THE METHODIST HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: THE METHODIST HOSPITAL (EIN 74-1180155)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-14
IRS object ID: 201933189349310983
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-14T15:26:25-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	861065772	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE SUITE 4200	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	462045108	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	741180155	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE METHODIST HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	METH	BusinessNameControlTxt
Phone	8326676160	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6565 FANNIN NO GB240	AddressLine1Txt
City	HOUSTON	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	770302707	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KEVIN J BURNS	PersonNm
Person Title	EXECUTIVE VICE PRESIDENT, CFO, CBO	PersonTitleTxt
Phone	8326676160	PhoneNum
Signature	2019-11-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JEFFREY D FRANK	PreparerPersonNm
PTIN	P00287234	PTIN
Phone	3174648600	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	74.138.49.181	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-14	IPDt
IP Tm	13:51:54	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	4869E5F49B9973F149F13A18DEB0F85868CD0247	AtSubmissionCreationDeviceId
At Submission Filing Device Id	B457E39100F69F1025E0AC0752F4D60A204E3628	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	HOUSTON METHODIST HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	KEVIN J BURNS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6565 FANNIN NO GB240	AddressLine1Txt
City	HOUSTON	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	770302707	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,148,932,124	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	5792	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.HOUSTONMETHODIST.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1946	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	PROVIDE MEDICAL CARE (SEE MISSION STATEMENT ON PAGE 2)	ActivityOrMissionDesc
Voting Members Governing Body	25	VotingMembersGoverningBodyCnt
Voting Members Independent	22	VotingMembersIndependentCnt
Total Employee	11457	TotalEmployeeCnt
Total Volunteers	1172	TotalVolunteersCnt
Total Gross UBI	$1,192,813	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$5,533,753	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$22,838,960	PYContributionsGrantsAmt
CY Contributions Grants	$25,995,961	CYContributionsGrantsAmt
PY Program Service Revenue	$1,789,812,240	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,983,880,904	CYProgramServiceRevenueAmt
PY Investment Income	$22,884,361	PYInvestmentIncomeAmt
CY Investment Income	$88,048,185	CYInvestmentIncomeAmt
PY Other Revenue	$59,667,774	PYOtherRevenueAmt
CY Other Revenue	$47,719,759	CYOtherRevenueAmt
PY Total Revenue	$1,895,203,335	PYTotalRevenueAmt
CY Total Revenue	$2,145,644,809	CYTotalRevenueAmt
PY Grants And Similar Paid	$26,066,357	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$15,391,951	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$754,047,879	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$739,422,171	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,087,644,296	PYOtherExpensesAmt
CY Other Expenses	$1,127,202,682	CYOtherExpensesAmt
PY Total Expenses	$1,867,758,532	PYTotalExpensesAmt
CY Total Expenses	$1,882,016,804	CYTotalExpensesAmt
PY Revenues Less Expenses	$27,444,803	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$263,628,005	CYRevenuesLessExpensesAmt
Total Assets BOY	$7,101,569,266	TotalAssetsBOYAmt
Total Assets EOY	$7,138,344,765	TotalAssetsEOYAmt
Total Liabilities BOY	$2,192,412,828	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,139,051,465	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$4,909,156,438	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$4,999,293,300	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,622,443,986	ExpenseAmt
Grant	$15,391,951	GrantAmt
Revenue	$1,983,735,078	RevenueAmt
Desc	SEE SCHEDULE OCURRENTLY HOUSTON METHODIST HOSPITAL OPERATES 1,367 STAFFED BEDS IN ITS TEXAS MEDICAL CENTER FACILITIES. HOUSTON METHODIST HOSPITAL RECORDED 491,938 VISITS DURING 2018 WHICH WERE COMPRISED OF 373,564 OUTPATIENT VISITS, 79,507 EMERGENCY ROOM VISITS AND 38,867 INPATIENT VISITS. IT ALSO PERFORMED 16,158 INPATIENT SURGERIES AND 23,060 OUTPATIENT SURGERIES IN 2018.THE PRINCIPAL MEDICAL SERVICES AVAILABLE AT HOUSTON METHODIST HOSPITAL ARE ANESTHESIOLOGY, CARDIOVASCULAR SURGERY, ORAL & MAXILLOFACIAL-HOSPITAL DENTISTRY, DERMATOLOGY, FAMILY MEDICINE, GENERAL SURGERY, INTERNAL MEDICINE, CARDIOLOGY, CLINICAL IMMUNOLOGY, GASTROENTEROLOGY, GENERAL MEDICINE, HEMATOLOGY, HYPERTENSION, INFECTIOUS DISEASES, MEDICAL GENETICS, METABOLIC AND ENDOCRINE DISEASES, NUCLEAR MEDICINE, ONCOLOGY, PHARMACOLOGY, PULMONARY DISEASES, RENAL DISEASES, RHEUMATOLOGY, NEUROPHYSIOLOGY, NEUROSURGERY, OBSTETRICS AND GYNECOLOGY, OPHTHALMOLOGY, ORTHOPEDIC SURGERY, OTOLARYNGOLOGY-HEAD & NECK SURGERY, PATHOLOGY, PEDIATRICS, PHYSICAL MEDICINE AND REHABILITATION, PLASTIC SURGERY, PSYCHIATRY, RADIOLOGY, RADIOTHERAPY, AND UROLOGY. HOUSTON METHODIST HOSPITAL ALSO OFFERS A RANGE OF ADDITIONAL PATIENT SERVICES, INCLUDING AMBULATORY SURGERY, A BLOOD DONOR CENTER, DIABETES TREATMENT IN A DEDICATED INPATIENT UNIT, A REHABILITATION CENTER, A SKILLED NURSING FACILITY, AND A BROAD RANGE OF PREVENTIVE HEALTH CARE INSTRUCTION, INCLUDING SMOKING CESSATION, STRESS MANAGEMENT, WEIGHT CONTROL, AND CARDIAC AND PULMONARY REHABILITATION.GENERAL OUTPATIENT SERVICES OFFERED BY HOUSTON METHODIST HOSPITAL INCLUDE AUDIOLOGY, SPEECH PATHOLOGY, PSYCHIATRIC SERVICES, DIAGNOSTIC CARDIOLOGY (INCLUDING NUCLEAR CARDIOLOGY, ECHOCARDIOGRAPHY, ELECTROCARDIOGRAPHY, PACEMAKER EVALUATION, AND CORONARY CATHETERIZATION), CHRONIC RENAL DIALYSIS, ENDOSCOPY, EMERGENCY SERVICES, GENERAL AND DIAGNOSTIC RADIOLOGY (INCLUDING FLUOROSCOPY, ULTRASOUND, MAMMOGRAPHY, MYELOGRAPHY, CT SCANNING, AND MRI), NUCLEAR MEDICINE, PATHOLOGY, PERIPHERAL VASCULAR LABORATORY, DERMATOLOGY, PHYSICAL MEDICINE, RADIOTHERAPY, SLEEP STUDIES AND NEUROPHYSIOLOGIC EVALUATIONS, AND SURGERY.HOUSTON METHODIST HOSPITAL OPERATES A MULTI-ORGAN TRANSPLANT CENTER. TRANSPLANTS BEING PERFORMED AT PRESENT INCLUDE KIDNEY, HEART, LUNGS, LIVER, PANCREAS, ISLET CELL AND BONE MARROW. HOUSTON METHODIST HOSPITAL PERFORMED THE FIRST ISLET CELL TRANSPLANT IN TEXAS OF LIVER CELLS FROM A DONOR'S PANCREAS TO THE LIVER OF A DIABETIC PATIENT RESULTING IN DONOR CELLS PRODUCING INSULIN.HOUSTON METHODIST HOSPITAL RESPONDS TO THE COMMUNITY'S NEEDS NOT ONLY THROUGH THE PROVISION OF MEDICAL CARE, BUT ALSO THROUGH EDUCATION OF HEALTH PROFESSIONALS AND PATIENTS, COMMUNITY HEALTH EDUCATION, DONATIONS TO HEALTH CARE RELATED EVENTS AND OTHER SERVICES, AND MEDICAL AND HEALTH RESEARCH.	Desc
Total Program Service Expenses	$1,622,443,986	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	1519	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	11457	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CH	ForeignCountryCd
Foreign Country	ID	ForeignCountryCd
Foreign Country	KS	ForeignCountryCd
Foreign Country	MY	ForeignCountryCd
Foreign Country	RP	ForeignCountryCd
Foreign Country	TH	ForeignCountryCd
Foreign Country	TW	ForeignCountryCd
Foreign Country	EZ	ForeignCountryCd
Foreign Country	DA	ForeignCountryCd
Foreign Country	GR	ForeignCountryCd
Foreign Country	HU	ForeignCountryCd
Foreign Country	PL	ForeignCountryCd
Foreign Country	TU	ForeignCountryCd
Foreign Country	EG	ForeignCountryCd
Foreign Country	IS	ForeignCountryCd
Foreign Country	BR	ForeignCountryCd
Foreign Country	CO	ForeignCountryCd
Foreign Country	AE	ForeignCountryCd
Foreign Country	SA	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	25	GoverningBodyVotingMembersCnt
Independent Voting Member	22	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	EDWARD L TYRRELL FACHE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8326676160	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6565 FANNIN GB240	AddressLine1Txt
City	HOUSTON	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77030	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ONE OFFICERDIR-SEE METHODIST
HOSPITAL GROUP RETURN-SCHE	24.00	26.00	Yes (X)	Yes (X)	$3,121,886	$0	$57,386
NINE OFFICERDIR-SEE METHODIST
HOSPITAL GROUP RETURN-SCHE	18.00	4.22	Yes (X)	Yes (X)	$0	$0	$0
SIXTEEN DIRECTORS-SEE METHODIST
HOSPITAL GROUP RETURN-SCHE	5.00	7.63	Yes (X)		$0	$1,503,115	$240,505
ONE OFFICER-SEE METHODIST
HOSPITAL GROUP RETURN-SCHE	24.00	26.00		Yes (X)	$1,510,521	$0	$60,833
SIX KEY EMPLOYEES-SEE METHODIST
HOSPITAL GROUP RETURN-SCHE	47.67	2.33			$5,841,965	$0	$323,551	Yes (X)
FOUR HIGHEST PD EMPLOYEES-SEE
HOSPITAL GROUP RETURN-SCHE	43.75	6.25			$2,653,010	$0	$214,751		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$13,127,382	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,503,115	TotReportableCompRltdOrgAmt
Total Other Compensation	$897,026	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1283	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FIVE CONTRACTORS-CONSOLIDATED WITH	BusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	METHODIST HOSPITAL GROUP	AddressLine1Txt
City	HOUSTON	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77030	ZIPCd

Field	Value	IRS element (for citing)
Services	SEE EXPLANATION IN SCHEDULE O	ServicesDesc
Compensation	$118,421,837	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	221	CntrctRcvdGreaterThan100KCnt
Related Organizations	$25,995,961	RelatedOrganizationsAmt
Total Contributions	$25,995,961	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT CARE SERVICES	622110	$1,955,436,726	$1,955,436,726
RELATED ORG. RENT	531390	$28,444,178	$28,298,352	$145,826

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,983,880,904	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$88,254,589	TotalRevenueColumnAmt
Exclusion	$88,254,589	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,473,697	SecuritiesAmt
Other	$607,214	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$2,594,709	SecuritiesAmt
Other	$692,606	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$121,012	SecuritiesAmt
Other	-$85,392	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$206,404	TotalRevenueColumnAmt
Exclusion	-$206,404	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
OTHER INCOME	900099	$18,504,361	$18,504,361
PATIENT FOOD SERVICES	722514	$10,660,594	$10,643,607	$16,987
PATIENT PARKING	812930	$5,252,414	$5,252,414

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,302,390	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,030,000	UnrelatedBusinessRevenueAmt
Exclusion	$12,272,390	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$47,719,759	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,145,644,809	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,983,735,078	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,192,813	UnrelatedBusinessRevenueAmt
Exclusion	$134,720,957	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$15,391,951	TotalAmt
Program Services	$15,391,951	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$10,916,142	TotalAmt
Management And General	$10,916,142	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$538,964,316	TotalAmt
Program Services	$487,665,244	ProgramServicesAmt
Management And General	$51,299,072	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$31,692,497	TotalAmt
Program Services	$21,666,377	ProgramServicesAmt
Management And General	$10,026,120	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$108,556,713	TotalAmt
Program Services	$108,151,452	ProgramServicesAmt
Management And General	$405,261	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$49,292,503	TotalAmt
Program Services	$35,393,145	ProgramServicesAmt
Management And General	$13,899,358	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$11,325,724	TotalAmt
Management And General	$11,325,724	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$660,760	TotalAmt
Management And General	$660,760	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$627,106	TotalAmt
Management And General	$627,106	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$13,026,859	TotalAmt
Management And General	$13,026,859	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$93,960,979	TotalAmt
Program Services	$79,980,415	ProgramServicesAmt
Management And General	$13,980,564	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$8,824,676	TotalAmt
Program Services	$115,860	ProgramServicesAmt
Management And General	$8,708,816	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$24,955,563	TotalAmt
Program Services	$19,123,578	ProgramServicesAmt
Management And General	$5,831,985	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$55,232,574	TotalAmt
Program Services	$54,355,037	ProgramServicesAmt
Management And General	$877,537	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$22,830,684	TotalAmt
Program Services	$22,152,538	ProgramServicesAmt
Management And General	$678,146	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,443,485	TotalAmt
Program Services	$1,081,234	ProgramServicesAmt
Management And General	$2,362,251	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,284,484	TotalAmt
Program Services	$673,887	ProgramServicesAmt
Management And General	$610,597	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$32,693,539	TotalAmt
Management And General	$32,693,539	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$35,457,025	TotalAmt
Management And General	$35,457,025	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$108,079,279	TotalAmt
Program Services	$89,069,804	ProgramServicesAmt
Management And General	$19,009,475	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,725,225	TotalAmt
Management And General	$2,725,225	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$443,682,034	$441,887,920	$1,794,114
SUPPORT FOR MPO	$96,070,000	$96,070,000
SUPPORT FOR MRI	$87,900,001	$87,900,001
PROF. SERVICES (NET)	$62,235,749	$61,291,518	$944,231

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$22,186,936	TotalAmt
Program Services	$474,025	ProgramServicesAmt
Management And General	$21,712,911	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,882,016,804	TotalAmt
Program Services	$1,622,443,986	ProgramServicesAmt
Management And General	$259,572,818	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$101,864,052	BOYAmt
EOY	$245,783,627	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$269,650,944	BOYAmt
EOY	$246,712,709	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$30,203,078	BOYAmt
EOY	$32,958,322	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$29,893,674	BOYAmt
