2021-06-14T20:22:57-05:00 2020-06-30 ERNST & YOUNG US LLP 425 HOUSTON STREET STE 600 FORT WORTH TX 76102 990 2019-07-01 741152597 Memorial Hermann Health System % SYSTEM TAX DEPARTMENT MEMO 7133384552 929 Gessner Rd Suite 1900 Houston TX 77024 ALEC KING EVP & CFO 7133384552 2021-06-14 true Melva Scott P01207335 8173351900 2019 2022-09-23 18:48:47Z DR DAVID CALLENDER 929 Gessner Rd STE 1900 Houston TX 77024 5609497082 false X www.memorialhermann.org X 1910 TX MEMORIAL HERMANN HEALTH SYSTEM IS A NONPROFIT, VALUES-DRIVEN, COMMUNITY-OWNED HEALTH SYSTEM DEDICATED TO IMPROVING HEALTH. 22 19 29745 2112 41733 19169604 125135396 5192114528 5314364945 118370893 115795304 42713656 54201437 5372368681 5609497082 13172701 15082302 0 0 2245257560 2352605531 0 0 0 2688558158 2823085161 4946988419 5190772994 425380262 418724088 8171507761 10233853414 3517210955 5145643097 4654296806 5088210317 X MEMORIAL HERMANN HEALTH SYSTEM IS A NONPROFIT, VALUES-DRIVEN, COMMUNITY-OWNED HEALTH SYSTEM DEDICATED TO IMPROVING HEALTH. OUR VISION IS TO CREATE HEALTHIER COMMUNITIES, NOW AND FOR GENERATIONS TO COME. OUR VALUES ARE COMMUNITY, COMPASSION, CREDIBILITY, AND COURAGE. false false 4375076436 15082302 5314364945 Memorial Hermann Health System is a nonprofit, values-driven, community-owned health system dedicated to improving health. Our vision is to create healthier communities, now and for generations to come. Our values are community, compassion, credibility, and courage. Charting a better future. A future that's built upon the HEALTH of our community. This is the driving force for Memorial Hermann, redefining health care for the individuals and many diverse populations we serve. Our 6,500 affiliated physicians and 28,000 employees practice the highest standards of safe, evidence-based, quality care to provide a personalized and outcome-oriented experience across our more than 270 care delivery sites. As one of the largest not-for-profit health systems in Southeast Texas, Memorial Hermann has an award-winning and nationally acclaimed Accountable Care Organization, 17 hospitals and numerous specialty programs and services conveniently located throughout the Greater Houston area (Memorial Hermann Health System owns and operates 14 hospitals and has joint ventures with three other hospital facilities, including Memorial Hermann Surgical Hospital First Colony, Memorial Hermann Surgical Hospital Kingwood and Memorial Hermann Rehabilitation Hospital-Katy). Memorial Hermann-Texas Medical Center is one of the nation's busiest Level I trauma centers and serves as the primary teaching hospital for McGovern Medical School at UTHealth. U.S. News & World Report for 2018-2019 ranks TIRR Memorial Hermann as the best rehabilitation hospital in Texas and No. 3 in the United States. This is the 29th consecutive year TIRR Memorial Hermann has been ranked in the top 10 nationally. Memorial Hermann-Texas Medical Center was also listed in the U.S. News rankings in the specialty areas of Cardiology and Heart Surgery, Ear, Nose and Throat, and Gastroenterology and GI Surgery. Children's Memorial Hermann Hospital was nationally ranked in Pediatric Cardiology and Heart Surgery, as well as Pediatric Neurology and Neurosurgery. The Heart Center at Children's Memorial Hermann Hospital has earned the Society of Thoracic Surgeons' (STS) highest rating for quality related to patient care and congenital heart surgery outcomes. Only 12 pediatric heart programs in the United States and Canada earned the distinguished STS three-star rating for congenital heart surgery, following analysis of data collected from 119 participating programs from January 2014 to December 2017. The STS star rating system is one of the most highly regarded overall measures of quality in health care, comparing the nationally benchmarked outcomes of cardiothoracic surgery programs in the U.S. and Canada. For the seventh time, Memorial Hermann Memorial City Medical Center was named one of the nation's top 100 hospitals by IBM Watson Health. Formerly known as the Truven Health Analytics 100 Top Hospitals, the study spotlights the best-performing hospitals based on a scorecard of publicly available clinical, operational and patient satisfaction metrics and data. Memorial Hermann Southeast Hospital, Memorial Hermann Greater Heights Hospital, Memorial Hermann Southwest Hospital and Memorial Hermann The Woodlands Medical Center all have received Chest Pain Center accreditation from The Joint Commission (TJC). An independent, not-for-profit organization, TJC accredits and certifies nearly 21,000 healthcare organizations and programs in the United States. Healthcare organizations that have received this accreditation have demonstrated a high level of expertise in dealing with patients with heart attack symptoms. Memorial Hermann-Texas Medical Center (TMC) and Memorial Hermann Memorial City Medical Center earned national recognition as top performers for superior quality and safety by the Vizient Quality and Accountability Study. Memorial Hermann-TMC received the 2018 Bernard A. Birnbaum, MD, Quality Leadership Award for Academic Medical Centers, and ranked ninth of 99 participating academic medical centers. Memorial Hermann Memorial City received the 2018 Bernard A. Birnbaum, MD, Quality Leadership Award for Complex Teaching Medical Centers, ranking seventh among 100 participating teaching medical centers. Memorial Hermann Sugar Land Hospital was named a recipient of the 2016 Malcolm Baldrige National Quality Award, the nation's highest Presidential honor for performance excellence. U.S. Commerce Secretary Penny Pritzker made the announcement recognizing Memorial Hermann Sugar Land for its outstanding commitment to sustainable excellence through innovation, improvement and visionary leadership. Since the healthcare category was introduced in 1999, only 21 healthcare organizations nationwide have been awarded the Malcolm Baldrige National Quality Award. Memorial Hermann Sugar Land was the first Houston area hospital and the third in Texas to win the prestigious award. For more than 113 years, our focus has been the best interest of our community. During the fiscal year, Memorial Hermann Health System provided community benefits of more than $411 million (as reported on the Internal Revenue Service Form 990, Schedule H) annually through financial assistance, school-based health centers, and other community benefit programs. During the fiscal year, Memorial Hermann admitted 171,743 patients resulting in 900,278 days of care, delivered 26,652 babies, had 665,675 emergency visits, and 1,303,502 diagnostic and therapy visits. Now and for generations to come, the health of our community will be at the center of what we do - charting a better future for all. 4375076436 true true false true false false false false false true true true false true true true false true false false true false false false false false true true true false true true false false false false false false false false true false false false false false false true true true false false true 1165 0 true 29745 true true true true CJ EI false false false false false false false false true false X 22 19 false false false false true true true true true false false true true true true true true true true true true X SYSTEM TAX DEPARTMENT 7133384552 929 GESSNER RD STE 1900 Houston TX 77024 X Charles D Stokes CEO/President 7/1-8/31 40.0 1.0 X X 3169788 0 417657 Myron M Shabot MD Former Officer 0.0 0.0 X 2065272 0 59488 Erin S Asprec EVP/COO 40.0 1.0 X 1477184 0 231251 Brian Dean EVP/CFO/TREASURER 40.0 1.0 X 1368259 0 193230 Deborah Gordon EVP/CAO/CLO/SECRETARY 40.0 1.0 X 1311250 0 174996 James McCarthy MD EVP/CPE 40.0 1.0 X 1103209 0 178449 Gregory L Haralson SVP/CEO-TMC 40.0 1.0 X 1008633 0 128748 Joshua Urban SVP/COMMUNITY HOSPITAL 40.0 1.0 X 964594 0 130308 Angela Shippy MD SVP/CMQO 40.0 1.0 X 924639 0 107484 Paul C O'Sullivan SVP/CEO-MC&GH 40.0 1.0 X 902370 0 117232 Kyle Price SVP/SRVC LINES 40.0 1.0 X 846383 0 111419 Susan M Distefano SVP/CEO-CHILDREN'S HOSPITAL 40.0 1.0 X 831960 0 109095 Christopher M Halaska SVP/CIO 40.0 1.0 X 848976 0 77914 Lori P Knowles SVP/CHRO 40.0 1.0 X 815445 0 95063 Amanda Hammel SVP/CIO 40.0 1.0 X 764727 0 110514 Carrol E Aulbaugh Former Officer 0.0 0.0 X 700218 0 1675 David L Callender MD CEO/President 9/1-PRESENT 40.0 1.0 X X 570763 0 128862 Warren Shea VP/ASST SECRETARY 40.0 1.0 X 508104 0 50884 J Kevin Giglio MD Director 1.0 1.0 X 0 52234 0 William H Easter III Director - Chair 1.0 0.0 X 0 0 0 Jason B Few Director 1.0 0.0 X 0 0 0 Peter R Huntsman Director 1.0 0.0 X 0 0 0 Gasper Mir III Director 1.0 0.0 X 0 0 0 James R Montague Director 1.0 0.0 X 0 0 0 Melinda H Perrin Director 1.0 0.0 X 0 0 0 William J Campbell Director 1.0 0.0 X 0 0 0 Clarence P Cazalot Jr Director 1.0 0.0 X 0 0 0 Roland Garcia Jr Director 1.0 0.0 X 0 0 0 Scott B McClelland Director 1.0 0.0 X 0 0 0 Scott J McLean Director 1.0 0.0 X 0 0 0 Deborah M Cannon Director 1.0 0.0 X 0 0 0 William F Galtney Jr Director 1.0 0.0 X 0 0 0 David J Graham Director 1.0 0.0 X 0 0 0 R Emmett McDonald MD Director 1.0 1.0 X 0 0 0 Stacy P Methvin Director 1.0 0.0 X 0 0 0 Stephen H Pouns Director 1.0 