2018-05-14T15:27:00-05:00 2017-06-30 Ernst & Young US LLP 425 Houston Street Suite 600 Fort Worth TX 76102 990 2016-07-01 741152597 Memorial Hermann Health System % ANTHONY FRANK MEMO 7133384552 929 Gessner Rd Suite 1900 Houston TX 77024 ANTHONY FRANK SVP & CAO 7133384552 2018-05-14 true Melva Scott P01207335 8173351900 2016 2022-09-23 18:48:47Z X ANTHONY FRANK 929 Gessner Rd STE 1900 Houston TX 77024 4604577892 false X www.memorialhermann.org X 1910 TX NONPROFIT, COMMUNITY-OWNED, HEALTH CARE SYSTEM WITH SPIRITUAL VALUES,DEDICATED TO PROVIDE HIGH QUALITY HEALTH SERVICES IN ORDER TO IMPROVE THE HEALTH OF PEOPLE IN SOUTHEAST TEXAS. 24 21 28378 3068 -5446837 -5446837 22093219 28312345 4205367490 4317344583 -107173812 32501944 161779942 157271049 4282066839 4535429921 1697235 1382601 0 0 1932228489 2065913657 0 0 0 2159443254 2275265846 4093368978 4342562104 188697861 192867817 6587145139 6890878241 3404969765 3333684011 3182175374 3557194230 X MISSION: MEMORIAL HERMANN HEALTH SYSTEM IS A NONPROFIT, COMMUNITY-OWNED, HEALTH CARE SYSTEM WITH SPIRITUAL VALUES, DEDICATED TO PROVIDING HIGH QUALITY HEALTH SERVICES IN ORDER TO IMPROVE THE HEALTH OF THE PEOPLE IN SOUTHEAST TEXAS. PROMISE: MEMORIAL HERMANN EMPLOYEES AND PHYSICIANS WILL PROVIDE EXCEPTIONAL END-TO-END PATIENT CARE EXPERIENCES ANCHORED BY SUPERIOR QUALITY, CLINICAL EXCELLENCE AND AFFORDABLE CARE WITH A COMMITMENT TO ADVANCE THE HEALTH OF OUR PATIENTS AND MEMBERS. VALUES: We are committed to assessing and meeting the health care needs of the individuals in our diverse communities. We are stewards of community resources and are committed to being medically,socially, financially, legally, and environmentally responsible. We are devoted to providing superior quality and cost-efficient, innovative, and compassionate care.We collaborate with our patients, families, physicians, employees, volunteers, vendors, and communities to achieve our mission. 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ANNUAL DELIVERIES: 24,764 ANNUAL INPATIENT ADMISSIONS: 165,949 ANNUAL INPATIENT DAYS: 892,945 ANNUAL EMERGENCY VISITS: 635,001 ANNUAL OUTPATIENT SURGERIES: 122,284 ANNUAL DIAGNOSTIC AND THERAPY: 1,480,992 3913351213 true true false false false false false false false true true true false true true true false true false false true false false false false false true true true false true true false false false false false false false true true false false false false false false true true true false false true 898 0 true 28378 true true true true CJ false false false false false false false false X 24 21 false false false false true true true true true false false true true true true true true true true true true X ANTHONY FRANK 7133384552 929 GESSNER RD STE 1900 Houston TX 77024 X ALEXANDERCHARLOTTE B MD Director 1.0 40.0 X 0 267986 0 CALIJOSEPH R MD Director 1.0 1.0 X 0 2900 0 CAMPBELLWILLIAM J Director 1.0 0.0 X 0 0 0 CANNONDEBORAH M Chairman 1.0 0.0 X 0 0 0 CAZALOTCLARENCE P JR Director 1.0 0.0 X 0 0 0 CROYLEROBERT G Director 1.0 0.0 X 0 0 0 EASTERWILLIAM H III Director 1.0 0.0 X 0 0 0 FEWJASON B Director 1.0 0.0 X 0 0 0 GALTNEYWILLIAM F JR Director 1.0 0.0 X 0 0 0 GARCIAROLAND JR Director 1.0 0.0 X 0 0 0 GIGLIOJ KEVIN MD Director 1.0 1.0 X 0 67362 0 GRAHAMDAVID J Director 1.0 0.0 X 0 0 0 HUNTSMANPETER R Director 1.0 0.0 X 0 0 0 MCBRIDERALPH D Director 1.0 0.0 X 0 0 0 MCCLELLANDSCOTT B Director 1.0 0.0 X 0 0 0 MCLEANSCOTT J Director 1.0 0.0 X 0 0 0 MIRGASPER III Director 1.0 0.0 X 0 0 0 MONTAGUEJAMES R Director 1.0 0.0 X 0 0 0 PERRINMELINDA H Director 1.0 0.0 X 0 0 0 POSTLJAMES J Director 1.0 0.0 X 0 0 0 POUNSSTEPHEN H Director 1.0 0.0 X 0 0 0 STRAKEGEORGE W III Director 1.0 0.0 X 0 0 0 WILLIAMSWILLOUGHBY C JR Director 1.0 0.0 X 0 0 0 CHUBENJAMIN K MD President & CEO 50.0 0.0 X X 1019606 0 263561 WOLTERMANDAN J Special Advisor 50.0 0.0 X X 18169121 0 788002 GORDONDEBORAH EVP, Chief Legal Off & Sec 50.0 0.0 X 941256 0 163595 LARAWAYDENNIS L EVP, CFO & Treasurer 50.0 0.0 X 1795644 0 232537 SHABOTMICHAEL EVP, Chief Clinical Off 50.0 0.0 X 1465293 0 258376 SHEAWARREN VP, Dep Gen.Counsel,Asst Sec. 50.0 0.0 X 442415 0 91353 STOKESCHARLES D EVP, Chief Operating Off 50.0 0.0 X 1911133 0 303492 ALEXANDERKEITH SVP, Reg Pres-North Region 50.0 0.0 X 1087344 0 188164 ASPRECERIN S SVP, Reg Pres-South Region 50.0 0.0 X 1029594 0 163580 BRACERODNEY SVP, Reg Pres-Service Lines 50.0 0.0 X 1189850 0 189870 BRADSHAWDAVID EVP, Chief Strat & Info Off 50.0 0.0 X 1296036 0 248387 CORDOLACRAIG A SVP, Reg Pres-Central & West R 50.0 0.0 X 1405913 0 248460 DEANBRIAN SVP, CEO - TMC 50.0 0.0 X 854260 0 148552 GARMANJAMES EVP, Chief HR Officer 50.0 0.0 X 1228720 0 153491 O'SULLIVANPAUL C SVP, CEO - Memorial City 50.0 0.0 X 711957 0 124162 URBANJOSHUA SVP, CEO - The Woodlands 50.0 0.0 X 762762 0 136822 BARBEBRIAN S SVP, CEO - Cypress 50.0 0.0 X 869908 0 141969 DISTEFANOSUSAN M SVP, CEO - Children's 50.0 0.0 X 1037373 0 135193 KERRGARY SVP, CEO - Southwest 50.0 0.0 X 924614 0 162993 JOSEHART CARL SVP, CEO - TIRR, Rehab & Post 50.0 0.0 X 821941 0 138272 HEINSMARSHALL B SVP, Chief Facilities Officer 50.0 0.0 X 792365 0 183235 REIMERRENEE Former Officer 50.0 0.0 X 660387 0 92050 BROWNJAMES B Former Key Employee 50.0 0.0 X 686869 0 124304 METZGERPAT Former Key Employee 50.0 0.0 X 407896 0 10878 PARETCAROL J Former Key Employee 50.0 0.0 X 588729 0 115303 LLOYDCHRISTOPHER Former Key Employee 50.0 0.0 X 844583 0 135297 TREVINO ILEANA Former Key Employee 50.0 0.0 X 851533 0 66137 43797102 338248 5008035 3193 true true false J T Vaughn Construction LLC 10355 West Park Dr HOUSTON TX 77042 Contractor 84771795 Sodexo 1669 Phoenix Parkway COLLEGE PARK GA 30349 Food Service 47245863 Universal Hospital Services PO Box 86 SDS 12-0940 MINNEAPOLIS MN 55486 Professional service 74661747 Forney Construction LLC 8945 Longpoint Rd Suite 200 HOUSTON TX 77055 Contractor 17569410 Crothall Healthcare 13028 Collection Center Dr CHICAGO IL 60693 Housekeeping 50277898 229 12761159 15551186 28312345 NET PATIENT SERVICE REVENUE 900099 4317344583 4317344583 4317344583 32501944 -5446837 37948781 0 256695 256695 76754661 69147971 7606690 0 7606690 7606690 0 0 0 0 0 0 0 0 0 0 CAFETERIA 722514 24919910 24919910 MANAGEMENT SERVICES 561000 7192640 7192640 PARKING 812930 6895063 6895063 110400051 110400051 149407664 4535429921 4466752247 -5446837 45812166 1382601 1382601 0 0 0 25744462 1465292 24279170 0 1639996287 1359129620 280866667 83305849 68537082 14768767 196124667 159162581 36962086 120742392 95880020 24862372 0 8602572 0 8602572 0 0 0 2343352 0 2343352 0 15349296 15349296 0 69111036 62043046 7067990 0 0 125429110 111947480 13481630 5614881 3643804 1971077 0 3015931 2168459 847472 83776084 83776084 0 0 239527747 239527747 0 18917665 15762177 3155488 PROFESSIONAL & CONTRACT FEES 792774293 792774293 0 MEDICAL SUPPLIES 701416883 701416883 0 EQUIPMENT RENTAL & MAINTENANCE 173683474 173683474 0 PHYSICIAN INTEGRATION 9305505 2869999 6435506 26398017 22831275 3566742 4342562104 3913351213 429210891 0 212543160 245904523 59467243 57483428 0 0 698143058 713758209 0 0 0 0 0 0 53581577 71062466 28873504 30828549 6043169768 3228528532 2669551704 2814641236 0 0 1967289000 2159276000 0 0 0 0 897695893 797923830 6587145139 6890878241 571348012 589645889 0 0 0 0 1499664281 1458008378 0 0 0 0 0 0 0 0 1333957472 1286029744 3404969765 3333684011 X 3168991249 3544701091 13184125 12493139 0 0 3182175374 3557194230 6587145139 6890878241 X 192867817 183526986 -1375947 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4435819 129452 504473 4060798 4304237 143216 11634 4435819 4188028 128001 11792 4304237 4104595 145235 43931 17871 4188028 3948600 231546 69638 5913 4104595 1.00000 false false 143325841 143325841 3210171666 1506658995 1703512671 434849441 228254195 206595246 1854643579 1464137219 390506360 400179241 29478123 370701118 2814641236 FIXED INCOME 410183000 F EQUITY SECURITIES 993406000 F ALTERNATIVE INVESTMENTS 707056000 F CASH & CASH EQUIVALENTS 48631000 F 2159276000 BOND TRUST FUNDS 117387401 DUE FROM AFFILIATES, NET 565978800 GOODWILL 40439577 DEPOSITS 5600990 JOINT VENTURES 56796490 TECO STOCK 1497738 UTHSC LAND LEASE 2125821 DEFERRED PHYSICIAN RECRUITMENT 3899805 OTHER ASSETS 4197208 797923830 0 CAPITALIZED LEASES 770980682 DEFERRED GAIN ON SALE OF POBS/RE 122576295 POB LEASE OBLIGATION 103042604 VARIABLE DEBT SWAP LIABILITY 89926041 L/T PENSION LIABILITY 61149929 L/T LINE OF CREDIT 36500000 L/T THIRD PARTY SETTLEMENTS 25917909 OTHER ACCRUED LIABILITIES 75936284 1286029744 X 990 Sch D Part V Line 4 The endowment funds of Memorial Hermann Health System consist of permanent endowment funds obtained from donor initiatives for charitable contributions through last will and testament bequests. The permanent funds consist of donations and investment income for which the donor's stipulations restrict the Foundation to using only the income resulting from the investment of the donation on a total return basis. The assets of the permanent funds income may only be used to support the charitable exempt operations, programs and purposes of Memorial Hermann Health System through the purchase of supplies, equipment, and other expenditures necessary for the performance of those operations and programs. 990 Sch D Part X Line 2 Memorial Hermann Health System does not have an annual financial audit conducted. The financial accounts of the Health System are included in the consolidated financial statements of Memorial Hermann Health System entities and its related affiliates and are audited by an independent public accounting firm. The paragraph included in the last issued audited financial statements of the Health System was: The Health System and certain other affiliates are Texas not-for-profit corporations and have been recognized as tax-exempt pursuant to Section 501(c)(3) of the Internal Revenue Code. The Health System owns certain taxable subsidiaries and engages in certain activities that are unrelated to its exempt purpose and, therefore, subject to tax. Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated balance sheets. The tax returns are subject to Internal Revenue Service (IRS) review for three years subsequent to the dates they are filed. The Health System has net operating losses (NOL) tax carryforwards that will expire between 2019 and 2037. Due to the age of these NOLs, and the fact that management is uncertain that the full amount of the NOLs will be realized in the future, no deferred tax asset has been recorded. Central America and the Caribbean Investments Cayman Captive 22417842 North America Investments 1159086 Central America and the Caribbean Investments 5225483 28802411 28802411 true false true false true false 990 Sch F Part I Line 3 Column (f) Accounting method used is the accrual method. true true X true X true X true true true false true true 278438053 0 278438053 0.06410 680720944 646995266 33725678 0.00780 44351305 30807926 13543379 0.00310 1003510302 677803192 325707110 0.07500 147243981 0 147243981 0.03390 69094947 18948957 50145990 0.01150 345590127 287053328 58536799 0.01350 10678590 5241149 5437441 0.00130 1732601 0 1732601 0.00040 574340246 311243434 263096812 0.06060 1577850548 989046626 588803922 0.13560 2023570 0 2023570 0.00050 2023570 0 2023570 0.00050 true 646057306 32302865 1153638224 1801340332 -647702108 X true true 13 1 Memorial Hermann Hospital - TMC 6411 fannin houston TX 77030 www.memorialhermann.org 347 X X X X A 2 MH Memorial City Medical Center 921 gessner houston TX 77024 www.memorialhermann.org 302 X X X A 3 MH The Woodlands Medical Center 9250 pinecroft the woodlands TX 77381 www.memorialhermann.org 615 X X X A 4 Memorial Hermann Southwest Hospital 7600 beechnut houston TX 77074 www.memorialhermann.org 407 X X X X A 5 Memorial Hermann Southeast Hospital 11800 astoria blvd houston TX 77089 www.memorialhermann.org 119 X X X A 6 Memorial Hermann Northeast 18951 Memorial North Humble TX 77338 www.memorialhermann.org 8471 X X X A 7 Memorial Hermann Katy Hospital 23900 katy freeway katy TX 77494 www.memorialhermann.org 534 X X X A 8 MH Greater Heights Hospital 1635 North Loop West Houston TX 77008 www.memorialhermann.org 172 X X X A 9 Memorial Hermann Sugar Land 17500 west grand parkway south sugar land TX 77479 www.memorialhermann.org 609 X X X A 10 TIRR Memorial Hermann 1333 moursund street houston TX 77030 www.memorialhermann.org 100189 X X A 11 MH Specialty Hospital Kingwood LLC 300 Kingwood Medical Drive Kingwood TX 77339 www.memorialhermann.org 8591 X X A 12 MH Surgical Hospital First Colony 16906 South west Freeway Sugar Land TX 77479 www.memorialhermann.org 100161 X X A 13 MH Rehabilitation Hospital Katy 21720 Kingsland Blvd Ste 102 Katy TX 77450 www.memorialhermann.org 100009 X A A false false true X X X X X X X X X 16 true false false true X "See Part V Section C" X true 17 true "See Part V Section C" false true X 200. 400. X X X X true true X X X X true X "See Part V Section C" X "See Part V Section C" X "See Part V Section C" X X X X X X true X false X X true X false false 990 Sch H Part V Sec B Line 5 While social and epidemiological data can provide a helpful portrait of a community, it does not tell the whole story. It is critical to understand peoples health issues of concern, their perceptions of the health of their community, the perceived strengths and assets of the community, and the vision that residents have for the future of their community. Secondary data was supplemented by focus groups and interviews. In total, 11 focus groups and 28 key informant discussions were conducted with individuals from MH Texas Medical Center's community from October 2015 through February 2016. Focus groups were held with 93 community residents drawn from the Greater Houston community representing the population segments noted below. Focus group and interview discussions explored participants perceptions of their communities, priority health concerns, perceptions of public health, prevention, Health care services, and suggestions for future programming and services to address these issues. Focus Groups consisted of the following population segments: Adolescents (15-18 years old); Parents of preschool children (0-5 years old); Seniors (65+ years old) (two groups) Spanish-speaking Hispanic community members (conducted in Spanish); English-speaking Hispanic community members; Asian-American community members; Low-income community members from urban area; Low-income community members from suburban area; Low-income community members from rural area; Community members of moderate to high socioeconomic status. Key informant discussions were conducted with individuals representing the community. Key informants represented a number of sectors including non-profit/community service, city government, hospital or health care, business, education, emergency preparedness, faith community, and priority populations (e.g., low-income urban residents representing the community). Organizations Contributing Key Informant Interviews were: ACCESS Health (FQHC)-Carol Edwards; Asian American Health Coalition- Tito Refi; Association for the Advancement of Mexican Americans- Beatrice Garza; Blue Cross Blue Shield- Robert Morrow; Children at Risk- Mandi Kimball; Childrens Defense Fund- Anat Kelman, Wykisha McKinney, Patrick Bresette; Christ Clinic- Kara Hill; City of Houston, Department of Neighborhoods-Angel Pounce, Kathy Barton; City of Houston, Department of Parks and Recreation- Joe Turner; Community Health Choice- Ken Janda; Fort Bend Health and Human Services- Kaye Reynolds; Harris County Public Health and Environmental Services- Umair A. Shah; Harris Health- Jennifer Small; Houston Independent School Disctrict- Gwendolyn Johnson; Institute for Spirituality and Health- Stuart Nelson; Interfaith Community Clinic- Anne Snyder; Interfaith Ministries of Greater Houston- Martin Cominsky; Lonestar Family Health Center- Steve Mckernan; Mayors Office for People with Disabilities- Jay Stiteley; Memorial Hermann Health System- Theresa Fawvor, Michael Wollner, MD; Memorial Hermann Texas Medical Center James McCarthy, MD; Office of Harris County Judge Ed Emmett- Peggy Boice; One Voice Texas- Katherine Barillas; Pasadena Independent School District- Darla Massey-Jones; SETRAC (Southeast Texas Regional Advisory Council)- Darrel Pile; Sheltering Arms Senior Services, Neighborhood Centers Inc. Terrence Adams; Southwest Management District- Alice Lee; Texas Legislature- John Zerwas; The Harris Center for Mental Health and IDD (MHMRA)- Steve Shenee; Tri County Service- Evan Robinson; United Way of Montgomery County- Julie Martineau; University of Texas School of Public Health- Charles Begley. 990 Sch H Part V Sec B Line 7A & 10A CHNA report and Implementation strategy website: https://communitybenefit.memorialhermann.org/about-us/key-community-health -assessment-findings/ 990 Sch H Part V Sec B Line 11 Committed to making the greater Houston area a healthier and more vital place to live, Memorial Hermann and its subsidiary, Memorial Hermann Community Benefit Corporation (MHCBC), work together to provide or to collaborate with the following initiatives: Health Centers for Schools Mobile Dental Vans ER Navigators Nurse Health Line STEP Healthy to Reduce Obesity Neighborhood Health Centers Psychiatric Response Team Mental Health Crisis Clinics Home Behavioral Health Services The CHNA was guided by a participatory, collaborative approach, which examined health in its broadest sense over a six-month period. This process included integrating existing secondary data on social, economic, and health issues in the region with qualitative information from 11 focus groups with community residents and service providers and 27 interviews with community stakeholders. The following key health issues emerged most frequently from a review of the available data across all Memorial Hermann Hospitals and were considered in the selection of the system-wide Strategic Implementation Plan (SIP) health priorities: Health Care Access Issues Related to Aging Behavioral Health, Including Substance Abuse and Mental Health Transportation Healthy Eating, Active Living, and Overweight/Obesity Chronic Disease Management Through guided facilitation, Memorial Hermann applied the criteria of relevance, appropriateness, impact and feasibility to select system-level priorities. The top three key priorities identified by this process were: Healthy Living Behavioral Health Health Care Access These three overarching priorities reflect all of the needs identified system-wide in the CHNAs including transportation (reflected under Access to Health Care), substance abuse (reflected under Behavioral Health), and issues related to aging (considered as one of several vulnerable populations addressed). The CHNA process enables each hospital within Memorial Hermann to develop programs and services that advance the health of its community, building the foundation for systemic change across the greater Houston area. 990 Sch H Part V Sec B Line 16A B C How Hospital publicized policy http://www.memorialhermann.org/financialassistanceprogram/ 28 MH Surgery Center Texas Medical Center 6400 Fannin Street 1500 Houston TX 77030 Ambulatory Surgical Center MH Convenient Care Center in Summer Cr 14201 East Sam Houston Parkway N Houston TX 77044 Convenient Care center MH Surgery Center Woodlands Parkway 1441 Woodstead Court 100 The Woodlands TX 77380 Ambulatory Surgical Center MH The Woodlands Medical Center Surgery 9200 Pinecroft Drive 200 The Woodlands TX 77380 Ambulatory Surgical Center MH Surgery Center Memorial Village 1120 Business Center Dr 110 Houston TX 77043 Ambulatory Surgical Center MH Surgery Center Kingsland 21720 Kingsland Blvd 101 Katy TX 77450 Ambulatory Surgical Center MH Surgery Center Bay Area Endoscopy Ctr 444 FM 1959 Ste B Houston TX 77034 Ambulatory Surgical Center MH Surgery Center Sugar Land 17510 W Grand Parkway 200 Sugar Land TX 77479 Ambulatory Surgical Center Pasadena Doctors Outpatient Surgicenter 3534 Vista Blvd Pasadena TX 77504 Ambulatory Surgical Center MH Surgery Center Conroe 1501 River Pointe Dr 200 Conroe TX 77304 Ambulatory Surgical Center MH Surgery Center Greater Heights 1631 North Loop West 300 Houston TX 77008 Ambulatory Surgical Center MH Surgery Center Katy 23920 Katy Freeway 200 Katy TX 77494 Ambulatory Surgical Center MH Surgery Center Southwest 7789 SW Freeway 400 Houston TX 77074 Ambulatory Surgical Center United Surgery Center Southeast 12700 N Featherwood 100 Houston TX 77034 Ambulatory Surgical Center MH Surgery Center Kirby Glen 2457 S Braeswood Blvd Houston TX 77030 Ambulatory Surgical Center MH 24-Hour Emergency Care 9950 Woodlands Parkway Spring TX 77382 Freestanding ER Memorial Hermann Prevention & Recovery 3043 Gessner Houston TX 77080 Drug & Alcohol Rehab MH Surgery Center West Houston 970 Campbell Road Houston TX 77024 Ambulatory Surgical Center MH Convenient Care Center in Katy 22430 Grand Corner Drive Katy TX 77494 Convenient Care center MH Surgery Center Richmond 1517 Thompson Road 100 Richmond TX 77469 Ambulatory Surgical Center MH Surgery Center Texas Intl Endo Center 6620 Main St 1500 Houston TX 77030 Ambulatory Surgical Center MH Endoscopy & Surgery Center N Houston 275 Lantern Bend 400 Houston TX 77090 Ambulatory Surgical Center MH Endoscopy Center North Freeway 7333 N Freeway 400 Houston TX 77076 Ambulatory Surgical Center MH Convenient Care Ctr at Sienna Plntn 8780 Highway 6 Suite B Missouri City TX 