EOY	$31,374,049	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$3,641,629,942	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,834,136,144	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,271,127,812	BOYAmt
EOY	$1,807,493,798	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$3,679,247,976	BOYAmt
EOY	$3,715,618,517	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$19,591,309	BOYAmt
EOY	$19,591,309	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,699,990,421	BOYAmt
EOY	$1,038,812,434	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,101,569,266	BOYAmt
EOY	$7,138,344,765	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$450,357,426	BOYAmt
EOY	$444,837,818	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,673,597,351	BOYAmt
EOY	$1,632,357,103	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$68,458,051	BOYAmt
EOY	$61,856,544	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,192,412,828	BOYAmt
EOY	$2,139,051,465	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,909,156,438	BOYAmt
EOY	$4,999,293,300	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,909,156,438	BOYAmt
EOY	$4,999,293,300	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,101,569,266	BOYAmt
EOY	$7,138,344,765	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$263,628,005	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$203,463,205	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$29,972,062	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$627,106	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$627,106	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	HOUSTON METHODIST ENGAGES IN DISCUSSIONS WITH ELECTED OFFICIALS AT THE STATE AND NATIONAL LEVEL TO DISCUSS THE IMPACT OF EXISTING AND PROPOSED LEGISLATION ON PATIENT CARE AND HOSPITAL OPERATIONS. WE ALSO ENGAGE IN DISCUSSIONS REGARDING SUPPORT FUNDING AT THE STATE AND NATIONAL LEVEL FOR BIOMEDICAL RESEARCH. THERE IS NO GRASSROOTS ENGAGEMENT WITH THE PUBLIC. HOUSTON METHODIST DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS), ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$332,622,778	BeginningYearBalanceAmt
Contributions	$48,172,415	ContributionsAmt
Investment Earnings Or Losses	-$18,902,826	InvestmentEarningsOrLossesAmt
Other Expenditures	$7,149,924	OtherExpendituresAmt
End Year Balance	$354,742,443	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$215,976,539	BeginningYearBalanceAmt
Contributions	$88,632,177	ContributionsAmt
Investment Earnings Or Losses	$32,981,795	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,967,733	OtherExpendituresAmt
End Year Balance	$332,622,778	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$198,062,607	BeginningYearBalanceAmt
Contributions	$11,450,020	ContributionsAmt
Investment Earnings Or Losses	$11,352,376	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,888,464	OtherExpendituresAmt
End Year Balance	$215,976,539	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$193,168,138	BeginningYearBalanceAmt
Contributions	$7,109,200	ContributionsAmt
Investment Earnings Or Losses	$523,929	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,738,660	OtherExpendituresAmt
End Year Balance	$198,062,607	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$172,452,724	BeginningYearBalanceAmt
Contributions	$19,574,824	ContributionsAmt
Investment Earnings Or Losses	$3,896,172	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,755,582	OtherExpendituresAmt
End Year Balance	$193,168,138	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.86250	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.13750	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$41,040,108	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$171,429,341	OtherCostOrOtherBasisAmt
Book Value	$212,469,449	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,932,214,606	OtherCostOrOtherBasisAmt
Depreciation	$770,122,332	DepreciationAmt
Book Value	$1,162,092,274	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,496,945,887	OtherCostOrOtherBasisAmt
Depreciation	$1,064,013,812	DepreciationAmt
Book Value	$432,932,075	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,807,493,798	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$856,906,615
CONSTRUCTION IN PROGRESS	$175,723,028
DEPOSITS AND MISCELLANEOUS RECEIVABLES	$6,182,791

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,038,812,434	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
RESERVE FOR CONTINGENCIES	$56,856,544
ASSET RETIREMENT OBLIGATION	$5,000,000

Field	Value	IRS element (for citing)
Total Liability	$61,856,544	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	HOUSTON METHODIST HOSPITAL FOUNDATION, A RELATED ORGANIZATION OF THE METHODIST HOSPITAL DOING BUSINESS AS HOUSTON METHODIST HOSPITAL, HOLDS PERMANENTLY RESTRICTED NET ASSETS WHICH CONSIST OF 173 INDIVIDUAL ENDOWMENT ACCOUNTS. UNLESS OTHERWISE DIRECTED BY THE DONOR, GIFTS RECEIVED FOR ENDOWMENT ACCOUNTS ARE INVESTED CONSISTENT WITH HOUSTON METHODIST HOSPITAL'S APPROVED INVESTMENT POLICY. UNLESS OTHERWISE DIRECTED BY THE DONOR, THE FOUNDATION HAS A POLICY OF ANNUALLY APPROPRIATING A CERTAIN PERCENTAGE OF EACH ENDOWMENT ACCOUNT, WHICH IS THEN AVAILABLE TO BE SPENT CONSISTENT WITH DONOR INTENT. IN ORDER TO PRESERVE THE REAL VALUE OF A DONOR'S GIFT AND TO SUSTAIN FUNDING CONSISTENT WITH DONOR INTENT, THE ANNUAL APPROPRIATION RATE IS SET TO STRIKE A REASONABLE BALANCE BETWEEN LONG-TERM OBJECTIVES OF PRESERVING AND GROWING EACH ENDOWMENT FUND FOR THE FUTURE AND PROVIDING STABLE, YEAR-TO-YEAR APPROPRIATION AMOUNTS.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (7 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
EAST ASIA AND THE PACIFIC	PASSIVE INVESTMENTS	$186,166,015
EUROPE (INCLUDING ICELAND & GREENLAND)	PASSIVE INVESTMENTS	$173,505,629
MIDDLE EAST AND NORTH AFRICA	PASSIVE INVESTMENTS	$1,773,201
SOUTH AMERICA	PASSIVE INVESTMENTS	$16,503,296
NORTH AMERICA	PASSIVE INVESTMENTS	$16,817,227
SUB-SAHARAN AFRICA	PASSIVE INVESTMENTS	$11,873,599
CENTRAL AMERICA AND THE CARIBBEAN	PASSIVE INVESTMENTS	$45,332,124

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$451,971,091	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$451,971,091	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,060,231	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,060,231	NetCommunityBenefitExpnsAmt
Total Expense	0.01810	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,826,438	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,162,625	DirectOffsettingRevenueAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,202	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,381	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,821	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$72,915,871	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,186,006	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,066,052	NetCommunityBenefitExpnsAmt
Total Expense	0.01810	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$823,530	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$823,530	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,456,840	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,289,269	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,167,571	NetCommunityBenefitExpnsAmt
Total Expense	0.02130	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$108,817,607	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,365,776	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$66,451,831	NetCommunityBenefitExpnsAmt
Total Expense	0.03530	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,317,227	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,317,227	NetCommunityBenefitExpnsAmt
Total Expense	0.01350	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$188,415,204	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,655,045	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$132,760,159	NetCommunityBenefitExpnsAmt
Total Expense	0.07050	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$261,331,075	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$99,841,051	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$166,826,211	NetCommunityBenefitExpnsAmt
Total Expense	0.08860	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$21,191,241	BadDebtExpenseAmt
Reimbursed By Medicare	$355,486,840	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$504,789,490	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$149,302,650	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HOUSTON METHODIST HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6565 FANNIN	AddressLine1Txt
City	HOUSTON	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77030	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.HOUSTONMETHODIST.ORG	WebsiteAddressTxt
State License	000124	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	SKILLED NURSING FACILITY, PSYCH, REHAB UNITS	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HOUSTON METHODIST HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.HOUSTONMETHODIST.ORG/CHNA/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	0	StrategyPostedWebsiteInd
Strategy Attached	Yes (1)	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HOUSTONMETHODIST.ORG/PAY-YOUR-BILL/NEW-POLICIES/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SAME AS 16.A.	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SAME AS 16.A.	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
HOUSTON METHODIST HOSPITAL	PART V, SECTION B, LINE 5: GENERAL NOTE:THE METHODIST HOSPITAL IS DOING BUSINESS AS HOUSTON METHODIST HOSPITAL (HMH). HOUSTON METHODIST AS A SYSTEM, IS REPRESENTED AS HOUSTON METHODIST.HMH: PART V, SECTION B, LINE 5 HOUSTON METHODIST CONDUCTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND WAS ABLE TO PRIORITIZE THE NEEDS THAT EACH OF ITS HOSPITALS WOULD ADDRESS THROUGH A SERIES OF STEPS THAT INCLUDED SURVEYING PATIENTS LOCATED IN EACH OF THE HOUSTON METHODIST SERVICE AREAS AS WELL AS INTERVIEWING AND SURVEYING COMMUNITY HEALTH LEADERS DESIGNED TO UNCOVER THE MOST PRESSING CONCERNS OF THE SURROUNDING COMMUNITY.PHASE 1: COMMUNITY FEEDBACK COLLECTIONDEVELOPING THE 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 TO DEVELOP AND REFINE SURVEY QUESTIONS THAT WOULD HELP HOUSTON METHODIST GAIN THE FIRST INSIGHT INTO THE TOP SOCIAL AND HEALTH PRIORITIES OF OUR CITY. THE SURVEY CONSISTED OF 25 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 COMMUNITY. HARD COPY SURVEYS WERE DISTRIBUTED TO ELEVEN (11) DIFFERENT FACILITIES PROVIDING HEALTH CARE SERVICES TO THE UNINSURED AND UNDERSERVED POPULATION. THESE HARD COPY SURVEYS WERE PLACED IN THE FOLLOWING FACILITIES ACROSS GREATER HOUSTON TO COLLECT COMMUNITY FEEDBACK: - ACCESS HEALTH - CHRIST CLINIC - EL CENTRO DE CORAZON - HOPE CLINIC - KRIST SAMARITAN COUNSELING CENTER - LEGACY COMMUNITY HEALTH - LIFE HOUSTON - NORTHWEST ASSISTANCE MINISTRIES - THE ROSE - TOMAGWA HEALTH MINISTRIES - VECINO HEALTH CENTERSADDITIONAL HARD 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. ELECTRONIC SURVEYS WERE POSTED ON VARIOUS SOCIAL NETWORKING SITES TO CAPTURE AN UNCONTROLLED GROUP OF RESPONDENTS. OVERALL, MORE THAN 1,000 PEOPLE WERE SURVEYED.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: THE OFFICE OF COMMUNITY BENEFITS COMPILED A LIST OF TOP HEALTH AND COMMUNITY EXPERTS FROM AROUND THE GREATER HOUSTON COMMUNITY AND STATE AND SHARED KEY DATA UNCOVERED BY THE COMMUNITY HEALTH NEEDS SURVEY. EXPERTS AND LEADERS WERE PULLED FROM A VARIETY OF SPECIALTY AREAS INCLUDING EXPERTS IN THE FIELD OF KEY HEALTH CONDITIONS FROM HEALTH CARE INSTITUTIONS INCLUDING HMH. ALSO, EXPERTS WERE SELECTED FROM KEY FEDERALLY QUALIFIED HEALTH CENTERS AND FREE/CHARITY CLINICS SUCH AS BUT NOT LIMITED TO LEGACY COMMUNITY HEALTH, THE ROSE, ACCESS HEALTH AND HEALTHCARE FOR THE HOMELESS-HOUSTON. FEEDBACK WAS SOLICITED FROM EXPERTS AT PUBLIC HEALTH EDUCATION FOCUSED INSTITUTIONS SUCH AS THE KINDER INSTITUTE FOR URBAN RESEARCH AT RICE UNIVERSITY AND UT SCHOOL OF PUBLIC HEALTH AS WELL AS INSIGHT SOUGHT FROM CITY OFFICIALS.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 - VP DEVELOPMENT - AMERICAN HEART ASSOCIATION - CDO - AMERICAN CANCER SOCIETY - ASSOCIATE PROFESSOR OF CLINICAL NEUROLOGY, INSTITUTE FOR ACADEMIC MEDICINE, ASSISTANT MEMBER, HOUSTON METHODIST RESEARCH INSTITUTE-HOUSTON METHODIST HOSPITAL - CHAIR IN THE EDDY SCURLOCK STROKE CENTER, DEPARTMENT OF NEUROLOGY, PROFESSOR OF CLINICAL NEUROLOGY, INSTITUTE FOR ACADEMIC MEDICINE, ASSOCIATE CLINICAL MEMBER, HOUSTON METHODIST RESEARCH INSTITUTE-HOUSTON METHODIST HOSPITAL - CHAIR, HOUSTON METHODIST DEBAKEY CARDIOLOGY ASSOCIATES-HOUSTON METHODIST HOSPITAL - MD - HOUSTON METHODIST ONCOLOGY PARTNERS-HOUSTON METHODIST WILLOWBROOK HOSPITAL - MD - HOUSTON METHODIST ACADEMIC MEDICINE ASSOCIATES-HOUSTON METHODIST HOSPITAL - MEDICAL DIRECTOR, DEPARTMENT OF CARDIOLOGY, HOUSTON METHODIST DEBAKEY CARDIOLOGY ASSOCIATES-HOUSTON METHODIST HOSPITAL - VICE PRESIDENT, POPULATION HEALTH, HOUSTON METHODISTINPUT COLLECTION: INPUT FROM FEDERAL, REGIONAL, STATE OR LOCAL HEALTH DEPARTMENTS /AGENCIES - ASSISTANT DIRECTOR - HOUSTON HEALTH DEPARTMENT - VICE PRESIDENT - HOUSTON HOUSING AUTHORITY - DIRECTOR OF PUBLIC HEALTH SERVICES - BRAZORIA COUNTY HEALTH DEPARTMENT - CHIEF NURSING OFFICER - GALVESTON COUNTY HEALTH DISTRICT - DIRECTOR - FORT BEND COUNTY HEALTH AND HUMAN SERVICESINPUT COLLECTION: INPUT FROM LEADERS AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME POPULATIONS - CEO - LEGACY COMMUNITY HEALTH - CMO - LEGACY COMMUNITY HEALTH - CEO - EL CENTRO DE CORAZON - CMO - EL CENTRO DE CORAZON - EXECUTIVE DIRECTOR - CHRIST CLINIC - CEO - HOPE CLINIC - CEO - THE ROSE - CEO - ACCESS HEALTH - CMO - VECINO HEALTH CENTERS - CEO - HEALTHCARE FOR THE HOMELESS-HOUSTON - EXECUTIVE DIRECTOR - INTERFACE-SAMARITAN COUNSELING CENTERSINPUT COLLECTION: INPUT FROM MEMBERS WITH BROAD INTERESTS IN THE COMMUNITY - ASSOCIATE DIRECTOR - UNIVERSITY OF TEXAS SCHOOL OF PUBLIC HEALTH - PH.D., MA - KINDER INSTITUTE OF URBAN RESEARCH - PRINCIPAL- TRAFFIC ENGINEERS, INC.
HOUSTON METHODIST HOSPITAL	PART V, SECTION B, LINE 6A: THE CHNA CONDUCTED IN 2016 PER ACA GUIDELINES WAS DONE WITH THE FOLLOWING: - HOUSTON METHODIST SUGAR LAND HOSPITAL - HOUSTON METHODIST WEST HOSPITAL - HOUSTON METHODIST BAYTOWN HOSPITAL - HOUSTON METHODIST WILLOWBROOK HOSPITAL - HOUSTON METHODIST CLEAR LAKE HOSPITAL - HOUSTON METHODIST COORDINATED CARE HOSPITALIN THE FOLLOWING YEAR, THE NEW ADDITION OF HOUSTON METHODIST THE WOODLANDS HOSPITAL WAS ADOPTED UNDER THE PRIORITIES IDENTIFIED.
HOUSTON METHODIST HOSPITAL	PART V, SECTION B, LINE 7D: IN ADDITION TO THE CONDUCTED CHNA BEING MADE EASILY ACCESSIBLE THROUGH THE HM 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 OF WHICH INCLUDE STAKEHOLDERS, OTHER HEALTH CARE FACILITIES, ETC. IN ADDITION, THE REPRESENTATIVES OF THE COMMUNITY BENEFITS OFFICE PRESENTED THE CHNA FINDINGS TO AUDIENCES AT EACH HOUSTON METHODIST FACILITY AND OTHER EXTERNAL STAKEHOLDERS TO FURTHER PUBLICIZE EFFORTS.