0.0 X 0 0 0 Ira L Flax MD Director 1.0 1.0 X 0 0 0 Jay Schneider Director 1.0 0.0 X 0 0 0 John Graf Director 1.0 0.0 X 0 0 0 Susan Sarofim Director 1.0 0.0 X 0 0 0 Donald M Woo Director 1.0 0.0 X 0 0 0 20181774 52234 2424269 4210 true true false J T Vaughn Construction LLC 10355 West Park Dr HOUSTON TX 77042 Contractor 77889395 Crothall Healthcare 13028 Collection Center Dr CHICAGO IL 60693 Housekeeping 60690642 Siemens Medical Solutions USA Inc 40 Liberty Blvd MALVERN PA 19355 Contract Services 28979249 CAREFUSION SOLUTIONS LLC 3750 Torrey View Ct SAN DIEGO CA 92130 Medication Managemen 14164219 MARK III SYSTEMS INC 3600 S Gessner Road Ste 170 HOUSTON TX 77063 DIGITAL SOLUTIONS 12984636 308 7043187 118092209 125135396 NET PATIENT SERVICE REVENUE 622110 5209178996 5208334442 844554 RENTAL INCOME 531120 88734530 88734530 CORPORATE SERVICES 561110 1840913 1840913 MANAGEMENT FEES 561110 9899536 9899536 OTHER PROGRAM REVENUE 900099 4710970 4710970 5314364945 115795304 -802821 116598125 0 1137627 1137627 0 0 0 0 0 0 0 0 0 0 0 0 0 CAFETERIA 722514 28659998 28659998 PARKING 812930 10963739 10963739 SECURITY 561612 1376622 1376622 12063451 12063451 53063810 5609497082 5313520391 41733 170799562 15082302 15082302 0 0 0 6928164 6928164 83001 83001 1910640775 1621583805 289056970 92075029 76691841 15383188 203226677 172116096 31110581 139651885 115604956 24046929 22399022 22399022 5700957 5700957 1161144 1161144 1187392 1187392 0 1752042 1752042 917081360 609005157 308076203 0 22765254 2097149 20668105 90644772 77040441 13604331 28948774 28948774 0 205286430 190989183 14297247 5170228 3822146 1348082 0 2180520 1949645 230875 91002038 83769994 7232044 0 308688025 265857009 42831016 18202712 14330751 3871961 MEDICAL SUPPLIES 883099793 883084993 14800 EQUIPMENT RENTAL & MAINTENANCE 175922428 172510519 3411909 LICENSING 7296374 4264047 3032327 SPECIAL FUNCTIONS 4618868 3411166 1207702 29977028 29977028 5190772994 4375076436 815696558 0 83098919 244580880 118297567 978069152 0 0 727580495 701257103 0 0 0 0 13081 1780265 104694896 99353556 22302651 73258679 7867589936 4148668530 3130235729 3718921406 1130782431 1064544691 1616599187 1839879597 0 0 191154207 176443767 1046748598 1335764318 8171507761 10233853414 631087378 1194779515 0 0 208552436 133821341 1366955034 1589248243 0 0 0 0 0 0 41780354 24177034 1268835753 2203616964 3517210955 5145643097 X 4646078522 5078616396 8218284 9593921 4654296806 5088210317 8171507761 10233853414 X 418724088 15189423 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false true true false true true true 1187392 1187392 false PART II-B, LINE 1 Memorial Hermann engages with national, state, and local representatives and their staff members to educate legislators regarding the dynamics, impact, and challenges of health care policies impacting the greater Houston community, including uninsured and indigent populations. Memorial Hermann has relationships with industry associations which may communicate research and educational materials. Forms of communication may involve direct contact, telephone conversations, and written correspondence. The amount of time and money involved with these activities is insubstantial. Memorial Hermann has not intervened in any political campaign. 4778306 496743 5275049 4183989 594317 4778306 4060798 123191 4183989 4435819 129452 504473 4060798 4304237 143216 11634 4435819 0.00000 1.00000 0.00000 false true true 144829319 144829319 4602589264 1919944931 2682644333 551530863 348052057 203478805 2400557812 1845390045 555167767 168082679 35281496 132801182 3718921406 FIXED INCOME 113871808 F ALTERNATIVE INVESTMENTS 41943804 F CASH & CASH EQUIVALENTS 533644 F CORPORATE OBLIGATIONS 100058258 F POOLED FUNDS 1530376726 F GOVERNMENT SECURITIES 53095357 F 1839879597 DUE FROM AFFILIATES, NET 1221317087 DEPOSITS 7930420 PHYSICIAN GUARANTEE RECEIVABLE 5531763 OTHER ASSETS 100985048 1335764318 0 CAPITALIZED LEASES 705463434 POB LEASE OBLIGATION 58221570 VARIABLE DEBT SWAP LIABILITY 102997146 L/T PENSION LIABILITY 98820368 L/T LINE OF CREDIT 300000000 L/T THIRD PARTY SETTLEMENTS 43312111 OTHER ACCRUED LIABILITIES 271663885 L/T RIGHT OF USE LIABILITY 623138450 2203616964 X PART V, LINE 4 The endowment funds of Memorial Hermann Health System consist of permanent endowment funds obtained from donor initiatives for charitable contributions through outright or planned gifts. The permanent funds consist of donations and investment income for which the donor's stipulations restrict the Foundation to using only the income resulting from the investment of the donation on a total return basis. The assets of the permanent funds income may only be used to support the charitable exempt operations, programs, and purposes of Memorial Hermann Health System through the purchase of supplies, equipment, and other expenditures necessary for the performance of those operations and programs. ASC 958 does not use the term "temporarily restricted net assets." Memorial Hermann has opted to report all net assets subject to donor-imposed restrictions on 2b, permanent endowment. PART X, LINE 2 At June 30, 2020 and 2019, Memorial Hermann System management has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated balance sheets. Central America and the Caribbean 0 0 Investments 559720196 Europe (Including Iceland and Greenland) 0 0 Investments 70301409 North America 0 0 Investments 41475839 East Asia and the Pacific 0 0 Investments 13731553 South Asia 0 0 Investments 1250230 Middle East and North Africa 0 0 Investments 804010 South America 0 0 Investments 633568 0 0 0 0 687916805 687916805 true false true true true false PART I, LINE 3 ACCRUAL METHOD true true X true X true X true true true false true true 277951592 277951592 0.05350 713633899 706803641 6830258 0.00130 26702576 26754165 0 0.00000 1018288067 733557806 284781850 0.05480 7600000 7600000 0.00150 70843028 14136782 56706246 0.01090 290591688 251045552 39546136 0.00760 12572139 4929997 7642142 0.00150 15051771 15051771 0.00290 396658626 270112331 126546295 0.02440 1414946693 1003670137 411328145 0.07920 true 703653719 1504793768 1813191214 -308397446 X true true 13 1 Memorial Hermann Hospital - TMC 6411 fannin houston TX 77030 www.memorialhermann.org 000347 X X X X X X A 2 MH Memorial City Medical Center 921 gessner houston TX 77024 www.memorialhermann.org 000302 X X X A 3 MH The Woodlands Medical Center 9250 pinecroft the woodlands TX 77381 www.memorialhermann.org 000615 X X X A 4 Memorial Hermann Southwest Hospital 7600 beechnut houston TX 77074 www.memorialhermann.org 000407 X X X X A 5 Memorial Hermann Southeast Hospital 11800 astoria blvd houston TX 77089 www.memorialhermann.org 000119 X X X A 6 MH Greater Heights Hospital 1635 North Loop West Houston TX 77008 www.memorialhermann.org 000172 X X X A 7 Memorial Hermann Katy Hospital 23900 katy freeway katy TX 77494 www.memorialhermann.org 000534 X X X A 8 Memorial Hermann Northeast 18951 Memorial North Humble TX 77338 www.memorialhermann.org 008471 X X X A 9 Memorial Hermann Sugar Land 17500 west grand parkway south sugar land TX 77479 www.memorialhermann.org 000609 X X X A 10 TIRR Memorial Hermann 1333 moursund street houston TX 77030 www.memorialhermann.org 100189 X X X A 11 MH Surgical Hospital First Colony 16906 Southwest Freeway Sugar Land TX 77479 www.memorialhermann.org 100161 X X A 12 MH Specialty Hospital Kingwood LLC 300 Kingwood Medical Drive Kingwood TX 77339 www.memorialhermann.org 008591 X X A 13 MH Rehabilitation Hospital Katy 21720 Kingsland Blvd Ste 102 Katy TX 77450 www.memorialhermann.org 100009 X X A A false false true X X X X X X X X X 19 true true true true X MEMORIALHERMANN.ORG X true 19 true MEMORIALHERMANN.ORG false true X 200. 400. X X X true true X X X true X MEMORIALHERMANN.ORG X MEMORIALHERMANN.ORG X MEMORIALHERMANN.ORG X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5 Memorial Hermann Health System joined with the Episcopal Health Foundation (EHF) in their key informant interview initiative supporting four greater Houston area hospital systems in preparing their Community Health Needs Assessments. The collaborating hospitals of this initiative included Memorial Hermann, Chi St. Luke's health, Houston Methodist, and Texas Children's. Through this partnership, a total of 53 interviews were conducted with stakeholders from a range of sectors such as government, healthcare, business, and community service organizations. An additional 11 interviews were conducted for Memorial Hermann counties not shared by the collaborative. While social and epidemiological data can provide a helpful portrait of a community, it does not tell the whole story. It is critical to understand people's health issues of concern, their perceptions of the health of their community, the perceived strengths and assets of the community, and the vision that residents have for the future of their community. Secondary data was supplemented by a community survey collected through an online survey. This survey consisted of 11 questions related to top health needs in the community, individuals' perception of their overall health, and weekly exercise habits. The community survey was distributed online through SurveyMonkey from