MEMORIAL HERMANN HEALTH SYSTEM: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: MEMORIAL HERMANN HEALTH SYSTEM (EIN 74-1152597)
Tax period: 2014-07-01 to 2015-06-30
Filed: 2016-05-13
IRS object ID: 201611349349301826
Schema version: 2014v6.0
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 D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-05-13T09:09:08-05:00	ReturnTs
Tax Period End	2015-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1401 MCKINNEY SUITE 1200	AddressLine1Txt
City	HOUSTON	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77010	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	741152597	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Memorial Hermann Health System	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% ANTHONY FRANK	InCareOfNm
Business Name Control	MEMO	BusinessNameControlTxt
Phone	7133384643	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	909 Frostwood Suite 2100	AddressLine1Txt
City	Houston	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77024	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ANTHONY FRANK	PersonNm
Person Title	SVP & CAO	PersonTitleTxt
Phone	7133384643	PhoneNum
Signature	2016-05-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Maureen P Foley	PreparerPersonNm
PTIN	P00177502	PTIN
Phone	7137501500	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Dan Wolterman	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	929 Gessner Suite 2700	AddressLine1Txt
City	Houston	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77024	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$4,089,710,759	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.memorialhermann.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1910	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	MEMORIAL HERMANN HEALTH SYSTEM IS A NOT- FOR-PROFIT, COMMUNITY-OWNED, HEALTH CARE SYSTEM WITH SPIRITUAL VALUES, DEDICATED TO PROVIDING HIGH QUALITY HEALTH SERVICES.	ActivityOrMissionDesc
Voting Members Governing Body	24	VotingMembersGoverningBodyCnt
Voting Members Independent	23	VotingMembersIndependentCnt
Total Employee	24913	TotalEmployeeCnt
Total Volunteers	3054	TotalVolunteersCnt
Total Gross UBI	$5,320,852	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$4,792,197	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$26,129,021	PYContributionsGrantsAmt
CY Contributions Grants	$21,197,100	CYContributionsGrantsAmt
PY Program Service Revenue	$3,410,934,589	PYProgramServiceRevenueAmt
CY Program Service Revenue	$3,862,239,239	CYProgramServiceRevenueAmt
PY Investment Income	$158,377,533	PYInvestmentIncomeAmt
CY Investment Income	-$4,047,151	CYInvestmentIncomeAmt
PY Other Revenue	$146,193,635	PYOtherRevenueAmt
CY Other Revenue	$146,325,177	CYOtherRevenueAmt
PY Total Revenue	$3,741,634,778	PYTotalRevenueAmt
CY Total Revenue	$4,025,714,365	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,375,592	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,166,953	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,550,798,117	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,686,721,432	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,735,457,747	PYOtherExpensesAmt
CY Other Expenses	$1,958,999,150	CYOtherExpensesAmt
PY Total Expenses	$3,287,631,456	PYTotalExpensesAmt
CY Total Expenses	$3,646,887,535	CYTotalExpensesAmt
PY Revenues Less Expenses	$454,003,322	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$378,826,830	CYRevenuesLessExpensesAmt
Total Assets BOY	$5,290,319,810	TotalAssetsBOYAmt
Total Assets EOY	$6,011,159,857	TotalAssetsEOYAmt
Total Liabilities BOY	$2,624,964,574	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,997,472,936	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,665,355,236	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,013,686,921	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	MISSION AND VALUES MISSION MEMORIAL HERMANN HEALTH SYSTEM IS A NOT-FOR-PROFIT, 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. VALUES IN COLLABORATION WITH OTHERS, WE ARE COMMITTED TO ASSESSING AND CREATING HEALTHCARE SOLUTIONS WHICH MEET THE NEEDS OF 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. WE SUPPORT TEACHING PROGRAMS THAT DEVELOP THE HEALTH CARE PROFESSIONALS OF TOMORROW. WE SUPPORT BIOMEDICAL RESEARCH AND IMPLEMENTATION OF INNOVATIVE TECHNOLOGY TO EXPAND OUR KNOWLEDGE AND LEARN HOW TO PROVIDE	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$3,153,322,134	ExpenseAmt
Grant	$1,166,953	GrantAmt
Revenue	$3,990,790,669	RevenueAmt
Desc	MEMORIAL HERMANN IS A NON-PROFIT COMMUNITY-OWNED, HEALTHCARE SYSTEM WITH SPIRITUAL VALUES, DEDICATED TO PROVIDING HIGH QUALITY HEALTHCARE SERVICES TO OUR COMMUNITIES. ANNUAL DELIVERIES: 24,850 ANNUAL INPATIENT ADMISSIONS: 154,033 ANNUAL INPATIENT DAYS 884,092 ANNUAL EMERGENCY VISITS: 564,052 ANNUAL OUTPATIENT SURGERIES 86,982 ANNUAL DIAGNOSTIC AND THERAPY 1,277,044.	Desc
Total Program Service Expenses	$3,153,322,134	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	1111	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	24913	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	24	GoverningBodyVotingMembersCnt
Independent Voting Member	23	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	Yes (true)	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ANTHONY FRANK	PersonNm
Phone	7133384643	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	909 FROSTWOOD SUITE 2100	AddressLine1Txt
City	Houston	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77024	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (44 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Alexander Charlotte B MD
Director	1.0	0.0	Yes (X)	$0	$0	$0
Blackshear A T Jr
Director	1.0	0.0	Yes (X)	$0	$0	$0
Cali Joseph R MD
Director	1.0	0.0	Yes (X)	$0	$0	$0
Campbell William J
Director	1.0	0.0	Yes (X)	$0	$0	$0
Cannon Deborah M
Director	1.0	0.0	Yes (X)	$0	$0	$0
Cazalot Clarence P Jr
Director	1.0	0.0	Yes (X)	$0	$0	$0
Croyle Robert G
Director	1.0	0.0	Yes (X)	$0	$0	$0
Easter William H III
Director	1.0	0.0	Yes (X)	$0	$0	$0
Few Jason B
Director	1.0	0.0	Yes (X)	$0	$0	$0
Galtney William F Jr
Director	1.0	0.0	Yes (X)	$0	$0	$0
Garcia Roland Jr
Director	1.0	0.0	Yes (X)	$0	$0	$0
Giglio J Kevin MD
Director	1.0	0.0	Yes (X)	$0	$0	$0
Graham David J
Director	1.0	0.0	Yes (X)	$0	$0	$0
McBride Ralph D
Director	1.0	0.0	Yes (X)	$0	$0	$0
McClelland Scott B
Director	1.0	0.0	Yes (X)	$0	$0	$0
McLean Scott J
Director	1.0	0.0	Yes (X)	$0	$0	$0
Mir Gasper III
Director	1.0	0.0	Yes (X)	$0	$0	$0
Montague James R
Director	1.0	0.0	Yes (X)	$0	$0	$0
Perrin Melinda H
Director	1.0	0.0	Yes (X)	$0	$0	$0
Postl James J
Director	1.0	0.0	Yes (X)	$0	$0	$0
Pouns Stephen H
Director	1.0	0.0	Yes (X)	$0	$0	$0
Strake George W III
Director	1.0	0.0	Yes (X)	$0	$0	$0
Williams Willoughby C Jr
Chairman	1.0	0.0	Yes (X)	$0	$0	$0
WOLTERMANDAN J
Director; President & CEO	50.0	1.0	Yes (X)	$3,146,244	$0	$2,463,975	Yes (X)
Deborah Gordon
Chief Legal Officer & Secr	50.0	0.0		$411,091	$0	$26,473	Yes (X)
LARAWAYDENNIS L
EVP & CFO, Treasurer	50.0	0.0		$1,361,585	$0	$210,209	Yes (X)
Shea W Christopher
Deputy Genrl Counsel & Asst Se	50.0	0.0		$346,297	$0	$25,113	Yes (X)
SHABOTMICHAEL
EVP & Chief Clinical Officer	50.0	0.0		$1,139,853	$0	$144,320	Yes (X)
STOKESCHARLES D
EVP & COO	50.0	0.0		$2,204,322	$0	$223,285	Yes (X)
ASPRECERIN S
SVP & Regional President	50.0	0.0		$757,153	$0	$104,088		Yes (X)
BRADSHAWDAVID
EVP & Chief Strategy and Infor	50.0	0.0		$1,056,621	$0	$156,252		Yes (X)
CORDOLACRAIG A
SVP & Regional President	50.0	0.0		$1,074,193	$0	$149,311		Yes (X)
ALEXANDERKEITH
SVP & Regional President	50.0	0.0		$839,544	$0	$126,099		Yes (X)
BRACERODNEY
SVP & Regional Vice President	50.0	0.0		$1,402,672	$0	$143,938		Yes (X)
Dean Brian
SVP & CEO TMC Campus	50.0	0.0		$416,776	$0	$30,619			Yes (X)
GARMANJAMES
EVP & Chief Human Resource Off	50.0	0.0		$913,579	$0	$161,376			Yes (X)
HEINSMARSHALL B
SVP & Chief Facility Servs Off	50.0	0.0		$1,027,922	$0	$229,181			Yes (X)
O'sullivan Paul C
SVP & CEO Memorial City Campus	50.0	0.0		$419,870	$0	$72,814			Yes (X)
Urban Joshua
SVP & CEO The Woodlands	50.0	0.0		$593,431	$0	$76,377			Yes (X)
Duco Bernard
Former Chief Legal Officer	50.0	0.0		$1,274,619	$0	$45,309				Yes (X)
Reimer Renee
Former SVP & Chief Risk Office	50.0	0.0		$590,562	$0	$118,817				Yes (X)
MCVEIGHDENNIS P
Former CAO & Asst Treas	50.0	0.0		$516,487	$0	$792,527				Yes (X)
BARBEBRIAN S
Former Key SVP& CEO Cypress	50.0	0.0		$771,044	$0	$109,370				Yes (X)
SANDERSG STEVEN
Former Key SVP & CEO Woodlands	50.0	0.0		$1,420,534	$0	$90,523				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$21,684,399	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$5,499,976	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1948	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
J T Vaughn Construction LLC
10355 West Park Dr	HOUSTON	TX	77042	Construction	$29,252,343
Cerner DHT
2800 Rockcreek Parkway	KANSAS CITY	MO	64117	Professional Service	$20,871,963
Universal Hospital Services
PO Box 86 SDS 12-0940	MINNEAPOLIS	MN	55486	Professional service	$65,370,205
Watkins Hamilton Ross
1111 Louisiana 26th Floor	HOUSTON	TX	77002	Construction	$20,964,080
Crothall Healthcare
13028 Collection Center Dr	CHICAGO	IL	60693	Housekeeping	$39,894,367