HOUSTON METHODIST HOSPITAL	PART V, SECTION B, LINE 11: HMH WAS ABLE TO IDENTIFY THE TOP FOUR HEALTH PRIORITIES OF ITS COMMUNITY VIA THE CHNA PROCESS. THE HEALTH PRIORITIES THAT HMH 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 THAT REDUCE THE LIKELIHOOD OF CHRONIC DISEASE DEVELOPMENT - INCREASE ACCESS TO MENTAL HEALTH CARE SERVICES WITHIN HMH'S SURROUNDING UNDERSERVED COMMUNITYHEALTH NEED: INCREASE ACCESS TO PRIMARY CARE SERVICES FOR THE SURROUNDING COMMUNITIESOBJECTIVES: - ORGANIZE AT LEAST ONE CONTINUING MEDICAL EDUCATION EVENT LED BY A PHYSICIAN CHAMPION DISCUSSING LUNG CANCER SCREENING, TARGETING PRIMARY CARE PHYSICIANS AND PULMONOLOGISTS, THEREFORE INCREASING CONTINUED SCREENING NUMBER AND PHYSICIAN AWARENESS. - PROVIDE ON-GOING PARTICIPATION INFORMING THE PUBLIC OF LUNG CANCER AWARENESS AND SCREENING VIA HEALTH FAIRS (MINIMUM 2 ANNUALLY) AND COMMUNITY EVENTS IN COLLABORATION WITH HARRIS HEALTH SYSTEM AND OTHER COMMUNITY AGENCIES. THIS EFFORT WILL INCLUDE ANNUAL FOLLOW UPS TO SCREENED PATIENTS. - WORK WITH KEY HMH DEPARTMENTS TO EXPAND THE NETWORK OF CARE PROGRAM BY INCREASING THE NUMBER OF PARTNER CLINICS WITHIN THE PROGRAM AND EXPANDING THE NUMBER OF HOSPITAL FLOORS THE PROGRAM SUPPORTS WITH THE PURPOSE OF PROVIDING HOUSTON METHODIST UNDERSERVED PATIENTS WITH AN OPPORTUNITY TO ESTABLISH A MEDICAL HOME. - CONTINUE TO PROVIDE COMPREHENSIVE PRIMARY CARE SERVICES AT DENVER HARBOR CLINIC THROUGH THE HOUSTON METHODIST FAMILY MEDICINE RESIDENCY PROGRAM. OUTCOMES: - ON NOVEMBER 13, 2018 HMH HOSTED A Q&A LUNG EVENT WITH 22 ATTENDEES, PANEL OF PULMONOLOGIST AND ONCOLOGISTS PROVIDING LUNG CANCER EDUCATIONAL INFORMATION. ALSO, IN 2018, THE CANCER CENTER COMPLETED 525 LUNG CANCER SCREENINGS SYSTEM-WIDE, WITH 102 REFERRED TO HMH, AND 29 SUSPICIOUS NODULES SYSTEM-WIDE - THE CANCER CENTER HOSTED A WELLNESS FAIR WITH THE TEXAS DEPARTMENT OF TRANSPORTATION FOR HOUSTON DISTRICT ON OCTOBER 5, 2018 WITH 200+ TEXAS DEPARTMENT OF TRANSPORTATION EMPLOYEES IN ATTENDANCE, INCLUDING A BOOTH PROMOTING LUNG CANCER AWARENESS AND LUNG CANCER SCREENINGS OFFERING FACTS REGARDING LUNG CANCER AND PREVENTION, SYMPTOMS. - THE CANCER CENTER PARTICIPATED IN A QUARTERLY HMH SMOKING CESSATION CLASS - BEAT THE PACK IN COLLABORATION WITH PFIZER, A 4-SESSION CLASS OFFERING HELPFUL INFORMATION AND TECHNIQUES TO QUIT SMOKING LED BY AN ONCOLOGY NURSE NAVIGATOR AND HMH LUNG CENTER RESPIRATORY THERAPIST. OF SIX ATTENDEES, TWO SUCCESSFULLY QUIT SMOKING. - IN 2018, MORE THAN 700 PATIENTS WERE REFERRED VIA THE NETWORK OF CARE PROGRAM SYSTEM-WIDE. 50+ OF THESE PATIENTS WERE REFERRED FROM HMH. REFERRAL AGENCIES PART OF THE NETWORK OF CARE IN 2018 INCLUDED LEGACY COMMUNITY HEALTH, SPRING BRANCH COMMUNITY HEALTH, AND INTERFAITH COMMUNITY CLINIC AMONG OTHERS. A TOTAL OF 19 CLINICS ARE NOW PART OF THE NETWORK. THIS IS AN INCREASE FROM THE PREVIOUS YEAR WHEN ONLY 13 LOCATIONS WERE AVAILABLE. THIS INCREASE WILL HELP HMH BETTER ADDRESS THE NEED OF ELIGIBLE PATIENTS AND REDUCE THE LIKELIHOOD OF TRANSPORTATION BEING A BARRIER TO ACCESSING CARE. - HMH CONTINUES TO PROVIDE CARE THROUGH THE FAMILY MEDICINE RESIDENCY PROGRAM AT DENVER HARBOR CLINIC. IN 2018, 5,093 UNIQUE PATIENTS WERE SERVED THROUGH THIS PROGRAM. ADDITIONALLY, 13,190 FAMILY MEDICINE PATIENT VISITS WERE REPORTED. HEALTH NEED: REDUCE BARRIERS TO ACCESSING SPECIALTY CARE SERVICES FOR THE SURROUNDING UNDERSERVED COMMUNITYOBJECTIVES: - CONNECT WITH MEDICAL, SURGICAL AND RADIATION ONCOLOGY GROUPS. CONTINUE TO INTEGRATE NAVIGATION PROGRAM WITH THESE GROUPS. PATIENT NAVIGATOR WILL WORK WITH THESE GROUPS TO FACILITATE COMPLIANCE WITH COC-DEFINED PATIENT NAVIGATION PROCESS FOR UTILIZATION OF DISTRESS SCREENING AND SURVIVORSHIP CARE PLANS. - CONTINUE TO ADMINISTER THE HOUSTON METHODIST COMMUNITY BENEFITS GRANT AND THE MENTAL HEALTH INNOVATION GRANT WITH A FOCUS ON INCREASING THE FINANCIAL INVESTMENT INTO NONPROFIT ORGANIZATIONS PROVIDING SPECIALTY CARE SERVICES TO THE UNDERSERVED/INDIGENT POPULATIONS ANNUALLY. - CONTINUE TO PROVIDE ACCESS TO NEPHROLOGY, ENDOCRINOLOGY, NEUROLOGY AND OPHTHALMOLOGY SERVICES UTILIZING THE HOUSTON METHODIST COMMUNITY SCHOLARS PROGRAM AS AN ADMINISTRATION VEHICLE WITHIN LOCAL FEDERALLY QUALIFIED AND CHARITY HEALTH FACILITIES. BY 2019 WORK TO INCREASE THE SPECIALTY CARE SERVICES OFFERED THROUGH THIS PROGRAM AS WELL AS INCREASE THE NUMBER OF HOST SITES - CONTINUE TO PROVIDE BREAST ONCOLOGY SERVICES AT DENVER HARBOR CLINIC THROUGH A CLINIC STAFFED BY HMH ONCOLOGISTS, WITH THE GOAL OF MAINTAINING THIS CLINIC AS A MEANS FOR PATIENTS TO HAVE ACCESS TO CARE THAT MAY OTHERWISE NOT BE AVAILABLE TO THEM. OUTCOMES: - THE HOUSTON METHODIST CANCER COMMITTEE HAS IDENTIFIED POTENTIAL PIVOTAL VISITS AS THE: INITIAL VISIT WITH A MEDICAL ONCOLOGIST, INITIAL INFUSION CENTER VISIT, AND/OR INITIAL VISIT WITH A RADIATION ONCOLOGIST. IN COMPLIANCE WITH THE COMMISSION OF CANCER, PATIENT NAVIGATORS HAVE WORKED WITH DEPARTMENT MANAGEMENT TO INCREASE THE NUMBER OF DISTRESS SCREENS PERFORMED AT THOSE VISITS WITH A GOAL OF 100% COMPLIANCE. THE PHQ9 DEPRESSION QUESTIONNAIRE IS USED FOR PATIENT SCREENING. IN 2018 THERE WERE 728 PATIENTS REFERRED FOR PATIENT NAVIGATION FOR COORDINATION OF TREATMENT ACROSS MULTIPLE DEPARTMENTS AND SPECIALTIES. HMH PATIENT NAVIGATORS PERFORM A DUTY SIMILAR TO THAT OF A SOCIAL WORKER, BUT FOR CANCER PATIENTS SPECIFICALLY. - IN 2018, APPROXIMATELY $4.4 MILLION WAS ADMINISTERED THROUGH THE COMMUNITY BENEFITS GRANT. THE FUNDING FROM THIS GRANT ALLOWED FOR APPROXIMATELY 100,000 PATIENTS TO RECEIVE SPECIALTY CARE AND PRIMARY CARE SERVICES. FURTHERMORE, AN ADDITIONAL $1.0 MILLION WAS ADMINISTERED THROUGH THE MENTAL HEALTH INNOVATION GRANT. APPROXIMATELY 51,196 PATIENTS RECEIVED MENTAL HEALTH SERVICES VIA THIS FUNDING. - A TOTAL OF 872 PATIENTS WERE SERVED VIA NEPHROLOGY, ENDOCRINOLOGY, NEUROLOGY, CARDIOLOGY, HEM-ONCOLOGY, URO-GYNECOLOGY, AND OPHTHALMOLOGY COMMUNITY SCHOLARS PROGRAMS IN 2018. - HMH IS CONTINUING TO PROVIDE BREAST ONCOLOGY SERVICES AT DENVER HARBOR CLINIC UTILIZING THE SUPPORT OF SELECT HMH CANCER CENTER PHYSICIANS. IN 2018, 350 PATIENTS VIA THIS INITIATIVE RECEIVED BREAST EXAMS, SCREENING OR DIAGNOSTIC MAMMOGRAMS.HEALTH NEED: PROMOTE HEALTHY LIVING BEHAVIORS THAT REDUCE THE LIKELIHOOD OF CHRONIC DISEASE DEVELOPMENTOBJECTIVES: - TO INCREASE THE NUMBER OF REFERRALS TO THE HOME PLATE PROGRAM BY 10% ANNUALLY. NAVIGATORS WILL ASSESS THE PATIENT'S NEED AND ABILITY TO RECEIVE MEALS AND SAFETY CHECKS TO ENCOURAGE IN-HOUSE CASE MANAGEMENT DESIGNED TO ADDRESS FOOD INSECURITY. - HOLD AN ANNUAL COMMUNITY "SAVE A LIFE" EVENT TO EMPOWER THE COMMUNITY TO LEARN HANDS-ONLY CPR, HOW TO START OR MAINTAIN A HEALTHY LIFESTYLE, AND WHEN TO SEEK HELP FROM A PHYSICIAN. IN PARTNERSHIP WITH THE AMERICAN HEART ASSOCIATION, THIS EVENT WILL BE HELD ANNUALLY. - DEVELOP PATIENT AND COMMUNITY EDUCATION MATERIALS FOR TARGETED CARDIOVASCULAR DISEASES AND CONDITIONS FOCUSING ON SELF-HELP AND PREVENTION. MATERIALS WILL INCLUDE BOOKLETS AND HANDOUTS FOR CURRENT PATIENTS AT HMH AND POTENTIAL PATIENTS THAT ARE ENCOUNTERED AT COMMUNITY AND PATIENT OUTREACH EVENTS. THE GOAL IS TO INCREASE DISTRIBUTION BY 10% ANNUALLY. OUTCOMES: - IN 2018, A TOTAL OF 9,726 MEALS WERE PROVIDED TO POST-DISCHARGE PATIENTS, REPRESENTING AN INCREASE OF 86% FROM 2017. THE TOTAL VALUE WAS APPROXIMATELY $72,000. - HOUSTON METHODIST DEBAKEY INSTITUTE FOR CARDIOVASCULAR EDUCATION AND TRAINING IN PARTNERSHIP WITH THE AMERICAN HEART ASSOCIATION HOSTED THE 2018 SAVE A LIFE EVENT ON JUNE 2 AT THE HOUSTON MUSEUM OF NATURAL SCIENCE. THIS EVENT COMPRISED OF 3 SESSIONS: HANDS-ONLY INFANT CPR AND CHOKING RELIEF TRAINING, HANDS-ONLY CPR FOR ADULTS AND A CPR CERTIFICATION CLASS. PARTICIPANTS HEARD FROM HMH CLINICAL STAFF AND CARDIAC ARREST SURVIVORS ABOUT THE IMPORTANCE OF KNOWING CPR. A TOTAL OF 314 PEOPLE PARTICIPATED. ALL PARTICIPANTS RECEIVED A CPR ANYTIME KIT AND HEART-HEALTHY INFORMATION. - ON MARCH 6, 2018, HMH HELD THE INAUGURAL HEART OF A WOMAN ONE-DAY CONFERENCE, IN PARTNERSHIP WITH THE NATIONAL FEDERATION OF BUSINESS AND PROFESSIONAL WOMEN-HOUSTON CHAPTER. THIS EVENT FOCUSED ON GENDER DISPARITIES IN CARDIOVASCULAR DISEASE, AND FEATURED EXPERTS FROM DIVERSE ACADEMIC DISCIPLINES TO EDUCATE WOMEN ABOUT THE GENDER-SPECIFIC SYMPTOMS, DIAGNOSIS AND TREATMENT OF HEART DISEASE. ATTENDEES LEARNED STRATEGIES FOR IMPROVING THEIR OWN HEART HEALTH. THE EVENT REACHED A TOTAL OF 136 LEARNERS THROUGH THIS ONE-DAY CONFERENCE.