77459 Convenient Care center MH Surgery Ctr The Woodlands - Pinecroft 9305 Pinecroft Drive Ste 200 The Woodlands TX 77380 Ambulatory Surgical Center Univerity Place 7480 Beechnut Houston TX 77074 Senior Living MH Convenient Care Center at Spring 7474 N Grand Parkway W Spring TX 77379 Convenient Care center MH Convenient Care Ctr Greater Heights 1431 Studemont Street Houston TX 77007 Convenient Care center 990 Sch H Part I line 6a Community Benefit Report MEMORIAL HERMANN HEALTH SYSTEM HAS PRODUCED A COMMUNITY BENEFIT REPORT THAT HIGHLIGHTS ALL SIGNIFICANT COMMUNITY HEALTH IMPROVEMENT EFFORTS. AS A HOSPITAL SYSTEM WITH MULTIPLE FACILITIES IN A MAJOR METROPOLITAN AREA, OUR EFFORTS ARE FOCUSED ON MEETING THE NEEDS OF THE GREATER COMMUNITY VERSUS INDIVIDUAL EFFORTS ASSOCIATED WITH INDIVIDUAL FACILITIES. BY FOCUSING ON FEWER, LARGER ENDEAVORS, THE LONG TERM IMPACT ON THE HOUSTON COMMUNITY'S HEALTH STATUS IS GREATER THAN WOULD BE ON AN INDIVIDUAL BASIS. IN ACCORDANCE WITH TEXAS ADMINISTRATIVE CODE TITLE 25, PART 1, CHAPTER 13, SUBCHAPTER B, RULE 13.17, MEMORIAL HERMANN SUBMITS AN ANNUAL REPORT OF COMMUNITY BENEFITS PLAN TO THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (TDSHS) ANNUALLY. THE TDSHS REPORT RESIDES ON THE MEMORIAL HERMANN COMMUNITY BENEFITS WEBSITE: https://communitybenefit.memorialhermann.org/about-us/ 990 Sch H Part I Line 7A-I Financial Assistance and certain other Community Benefits at Cost Line 7a - Financial Assistance at cost is calculated as charity charges times CCR per worksheet 2. Line 7b - Medicaid is calculated as Medicaid charges times CCR per worksheet 2. Line 7c- Costs of other means-tested government programs is calculated as low income government charges times CCR per worksheet 2. Line 7e - Community health improvement services and community benefit operations is dollars spent with other community providers to improve the health of the community. Line 7f- Health professions education is out patient physician/paramedical teaching expenses and revenues as reported per the Medicare Cost Report. Line 7g- Subsidized health services includes the End Stage Renal Disease Program, and the Obstetrics and Delivery Program. The losses calculated are from the Cost Accounting System. These losses exclude Medicaid and Other indigent Programs but includes, all other services: IP, OP, ER, Private Insurance, Medicare, the Uninsured, etc. Line 7h- Research is research dollars serving the community. The amount comes directly from the Medicare Cost Report. Line 7i - Cash and in-kind contributions for community benefit is community programs not reported elsewhere, along with sponsorships of other organizations. 990 Sch H Part II Line 7 Community Building Activities MEMORIAL HERMANN PROVIDED $2,023,570 IN PROGRAMS TO THE COMMUNITY FOR HEALTH EDUCATION AND PREVENTION FOR DISEASES AND CHRONIC CONDITIONS, SUPPORT GROUPS, NUTRITION AND FITNESS CLASSES, SCREENINGS FOR DISEASE, EDUCATION FOR CURRENT AND FUTURE HEALTH PROFESSIONALS, AND COMMUNITY EVENTS THAT PROMOTE AWARENESS OF HEALTH ISSUES TO THE PUBLIC. 990 Sch H Part III Sec A Line 2 Bad Debt Methodology Unpaid accounts are written off as bad debts upon reaching delinquent status. Charity care accounts are written off as identified or qualified under the System's charity care policy. Bad Debt Cost Reported on Line 2, is based on Bad Debt Charges written off during the reporting period, less any Bad Debt recoveries in the period. Net amount was extended by RCC. (From Wks 2- Line 11 to impute cost.) 990 Sch H Part III Sec A Line 3 The Hospital Facility reviews records from prior years accounts receivable balances to determine which accounts written off as bad debt are ultimately determined to be charity care. A two year look back blended average is thus calculated and then applied to the current periods account balance to estimate the current period bad debt attributable to patients eligible under the organizations financial assistance program. 990 Sch H Part III Sec A Line 4 Bad Debt footnote Patient accounts receivable are reported net of estimated allowances for contractual allowances, bad debt, and other discounts. The Health System's recorded allowances for bad debt are based on expected net collections, after contractual adjustments, primarily from patients. Management routinely assesses these recorded allowances relative to changes in payor mix, cash collections, write-offs, recoveries, and market conditions. Unpaid accounts are written off as bad debts upon reaching delinquent status. Charity care accounts are written off as identified or qualified under the Health System's charity care policy. The Health System's concentration of credit risk with respect to patient accounts receivable is limited due to the diversity of patients and payors. At June 30, 2017 and 2016, the allowance for bad debt was $702,890,000 and $735,260,000 respectively. Noted on pages 10-11 in Audited Financials. 990 Sch H Part III Sec B Line 8 Shortfall treated as community benefit While Memorial Hermann is not a proponent of capturing Medicare Shortfall as a community benefit, MHHS does serve the senior population as a part of their mission to improve the health of the greater Houston area. 12% of MHHS inpatient Medicare Days are from SSI individuals. Because SSI represents the low income seniors, 12% of this number could reasonably be considered the portion of low income seniors MHHS is serving. 990 Sch H Part III Sec C Line 9b Collection Policy If there is no coverage by a third party and the responsible party cannot pay any or part of the balance due or make acceptable financial arrangements, assistance is provided to the responsible party to complete financial assistance application forms, including application for Medicaid, Crime Victims Compensation, Harris County Hospital District or County Indigent Programs where appropriate. If the patient meets predetermined financial criteria, assistance is provided to the responsible party to complete the charity application for a full or partial charity care write-off. 990 Sch H Part VI Line 2 Needs Assesment. IMPROVING THE HEALTH OF A COMMUNITY IS ESSENTIAL TO ENHANCING THE QUALITY OF LIFE FOR RESIDENTS IN THE REGION AND SUPPORTING FUTURE SOCIAL AND ECONOMIC WELL-BEING. IN 2013, AND AGAIN IN 2016, MEMORIAL HERMANN HEALTH SYSTEM (MHHS) ENGAGED IN A COMMUNITY HEALTH PLANNING PROCESS THAT WAS TWO-FOLD: (1) A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO IDENTIFY THE HEALTH-RELATED NEEDS AND STRENGTHS OF THE COMMUNITY AND (2) A STRATEGIC IMPLEMENTATION PLAN (SIP) TO IDENTIFY MAJOR HEALTH PRIORITIES, DEVELOP GOALS, AND SELECT STRATEGIES AND IDENTIFY PARTNERS TO ADDRESS THESE PRIORITY ISSUES ACROSS THE COMMUNITY. THE CHNA WAS GUIDED BY A PARTICIPATORY, COLLABORATIVE APPROACH, WHICH EXAMINED HEALTH IN ITS BROADEST SENSE. THIS PROCESS INCLUDED INTEGRATING EXISTING SECONDARY DATA ON SOCIAL, ECONOMIC, AND HEALTH ISSUES IN THE REGION WITH QUALITATIVE INFORMATION FROM FOCUS GROUPS WITH COMMUNITY RESIDENTS AND SERVICE PROVIDERS AND INTERVIEWS WITH COMMUNITY STAKEHOLDERS. KEY THEMES AND CONCLUSIONS INCLUDE: THE SERVICE AREAS OF THE THIRTEEN LICENSED FACILITIES ARE UNIQUE IN TERMS OF DEMOGRAPHICS AND POPULATION HEALTH NEEDS BUT EACH ALSO HAS A STRONG SET OF ASSETS ON WHICH TO BUILD. EACH HAS A TREMENDOUSLY DIVERSE POPULATION IN TERMS OF AGE, AFFLUENCE, RACE, ETHNICITY, LANGUAGE, AND HEALTH NEEDS. WHILE HARRIS COUNTY AND HOUSTON EXPERIENCE MORE CHALLENGES IN TERMS OF POPULATION HEALTH THAN THEIR MORE SUBURBAN AND RURAL NEIGHBORS IN THE REGION, IT ALSO HAS MORE ACCESSIBLE SOCIAL AND HEALTH RESOURCES AND BETTER PUBLIC TRANSPORTATION FOR ITS RESIDENTS. THE INCREASE IN POPULATION OVER THE PAST FIVE YEARS HAS PLACED A TREMENDOUS BURDEN ON EXISTING PUBLIC HEALTH, SOCIAL, AND HEALTH CARE INFRASTRUCTURE, A TREND THAT PLACES BARRIERS TO PURSUING A HEALTHY LIFESTYLE AMONG RESIDENTS. INFRASTRUCTURE THAT DOES NOT KEEP UP WITH DEMAND LEADS TO UNMET NEED AND SUSTAINS UNHEALTHY HABITS IN THE COMMUNITY. COMMUNITIES WITHOUT EASY ACCESS TO HEALTHY FOODS, SAFE ROADS, AFFORDABLE HOUSING, FEWER SIDEWALKS, AND MORE VIOLENCE ARE AT A DISADVANTAGE IN THE PURSUIT OF HEALTHY LIVING. ALTHOUGH THERE IS ECONOMIC OPPORTUNITY FOR MANY RESIDENTS, THERE ARE POCKETS OF POVERTY AND SOME RESIDENTS FACE ECONOMIC CHALLENGES WHICH CAN AFFECT HEALTH. SENIORS AND MEMBERS OF LOW-INCOME COMMUNITIES FACE CHALLENGES IN ACCESSING CARE AND RESOURCES COMPARED TO THEIR YOUNGER AND HIGHER INCOME NEIGHBORS. STRATEGIES SUCH AS COMMUNITY HEALTH WORKERS MAY INCREASE RESIDENTS ABILITY TO NAVIGATE AN INCREASINGLY COMPLEX HEALTH CARE AND PUBLIC HEALTH SYSTEM. OBESITY AND CONCERNS RELATED TO MAINTAINING A HEALTHY LIFESTYLE EMERGED AS CHALLENGES FOR THE REGION. BARRIERS RANGED FROM INDIVIDUAL CHALLENGES OF LACK OF TIME TO CULTURAL ISSUES INVOLVING CULTURAL NORMS TO STRUCTURAL CHALLENGES SUCH AS LIVING IN A FOOD DESSERT OR HAVING LIMITED ACCESS TO SIDEWALKS, RECREATIONAL FACILITIES, OR AFFORDABLE FRUITS AND VEGETABLES. BEHAVIORAL HEALTH WAS IDENTIFIED AS A KEY CONCERN AMONG RESIDENTS. STAKEHOLDERS HIGHLIGHTED SIGNIFICANT UNMET NEEDS FOR MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES. KEY INFORMANTS PARTICULARLY DREW ATTENTION TO THE BURDEN OF MENTAL ILLNESS ON THE INCARCERATED POPULATION. TRANSPORTATION TO HEALTH SERVICES WAS IDENTIFIED AS A SUSBSTANTIAL CONCERN, ESPECIALLY FOR SENIORS AND LOWER INCOME RESIDENTS, AS ACCESS TO PUBLIC TRANSPORTATION MAY BE LIMITED IN SOME AREAS. BASED ON RELEVANCE, APPROPRIATENESS, IMPACT AND FEASIBILITY THE THREE OVERARCHING PRIORITIES SELECTED AND APPROVED BY THE MEMORIAL HERMANN HEALTH SYSTEM BOARD IN JUNE 2016 WERE: HEALTH CARE ACCESS, INCLUDING TRANSPORTATION HEALTHY LIVING, INCLUDING CHRONIC DISEASE MANAGEMENT BEHAVIORAL HEALTH, INCLUDING SUBSTANCE ABUSE AND MENTAL HEALTH FOLLOWING THE COMMUNITY NEEDS ASSESSMENT, EACH MEMORIAL HERMANN HOSPITAL ALONG WITH THE SUPPORT OF MEMORIAL HERMANN COMMUNITY BENEFIT DEPARTMENT DEVELOPED AN IMPLEMENTATION PLAN WITH SUPPORTING OBJECTIVES, AND IMPLEMENTATION ACTIVITIES AND METRICS. ALL DOCUMENTS RESIDE ON EACH HOSPITAL'S WEBSITE. IMPLEMENTATION PLANS ARE MONITORED QUARTERLY AND UPDATED ANNUALLY. NUMEROUS COMMUNITY ANALYSES ARE CONDUCTED AND SUPPORT NOT ONLY THIS MEMORIAL HERMANN DRIVEN PROCESS BUT ONGOING THOUGHT AND PLANNING EFFORTS. THIS INCLUDES THE UNIVERSITY OF TEXAS SCHOOL OF PUBLIC HEALTHS HOUSTON AREA HOSPITALS EMERGENCY DEPARTMENT USE STUDY; THE STATE OF HEALTH OF HOUSTON/HARRIS COUNTY; HARRIS COUNTY PUBLIC HEALTHS THE STATE OF HEALTHCARE IN HOUSTON/HARRIS COUNTY AND ITS RESPONSE TO SOCIAL DETERMINANTS OF HEALTH; THE CLINTON HEALTH MATTERS INITIATIVE; HOUSTON AND HARRIS COUNTY BLUEPRINT FOR ACTION, HOUSTON AREA FOUNDATIONS PROVIDING HEALTH CARE TO THOSE IN NEED; MIGRATION POLICY INSTITUTES A PROFILE OF IMMIGRANTS IN HOUSON, THE NATIONS MOST DIVERSE METROPOLITAN AREA; AND DATA FROM SELECT COLLABORATIVES INCLUDING YMCA CHILDHOOD OBESITY TAKS FORCE, CITIES CHANGING DIABETES, AND HEALTHY LIVING MATTERS, AMONGST OTHERS. 