2016-05-13T09:09:08-05:00 2015-06-30 ERNST & YOUNG US LLP 1401 MCKINNEY SUITE 1200 HOUSTON TX 77010 990 2014-07-01 741152597 Memorial Hermann Health System % ANTHONY FRANK MEMO 7133384643 909 Frostwood Suite 2100 Houston TX 77024 ANTHONY FRANK SVP & CAO 7133384643 2016-05-13 true Maureen P Foley P00177502 7137501500 2014 2016-08-17 19:52:53Z Dan Wolterman 929 Gessner Suite 2700 Houston TX 77024 4089710759 false X www.memorialhermann.org X 1910 TX MEMORIAL HERMANN HEALTH SYSTEM IS A NOT- FOR-PROFIT, COMMUNITY-OWNED, HEALTH CARE SYSTEM WITH SPIRITUAL VALUES, DEDICATED TO PROVIDING HIGH QUALITY HEALTH SERVICES. 24 23 24913 3054 5320852 -4792197 26129021 21197100 3410934589 3862239239 158377533 -4047151 146193635 146325177 3741634778 4025714365 1375592 1166953 0 0 1550798117 1686721432 0 0 0 1735457747 1958999150 3287631456 3646887535 454003322 378826830 5290319810 6011159857 2624964574 2997472936 2665355236 3013686921 X 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 false false 3153322134 1166953 3990790669 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. 3153322134 true true false false false false false false false true true true false true true true false true false false true false false false false false true true true false true true false false false false false false false true true false false false false false false true true true false false true 1111 0 true 24913 true true true CJ false false false false false false false false X 24 23 false false false true true true true true true false false true true true true true true true true true true X ANTHONY FRANK 7133384643 909 FROSTWOOD SUITE 2100 Houston TX 77024 Alexander Charlotte B MD Director 1.0 0.0 X 0 0 0 Blackshear A T Jr Director 1.0 0.0 X 0 0 0 Cali Joseph R MD Director 1.0 0.0 X 0 0 0 Campbell William J Director 1.0 0.0 X 0 0 0 Cannon Deborah M Director 1.0 0.0 X 0 0 0 Cazalot Clarence P Jr Director 1.0 0.0 X 0 0 0 Croyle Robert G Director 1.0 0.0 X 0 0 0 Easter William H III Director 1.0 0.0 X 0 0 0 Few Jason B Director 1.0 0.0 X 0 0 0 Galtney William F Jr Director 1.0 0.0 X 0 0 0 Garcia Roland Jr Director 1.0 0.0 X 0 0 0 Giglio J Kevin MD Director 1.0 0.0 X 0 0 0 Graham David J Director 1.0 0.0 X 0 0 0 McBride Ralph D Director 1.0 0.0 X 0 0 0 McClelland Scott B Director 1.0 0.0 X 0 0 0 McLean Scott J Director 1.0 0.0 X 0 0 0 Mir Gasper III Director 1.0 0.0 X 0 0 0 Montague James R Director 1.0 0.0 X 0 0 0 Perrin Melinda H Director 1.0 0.0 X 0 0 0 Postl James J Director 1.0 0.0 X 0 0 0 Pouns Stephen H Director 1.0 0.0 X 0 0 0 Strake George W III Director 1.0 0.0 X 0 0 0 Williams Willoughby C Jr Chairman 1.0 0.0 X 0 0 0 WOLTERMANDAN J Director; President & CEO 50.0 1.0 X X 3146244 0 2463975 Deborah Gordon Chief Legal Officer & Secr 50.0 0.0 X 411091 0 26473 LARAWAYDENNIS L EVP & CFO, Treasurer 50.0 0.0 X 1361585 0 210209 Shea W Christopher Deputy Genrl Counsel & Asst Se 50.0 0.0 X 346297 0 25113 SHABOTMICHAEL EVP & Chief Clinical Officer 50.0 0.0 X 1139853 0 144320 STOKESCHARLES D EVP & COO 50.0 0.0 X 2204322 0 223285 ASPRECERIN S SVP & Regional President 50.0 0.0 X 757153 0 104088 BRADSHAWDAVID EVP & Chief Strategy and Infor 50.0 0.0 X 1056621 0 156252 CORDOLACRAIG A SVP & Regional President 50.0 0.0 X 1074193 0 149311 ALEXANDERKEITH SVP & Regional President 50.0 0.0 X 839544 0 126099 BRACERODNEY SVP & Regional Vice President 50.0 0.0 X 1402672 0 143938 Dean Brian SVP & CEO TMC Campus 50.0 0.0 X 416776 0 30619 GARMANJAMES EVP & Chief Human Resource Off 50.0 0.0 X 913579 0 161376 HEINSMARSHALL B SVP & Chief Facility Servs Off 50.0 0.0 X 1027922 0 229181 O'sullivan Paul C SVP & CEO Memorial City Campus 50.0 0.0 X 419870 0 72814 Urban Joshua SVP & CEO The Woodlands 50.0 0.0 X 593431 0 76377 Duco Bernard Former Chief Legal Officer 50.0 0.0 X 1274619 0 45309 Reimer Renee Former SVP & Chief Risk Office 50.0 0.0 X 590562 0 118817 MCVEIGHDENNIS P Former CAO & Asst Treas 50.0 0.0 X 516487 0 792527 BARBEBRIAN S Former Key SVP& CEO Cypress 50.0 0.0 X 771044 0 109370 SANDERSG STEVEN Former Key SVP & CEO Woodlands 50.0 0.0 X 1420534 0 90523 21684399 0 5499976 1948 true true false J T Vaughn Construction LLC 10355 West Park Dr HOUSTON TX 77042 Construction 29252343 Cerner DHT 2800 Rockcreek Parkway KANSAS CITY MO 64117 Professional Service 20871963 Universal Hospital Services PO Box 86 SDS 12-0940 MINNEAPOLIS MN 55486 Professional service 65370205 Watkins Hamilton Ross 1111 Louisiana 26th Floor HOUSTON TX 77002 Construction 20964080 Crothall Healthcare 13028 Collection Center Dr CHICAGO IL 60693 Housekeeping 39894367 210 7058420 14138680 21197100 PATIENT SERVICE REVENUE 900099 3862239239 3862239239 3862239239 -4047151 -4047151 0 355414 355414 60504640 63996394 -3491754 0 -3491754 -3491754 0 0 0 6340685 6340685 LAUNDRY SERVICES 812300 7538120 7538120 MANAGEMENT FEES 621500 4151609 2805636 1345973 SECURITY SERVICE 541900 1986300 1986300 129444803 125745794 -5549541 9248550 143120832 4025714365 3990790669 5320852 8405744 1166953 1166953 0 0 0 11736176 1292018 10444158 0 1367123775 1158113731 209010044 61010496 47857694 13152802 147045738 122176337 24869401 99805247 82069815 17735432 0 4632342 646334 3986008 0 0 0 0 0 16762912 8449957 8312955 65342142 58027059 7315083 0 0 108438811 96171889 12266922 4915355 3089102 1826253 0 3381508 2079520 1301988 67249136 42919659 24329477 0 205228904 170161813 35067091 13652249 10523720 3128529 PROFESSIONAL & CONTRACT FEES 681171102 618226547 62944555 MEDICAL SUPPLIES 600419518 592566858 7852660 EQUIPMENT RENTAL & MAINTENANCE 156932551 131068528 25864023 MISCELLANEOUS & OTHER EXPENSE 17639201 2748541 14890660 13233419 3966059 9267360 3646887535 3153322134 493565401 0 345215156 269419790 23847558 51390133 0 0 547608377 608871181 0 0 0 0 0 0 33497803 44906326 74848780 25089616 5073193838 2755537749 2133469804 2317656089 0 0 1557386000 2104269000 0 0 0 0 574446332 589557722 5290319810 6011159857 436120439 581300177 0 0 0 0 1282775668 1246122583 0 0 0 0 0 0 0 0 906068467 1170050176 2624964574 2997472936 X 2653010240 3000972424 12344996 12714497 0 0 2665355236 3013686921 5290319810 6011159857 X 378826830 -30495145 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4188028 128001 11792 4304237 4104595 145235 43931 17871 4188028 3948600 231546 69638 5913 4104595 3806585 219373 69624 7734 3948600 3677951 172286 38574 5078 3806585 1.00000 false false 115126528 115126528 2673598150 1276707830 1396890320 372212197 177983131 194229066 1584918398 1274906501 310011897 327338565 25940287 301398278 2317656089 FIXED INCOME 398413000 F EQUITY SECURITIES 1012578000 F ALTERNATIVE INVESTMENTS 424792000 F CASH & CASH EQUIVALENTS 268486000 F 2104269000 BOND TRUST FUNDS 183518202 DUE FROM AFFILIATES, NET 334365237 GOODWILL 39414095 MISCELLANEOUS DEPOSITS 10992656 DEFERRED BOND FINANCING FEES 7129695 JOINT VENTURES 