HEALTH NEED: INCREASE ACCESS TO MENTAL HEALTH CARE SERVICES WITHIN HOUSTON	METHODIST'S SURROUNDING UNDERSERVED COMMUNITYOBJECTIVES: - HMH WILL SCREEN AT LEAST 5,000 PATIENTS FOR SUICIDE AND DEPRESSION THROUGH THE PHQ-9 SCREENING TOOL. GOAL FOR 5,800 SCREENS COMPLETED BY 2018 AND 6,300 SCREENS BY 2019. - CONTINUE TO ADMINISTER THE HOUSTON METHODIST MENTAL HEALTH INNOVATION (MHI) GRANT ON AN ANNUAL BASIS WITH INTEREST IN EXPANDING THE NUMBER OF ELIGIBLE APPLICANTS THROUGH COLLABORATION AND ELEVATING THE GRANT AS A STRONG MEDIUM FOR INNOVATIVE APPROACHES TO ADDRESSING BEHAVIORAL HEALTH WITHIN THE UNDERSERVED COMMUNITY. - DEVELOP AN EDUCATIONAL ACTIVITY FOR THE MEMBERS OF THE HEALTH COMMUNITY DESIGNED TO HIGHLIGHT THE BENEFITS OF ACCESSING MENTAL HEALTH CARE AND HIGHLIGHTING ELEMENTS THAT SERVE AS BARRIERS TO ACCESS.OUTCOMES: - IN 2018, A TOTAL OF 3,345 HIGH-RISK HMH PATIENTS WERE SCREENED FOR A MENTAL HEALTH DISORDER UPON ADMISSION TO THE HOSPITAL. THESE PATIENTS WERE SCREENED UTILIZING THE PHQ-9 SCREENING TOOL. WHEN A PATIENT PRESENTS AS HIGH RISK OF READMISSION, AN ALERT IS SENT TO DSRIP SOCIAL WORKERS. OUT OF THE 3,345 PATIENTS SCREENED, 2,074 PATIENTS WERE SCREENED FOR SUBSTANCE ABUSE. THIS HAS A COMPLETION RATE OF SCREENING 100% OF PATIENTS FOR MENTAL ILLNESS AND 62% FOR SUBSTANCE USE. - IN 2018, A TOTAL OF $1,080,000 WAS ADMINISTERED VIA THE MHI GRANT. A TOTAL OF TWELVE DIFFERENT PROJECTS WERE FUNDED BETWEEN 19 AGENCIES. AN ESTIMATED 51,196 PATIENTS WERE SERVED THROUGH SERVICES PROVIDED VIA THE MHI GRANT FUNDING IN 2018. - A CME EVENT WAS HOSTED IN MARCH OF 2018 TITLED "SOCIAL DETERMINANTS OF HEALTH: A DISCUSSION ON MENTAL HEALTH". A PANEL OF SPEAKERS WERE ESTABLISHED FOR THE 2018 EVENT WHICH INCLUDED AGENCIES THAT PROVIDE MENTAL HEALTH SERVICES. ADDITIONALLY, THE EVENT FEATURED A SPECIAL TOPIC REGARDING SEX TRAFFICKING AND THE MENTAL HEALTH EFFECTS ON VICTIMS. APPROXIMATELY 225 PEOPLE ATTENDED THE EVENT. IN SEPTEMBER OF 2018, A CONTINUATION OF THE SOCIAL DETERMINANTS EVENT ON MENTAL HEALTH TOOK PLACE. COMMUNITY BENEFITS HOSTED A VIRTUAL CONFERENCE TO ALLOW PAST AUDIENCE MEMBERS TO GET THEIR QUESTIONS ANSWERED THAT THE ORIGINAL SPEAKERS PANEL WERE UNABLE TO ADDRESS DUE TO TIME CONSTRAINTS IN MARCH. THIS VIRTUAL CONFERENCE YIELDED APPROXIMATELY 100 REGISTRATIONS AND LASTED ONE HOUR.HEALTH NEEDS NOT BEING ADDRESSED:OF THE HEALTH NEEDS IDENTIFIED BY THE CHNA PROCESS, SEGMENTS THAT FELL UNDER THE UMBRELLA OF EACH PRIORITY WERE NOT ADDRESSED DUE TO INEFFICIENT RESOURCES OR THE NEED BEING OUTSIDE THE SCOPE OF SERVICES THAT HOUSTON METHODIST IS ABLE TO PROVIDE. THOSE SEGMENTS INCLUDE: - SOCIAL DETERMINANTS: HOUSTON METHODIST WAS UNABLE TO FOCUS ON SOCIAL DETERMINANTS THAT INCLUDE TRANSPORTATION, HOUSING AFFORDABILITY, FOOD SECURITY AND OTHER FACTORS DUE TO COMPETITION FOR RESOURCES. HOUSTON METHODIST'S PRIMARY FOCUS IS TO PROVIDE ACCESS TO HEALTH CARE SERVICES. WITH RECOGNITION THAT THE LISTED DETERMINANTS CAN HAVE AN IMPACT ON ONE'S HEALTH STATUS AND OVERALL QUALITY OF LIFE, THE HOSPITAL SYSTEM IS NOT EQUIPPED TO ADDRESS SUCH DETERMINANTS DIRECTLY, THOUGH THE SYSTEM IS WORKING TO INTEGRATE SOLUTIONS INTO ESTABLISHED PROGRAMS SUCH AS NETWORK OF CARE THAT WILL ALLOW AN OPPORTUNITY TO ADDRESS TRANSPORTATION. THE SYSTEM WILL CONTINUE TO SUPPORT CHARITABLE PARTNER FACILITIES WHOSE MISSIONS ARE FOCUSED ON SUCH INITIATIVES. - GREEN SPACE AND PARKS: HOUSTON METHODIST IS UNABLE TO FOCUS ON PROVIDING ACCESS TO GREEN SPACE AND PARKS DUE TO COMPETITION FOR RESOURCES. HOUSTON METHODIST'S PRIMARY FOCUS IS TO PROVIDE ACCESS TO HEALTH CARE SERVICES. WITH RECOGNITION THAT ACCESS TO GREEN SPACE AND PARKS HAS THE POTENTIAL TO INCREASE LEVELS OF PHYSICAL ACTIVITY, AND ACCORDING TO SOME STUDIES HAS MENTAL HEALTH BENEFITS, THE HOSPITAL SYSTEM IS UNABLE TO FOCUS HEAVY RESOURCES ON THIS PROPOSED NEED. HOUSTON METHODIST WILL CONTINUE TO WORK WITH CHARITABLE PARTNERS AND THE CITY OF HOUSTON IN SUPPORT OF POTENTIAL INITIATIVES SURROUNDING GREEN SPACE.UNIQUE HEALTH AND SOCIAL DISPARITIES WITHIN MINORITY POPULATIONS: HOUSTON METHODIST IS FOCUSED ON ADDRESSING THE HEALTH DISPARITIES THAT EXIST IN OUR COMMUNITY. THROUGH THE PRIORITIZATION OF THE PREVIOUSLY LISTED NEEDS, THE IMPACT THAT RACE AND GENDER HAVE ON SUCH DISPARITIES WERE CONSIDERED IN THE CHNA. THIS NEED WILL BE ADDRESSED INDIRECTLYPART 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.

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 AND SEVEN OTHER RELATED ACUTE CARE COMMUNITY HOSPITALS 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 7G:	HMH HAS NOT REPORTED ANY SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7(G).PART II: HMH HAS 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 - 9).
PART III, LINE 8:	MEDICARE ALLOWABLE COSTS WERE DERIVED FROM HMS'S FILED MEDICARE COST REPORTS FOR THE YEAR ENDED DECEMBER 31, 2018. THE ENTIRE MEDICARE SHORTFALL ($149.3 MILLION) AS REPORTED IN PART III, LINE 7, AS WELL AS THE UNREIMBURSED COST OF THE MEDICARE MANAGED CARE PROGRAM ($73.3 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 CHARITY CARE POLICY.
PART VI, LINE 2:	IN ADDITION TO THE ABOVE DESCRIBED PROCESS OF THE CHNA IN WHICH 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 SUCH AS HARRIS COUNTY PUBLIC HEALTH & ENVIRONMENTAL SERVICES COMMUNITY DATA, TEXAS DEPARTMENT OF STATE HEALTH SERVICES INFORMATION, AND PUBLIC HEALTH EXPERT INTERVIEWS. HOUSTON METHODIST IS ABLE TO IDENTIFY THE CHANGING NEEDS OF THE UNDERSERVED POPULATION THROUGH ESTABLISHED COMMUNITY PARTNERSHIPS WITH FEDERALLY QUALIFIED HEALTH CENTERS 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. THE PATIENT WILL THEN BE PROVIDED A LIST OF RESOURCES WITH CONTACT INFORMATION SHOULD THE PATIENT REQUIRE FURTHER ASSISTANCE IN COMPLETING THE APPLICATION.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 FINANCIAL ASSISTANCE APPLICATION 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.HOUSTON METHODIST FINANCIAL ASSISTANCE APPLICATION IS REVIEWED PERIODICALLY; ADDITIONALLY, HOUSTON METHODIST PERSONNEL ARE PROVIDED WITH EDUCATIONAL IN-SERVICES IN THE ADMINISTERING OF THE FINANCIAL ASSISTANCE POLICY AS NEEDED.
PART VI, LINE 4:	HMH DEFINES THE HOUSTON-SUGARLAND-BAYTOWN METROPOLITAN STATISTICAL AREA (MSA) AS ITS COMMUNITY. HMH PRIMARILY SERVES THE FOLLOWING COUNTIES THAT ARE IN THIS MSA: HARRIS, FORT BEND, MONTGOMERY, BRAZORIA, GALVESTON, LIBERTY, CHAMBERS, WALLER, AND WHARTON COUNTIES.THE HMH COMMUNITY, IN REFERENCE TO THE PRIMARY COUNTY SERVED (HARRIS) CONTAINS AN ESTIMATED POPULATION OF 4.7M RESIDENTS, EQUATING TO APPROXIMATELY 70% OF THE MSA.[I] THE OVERALL MSA ACCOUNTS FOR APPROXIMATELY 6.6M PEOPLE.[I] THE HMH MSA IS CONSIDERED ONE OF THE MOST DIVERSE IN THE NATION AND LACKS A SINGULAR RACIAL MAJORITY. PLEASE SEE TABLE 1 FOR A BREAKDOWN OF THE RACIAL POPULATIONS OF HARRIS COUNTY, THE COUNTY PRIMARILY SERVED BY HMH. AS CAN BE SEEN, THE LARGEST RACIAL GROUP IN HARRIS COUNTY IS CLASSIFIED AS HISPANIC/LATINO. FOR COMPARISON TO THE OTHER COUNTIES WITHIN THE MSA, CHAMBERS COUNTY HAS A RACIAL POPULATION THAT DIVERGES GREATLY FROM HARRIS COUNTY. THE CHAMBERS COUNTY POPULATION HAS AN ESTIMATED 42,000 RESIDENTS AND THE LARGEST RACIAL GROUP IS DEFINED AS WHITE NON-HISPANIC AND EQUATES TO AN ESTIMATED 67% WITH HISPANIC AS THE SECOND LARGEST GROUP 22.3%.[I] FORT BEND COUNTY, WITHIN THE MSA, IS DESIGNATED AS BEING THE THIRD MOST ETHNICALLY DIVERSE COUNTY IN THE NATION WITH ALMOST AN EQUAL DISTRIBUTION OF RACIAL GROUPS.HMH DEFINES THE YOUTH AND ADOLESCENT POPULATION AS ANY PERSON BETWEEN THE AGES OF 0-17 YEARS. THIS YOUTH AND ADOLESCENT POPULATION ACCOUNTS FOR THE SECOND HIGHEST PERCENTAGE OF INDIVIDUALS IN HARRIS COUNTY AT 28%.[I] THE YOUNG ADULT AND ADULT POPULATION IS DEFINED AS ANY PERSON BETWEEN THE AGES OF 18-64 YEARS. THIS ADULT POPULATION ACCOUNTS FOR THE HIGHEST PERCENTAGE OF INDIVIDUALS IN HARRIS COUNTY AT 63%.[I] HMH DEFINES THE SENIOR POPULATION AS ANY PERSON OVER THE AGE OF 65 YEARS. THE SENIOR POPULATION CURRENTLY ACCOUNTS FOR 10% OF HARRIS COUNTY.[I]WHEN COMPARING HARRIS COUNTY TO A FEW OTHERS IN THE MSA, THE MEDIAN HOUSEHOLD INCOME IN HARRIS COUNTY IS $57,791; FORT BEND COUNTY CURRENTLY HAS THE HIGHEST MEDIAN HOUSEHOLD INCOME IN THE MSA AT $93,645. LIBERTY COUNTY CURRENTLY HAS THE LOWEST AVERAGE HOUSEHOLD INCOME IN THE MSA AT $48,344.[I] EDUCATIONAL ATTAINMENT VARIES ACROSS THE MSA COMMUNITY. WHEN COMPARING 25-YEAR-OLD PEOPLE WHO HAVE ATTAINED A HIGH SCHOOL DIPLOMA, 81% OF THE POPULATION HAVE GRADUATED FROM HIGH SCHOOL IN HARRIS COUNTY; COMPARED TO 77% OF THE POPULATION IN LIBERTY COUNTY; AND THE HIGHEST NUMBER OF HIGH SCHOOL GRADUATES ARE FROM CHAMBERS COUNTY AT 86%.[I] IN 2018, 19% OF TEXANS UNDER THE AGE OF 65 WERE REPORTED AS BEING UNINSURED.[I] HARRIS COUNTIES UNINSURED RATE FOR PEOPLE UNDER THE AGE OF 65 SITS AT 22%.[I] FOR FURTHER COMPARISON, THE CENTERS FOR DISEASE CONTROL, THE UNITED STATES UNINSURED RATE OF PEOPLE UNDER THE AGE OF 65 IN 2018 HOVERED AT 11%. _______________________________________________________[I] - HOUSTON METHODIST HOSPITAL (2017) MARKET ANALYSIS _______________________________________________________