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	210	CntrctRcvdGreaterThan100KCnt
Related Organizations	$7,058,420	RelatedOrganizationsAmt
Government Grants	$14,138,680	GovernmentGrantsAmt
Total Contributions	$21,197,100	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICE REVENUE	Desc
Business	900099	BusinessCd
Total Revenue Column	$3,862,239,239	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,862,239,239	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$3,862,239,239	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$4,047,151	TotalRevenueColumnAmt
Exclusion	-$4,047,151	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$355,414	TotalRevenueColumnAmt
Exclusion	$355,414	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$60,504,640	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$63,996,394	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$3,491,754	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$3,491,754	TotalRevenueColumnAmt
Exclusion	-$3,491,754	ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,340,685	TotalRevenueColumnAmt
Exclusion	$6,340,685	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
LAUNDRY SERVICES	812300	$7,538,120	$7,538,120
MANAGEMENT FEES	621500	$4,151,609	$1,345,973	$2,805,636
SECURITY SERVICE	541900	$1,986,300	$1,986,300

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$129,444,803	TotalRevenueColumnAmt
Related Or Exempt Func Income	$125,745,794	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$5,549,541	UnrelatedBusinessRevenueAmt
Exclusion	$9,248,550	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$143,120,832	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,025,714,365	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,990,790,669	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,320,852	UnrelatedBusinessRevenueAmt
Exclusion	$8,405,744	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,166,953	TotalAmt
Program Services	$1,166,953	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$11,736,176	TotalAmt
Program Services	$1,292,018	ProgramServicesAmt
Management And General	$10,444,158	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,367,123,775	TotalAmt
Program Services	$1,158,113,731	ProgramServicesAmt
Management And General	$209,010,044	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$61,010,496	TotalAmt
Program Services	$47,857,694	ProgramServicesAmt
Management And General	$13,152,802	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$147,045,738	TotalAmt
Program Services	$122,176,337	ProgramServicesAmt
Management And General	$24,869,401	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$99,805,247	TotalAmt
Program Services	$82,069,815	ProgramServicesAmt
Management And General	$17,735,432	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,632,342	TotalAmt
Program Services	$646,334	ProgramServicesAmt
Management And General	$3,986,008	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

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

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

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

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$16,762,912	TotalAmt
Program Services	$8,449,957	ProgramServicesAmt
Management And General	$8,312,955	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$65,342,142	TotalAmt
Program Services	$58,027,059	ProgramServicesAmt
Management And General	$7,315,083	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

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

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$108,438,811	TotalAmt
Program Services	$96,171,889	ProgramServicesAmt
Management And General	$12,266,922	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,915,355	TotalAmt
Program Services	$3,089,102	ProgramServicesAmt
Management And General	$1,826,253	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$3,381,508	TotalAmt
Program Services	$2,079,520	ProgramServicesAmt
Management And General	$1,301,988	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$67,249,136	TotalAmt
Program Services	$42,919,659	ProgramServicesAmt
Management And General	$24,329,477	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$205,228,904	TotalAmt
Program Services	$170,161,813	ProgramServicesAmt
Management And General	$35,067,091	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$13,652,249	TotalAmt
Program Services	$10,523,720	ProgramServicesAmt
Management And General	$3,128,529	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PROFESSIONAL & CONTRACT FEES	$681,171,102	$618,226,547	$62,944,555
MEDICAL SUPPLIES	$600,419,518	$592,566,858	$7,852,660
EQUIPMENT RENTAL & MAINTENANCE	$156,932,551	$131,068,528	$25,864,023
MISCELLANEOUS & OTHER EXPENSE	$17,639,201	$2,748,541	$14,890,660

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,233,419	TotalAmt
Program Services	$3,966,059	ProgramServicesAmt
Management And General	$9,267,360	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,646,887,535	TotalAmt
Program Services	$3,153,322,134	ProgramServicesAmt
Management And General	$493,565,401	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$345,215,156	BOYAmt
EOY	$269,419,790	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$23,847,558	BOYAmt
EOY	$51,390,133	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$547,608,377	BOYAmt
EOY	$608,871,181	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$33,497,803	BOYAmt
EOY	$44,906,326	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$74,848,780	BOYAmt
EOY	$25,089,616	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$5,073,193,838	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,755,537,749	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,133,469,804	BOYAmt
EOY	$2,317,656,089	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,557,386,000	BOYAmt
EOY	$2,104,269,000	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$574,446,332	BOYAmt
EOY	$589,557,722	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,290,319,810	BOYAmt
EOY	$6,011,159,857	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$436,120,439	BOYAmt
EOY	$581,300,177	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,282,775,668	BOYAmt
EOY	$1,246,122,583	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$906,068,467	BOYAmt
EOY	$1,170,050,176	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,624,964,574	BOYAmt
EOY	$2,997,472,936	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,653,010,240	BOYAmt
EOY	$3,000,972,424	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,344,996	BOYAmt
EOY	$12,714,497	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,665,355,236	BOYAmt
EOY	$3,013,686,921	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,290,319,810	BOYAmt
EOY	$6,011,159,857	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$378,826,830	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$30,495,145	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

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 D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,188,028	BeginningYearBalanceAmt
Investment Earnings Or Losses	$128,001	InvestmentEarningsOrLossesAmt
Administrative Expenses	$11,792	AdministrativeExpensesAmt
End Year Balance	$4,304,237	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,104,595	BeginningYearBalanceAmt
Investment Earnings Or Losses	$145,235	InvestmentEarningsOrLossesAmt
Other Expenditures	$43,931	OtherExpendituresAmt
Administrative Expenses	$17,871	AdministrativeExpensesAmt
End Year Balance	$4,188,028	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,948,600	BeginningYearBalanceAmt
Investment Earnings Or Losses	$231,546	InvestmentEarningsOrLossesAmt
Other Expenditures	$69,638	OtherExpendituresAmt
Administrative Expenses	$5,913	AdministrativeExpensesAmt
End Year Balance	$4,104,595	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,806,585	BeginningYearBalanceAmt
Investment Earnings Or Losses	$219,373	InvestmentEarningsOrLossesAmt
Other Expenditures	$69,624	OtherExpendituresAmt
Administrative Expenses	$7,734	AdministrativeExpensesAmt
End Year Balance	$3,948,600	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,677,951	BeginningYearBalanceAmt
Investment Earnings Or Losses	$172,286	InvestmentEarningsOrLossesAmt
Other Expenditures	$38,574	OtherExpendituresAmt
Administrative Expenses	$5,078	AdministrativeExpensesAmt
End Year Balance	$3,806,585	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Term Endowment Balance EOY	1.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$115,126,528	OtherCostOrOtherBasisAmt
Book Value	$115,126,528	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,673,598,150	OtherCostOrOtherBasisAmt
Depreciation	$1,276,707,830	DepreciationAmt
Book Value	$1,396,890,320	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$372,212,197	OtherCostOrOtherBasisAmt
Depreciation	$177,983,131	DepreciationAmt
Book Value	$194,229,066	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,584,918,398	OtherCostOrOtherBasisAmt
Depreciation	$1,274,906,501	DepreciationAmt
Book Value	$310,011,897	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$327,338,565	OtherCostOrOtherBasisAmt
Depreciation	$25,940,287	DepreciationAmt
Book Value	$301,398,278	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,317,656,089	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
FIXED INCOME	$398,413,000	F
EQUITY SECURITIES	$1,012,578,000	F
ALTERNATIVE INVESTMENTS	$424,792,000	F
CASH & CASH EQUIVALENTS	$268,486,000	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$2,104,269,000	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (10 entries)

DescDesc	Book ValueBookValueAmt
BOND TRUST FUNDS	$183,518,202
DUE FROM AFFILIATES, NET	$334,365,237
GOODWILL	$39,414,095
MISCELLANEOUS DEPOSITS	$10,992,656
DEFERRED BOND FINANCING FEES	$7,129,695
JOINT VENTURES	$6,879,116
TECO STOCK	$1,670,044
UTHSC LAND LEASE	$1,914,555
DEFERRED PHYSICIAN RECRUITMENT	$3,610,123
OTHER ASSETS	$63,999

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$589,557,722	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
ACCRUED LIABILITIES TO 3RD PARTY	$452,761,041
CAPITALIZED LEASES	$717,289,135

Field	Value	IRS element (for citing)
Total Liability	$1,170,050,176	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

990 Sch D Part V Line 4 Intended Uses of Organization's Endowment Funds

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 Hospital 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 Fin 48 Audit Fin Statement Footnote Disclosure

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 2035. 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.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Specific Services Provided	Caymen Captive	SpecificServicesProvidedTxt
Region Total Expenditures	$19,959,141	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$19,959,141	SubtotalSpentAmt
Total Spent	$19,959,141	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	990 Sch F Part II Line 1	FormAndLineReferenceDesc
Explanation	Accounting method used is the accrual method.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$182,152,827	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$182,152,827	NetCommunityBenefitExpnsAmt
Total Expense	0.04990	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$600,592,131	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$618,533,243	DirectOffsettingRevenueAmt

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,744,298	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,049,447	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,694,851	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$816,489,256	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$641,582,690	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$192,847,678	NetCommunityBenefitExpnsAmt
Total Expense	0.05280	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$182,926,476	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$182,926,476	NetCommunityBenefitExpnsAmt
Total Expense	0.05020	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$62,582,126	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,521,676	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,060,450	NetCommunityBenefitExpnsAmt
Total Expense	0.01210	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$315,851,975	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$292,402,844	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,449,131	NetCommunityBenefitExpnsAmt
Total Expense	0.00640	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,960,088	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,125,024	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,835,064	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,281,929	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,281,929	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$574,602,594	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$316,049,544	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$258,553,050	NetCommunityBenefitExpnsAmt
Total Expense	0.07090	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,391,091,850	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$957,632,234	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$451,400,728	NetCommunityBenefitExpnsAmt
Total Expense	0.12370	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$417,114	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$417,114	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$417,114	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$417,114	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$541,521,776	BadDebtExpenseAmt
Bad Debt Expense Attributable	$102,889,137	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$977,843,293	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$1,442,939,837	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$465,096,544	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	11	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (11 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd
Memorial Hermann Katy Hospital
1	23900 katy freeway	katy	TX	77494	www.memorialhermann.org	534	Yes (X)	Yes (X)	Yes (X)
Memorial Hermann Northeast Hospital
2	18951 Memorial North	Humble	TX	77338	www.memorialhermann.org	8471	Yes (X)	Yes (X)	Yes (X)
Memorial Hermann Greater Heights Hosp
3	1635 North loop west	houston	TX	77008	www.memorialhermann.org	172	Yes (X)	Yes (X)	Yes (X)
Memorial Hermann Southeast Hospital
4	11800 astoria blvd	houston	TX	77089	www.memorialhermann.org	119	Yes (X)	Yes (X)	Yes (X)
Memorial Hermann Southwest Hospital
5	7600 beechnut	houston	TX	77074	www.memorialhermann.org	407	Yes (X)	Yes (X)	Yes (X)	Yes (X)
Memorial Hermann Sugar Land Hospital
6	17500 west grand parkway south	sugar land	TX	77479	www.memorialhermann.org	609	Yes (X)	Yes (X)	Yes (X)
Memorial Hermann Texas Medical Center
7	6411 fannin	houston	TX	77030	www.memorialhermann.org	347	Yes (X)	Yes (X)	Yes (X)	Yes (X)
Memorial Hermann Woodlands Hospital
8	9250 pinecroft	the woodlands	TX	77381	www.memorialhermann.org	615	Yes (X)	Yes (X)	Yes (X)
Memorial Hermann Memorial City Hosp
9	921 gessner	houston	TX	77024	www.memorialhermann.org	302	Yes (X)	Yes (X)	Yes (X)
Memorial Hermann Rehab Hospital Katy
10	909 Frostwood Suite 2100	houston	TX	77024	www.memorialhermann.org	100009	Yes (X)
The Institute for Rehabilitation TIRR
11	1333 moursund street	houston	TX	77030	www.memorialhermann.org	100189	Yes (X)				Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (11 entries)