6879116 TECO STOCK 1670044 UTHSC LAND LEASE 1914555 DEFERRED PHYSICIAN RECRUITMENT 3610123 OTHER ASSETS 63999 589557722 0 ACCRUED LIABILITIES TO 3RD PARTY 452761041 CAPITALIZED LEASES 717289135 1170050176 X 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. Central America and the Caribbean Investments Caymen Captive 19959141 19959141 19959141 true false true false false false 990 Sch F Part II Line 1 Accounting method used is the accrual method. true true X true X true X true true true false true true 182152827 182152827 0.04990 600592131 618533243 33744298 23049447 10694851 0.00290 816489256 641582690 192847678 0.05280 182926476 182926476 0.05020 62582126 18521676 44060450 0.01210 315851975 292402844 23449131 0.00640 10960088 5125024 5835064 0.00160 2281929 2281929 0.00060 574602594 316049544 258553050 0.07090 1391091850 957632234 451400728 0.12370 417114 417114 417114 417114 true 541521776 102889137 977843293 1442939837 -465096544 X true true 11 1 Memorial Hermann Katy Hospital 23900 katy freeway katy TX 77494 www.memorialhermann.org 534 X X X 2 Memorial Hermann Northeast Hospital 18951 Memorial North Humble TX 77338 www.memorialhermann.org 8471 X X X 3 Memorial Hermann Greater Heights Hosp 1635 North loop west houston TX 77008 www.memorialhermann.org 172 X X X 4 Memorial Hermann Southeast Hospital 11800 astoria blvd houston TX 77089 www.memorialhermann.org 119 X X X 5 Memorial Hermann Southwest Hospital 7600 beechnut houston TX 77074 www.memorialhermann.org 407 X X X X 6 Memorial Hermann Sugar Land Hospital 17500 west grand parkway south sugar land TX 77479 www.memorialhermann.org 609 X X X 7 Memorial Hermann Texas Medical Center 6411 fannin houston TX 77030 www.memorialhermann.org 347 X X X X 8 Memorial Hermann Woodlands Hospital 9250 pinecroft the woodlands TX 77381 www.memorialhermann.org 615 X X X 9 Memorial Hermann Memorial City Hosp 921 gessner houston TX 77024 www.memorialhermann.org 302 X X X 10 Memorial Hermann Rehab Hospital Katy 909 Frostwood Suite 2100 houston TX 77024 www.memorialhermann.org 100009 X 11 The Institute for Rehabilitation TIRR 1333 moursund street houston TX 77030 www.memorialhermann.org 100189 X X Memorial Hermann Katy Hospital false false true X X X X X X X X X 13 true false false true X WWW.memorialhermann.org X true 13 true WWW.memorialhermann.org false false true X 200. 400. X X X X true true X X X X true X www.memorialhermann.org/financial X X X true X false X X X X true X false false Memorial Hermann Northeast Hospital false false true X X X X X X X X X 13 true false false true X WWW.memorialhermann.org X true 13 true WWW.memorialhermann.org false false true X 200. 400. X X X X true true X X X X true X www.meorialhermann.org/financial X X X true X false X X X X true X false false Memorial Hermann Greater Heights Hosp false false true X X X X X X X X X 13 true false true X WWW.memorialhermann.org X true 13 true WWW.memorialhermann.org false false true X 200. 400. X X X X true true X X X X true X www.memorialhermann.org/financial X X X true X false X X X X true X false false Memorial Hermann Southeast Hospital false false true X X X X X X X X X 13 true false false true X WWW.memorialhermann.org X true 13 true WWW.memorialhermann.org false false true X 200. 400. X X X X true true X X X X true X www.memorialhermann.org/financial X X X true X false X X X X true X false false Memorial Hermann Southwest Hospital false false true X X X X X X X X X 13 true false false true X WWW.memorialhermann.org X true 13 true WWW.memorialhermann.org false false true X 200. 