PART VI, LINE 5:	HMH IS A NONPROFIT HOSPITAL BASED IN HOUSTON, TEXAS AND IS THE FLAGSHIP OF HOUSTON METHODIST. AFFILIATED WITH THE TEXAS ANNUAL CONFERENCE OF THE UNITED METHODIST CHURCH, HOUSTON METHODIST WORKS CLOSELY WITH LOCAL CHURCH LEADERS TO BRING COMPASSION AND SPIRITUALITY TO ALL OF ITS ENDEAVORS AND TO HELP MEET THE HEALTH NEEDS OF THE COMMUNITY IT SERVES.IN ADDITION TO THE FLAGSHIP HOSPITAL, HMH, HOUSTON METHODIST IS COMPRISED OF SEVEN COMMUNITY HOSPITALS, A TOP-RANKED RESEARCH INSTITUTE, A PHYSICIANS ORGANIZATION, A GLOBAL DEVELOPMENT ENTITY AND EIGHT EMERGENCY CARE CENTERS. THE SYSTEM IS AFFILIATED WITH WEILL CORNELL MEDICAL COLLEGE. U.S. NEWS & WORLD REPORT HAS RECOGNIZED HMH AS THE NO. 1 HOSPITAL IN TEXAS FOR THE SEVENTH YEAR IN A ROW. HMH IS RANKED IN EIGHT SPECIALTIES, THE MOST OF ANY HOSPITAL IN THE STATE. HOUSTON METHODIST ALSO APPEARS IN THE MAGAZINE'S REGIONAL AND STATE RANKINGS WITH HOUSTON METHODIST SUGAR LAND HOSPITAL RANKING NO. 5 IN HOUSTON AND NO. 8 IN THE STATE AND HOUSTON METHODIST WILLOWBROOK HOSPITAL RANKING AT NO. 7 IN HOUSTON AND NO. 11 IN THE STATE.HMH IS AN ACUTE CARE COMPLEX WITH 933 OPERATING BEDS, 85 OPERATING ROOMS, 1,915 AFFILIATED PHYSICIANS AND 7,244 EMPLOYEES. IT IS LOCATED IN HOUSTON'S WORLD-RENOWNED TEXAS MEDICAL CENTER.HMH RECORDED 373,564 OUTPATIENT VISITS, 1,132 BIRTHS, AND 79,507 EMERGENCY ROOM VISITS BY HOUSTON AREA RESIDENTS DURING 2018. IN ADDITION, HMH RECORDED MORE THAN 7,314 INTERNATIONAL PATIENT VISITS FROM 78 COUNTRIES IN 2018. ALTHOUGH THESE INDIVIDUALS REPRESENT A DIVERSE GROUP OF BACKGROUNDS, CULTURES AND SOCIO-ECONOMIC STATUS, AS PATIENTS AT HMH 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 HMH.GOVERNING BODYHMH IS GOVERNED BY A BOARD OF DIRECTORS COMPRISED OF MEMBERS OF THE COMMUNITY WHERE IT IS LOCATED. HMH'S BOARD OF DIRECTORS INCLUDES MEMBERS FROM THE COMMUNITY AS WELL AS THE SYSTEM'S PRESIDENT/CEO, HMH'S MEDICAL STAFF PRESIDENT AND THE BISHOP OF THE TEXAS ANNUAL CONFERENCE OF THE UNITED METHODIST CHURCH.COMMUNITY COUNCILSHMH ALSO HAS COMMUNITY INVOLVEMENT THROUGH ADVISORY COUNCILS COMPRISED OF COMMUNITY MEMBERS, INCLUDING MEMBERS OF THE HOUSTON METHODIST BOARD OF DIRECTORS, WHO VOLUNTEER TO CREATE HEALTH-RELATED PROGRAMS FOR HOUSTONIANS. ONE EXAMPLE IS THE PRESIDENT'S LEADERSHIP COUNCIL (PLC), AN ADVISORY BOARD SERVING THE HOSPITAL AND THE ENTIRE HOUSTON METHODIST SYSTEM. PLC MEMBERS WORK WITH HOUSTON METHODIST'S PRESIDENT AND CEO TO ACHIEVE THE HOSPITAL SYSTEM'S MISSION OF IMPROVING HEALTH FOR ITS PATIENTS THROUGH RESEARCH, EDUCATION AND CLINICAL CARE. THE MEMBERS OF THE PLC SERVE AS ADVOCATES AND PHILANTHROPIC AMBASSADORS FOR HOUSTON METHODIST. PLC MEMBERS ARE HIGH-LEVEL VOLUNTEERS WHO BRING PROFESSIONAL EXPERTISE, COMMUNITY AND PATIENT PERSPECTIVES TO HOUSTON METHODIST LEADERSHIP ON BEHALF OF OUR CITY, STATE AND NATION. PARTICIPANTS ARE ENCOURAGED TO SERVE ON ONE OR MORE COMMITTEES FOCUSING ON INSTITUTIONAL ADVOCACY, PHILANTHROPY, CONSTITUENT EVENTS, CORPORATE RELATIONSHIPS OR DEPARTMENTAL PRIORITIES. THE PLC IS A NON-GOVERNING, NON-FIDUCIARY ORGANIZATION AND IS NOT RESPONSIBLE FOR HEALTH CARE OR SYSTEM OVERSIGHT. PLC MEMBERS ARE ASKED TO SERVE A THREE-YEAR TERM, WHICH IS RENEWABLE.OTHER COUNCILS INCLUDE THE HOUSTON METHODIST DEBAKEY HEART & VASCULAR CENTER COUNCIL, THE NEUROLOGICAL INSTITUTE NATIONAL COUNCIL AND THE CENTER FOR PERFORMING ARTS MEDICINE ADVISORY COUNCIL.MEDICAL STAFF MODELHMH HAS AN OPEN MEDICAL STAFF MODEL. THE OPEN MODEL GIVES PATIENTS ACCESS TO PHYSICIANS OF ALL AFFILIATIONS.HEALTH EDUCATIONTHE HOUSTON METHODIST INSTITUTE FOR ACADEMIC MEDICINE PERFORMS CLINICAL AND TRANSLATIONAL EDUCATION WITH A PATIENT-CENTERED AND INTER-PROFESSIONAL TEAM BASED APPROACH. HMH CONTINUALLY MAXIMIZES THE EFFECTIVENESS OF ITS INNOVATIVE TEACHING AND LEARNING PROGRAMS WITH EVIDENCE-BASED METHODOLOGY GROUNDED IN EDUCATIONAL RESEARCH. THIS APPROACH, COMBINED WITH A COLLABORATIVE ENVIRONMENT OF LEARNERS FROM AROUND THE GLOBE, CREATES THE MOST EFFECTIVE EDUCATIONAL EXPERIENCE FOR HEALTH AND TRANSLATIONAL RESEARCH PROFESSIONALS.HOUSTON METHODIST'S MISSION OF LEADING MEDICINE IS GROUNDED IN A COMMITMENT TO TRANSLATIONAL, INTERDISCIPLINARY AND TRANSFORMATIVE RESEARCH AND EDUCATION. OUR MISSION IS TO INNOVATE IN HEALTH CARE TECHNOLOGY AND TRAIN CURRENT AND FUTURE CLINICIANS AND TRANSLATIONAL RESEARCHERS IN CUTTING EDGE HEALTH CARE ADVANCES. THE INSTITUTE FOR ACADEMIC MEDICINE SUPPORTS RESEARCH AND EDUCATION PROGRAMS AT HOUSTON METHODIST BY PROVIDING THE PLATFORM TECHNOLOGIES AND RESEARCH PROGRAMS, ADMINISTRATIVE SUPPORT, STAFF, AND FACILITIES THAT ARE NEEDED TO RAPIDLY TRANSLATE DISCOVERIES MADE IN THE LABORATORY AND THE CLINIC INTO NEW DIAGNOSTICS, THERAPIES AND TREATMENTS.THE OFFICE OF CONTINUING MEDICAL EDUCATION PROVIDES LOCAL, NATIONAL AND INTERNATIONAL EDUCATION CONCENTRATED IN AREAS WHERE OUR CLINICIANS AND SCIENTISTS HAVE RECOGNIZED EXCELLENCE AND WHERE OUR COMMUNITY HAS THE GREATEST NEED. SINCE 2005, HMH'S GRADUATE MEDICAL EDUCATION HAS TRAINED PHYSICIANS IN VARIOUS MEDICAL AND SURGICAL SPECIALTIES. HOUSTON METHODIST SPONSORS 42 ACGME-ACCREDITED AND 9 GME-SPONSORED FELLOWSHIP PROGRAMS IN 2018, GRADUATING ITS 13TH CLASS OF 109 MEDICAL RESIDENTS IN JUNE 2018. IT IS GENUINELY EXCITING TO SEE HOW THIS PROGRAM HAS GROWN OVER THE PAST 13 YEARS AND WE NOW HAVE ALMOST 300 RESIDENTS AND FELLOWS IN HOUSTON METHODIST-SPONSORED GRADUATE MEDICAL EDUCATION.2018 ALSO MARKED THE THIRD YEAR OF A PARTNERSHIP WITH TEXAS A&M HEALTH SCIENCE CENTER COLLEGE OF MEDICINE, AND UNDER THE PARTNERSHIP THE HOSPITAL NOW HAS 55 MEDICAL STUDENTS AND 7 MD/PHD. STUDENTS TO THE HOUSTON CAMPUS, BRINGING THE TOTAL NUMBER OF A&M COLLEGE OF MEDICINE STUDENTS TO 76 MEDICAL STUDENTS AND 18 MD/PHD. STUDENTS TO THE HOUSTON CAMPUS, BRINGING THE TOTAL NUMBER OF A&M COLLEGE OF MEDICINE STUDENTS TO 94 (35 M3 AND 41 M4 STUDENTS + 18 EXISTING MD/PHD STUDENTS).IN JULY 2019, THE TEXAS A&M AND HOUSTON METHODIST ENGINEERING AND MEDICINE (ENMED) MEDICAL SCHOOL TRACK BEGAN IN HOUSTON WITH AN ESTIMATED 25 STUDENTS IN THE FIRST YEAR AND 50 EACH YEAR TO FOLLOW. HMH HOPES THESE TYPES OF COLLABORATIVE RELATIONSHIPS WILL FACILITATE MEDICAL INNOVATION, AS THESE YOUNG STUDENTS ARE PROVIDED THE OPPORTUNITY TO WORK WITH WORLD-CLASS RESEARCHERS AND PHYSICIANS.THE HOUSTON METHODIST INSTITUTE FOR TECHNOLOGY, INNOVATION AND EDUCATION (MITIE) IS A COMPREHENSIVE, STATE-OF-THE-ART EDUCATION AND RESEARCH CENTER FOR PHYSICIANS WHO WISH TO ACQUIRE NEW PROCEDURAL SKILLS AND INTEGRATE NEW TECHNOLOGIES INTO THEIR PRACTICES. ITS RESEARCH MISSION IS TO ENHANCE THE USE OF IMAGE GUIDED TECHNOLOGY TO GUIDE PROCEDURES, INCORPORATE ROBOTIC SURGERY INTO THE IMAGE GUIDED PLATFORM AND DEVELOP NEW TECHNOLOGY AND PROCEDURAL TECHNIQUES.MEDICAL RESEARCHHOUSTON METHODIST RESEARCH INSTITUTE, A SUBSIDIARY OF HMH, WAS ESTABLISHED IN 2004 TO CONDUCT ESSENTIAL TRANSLATIONAL RESEARCH. IN 2018 IT WAS HOME TO 681 FACULTY AND 1,960 CREDENTIALED RESEARCHERS, AND MORE THAN 1,261 ONGOING CLINICAL TRIALS. HOUSTON METHODIST RESEARCH INSTITUTE IS DIRECTLY TIED TO CLINICIANS AND PATIENTS TO HELP MOVE THE BEST IN MEDICAL TECHNOLOGY TO THE PATIENT FASTER - FOR BETTER PREVENTION, DIAGNOSIS AND TREATMENT OF DISEASE. HOUSTON METHODIST RESEARCH INSTITUTE IS ONE WAY HMH INTEGRATES ITS SERVICES, BY BRINGING THE RESEARCH CONDUCTED IN THE LABORATORY TO THE PATIENT'S BEDSIDE. THE DISCOVERIES MADE BY OUR RESEARCHERS QUICKLY FILTER DOWN TO OUR HOSPITALS IN THE FORM OF NEW TREATMENTS AND IMPROVED PROCEDURES.
USE OF SURPLUS FUNDS - HMH	HMH APPROVED 77% OF CHARITY CARE APPLICATIONS IN 2018. IN 2018, HMH PROVIDED $34.1 MILLION IN FINANCIAL ASSISTANCE FOR INTERNAL CHARITY BASED ON THE IRS DEFINITION OF COST. HMH, THROUGH THE HOUSTON METHODIST'S EXTERNAL CHARITY CARE PROGRAM, ALSO PROVIDED A TOTAL OF $25.3 MILLION FOR SERVICES TO THE MEDICALLY NEEDY, THROUGH EXTERNAL ORGANIZATIONS THAT ARE MEETING THE HEALTH CARE NEEDS THAT HOUSTON METHODIST HAS IDENTIFIED AS PRIORITIES.AN INTERNAL CHARITY CARE PROGRAM PROVIDES SERVICES TO THE INDIGENT AT HMH AND THROUGH AFFILIATED ORGANIZATIONS. THE MAJORITY OF PATIENTS WHO QUALIFIED FOR CHARITY CARE WERE EDUCATED ABOUT THE PROGRAM THROUGH SIGNS POSTED THROUGHOUT THE HOSPITAL. OTHER PATIENTS WERE REFERRED BY THEIR PHYSICIANS, HOSPITAL STAFF AND THROUGH FUNDED COMMUNITY AGENCIES. SURPLUS FUNDS ARE ALSO USED EACH YEAR TO STRENGTHEN COMMUNITY SERVICE OUTREACH TO SUPPORT LOW-INCOME AND UNINSURED PATIENTS TO HELP THEM ATTAIN ACCESS TO COMPREHENSIVE HEALTH CARE. SERVICES PROVIDED INCLUDE PRIMARY HEALTH CARE, EMERGENCY AND ROUTINE CARE, IMMUNIZATIONS, DENTAL CARE, PSYCHOLOGICAL AND CASE MANAGEMENT SERVICES, WELL CHILD EXAMINATIONS, SICK VISITS, HEALTH EDUCATION, HEALTH SCREENINGS, WELL WOMAN EXAMS AND IN-KIND LAB SERVICES AND X-RAYS.HMH'S SUPPORT ALLOWED THESE ORGANIZATIONS TO ENHANCE THEIR SERVICES TO LOW-INCOME PATIENTS WITH DIVERSE HEALTH NEEDS. HMH PROVIDED DIRECT FUNDING AND/OR IN-KIND SERVICES INCLUDING LAB TESTS, X-RAYS, IMMUNIZATIONS, HUMAN RESOURCES CONSULTATION AND OTHER SERVICES. WITH THE HOSPITAL'S SUPPORT, AGENCIES LIKE VECINO HEALTH CENTERS AND LEGACY COMMUNITY HEALTH WERE POSITIONED TO MEET FEDERALLY QUALIFIED HEALTH CENTER DESIGNEE QUALIFICATIONS, THEREBY ALLOWING THEM TO QUALIFY FOR ENHANCED MEDICARE AND MEDICAID REIMBURSEMENT.PART VI, LINE 6: LOCATED IN THE HEART OF THE TEXAS MEDICAL CENTER, HMH IS THE FLAGSHIP HOSPITAL OF HOUSTON METHODIST AND SERVES PATIENTS FROM ALL OVER THE WORLD. HOUSTON METHODIST INCLUDES HOUSTON METHODIST SUGAR LAND HOSPITAL IN FORT BEND COUNTY, HOUSTON METHODIST BAYTOWN HOSPITAL IN BAYTOWN, HOUSTON METHODIST WILLOWBROOK HOSPITAL IN NORTHWEST HOUSTON, HOUSTON METHODIST WEST HOSPITAL IN THE KATY AREA, HOUSTON METHODIST CLEAR LAKE HOSPITAL IN THE CLEAR LAKE AREA AND HOUSTON METHODIST CONTINUING CARE HOSPITAL IN THE KATY AREA. HMH SHARES THE GREATER MISSION OF HOUSTON METHODIST TO PROVIDE HIGH QUALITY, COST-EFFECTIVE HEALTH CARE THAT DELIVERS THE BEST VALUE TO THE PEOPLE SERVED IN A SPIRITUAL ENVIRONMENT OF CARING IN ASSOCIATION WITH INTERNATIONALLY RECOGNIZED TEACHING AND RESEARCH. HMH IS AMONG THE COUNTRY'S LARGEST VISITS, 1,132 BIRTHS, AND 43,335 EMERGENCY ROOM VISITS BY HOUSTON AREA RESIDENTS DURING 2018. IN ADDITION, HMH RECORDED MORE THAN 7,314 INTERNATIONAL PATIENT VISITS FROM 86 COUNTRIES IN 2018.HMH PROMOTES THE HEALTH OF THE COMMUNITY AND THE MISSION OF HOUSTON METHODIST BY DELIVERING THE HIGHEST QUALITY AND SAFEST HEALTH CARE TO PATIENTS. QUALITY INITIATIVES RANGE FROM HAND HYGIENE PROGRAMS (WITH EXCEPTIONALLY GOOD RESULTS), TO PATIENT FALL AND INFECTION REDUCTION PROGRAMS. HMH WAS THE FIRST HOSPITAL IN THE TEXAS MEDICAL CENTER TO REQUIRE ITS EMPLOYEES, VENDORS AND VOLUNTEERS TO RECEIVE THE SEASONAL FLU SHOT TO PROTECT PATIENTS, THOSE TYPICALLY MOST VULNERABLE TO COMPLICATIONS FROM THE FLU.HMH IS THE ACADEMIC MEDICAL CENTER FOR HOUSTON METHODIST, BRINGING THE COMMUNITY AN INSTITUTION DEDICATED TO PATIENT CARE, RESEARCH AND EDUCATION. BY SERVING AS A LEADING ACADEMIC MEDICAL CENTER, IT PROVIDES THE COMMUNITY WITH QUALITY PATIENT CARE, LEADING RESEARCH THAT CAN BE QUICKLY TRANSLATED INTO TREATMENTS AND THE TRAINING OF OUR COUNTRY'S FUTURE DOCTORS. WHILE ALL HOUSTON METHODIST HOSPITALS PROVIDE QUALITY PATIENT CARE, HMH EXPANDS THE VISION TO INCLUDE RESEARCH AND A COMPREHENSIVE RESIDENCY PROGRAM. ASIDE FROM PROMOTING THE HEALTH OF OUR COMMUNITY BY DELIVERING EXCEPTIONAL LEADING CARE TO OUR PATIENTS, HOUSTON METHODIST MAKES SIGNIFICANT CONTRIBUTIONS THROUGH COMMUNITY BENEFITS PROGRAMS AS DESCRIBED BELOW.COMMUNITY BENEFIT ACTIVITIES AND HEALTH