First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Information GapsInformationGapsInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Notice DisplayedFAPNoticeDisplayedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd	FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd	FAP Notified All PatientsFAPNotifiedAllPatientsInd	Documented Elig DeterminationDocumentedEligDeterminationInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Other Method UsedOtherMethodUsedInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
Memorial Hermann Katy Hospital
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (true)	false	false	Yes (true)	Yes (X)	WWW.memorialhermann.org	Yes (X)	Yes (true)	13	Yes (true)	WWW.memorialhermann.org	false	false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	www.memorialhermann.org/financial	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
Memorial Hermann Northeast Hospital
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (true)	false	false	Yes (true)	Yes (X)	WWW.memorialhermann.org	Yes (X)	Yes (true)	13	Yes (true)	WWW.memorialhermann.org	false	false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	www.meorialhermann.org/financial	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
Memorial Hermann Greater Heights Hosp
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (true)	false		Yes (true)	Yes (X)	WWW.memorialhermann.org	Yes (X)	Yes (true)	13	Yes (true)	WWW.memorialhermann.org	false	false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	www.memorialhermann.org/financial	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
Memorial Hermann Southeast Hospital
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (true)	false	false	Yes (true)	Yes (X)	WWW.memorialhermann.org	Yes (X)	Yes (true)	13	Yes (true)	WWW.memorialhermann.org	false	false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	www.memorialhermann.org/financial	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
Memorial Hermann Southwest Hospital
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (true)	false	false	Yes (true)	Yes (X)	WWW.memorialhermann.org	Yes (X)	Yes (true)	13	Yes (true)	WWW.memorialhermann.org	false	false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	www.memorialhermann.org/financial	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
Memorial Hermann Sugar Land Hospital
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (true)	false	false	Yes (true)	Yes (X)	WWW.memorialhermann.org	Yes (X)	Yes (true)	13	Yes (true)	WWW.memorialhermann.org	false	false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	www.memorialhermann.org/financial	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
Memorial Hermann Texas Medical Center
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (true)	false	false	Yes (true)	Yes (X)	WWW.memorialhermann.org	Yes (X)	Yes (true)	13	Yes (true)	WWW.memorialhermann.org	false	false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	www.memorialhermann.org/financial	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
Memorial Hermann Woodlands Hospital
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (true)	false	false	Yes (true)	Yes (X)	WWW.memorialhermann.org	Yes (X)	Yes (true)	13	Yes (true)	WWW.memorialhermann.org	false	false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	www.memorialhermann.org/financial	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
Memorial Hermann Memorial City Hosp
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (true)	false	false	Yes (true)	Yes (X)	WWW.memorialhermann.org	Yes (X)	Yes (true)	13	Yes (true)	WWW.memorialhermann.org	false	false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	www.memorialhermann.org/financial	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
Memorial Hermann Rehab Hospital Katy
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (true)	false	false	Yes (true)	Yes (X)	WWW.memorialhermann.org	Yes (X)	Yes (true)	13	Yes (true)	WWW.memorialhermann.org	false	false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	www.memorialhermann.org/financial	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
The Institute for Rehabilitation TIRR
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (true)	false	false	Yes (true)	Yes (X)	WWW.memorialhermann.org	Yes (X)	Yes (true)	13	Yes (true)	WWW.memorialhermann.org	false	false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	www.memorialhermann.org/financial	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
990 Sch H Part V Sec B Line 5	Input from Representatives IN ITS MOST RECENT CHNA, MEMORIAL HERMANN INCLUDED FINDINGS FROM ELEVEN COMPREHENSIVE INTERVIEWS CONDUCTED WITH PEOPLE WHO REPRESENT A BROAD INTEREST IN THE COMMUNITIES, AND WHO HAVE SPECIAL KNOWLEDGE OF AND/OR EXPERTISE IN PUBLIC HEALTH. THESE INDIVIDUALS INCLUDED: CHUCK BEGLEY, PROFESSOR AT THE UNIVERSITY OF TEXAS SCHOOL OF PUBLIC HEALTH; STEPHANIE CONE, EXECUTIVE DIRECTOR AT UNITED WAY OF BRAZORIA COUNTY; CAROL EDWARDS, CEO OF FORT BEND FAMILY HEALTH CENTER; JEANNE HANKS, ASSISTANT DIRECTOR OF OPERATIONS AT ST. LUKE'S EPISCOPAL HEALTH CHARITIES; RANDY JOHNSON, CEO OF MONTGOMERY COUNTY HOSPITAL DISTRICT; LOVELL A. JONES, DIRECTOR OF THE CENTER FOR RESEARCH ON MINORITY HEALTH, UNIVERSITY OF TEXAS M.D. ANDERSON CANCER CENTER; JULIE MARTINEAU, PRESIDENT OF THE UNITED WAY OF MONTGOMERY COUNTY; STEVE MCKERNAN, CEO OF LONE STAR FAMILY HEALTH CENTER; DR. HERMINIA PALACIO, EXECUTIVE DIRECTOR OF THE HEALTH AUTHORITY FOR HARRIS COUNTY AND HARRIS COUNTY PUBLIC HEALTH AND ENVIRONMENTAL SERVICES; CATHY SBRUSCH, DIRECTOR OF PUBLIC HEALTH SERVICES, BRAZORIA COUNTY HEALTH DEPARTMENT; AND STEPHEN WILLIAMS, DIRECTOR - DEPARTMENT OF HEALTH AND HUMAN SERVICES, CITY OF HOUSTON. MEMORIAL HERMANN ALSO INCLUDED IN THE CHNA, FINDINGS FROM AN ELECTRONIC SURVEY DISTRIBUTED TO 550 INDIVIDUALS/ORGANIZATIONS WHO ARE MEMBERS OF THE GATEWAY TO CARE COLLABORATIVE IN HOUSTON.
990 Sch H Part V Sec B Line 11	Addressing Needs Memorial Hermann Health System conducted a CHNA for each of its 11 hospitals in 2013 to prioritize health issues, to provide a foundation for the development of a community health improvement plan, and to inform each hospital's program planning. The significant needs identified in Memorial Hermann Health System's 2013 CHNA were as follows: Education and Prevention, Service Integration/Fragmented Care, Barriers to Care, Address Unhealthy Lifestyles and Behaviors, Barriers to Mental Healthcare, and Health Disparities in Specific Populations. Leadership teams associated with each of the 11 Memorial Hermann Hospitals developed an Implementation Strategy to address each priority for their community. Each hospital utilized the plan as a guide to improve the health of their community and to advance the service mission of the Memorial Hermann Health System. Priorities that were identified, and were not addressed include transportation and dental care. Both are issues in which Memorial Hermann Health System is not equipped to address on a large scale. Routinely, patients are provided with transportation vouchers and at-risk children are able to access one of three mobile dental vans which serve students at 70 schools across five school districts through Memorial Hermann's Health Centers for Schools program. Each of the 11 Memorial Hermann hospital's strategy for addressing Priority # 1: Education and Prevention included activities that would impact the interrelated chronic conditions of heart disease, cancer, diabetes and Alzheimer's through the existing infrastructure as well as exploring new programming as appropriate. In general, hospital implementation activities included : 1.) providing the community it serves with community health education through newsletters, screenings, support groups addressing cancer, heart disease and diabetes, and health fairs; 2.) implementing regular, ongoing community education courses on heart disease; 3.) developing education and coping skills programming to address Alzheimer's and Dementia patients; 4.) exploring linking community education programming with the Diabetes Self-Management Education Program designed to help people gain self-confidence in their ability to control their symptoms and improve their lives. Programs supporting Priority #1 Prevention and Education include: Support Groups (Bariatrics, Cancer, Cancer Nutrition Therapy, Cancer Prehabillitation & Wellness, Cancer Techniques for Stress Relief & Yoga, Cardiac, Diabetes, Grief, Stroke, Substance Abuse, Tobacco Cessation); Southwest ADA Awareness and Trainings; Mental Health - Grief Support; Nutrition Weight Management; Cancer Education; Cancer Nutrition Support Group; Look Good, Feel Better; Cardiac Health Education; Children's Festival; Diabetes Education; Economic Development/Council Participation or Chamber of Commerce; Education for Nurses, Nursing Students and Health Professions; Education/Outreach for Senior Citizens; Health Fairs; Heart Disease Education; Breast Cancer Education; Texana Autism Conference; Care 2 Chat; Del Webb; Women's Services; Community Health Education; Mental Health Education; Heart Disease Edcuation; Screenings (Blood Pressure, Heart, Stroke, Obesity, Skin cancer, All Other Cancers, Youth Heart Screening); Trauma Prevention: Child Passenger Safety; Safety Merit Badge Boy Scouts; AARP Driver Safety Program; Baby Fair for Expectant Parents; Blood Drive; and Meals on Wheels. In response to Priority #2 Service Integration and Fragmented Care, Memorial Hermann is currently addressing information sharing, patients' needs for medical homes, and inappropriate emergency department use through several significant programs. All 11 participating hospitals are responding to the community's concern about the lack of record sharing among providers through the Memorial Hermann Information Exchange (MHiE) which uses a secure, encrypted electronic network to integrate and house patients' digital medical records so they are easily accessible to authorized MHiE caregivers. The service is free to patients and only requires their consent. To date, 49% or 2,956,424 of Memorial Hermann patients have registered to participate. Another initiative is for all inpatient, outpatient, and emergency room progress notes to be electronic providing for up-to-date provider access anytime, anywhere. Research shows that cancer patients who receive help navigating the medical system have better outcomes. A nurse navigator specializing in oncology acts as a patient client advocate and "go-to" person when questions arise or help is needed when navigating the medical system. The nurse navigator works within the multidisciplinary cancer care team across the continuum of care, providing information and support to patients and caregivers, as well as other health care professionals. Nurse navigators also serve as moderators for the physicians who collaborate on improved care through the Tumor Board. Houston's increasing elderly population drove the need for the addition of a Palliative Care Team to provide patients with the ability to prepare for their end of life care. Palliative Care is a medical specialty designed to assist patients and families with symptom management, emotional and spiritual support, and advanced care planning. Patients without resources have access to post-acute care through the Transitional Care Unit for the Memorial Hermann Health System, receiving referrals from other hospitals to provide patients with the appropriate continuum of care. Memorial Hermann operates busy emergency rooms, many of whom are unfunded patients. A Primary Care Provider (PCP) Coordinator, an ER community health worker, and a low cost clinic are initiatives intended to respond to the community's inappropriate use of the emergency room for primary medical care and need for medical homes. A Primary Care Provider (PCP) Coordinator visits with all unassigned managed care patients in the ER and the hospital and helps them decide on a new medical home physician or clinic. The intent of this program is designation of a medical home, reduced readmissions and reduced emergency room visits for primary care. At seven ERs, a certified community health worker, or navigator, works with uninsured and underinsured emergency patients who access the emergency room for primary care purposes to connect them with "the right care, in the right place, at the right cost". The navigator works with 8-12 patients per shift and continues to follow-up with them by phone to determine if the referrals provided were effective, or if different referrals or support is necessary. To date, more than 17,000 patients have been navigated. Two Memorial Hermann Neighborhood Health Centers are located adjacent to two of Memorial Hermann's busiest ERS to serve as a medical home to patients without insurance, but capable of paying for medical care at cost. These clinics provide 1,000+ patient visits per month. Ten Health Centers for Schools' school-based clinics serve as the medical home for uninsured children at 70 Houston area schools, pre-kindergarten through twelfth grade, in five Houston Independent School District feeder patterns. In FY 2014, 9,000 students were served through 28,000 visits. Priority #3 Barriers to Care addresses: lack of coverage/financial hardship, lack of availability of primary care services, difficulty accessing primary care and preventive care for low-income residents in the community, and lack of capacity (e.g. insufficient providers/extended wait times). Each of Memorial Hermann's 11 hospitals plays a significant role in Memorial Hermann's annual more than $400 million dollar contribution to the community. This represents financial assistance and means-tested government programs, community health improvement services and community benefit operations, health professions education, subsidized health services, research, and cash and in-kind contributions for community health. To secure a payment source for uninsured and underinsured patients, each of the 11 hospitals has a financial counseling program. Counselors help patients enroll in government programs or find other sources of coverage. Specifically, the counselors assist patients with financial assistance applications, setting up payment plans or applying for charity care. The program covers both inpatients and emergency room patients, 24/7. Counselors work with eight to ten patients per day. In order to ensure specialty coverage for uninsured and underinsured populations, Memorial Hermann contracts with physicians covering a variety of specialties to provide On-Call ER Coverage 24 hours a day, seven days a week. One of the most significant on-call coverage specialties provided is that of the OB ER call group. In-house physician coverage (including evaluation and treatment, admission and on-going inpatient management services) is provided for unassigned or emergent obstetric patients and unassigned e
990 Sch H Part V Sec B Line 22d	HOW THE HOSPITAL CALCULATES AMOUNTS CHARGED TO PATIENTS: 1. If an uninsured patient's Annual Gross Family Income is equal to or less than two hundred percent (200%) of the current Federal Poverty Guidelines, as set forth on the Hospital's Income Eligibility Table, the patient (or other responsible party) will not owe any portion of the account balance. 2. If an uninsured patient's Annual Gross Family Income exceeds two hundred percent (200%) of the current Federal Poverty Guidelines but does not exceed four hundred percent (400%) of the current Federal Poverty Guidelines, the patient (or other responsible party) will be responsible for paying a percentage no more than the facilities current AGB of the remaining outstanding account balances owed on their hospital bills. The percentage referenced above will be less than the Amount Generally Billed by Memorial Hermann and/or Hospital. The AGB is determined by taking claims allowed by Medicare and all private health insurers that pay claims to the hospital for the past year and calculating the average reimbursement as a percentage of total charges. 3. Medically Indigent individuals that are eligible for Financial Assistance and have outstanding account balances owed on their hospital bills (i.e., after crediting all health insurance payments, if any) which exceed twenty percent (20%) of their Annual Gross Family Income and who are unable to pay all or a portion of that remaining bill balance, and the balance is at least $5,000, will be responsible for paying no more than twenty percent (20%) of their gross family income towards the remaining outstanding account balances. 4. FAP eligible individuals will not be expected to be charged gross charges for any care that is covered by this policy. However: (i) This Hospital is not prohibited from including the amount of gross charges on a hospital bill to those who are eligible for Financial Assistance under this FAP as an explanatory item or a starting point to which various contractual allowances, discounts, or deductions may be applied, because the gross charges are not the actual amount a FAP-eligible individual is charged for any medical care covered by this policy and provided to that FAP-eligible individual; and (ii) This Hospital may charge a FAP eligible individual more for emergency or other medically necessary care than the Amounts Generally Billed to individuals who have insurance covering such care (i.e., "AGB") or gross charges for any care provided: a) At a time when the FAP-eligible individual has not submitted a complete FAP application and required documentation to the Hospital facility as of the time of the charge; and b) This Hospital has made, and continues to make, reasonable efforts to determine whether the individual is FAP-eligible, during the applicable time periods described in IRC 1.501(r)-6(c) including by correcting the amount charged if the individual is subsequently found to be FAP-eligible.

