COMMUNITY RESIDENTS, EQUATING TO APPROXIMATELY 85.3% OF THE HMSL COMMUNITY POPULATION. IN COMPARISON, FORT BEND COUNTY HAS A POPULATION OF 811,688, ACCOUNTING FOR APPROXIMATELY 14.7% OF THE HMSL COMMUNITY POPULATION. [1,2,6,10]WITHIN THE HMSL COMMUNITY, HARRIS COUNTY MAINTAINS A MINORITY-MAJORITY CITY STATUS DUE TO A 43% HISPANIC/LATINO POPULATION IN COMPARISON TO 29% WHITE/NON-HISPANIC POPULATION. FORT BEND COUNTY CURRENTLY RANKS AS THE MOST DIVERSE COUNTY WITHIN THE HMSL COMMUNITY AND COMES CLOSE TO HAVING AN EQUAL DISTRIBUTION OF THE NATION'S FOUR MAJOR ETHNIC GROUPS (33% WHITE/NON-HISPANIC, 25% HISPANIC/LATINO, 20% BLACK/AFRICAN AMERICAN AND 20% ASIAN). [3]THREE MAJOR AGE GROUPS COMPRISE THE HMSL COMMUNITY: YOUTH AND ADOLESCENT POPULATION (UNDER 18 YEARS), ADULT POPULATION (18-64 YEARS), AND SENIOR POPULATION (65 YEARS AND OVER). THE ADULT POPULATION ACCOUNTS FOR THE HIGHEST PERCENTAGE OF THE HMSL COMMUNITY (62.7%). HARRIS COUNTY HAS AN ADULT POPULATION OF 63%. FORT BEND COUNTY HAS THE SMALLER PERCENTAGE OF ADULTS WITHIN THE HMSL COMMUNITY AT 61%. THE SENIOR POPULATION ACCOUNTS FOR 11% OF THE HMSL COMMUNITY. [6,10]CURRENTLY, THE MEDIAN HOUSEHOLD INCOME IN TEXAS IS $64,034. WHILE HARRIS COUNTY ($61,618) FALLS ALMOST 4% BELOW THE STATE'S MEDIAN HOUSEHOLD INCOME, FORT BEND COUNTY'S IS 45% HIGHER ($101,293). [4] EDUCATIONAL ATTAINMENT VARIES ACROSS COUNTIES WITHIN THE HMSL COMMUNITY. ACCORDING TO THE U.S. CENSUS BUREAU. AMERICAN COMMUNITY SURVEY (2019), AMONG HMSL COMMUNITY MEMBERS 25 YEARS OF AGE AND OLDER, 60.2% HAVE PURSUED EDUCATION BEYOND A HIGH SCHOOL DIPLOMA. ADDITIONALLY, FORT BEND COUNTY HAS THE HIGHEST PERCENTAGE OF COMMUNITY MEMBERS WHO POSSESS A GRADUATE OR PROFESSIONAL DEGREE (18.3%) COMPARED TO HARRIS COUNTY (11.8%). IT IS IMPORTANT TO NOTE THAT FORT BEND COUNTY ALSO HAS THE HIGHEST MEDIAN HOUSEHOLD INCOME, WHICH CAN CORRELATE WITH EDUCATIONAL ATTAINMENT. [5]HMWB:HMWB IS A NON-PROFIT HOSPITAL LOCATED IN HARRIS COUNTY WITHIN THE GREATER HOUSTON AREA. CURRENTLY, 24.4% OF TEXANS RESIDE IN THE HOUSTON-THE WOODLANDS-SUGAR LAND METROPOLITAN STATISTICAL AREA (MSA). THIS MSA IS COMPRISED OF THE FOLLOWING NINE COUNTIES: AUSTIN, BRAZORIA, CHAMBERS, FORT BEND, GALVESTON, HARRIS, LIBERTY, MONTGOMERY AND WALLER. IN THIS REPORT, THE FOCUS WILL BE PLACED ON THE IDENTIFIED COUNTY (HARRIS) PRIMARILY SERVED BY HMWB AND WILL REFER TO THE ONE COUNTY BEING PRIMARILY SERVED AS THE HMWB COMMUNITY. THE HMWB COMMUNITY SPANS 1,706.2 SQUARE MILES AND CONTAINS AN ESTIMATED POPULATION OF 4,713,325 RESIDENTS. AS THE LARGEST COUNTY IN TEXAS AND THE ONLY COUNTY SERVED BY HMWB, HARRIS COUNTY ACCOUNTS FOR ALL HMWB COMMUNITY RESIDENTS. [1,2,6]THE HOUSTON METHODIST COMMUNITY IS CONSIDERED ONE OF THE MOST ETHNICALLY DIVERSE METROPOLITAN REGIONS IN THE NATION, WITH A 38% HISPANIC/LATINO POPULATION, 35% WHITE/NON-HISPANIC POPULATION, 17% PERCENT BLACK/AFRICAN AMERICAN POPULATION AND 8% ASIAN POPULATION. WITHIN THE HMWB COMMUNITY, HARRIS COUNTY MAINTAINS A MINORITY-MAJORITY CITY STATUS DUE TO A 43% HISPANIC/LATINO POPULATION IN COMPARISON TO 29% WHITE/NON-HISPANIC POPULATION. [3]THREE MAJOR AGE GROUPS COMPRISE THE HMWB COMMUNITY: YOUTH AND ADOLESCENT POPULATION (UNDER 18 YEARS), ADULT POPULATION (18-64 YEARS), AND SENIOR POPULATION (65 YEARS AND OVER). THE ADULT POPULATION ACCOUNTS FOR THE HIGHEST PERCENTAGE OF THE HMWB COMMUNITY (63%). THE SENIOR POPULATION ACCOUNTS FOR 11% OF THE HMWB COMMUNITY. [6]CURRENTLY, THE MEDIAN HOUSEHOLD INCOME IN TEXAS IS $64,034, WHICH IS ALMOST 4% HIGHER THAN THE MEDIAN HOUSEHOLD INCOME OF HARRIS COUNTY ($61,618). [4]ACCORDING TO THE UNITED STATES CENSUS BUREAU AMERICAN COMMUNITY SURVEY (2019), AMONG HMWB COMMUNITY MEMBERS 25 YEARS OF AGE AND OLDER, 58.6% HAVE PURSUED EDUCATION BEYOND A HIGH SCHOOL DIPLOMA. ADDITIONALLY, 17.8% OF COMMUNITY MEMBERS HAVE LESS THAN A HIGH SCHOOL DIPLOMA, 23.7% GRADUATED FROM HIGH SCHOOL, 19% COMPLETED SOME COLLEGE COURSEWORK BUT DID NOT GRADUATE, AND 39.6% HAVE AN ASSOCIATE'S, BACHELOR'S, GRADUATE OR PROFESSIONAL DEGREE. [5]HMW:HMW IS A NON-PROFIT HOSPITAL LOCATED IN HARRIS COUNTY WITHIN THE GREATER HOUSTON AREA. IT IS OWNED AND OPERATED BY HOUSTON METHODIST, A NOT-FOR-PROFIT HEALTH CARE SYSTEM. HMW IS A FULL-SERVICE, ACUTE CARE HOSPITAL THAT SERVES WEST HOUSTON, KATY, AND SURROUNDING COMMUNITIES. CURRENTLY, 24.4% OF TEXANS RESIDE IN THE HOUSTON-THE WOODLANDS-SUGAR LAND METROPOLITAN STATISTICAL AREA (MSA). THIS MSA IS COMPRISED OF THE FOLLOWING EIGHT COUNTIES: BRAZORIA, CHAMBERS, FORT BEND, GALVESTON, HARRIS, LIBERTY, MONTGOMERY AND WALLER. HMW PRIMARILY SERVES HARRIS AND FORT BEND COUNTIES. THE HMW COMMUNITY SPANS 2,567.9 SQUARE MILES AND CONTAINS AN ESTIMATED POPULATION OF 5,525,013 RESIDENTS. AS THE LARGEST COUNTY IN TEXAS AND THE COUNTY MOST SERVED BY HMW, HARRIS COUNTY ACCOUNTS FOR AN ESTIMATED 4.7 MILLION OF THE HOSPITAL'S COMMUNITY RESIDENTS, EQUATING TO APPROXIMATELY 85.3% OF THE HMW COMMUNITY POPULATION. IN COMPARISON, FORT BEND COUNTY HAS A POPULATION OF 811,688, ACCOUNTING FOR APPROXIMATELY 14.7% OF THE HMW COMMUNITY POPULATION. [1,2,6,10]WITHIN THE HMW COMMUNITY, HARRIS COUNTY MAINTAINS A MINORITY-MAJORITY CITY STATUS DUE TO A 43% HISPANIC/LATINO POPULATION IN COMPARISON TO 29% WHITE/NON-HISPANIC POPULATION. FORT BEND COUNTY CURRENTLY RANKS AS THE MOST DIVERSE COUNTY WITHIN THE HMW COMMUNITY AND COMES CLOSE TO HAVING AN EQUAL DISTRIBUTION OF THE NATION'S FOUR MAJOR ETHNIC GROUPS (33% WHITE/NON-HISPANIC, 25% HISPANIC/LATINO, 20% BLACK/AFRICAN AMERICAN AND 20% ASIAN). [3]THREE MAJOR AGE GROUPS COMPRISE THE HMW COMMUNITY: YOUTH AND ADOLESCENT POPULATION (UNDER 18 YEARS), ADULT POPULATION (18-64 YEARS), AND SENIOR POPULATION (65 YEARS AND OVER). THE ADULT POPULATION ACCOUNTS FOR THE HIGHEST PERCENTAGE OF THE HMW COMMUNITY (62.7%). HARRIS COUNTY HAS AN ADULT POPULATION OF 63%. FORT BEND COUNTY HAS THE SMALLER PERCENTAGE OF ADULTS WITHIN THE HMW COMMUNITY AT 61%. THE SENIOR POPULATION ACCOUNTS FOR 11% OF THE HMW COMMUNITY. [6,10]CURRENTLY, THE MEDIAN HOUSEHOLD INCOME IN TEXAS IS $64,034. WHILE HARRIS COUNTY ($61,618) FALLS ALMOST 4% BELOW THE STATE'S MEDIAN HOUSEHOLD INCOME, FORT BEND COUNTY'S IS 45% HIGHER ($101,293). [4]EDUCATIONAL ATTAINMENT VARIES ACROSS COUNTIES WITHIN THE HMW COMMUNITY. ACCORDING TO THE U.S. CENSUS BUREAU, AMERICAN COMMUNITY SURVEY (2019), AMONG HMW COMMUNITY MEMBERS 25 YEARS OF AGE AND OLDER, 60.2% HAVE PURSUED EDUCATION BEYOND A HIGH SCHOOL DIPLOMA. ADDITIONALLY, FORT BEND COUNTY HAS THE HIGHEST PERCENTAGE OF COMMUNITY MEMBERS WHO POSSESS A GRADUATE OR PROFESSIONAL DEGREE (18.3%) COMPARED TO HARRIS COUNTY (11.8%). IT IS IMPORTANT TO NOTE THAT FORT BEND COUNTY ALSO HAS THE HIGHEST MEDIAN HOUSEHOLD INCOME, WHICH CAN CORRELATE WITH EDUCATIONAL ATTAINMENT. [5] HMTW: HMTW IS A NON-PROFIT HOSPITAL LOCATED IN MONTGOMERY COUNTY WITHIN THE GREATER HOUSTON AREA. IT IS OWNED AND OPERATED BY HOUSTON METHODIST, A NOT-FOR-PROFIT HEALTH CARE SYSTEM. HMTW PRIMARILY SERVES MONTGOMERY AND HARRIS COUNTIES. CURRENTLY, 24.4% OF TEXANS RESIDE IN THE HOUSTON-THE WOODLANDS-SUGAR LAND METROPOLITAN STATISTICAL AREA (MSA), WHICH IN ADDITION TO MONTGOMERY AND HARRIS COUNTIES ALSO INCLUDES BRAZORIA, FORT BEND, GALVESTON, LIBERTY, CHAMBERS, AND WALLER COUNTIES. THE HMTW COMMUNITY SPANS 2,854.4 SQUARE MILES AND CONTAINS AN ESTIMATED POPULATION OF 5,320,716 RESIDENTS. AS THE LARGEST COUNTY IN TEXAS AND THE COUNTY MOST SERVED BY HMTW, HARRIS COUNTY ACCOUNTS FOR AN ESTIMATED 4.7 MILLION OF THE HOSPITAL'S COMMUNITY RESIDENTS, EQUATING TO APPROXIMATELY 88.6% OF THE HMTW COMMUNITY POPULATION. IN COMPARISON, MONTGOMERY COUNTY HAS A POPULATION OF 607,391, ACCOUNTING FOR APPROXIMATELY 11.4% OF THE HMTW COMMUNITY POPULATION. [1,2,6,11]THE HOUSTON METHODIST COMMUNITY IS CONSIDERED ONE OF THE MOST ETHNICALLY DIVERSE METROPOLITAN REGIONS IN THE NATION, WITH A 38% HISPANIC/LATINO POPULATION, 35% WHITE/NON-HISPANIC POPULATION, 17% PERCENT BLACK/AFRICAN AMERICAN POPULATION AND 8% ASIAN POPULATION. WITHIN THE HMTW COMMUNITY, HARRIS COUNTY MAINTAINS A MINORITY-MAJORITY CITY STATUS DUE TO A 43% HISPANIC/LATINO POPULATION IN COMPARISON TO 29% WHITE/NON-HISPANIC POPULATION. MONTGOMERY COUNTY RANKS BEHIND HARRIS IN TERMS OF RACIAL DIVERSITY, WITH A 64% WHITE/NON-HISPANIC POPULATION. [3]THREE MAJOR AGE GROUPS COMPRISE THE HMTW COMMUNITY: YOUTH AND ADOLESCENT POPULATION (UNDER 18 YEARS), ADULT POPULATION (18-64 YEARS), AND SENIOR POPULATION (65 YEARS AND OVER). THE ADULT POPULATION ACCOUNTS FOR THE HIGHEST PERCENTAGE OF THE HMTW COMMUNITY (62.7%). MONTGOMERY COUNTY HAS THE SMALLER PERCENTAGE OF ADULTS WITHIN THE HMTW COMMUNITY AT 61%. THE SENIOR POPULATION ACCOUNTS FOR 11.2% OF THE HMTW COMMUNITY. [6,11] CURRENTLY, THE MEDIAN HOUSEHOLD INCOME IN TEXAS IS $64,034. IN COMPARISON, WITHIN THE HMTW COMMUNITY, MONTGOMERY COUNTY RANKS HIGHER WITH A MEDIAN HOUSEHOLD INCOME OF $88,695. HARRIS COUNTY FALLS BELOW THE STATE AT $61,618. [4]EDUCATIONAL ATTAINMENT VARIES ACROSS COUNTIES WITHIN THE HMTW COMMUNITY. ACCORDING TO THE UNITED STATES CENSUS BUREAU AMERICAN COMMUNITY SURVEY (2019), AMONG HMTW COMMUNITY MEMBERS 25 YEARS OF AGE AND OLDER, 58.8% HAVE PURSUED EDUCATION BEYOND A HIGH SCHOOL DIPLOMA. ADDITIONALLY, HARRIS AND MONTGOMERY HAVE SIMILAR PERCENTAGE OF COMMUNITY MEMBERS WHO POSSESS A GRADUATE OR PROFESSIONAL DEGREE (12% AND 11% RESPECTIVELY). HARRIS COUNTY, HOWEVER, HAS A HIGHER PERCENTAGE OF MEMBERS WHO DID NOT RECEIVE A HIGH SCHOOL DIPLOMA (18%), COMPARED TO 12% IN MONTGOMERY COUNTY. [5]HMB:HMB DEFINES THE HOUSTON-THE WOODLANDS-SUGAR LAND METROPOLITAN STATISTICAL AREA (MSA) AS ITS COMMUNITY. THIS MSA IS COMPRISED OF THE FOLLOWING EIGHT COUNTIES: BRAZORIA, CHAMBERS, FORT BEND, GALVESTON, HARRIS, LIBERTY, MONTGOMERY AND WALLER. HMB PRIMARILY SERVES HARRIS, LIBERTY AND CHAMBERS COUNTIES. THE HMB COMMUNITY SPANS 3,461.7 SQUARE MILES AND CONTAINS AN ESTIMATED POPULATION OF 4,842,849 RESIDENTS. AS THE LARGEST COUNTY IN TEXAS AND THE COUNTY MOST SERVED BY HMB, HARRIS COUNTY ACCOUNTS FOR AN ESTIMATED 4.7 MILLION OF THE HOSPITAL'S COMMUNITY RESIDENTS, EQUATING TO APPROXIMATELY 97.3% OF THE HMB COMMUNITY POPULATION. IN COMPARISON, CHAMBERS COUNTY HAS THE SMALLEST POPULATION, ACCOUNTING FOR 41,305 OF HMB COMMUNITY RESIDENTS, WHICH IS LESS THAN 1% OF THE COMMUNITY POPULATION. [1,2,6,7,8]WITHIN THE HMB COMMUNITY, HARRIS COUNTY MAINTAINS A MINORITY-MAJORITY CITY STATUS DUE TO A 43% HISPANIC/LATINO POPULATION IN COMPARISON TO 29% WHITE/NON-HISPANIC POPULATION. LIBERTY AND CHAMBERS COUNTIES RANK BEHIND HARRIS IN TERMS OF RACIAL DIVERSITY, WITH LIBERTY COUNTY HAVING A 63% WHITE/NON-HISPANIC POPULATION AND CHAMBERS COUNTY HAVING A 67% WHITE/NON-HISPANIC POPULATION. [3]THREE MAJOR AGE GROUPS COMPRISE THE HMB COMMUNITY: YOUTH AND ADOLESCENT POPULATION (UNDER 18 YEARS), ADULT POPULATION (18-64 YEARS), AND SENIOR POPULATION (65 YEARS AND OVER). THE ADULT POPULATION ACCOUNTS FOR THE HIGHEST PERCENTAGE OF THE HMB COMMUNITY (63%). THE SENIOR POPULATION ACCOUNTS FOR 11% OF THE HMB COMMUNITY. OF THE COUNTIES WITHIN THE HMB COMMUNITY, LIBERTY COUNTY HAS THE GREATEST PERCENTAGE OF SENIORS AT 14%, COMPARED TO HARRIS COUNTY (10%) AND CHAMBERS COUNTY (11%). [6,7,8]CURRENTLY, THE MEDIAN HOUSEHOLD INCOME IN TEXAS IS $64,034. IN THE HMB COMMUNITY, LIBERTY ($50,049) AND HARRIS ($61,618) COUNTIES RANK LOWER THAN THE TEXAS MEDIAN HOUSEHOLD INCOME VALUE, WHILE CHAMBERS COUNTY ($91,141) RANKS HIGHER. [4]EDUCATIONAL ATTAINMENT VARIES ACROSS COUNTIES WITHIN THE HMB COMMUNITY. ACCORDING TO THE UNITED STATES CENSUS BUREAU AMERICAN COMMUNITY SURVEY (2019), AMONG HMB COMMUNITY MEMBERS 25 YEARS OF AGE AND OLDER, 57.7% HAVE PURSUED EDUCATION BEYOND A HIGH SCHOOL DIPLOMA. ADDITIONALLY, LIBERTY COUNTY HAS THE HIGHEST PERCENTAGE OF MEMBERS WHO DID NOT RECEIVE A HIGH SCHOOL DIPLOMA (20.2%), COMPARED TO HARRIS COUNTY (18%) AND CHAMBERS COUNTY (11%). [5]HMCL:HMCL DEFINES THE HOUSTON-THE WOODLANDS-SUGAR LAND METROPOLITAN STATISTICAL AREA (MSA) AS ITS COMMUNITY. HMCL PRIMARILY SERVES THE COUNTIES OF HARRIS AND GALVESTON. HOWEVER, THE FULL LIST OF COUNTIES WHICH FALL INTO THE SPECIFIED MSA INCLUDE: MONTGOMERY, BRAZORIA, CHAMBERS, LIBERTY, FORT BEND, AND WALLER COUNTIES. THE HMCL COMMUNITY SPANS 2085.2 SQUARE MILES AND CONTAINS AN ESTIMATED POPULATION OF 5,055,464 RESIDENTS. AS THE LARGEST COUNTY IN TEXAS AND THE COUNTY MOST SERVED BY HMCL, HARRIS COUNTY ACCOUNTS FOR AN ESTIMATED 4.7 MILLION OF THE HOSPITAL'S COMMUNITY RESIDENTS, EQUATING TO APPROXIMATELY 93% OF THE HMCL COMMUNITY POPULATION. [1,2,6,9]WITHIN THE HMCL COMMUNITY, HARRIS COUNTY MAINTAINS A MINORITY-MAJORITY CITY STATUS DUE TO A 43% HISPANIC/LATINO POPULATION IN COMPARISON TO 29% WHITE/NON-HISPANIC POPULATION. GALVESTON COUNTY RANKS BEHIND HARRIS IN TERMS OF RACIAL