SERVICES:HMH RESPONDED TO THE COMMUNITY'S NEEDS IN 2018 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, HMH 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 NON-PROFIT 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 2018, HMH SUPPORTED NUMEROUS AGENCIES ACROSS THE GREATER HOUSTON AREA INCLUDING BUT NOT LIMITED TO: -SANTA MARIA HOSTEL -EL CENTRO DE CORAZON -MEMORIAL ASSISTANCE MINISTRIES -HEALTHCARE FOR THE HOMELESS - HOUSTON -HOPE CLINIC -HOUSTON AREA WOMEN'S CENTER -INTERFACE-SAMARITAN COUNSELING CENTER -LEGACY COMMUNITY HEALTH SERVICES -SAN JOSE CLINIC -THE ROSE -THE WOMEN'S HOME -VECINO HEALTH CENTERSEDUCATIONHMH'S PRIMARY ACADEMIC PARTNER IS WEILL CORNELL MEDICINE IN NEW YORK. THE TWO INSTITUTIONS SHARE BEST PRACTICES AND COLLABORATE ON RESEARCH, EDUCATION AND CLINICAL CARE. MORE THAN 460 HOUSTON METHODIST PHYSICIANS HAVE WEILL CORNELL FACULTY POSITIONS, AND HMH SPONSORS NEARLY OF ITS OWN MEDICAL RESIDENTS IN VARIOUS SPECIALTIES - RANGING FROM NEUROSURGERY TO PATHOLOGY TO OBSTETRICS/GYNECOLOGY - AND HOSTS SEVERAL MORE FROM OTHER MEDICAL INSTITUTIONS.IN ADDITION, HMH COLLABORATES WITH MANY OTHER ACADEMIC AND MEDICAL INSTITUTIONS TO PROMOTE THE HEALTH OF THE COMMUNITY, INCLUDING NEW YORK-PRESBYTERIAN HOSPITAL, RICE UNIVERSITY, BAYLOR COLLEGE OF MEDICINE, UNIVERSITY OF HOUSTON, TEXAS A&M UNIVERSITY, TEXAS CHILDREN'S HOSPITAL, UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER, TEXAS WOMAN'S UNIVERSITY AND PRAIRIE VIEW A&M, AMONG OTHERS.COMMUNITY INVOLVEMENTHMH ACTIVELY DEVELOPS AWARENESS INITIATIVES, SPONSORSHIPS AND PROGRAMS THAT PROMOTE HEALTH AND WELLNESS, PREVENTION AND EARLY DETECTION. HMH STAFF AND VOLUNTEERS CAN BE SEEN AT HEALTH SCREENINGS, EXERCISE AND NUTRITION PROMOTIONS, STRESS MANAGEMENT CLINICS AND OTHER HEALTH PROMOTION ACTIVITIES THROUGHOUT THE YEAR.HOUSTON METHODIST CONCUSSION CENTER PROVIDES COMPREHENSIVE SERVICES AND A DEDICATED TEAM OF CONCUSSION SPECIALISTS TO EDUCATE ATHLETES, ESPECIALLY STUDENT-ATHLETES, ABOUT THE IMPORTANCE OF CONCUSSION AWARENESS. THROUGH THE CENTER, STUDENT ATHLETES HAVE ACCESS TO IMPACT (IMMEDIATE, POST-CONCUSSION ASSESSMENT AND COGNITIVE TESTING) TESTING, AT THEIR SCHOOLS OR AT THE CONCUSSION CENTER. IMPACT IS THE FIRST COMPUTERIZED CONCUSSION EVALUATION SYSTEM. IN ADDITION TO PROVIDING CLINICAL CARE, THE CONCUSSION CENTER STAFF EDUCATES THE COMMUNITY ABOUT SIGNS AND SYMPTOMS, DANGERS AND PROPER MEDICAL MANAGEMENT. THE CENTER CONDUCTS OUTREACH ACTIVITIES WHICH BENEFIT MORE THAN 1,000 HOUSTON-AREA RESIDENTS MONTHLY.THE NANTZ NATIONAL ALZHEIMER CENTER AT HMH ADVANCES RESEARCH AND TREATMENT OF ALZHEIMER'S DISEASE, ONE OF THE LARGEST THREATS TO THE ELDERLY POPULATION IN OUR COUNTRY. IT IS PROJECTED THAT AS MANY AS 16 MILLION PEOPLE WILL HAVE ALZHEIMER'S BY 2050. THE CENTER, DEDICATED TO FINDING A CURE FOR ALZHEIMER'S, ADDRESSES ONE OF THE LARGEST HEALTH CRISES AFFECTING AMERICANS TODAY.HMH PROMOTES THE HEALTH OF THE COMMUNITY BY FULFILLING HOUSTON METHODIST'S MISSION THROUGH EXCEPTIONAL, HIGH-QUALITY PATIENT CARE, EDUCATION AND RESEARCH, AFFILIATIONS WITH ACADEMIC AND MEDICAL PARTNERS FOR IMPROVED COMMUNITY HEALTH CARE, CHARITY CARE AND COMMUNITY INVOLVEMENT.HMH ALSO COOPERATES WITH LOCAL ENTITIES TO IDENTIFY COMMUNITY NEEDS. MEMBERS OF HMH'S EXECUTIVE TEAM ARE ON THE BOARDS OF LOCAL ORGANIZATIONS THAT ADVOCATE FOR EDUCATIONAL, ENVIRONMENTAL AND HEALTH CARE ISSUES THAT AFFECT PUBLIC POLICY AND INTERNATIONAL COMPANIES THAT DO BUSINESS IN HOUSTON.HOUSTON METHODIST'S EMPLOYEES HAVE A LONGSTANDING TRADITION OF SUPPORTING EFFORTS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. OUR EMPLOYEES DONATE TIME, TALENT AND MONEY TOWARDS MANY GREAT COMMUNITY CAUSES.ADMINISTRATIVE HOURS WERE ALLOCATED TO COORDINATE VOLUNTARY EMPLOYEE PROJECTS TO MEET SPECIFIC COMMUNITY NEEDS. BECAUSE OF ADMINISTRATIVE SUPPORT, HOSPITAL EMPLOYEES PARTICIPATED IN OR PROVIDED A SERVICE TO THE FOLLOWING: AMERICAN HEART ASSOCIATION'S HOUSTON HEART WALK, SUSAN
G. KOMEN RACE FOR THE CURE, ADOPT-A-FAMILY HOLIDAY PROGRAM, MEDICAL	BRIDGES, COMMUNITY HEALTH FAIRS, MEDICAL MISSIONS, EMPLOYEE BLOOD DRIVES, WINTER CARE DRIVE FOR THE HOMELESS, AND OTHER COMMUNITY-BASED ACTIVITIES. A PROMINENT COMMUNITY BENEFIT PROGRAM PROVIDED IS THE HOSPTIAL SYSTEM'S I CARE IN ACTION PROGRAM. I CARE IN ACTION ALLOWS HMH EMPLOYEES TIME OFF TO VOLUNTEER AT COMMUNITY CHARITIES. BY ALLOWING EMPLOYEES TIME OFF TO VOLUNTEER, WE HELP COMMUNITY AGENCIES SAVE FINANCIAL RESOURCES SO MORE OF THEIR FUNDS CAN GO TOWARDS PROVIDING DIRECT CARE TO THEIR UNDERSERVED PATIENT AND CLIENT BASE. FOR 2018, HMH EMPLOYEES PROVIDED 2,588 VOLUNTEER HOURS THROUGH I CARE IN ACTION. THESE DONATED HOURS EQUATE TO A VOLUNTEER TIME VALUE OF APPROXIMATELY $64,000. AGENCIES VOLUNTEERED WITH VIA THE I CARE IN ACTION PROGRAM INCLUDED BUT WERE NOT LIMITED TO THE CENTER-HOUSTON, REBUILDING TOGETHER HOUSTON, MEMORIAL ASSISTANCE MINISTRIES, HOUSTON CHILDREN'S CHARITY AND MORE. THE PROGRAM HAS MORE THAN 30 AGENCIES AVAILABLE FOR EMPLOYEES TO SUPPORT. 2018 WAS THE SIXTH YEAR OF HOUSTON METHODIST'S I CARE IN ACTION PROGRAM. PROGRAM AND COMMUNITY PARTNERSHIPSTHANKS TO THE PROGRAMS SUPPORTED BY HOUSTON METHODIST, MORE THAN 1,000 HOUSTONIANS BENEFIT FROM ANNUAL PEDIATRIC CHECK-UPS, PREVENTATIVE SCREENING, DENTAL CARE, DIAGNOSTIC PROCEDURES, COMPLEX SURGERIES AND A HOST OF OTHER MEDICAL TREATMENTS - CARE TO WHICH THEY MIGHT OTHERWISE NOT HAVE ACCESS.HOUSTON METHODIST IS PLEASED TO HAVE A SIGNIFICANT PARTNERSHIP WITH VECINO COMMUNITY HEALTH CENTERS' DENVER HARBOR CLINIC, WHICH SERVES A NEIGHBORHOOD OF NEARLY 28,000 PEOPLE. THIS CLINIC, WHICH WAS ESTABLISHED IN 1999, HAS GROWN WITH HOUSTON METHODIST'S HELP INTO A VIBRANT HEALTH CARE CENTER FOR THIS EXPANDING COMMUNITY. IN ADDITION TO PROVIDING STAFF, HOUSTON METHODIST ALSO PROVIDES FUNDING AND IN-KIND SERVICES, INCLUDING X-RAYS, IMMUNIZATIONS AND LABORATORY TESTING, FOR 9,000 PATIENTS ANNUALLY.DENVER HARBOR IS JUST ONE OF MANY COLLABORATIVE PARTNERSHIPS THAT HOUSTON METHODIST HAS FOSTERED THROUGH ITS COMMUNITY OUTREACH EFFORTS. AN INITIATIVE THAT HAS HELPED PROVIDE ACCESS TO SPECIALTY CARE SERVICE FOR THE UNDERSERVED COMMUNITY IS HOUSTON METHODIST'S COMMUNITY SCHOLARS PROGRAM. ESTABLISHED IN 2013, THE PROGRAM HAS PROVIDED THE SERVICES OF ENDOCRINOLOGY, NEUROLOGY, NEPHROLOGY, OPHTHALMOLOGY, PULMONOLOGY, CARDIOLOGY AND HEMATOLOGY ONCOLOGY TO LOCAL COMMUNITY PARTNER CLINICS SUCH AS LEGACY COMMUNITY HEALTH AND HOPE CLINIC. FOR 2018, MORE THAN 800 PATIENTS WERE SEEN VIA THE COMMUNITY SCHOLARS PROGRAM.SUMMARY AS 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 $254.8 MILLION IN CHARITY CARE AND COMMUNITY BENEFITS FOR THE YEAR ENDED DECEMBER 31, 2018. IN ADDITION, BASED ON IRS COST DEFINITIONS, HOUSTON METHODIST PROVIDED $433.0 MILLION IN CARE TO MEDICARE, MEDICARE MANAGED CARE AND TRICARE/USFHP PROGRAM BENEFICIARIES FOR THE YEAR ENDED DECEMBER 31, 2018.PART VI, LINE 7: TX

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (48 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ACCESS HEALTH (FORMERLY FORT BEND FAMILY HEALTH)
400 AUSTIN ST	RICHMOND	TX	77469	741951476	501C3	$115,000	OUTPATIENT CLINIC
ADULT CONGENITAL HEART ASSOCIATION
3300 HENRY AVENUE SUITE 112	PHILADELPHIA	PA	19129	043447959	501C3	$5,500	HEALTHCARE SERVICES
AMERICAN CANCER SOCIETY
6301 RICHMOND AVE	HOUSTON	TX	77057	522340031	501C3	$25,000	MEDICAL RESEARCH
AMERICAN HEART ASSOCIATION
PO BOX 15186	AUSTIN	TX	78761	135613797	501C3	$15,000	MEDICAL RESEARCH
BAYLOR COLLEGE OF MEDICINE
1 BAYLOR PLAZA	HOUSTON	TX	77030	741613878	501C3	$10,818,137	EDUCATIONAL
BOYS AND GIRLS COUNTRY OF HOUSTON INC
18806 ROBERTS ROAD	HOCKLEY	TX	774479327	746026198	501C3	$80,000	MENTAL HEALTH SERVICES
CAN CARE OF HOUSTON
9575 KATY FREEWAY SUITE 428	HOUSTON	TX	77024	760305357	501C3	$16,000	MEDICAL RESEARCH
CASA DE ESPERANZA DE LOS NINOS INC
2911 CORDER ST	HOUSTON	TX	77054	760105306	501C3	$10,000	MENTAL HEALTH SERVICES
CHRIST CLINIC
5504 FIRST STREET	KATY	TX	77493	900789318	501C3	$150,000	OUTPATIENT CLINIC
COLLEGE OF BIBLICAL STUDIES
7000 REGENCY SQUARE BLVD	HOUSTON	TX	77036	742016083	501C3	$10,000	COMMUNITY OUTREACH
COMMUNITIES IN SCHOOLS-HOUSTON
1235 NORTH LOOP WEST STE 300	HOUSTON	TX	77008	760031827	501C3	$10,000	MENTORSHIP
EL CENTRO DE CORAZONEASTWOOD HEALTH CLINIC
5001 NAVIGATION	HOUSTON	TX	77011	760442781	501C3	$330,000	OUTPATIENT CLINIC
EPISCOPAL HEALTH FOUNDATION
500 FANNIN STREE STE 300	HOUSTON	TX	77002	462599162	501C3	$6,547	COMMNUNITY OUTREACH
GOLFERS AGAINST CANCER INC
1700 LAKE KINGWOOD TRAIL	KINGWOOD	TX	77345	760574871	501C3	$25,000	MEDICAL RESEARCH
GOOD SAMARITAN FOUNDATION
5615 KIRBY DRIVE STE 610	HOUSTON	TX	77005	741235398	501C3	$15,000	COMMUNITY SERVICE
HARRIS COUNTY CLINICAL SERVICES INC
2801 VIA FORTUNA STE 500C	AUSTIN	TX	78746	432110434	501C3	$600,000	COMMUNITY SERVICE
HEALTHCARE FOR THE HOMELESS - HOUSTON
2505 FANNIN ST	HOUSTON	TX	77002	760647934	501C3	$353,336	OUTPATIENT CLINIC
HOPE AND HEALING CENTER & INSTITUTE
717 SAGE ROAD	HOUSTON	TX	77056	453305276	501C3	$10,000	SPONSORSHIP
HOUSTON AREA WOMEN'S CENTER
1010 WAUGH DRIVE	HOUSTON	TX	770193996	742029166	501C3	$150,000	MENTAL HEALTH SERVICES
HOUSTON BALLET
1921 WEST BELL	HOUSTON	TX	77019	741394920	501C3	$10,000	SPONSORSHIP
HOUSTON CHILDREN'S CHORUS
PO BOX 66567	HOUSTON	TX	772666567	760286895	501C3	$6,000	EDUCATION ASSISTANCE
HOUSTON TEXANS FOUNDATION
TWO NRG PARK	HOUSTON	TX	77054	010572814	501C3	$10,000	COMMUNITY SERVICE
INDIAN DOCTOR'S ASSOCIATION OF HOUSTON
26 HAVEN SHORE LANE	SUGAR LAND	TX	77479	760203806	501C3	$10,000	NETWORKING FOR INDIAN ORIGIN DOCTORS IN COMMUNITY
INSTITUTE FOR SPIRITUALITY
8100 GREENBRIAR STE 220	HOUSTON	TX	77054	741246255	501C3	$25,000	COMMUNITY SERVICE
INTERFACE-SAMARITAN COUNSELING CENTERS INC
4803 SAN FELIPE	HOUSTON	TX	77045	741734082	501C3	$70,971	MENTAL HEALTH SERVICES
INTERFAITH COMMUNITY CLINIC
101 PINE MANOR DRIVE	OAK RIDGE NORTH	TX	77385	752634623	501C3	$45,000	OUTPATIENT CLINIC
LEGACY COMMUNITY CLINIC
PO BOX 66308	HOUSTON	TX	772666308	760009637	501C3	$310,000	HEALTH CARE SERVICES
LEUKEMIA & LYMPHOMA SOCIETY
5433 WESTHEIMER RD STE 300	HOUSTON	TX	77056	135644916	501C3	$20,000	MEDICAL RESEARCH
LONE STAR FAMILY HEALTH CENTER
605 S CONROE MEDICAL DRIVE	CONROE	TX	77304	300038860	501C3	$100,000	OUTPATIENT CLINIC
MARCH OF DIMES
PO BOX 932852	ATLANTA	GA	311932852	131846366	501C3	$25,000	MEDICAL RESEARCH