990 Sch H Part VI Line 3 Patient Education of eligibility for assistance. All Memorial Hermann Acute Care facilities and Rehab facilities have Third Party Qualification vendors on-site or trained financial counselors. Once someone requests or a financial counselor has determined through interaction with the patient and/or guarantor that the patient cannot pay for services, the financial counselors will either screen themselves or the patient/guarantor is referred to the Eligibility vendor on-site to screen for any Federal/State/Local Government program which may cover their services. These vendors act as agents for the patient/guarantor and may at times go to hearings for Medicaid or Disability as a legal representative of the patient. Also, all our entities, including service lines, have posted notices of a patient's right to request charity. Our statements that are sent to patients have documentation on the back informing the patient of Memorial Hermann's Charity policy and their right to request such, (in English and Spanish). Accounts are referred to be processed either on a real time basis by the hospital staff while the patient is still in the hospital or by electronic referral via data download which occur weekly and after the patient has been discharged. The goal is to make contact with the patient for financial screening to determine eligibility for governmental assistance as soon as possible. TIRR Memorial Hermann has embedded case managers and social workers in the hospital-based physician clinic to help patients with their doctors and needs. TIRR Memorial Hermann inpatients and outpatients require a great deal of assistance with a wide range of resources, and case management plays a significant role in providing supportive services to each patient. Social workers provide not only case management, but behavioral counseling as well. If needed, social workers can refer patients to TIRR Memorial Hermann's psychiatrist. Counseling services are available to families as well as to patients. Assistance for Memorial Hermann ER patients to take advantage of Community resources for primary care outside the emergency rooms are through Memorial Hermann's navigation services. In 2008, Memorial Hermann launched the ER Navigation program and Today, the ER Navigation program places Community Health Workers (CHWs) or "navigators" on-site in seven Memorial Hermann's emergency rooms to educate patients on the importance of identifying and using a consistent health home rather than relying on emergency rooms for their primary care. Patients eligible for the program are 18 months to age 65 who have accessed the ER for primary care related conditions and are uninsured or on Medicaid. They provide patients with clinic referrals, make appointments, arrange transportation, share information and referrals to community and safety net programs, educate about qualifying for and using public benefits and other payment resources, serve as a liaison between the patient and providers and tackle other challenges to appropriate care. CHWs stress the importance of having a health home and provide support and guidance in making and keeping future health appointments. While navigators initially meet with patients during the ER visit, much of their work is done in follow-up, ensuring that a clinic appointment was made, was successful and assisting with the paperwork required for qualification for Medicaid, CHIP or county indigent programs. Similar support is through the COPE (Community Outreach for Personal Empowerment) Program which provides empowering services for uninsured patients to improve their health and well being through education about and coordination with community health services. COPE targets patients who are at the highest rate of declining health and recidivism. Enrolling these populations into public benefits through all of these venues automatically increases their likelihood of obtaining regular primary and preventative care; the kind of care that ensures health and the potential for a prosperous future while concurrently eliminating the cost burden presently experienced by safety-net providers. 990 Sch H Part VI Line 4 Community Information. Memorial Hermann serves "Greater Houston." A Multi-county area along the GULF COAST IN SOUTHEAST TEXAS WHERE SEVERAL COUNTIES ARE WITHOUT HOSPITAL DISTRICT SERVICES. THE HOUSTON- THE WOODLANDS- SUGAR LAND METROPOLITAN STATISTICAL AREA (MSA) IS THE 5TH LARGEST MSA IN THE UNITED STATES, GREATER HOUSTON IS ONE OF THE FASTEST GROWING REGIONS IN AMERICA, WITH A POPULATION OF 6.7 MILLION. THE INCREASE IN POPULATION OVER THE PAST FIVE YEARS HAS PLACED A TREMENDOUS BURDEN ON EXISTING PUBLIC HEALTH, SOCIAL, AND HEALTH CARE INFRASTRUFCTURE. A SOURCE OF STRENGTH IN A GLOBAL ECONOMY, HOUSTON PRIZES ITS RACIAL AND ETHNIC DIVERSITY. ACCORDING TO THE U.S. CENSUS ACS FIVE YEAR ESTIMATES, HOUSTONS HARRIS COUNTY, THE METROPOLITAN AREAS DOMINANT COUNTY, IS 31.7% WHITE, 41.1% HISPANIC, 18.9% BLACK OR AFRICAN AMERICAN, 6.6% ASIAN/PACIFIC ISLANDER AND 1.6% OTHER. MORE THAN FORTY PERCENT OF HOUSTON RESIDENTS SPEAK LANGUAGES OTHER THAN ENGLISH AT HOME. IMMIGRATION IS A MAJOR PART OF THE IDENTITY OF THE CITY OF HOUSTON AND THE GREATER HOUSTON METROPOLITAN AREA. BETWEEN 2000 AND 2013 HOUSTONS IMMIGRANT POPULATION GREW NEARLY TWICE THE NATIONAL RATE: 59% VERSUS 33%. ADDITIONALLY, HARRIS COUNTY HAS ONE OF THE LARGEST REFUGEE POPULATIONS IN THE U.S. ALTHOUGH THERE IS ECONOMIC OPPORTUNITY FOR MANY RESIDENTS, THERE ARE POCKETS OF POVERTY. MEDIAN HOUSEHOLD INCOME IS $53,113. 15.1% OF HARRIS COUNTY RESIDENTS ARE LIVING BELOW THE POVERTY LINE. 18% OF CHIILDREN AND 26.3% OF THE TOTAL HARRIS COUNTY POPULATION ARE FOOD INSECURE. THE GREATER HOUSTON AREA IS ONE OF THE HARDEST HIT AREAS IN THE "UNINSURED" HEALTHCARE CRISIS WITH A QUARTER OF HARRIS COUNTY RESIDENTS UNINSURED. THE RISING RATE OF OBESITY IS THE SINGLE BIGGEST THREAT TO THE GREATER HOUSTON AREA-MORE THAN ONE IN FOUR GREATER HOUSTON RESIDENTS ARE OBESE. OBESITY AND CONCERNS RELATED TO MAINTAINING A HEALTHY LIFESTYLE ARE CHALLENGES WITH RESIDENTS FACING BARRIERS, RANGING FROM A LACK OF TIME TO CULTURAL ISSUES INVOLVING CULTURAL NORMS TO STRUCTURAL CHALLENGES SUCH AS LIVING IN A FOOD DESERT OR HAVING LIMITED ACCESS TO SIDEWALKS, RECREATIONAL FACILITIES, OR AFFORDABLE FRUITS AND VEGETABLES. HEALTH EDUCATION, PREVENTION, AND INCREASED ACCESS TO HEALTHCARE ARE VITAL TO IMPROVING THE OVERALL HEALTH OF RESIDENTS WHOSE LEADING CAUSES OF HEALTH ISSUES ARE MENTAL HEALTH PROBLEMS, DIABETES, OBESITY (ADULT), OBESITY (CHILDREN), SUBSTANCE ABUSE, HEART DISEASE/STROKE, CANCER AND HIGH BLOOD PRESSURE. THE MOST PREVALENT CHRONIC DISEASES ARE DIABETES, OBESITY, HIGH BLOOD PRESSURE, CANCER, HEART FAILURE AND ASTHMA. ONLY 18.9% OF THE HARRIS COUNTY POPULATION, AGE 25+, HAS A COLLEGE DEGREE. SO VITAL TO THE WELL-BEING OF INDIVIDUALS AND FAMILIES, THE HOUSTON AREA'S UNEMPLOYMENT RATE IS RELATIVELY LOW AT 4.8% AND THE HOUSTON AREA ENJOYS A LOW COST OF LIVING. 990 Sch H Part VI Line 5 Promotion of Community Health. MEMORIAL HERMANN HEALTH SYSTEM WORKS WITH OTHER HEALTHCARE PROVIDERS, GOVERNMENT AGENCIES, BUSINESS LEADERS AND COMMUNITY STAKEHOLDERS TO ENSURE THAT ALL RESIDENTS OF THE GREATER HOUSTON AREA HAVE ACCESS TO THE CARE AND SERVICES THEY NEED TO IMPROVE THEIR QUALITY OF LIFE AND THE OVERALL HEALTH OF THE COMMUNITY. PROGRAMS ARE DESIGNED TO PROVIDE CARE FOR UNINSURED AND UNDERINSURED CHILDREN; TO REACH THOSE HOUSTONIANS NEEDING LOW COST CARE; TO SUPPORT THE EXISTING INFRASTRUCTURE OF NON-PROFIT CLINICS AND FQHCS; TO EDUCATE INDIVIDUALS AND THEIR FAMILIES ON HOW TO ACCESS THE HEALTHCARE AVAILABLE TO THEM; AND TO PROMOTE A CULTURE OF HEALTH THROUGH HEALTH INITIATIVES DESIGNED TO REDUCE OBESITY INCREASE ACCESS TO HEALTHY FOOD, INCREASE PHYSICAL ACTIVITY, IMPROVE HEALTH AND REDUCE CHRONIC CONDITIONS. COMMITTED TO MAKING THE GREATER HOUSTON AREA A HEALTHIER AND MORE VITAL PLACE TO LIVE, MEMORIAL HERMANN SUPPORTS THE FOLLOWING INITIATIVES: TEN MEMORIAL HERMANN HEALTH CENTERS FOR SCHOOLS, ESTABLISHED IN 1996, OFFER ACCESS TO PRIMARY MEDICAL AND MENTAL HEALTH SERVICES TO UNDERSERVED CHILDREN AT 72 SCHOOLS IN THE GREATER HOUSTON AREA. THE MEMORIAL HERMANN MOBILE DENTAL CLINIC, ESTABLISHED IN 2000, HAS THREE DENTAL VANS AND PROVIDES ACCESS TO PREVENTATIVE AND RESTORATIVE DENTAL SERVICES AT NINE HEALTH CENTERS FOR SCHOOLS' SITES AND IS ACCESSIBLE AS A "DENTAL HOME" FOR UNINSURED STUDENTS. SERVING THE COMMUNITY SINCE 2008, THE MEMORIAL HERMANN ER NAVIGATION PROGRAM PLACES CERTIFIED COMMUNITY HEALTH WORKERS WHO HAVE THE TRAINING, CULTURAL UNDERSTANDING AND LINGUISTIC CAPACITY TO HELP THE UNINSURED, WHO DISPROPORTIONATELY USE EMERGENCY ROOMS FOR HEALTHCARE, 'NAVIGATE' THE COMPLEX HEALTH SYSTEM, OBTAIN A MEDICAL HOME, SCHEDULE APPOINTMENTS, SECURE NEEDED SOCIAL SERVICES AND COPE WITH FUTURE HEALTHCARE CONCERNS. FOOD INSECURITY SCREENINGS, REFERRALS, AND SUBSEQUENT PARTNERING WITH FOOD PANTRIES WERE INCORPORATED INTO THE ER NAVIGATION PROGRAM IN 2016. IN 2017, THE PROGRAM REVITALIZED THE PREVIOUS COPE (COMMUNITY OUTREACH FOR PERSONAL EMPOWERMENT), PROVIDING HEALTH LITERACY OUTREACH, HEALTH CARE AND DISEASE PREVENTION WORKSHOPS AND HEALTH PROMOTION. MEMORIAL HERMANN NEIGHBORHOOD HEALTH CENTERS ARE STRATEGICALLY LOCATED NEAR TWO OF HOUSTON'S BUSIEST ERS, ARE OPEN EXTENDED HOURS AND SERVE AS A MEDICAL HOME TO UNINSURED AND UNDERINSURED WORKING FAMILIES. THE GOAL IS TO PROVIDE THIS POPULATION WITH THE PROVISION OF PREVENTIVE, ACUTE, AND CHRONIC CARE. MEMORIAL HERMANN MEDICAL MISSIONS EXISTS TO FINANCE, FACILITATE, AND ENCOURAGE PHYSICIAN LED TEAMS INTO THIRD WORLD COUNTRIES. IT FINANCES BY PROVIDING SUPPLIES, PHARMACEUTICALS, AND SCHOLARSHIPS FOR NON-PHYSICIAN TEAM MEMBERS IT FACILITATES BY LINKING PHYSICIANS AND SUPPORT TEAMS TOGETHER; ADVISING ON PASSPORTS, VACCINATIONS, AIR TRAVEL; AND COORDINATING NECESSARY SUPPLIES. IT ENCOURAGES BY SHARING THE KNOWLEDGE OF PAST EXPERIENCES; COMMUNICATING WHAT A MEDICAL MISSION MEANS TO A POVERTY OR DISASTER STRICKEN AREA; AND COACHING ON SAFETY PRACTICES SO THAT PARTICIPANTS FEEL COMFORTABLE IN THEIR NEW SURROUNDINGS. SEVERAL NEW MEMORIAL HERMANN INITIATIVES HAVE BEEN UNDER THE STATE OF TEXAS' MEDICAID 1115 WAIVER - TEXAS HEALTH CARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM COLLABORATIVE. THE PSYCHIATRIC RESPONSE CASE MANAGEMENT PROGRAM WAS INTRODUCED TO ADDRESS THE GAP IN THE MENTAL AND