400. X X X X true true X X X X true X www.memorialhermann.org/financial X X X true X false X X X X true X false false Memorial Hermann Sugar Land Hospital false false true X X X X X X X X X 13 true false false true X WWW.memorialhermann.org X true 13 true WWW.memorialhermann.org false false true X 200. 400. X X X X true true X X X X true X www.memorialhermann.org/financial X X X true X false X X X X true X false false Memorial Hermann Texas Medical Center false false true X X X X X X X X X 13 true false false true X WWW.memorialhermann.org X true 13 true WWW.memorialhermann.org false false true X 200. 400. X X X X true true X X X X true X www.memorialhermann.org/financial X X X true X false X X X X true X false false Memorial Hermann Woodlands Hospital false false true X X X X X X X X X 13 true false false true X WWW.memorialhermann.org X true 13 true WWW.memorialhermann.org false false true X 200. 400. X X X X true true X X X X true X www.memorialhermann.org/financial X X X true X false X X X X true X false false Memorial Hermann Memorial City Hosp false false true X X X X X X X X X 13 true false false true X WWW.memorialhermann.org X true 13 true WWW.memorialhermann.org false false true X 200. 400. X X X X true true X X X X true X www.memorialhermann.org/financial X X X true X false X X X X true X false false Memorial Hermann Rehab Hospital Katy false false true X X X X X X X X X 13 true false false true X WWW.memorialhermann.org X true 13 true WWW.memorialhermann.org false false true X 200. 400. X X X X true true X X X X true X www.memorialhermann.org/financial X X X true X false X X X X true X false false The Institute for Rehabilitation TIRR false false true X X X X X X X X X 13 true false false true X WWW.memorialhermann.org X true 13 true WWW.memorialhermann.org false false true X 200. 400. X X X X true true X X X X true X www.memorialhermann.org/financial X X X true X false X X X X true X false false 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. 21 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 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/. false GOOD SAMARITAN FOUNDATION PO Box 271108 Houston TX 772771108 741235398 501 c(3) 27000 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) 8500 general fundraising VICTORY (ACS) PO Box 572915 Houston TX 772572915 741185665 501 c(3) 34000 general fundraising Fort Bend County Womens Center PO Box 183 richmond TX 77406 760032451 501 c(3) 24600 general fundraising AMERICAN COLLEGE OF HEALTHCARE 1 N Franklin St Suite 1700 Chicago IL 606063491 746132171 501 c(3) 8500 general fundraising MARCH OF DIMES 9494 Southwest Fry 300 Houston TX 77074 131846366 501 c(3) 15800 general fundraising Humble ISD PO Box 2000 Humble TX 77347 760608461 501 c(3) 10500 general fundraising GREATER HOUSTON PARTNERSHIP 1200 Smith Suite 700 Houston TX 77002 760267896 501 c(6) 46000 general fundraising FAITH IN PRACTICE 7500 Beechnut St Suite 208 Houston TX 77074 760415986 501 c(3) 15000 general fundraising Houston Area Women's Center 1010 Waugh Dr Houston TX 77019 742029166 501 c(3) 8000 general fundraising Finish Line Sports 13895 Southwest Frwy Sugarland TX 77478 760134642 15000 general fundraising CanCare of Houston Inc 9575 Katy Freeway Suite 428 Houston TX 