MEMORIAL ASSISTANCE MINISTRIES
1625 BLALOCK RD	HOUSTON	TX	77080	760044172	501C3	$125,000	OUTPATIENT CLINIC
MEN OF DISTINCTION OF GREATER HOUSTON
PO BOX 130630	HOUSTON	TX	77219	260421594	501C3	$7,500	SPONSORSHIP
NORA'S GIFT FOUNDATION
PO BOX 8350	HOUSTON	TX	772888350	621763895	501C3	$25,000	HOUSING FOR TRANSPLANT PATIENTS AND FAMILIES
NORTHWEST ASSISTANCE MINISTRIES
15555 KUYKENDAHL ROAD	HOUSTON	TX	770903651	760088702	501C3	$250,000	OUTPATIENT CLINIC
RICE UNIVERSITY
6100 MAIN ST	HOUSTON	TX	77005	741109620	501C3	$6,500	EDUCATION
RONALD MCDONALD HOUSE OF HOUSTON INC
1907 HOLCOMBE BLVD	HOUSTON	TX	77030	741984499	501C3	$15,000	COMMUNITY SERVICE
SAN JOSE CLINIC
301 HAMILTON ST	HOUSTON	TX	77002	766071951	501C3	$68,714	OUTPATIENT CLINIC
SANTA MARIA HOSTEL
2605 PARKER ROAD	HOUSTON	TX	77093	741669131	501C3	$50,000	WOMEN'S RECOVERY CENTER
SPRING BRANCH COMMUNITY HEALTH CENTER
1615 HILLENDAHL BLVD STE 100	HOUSTON	TX	77055	300198705	501C3	$70,000	HEALTH CARE SERVICES
SUSAN G KOMEN HOUSTON
5433 WESTHEIMER RD STE 325	HOUSTON	TX	77056	760360372	501C3	$20,000	MEDICAL RESEARCH
TEXAN BY NATURE
3500 JEFFERSON ST STE 301	AUSTIN	TX	78731	451864591	501C3	$35,000	OUTREACH
TEXAS MEDICAL CENTER
PO BOX 301433	DALLAS	TX	75303	741030788	501C3	$7,750	ASSIST W IMPROVING SURGICAL SCIENCE
THE ROSE
12700 NORTH FEATHERWOOD DRIVE 260	HOUSTON	TX	77034	760193812	501C3	$100,000	OUTPATIENT CLINIC
THE SALVATION ARMY
1500 AUSTIN STREET	HOUSTON	TX	77002	742446170	501C3	$6,000	RELIEF ASSISTANCE
THE TEXAS LYCEUM
6046 AZALEA LANE	DALLAS	TX	75230	751720024	501C3	$10,000	COMMUNITY SERVICE
THE WOMEN'S HOME
811 WESTHEIMER ROAD	HOUSTON	TX	770063917	741467811	501C3	$200,000	MENTAL HEALTH SERVICES
TOMAGWA HEALTH CARE MINISTRIES
13414 MEDICAL COMPLEX DR 1	TOMBALL	TX	773753333	760280324	501C3	$50,000	OUTPATIENT CLINIC
VECINO HEALTH CENTERS
424 HAHLO STREETHOUSTON	HOUSTON	TX	770203022	760622208	501C3	$671,057	HEALTH CARE SERVICES

Field	Value	IRS element (for citing)
Total501c3 Org	48	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	PRIOR TO THE METHODIST HOSPITAL'S 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; (4) THE REQUESTING ORGANIZATION'S MISSION AND SERVICES SHOULD NOT DUPLICATE AND MUST NOT CONFLICT WITH THOSE OF THE METHODIST HOSPITAL. PERIODIC REPORTS WERE REVIEWED TO ENSURE THE FUNDS WERE USED TO SUPPORT INDIGENT CARE SERVICE AND OR OTHER NEEDS OF THE COMMUNITY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ONE OFFICERDIR-SEE METHODIST
HOSPITAL GROUP RETURN-SCHE	$1,528,951	$0	$1,147,288	$0	$445,647	$0	$26,200	$0	$31,186	$0	$3,179,272	$0	$0	$0
SIXTEEN DIRECTORS-SEE METHODIST
HOSPITAL GROUP RETURN-SCHE	$0	$1,402,053	$0	$87,448	$0	$13,614	$0	$76,914	$0	$163,591	$0	$1,743,620	$0	$0
ONE OFFICER-SEE METHODIST
HOSPITAL GROUP RETURN-SCHE	$879,542	$0	$417,715	$0	$213,264	$0	$26,200	$0	$34,633	$0	$1,571,354	$0	$0	$0
SIX KEY EMPLOYEES-SEE METHODIST
HOSPITAL GROUP RETURN-SCHE	$3,522,281	$0	$1,587,095	$0	$732,589	$0	$144,565	$0	$178,986	$0	$6,165,516	$0	$0	$0
FOUR HIGHEST PD EMPLOYEES-SEE
HOSPITAL GROUP RETURN-SCHE	$1,670,443	$0	$609,925	$0	$372,642	$0	$95,791	$0	$118,960	$0	$2,867,761	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	TRAVEL FOR COMPANIONS: HOUSTON METHODIST HOSPITAL REQUIRES ALL EMPLOYEES INCLUDING OFFICERS TO PROVIDE WRITTEN SUBSTANTIATION OF EXPENSES RELATED TO THEIR BUSINESS TRAVEL THROUGH THE PROVISION OF DETAILED RECEIPTS IN ORDER TO RECEIVE APPROVAL FROM THEIR DIRECT SUPERIORS FOR REIMBURSEMENT IN ACCORDANCE WITH OUR CORPORATE POLICY ON TRAVEL AND OTHER BUSINESS EXPENSES. IN 2018, THE PRESIDENT/CEO HAD 1 TRIP APPROVED FOR ATTENDANCE AT AN OUT OF STATE MEETING WHERE IT WAS DEEMED APPROPRIATE BY THE CHAIR OF OUR BOARD THAT THE ATTENDANCE OF THE SPOUSE (AND THE RELATED EXPENSES FOR THIER TRAVEL TO THESE MEETINGS) WAS INTEGRAL TO CONDUCTING EFFECTIVE METHODIST BUSINESS AT THESE MEETINGS. HEALTH OR SOCIAL CLUB DUES: AS STIPULATED BY THE EMPLOYMENT CONTRACT OF THE CEO, HE IS ENTITLED TO ANNUAL MEMBERSHIP IN THE RIVER OAKS COUNTRY CLUB IN SUPPORT OF HOUSTON METHODIST RELATED BUSINESS DEVELOPMENT ACTIVITIES. THIS AMOUNT IS INCLUDED IN THE TAXABLE INCOME OF THE CEO. PART I, LINE 4A: HOUSTON METHODIST HOSPITAL HAS A FORMAL SEVERANCE PLAN. ELIGIBLE EMPLOYEES INCLUDE ALL FULL-TIME AND PART-TIME STAFF (NOT TEMPORARY OR PRN), 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. PURSUANT TO TREASURY REG SECTION 1 6033-2(D)(5), HOUSTON METHODIST HOSPITAL HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GIFTS & GRANTS, COMPENSATION AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES, CERTAIN OTHER HIGHLY PAID EMPLOYEES, CERTAIN PROFESSIONAL CONTRACTORS AND CERTAIN OTHER CONTRACTORS ON A CONSOLIDATED BASIS FOR ALL OF THE MEMBERS OF THE GROUP, INCLUDING THE PARENT ORGANIZATION, ON THE GROUP RETURN OF METHODIST HOSPITAL GROUP, EIN 35-2410801.
PART I, LINE 4B	HOUSTON METHODIST HOSPITAL HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, A NON-QUALIFIED 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 UPON ELECTION. SCHEDULE J, PART II PURSUANT TO TREASURY REG SECTION 1 6033-2(D)(5), HOUSTON METHODIST HOSPITAL HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GIFTS & GRANTS, COMPENSATION AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES, CERTAIN OTHER HIGHLY PAID EMPLOYEES, CERTAIN PROFESSIONAL CONTRACTORS AND CERTAIN OTHER CONTRACTORS ON A CONSOLIDATED BASIS FOR ALL OF THE MEMBERS OF THE GROUP, INCLUDING THE PARENT ORGANIZATION, ON THE GROUP RETURN OF METHODIST HOSPITAL GROUP, EIN 35-2410801.
PART I, LINE 7	THIS ORGANIZATION PROVIDES VARIABLE COMPENSATION OPPORTUNITY THROUGH AN ANNUAL MANAGEMENT INCENTIVE PLAN. EMPLOYEES AT THE 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, OR 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 SYTEM GOALS MET.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION
A	521284201	41315RGV0	2008-04-10	$350,000,000	REFUNDING BONDS FOR SERIES 2006B ISSUED 5/10/06	0	0	0
HARRIS COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION
B	760337885	414009AW0	2008-08-21	$692,760,000	REFUNDING BONDS FOR PORTION OF SERIES 2006A ISSUED 4/4/06	0	0	0
HARRIS COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION
C	760337885	414009BS8	2009-06-02	$586,480,000	REFUNDING SERIES 2005A ISSUED 1/20/05 & SERIES 2008C ISSUED 8/21/08	0	0	0
HARRIS COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION
D	760337885	414009KE9	2015-08-06	$308,098,500	NEW MONEY BONDS FOR FUNDING CAPITAL CONSTRUCTION PROJECTS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr
A	$15,425,000	$350,000,000	$350,000,000	Yes (1)	Yes (1)	Yes (1)
B	$286,480,000	$692,760,000	$692,760,000	Yes (1)	Yes (1)	Yes (1)
C		$586,480,000	$586,480,000	Yes (1)	Yes (1)	Yes (1)
D		$308,107,608		0	Yes (1)	Yes (1)	$1,768,692	$306,338,916	2018

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00500	0.00500	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.01800	0.01800	Yes (1)
D	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00000	0.00000	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	Yes (1)	Yes (1)
B	0	Yes (1)	Yes (1)	Yes (1)
C	0	Yes (1)	Yes (1)	Yes (1)
D	Yes (1)	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K - PART II, LINE 13 (ISSUES A THROUGH C)	FormAndLineReferenceDesc
Explanation	ALL OUTSTANDING BONDS OF THE METHODIST HOSPITAL ISSUED PRIOR TO 2015 ARE REFUNDING BONDS. THE METHODIST HOSPITAL ASSUMES THAT LINE 13 DOES NOT ADDRESS REFUNDING BONDS. SCHEDULE K - PART III, LINE 4 (ISSUE C) THE REPORTED PRIVATE USE PERCENTAGE HAS BEEN CALCULATED ON THE PORTION OF THE SERIES 2009C REFUNDING BONDS THAT REFUNDED THE SERIES 2005A BONDS ISSUED IN THE AMOUNT OF $350,000,000. THE REMAINING AMOUNT OF THE SERIES 2009C BONDS THAT REFUNDED BONDS ISSUED PRIOR TO DECEMBER 31, 2002 IN THE AMOUNT OF $236,480,000 WERE EXCLUDED FROM DETERMINING THE REPORTED PRIVATE USE CALCULATION FOR 2018. SCHEDULE K - PART VI DIFFERENCES BETWEEN THE ISSUE PRICE (PART I) AND TOTAL PROCEEDS (PART II, LINE 3) ARE DUE TO INVESTMENT EARNINGS.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
JULIA ANDRIENI
FAMILY MEMBER OF ROBERT PHILLIPS-KEY EMPLOYEE	$559,261	EMPLOYMENT	0
LEE SCHWARTZ
FAMILY MEMBER OF ROBERTA SCHWARTZ-KEY EMPLOYEE	$316,981	EMPLOYMENT	0
HARRIS GARCIA
FAMILY MEMBER OF MICHAEL GARCIA-KEY EMPLOYEE	$68,248	EMPLOYMENT	0
LAURA BETH NELSON
FAMILY MEMBER OF GREGORY NELSON-BOARD OFFICER AND DIRECTOR	$60,496	EMPLOYMENT	0
COLEMAN STUDIOS
FAMILY MEMBER OF MARK HOUSER-BOARD DIRECTOR	$38,500	BUSINESS RELATIONSHIP WITH DAUGTER'S COMPANY	0
AMEGY BANK
BUSINESS RELATIONSHIP WITH MARC BOOM-BOARD OFFICER AND DIRECTOR	$381,830	BOARD MEMBER OF AMEGY BANK ALSO	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS WHO ARE MEMBERS OF THE BOARD OF DIRECTORS AS DEFINED IN THE BYLAWS; THE RESIDENT BISHOP; AND ONE PHYSICIAN DIRECTOR. IN THE EVENT OF AN EMERGENCY WHEN THERE IS INSUFFICIENT TIME TO CONVENE THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE ALL THE POWERS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS AND AFFAIRS OF THE CORPORATION IN SUCH A MANNER AS THE EXECUTIVE COMMITTEE MAY DEEM TO BE IN THE BEST INTEREST OF THE CORPORATION IN ALL CASES IN WHICH SPECIFIC DIRECTIONS HAVE BEEN GIVEN BY THE BOARD OF DIRECTORS, PROVIDED ANY ACTION WHICH THE COMMITTEE MAY TAKE DOES NOT CONFLICT WITH THE MISSION OF THE CORPORATION AND THE POLICIES AND DIRECTIVES OF THE BOARD OF DIRECTORS. THE CHAIRPERSON OF THE BOARD OF DIRECTORS, UPON THE CALLING OF ANY EXECUTIVE COMMITTEE MEETING, AS THE FIRST ITEM OF BUSINESS, IS REQUIRED TO STATE THE NATURE OF THE EMERGENCY AND THE FACT THAT THERE WAS INSUFFICIENT TIME TO CONVENE THE BOARD OF DIRECTORS, WHICH IS RECORDED IN THE MINUTES BEFORE ANY ACTION IS DEEMED VALID AND ON BEHALF OF THE BOARD OF DIRECTORS. VACANCIES IN THE MEMBERSHIP OF SAID COMMITTEE ARE FILLED BY APPOINTMENT OF THE CHAIRPERSON AND APPROVAL BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE MEETS UPON THE CALL OF THE CHAIRPERSON. THE COMMITTEE KEEPS REGULAR MINUTES OF ITS PROCEEDINGS AND FORTHWITH DELIVERS BY MAIL, FACSIMILE, EMAIL, OR IN PERSON, A WRITTEN REPORT OF THE SAME TO ALL MEMBERS OF THE BOARD OF DIRECTORS. ALL ACTS OR RESOLUTIONS OF THE EXECUTIVE COMMITTEE ARE SUBJECT TO THE APPROVAL OF, OR REVISION BY, THE BOARD OF DIRECTORS, BUT NO RIGHTS OF THIRD PARTIES ARE AFFECTED BY ANY SUCH REVISION. THE SECRETARY OF THE CORPORATION ACTS AS SECRETARY OF THE EXECUTIVE COMMITTEE.