BEHAVIORAL CARE SERVICES BY CONNECTING PATIENTS TO OUTPATIENT TREATMENT AND OTHER COMMUNITY RESOURCES. THE INITIATIVE WAS DESIGNED TO PROVIDE INTENSIVE, COMMUNITY-BASED CASE MANAGEMENT SERVICES FOR THOSE WITH BEHAVIORAL HEALTH DIAGNOSIS AND A HISTORY OF MULTIPLE HOSPITALIZATIONS. UNDER THIS PROGRAM, PATIENTS ARE ACTIVELY ENGAGED IN THE DEVELOPMENT OF THEIR OWN MENTAL HEALTH CARE PLAN AND LONG-TERM RECOVERY GOALS WITH THE ULTIMATE OBJECTIVE OF IMPROVED PATIENT WELLNESS AND GOAL ACHIEVEMENT. THE CASE MANAGEMENT PROGRAM WORKS CLOSELY WITH MEMORIAL HERMANN'S PSYCHIATRIC RESPONSE TEAM, IN WHICH MENTAL HEALTH CLINICIANS EVALUATE, STABILIZE, ARRANGE FOR TRANSFERS AND DEVELOP AFTERCARE PLANS FOR PATIENTS IN EMERGENCY ROOM AND MEDICAL INPATIENT SETTINGS. THE PSYCHIATRIC RESPONSE TEAM REFERS PATIENTS TO MORE THAN 200 MENTAL HEALTH COMMUNITY TREATMENT PROVIDERS WITHIN HARRIS, FORT BEND AND MONTGOMERY COUNTIES. THIS LARGE REFERRAL NETWORK ALLOWS THE PROGRAM TO LEVERAGE THE PATIENTS WITH INSURANCE TO OBTAIN CARE FOR THOSE WITHOUT. THIS NETWORK ALSO ELIMINATES A SINGLE FACILITY FROM COMPETING WITH ALL LOCAL EMERGENCY CENTERS FOR LIMITED PSYCHIATRIC RESOURCES. ANOTHER MEMORIAL HERMANN 1115 WAIVER PROGRAM IS THE MENTAL HEALTH CRISIS CLINICS, CREATED IN RESPONSE TO THE SIGNIFICANT GAP IN MENTAL AND BEHAVIORAL HEALTH SERVICES IN HARRIS AND SURROUNDING COUNTIES. MEMORIAL HERMANN CREATED MENTAL HEALTH CRISIS CLINICS THAT PROVIDE RAPID ACCESS TO INITIATE PSYCHIATRIC TREATMENT AND OUTPATIENT MULTI-DISCIPLINARY SERVICES FOR PATIENTS WITH NO IMMEDIATE ACCESS TO MENTAL HEALTH CARE. THE GOAL IS TO KEEP INDIVIDUALS HEALTHY AND SAFE, DEVELOP PROCESSES AND INTERVENTIONS TO MANAGE CHALLENGING BEHAVIORS, AND REDUCE IMPROPER HOSPITALIZATION OR POSSIBLE INCARCERATION. THE NURSE HEALTH LINE WAS ESTABLISHED IN 2014 AS A FREE TELEPHONE SERVICE FOR GREATER HOUSTON RESIDENTS WHO ARE EXPERIENCING A HEALTH CONCERN AND ARE UNSURE OF WHAT TO DO OR WHERE TO GO. EXPERIENCED, BILINGUAL NURSES USE THEIR TRAINING AND EXPERTISE TO CONDUCT ASSESSMENTS BY PHONE, AND ARE AVAILABLE TO ANSWER CALLS 24 HOURS A DAY, SEVEN DAYS A WEEK FOR ANY RESIDENT LIVING IN HARRIS OR SURROUNDING COUNTIES. THEY HELP CALLERS DECIDE WHEN AND WHERE TO GO FOR MEDICAL CARE AND ASSIST WITH SOCIAL SERVICE REFERRALS AND TRANSPORTATION NEEDS. CALLERS RECEIVE HEALTHCARE ADVICE AND EDUCATION USING NATIONALLY RECOGNIZED STANDARDIZED PROTOCOLS. MEMORIAL HERMANN FINANCIAL SUPPORT OF COMMUNITY EFFORTS THAT ALIGN WITH MEMORIAL HERMANN TENETS INCLUDE: Children at Risk Operational funding for efforts to conduct a research study on recess policies and implementation in the Greater Houston area; and to develop and publish a report highlighting the state of recess in Houston, recess best practices, and recommendations for recess polices that school districts can implement. E.C.H.O.S. (Epiphany Community Health Outreach) This program helps underwrite the expense of the annual dinner to support operations that provide health and social services to the new immigrants and refugees, primarily living in the Southwest area. Health Disparities, Awareness, Research and Training Consortium The goal of the consortium is to provide a comprehensive understanding of health disparities and to investigate approaches to advancing health equity. Interfaith Community Clinic This program provides operational funding for this private not-for-profit volunteer based health care clinic. Its mission is to provide short-term medical care, dental care, and social service referrals for indigent persons who do not have private health insurance and are not eligible for Medicaid. Opened in 1966, the clinic specifically concentrates on providing services to Montgomery County residents who are not eligible for other programs and have nowhere else to turn. Nora's Home Support of Nora's Home Expansion Campaign to increase the ability to meet the demand for housing and a healing environment for the organ failure and transplant patients receiving care in the Texas Medical Center. Physicians of Sugar Creek Funding of the difference between costs and sliding fee scale payments of care provided by this Memorial Family Practice Residency Training site to the working poor of the area. Population Research This program provides research, development, and implementation of effective approaches that improve the health of the Houston area patient populations through data driven research, interventions, evaluation and community engagement. Present foci are on ER Navigation and obesity programming. Spring Branch Community Health Center This federally qualified health center serves the uninsured and underinsured populations in Spring Branch and West Houston areas. Using the primary care model, SBCHC offers an integrated and comprehensive service delivery system, serving as a medical home for all who seek it. University of Texas Health Science Center Support of creative solutions to increase enrollment of student nurses and therefore increase the number of nurses working within the community. Ronald McDonald House Three year commitment in support of the Behind Every Door campaign to expand and update facilities that provide families of seriously ill children in the Texas Medical Center with accessible, affordable, and comfortable living accommodations. SEVA Clinic This charity clinic, opened in 2017, serves the uninsured and underinsured populations in Pearland. TOMAGWA Ministries, Inc. This program provides support of primary care and education to the working poor not qualifying for public assistance and not earning enough to pay fo 990 Sch H Part VI Line 6 Affiliated health care system. PROUDLY SERVING THE GREATER HOUSTON COMMUNITY FOR MORE THAN 110 YEARS, MEMORIAL HERMANN, THE LARGEST NOT-FOR-PROFIT HEALTH SYSTEM IN SOUTHEAST TEXAS, HAS 13 HOSPITALS AND NUMEROUS SPECIALTY PROGRAMS AND SERVICES. OUR 5,500 AFFILIATED PHYSICIANS AND 24,000 EMPLOYEES PRACTICE EVIDENCE-BASED MEDICINE WITH A RELENTLESS FOCUS ON QUALITY AND PATIENT SAFETY. ALL ASPECTS OF THE HEALTH SYSTEM - CARE DELIVERY, PHYSICIANS AND HEALTH SOLUTIONS ARE BROUGHT TOGETHER TO CREATE A TRULY INTEGRATED HEALTH SYSTEM. THIS BREADTH OF SERVICE UNIQUELY POSITIONS MEMORIAL HERMANN TO COLLABORATE WITH OTHER PROVIDERS TO ASSESS AND CREATE HEALTH CARE SOLUTIONS FOR INDIVIDUALS IN GREATER HOUSTON'S DIVERSE COMMUNITIES; TO PROVIDE SUPERIOR QUALITY, COST-EFFICIENT, INNOVATIVE AND COMPASSIONATE CARE; TO SUPPORT TEACHING AND RESEARCH TO ADVANCE THE HEALTH PROFESSIONALS AND HEALTH CARE OF TOMORROW; AND TO PROVIDE HOLISTIC HEALTH CARE WHICH ADDRESSES THE PHYSICAL, SOCIAL, PSYCHOLOGICAL AND SPIRITUAL NEEDS OF INDIVIDUALS. OUR MEMORIAL HERMANN PHYSICIAN NETWORK, MHMD, COMPRISES PHYSICIANS FROM MEMORIAL HERMANN MEDICAL GROUP, UTHEALTH AND PRIVATE PHYSICIANS AND SPECIALISTS. MEMORIAL HERMANN HEALTH PLAN HOLDINGS LLC's SUBSIDIARIES OFFER COMPREHENSIVE, INTEGRATED HEALTH SOLUTIONS THAT DELIVER QUALITY BENEFITS WHILE HELPING TO CONTAIN COSTS. WE OFFER LEADING-EDGE CLINICAL EXPERTISE, PATIENT-CENTERED CARE, AND LEADING EDGE TECHNOLOGY AND INNOVATION AS WELL AS HOUSTON'S FIRST HEALTH INFORMATION EXCHANGE THAT SHARES VITAL PATIENT DATA AMONG CARE PROVIDERS, HELPING TO ENSURE PATIENTS RECEIVE THE RIGHT CARE AT THE RIGHT TIME. THROUGH MEMORIAL HERMANN'S SUBSIDIARY, MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION (MHCBC), MEMORIAL HERMANN IMPLEMENTS PROGRAMS TO WORK WITH OTHER HEALTHCARE PROVIDERS, GOVERNMENT AGENCIES, BUSINESS LEADERS AND COMMUNITY STAKEHOLDERS TO ENSURE THAT ALL RESIDENTS OF THE GREATER HOUSTON AREA HAVE ACCESS TO THE CARE THEY NEED TO IMPROVE THEIR QUALITY OF LIFE AND THE OVERALL HEALTH OF THE COMMUNITY. THE MISSION OF MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION IS TO TEST AND MEASURE INNOVATIVE SOLUTIONS THAT PROMOTE GOOD HEALTH FOR THE INDIVIDUAL, THE HEALTH SYSTEM AND THE COMMUNITY. MHCBC COLLABORATES WITH OTHERS AS WELL AS CREATES SIGNATURE, EVIDENCE-BASED WAYS TO IMPROVE THE COMMUNITIES WHERE PEOPLE LIVE, WORK, LEARN, AND PLAY. MHCBC AREAS OF EXPERTISE SPAN ACCESS AND NAVIGATION, NUTRITION AND PHYSICAL ACTIVITY, SUPPORT OF THE WHOLE CHILD, AND RIGOROUS OUTCOME MEASUREMENT. PRIMARY PROGRAM FOCUS INCLUDE EDUCATION ON, ACCESS TO, AND PROVISION OF PRIMARY MEDICAL, DENTAL, MENTAL HEALTH, AND SOCIAL SERVICE SUPPORT TO UNDERSERVED POPULATIONS; FOOD AS HEALTH; AND, EXERCISE AS MEDICINE. NEW PROGRAMS ARE PILOTED, AND PROVEN PROGRAMS ARE REPLICATED IN THE COMMUNITY. COMMUNITY BENEFIT CORPORATION FUNDING TENETS INCLUDE: PROVISION OF PRIMARY AND/OR SPECIALTY CARE FOR THE UNINSURED AND UNDERINSURED; CONTRIBUTION TO THE EXISTING INFRASTRUCTURE OF NON-PROFIT CLINICS AND FQHC'S; PROGRAMS, PRACTICES, AND POLICIES THAT AFFECT THE HEALTH OF INDIVIDUALS, FAMILIES, AND COMMUNITIES; COMMITMENT TO MEASUREMENT; EXISTENCE OF COLLABORATIVE PARTNERS; PROGRAMMATIC INCLUSION OF HEALTH EDUCATION AND LITERACY; STRIVE TOWARDS SUSTAINABILITY. AS REQUIRED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT-SECTION 501(R)(3)-REQUIREMENT OF THE ACA, MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION SUPPORTS THE MEMORIAL HERMANN HEALTH SYSTEM LICENSED ACUTE CARE, REHAB, AND SURGICAL HOSPITALS IN CONDUCTING COMMUNITY NEEDS ASSESSMENTS. THE CORRESPONDING IMPLEMENTATION STRATEGIES BALANCE THE INDIVIDUALITY OF THE DIFFERENT HOSPITALS WITH THE SYSTEM STRATEGY OF COLLECTIVELY SUPPORTING COMMUNITY OBJECTIVES TO ACHIEVE THE NECESSARY ALIGNMENT AND LEVERAGE TO IMPACT TRUE COMMUNITY CHANGE. 