Field	Value	IRS element (for citing)
Facility	21	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MH Endoscopy Center North Freeway
7333 N Freeway Suite 400	Houston	TX	77076	AMBULATORY SURGICAL CENTER
MH Endoscopy &Surg Ctr North Houston
275 Lantern Bend Suite 400	Houston	TX	77090	AMBULATORY SURGICAL CENTER
MH Surgery Center Katy
23920 Katy Freeway Suite 200	Katy	TX	77494	AMBULATORY SURGICAL CENTER
MH Surgery Center Kingsland
21720 Kingsland Blvd Suite 101	Katy	TX	77450	AMBULATORY SURGICAL CENTER
MH Surgery Center Memorial Village
12727 Kimberley Lane Suite 100	Houston	TX	77024	AMBULATORY SURGICAL CENTER
MH Surgery Center Northwest
1631 North Loop West Suite 300	Houston	TX	77008	AMBULATORY SURGICAL CENTER
MH Surgery Center Richmond
1517 Thompson Rd 100	Richmond	TX	77469	AMBULATORY SURGICAL CENTER
MH Surgery Center Southwest
7789 Southwest Freeway Ste 200	Houston	TX	77074	AMBULATORY SURGICAL CENTER
MH Surgery Center Sugar Land
17510 West Grand Parkway Suite 200	Sugar Land	TX	77479	AMBULATORY SURGICAL CENTER
MH Surgery Center Texas Med Center
6400 Fannin Suite 1500	Houston	TX	77030	AMBULATORY SURGICAL CENTER
MH Surgery Center Woodlands Parkway
1441 Woodstead Court 100	The Woodlands	TX	77380	AMBULATORY SURGICAL CENTER
MH Surgery Center The Woodlands
9200 Pinecroft Suite 200	The Woodlands	TX	77380	AMBULATORY SURGICAL CENTER
MH Surgery Hospital Kingwood
300 Kingwood Medical Drive	Kingwood	TX	77339	AMBULATORY SURGICAL CENTER
West Houston Ambulatory Surgical Assoc
970 Campbell Rd	Houston	TX	77024	AMBULATORY SURGICAL CENTER
Memorial Hermann 24-Hour Freestanding ER
9950 Woodlands Parkway	Spring	TX	77382	FREESTANDING ER
Sugar Land Surgical Hospital
1211 Hwy 6 70	Sugar Land	TX	77478	AMBULATORY SURGICAL CENTER
TOPS Surgical Specialty Hospital
17080 Red Oak Drive	Houston	TX	77090	AMBULATORY SURGICAL CENTER
Pasadena Doctors Outpatient Surgicenter
3534 Vista Blvd	Pasadena	TX	77504	AMBULATORY SURGICAL CENTER
United Surgery Center Southeast
12700 N Featherwood 100	Houston	TX	77034	AMBULATORY SURGICAL CENTER
University Place
7480 Beechnut	Houston	TX	77074	Senior Living
Memorial Hermann Prevention & Recovery
3043 Gessner	Houston	TX	77080	Drug & Alcohol Rehab