DIVERSITY, WITH A 57% WHITE/NON-HISPANIC POPULATION. [3]THREE MAJOR AGE GROUPS COMPRISE THE HMCL COMMUNITY: YOUTH AND ADOLESCENT POPULATION (UNDER 18 YEARS), ADULT POPULATION (18-64 YEARS), AND SENIOR POPULATION (65 YEARS AND OVER). THE ADULT POPULATION ACCOUNTS FOR THE HIGHEST PERCENTAGE OF THE HMCL COMMUNITY (62.9%). THE SENIOR POPULATION ACCOUNTS FOR 11.3% OF THE HMCL COMMUNITY. [6,9]CURRENTLY, THE MEDIAN HOUSEHOLD INCOME IN TEXAS IS $64,034. IN COMPARISON, THE AVERAGE HOUSEHOLD INCOME IN HARRIS COUNTY RANKS LOWER THAN THE STATE AT $61,618, WHILE GALVESTON COUNTY RANKS HIGHER AT $74,977. [4]EDUCATIONAL ATTAINMENT VARIES ACROSS COUNTIES WITHIN THE HMCL COMMUNITY. ACCORDING TO THE UNITED STATES CENSUS BUREAU AMERICAN COMMUNITY SURVEY (2019), AMONG HMCL COMMUNITY MEMBERS 25 YEARS OF AGE AND OLDER, 59% HAVE PURSUED EDUCATION BEYOND A HIGH SCHOOL DIPLOMA. ADDITIONALLY, IN HARRIS COUNTY, 17.8% DO NOT HAVE A HIGH SCHOOL DIPLOMA, COMPARED TO 9.4% IN GALVESTON COUNTY. [5] HMCCH: HMCCH DEFINES THE HOUSTON-THE WOODLANDS-SUGAR LAND METROPOLITAN STATISTICAL AREA (MSA) AS ITS COMMUNITY. HMCCH PRIMARILY SERVES THE COUNTIES OF HARRIS AND FORT BEND, ALTHOUGH THE FULL LIST OF COUNTIES WHICH FALL INTO THE SPECIFIED MSA ALSO INCLUDE MONTGOMERY, BRAZORIA, GALVESTON, LIBERTY, CHAMBERS, AND WALLER COUNTIES. THE HMCCH COMMUNITY SPANS 2,567.9 SQUARE MILES AND CONTAINS AN ESTIMATED POPULATION OF 5,525,013 RESIDENTS. AS THE LARGEST COUNTY IN TEXAS AND THE COUNTY MOST SERVED BY HMCCH, HARRIS COUNTY ACCOUNTS FOR AN ESTIMATED 4.7 MILLION OF THE HOSPITAL'S COMMUNITY RESIDENTS, EQUATING TO APPROXIMATELY 85.3% OF THE HMCCH COMMUNITY POPULATION. IN COMPARISON, FORT BEND COUNTY HAS A POPULATION OF 811,688, ACCOUNTING FOR APPROXIMATELY 14.7% OF THE HMCCH COMMUNITY POPULATION. [1,2,6,10]WITHIN THE HMCCH COMMUNITY, HARRIS COUNTY MAINTAINS A MINORITY-MAJORITY CITY STATUS DUE TO A 43% HISPANIC/LATINO POPULATION IN COMPARISON TO 29% WHITE/NON-HISPANIC POPULATION. FORT BEND COUNTY CURRENTLY RANKS AS THE MOST DIVERSE COUNTY WITHIN THE HMCCH COMMUNITY AND COMES CLOSE TO HAVING AN EQUAL DISTRIBUTION OF THE NATION'S FOUR MAJOR ETHNIC GROUPS (33% WHITE/NON-HISPANIC, 25% HISPANIC/LATINO, 20% BLACK/AFRICAN AMERICAN AND 20% ASIAN). [3]THREE MAJOR AGE GROUPS COMPRISE THE HMCCH COMMUNITY: YOUTH AND ADOLESCENT POPULATION (UNDER 18 YEARS), ADULT POPULATION (18-64 YEARS), AND SENIOR POPULATION (65 YEARS AND OVER). THE ADULT POPULATION ACCOUNTS FOR THE HIGHEST PERCENTAGE OF THE HMCCH COMMUNITY (62.7%). HARRIS COUNTY HAS AN ADULT POPULATION OF 63%. FORT BEND COUNTY HAS THE SMALLER PERCENTAGE OF ADULTS WITHIN THE HMCCH COMMUNITY AT 61%. THE SENIOR POPULATION ACCOUNTS FOR 11% OF THE HMCCH COMMUNITY. [6,10]CURRENTLY, THE MEDIAN HOUSEHOLD INCOME IN TEXAS IS $64,034. WHILE HARRIS COUNTY ($61,618) FALLS ALMOST 4% BELOW THE STATE'S MEDIAN HOUSEHOLD INCOME, FORT BEND COUNTY'S IS 45% HIGHER ($101,293). [4] EDUCATIONAL ATTAINMENT VARIES ACROSS COUNTIES WITHIN THE HMCCH COMMUNITY. ACCORDING TO THE U.S. CENSUS BUREAU, AMERICAN COMMUNITY SURVEY (2019), AMONG HMCCH COMMUNITY MEMBERS 25 YEARS OF AGE AND OLDER, 60.2% HAVE PURSUED EDUCATION BEYOND A HIGH SCHOOL DIPLOMA. ADDITIONALLY, FORT BEND COUNTY HAS THE HIGHEST PERCENTAGE OF COMMUNITY MEMBERS WHO POSSESS A GRADUATE OR PROFESSIONAL DEGREE (18.3%) COMPARED TO HARRIS COUNTY (11.8%). IT IS IMPORTANT TO NOTE THAT FORT BEND COUNTY ALSO HAS THE HIGHEST MEDIAN HOUSEHOLD INCOME, WHICH CAN CORRELATE WITH EDUCATIONAL ATTAINMENT. [5]CITATIONS:[1] UNITED STATES CENSUS BUREAU. CENSUS REPORTER - 2019. RETRIEVED FROM HTTPS://CENSUSREPORTER.ORG/PROFILES/31000US26420-HOUSTON-THE-WOODLANDS-SUGAR-LAND-TX-METRO-AREA/.[2] TEXAS COUNTY PROFILES. COUNTY SIZE IN SQUARE MILES (2019). RETRIEVED FROM HTTP://TXCIP.ORG/TAC/CENSUS/COUNTYPROFILES.PHP.[3] UNITED STATES CENSUS BUREAU. AMERICAN COMMUNITY SURVEY: DEMOGRAPHIC AND HOUSING ESTIMATES - 2019. RETRIEVED FROM HTTPS://DATA.CENSUS.GOV/.[4] UNITED STATES CENSUS BUREAU. AMERICAN COMMUNITY SURVEY: INCOME IN THE PAST 12 MONTHS 2019. RETRIEVED FROM HTTPS://DATA.CENSUS.GOV/.[5] UNITED STATES CENSUS BUREAU. AMERICAN COMMUNITY SURVEY: EDUCATIONAL ATTAINMENT 2019. RETRIEVED FROM HTTPS://DATA.CENSUS.GOV/.[6] UNITED STATES CENSUS BUREAU. CENSUS REPORTER - 2019. RETRIEVED FROM HTTPS://CENSUSREPORTER.ORG/PROFILES/05000US48201-HARRIS-COUNTY-TX/.[7] UNITED STATES CENSUS BUREAU. CENSUS REPORTER - 2019. RETRIEVED FROM HTTPS://CENSUSREPORTER.ORG/PROFILES/05000US48291-LIBERTY-COUNTY-TX/.[8] UNITED STATES CENSUS BUREAU. CENSUS REPORTER - 2019. RETRIEVED FROM HTTPS://CENSUSREPORTER.ORG/PROFILES/05000US48071-CHAMBERS-COUNTY-TX/.[9] UNITED STATES CENSUS BUREAU. CENSUS REPORTER - 2019. RETRIEVED FROM HTTPS://CENSUSREPORTER.ORG/PROFILES/05000US48167-GALVESTON-COUNTY-TX/.[10] UNITED STATES CENSUS BUREAU. CENSUS REPORTER - 2019. RETRIEVED FROM HTTPS://CENSUSREPORTER.ORG/PROFILES/05000US48157-FORT-BEND-COUNTY-TX/.[11] UNITED STATES CENSUS BUREAU. CENSUS REPORTER - 2019. RETRIEVED FROM HTTPS://CENSUSREPORTER.ORG/PROFILES/05000US48339-MONTGOMERY-COUNTY-TX/. PART VI, LINE 5 HMSL IN FORT BEND COUNTY, HMWB IN NORTHWEST HOUSTON, HMW IN WEST HOUSTON, HMB IN BAYTOWN, TEXAS, HMTW IN NORTH HOUSTON, HMCL IN SOUTHEAST HOUSTON AND HMCCH, A LONG-TERM ACUTE CARE FACILITY IN KATY, TEXAS, PROVIDE MEDICAL SERVICES TO PEOPLE LIVING IN CITIES AND SUBURBS ADJACENT TO HOUSTON.GOVERNING BODYMETHODIST HEALTH CENTERS, HMB, HMCL AND HMCCH ARE GOVERNED BY A BOARD OF DIRECTORS, WHICH INCLUDE MEMBERS OF THE COMMUNITY WHERE EACH HOSPITAL IS LOCATED.COMMUNITY HOSPITALS - HMSLSINCE 1998, HMSL HAS BEEN SERVING FORT BEND AND SURROUNDING COUNTIES, AND RESIDENTS RELY ON THE HOSPITAL FOR COMPASSIONATE CARE AND LEADING-EDGE TECHNOLOGY THAT WAS ONCE AVAILABLE ONLY IN THE TEXAS MEDICAL CENTER. AS OF DECEMBER 31, 2020, THE HOSPITAL HAD 324 OPERATING BEDS, 27 OPERATING ROOMS, 1,160 AFFILIATED PHYSICIANS AND 2,419 EMPLOYEES. HMSL RECORDED 16,437 INPATIENT ADMISSIONS, 164,277 OUTPATIENT VISITS AND 47,113 EMERGENCY ROOM VISITS FOR 2020. IN ADDITION, HMSL RECORDED 2,169 BIRTHS.COMMUNITY HOSPITALS - HMWBOPENED IN 2000, HMWB OFFERS CARE AND TECHNOLOGY TO THE NORTHWEST HOUSTON COMMUNITY. AS OF DECEMBER 31, 2020, THE HOSPITAL HAD 358 OPERATING BEDS, 20 OPERATING ROOMS AND 1,116 AFFILIATED PHYSICIANS. THE HOSPITAL CONTINUES TO EXPAND FACILITIES AND SERVICES TO MEET THE NEEDS OF PATIENTS AND THE COMMUNITY, OFFERING CARDIOVASCULAR SURGERY, NEUROSCIENCE CARE, ORTHOPEDICS AND SPORTS MEDICINE SERVICES. THE WOMEN'S & CHILDREN'S PAVILION FEATURES FAMILY-CENTERED CARE SERVICES, INCLUDING OUR CHILDBIRTH CENTER, WITH PRIVATE LABOR AND DELIVERY SUITES, A LEVEL III NEONATAL INTENSIVE CARE UNIT AND A BREAST CARE CENTER. HMWB RECORDED 19,644 INPATIENT ADMISSIONS, 122,973 OUTPATIENT VISITS AND 70,093 EMERGENCY ROOM VISITS FOR 2020. IN ADDITION, HMWB RECORDED 3,748 BIRTHS.COMMUNITY HOSPITALS - HMWHMW OPENED ITS DOORS TO THE WEST HOUSTON AND KATY COMMUNITIES IN DECEMBER 2010. LOCATED AT I-10 AND BARKER CYPRESS, IT OFFERS THE COMMUNITY SPECIALTY MEDICAL SERVICES SUCH AS INPATIENT AND OUTPATIENT MEDICAL AND SURGICAL CARE, STATE OF THE ART SURGERY SUITES, ENDOSCOPY SUITES, CARDIAC CATHETERIZATION LABS, A 24-HOUR EMERGENCY CARE CENTER, FULL-SERVICE IMAGING CENTER, AND VASCULAR CARE, ROBOTIC SURGERY, WOMEN'S SERVICES, ORTHOPEDICS AND SPORTS MEDICINE, NEUROLOGY AND NEUROSURGERY, UROLOGY, PLASTIC SURGERY, AND OTOLARYNGOLOGY. HMW BOASTS A TEAM OF EXPERTS USING THE NEWEST TECHNOLOGIES AND PERSONALIZED CARE TAILORED TO PATIENTS' UNIQUE NEEDS. AS OF DECEMBER 31, 2020, THE HOSPITAL HAD 219 OPERATING BEDS, 21 OPERATING ROOMS AND 1,142 AFFILIATED PHYSICIANS. IT RECORDED 12,392 INPATIENT ADMISSIONS, 93,228 OUTPATIENT VISITS AND 46,993 EMERGENCY ROOM VISITS IN 2020. IN ADDITION, HMW RECORDED 2,318 BIRTHS.COMMUNITY HOSPITALS - HMTWHMTW OPENED AS A FULL SERVICE, ACUTE CARE HOSPITAL IN JUNE 2017. THE HOSPITAL HAS 187 OPERATING BEDS, 15 OPERATING ROOMS, 946 AFFILIATED PHYSICIANS AND 1,500 EMPLOYEES. HMTW IS A COMMUNITY BASED, NOT FOR PROFIT HOSPITAL THAT PRIMARILY SERVES MONTGOMERY COUNTY. HMTW RECORDED 11,622 INPATIENT ADMISSIONS AND 126,559 OUTPATIENT VISITS IN 2020. IN ADDITION, HMTW RECORDED 1,448 BIRTHS AND 31,515 EMERGENCY CARE VISITS BY AREA RESIDENTS DURING 2020. ALTHOUGH HMTW PATIENTS REPRESENT A DIVERSE GROUP OF BACKGROUNDS, CULTURES AND SOCIOECONOMIC STATUS, AS PATIENTS AT HMTW THEY ALL SHARE ONE THING IN COMMON -- EACH IS TREATED WITH DIGNITY AND COMPASSION. THIS RESPECT FOR EACH PERSON IS REFLECTED IN THE MISSION STATEMENT AND STATEMENT OF VALUES OF HOUSTON METHODIST. IN 2020, HMTW WAS AWARDED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES STROKE GOLD PLUS, STROKE ELITE, AND TYPE 2 DIABETES HONOR ROLL ACHIEVEMENT. ADDITIONALLY, HMTW WAS CERTIFIED AS A LEVEL III NICU BY THE TEXAS HEALTH & HUMAN SERVICES DESIGNATION IN 2020 AND ACCREDITED BY THE INFANT-DRIVEN FEEDING CERTIFICATION FOR ITS NEONATAL INTENSIVE CARE UNIT (NICU) BY DR. BROWN'S MEDICAL.COMMUNITY HOSPITALS - HMBHMB IS A NONPROFIT HOSPITAL LOCATED IN BAYTOWN, TEXAS. HMB IS ONE OF SEVEN COMMUNITY HOSPITALS UNDER THE HOUSTON METHODIST SYSTEM OF CARE. HOUSTON METHODIST INCLUDES A FLAGSHIP TEACHING HOSPITAL IN THE TEXAS MEDICAL CENTER, AS WELL AS SEVEN COMMUNITY HOSPITALS AND A TOP-RANKED RESEARCH INSTITUTE. THE SYSTEM IS AFFILIATED WITH WEILL CORNELL MEDICAL COLLEGE AND NEW YORK-PRESBYTERIAN HOSPITAL.HMB, AN ACUTE CARE COMPLEX WITH 216 OPERATING BEDS, 15 OPERATING ROOMS, 608 AFFILIATED PHYSICIANS AND 1,713 EMPLOYEES, IS A COMMUNITY BASED, NOT FOR PROFIT HOSPITAL THAT PRIMARILY SERVES THE EAST HARRIS, CHAMBERS AND LIBERTY COUNTIES ENCOMPASSING MORE THAN 350,000 RESIDENTS.HMB RECORDED 13,970 INPATIENT ADMISSIONS, 68,762 OUTPATIENT VISITS AND 51,628 EMERGENCY ROOM VISITS BY AREA RESIDENTS DURING 2020. IN ADDITION, HMB RECORDED MORE THAN 1,669 BIRTHS IN 2020. HMB EXPANDED ITS EMERGENCY DEPARTMENT IN 2020, TRIPLING ITS CAPACITY TO BETTER SERVE THE BAYTOWN COMMUNITY. HMB IS ALSO PLANNING A NEW PATIENT ROOM TOWER AND ADDITIONAL PARKING. ALTHOUGH HMB PATIENTS REPRESENT A DIVERSE GROUP OF BACKGROUNDS, CULTURES AND SOCIO-ECONOMIC STATUS, AS PATIENTS AT HMB THEY ALL SHARE ONE THING IN COMMON -- EACH HAS BEEN TREATED WITH DIGNITY AND COMPASSION. THIS RESPECT FOR EACH PERSON IS REFLECTED IN THE MISSION STATEMENT AND STATEMENT OF VALUES OF HOUSTON METHODIST.COMMUNITY HOSPITALS - HMCLHMCL IS A NONPROFIT, GENERAL ACUTE CARE FACILITY LOCATED IN SOUTHEAST HOUSTON WITH 151 OPERATING BEDS, 12 OPERATING ROOMS, 859 AFFILIATED PHYSICIANS AND 954 EMPLOYEES, SERVING HARRIS AND GALVESTON COUNTIES. IN 2020, THE HOSPITAL RECORDED 6,785 INPATIENT VISITS, 108,545 OUTPATIENT VISITS AND 22,574 EMERGENCY ROOM VISITS. IN ADDITION, HMCL RECORDED 763 BIRTHS. ALTHOUGH PATIENTS REPRESENT A DIVERSE GROUP OF BACKGROUNDS, CULTURES AND SOCIO-ECONOMIC STATUS, AS PATIENTS AT HMCL THEY ALL SHARE ONE THING - EACH IS TREATED WITH DIGNITY AND COMPASSION. THIS RESPECT FOR EACH PERSON IS REFLECTED IN THE MISSION STATEMENT AND STATEMENT OF VALUES OF HMCL.HMCL OFFERS AN EXCEPTIONAL ARRAY OF PROGRAMS AND SERVICES AT OUR FULL-SERVICE HOSPITAL, INCLUDING HEART AND VASCULAR CARE, NEUROLOGY, ORTHOPEDICS & SPORTS MEDICINE AND WOMEN'S HEALTH. AND WHEN PATIENTS NEED EMERGENCY CARE, HMCL PROVIDES EASY, ONLINE CHECK-IN TO ITS ER, TO HELP SHORTEN WAIT TIMES TO BE SEEN BY ITS BOARD-CERTIFIED EMERGENCY MEDICINE PHYSICIANS. THE HOSPITAL'S IMAGING DEPARTMENT IS ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY FOR MAMMOGRAPHY, ULTRASOUND AND MAGNETIC RESONANCE IMAGING. ADDITIONAL HOSPITAL ACCREDITATIONS INCLUDE CHEST PAIN ACCREDITED FACILITY THROUGH THE SOCIETY OF CARDIOVASCULAR PATIENT CARE, STROKE READY DESIGNATED FACILITY THROUGH DET NORSKE VERITAS, AND COMMISSION ON CANCER ACCREDITATION FROM THE AMERICAN COLLEGE OF SURGEONS.HMCL HAS ADVANCED DECONTAMINATION EDUCATION, TRAINING AND EMERGENCY CARE. THE FACILITY COLLABORATES WITH CITY AND COUNTY OFFICIALS FOR ADVANCED HURRICANE PREPAREDNESS AND READINESS, GIVEN ITS PROXIMITY TO THE GALVESTON GULF COAST.COMMUNITY HOSPITALS - HMCCHHMCCH, ACQUIRED FROM THE CHRISTUS HEALTH SYSTEM IN FEBRUARY 2014, OPERATES 102 BEDS AS A SEPARATELY LICENSED, LONG-TERM ACUTE CARE FACILITY. HMCCH HAS 282 AFFILIATED PHYSICIANS, 359 EMPLOYEES AND RECORDED 1,550 ADMISSIONS IN 2020.HMCCH IS A FULLY ACCREDITED DNV SPECIALTY HOSPITAL, LICENSED BY THE STATE OF TEXAS AND IS MEDICARE CERTIFIED. THE HOSPITAL'S SERVICES INCLUDE PULMONARY CARE MANAGEMENT FOR VENTILATOR-DEPENDENT PATIENTS, OR THOSE WITH RESPIRATORY FAILURE; COMPLEX WOUND CARE; INFECTIOUS DISEASE MANAGEMENT REQUIRING LONG-TERM INTRAVENOUS OR ANTIBIOTIC THERAPY; POSTSURGICAL COMPLICATION MANAGEMENT; HEMODIALYSIS OR PERITONEAL DIALYSIS; TRAUMA AND NEUROLOGICAL INJURY MANAGEMENT; PAIN