990 Sch H Part VI Line 7 State Filing of community benefit report. Memorial Hermann Health System files a community benefit report in Texas that is available on the world wide web at: https://communitybenefit.memorialhermann.org/about-us/ Community Health Needs Assessments and Strategic Implementation Plans are available through links to each Memorial Hermann licensed facility at https://communitybenefit.memorialhermann.org/about-us/key-community-health -assessment-findings/ true AMERICAN HEART ASSOCIATION POBox 15186 Austin TX 78761 135613797 501 c(3) 165000 general fundraising THEATRE UNDER THE STARS 800 BAGBY STREET 200 Houston TX 77002 741621647 501 c(3) 105090 general fundraising THE ROSE 12700 N Featherwood 260 Houston TX 77034 760193812 501 c(3) 50000 general fundraising Eclipse Soccer Club 3506 Hwy 6 south Suite 185 Sugar Land TX 774784401 742425404 501 c(3) 45000 general fundraising CanCare of Houston Inc 9575 Katy Freeway Suite 428 Houston TX 77024 760305357 501 c(3) 38000 general fundraising Judith Libenthal Robinson Ovarian Cancer Foundatio PO Box 70163 Houston TX 77270 274035240 501 c(3) 31500 general fundraising VICTORY (ACS) PO Box 572915 Houston TX 77257 741185665 501 c(3) 25000 general fundraising Houston Community College 3100 Main street Houston TX 77002 741885205 501 c(3) 21000 general fundraising Barbara Bush Foundation 7887 San Felipe St Ste 250 Houston TX 77063 237343119 501(c)(3) 20000 general fundraising Houston First Corporation 1001 Avenida de las Americas Houston TX 77010 760651209 local gov 20000 general fundraising GOOD SAMARITAN FOUNDATION PO Box 271108 Houston TX 77277 741235398 501 c(3) 19500 general fundraising Houston Area Women's Center 1010 Waugh Dr Houston TX 77019 742029166 501 c(3) 19500 general fundraising UNIVERSITY OF HOUSTON 4800 Calhoun Houston TX 77204 746041411 501 c(3) 18500 general fundraising Lake Houston Family YMCA 2420 West Lake Houston Parkway Kingwood TX 77345 741109737 501 c(3) 17500 general fundraising Fort Bend Junior Service PO Box 17387 Sugar Land TX 77496 760664152 501 c(3) 17500 general fundraising Houston Parks Board 300 North Post Oak Lane Houston TX 77024 741860046 501 c(3) 15000 general fundraising HOUSTON BALLET 601 Preston street Houston TX 77002 741394920 501 c(3) 15000 general fundraising KNOWLEDGE ARTS FOUNDATION 1111 Parkhaven Ln Houston TX 77077 202425139 501(c)(3) 15000 general fundraising Foundation for Jones Hall 615 Louisiana 101 Houston TX 77002 760202646 501 c(3) 15000 general fundraising Educational Foundation of the Southeast Texas Chap 6207 Canyon Run Court katy TX 77450 454519800 501 c(3) 15000 general fundraising MARCH OF DIMES 9494 Southwest Fry 300 Houston TX 77074 131846366 501 c(3) 13500 general fundraising GREATER HOUSTON PARTNERSHIP 1200 Smith Suite 700 Houston TX 77002 760267896 501 c(6) 13500 general fundraising USAFORT BEND FIT 4811 Cambridge St SUGAR LAND TX 77479 550835696 12500 general fundraising HOLOCAUST MUSEUM HOUSTON 5401 Caroline St Houston TX 77004 760331398 501 c(3) 12000 general fundraising Crohn's & Colitis Foundation of America Inc 5120 Woodway 8008 Houston TX 77056 136193105 501 c(3) 11000 general fundraising TEXAS NURSES DISTRICT 9 FOUNDATION 7324 SW fry Suite 2-1453 houston TX 77074 264369773 501 c(3) 10500 general fundraising ARTHRITIS FOUNDATION 3701 Kirby Dr Suite 1230 Houston TX 77098 943454386 501 c(3) 10000 general fundraising FAITH IN PRACTICE 7500 Beechnut St Suite 208 Houston TX 77074 760415986 501 c(3) 10000 general fundraising Finish Line Sports 13895 Southwest Frwy SUGAR LAND TX 77478 760134642 10000 general fundraising Communities in Schools 500 N Chenango 303 Angleton TX 77515 760392820 501 c(3) 10000 general fundraising Houston Public Library Foundation 550 Mckinney Street Houston TX 77002 741926301 501(c)(3) 10000 general fundraising DR MARNIE ROSE FOUNDATION 5300 N Braeswood blvd Houston TX 77096 452774942 501(c)(3) 10000 general fundraising Junior Acheivement of Southeast Texas Inc 2115 E Governors Circle Houston TX 77092 741153957 501 c(3) 10000 general fundraising HOUSTON ZOO 1513 Cambridge Street Houston TX 77030 741590271 501 c(3) 10000 general fundraising The Posse Foundation Inc 14 Wall Street No 8A-60 New York NY 10005 133840394 501 c(3) 10000 general fundraising Cristo Rey Jesuit College Preparatory School of Ho 6700 Mount Carmel St Houston TX 77087 263159838 School 10000 general fundraising Lone Star Flight Museum 2002 Terminal Dr Galveston TX 77554 760213778 501 c(3) 10000 general fundraising Woodlands Chamber of Commerce 9320 Lakeside Blvd Bldg 2 Ste 200 The Woodlands TX 77381 742053667 501 c(6) 9695 general fundraising Interfaith of The Woodlands 4242 Interfaith way The Woodlands TX 77381 741804123 501 c(3) 9250 general fundraising Asian Chamber of Commerce 6833 W Sam Houston Pkwy S Ste 207 Houston TX 77072 760316809 501(c)(6) 7500 general fundraising Northeast Hospital Foundation 18951 memorial north humble TX 77338 760224541 501 c(3) 7500 general fundraising The Woodlands Mens Lacrosse Club Inc PO Box 131821 The Woodlands TX 77393 471257772 501 c(3) 7500 general fundraising FORT BEND YOUTH FOOTBALL 1306 Ashwood SUGAR LAND TX 77478 462742566 501 c(3) 7500 general fundraising MEN OF DISTINCTION OF GREATER HOUSTON INC 4218 Marquette houston TX 77219 260421594 501 c(3) 7500 general fundraising Houston Arts Alliance 3201 Allen Parkway Houston TX 77019 741946756 501 c(3) 7500 general fundraising El Campo ISD Education Foundation 700 W Norris El Campo TX 77437 900730129 School 7000 general fundraising Wharton ISD 2100 North Fulton Wharton TX 77488 746002564 School 7000 general fundraising LAMAR SOCCER CLUB INC PO Box 544 richmond TX 77406 760570590 501 c(3) 6750 general fundraising Cypress-Fairbanks ISD 8877 Barker Cypress Rd Cypress TX 77433 740412660 School 6585 general fundraising RICE UNIVERSITY 6100 main street - ms70 houston TX 77005 741109620 501 c(3) 6500 general fundraising Humble ISD Education Foundation PO Box 2000 Humble TX 77347 760608461 School 6500 general fundraising South Montgomery County YMCA 6145 Shadowbend Place Houston TX 77381 741109737 501 c(3) 6500 general fundraising Houston Achievement Place 245 west 17th Houston TX 77008 741802045 501 c(3) 6000 general fundraising YMCA of Greater Houston area 2600 North Loop west 300 Houston TX 77092 741109737 501 c(3) 6000 general fundraising TEACH FOR AMERICA 4669 Swy Fry suite 600 houston TX 77027 133541913 501 c(3) 6000 general fundraising The Foundation for The Malcolm Baldrige National q 1717 Pennsylvania Ave Washington DC 20006 592891462 501 c(3) 5040 general fundraising Joe Niekro Foundation 14074 E Geronimo rd Scottsdale AZ 85259 421740818 501 c(3) 5036 general fundraising 52 5 X X X X X true true false false false false false false false ALEXANDERCHARLOTTE B MD Director 0 267986 0 0 0 0 0 0 0 0 0 267986 0 0 CHUBENJAMIN K MD President & CEO 911536 0 101902 0 6168 0 255169 0 8392 0 1283167 0 0 0 WOLTERMANDAN J Special Advisor 1354776 0 1906468 0 14907877 0 778836 0 9166 0 18957123 0 14902942 0 GORDONDEBORAH EVP, Chief Legal Off & Sec 512394 0 427111 0 1751 0 148018 0 15577 0 1104851 0 0 0 LARAWAYDENNIS L EVP, CFO & Treasurer 772867 0 799932 0 222845 0 220522 0 12015 0 2028181 0 217155 0 SHABOTMICHAEL EVP, Chief Clinical Off 652591 0 622674 0 190028 0 246361 0 12015 0 1723669 0 157252 0 SHEAWARREN VP, Dep Gen.Counsel,Asst Sec. 301512 0 139280 0 1623 0 81542 0 9811 0 533768 0 0 0 STOKESCHARLES D EVP, Chief Operating Off 817845 0 851381 0 241907 0 291477 0 12015 0 2214625 0 231326 0 ALEXANDERKEITH SVP, Reg Pres-North Region 514476 0 460209 0 112659 0 172587 0 15577 0 1275508 0 109962 0 ASPRECERIN S SVP, Reg Pres-South Region 515293 0 436383 0 77918 0 148003 0 15577 0 1193174 0 77058 0 BRACERODNEY SVP, Reg Pres-Service Lines 573857 0 469796 0 146197 0 177855 0 12015 0 1379720 0 139457 0 BRADSHAWDAVID EVP, Chief Strat & Info Off 606089 0 536141 0 153806 0 232810 0 15577 0 1544423 0 141227 0 CORDOLACRAIG A SVP, Reg Pres-Central & West R 670644 0 569077 0 166192 0 232883 0 15577 0 1654373 0 141675 0 DEANBRIAN SVP, CEO - TMC 530190 0 310859 0 13211 0 146877 0 1675 0 1002812 0 0 0 GARMANJAMES EVP, Chief HR Officer 565446 0 515863 0 147411 0 141476 0 12015 0 1382211 0 138984 0 O'SULLIVANPAUL C SVP, CEO - Memorial City 402310 0 245275 0 64372 0 117703 0 6459 0 836119 0 59510 0 URBANJOSHUA SVP, CEO - The Woodlands 403832 0 302269 0 56661 0 135147 0 1675 0 899584 0 54781 0 BARBEBRIAN S SVP, CEO - Cypress 407553 0 363536 0 98819 0 129954 0 12015 0 1011877 0 90382 0 DISTEFANOSUSAN M SVP, CEO - Children's 385750 0 349077 0 302546 0 119616 0 15577 0 1172566 0 296721 0 KERRGARY SVP, CEO - Southwest 447027 0 376280 0 101307 0 150978 0 12015 0 1087607 0 96435 0 JOSEHART CARL SVP, CEO - TIRR, Rehab & Post 382706 0 332162 0 107073 0 129947 0 8325 0 960213 0 58666 0 HEINSMARSHALL B SVP, Chief Facilities Officer 510343 0 146958 0 135064 0 167658 0 15577 0 975600 0 104737 0 REIMERRENEE Former Officer 331638 0 268079 0 60670 0 85591 0 6459 0 752437 0 58371 0 BROWNJAMES B Former Key Employee 367214 0 261164 0 58491 0 110745 0 13559 0 811173 0 47108 0 METZGERPAT Former Key Employee 75773 0 0 0 332123 0 10090 0 788 0 418774 0 35203 0 PARETCAROL J Former Key Employee 296865 0 239344 0 52520 0 99726 0 15577 0 704032 0 46914 0 LLOYDCHRISTOPHER Former Key Employee 442692 0 334059 0 67832 0 128838 0 6459 0 979880 0 60480 0 TREVINO ILEANA Former Key Employee 197847 0 261615 0 392071 0 60595 0 5542 0 917670 0 44655 0 Form 990 Schedule J Part I Line 4a METZGER,PAT $296,920 TREVINO,ILEANA $344,929 Form 990 Schedule J Part I Line 4b MEMORIAL HERMANN HEALTH SYSTEM SPONSERS TWO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS: MEMORIAL HERMANN SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) AND EXECUTIVE DEFERRED COMPENSATION PLAN (EDCP). APPLICABLE SERP AND EDCP AMOUNTS ACCRUED PER PERSON: SERP EDCP CHU,BENJAMIN K. M.D. 0 $255,169 WOLTERMAN,DAN $448,530 $299,404 GORDON,DEBORAH 0 $114,118 LARAWAY,DENNIS 0 $204,622 SHABOT,MICHAEL M.D. $57,576 $143,184 SHEA,WARREN 0 $47,642 STOKES,CHARLES $61,466 $188,597 ALEXANDER,KEITH $28,452 $102,600 ASPREC,ERIN $23,182 $103,143 BRACE,RODNEY $44,045 $103,570 BRADSHAW,DAVID $52,508 $131,581 CORDOLA,CRAIG $35,386 $157,838 DEAN,BRIAN 0 $112,977 GARMAN,JAMES 0 $125,576 O'SULLIVAN,PAUL $18,950 $73,988 URBAN,JOSHUA $18,525 $73,456 BARBE,BRIAN $27,891 $71,098 DISTEFANO,SUSAN $23,562 $70,248 KERR,GARY $29,359 $78,108 TREVINO,ILEANA $10,870 $11,624 JOSEHART,CARL $18,246 $69,993 HEINS,MARSHALL $25,743 $91,575 REIMER,RENEE $12,080 $50,870 JAMES,BROWN $12,070 $71,838 METZGER,PAT $4,993 0 PARET,CAROL $20,690 $33,220 LLOYD,CHRISTOPHER $22,881 $81,855 A Harris County Cultural Facilities Finance Corp 760337885 414009EM8 2010-11-30 72206221 2010A Refund Issue 3/12/1997 false false false B Harris County Cultural EDU FAC Fin Corp 760337885 414009GR5 2013-03-28 468778930 2013 A/B refund issue 04/08/2004 false false false C Harris County Cultural Edu FAC Fin Corp 760337885 414009HL7 2014-06-11 307303890 2014 A/B/C/D Building and Structur false false false D Harris County Cultural Facilities Finance Corp 760337885 414009KF6 2015-12-15 270200000 2015 A/B/C Refund Issue 1/5/2011 false false false A 16670000 0 72206221 0 0 0 1206221 0 0 0 71000000 0 2010 true false true true B 0 0 468778930 0 0 0 3629482 0 0 0 465149448 0 2013 true true true true C 0 0 307303890 0 0 0 2303890 0 0 305000000 0 0 false false false true D 0 0 270200000 0 0 0 0 0 0 0 270200000 0 2011 true false true true A false false false false 0.00000 0.00000 0.00000 false false false true B false false false false 0.00000 0.00000 0.00000 false false false true C false false false false 0.00000 0.00000 0.00000 false false false true D false false false false 0.00000 0.00000 0.00000 false false false true A true false false 0 false 0 false true B true true true JP Morgan 6.93 false false false 0 false true C true true true JP Morgan 11.93 false false false 0 false true D true true true Deutche Bank 14.93 false false false 0 false true A true B true C true D true A Harris County Cultural Facilities Finance Corp 760337885 414009KP4 2016-06-08 151216215 2016 A Building and Structure false false false B Harris County Cultural Edu Fac Fin Corp 760337885 414009KS8 2016-06-08 326305000 2016 B/C/D/E Build & Struct refund false false false A 0 0 151216215 0 0 0 1216215 0 0 64488534 0 85511466 false false false true B 0 0 326305000 0 0 0 1649048 0 0 118254972 175484000 30915980 true false false true A false false false false 0.00000 0.00000 0.00000 false false false true B false false false false 0.00000 0.00000 0.00000 false false false true A true false 0 false 0 false true B true true true Deutche Bank 9.93 false false false 0 false true A true B true Megan Alexander Family Member of Key Emp 37044 employment false Richard Alexander Family Member of Director 89750 employment false Angela Bell Family Member of Director 68742 employment false Madison Hester Family Member of High 5 55987 employment false Casey Hedges Family Member of Director 8621 employment false 990 Part IV Line 12A & B Audited Financials The Health System does not have its financial accounts separately audited nor receive audited financial statements. For the consolidated entities of the Memorial Hermann Health System and its affiliates an independent audit is conducted and audited financial statements are prepared according to GAAP by an independent accounting firm, of which the financial accounts of the Health System is a part. 990 Part VI Section A Line 6 Members of Organization Memorial Hermann Health System has individual members. 