FORM 990, PART VI, SECTION A, LINE 7A	THE TEXAS ANNUAL CONFERENCE OF THE SOUTH CENTRAL JURISDICTION OF THE UNITED METHODIST CHURCH ("CONFERENCE") ELECTS OR RATIFIES THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	THE CONFERENCE HAS THE AUTHORITY TO APPROVE ANY AMENDMENTS TO THE FOLLOWING PROVISIONS OF HOUSTON METHODIST HOSPITAL'S BYLAWS OR THE ARTICLES OF INCORPORATION: I) THE PROVISION THAT THE CONFERENCE ELECTS ALL DIRECTORS OF THIS ORGANIZATION FROM NOMINEES RECOMMENDED BY THE COMMITTEE ON NOMINATIONS OF THE CONFERENCE BASED ON NOMINATIONS MADE BY THE BOARD OF DIRECTORS, (II) THE PROVISION THAT A SUFFICIENT NUMBER OF DIRECTORS BE MEMBERS OF THE UNITED METHODIST CHURCH TO COMPLY WITH THE MEMBERSHIP REQUIREMENTS SET FORTH IN THE BOOK OF DISCIPLINE OF THE UNITED METHODIST CHURCH, (III) THE PROVISION THAT FOUR METHODIST MINISTERS, INCLUDING THE RESIDENT BISHOP BE MEMBERS OF THE BOARD OF DIRECTORS, (IV) THE PROVISION THAT THE BOARD OF DIRECTORS SHALL CONSIST OF NO MORE THAN TWENTY-SIX AND NO FEWER THAN FIFTEEN MEMBERS, OR (V) THE PROVISION THAT AMENDS THE PURPOSE CLAUSES (ARTICLE II AND VI) OF THE ARTICLES OF INCORPORATION OF THE CORPORATION OR THE DISSOLUTION CLAUSE (ARTICLE VII) OF THE ARTICLES OF INCORPORATION OF THE CORPORATION.
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 PREPARED 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	THIS ORGANIZATION FOLLOWS IRS REGULATIONS AS IT RELATES TO ESTABLISHING A REBUTTABLE PRESUMPTION OF REASONABLENESS RELATED TO TOTAL COMPENSATION OF KEY EMPLOYEES AND COMPENSATED OFFICERS OF THE ORGANIZATION 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 THE BOARD AS IT RELATES TO ANY CHANGES IN TOTAL COMPENSATION INCLUDING BASE PAY, BONUS AWARDS FROM INCENTIVE PROGRAMS OR BENEFITS AND PERQUISITES OF THE CEO AND OTHER OFFICERS AND SOME KEY EMPLOYEES (TYPICALLY THOSE WHO REPORT DIRECTLY TO THE CEO). 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 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 THIS ORGANIZATION'S OVERALL TOTAL COMPENSATION PHILOSOPHY FOR EXECUTIVE PAY. THE DELIBERATION AND DECISIONS OF THE COMMITTEE ARE CONTEMPORANEOUSLY SUBSTANTIATED. THE COMPENSATION FOR POSITIONS HELD BY KEY EMPLOYEES NOT INCLUDED IN THE PROCESS ABOVE, 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 FOR 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 ORGANIZATION ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART VII, SECTION A AND SECTION B	COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, HIGHEST COMPENSATED AND HIGHEST PAID INDEPENDENT CONTRACTORS. HOUSTON METHODIST HOSPITAL HAS ELECTED TO REPORT COMPENSATION FOR INDIVIDUAL OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES, AND CERTAIN OTHER HIGHLY PAID EMPLOYEES ON A CONSOLIDATED BASIS ON THE GROUP RETURN OF METHODIST HOSPITAL GROUP, EIN 35-2410801. THIS ELECTION IS BASED UPON TREASURY REG SECTION 1 6033-2(D)(5). AS A RESULT, HOUSTON METHODIST HOSPITAL'S FIVE HIGHEST PAID EMPLOYEES ARE CONSOLIDATED WITH OTHER ENTITIES WITHIN THE GROUP TO PRESENT FIVE HIGHEST PAID EMPLOYEES OF THE GROUP.
SCHEDULE B DETAIL - INCLUDED IN GROUP RETURN	PURSUANT TO TREASURY REG SECTION 1 6033-2(D)(5), HOUSTON METHODIST HOSPITAL HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GIFTS & GRANTS, COMPENSATION AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES, CERTAIN OTHER HIGHLY PAID EMPLOYEES, CERTAIN PROFESSIONAL CONTRACTORS AND CERTAIN OTHER CONTRATORS ON A CONSOLIDATED BASIS FOR ALL OF THE MEMBERS OF THE GROUP, INCLUDING THE PARENT ORGANIZATION, ON THE GROUP RETURN OF METHODIST HOSPITAL GROUP, EIN 35-2410801.
FORM 990, PART XI, LINE 9:	TRANSFER FROM HOUSTON METHODIST HOSPITAL FOUNDATION 54,290. TRANSFER TO OTHER ENTITY 29,917,772.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
METHODIST HOSPITAL SELF INSURANCE TRUST
6565 FANNIN	HOUSTON	TX	77030	741948396	INSURANCE TRUST	TX	501(C)(3)	LINE 12A, I	THE METHODIST HOSPITAL	Yes (1)
METHODIST PRIMARY CARE GROUP
6565 FANNIN	HOUSTON	TX	77030	760556120	HEALTH CARE	TX	501(C)(3)	LINE 12A, I	TMH HEALTH CARE GROUP	0
STEHLIN FOUNDATION
6565 FANNIN	HOUSTON	TX	77030	741622404	INACTIVE	TX	501(C)(3)	LINE 10	THE METHODIST RESEARCH INSTITUTE	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
MEDVEST 1 LIMITED PARTNERSHIP
6565 FANNIN	HOUSTON	TX	77030	760534067	HEALTH CARE INVESTMENTS	TX	N/A
LITCHFIELD MEMORIAL PARTNERS LP
800 TOWN AND COUNTRY BLVD SUITE 200	HOUSTON	TX	77024	364778395	PROPERTY INVESTMENTS	TX	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
ALLIED METHODIST HOSPITAL PHYSICIANS
6565 FANNIN	HOUSTON	TX	77030	760551274	PHYSICIAN GROUP	TX	N/A	C	0
MEDVEST HOLDINGS INC
6565 FANNIN	HOUSTON	TX	77030	760667765	INVESTMENT COMPANY	TX	N/A	C	0
MEDVEST INCORPORATED
6565 FANNIN	HOUSTON	TX	77030	760182470	INVESTMENT COMPANY	TX	N/A	C	0
METHODIST WILLOWBROOK MOB CONDOMINIUM ASSOCIATION
6565 FANNIN	HOUSTON	TX	77030	680500294	CONDOMINIUM ASSOCIATION	TX	N/A	C	0
METHODIST WILLOWBROOK MOB CONDO ASSOCIATION II
6565 FANNIN	HOUSTON	TX	77030	262137993	CONDOMINIUM ASSOCIATION	TX	N/A	C	0
SAN JACINTO METHODIST-ALEXANDER CONDOMINIUM ASSOCIATION
6565 FANNIN	HOUSTON	TX	77030	470921764	CONDOMINIUM ASSOCIATION	TX	N/A	C	0
SJMH CONDOMINIUM ASSOCIATION
6565 FANNIN	HOUSTON	TX	77030	412096917	CONDOMINIUM ASSOCIATION	TX	N/A	C	0
THE METHODIST HOSPITAL CONDOMINIUM ASSOCIATION
6565 FANNIN	HOUSTON	TX	77030	861065871	CONDOMINIUM ASSOCIATION	TX	N/A	C	0
TMH MEDICAL OFFICE BUILDINGS CONDOMINIUM ASSOCIATION
6565 FANNIN	HOUSTON	TX	77030	760287893	CONDOMINIUM ASSOCIATION	TX	N/A	C	0
METHODIST WEST HOUSTON MOB CONDOMINIUM ASSOC
6565 FANNIN	HOUSTON	TX	77030	300655123	CONDOMINIUM ASSOCIATION	TX	N/A	C	0
METHODIST HEALTH CARE SYSTEM SHORT TERM DISABILITY PLAN TRUST
6565 FANNIN	HOUSTON	TX	77030	766161019	INSURANCE TRUST	TX	N/A	T	0
ROMLAC INC
6565 FANNIN	HOUSTON	TX	77030	741674943	REAL ESTATE INVESTMENT	TX	N/A	C	0
THE SUE CHANDLER TRUST
6565 FANNIN	HOUSTON	TX	77030	010828432	SPLIT INTEREST TRUST	TX	N/A	T	0
HOUSTON METHODIST THE WOODLANDS MOB CONDO ASSOC
6565 FANNIN	HOUSTON	TX	77030	813764171	CONDOMINIUM ASSOCIATION	TX	N/A	C	0
HOUSTON METHODIST ST CATHERINE MOB CONDO ASSOC
6565 FANNIN	HOUSTON	TX	77030	814457755	CONDOMINIUM ASSOCIATION	TX	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (53 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
METHODIST HOSPITAL FOUNDATION
S	$19,167,953	FAIR MARKET VALUE
METHODIST HOSPITAL FOUNDATION
P	$12,911,564	FAIR MARKET VALUE
METHODIST HOSPITAL FOUNDATION
C	$25,995,961	FAIR MARKET VALUE
MEDVEST 1 LIMITED PARTNERSHIP
S	$447,015	FAIR MARKET VALUE
STEHLIN FOUNDATION
R	$561,666	FAIR MARKET VALUE
METHODIST INTERNATIONAL LLC
Q	$593,771	FAIR MARKET VALUE
METHODIST INTERNATIONAL LLC
L	$125,000	FAIR MARKET VALUE
METHODIST INTERNATIONAL LLC
S	$660,626	FAIR MARKET VALUE
ALLIED METHODIST HOSPITAL PHYSICIANS
P	$845,259	FAIR MARKET VALUE
ALLIED METHODIST HOSPITAL PHYSICIANS
L	$780,000	FAIR MARKET VALUE
ALLIED METHODIST HOSPITAL PHYSICIANS
S	$1,720,891	FAIR MARKET VALUE
METHODIST HOSPITAL SELF INSURANCE TRUST
R	$8,000,000	FAIR MARKET VALUE
TMH PHYSICIAN ORGANIZATION
P	$134,831,633	FAIR MARKET VALUE
TMH PHYSICIAN ORGANIZATION
Q	$7,026,430	FAIR MARKET VALUE
TMH PHYSICIAN ORGANIZATION
L	$2,000,000	FAIR MARKET VALUE
TMH PHYSICIAN ORGANIZATION
J	$2,219,755	FAIR MARKET VALUE
TMH PHYSICIAN ORGANIZATION
S	$259,737,833	FAIR MARKET VALUE
MEDVEST INCORPORATED
R	$1,203,639	FAIR MARKET VALUE
METHODIST PRIMARY CARE GROUP
P	$2,658,626	FAIR MARKET VALUE
METHODIST PRIMARY CARE GROUP
Q	$5,724,608	FAIR MARKET VALUE
METHODIST PRIMARY CARE GROUP
L	$320,000	FAIR MARKET VALUE
METHODIST PRIMARY CARE GROUP
R	$11,567,106	FAIR MARKET VALUE
METHODIST HEALTH CENTERS
P	$133,099	FAIR MARKET VALUE
METHODIST HEALTH CENTERS
Q	$11,112,092	FAIR MARKET VALUE
METHODIST HEALTH CENTERS
L	$127,330,089	FAIR MARKET VALUE
METHODIST HEALTH CENTERS
S	$408,884,180	FAIR MARKET VALUE
HOUSTON METHODIST ST JOHN HOSPITAL
Q	$1,362,582	FAIR MARKET VALUE
HOUSTON METHODIST ST JOHN HOSPITAL
L	$12,518,776	FAIR MARKET VALUE
HOUSTON METHODIST ST JOHN HOSPITAL
S	$27,060,958	FAIR MARKET VALUE
HOUSTON METHODIST ST CATHERINE
P	$4,212,000	FAIR MARKET VALUE
HOUSTON METHODIST ST CATHERINE
Q	$4,446,908	FAIR MARKET VALUE
HOUSTON METHODIST ST CATHERINE
L	$1,476,032	FAIR MARKET VALUE
HOUSTON METHODIST ST CATHERINE
S	$4,079,545	FAIR MARKET VALUE
DIAGNOSTIC CENTER HOSPITAL
P	$1,730,769	FAIR MARKET VALUE
DIAGNOSTIC CENTER HOSPITAL
S	$1,862,105	FAIR MARKET VALUE
TMH MEDICAL OFFICE BUILDINGS
P	$58,500	FAIR MARKET VALUE
TMH MEDICAL OFFICE BUILDINGS
Q	$2,649,013	FAIR MARKET VALUE
TMH MEDICAL OFFICE BUILDINGS
L	$2,728,962	FAIR MARKET VALUE
TMH MEDICAL OFFICE BUILDINGS
S	$8,712,058	FAIR MARKET VALUE
THE METHODIST HOSPITAL RESEARCH INSTITUTE
P	$88,994,148	FAIR MARKET VALUE
THE METHODIST HOSPITAL RESEARCH INSTITUTE
Q	$2,526,206	FAIR MARKET VALUE
THE METHODIST HOSPITAL RESEARCH INSTITUTE
L	$7,800,000	FAIR MARKET VALUE
THE METHODIST HOSPITAL RESEARCH INSTITUTE
M	$11,645,568	FAIR MARKET VALUE
THE METHODIST HOSPITAL RESEARCH INSTITUTE
J	$7,547,880	FAIR MARKET VALUE
THE METHODIST HOSPITAL RESEARCH INSTITUTE
S	$127,227,749	FAIR MARKET VALUE
THE METHODIST HOSPITAL RESEARCH INSTITUTE
B	$440,752	FAIR MARKET VALUE
SAN JACINTO METHODIST HOSPITAL
Q	$2,759,479	FAIR MARKET VALUE
SAN JACINTO METHODIST HOSPITAL
L	$35,877,600	FAIR MARKET VALUE
SAN JACINTO METHODIST HOSPITAL
S	$29,708,488	FAIR MARKET VALUE
HOUSTON METHODIST COORDINATED CARE
Q	$507,834	FAIR MARKET VALUE
HOUSTON METHODIST COORDINATED CARE
L	$1,600,000	FAIR MARKET VALUE
HOUSTON METHODIST COORDINATED CARE
R	$3,112,496	FAIR MARKET VALUE
HEALTH CARE GROUP
B	$97,500	FAIR MARKET VALUE