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. BOTH THE MEMORIAL HERMANN COMMUNTIY BENEFIT CORPORATION ANNUAL REPORT AND THE TDSHS REPORT RESIDE ON THE MEMORIAL HERMANN COMMUNITY BENEFITS WEBSITE.
990 Sch H Part I Line 7	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 Air Ambulance Program, 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 $417,114 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. 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	Since many of our patients do not complete the Financial Assistance Application Process until they see that their debt is going to outside collectors, there is a wave of older accounts that are in our bad debt status converting to Charity. Each year we do a 2 year look back, and this has remained consistent averaging between 31-33% of accounts allowed in bad debt which do ultimately convert to Charity - Financial Assistance. For the most recent review of Fiscal Year 2013 and Fiscal Year 2014 accounts converting in FY 2015, we see that 32% represents community benefit for FY 2015.
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 variety of customers and payors. At June 30, 2015 and 2014, the allowance for bad debt was $680,776,000 and $705,976,000, respectively. Pages 9-10 in Audited Financials
990 Sch H Part III, Sec B, Line 8	Section B Shortfall costing methodology Memorial Hermann Health System operates 11 licensed Hospitals of which 7 are 340-B facilities and 4 are not. When looking at the Medicare Revenue split between the 340-B and non-340-B facilities, we find that 73% of the patient revenues are generated in these safety-net facilities. Therefore, we recognize 73% of the Medicare Loss as a community benefit.
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 assessment EACH DECISION MADE BY MEMORIAL HERMANN TO INVEST ITS PEOPLE, RESOURCES, AND TALENTS IN COMMUNITY BENEFIT EFFORTS IS DATA DRIVEN. GIVEN THAT ROUGHLY ONE IN FOUR RESIDENTS OF THE HOUSTON AREA ARE UNINSURED, NUMEROUS COMMUNITY NEEDS ANALYSES CENTER AROUND THE UNIVERSITY OF TEXAS SCHOOL OF PUBLIC HEALTH'S HOUSTON AREA HOSPITAL'S EMERGENCY DEPARTMENT USE STUDY, WHICH MEMORIAL HERMANN HAS PARTICIPATED IN SINCE 2003. THE STUDY MONITORS HOSPITAL EMERGENCY DEPARTMENT USE IN HOUSTON HOSPITALS AND IS A DATA SOURCE TO UNDERSTAND PRIMARY CARE-RELATED ER USE INCLUDING THE CHARACTERISTICS OF THESE PATIENTS. THE STATE OF HEALTH OF HOUSTON/HARRIS COUNTY SPONSORED BY THE HARRIS COUNTY HEALTHCARE ALLIANCE, EPISCOPAL HEALTH FOUNDATION AND OTHER PUBLIC HEALTH AGENCIES IS ANOTHER SOURCE PROVIDING AN ASSESSMENT OF THE HEALTH OF THE COMMUNITY. IN ADDITION TO THE STUDIES GENERATED ON A COMMUNITY LEVEL, AS REQUIRED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT-SECTION 501c(3)-REQUIREMENT OF THE ACA, EVERY THREE YEARS, MEMORIAL HERMANN CONDUCTS COMMUNITY NEEDS ASSESSMENTS FOR EACH OF ITS LICENSED HOSPITALS. THE STUDIES INCLUDE DEMOGRAPHIC DATA OF HARRIS, FORT BEND, MONTGOMERY, AND BRAZORIA COUNTIES (COUNTIES THAT COMPOSE 89% OF MEMORIAL HERMANN DISCHARGES; A DESCRIPTION OF THE PROCESSES AND METHODLOLOGIES, SURVEYS AND INTERVIEWS WITH PUBLIC HEALTH OFFICIALS WHERE PARTICIPANTS WERE GIVEN THE OPPORTUNITY TO PRIORITIZE COMMUNITY HEALTH NEEDS AND RATE THE IMPORTANCE OF HEALTH CARE INITIATIVES; AND, IDENTIFY ALL COLLABORATING ORGANIZATIONS AND EXISTING HEALTH CARE FACILITIES AND OTHER RESOURCES WITHIN THE COMMUNITY AVAILABLE TO MEET THE NEEDS IDENTIFIED IN EACH OF THE COMMUNITY NEEDS ASSESSMENTS. THE ANALYSIS INCLUDED A CAREFUL REVIEW OF THE MOST CURRENT HEALTH DATA AVAILABLE AND INPUT FROM NUMEROUS COMMUNITY REPRESENTATIVES WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH. FINDINGS INDICATED THAT THERE WERE EIGHT MAIN NEEDS IN THE COMMUNITIES SERVED BY MEMORIAL HERMANN. THE COMMUNITY HEALTH NEEDS ASSESSMENT TEAM, CONSISTING OF LEADERSHIP FROM MEMORIAL HERMANN HEALTH SYSTEM (MEMORIAL HERMANN), PRIORITIZED THOSE EIGHT NEEDS BY STUDYING THEM WITHIN THE CONTEXT OF THE HOSPITAL'S OVERALL STRATEGIC PLAN AND THE AVAILABILITY OF FINITE RESOURCES, WITH THE FOLLOWING PRIORITIZATION, IN DESCENDING ORDER, RESULTING: 1.) EDUCATION AND PREVENTION FOR DISEASES AND CHRONIC CONDITIONS; 2.) ADDRESS ISSUES WITH SERVICE INTEGRATION, SUCH AS COORDINATION AMONG PROVIDERS AND THE FRAGMENTED CONTINUUM OF CARE; 3.) ADDRESS BARRIERS TO PRIMARY CARE, SUCH AS AFFORDABILITY AND SHORTAGE OF PROVIDERS; 4.) ADDRESS UNHEALTHY LIFESTYLES AND BEHAVIORS; 5.) ADDRESS BARRIERS TO MENTAL HEALTHCARE, SUCH AS ACCESS TO SERVICES AND SHORTAGE OF PROVIDERS; 6.) DECREASE HEALTH DISPARITIES BY TARGETING SPECIFIC POPULATIONS; 7.) INCREASE ACCESS TO AFFORDABLE DENTAL CARE; 8.) INCREASE ACCESS TO TRANSPORTATION. 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. THE PROCESS WAS REPORTED TO THE BOARD IN MARCH 2014 AND RESIDES ON EACH HOSPITAL'S WEBSITE. IMPLEMENTATION PLAN ARE UPDATED ON A QUARTERLY BASIS. PREPARATIONS ARE UNDERWAY FOR A 2016 COMMUNITY NEEDS HEALTH ASSESSMENT AND STRATEGIC IMPLEMENTATION PLAN.
990 Sch H Part VI, Line 3	Patient Education 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 Communit 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 condition 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 5TH LARGEST METROPOLITAN AREA IN THE UNITED STATES, GREATER HOUSTON IS ONE OF THE FASTEST GROWING WITH A POPULATION OF 6 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 U.S. CENSUS, ACS FIVE YEAR ESTIMATES, HOUSTON IS 25.8% WHITE, 43.6% HISPANIC, 23.0% BLACK OR AFRICAN AMERICAN, 6.2% ASIAN/PACIFIC ISLANDER AND 1.4% OTHER. 46.3% OF THE HOUSTON POPULATION SPEAKS LANGUAGES OTHER THAN ENGLISH AT HOME. 28.3% OF THE POPULATION IS FOREIGN BORN. ALTHOUGH THERE IS ECONOMIC OPPORTUNITY FOR MANY RESIDENTS, THERE ARE POCKETS OF POVERTY. MEDIAN HOUSEHOLD INCOME IS $45,010. 15% 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 IS OBESE. OBESTIY AND CONCERNS RELATED TO MAINTAINING A HEALTHY LIFESTYLE ARE CHALLENGES WITH RESIDENTS FACING BARRIERS RANGING FROM 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 AFFORFDABLE FRUTIS AND VEGETABLES. HEALTH EDUCATION AND 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 28.4% 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 5.4 % AND THE HOUSTON AREA ENJOYS A LOW COST OF LIVING.
990 Sch H Part VI, Line 5	Promotion of Community Health ON BEHALF OF MEMORIAL HERMANN HEALTH SYSTEM, THE MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION (MHCBC) 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 THEY NEED TO IMPROVE THEIR QUALITY OF LIFE AND THE OVERALL HEALTH OF THE COMMUNITY. MHCBC'S 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, IMPROVE HEALTH AND REDUCE CHRONIC CONDITIONS. COMMITTED TO MAKING THE GREATER HOUSTON AREA A HEALTHIER AND MORE VITAL PLACE TO LIVE, MHCBC 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 70 SCHOOLS IN THE GREATER HOUSTON AREA. DATA DRIVEN, IN 2015, STUDENTS' ASTHMA EXACERBATIONS, EMERGENCY ROOM VISITS AND HOSPITALIZATIONS WERE REDUCED BY 92.2%. STUDENTS RECEIVING COUNSELING SERVICES REALIZED INCREASED GRADE POINT AVERAGES, DECREASED ABSENTEEISM, AND REDUCED SUSPENSIONS/DETENTIONS. 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. IN 2015, NO MORE THAN 6.3% OF STUDENTS AGE 4-11 AND 7.6% OF STUDENTS AGE 12+ EXPERIENCED CARIES AT RECALL, AS OPPOSED TO THE HEALTHY PEOPLE 2020 OBJECTIVES OF 49% AND 48%, RESPECTIVELY. TWO DIETITIANS ARE AVAILABLE THROUGH THE HEALTHY EATING AND LIFESTYLES PROGRAM (HELP) DESIGNED TO EDUCATE HEALTH CENTERS FOR SCHOOLS' STUDENTS AND THEIR FAMILIES ON THE IMPORTANCE OF PROPER NUTRITION AND EXERCISE. THE PROGRAM IS INTENSIVE AND INDIVIDUAL, MEETING THE STUDENT AND FAMILY WHERE THEY ARE ON THE "STAGE OF CHANGE" CONTINUUM. IN 2015, 11,000 STUDENTS WERE SERVED IN 33,000 MEDICAL CARE, DENTAL CARE, MENTAL HEALTH AND NUTRITION VISITS. 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. A SIX MONTH PRE-POST ANALYSIS OF NAVIGATED PATIENTS RESULTED IN A 77% DECLINE IN ER VISITS. A 12 MONTH PRE-POST ANALYSIS RESULTED IN A 70% DECLINE. 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. THEY ARE AN AFFORDABLE MEDICAL HOME WHERE INDIVIDUALS CAN DECREASE THEIR HYPERTENSION, MANAGE THEIR DIABETES, AND WHERE WOMEN FEEL COMFORTABLE RETURNING FOR THEIR ANNUAL WELL-WOMAN EXAMS. PHYSICIANS OF SUGAR CREEK, IS A MEMORIAL FAMILY PRACTICE RESIDENCY TRAINING SITE THAT OFFERS SLIDING SCALE FEES TO THE AREA'S WORKING POOR. 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. IN 2015, APPROXIMATELY 48,000 PEOPLE FROM 22 DIFFERENT COUNTRIES WERE ASSISTED THROUGH 51 MISSIONS. MEMORIAL HERMANN MATCHES THE PROCEEDS OF AN ANNUAL GOLF TOURNAMENT TO SUPPORT THIS GLOBAL COMMUNITY BENEFIT EFFORT. SEVERAL NEW MEMORIAL HERMANN INITIATIVES ARE 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 INITIAL 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. DOCUMENTED OUTCOMES INCLUDE: 5,000 CALLS PER MONTH; 67% OF TRIAGED CALLERS WERE DIRECTED TO PRIMARY CARE SETTINGS AS COMPARED TO 33% TO THE ER; 96% were REFERRED TO PRIMARY CARE SETTINGS; 895 OF CALLERS FOLLOWED THE CARE ADVICE OF THE NURSE; AND, 99% OF CALLERS WOULD USE THE SERVICE AGAIN. MEMORIAL HERMANN HEALTH SYSTEM'S COMMUNITY PARTNERSHIPS INCLUDE: HEALTH RELATED ORGANIZATIONS, RESEARCH AND EDUCATIONAL INSTITUTES, BUSINESSES, NONPROFITS, AND GOVERNMENT ORGANIZATIONS TO IDENTIFY, TO RAISE AWARENESS AND TO MEET COMMUNITY HEALTH NEEDS. A FEW OF THE PARTNERSHIPS FOLLOW: MEMORIAL HERMANN SUPPORTS CANCARE OF HOUSTON, A ONE-ON-ONE HOSPITAL VISITATION PROGRAM THAT IS STAFFED BY VOLUNTEERS WHOSE MISSION IS TO SUPPORT PATIENTS AND THEIR FAMILIES AND TO CREATE HOPE AND POSIVITY WHERE THERE IS NONE SO THAT NO ONE SUFFERS ALONE. MEMORIAL HERMANN SUPPORTS CHILDREN AT RISK WITH A POLICY COORDINATOR FOR A FOOD IN SCHOOLS INITIATIVE, WITH THE GOAL OF INCREASING SCHOOL DISTRICT PARTICIPATION IN THE UNIVERSAL FREE BREAKFAST PROGRAM. FOR MORE THAN 19 YEARS, MEMORIAL HERMANN HAS PROVIDED FREE LINEN SERVICES FOR COVENANT HOUSE, A CHILD CARE AGENCY THAT PROVIDES EMERGENCY SHELTER, COUNSELING, VOCATIONAL AND EDUCATIONAL SERVICES, HEALTH CARE AND LEGAL INFORMATION TO HOMELESS AND RUNAWAY YOUTH AT NO COST. MEMORIAL HERMANN SUPPORTS THE EXPENSES OF THE ANNUAL DINNER FOR E.C.H.O. (EPIPHANY COMMUNITY HEALTH OUTREACH), A SOCIAL SERVICE AGENCY THAT PROVIDES HEALTH AND SOCIAL SERVICES TO NEW IMMIGRANTS AND REFUGEES, PRIMARILY LIVING IN THE SOUTHWEST AREA. SINCE 2003 MEMORIAL HERMANN HAS BEEN A SPONSOR AND PARTICIPANT IN THE COLLECTION AND ANALYSIS OF EMERGENCY DEPARTMENT VISIT DATA IN HARRIS COUNTY HOSPITALS. THE PURPOSE OF THE STUDY IS TO MONITOR TRENDS IN PRIMARY CARE-RELATED ER USE AND UNDERSTAND THE CHARACTERISTICS OF THE PATIENTS WHO USE ERS FOR PRIMARY CARE PURPOSES. EMERGENCY ROOMS HAVE BECOME MAJOR PROVIDERS OF PRIMARY CARE, PARTICULARLY FOR LOW-IN
990 Sch H Part VI, Line 6	Affiliated Health Care System MEMORIAL HERMANN'S VISION IS TO BE THE PREEMINENT HEALTH SYSTEM IN THE UNITED STATES BY ADVANCING THE HEALTH OF THOSE WE SERVE THROUGH TRUSTED PARTNERSHIPS WITH PHYSICIANS, EMPLOYEES AND OTHERS TO DELIVER THE BEST POSSIBLE HEALTH SOLUTIONS WHILE RELENTLESSLY PURSUING QUALITY AND VALUE. WITH 11 LICENSED HOSPITALS (INCLUDES A LEVEL I TRAUMA CENTER, ORTHOPEDIC SPECIALTY HOSPITAL AND A HOSPITAL FOR CHILDREN, TWO REHABILITATION HOSPITALS, AND EIGHT SUBURBAN HOSPITALS) MEMORIAL HERMANN IS THE LARGEST NOT-FOR-PROFIT, COMMUNITY-OWNED, HEALTH SYSTEM IN SOUTHEAST TEXAS. THE SYSTEM ALSO OPERATES THREE HEART & VASCULAR INSTITUTE LOCATIONS, THE MISCHER NEUROSCIENCE INSTITUTE, THE IRONMAN SPORTS MEDICINE INSTITUTE, AN AIR AMBULANCE, BURN TREATMENT CENTER, CANCER, IMAGING AND SURGERY CENTERS, SPORTS MEDICINE AND REHABILITATION CENTERS, OUTPATIENT LABORATORIES, A CHEMICAL DEPENDENCY TREATMENT CENTER, A HOME HEALTH AGENCY, A RETIREMENT COMMUNITY AND A NURSING HOME. MEMORIAL HERMANN PHYSICIAN NETWORK, MHMD, COMPRISES PHYSICIANS FROM MEMORIAL HERMANN MEDICAL GROUP, UTHEALTH AND PRIVATE PHYSICIANS AND SPECIALISTS. MEMORIAL HERMANN HEALTH SOLUTIONS' SUBSIDIARIES OFFER COMPREHENSIVE, INTEGRATED HEALTH SOLUTIONS THAT DELIVER QUALITY BENEFITS WHILE HELPING TO CONTAIN COSTS. MEMORIAL HERMANN HAS SERVED THE COMMUNITY FOR MORE THAN 105 YEARS, AND CONTRIBUTES SOME $438 MILLION ANNUALLY THROUGH SCHOOL-BASED HEALTH CENTERS AND OTHER PROGRAMS. 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. AN INTEGRATED HEALTH SYSTEM, MEMORIAL HERMANN IS KNOWN FOR WORLD-CLASS CLINICAL EXPERTISE, PATIENT-CENTERED CARE, LEADING-EDGE TECHNOLOGY AND INNOVATION, INCLUDING INTRODUCING HOUSTON'S FIRST HEALTH INFORMATION EXCHANGE THAT SHARES VITAL PATIENT DATA AMONG CARE PROVIDERS TO ENSURE PATIENTS RECEIVE THE RIGHT CARE AT THE RIGHT TIME. ADDITIONALLY, THROUGH MEMORIAL HERMANN'S SUBSIDIARY, THE 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. MHCBC'S MISSION IS TO TEST AND MEASURE INNOVATIVE SOLUTIONS THAT REDUCE THE IMPACT OF THE LACK OF ACCESS TO CARE ON THE INDIVIDUAL, THE HEALTH SYSTEM AND THE COMMUNITY. MHCBC COLLABORATES WITH OTHERS AS WELL AS CREATE 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. THE NATIONAL QUALITY FORUM (NQF) AND THE JOINT COMMISSION HAVE NAMED MEMORIAL HERMANN HEALTH SYSTEM THE 2012 RECIPIENT OF THE JOHN M. EISENBERG PATIENT SAFETY AND QUALITY AWARD AT THE NATIONAL LEVEL (AND FIRST TEXAS HOSPITAL SYSTEM TO BE HONORED). MEMORIAL HERMANN WAS ALSO NAMED ONE OF THE TOP 5 LARGE HEALTH SYSTEMS IN THE NATION ACCORDING TO THE 15 TOP HEALTH SYSTEMS STUDY BY TRUVEN HEALTH (FORMERLY THOMSON REUTERS), A LEADING PROVIDER OF INFORMATION AND SOLUTIONS TO IMPROVE THE COST AND QUALITY OF HEALTHCARE. IN 2013 MEMORIAL HERMANN WAS AN AHA FOSTER B. MCGAW PRIZE FINALIST FOR COMMUNITY HEALTH IMPROVEMENTS. MEMORIAL HERMANN WAS ELECTED BY THE HOUSTON BUSINESS JOURNAL AS ONE OF THE BEST PLACES TO WORK IN HOUSTON IN 2014. MEMORIAL HERMANN HAS: 24,000 FULL-TIME EMPLOYEES; 9,824 MEDICAL STAFF MEMBERS; 1,712 PHYSICIANS-IN-TRAINING (RESIDENTS AND FELLOWS); 2,517 VOLUNTEERS PROVIDING 304,333 HOURS; 3,416 LICENSED BEDS; 154,033 ADMISSIONS; 924,764 OUTPATIENT VISITS; 86,982 OUTPATIENT SURGERIES; 564,052 EMERGENCY VISITS; 24,850 DELIVERIES; AND 3,200 LIFE FLIGHT AIR AMBULANCE MISSIONS TRANSPORTING 3,300 PATIENTS. SPECIALTIES INCLUDE: BURN TREATMENT, CANCER, CHILDREN'S HEALTH, DIABETES AND ENDOCRINOLOGY, DIGESTIVE HEALTH, EAR, NOSE AND THROAT, EMERGENCIES, HEART & VASCULAR, LYMPHEDEMA, NEUROSURGERY, NEUROLOGY, STROKE, NUTRITION, OPHTHALMOLOGY, ORTHOPEDICS, PHYSICAL AND OCCUPATIONAL THERAPY, REHABILITATION, ROBOTIC SURGERY, SLEEP STUDIES, AND SURGERIES, TRANSPLANT, WEIGHT LOSS, WOMEN'S HEALTH AND MATERNITY AND WOUND CARE.
990 Sch H Part VI, Line 7	State Filing Memorial Hermann Health System files a community benefit report in Texas that is available on the website http://communitybenefit.memorialhermann.org/about-us/.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (47 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
GOOD SAMARITAN FOUNDATION
PO Box 271108	Houston	TX	772771108	741235398	501 c(3)	$27,000	general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising general fundraising
Depelchin Children's Center
4950 Memorial Drive	Houston	TX	77007	760318867	501 c(3)	$8,500	general fundraising
VICTORY (ACS)
PO Box 572915	Houston	TX	772572915	741185665	501 c(3)	$34,000	general fundraising
Fort Bend County Womens Center
PO Box 183	richmond	TX	77406	760032451	501 c(3)	$24,600	general fundraising
AMERICAN COLLEGE OF HEALTHCARE
1 N Franklin St Suite 1700	Chicago	IL	606063491	746132171	501 c(3)	$8,500	general fundraising
MARCH OF DIMES
9494 Southwest Fry 300	Houston	TX	77074	131846366	501 c(3)	$15,800	general fundraising
Humble ISD
PO Box 2000	Humble	TX	77347	760608461	501 c(3)	$10,500	general fundraising
GREATER HOUSTON PARTNERSHIP
1200 Smith Suite 700	Houston	TX	77002	760267896	501 c(6)	$46,000	general fundraising
FAITH IN PRACTICE
7500 Beechnut St Suite 208	Houston	TX	77074	760415986	501 c(3)	$15,000	general fundraising
Houston Area Women's Center
1010 Waugh Dr	Houston	TX	77019	742029166	501 c(3)	$8,000	general fundraising
Finish Line Sports
13895 Southwest Frwy	Sugarland	TX	77478	760134642		$15,000	general fundraising
CanCare of Houston Inc
9575 Katy Freeway Suite 428	Houston	TX	77024	760305357	501 c(3)	$8,000	general fundraising
Lake Houston Family YMCA
2420 West Lake Houston Parkway	Kingwood	TX	77345	741109737	501 c(3)	$15,000	general fundraising
American Heart Association
POBox 15186	Austin	TX	78761	135613797	501 c(3)	$61,000	general fundraising
HOLOCAUST MUSEUM HOUSTON
5401 Caroline St	Houston	TX	77004	760331398	501 c(3)	$6,000	general fundraising
EL CENTRO DE CORAZON
412 telephone road	Houston	TX	77023	760442781	501 c(3)	$10,000	general fundraising
USAFORT BEND FIT
4811 Cambridge St	SUGAR LAND	TX	77479	550835696		$17,500	general fundraising
LONE STAR COLLEGE FOUNDATION
5000 RESEARCH FOREST DRIVE	THE WOODLANDS	TX	773814399	760336902	501 c(3)	$83,454	general fundraising
LAKE HOUSTON AREA CHAMBER
110 W Main street	Humble	TX	77338	741341059	501 c(3)	$15,239	general fundraising
CHILDREN'S MUSEUM OF HOUSTON
1500 Binz	Houston	TX	77004	742178563	501 c(3)	$20,000	general fundraising
LAMAR SOCCER CLUB INC
PO Box 544	richmond	TX	77406	760570590	501 c(3)	$9,750	general fundraising
HOUSTON TECHNOLOGY CENTER
410 Pierce Street	Houston	TX	77002	760589315	501 c(3)	$6,000	general fundraising
Boy Scouts of America
1911 Bagby	Houston	TX	770522786	741109732	501 c(3)	$10,500	general fundraising
Fort Bend Chamber of Commerce
445 Commerce Green Blvd	SUGAR LAND	TX	77478	741751927	501 c(6)	$5,850	general fundraising
ARTHRITIS FOUNDATION
3701 Kirby Dr Suite 1230	Houston	TX	770983926	741495594	501 c(3)	$15,000	general fundraising
United Way Montgomery County
PO Box 8965	THE WOODLANDS	TX	77387	237282537	501 c(3)	$10,000	general fundraising
Child Advocates of Fort Bend County
5403 Avenue N	ROSENBERG	TX	77471	760337426	501 c(3)	$6,500	general fundraising
Brookwood Community
1752 FM 1489	Brookshire	TX	77423	741587672	501 c(3)	$10,000	general fundraising
Memorial Assistance Ministries
1625 Blalock road	Houston	TX	77080	760044172	501 c(3)	$10,000	general fundraising
Crohns's & Colitis Foundation of America Inc
5120 Woodway 8008	Houston	TX	77056	136193105	501 c(3)	$10,000	general fundraising
HOUSTON SYMPHONY
1220 August Suite 270	Houston	TX	77057	741157373	501 c(3)	$15,000	general fundraising
Coalition to Protect America's Healthcare
4600 East-West Highway Suite 900	Bethesda	MD	20814	522253225	501 c(4)	$25,000	general fundraising
Center for Houston's Future
1200 Smith Suite 1150	Houston	TX	77002	760386539	501 c(3)	$6,000	general fundraising
Space Center Houston
1601 Nasa Parkway	Houston	TX	77058	760217152	501 c(3)	$10,000	general fundraising
Ronald McDonald House
1907 Holcombe Blvd	Houston	TX	77030	741984499	501 c(3)	$6,000	general fundraising
Fort Bend Junior Service
PO Box 17387	Sugar Land	TX	77496	760664152	501 c(3)	$15,000	general fundraising
Alley Theatre
615 Texas Ave	Houston	TX	77002	741143076	501 c(3)	$15,000	general fundraising
INTERFAITH CAREPARTNERS
701 N Post Oak Blvd	Houston	TX	77024	760253480	501 c(3)	$15,000	general fundraising
FORT BEND CARES
14823 SOUTHWEST FREEWAY	SUGAR LAND	TX	77478	331112246	501 c(3)	$20,000	general fundraising
INDIAN DOCTOR'S ASSOCIATION
2121 Sage Road	Houston	TX	77056	760203806	501 c(3)	$6,000	general fundraising
TEXAS BUSINESS HALL OF FAME FOUNDATION
4550 Post Oak Place Suite 342	Houston	TX	77027	751842638	501 c(3)	$10,000	general fundraising
FORT BEND YOUTH FOOTBALL
1306 Ashwood	Sugarland	TX	77478	262714233	501 c(3)	$15,000	general fundraising
TEXAS HEALTH INSTITUTE
8501 N MO Pac Expressway 300	Austin	TX	78759	742237787	501 c(3)	$50,000	general fundraising
AMERICAN ADVERTISING Federation - Houston
PO Box 27592	Houston	TX	77227	746047375	501 (C)(6)	$25,000	general fundraising
ROBERT GARNER FIREFIGHTER FOUNDATION
PO Box 1885	Houston	TX	77251	463275442	501 c(3)	$6,000	general fundraising
ASTROS IN ACTION FOUNDATION
501 crawford street	Houston	TX	77002	742793078	501 c(3)	$10,000	general fundraising
US MEMBER SOCIETY ISPO
5613 Stockton Way	Houston	TX	43016	237318392	501 c(6)	$10,000	general fundraising