October 23rd through November 27th of 2018. The survey was made available in both English and Spanish. Paper surveys were also made available and answers to the paper survey were entered into the SurveyMonkey tool. A total of 285 responses were collected. Survey respondents were asked to select top issues most affecting the community's quality of life. The majority of respondents identified diabetes, obesity/overweight, substance abuse, and mental health and mental disorders as top issues in the community. Interviewees who were asked to participate were recognized as having expertise in public health, special knowledge of community health needs and/or represented the broad interest of the community served by the hospital, and/or could speak to the needs of medically underserved or vulnerable populations. Community leaders with specific experience working with priority populations, such as women, children, people of color, the disabled, and more, were also a focus. The following list of organizations contributed key informant interviews; AccessHealth (FQHC) (Fort Bend Family Health Center); Aids Foundation of Houston; Association for the Advancement of Mexican Americans; Avenue CDC; Catholic Charities - Archdiocese of Galveston; Catholic Charities - Fort Bend; Child Advocates of Fort Bend; Children at Risk; Christ Clinic; City of Houston, Department of Parks and Recreation; Coastal Area Health Education Centers (AHEC); Community Health Choice; El Centro de Corazon; Episcopal Health Foundation; Fort Bend County Health and Human Services; Fort Bend County Sheriff's Office; Fort Bend Regional Council on Substance Abuse; Fort Bend Seniors Meals on Wheels; Fort Bend Women's Center; Galveston County Health District; Galveston County Mental Health Deputies; Greater Houston Partnership; Greater Houston Women's Chamber of Commerce; Gulf Coast Medical Foundation; Harris County Public Health; Healthcare for the Homeless - Houston; Hope Clinic (FQHC); Houston Food Bank; Houston Health Department; Houston Housing Authority; Houston Independent School District; Interfaith Community Clinic; Kinder Institute; Legacy Community Health; Liberty County Sheriff's Office; Lone Star Family Health Center; Midtown Arts and Theater Center Houston; Montgomery County Women's Center; Baker-Ripley Early Head Start; Patient Care Intervention Center (PCIC); Prairie View A&M University; Santa Maria Hostel, Inc.; The Arc Of Fort Bend County; The Harris Center for Mental Health and IDD (formerly MHMRA); The Rose; The Women's Home; Tri-County Services Behavioral Healthcare; United Way Of Brazoria County; United Way of Greater Houston; United Way of Harris and Montgomery County; West Chambers Medical Center (FQHC); YMCA of Greater Houston. CHNA'S were designed in accordance with CHNA requirements identified in the Patient Protection and Affordable Care Act and further addressed in the Internal Revenue Service final regulations released on December 29, 2014. PART V, SECTION B, LINE 6A Chi St. Luke's Health, Houston Methodist, Texas Children's PART V, SECTION B, LINE 6B Episcopal Health Foundation PART V, SECTION B, LINE 11 As the largest health system in southeast Texas serving the fourth largest and fastest-growing metropolitan area in the United States, Memorial Hermann is committed to being a steward of the community's health-not only by delivering high quality services for the adults and children who seek care at a Memorial Hermann facility, but through programs and collaborations committed to making the greater Houston area a healthier and more vital place to live. Health education, healthy foods, safe places to exercise, and access to health and behavioral health services are vital to improving the overall health of residents since lack of these efforts contributes to the escalating chronic disease epidemic. Thus to support and engage our community, our foundation for our work rests on four pillars: focusing on improving access through programming, education and social service support; promoting the importance of a healthy diet through screening and creating access to nutritious foods; fostering improved health through exercise with culturally appropriate activities; and, addressing emotional well-being through innovative access points. Signature, cornerstone initiatives supporting the four pillars include: health centers for schools; mobile dental vans; ER navigators; community resource center; nurse health line; Stephealthy (reduce obesity); park activations; neighborhood health centers; and mental health crisis clinics. The 2019 CHNA findings resulted from the analysis of an extensive set of secondary data (over 100 indicators from national and state data sources) and primary data collected from community leaders, non-health professionals, and organizations serving the community at large, vulnerable populations, and/or populations with unmet health needs. Through an examination of the primary and secondary data, the following top health needs were identified: access to health services; cancers; children's health; diabetes; economy; education; food insecurity; heart disease/stroke; lack of health insurance; low-income/underserved; mental health; obesity; older adults/aging; substance abuse; transportation. Stakeholders from the 13 licensed facilities in the Memorial Hermann Health System completed a survey to prioritize the significant health issues, based on criteria including health impact and risk as well as consideration of Memorial Hermann's strategic focus. With Memorial Hermann's four pillars designed to deliver effective upstream interventions, addressing the above identified community needs continue to fall within our four pillars: access to healthcare; emotional well-being; food as health; exercise is medicine. The CHNA process enables each hospital within Memorial Hermann to develop programs and services that advance the health of its community, building the foundation for systemic change across the greater Houston area. Many are represented within the specific hospital's implementations strategies, and include the signature, cornerstone initiatives delineated above. Others are ongoing programs collected via community benefit inventory for social accountability (CBISA) and have historically included the following in previous years (Covid has seriously impacted outreach since march 2020): athletic medical coverage for schools; medical coverage for races; injury clinics; workshops for coaches; blood drives; classes and seminars: breast feeding, cardiovascular; colorectal; infant CPR; cooking demonstrations; fitness and nutrition; joint symposium and joint replacement; pediatric weight management; super sibling; teen pregnancy/parenting; teen driver safety; trauma and bleeding control; weight loss. Child and safety seat distribution. Community health education: Alzheimer's disease; breast cancer awareness; cancer prevention and testing; career night; discounted diabetes education; distracted driving; education/outreach for seniors; education and support groups for cancer patients: art, self-guided art therapy, lymphedema, breast cancer, oncology nutrition therapy, stress relief, look good feel better, yoga, meditation and health eating advices; immunotherapy; injury and fall prevention and awareness; kidney diseases; men's health; mental health and anxiety in students; opioids; parenting/siblings; prostate cancer awareness; sleep apnea; stroke signs; women's health; wound care. Education for nurses, nursing students, and school nurses. Food, book, backpack drives; health fairs; insurance coverage assistance; medical transportation, transportation vouchers; navigation services to meet the needs of uninsured and underinsured patients; post-polio patients; veterans and research subjects supported by special funds; promotion of access to healthy food; farmers markets; safe physical activities; nutrition therapy. Screenings: athletic heart screenings; biometric, blood pressure; impact concussion testing; low dose CT lung cancer, mammograms and breast ultrasounds for underserved women; prostate; stroke; skin; sports physicals; support of area walk/run/tri events; support groups for: Alzheimer's; amputees; bariatric; better breathers; breast feeding; caregiver; chronic disease; diabetics; epilepsy; grief; mended hearts; multiple sclerosis NICU; obesity; Parkinson's disease; smoking cessation; substance abuse; stroke; teen parents; transplant patients; traumatic brain injury; telemedicine consults for stroke and pediatric surgery; volunteer clinics; walk with a doc; weight management. 