2023-10-30T21:00:05+00:00 2022-12-31 346565596 ERNST & YOUNG US LLP 425 HOUSTON ST FT WORTH TX 76102 990 2022-01-01 741287016 Methodist Healthcare Ministries of South Texas Inc METH 2106920234 4507 MEDICAL DRIVE SAN ANTONIO TX 782294401 JAMIE WESOLOWSKI CEO 2106920234 2023-10-30 true TONY LOBASSO 999009999 true Melva Scott P01207335 8173351900 2023-10-26 2022 2023-04-26 12:10:37Z JAMIE WESOLOWSKI 4507 MEDICAL DRIVE SAN ANTONIO TX 782294401 688963862 false X WWW.MHM.ORG X 1955 TX MISSION STATEMENT: 'SERVING HUMANITY TO HONOR GOD" VISION STATEMENT: "TO BE THE LEADER FOR IMPROVING WELLNESS OF THE LEAST SERVED". 29 29 536 11 4167 461262 40758 56390 257514418 312820989 71819402 65654148 744368 246671 330118946 378778198 35805628 38238356 0 0 39295587 43034793 0 0 0 26642892 30131836 101744107 111404985 228374839 267373213 1649903020 1722279205 12524167 12961645 1637378853 1709317560 X IN FURTHERANCE OF THE FOUNDERS' VISION OF "SERVING HUMANITY TO HONOR GOD," METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. (MHM) HAS A TWO-FOLD MISSION, BOTH EQUALLY IMPORTANT: TO IMPROVE THE PHYSICAL, MENTAL, AND SPIRITUAL HEALTH OF THOSE LEAST SERVED IN THE RIO TEXAS CONFERENCE AREA OF THE UNITED METHODIST CHURCH, WHICH CONSISTS OF 74 COUNTIES ACROSS SOUTH TEXAS; AND AS THE LOCAL HALF-OWNER OF METHODIST HEALTHCARE SYSTEM (MHS) - THE LARGEST HEALTHCARE SYSTEM IN SOUTH TEXAS - MHM IS COMMITTED TO ENSURING MHS CONTINUES TO BE A BENEFIT TO THE COMMUNITY BY PROVIDING QUALITY CARE TO ALL AND CHARITABLE CARE WHEN NEEDED. false false 38238356 38238356 0 SINCE 1996, MHM HAS PROVIDED COMMUNITY GRANTS TO PARTNERS THAT SHARE IN ITS MISSION OF SERVING THE LEAST SERVED: LOW-INCOME FAMILIES AND THE UNINSURED, AND THAT ARE SUCCESSFULLY DELIVERING HEALTHCARE AND SOCIAL SERVICES TO THIS POPULATION IN THEIR RESPECTIVE COMMUNITIES THROUGHOUT SOUTH TEXAS OR ADDRESSING SOCIAL DETERMINANTS OF HEALTH NEEDS IN THEIR RESPECTIVE COMMUNITIES. SHORT-TERM GRANTS INCLUDE DIRECT SERVICES TO PATIENTS AS WELL AS CAPITAL FUNDING FOR CONSTRUCTION OF NEW AND/OR RENOVATIONS TO EXISTING FACILITIES USED FOR THE DELIVERY OF SERVICES. 24312671 0 52968 MHM OWNS AND OPERATES TWO PRIMARY CARE CLINICS AT TWO LOCATIONS - WESLEY HEALTH & WELLNESS CENTER AND DIXON HEALTH & WELLNESS CENTER - IN SAN ANTONIO WHERE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES ARE OFFERED TO UNINSURED INDIVIDUALS AND FAMILIES WHO DO NOT QUALIFY FOR ANY TYPE OF BENEFITS SUCH AS MEDICAID OR MEDICARE. SERVICES ARE BASED ON A SLIDING-SCALE FEE determined by HOUSEHOLD INCOME AND FAMILY SIZE. HOWEVER, NO ONE IS DENIED BASED ON THEIR ABILITY TO PAY. MHM ALSO OPERATES SCHOOL BASED HEALTH CENTERS WHICH PROVIDE PRIMARY MEDICAL CARE, DENTAL CARE, AND COUNSELING TO SCHOOL-AGE CHILDREN AND THEIR SIBLINGS UP TO THE AGE OF 21 IN TWO SCHOOL DISTRICTS. 21954197 0 314847356 OTHER PROGRAM SERVICES OWNED AND OPERATED BY MHM FOR LOW-INCOME AND UNINSURED PATIENTS/CLIENTS INCLUDE: COMMUNITY COUNSELING SERVICES: COMMUNITY COUNSELORS HELP PEOPLE WHO ARE UNINSURED, WHOSE EXISTING COVERAGE DOES NOT PROVIDE MENTAL HEALTH SERVICES BENEFITS, ARE LOW-INCOME AND LACK THE MONEY TO PAY FOR COUNSELING SERVICES, OR WHO WOULD NOT RECEIVE TREATMENT ANY OTHER WAY. COUNSELING SERVICES ARE PROVIDED BY TRAINED, LICENSED, PROFESSIONAL COUNSELORS AND SOCIAL WORKERS IN LOCAL CHURCHES ACROSS THE RIO GRANDE VALLEY, LAREDO, KERRVILLE AND THE COASTAL BEND. COMMUNITY HEALTH WORKERS OR PROMOTORES DE SALUD: COMMUNITY HEALTH WORKERS HAVE THE DISTINCT ABILITY TO REACH VULNERABLE, LOW-INCOME AND UNDERSERVED MEMBERS OF THE COMMUNITY THROUGH THEIR SPECIALIZED KNOWLEDGE OF THE COMMUNITIES MHM SERVES AND THEIR UNIQUE ABILITY TO ENGAGE COMMUNITY MEMBERS AT A HANDS-ON LEVEL. COMMUNITY HEALTH WORKERS SUPPORT HEALTH EDUCATION AND PREVENTION EFFORTS AND BRIDGE ACCESS TO COMMUNITY-BASED HEALTH PROGRAMS AND ADVOCATES. THE GET FIT (FAMILIES IN TRAINING) PROGRAM IS A PREVENTION PROGRAM AIMED AT AVERTING TYPE II DIABETES, OBESITY AND SEDENTARY LIFESTYLES, FOCUSING ON CHILDREN AND FAMILIES IN RURAL COMMUNITIES. IN ADDITION TO THE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES IDENTIFIED UNDER PROGRAM SERVICE ACTIVITY #2, THE FOLLOWING PROGRAMS ARE PARENTING PROGRAMS DESIGNED TO HELP PARENTS AND GUARDIANS LEARN PARENTING SKILLS SO THEY WILL BE MORE CONFIDENT AND MORE COMPETENT LEADERS WITHIN THEIR FAMILIES. PROGRAMS INCLUDE: PEER PARENTING; PARENTS HELPING PARENTS; PARENTS AS TEACHERS; AND THE NURTURING PARENTING PROGRAMS. RECREATION & ENRICHMENT PROGRAMS: AVAILABLE AT MHM'S WESLEY HEALTH & WELLNESS CENTER OFFERS YOUTH, ADULTS AND SENIORS FREE, SAFE AND FUN ACTIVITIES THAT PROMOTE HEALTH, WELLNESS AND LEARNING SKILLS. PROGRAMS CONSIST OF YOUTH DEVELOPMENT PROGRAMS SUCH AS CAMP WESLEY, A FREE 8-WEEK SUMMER CAMP FOR YOUTH AGES 6-18 AND 'LOS MARIACHITOS DE WESLEY,' A FREE CULTURAL ARTS PROGRAM FOR YOUTH AGES 6-18. THE YOUTH DEVELOPMENT PROGRAM AT WESLEY HEALTH & WELLNESS CENTER IS A NEIGHBORHOOD RECREATION PROGRAM AND IS NOT REGULATED BY STATE CHILDCARE LICENSING AND IS NOT A DAY CARE FACILITY. ADULT PROGRAMMING INCLUDES EXERCISE CLASSES, PARENT AND FAMILY TRAININGS AND COMMUNITY-BASED SUPPORT GROUPS SUCH AS ALCOHOLICS ANONYMOUS AND THE COMMUNITY JUSTICE PROGRAM. HEALTH EDUCATION & NUTRITION: OFFERED AT THE WESLEY HEALTH & WELLNESS CENTER (WHWC) AND THE DIXON HEALTH & WELLNESS CENTER ARE DESIGNED TO TEACH AND MODEL HEALTH AND WELLNESS THROUGH HEALTHY COOKING, DIRECT HEALTH EDUCATION WITH CLIENTS AND THROUGH THE PROVISION OF HEALTHY AND NUTRITIOUS MEALS PREPARED BY PROFESSIONAL CULINARY ARTISTS AT MHM'S WESLEY CAFE LOCATED AT WHWC. HEALTH EDUCATION IS OFFERED UNDER THE REGISTERED NURSES AND DIETICIANS AND IS PRIMARILY DESIGNED FOR DIABETIC CLIENTS IN ONE-ON-ONE AND GROUP SETTINGS AND INCLUDES DISTRIBUTION OF GLUCOMETER STRIPS TO HELP MANAGE THEIR DISEASE. THE WESLEY CAFE PREPARES HEALTHY AND NUTRITIOUS MEALS FOR THE CHILDREN AND GUESTS OF THE WHWC AND SERVES AS AN EMERGENCY FOOD PANTRY AND BREAD LINE TO THOSE IN NEED. 13543943 0 0 THE WESLEY NURSE PROGRAM SPANS 80 SITES THROUGHOUT SOUTH TEXAS AND IS MHM'S LARGEST GEOGRAPHIC OUTREACH PROGRAM. A KEY COMPONENT WESLEY NURSES UNDERTAKE IN THEIR COMMUNITIES IS PROVIDING HEALTH EDUCATION, HEALTH PROMOTION, AND FACILITATION OF RESOURCES. WHILE THE WESLEY NURSE PROGRAM IS A COMPONENT OF MHM'S ECUMENICAL OUTREACH, AND LOCATED WITHIN CHURCHES, IT DOES NOT TEACH A PARTICULAR SET OF DENOMINATIONAL BELIEFS. ALL WESLEY NURSE PROGRAMS ARE FREE AND ALL MEMBERS OF THE COMMUNITY ARE WELCOME. PROGRAMS ARE OFFERED TO GROUPS OR ON AN INDIVIDUAL BASIS. 13543943 98049167 true true false true false false false false true true true true false false false false true false false true false false false false false true true true true true false false false false false false false false false false false false false true true true false false true 238 0 true 536 true true true false false false false false false false false false false false X 29 29 false false false false false false false true true false false true true true true true true true true true true X X TONY LOBASSO CFO 2106920234 4507 MEDICAL DRIVE SAN ANTONIO TX 782294401 ALAN KRAMER TREASURER (BEGIN 6/27/22) 4.0 0.0 X X 0 0 0 ALICE H GANNON BOARD OF GOVENORS IMMEDIATE PAST BOARD CHAIR (NON-VOTING) 2.0 0.0 X X 0 0 0 ASHLEY LANDERS SECRETARY 4.0 0.0 X X 0 0 0 DOUGLAS W BECKER VICE CHAIR OF OPERATIONS (TERM 6/27/22) 4.0 0.0 X X 0 0 0 KERWIN OVERBY VICE CHAIR OF MISSION (BEGIN 6/27/22) 4.0 0.0 X X 0 0 0 LAVONNE GARRISON CHAIR (BEGIN 6/27/22) 6.0 0.0 X X 0 0 0 MICHAEL F PORTER JR CHAIR ELECT ( BEGIN 6/27/22) 6.0 0.0 X X 0 0 0 MICHAEL J LANE MD IMMEDIATE PAST CHAIR/CHAIR MHS BOARD OF GOVENORS (BEGIN 6/27/22) 4.0 0.0 X X 0 0 0 THOMAS SANDERS VICE CHAIR OF OPERATIONS (BEGIN 6/27/22) 4.0 0.0 X X 0 0 0 ASHLEY HIXON DIRECTOR 2.0 0.0 X 0 0 0 BARBARA LYONS DIRECTOR 2.0 0.0 X 0 0 0 BISHOP ROBERT SCHANSE DIRECTOR 2.0 0.0 X 0 0 0 BONNIE K BERRY DIRECTOR (TERM 6/27/22) 2.0 0.0 X 0 0 0 CLAUDIA HURA MD HON BOARD REP TO BOARD OF GOVENORS (NON-VOTING) 2.0 0.0 X 0 0 0 DUDLEY HARRAL HON BOARD REP TO GOVERNANCE COMMITTEE (NON-VOTING) 2.0 0.0 X 0 0 0 ERICA SOSA PHD DIRECTOR (BEGIN 6/27/22) 2.0 0.0 X 0 0 0 ERIKA PROSPER DIRECTOR (BEGIN 6/27/22) 2.0 0.0 X 0 0 0 JACQUELINE PUGH MD DIRECTOR (BEGIN 6/27/22) 2.0 0.0 X 0 0 0 JIM RICE DIRECTOR 2.0 0.0 X 0 0 0 JOHN HORNBEAK DIRECTOR 2.0 0.0 X 0 0 0 JOHN STOLL MD DIRECTOR 2.0 0.0 X 0 0 0 KAREN ANGELINI DIRECTOR 2.0 0.0 X 0 0 0 LOTT MCILHENNY DIRECTOR 2.0 0.0 X 0 0 0 MIKE BACON DIRECTOR (BEGIN 6/27/22) 2.0 0.0 X 0 0 0 PENDLETON WICKERSHAM DIRECTOR (BEGIN 6/27/22) 2.0 0.0 X 0 0 0 RAYMOND CHACON DIRECTOR 2.0 0.0 X 0 0 0 REV CYNTHIA ENGSTROM DIRECTOR 2.0 0.0 X 0 0 0 REV GREG HACKETT DIRECTOR 2.0 0.0 X 0 0 0 REV JAMES AMERSON DIRECTOR 2.0 0.0 X 0 0 0 REV JAVIER LEYVA DIRECTOR 2.0 0.0 X 0 0 0 REV ROBERT LOPEZ MD DIRECTOR 2.0 0.0 X 0 0 0 REV VIRGILIO VAZQUEZ-GARZA DIRECTOR 2.0 0.0 X 0 0 0 SAM DAWSON DIRECTOR 2.0 0.0 X 0 0 0 SAM O'KRENT CHAIR OF GOVERNANCE (NON-VOTING) 4.0 0.0 X 0 0 0 SCOTT D BRYAN HONORARY BOARD CHAIR (NON-VOTING) 2.0 0.0 X 0 0 0 SUSAN HELLUMS DIRECTOR 2.0 0.0 X 0 0 0 ANTHONY LOBASSO CHIEF FINANCIAL OFFICER 39.0 1.0 X 333275 0 42450 JAIME WESOLOWSKI CEO & PRESIDENT 39.0 1.0 X 561644 0 77519 XOCHY HURTADO CHIEF OPERATING OFFICER 39.0 1.0 X 320877 0 50651 CHRISTINE YANAS RICHARDSON VP OF POLICY & ADVOCACY 40.0 0.0 X 186169 0 21454 CYNTHIA MCCLOY VP OF ACCOUNTING & CONTROLLER 40.0 0.0 X 211192 0 32521 JENNIFER KNOULTON VP OF COMMUNITY HEALTH & WELLNESS 40.0 0.0 X 193430 0 48824 LETICIA ORTIZ-JOHNSON VP OF CLINICAL OPERATIONS 40.0 0.0 X 189847 0 39793 OANH MARONEY-OMITADE VP OF ORG. EXCELLENCE 40.0 0.0 X 208810 0 64443 2205244 0 377655 58 false true false Abbey Capital Limited 1-2 Cavendish Row Dublin 1 EI Investment Manager 2039053 Balyasny Asset Management 444 W Lake Street 50th Floor Chicago IL 60606 Investment Manager 1618901 Chatham Asset Management 26 Main St Suite 204 Chatham NJ 07928 Investment Manager 1349213 Sendero Wealth Management 250 W Nottingham Suite 300 San Antonio TX 78209 Investment Manager 962538 Evanston Capital Management 1560 Sherman Ave Suite 960 Evanston IL 60201 Investment Manager 480923 23 56390 56390 ORDINARY INCOME FROM MHS 622110 312709035 312689490 19545 CLINIC REVENUE - DIRECT MHM 621498 52968 52968 WESLEY KITCHEN - DIRECT MHM 900099 58986 58986 0 0 0 0 312820989 39157783 -15378 39173161 8935689 8735518 200171 0 200171 200171 323071511 4875000 298654481 2795665 24417030 2079335 26496365 2079335 24417030 All other revenue 900099 46500 46500 0 0 0 0 46500 378778198 314880779 4167 63836862 X 38093031 38093031 145325 145325 1386416 0 1386416 0 31851058 28029220 3821838 1944497 1603177 341320 5495006 4388647 1106359 2357816 2026656 331160 199609 24500 175109 61250 61250 140000 140000 2605680 2605680 11519608 10549117 970491 0 73374 375 72999 1413535 1216913 196622 1815152 1110211 704941 1199771 957671 242100 663331 607979 55352 151838 138371 13467 1953157 1665911 287246 383891 239871 144020 K-1 Expenses 2284380 2284380 Pharmacy Charges & Delivery 2164184 2164184 Lab Supplies 540580 540580 Medical Supplies 446746 446746 2515750 1676303 839447 0 111404985 98049168 13355817 0 2091966 2820578 99022713 196881946 28810 23670 0 0 1339014 1355733 65349494 22235741 33776900 43113753 594184764 483204106 229408486 244702751 689805343 749959520 245024 217148 1649903020 1722279205 6681956 6839508 5827278 6116860 14933 5277 0 0 0 12524167 12961645 X 1637278853 1709217560 100000 100000 1637378853 1709317560 1649903020 1722279205 X 267373213 -126499369 0 0 -68935137 X false true X true false X Schedule A, Part I, Line 3 PUBLIC CHARITY STATUS METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. HAS A DUAL PUBLIC CHARITY STATUS AS A SECTION 509 (A)(1) AND SECTION 509 (A)(3) SUPPORTING ORGANIZATION. METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. IS A HOSPITAL AND SUPPORTS THE RIO TEXAS CONFERENCE OF THE UNITED METHODIST CHURCH. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false true 301 true 217737 true 3559 false true 52527 274124 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING ACTIVITIES: FUNDING FOR PARTNERS TO FORMALLY COORDINATE A COALITION THAT WILL FOCUS ON MOBILIZING INTERESTED STAKEHOLDERS TO WORK WITH STATE LEADERS TO IMPROVE POLICIES AND INCREASE FUNDING FOR HEALTH SERVICES AND ACCESS TO CARE IN TEXAS; EXPLORE AND DISCUSS STRATEGIES FOR LEGISLATIVE SESSIONS; REGISTRATION FEES AND MEMBERSHIP DUES. 245024 -22876 5000 217148 239210 10814 5000 245024 223277 20933 5000 239210 207109 23239 7071 223277 218922 -5324 6489 207109 0.54 0.46 0.0 true false 17957349 17957349 36955998 15360248 21595750 73381 38939 34442 7215796 5552557 1663239 3146970 1283997 1862973 43113753 Balyasny Atlas Global Investments, Ltd. 40313520 F Evanston Weatherlow Offshore Fund I Ltd 59881904 F Evanston Credit Opportunities Fund 13559039 F ACL Alternative Fund SAC Limited 19810518 F Chatham Asset High Yield Offshore Fund, Ltd 36934730 F Huizenga Venture Investments II, LLC 3072254 F Huizenga Venture Investments III, LLC 189575 F DWS RREEF America REIT II 21613640 F Portfolio Advisors Secondary Fund IV (Offshore) LP 18716030 F SEI Core Property Fund LP 7037136 F SEI Energy Debt Fund LP 522452 F SEI Structured Credit Fund LP 5759976 F SEI Special Situations Fund LP 11832424 F SEI GPA IV Private Equity Fund LP 1261185 F SEI GPA V Private Asset Fund LP 335893 F Incube Ventures II, LP 355521 C Targeted Technology Fund I, LP 146399 C Targeted Technology Fund II, LP 244028 C Texas Methodist Foundation 3116527 F 244702751 Equity Ownership in MHS 749959520 C 749959520 Schedule D, Part V, Line 4 Intended uses of endowment funds MHM'S ENDOWMENT CONSISTS OF TWO INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED FUNDS AND FUNDS DESIGNATED BY THE BOARD TO FUNCTION AS ENDOWMENTS. 0 0 0 0 0 0 0 0 0 true false false false false false true true X true X true X 500 true true false true true 94471659 7484086 86987573 0.0744 111742503 225239367 0 0.0 684134 665914 18220 0.0000 0 0 206898296 233389367 87005793 0.0745 61340266 264265 61076001 0.0523 1752992 28495 1724497 0.0015 0 0 0 0.0 0 0 0 0.0 38093031 0 38093031 0.0326 0 0 101186289 292760 100893529 0.0863 0 0 308084585 233682127 187899322 0.1608 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 5759021 419538 234974539 220942625 14031914 X true true METH AMB SUR CTR MC FREESTANDING ASC 0.51 0.49 METH AMB SUR CTR NC FREESTANDING ASC 0.537 0.463 CTR SPECIAL SURGERY FREESTANDING ASC 0.51 0.49 METH AMB SUR CTR - BOERNE FREESTANDING ASC 0.705 0.295 METH AMB SUR CTR - LANDMARK FREESTANDING ASC UNDER CONSTRUCTION 0.52 0.48 COMP RAD MGMT SVCS IMAGING SERVICES 0.5 0.5 HEALTH AT HOME SA LLC HOME HEALTH AND HOSPICE 0.8 0.2 STONE OAK SURGERY CENTER Freestanding ASC 0.51 0.49 8 1 METHODIST HOSPITAL 7700 FLOYD CURL DRIVE SAN ANTONIO TX 78229 WWW.SAHEALTH.COM 000154 X X X A 2 METHODIST CHILDREN'S HOSPITAL 7700 FLOYD CURL DRIVE SAN ANTONIO TX 78229 WWW.SAHEALTH.COM 000154 X X X A 3 METHODIST HOSPITAL METROPOLITAN 1310 MCCULLOUGH AVENUE SAN ANTONIO TX 78212 WWW.SAHEALTH.COM 000154 X X X A 4 METHODIST HOSPITAL STONE OAK 1139 E SONTERRA BOULEVARD SAN ANTONIO TX 78258 WWW.SAHEALTH.COM 008741 X X X A 5 METHODIST HOSPITAL NORTHEAST 12412 JUDSON ROAD Live Oak TX 78233 WWW.SAHEALTH.COM 000154 X X X A 6 METHODIST SPECIALTY & TRANSPLANT 8026 FLOYD CURL DRIVE SAN ANTONIO TX 78229 WWW.SAHEALTH.COM 000154 X X X A 7 METHODIST HOSPITAL TEXSAN 6700 IH 10 WEST SAN ANTONIO TX 78201 WWW.SAHEALTH.COM 000154 X X X A 8 METHODIST HOSPITAL ATASCOSA 1905 HIGHWAY 97 EAST JOURDANTON TX 78026 WWW.SAHEALTH.COM 100391 X X X A A false false true X X X X X X X X X X 22 true true true true X https://sahealth.com/about/community/ X https://www.healthcollaborativechna.com/ X true 22 true https://sahealth.com/about/community/ false true X 200.0 500.0 X X X X X X true true X X X X true X https://sahealth.com/patients-visitors/financial-assistance-policy-and-application.dot X https://sahealth.com/patients-visitors/financial-assistance-policy-and-application.dot X https://sahealth.com/patients-visitors/financial-assistance-policy-and-application.dot X X X X X X X true X false X X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN EACH HOSPITAL FACILITY'S CHNA ARE PRESENTED AS A PRIORITIZED DESCRIPTION. Schedule H, Part V, Section B, Line 3 Facility A, 1 Facility A, 1 - Group A. IN 2022, EACH METHODIST HOSPITAL, AS WELL AS THE SYSTEM (MHS), ADOPTED THE HEALTH PRIORITY AREAS BASED UPON THE BEXAR COUNTY COMMUNITY HEALTH ASSESSMENT (UNDERTAKEN BY THE HEALTH COLLABORATIVE), THE BEXAR COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) AND THE SA 2020 GOALS. ADDITIONAL INFORMATION ABOUT THE HEALTH COLLABORATIVE'S ASSESSMENT PROCESS IS NOTED BELOW. IT IS IMPORTANT TO NOTE THAT THE FIVE PRIORITY AREAS IDENTIFIED IN THE PRIOR CHNA HAVE NOT CHANGED IN THE 2022 PLAN. IN 2019, EACH METHODIST HOSPITAL, AS WELL AS THE SYSTEM, ADOPTED THE HEALTH PRIORITY AREAS BASED UPON THE BEXAR COUNTY COMMUNITY HEALTH ASSESSMENT (UNDERTAKEN BY THE HEALTH COLLABORATIVE), THE BEXAR COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) AND THE SA 2020 GOALS. ADDITIONAL INFORMATION ABOUT THE HEALTH COLLABORATIVE'S ASSESSMENT PROCESS IS NOTED BELOW. IT IS IMPORTANT TO NOTE THAT THE FIVE PRIORITY AREAS IDENTIFIED IN THE PRIOR CHNA HAVE NOT CHANGED IN THE 2019 PLAN. IN 2013, MHS'S IMPLEMENTATION STRATEGY, INCLUDING AN EXECUTION PLAN AND PRIORITIZATION OF HEALTH NEEDS, SERVICES AND METRICS FOR EACH HOSPITAL WERE PRESENTED TO AND APPROVED BY THE MHS COMMUNITY BENEFITS COMMITTEE, THE MHS COMMUNITY BOARD, THE MHS BOARD OF GOVERNORS, AND THE METHODIST HEALTHCARE MINISTRIES BOARD OF GOVERNORS. IN 2016, THE MHS COMMUNITY BENEFITS COMMITTEE, THE MHS COMMUNITY BOARD AND THE MHS BOARD OF GOVERNORS APPROVED THE IMPLEMENTATION STRATEGY FOR 2017 - 2019. IN 2019, THE MHS COMMUNITY BENEFITS COMMITTEE, THE MHS COMMUNITY BOARD AND THE MHS BOARD OF GOVERNORS APPROVED THE IMPLEMENTATION STRATEGY FOR 2020-2022, AND IN 2022 THE SAME GROUPS APPROVED THE IMPLEMENTATION STRATEGY FOR 2023-2025. METHODIST HEALTHCARE MINISTRIES (MHM) AND MHS ARE MEMBERS OF THE HEALTH COLLABORATIVE (THC) WHICH CONSISTS OF THE FOLLOWING MEMBERS: APPDICTION STUDIOS, BAPTIST HEALTH SYSTEM, CHRISTUS SANTA ROSA HEALTH SYSTEM, BEXAR COUNTY DEPARTMENT OF COMMUNITY RESOURCES, COMMUNITY FIRST HEALTH PLANS, SAN ANTONIO METROPOLITAN HEALTH DISTRICT (METRO HEALTH), INTERLEX COMMUNICATIONS, OUR LADY OF THE LAKE UNIVERSITY, SAN ANTONIO CLUBHOUSE, UNIVERSITY HEALTH SYSTEM, THE UNIVERSITY OF THE INCARNATE WORD, THE UT HEALTH SCIENCE CENTER AT SAN ANTONIO DEPT. OF FAMILY AND COMMUNITY MEDICINE, THE YMCA AND COMMUNITY MEMBERS AT LARGE. FUNDERS OF THC COMMUNITY HEALTH ASSESSMENT ARE BAPTIST HEALTH FOUNDATION, BEXAR COUNTY, THE KRONKOSKY CHARITABLE FOUNDATION, THE UNITED WAY OF SAN ANTONIO, SAN ANTONIO METROPOLITAN HEALTH DEPARTMENT AND MHM. AS NOTED ABOVE, METHODIST HEALTHCARE SYSTEM (MHS) IS A PARTNER OF THC. THE COLLABORATIVE UNDERTAKES A COUNTY-WIDE COMMUNITY ASSESSMENT STUDY EVERY THREE YEARS TO GUIDE THE COMMUNITY HEALTH STRATEGIC PLANNING PROCESS. FOR THE 2019 ASSESSMENT PROCESS, THE COLLABORATIVE SHIFTED TO A REGIONAL FOCUS, EXPANDING THE ASSESSMENT TO INCLUDE BEXAR COUNTY, AND ATASCOSA COUNTY. ATASCOSA COUNTY IS LOCATED JUST SOUTH OF BEXAR COUNTY, HOWEVER THE ASSESSMENT NOTED MARKED DIFFERENCES IN MANY SOCIAL DETERMINANTS AS WELL AS DIFFERENCES IN HEALTH BEHAVIORS AND RISK. FOR 2022, THE HEALTH COLLABORATIVE DETERMINED THAT SEPARATE ASSESSMENTS WOULD BE CONDUCTED FOR BEXAR AND ATASCOSA COUNTIES, HOWEVER THE FIVE PRIORITY AREAS IDENTIFIED IN THE 2019 PLAN FOR BOTH BEXAR AND ATASCOSA COUNTIES CONTINUE IN BOTH THE BEXAR AND ATASCOSA COMMUNITY HEALTH NEEDS ASSESSMENTS FOR 2022. THC CONTRACTED WITH COMMUNITY INFORMATION NOW (CI:NOW), A NONPROFIT LOCAL DATA INTERMEDIARY SERVING SOUTH CENTRAL TEXAS, FOR QUANTITATIVE DATA COLLECTION AND ANALYSIS AND FOR DEVELOPMENT OF THE ASSESSMENT NARRATIVE. THE HEALTH COLLABORATIVE'S VOLUNTEER COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE PROVIDED DIRECTION ON GENERAL APPROACH, SCOPE, POTENTIAL DATA SOURCES, DATA INTERPRETATION AND HIGHLIGHTS, AND MEDIA MESSAGING. THE HEALTH COLLABORATIVE STAFF HANDLED ALL RECRUITMENT, SCHEDULING AND MODERATING OF THE FOCUS GROUPS AND KEY INFORMATION INTERVIEWS. QUALITATIVE ANALYSIS WAS CONDUCTED BY CI:NOW USING A GROUNDED THEORY THEMATIC ANALYSIS IN THE PROGRAM DEDOOSE. THE 2022 ASSESSMENT CONTAINS QUANTITATIVE DATA ON APPROXIMATELY 150 INDICATORS, EACH BROKEN OUT BY RACE/ETHNICITY GROUP AND SUB-COUNTY GEOGRAPHY (ZIP CODE TABULATION AREA [ZCTA], SECTOR, CENSUS TRACT OR BLOCK GROUP) WHEREVER POSSIBLE. INDICATORS WERE ALSO DISAGGREGATED BY AGE GROUP AND SEX WHERE THOSE VARIABLES WERE THOUGHT TO ADD CRITICAL INFORMATION. THE LIST OF INDICATORS WAS DEVELOPED OVER SEVERAL MONTHS AND FINALIZED IN FEBRUARY OF 2022. THE 2022 ASSESSMENT REFINED THE INDICATOR LIST TO PRIORITIZE HEALTH OUTCOME INDICATORS AND SOCIAL DETERMINANT INDICATORS THAT WERE NOT ALREADY BETTER-ADDRESSED IN SOME OTHER VERY RECENT LOCAL REPORTS. INDICATORS FOR WHICH NO NEW DATA WAS AVAILABLE SINCE THE 2019 REPORT WERE ELIMINATED. SOME OTHER 2019 HEALTHCARE ACCESS AND UTILIZATION INDICATORS WERE CUT BECAUSE THEY WILL BE COVERED IN MUCH GREATER DETAIL IN A SEPARATE REPORT EXPECTED TO BE RELEASED IN EARLY 2023. THE FOLLOWING SOURCES WERE USED HEAVILY FOR THE 2022 ASSESSMENT: -POPULATION AND HOUSING DATA FROM THE U.S. CENSUS BUREAU 2010 SUMMARY FILE 1 -POPULATION ESTIMATES AND PROJECTIONS FROM THE TEXAS STATE DEMOGRAPHIC CENTER AT THE UNIVERSITY OF TEXAS AT SAN ANTONIO -PHYSICAL, SOCIAL, AND ECONOMIC CONDITIONS DATA FROM THE U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY ONE-YEAR ESTIMATES, FIVE-YEAR ESTIMATES, AND SUPPLEMENTAL ESTIMATES -CRIME DATA FROM THE U.S. DEPARTMENT OF JUSTICE UNIFORM CRIME REPORT -BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), VITAL STATISTICS, INJURY, BLOOD LEAD, HOSPITAL DISCHARGES, HOSPITAL BED, AND HEALTH PROFESSIONS DATA FROM THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES HEALTH DATA QUERY SYSTEM AND BY SPECIAL REQUEST -MEDICAID AND PUBLIC HEALTH BENEFITS DATA FROM THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION -MORTALITY DATA FROM THE CDC WONDER QUERY SYSTEM -MOTOR VEHICLE CRASH DATA FROM THE TEXAS DEPARTMENT OF TRANSPORTATION -COMMUNICABLE DISEASE AND VITAL STATISTICS DATA FROM THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES. Schedule H, Part V, Section B, Line 3 Facility A, 2 Facility A, 2 - GROUP A, CONTINUED. USING INFORMATION FROM THE 2016 COLLABORATIVE'S COMMUNITY HEALTH NEEDS ASSESSMENT, AS WELL AS OTHER DATA, MHS DEVELOPED INDIVIDUAL PLANS FOR EACH CAMPUS, WHICH INCLUDED A 3-YEAR PLAN FOR 2017-2019. THE IMPLEMENTATION STRATEGY INCLUDES THE FOLLOWING: COMMUNICATION PLAN, PRIORITY INITIATIVE WORK PLAN, ROLE AND RESPONSIBILITY ASSIGNMENTS, AND MEASURES/INDICATORS FOR SUCCESS ALONG WITH BASELINE DATA. ADDITIONAL MONITORING OF THE PLAN WILL OCCUR THROUGH THE QUARTERLY COMMUNITY BENEFITS REPORTS TO THE MHS COMMUNITY BENEFITS COMMITTEE AND THE ANNUAL CHARITY CARE REPORT. THE 2017-2019 PLAN HAS BEEN APPROVED BY THE MHS COMMUNITY BENEFITS COMMITTEE, THE MHS COMMUNITY BOARD, AND THE MHS BOARD OF GOVERNORS. MHS USED INFORMATION FROM THE COLLABORATIVE'S 2019 COMMUNITY HEALTH NEEDS ASSESSMENT TO DEVELOP A 3-YEAR PLAN FOR 2020-2022. LIKE THE IMPLEMENTATION STRATEGY DEVELOPED FOR THE 2017-2019 PLAN, THE PLAN FOR 2020-2022 INCLUDES A COMMUNICATION PLAN, A PRIORITY INITIATIVE WORK PLAN, ROLE AND RESPONSIBILITY ASSIGNMENTS, AND MEASURES/INDICATORS FOR SUCCESS. MONITORING WILL CONTINUE THROUGH THE QUARTERLY REPORTS TO THE MHS COMMUNITY BENEFITS COMMITTEE, AND THE MHS ANNUAL CHARITY CARE REPORT. THE 2020-2022 PLAN HAS BEEN APPROVED BY THE MHS COMMUNITY BENEFITS COMMITTEE, THE MHS COMMUNITY BOARD, AND THE MHS BOARD OF GOVERNORS. MHS USED INFORMATION FROM THE COLLABORATIVE'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT TO DEVELOP A 3-YEAR PLAN FOR 2023-2025. LIKE THE IMPLEMENTATION STRATEGY DEVELOPED FOR THE 2020-2022 PLAN, THE PLAN FOR 2023-2025 INCLUDES A COMMUNICATION PLAN, A PRIROTY INITIATIVE WORK PLAN, ROLE AND RESPONSIBILITY ASSIGNMENTS, AND MESASURES/INDICATORS FOR SUCCESS. MONITORING WILL CONTINUE THROUGH THE QUARTERLY REPORTS TO THE MHS COMMUNITY BENEFITS COMMITTEE, AND THE MHS ANNUAL CHARITY CARE REPORT. THE 2023-2025 PLAN HAS BEEN APPROVED BY THE MHS COMMUNITY BENEFITS COMMITTEE, THE MHS COMMUNITY BOARD, AND THE MHS BOARD OF GOVERNORS. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - GROUP A. AS NOTED ABOVE, THE COLLABORATIVE AND THE CHNA STEERING COMMITTEE VOLUNTEER FOCUS GROUP PARTICIPANTS WERE SELECTED WITH AN EYE TOWARD ENGAGING IN MEANINGFUL AND SUBSTANATIVE INPUT FROM MEDICALLY UNDERSERVED LOW-INCOME AND MINORITY POPULATIONS. THE FOCUS GROUP QUESTIONS WERE DEVELOPED BY THE HEALTH COLLABORATIVE, THE CHNA STEERING COMMITTEE, AND THE UT HEALTH HOUSTON SCHOOL OF PUBLIC HEALTH IN SAN ANTONIO. THE HEALTH COLLABORATIVE SCHEDULED FIVE FOCUS GROUPS AND SIX KEY INFORMANT INTERVIEWS WITH THE HELP OF ITS PARTNERING AGENCIES: THE MEXICAN AMERICAN UNITY COUNCIL, THE RAZAKAAR FOUNDATION WITH INTERPRETER SUPPORT FROM SHUKRIYA HOTOKAY, THE HOUSE OF NEIGHBORLY SERVICE, HARPER'S CHAPEL MINISTRIES, MEADOWS MENTAL HEALTH POLICY, SAN ANTONIO AREA FOUNDATION, ALAMO WORKFORCE SOLUTIONS, SAN ANTONIO METROPOLITAN HEALTH DISTRICT, THE CITY OF SAN ANTONIO, AND SOUTHSIDE INDEPENDENT SCHOOL DISTRICT. UTHEALTH FACILITATED AND RECORDED THE INTERVIEWS. Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - GROUP A. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: METHODIST HEALTHCARE SYSTEM (METHODIST HOSPITAL, METHODIST CHILDREN'S HOSPITAL, A CAMPUS OF METHODIST HOSPITAL, METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT HOSPITAL, A CAMPUS OF METHODIST HOSPITAL, METHODIST HOSPITAL | METROPOLITAN, A CAMPUS OF METHODIST HOSPITAL, METHODIST HOSPITAL | NORTHEAST, A CAMPUS OF METHODIST HOSPITAL, METHODIST HOSPTIAL | TEXSAN , A CAMPUS OF METHODIST HOSPITAL, METHODIST HOSPTIAL | STONE OAK, METHODIST HOSPITAL | ATASCOSA; BAPTIST HEALTH SYSTEM (BAPTIST MEDICAL CENTER, NORTH CENTRAL BAPTIST HOSPITAL, MISSION TRAILS BAPTIST HOSPITAL, ST. LUKE'S BAPTIST HOSPITAL, NORTHEAST BAPTIST HOSPITAL); CHRISTUS SANTA ROSA HEALTH SYSTEM (CHRISTUS SANTA ROSA MEDICAL CENTER, CHRISTUS SANTA ROSA WESTOVER HILLS, CHILDREN'S HOSPITAL OF SAN ANTONIO) AND UNIVERSITY HOSPITAL. Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - GROUP A. IN ADDITION TO THE HOSPITAL FACILITIES LISTED ABOVE, THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN CONJUNCTION WITH THE FOLLOWING NON-HOSPITAL ORGANIZATIONS: APPDICTION STUDIO, BEXAR COUNTY DEPARTMENT OF COMMUNITY RESOURCES, COMMUNITY FIRST HEALTH PLANS, INTERLEX COMMUNICATIONS, METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC., THE CITY OF SAN ANTONIO METROPOLITAN HEALTH DISTRICT, OUR LADY OF THE LAKE UNIVERSITY, SAN ANTONIO CLUBHOUSE, THE UNIVERSITY OF THE INCARNATE WORD, THE UT HEALTH SCIENCE CENTER AT SAN ANTONIO DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE, THE YMCA OF GREATER SAN ANTONIO, AND COMMUNITY MEMBERS AT LARGE. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - GROUP A. AS NOTED ABOVE, METHODIST HEALTHCARE SYSTEM (MHS) HAS DEVELOPED A COMMUNITY HEALTH IMPROVEMENT PLAN BASED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT. PRIORITIES AND SPECIFIC TACTICS INCLUDE THE FOLLOWING, WITH THE INITIAL IMPLEMENTATION IN 2014, AND YEARLY UPDATES THROUGH 2022: METHODIST HEALTHCARE SYSTEM'S COMMUNITY HEALTH IMPROVEMENT PLAN INCLUDED THE FOLLOWING: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -COMMUNITY GOAL - TO FOSTER SOCIAL CHANGE AND STRENGTHEN POSITIVE BEHAVIORS AROUND HEALTHY EATING AND ACTIVE LIVING TO ENSURE ACCESS TO NUTRITIOUS FOODS AND BUILD ENVIRONMENTS THAT ENABLE ALL RESIDENTS TO MAKE HEALTHY CHOICES AND LEAD HEALTHY LIVES. TACTICS - COMMUNITY HEALTH PRIORITY NO. 1: -HOST AN ANNUAL FOOD DRIVE THAT BENEFITS THE SAN ANTONIO FOOD BANK. METHODIST HELD 1 SYSTEM-WIDE DRIVE AND COLLECTED 258,221 SERVINGS. -CONTINUE TO PROVIDE HEALTH SCREENING SERVICES AT COMMUNITY EVENTS (COVID-19 CONDITIONS PERMITTING) OR THROUGH ONLINE HEALTH RISK ASSESSMENTS. THE ONLINE HEALTH RISK ASSESSMENT PROVIDES SCREENING FOR WEIGHT LOSS, HEALTHY HEART, KNEE & HIP, BREAST CANCER, LUNG DISEASE, COLORECTAL DISEASE, AND STROKE RISK. 3,880 INDIVIDUALS COMPLETED ONLINE HEALTH RISK ASSESSMENTS IN 2022 (1,836 IN 2021). -CONTINUE INVOLVEMENT WITH THE HEALTHY ME PROGRAM IN PARTNERSHIP WITH THE HEALTH COLLABORATIVE. STATISTICS ARE INCLUDED AS PART OF THE OUTREACH PROGRAMS LISTED BELOW. -CONTINUE OUTREACH PROGRAMS GEARED TOWARD IMPROVING THE HEALTH AND WELLNESS OF THE COMMUNITY THROUGH FREE HEALTH EDUCATION SEMINARS ON HEALTHY EATING AND ACTIVE LIVING, HEALTH SERVICES, AND EXERCISE ACTIVITIES. METHODIST HELD 21 OUTREACH EVENTS WITH 10,266 IN ATTENDANCE IN 2022. METHODIST'S ATHLETIC TRAINERS PROVIDED SERVICES AT 2,240 LOCAL HIGH SCHOOL SPORTING EVENTS DURING 2022. -METHODIST HEALTHCARE SYSTEM MADE MONETARY CONTRIBUTIONS TOTALLING $418,885 TO MULTIPLE CHARITABLE ORGANIZATIONS TO INCLUDE THE AMERICAN HEART ASSOCIATION, THE AMERICAN CANCER SOCIETY, TEXAS CAVALIERS, UNITED WAY, AND THE AMERICAN RED CROSS. -METHODIST CONTINUED VIRTUAL OUTREACH IN 2022. 24 ENEWS CAMPAIGNS OCCURRED IN 2022, COVERING TOPICS SUCH AS BREAST CANCER AND HEART HEALTH. METHODIST ALSO PRODUCED THE "KEEPING WELL" PUBLICATION WITH 3 ISSUES MAILED DURING 2022. METHODIST ALSO PUBLISHED THE INAUGURAL ISSUE OF "METHODIST MAGAZINE" IN 2021. THIS PUBLICATION, GEARED TO MHS EMPLOYEES AND CLINICAL STAFF, RELEASED FOUR ISSUES IN 2022. METHODIST'S WEBSITE, SAHEALTH.COM NOTED AN OVERALL INCREASE IN TRAFFIC AND WEB VIEW IN 2022 WITH 3,546,474 VIEWS. -METHODIST ALSO CONTINUED ITS PRESENCE ON SOCIAL MEDIA AND NOTED 2,449 NEW FACEBOOK FANS, 947 NEW INSTAGRAM FOLLOWERS, 3,634 LINKEDIN CONNECTIONS (NEW IN 2022), AND 619 YOUTUBE FOLLOWERS IN 2022. COMMUNITY HEALTH PRIORITY NO 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -COMMUNITY GOAL - TO MAKE PREGNANCY AND EARLY CHILDHOOD THE FOCUS OF SYSTEM LEVEL CHANGES THAT SUPPORT HEALTHY CHILD AND FAMILY DEVELOPMENT. TACTICS: COMMUNITY HEALTH PRIORITY NO. 2: -CONTINUE TO OFFER COMPLIMENTARY PREGNANCY TESTING AND PHYSICIAN REFERRALS THROUGH METHODIST FAMILY HEALTH CENTERS. IN 2022, THERE WERE 914 VISITS AND PREGNANCY TESTS PROVIDED. THE 2022 NUMBERS DECREASED AS THE CENTERS TRANSITIONED STAFFING MODELS AND WERE NOT OPERATIONAL UNTIL MID-YEAR IN 2022. -THE METHODIST COMMUNITY HEALTH CENTER -EAST ON SAN ANTONIO'S EAST SIDE, OFFERED SERVICES FREE OF CHARGE. IN 2022, THE CLINIC LOGGED 1,054 VISITS. -CONTINUE TO OFFER CALL-A-NURSE FOR CHILDREN HEALTH LINE TELEPHONE SERVICES, WHICH OFFERS FREE MEDICAL ADVICE TO PARENTS OF SICK OR INJURED CHILDREN. IN 2022, THE CALL A NURSE LINE LOGGED 36,749 CALLS. CALL A NURSE AND THE METHODIST HEALTH LINE ALSO PROVIDED 1,885 PHYSICIAN REFERRALS IN 2022. -CONTINUE TO OFFER THE COMMUNITY PARENTING CLASSES, CAR SEAT INSTALLATIONS, CAR SEAT DISTRIBUTIONS AND LACTATION CONSULTATIONS. METHODIST PROVIDED 62 CAR SEATS AND CONDUCTED 142 SESSIONS FOR CAR SEAT INSTALLATION. METHODIST PROVIDED 6,315 OUTPATIENT LACTATION CONSULTATIONS (4,617 IN 2021) AND IN-PERSON CHILDBIRTH EDUCATION CLASSES IN 2022 WITH 2,186 IN ATTENDANCE. METHODIST ALSO DISTRIBUTED 30 PACK AND PLAY SYSTEMS AS PART OF A NEW SAFE SLEEP INITIATIVE (STARTED IN 2022). -PARTNER WITH AREA SCHOOL DISTRICTS TO ESTABLISH A STUDENT/WORK PROGRAM IN METHODIST HEALTHCARE HOSPITALS. METHODIST INTERVIEWED 85 STUDENTS AT 4 DIFFERENT SCHOOLS AND 3 STUDENTS WERE HIRED TO PARTICIPATE IN 2022. -METHODIST PARTNERED WITH THE HEALTH COLLABORATIVE TO SERVE LOCAL EMPLOYER GROUPS THROUGH THE COLLABORATIVE'S PATHWAYS COMMUNITY HUB. METHODIST PROVIDED ASSISTANCE TO 1,003 COMMUNITY HUB CLIENTS IN 2022. -METHODIST FUNDED $16,500 IN SCHOLARSHIPS FOR SUDENTS PURSUING CAREERS IN HEALTHCARE. -METHODIST FACILITIES CONDUCTED 2 BACK-TO-SCHOOL DRIVES IN 2022 AND COLLECTED 500 ITEMS FOR STUDENTS IN NEED. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -COMMUNITY GOAL - TO DEVELOP SAFE NEIGHBORHOODS BY IDENTIFYING WHAT WORKS LOCALLY, PLANNING HOW TO REPLICATE SUCCESS IN OUR NEIGHBORHOODS, AND ENHANCING SYSTEMS THAT RESPOND EFFECTIVELY TO COMMUNITY IDENTIFIED SAFETY NEEDS. TACTICS: COMMUNITY HEALTH PRIORITY NO. 3: -PARTNER WITH METHODIST HEALTHCARE SERVICE AREA POLICE DEPARTMENTS AND HOST AN ANNUAL SUBSTANCE TAKE-BACK DAY TO REDUCE THE PREVALENCE OF OVERPRESCRIBED PRESCRIPTIONS IN HOUSEHOLDS. METHODIST COLLECTED 1,361 POUNDS OF PRESCRIPTION DRUGS IN 2022. -PARTNER WITH THE AMERICAN HEART ASSOCIATION TO OFFER HANDS-ONLY CPR CLASSES TO THE COMMUNITY AND CONDUCT POST EVALUATION TO MEASURE KNOWLEDGE GAINED. METHODIST ALSO PARTNERS WITH THE SOUTH TEXAS REGIONAL ADVISORY COUNCIL (STRAC) TO OFFER "STOP THE BLEED" PROGRAMS TO THE COMMUNITY. METHODIST ALSO SPONSORED SEVERAL SEXUAL ASSAULT RESPONSE TRAINING (SART) SESSIONS IN 2022. METHODIST LOGGED 28 EVENTS WITH 7,116 ATTENDEES FOR THESE PROGRAMS. -METHODIST ALSO PROVIDED CARE TO 714 SEXUAL ASSAULT VICTIMS SEEKING TREATMENT IN 2022 AND 27 CHILD ABUSE RESOURCE EDUCATION CONSULTS. -METHODIST OFFERED TRANSPORTATION SERVICES, HEALTH BUS AND WELL WALDO'S WHEELS AND PROVIDED 5,144 TRANSPORTS IN 2022. IN 2022, METHODIST STARTED A NEW PROGRAM TO PROVIDE COMPLIMENTARY RIDES HOME FROM MHS HOSPITALS. METHODIST PROVIDED 10,917 RIDES IN 2022. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL HEALTH AND MENTAL WELL-BEING -COMMUNITY GOAL - TO IMPROVE COMPREHENSIVE BEHAVIORAL HEALTH SERVICES AND ACCESS FOR ALL. TACTICS: COMMUNITY HEALTH PRIORITY NO. 4: - METHODIST HEALTHARE TELE-PSYCHIATRY PROGRAM IMPROVES ACCESS TO PSYCHIATRISTS AS WELL AS PLACEMENT TO THE APPROPRIATE SETTING. METHODIST PROVIDED 9,999 TELE-PSYCHIATRY CONSULTATIONS IN 2022. -METHODIST PROVIDED BEHAVIORAL HEALTH TRAINING AT 31 EVENTS WITH 348 CLINICAL STAFFERS IN ATTENDANCE. -METHODIST HOSTED 256 EVENTS FOCUSING ON MENTAL HEALTH ISSUES WITH 1,789 IN ATTENDANCE DURING 2022. -CONTINUE TO PROVIDE ONGOING 24/7/365 PASTORAL CARE PRESENCE WITH PATIENTS, FAMILIES AND HEALTHCARE PROFESSIONALS WITH CHAPLAIN CLINICIANS. METHODIST'S CHAPLAIN CLINICIANS MET WITH 339,512 PATIENTS/FAMILIES IN 2022 AND PROVIDED 2,673 BEREAVEMENT SUPPORT VISITS. -METHODIST'S THREE EMS DOGS LOGGED 9,290 VISITS OUTSIDE OF MHS FACILITIES IN 2022. METHODIST'S IN-HOUSE SUPPORT ANIMALS (3 DOGS AND A MINI HORSE) VISITED 10,800 PATIENTS IN 2022 (NOT TRACKED IN 2021). COMMUNITY HEALTH PRIORITY NO. 5: SEXUAL HEALTH -COMMUNITY GOAL - TO IMPROVE THE SEXUAL HEALTH OF METHODIST HEALTHCARE'S COMMUNITY BY OFFERING FREE SEXUAL HEALTH SCREENINGS AND FREE OR LOW-COST HUMAN PAPILLOMAVIRUS (HPV) VACCINATIONS. TACTICS: COMMUNITY HEALTH PRIORITY NO. 5: -PROVIDE FREE HUMAN IMMUNODEFICIENCY VIRUS (HIV) SCREENING TESTS TO THE COMMUNITY IN METHODIST HEALTHCARE SERVICE AREAS. METHODIST'S CAMPUSES PROVIDED 16,843 HIV SCREENINGS IN 2022 AND EXPANDED TO METHODIST HOSPITAL | NORTHEAST IN 2022 (8,094 SCREENINGS PROVIDED AT METHODIST HOSPITAL | METROPOLITAN IN 2021). -SEE INFORMATION REPORTED ABOVE RELATED TO EVENTS AND PRESENTATIONS. THE INFORMATION ABOVE REFLECTS THE PLAN FOR MHS SYSTEM. Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -PROVIDE DIABETES EDUCATION TO PATIENTS LIVING WITH, OR AT RISK FOR, DIABETES PRIOR TO DISCHARGE AND OFFER CLASSES TO THE COMMUNITY. 1,462 DIABETES EDUCATION VISITS WERE PROVIDED IN 2022. -CONDUCT AN ANNUAL HEALTHY FOOD DRIVE FOR THE SAN ANTONIO FOOD BANK AND PROVIDE VOLUNTEER SUPPORT BY METHODIST HOSPITAL STAFF. MEHTODIST HEALTHCARE SYSTEM (MHS) HELD A CEREAL DRIVE IN 2022 AND COLLECTED 258,221 SERVINGS. -METHODIST CONTRIBUTED $21,800 TO THE LEUKEMIA AND LYMPHOMA SOCIETY AS A SPONSOR OF THEIR "LIGHT THE NIGHT" EVENT. -METHODIST PLANNED A CANCER SURVIVOR CELEBRATION FOR THE SECOND QUARTER OF 2022, HOWEVER THIS WAS NOT HELD DUE TO COVID RESTRICTIONS. COMMUNITY HEALTH PRIORITY NO 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -OFFER THE COMMUNITY PARENTING CLASSES INCLUDING "BUCKLE UP BABY, GETTING READY FOR CHILDBIRTH, PEEK-A-BOO TOURS AND INFANT AND CHILD CPR". SEE MHS INFORMATION ABOVE. -PARTNER WITH GLEN OAKS ELEMENTARY IN THE NORTHSIDE INDEPENDENT SCHOOL DISTRICT TO ADOPT THE SCHOOL AND PROVIDE AT LEAST TWO SCHOOL SUPPLY DRIVES EACH YEAR. ONE DRIVE WAS HELD IN 2022 WITH 4 TRUCKLOADS OF SUPPLIES COLLECTED. -PROVIDE THE COMMUNITY WITH COMPLIMENTARY LACTATION CONSULTATION IN-PERSON AND OVER THE PHONE. SEE MHS INFORMATION ABOVE. -METHODIST FUNDED A STUDENT SCHOLARSHIP FOR $1,500 IN 2022 (NEW INITIATIVE). COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -METHODIST HOSPITAL HOSTED BUT DID NOT REPORT STATISTICS FOR BLOOD DRIVES IN 2022. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL HEALTH AND MENTAL WELL-BEING -THIS PRIORITY IS ADDRESSED AT THE SYSTEM LEVEL. PLEASE REFER TO COMMENTS IN THE MHS SECTION ABOVE. -METHODIST HOSPITAL RECEIVED AN ADDITIONAL THERAPY ANIMAL IN 2021. BAMBI, A MINI-HORSE JOINED METHODIST'S THREE FACILITY DOGS. BAMBI VISITED TWO ELEMENTARY SCHOOLS, THE WESTOVER HILLS GROUNDBREAKING, AND THE OPENING OF METHODIST EMERGENCY DEPARTMENT | HELOTES IN ADDITION TO HER HOSPITAL PATIENT VISITS. THE THERAPY ANIMALS LOGGED 10,800 VISITS IN 2022. COMMUNITY HEALTH PRIORITY NO 5: SEXUAL HEALTH -PLANNED ACTIVITES RELATED TO THIS INITIATIVE WERE NOT HELD IN 2022 DUE TO COVID RESTRICTIONS. Schedule H, Part V, Section B, Line 11 Facility A, 3 Facility A, 3 - GROUP A, CONTINUED. RESULTS FROM METHODIST CHILDREN'S HOSPITAL ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -PARTNER WITH THE BEXAR COUNTY HEALTH COLLABORATIVE IN THE HEALTHY ME HEALTHY WE PROGRAM - 88 SESSIONS WITH 553 IN ATTENDANCE WERE HELD IN 2022. -CONDUCT AN ANNUAL HEALTHY FOOD DRIVE FOR THE SAN ANTONIO FOOD BANK AND PROVIDE VOLUNTEER SUPPORT BY METHODIST HOSPITAL STAFF. METHODIST HEALTHCARE SYSTEM (MHS) HELD A CEREAL DRIVE IN 2022, AND COLLECTED 258,221 SERVINGS. -HOST CAMP BRAVE HEARTS EVENTS - 3 EVENTS WITH 90 ATTENDEES WERE HELD IN 2022. COMMUNITY HEALTH PRIORITY NO 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -PARTNER WITH THE BEXAR COUNTY HEALTH COLLABORATIVE IN THE GRANDPARENTS RAISING GRANDCHILDREN PROGRAM - NO OUTREACH IN 2022. -METHODIST CHILDREN'S HOSPITAL DISTRIBUTED 30 PACK AND PLAY SYSTEMS AS PART OF A NEW SAFE SLEEP INITIATIVE (STARTED IN 2022). COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -METHODIST CHILDREN'S HOSPITAL PROVIDED 62 CAR SEATS AND CONDUCTED 142 SESSIONS FOR CAR SEAT INSTALLATIONS. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL HEALTH AND MENTAL WELL-BEING -METHODIST CHILDREN'S HOSPITAL HOSTS A SENSORY FRIENDLY HOSPITAL PROGRAM FOR PATIENTS WITH AUTISM. 1,800 PATIENTS PARTICIPATED IN 2022 (330 IN 2021). -METHODIST CHILDREN'S FACILITY DOGS VISITED 1,800 PATIENTS IN 2022. -METHODIST CHILDREN'S HOSTED CRAFTING SESSIONS, BINGO AND FAMILY GAMING SESSIONS FOR PATIENTS AND THEIR FAMILIES. THERE WERE 81 ACTIVITIES THAT REACHED 441 PATIENTS AND FAMILIES. COMMUNITY HEALTH PRIORITY NO 5: SEXUAL HEALTH -PLANNED ACTIVITIES RELATED TO THIS INITIATIVE WERE NOT HELD IN 2022 DUE TO COVID RESTRICTIONS. Schedule H, Part V, Section B, Line 11 Facility A, 4 Facility A, 4 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL | METROPOLITAN ("METROPOLITAN") ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO 1: HEALTHY EATING AND ACTIVE LIVING: -METROPOLITAN HOSTED A THREE EVENTS INCLUDING A "PAINT THE PARKWAY PINK" TO SUPPORT BREAST CANCER AWARENESS - 268 INDIVIDUALS ATTENDED THESE SESSIONS. -METROPOLITAN ALSO HOSTED BREAST CANCER SUPPORT GROUPS - 9 GROUP SESSIONS WERE HELD WITH 154 ATTENDEES. -THE DIABETES EDUCATORS AT METHODIST HOSPITAL | METROPOLITAN PROVIDED 653 VISITS TO PATIENTS IN 2022. -METROPOLITAN'S BARIATRIC SURGERY PROGRAM HOSTED SEMINARS AND SUPPORT GROUP SESSIONS IN 2022. SEVENTY SIX ATTENDEES PARTICIPATED IN THESE EVENTS. COMMUNITY HEALTH PRIORITY NO 2: HEALTHY CHILD AND FAMILY DEVELOPMENT: -CONTINUE TO OFFER FREE PREGNANCY TESTING AND PHYSICIAN REFERRALS THROUGH METHODIST WOMEN AND TEEN CENTERS. IN 2022, THERE WERE 914 VISITS/PREGNANCY TESTS PROVIDED. THE 2022 NUMBERS DECREASED AS THE CENTERS TRANSITIONED STAFFING MODELS AND WERE NOT OPERATIONAL UNTIL MID-YEAR IN 2022. -THE METHODIST COMMUNITY HEALTH CENTER ON SAN ANTONIO'S EAST SIDE, OFFERS SERVICES FREE OF CHARGE. IN 2022, THE CLINIC LOGGED 1,054 VISITS. -METHODIST HOSPITAL | METROPOLITAN HOSTED A BACK TO SCHOOL DRIVE FOR BOOKER T WASHINGTON ELEMENTARY SCHOOL. 500 SUPPLY ITEMS WERE COLLECTED AND DISTRIBUTED TO THE SCHOOL. COMMUNITY HEALTH PRIORITY NO 3: SAFE COMMUNITIES -METHODIST HOSPITAL | METROPOLITAN DID NOT REPORT STATISTICS FOR BLOOD DRIVES IN 2022. -METHODIST HOSPITAL | METROPOLITAN HAD PLANNED TO HOST "STOP THE BLEED" TRAINING SESSIONS IN 2022, BUT THESE WERE DEFERRED DUE TO COVID RESTRICTIONS. COMMUNITY HEALTH PRIORITY NO 4: BEHAVIORAL AND MENTAL WELL BEING -THIS PRIORITY IS ADDRESSED AT THE SYSTEM LEVEL. PLEASE REFER TO COMMENTS IN THE METHODIST HEALTHCARE SYSTEM (MHS) SECTION ABOVE. COMMUNITY HEALTH PRIORITY NO 5: SEXUAL HEALTH -PROVIDE FREE HUMAN IMMUNODEFICIENCY VIRUS (HIV) SCREENING TESTS TO THE COMMUNITY IN METHODIST HEALTHCARE SERVICE AREAS. METROPOLITAN PROVIDED 12,320 HIV SCREENINGS IN 2022. Schedule H, Part V, Section B, Line 11 Facility A, 5 Facility A, 5 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL | STONE OAK ("MSOH") ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -CONDUCT AN ANNUAL HEALTHY FOOD DRIVE FOR THE SAN ANTONIO FOOD BANK AND PROVIDE VOLUNTEER SUPPORT BY METHODIST HOSPITAL STAFF. METHODIST HEALTHCARE SYSTEM (MHS) HELD A CEREAL DRIVE IN 2022, AND COLLECTED 258,221 SERVINGS. COMMUNITY HEALTH PRIORITY NO. 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -METHODIST HOSPITAL | STONE OAK SPONSORED A BACK TO SCHOOL DRIVE TO PROVIDE TO SUPPLIES TO SUPPORT STAFF'S FAMILIES. FORTY STUDENTS RECEIVED SUPPLIES IN 2022. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -METHODIST HOSPITAL | STONE OAK HOSTED A CAR SEAT SAFETY DAY AND GAVE OUT 17 CAR SEATS AND PROVIDED INSTALLATION INSTRUCTIONS TO 53 FAMILIES. -METHODIST HOSPITAL | STONE OAK DID NOT COLLECT STATISTICS ON BLOOD DRIVES IN 2022. -METHODIST HOSPITAL | STONE OAK HAD PLANNED TO OFFER A BABY SAFE HAVEN PROGRAM, BUT THIS WAS DEFERRED. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL HEALTH AND MENTAL WELL-BEING -THIS PRIORITY IS ADDRESSED AT THE SYSTEM LEVEL. PLEASE REFER TO COMMENTS IN THE MHS SECTION ABOVE. COMMUNITY HEALTH PRIORITY NO 5: SEXUAL HEALTH -PLANNED ACTIVITIES RELATED TO THIS INITIATIVE WERE NOT HELD IN 2022 DUE TO COVID RESTRICTIONS. Schedule H, Part V, Section B, Line 11 Facility A, 6 Facility A, 6 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL | NORTHEAST "NEMH" ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -PROVIDE DIABETES EDUCATION TO PATIENTS LIVING WITH, OR AT RISK FOR, DIABETES PRIOR TO DISCHARGE AND OFFER CLASSES TO THE COMMUNITY. 368 DIABETES EDUCATION VISITS WERE PROVIDED IN 2022. -CONDUCTED A FOOD DRIVE WITH THE LIVE OAK FIRE DEPARTMENT. THREE HUNDRED FIFTY FOOD ITEMS WERE COLLECTED. -METHODIST HOSPITAL | NORTHEAST PARTICIPATED IN THE CONVERSE HEALTH & WHOLENESS FAIR IN 2022. 597 INDIVIDUALS PARTICIPATED IN THIS EVENT. COMMUNITY HEALTH PRIORITY NO. 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -PLANNED EVENTS TO SUPPORT AREA SCHOOL DISTRICTS WERE NOT HELD IN 2022. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -METHODIST HOSPITAL | NORTHEAST SPONSORED THE SKYLIGHT BALLOON FESTIVAL IN 2022. TWENTY TWO THOUSAND INDIVIDUALS ATTENDED THE EVENT. COMMUNITY HEALTH PRIORITY NO.4 : BEHAVIORAL AND MENTAL WELL BEING -THIS PRIORITY IS ADDRESSED AT THE SYSTEM LEVEL. PLEASE REFER TO COMMENTS IN THE METHODIST HEALTHCARE SYSTEM (MHS) SECTION ABOVE. COMMUNITY HEALTH PRIORITY NO.5 : SEXUAL HEALTH -MHS' HIV AND STD SCREENING PROGRAM EXPANDED TO INCLUDE METHODIST HOSPITAL | NORTHEAST IN 2022. 4,523 SCREENINGS WERE PROVIDED. Schedule H, Part V, Section B, Line 11 Facility A, 7 Facility A, 7 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT ("MSTH") ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -PROVIDE DIABETES EDUCATION TO PATIENTS LIVING WITH, OR AT RISK FOR, DIABETES PRIOR TO DISCHARGE AND OFFER CLASSES TO THE COMMUNITY. 3,316 DIABETES EDUCATION VISITS WERE PROVIDED IN 2022. -METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT CONTRIBUTED $2,500 TO THE WALK TO END POLYCYSTIC KIDNEY DISEASE (PKD). -METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT HOSTED BARIATRIC SUPPORT GROUPS IN 2022. FOUR SESSIONS WERE HELD WITH THIRTY FIVE IN ATTENDANCE. COMMUNITY HEALTH PRIORITY NO. 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT HAD PLANNED TO HOST A BACK TO SCHOOL AND CLOTHING DRIVE IN 2022, HOWEVER THESE EVENTS DID NOT OCCUR. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT'S SEXUAL ASSAULT RESPONSE TEAM ASSISTED WITH 714 CASES AND PROVIDED CONSULTATIONS FOR AND ADDITIONAL 324 CASES IN 2022. -METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT HOSTED A BLOOD DRIVE TO COLLECT BLOOD DONATIONS FOR UVALDE. TWENTY UNITS WERE COLLECTED. -METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT PROVIDED CHILD ABUSE RESOURCES EDUCATION TO 14 INDIVIDUALS IN 2022. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL AND MENTAL WELL BEING -METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT HOSTED HEALTH FAIRS ADDRESSING BEHAVIORAL HEALTH ISSUES. FIVE EVENTS WITH 2,170 IN ATTENDANCE OCCURRED IN 2022. -METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT PROVIDED 31 EDUCATIONAL SESSIONS RELATED TO BEHAVIORAL HEALTH IN 2022. 348 INDIVIDUALS ATTENDED THESE SESSIONS. COMMUNITY HEALTH PRIORITY NO. 5: SEXUAL HEALTH -METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT SPONSORED THE ZERO PROSTATE CANCER RUN IN 2022, AND CONTRIBUTED $3,000. -METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT HOSTED TWELVE SEXUAL ASSAULT PRESENTATIONS IN 2022 WITH 113 IN ATTENDANCE. -METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT ALSO HOSTED FOUR HUMAN TRAFFICKING PRESENTATIONS IN 2022. 103 INDIVIDUALS ATTENDED THESE PRESENTATIONS. Schedule H, Part V, Section B, Line 11 Facility A, 8 Facility A, 8 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL | TEXSAN "TEXSAN" ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO 1: HEALTHY EATING AND ACTIVE LIVING: -CONDUCT AN ANNUAL HEALTHY FOOD DRIVE FOR THE SAN ANTONIO FOOD BANK AND PROVIDE VOLUNTEER SUPPORT BY METHODIST HOSPITAL STAFF. METHODIST HEALTHCARE SYSTEM (MHS) HELD A CEREAL DRIVE IN 2022, AND COLLECTED 258,221 SERVINGS. -METHODIST HOSPITAL | TEXSAN EMPLOYEES CONTRIBUTED TO THE MHS SPONSORED LUEKEMIA AND LYMPHOMA SOCIETY LIGHT THE NIGHT EVENT. TOTAL CONTRIBUTED FOR THE SYSTEM WAS OVER $21,000. COMMUNITY HEALTH PRIORITY NO 2: HEALTHY CHILD AND FAMILY DEVELOPMENT: -METHODIST HOSPITAL | TEXSAN HELD A BACK TO SCHOOL DRIVE BENEFITTING ARNOLD ELEMENTARY IN 2022. COMMUNITY HEALTH PRIORITY NO 3: SAFE COMMUNITIES -METHODIST HOSPITAL | TEXSAN SPONSORED ONE BLOOD DRIVE IN 2022, AND 13 UNITS OF BLOOD WERE COLLECTED. COMMUNITY HEALTH PRIORITY NO 4: BEHAVIORAL AND MENTAL WELL BEING -THIS PRIORITY IS ADDRESSED AT THE SYSTEM LEVEL. PLEASE REFER TO COMMENTS IN THE MHS SECTION ABOVE. -METHODIST HOSPITAL RECEIVED AN ADDITIONAL THERAPY ANIMAL IN 2021. BAMBI, A MINI-HORSE JOINED METHODIST'S THREE FACILITY DOGS. BAMBI VISITED TWO ELEMENTARY SCHOOLS, THE WESTOVER HILLS GROUND BREAKING, AND THE OPENING OF METHODIST EMERGENCY DEPARTMENT | HELOTES IN ADDITION TO HER HOSPITAL PATIENT VISITS. THE THERAPY ANIMALS LOGGED 10,800 VISITS IN 2022. COMMUNITY HEALTH PRIORITY NO 5: SEXUAL HEALTH -METHODIST HOSPITAL | TEXSAN DID NOT REPORT ANY ACTIVITIES RELATED TO THIS INITIATIVE IN 2022. Schedule H, Part V, Section B, Line 11 Facility A, 9 Facility A, 9 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL | ATASCOSA ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO 1: HEALTHY EATING AND ACTIVE LIVING: -METHODIST HOSPITAL | ATASCOSA HOSTED A FOOD DRIVE BENEFITTING JOURDANTON ISD STUDENTS. THE PROGRAM PROVIDES STUDENTS FOOD OVER EXTENDED SCHOOL BREAKS. SIXTY STUDENTS RECEIVED ASSISTANCE IN 2022. -METHODIST HOSPITAL | ATASCOSA HOSTED HEALTH FAIRS AND CONDUCTED HEALTH SCREENINGS FOR LIVE OAK COUNTY AND THE POTEET ISD. SIX HUNDRED AND THREE INDIVIDUALS RECEIVED HEALTH SCREENINGS AT THESE EVENTS. COMMUNITY HEALTH PRIORITY NO 2: HEALTHY CHILD AND FAMILY DEVELOPMENT: -BACK TO SCHOOL DRIVES WERE HELD IN THE SECOND AND THIRD QUARTERS OF 2022, BUT STATISTICS WERE NOT REPORTED. COMMUNITY HEALTH PRIORITY NO 3: SAFE COMMUNITIES -METHODIST HOSPITAL | ATASCOSA HOSTED A BLOOD DRIVE AND COLLECTED 20 UNITS IN OCTOBER, 2022. -METHODIST HOSPITAL | ATASCOSA HOSTED A COAT AND BLANKET DRIVE TO BENEFIT SENIOR CITIZENS RESIDING IN NURSING HOMES OR ASSISTED LIVING FACILITIES. FOUR HUNDRED FIFTY FIVE BLANKETS WERE COLLECTED AND DISTRIBUTED. COMMUNITY HEALTH PRIORITY NO 4: BEHAVIORAL AND MENTAL WELL BEING -METHODIST HOSPITAL | ATASCOSA PARTICIPATES IN THE ONE-EIGHTY PROGRAM WHICH IS DESIGNED TO HELP INDIVIDUALS MANAGE THE ACUTE SYMPTOMS OF WITHDRAWAL FROM ALCOHOL AND DRUGS. FORTY EIGHT PATIENTS WERE TREATED IN THE PROGRAM IN 2022. COMMUNITY HEALTH PRIORITY NO 5: SEXUAL HEALTH -METHODIST HOSPITAL | ATASCOSA DID NOT REPORT ANY ACTIVITIES RELATED TO THIS INITIATIVE IN 2022. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - GROUP A. METHODIST HEALTHCARE SYSTEM USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. THE FOLLOWING IS A SUMMARY OF THE CHARITY CARE POLICY ADOPTED BY METHODIST HEALTHCARE SYSTEM AND METHODIST HEALTHCARE MINISTRIES: FINANCIAL ASSISTANCE ELIGIBILITY SYSTEM -METHODIST REQUIRES THE COMPLETION OF AN APPLICATION, WHICH ALLOWS FOR THE COLLECTION OF APPROPRIATE INFORMATION. -VERIFICATION OF FAMILY MEMBERS IN THE HOUSEHOLD - ADULTS: PATIENT, PATIENT'S SPOUSE AND ANY DEPENDENTS. MINORS: PATIENT, PATIENT'S MOTHER AND FATHER, AND DEPENDENTS OF BOTH. -INCOME CALCULATION - ADULTS: SUM OF THE TOTAL YEARLY GROSS INCOME OF THE PATIENT AND THE PATIENT'S SPOUSE. MINORS: TOTAL YEARLY GROSS INCOME OF THE PATIENT, AND THE PATIENT'S MOTHER AND FATHER. -DOCUMENTATION - VARIOUS OFFICIAL INCOME REPORTING DOCUMENTATION IS REQUIRED (E.G. W-2, WAGE AND TAX STATEMENT, PAYCHECK REMITTANCE AND OTHERS). DOCUMENTATION ASSOCIATED WITH THE PARTICIPATION IN A PUBLIC BENEFIT PROGRAM CAN BE PROVIDED IN LIEU OF INCOME DOCUMENTATION (PROOF OF PARTICIPATION INDICATES THE PATIENT HAS BEEN DEEMED FINANCIALLY INDIGENT AND THEREFORE IS NOT REQUIRED TO PROVIDE INCOME INFORMATION). THERE IS ALSO A VERIFICATION PROCESS IN PLACE FOR PATIENTS THAT DO NOT HAVE APPROPRIATE DOCUMENTATION. -ZIP CODE WRITE-OFF ELIGIBILITY - METHODIST WILL ACCEPT UNINSURED RESIDENTIAL INDIGENT PATIENTS AS ELIGIBLE FOR CHARITY WRITE-OFF UPON EXHAUSTION OF INSURANCE ELIGIBILITY DETERMINATION (I.E. MEDICAID) AND EFFORTS TO OBTAIN A COMPLETED CHARITY APPLICATION WITH SUPPORTING PROOF OF INCOME. THE WRITE-OFF WILL APPLY TO ALL PATIENT TYPES. A RESIDENTIAL INDIGENT PATIENT IS AN UNINSURED PERSON WHO IS ACCEPTED FOR CARE WITH NO OBLIGATION OR WITH A DISCOUNTED OBLIGATION TO PAY FOR THE SERVICES RENDERED, AND LIVES IN SPECIFICALLY DEFINED ZIP CODES--THOSE WITH HIGH POVERTY POPULATIONS. FOR THE YEAR ENDED DECEMBER 31, 2022, THE CHARITY CARE WRITE OFF RELATED TO THIS ELIGIBILITY PROCESS WAS $318.6 MILLION ($303.9 MILLION IN 2021). CHARITY ELIGIBILITY CLASSIFICATIONS -FINANCIALLY INDIGENT - YEARLY INCOME IS LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY GUIDELINES. -MEDICALLY INDIGENT - THE AMOUNT OWED BY THE PATIENT AFTER PAYMENT BY ALL THIRD-PARTY PAYORS MUST EXCEED TEN PERCENT OF THE PATIENT'S YEARLY INCOME AND THE PATIENT MUST BE UNABLE TO PAY THE REMAINING BILL. ACCEPTANCE BY MHS IS BASED ON MEETING EITHER OF TWO CRITERIA: YEARLY INCOME MUST BE GREATER THAN 200%, BUT LESS THAN OR EQUAL TO 500% OF THE FEDERAL POVERTY GUIDELINES. ALTERNATIVELY, PATIENTS WITH ABNORMALLY LARGE ACCOUNTS MAY QUALIFY AS CATASTROPHICALLY ELIGIBLE WHEN THEIR REMAINING BALANCE EXCEEDS A SPECIFIC PERCENTAGE OF THEIR INCOME. IT IS IMPORTANT TO NOTE THAT THE GUIDELINES APPLIED FOR CATASTROPHIC ELIGIBILITY RANGE FROM 201% OF THE FEDERAL POVERTY GUIDELINES TO OVER 1000% OF THE FEDERAL POVERTY GUIDELINES. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - GROUP A. METHODIST HEALTHCARE SYSTEM USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. THE FOLLOWING IS A SUMMARY OF THE CHARITY CARE POLICY ADOPTED BY METHODIST HEALTHCARE SYSTEM AND METHODIST HEALTHCARE MINISTRIES: FINANCIAL ASSISTANCE ELIGIBILITY SYSTEM -METHODIST REQUIRES THE COMPLETION OF AN APPLICATION, WHICH ALLOWS FOR THE COLLECTION OF APPROPRIATE INFORMATION. -VERIFICATION OF FAMILY MEMBERS IN THE HOUSEHOLD - ADULTS: PATIENT, PATIENT'S SPOUSE AND ANY DEPENDENTS. MINORS: PATIENT, PATIENT'S MOTHER AND FATHER, AND DEPENDENTS OF BOTH. -INCOME CALCULATION - ADULTS: SUM OF THE TOTAL YEARLY GROSS INCOME OF THE PATIENT AND THE PATIENT'S SPOUSE. MINORS: TOTAL YEARLY GROSS INCOME OF THE PATIENT, AND THE PATIENT'S MOTHER AND FATHER. -DOCUMENTATION - VARIOUS OFFICIAL INCOME REPORTING DOCUMENTATION IS REQUIRED (E.G. W-2, WAGE AND TAX STATEMENT, PAYCHECK REMITTANCE AND OTHERS). DOCUMENTATION ASSOCIATED WITH THE PARTICIPATION IN A PUBLIC BENEFIT PROGRAM CAN BE PROVIDED IN LIEU OF INCOME DOCUMENTATION (PROOF OF PARTICIPATION INDICATES THE PATIENT HAS BEEN DEEMED FINANCIALLY INDIGENT AND THEREFORE IS NOT REQUIRED TO PROVIDE INCOME INFORMATION). THERE IS ALSO A VERIFICATION PROCESS IN PLACE FOR PATIENTS THAT DO NOT HAVE APPROPRIATE DOCUMENTATION. -ZIP CODE WRITE-OFF ELIGIBILITY - METHODIST WILL ACCEPT UNINSURED RESIDENTIAL INDIGENT PATIENTS AS ELIGIBLE FOR CHARITY WRITE-OFF UPON EXHAUSTION OF INSURANCE ELIGIBILITY DETERMINATION (I.E. MEDICAID) AND EFFORTS TO OBTAIN A COMPLETED CHARITY APPLICATION WITH SUPPORTING PROOF OF INCOME. THE WRITE-OFF WILL APPLY TO ALL PATIENT TYPES. A RESIDENTIAL INDIGENT PATIENT IS AN UNINSURED PERSON WHO IS ACCEPTED FOR CARE WITH NO OBLIGATION OR WITH A DISCOUNTED OBLIGATION TO PAY FOR THE SERVICES RENDERED, AND LIVES IN SPECIFICALLY DEFINED ZIP CODES--THOSE WITH HIGH POVERTY POPULATIONS. FOR THE YEAR ENDED DECEMBER 31, 2022 THE CHARITY CARE WRITE OFF RELATED TO THIS ELIGIBILITY PROCESS WAS $318.6 MILLION ($303.9 MILLION IN 2021). CHARITY ELIGIBILITY CLASSIFICATIONS -FINANCIALLY INDIGENT - YEARLY INCOME IS LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY GUIDELINES. -MEDICALLY INDIGENT - THE AMOUNT OWED BY THE PATIENT AFTER PAYMENT BY ALL THIRD-PARTY PAYORS MUST EXCEED TEN PERCENT OF THE PATIENT'S YEARLY INCOME AND THE PATIENT MUST BE UNABLE TO PAY THE REMAINING BILL. ACCEPTANCE BY MHS IS BASED ON MEETING EITHER OF TWO CRITERIA: YEARLY INCOME MUST BE GREATER THAN 200%, BUT LESS THAN OR EQUAL TO 500% OF THE FEDERAL POVERTY GUIDELINES. ALTERNATIVELY, PATIENTS WITH ABNORMALLY LARGE ACCOUNTS MAY QUALIFY AS CATASTROPHICALLY ELIGIBLE WHEN THEIR REMAINING BALANCE EXCEEDS A SPECIFIC PERCENTAGE OF THEIR INCOME. IT IS IMPORTANT TO NOTE THAT THE GUIDELINES APPLIED FOR CATASTROPHIC ELIGIBILITY RANGE FROM 201% OF THE FEDERAL POVERTY GUIDELINES TO OVER 1000% OF THE FEDERAL POVERTY GUIDELINES. Schedule H, Part V, Section B, Line 15 Facility A, 1 Facility A, 1 - GROUP A. METHODIST HEALTHCARE SYSTEM USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. THE FOLLOWING IS A SUMMARY OF THE CHARITY CARE POLICY ADOPTED BY METHODIST HEALTHCARE SYSTEM AND METHODIST HEALTHCARE MINISTRIES: FINANCIAL ASSISTANCE ELIGIBILITY SYSTEM -METHODIST REQUIRES THE COMPLETION OF AN APPLICATION, WHICH ALLOWS FOR THE COLLECTION OF APPROPRIATE INFORMATION. -VERIFICATION OF FAMILY MEMBERS IN THE HOUSEHOLD - ADULTS: PATIENT, PATIENT'S SPOUSE AND ANY DEPENDENTS. MINORS: PATIENT, PATIENT'S MOTHER AND FATHER, AND DEPENDENTS OF BOTH. -INCOME CALCULATION - ADULTS: SUM OF THE TOTAL YEARLY GROSS INCOME OF THE PATIENT AND THE PATIENT'S SPOUSE. MINORS: TOTAL YEARLY GROSS INCOME OF THE PATIENT, AND THE PATIENT'S MOTHER AND FATHER. -DOCUMENTATION - VARIOUS OFFICIAL INCOME REPORTING DOCUMENTATION IS REQUIRED (E.G. W-2, WAGE AND TAX STATEMENT, PAYCHECK REMITTANCE AND OTHERS). DOCUMENTATION ASSOCIATED WITH THE PARTICIPATION IN A PUBLIC BENEFIT PROGRAM CAN BE PROVIDED IN LIEU OF INCOME DOCUMENTATION (PROOF OF PARTICIPATION INDICATES THE PATIENT HAS BEEN DEEMED FINANCIALLY INDIGENT AND THEREFORE IS NOT REQUIRED TO PROVIDE INCOME INFORMATION). THERE IS ALSO A VERIFICATION PROCESS IN PLACE FOR PATIENTS THAT DO NOT HAVE APPROPRIATE DOCUMENTATION. -ZIP CODE WRITE-OFF ELIGIBILITY - METHODIST WILL ACCEPT UNINSURED RESIDENTIAL INDIGENT PATIENTS AS ELIGIBLE FOR CHARITY WRITE-OFF UPON EXHAUSTION OF INSURANCE ELIGIBILITY DETERMINATION (I.E. MEDICAID) AND EFFORTS TO OBTAIN A COMPLETED CHARITY APPLICATION WITH SUPPORTING PROOF OF INCOME. THE WRITE-OFF WILL APPLY TO ALL PATIENT TYPES. A RESIDENTIAL INDIGENT PATIENT IS AN UNINSURED PERSON WHO IS ACCEPTED FOR CARE WITH NO OBLIGATION OR WITH A DISCOUNTED OBLIGATION TO PAY FOR THE SERVICES RENDERED, AND LIVES IN SPECIFICALLY DEFINED ZIP CODES--THOSE WITH HIGH POVERTY POPULATIONS. FOR THE YEAR ENDED DECEMBER 31, 2022, THE CHARITY CARE WRITE OFF RELATED TO THIS ELIGIBILITY PROCESS WAS $318.6 MILLION ($303.9 MILLION IN 2021). CHARITY ELIGIBILITY CLASSIFICATIONS -FINANCIALLY INDIGENT - YEARLY INCOME IS LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY GUIDELINES. -MEDICALLY INDIGENT - THE AMOUNT OWED BY THE PATIENT AFTER PAYMENT BY ALL THIRD-PARTY PAYORS MUST EXCEED TEN PERCENT OF THE PATIENT'S YEARLY INCOME AND THE PATIENT MUST BE UNABLE TO PAY THE REMAINING BILL. ACCEPTANCE BY MHS IS BASED ON MEETING EITHER OF TWO CRITERIA: YEARLY INCOME MUST BE GREATER THAN 200%, BUT LESS THAN OR EQUAL TO 500% OF THE FEDERAL POVERTY GUIDELINES. ALTERNATIVELY, PATIENTS WITH ABNORMALLY LARGE ACCOUNTS MAY QUALIFY AS CATASTROPHICALLY ELIGIBLE WHEN THEIR REMAINING BALANCE EXCEEDS A SPECIFIC PERCENTAGE OF THEIR INCOME. IT IS IMPORTANT TO NOTE THAT THE GUIDELINES APPLIED FOR CATASTROPHIC ELIGIBILITY RANGE FROM 201% OF THE FEDERAL POVERTY GUIDELINES TO OVER 1000% OF THE FEDERAL POVERTY GUIDELINES. Schedule H, Part V, Section B, Line 16 Facility A, 1 Facility A, 1 - GROUP A. MHS HAS TAKEN STEPS OVER THE PAST SEVERAL YEARS TO HEIGHTEN COMMUNITY AWARENESS REGARDING MHS'S CHARITABLE MISSION. SIGNS THAT PROMINENTLY PRESENT INFORMATION ABOUT THE CHARITY MISSION AND GUIDELINES ARE PRESENT AT ALL POINTS OF ADMISSION. MHS ALSO PUBLISHES A NOTICE OF ITS FINANCIAL ASSISTANCE POLICY ANNUALLY IN THE SAN ANTONIO EXPRESS-NEWS. A PATIENT BROCHURE, ENTITLED "A GUIDE TO YOUR HOSPITAL BILL", EXPLAINS THE HOSPITAL BILLING PROCESS AND INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY IN THE EVENT THEY NEED FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS ALSO AVAILABLE IN ENGLISH AND SPANISH ON MHS'S WEBSITE WWW.SAHEALTH.COM. ALL SHARED SERVICE CENTER PERSONNEL RECEIVE TRAINING AND AN ANNUAL REFRESHER COURSE ON THE POLICY AND UNDERSTAND THE CRUCIAL ROLE THEY PLAY IN INFORMING PATIENTS ABOUT THE POLICY. FINANCIAL COUNSELORS AND HOSPITAL CASE MANAGEMENT STAFF EDUCATE PATIENTS AND ARE AVAILABLE TO ASSIST THEM WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. IN ADDITION TO PROVIDING INFORMATION DURING THE ADMITTING PROCESS, MHS CONTINUES TO PROVIDE INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THE COLLECTION PROCESS FOR THOSE PATIENTS WHO HAVE BEEN BILLED BUT HAVE NOT PAID. Schedule H, Part V, Section B, Line 20 Facility A, 1 Facility A, 1 - GROUP A. MHS HAS TAKEN STEPS OVER THE PAST SEVERAL YEARS TO HEIGHTEN COMMUNITY AWARENESS REGARDING MHS'S CHARITABLE MISSION. SIGNS THAT PROMINENTLY PRESENT INFORMATION ABOUT THE CHARITY MISSION AND GUIDELINES ARE PRESENT AT ALL POINTS OF ADMISSION. MHS ALSO PUBLISHES A NOTICE OF ITS CHARITY POLICY ANNUALLY IN THE SAN ANTONIO EXPRESS-NEWS. A PATIENT BROCHURE, ENTITLED "A GUIDE TO YOUR HOSPITAL BILL", EXPLAINS THE HOSPITAL BILLING PROCESS AND INFORMS PATIENTS OF THE CHARITY POLICY IN THE EVENT THEY NEED FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS ALSO AVAILABLE IN ENGLISH AND SPANISH ON MHS'S WEBSITE WWW.SAHEALTH.COM. ALL SHARED SERVICE CENTER PERSONNEL RECEIVE TRAINING AND AN ANNUAL REFRESHER COURSE ON THE POLICY AND UNDERSTAND THE CRUCIAL ROLE THEY PLAY IN INFORMING PATIENTS ABOUT THE POLICY. FINANCIAL COUNSELORS AND HOSPITAL CASE MANAGEMENT STAFF EDUCATE PATIENTS AND ARE AVAILABLE TO ASSIST THEM WITH THE CHARITY CARE APPLICATION PROCESS. IN ADDITION TO PROVIDING INFORMATION DURING THE ADMITTING PROCESS, MHS CONTINUES TO PROVIDE INFORMATION ABOUT THE AVAILABILITY OF CHARITY CARE ASSISTANCE DURING THE COLLECTION PROCESS FOR THOSE PATIENTS WHO HAVE BEEN BILLED BUT HAVE NOT PAID. 35 METHODIST STONE OAK REHABILITATION Center 19126 STONEHUE SAN ANTONIO TX 78258 FREESTANDING REHABILITATION CENTER METHODIST AMBULATORY SURGERY CENTER - MC 4411 MEDICAL DRIVE SUITE 200 SAN ANTONIO TX 78229 FREESTANDING AMB SURGERY CENTER METHODIST AMBULATORY SURG CENTER-N CENTRAL 19010 STONE OAK PARKWAY SAN ANTONIO TX 78258 FREESTANDING AMB SURGERY CENTER CENTER FOR SPECIAL SURGERY TX CTR ATHL 21 SPURS LANE SL-100 SAN ANTONIO TX 78240 FREESTANDING AMB SURGERY CENTER METHODIST ER - BOERNE 134 MENGER SPRINGS RD BOERNE TX 78006 EMERGENCY DEPARTMENT METHODIST SURGERY CENTER LANDMARK 5510-B PRESIDIO PARKWAY SUITE 100 SAN ANTONIO TX 78249 Surgery Center METHODIST ER WESTOVER HILLS 5538 W Loop 1604 N SAN ANTONIO TX 78251 EMERGENCY DEPARTMENT METHODIST ER CONVERSE 6402 MALLARD MEADOW SAN ANTONIO TX 78244 EMERGENCY DEPARTMENT Stone Oaks Surgery Center 123 N Loop 1604 East Suite 107 SAN ANTONIO TX 78232 FREESTANDING AMB SURGERY CENTER METHODIST ER- ALAMO HEIGHTS 250 EAST BASSE ROAD 101 SAN ANTONIO TX 78209 EMERGENCY DEPARTMENT METHODIST CARDIOLOGY PHYSICIANS 15727 Anthem Parkway Suite 115 SAN ANTONIO TX 78249 TX CERTIFIED NONPROFIT HEALTHCARE CORP TEXAS INSTITUTE OF MEDICINE AND SURGERY 15727 Anthem Parkway Suite 115 SAN ANTONIO TX 78249 TX CERTIFIED NONPROFIT HEALTHCARE CORP METHODIST PHYSICIAN PRACTICE SVC LLC 15727 Anthem Parkway Suite 115 SAN ANTONIO TX 78249 MSO METHODIST PHYSICIAN PRACTICES PLLC 15727 Anthem Parkway Suite 115 SAN ANTONIO TX 78249 PHYSICIAN PRACTICE CARDIOLOGY CLINIC OF SAN ANTONIO PLLC 15727 Anthem Parkway Suite 115 SAN ANTONIO TX 78249 PHYSICIAN PRACTICE METHODIST PHYSICIANS RIVER CITY CARDIOVASCULAR 15727 Anthem Parkway Suite 115 SAN ANTONIO TX 78249 PHYSICIAN PRACTICE METHODIST CARENOW PHYSICIAN ASSOCIATES 15727 Anthem Parkway Suite 115 SAN ANTONIO TX 78249 MSO METHODIST ER - DE ZAVALA W 12805 IH-10 SAN ANTONIO TX 78249 EMERGENCY DEPARTMENT METHODIST ER - LEGACY TRAILS 9211 POTRANCO ROAD SAN ANTONIO TX 78251 EMERGENCY DEPARTMENT METHODIST ER - HELOTES 12285 BANDERA ROAD SAN ANTONIO TX 78023 EMERGENCY DEPARTMENT METHODIST ER - NACOGDOCHES 13434 NACOGDOCHES RD SAN ANTONIO TX 78217 EMERGENCY DEPARTMENT HEALTH AT HOME - SAN ANTONIO LLC 140 HEIMER RD STE 120A SAN ANTONIO TX 78232 HOME HEALTH AGENCY Methodist Ambulatory Surgery Center of Boerne 110 MENGER SPRINGS SAN ANTONIO TX 78006 Surgery Center HEALTH AT HOME HOSPICE - SAN ANTONIO LLC 140 HEIMER RD STE 120B SAN ANTONIO TX 78232 HOSPICE CARENOW Urgent Care - DE ZAVALA 12840 IH-10 WEST SUITE 101 SAN ANTONIO TX 78249 URGENT CARE CLINIC CARENOW Urgent Care - BULVERDE RD 17122 BULVERDE RD SUITE 104 SAN ANTONIO TX 78247 URGENT CARE CLINIC CARENOW Urgent Care - STONE OAK 20780 US HWY 281 North SAN ANTONIO TX 78258 URGENT CARE CLINIC CARENOW Urgent Care - POTRANCO 10538 