MANAGEMENT; REHABILITATION THERAPIES (PHYSICAL, OCCUPATIONAL AND SPEECH); AND PHARMACY. MEDICAL STAFF MODEL METHODIST HEALTH CENTERS, HMB, HMCL AND HMCCH HAVE AN OPEN MEDICAL STAFF MODEL. THE OPEN MODEL GIVES PATIENTS ACCESS TO PHYSICIANS OF ALL AFFILIATIONS. HMSL IS IN SUGAR LAND, TEXAS, APPROXIMATELY 21 MILES SOUTHWEST OF DOWNTOWN HOUSTON. SINCE 1998, HMSL HAS BEEN THE HEALTH CARE PROVIDER OF CHOICE FOR RESIDENTS OF FORT BEND AND SURROUNDING COUNTIES AND HAS GROWN INTO A 324-BED HOSPITAL WITH 27 OPERATING ROOMS. THE HOSPITAL HAS 1,160 AFFILIATED PHYSICIANS REPRESENTING THE FULL RANGE OF MEDICAL SPECIALTIES THAT ARE ON STAFF. HMSL OFFERS A WIDE RANGE OF SERVICES AND CENTERS OF EXCELLENCE IN CARDIOLOGY, NEUROSCIENCES, ONCOLOGY, ORTHOPEDICS, UROLOGY AND WOMEN'S SERVICES. HMSL IS A MAGNET-RECOGNIZED HOSPITAL AND CONTINUES TO BE THE ONLY HOSPITAL IN FORT BEND COUNTY TO EARN ACCREDITATION WITH COMMENDATION BY THE AMERICAN COLLEGE OF SURGEONS - COMMISSION ON CANCER. IN 2020, HMSL WAS ACCREDITED AS A COMPREHENSIVE CENTER UNDER THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP), A JOINT PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS (ACS) AND THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY (ASMBS). THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC), A QUALITY PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS, ALSO AWARDED THREE-YEAR ACCREDITATION TO HMSL IN 2020.HMWB HOUSES A PRIMARY CARE SPORTS MEDICINE GRADUATE MEDICAL EDUCATION PROGRAM. AS ONE OF HOUSTON'S MOST EXPERIENCED COMPREHENSIVE ORTHOPEDICS GROUP, HMWB TREATS A WIDE RANGE OF COMMON AND COMPLEX CONDITIONS. HMB IS A TEACHING HOSPITAL AND IN 2019 OFFERED A FAMILY MEDICINE RESIDENCY PROGRAM IN CONJUNCTION WITH HMH. HMB COLLABORATES WITH UTMB TO PROVIDE OBSTETRICAL AND GYNECOLOGICAL SERVICES WITH A LEVEL II NURSERY. WITH EVEN FURTHER PLANNED ONGOING DEVELOPMENT OF THE CAMPUS STARTING IN 2021, HOUSTON METHODIST BAYTOWN WILL CONTINUE ITS MISSION OF PROVIDING UNPARALLELED SAFETY, QUALITY, SERVICE AND INNOVATION TO THE COMMUNITIES WE SERVE FOR MANY YEARS TO COME.USE OF SURPLUS FUNDS - HMSLIN 2020, HMSL PROVIDED $43.0 MILLION IN FINANCIAL ASSISTANCE FOR INTERNAL CHARITY BASED ON THE IRS DEFINITION OF COST. HMSL ALSO PROVIDED $4.9 MILLION IN UNREIMBURSED COSTS OF MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS.USE OF SURPLUS FUNDS - HMWBIN 2020, HMWB PROVIDED $54.5 MILLION IN FINANCIAL ASSISTANCE FOR INTERNAL CHARITY BASED ON THE IRS DEFINITION OF COST. HMWB ALSO PROVIDED $5.8 MILLION IN UNREIMBURSED COSTS OF MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS.USE OF SURPLUS FUNDS - HMWIN 2020, HMW PROVIDED $35.5 MILLION IN FINANCIAL ASSISTANCE FOR INTERNAL CHARITY BASED ON THE IRS DEFINITION OF COST. HMW ALSO PROVIDED $3.1 MILLION IN UNREIMBURSED COSTS OF MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS.USE OF SURPLUS FUNDS - HMTWIN 2020, HMTW PROVIDED $24.5 MILLION IN FINANCIAL ASSISTANCE FOR INTERNAL CHARITY BASED ON THE IRS DEFINITION OF COST. HMTW ALSO PROVIDED $2.4 MILLION IN UNREIMBURSED COSTS OF MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS.USE OF SURPLUS FUNDS - HMBIN 2020, HMB PROVIDED $56.0 MILLION IN FINANCIAL ASSISTANCE FOR INTERNAL CHARITY BASED ON THE IRS DEFINITION OF COST. HMB ALSO PROVIDED $5.2 MILLION IN UNREIMBURSED COSTS OF MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS.USE OF SURPLUS FUNDS - HMCLIN 2020, HMCL PROVIDED $15.9 MILLION IN FINANCIAL ASSISTANCE FOR INTERNAL CHARITY BASED ON THE IRS DEFINITION OF COST. HMCL ALSO PROVIDED $167,000 IN UNREIMBURSED COSTS OF MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS.USE OF SURPLUS FUNDS - HMCCHIN 2020, HMCCH PROVIDED $14.9 MILLION IN FINANCIAL ASSISTANCE FOR INTERNAL CHARITY BASED ON THE IRS DEFINITION OF COST. HMCCH ALSO PROVIDED $10.8 MILLION IN UNREIMBURSED COSTS OF MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS.COMMUNITY SUPPORTIN ADDITION TO HOUSTON METHODIST'S CONTRIBUTIONS TO COMMUNITY HEALTH THROUGH CHARITY CARE AND COMMUNITY BENEFITS, EACH HOUSTON METHODIST FACILITY ACTIVELY DEVELOPS AWARENESS INITIATIVES, SPONSORSHIPS AND PROGRAMS THAT PROMOTE HEALTH AND WELLNESS, PREVENTION AND EARLY DETECTION. HOUSTON METHODIST STAFF AND VOLUNTEERS CAN BE FOUND AT HEALTH SCREENINGS AND OTHER HEALTH PROMOTION EVENTS THROUGHOUT THE YEAR.HOUSTON METHODIST ALSO REACHES OUT TO THE COMMUNITY THROUGH HEALTH SCREENINGS, COMMUNITY HEALTH EDUCATION AND FLU VACCINE EVENTS, AMONG OTHER TYPES OF COMMUNITY OUTREACH AND SUPPORT. FOR EXAMPLE, AN ANNUAL HEART EVENT IS ONE OF THE COMMUNITY OUTREACH EVENTS - THOSE WHO ATTEND RECEIVED FREE HEALTH SCREENINGS, INCLUDING CHOLESTEROL AND BLOOD PRESSURE CHECKS.ALSO, A PROMINENT COMMUNITY BENEFIT PROGRAM PROVIDED IS HOUSTON METHODIST'S I CARE IN ACTION PROGRAM. I CARE IN ACTION ALLOWS HOUSTON METHODIST EMPLOYEES TIME OFF TO VOLUNTEER AT COMMUNITY CHARITIES. BY ALLOWING EMPLOYEES TIME OFF TO VOLUNTEER, HOUSTON METHODIST HELPS COMMUNITY AGENCIES SAVE FINANCIAL RESOURCES SO THAT MORE OF THEIR FUNDS CAN GO TOWARDS PROVIDING DIRECT CARE TO THEIR UNDERSERVED PATIENT AND CLIENT BASE. THE PROGRAM HAS MORE THAN 40 AGENCIES AVAILABLE FOR EMPLOYEES TO SUPPORT. TYPICALLY, OVERALL VOLUNTEER HOURS ARE MUCH HIGHER FOR HOUSTON METHODIST. HOWEVER, DUE TO COVID-19 LIMITATIONS, MOST VOLUNTEER OPPORTUNITIES WERE CANCELLED IN MARCH AND THROUGHOUT THE YEAR. AGENCIES WITH VOLUNTEERS VIA THE I CARE IN ACTION PROGRAM PRIMARILY OCCURRED WITH HOUSTON FOOD BANK DUE TO THE SPIKE IN FOOD INSECURITY IN THE GREATER HOUSTON AREA BECAUSE OF THE PANDEMIC.DESPITE THE PANDEMIC CHALLENGES, HOUSTON METHODIST STILL PROVIDED SPECIAL VOLUNTEER ACTIVITIES THROUGH A SYSTEM WIDE FOOD DRIVE, WHERE 11,425 POUNDS OF FOOD WAS DONATED TO THE HOUSTON FOOD BANK AND MONTGOMERY COUNTY FOOD BANK. IN ADDITION TO THE I CARE IN ACTION PROGRAM, TIME WAS ALLOCATED TO SUPPORT ADDITIONAL COMMUNITY-FOCUSED ACTIVITIES TO HELP MEET SPECIFIC COMMUNITY NEEDS. ACTIVITIES INCLUDED PARTICIPATION IN OR PROVIDING A SERVICE FOR THE FOLLOWING: UNITED WAY CAMPAIGN, EMPLOYEE BLOOD DRIVES, THE ADOPT-A-FAMILY PROGRAM AND MORE. THE ADOPT-A-FAMILY HOLIDAY DONATION PROGRAM RESULTED IN 194 FAMILIES AND 378 CHILDREN BEING ADOPTED ACROSS THE SYSTEM. IN ADDITION TO PARTICIPATING IN HOUSTON METHODIST EVENTS, HMSL, HMWB, HMCL, HMW, HMTW, HMCCH AND HMB ALSO PARTICIPATE IN COMMUNITY SUPPORTED EVENTS IN THEIR RESPECTIVE SERVICE AREAS AS DELINEATED BELOW. EACH COMMUNITY HOSPITAL SUPPORTS THEIR RESPECTIVE COMMUNITIES THROUGH SPONSORSHIPS OF LOCAL ORGANIZATIONS' ACTIVITIES, PHYSICIAN SPEAKING ENGAGEMENTS, FREE SEMINARS ON HEALTH AND MEDICAL TOPICS AND HEALTH SCREENINGS.COMMUNITY SUPPORT - HMSLHMSL COLLABORATED WITH SEVERAL AGENCIES IN 2020 TO PROMOTE HEALTH AWARENESS AND OFFER SCREENING PROGRAMS TO FORT BEND AND SURROUNDING COUNTIES. OVER 400 PARTICIPANTS ATTENDED THESE PROGRAMS AND SEMINARS. THE FOLLOWING HEALTH EDUCATION SEMINAR TOPICS WERE CONDUCTED: HEART HEALTH, STROKE RISK FACTORS AND SYMPTOMS, WEIGHT LOSS, JOINT PAIN AND DIABETES EDUCATION. ADDITIONALLY, HMSL CONTINUES TO SUPPORT PRIMARY CARE MEASURES, SUCH AS PROVIDING AROUND 227 FLU SHOTS TO THE COMMUNITY.ADMINISTRATIVE HOURS WERE ALLOCATED TO COORDINATE VOLUNTARY EMPLOYEE PROJECTS TO MEET SPECIFIC COMMUNITY NEEDS. HOSPITAL EMPLOYEES PARTICIPATED IN OR PROVIDED A SERVICE FOR THE FOLLOWING: UNITED WAY CAMPAIGN, COMMUNITY FOOD DRIVE AND OTHER COMMUNITY-BASED ACTIVITIES. I CARE IN ACTION ALLOWS HMSL EMPLOYEES TIME OFF TO VOLUNTEER AT COMMUNITY CHARITIES. FOR 2020, HMSL EMPLOYEES PROVIDED 188 VOLUNTEER HOURS THROUGH I CARE IN ACTION. THESE DONATED HOURS EQUATE TO A VOLUNTEER TIME VALUE OF APPROXIMATELY $5,000. AGENCIES VOLUNTEERED WITH VIA THE I CARE IN ACTION PROGRAM INCLUDED ACCESS HEALTH, FORT BEND SENIORS MEALS ON WHEELS AND MORE. COMMUNITY SUPPORT - HMWB HMWB IS DEEPLY INVOLVED IN PROMOTING HEALTH AWARENESS THROUGHOUT THE COMMUNITY BY HOSTING COMPLIMENTARY PHYSICIAN LECTURES, SEMINARS AND WELLNESS EVENTS IN PARTNERSHIP WITH OTHER LOCAL COMMUNITY ORGANIZATIONS. OVER 600 PARTICIPANTS ATTENDED THESE PROGRAMS AND SEMINARS, WHICH COVERED TOPICS SUCH AS WOMEN'S HEALTH, STROKE, WEIGHT LOSS AND HEART HEALTH. THE HOSPITAL ALSO PROVIDED COVID-19 INFORMATION AND RESOURCES, BLOOD PRESSURE READINGS AND GRIEF SUPPORT GROUPS FOR COMMUNITY MEMBERS.ADMINISTRATIVE HOURS WERE ALLOCATED TO COORDINATE VOLUNTARY EMPLOYEE PROJECTS TO MEET SPECIFIC COMMUNITY NEEDS. HOSPITAL EMPLOYEES PARTICIPATED IN OR PROVIDED A SERVICE FOR THE FOLLOWING: UNITED WAY CAMPAIGN, COMMUNITY FOOD DRIVE AND OTHER COMMUNITY-BASED ACTIVITIES. A PROMINENT COMMUNITY BENEFIT PROGRAM PROVIDED IS HOUSTON METHODIST'S I CARE IN ACTION PROGRAM. I CARE IN ACTION ALLOWS HMWB EMPLOYEES TIME OFF TO VOLUNTEER AT COMMUNITY CHARITIES. FOR 2020, HMWB EMPLOYEES PROVIDED 279 VOLUNTEER HOURS THROUGH I CARE IN ACTION. THESE DONATED HOURS EQUATE TO A VOLUNTEER TIME VALUE OF APPROXIMATELY $7,500. AGENCIES VOLUNTEERED FOR BY HMWB EMPLOYEES INCLUDED THE HOUSTON FOOD BANK, NORTHWEST ASSISTANCE MINISTRIES AND OTHERS.COMMUNITY SUPPORT - HMWHMW IS COMMITTED TO ENGAGING, SUPPORTING AND DONATING MONETARY RESOURCES TO THE COMMUNITY IN WEST HOUSTON AND KATY. IN ADDITION TO MONETARY SUPPORT THROUGH SPONSORSHIPS, HMW PROVIDED HOME EXERCISE PROGRAM EDUCATION TO OVER 450 COMMUNITY MEMBERS IN 2020. HMW IS AN ACTIVE PARTICIPANT IN THE KATY CARE COLLABORATIVE, WHICH BRINGS TOGETHER ALL HOSPITALS, CHARITY AGENCIES AND GOVERNMENT AGENCIES MONTHLY TO ADDRESS LOCAL HEALTH CARE NEEDS. ADMINISTRATIVE HOURS WERE ALLOCATED TO COORDINATE VOLUNTARY EMPLOYEE PROJECTS TO MEET SPECIFIC COMMUNITY NEEDS. HOSPITAL EMPLOYEES PARTICIPATED IN OR PROVIDED A SERVICE FOR THE FOLLOWING: UNITED WAY CAMPAIGN, COMMUNITY FOOD DRIVE AND OTHER COMMUNITY-BASED ACTIVITIES. A PROMINENT COMMUNITY BENEFIT PROGRAM PROVIDED IS HOUSTON METHODIST'S I CARE IN ACTION PROGRAM. I CARE IN ACTION ALLOWS HMW EMPLOYEES TIME OFF TO VOLUNTEER AT COMMUNITY CHARITIES. FOR 2020, HMW EMPLOYEES PROVIDED 87 VOLUNTEER HOURS THROUGH I CARE IN ACTION. THESE DONATED HOURS EQUATE TO A VOLUNTEER TIME VALUE OF APPROXIMATELY $2,500. AGENCIES VOLUNTEERED WITH VIA THE I CARE IN ACTION PROGRAM INCLUDED CHRIST CLINIC, HOUSTON FOOD BANK AND MORE.COMMUNITY SUPPORT - HMTWHMTW PROVIDED VARIOUS HEALTH EDUCATION SEMINARS TO MEMBERS OF ITS COMMUNITY. IN 2020, THE HOSPITAL PRESENTED ON THE FOLLOWING TOPICS: STROKE, HEART HEALTH, BREAST HEALTH AND MORE, WITH OVER 600 PARTICIPANTS IN ATTENDANCE. HMTW ALSO PROVIDED FREE HEART SCREENINGS TO COMMUNITY MEMBERS, INCLUDING CHOLESTEROL AND BLOOD PRESSURE READINGS, AND PROVIDED AROUND 400 FLU SHOTS IN 2020.ADMINISTRATIVE HOURS WERE ALLOCATED TO COORDINATE VOLUNTARY EMPLOYEE PROJECTS TO MEET SPECIFIC COMMUNITY NEEDS. HOSPITAL EMPLOYEES PARTICIPATED IN OR PROVIDED A SERVICE FOR THE FOLLOWING: UNITED WAY CAMPAIGN, COMMUNITY FOOD DRIVE AND OTHER COMMUNITY-BASED ACTIVITIES. A PROMINENT COMMUNITY BENEFIT PROGRAM PROVIDED IS HOUSTON METHODIST'S I CARE IN ACTION PROGRAM. I CARE IN ACTION ALLOWS HMTW EMPLOYEES TIME OFF TO VOLUNTEER AT COMMUNITY CHARITIES. FOR 2020, HMTW EMPLOYEES PROVIDED OVER 132 VOLUNTEER HOURS THROUGH I CARE IN ACTION. THESE DONATED HOURS EQUATE TO A VOLUNTEER TIME VALUE OF APPROXIMATELY $3,500. AGENCIES VOLUNTEERED WITH VIA THE I CARE IN ACTION PROGRAM INCLUDED MONTGOMERY COUNTY FOOD BANK, INTERFAITH CLINIC AND MORE. COMMUNITY SUPPORT - HMBHMB PROMOTED HEALTH AWARENESS IN THE COMMUNITY THROUGH SEMINARS AND WELLNESS EVENTS IN PARTNERSHIP WITH OTHER LOCAL COMMUNITY ORGANIZATIONS. IN 2020, OVER 2,600 PARTICIPANTS ATTENDED THESE EVENTS, WHICH COVERED TOPICS SUCH AS CANCER PREVENTION, WEIGHT LOSS, STROKE SIGNS AND PREVENTION, DIABETES AND HEART HEALTH. THE HOSPITAL ALSO PROVIDED LUNG AND HEART SCREENINGS AND BARIATRIC AND OSTOMY SUPPORT GROUPS TO COMMUNITY MEMBERS.ADMINISTRATIVE HOURS WERE ALLOCATED TO COORDINATE VOLUNTARY EMPLOYEE PROJECTS TO MEET SPECIFIC COMMUNITY NEEDS. HOSPITAL EMPLOYEES PARTICIPATED IN OR PROVIDED A SERVICE FOR THE FOLLOWING: UNITED WAY CAMPAIGN, COMMUNITY FOOD DRIVE AND OTHER COMMUNITY-BASED ACTIVITIES. IN 2020, HMB EMPLOYEES VOLUNTEERED APPROXIMATELY 100 HOURS OF THEIR TIME THROUGH THE EMPLOYEE VOLUNTEER PROGRAM, I CARE IN ACTION. THESE DONATED HOURS EQUATE TO A VOLUNTEER TIME VALUE OF APPROXIMATELY $3,000. AGENCIES VOLUNTEERED WITH VIA THE I CARE IN ACTION PROGRAM INCLUDED THE HOUSTON FOOD BANK.COMMUNITY SUPPORT - HMCLHMCL COLLABORATED IN 2020 TO PROMOTE HEALTH AWARENESS AND OFFER SCREENING PROGRAMS TO RESIDENTS IN HARRIS AND GALVESTON COUNTIES. THE HOSPITAL PROVIDED HEART SCREENINGS FOR COMMUNITY MEMBERS, AS WELL AS ALZHEIMER'S/DEMENTIA SUPPORT GROUPS. TO ENCOURAGE EMPLOYEE OUTREACH, HOUSTON METHODIST OFFERS THE I CARE IN ACTION PROGRAM. I CARE IN ACTION ALLOWS HMCL EMPLOYEES TIME