21 MH Surgery Center Texas Medical Center 6400 Fannin Street STE 1500 Houston TX 77030 Ambulatory Surgical Center MH Surgery Center The Woodlands - Pinecr 9305 Pinecroft Drive STE 200 The Woodlands TX 77380 Ambulatory Surgical Center MH Surgery Center Woodlands Parkway 1441 Woodstead Court STE 100 The Woodlands TX 77380 Ambulatory Surgical Center Doctors United Surgery Center 5146 Preston Avenue Pasadena TX 77504 Ambulatory Surgical Center MH Surgery Center Memorial Village 1120 Business Center Dr STE 110 Houston TX 77043 Ambulatory Surgical Center MH Surgery Center Kirby Glen 2457 S Braeswood Blvd Houston TX 77030 Ambulatory Surgical Center MH The Woodlands Medical Center Surgery 9200 Pinecroft Drive STE 200 The Woodlands TX 77380 Ambulatory Surgical Center MH Surgery Center Sugar Land 17510 W Grand Parkway STE 200 Sugar Land TX 77479 Ambulatory Surgical Center MH Surgery Center Conroe 1501 River Pointe Dr STE 200 Conroe TX 77304 Ambulatory Surgical Center MH Surgery Center Katy 23920 Katy Freeway STE 200 Katy TX 77494 Ambulatory Surgical Center MH Surgery Center Bay Area Endoscopy Cen 444 FM 1959 STE B Houston TX 77034 Ambulatory Surgical Center MH Surgery Center Southwest 7789 SW Freeway STE 200 Houston TX 77074 Ambulatory Surgical Center MH Surgery Center Kingsland 21720 Kingsland Blvd STE 101 Katy TX 77450 Ambulatory Surgical Center MH Surgery Center Greater Heights 1631 North Loop West STE 300 Houston TX 77008 Ambulatory Surgical Center MH Surgery Center West Houston 970 Campbell Road STE 101 Houston TX 77024 Ambulatory Surgical Center MH Surgery Center Texas International En 6620 Main St STE 1500 Houston TX 77030 Ambulatory Surgical Center MH Endoscopy & Surgery Center North Hous 275 Lantern Bend 400 Houston TX 77090 Ambulatory Surgical Center Memorial Hermann Prevention & Recovery 3043 Gessner Houston TX 77080 Drug & Alcohol Rehab MH Surgery Center Richmond 1517 Thompson Road STE 100 Richmond TX 77469 Ambulatory Surgical Center MH Surgery Center Brazoria 2760 Brazos Parkway Angleton TX 77515 Ambulatory Surgical Center University Place 7480 Beechnut Houston TX 77074 Senior Living PART I, LINE 3C Patients who have an outstanding account balance owed on their hospital bills may be eligible for a discount if all of the following criteria are met: 1) balance exceeds ten percent of the person's annual gross family income; 2) they are unable to pay all or a portion of the remaining bill balance; and 3) the bill balance is at least $5,000. Under these circumstances, the patient or guarantor is expected to cooperate with the financial assistance process and supply personal or financial information and documentation relevant to making a determination of eligibility. If approved, the patient will be responsible for paying no more than ten percent of their annual gross family income towards the remaining outstanding account balances or AGB discount will be applied, whichever is less and most beneficial for the patient's financial situation. PART I, LINE 6A Memorial Hermann Health System prepares and files an annual report of community benefit plan with the Texas Department of State Health Services. This report is made available through the organization's webpage at https://communitybenefit.memorialhermann.org/about-us/report-to-the-commun ity/ PART I, LINE 7 A cost-to-charge ratio (from worksheet 2) is used to calculate the amounts on lines 7a through 7c. The amounts for lines 7e through 7i come from the books and records of specific segments of the organization and are not based on a cost-to-charge ratio. PART I, LINE 7, COLUMN (F) The bad debt expense is included on Form 990, Part IX, Line 25, column (a), but removed for purposes of calculating the percentage in column (f) totaled $0. PART III, LINE 2 Bad debt expense is determined based on GAAP and is explained under significant accounting policies within section net patient service revenue and patient accounts receivable in the consolidated audited financial statements. PART III, LINE 4 Footnotes related to Accounts Receivable and Allowance for Doubtful Accounts can be located on pages 8 through 10 on Memorial Hermann Health System's fiscal year ending 2020 consolidated audited financial statements. Memorial Hermann entered zero on Schedule H, Part III, Line 3. From prior experience, the organization believes a portion of bad debt expense may be attributable to patients whom would otherwise qualify for financial assistance. The organization estimates this could range from 0-5 percent. Memorial Hermann makes efforts to educate patients about its financial assistance program. Regardless, patients may choose not to apply for financial assistance or provide complete applications. See Part VI supplemental information line 3c narrative for more information regarding Memorial Hermann's efforts to inform and educate patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's financial assistance policy. PART III, LINE 8 Reasons why the Medicare shortfall reported on Line 7, if any, should be treated as a community benefit include: absent the Medicare program, many of the individuals would likely qualify for financial assistance or other needs-based government programs; as payments to treat Medicare individuals are below cost of care, the burdens of government are relieved relative to these patients, Memorial Hermann Health System provides care to Medicare patients regardless of any Medicare shortfall; the real possibility that continued reductions in reimbursement may create further difficulties in access to care for Medicare patients; financial resources utilized to cover any Medicare shortfall is no longer available to cover financial assistance and any other community benefit needs; IRS Revenue Ruling 69-545 provides, in part, that hospitals serving patients with governmental health benefits, including as an example Medicare, is an indication that the hospital operates for the promotion of health in the community; Texas nonprofit hospitals must provide a minimum level of community benefit in order to obtain exemption from state and local taxes. According to the current Texas health and safety code, the unreimbursed cost of Medicare is considered to be a community benefit in determining these state statutory requirements as it helps relieve a governmental burden of providing this care that would otherwise be provided through the county hospital system in Texas. The amount reported in Part III, Section b, on Line 7 was calculated in accordance with the Schedule H instructions utilizing the organization's allowable cost reported in the Medicare cost reported based on a cost to charge ratio. PART III, LINE 9B Memorial Hermann Health System's billing and collection policy prohibits any collection efforts for the portion of a patient's account balance that qualifies for assistance under the organization's financial assistance policy. With respect to any remaining balance due, if any, the billing and collection policy contains actions which may be taken in the event of nonpayment and are applied equally to all patient types. PART VI, LINE 2 Improving the health of a community is essential to enhancing the quality of life for residents in the region and supporting future social and economic well-being. In 2013, in 2016, and most recently in 2019, Memorial Hermann Health System engaged in a community health planning process that was two-fold: (1) a Community Health Needs Assessment (CHNA) to identify the health-related needs and strengths of the community and (2) a Strategic Implementation Plan (SIP) to identify major health priorities, develop goals, and select strategies and identify partners to address these priority issues across the community. The CHNA was guided by a participatory, collaborative approach, which examined health in its broadest sense. This process included integrating existing secondary data on social, economic, and health issues in the region with qualitative information from a community survey with community residents and service providers and interviews with community stakeholders. The CHNAs were conducted in accordance with state and federal guidelines including IRC Section 501(r) and the Texas Health and Safety Code Section 311. PART VI, LINE 3 Memorial Hermann Health System is committed to making healthier communities, now and for generations to come. Patients who qualify for financial assistance through Memorial Hermann's Financial Assistance Program may be notified in the following ways: patient consent-the health care consent that is signed upon registration for healthcare services includes a statement that if charity services are required, eligibility determination should be requested upon admission to the hospital or upon receipt of itemized bill or statement; financial counseling: Memorial Hermann patients are encouraged to seek information from their hospital's financial counselor if they anticipate difficulty paying their portion of the hospital bill. Our financial counselors will make every effort to assist patients who are uninsured, underinsured, or face other financial challenges associated with paying for the health care services we provide. Financial counselors may screen patients for eligibility for a variety of government funded programs, assist with a worker's compensation or liability claim, set up an extended time payment plan, or help patients apply for financial assistance; plain language summary and application-a paper copy of the plain language summary of Memorial Hermann's FAP and a paper copy of the financial assistance application will be made available to all patients at the earliest practical time of service. Memorial Hermann will have free paper copies of these documents available upon request in the emergency department and registration