990 Part VI Section A Line 7A Election of Members The members have the authority to annually elect board members of the organization and to fill any vacancies on the board whose terms have expired. 990 Part VI Section A Line 7B Decisions of Governing Body The members have approval authority to approve amendments to, and repeal of the bylaws and certificate of formation, the purchase or sale of all or substantially all assets of the organization, and the merger or dissolution of the organization. 990 Part VI Section B Line 11B Review of Form 990 MEMORIAL HERMANN HEALTH SYSTEM PROVIDES A COPY OF THE FORM 990 TO ALL MEMBERS OF THE GOVERNING BODY VIA A WEBSITE SET UP SPECIFICALLY FOR BOARD MEMBERS TO ACCESS VARIOUS BOARD MEMBER DOCUMENTS. THE FORM 990 IS REVIEWED BY MEMORIAL HERMANN System Tax STAFF, SPECIFIC DEPARTMENTS INVOLVED IN RELATED SECTIONS OF THE RETURN, the Memorial Hermann System Tax Director, the Memorial Hermann vice president of finance, THE MEMORIAL HERMANN CHIEF ACCOUNTING OFFICER, and with the governing board PRIOR TO FILING Form 990. 990 Part VI Section B Line 12C Corporate Conflict of Interest Policy Memorial Hermann Health System utilizes conflict of interest surveys and has codified its procedure in a policy. The policy is monitored by our Corporate Compliance Department through annual surveys of board members, corporate officers, management level employees, and other selected employees, physicians and vendors for all of its entities and related affiliates. In addition to responding to the survey, each recipient affirms that they have received a copy of the policy, have read and understood it, have agreed to comply with it, and understands that Memorial Hermann is a charitable organization that must engage in primarily tax-exempt purpose activities. The Corporate Compliance Department, Chief Legal Officer and the Corporate Audit Committee, consisting of independent board members, receive a report of all items disclosed. The Audit Committee Chair reports the existence of any conflicts to the Corporate Board of Directors. Memorial Hermann's conflicts of interest policy requires that Board members excuse themselves from discussions in which they have a conflict of interest. The policy also subjects Board members to disciplinary action if they are found to have violated the policy. 990 Part VI Section B Line 13 Whistleblower Policy Memorial Hermann Health System has established communication channels to report problems and concerns including a telephone Helpline. Employee partners are encouraged to report problems or concerns either anonymously or in confidence via the Helpline when they deem appropriate. The Helpline establishes an avenue for employee partners or interested parties to report suspected criminal activity, and illegal or unethical conduct occurring within the organization in the event other resolution channels are ineffective or the caller wishes to remain anonymous. The Corporate Compliance Helpline is administered by an outside service in order to protect the anonymity of callers to the Helpline if they so desire to remain anonymous. All those who are employed in the Helpline operation or contracted organizations administering the Helpline are expected to act with utmost discretion and integrity in assuring that information received is acted upon in a reasonable and proper manner. MHHS has established a strict non-retaliation policy to protect, from retaliation, employee partners and others who report problems and concerns in good faith. There shall be no retaliation against a MHHS employee, independent contractor, vendor, allied health professional or medical staff member for reporting or raising a question regarding MHHS's compliance with a law or regulation. Those reporting suspected non-compliance who wish to remain anonymous may do so if they so choose. All reports of suspected non-compliance will be addressed in a confidential manner. The Corporate Compliance Officer or designee will always strive to maintain confidentiality during the compliance review and investigation process; however there may be a point where the identity of a reporter may need to be revealed where appropriate. 990 Part VI Section B Line 15A & 15B Compensation Determination THE COMPENSATION COMMITTEE OF THE MEMORIAL HERMANN BOARD OF DIRECTORS RETAINS THE ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF EXECUTIVE COMPENSATION. THE COMMITTEE IS COMPRISED OF INDIVIDUALS WHO ARE NOT EMPLOYED BY MEMORIAL HERMANN, AND HAVE NO CONFLICTING INTERESTS. THE PROCESS FOR DETERMINING COMPENSATION FOR THE ORGANIZATION'S CEO AND DISQUALIFIED PERSONS IS MODELED AFTER THE REQUIREMENTS IN IRC SECTION 4958 TO ESTABLISH THE PRESUMPTION OF REASONABLE COMPENSATION. THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE TOTAL REMUNERATION FOR THE ORGANIZATIONS DISQUALIFIED PERSONS IN ADVANCE OF BEING PAID. ON AN ANNUAL BASIS, THE COMPENSATION COMMITTEE ENGAGES AN INDEPENDENT THIRD-PARTY EXECUTIVE COMPENSATION CONSULTANT WHO USES COMPARABLE MARKET DATA FROM PUBLISHED SURVEYS AND/OR FORMS 990 OF SIMILAR ORGANIZATIONS TO PERFORM A COMPETITIVE ANALYSIS AND WRITE AN OPINION LETTER REGARDING THE COMPETITIVE POSITION OF MEMORIAL HERMANNS DISQUALIFIED PERSONS. THE COMPENSATION COMMITTEE REVIEWS THE COMPARABILITY DATA AND OPINION LETTER, AND DOCUMENTS ITS DISCUSSION AND DECISIONS IN MINUTES THAT ARE RETAINED WITH THE ORGANIZATION'S OTHER GOVERNANCE MATERIALS. THE ANALYSIS WAS LAST PERFORMED IN 2017 AND IT INCLUDED THE PRESIDENT & CEO, ALL EXECUTIVE VICE PRESIDENTS AND SENIOR VICE PRESIDENTS OF THE ORGANIZATION, AS WELL AS FAMILY MEMBERS OF DISQUALIFIED PERSONS WHO ARE EMPLOYED BY MEMORIAL HERMANN. The former CEO and President, Mr. Wolterman was provided with a retirement agreement as part of his employment. The agreement specified a payment of a percentage of Mr. Woltermans final base pay over his lifetime. The award was accrued over the life of the agreement (July 2009 to July 2016). According to the agreement, Mr. Wolterman fully vested in the benefit on his 60th birthday in July, 2016. Mr. Wolterman elected to receive his payment in the form of a lump sum upon his retirement. The amount of the lump sum was actuarially determined to be $13,738,928. This amount was paid in 2016 and is included in COLUMN B(III) AS "OTHER REPORTABLE COMPENSATION" FOR MR. WOLTERMAN. 990 Part VI Section C Line 19 Disclosure of Organizational Documents The articles of incorporation, corporate bylaws, conflict of interest policy and financial statements of Memorial Hermann Health System and its affiliates are generally not made available to the public. If the inquirer provided a valid reason for desiring a copy of the documents that are related to the business interests of any of the Memorial Hermann Health System corporate entities, we would consider making these documents available. 990 Part VII Directors Board Medical Plan Our directors can purchase medical coverage, for themselves and their eligible family members, through our networks at 100% of the premium cost. 990 Part XI Line 9 Changes in Net Assets or Fund Balance RECLASS OF FUND BALANCES OF AFFILIATED COMPANIES (59,851,947) CHANGE IN UNFUNDED PENSION LOSSES 39,188,000 RECLASS OF CONTRIBUTIONS 22,343,000 CHANGE IN NONCONTROLLING INTERESTS (3,055,000) TOTAL CHANGES IN FUND BALANCES (1,375,947) 990 Part XII Line 2C Oversight Review of Financial Statements Memorial Hermann Health System has independent committees for audits, governance, and compensation which perform their respective functions on a consolidated basis for all corporate entities. The audit committee hires the independent accountants and oversees all audits that are conducted within all affiliated entities for financial information, grants and awards, and qualified plans. 990 Schedule K Part VI Part I Column F Tax Exempt Bonds 2010A Bonds: Refund the Series 1997B Bonds and pay costs of issuance of the Series 2010A Bonds. Renovation, equipment, and construction of elderly care facilities at Southwest & Southeast; renovation and equipment at Greater Heights; 100,000 sq. ft expansion at the Woodlands; prior acquisition of, renovation and equipment for Pasadena; construction in inpatient/outpatient facilities, equipment and elderly care facilities at 1-10 & Eldridge and Highway 290 & FM 1960. 2013A Bonds: Bonds were issued to advance refund a portion of the Series 2004A Bonds and all of the Series 2008B bonds. Reimbursement or payment of routine capital costs incurred in connection with the construction of various improvements to and the acquisition of capital equipment for healthcare facilities of MHHS and Continuing Care and renovation of Memorial Hermann Hospital. Routine capital expenditures include the acquisition of land and additional equipment for existing hospital facilities, including, but not limited to, the upgrade of cardiac catheterization laboratories, renovation of nursing units and operating rooms, and installation and upgrade of CT scanners, MRIs, echocardiography systems and other imaging equipment at existing hospital facilities. The Bonds also financed the expansion of inpatient and outpatient facilities at Memorial Hermann Hospital including the expansion of operating rooms, women's services, imaging services and the neonatal intensive care unit at that hospital. Renovations and replacements of, additions to and equipment for Hermann including Children's, Southwest including affiliated long-term acute facility, Southeast, Greater Heights, Memorial City, The Woodlands, Katy, MHCC Hospital Spring Shadows Pines, Prevention and Recovery Center, and the initial outpatient/inpatient primary healthcare facilities at SH 288 and FM 518, Pearland, Brazoria County. 