OFF TO VOLUNTEER AT COMMUNITY CHARITIES. FOR 2020, HMCL EMPLOYEES PROVIDED APPROXIMATELY 41 VOLUNTEER HOURS THROUGH I CARE IN ACTION. THESE DONATED HOURS EQUATE TO A VOLUNTEER TIME VALUE OF APPROXIMATELY $1,000. EMPLOYEES VOLUNTEERED AT AGENCIES INCLUDING HOUSTON FOOD BANK. COMMUNITY SUPPORT - HMCCHADMINISTRATIVE HOURS WERE ALLOCATED TO COORDINATE VOLUNTARY EMPLOYEE PROJECTS TO MEET SPECIFIC COMMUNITY NEEDS. AS A RESULT OF ADMINISTRATIVE SUPPORT, HOSPITAL EMPLOYEES PARTICIPATED IN OR PROVIDED A SERVICE FOR THE FOLLOWING: UNITED WAY CAMPAIGN AND OTHER COMMUNITY-BASED ACTIVITIES. A PROMINENT COMMUNITY BENEFIT PROGRAM PROVIDED IS HOUSTON METHODIST'S I CARE IN ACTION PROGRAM. I CARE IN ACTION ALLOWS HMCCH EMPLOYEES TIME OFF TO VOLUNTEER AT COMMUNITY CHARITIES. FOR 2020, HMCCH EMPLOYEES PROVIDED APPROXIMATELY 17.5 VOLUNTEER HOURS THROUGH I CARE IN ACTION. THESE DONATED HOURS EQUATE TO A VOLUNTEER TIME VALUE OF APPROXIMATELY $475. AGENCIES VOLUNTEERED WITH VIA THE I CARE IN ACTION PROGRAM INCLUDED HOUSTON FOOD BANK AND MORE. PART VI, LINE 6: IN 2020, HOUSTON METHODIST WAS COMPRISED OF EIGHT-MEMBER HOSPITALS, A RESEARCH INSTITUTE, A MEDICAL RESIDENCY EDUCATION PROGRAM AND A PHYSICIAN ORGANIZATION. THE SYSTEM, WITH 26,098 EMPLOYEES IN 2020, IS ONE OF THE HOUSTON AREA'S LARGEST EMPLOYERS.SIX COMMUNITY HOSPITALS - HMSL IN FORT BEND COUNTY, HMWB IN NORTHWEST HOUSTON, HMW IN WEST HOUSTON, HMTW IN MONTGOMERY COUNTY, HMB IN BAYTOWN, AND HMCL IN THE SOUTHEAST HOUSTON PROVIDE MEDICAL SERVICES TO PEOPLE LIVING IN ADJACENT CITIES AND SUBURBS. THEY SERVE THEIR RESPECTIVE AREAS WITH SERVICES SUCH AS CARDIOLOGY, OBSTETRICS/GYNECOLOGY, OUTPATIENT SURGERY, CANCER SERVICES, DIAGNOSTIC IMAGING AND EMERGENCY SERVICES. THE SEVENTH COMMUNITY HOSPITAL, HMCCH IN KATY, OPERATES AS A LONG-TERM ACUTE CARE HOSPITAL.COMMUNITY BENEFIT ACTIVITIES & HEALTH SERVICES:HOUSTON METHODIST RESPONDED TO THE COMMUNITY'S NEEDS IN 2020 THROUGH THE PROVISION OF MEDICAL CARE, BUT ALSO THROUGH RESEARCH, EDUCATION OF HEALTH PROFESSIONALS AND PATIENTS, COMMUNITY HEALTH EDUCATION, DONATIONS TO HEALTH CARE RELATED EVENTS AND OTHER SERVICES. SINCE 1993, HOUSTON METHODIST HAS PROVIDED COMMUNITY BENEFITS GRANTS TO ORGANIZATIONS THAT PROVIDE DIRECT PATIENT CARE WITH A FOCUS ON PREVENTIVE CARE, DENTAL SERVICES, MENTAL HEALTH, HEALTH CARE ACCESS, PRENATAL CARE AND DIABETES/NUTRITION CARE TO UNDERSERVED COMMUNITIES. BY PROVIDING FINANCIAL ASSISTANCE TO LOCAL CLINICS AND NONPROFIT ORGANIZATIONS, HOUSTON METHODIST CONTRIBUTES TO THEIR ABILITY TO GROW AND THRIVE, ENSURING A HEALTHIER LIFE FOR THE FUTURE OF ALL WHO WALK THROUGH THEIR DOORS. HOUSTON METHODIST CHAMPIONS COMMUNITY ORGANIZATIONS THAT PROVIDE OUTSTANDING HEALTH CARE TO PEOPLE OF ALL BACKGROUNDS. IN 2020, HOUSTON METHODIST SUPPORTED THE FOLLOWING AGENCIES VIA THE COMMUNITY BENEFITS GRANT PROGRAM AND OTHER INITIATIVES ACROSS THE GREATER HOUSTON AREA, INCLUDING THOSE COMMUNITIES SERVED BY COMMUNITY HOSPITALS:- ACCESS HEALTH- BOYS AND GIRLS COUNTRY OF HOUSTON, INC.- CHRIST CLINIC- DEPELCHIN CHILDREN'S CENTER- EL CENTRO DE CORAZON- HEALTHCARE FOR THE HOMELESS - HOUSTON- HOPE CLINIC- HOUSTON AREA WOMEN'S CENTER- INTERFAITH COMMUNITY CLINIC- LEGACY COMMUNITY CLINIC- LONE STAR FAMILY HEALTH CENTER- MEMORIAL ASSISTANCE MINISTRIES- NORTHWEST ASSISTANCE MINISTRIES- OPEN DOOR MISSION- SAN JOSE CLINIC- SANTA MARIA HOSTEL, INC.- SPRING BRANCH COMMUNITY HEALTH CENTER- STEPHEN F. AUSTIN COMMUNITY HEALTH CENTER- THE ROSE- THE WOMEN'S HOME- TOMAGWA HEALTH CARE MINISTRIES, INC.- VECINO HEALTH CENTERSSUMMARYAS A SYSTEM, HOUSTON METHODIST MADE SIGNIFICANT CONTRIBUTIONS THROUGH ITS COMMUNITY BENEFITS AND CHARITY CARE PROGRAM WHICH HAVE BEEN A RESOURCE FOR PATIENTS IN THE COMMUNITY. BASED ON IRS COST DEFINITIONS HOUSTON METHODIST PROVIDED $571.6 MILLION IN CHARITY CARE AND COMMUNITY BENEFITS FOR THE YEAR ENDED DECEMBER 31, 2020. IN ADDITION, BASED ON IRS COST DEFINITIONS HOUSTON METHODIST PROVIDED $488.6 MILLION IN CARE TO MEDICARE, MEDICARE MANAGED CARE AND TRICARE/USFHP PROGRAM BENEFICIARIES FOR THE YEAR ENDED DECEMBER 31, 2020.PART VI, LINE 7: TX 1 AMERICAN HEART ASSOCIATION PO BOX 15186 AUSTIN TX 78761 135613797 501C3 46500 MEDICAL RESEARCH CRISTO REY JESUIT COLLEGE PREPARATORY SCHOOL OF HOUSTON 6700 MOUNT CARMEL STREET HOUSTON TX 77087 263159838 501C3 31500 PROGRAM SUPPORT CY-FAIR EDUCATIONAL FOUNDATION PO BOX 1698 CYPRESS TX 77410 237079589 501C3 6000 PROGRAM SUPPORT HARRIS COUNTY CLINICAL SERVICES INC 2801 VIA FORTUNA STE 500C AUSTIN TX 78746 432110434 501C3 3880903 OUTPATIENT CLINIC INTERFAITH OF THE WOODLANDS 4242 INTERFAITH WAY THE WOODLANDS TX 77381 741804123 501C3 15000 SPONSORSHIP KLEIN ISD ATHLETIC DEPARTMENT 16607 STUEBNER AIRLINE KLEIN TX 77379 760638138 501C3 15000 COMMUNITY SERVICE LONE STAR COLLEGE FOUNDATION 5000 RESEARCH FOREST DRIVE THE WOODLANDS TX 77381 760336902 501C3 5750 PROGRAM SUPPORT PROJECT BLUE PO BOX 893 MT BELVIEW TX 77580 271867435 501C3 10000 SPONSORSHIP THE HOPE ENDOWMENT PO BOX 18261 SUGAR LAND TX 77496 270296828 501C3 17500 SPONSORSHIP UT HEALTH SCIENCE CENTER AT HOUSTON HARRIS COUNTRY PSYCHIATRIC CENTER 2900 S MCGREGOR WAY HOUSTON TX 77021 800176343 STATE AGENCY 535393 MENTAL HEALTH SERVICES YMCA OF GREATER HOUSTON 2600 NORTH LOOP WEST HOUSTON TX 77092 741109737 501C3 10500 SPONSORSHIP CLEAR CREEK EDUCATION FOUNDATION PO BOX 1631 LEAGUE CITY TX 77574 760383447 501C3 79788 EDUCATION PROGRAM SUPPORT 12 0 PAYMENTS FOR INFUSION PATIENTS WHO CANNOT PAY 11 13765 FORM 990, SCHEDULE I, PART II PRIOR TO THE APPROVAL OF A GRANT TO A REQUESTING ORGANIZATION, THE FOLLOWING CRITERIA MUST BE MET: (1) THE REQUESTING ORGANIZATION MUST BE AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; (2) THE REQUESTING ORGANIZATION MUST PROVIDE A RECOGNIZABLE OR DEMONSTRABLE BENEFIT TO THE COMMUNITY; (3) THE MISSION OF THE REQUESTING ORGANIZATION MUST AUGMENT THE MISSION OF THE METHODIST HOSPITAL GROUP; (4) THE REQUESTING ORGANIZATION'S MISSION AND SERVICES SHOULD NOT DUPLICATE AND MUST NOT CONFLICT WITH THOSE OF THE METHODIST HOSPITAL GROUP. FOR GRANTS WITH RESTRICTED PURPOSES, PERIODIC REPORTS WERE REVIEWED TO ENSURE THE FUNDS WERE USED TO SUPPORT INDIGENT CARE SERVICE OF THE COMMUNITY. 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GARY KEMPF SEE SCHEDULE O 185685 0 65207 0 16846 0 17661 0 29118 0 314517 0 0 0 KATHERINE WALSH SEE SCHEDULE O 176685 0 70807 0 33444 0 17029 0 13254 0 311219 0 0 0 ALECIA RISTER SEE SCHEDULE O 193982 0 63853 0 12476 0 17599 0 996 0 288906 0 0 0 NICOLE TWINE SEE SCHEDULE O 192462 0 33471 0 7470 0 20773 0 26897 0 281073 0 0 0 JARREN GARRETT SEE SCHEDULE O 112297 0 76249 0 74296 0 2319 0 13309 0 278470 0 0 0 SUSAN MILLER MD SEE SCHEDULE O 0 194110 0 15500 0 5290 0 22550 0 19528 0 256978 0 0 KIMBERLY SIMS MD SEE SCHEDULE O 0 216800 0 14719 0 759 0 19422 0 1914 0 253614 0 0 SEVA PAPAGEORGE MD SEE SCHEDULE O 0 175628 0 15672 0 276 0 18500 0 17001 0 227077 0 0 BARBARA QUANDT SEE SCHEDULE O 68200 0 74161 0 38913 0 7785 0 4549 0 193608 0 0 0 RYANE JACKSON SEE SCHEDULE O 132845 0 22173 0 2110 0 12356 0 11944 0 181428 0 0 0 NICOLINE VIOLET LEE MD SEE SCHEDULE O 0 123910 0 23456 0 221 0 11700 0 15362 0 174649 0 0 LOWELL STANTON SEE SCHEDULE O 9436 0 99005 0 16333 0 201 0 0 0 124975 0 0 0 PART I, LINE 3 HOUSTON METHODIST CLEAR LAKE HOSPITAL AND HOUSTON METHODIST BAYTOWN HOSPITAL USED THE FOLLOWING ITEMS TO ESTABLISH COMPENSATION OF THEIR CEOS: (1) INDEPENDENT COMPENSATION CONSULTANT AND (2) COMPENSATION SURVEY OR STUDY. THE CEOS OF OTHER ENTITIES WITHIN THE GROUP ARE EMPLOYED BY THE METHODIST HOSPITAL, D/B/A HOUSTON METHODIST HOSPITAL WHO USED THE FOLLOWING ITEMS TO ESTABLISH COMPENSATION OF THEIR CEOS: (1) COMPENSATION COMMITTEE, (2) INDEPENDENT COMPENSATION CONSULTANT, (3) COMPENSATION SURVEY OR STUDY, AND (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4A: HOUSTON METHODIST HAS A FORMAL SEVERANCE PLAN. ELIGIBLE EMPLOYEES INCLUDE ALL FULL-TIME AND PART-TIME (NOT TEMPORARY OR PRN) STAFF INCLUDING HOURLY STAFF UP THROUGH SENIOR VICE PRESIDENTS PROVIDED THEY WORK AT LEAST 20 HOURS PER WEEK AND ARE NOT OTHERWISE COVERED BY A PHYSICIAN EMPLOYMENT AGREEMENT. THE PLAN ONLY PROVIDES SALARY AND BENEFITS IN THE EVENT AN ELIGIBLE EMPLOYEE IS INVOLUNTARILY TERMINATED DUE TO THE ELIMINATION OF THEIR POSITION OR IF THEIR CURRENT POSITION IS SIGNIFICANTLY IMPACTED BY AN ORGANIZATIONAL RESTRUCTURING OR CHANGE IN REQUIREMENT AND A COMPARABLE POSITION IS NOT AVAILABLE WITHIN THE ORGANIZATION. THE ELIGIBLE PERSON MUST ALSO SIGN A TERMINATION AGREEMENT IN ORDER TO RECEIVE SALARY CONTINUATION AND BENEFITS UNDER THE PLAN TO WHICH THEY WOULD NOT NORMALLY BE ELIGIBLE TO RECEIVE UNDER A VOLUNTARY RESIGNATION. THE FOLLOWING SEVERANCE PAYMENTS WERE MADE FROM THIS PLAN DURING THE TAX YEAR ENDED DECEMBER 31, 2020: MAURO FERRARI $600,000 AND JARREN GARRETT $59,512. PART I, LINE 4B HOUSTON METHODIST HAS THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) DESCRIBED BELOW: THE SERP IS A NONQUALIFIED EMPLOYER FUNDED PLAN. CONTRIBUTIONS ARE MADE ANNUALLY INTO A TAX DEFERRED ACCOUNT AND ARE CONSIDERED TAXABLE UPON VESTING (I.E. COMPLETION OF THREE YEARS OF VESTING SERVICE). ONCE VESTED, EACH YEAR'S SUBSEQUENT CONTRIBUTION IS TAXABLE WITHIN THE CALENDAR YEAR IN WHICH THE DEPOSIT WAS MADE. ACCOUNT BALANCES CANNOT BE ACCESSED UNTIL RETIREMENT OR TERMINATION (WHICHEVER OCCURS FIRST) AND MAY BE SUBJECT TO NON-REVOCABLE DISTRIBUTION OPTIONS SELECTED UPON ELECTION. THE FOLLOWING SERP PAYMENT WAS MADE FROM THIS PLAN DURING THE TAX YEAR ENDED DECEMBER 31, 2020: MAURO FERRARI $20,140 AND LOWELL STANTON $33,047. PART I, LINE 7: THIS ORGANIZATION PROVIDES VARIABLE COMPENSATION OPPORTUNITY THROUGH AN ANNUAL MANAGEMENT INCENTIVE PLAN. SUPERVISOR LEVEL AND ABOVE MAY BE ELIGIBLE TO PARTICIPATE. THE ANNUAL INCENTIVE PROGRAM IS BASED ON SYSTEM AND OPERATING ENTITY LEVEL PERFORMANCE IN THE AREAS OF QUALITY IMPROVEMENT OUTCOMES, PATIENT SATISFACTION AND FINANCIAL PERFORMANCE. IN ADDITION, A PORTION OF THE PAYOUT PERCENTAGE IS BASED ON GOALS THAT ARE SPECIFIC TO THE PARTICIPANTS' MANAGEMENT ROLES AT THE DIVISION OR DEPARTMENT LEVEL INCLUDING BUT NOT LIMITED TO SUCH METRICS AS OPERATING RESULTS, QUALITY AND SAFETY IMPROVEMENTS AND CUSTOMER SATISFACTION MEASURES. DETERMINATION OF A PARTICIPANT'S PERCENTAGE OF THE POTENTIAL BONUS PAYOUT (PAID AS A PERCENT OF BASE SALARY) IS BASED ON WHETHER THE INDIVIDUAL ATTAINS AGREED UPON GOALS FOR THEIR AREA OF RESPONSIBILITY AS DETERMINED BY THEIR IMMEDIATE SUPERVISOR AS WELL AS ENTITY AND SYSTEM GOALS MET. THE DEFERRED RETENTION BONUS PLAN (DRBP) IS A NONQUALIFIED EMPLOYER FUNDED PLAN. CONTRIBUTIONS ARE MADE TO ELIGIBLE EMPLOYEES EACH YEAR BASED UPON THEIR POSITION THROUGHOUT THE PLAN YEAR WHICH RUNS JULY 1 TO JUNE 30. EACH YEAR'S CONTRIBUTION IS SUBJECT TO THREE YEAR LAPSE TIME CLASS VESTING AT WHICH TIME THE VESTED CONTRIBUTION IS PAID OUT TO THE EMPLOYEE AND TAXED. IKP FAMILY MEDICINE PA ENTITY MORE THAN 35% OWNED BY TIMOTHY IRVINE, A DIRECTOR OF HMCC 95000 MEDICARE SHARED SAVINGS PROGRAM PAYMENT 0 FORM 990 ITEM (H) (B) AFFILIATED ORGANIZATIONS NOT INCLUDED IN GROUP RETURN (TOTAL OF 2 ENTITIES): (1) TMH PHYSICIAN ORGANIZATION (D/B/A HOUSTON METHODIST SPECIALTY PHYSICIAN GROUP), EIN 57-1201170, 6565 FANNIN, HOUSTON, TX 77030 (2) METHODIST HOSPITAL FOUNDATION (D/B/A HOUSTON METHODIST HOSPITAL FOUNDATION), EIN 76-0094743, 6565 FANNIN, HOUSTON, TX 77030. FORM 990, PART I, LINE 1 AND PART III, LINE 1 THE ORGANIZATIONS IN METHODIST HOSPITAL GROUP (GROUP) (SEE STATEMENT 1) ARE PART OF THE METHODIST HOSPITAL, DOING BUSINESS AS HOUSTON METHODIST HOSPITAL, WHOSE MISSION IS: TO PROVIDE HIGH QUALITY, COST-EFFECTIVE HEALTH CARE THAT DELIVERS THE BEST VALUE TO THE PEOPLE WE SERVE IN A SPIRITUAL ENVIRONMENT OF CARING IN ASSOCIATION WITH INTERNATIONALLY RECOGNIZED TEACHING AND RESEARCH. FORM 990, PART III, LINE 4 - PROGRAM SERVICE ACCOMPLISHMENTS THE ENTITIES IN METHODIST HOSPITAL GROUP (SEE STATMENT 1) INCLUDED IN THIS RETURN PERFORM DIFFERENT ACTIVITIES. THE PROGRAM SERVICE ACCOMPLISHMENTS FOR THE ACTIVITIES ARE DESCRIPED BELOW. 1. METHODIST HEALTH CENTERS DOES BUSINESS AS HOUSTON METHODIST SUGAR LAND HOSPITAL (HMSL), HOUSTON METHODIST WILLOWBROOK HOSPITAL (HMWB), HOUSTON METHODIST WEST HOSPITAL (HMW), AND HOUSTON METHODIST THE WOODLANDS HOSPITAL (HMTW). 