areas. Free paper copies are also available by mail or by calling 713-338-5502 or 1-800-526-2121, option 5; translated copies available: Memorial Hermann translates its FAP, plain language summary, financial assistance application, and billing and collections policy for limited English proficient individuals representing the lesser of five percent or 1,000 individuals of the community served by its hospital facilities. Memorial Hermann makes free copies of these documents available on the Memorial Hermann website and upon request in the emergency department and hospital registration areas. Free paper copies are also available by mail by calling 713-338-5502 or 1-800-526-2121, option 5; signage- all financial assistance signage will be clearly and conspicuously posted in locations that are visible to the public, including, but not limited to, Memorial Hermann emergency department and patient registration areas. Signage will indicate that financial assistance is available and the phone number to reach a financial counselor for more information; website - Memorial Hermann's post notice in a prominent place on its website that financial assistance is available, with an explanation of the financial assistance application process. Memorial Hermann posts its FAP with a list of providers who are covered and not covered under the FAP, plain language summary, financial assistance application, and the billing and collections policy on Memorial Hermann's website; patient bills and statements - patient statements will include a request that the patient is responsible to inform Memorial Hermann of any available health insurance coverage, and will include a notice of the Memorial Hermann FAP, a telephone number to request financial assistance, and the website address where financial assistance documents can be obtained; mail or fax: patients may mail or fax a written request for free copies of these documents to the address below and including the individual's full name and return mailing address to which they want Memorial Hermann to send the copies. Memorial Hermann Health System, ATTN: Financial Assistance, 909 Frostwood, Suite 3:100 Houston, Texas 77024, fax: 713-338-6500 PART VI, LINE 4 Population Size: Memorial Hermann serves "Greater Houston", a multi-county area along the Gulf Coast in Southeast Texas where several counties are without hospital district services. At 6.9 million people the Houston MSA is the 5th largest in the U.S., and one of the fastest growing. This growth has strained health and social infrastructure, with some communities lacking access to healthy foods, safe parks, adequate sidewalks, and social service capacity. Demographics: Prizing our diversity, greater Houston has no racial or ethnic majority. Made up of 36% White, 38% Hispanic, 17% Black, and 7% Asian, nearly 1 in 4 residents are foreign born contributing to a wide variety of cultures and ethnicities present in the region. Roughly 49% of residents speak languages other than English at home. Twenty-seven percent of the total population are minors and 10% are over 65 years of age, resulting in a potential workforce of approximately 4.3 million. Despite this possibility for economic success, only 30% of the 25+ years of age population have a college degree or higher, readying them for Houston's growth business and industry opportunities. There are pockets of poverty throughout the area and some residents face tough economic challenges which can affect their health and the health of their family. Prior to COVID-19, 16% of all residents fell at or below the Federal Poverty Threshold. Major Employers: The energy industry dominates the Houston economy but grocery stores (Walmart and San Antonio based H-E-B) and healthcare (Memorial Hermann, MD Anderson and Methodist) are the largest employers, along with United Airlines. These healthcare organizations are collaborators with Memorial Hermann on community improvement efforts. Reducing poverty and strengthening existing graduation rates (currently 77% for high schoolers) is paramount to supporting all sector's continued strength and prosperity. Key Community Health Assessment Findings: The percentage of Harris County's population without health insurance totals 20.8%, higher than the state average of 17.7% and more than double the national average of 8.9%. Pre-COVID, 16.6% of the population was food insecure, with rates escalating as COVID-19 continues. Coupled with this is the rising rate of obesity as the single biggest threat to the Greater Houston area--34% of Houston area adults are overweight, increasing the risk of dying from cancer, heart disease, stroke, diabetes, liver disease and kidney disease. With 20% of adults self-reporting five or more poor mental health days a year, the need for increased access to behavioral health care is significant and set only to escalate in the aftermath of COVID-19. Health disparities exist across race and ethnicity, among them are: half of Hispanics are without a usual source of care; African American women are three times more likely to die from a pregnancy related death than other racial groups; and, most currently, Blacks are experiencing significantly higher contractual and death rates from COVID-19 than Whites. Significant Health and Social Service Challenges: Without insurance people skip services that detect underlying health issues, leading to delayed treatment, worsening outcomes, and higher costs. With the increase in population, a burden is placed on existing public health, social, and healthcare infrastructure. With upstream challenges of access to insurance, health literacy, safe parks, and nutritious, affordable food, chronic and mental health conditions escalate. PART VI, LINE 5 Memorial Hermann Health System works with other healthcare providers, government agencies, business leaders and community stakeholders to ensure that all residents of the greater Houston area have access to the care and services they need to improve their quality of life and the overall health of the community. Programs are designed to provide care for uninsured and underinsured children; to reach those Houstonians needing affordable care; to support the existing infrastructure of non-profit clinics and FQHCS; to educate individuals and their families on how to access the healthcare available to them; and to promote a culture of health through health initiatives designed to reduce obesity and increase access to healthy food, increase physical activity, improve health and reduce chronic conditions. Health education, healthy foods, safe places to exercise, and access to health and behavioral health services are vital to improving the overall health of residents since lack of these efforts contributes to the escalating chronic disease epidemic. Thus to support and engage our community our foundation for our work rests on four pillars--focusing on improving access through programming, education and social service support; promoting the importance of a healthy diet through screening and creating access to nutritious foods; fostering improved health through exercise with culturally appropriate activities; and, addressing emotional well-being through innovative access points. Committed to making the greater Houston area a healthier and more vital place to live, and spanning these four interconnecting pillars, memorial Hermann supports the following initiatives: ten Memorial Hermann health centers for schools, established in 1996, offer access to primary medical and mental health services to underserved children at 85 schools in the greater Houston area. The memorial Hermann mobile dental clinic, established in 2000, has three dental vans and provides access to preventative and restorative dental services at nine health centers for schools' sites and is accessible as a dental home for uninsured students. Serving the community since 2008, the Memorial Hermann ER navigation program places certified community health workers who have the training, cultural understanding and linguistic capacity to help the uninsured, who disproportionately use emergency rooms for healthcare, 'navigate' the complex health system, obtain a medical home, schedule appointments, secure needed social services and cope with future healthcare concerns. In 2017, added components were health literacy outreach, health care and disease prevention workshops and health promotion. Memorial Hermann neighborhood health centers are strategically located near two of Houston's busiest ERs, are open extended hours and serve as a medical home to uninsured and underinsured working families. The goal is to provide this population with the provision of preventive, acute, and chronic care. Memorial Hermann medical missions (MHMM) exists to finance, facilitate, and encourage physician led teams into third world countries. MHMM provides supplies, pharmaceuticals, and scholarships for non-physician team members. MHMM facilitates by linking physicians and support teams together; advising on passports, vaccinations, air travel; and coordinating necessary supplies. MHMM encourages by sharing the knowledge of past experiences; communicating what a medical