POTRANCO BLDG 1 SAN ANTONIO TX 78251 URGENT CARE CLINIC CARENOW Urgent Care- ALAMO HEIGHTS 5410 BROADWAY ALAMO HEIGHTS TX 78209 URGENT CARE CLINIC CARENOW Urgent Care - LEON VALLEY 5755 NW LOOP 410 SUITE 102 SAN ANTONIO TX 78238 URGENT CARE CLINIC METHODIST ER NEW BRAUNFELS 1850 W TX-46 109 NEW BRAUNFELS TX 78132 EMERGENCY DEPARTMENT PEDIATRIC ANESTHESIA CONS OF SAPLLC 7700 FLOYD CURL DR SAN ANTONIO TX 78229 PHYSICIAN PRACTICE METHODIST FAMILY HEALTH CENTER - EAST 2338 E SOUTHCROSS SAN ANTONIO TX 78223 FAMILY HEALTH CENTER METHODIST FAMILY HEALTH CENTER - LAS PALMAS 803 CASTROVILLE RD SUITE 131 SAN ANTONIO TX 78237 FAMILY HEALTH CENTER METHODIST FAMILY HEALTH CENTER - EAST OF DOWNTOWN 507 ST JAMES SAN ANTONIO TX 78202 FAMILY HEALTH CENTER Schedule H, Part I, Line 6a SCHEDULE H, PART I, LINE 6A METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., LLP ('MHS') FILES ANNUAL STATEMENTS OF COMMUNITY BENEFITS AS REQUIRED BY THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES, PER PROVISIONS OF THE TEXAS HEALTH AND SAFETY CODE, CHAPTER 311, SUBCHAPTERS C AND D. METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC. ('MHM') OWNS A 50% INTEREST OF MHS SO ONLY 50% OF MHS' FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS ARE REPORTED ON MHM'S FORM 990 SCHEDULE H. Schedule H, Part VI, Line 2 SCHEDULE H, PART VI, LINE 2, CONTINUED IMPORTANT DESIGNATIONS AND FACILITY SERVICES METHODIST HEALTHCARE SYSTEM - METHODIST HEALTHCARE HOSPITALS NAMED AMONG PRESTIGIOUS FORTUNE/MERATIVE 100 TOP HOSPITALS LIST - METHODIST HEALTHCARE ALIGNED WITH THE DEA'S DRUG TAKE BACK DAY, AND SET UP MEDICATION COLLECTION SITES AT 3 OF MHS'S FREE-STANDING ER LOCATIONS ACROSS THE CITY. MHS COLLECTED 1,361 POUNDS OF UNUSED MEDICATION TO SAFELY DISPOSE OF/REDUCE THE CHANCES OF IT ENDING UP IN THE WRONG HANDS. - THROUGH MHS'S SUPPORT AND PARTNERSHIP WITH THE AMERICAN HEART ASSOCIATION, 7,500 PEOPLE WERE TRAINED ON HANDS-ONLY CPR IN 2022. OVER THE LAST 4 YEARS, MHS HAS TRAINED 45,000 PEOPLE. - IN THE FALL OF 2022, MHS ENTERED THE SECOND YEAR OF THE KIDS TEACHING KIDS, A PROGRAM FOCUSING ON NUTRITIONAL, PHYSICAL AND MENTAL HEALTH AT 37 LOCAL ELEMENTARY SCHOOLS. OVER 1,500 STUDENTS SIGNED UP TO PARTICIPATE IN A 21-DAY HEALTHY SNACK CHALLENGE. 600 STUDENTS PARTICIPATED IN THIS PROGRAM IN 2021. - THROUGH HCA'S HEALTHIER TOMORROW FUND, TWO LOCAL NON-PROFITS, COMMUNITIES IN SCHOOLS AND UNITED WAY OF BEXAR COUNTY EACH RECEIVED $25,000 GRANTS THAT WILL GO TOWARDS PROGRAMS SUPPORTING STUDENT'S MENTAL HEALTH AND PRENATAL SUPPORT FOR NEW MOMS, RESPECTIVELY. - IN 2022, METHODIST HEALTHCARE EMPLOYEES VOLUNTEERED 1,747 HOURS, A 94% INCREASE FROM THE PREVIOUS YEAR. - IN SEPTEMBER 2022, MHS PARTNERED WITH METHODIST HEALTHCARE MINISTRIES FOR A CAR SEAT SAFETY DAY EVENT. 17 NEW CAR SEATS WERE GIVEN AWAY, AND CAR SEAT INSTALLATION INSTRUCTION WAS PROVIDED TO 50 FAMILIES. METHODIST HOSPITAL / METHODIST CHILDREN'S HOSPITAL - METHODIST HOSPITAL RECEIVED A 3-STAR RATING FROM THE SOCIETY OF THORACIC SURGEONS (STS), THE HIGHEST CATEGORY OF QUALITY. - METHODIST HOSPITAL RANKED #1 IN TEXAS FOR CORONARY INTERVENTION BY HEALTHGRADES. - METHODIST HOSPITAL NATIONALLY RANKED AMONG 24 HOSPITALS FOR EARLY COVID RESPONSE BY HEALTHGRADES. - METHODIST HOSPITAL OPENED THE DIABETIC FOOT AND ANKLE INSTITUTE TO COMBAT ALARMING AMPUTATION RATES IN BEXAR COUNTY. - METHODIST HOSPITAL WAS NAMED THE BEST REGIONAL HOSPITAL FOR THE FOURTH CONSECUTIVE YEAR BY U.S. NEWS AND WORLD REPORT. - METHODIST HOSPITAL'S TAVR PROGRAM PERFORMED ITS 2,000TH TAVR, PLACING METHODIST AMONG THE TOP TEN PERCENT OF PROGRAMS IN THE UNITED STATES TO ACHIEVE THIS MILESTONE. - METHODIST HOSPITAL ALSO COMPLETED ITS 100TH IMPELLA 5.5 PROCEDURE. ONLY TEN HOSPITALS IN THE NATION HAVE ACHIEVED THIS MILESTONE. - METHODIST HOSPITAL EXPANDED ACCESS TO CANCER CARE WITH THE OPENING OF A NEW ONCOLOGY REHABILITATION CENTER. - METHODIST HOSPITAL'S ECMO PROGRAM RECEIVED A GOLD-LEVEL CENTER OF EXCELLENCE DISTINCTION, AND WAS THE FIRST HOSPITAL IN THE WORLD TO TREAT PATIENTS ON ECMO WITH NEXT-GENERATION TECHNOLOGY. METHODIST HOSPITAL | METROPOLITAN - METHODIST HOSPITAL | METROPOLITAN WAS REDESIGNATED AS A CERTIFIED QUALITY BREAST CENTER OF EXCELLENCE - CLINICAL LEVEL - A DESIGNATION IT HAS HELD SINCE 2018, AND THE ONLY "CLINICAL" CERTIFIED QUALITY BREAST CENTER OF EXCELLENCE IN TEXAS. - METHODIST HOSPITAL | METROPOLITAN RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES - STROKE GOLD PLUS WITH HONOR ROLL ELITE AND TARGET: TYPE 2 DIABETES HONOR ROLL ACHIEVEMENT AWARD. - METHODIST HOSPITAL | METROPOLITAN EXPANDED ACCESS TO ROBOTIC SURGERY SERVICES WITH THE ADDITION OF A 3RD DAVINCI ROBOT, AND A MAKO ROBOT, BRINGING THEIR FLEET TO A TOTAL OF FIVE. - METHODIST HOSPITAL | METROPOLITAN WAS NAMED A "LEADER IN LGBTQ+ HEALTHCARE EQUALITY" FOR THE SIXTH CONSECUTIVE HEAR BY THE HUMAN RIGHTS CAMPAIGN. - METHODIST HOSPITAL | METROPOLITAN EXPANDED VASCULAR SURGERY OFFERINGS, PERFORMING SAN ANTONIO'S FIRST INSIDE-OUT PROCEDURE USING A NEW DEVICE THAT HELPS PHYSICIANS OBTAIN CENTRAL VENOUS ACCESS IN PATIENTS WITH BLOCKED VEINS. - METHODIST HOSPITAL | METROPOLITAN OPENED A THIRD WOMEN AND TEEN CENTER TO PROVIDE FREE PREGNANCY TESTING. - METHODIST HOSPITAL | METROPOLITAN ALSO BEGAN OFFERING TWO NEW PROCEDURES IN THE CARDIAC CATH LAB IN 2022 -- SHOCKWAVE AND WATCHMAN. METHODIST HOSPITAL | STONE OAK - METHODIST HOSPITAL | STONE OAK RECEIVED THE JOINT COMMISSION GOLD SEAL OF APPROVAL FOR DISEASE-SPECIFIC CARE CERTIFICATION FOR STROKE REHABILITATION. - METHODIST HOSPITAL | STONE OAK RECEIVED A GET WITH THE GUIDELINES - STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD FROM THE AMERICAN HEART ASSOCIATION AND THE AMERICAN STROKE ASSOCIATION. - METHODIST HOSPITAL | STONE OAK RECEIVED SEVERAL DESIGNATIONS FROM HEALTHGRADES, INCLUDING A 5-STAR AWARDS FOR TREATMENT OF SEPSIS, TREATMENT OF HIP FRACTURES, AND PERIPHERAL VASCULAR BYPASS. - METHODIST HOSPITAL | STONE OAK WAS RECOGNIZED BY NEWSWEEK AS A TOP 10 REHABILITATION CENTER IN TEXAS. - INTENSIVE CARDIOLOGISTS AT METHODIST HOSPITAL | STONE OAK EXPANDED ACCESS TO WORLD CLASS CARDIOVASCULAR CARE IN STONE OAK IN OCTOBER 2022 WHEN IT BEGAN PERFORMING CHRONIC TOTAL OCCLUSION PROCEDURES. - METHODIST HOSPITAL | STONE OAK ACQUIRED STONE OAK SURGERY CENTER IN MID-2022 IN AN EFFORT TO EXPAND CAPACITY TO CARE FOR SURGICAL PATIENTS IN THE COMMUNITY. - METHODIST HOSPITAL | STONE OAK RECEIVED AN "A" LEAPFROG HOSPITAL SAFETY GRADE IN THE FALL OF 2022. METHODIST HOSPITAL | NORTHEAST - METHODIST HOSPITAL | NORTHEAST RECEIVED AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES TARGET: STROKE AWARD. - METHODIST HOSPITAL | NORTHEAST RECEIVED AN "A" LEAPFROG HOSPITAL SAFETY GRADE. - OPENED A STATE OF THE ART HYBRID OPERATING ROOM TO INCREASE IMAGING CAPABILITIES WITH A FULLY FUNCTIONING OPERATING SUITE. - OPENED METHODIST ER | NEW BRAUNFELS IN AUGUST OF 2022. - BROKE GROUND ON METHODIST HOSPITAL | NORTHEAST MEDICAL PLAZA II, WHICH WILL INCLUDE A 3-STORY MEDICAL OFFICE BUILDING AND A 4-OPERATING ROOM HOSPITAL-BASED OUTPATIENT SURGERY CENTER. - METHODIST HOSPITAL | NORTHEAST RECEIVED JOINT COMMISSION CERTIFICATIONS IN PRIMARY STROKE CENTER, JOINT CENTER - HIPS AND KNEES, AND STROKE REHABILITATION. - AWARDED BEST HOSPITAL IN SAN ANTONIO FOR 2021 AND 2022 BY THE SA EXPRESS-NEWS READER'S CHOICE AWARDS. METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT - METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT RECEIVED THEIR 10TH CONSECUTIVE "A: LEAPFROG GRADE FOR PATIENT SAFETY. - METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT'S LIVER TRANSPLANT PROGRAM CONTINUES TO DEMONSTRATE EXCEPTIONAL OUTCOMES WITH 92.46% ONE-YEAR PATIENT SURVIVAL RATE. SINCE THE LIVER TRANSPLANT PROGRAM'S INCEPTION IN 2001, IT HAS CONTINUALLY RANKED IN THE TOP DECILE IN THE U.S. IT IS ALSO ONE OF FEW THAN 100 PROGRAMS IN THE U.S. TO EARN CERTIFICATION FROM BOTH MEDICARE AND MEDICAID. - METHODIST TRANSPLANT INSTITUTE PERFORMED 171 LIVING DONOR KIDNEY TRANSPLANTS AND 171 DECEASED DONOR KIDNEY TRANSPLANTS IN 2022. THE PROGRAM WAS RECOGNIZED AS THE LARGEST LIVING DONOR KIDNEY TRANSPLANT PROGRAM AND THE LARGEST HISPANIC KIDNEY TRANSPLANT PROGRAM IN THE NATION. THE PROGRAM ALSO RANKS NUMBER ONE IN TEXAS FOR ITS DECEASED DONOR PROGRAM AND IS THE LARGEST KIDNEY PAIRED DONATION PROGRAM IN THE NATION. - METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT IS THE ONLY HOSPITAL WITHIN THE METHODIST HEALTHCARE SYSTEM TO HAVE THE SEXUAL ASSAULT RESPONSE TEAM, WHICH WORKS WITH VICTIMS AGE 13 YEARS AND OLDER IN MORE THAN 60 SOUTH TEXAS COUNTIES. THE PROGRAM PROVIDES SEXUAL ASSAULT NURSE EXAMINERS (SANE) TRAINED BY THE STATE ATTORNEY GENERAL'S OFFICE. THE PROGRAM WORKS CLOSELY WITH LOCAL LAW ENFORCEMENT OFFICIALS AND RAPE CRISIS CENTER REPRESENTATIVES. METHODIST HOSPITAL | TEXSAN - METHODIST HOSPITAL | TEXSAN EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR DISEASE-SPECIFIC CARE CERTIFICATION OF SPINE SURGERY BY DEMONSTRATING CONTINUOUS COMPLIANCE WITH ITS PERFORMANCE STANDARDS. - METHODIST HOSPITAL | TEXSAN ALSO RENEWED ITS JOINT COMMISSION GOLD SEAL OF APPROVAL FOR DISEASE-SPECIFIC CARE HIP AND KNEE JOINT REPLACEMENT. - METHODIST HOSPITAL | TEXSAN WAS RECOGNIZED FOR ITS DEMONSTRATED EXPERTISE AND COMMITMENT IN TREATING PATIENTS WHO COME TO AN ELECTROPHYSIOLOGY (EP) LAB AND CARDIAC CATH LAB FOR CARE, INCLUDING DIAGNOSTIC CATHETERIZATIONS AND PERCUTANEOUS CORONARY INTERVENTION (PCI) PROCEDURES, BY THE AMERICAN COLLEGE OF CARDIOLOGY (ACC). - METHODIST HOSPITAL | TEXSAN WAS DESIGNATED AS A HEARTCARE CENTER FOR THE FOURTH YEAR IN A ROW. - METHODIST HOSPITAL | TEXSAN COMPLETED THE FIRST ROBOTIC CV MYXOMA REMOVAL IN THE DIVISION IN 2022. - METHODIST HOSPITAL | TEXSAN PERFORMED 387 TOTAL KNEE REPLACEMENTS AND 140 TOTAL HIP REPLACEMENTS IN 2022, A 14% INCREASE OVER 2021. METHODIST HOSPITAL | ATASCOSA - METHODIST HOSPITAL | ATASCOSA RECEIVED AN "A" LEAPFROG HOSPITAL SAFETY GRADE FOR THE 9TH CONSECUTIVE TIME. - METHODIST HOSPITAL | ATASCOSA RECEIVED A 5-STAR CMS RATING. - METHODIST HOSPITAL | ATASCOSA CELEBRATED 365 DAYS OF NO HOSPITAL-ACQUIRED INFECTIONS IN 2022. Schedule H, Part VI, Line 2 SCHEDULE H, PART VI, LINE 2, CONTINUED - METHODIST HOSPITAL | ATASCOSA RECEIVED THE AMERICAN HEART ASSOCIATION'S MISSION: LIFELINE STEMI REFERRING CENTER BRONZE AWARD FOR ITS COMMITMENT TO PROVIDING SCIENCE-BASED TREATMENT FOR PATIENTS EXPERIENCING AN ST-ELEVATION MYOCARDIAL INFARCTION (STEMI) HEART ATTACK. - METHODIST HOSPITAL | ATASCOSA OPENED A NEW AND IMPROVED SLEEP CENTER AS WELL AS A BARIATRIC WEIGHT LOSS CLINIC. - METHODIST HOSPITAL | ATASCOSA ALSO BEGAN OFFERING INPATIENT HEMODIALYSIS TO PATIENTS IN 2022. AS ANOTHER MEANS OF INCREASING ACCESS, METHODIST HAS TAKEN STEPS OVER THE PAST SEVERAL YEARS TO HEIGHTEN COMMUNITY AWARENESS REGARDING OUR CHARITABLE MISSION: SIGNS THAT PROMINENTLY PRESENT OUR CHARITY MISSION AND GUIDELINES ARE PRESENT AT ALL POINTS OF ADMISSIONS. METHODIST PUBLISHES AN ANNUAL NOTICE OF OUR FINANCIAL ASSISTANCE POLICY IN THE SAN ANTONIO EXPRESS NEWS, DISTRIBUTION OF A PATIENT BROCHURE ("A GUIDE TO YOUR HOSPITAL BILL") THAT EXPLAINS THE HOSPITAL BILLING PROCESS AND INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY IN THE EVENT THEY NEED FINANCIAL ASSISTANCE, AND A FRONT PAGE LINK TO THE FINANCIAL ASSISTANCE POLICY ON METHODIST'S EXTERNAL HEALTH PORTAL (SAHEALTH.COM). THE COMBINED IMPACT OF THESE EFFORTS CONTINUES TO REMIND AND INCREASE OVERALL COMMUNITY AWARENESS OF METHODIST HEALTHCARE'S CHARITABLE MISSION. Schedule H, Part I, Line 7a SCHEDULE H, PART I, LINE 7A IN THE STATE OF TEXAS 86TH LEGISLATIVE REGULAR SESSION, A BILL WAS PASSED WHICH AMENDED THE HEALTH AND SAFETY CODE, AUTHORIZING BEXAR COUNTY HOSPITAL DISTRICT TO CREATE A NONPUBLIC HOSPITAL PROVIDER PARTICIPATION PROGRAM. THE PROVIDER PARTICIPATION PROGRAM ALLOWS THE COLLECTION OF MANDATORY PAYMENTS FROM NONPUBLIC HOSPITALS. THESE PAYMENTS WILL BE DEPOSITED IN A LOCAL PROVIDER PARTICIPATION FUND (LPPF) TO FUND INTERGOVERNMENTAL TRANSFERS (IGTS) TO BE USED BY HHSC AS THE NONFEDERAL SHARE TO DRAW DOWN MEDICAID SUPPLEMENTAL PAYMENTS UNDER THE 1115 WAIVER PROGRAM AND THE UNIFORM HOSPITAL RATE INCREASE PROGRAM (UHRIP). THE BILL WAS EFFECTIVE JUNE 10, 2019, HOWEVER THE LPPF PROGRAM COMMENCED JANUARY 1, 2020. THE PARTNERSHIP MADE PAYMENTS UNDER THIS LPPF OF $131.6 MILLION AND $64.9 MILLION FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021, RESPECTIVELY. OF THE $64.9 MILLION PAID IN 2021, APPROXIMATELY $33.1 MILLION WAS DESIGNATED TOWARDS THE COMPREHENSIVE HOSPITAL REIMBURSEMENT INCREASE PROGRAM (CHIRP) BEGINNING SEPTEMBER 1, 2021. AS CHIRP WAS UNAPPROVED UNTIL MARCH 25, 2022, THE PARTNERSHIP RECORDED THIS LPPF PAYMENT AS A PREPAID EXPENSE IN ITS CONSOLIDATED BALANCE SHEET. THE REMAINING LPPF EXPENSE IS RECORDED WITHIN OTHER OPERATING EXPENSE IN MHS'S CONSOLIDATED STATEMENTS OF INCOME. IN MARCH 2022, THE PARTNERSHIP EXPENSED THE $33.1 MILLION PREPAID DUE TO THE APPROVAL OF CHIRP, OF WHICH TWO- THIRDS, OR $22.1 MILLION WAS RELATED TO 2021. Note, as provided for by the State of Texas, the LPPF Funds were used to offset both the cost of Medicaid and Financial Assistance/Uncompensated care. As such, the Partnership allocated its LPPF proportionately between these expenses, making a reasonable estimate of the proportional amount intended to offset Financial Assistance/Uncompensated Care and the proportional amount intended to offset Medicaid. Schedule H, Part I, Line 7 Schedule H, Part I, Line 7 COSTING METHODOLOGY - COST TO CHARGE RATIOS FROM WORKSHEET 2 USED. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount COSTING METHODOLOGY - COST TO CHARGE RATIOS FROM WORKSHEET 2 USED. MHM AND MHS JOINTLY ANALYZED ZIP CODES WHERE, BASED ON FINANCIAL DEMOGRAPHICS, IT APPEARED THAT THE PATIENTS IN THOSE ZIP CODES WOULD LIKELY QUALIFY FOR CHARITY CARE. AN ANALYSIS OF PAST COLLECTIONS IN THE ZIP CODE AREAS AND SEVERAL FEDERAL POVERTY GUIDELINE SURVEYS USING THE ZIP CODES RESULTED IN MHM'S CONCLUSION THAT ALL PATIENTS IN THE IDENTIFIED ZIP CODES ARE PATIENTS THAT, UNDER MHS FINANCIAL ASSISTANCE POLICIES, WOULD LIKELY QUALIFY FOR CHARITY CARE. THE ESTIMATED AMOUNT OF MHS' BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS CALCULATED USING ZIP CODE DATA. Schedule H, Part III, Line 3 Bad Debt Expense Methodology COSTING METHODOLOGY - COST TO CHARGE RATIOS FROM WORKSHEET 2 USED. MHM AND MHS JOINTLY ANALYZED ZIP CODES WHERE, BASED ON FINANCIAL DEMOGRAPHICS, IT APPEARED THAT THE PATIENTS IN THOSE ZIP CODES WOULD LIKELY QUALIFY FOR CHARITY CARE. AN ANALYSIS OF PAST COLLECTIONS IN THE ZIP CODE AREAS AND SEVERAL FEDERAL POVERTY GUIDELINE SURVEYS USING THE ZIP CODES RESULTED IN MHM'S CONCLUSION THAT ALL PATIENTS IN THE IDENTIFIED ZIP CODES ARE PATIENTS THAT, UNDER MHS FINANCIAL ASSISTANCE POLICIES, WOULD LIKELY QUALIFY FOR CHARITY CARE. THE ESTIMATED AMOUNT OF MHS' BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS CALCULATED USING ZIP CODE DATA. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote BAD DEBT FOOTNOTE FROM METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD, LLP'S CONSOLIDATED FINANCIAL STATEMENTS: IN MAY 2014, THE FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ISSUED A NEW STANDARD RELATED TO REVENUE RECOGNITION. THE PARTNERSHIP ADOPTED THE NEW STANDARD EFFECTIVE JANUARY 1, 2018, USING THE FULL RETROSPECTIVE METHOD. THE ADOPTION OF THE NEW STANDARD DID NOT HAVE AN IMPACT ON THE RECOGNITION OF NET PATIENT REVENUES FOR ANY PERIODS PRIOR TO ADOPTION. THE MOST SIGNIFICANT IMPACT OF ADOPTING THE NEW STANDARD IS THAT THE CONSOLIDATED STATEMENTS OF INCOME NO LONGER PRESENTS THE "PROVISION FOR DOUBTFUL ACCOUNTS" AS A SEPARATE LINE ITEM, INSTEAD NET PATIENT REVENUE IS PRESENTED NET OF ESTIMATED IMPLICIT PRICE CONCESSION REVENUE DEDUCTIONS. IN ADDITION, THE "ALLOWANCE FOR DOUBTFUL ACCOUNTS" IS NO LONGER PRESENTED ON THE CONSOLIDATED BALANCE SHEETS AS A RESULT OF THE ADOPTION OF THE NEW STANDARD. NET PATIENT REVENUE GENERALLY RELATES TO CONTRACTS WITH PATIENTS IN WHICH THE PARTNERSHIP'S PERFORMANCE OBLIGATIONS ARE TO PROVIDE HEALTH CARE SERVICES TO THE PATIENTS. REVENUES ARE RECORDED DURING THE PERIOD THAT THE OBLIGATIONS TO PROVIDE HEALTH CARE SERVICES ARE SATISFIED. PERFORMANCE OBLIGATIONS FOR INPATIENT SERVICES ARE GENERALLY SATISFIED OVER PERIODS THAT AVERAGE APPROXIMATELY FIVE DAYS AND PERFORMANCE OBLIGATIONS FOR OUTPATIENT SERVICES ARE GENERALLY SATISFIED OVER A PERIOD OF LESS THAN ONE DAY. THE CONTRACTUAL RELATIONSHIPS WITH PATIENTS, IN MOST CASES, ALSO INVOLVE A THIRD PARTY PAYER (MEDICARE, MEDICAID, MANAGED CARE HEALTH PLANS, AND COMMERCIAL INSURANCE COMPANIES) AND THE TRANSACTION PRICES FOR THE SERVICES PROVIDED ARE DEPENDENT UPON THE TERMS PROVIDED BY (MEDICARE AND MEDICAID) OR NEGOTIATED WITH (MANAGED CARE HEALTH PLANS AND COMMERCIAL INSURANCE COMPANIES) THE THIRD PARTY PAYERS. THE PAYMENT ARRANGEMENTS WITH THIRD PARTY PAYERS FOR THE SERVICES PROVIDED TO THE RELATED PATIENTS TYPICALLY SPECIFY PAYMENTS AT AMOUNTS LESS THAN THE PARTNERSHIP'S STANDARD CHARGES. MEDICARE GENERALLY PAYS FOR INPATIENT AND OUTPATIENT SERVICES AT PROSPECTIVELY DETERMINED RATES BASED ON CLINICAL, DIAGNOSTIC AND OTHER FACTORS. SERVICES PROVIDED TO PATIENTS HAVING MEDICAID COVERAGE ARE GENERALLY PAID AT PROSPECTIVELY DETERMINED RATES PER DISCHARGE OR IDENTIFIED SERVICE. AGREEMENTS WITH COMMERCIAL INSURANCE CARRIERS, MANAGED CARE AND PREFERRED PROVIDER ORGANIZATIONS GENERALLY PROVIDE FOR PAYMENTS BASED UPON PREDETERMINED RATES PER DIAGNOSIS, PER DIEM RATES OR DISCOUNTED FEE-FOR-SERVICE RATES. MANAGEMENT CONTINUALLY REVIEWS THE ESTIMATED TRANSACTION PRICE TO BE RECEIVED FROM THE THIRD-PARTY PAYER TO CONSIDER AND INCORPORATE UPDATES TO LAWS AND REGULATIONS AND THE FREQUENT CHANGES IN MANAGED CARE CONTRACTUAL TERMS RESULTING FROM CONTRACT RE-NEGOTIATIONS AND RENEWALS. NET PATIENT REVENUE ARE BASED UPON THE ESTIMATED AMOUNTS EXPECTED TO BE RECEIVED FROM PATIENTS AND THIRD-PARTY PAYERS. THE ESTIMATED TRANSACTION PRICE TO BE RECEIVED UNDER MANAGED CARE AND COMMERCIAL INSURANCE PLANS IS BASED UPON THE PAYMENT TERMS SPECIFIED IN THE RELATED CONTRACTUAL AGREEMENTS. REVENUES RELATED TO UNINSURED PATIENTS AND UNINSURED CO-PAYMENT AND DEDUCTIBLE AMOUNTS FOR PATIENTS WHO HAVE HEALTH CARE COVERAGE MAY HAVE AN DISCOUNTS APPLIED (UNINSURED DISCOUNTS AND CONTRACTUAL DISCOUNTS). AN ESTIMATED IMPLICIT PRICE CONCESSION (BASED PRIMARILY ON PAYER HISTORICAL COLLECTION EXPERIENCE) IS RECORDED WITHIN NET PATIENT REVENUE TO RECORD SELF-PAY REVENUE AT THE ESTIMATED AMOUNTS TO BE COLLECTED. AS OF DECEMBER 31, 2022, THE BAD DEBT INCLUDED IN REVENUE DEDUCTIONS WAS $126,111,270. THIS AMOUNT IS NOT REFLECTED ON MHM'S 990 PART IX EXPENSES DUE TO THE BAD DEBT AMOUNT BEING REPORTED IN THE METHODIST HEALTHCARE SYSTEM'S FINANCIALS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE AMOUNTS REPORTED ON PART III, LINES 5-7 HAVE BEEN DETERMINED BY AGGREGATING THE INFORMATION FROM THE INDIVIDUAL FACILITY COST REPORT(S) FOR EACH OF THE HOSPITALS OPERATED BY MHS. THE HOSPITALS OPERATED BY MHS MAY HAVE COST REPORT YEAR ENDS OTHER THAN DECEMBER 31, 2022. ACCORDINGLY, FOR A FACILITY WITH A NON-CALENDAR COST REPORT YEAR END, THE COST REPORT THAT WAS FILED FOR THE COST REPORT YEAR END THAT ENDED DURING 2022 WAS UTILIZED. IT IS IMPORTANT TO NOTE THAT AMOUNTS INCLUDED IN LINES 5-7 DO NOT INCLUDE MEDICARE REVENUE AND RELATED COST FOR FREESTANDING AMBULATORY SURGERY SERVICES AND FOR PHYSICIAN SERVICES. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance MHS HAS A POLICY TO PROVIDE DISCOUNTS TO THOSE INDIVIDUALS WHO DO NOT HAVE INSURANCE OR ARE NOT COVERED BY A GOVERNMENTAL REIMBURSEMENT PROGRAM. IF A PATIENT QUALIFIES FOR MEDICAID, THEN HE OR SHE IS ONLY RESPONSIBLE FOR ANY NON-COVERED CHARGES. IF THE PATIENT DOES NOT QUALIFY FOR MEDICAID, HE OR SHE MAY COMPLETE THE MHS FINANCIAL ASSISTANCE APPLICATION TO HAVE THE ENCOUNTER REVIEWED FOR A POTENTIAL CHARITY DISCOUNT. IF THE PATIENT'S YEARLY INCOME IS LESS THAN OR EQUAL TO 200% OF THE POVERTY GUIDELINES UPDATED ANNUALLY IN THE FEDERAL REGISTER BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES ("FEDERAL POVERTY GUIDELINES"), THE PATIENT WILL BE GRANTED CLASSIFICATION AS FINANCIALLY INDIGENT, AND THE ACCOUNT WILL BE WRITTEN OFF TO CHARITY. LETTERS ARE THEN SENT TO THE PATIENT NOTIFYING THAT THE ACCOUNT HAS QUALIFIED FOR THE CHARITY DISCOUNT AND IS CONSIDERED CLOSED. IN ADDITION, A SLIDING SCALE DISCOUNT IS APPLIED TO ACCOUNTS FOR PATIENTS WHOSE INCOME IS BETWEEN 200% AND 500% OF THE FEDERAL POVERTY GUIDELINES, AND WHOSE REMAINING ACCOUNT BALANCE, AFTER ANY THIRD-PARTY PAYMENTS, EXCEEDS A PERCENTAGE OF THEIR INCOME ("MEDICALLY INDIGENT"). IN ADDITION, PATIENTS WITH ABNORMALLY LARGE ACCOUNTS MAY QUALIFY AS CATASTROPHICALLY ELIGIBLE WHEN THEIR REMAINING BALANCE EXCEEDS A SPECIFIC PERCENTAGE OF THEIR INCOME. IF A PATIENT DOES NOT QUALIFY FOR A CHARITY DISCOUNT, AN UNINSURED DISCOUNT IS APPLIED TO TOTAL CHARGES. IF A PATIENT IS UNABLE TO PAY THE REMAINING BALANCE IN FULL, AFTER APPLYING ANY CHARITY OR UNINSURED DISCOUNTS, MHS WILL WORK WITH THE PATIENT TO SET UP A MONTHLY PAYMENT ARRANGEMENT. THROUGHOUT THE DEBT COLLECTION PROCESS, MHS CONTINUES TO INFORM PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. Schedule H, Part V, Section B, Line 16a FAP website A - METHODIST HOSPITAL: Line 16a URL: https://sahealth.com/patients-visitors/financial-assistance-policy-and-application.dot; Schedule H, Part V, Section B, Line 16b FAP Application website A - METHODIST HOSPITAL: Line 16b URL: https://sahealth.com/patients-visitors/financial-assistance-policy-and-application.dot; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - METHODIST HOSPITAL: Line 16c URL: https://sahealth.com/patients-visitors/financial-assistance-policy-and-application.dot; Schedule H, Part VI, Line 2 Needs assessment IN ADDITION TO THE ITEMS SPECIFICALLY NOTED TO ADDRESS THE COMMUNITY HEALTH PRIORITIES, OTHER HIGHLIGHTS FROM 2022 INCLUDE THE FOLLOWING: IN LATE 2011, THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION FILED AN APPLICATION FOR A WAIVER OF CERTAIN FEDERAL MEDICAID REQUIREMENTS UNDER SECTION 1115 OF THE SOCIAL SECURITY ACT. AS A RESULT OF THE GRANTING OF THIS APPLICATION THE TEXAS HEALTH CARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM WAS DEVELOPED TO PROVIDE PAYMENTS (DELIVERY REFORM INCENTIVE PAYMENTS, OR DSRIP) TO HOSPITAL AND OTHER PROVIDERS UPON THEIR ACHIEVING CERTAIN GOALS THAT ARE INTENDED TO IMPROVE THE QUALITY AND LOWER THE COST OF CARE. THIS INITIATIVE DIVIDES THE STATE INTO TWENTY DIFFERENT REGIONS, EACH REGION DEVELOPED A COMMUNITY HEALTH NEEDS ASSESSMENT, AND PROVIDERS IN THE REGION WILL SUBMIT PROJECTS FOR FUNDING CONSIDERATION TO ADDRESS THOSE NEEDS. THE FUNDING OF THIS PROGRAM ENDED IN OCTOBER 2021, HOWEVER METHODIST HEALTHCARE SYSTEM CONTINUES TO OPERATE THE PROJECTS IMPLEMENTED AS PART OF THIS PROGRAM. INTRODUCE, EXPAND OR ENHANCE TELEMEDICINE/TELEHEALTH - METHODIST IMPLEMENTED A TELEHEALTH PROGRAM THAT PROVIDES TELEHEALTH CONSULTATIONS WITH TRAINED SPECIALISTS IN SELECTED SERVICES. THE TELE-STROKE NETWORK PROVIDES SERVICES TO TWELVE RURAL LOCATIONS. THROUGH THIS PROGRAM, PHYSICIANS CAN DRAMATICALLY INCREASE RESPONSE TIME, TRANSFERS CAN BE MINIMIZED, AND PATIENTS CAN OFTEN RECEIVE LIFESAVING CARE MORE RAPIDLY, OFTEN TIMES AT THEIR HOME HOSPITAL. THE BEHAVIORAL HEALTH TELEMEDICINE PROGRAM STARTED IN JANUARY 2014. ALL OF METHODIST HEALTHCARE'S HOSPITALS HAVE GONE LIVE WITH THIS SERVICE IN THEIR EMERGENCY DEPARTMENTS. THE GOAL OF THIS PROGRAM IS TO PROVIDE TIMELY CONSULTATIONS, DIAGNOSIS AND TREATMENT RECOMMENDATIONS FOR BEHAVIORAL HEALTH/SUBSTANCE ABUSE PATIENTS IN EVERY METHODIST EMERGENCY DEPARTMENT OR IN MEDICAL ACUTE UNITS THROUGHOUT METHODIST. METHODIST PROVIDED 3,850 BEHAVIORAL HEALTH AND 830 TELE-STROKE CONSULTATIONS IN CALENDAR YEAR 2022. OVER 50% OF THE CONSULTATIONS PROVIDED WERE TO MEDICAID OR LOW INCOME UNINSURED PATIENTS. ENHANCE BEHAVIORAL HEALTH SERVICES - PATIENTS REQUIRING PSYCHIATRIC SERVICES ARE OFTEN ONE OF THE MOST UNDERSERVED POPULATIONS IN THE COMMUNITY, AND METHODIST STRIVES TO ENSURE THAT THESE PATIENTS HAVE ACCESS TO APPROPRIATE CARE. METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT IS ONE OF THE THREE SAN ANTONIO HOSPITALS THAT PROVIDE PSYCHIATRIC EMERGENCY SERVICES (PES) THROUGH THE SOUTHWEST TEXAS CRISIS COLLABORATIVE OF THE SOUTHWEST TEXAS REGIONAL ADVISORY COUNCIL. METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT PROVIDES SIX PES BEDS PROVIDING IMMEDIATE PSYCHIATRIC EVALUATIONS, CLINICAL ASSESSMENTS, AND LINKAGE TO THE NEXT APPROPRIATE LEVEL OF CARE TO ADULT MENTAL HEALTH PATIENTS. ESTABLISH MORE PRIMARY CARE CLINICS - METHODIST OPENED THE METHODIST COMMUNITY HEALTH CENTER IN 2014. THE CENTER IS AN URGENT CARE CENTER LOCATED IN EAST SAN ANTONIO. THE METHODIST COMMUNITY HEALTH CENTER PROVIDES SERVICES TO ALL PATIENTS AT NO COST. THE CENTER PROVIDED 1,225 ENCOUNTERS IN CALENDAR YEAR 2022. OF THESE ENCOUNTERS, 80% WERE PROVIDED TO MEDICAID OR LOW-INCOME UNINSURED PATIENTS. VOLUMES AT THIS LOCATION SLOWED DURING COVID-19, AND THAT PATTERN HAS CONTINUED IN 2022. REDESIGN TO IMPROVE THE PATIENT EXPERIENCE - THE FOCUS FOR THIS PROJECT IS TO IMPROVE HOW PATIENTS EXPERIENCE CLINICAL CARE AS WELL AS THE PATIENT'S SATISFACTION WITH THEIR CARE. METHODIST ROLLED OUT A NEW ONLINE REPORTING RESOURCE IN THE FOURTH QUARTER