1A. HMSL IS LOCATED IN SUGAR LAND, TEXAS, WHICH IS APPROXIMATELY 21 MILES SOUTHWEST OF DOWNTOWN HOUSTON, TEXAS. AS OF DECEMBER 31, 2020, HMSL'S OPERATING BED CAPACITY WAS 324. PRINCIPAL MEDICAL SERVICES PROVIDED BY HMSL INCLUDE INPATIENT AND OUTPATIENT MEDICAL AND SURGICAL CARE; INTENSIVE CARE; 24 SURGERY SUITES; ONE BRONCHOSCOPY SUITE; TWO ENDOSCOPY SUITES; RADIATION THERAPY; THREE CARDIAC CATHETERIZATION LABS; A 24-HOUR EMERGENCY DEPARTMENT; STATE OF THE ART IMAGING SERVICES, INCLUDING MRI, CT, PET CT AND NUCLEAR MEDICINE; AND CENTERS OF EXCELLENCE IN CARDIOLOGY, NEUROSCIENCES, ONCOLOGY, ORTHOPEDICS, UROLOGY AND WOMEN'S SERVICES. HMSL OFFERS THE MOST ADVANCED SURGICAL AND DIAGNOSTIC TECHNIQUES AVAILABLE IN FORT BEND COUNTY, INCLUDING BRAIN SURGERY, OPEN HEART SURGERY AND JOINT REPLACEMENT SURGERY. HMSL HAS EARNED QUALITY-BASED HOSPITAL ACCREDITATION THROUGH DET NORSKE VERITAS (DNV), CHEST PAIN ACCREDITATION THROUGH THE SOCIETY OF CARDIOVASCULAR PATIENT CARE, AND ACCREDITATION WITH THE COMMENDATION BY THE AMERICAN COLLEGE OF SURGEONS-COMMISSION ON CANCER. HMSL RECORDED 227,827 VISITS DURING 2020, WHICH WERE COMPRISED OF 164,277 OUTPATIENT VISITS, 47,113 EMERGENCY VISITS, AND 16,437 INPATIENT ADMISSIONS. 1B. HMWB IS LOCATED IN NORTHWEST HARRIS COUNTY, APPROXIMATELY 25 MILES NORTHWEST OF DOWNTOWN HOUSTON, TEXAS. AS OF DECEMBER 31, 2020, HMWB'S OPERATING BED CAPACITY WAS 358. PRINCIPAL MEDICAL SERVICES PROVIDED BY HMWB INCLUDE INPATIENT AND OUTPATIENT MEDICAL AND SURGICAL CARE, SURGERY SUITES, ENDOSCOPY SUITES, A CARDIAC CATHETERIZATION LAB, A 24-HOUR EMERGENCY DEPARTMENT, TWO FREESTANDING EMERGENCY CARE CENTERS, A CHILDBIRTH CENTER WITH A NEONATAL INTENSIVE CARE UNIT, AN INTENSIVE CARE UNIT, A BREAST CARE CENTER, INFUSION SERVICES, WOUND CARE, GENERAL AND DIAGNOSTIC RADIOLOGY, NUCLEAR MEDICINE, LABORATORY, RADIATION THERAPY, ORTHOPEDICS AND SPORTS MEDICINE, NEUROLOGY AND NEUROSURGERY, PHYSICAL THERAPY AND 24-HOUR COVERAGE IN THE OBSTETRICS EMERGENCY DEPARTMENT AND INTENSIVE CARE UNIT. IN ADDITION, HMWB OPERATED TWO EMERGENCY CARE CENTERS - ONE LOCATED IN CYPRESS, TX AND THE OTHER LOCATED IN SPRING, TX. HMWB RECORDED 122,973 OUTPATIENT VISITS, 19,644 ADMISSIONS AND 70,093 EMERGENCY ROOM VISITS FOR A TOTAL OF 212,710 VISITS IN 2020. 1C. HMW IS LOCATED IN THE WESTERN PART OF HARRIS COUNTY, APPROXIMATELY 21 MILES WEST OF DOWNTOWN HOUSTON, TEXAS. ON DECEMBER 17, 2010, HMW OPENED ITS EMERGENCY CENTER, OPERATING ROOMS, ICU, SURGERY CENTER AND ALL ANCILLARY SUPPORT SERVICES. THE HOSPITAL ALSO OPENED WITH ONE 6 STORY PROFESSIONAL OFFICE BUILDING AND HAS SINCE ADDED A SECOND OFFICE BUILDING AS WELL AS TWO PARKING GARAGES. OTHER AREAS THAT HAVE BEEN DEVELOPED AND/OR EXPANDED SINCE OPENING INCLUDE ADDITIONAL SPECIALTY & OUTPATIENT AREAS INCLUDING A CANCER CENTER, BIRTHING CENTER, BREAST CENTER, WOUND CARE, OPERATING ROOMS, CATH LABS AND CARDIAC IMAGING AND A PHYSICAL THERAPY AREA. DURING 2020, HMW HAD 93,228 OUTPATIENT VISITS, 46,993 EMERGENCY ROOM VISITS AND 12,392 INPATIENT ADMISSIONS FOR A TOTAL OF 152,613 VISITS. AS OF DECEMBER 31, 2020, HMW HAD 239 LICENSED BEDS. THE CAMPUS MASTER PLAN INCLUDES EXPANSION SPACE TO INCREASE THE INPATIENT CAPACITY TO APPROXIMATELY 400 BEDS AND TO ACCOMMODATE TWO ADDITIONAL PROFESSIONAL BUILDINGS. 1D. HMTW IS LOCATED IN SOUTHERN MONTGOMERY COUNTY, APPROXIMATELY 35 MILES NORTH OF DOWNTOWN HOUSTON, TEXAS. AS OF DECEMBER 31, 2020, HMTW'S OPERATING BED CAPACITY WAS 187. PRINCIPAL MEDICAL SERVICES PROVIDED BY HMTW INCLUDE INPATIENT AND OUTPATIENT MEDICAL AND SURGICAL CARE, SURGERY SUITES, ENDOSCOPY SUITES, CARDIAC CATHETERIZATION LABS, 24-HOUR EMERGENCY CARE CENTER, BIRTHING CENTER WITH A LEVEL II NURSERY, LEVEL III NICU, INTENSIVE CARE UNIT, GENERAL AND DIAGNOSTIC RADIOLOGY, NUCLEAR MEDICINE, LABORATORY, RADIATION THERAPY, SPORTS MEDICINE, PHYSICAL THERAPY, INFUSION AND 24-HOUR COVERAGE IN THE OB EMERGENCY DEPARTMENT AND INTENSIVE CARE UNIT. HMTW RECORDED 11,622 ADMISSIONS, 8,335 SURGERIES, 1,974 CARDIAC CATHERIZATION VISITS, 31,515 EMERGENCY ROOM VISITS, 25,294 EQUIVALENT ADMISSIONS, AND 1,448 BIRTHS IN 2020. 2. HOUSTON METHODIST ST JOHN HOSPITAL (D/B/A HOUSTON METHODIST CLEAR LAKE HOSPITAL (HMCL)) OPERATES AS AN ACUTE CARE HOSPITAL IN NASSAU BAY, TEXAS. THE HOSPITAL HAS 151 LICENSED OPERATING BEDS AS OF DECEMBER 31, 2020. IN ADDITION TO HAVING 727 PHYSICIANS ON STAFF TO OFFER ADVANCED MEDICAL AND SURGICAL CARE, HMCL HAS EARNED QUALITY-BASED HOSPITAL ACCREDITATION THROUGH DET NORSKE VERITAS (DNV), CHEST PAIN ACCREDITATION THROUGH THE AMERICAN COLLEGE OF CARDIOLOGY AND IS A PRIMARY STROKE CENTER THROUGH DNV GL. HMCL RECORDED 137,904 VISITS DURING 2020 WHICH WERE COMPRISED OF 108,545 OUTPATIENT VISITS, 22,574 EMERGENCY VISITS, AND 6,785 INPATIENT ADMISSIONS. 3. HOUSTON METHODIST ST CATHERINE HOSPITAL (D/B/A HOUSTON METHODIST CONTINUING CARE HOSPITAL (HMCCH)) IS A SPECIALTY CARE HOSPITAL PROVIDING LONG-TERM ACUTE CARE (LTAC). LTAC PATIENTS RECEIVE DAILY CARE FROM A DEDICATED MEDICAL TEAM FOR A PERIOD OF TYPICALLY 25 DAYS OR MORE. THE SERVICES PROVIDED INCLUDE INTENSIVE PHYSICAL THERAPY, RESPIRATORY THERAPY, HEAD TRAUMA TREATMENT, PAIN MANAGEMENT, IMAGING, AND OUTPATIENT REHABILITATION. AS OF DECEMBER 31, 2020, HMCCH HAD 102 LICENSED BEDS. 4. SAN JACINTO METHODIST HOSPITAL (D/B/A HOUSTON METHODIST BAYTOWN HOSPITAL (HMB)) PROVIDES HOSPITAL SERVICES OUT OF TWO LOCATIONS IN BAYTOWN, TEXAS, WHICH IS APPROXIMATELY 30 MILES EAST OF DOWNTOWN HOUSTON, TEXAS. TWO SITES HAVE ADJACENT PROFESSIONAL OFFICE BUILDINGS THAT LEASE OFFICE SPACE TO PHYSICIANS WHO PRACTICE WITHIN THE HOSPITALS AND HOUSE HOSPITAL FUNCTIONS. AS OF DECEMBER 31, 2020, HMB HAD 216 HOSPITAL BEDS IN OPERATION. PRINCIPAL MEDICAL SERVICES PROVIDED INCLUDE WOMEN'S HEALTH, OBSTETRICS, CANCER CENTER, UROLOGY, ORTHOPEDICS, DIABETES EDUCATION, CARDIOVASCULAR LAB, A COMPLETE SPORTS MEDICINE AND OUTPATIENT THERAPY REHABILITATION CENTER, COMPREHENSIVE IMAGING SERVICES, INTENSIVE CARE MEDICAL AND SURGICAL SERVICES AND EMERGENCY CARE. THE HOSPITAL EARNED QUALITY-BASED ACCREDITATION THROUGH DET NORSKE VERITAS (DNV). HMB OPERATES THE ONLY HOSPITAL EMERGENCY ROOM IN BAYTOWN AND SERVED ITS COMMUNITY IN 2020 BY PROVIDING 13,970 INPATIENT ADMISSIONS, 51,628 EMERGENCY ROOM VISITS, AND 68,762 OUTPATIENT VISITS FOR A TOTAL OF 134,360 VISITS. 5. TMH MEDICAL OFFICE BUILDINGS IS OPERATED TO SUPPORT HOUSTON METHODIST HOSPITAL, HOUSTON METHODIST WILLOWBROOK HOSPITAL, HOUSTON METHODIST SAN JACINTO HOSPITAL, HOUSTON METHODIST SUGAR LAND HOSPITAL, HOUSTON METHODIST WEST HOSPITAL, HOUSTON METHODIST CONTINUING CARE HOSPITAL, HOUSTON METHODIST CLEAR LAKE HOSPITAL, AND HOUSTON METHODIST THE WOODLANDS HOSPITAL. THE TMH MEDICAL OFFICE BUILDINGS ALSO OPERATES OFFICE BUILDINGS CONNECTED, ATTACHED OR PROXIMAL TO THESE HOSPITALS. TMH MEDICAL OFFICE BUILDINGS PROVIDES SPACE FOR HOSPITAL DEPARTMENTS AND SUPPORT SERVICES. IN ADDITION TO THESE SERVICES, TMH MEDICAL OFFICE BUILDINGS LEASES SPACE TO HOSPITAL EMPLOYED PHYSICIAN PRACTICES IN SUPPORT OF THESE HOSPITALS. 6. DIAGNOSTIC CENTER HOSPITAL OF TEXAS (DCH) OWNS HOSPITAL ASSETS THAT ARE LEASED UNDER THE TERMS OF A LONG TERM LEASE TO HOUSTON METHODIST HOSPITAL (HMH). HMH IN TURN UTILIZES THESE ASSETS, ALONG WITH OTHER SUBSTANTIAL ASSETS THAT IT OWNS, TO PROVIDE DIRECT PATIENT CARE. 7. THE HOUSTON METHODIST RESEARCH INSTITUTE (HMRI) SUPPORTS RESEARCH PROGRAM AND INFRASTRUCTURE THAT ENABLE FACULTY ACROSS THE SYSTEM TO BRING NEW SCIENTIFIC DISCOVERIES TO PATIENTS AS RAPIDLY AS POSSIBLE THROUGH THE FULL CYCLE OF A CURE FROM CONCEPTUAL BENCH RESEARCH, TO PROTOTYPING AND DEVELOPMENT, TO CLINICAL TRIALS AND FDA APPROVAL. THE INSTITUTE SUPPORTS MORE THAN 1,470 CLINICAL RESEARCH PROTOCOLS AND $64.1 MILLION IN EXTRAMURALLY FUNDED TRANSLATIONAL RESEARCH PROGRAMS. HMRI'S RESEARCH DEPARTMENTS, PROGRAMS, AND CORE FACILITIES PROVIDE PLATFORM TECHNOLOGY IN SUPPORT OF CLINICAL RESEARCH PROGRAMS THROUGHOUT HOUSTON METHODIST. ITS RESEARCH GOALS ARE CLOSELY ALIGNED WITH HOUSTON METHODIST'S SIX CENTERS OF EXCELLENCE. HMRI SERVES AS A FOCAL POINT FOR PHYSICIANS AND SCIENTISTS WITH DIVERSE INTERESTS AND BACKGROUNDS TO COME TOGETHER AND SHARE IDEAS. HMRI COMPRISES 20 INTERDISCIPLINARY DEPARTMENTS: ANESTHESIOLOGY & CRITICAL CARE, CARDIOLOGY, CARDIOVASCULAR SCIENCES, CARDIOVASCULAR SURGERY, FAMILY MEDICINE, MEDICINE, NANOMEDICINE, STANLEY H. APPEL DEPARTMENT OF NEUROLOGY, NEUROSURGERY, NURSING, OBSTETRICS & GYNECOLOGY, OPHTHALMOLOGY, ORAL & MAXILLOFACIAL SURGERY, ORTHOPEDIC SURGERY, PATHOLOGY & GENOMIC MEDICINE, PHARMACY, RADIATION ONCOLOGY, RADIOLOGY, SURGERY, AND UROLOGY. THERE ARE ALSO 27 RESEARCH PROGRAMS: ANN KIMBALL AND JOHN W. JOHNSON CENTER FOR CELLULAR THERAPEUTICS, BLANTON EYE INSTITUTE, BIOENERGETICS, BIOINFORMATICS AND COMPUTATIONAL BIOLOGY, CARDIOVASCULAR REGENERATION, COMPUTATIONAL SURGERY, CRITICAL CARE, HEALTH & NATURE, HOUSTON METHODIST INSTITUTE FOR ROBOTICS, IMAGING AND NAVIGATION, HOUSTON METHODIST INSTITUTE FOR TECHNOLOGY, INNOVATION & EDUCATION (MITIE), IMMUNOBIOLOGY & TRANSPLANT SCIENCE, IMMUNOLOGY, IMMUNOTHERAPY RESEARCH, KENNETH R. PEAK BRAIN & PITUITARY TREATMENT CENTER, LUNG CENTER, MATHEMATICS IN MEDICINE, MOLECULAR & TRANSLATIONAL HUMAN INFECTIOUS DISEASES, MUSCULOSKELETAL REGENERATION, NANTZ NATIONAL ALZHEIMER CENTER, NEUROREGENERATION, OUTCOMES RESEARCH, PRECISION SURGERY, RAPID DEVICE TRANSLATION, REGENERATIVE MEDICINE, SHERRIE AND ALAN CONOVER CENTER FOR LIVER DISEASE & TRANSPLANTATION, TISSUE REGENERATION, AND UROLOGICAL REGENERATION. THE RESEARCH INSTITUTE ALSO PROVIDES 20 CORE FACILITIES FOR ACCESS TO PIONEERING TECHNOLOGY AND DATA ANALYSIS, INCLUDING: ADVANCED CELLULAR AND TISSUE MICROSCOPY, BIOMEDICAL INFORMATICS SUPPORT, BIOREPOSITORY, CLINICAL RESEARCH SERVICES, COMPARATIVE MEDICINE, DIGITAL SOLUTIONS, ELECTRON MICROSCOPY, EVENT SERVICES, FLOW CYTOMETRY, HIGH PERFORMANCE COMPUTING, IMMUNOMONITORING, INTRAVITAL MICROSCOPY, MACHINE SHOP, MAGNETIC STIMULATION DEVICE CORE, NANOENGINEERING, PRECLINICAL CATHETERIZATION LAB, RESEARCH PATHOLOGY, RNACORE, TRANSLATIONAL IMAGING, AND TRANSLATIONAL PRODUCTION & QUALITY. 8. HOUSTON METHODIST COORDINATED CARE (HMCC) ACCOUNTABLE CARE ORGANIZATION (ACO) IS A NON-PROFIT CORPORATION THAT WAS FORMED ON JUNE 7, 2016 TO BENEFIT HOUSTON METHODIST HOSPITALS IN COLLABORATION WITH A HIGH VALUE PRIMARY CARE NETWORK OF PHYSICIANS. ITS PURPOSE IS TO MANAGE, COORDINATE PATIENT CARE AND PROMOTE ACCOUNTABILITY FOR THE QUALITY, PATIENT SAFETY, COST AND OVERALL CARE OF HOUSTON METHODIST'S MEDICARE FEE-FOR-SERVICE PATIENTS BY FOLLOWING THEM THROUGH THEIR HEALTHCARE JOURNEY, PROVIDING PREVENTIVE CARE AND PATIENT EDUCATION AS WELL AS TO DECREASE HEALTH CARE COSTS TO MEDICARE AND THE PATIENTS HMCC SERVES. HOUSTON METHODIST COORDINATED CARE ESTABLISHES, REPORTS, AND ENSURES PROVIDER COMPLIANCE WITH HEALTH CARE QUALITY CRITERIA, INCLUDING PERFORMANCE STANDARDS, CARE PROTOCOLS AND EFFICIENCY MEASURE. FORM 990, PART VI, SECTION A, LINE 2 JOHN BOOKOUT III, DIRECTOR OF HOUSTON METHODIST RESEARCH INSTITUTE, IS THE SON OF JOHN BOOKOUT, WHO IS ALSO A DIRECTOR OF THE SAME ENTITY. FORM 990, PART VI, SECTION A, LINE 6 -HOUSTON METHODIST HOSPITAL IS THE SOLE CORPORATE MEMBER OF TMH HEALTH CARE GROUP AND HOUSTON METHODIST ACADEMIC INSTITUTE. -TMH HEALTH CARE GROUP IS THE SOLE CORPORATE MEMBER OF DIAGNOSTIC CENTER HOSPITAL CORP. OF TEXAS, METHODIST HEALTH CENTERS, HOUSTON METHODIST BAYTOWN HOSPITAL, HOUSTON METHODIST SPECIALTY PHYSICIAN GROUP, TMH MEDICAL OFFICE BUILDINGS AND HOUSTON METHODIST COORDINATED CARE. -HOUSTON METHODIST SPECIALTY PHYSICIAN GROUP IS THE SOLE CORPORATE MEMBER OF METHODIST PATHOLOGY ASSOCIATES, PLLC, METHODIST RADIOLOGY ASSOCIATES, PLLC, TMH PHYSICIAN ASSOCIATES, PLLC, TMH PHYSICIANS AND SURGEONS, PLLC, AND LONE STAR PATHOLOGY PLLC. -METHODIST HEALTH CENTERS IS THE SOLE CORPORATE MEMBER OF HMCL, HMCCH AND HMSTC REAL PROPERTY. -HOUSTON METHODIST ACADEMIC INSTITUTE IS THE SOLE CORPORATE MEMBER OF HOUSTON METHODIST RESEARCH INSTITUTE. FORM 990, PART VI, SECTION A, LINE 7A EXCEPT AS NOTED BELOW, THE SUBSIDIARY ORGANIZATIONS' SOLE CORPORATE MEMBER OR THE ULTIMATE PARENT COMPANY, HMH, HAVE THE AUTHORITY TO APPOINT, REMOVE OR REPLACE THE MEMBERS OF THEIR RESPECTIVE BOARDS OF DIRECTORS. THE FOLLOWING ENTITIES ARE CONTROLLED SOLELY BY THEIR MEMBER, SPG, AND DO NOT HAVE A SEPARATE GOVERNING BODY: TMH PHYSICIAN ASSOCIATES, PLLC METHODIST PATHOLOGY ASSOCIATES, PLLC METHODIST RADIOLOGY ASSOCIATES, PLLC TMH PHYSICIANS AND SURGEONS, PLLC LONE STAR PATHOLOGY, PLLC FORM 990, PART VI, SECTION A, LINE 7B THE SUBSIDIARY ORGANIZATIONS' SOLE CORPORATE MEMBER OR ULTIMATE PARENT COMPANY, HMH, RESERVE THE FOLLOWING POWERS: -AUTHORITY TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE ORGANIZATION; -AUTHORITY TO ESTABLISH THE MISSION, STRATEGY, AND POLICY OF THE ORGANIZATION; -APPROVAL AUTHORITY OF ALL GUARANTEES OF DEBT BY THE ORGANIZATION; -APPROVAL AUTHORITY OF THE ANNUAL OPERATING AND CAPITAL BUDGET OF THE ORGANIZATION; -APPROVAL AUTHORITY OF ALL ACQUISITIONS, DISSOLUTION, SALES OF CAPITAL ASSETS, PARTNERSHIPS, AND JOINT VENTURES OF THE ORGANIZATION; -AUTHORITY TO DIRECT THE ORGANIZATION IN ITS ACTIONS AS THE