mission means to a poverty or disaster-stricken area; and coaching on safety practices so that participants feel comfortable in their new surroundings. In 2014 the psychiatric response case management program was introduced to address the gap in the mental and behavioral care services by connecting patients to outpatient treatment and other community resources. The initiative was designed to provide intensive, community-based case management services for those with behavioral health diagnosis and a history of multiple hospitalizations. Under this program, patients are actively engaged in the development of their own mental health care plan and long-term recovery goals with the ultimate objective of improved patient wellness and goal achievement. The case management program works closely with Memorial Hermann's psychiatric response team, in which mental health clinicians evaluate, stabilize, arrange for transfers and develop aftercare plans for patients in emergency room and medical inpatient settings. The psychiatric response team refers patients to more than 200 mental health community treatment providers within Harris, Fort Bend and Montgomery counties. This large referral network allows the program to leverage the patients with insurance to obtain care for those without. This network also eliminates a single facility from competing with all local emergency centers for limited psychiatric resources. The nurse health line was established in 2014 as a free telephone service for greater Houston residents who are experiencing a health concern and are unsure of what to do or where to go. Experienced, bilingual nurses use their training and expertise to conduct assessments by phone and are available to answer calls 24 hours a day, seven days a week for any resident living in Harris or surrounding counties. They help callers decide when and where to go for medical care and assist with social service referrals and transportation needs. Callers receive healthcare advice and education using nationally recognized standardized protocols. Memorial Hermann began screening patients for food insecurity in 2015 in a few select clinics and have since expanded throughout the system. Patients identified as food insecure receive support in applying for benefits, a referral to the Houston Food Bank, and guidance on questions to ask for an appropriate food pantry referral. Since rolling out the questions we have teamed up with several agencies to take programming support to a next level. In a pilot program, meals that heal, discharged patients identified in need of prepared, hot meals to support a successful healing process at home are delivered nutritious meals for as long as is necessary. The trajectory of the food initiative leads to exercise, and implementation of the evidenced-based exercise is medicine program which incorporates exercise as a vital sign into physician offices, exercise prescriptions, and activation of parks. Together these programs improve the health and well-being of our community through combating behaviors leading to chronic disease. Our work increasingly encompasses working within collaboratives and grants. Through CMS' accountable health communities grant we are, along with the school of public health and two other health systems, screening and referring for social determinants of health to determine the impact that addressing social determinants of health has on health status. Through Pasadena vibrant community collaborative agency goals revolve around the engagement in ongoing dialogues about and activities around the importance of healthy behaviors. Through Healthy Women Houston we are collaborating to address maternal mortality and morbidity in specific, high risk communities integrating health, behavioral, and social supports for pregnant and post-partum women. A new model for working with partners is our memorial Hermann community resource center at southwest hospital. The center is designed to offer the ER department, onsite physicians and care managers, as well as community members with: accessing community resources, some of which will provide scheduled services on site; completing eligibility applications; and, receiving information and education on public health and social services. To date, specific services include: assistance enrolling in public health insurance; applications for public social services (SNAP, WIC, etc.); and referrals to the onsite partners that have begun to provide weekly schedules at the center (Houston food bank, area federally qualified health centers, Houston lawyer referral service and chronic disease prescription assistance). As we work with our clients and community, we are continually assessing the need and opportunities for new partners. The goal is for collaboration with patients, the community, and service providers to result in upstream factors and efforts. A second effort to bridge the community's needs is Onebridge health network, under implementation to address the need for specialty care for the uninsured population at 150% of poverty. The network will allow specialists to provide care to uninsured patients in a controlled environment by agreeing to see 'x' patients per year. The role of the provider health network is to vet the patients, ensure pre-specialty visit testing is completed, provide navigation support for other quality of life needs, and ensure seamless transition from referring primary care provider to specialist and back to primary care provider. Memorial Hermann financi PART VI, LINE 6 Charting a better future. A future that's built upon the health of our community. This is the driving force for Memorial Hermann, redefining health care for the individuals and many diverse populations we serve. Our 6,700 affiliated physicians and 27,000 employees practice the highest standards of safe, evidence-based, quality care to provide a personalized and outcome-oriented experience across our more than 300 care delivery sites. As one of the largest not-for-profit health systems in southeast Texas, Memorial Hermann has an award-winning and nationally acclaimed Accountable Care Organization, 13 hospital facilities and numerous specialty programs and services conveniently located throughout the greater Houston area. Memorial Hermann-Texas Medical Center is one of the nation's busiest level I trauma centers and serves as the primary teaching hospital for McGovern Medical School at UTHealth. For more than 113 years, our focus has been the best interest of our community, contributing more than $521 million annually through school-based health centers and other community benefit programs. Now and for generations to come, the health of our community will be at the center of what we do - charting a better future for all. All aspects of the health system - care delivery, physicians and health solutions are brought together to create a truly integrated health system. This breadth of service uniquely positions Memorial Hermann to collaborate with other providers to assess and create health care solutions for individuals in greater Houston's diverse communities; to provide superior quality, cost-efficient, innovative and compassionate care; to support teaching and research to advance the health professionals and health care of tomorrow; and to provide holistic health care which addresses the physical, social, psychological and spiritual needs of individuals. Our Memorial Hermann physician network, MHMD, comprises physicians from Memorial Hermann Medical Group, UTHealth and private physicians and specialists. We offer leading-edge clinical expertise, patient-centered care, and leading-edge technology and innovation. Through Memorial Hermann's subsidiary, Memorial Hermann Community Benefit Corporation (MHCBC), Memorial Hermann implements programs to work with other healthcare providers, government agencies, business leaders and community stakeholders to ensure that all residents of the greater Houston area have access to the care they need to improve their quality of life and the overall health of the community. The mission of Memorial Hermann Community Benefit Corporation is to test and measure innovative solutions that promote good health for the individual, the health system and the community. MHCBC collaborates with others as well as creates signature, evidence-based ways to improve the communities where people live, work, learn, and play. MHCBC areas of expertise span access and navigation, nutrition and physical activity, support of the whole person, and rigorous outcome measurement. Primary program focus include education on, access to, and provision of primary medical, dental, mental health, and social service support to underserved populations; food as health; and, exercise as medicine. New programs are piloted, and proved programs are replicated in the community. Community benefit corporation funding tenets include: provision of primary and/or specialty care for the uninsured and underinsured; contribution to the existing infrastructure of non-profit clinics and FQHC's; programs, practices, and policies that affect the health of individuals, families, and communities; commitment to