Field	Value	IRS element (for citing)
Total501c3 Org	40	Total501c3OrgCnt
Total Other Org	7	TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 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
WOLTERMANDAN J
Director; President & CEO	$1,275,024	$0	$1,463,325	$0	$407,895	$0	$2,449,324	$0	$14,651	$0	$5,610,219	$0	$275,575	$0
Deborah Gordon
Chief Legal Officer & Secr	$246,487	$0	$0	$0	$164,604	$0	$18,049	$0	$8,424	$0	$437,564	$0	$0	$0
LARAWAYDENNIS L
EVP & CFO, Treasurer	$747,405	$0	$609,321	$0	$4,859	$0	$199,356	$0	$10,853	$0	$1,571,794	$0	$0	$0
Shea W Christopher
Deputy Genrl Counsel & Asst Se	$282,960	$0	$61,923	$0	$1,414	$0	$16,068	$0	$9,045	$0	$371,410	$0	$0	$0
SHABOTMICHAEL
EVP & Chief Clinical Officer	$568,968	$0	$415,062	$0	$155,823	$0	$133,100	$0	$11,220	$0	$1,284,173	$0	$102,005	$0
STOKESCHARLES D
EVP & COO	$788,841	$0	$647,027	$0	$768,454	$0	$211,867	$0	$11,418	$0	$2,427,607	$0	$712,707	$0
ASPRECERIN S
SVP & Regional President	$406,411	$0	$283,755	$0	$66,987	$0	$90,599	$0	$13,489	$0	$861,241	$0	$37,670	$0
BARBEBRIAN S
Former Key SVP& CEO Cypress	$398,535	$0	$281,146	$0	$91,363	$0	$98,319	$0	$11,051	$0	$880,414	$0	$68,356	$0
BRADSHAWDAVID
EVP & Chief Strategy and Infor	$528,331	$0	$393,436	$0	$134,854	$0	$142,044	$0	$14,208	$0	$1,212,873	$0	$91,036	$0
CORDOLACRAIG A
SVP & Regional President	$572,778	$0	$405,916	$0	$95,499	$0	$135,044	$0	$14,267	$0	$1,223,504	$0	$50,270	$0
SANDERSG STEVEN
Former Key SVP & CEO Woodlands	$261,156	$0	$323,012	$0	$836,366	$0	$88,253	$0	$2,270	$0	$1,511,057	$0	$69,108	$0
ALEXANDERKEITH
SVP & Regional President	$439,309	$0	$300,626	$0	$99,609	$0	$111,975	$0	$14,124	$0	$965,643	$0	$82,057	$0
BRACERODNEY
SVP & Regional Vice President	$552,179	$0	$409,178	$0	$441,315	$0	$131,270	$0	$12,668	$0	$1,546,610	$0	$403,755	$0
Dean Brian
SVP & CEO TMC Campus	$312,119	$0	$101,302	$0	$3,355	$0	$25,724	$0	$4,895	$0	$447,395	$0	$0	$0
GARMANJAMES
EVP & Chief Human Resource Off	$552,784	$0	$357,544	$0	$3,251	$0	$150,184	$0	$11,192	$0	$1,074,955	$0	$0	$0
HEINSMARSHALL B
SVP & Chief Facility Servs Off	$491,217	$0	$394,440	$0	$142,265	$0	$216,981	$0	$12,200	$0	$1,257,103	$0	$81,508	$0
O'sullivan Paul C
SVP & CEO Memorial City Campus	$292,160	$0	$97,144	$0	$30,566	$0	$66,567	$0	$6,247	$0	$492,684	$0	$22,405	$0
Urban Joshua
SVP & CEO The Woodlands	$391,255	$0	$164,806	$0	$37,370	$0	$74,168	$0	$2,209	$0	$669,808	$0	$26,319	$0
Duco Bernard
Former Chief Legal Officer	$271,923	$0	$353,040	$0	$649,656	$0	$43,001	$0	$2,308	$0	$1,319,928	$0	$93,822	$0
Reimer Renee
Former SVP & Chief Risk Office	$325,823	$0	$210,694	$0	$54,045	$0	$111,614	$0	$7,203	$0	$709,379	$0	$44,750	$0
MCVEIGHDENNIS P
Former CAO & Asst Treas	$11,547	$0	$42,851	$0	$462,089	$0	$792,527	$0	$0	$0	$1,309,014	$0	$31,948	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Nonqualified Retirement Plans	FormAndLineReferenceDesc
Explanation	Memorial Hermann Health System sponsors two nonqualified retirement plans. The first plan is called the Memorial Hermann Supplemental Executive Retirement Plan (SERP). The second plan is called the Memorial Hermann Health System Select Group 457(b) Deferred Compensation Plan (457). Applicable SERP amounts accrued per person: WOLTERMAN 100,490.59 STOKES 39,341.66 SHABOT 27,265.01 ALEXANDER 13,424.97 ASPREC 12,642.44 BRACE 25,898.24 BRADSHAW 25,063.60 CORDOLA 20,980.73 HEINS 29,608.13 O'SULLIVAN 3,909.40 URBAN 10,146.83 DUCO 12,385.41 REIMER 7,599.67 BARBE 18,172.38 SANDERS 21,180.56 Applicable 457 amounts distributed per person: DUCO 20,833.68 MCVEIGH 29,106.36 SANDERS 25,948.42	ExplanationTxt