CORPORATE MEMBER OR SHAREHOLDER OF THE OTHER ORGANIZATIONS; -AUTHORITY TO AMEND THE CERTIFICATE AND THE BYLAWS AND COMPARABLE GOVERNING DOCUMENTS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT, INCLUDING CERTAIN OFFICERS, WORKS DILIGENTLY TO COMPLETE THE FORM 990 AND ATTACHED SCHEDULES (RETURN) IN A THOROUGH MANNER. THE RETURN IS REVIEWED BY A PAID PREPARER. PRIOR TO FILING THE RETURN, A COPY OF THE FORM 990 IS MADE AVAILABLE TO BOARD MEMBERS (INCLUDING REQUIRED SCHEDULES) AND MANAGEMENT TEAM MEMBERS ARE AVAILABLE TO ANSWER ANY BOARD MEMBERS' QUESTIONS. FORM 990, PART VI, SECTION B, LINE 12C INDIVIDUALS SERVING IN A SIGNIFICANT DECISION MAKING CAPACITY COMPLETE A CONFLICT OF INTEREST (COI) QUESTIONNAIRE ANNUALLY. A COMPREHENSIVE EVALUATION AND THOROUGH REVIEW OF DISCLOSURES IS PERFORMED BY A 6-MEMBER COI COMMITTEE COMPRISED OF EXECUTIVES, MANAGEMENT, AND STAFF. THE RESULTS OF THE COI DISCLOSURES ARE SUMMARIZED AND REPORTED TO THE PARENT CORPORATION, HOUSTON METHODIST HOSPITAL'S BOARD AUDIT & COMPLIANCE COMMITTEE, INCLUDING CERTAIN ACTIONS BEING TAKEN TO PROTECT THE INTEGRITY OF HOUSTON METHODIST DECISION-MAKING. IN ADDITION, CERTAIN DISCLOSURE RESULTS ARE ALSO COMMUNICATED TO MANAGEMENT AND TO AFFECTED COMMITTEE CHAIRS TO PROMOTE TRANSPARENCY, PROTECT DECISION-MAKING INTEGRITY, AND TO ENSURE RESTRICTIONS ARE IMPOSED WHERE APPROPRIATE. CONFLICTED INDIVIDUALS MAY NOT VOTE OR EXERT SELF-SERVING INFLUENCE ON THE DISCLOSED MATTER. FORM 990, PART VI, SECTION B, LINE 15 HOUSTON METHODIST HOSPITAL (HMH) (SOLE CORPORATE MEMBER OF THE SUBSIDIARIES) FOLLOWS IRS REGULATIONS AS IT RELATES TO ESTABLISHING A REBUTTABLE PRESUMPTION OF REASONABLENESS RELATED TO TOTAL COMPENSATION OF THE CEO OF THE ORGANIZATIONS AS WELL AS OTHER KEY EMPLOYEES AND COMPENSATED OFFICERS OF THE ORGANIZATIONS LISTED BELOW. IT HAS ESTABLISHED A PROCESS THAT INCLUDES THE FOLLOWING ELEMENTS: A SEPARATE COMMITTEE (THE BOARD COMMITTEE) COMPRISED OF INDEPENDENT DIRECTORS MEETS AT LEAST ANNUALLY TO REVIEW, DELIBERATE AND MAKE RECOMMENDATIONS TO HOUSTON METHODIST HOSPITAL BOARD OF DIRECTORS AS IT RELATES TO ANY CHANGES IN TOTAL COMPENSATION INCLUDING BASE PAY, BONUS AWARDS FROM INCENTIVE PROGRAMS OR BENEFITS AND PERQUISITES OF THE CEO. FOR 2020, THE BOARD COMMITTEE REVIEWED AND RECOMMENDED COMPENSATION PACKAGES FOR THE FOLLOWING POSITIONS: - PRESIDENT/CEO, OFFICER AND DIRECTOR (HOUSTON METHODIST HOSPITAL); DIRECTOR AND OFFICER PRESIDENT & CEO (METHODIST HEALTH CENTERS); DIRECTOR AND OFFICER (HOUSTON METHODIST RESEARCH INSTITUTE); DIRECTOR & OFFICER-CHAIRPERSON (HOUSTON METHODIST BAYTOWN HOSPITAL); DIRECTOR AND OFFICER-PRESIDENT/CEO (TMH HEALTH CARE GROUP); DIRECTOR AND OFFICER-CHAIRPERSON (TMH MEDICAL OFFICE BUILDINGS); DIRECTOR & OFFICER-CHAIRPERSON (DIAGNOSTIC CENTER HOSPITAL CORPORATION OF TEXAS); DIRECTOR (HOUSTON METHODIST CLEAR LAKE HOSPITAL); DIRECTOR, CHAIRPERSON, PRESIDENT & CEO (HOUSTON METHODIST CONTINUING CARE HOSPITAL); DIRECTOR, CHAIRPERSON, PRESIDENT & CEO (HOUSTON METHODIST ST. CATHERINE REAL PROPERTY) - EVP, CHIEF FINANCIAL OFFICER/CHIEF BUSINESS OFFICER, OFFICER-ASSISTANT SECRETARY & TREASURER (HOUSTON METHODIST HOSPITAL) WHO SERVES AS OFFICER-ASSISTANT SECRETARY (HOUSTON METHODIST RESEARCH INSTITUTE); OFFICER-ASSISTANT SECRETARY (METHODIST HEALTH CENTERS); OFFICER-ASSISTANT SECRETARY (HOUSTON METHODIST BAYTOWN HOSPITAL); OFFICER-SECRETARY (TMH HEALTH CARE GROUP); DIRECTOR AND OFFICER, VICE CHAIRPERSON, SECRETARY AND TREASURER (DIAGNOSTIC CENTER HOSPITAL); DIRECTOR AND OFFICER, SECRETARY & TREASURER (TMH MEDICAL OFFICE BUILDINGS); DIRECTOR AND OFFICER, SECRETARY & TREASURER (HOUSTON METHODIST ST. CATHERINE REAL PROPERTY); DIRECTOR AND OFFICER, SECRETARY/CHAIRPERSON (HOUSTON METHODIST CLEAR LAKE HOSPITAL); DIRECTOR AND OFFICER, SECRETARY & TREASURER (HOUSTON METHODIST CONTINUING CARE HOSPITAL); OFFICER, VICE PRESIDENT & SECRETARY (HOUSTON METHODIST COORDINATED CARE) - EVP, CHIEF LEGAL OFFICER (HOUSTON METHODIST HOSPITAL) WHO SERVES AS DIRECTOR AND OFFICER, VICE PRESIDENT (HOUSTON METHODIST CONTINUING CARE HOSPITAL); DIRECTOR (HOUSTON METHODIST CLEAR LAKE HOSPITAL); DIRECTOR AND OFFICER, VICE PRESIDENT (HOUSTON METHODIST ST. CATHERINE REAL PROPERTY) - EVP & CHIEF PHYSICIAN EXECUTIVE (HOUSTON METHODIST HOSPITAL) WHO SERVES AS DIRECTOR AND OFFICER, CHIEF MEDICAL OFFICER (METHODIST HEALTH CENTERS) - EVP, HOUSTON METHODIST HOSPITAL WHO SERVES AS DIRECTOR (TMH MEDICAL OFFICE BUILDINGS); DIRECTOR AND OFFICER, PRESIDENT & CEO (DIAGNOSTIC CENTER HOSPITAL CORP. OF TEXAS) - EVP, PRESIDENT, INSTITUTE FOR ACADEMIC MEDICINE & CHIEF ACADEMIC OFFICER; DIRECTOR AND OFFICER, SECRETARY/TREASURER (HOUSTON METHODIST RESEARCH INSTITUTE) - SVP, INSTITUTIONAL ADVANCEMENT & PRESIDENT & CEO HMH FOUNDATION - SVP, CHIEF HUMAN RESOURCES OFFICER - SVP, DIRECTOR AND PRESIDENT & CEO (HM RESEARCH INSTITUTE) - REGIONAL SVP, HOUSTON METHODIST HEALTH CENTERS (HMB AND HMCL) WHO SERVES AS CEO OF HOUSTON METHODIST SUGAR LAND HOSPITAL - REGIONAL SVP, HOUSTON METHODIST HEALTH CENTERS (HMW AND HMWB) WHO SERVES AS CEO OF HOUSTON METHODIST THE WOODLANDS HOSPITAL THE BOARD COMMITTEE ESTABLISHES THAT NO MEMBER HAS ANY CONFLICT OF INTEREST WITH REGARD TO THE EXECUTIVE COMPENSATION ARRANGEMENTS BEING APPROVED. THE BOARD COMMITTEE REVIEWS AND CONSIDERS INFORMATION PROVIDED BY AN EXTERNAL CONSULTANT ENGAGED TO ENSURE IT HAS DIRECT ACCESS TO: -COMPENSATION INFORMATION PAID BY COMPARABLE ORGANIZATIONS, FOR FUNCTIONALLY COMPARABLE POSITIONS. -COMPENSATION NORMS IN THE ORGANIZATION'S IMMEDIATE LOCALE AND FROM OTHER INDEPENDENT COMPENSATION SURVEYS BY NATIONALLY RECOGNIZED INDEPENDENT FIRMS THAT REPRESENT THE ORGANIZATION'S LOGICAL PEER GROUP. -COMPENSATION INFORMATION THAT INCLUDES INFORMATION ON BASE SALARY, INCENTIVES, BENEFITS AND PERQUISITES FOR TOTAL COMPENSATION COMPARISON PURPOSES TO ENSURE REASONABLE COMPETITIVE RANKING. THE BOARD COMMITTEE RELIES ON THE COMPARABILITY DATA TO REACH CONSENSUS THAT ITS RECOMMENDATIONS TO THE BOARD REGARDING EXECUTIVE COMPENSATION CHANGES ARE REASONABLE AND IN LINE WITH THE ORGANIZATION'S OVERALL TOTAL COMPENSATION PHILOSOPHY FOR EXECUTIVE PAY. THE DELIBERATIONS AND DECISIONS OF THE COMMITTEE ARE CONTEMPORANEOUSLY SUBSTANTIATED. THE COMPENSATION FOR POSITIONS HELD BY THE OTHER COMPENSATED OFFICERS, DIRECTORS AND KEY EMPLOYEES LISTED ON PART VII, SECTION A IS DETERMINED BASED ON A THOROUGH REVIEW OF NUMEROUS COMPENSATION STUDIES CONDUCTED BY NATIONALLY RECOGNIZED, INDEPENDENT FIRMS THAT PROVIDE MARKET DATA FOR TOTAL COMPENSATION FOR SIMILAR POSITIONS. THE COMPENSATION INFORMATION CONSIDERED INCLUDES INFORMATION ON BASE SALARY, INCENTIVES, AND BENEFITS FOR TOTAL COMPENSATION PURPOSES TO ENSURE REASONABLE COMPETITIVE RANKING IN ORDER TO MEET RECRUITMENT AND RETENTION OBJECTIVES THAT SECURE THE TALENT REQUIRED TO CONTRIBUTE TO ORGANIZATIONAL SUCCESS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS (EXCEPT THE ARTICLES OF INCORPORATION, WHICH ARE ON FILE WITH THE SECRETARY OF THE STATE OF TEXAS), CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS OF THE ORGANIZATIONS ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART VII, SECTION A. THE FOLLOWING LIST OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES PROVIDE ENTITY LEVEL DETAILS TO SUPPORT THE INFORMATION REPORTED IN PART VII SINCE MANY OF THE GROUP'S REPORTABLE INDIVIDUALS SERVE MORE THAN ONE ENTITY INCLUDED IN THIS GROUP RETURN. IN ADDITION, PURSUANT TO TREASURY REGULATION SECTION 1.6033-2(D)(5), HOUSTON METHODIST HOSPITAL, WHICH IS THE CENTRAL ORGANIZATION OF THE GROUP, ELECTED TO REPORT INFORMATION ABOUT ITS CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND CURRENT HIGHEST COMPENSATED EMPLOYEES IN THIS GROUP RETURN. EACH PERSON LISTED BELOW HELD THE FOLLOWING POSITION(S) WITH THE CENTRAL ORGANIZATION AND/OR ENTITIES INCLUDED IN THIS GROUP RETURN: ALECIA RISTER RECEIVED HER PART VII COMPENSATION FROM HOUSTON METHODIST RESEARCH INSTITUTE AND HELD THE FOLLOWING POSITION: HOUSTON METHODIST RESEARCH INSTITUTE-KEY EMPLOYEE-VICE PRESIDENT/CHIEF FINANCIAL OFFICER (AVERAGE HOURS PER WEEK-50). ADRIENNE E. JOSEPH RECEIVED HER PART VII COMPENSATION FROM HOUSTON METHODIST HOSPITAL AND HOUSTON METHODIST BAYTOWN AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST BAYTOWN HOSPITAL-KEY EMPLOYEE, VICE PRESIDENT/CHIEF OPERATING OFFICER (AVERAGE HOURS PER WEEK-50). ANDREW VON ESCHENBACH, MD IS AN UNCOMPENSATED DIRECTOR AND HELD THE FOLLOWING POSITION: HOUSTON METHODIST RESEARCH INSTITUTE-DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2). ANTONIO GOTTO, JR, MD, DPHIL, EX OFFICIO IS AN UNCOMPENSATED DIRECTOR AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST RESEARCH INSTITUTE-DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2) AND 2 HOURS WITH RELATED ORGANIZATION. AUGUSTINE M. K. CHOI, MD, EX OFFICIO IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2) AND 2 HOURS WITH RELATED ORGANIZATION. BISHOP SCOTT JONES IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITION: HOUSTON METHODIST HOSPITAL - DIRECTOR (AVERAGE HOURS PER WEEK-2). BARBARA QUANDT RECEIVED HER PART VII COMPENSATION FROM HOUSTON METHODIST HEALTH CENTERS AND HELD THE FOLLOWING POSITION: HOUSTON METHODIST HEALTH CENTERS, HMWB -FORMER KEY EMPLOYEE - VICE PRESIDENT & CHIEF NURSING OFFICER (AVERAGE HOURS PER WEEK-20). BRENT ALLMON, MD IS AN UNCOMPENSATED DIRECTOR AND HELD THE FOLLOWING POSITION: HOUSTON METHODIST COORDINATED CARE - DIRECTOR (AVERAGE HOURS PER WEEK-2). BRET T. CURRAN RECEIVED HIS PART VII COMPENSATION FROM HOUSTON METHODIST HOSPITAL AND HELD THE FOLLOWING POSITION: TMH MEDICAL OFFICE BUILDINGS - DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2). BRIAN AQUINO, MD IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITION: HOUSTON METHODIST COORDINATED CARE - DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2). CARL T. LITTLE RECEIVED HIS PART VII COMPENSATION FROM METHODIST HEALTH CENTERS. HE HELD THE FOLLOWING POSITION: METHODIST HEALTH CENTERS - KEY EMPLOYEE, VICE PRESIDENT/CHIEF OPERATING OFFICER METHODIST WILLOWBROOK HOSPITAL (AVERAGE HOURS PER WEEK-50). CARLTON E. BAUCUM IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST HOSPITAL- DIRECTOR & OFFICER, VICE CHAIRPERSON (AVERAGE HOURS PER WEEK-2) AND TMH HEALTH CARE GROUP - DIRECTOR (AVERAGE HOURS PER WEEK-2). CAROLE HACKETT RECEIVED HER PART VII COMPENSATION FROM HOUSTON METHODIST HOSPITAL AND HELD THE FOLLOWING POSITION: HOUSTON METHODIST HOSPITAL - SENIOR VICE PRESIDENT, CHIEF HUMAN RESOURCES OFFICER (AVERAGE HOURS PER WEEK-50). CARRIE L. BYINGTON, MD, EX OFFICIO IS AN UNCOMPENSATED DIRECTOR. SHE HELD THE FOLLOWING POSITION: HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2). CATHY L. EASTER RECEIVED HER PART VII COMPENSATION FROM HOUSTON METHODIST HOSPITAL AND HELD THE FOLLOWING POSITION: HOUSTON METHODIST HOSPITAL - SENIOR VICE PRESIDENT/CHIEF EXECUTIVE OFFICER GLOBAL HEALTH CARE SERVICES (AVERAGE HOURS PER WEEK-50). CHRIS SIEBENALER RECEIVED HIS PART VII COMPENSATION FROM METHODIST HEALTH CENTERS. HE HELD THE FOLLOWING POSITIONS: METHODIST HEALTH CENTERS - KEY EMPLOYEE, REGIONAL SENIOR VICE PRESIDENT - HOUSTON METHODIST CLEAR LAKE HOSPITAL AND HOUSTON METHODIST BAYTOWN HOSPITAL, AND CHIEF EXECUTIVE OFFICER - HOUSTON METHODIST SUGAR LAND HOSPITAL (AVERAGE HOURS PER WEEK-50). CHRISTOPHER P. ROBBEN, MD RECEIVED HIS PART VII COMPENSATION FROM A RELATED ORGANIZATION AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST COORDINATED CARE - DIRECTOR & OFFICER, MEDICAL DIRECTOR (AVERAGE HOURS PER WEEK-2) AND 48 HOURS WITH RELATED ORGANIZATION. CONNIE DYER IS AN UNCOMPENSATED DIRECTOR. SHE HELD THE FOLLOWING POSITIONS: METHODIST HEALTH CENTERS - DIRECTOR (AVERAGE HOURS PER WEEK-2) AND HOUSTON METHODIST COORDINATED CARE - DIRECTOR (AVERAGE HOURS PER WEEK-2). DAN O. DINGES IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITION: HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2). DANIEL B. NEWMAN RECEIVED HIS PART VII COMPENSATION FROM HOUSTON METHODIST CLEAR LAKE HOSPITAL. HE HELD THE FOLLOWING POSITION: HOUSTON METHODIST CLEAR LAKE HOSPITAL - OFFICER, PRESIDENT AND CHIEF EXECUTIVE OFFICER (AVERAGE HOURS PER WEEK-50). DAVID C. BAGGETT, JR. IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2) AND 2 HOURS WITH RELATED ORGANIZATION. DAVID CHAO IS AN UNCOMPENSATED DIRECTOR AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2) AND 2 HOURS WITH RELATED ORGANIZATION. DAVID M. UNDERWOOD, JR. IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST HOSPITAL - DIRECTOR & OFFICER, ASSISTANT SECRETARY (AVERAGE HOURS PER WEEK-2) AND 4 HOURS WITH RELATED ORGANIZATIONS. DAVID P. BERNARD RECEIVED HIS PART VII COMPENSATION FROM HOUSTON METHODIST BAYTOWN HOSPITAL. HE HELD THE FOLLOWING