77024 760305357 501 c(3) 8000 general fundraising Lake Houston Family YMCA 2420 West Lake Houston Parkway Kingwood TX 77345 741109737 501 c(3) 15000 general fundraising American Heart Association POBox 15186 Austin TX 78761 135613797 501 c(3) 61000 general fundraising HOLOCAUST MUSEUM HOUSTON 5401 Caroline St Houston TX 77004 760331398 501 c(3) 6000 general fundraising EL CENTRO DE CORAZON 412 telephone road Houston TX 77023 760442781 501 c(3) 10000 general fundraising USAFORT BEND FIT 4811 Cambridge St SUGAR LAND TX 77479 550835696 17500 general fundraising LONE STAR COLLEGE FOUNDATION 5000 RESEARCH FOREST DRIVE THE WOODLANDS TX 773814399 760336902 501 c(3) 83454 general fundraising LAKE HOUSTON AREA CHAMBER 110 W Main street Humble TX 77338 741341059 501 c(3) 15239 general fundraising CHILDREN'S MUSEUM OF HOUSTON 1500 Binz Houston TX 77004 742178563 501 c(3) 20000 general fundraising LAMAR SOCCER CLUB INC PO Box 544 richmond TX 77406 760570590 501 c(3) 9750 general fundraising HOUSTON TECHNOLOGY CENTER 410 Pierce Street Houston TX 77002 760589315 501 c(3) 6000 general fundraising Boy Scouts of America 1911 Bagby Houston TX 770522786 741109732 501 c(3) 10500 general fundraising Fort Bend Chamber of Commerce 445 Commerce Green Blvd SUGAR LAND TX 77478 741751927 501 c(6) 5850 general fundraising ARTHRITIS FOUNDATION 3701 Kirby Dr Suite 1230 Houston TX 770983926 741495594 501 c(3) 15000 general fundraising United Way Montgomery County PO Box 8965 THE WOODLANDS TX 77387 237282537 501 c(3) 10000 general fundraising Child Advocates of Fort Bend County 5403 Avenue N ROSENBERG TX 77471 760337426 501 c(3) 6500 general fundraising Brookwood Community 1752 FM 1489 Brookshire TX 77423 741587672 501 c(3) 10000 general fundraising Memorial Assistance Ministries 1625 Blalock road Houston TX 77080 760044172 501 c(3) 10000 general fundraising Crohns's & Colitis Foundation of America Inc 5120 Woodway 8008 Houston TX 77056 136193105 501 c(3) 10000 general fundraising HOUSTON SYMPHONY 1220 August Suite 270 Houston TX 77057 741157373 501 c(3) 15000 general fundraising Coalition to Protect America's Healthcare 4600 East-West Highway Suite 900 Bethesda MD 20814 522253225 501 c(4) 25000 general fundraising Center for Houston's Future 1200 Smith Suite 1150 Houston TX 77002 760386539 501 c(3) 6000 general fundraising Space Center Houston 1601 Nasa Parkway Houston TX 77058 760217152 501 c(3) 10000 general fundraising Ronald McDonald House 1907 Holcombe Blvd Houston TX 77030 741984499 501 c(3) 6000 general fundraising Fort Bend Junior Service PO Box 17387 Sugar Land TX 77496 760664152 501 c(3) 15000 general fundraising Alley Theatre 615 Texas Ave Houston TX 77002 741143076 501 c(3) 15000 general fundraising INTERFAITH CAREPARTNERS 701 N Post Oak Blvd Houston TX 77024 760253480 501 c(3) 15000 general fundraising FORT BEND CARES 14823 SOUTHWEST FREEWAY SUGAR LAND TX 77478 331112246 501 c(3) 20000 general fundraising INDIAN DOCTOR'S ASSOCIATION 2121 Sage Road Houston TX 77056 760203806 501 c(3) 6000 general fundraising TEXAS BUSINESS HALL OF FAME FOUNDATION 4550 Post Oak Place Suite 342 Houston TX 77027 751842638 501 c(3) 10000 general fundraising FORT BEND YOUTH FOOTBALL 1306 Ashwood Sugarland TX 77478 262714233 501 c(3) 15000 general fundraising TEXAS HEALTH INSTITUTE 8501 N MO Pac Expressway 300 Austin TX 78759 742237787 501 c(3) 50000 general fundraising AMERICAN ADVERTISING