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 Corp
A	561284201	414152rt7	2008-03-26	$184,800,000	2008A Refund Issue 03/11/1998	false	false	false
Harris County Cultural Facilities Finance Corp
B	760337885	414009em8	2010-11-30	$72,206,221	2010A Refund Issue 3/12/1997	false	false	false
Harris County Cultural Facilities Finance Corp
C	760337885	414009er7	2011-01-05	$162,400,000	2010B Refund Issue 5/17/2011	false	false	false
Harris County Cultural EDU Facilities Fin Corp
D	760337885	414009gr5	2013-03-28	$468,778,930	2013A/B Ref Issue 04/08/04	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$184,800,000	$0	$0	$0	$501,267	$3,974,642	$0	$0	$180,324,091	$0	2008	Yes (true)	false	Yes (true)	Yes (true)
B	$16,670,000	$0	$72,206,221	$0	$0	$0	$1,206,221	$0	$0	$0	$71,000,000	$0	2010	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$162,400,000	$0	$0	$0	$800,000	$0	$0	$0	$161,600,000	$0	2011	Yes (true)	false	Yes (true)	Yes (true)
D	$0	$0	$468,778,930	$0	$0	$70,459,809	$3,629,482	$0	$0	$0	$394,689,639	$0	2013	Yes (true)	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	false	Yes (true)
D	false	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Deutche Bank
A	Yes (true)	Yes (true)	Yes (true)	11.93	false	false	false	0	false	Yes (true)
0
B	Yes (true)	false	false				false	0	false	Yes (true)
Deutche Bank
C	Yes (true)	Yes (true)	Yes (true)	16.93	false	false	false	0	false	Yes (true)
JPMorgan
D	Yes (true)	Yes (true)	Yes (true)	8.93	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	See Schedule O	FormAndLineReferenceDesc