measurement; existence of collaborative partners; programmatic inclusion of health education and literacy; strive towards sustainability. As required by the Community Health Needs Assessment-Section 501(r)(3)-requirement of the aca, Memorial Hermann Community Benefit Corporation supports the Memorial Hermann Health System licensed acute care, rehab, and surgical and ER hospitals in conducting community needs assessments. The corresponding implementations strategies balance the individuality of the different hospitals with the system strategy of collectively supporting community objectives to achieve the necessary alignment and leverage to impact true community change. PART VI, LINE 7 TEXAS true Memorial Hermann Community Benefit Corporation 929 GESSNER STE 1900 HOUSTON TX 77024 680511504 501(c)(3) 6506531 Support Charitable Support Charitable Support Educational Support Charitable Support Educational Support Charitable Support Mission Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Community Support Charitable Support Charitable Support Educational Support Charitable Support Community Support Charitable Support Educational Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Community Support Charitable Support Charitable Support Charitable Support Educational Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Chari MEMORIAL HERMANN FOUNDATION 929 GESSNER STE 1900 HOUSTON TX 77024 741653640 501(c)(3) 6391412 THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT H 7000 FANNIN ST HOUSTON TX 77030 741761309 State of TX 175000 American Heart Association Inc 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(c)(3) 175000 LAMAR CONSOLIDATED ISD 3911 AVE I ROSENBURG TX 77471 746002016 State of TX 125000 HOLOCAUST MUSEUM HOUSTON 9220 KIRBY DR STE 100 HOUSTON TX 77054 760331398 501(c)(3) 112500 PROMEDICA INTERNATIONAL CME 300 CARLSBAD VILLAGE DR STE 108A-3 CARLSBAD CA 92008 800891393 N/A 100000 THE HOUSTON FOOD BANK 535 PORTWALL ST HOUSTON TX 77029 742181456 501(c)(3) 51500 JEWISH FAMILY SERVICE 4131 S BRAESWOOD BLVD HOUSTON TX 77025 741152607 501(c)(3) 50000 THE ROSE 12700 N FEATHERWOOD DR HOUSTON TX 77034 760193812 501(c)(3) 50000 SKEETERS BASEBALL FOUNDATION 3555 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10000 FAITH IN PRACTICE 7500 BEECHNUT ST STE 208 HOUSTON TX 77074 760415986 501(c)(3) 10000 CY-FAIR EDUCATIONAL FOUNDATION PO BOX 1698 CYPRESS TX 774101698 237079589 501(c)(3) 8000 MEN OF DISTINCTION OF GREATER HOUSTON 7914 S WELLINGTON COURT HOUSTON TX 77055 260421594 501(c)(3) 7500 NEEDVILLE INDEPENDENT SCHOOL DISTRICT PO BOX 412 NEEDVILLE TX 77461 746001773 State of TX 7000 EAST BERNARD ISD 723 COLLEGE ST EAST BERNARD TX 77435 746000708 State of TX 7000 EL CAMPO ISD 700 W NORRIS EL CAMPO TX 77437 746000730 N/A 7000 HALLETTSVILLE ISD PO BOX 368 302 NORTH RIDGE ST HALLETTSVILLE TX 77964 746001029 State of TX 6000 GREATER HOUSTON PARTNERSHIP INC 701 AVENIDA DE LAS AMERICAS STE 900 HOUSTON TX 77010 760267896 501(c)(6) 6000 YMCA OF THE GREATER HOUSTON AREA 2600 NORTH LOOP W STE 300 HOUSTON TX 77092 741109737 501(c)(3) 5250 56 6 X X X X X true true false false false false false true false Charles D Stokes CEO/President 7/1-8/31 1388693 0 1407894 0 373201 0 415982 0 1675 0 3587445 0 224855 0 Myron M Shabot MD Former Officer 313053 0 592355 0 1159864 0 57813 0 1675 0 2124760 0 128446 0 Erin S Asprec EVP/COO 766705 0 566218 0 144261 0 229576 0 1675 0 1708435 0 89981 0 Brian Dean EVP/CFO/TREASURER 737125 0 545402 0 85732 0 191555 0 1675 0 1561489 0 54510 0 Deborah Gordon EVP/CAO/CLO/SECRETARY 658296 0 500699 0 152255 0 173321 0 1675 0 1486246 0 121785 0 James McCarthy MD EVP/CPE 677790 0 405329 0 20090 0 176774 0 1675 0 1281658 0 0 0 Gregory L Haralson SVP/CEO-TMC 565808 0 358042 0 84783 0 127073 0 1675 0 1137381 0 53464 0 Joshua Urban SVP/COMMUNITY HOSPITAL 504306 0 343019 0 117269 0 128633 0 1675 0 1094902 0 79093 0 Angela Shippy MD SVP/CMQO 501220 0 317828 0 105591 0 105809 0 1675 0 1032123 0 88731 0 Paul C O'Sullivan SVP/CEO-MC&GH 448107 0 347920 0 106343 0 115557 0 1675 0 1019602 0 44012 0 Christopher M Halaska SVP/CIO 368726 0 404962 0 75288 0 76239 0 1675 0 926890 0 60954 0 Kyle Price SVP/SRVC LINES 442619 0 304134 0 99630 0 109744 0 1675 0 957802 0 40530 0 Susan M Distefano SVP/CEO-CHILDREN'S HOSPITAL 401164 0 329588 0 101208 0 107420 0 1675 0 941055 0 59063 0 Lori P Knowles SVP/CHRO 439344 0 321701 0 54400 0 93388 0 1675 0 910508 0 34860 0 Amanda Hammel SVP/CIO 446323 0 237535 0 80869 0 108839 0 1675 0 875241 0 49952 0 Carrol E Aulbaugh Former Officer 95868 0 252270 0 352080 0 0 0 1675 0 701893 0 0 0 David L Callender MD CEO/President 9/1-PRESENT 418868 0 136052 0 15843 0 127187 0 1675 0 699625 0 0 0 Warren Shea VP/ASST SECRETARY 310441 0 134380 0 63283 0 49209 0 1675 0 558988 0 50812 0 Form 990 Schedule J Part I Line 4a Myron M. Shabot, M.D. ($718,765.00) Form 990 Schedule J Part I Line 4b MEMORIAL HERMANN HEALTH SYSTEM SPONSORS TWO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS; MEMORIAL HERMANN SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP); EXECUTIVE DEFERRED COMPENSATION PLAN (EDCP). THE FOLLOWING INDIVIDUALS PARTICIPATED IN AND/OR RECEIVED PAYMENTS (NOTED IN PARENTHESIS FOR SERP AND EDCP RESPECTIVELY) FROM MEMORIAL HERMANN HEALTH SYSTEM'S SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DURING THE TAX YEAR: CHARLES STOKES ($76,056.06/$228,854.72); MYRON M. SHABOT, M.D. ($111,047.27/$128,445.89); ERIN S. ASPREC ($73.96/$89,981.25); BRIAN DEAN ($0/$54,510.36); DEBORAH GORDON ($0/$121,785.42); GREGORY L. HARALSON ($0/$53,464.07); JOSHUA URBAN ($18,157.51; $79,093.26); ANGELA SHIPPY, M.D. ($0/$88,731.39); PAUL C. O'SULLIVAN ($17,016.09/$44,011.56); CHRISTOPHER M. HALASKA ($0/$60,953.74); KYLE PRICE ($15,934.27/$40,529.77); SUSAN M. DISTEFANO ($15,472.24/$59,062.68); LORI P. KNOWLES ($0/$34,859.91); AMANDA HAMMEL ($13,208.32/$49,952.45); CARROL E. AULBAUGH ($0/$258,439.49); WARREN SHEA ($0/$50,811.75) Form 990 Schedule J Part I Line 7 MEMORIAL HERMANN HEALTH SYSTEM HAS TWO INCENTIVE PROGRAMS IN WHICH CERTAIN MANAGEMENT INDIVIDUALS MAY PARTICIPATE, THE MANAGEMENT INCENTIVE BONUS AND LONG TERM INCENTIVE PLAN. THE MANAGEMENT INCENTIVE BONUS IS AN ANNUAL INCENTIVE DESIGNED TO ATTRACT AND RETAIN KEY LEADERS AND ESTABLISH GREATER ACCOUNTABILITY AND ALIGNMENT TO BUSINESS PERFORMANCE. PAYMENT AMOUNT TARGETS ARE BASED UPON A PERCENTAGE OF BASE SALARY, DEVELOPED BY INDEPENDENT THIRD PARTY EXPERTS. MEMORIAL HERMANN'S COMPENSATION COMMITTEE AND GOVERNING BOARD HAVE FINAL DISCRETION WHETHER TO AWARD AMOUNTS TO INDIVIDUALS AND TO ADJUST THE PAYMENT AT THEIR SOLE DISCRETION. THE LONG TERM INCENTIVE PLAN IS BASED ON A THREE-YEAR PERFORMANCE PLAN, WHICH REWARDS KEY SENIOR LEADERS BY ALIGNING THEIR COMPENSATION TO STRATEGIC INITIATIVES OF MEMORIAL HERMANN. PERFORMANCE TARGETS ARE BASED UPON A PERCENTAGE OF THE INDIVIDUAL'S BASE SALARY AND ARE DEVELOPED BY INDEPENDENT THIRD PARTY EXPERTS USING MARKET COMPETITIVE DATA WITHIN THE GUIDES OF REASONABLENESS. AT THE END OF A THREE-YEAR PERIOD, MEMORIAL HERMANN'S COMPENSATION COMMITTEE REVIEWS PERFORMANCE AGAINST GOALS TO DETERMINE APPROPRIATE PAYOUT. MEMORIAL HERMANN'S COMPENSATION COMMITTEE AND GOVERNING BOARD HAVE FINAL DISCRETION WHETHER TO AWARD AMOUNTS TO INDIVIDUALS AND TO ADJUST THE PAYMENT AT THEIR SOLE DISCRETION. A HARRIS COUNTY CULTURAL ED FAC FINANCE CORP 760337885 414009GR5 2013-03-28 468778930 Refund Series 2004A and 2008B/C true false false B HARRIS COUNTY CULTURAL ED FAC FINANCE CORP 760337885 414009HL7 2014-06-11 307303890 Construction of healthcare facilit true false false C HARRIS COUNTY CULTURAL ED FAC FINANCE CORP 760337885 414009KP4 2015-12-15 270200000 Refund Series 2008A1 and 2010B false false false D HARRIS COUNTY CULTURAL ED FAC FINANCE CORP 760337885 414009KP4 2016-06-08 151216215 Construction of healthcare facilit false false false A 111865000 153225000 468778930 0 0 0 3629482 0 0 0 465149448 0 2013 true true true true B 82835000 28270000 308759499 0 0 0 2303890 0 0 306455609 0 0 2020 false false true true C 107800000 0 270200000 0 0 0 0 0 0 0 270200000 0 2015 true false true true D 0 0 152153046 0 0 0 1216215 0 0 150936831 0 0 2018 false false false true A false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true B false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true C false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true D false false false false 0.00000 0.00000 0.00000 false false false true A false false false true true false 0 false 0 false true B false false false true true false 0 false 0 false true C false false true false true false 0 false 0 false true D false true false false false false 0 false 0 false true A true B true C true D true PART II.B.3 SET 1 DIFFERENCE FROM ISSUE PRICE DUE TO INVESTMENT EARNINGS PART II.D.3 SET 1 DIFFERENCE FROM ISSUE PRICE DUE TO INVESTMENT EARNINGS PART IV.A.2 SET 1 04/28/2016 PART IV.B.2 SET 1 04/28/2016 PART II.A.3 SET 2 DIFFERENCE FROM ISSUE PRICE DUE TO INVESTMENT EARNINGS PART II.B.3 SET 2 DIFFERENCE FROM ISSUE PRICE DUE TO INVESTMENT EARNINGS A HARRIS COUNTY CULTURAL ED FAC FINANCE CORP 760337885 414009KS8 2016-06-08 326305000 Construction of healthcare facilit false false false B HARRIS