Federation - Houston PO Box 27592 Houston TX 77227 746047375 501 (C)(6) 25000 general fundraising ROBERT GARNER FIREFIGHTER FOUNDATION PO Box 1885 Houston TX 77251 463275442 501 c(3) 6000 general fundraising ASTROS IN ACTION FOUNDATION 501 crawford street Houston TX 77002 742793078 501 c(3) 10000 general fundraising US MEMBER SOCIETY ISPO 5613 Stockton Way Houston TX 43016 237318392 501 c(6) 10000 general fundraising 40 7 X X X X X false true false false false false false false false WOLTERMANDAN J Director; President & CEO 1275024 0 1463325 0 407895 0 2449324 0 14651 0 5610219 0 275575 0 Deborah Gordon Chief Legal Officer & Secr 246487 0 0 0 164604 0 18049 0 8424 0 437564 0 0 0 LARAWAYDENNIS L EVP & CFO, Treasurer 747405 0 609321 0 4859 0 199356 0 10853 0 1571794 0 0 0 Shea W Christopher Deputy Genrl Counsel & Asst Se 282960 0 61923 0 1414 0 16068 0 9045 0 371410 0 0 0 SHABOTMICHAEL EVP & Chief Clinical Officer 568968 0 415062 0 155823 0 133100 0 11220 0 1284173 0 102005 0 STOKESCHARLES D EVP & COO 788841 0 647027 0 768454 0 211867 0 11418 0 2427607 0 712707 0 ASPRECERIN S SVP & Regional President 406411 0 283755 0 66987 0 90599 0 13489 0 861241 0 37670 0 BARBEBRIAN S Former Key SVP& CEO Cypress 398535 0 281146 0 91363 0 98319 0 11051 0 880414 0 68356 0 BRADSHAWDAVID EVP & Chief Strategy and Infor 528331 0 393436 0 134854 0 142044 0 14208 0 1212873 0 91036 0 CORDOLACRAIG A SVP & Regional President 572778 0 405916 0 95499 0 135044 0 14267 0 1223504 0 50270 0 SANDERSG STEVEN Former Key SVP & CEO Woodlands 261156 0 323012 0 836366 0 88253 0 2270 0 1511057 0 69108 0 ALEXANDERKEITH SVP & Regional President 439309 0 300626 0 99609 0 111975 0 14124 0 965643 0 82057 0 BRACERODNEY SVP & Regional Vice President 552179 0 409178 0 441315 0 131270 0 12668 0 1546610 0 403755 0 Dean Brian SVP & CEO TMC Campus 312119 0 101302 0 3355 0 25724 0 4895 0 447395 0 0 0 GARMANJAMES EVP & Chief Human Resource Off 552784 0 357544 0 3251 0 150184 0 11192 0 1074955 0 0 0 HEINSMARSHALL B SVP & Chief Facility Servs Off 491217 0 394440 0 142265 0 216981 0 12200 0 1257103 0 81508 0 O'sullivan Paul C SVP & CEO Memorial City Campus 292160 0 97144 0 30566 0 66567 0 6247 0 492684 0 22405 0 Urban Joshua SVP & CEO The Woodlands 391255 0 164806 0 37370 0 74168 0 2209 0 669808 0 26319 0 Duco Bernard Former Chief Legal Officer 271923 0 353040 0 649656 0 43001 0 2308 0 1319928 0 93822 0 Reimer Renee Former SVP & Chief Risk Office 325823 0 210694 0 54045 0 111614 0 7203 0 709379 0 44750 0 MCVEIGHDENNIS P Former CAO & Asst Treas 11547 0 42851 0 462089 0 792527 0 0 0 1309014 0 31948 0 Nonqualified Retirement Plans 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 A Harris County Health Facilities Development Corp 561284201 414152rt7 2008-03-26 184800000 2008A Refund Issue 03/11/1998 false false false B Harris County Cultural Facilities Finance Corp 760337885 414009em8 2010-11-30 72206221 2010A Refund Issue 3/12/1997 false false false C Harris County Cultural Facilities Finance Corp 760337885 414009er7 2011-01-05 162400000 2010B Refund Issue 5/17/2011 false false false D Harris County Cultural EDU Facilities Fin Corp 760337885 414009gr5 2013-03-28 468778930 2013A/B Ref Issue 04/08/04 false false false A 0 0 184800000 0 0 0 501267 3974642 0 0 180324091 0 2008 true false true true B 16670000 0 72206221 0 0 0 1206221 0 0 0 71000000 0 2010 true false true true C 0 0 162400000 0 0 0 800000 0 0 