POSITION: HOUSTON METHODIST BAYTOWN HOSPITAL - OFFICER, PRESIDENT, CHIEF EXECUTIVE OFFICER, TREASURER (AVERAGE HOURS PER WEEK-50). DEBRA F. SUKIN RECEIVED HER PART VII COMPENSATION FROM HOUSTON METHODIST HOSPITAL. SHE HELD THE FOLLOWING POSITIONS: METHODIST HEALTH CENTERS - KEY EMPLOYEE, REGIONAL SENIOR VICE PRESIDENT - HOUSTON METHODIST WEST HOSPITAL AND METHODIST CONTINUING CARE HOSPITAL, AND CHIEF EXECUTIVE OFFICER - HOUSTON METHODIST THE WOODLANDS HOSPITAL (AVERAGE HOURS PER WEEK-50). DR. EDMUND ROBB, III IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITION: HOUSTON METHODIST HOSPITAL - DIRECTOR (AVERAGE HOURS PER WEEK-2). DOUGLAS E. SWANSON, JR. IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2), HOUSTON METHODIST HOSPITAL - DIRECTOR (AVERAGE HOURS PER WEEK-2) AND 2 HOURS WITH RELATED ORGANIZATION. DR. THOMAS J. PACE, III IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITION: HOUSTON METHODIST HOSPITAL - DIRECTOR (AVERAGE HOURS PER WEEK-2). EDWARD A. JONES RECEIVED HIS PART VII COMPENSATION FROM HOUSTON METHODIST RESEARCH INSTITUTE AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR & OFFICER, PRESIDENT/CHIEF EXECUTIVE OFFICER (AVERAGE HOURS PER WEEK-25) AND 25 HOURS WITH RELATED ORGANIZATION. EDWARD L. TYRRELL RECEIVED HIS PART VII COMPENSATION FROM HOUSTON METHODIST HOSPITAL AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST HOSPITAL, SENIOR VICE PRESIDENT (AVERAGE HOURS PER WEEK OF 38), HOUSTON METHODIST RESEARCH INSTITUTE - OFFICER, TREASURER, PART YEAR (AVERAGE HOURS PER WEEK-2), HOUSTON METHODIST CLEAR LAKE HOSPITAL - OFFICER, TREASURER (AVERAGE HOURS PER WEEK-2), TMH HEALTH CARE GROUP - OFFICER, TREASURER (AVERAGE HOURS PER WEEK-2) AND 6 HOURS WITH RELATED ORGANIZATIONS. EDWIN "ED" H KNIGHT IS AN UNCOMPENSATED DIRECTOR AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2) AND 2 HOURS WITH RELATED ORGANIZATION. ELIZABETH BLANTON WAREING IS AN UNCOMPENSATED DIRECTOR. SHE HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST HOSPITAL - DIRECTOR & OFFICER, SECRETARY (AVERAGE HOURS PER WEEK-2), HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR & OFFICER, VICE CHAIRPERSON, PART YEAR (AVERAGE HOURS PER WEEK-2) AND 2 HOURS WITH RELATED ORGANIZATION. ELIUD FAZ RECEIVED HIS PART VII COMPENSATION FROM METHODIST HEALTH CENTERS AND HELD THE FOLLOWING POSITION: METHODIST HEALTH CENTERS - KEY EMPLOYEE, VICE PRESIDENT/CHIEF OPERATING OFFICER, HOUSTON METHODIST SUGAR LAND HOSPITAL (AVERAGE HOURS PER WEEK-50). EMILY A. CROSSWELL IS AN UNCOMPENSATED DIRECTOR. SHE HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST HOSPITAL- DIRECTOR (AVERAGE HOURS PER WEEK-2), METHODIST HEALTH CENTERS - DIRECTOR (AVERAGE HOURS PER WEEK-2) AND 2 HOURS WITH RELATED ORGANIZATION. ERNEST D. COCKRELL, II IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2) AND 2 HOURS WITH RELATED ORGANIZATION. EVAN H. KATZ IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2) AND 2 HOURS WITH RELATED ORGANIZATION. EWING WERLEIN, JR., IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST HOSPITAL - DIRECTOR & OFFICER, SENIOR CHAIRPERSON (AVERAGE HOURS PER WEEK-2), METHODIST HEALTH CENTERS - EX OFFICIO, DIRECTOR & SENIOR CHAIRPERSON (AVERAGE HOURS PER WEEK-2), HOUSTON METHODIST RESEARCH INSTITUTE - EX OFFICIO, DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2), TMH HEALTH CARE GROUP - EX OFFICIO, DIRECTOR & OFFICER, SENIOR CHAIRPERSON (AVERAGE HOURS PER WEEK-2) AND 4 HOURS WITH RELATED ORGANIZATIONS. FAISAL N. MASUD, MD RECEIVED HIS PART VII COMPENSATION FROM A RELATED ORGANIZATION AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST HOSPITAL - DIRECTOR (AVERAGE HOURS PER WEEK-2) AND 48 HOURS WITH RELATED ORGANIZATION. GARY W. EDWARDS IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITION: HOUSTON METHODIST HOSPITAL - DIRECTOR (AVERAGE HOURS PER WEEK-2). GARY KEMPF RECEIVED HIS PART VII COMPENSATION FROM HOUSTON METHODIST CONTINUING CARE AND HELD THE FOLLOWING POSITION: HOUSTON METHODIST CONTINUING CARE - KEY EMPLOYEE, VICE PRESIDENT AND CHIEF OPERATING OFFICER (AVERAGE HOURS PER WEEK-50). GILBERT SANTANA IS AN UNCOMPENSATED DIRECTOR AND HELD THE FOLLOWING POSITION: HOUSTON METHODIST BAYTOWN HOSPITAL DIRECTOR & OFFICER, VICE CHAIRPERSON (AVERAGE HOURS PER WEEK-2). GREGORY TERRY, MD RECEIVED HIS PART VII COMPENSATION FROM A RELATED ORGANIZATION AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST COORDINATED CARE - DIRECTOR (AVERAGE HOURS PER WEEK-2) AND 48 HOURS WITH RELATED ORGANIZATION. GREGORY V. NELSON IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST HOSPITAL- DIRECTOR & OFFICER, CHAIRPERSON (AVERAGE HOURS PER WEEK-2), HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR (AVERAGE HOURS PER WEEK-2), METHODIST HEALTH CENTERS - DIRECTOR, EX OFFICIO (AVERAGE HOURS PER WEEK-2), TMH HEALTH CARE GROUP - DIRECTOR, EX OFFICIO & OFFICER, CHAIRPERSON (AVERAGE HOURS PER WEEK-2) AND 4 HOURS WITH RELATED ORGANIZATIONS. H. DIRK SOSTMAN, MD RECEIVED HIS PART VII COMPENSATION FROM HOUSTON METHODIST RESEARCH INSTITUTE AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR & OFFICER, SECRETARY/TREASURER (AVERAGE HOURS PER WEEK-48) AND 2 HOURS WITH RELATED ORGANIZATION. JANET LEATHERWOOD RECEIVED HER PART VII COMPENSATION FROM METHODIST HEALTH CENTERS AND HELD THE FOLLOWING POSITION: METHODIST HEALTH CENTERS - KEY EMPLOYEE, VICE PRESIDENT & CHIEF NURSING OFFICER, HOUSTON METHODIST SUGAR LAND HOSPITAL (AVERAGE HOURS PER WEEK-50). JARREN GARRET RECEIVED HIS PART VII COMPENSATION FROM HOUSTON METHODIST BAYTOWN HOSPITAL. HE HELD THE FOLLOWING POSITION: HOUSTON METHODIST BAYTOWN HOSPITAL - KEY EMPLOYEE, VICE PRESIDENT & CHIEF OPERATING OFFICER (AVERAGE HOURS PER WEEK-50). JEFF CARR RECEIVED HIS PART VII COMPENSATION FROM A RELATED ORGANIZATION AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST COORDINATED CARE - OFFICER, TREASURER (AVERAGE HOURS PER WEEK-2) AND 48 HOURS WITH RELATED ORGANIZATION. JOE BOB PERKINS IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITION: HOUSTON METHODIST HOSPITAL - DIRECTOR & OFFICER, ASSISTANT TREASURER (AVERAGE HOURS PER WEEK-2). JOHN COOKE, MD, PHD RECEIVED HIS PART VII COMPENSATION FROM A RELATED ORGANIZATION AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2) AND 48 HOURS WITH RELATED ORGANIZATIONS. JOHN F. BOOKOUT IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST HOSPITAL- DIRECTOR (AVERAGE HOURS PER WEEK-2), METHODIST HEALTH CENTERS - DIRECTOR (AVERAGE HOURS PER WEEK-2), HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2) AND 4 HOURS WITH RELATED ORGANIZATIONS. JOHN F. BOOKOUT, III IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR (AVERAGE HOURS PER WEEK-2) AND 2 HOURS WITH RELATED ORGANIZATION. JOSEPH C. "RUSTY" WALTER, III IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST HOSPITAL - DIRECTOR & OFFICER, TREASURER (AVERAGE HOURS PER WEEK-2), HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2) AND 4 HOURS WITH RELATED ORGANIZATIONS. JOSEPH R. "ROD" CANION IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2) AND 2 HOURS WITH RELATED ORGANIZATION. JOSHUA SEPTIMUS, MD RECEIVED HIS PART VII COMPENSATION FROM A RELATED ORGANIZATION AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST COORDINATED CARE - DIRECTOR (AVERAGE HOURS PER WEEK-2) AND 48 HOURS WITH RELATED ORGANIZATION). JULIA ANDRIENI, MD RECEIVED HER PART VII COMPENSATION FROM HOUSTON METHODIST HOSPITAL AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST COORDINATED CARE - DIRECTOR & OFFICER, CHAIRPERSON, PRESIDENT & CHIEF EXECUTIVE OFFICER (AVERAGE HOURS PER WEEK-48) AND 2 HOURS WITH RELATED ORGANIZATION. JULIET ELLIS IS AN UNCOMPENSATED DIRECTOR. SHE HELD THE FOLLOWING POSITION: HOUSTON METHODIST HOSPITAL - DIRECTOR (AVERAGE HOURS PER WEEK-2). KATHERINE WALSH RECEIVED HER PART VII COMPENSATION FROM HOUSTON METHODIST CLEAR LAKE HOSPITAL AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST CLEAR LAKE HOSPITAL - KEY EMPLOYEE, VICE PRESIDENT & CHIEF NURSING OFFICER (AVERAGE HOURS PER WEEK-50). KEITH BARBER RECEIVED HIS PART VII COMPENSATION FROM METHODIST HEALTH CENTERS AND HELD THE FOLLOWING POSITION: METHODIST HEALTH CENTERS - KEY EMPLOYEE, SENIOR VICE PRESIDENT & CHIEF EXECUTIVE OFFICER OF HOUSTON METHODIST WILLOWBROOK HOSPITAL (AVERAGE HOURS PER WEEK-50). KELTY R. BAKER, MD RECEIVED PART VII COMPENSATION FROM HOUSTON METHODIST HOSPITAL AND HELD THE FOLLOWING POSITION: HOUSTON METHODIST HOSPITAL - DIRECTOR (AVERAGE HOURS PER WEEK-2) AND 2 HOURS WITH RELATED ORGANIZATION. KENNETH LETKEMAN RECEIVED HIS PART VII COMPENSATION FROM HOUSTON METHODIST HOSPITAL AND HELD THE FOLLOWING POSITION: HOUSTON METHODIST HOSPITAL - SENIOR VICE PRESIDENT CHIEF INFORMATION OFFICER (AVERAGE HOURS PER WEEK-50). KERRIE GUERRERO RECEIVED HER PART VII COMPENSATION FROM METHODIST HEALTH CENTERS AND HELD THE FOLLOWING POSITIONS: METHODIST HEALTH CENTERS - KEY EMPLOYEE, VICE PRESIDENT & CHIEF NURSING OFFICER OF HOUSTON METHODIST THE WOODLANDS HOSPITAL (AVERAGE HOURS PER WEEK-50). KEVIN J. BURNS RECEIVED HIS PART VII COMPENSATION FROM HOUSTON METHODIST HOSPITAL AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST HOSPITAL - OFFICER, ASSISTANT SECRETARY & TREASURER (AVERAGE HOURS PER WEEK- OF 22), DIAGNOSTIC CENTER HOSPITAL - DIRECTOR & OFFICER, VICE CHAIRPERSON/SECRETARY & TREASURER (AVERAGE HOURS PER WEEK-2), TMH MEDICAL OFFICE BUILDINGS - DIRECTOR & OFFICER, SECRETARY/TREASURER (AVERAGE HOURS PER WEEK-2), METHODIST HEALTH CENTERS - OFFICER, ASSISTANT SECRETARY (AVERAGE HOURS PER WEEK-2), TMH HEALTH CARE GROUP - OFFICER, SECRETARY (AVERAGE HOURS PER WEEK-2), HOUSTON METHODIST BAYTOWN HOSPITAL - OFFICER, ASSISTANT SECRETARY (AVERAGE HOURS PER WEEK-2), HOUSTON METHODIST RESEARCH INSTITUTE - OFFICER, ASSISTANT SECRETARY, PART YEAR (AVERAGE HOURS PER WEEK-2), HOUSTON METHODIST CLEAR LAKE HOSPITAL - DIRECTOR & OFFICER, SECRETARY/CHAIRPERSON (AVERAGE HOURS PER WEEK-2), HOUSTON METHODIST CONTINUING CARE HOSPITAL - DIRECTOR & OFFICER, SECRETARY & TREASURER (AVERAGE HOURS PER WEEK-2), HOUSTON METHODIST ST. CATHERINE REAL PROPERTY - DIRECTOR & OFFICER, SECRETARY & TREASURER (AVERAGE HOURS PER WEEK-2),HOUSTON METHODIST COORDINATED CARE - OFFICER, VICE PRESIDENT & SECRETARY (AVERAGE HOURS PER WEEK-2) AND 8 HOURS WITH RELATED ORGANIZATIONS. KEVIN J. LILLY IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2) AND 2 HOURS WITH RELATED ORGANIZATION. KIMBERLY SIMS, MD RECEIVED HER PART VII COMPENSATION FROM A RELATED ORGANIZATION AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST COORDINATED CARE - DIRECTOR (AVERAGE HOURS PER WEEK-2) AND 48 HOURS WITH RELATED ORGANIZATION. KYLE R. STANZEL RECEIVED HIS PART VII COMPENSATION FROM METHODIST HEALTH CENTERS. HE HELD THE FOLLOWING POSITION: METHODIST HEALTH CENTERS - KEY EMPLOYEE, VICE PRESIDENT & CHIEF OPERATING OFFICER HOUSTON METHODIST WEST HOSPITAL (AVERAGE HOURS PER WEEK-50). LIISA ORTEGON RECEIVED HER PART VII COMPENSATION FROM HOUSTON METHODIST HOSPITAL AND HELD THE FOLLOWING POSITION: HOUSTON METHODIST HOSPITAL - KEY EMPLOYEE, SENIOR VICE PRESIDENT & CHIEF NURSING EXECUTIVE (AVERAGE HOURS PER WEEK-50). LINDA K. KULHANEK RECEIVED HER PART VII COMPENSATION FROM HOUSTON METHODIST HOSPITAL AND HELD THE FOLLOWING POSITION: HOUSTON METHODIST HOSPITAL - KEY EMPLOYEE, VICE PRESIDENT FINANCE & OPERATIONS (AVERAGE HOURS PER WEEK-50). LISA P. SHOCK IS AN UNCOMPENSATED DIRECTOR. SHE HELD THE FOLLOWING POSITION: HOUSTON METHODIST COORDINATED CARE - DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2). LOWELL STANTON RECEIVED ALL OF HIS PART VII COMPENSATION FROM METHODIST HEALTH CENTERS AND HELD THE FOLLOWING POSITIONS: METHODIST HEALTH CENTERS - FORMER KEY EMPLOYEE, VICE PRESIDENT & REGIONAL CHIEF FINANCIAL OFFICER (AVERAGE HOURS PER WEEK-0). MAHENDRA G. JAIN RECEIVED HIS PART VII COMPENSATION FROM A RELATED ORGANIZATION AND HELD THE FOLLOWING POSITION: HOUSTON METHODIST COORDINATED CARE - DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2) AND 48 HOURS WITH RELATED ORGANIZATION. MARC L. BOOM, M.D. RECEIVED HIS PART VII COMPENSATION FROM HOUSTON METHODIST HOSPITAL AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST HOSPITAL- DIRECTOR & OFFICER, PRESIDENT & CEO (AVERAGE HOURS PER WEEK OF 28), DIAGNOSTIC CENTER HOSPITAL CORP. OF TEXAS - EX OFFICIO, DIRECTOR & OFFICER, CHAIRPERSON (AVERAGE HOURS PER WEEK-2), TMH MEDICAL OFFICE BUILDINGS - EX OFFICIO, DIRECTOR & OFFICER, CHAIRPERSON (AVERAGE HOURS PER WEEK-2), HOUSTON METHODIST BAYTOWN HOSPITAL - EX OFFICIO, DIRECTOR & OFFICER, CHAIRPERSON (AVERAGE HOURS PER WEEK-2), METHODIST HEALTH CENTERS - EX OFFICIO, DIRECTOR & OFFICER, PRESIDENT & CEO (AVERAGE HOURS PER WEEK-2), HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR & OFFICER, CHAIRPERSON (AVERAGE HOURS PER WEEK-2), TMH HEALTH CARE GROUP - EX OFFICIO, DIRECTOR & OFFICER, PRESIDENT & CEO (AVERAGE HOURS PER WEEK-2), HOUSTON METHODIST CLEAR LAKE HOSPITAL - DIRECTOR (AVERAGE HOURS PER WEEK-2), HOUSTON METHODIST CONTINUING CARE HOSPITAL - DIRECTOR & OFFICER, CHAIRPERSON, PRESIDENT, CEO (AVERAGE HOURS PER WEEK-2), HOUSTON METHODIST ST. CATHERINE REAL PROPERTY - DIRECTOR & OFFICER, CHAIRPERSON, PRESIDENT & CEO (AVERAGE HOURS PER WEEK-2) AND 4 HOURS WITH RELATED ORGANIZATIONS. MARK A. HOUSER IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITION: HOUSTON METHODIST HOSPITAL - DIRECTOR (AVERAGE HOURS PER WEEK-2). MARTHA DEBUSK IS AN UNCOMPENSATED DIRECTOR. SHE HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST HOSPITAL- DIRECTOR (AVERAGE HOURS PER WEEK-2), HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2) AND 2 HOURS WITH RELATED ORGANIZATION. MARTHA WALTON IS AN UNCOMPENSATED DIRECTOR. SHE HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2) AND 2 HOURS WITH RELATED ORGANIZATION. MARY A. DAFFIN IS AN UNCOMPENSATED DIRECTOR. SHE HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST HOSPITAL- DIRECTOR & OFFICER, VICE CHAIRPERSON (AVERAGE HOURS PER WEEK-2) AND TMH HEALTH CARE GROUP - DIRECTOR (AVERAGE HOURS PER WEEK-2). MARY ELIZA SHAPER IS AN UNCOMPENSATED DIRECTOR AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2) AND 2 HOURS WITH RELATED ORGANIZATION. MAYA PATEL, MD IS AN UNCOMPENSATED DIRECTOR AND HELD THE FOLLOWING POSITION: HOUSTON METHODIST COORDINATED CARE - DIRECTOR (AVERAGE HOURS PER WEEK-2). MAURO FERRARI, PH.D., EX OFFICIO, RECEIVED HIS PART VII COMPENSATION FROM HOUSTON METHODIST RESEARCH INSTITUTE AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST RESEARCH INSTITUTE - FORMER DIRECTOR & OFFICER, PRESIDENT & CHIEF EXECUTIVE OFFICER (AVERAGE HOURS PER WEEK-0). MICHAEL L. GARCIA RECEIVED HIS PART VII COMPENSATION FROM HOUSTON METHODIST HOSPITAL AND HELD THE FOLLOWING POSITION: HOUSTON METHODIST HOSPITAL - KEY EMPLOYEE - SENIOR VICE PRESIDENT & CHIEF OPERATING OFFICER (AVERAGE HOURS PER WEEK-50). NATALIE DRYDEN RECEIVED HER PART VII COMPENSATION FROM A RELATED ORGANIZATION HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST HEALTH COORDINATED CARE - DIRECTOR (AVERAGE HOURS PER WEEK-2) AND 48 HOURS WITH RELATED ORGANIZATION. NICOLE TWINE RECEIVED HER PART VII COMPENSATION FROM METHODIST HEALTH CENTERS AND HOUSTON METHODIST HOSPITAL AND HELD THE FOLLOWING POSITION: METHODIST HEALTH CENTERS - KEY EMPLOYEE, VICE PRESIDENT AND CHIEF NURSING OFFICER, HOUSTON METHODIST WILLOWBROOK HOSPITAL (AVERAGE HOURS PER WEEK-50). NICOLINE VIOLET LEE, MD RECEIVED HER PART VII COMPENSATION FROM A RELATED ORGANIZATION AND HELD THE FOLLOWING POSITION: HOUSTON METHODIST COORDINATED CARE - DIRECTOR (AVERAGE HOURS PER WEEK-2) AND 48 HOURS WITH RELATED ORGANIZATION. PETE ALFARO IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITION: HOUSTON METHODIST BAYTOWN HOSPITAL - DIRECTOR & OFFICER, SECRETARY (AVERAGE HOURS PER WEEK-2). RAMON M. CANTU RECEIVED HIS PART VII COMPENSATION FROM HOUSTON METHODIST HOSPITAL AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST HOSPITAL- KEY EMPLOYEE, EXECUTIVE VICE PRESIDENT, CHIEF LEGAL OFFICER (AVERAGE HOURS PER WEEK OF 44), HOUSTON METHODIST CLEAR LAKE HOSPITAL - DIRECTOR (AVERAGE HOURS PER WEEK-2), HOUSTON METHODIST CONTINUING CARE HOSPITAL - DIRECTOR & OFFICER, VICE PRESIDENT (AVERAGE HOURS PER WEEK-2), HOUSTON METHODIST ST. CATHERINE REAL PROPERTY - DIRECTOR & OFFICER, VICE PRESIDENT (AVERAGE HOURS PER WEEK-2). REBECCA CHALUPA RECEIVED HER PART VII COMPENSATION FROM HOUSTON METHODIST BAYTOWN HOSPITAL AND HELD THE FOLLOWING POSITION: HOUSTON METHODIST BAYTOWN HOSPITAL - KEY EMPLOYEE, VICE PRESIDENT AND CHIEF NURSING OFFICER (AVERAGE HOURS PER WEEK-50). REV B.T. WILLIAMSON IS AN UNCOMPENSATED DIRECTOR AND HELD THE FOLLOWING POSITION: HOUSTON METHODIST HOSPITAL - DIRECTOR (AVERAGE HOURS PER WEEK-2). REV. KENNETH R. LEVINGSTON IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST HOSPITAL - DIRECTOR (AVERAGE HOURS PER WEEK-2), HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR, PART YEAR (AVERAGES HOURS PER WEEK-2), METHODIST HEALTH CENTERS - DIRECTOR & OFFICER, SECRETARY (AVERAGE HOURS PER WEEK-2) AND 2 HOURS WITH RELATED ORGANIZATION. REV. REGINALD LILLIE IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITION: METHODIST HEALTH CENTERS - DIRECTOR (AVERAGE HOURS PER WEEK-2). RICARDO PARDO, MD IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITION: HOUSTON METHODIST COORDINATED CARE - DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2). RICHARD A. PEEBLES IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITION: HOUSTON METHODIST BAYTOWN HOSPITAL - DIRECTOR & OFFICER, SECRETARY, PART YEAR (AVERAGE HOURS PER WEEK-2). ROBERT A. PHILLIPS, MD RECEIVED HIS PART VII COMPENSATION FROM HOUSTON METHODIST HOSPITAL AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST HOSPITAL- KEY EMPLOYEE, EXECUTIVE VICE PRESIDENT & CHIEF PHYSICIAN EXECUTIVE (AVERAGE HOURS PER WEEK-46), METHODIST HEALTH CENTERS - DIRECTOR & OFFICER, CHIEF MEDICAL OFFICER (AVERAGE HOURS PER WEEK-2) AND 2 HOURS WITH RELATED ORGANIZATION. ROBERT JOHNSTON, MD IS AN UNCOMPENSATED DIRECTOR AND HELD THE FOLLOWING POSITION: HOUSTON METHODIST COORDINATED CARE - DIRECTOR (AVERAGE HOURS PER WEEK-2). ROBERT K. MOSES, JR. IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST HOSPITAL- DIRECTOR (AVERAGE HOURS PER WEEK-2), METHODIST HEALTH CENTERS - DIRECTOR & OFFICER, VICE CHAIRPERSON (AVERAGE HOURS PER WEEK-2), TMH HEALTH CARE GROUP - DIRECTOR & OFFICER, VICE CHAIRPERSON (AVERAGE HOURS PER WEEK-2) AND 2 HOURS WITH RELATED ORGANIZATION. ROBERT ROACH, DO IS AN UNCOMPENSATED DIRECTOR AND HELD THE FOLLOWING POSITION: HOUSTON METHODIST COORDINATED CARE - DIRECTOR (AVERAGE HOURS PER WEEK-2). ROBERTA L. SCHWARTZ, PHD RECEIVED HER PART VII COMPENSATION FROM HOUSTON METHODIST HOSPITAL AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST HOSPITAL- KEY EMPLOYEE, EXECUTIVE VICE PRESIDENT (AVERAGE HOURS PER WEEK-44), TMH MEDICAL OFFICE BUILDINGS - DIRECTOR (AVERAGE HOURS PER WEEK-2), DIAGNOSTIC CENTER HOSPITAL CORP. OF TEXAS - DIRECTOR & OFFICER, PRESIDENT & CHIEF EXECUTIVE OFFICER (AVERAGE HOURS PER WEEK-2), AND 2 HOURS WITH RELATED ORGANIZATION. RYANE JACKSON RECEIVED HER PART VII COMPENSATION FROM HOUSTON METHODIST HOSPITAL AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST HOSPITAL - DIRECTOR OF COMMUNITY BENEFITS (AVERAGE HOURS PER WEEK-48) AND HOUSTON METHODIST COORDINATED CARE - DIRECTOR (AVERAGE HOURS PER WEEK-2). SEVA PAPAGEORGE, MD RECEIVED HER PART VII COMPENSATION FROM A RELATED ORGANIZATION AND HELD THE FOLLOWING POSITION: HOUSTON METHODIST COORDINATED CARE - DIRECTOR (AVERAGE HOURS PER WEEK-2) AND 48 HOURS WITH RELATED ORGANIZATION. SHAWN TITTLE, MD RECEIVED HIS PART VII COMPENSATION FROM A RELATED ORGANIZATION AND HELD THE FOLLOWING POSITION: HOUSTON METHODIST BAYTOWN HOSPITAL - FORMER KEY EMPLOYEE, CHIEF QUALITY OFFICER (AVERAGE HOURS PER WEEK-0) AND 50 HOURS WITH RELATED ORGANIZATION. SIDNEY J. SANDERS RECEIVED HIS PART VII COMPENSATION FROM HOUSTON METHODIST HOSPITAL AND HELD THE FOLLOWING POSITION: TMH MEDICAL OFFICE BUILDINGS - DIRECTOR & OFFICER, PRESIDENT & CHIEF EXECUTIVE OFFICER (AVERAGE HOURS PER WEEK-50). SPENCER TILLMAN IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITION: HOUSTON METHODIST HOSPITAL - DIRECTOR (AVERAGE HOURS PER WEEK-2). STEPHEN CHAZEN IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR & OFFICER, SECRETARY, PART YEAR (AVERAGE HOURS PER WEEK-2) AND 2 HOURS WITH RELATED ORGANIZATION. STEPHEN T. WONG RECEIVED HIS PART VII COMPENSATION FROM HOUSTON METHODIST RESEARCH INSTITUTE AND HELD THE FOLLOWING POSITION: HOUSTON METHODIST RESEARCH INSTITUTE - ACM DEPT CHAIR/CENTER DIR MRI (AVERAGE HOURS PER WEEK-50). STEVEN S. LOOKE IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2) AND 2 HOURS WITH RELATED ORGANIZATION. SUSAN H. COULTER RECEIVED HER PART VII COMPENSATION FROM HOUSTON METHODIST HOSPITAL AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST HOSPITAL - SENIOR VICE PRESIDENT/PRESIDENT & CEO FOUNDATION ADMINISTRATION (AVERAGE HOURS PER WEEK-25) AND 25 HOURS WITH RELATED ORGANIZATION. SUSAN MILLER, MD RECEIVED HER PART VII COMPENSATION FROM A RELATED ORGANIZATION AND HELD THE FOLLOWING POSITION: HOUSTON METHODIST COORDINATED CARE - DIRECTOR (AVERAGE HOURS PER WEEK-2) AND 48 HOURS WITH RELATED ORGANIZATION. TIFFANY BURNS, MD RECEIVED HER PART VII COMPENSATION FROM A RELATED ORGANIZATION AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST COORDINATED CARE - DIRECTOR (AVERAGE HOURS PER WEEK-2) AND 48 HOURS WITH RELATED ORGANIZATION. TIMOTHY B. BOONE, MD, PHD. RECEIVED HIS PART VII COMPENSATION FROM A RELATED ORGANIZATION AND HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2) AND 48 HOURS WITH RELATED ORGANIZATONS. TIMOTHY IRVINE, MD IS AN UNCOMPENSATED DIRECTOR AND HELD THE FOLLOWING POSITION: HOUSTON METHODIST COORDINATED CARE - DIRECTOR (AVERAGE HOURS PER WEEK-2). TOM-THUAN NGUYEN, MD IS AN UNCOMPENSATED DIRECTOR AND HELD THE FOLLOWING POSITON: HOUSTON METHODIST COORDINATED CARE - DIRECTOR (AVERAGE HOURS PER WEEK-2). TRENT FULIN, RECEIVED HIS PART VII COMPENSATION FROM METHODIST HEALTH CENTERS AND HELD THE FOLLOWING POSITION: METHODIST HEALTH CENTERS - KEY EMPLOYEE, VICE PRESIDENT AND CHEIF OPERATING OFFICER OF HOUSTON METHODIST THE WOODLANDS HOSPITAL (AVERAGE HOURS PER WEEK-50). VICTORIA BROWNEWELL RECEIVED HER PART VII COMPENSATION FROM METHODIST HEALTH CENTERS AND HELD THE FOLLOWING POSITIONS: METHODIST HEALTH CENTERS - KEY EMPLOYEE, VICE PRESIDENT & CHIEF NURSING OFFICER OF HOUSTON METHODIST WEST HOSPITAL (AVERAGE HOURS PER WEEK-50). VIDAL G. MARTINEZ IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST HOSPITAL - DIRECTOR (AVERAGE HOURS PER WEEK-2), HOUSTON METHODIST RESEARCH INSTITUTE - DIRECTOR, PART YEAR (AVERAGE HOURS PER WEEK-2) AND 4 HOURS WITH RELATED ORGANIZATIONS. VIDAL RAMIREZ IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITION: METHODIST HEALTH CENTERS - DIRECTOR (AVERAGE HOURS PER WEEK-2). W. BENJAMIN MORELAND IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITIONS: HOUSTON METHODIST HOSPITAL - DIRECTOR (AVERAGE HOURS PER WEEK-2), HOUSTON METHODIST BAYTOWN HOSPITAL - DIRECTOR (AVERAGE HOURS PER WEEK-2), METHODIST HEALTH CENTERS - DIRECTOR & OFFICER, CHAIRPERSON (AVERAGE HOURS PER WEEK-2) AND 2 HOURS WITH RELATED ORGANIZATION. WAYNE M. VOSS RECEIVED HIS PART VII COMPENSATION FROM METHODIST HEALTH CENTERS AND HELD THE FOLLOWING POSITIONS: METHODIST HEALTH CENTERS - KEY EMPLOYEE, SENIOR VICE PRESIDENT, CHIEF EXECUTIVE OFFICER - HOUSTON METHODIST WEST HOSPITAL (AVERAGE HOURS PER WEEK-25) & HOUSTON METHODIST CONTINUING CARE HOSPITAL - KEY EMPLOYEE (AVERAGE HOURS PER WEEK-25). WILLIAM F. SCHWER IS AN UNCOMPENSATED DIRECTOR. HE HELD THE FOLLOWING POSITION: METHODIST HEALTH CENTERS - DIRECTOR (AVERAGE HOURS PER WEEK-2) PART VII, SECTION A, COLUMN B CERTAIN OFFICERS/DIRECTORS OF THE ORGANIZATIONS OF THE METHODIST HOSPITAL GROUP (GROUP) ARE EMPLOYEES OF HOUSTON METHODIST HOSPITAL AND RELATED ORGANIZATIONS, HOUSTON SPECIALTY PHYSICIAN GROUP (A SUBORDINATE ORGANIZATION WITHIN THE GROUP BUT FILING A SEPARATE RETURN), HOUSTON METHODIST HOSPITAL FOUNDATION (A SUBORDINATE ORGANIZATION WITHIN THE GROUP BUT FILING A SEPARATE RETURN) OR ITS NON-GROUP AFFILIATES. THE OFFICERS AND DIRECTORS WHO ARE EMPLOYED BY THESE ORGANIZATIONS WORK A TOTAL OF 50 HOURS PER WEEK ON BEHALF OF THESE ORGANIZATIONS AND OTHER ORGANIZATIONS OF HOUSTON METHODIST. THE COMPENSATION SHOWN ON PART VII AND SCHEDULE J REFLECTS THE TOTAL COMPENSATION EARNED FOR THE OFFICER/DIRECTOR FOR THE COMBINED HOURS SPENT WORKING FOR ALL THE ORGANIZATIONS IN THE SYSTEM. FORM 990, PART VII, SECTION B THE AMOUNTS REPORTED ON PART VII, SECTION B, ARE FOR BOTH SERVICES AND MATERIALS. THESE AMOUNTS COULD NOT BE SEPARATED. FORM 990, PART XI, LINE 9: INCOME FROM SUBS 164,293,776. TRANSFERS FROM DONOR RESTRICTED FUNDS 278,697. UPL NET ADJUSTMENTS -17,266,507. FORM 990, PART X - BALANCE SHEET DIAGNOSTIC CENTER HOSPITAL (DCH) OF THE METHODIST HOSPITAL GROUP DOES NOT FOLLOW SFAS 117. DUE TO SOFTWARE LIMITATIONS, THE SECTION COULD NOT BE PRESENTED PROPERLY AND THEREFORE DIAGNOSTIC CENTER HOSPITAL'S AMOUNT OF RETAINED EARNINGS AND COMMON STOCK ARE INCLUDED ON LINE 27 INSTEAD OF LINES 29 AND 31. LINE 29 - CAPITAL STOCK OR TRUST PRINCIPAL, ETC. - $37,482,581 LINE 31 - RETAINED EARNINGS, ENDOWMENT, ETC. - $16,074,153 FORM 990, PART XII, QUESTION 3A & 3B THE A-133 AUDIT REFERRED TO ON LINES 3A & 3B WAS OBTAINED BY HOUSTON METHODIST RESEARCH INSTITUTE. 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