COUNTY CULTURAL ED FAC FINANCE CORP 760337885 414009MR8 2019-11-21 649138065 Construction of healthcare facilit false false false D Harris County Cultural Education Facilities Financ 760337885 414009MV9 2020-03-03 22068756 Refund Series 2010A false false false A 72330000 0 326642593 0 0 0 1649048 0 0 149508545 175485000 0 2018 false false false true B 0 0 650444063 0 0 0 4133065 0 0 258623620 203005000 184682378 true false false true D 0 0 22068756 0 0 0 155452 0 0 0 21913304 0 2020 true false true true A false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true B false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true D false false false false 0.00000 0.00000 0.00000 false false false true A false true false false true false 0 false 0 false true B false true false false true false 0 false 0 false true D false true false false true false 0 false 0 false true A true B true D true Part I.B Column(f) Refunded bonds were issued 6/11/2014, 12/15/2015 and 6/8/2016 Part I.C Column (f) Refunded bonds were issued on 11/30/2010 Angela Bell Family member of Director 83001 Employee Compensation false Form 990, Part VI, Section A, Line 6 The Corporation is a non-profit corporation existing under the Texas Business Organizations Code, as amended from time to time. The Corporation shall have individual corporate members. Form 990, Part VI, Section A, Line 7a The Corporation's Members shall have such powers, exercise such rights and perform such duties as Members of the Corporation as may be required by applicable law or by express provision of the Certificate of Formation or its Bylaws, and the Members shall have no other powers, rights, or duties. The Members shall elect Directors to fill any existing or soon to be existing vacancy occurring in the Board of Directors. Form 990, Part VI, Section A, Line 7b The following matters are reserved to the Corporation's Members and shall require the affirmative action of the Members to be effective: Any amendment to or restatement or repeal of the Certificate of Formation; Any amendment to or restatement or repeal of these Bylaws; The sale, transfer, or other disposition of all or substantially all of the assets of the Corporation and its Affiliates; The merger of the Corporation into, or the consolidation of the Corporation with, any other entity; or, the dissolution of the Corporation. Form 990, Part VI, Section B, Line 11b The Form 990 is prepared and reviewed by Memorial Hermann System Tax department. The System Tax department works with other departments throughout the organization to obtain the information needed to complete the Form 990. Upon completion, the Form 990 is reviewed by the organization's Chief Financial Officer, Chief Accounting Officer, and/or other key officers. A complete copy of the Form 990 is then provided to each member of the governing body prior to filing the Form 990. Form 990, Part VI, Section B, Line 12c Memorial Hermann Health System utilizes conflict of interest surveys and has codified its procedure in a policy. The policy is monitored by the organization's Corporate Compliance department through annual surveys of board members, corporate officers, management level employees, and other selected employees, physicians and vendors for all of its entities and related affiliates. In addition to responding to the survey, each recipient affirms that they have received a copy of the policy, have read and understood it, have agreed to comply with it, and understands that Memorial Hermann is a charitable organization to must engage in primarily tax-exempt purpose activities. The corporate compliance department, chief legal officer, and the corporate audit committee, consisting of independent board members, receive a report of all items disclosed. The audit committee chair reports the existence of any conflicts to the corporate board of directors. Memorial Hermann's conflicts of interest policy requires that board members excuse themselves from discussions in which they have a conflict of interest. The policy also subjects board members to disciplinary action if they are found to have violated the policy. Form 990, Part VI, Section B, Line 15 The compensation committee of the Memorial Hermann board of directors retains the ultimate discretionary authority over all elements of executive compensation. The committee is comprised of individuals who are not employed by Memorial Hermann, and have no conflicting interests. The process for determining compensation for the organization's CEO and disqualified persons is modeled after the requirements in IRC section 4958 to establish the presumption of reasonable compensation. The compensation committee reviews and approves the total remuneration for the organization's disqualified persons in advance of being paid. On an annual basis, the compensation committee engages an independent third-party executive compensation consultant who uses comparable market data from published surveys and/or form 990 of similar organizations to perform a competitive analysis and write an opinion letter regarding the competitive position of Memorial Hermann's disqualified persons. The compensation committee reviews the comparability data and opinion letter, and documents its discussion and decisions in minutes that are retained with the organization's other governance materials. The analysis is performed annually and it includes the President and CEO, all executive vice presidents and senior vice presidents of the organization, as well as family members of disqualified persons who are employed by Memorial Hermann. Form 990, Part VI, Section C, Line 19 Certain documents of the organization are available to the public through the Texas Secretary of State, such as the organization's certificate of formation and any amendments thereto. The organization is included in the consolidated audited financial statements, which are attached to the Form 990 and are made available to the public upon request. The organization's other governing documents and conflicts of interest policy are not made available to the public. Form 990, Part XI, Line 9 Noncontrolling interests $67,878,928; Change in pension obligation $89,364,986; Contributions and grants received and other changes in net assets, net $63,525,956; Cumulative adjustment of ASU 842 $93,339,000; Change in noncontrolling interests $15,568,380 FORM 990 PART IX LINE 11G DESCRIPTION:INDIGENT CARE SERVICES TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:ADMINISTRATIVE SERVICES TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:CLEANING SERVICES TOTAL FEES:64668080 FORM 990 PART IX LINE 11G DESCRIPTION:MISCELLANEOUS SERVICES TOTAL FEES:64640649 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL SERVICES TOTAL FEES:51025596 FORM 990 PART IX LINE 11G DESCRIPTION:CATERING AND SUPPLIES SERVICES TOTAL FEES:37610376 FORM 990 PART IX LINE 11G DESCRIPTION:MANAGEMENT CONSULTING FEES TOTAL FEES:9498146 FORM 990 PART IX LINE 11G DESCRIPTION:TECHNOLOGY SERVVICES TOTAL FEES:6389386 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL EQUIPMENT SERVICES TOTAL FEES:5626136 FORM 990 PART IX LINE 11G DESCRIPTION:PROPERTY MANAGEMENT SERVICES TOTAL FEES:5372156 FORM 990 PART IX LINE 11G DESCRIPTION:SUPPLY CHAIN SERVICES TOTAL FEES:4585106 FORM 990 PART IX LINE 11G DESCRIPTION:BANK SERVICE FEES TOTAL FEES:2414836 FORM 990 PART IX LINE 11G DESCRIPTION:SECURITY SERVICES TOTAL FEES:2254821 FORM 990 PART IX LINE 11G DESCRIPTION:WASTE MANAGEMENT SERVICES TOTAL FEES:1746334 FORM 990 PART IX LINE 11G DESCRIPTION:REPAIR AND MAINTENANCE SERVICE TOTAL FEES:1468754 FORM 990 PART IX LINE 11G DESCRIPTION:LAUNDRY SERVICES TOTAL FEES:1233670 Memorial Hermann Community Benefit 929 Gessner Rd STE 1900 Houston TX 77024 680511504 Community TX 501(c)(3) 10 MHHS true Memorial Hermann Medical Group 929 Gessner Rd STE 1900 Houston TX 77024 204923281 Physician Svc TX 501(c)(3) 10 MHHS true MHS Physicians of Texas 929 Gessner Rd STE 1900 Houston TX 77024 760385980 Physician Svc TX 501(c)(3) 3 MHHS true Memorial Hermann Foundation 929 Gessner Rd STE 1900 Houston TX 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Insurance Co 929 Gessner Rd STE 1900 Houston TX 77024 760646301 Insurance TX na C corp true Memorial Hermann Health Plan Inc 929 Gessner Rd STE 1900 Houston TX 77024 462707092 Insurance TX na C Corp true MH Health Plan Holdings LLC 929 Gessner Rd STE 1900 Houston TX 77024 812971502 Insurance TX MH HealthSystem C Corp 103618328 86017256 1.00000 true MH Commercial Health Plan Inc 929 Gessner Rd Ste 1900 Houston TX 77024 206680981 Insurance TX NA C Corp true Memorial Hermann Ventures LLC 929 Gessner Rd Ste 1900 Houston TX 77024 825207571 Holding Company TX MH HealthSystem C Corp 4527871 837201 1.00000 true false true true false false false true false false true true false false false true true true true true Memorial Hermann Foundation C 22925396 GAAP MHS Physicians of Texas R 33761233 GAAP MHS Physicians of Texas S 37343111 GAAP Memorial Hermann Accountable Care Org R 27707629 GAAP Memorial Hermann Accountable Care Org S 14850464 GAAP Memorial Hermann Information Exchange R 4262133 GAAP 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