0 161600000 0 2011 true false true true D 0 0 468778930 0 0 70459809 3629482 0 0 0 394689639 0 2013 true true true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A true true true Deutche Bank 11.93 false false false 0 false true B true false false 0 false 0 false true C true true true Deutche Bank 16.93 false false false 0 false true D true true true JPMorgan 8.93 false false false 0 false true A true B true C true D true See Schedule O A Harris County Cultural EDU Facilities Fin Corp 760337885 414009hd5 2013-04-10 103585000 2013C/D Refund Issue 11/25/2008 false false false B Harris County Cultural EDU Facilities Fin Corp 760337885 414009hl7 2014-06-11 307303890 2014 A/B/C/D Building and Structur false false false A 0 0 103585000 0 0 0 385000 0 0 0 103200000 0 2013 true false true true B 0 0 307303890 0 0 0 2303890 0 0 124090491 25000000 155909509 false false false true A false false false false 0 false false false true B false false false false 0 false false false true A true true true JPMorgan 13.93 false false false 0 false true B true true true JPMorgan 13.93 false false false 0 false true A true B true Angela Bell Family Member of Director 67247 employment false Adrienne Pouns Family Member of Director 28558 employment false Casey Hedges Family Member of Director 70881 employment false Ashley McVeigh Family Member of Frm Off 115705 employment false 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. Memorial Hermann Community Benefits 909 Frostwood Suite 2100 Houston TX 77024 680511504 Healthcare TX 501 (c)3 9 MHHS true Memorial Hermann Medical Group 909 Frostwood Suite 2100 Houston TX 77024 204923281 Healthcare TX 501 (c)3 3 MHHS true MHS Physicians of Texas 909 Frostwood Suite 2100 Houston TX 77024 760385980 Healthcare TX 501 (c)3 3 MHHS true Memorial Hermann Foundation 909 Frostwood Suite 2100 Houston TX 77024 741653640 Fundraising TX 501 (c)3 11a I MHHS true Memorial Hermann Information Exchange 909 Frostwood Suite 2100 Houston TX 77024 020684202 Healthcare TX 501 (c)3 3 MHHS true The Woodlands POB III LP 909 Frostwood Suite 2100 Houston TX 77024 202184543 Manages Med B TX na Related or Exempt -366262 15423562 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 11910631 11699450 false 0 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 742015 608835 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 1154613 16361234 false 0 true 0.94221 MHMD 909 Frostwood Suite 2100 Houston TX 77024 760074819 Healthcare TX na C corp 12290611 2352236 1.00000 true The Health Professionals Ins Company LTD Barclays House 3rd Floor Grand Cayman CJ Insurance CJ na Foreign 13601332 66182999 1.00000 true Memorial Hermann Accountable Care Org 909 Frostwood Suite 2100 Houston TX 77024 800778181 Insurance TX NA C Corp 32755505 1874411 1.00000 true Memorial Hermann Health Solutions Inc 909 Frostwood Suite 2100 Houston TX 77024 264419989 Insurance TX NA C corp 17080371 30206441 1.00000 true Memorial Hermann Health Insurance Co 909 Frostwood Suite 2100 Houston TX 77024 760646301 Insurance TX na C corp -13692674 45106922 1.00000 true Memorial Hermann Health Plan Inc 909 Frostwood Suite 2100 Houston TX 77024 462707092 Insurance TX na C Corp -5463286 15930153 1.00000 true false true true false false false true false false true true false false false true true true true true Memorial Hermann Medical Group R 38647508 FMV MHS Physicians of Texas R 25403850 FMV