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Harris County Cultural EDU Facilities Fin Corp
A	760337885	414009hd5	2013-04-10	$103,585,000	2013C/D Refund Issue 11/25/2008	false	false	false
Harris County Cultural EDU Facilities Fin Corp
B	760337885	414009hl7	2014-06-11	$307,303,890	2014 A/B/C/D Building and Structur	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$103,585,000	$0	$0	$0	$385,000	$0	$0	$0	$103,200,000	$0	2013	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$307,303,890	$0	$0	$0	$2,303,890	$0	$0	$124,090,491	$25,000,000	$155,909,509		false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0	false	false	false	Yes (true)
B	false	false	false	false	0	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
JPMorgan
A	Yes (true)	Yes (true)	Yes (true)	13.93	false	false	false	0	false	Yes (true)
JPMorgan
B	Yes (true)	Yes (true)	Yes (true)	13.93	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Angela Bell
Family Member of Director	$67,247	employment	false
Adrienne Pouns
Family Member of Director	$28,558	employment	false
Casey Hedges
Family Member of Director	$70,881	employment	false
Ashley McVeigh
Family Member of Frm Off	$115,705	employment	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, has read and understood it, has 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.
Compensation Determination	The process for determining compensation for the Organization's CEO and other Officers, Directors and Key employees is modeled after the requirements in the IRS Code Section 4958 to establish the presumption of reasonable compensation. Compensation was reviewed and approved in advance of being paid by a Compensation Committee of the Board of Memorial Hermann Health System. The Committee is comprised of individuals who have no conflict of interest. The Compensation Committee engages an independent third-party executive compensation consultant who provides comparable market data from published surveys and/or Form 990s of similar organizations. The compensation for each Officer, Director, and Key employee is determined based on the market data. The Compensation Committee conducted a review of the comparability data and documented its discussion and decisions in minutes that are retained with the Organization's other governance materials. Officers, Directors and Key employees of the organization undergo a review and Compensation Committee approval (as outlined above) on an annual-basis, and such approval is recorded in minutes. The executive compensation philosophy drives the strategy and design of Memorial Hermann's compensation package. The executive compensation philosophy is established and maintained by the Compensation Committee. The philosophy is as following: Executive compensation should be tied to our long-term and short-term business strategies of each dimension of our business including, but not limited to: Quality & Safety, Service & Satisfaction, Operational Excellence, and Growth & People. Compensation should reflect the competitive marketplace so the Company can attract, retain and motivate talented executives. Compensation should be tied to our individual and business unit performance. Compensation programs and pay levels should be "Reasonable" within the definition of IRC Section 4958. We should balance any potential strategic, financial, operational and reputational risk with our pay-for-performance philosophy. Based on the above philosophy, Memorial Hermann's executive total compensation package includes a mix of fixed compensation and variable compensation. The following components are included in the executive total compensation package: base salary, annual incentive plan, long term incentive plan and deferred compensation plan. In addition to the compensation components listed above , the CEO and President, Mr. Wolterman, has been provided with a retention agreement. Per the terms of this agreement, he will receive a lump sum payment in July 2016. This lump sum payment is being accrued over the life of the retention agreement (July 2009 to July 2016). The 2014 accrual is included in Column C of Part II on the attached Form 990 Schedule J. If Mr. Wolterman voluntarily leaves prior to July 2016, he does not receive any portion of this lump sum payment. Under certain circumstances (e.g., death or disability), Mr. Wolterman, or his beneficiary, would be entitled to a prorated portion of this lump sum payment.
Oversight Review of Financial Statements	Does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of independent accountant? 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.
Members of Organization	Memorial Hermann Health System has individual members.
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.
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 substantialy all assets of the organization, and the merger or dissolution of the organization.
Disclosure of Organizational Documents	Describe how the organization makes its governing documents, conflict of interest policy, and financial statements available to the public. 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 doing so.
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 FINANCIAL ACCOUNTING STAFF, BY SPECIFIC DEPARTMENTS INVOLVED IN RELATED SECTIONS OF THE RETURN, BY THE MEMORIAL HERMANN CHIEF ACCOUNTING OFFICER, AND BY MEMORIAL HERMANN'S PUBLIC ACCOUNTING FIRM ERNST & YOUNG, PRIOR TO ITS FILING.
Whistleblower Policy	MHHS 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.
Audited Financials	Did the organization receive an audited financial statement for the year for which it is completing this return that was prepared in accordance with GAAP? 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.
Tax Exempt Bonds	2008A Bonds: Refunded the maturities of the Series 1998 Bonds and pay costs of issuance of the Series 2008A Bonds. Expansion, renovation, and equipment for Southwest, Southeast, Northwest, 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. 2008D Bonds: Refunded the Series 2005 Bonds. 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. 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 Northwest; 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. 2010B Bonds: Redeemed all of the Series 2001B Bonds and pay costs of issuance of the 2010B Bonds. 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. 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, Northwest, 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 Northwest, 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, Northwest, The Woodlands, and Facilities in 3) and 4). 2013C Bonds: Issued to refund the Series 2008D-1 and pay costs of issuance of the 2013C Bonds. 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. 2013D Bonds: Refund Series 2008D-2 Bonds and pay costs of issuance for the Series 2013D Bonds. 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. 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 MHHS's Katy and Sugar Land hospitals, a new hospital in Pearland, and master plan improvements to and an expansion of MHHS's Texas Medical Center hospital and to pay costs of issuance for the Series 2014B 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 MHHS's Katy and Sugar Land hospitals, a new hospital in Pearland, and master plan improvements to and an expansion of MHHS's Texas Medical Center hospital and to pay costs of issuance for the Series 2014B 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 MHHS's Katy and Sugar Land hospitals, a new hospital in Pearland, and master plan improvements to and an expansion of MHHS's Texas Medical Center hospital and to pay costs of issuance for the Series 2014B 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 MHHS's Katy and Sugar Land hospitals, a new hospital in Pearland, and master plan improvements to and an expansion of MHHS's Texas Medical Center hospital and to pay costs of issuance for the Series 2014B Bonds.
Changes in Net Assets or Fund Balance	RECLASS OF FUND BALANCES OF AFFILIATED COMPANIES (13,945,145) CHANGE IN UNFUNDED PENSION LOSSES (34,496,000) RECLASS OF CONTRIBUTIONS 14,285,000 CHANGE IN NONCONTROLLING INTERESTS 3,661,000 TOTAL CHANGES IN FUND BALANCES (30,495,145)
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 VI Section A Line 5	In March 2015, MHHS discovered the System was a victim of an embezzlement scheme which resulted in the theft of over $9 million over a 14 year period. The perpetrator was arrested and subsequently confessed and pleaded guilty to the crime. Several steps were taken by MHHS to prevent future embezzlement. These steps included review of internal controls and implementation of additional segregation of duties regarding issuing and receiving service purchase orders, additional rigor surrounding employee background checks, fraud detection training and an external fraud risk assessment and analysis. These actions should prevent future occurrences of fraud transactions.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 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
Memorial Hermann Community Benefits
909 Frostwood Suite 2100	Houston	TX	77024	680511504	Healthcare	TX	501 (c)3	9	MHHS	Yes (true)
Memorial Hermann Medical Group
909 Frostwood Suite 2100	Houston	TX	77024	204923281	Healthcare	TX	501 (c)3	3	MHHS	Yes (true)
MHS Physicians of Texas
909 Frostwood Suite 2100	Houston	TX	77024	760385980	Healthcare	TX	501 (c)3	3	MHHS	Yes (true)
Memorial Hermann Foundation
909 Frostwood Suite 2100	Houston	TX	77024	741653640	Fundraising	TX	501 (c)3	11a I	MHHS	Yes (true)
Memorial Hermann Information Exchange
909 Frostwood Suite 2100	Houston	TX	77024	020684202	Healthcare	TX	501 (c)3	3	MHHS	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
The Woodlands POB III LP
909 Frostwood Suite 2100	Houston	TX	77024	202184543	Manages Med B	TX	na	Related or Exempt	-$366,262	$15,423,562	false	$0	false	0.88340
Memorial HermannUSP Surgery Ctr III LP
15305 Dallas Parkway Suite 1600 L	Addison	TX	75001	200707543	Surgery Cente	TX	na	Related or Exempt	$11,910,631	$11,699,450	false	$0	Yes (true)	0.82000
Memorial Hermann Surgery Center Katy LLP
15305 Dallas Parkway Suite 1600 L	Addison	TX	75001	203360737	Surgery Cente	TX	na	Related or Exempt	$742,015	$608,835	false	$0	false	0.21750
MH Katy Rehab Hospital LLC
909 Frostwood Suite 2100	Houston	TX	77024	263896057	Medical Servi	TX	NA	Related or Exempt	$1,154,613	$16,361,234	false	$0	Yes (true)	0.94221

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
MHMD
909 Frostwood Suite 2100	Houston	TX	77024	760074819	Healthcare	TX	na	C corp	$12,290,611	$2,352,236	1.00000	Yes (true)
The Health Professionals Ins Company LTD
					Insurance		na	Foreign	$13,601,332	$66,182,999	1.00000	Yes (true)	Barclays House 3rd Floor	Grand Cayman	CJ	CJ
Memorial Hermann Accountable Care Org
909 Frostwood Suite 2100	Houston	TX	77024	800778181	Insurance	TX	NA	C Corp	$32,755,505	$1,874,411	1.00000	Yes (true)
Memorial Hermann Health Solutions Inc
909 Frostwood Suite 2100	Houston	TX	77024	264419989	Insurance	TX	NA	C corp	$17,080,371	$30,206,441	1.00000	Yes (true)
Memorial Hermann Health Insurance Co
909 Frostwood Suite 2100	Houston	TX	77024	760646301	Insurance	TX	na	C corp	-$13,692,674	$45,106,922	1.00000	Yes (true)
Memorial Hermann Health Plan Inc
909 Frostwood Suite 2100	Houston	TX	77024	462707092	Insurance	TX	na	C Corp	-$5,463,286	$15,930,153	1.00000	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Memorial Hermann Medical Group
R	$38,647,508	FMV
MHS Physicians of Texas
R	$25,403,850	FMV