2013B Bonds: Issued to refund the Series 2008C bonds and pay costs of issuance of the 2013B Bonds. Previously financed projects: 1) the construction and renovation of Greater Heights, excluding the chapel therein; 2) the construction and renovation of the Woodlands; 3) construction and renovation of inpatient/outpatient facilities at 1-10 & Eldridge and at Highway 290 & FM 1960 including construction and equipping elderly care facilities at such sites; 4) construction and renovation at Southeast and Southwest including construction of elderly care facilities and 544 parking spaces at Southeast; 5) reimbursement/payment of capital equipment for Southwest, Southeast, Greater Heights, The Woodlands, and Facilities in 3) and 4). 2014A Bonds: The proceeds of the Bonds will finance a portion of the cost of various capital projects including the construction, expansion, renovation and replacement of, additions to, and/or the acquisition of sites and capital equipment for healthcare facilities of MHHS located or to be located in or near Houston, Texas, including substantial additions and other improvements to MHHSs Katy and Sugar Land hospitals, a new hospital in Pearland, and master plan improvements to and an expansion of MHHSs Texas Medical Center hospital and to pay costs of issuance for the Series 2014 Bonds. 2014B Bonds: The proceeds of the Bonds will finance a portion of the cost of various capital projects including the construction, expansion, renovation and replacement of, additions to, and/or the acquisition of sites and capital equipment for healthcare facilities of MHHS located or to be located in or near Houston, Texas, including substantial additions and other improvements to MHHSs Katy and Sugar Land hospitals, a new hospital in Pearland, and master plan improvements to and an expansion of MHHSs Texas Medical Center hospital and to pay costs of issuance for the Series 2014 Bonds. 2014C Bonds: The proceeds of the Bonds will finance a portion of the cost of various capital projects including the construction, expansion, renovation and replacement of, additions to, and/or the acquisition of sites and capital equipment for healthcare facilities of MHHS located or to be located in or near Houston, Texas, including substantial additions and other improvements to MHHSs Katy and Sugar Land hospitals, a new hospital in Pearland, and master plan improvements to and an expansion of MHHSs Texas Medical Center hospital and to pay costs of issuance for the Series 2014 Bonds. 2014D Bonds: The proceeds of the Bonds will finance a portion of the cost of various capital projects including the construction, expansion, renovation and replacement of, additions to, and/or the acquisition of sites and capital equipment for healthcare facilities of MHHS located or to be located in or near Houston, Texas, including substantial additions and other improvements to MHHSs Katy and Sugar Land hospitals, a new hospital in Pearland, and master plan improvements to and an expansion of MHHSs Texas Medical Center hospital and to pay costs of issuance for the Series 2014 Bonds. 2015A Bonds: Issued to refund the Series 2010B Bonds which were originally issued to redeem all of the Series 2001B Bonds and pay costs of issuance of the 2010B Bonds. The original proceeds of the 2001B bonds funded renovations of, additions (including elderly care facilities) to and equipment for acute care hospitals, rehabilitation hospital & Spring Shadows Glen and the proposed inpatient/outpatient facilities at Highway 290 & FM 1960. 2015B Bonds: Issued to refund the Series 2010B Bonds which were originally issued to redeem all of the Series 2001B Bonds and pay costs of issuance of the 2010B Bonds. The original proceeds of the 2001B bonds funded renovations of, additions (including elderly care facilities) to and equipment for acute care hospitals, rehabilitation hospital & Spring Shadows Glen and the proposed inpatient/outpatient facilities at Highway 290 & FM 1960. 2015C Bonds: Issued to refund the Series 2008A-1 Bonds which were issued to refund the maturities of the Series 1998 Bonds and pay costs of issuance of the Series 2008A Bonds. Expansion, renovation, and equipment for Southwest, Southeast, Greater Heights, The Woodlands, Hermann, Pasadena, Memorial City, Rehabilitation Hospital, Spring Shadows Glen, Spring Shadows Pines; Construction of inpatient/outpatient facilities, equipment and elderly care facilities at 1-10 & Eldridge Road and Highway 290 & FM 1960; Construction of proposed preventative health care facility and equipment at 7701-7737 Southwest Freeway; Construction and equipment for elderly care facilities at Southwest and Southeast. 2016A Bonds: The proceeds of the Bonds will finance a portion of the cost of various capital projects including the construction, expansion, renovation and replacement of, additions to, and/or the acquisition of sites and capital equipment for healthcare facilities of MHHS located or to be located in or near Houston, Texas, including substantial additions and other improvements to MHHSs Sugar Land and Northeast hospitals, a new hospital in Cypress, and master plan improvements to and an expansion of MHHSs Texas Medical Center hospital and to pay costs of issuance for the Series 2016 Bonds. 2016B Bonds: The proceeds of the Bonds will finance a portion of the cost of various capital projects including the construction, expansion, renovation and replacement of, additions to, and/or the acquisition of sites and capital equipment for healthcare facilities of MHHS located or to be located in or near Houston, Texas, including substantial additions and other improvements to MHHSs Sugar Land and Northeast hospitals, a new hospital in Cypress, and master plan improvements to and an expansion of MHHSs Texas Medical Center hospital and to pay costs of issuance for the Series 2016 Bonds. 990 Schedule K Part VI Part I Column F Tax Exempt Bonds 2016C Bonds: Issued to refund the Series 2013C Bonds which were originally issued to redeem all of the Series 2008D-2 Bonds and pay costs of issuance of the 2013D Bonds. Original proceeds issued for renovations of, additions (including elderly care facilities) to and equipment for inpatient/outpatient facilities at Highway 290 & FM 1960, formerly owned and operated by Pasadena Hospital, inpatient/outpatient facilities at 1-10 & Eldridge Road, Spring Shadows Pines and the Wellness Center. 2016D Bonds: Issued to refund Series 2013D which were originally issued to refund Series 2008D-2 Bonds and pay costs of issuance for the Series 2013D Bonds. Original proceeds issued for renovations of, additions (including elderly care facilities) to and equipment for inpatient/outpatient facilities at Highway 290 & FM 1960, formerly owned and operated by Pasadena Hospital, inpatient/outpatient facilities at 1-10 & Eldridge Road, Spring Shadows Pines and the Wellness Center. 2016E Bonds: Issued to restructure Series 2008A-2 which were originally issued to refund the maturities of the Series 1998 Bonds and pay costs of issuance of the Series 2008A Bonds. Expansion, renovation, and equipment for Southwest, Southeast, Greater Heights, The Woodlands, Hermann, Pasadena, Memorial City, Rehabilitation Hospital, Spring Shadows Glen, Spring Shadows Pines; Construction of inpatient/outpatient facilities, equipment and elderly care facilities at 1-10 & Eldridge Road and Highway 290 & FM 1960; Construction of proposed preventative health care facility and equipment at 7701-7737 Southwest Freeway; Construction and equipment for elderly care facilities at Southwest and Southeast. Memorial Hermann Community Benefit 929 Gessner Rd STE 1900 Houston TX 77024 680511504 Healthcare TX 501(c)(3) 10 MHHS true Memorial Hermann Medical Group 929 Gessner Rd STE 1900 Houston TX 77024 204923281 Healthcare TX 501(c)(3) 3 MHHS true MHS Physicians of Texas 929 Gessner Rd STE 1900 Houston TX 77024 760385980 Healthcare TX 501(c)(3) 3 MHHS true Memorial Hermann Foundation 929 Gessner Rd STE 1900 Houston TX 77024 741653640 Fundraising TX 501(c)(3) 12a I MHHS true Memorial Hermann Information Exchange 929 Gessner Rd STE 1900 Houston TX 77024 020684202 Healthcare TX 501(c)(3) 3 MHHS true Memorial Hermann Accountable Care Org 929 Gessner Rd STE 1900 Houston TX 77024 800778181 Healthcare TX 501(c)(4) N/A MHHS true Memorial Hermann Pharmacy Services LLC 929 Gessner Rd STE 1900 Houston TX 77024 202184459 Healthcare TX 501(c)(3) 10 MHHS true MHUSP Surgery Ctr III LLP 15305 Dallas Parkway Suite 1600 L Addison TX 75001 200707543 Surgery Center TX na Related or Exempt 7957020 8365788 false 0 true 0.50100 Memorial Hermann Surgery Center Katy LLP 15305 Dallas Parkway Suite 1600 L Addison TX 75001 203360737 Surgery Center TX na Related or Exempt 667274 366808 false 0 false 0.15075 MH Katy Rehab Hospital LLC 929 Gessner Rd STE 1900 Houston TX 77024 263896057 Medical Service TX NA Related or Exempt 734749 7122764 false 0 true 0.75780 MHUSP Surgery Centers IV LLP 15305 Dallas Pkwy Ste 1600 LB 28 Addison TX 75001 208575266 Surgery Center TX na Related or Exempt 13863052 33171734 false 0 false 0.50100 MHMD 929 Gessner Rd STE 1900 Houston TX 77024 760074819 Healthcare TX na C corp 18254033 1889366 1.00000 true The Health Professionals Ins Company LTD Barclays House 3rd Floor Grand Cayman CJ Captive Insurance CJ na Foreign 36095829 95675001 1.00000 true Memorial Hermann Health Solutions Inc 929 Gessner Rd STE 1900 Houston TX 77024 264419989 Insurance TX NA C corp 9895669 8035483 1.00000 true Memorial Hermann Health Insurance Co 929 Gessner Rd STE 1900 Houston TX 77024 760646301 Insurance TX na C corp 83454588 45055483 1.00000 true Memorial Hermann Health Plan Inc 929 Gessner Rd STE 1900 Houston TX 77024 462707092 Insurance TX na C Corp 83686659 31961653 1.00000 true Memorial Hermann Health Plan Holdings LL 929 Gessner Rd STE 1900 Houston TX 77024 812971502 Insurnace TX NA C Corp 0 0 1.00000 true false true true false false false true false false true true false false false true true true true true Memorial Hermann Foundation C 12761159 FMV MHS Physicians of Texas R 31438209 FMV Memorial Hermann Medical Group R 67605067 FMV