OF 2019 THAT PROVIDES MULTIPLE SCORECARDS AND REPORTS THAT ALLOW UNITS TO PRIORITIZE OPPORTUNITIES FOR IMPROVEMENT. METHODIST LAUNCHED A NEW INITIATIVE WITH STAFF THAT FOCUSES ON "COMPASSIONATE, CONNECTED, CARE". THIS INITIATIVE PROVIDES NURSING LEADERS AND STAFF WITH ADDITIONAL TOOLS AND GUIDANCE TO ENHANCE PATIENT EXPERIENCE WITH TRAINING AND TOOLKITS TO USE REGARDING THIS TOPIC AS THE ROUND ON PATIENTS. METHODIST HAS NOTED SOME DETERIORATION IN SCORES, AND IS WORKING DILIGENTLY WITH PATIENT CARE STAFF TO REVERSE THIS TREND. APPLY PROCESS IMPROVEMENT METHODOLOGY TO IMPROVE QUALITY/EFFICIENCIES SPECIFIC TO SEPSIS - IMPROVEMENT OF SEPSIS MANAGEMENT IS A KEY INITIATIVE IN METHODIST'S CLINICAL EXCELLENCE PLAN. METHODIST HAS DEVELOPED AND CONTINUES TO REFINE THE SEPSIS EARLY RECOGNITION SCREENING TOOL, WHICH WILL ALLOW CLINICAL STAFF TO BETTER IDENTIFY PATIENTS IN EARLY SEPSIS AND TO PROVIDE RAPID INTERVENTION AND REDUCTION OF PATIENTS DEVELOPING SEVERE SEPSIS AND/OR SEPTIC SHOCK. SEPSIS BUNDLE ELEMENTS ARE NOT INCLUDED IN THE ELECTRONIC TRIAGE SCREENING FOR ED, ICU, IN HOSPITAL NURSING, AND RAPID RESPONSE TEAMS. EVIDENCE BASED ORDER SETS FOR CPOE CONTINUE TO BE REFINED BASED UPON INPUT FROM THE MEDICAL AND NURSING STAFF. STAFF CONTINUE TO USE THE SEPSIS PREVENTION & OPTIMIZATION OF THERAPY (SPOT) MONITORING TOOL TO VIEW ALL PATIENT LABS AND VITALS IN REAL TIME AND TO AID IN THE EARLY DETECTION OF PATIENTS AT RISK FOR SEPSIS. INFECTION PREVENTION PRACTITIONERS CONTINUE TO WORK WITH MEDICAL AND NURSING STAFF TO IDENTIFY ADDITIONAL TOOLS TO FURTHER IMPROVE OUTCOMES FOR THESE PATIENTS. THE STAFF AT METHODIST HEALTHCARE ARE PEOPLE WHO HAVE A PASSION FOR HELPING. THEY HELP IN ALL DIFFERENT WAYS AND FACE SOME OF THE HARDEST STRUGGLES THAT HUMANS ENDURE. AFTER THE HORRIFIC SHOOTING IN UVALDE, TEXAS IN MAY OF 2022, METHODIST STAFF REACTED THE EXACT WAY YOU MIGHT THINK THEY WOULD...THEY WANTED TO HELP. DIFFERENT DEPARTMENTS WORKED TO FIND WAYS TO SUPPORT THE COMMUNITY AND HONOR THE INNOCENT LIVES LOST IN A NUMBER OF DIFFERENT WAYS: -ILLUMINATED METHODIST HOSPITAL IN UVALDE ELEMENTARY'S SCHOOL COLORS MAROON AND WHITE -STAFF AT MULTIPLE FACILITIES WORE THE SCHOOL COLORS AND SPECIAL UVALDE STRONG T-SHIRTS -10 METHODIST HEALTHCARE CHAPLAINS VISITED UVALDE MEMORIAL HOSPITAL TO TALK WITH STAFF AND OFFER PRAYER AND SUPPORT THE DAY AFTER THE SHOOTING -EMS RELATIONS STAFF AND THEIR DOGS VISITED UVALDE MEMORIAL HOSPITAL, UVALDE POLICE DEPARTMENT, LOCAL FBI AGENTS, AND COMMUNITY VOLUNTEERS AT THE CIVIC CENTER (UVALDE'S HOME BASE FOR ALL THE FAMILIES MOST DIRECTLY IMPACTED BY THE TRAGEDY) -NURSES FROM SEVERAL METHODIST HEALTHCARE FACILITIES COVERED SHIFTS AT UVALDE MEMORIAL HOSPITAL SO THAT STAFF THERE COULD TAKE A DAY OFF AFTER THE TRAGEDY METHODIST HEALTHCARE ONCE AGAIN CONTRIBUTED ANNUAL FUNDING TO THE SOUTHWEST TEXAS REGIONAL ADVISORY COUNCIL'S (STRAC) CRISIS COLLABORATIVE (STCC) IN THE AMOUNT OF $1,620,450. STCC IS AN EFFORT FOCUSED ON ENDING INEFFECTIVE UTILIZATION OF SERVICE FOR THE SAFETY NET POPULATION AT THE INTERSECTION OF MENTAL ILLNESS, HOMELESSNESS, AND HIGH EMERGENCY DEPARTMENT UTILIZATION IN SOUTHWEST TEXAS. STCC IS COMMITTED TO IMPROVEMENT BY DEVELOPING A COMPREHENSIVE, INTEGRATED CRISIS SYSTEM ACROSS ALL MAJOR PUBLIC PAYORS, HOSPITAL PROVIDERS, PHILANTHROPY, PUBLIC SAFETY, AND BEHAVIORAL HEALTH PROVIDERS. MHS FUNDING HAS ALSO SUPPORTED FIVE OTHER STCC INITIATIVES: -LAW ENFORCEMENT NAVIGATION OF PATIENTS TAKEN INTO CUSTODY WHO REQUIRE PSYCHIATRIC EVALUATION AND ARE REQUIRED TO DO SO VIA AN EMERGENCY DETENTION ORDER. IT IS SAFE TO SAY THAT, ABSENT THIS CAPABILITY, THE CLOSURE OF ALL OF THE PSYCHIATRIC BEDS AT THE NIX MEDICAL CENTER WOULD HAVE PRODUCED SEVERE "BOARDING" PROBLEMS IN THE EMERGENCY ROOMS IN HOSPITALS WITH NO PSYCHIATRIC UNITS. - ACUTE CARE STATION AT HAVEN FOR HOPE, WHICH PROVIDES AN ONSITE PARAMEDIC TO SCREEN 911 CALLS AND HAS RESULTED IN AN ALMOST 50% REDUCTION IN TRANSPORTS BY EMS TO THE EMERGENCY ROOMS OF AREA HOSPITALS. - PROGRAM FOR INTENSIVE CARE COORDINATION (PICC), WHICH INTERVENES AND FOLLOW HIGH UTILIZER (USUALLY HOMELESS) PATIENTS THAT HAVE EXPERIENCED MORE THAN SIX EMERGGENCY DETENTIONS WITHIN A YEAR. - CROSSPOINT, A 35-BED BEHAVIORAL HEALTH DIVERSION PROGRAM. -SIGNIFY, A CLOUD BASED CARD COORDINATION PLATFORM, STILL UNDER DEVELOPMENT. HOSPITAL SERVICE GROWTH CONSTRUCTION CONTINUES ON THE NEW MEDICAL CAMPUS IN WESTOVER HILLS. IT WILL INCLUDE A 54-BED ACUTE CARE COMMUNITY HOSPITAL AND MEDICAL OFFICE BUILDING. THE MHS BOARD OF GOVENORS ALSO APPROVED A PROJECT FOR THE RE-OPENING OF METHODIST | LANDMARK. THIS 56 BED FACILITY IS SCHEDULED TO OPEN IN THE THIRD QUARTER OF 2023. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance MHS HAS TAKEN STEPS OVER THE PAST SEVERAL YEARS TO HEIGHTEN COMMUNITY AWARENESS REGARDING MHS'S CHARITABLE MISSION. SIGNS THAT PROMINENTLY PRESENT INFORMATION ABOUT THE CHARITY MISSION AND GUIDELINES ARE PRESENT AT ALL POINTS OF ADMISSION. MHS ALSO PUBLISHES A NOTICE OF ITS FINANCIAL ASSISTANCE POLICY ANNUALLY IN THE SAN ANTONIO EXPRESS-NEWS. A PATIENT BROCHURE, ENTITLED "A GUIDE TO YOUR HOSPITAL BILL", EXPLAINS THE HOSPITAL BILLING PROCESS AND INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY IN THE EVENT THEY NEED FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS ALSO AVAILABLE IN ENGLISH AND SPANISH ON MHS'S WEBSITE WWW.SAHEALTH.COM. ALL SHARED SERVICE CENTER PERSONNEL RECEIVE TRAINING AND AN ANNUAL REFRESHER COURSE ON THE POLICY AND UNDERSTAND THE CRUCIAL ROLE THEY PLAY IN INFORMING PATIENTS ABOUT THE POLICY. FINANCIAL COUNSELORS AND HOSPITAL CASE MANAGEMENT STAFF EDUCATE PATIENTS AND ARE AVAILABLE TO ASSIST THEM WITH THE FINANCIAL POLICY APPLICATION PROCESS. IN ADDITION TO PROVIDING INFORMATION DURING THE ADMITTING PROCESS, MHS CONTINUES TO PROVIDE INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THE COLLECTION PROCESS FOR THOSE PATIENTS WHO HAVE BEEN BILLED BUT HAVE NOT PAID. AS NOTED ABOVE, MHS USES MULTIPLE METHODS TO COMMUNICATE AND PUBLICIZE FINANCIAL ASSISTANCE POLICIES. INFORMATION SYSTEMS PROGRAMMING CHANGES HAVE BEEN IMPLEMENTED. THESE CHANGES WILL ALLOW A MESSAGE ABOUT THE POLICIES TO PRINT ON PATIENT BILLING STATEMENTS. Schedule H, Part VI, Line 4 Community information THE SAN ANTONIO METROPOLITAN STATISTICAL AREA (MSA) OF 2.5 MILLION PEOPLE INCLUDES THE SEVENTH LARGEST PERCENTAGE OF HISPANICS IN THE UNITED STATES. 61% OF THE LOCAL POPULATION IS HISPANIC, 27% IS WHITE NON-HISPANIC, 7% IS BLACK, 3% IS ASIAN AND 2% IS OTHER. TEXAS AND SAN ANTONIO CONTINUE TO LEAD THE NATION IN THE NUMBER OF UNINSURED ADULTS AND CHILDREN (TEXAS IS RANKED NO. 1 WITH 17.7% UNINSURED AND THE U.S. IS 8.9%). OVER ELEVEN PERCENT OF CHILDREN IN TEXAS ARE WITHOUT HEALTH INSURANCE COMPARED TO THE U.S. AT 5.5%. IN SAN ANTONIO, ONE OUT OF FOUR ADULTS AND CLOSE TO ONE OUT OF THREE CHILDREN DO NOT HAVE HEALTH INSURANCE. THE MEDIAN HOUSEHOLD INCOME IN SAN ANTONIO IS $53,410, COMPARED TO $63,826 FOR TEXAS AND $79,900 FOR THE NATION. SAN ANTONIO HAS A LARGE POPULATION LIVING IN POVERTY WHEN COMPARED TO OTHER PARTS OF TEXAS. 18.6% OF SAN ANTONIO RESIDENTS LIVE AT OR BELOW THE POVERTY LEVEL, AND BEXAR COUNTY IS AT 16.4%, COMPARED TO 15.5% FOR TEXAS, AND 14.1% FOR THE U.S. SAN ANTONIO'S PERCENT OF HOUSEHOLDS RECEIVING FOOD STAMPS IS 15.6%, WITH TEXAS AT 13.1%, AND THE U.S. AT 13.3%. METHODIST HEALTHCARE SERVES AN ESTIMATED POPULATION OF NEARLY 2.9 MILLION IN BEXAR AND 26 SOUTH AND CENTRAL TEXAS COUNTIES: ATASCOSA, BANDERA, CALDWELL, COMAL, DEWITT, DIMMIT, EDWARDS, FRIO, GILLESPIE, GONZALES, GUADALUPE, KARNES, KENDALL, KERR, KINNEY, LA SALLE, LAVACA, MAVERICK, MCMULLEN, MEDINA, REAL, UVALDE, VAL VERDE, WEBB, WILSON AND ZAVALA. SINCE THIS GEOGRAPHIC AREA IS MAJORITY HISPANIC, MHS SEES THIS REFLECTED IN OUR PATIENT POPULATION. Schedule H, Part VI, Line 5 Promotion of community health SEE RESPONSES FOR SCHEDULE H, PART VI, LINE 2. Schedule H, Part VI, Line 6 Affiliated health care system ALL SHARED SERVICE CENTER PERSONNEL RECEIVE TRAINING AND AN ANNUAL REFRESHER COURSE ON THE POLICY AND UNDERSTAND THE CRUCIAL ROLE THEY PLAY IN INFORMING PATIENTS ABOUT THE POLICY. FINANCIAL COUNSELORS AND HOSPITAL CASE MANAGEMENT STAFF EDUCATE PATIENTS AND ARE AVAILABLE TO ASSIST THEM WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. IN ADDITION TO PROVIDING INFORMATION DURING THE ADMITTING PROCESS, MHS CONTINUES TO PROVIDE INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THE COLLECTION PROCESS FOR THOSE PATIENTS WHO HAVE BEEN BILLED BUT HAVE NOT PAID. AS NOTED ABOVE, MHS USES MULTIPLE METHODS TO COMMUNICATE AND PUBLICIZE FINANCIAL ASSISTANCE POLICIES. INFORMATION SYSTEMS PROGRAMMING CHANGES HAVE BEEN IMPLEMENTED. THESE CHANGES WILL ALLOW A MESSAGE ABOUT THE POLICIES TO PRINT ON PATIENT BILLING STATEMENTS. LATE IN 2009 METHODIST CONSOLIDATED ALL BED PLACEMENT SERVICES, INCLUDING RURAL ED TRANSFER ASSISTANCE, INTO A SYSTEM-WIDE PATIENT PLACEMENT CENTER. RURAL TRANSFERS THROUGH THE CENTER INCREASED IN 2022 BY 11.3%. THE ACCEPTANCE RATE IN 2022 WAS 93.8% COMPARED TO 95.4% IN 2021. SELF-PAY PATIENTS ACCOUNTED FOR 13.2% OF ALL TRANSFERS IN 2022 AS COMPARED TO 12.4% IN 2021. PEDIATRIC AND HIGH-RISK MATERNAL TRANSFERS ARE ALSO NOW HANDLED THROUGH THESE CONSOLIDATED PLACEMENT SERVICES. THE ACCEPTANCE RATE FOR THESE TRANSFERS WAS 92.1% IN 2022 (98.4% IN 2021). MHS SELF-PAY AND CHARITY PATIENTS ACCOUNTED FOR 6.8% OF ALL PEDIATRIC (AGES 0-17) AND MATERNAL TRANSFERS AS COMPARED TO 5.4% IN 2021. METHODIST AIRCARE, IN PARTNERSHIP WITH REACH AIR MEDICAL SERVICES, HAS THREE RURAL HELICOPTERS IN THE REGION. SPECIALIZED SERVICES AVAILABLE AT MHS FACILITIES INCLUDE THE FOLLOWING: NEONATOLOGY SERVICES, PEDIATRIC SUBSPECIALTY SERVICES, BONE MARROW TRANSPLANT, KIDNEY TRANSPLANTS, HEART TRANSPLANTS, LIVER TRANSPLANTS, PANCREAS TRANSPLANTS, HYPERBARIC OXYGEN TREATMENT, STROKE CARE, MEDICAL AIR TRANSPORT, GAMMA KNIFE RADIOSURGERY, AND BARIATRIC SURGERY. SEE RESPONSES FOR QUESTION 2 ABOVE REGARDING EXPANSION OF SERVICES IN 2022. THE MAJORITY OF CHARITY CARE PROVIDED BY THE HOSPITALS IS FROM PATIENTS RECEIVING EMERGENCY SERVICES. EMERGENCY DEPARTMENT (ED) VISITS TO METHODIST FACILITIES TOTALED 420,039 IN 2022(357,251 IN 2021), UP ALMOST 17.6% FROM 2021. 15.9% OF TOTAL ED VISITS RESULTED IN INPATIENT ADMISSIONS WITH A 6.2% INCREASE IN ED ADMISSIONS OVER 2021. IN ADDITION, 19.8% OF ALL VISITS TO METHODIST EMERGENCY DEPARTMENTS IN 2022 WERE MADE BY CHARITY OR SELF-PAY PATIENTS. METHODIST CONTINUES TO FOCUS ON IMPROVING ACCESS TO CARE FOR THE COMMUNITY BY IMPROVING EMERGENCY DEPARTMENT ACCESS. WHEN COMPARING 2022 TO 2021, METHODIST SAW A 53% INCREASE IN THE PATIENT-ARRIVAL-TO- BED (ATB) METRIC AND A 22% IINCREASE IN ARRIVAL-TO GREET (ATG) METRIC. THE AVERAGE LENGTH OF STAY FOR ALL PATIENTS DECREASED TO 276.8 MINUTES IN 2022 FROM 283.8 MINUTES IN 2021. TEXAS TRANSPLANT INSTITUTE (TTI), AT METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT, A CAMPUS OF METHODIST HOSPITAL, CONTINUES TO PROVIDE INCREASED ACCESS FOR PATIENTS REQUIRING KIDNEY TRANSPLANTS. TTI IS THE HOME OF THE BUSIEST PAIRED EXCHANGE KIDNEY TRANSPLANT PROGRAM IN THE NATION, AND THE NATION'S NO. 1 LIVING DONOR KIDNEY TRANSPLANT PROGRAM. MHS ALSO OPERATES THREE HEALTH BUSES ON THE EAST, SOUTH AND WEST SIDE OF SAN ANTONIO OFFERING COMPLIMENTARY TRANSPORTATION TO VARIOUS HEALTH CARE FACILITIES. IN 2022, METHODIST ALSO STARTED TRACKING ALL COMPLIMENTARY TRANSPORTATION FOR PATIENTS INCLUDING RIDES THROUGH UBER, LYFT, TAXI SERVICES, BUS PASSES, AND AMBULANCE RIDES AFTER PATIENTS ARE DISCHARGED. MHS PROVIDED 16,061 COMPLIMENTARY TRANSPORTS IN 2022, AN INCREASE IN 189% OVER THE 5,556 HEALTH BUS TRANSPORTS IN 2021. METHODIST HOSPITAL | METROPOLITAN IN CONJUNCTION WITH METHODIST HOSPITAL WOMEN'S SERVICES AND COMMUNICARE, OPERATES THREE FAMILY HEALTH CENTERS THAT PROVIDE COMPLIMENTARY PREGNANCY TESTING (914 TESTS IN 2022), PHYSICIAN REFERRALS, COUNSELING, HEALTH EDUCATION AND SCREENING PROGRAMS. TWO OF THE CENTERS WERE CLOSED FOR PART OF 2022, BUT RE-OPENED IN THE THIRD QUARTER. MHS ALSO OPERATES CALL-A-NURSE FOR CHILDREN, A TELEPHONE SERVICE OFFERING FREE MEDICAL ADVICE BY TRAINED EMERGENCY CARE PEDIATRIC NURSES TO PARENTS OF SICK/ INJURED CHILDREN. THE SERVICE OPERATES FROM 5:00 P.M. TO 8:00 A.M. MONDAY THROUGH FRIDAY AND AROUND THE CLOCK ON WEEKENDS AND HOLIDAYS (WHEN PHYSICIANS' OFFICES ARE CLOSED). CALL VOLUMES IN 2022 WERE 36,749, A 14% INCREASE FROM 2021. IN 2015, THE METHODIST CONTACT CENTER WAS SOLD TO HCA WITH THE AGREEMENT TO CONTINUE OPERATING A COMMUNITY PHONE-IN HEALTH RESOURCE CALLED HEALTHLINE DURING NORMAL BUSINESS HOURS. HEALTHLINE CALLERS SCHEDULE ATTENDANCE TO HEALTH AND WELLNESS EVENTS, PARENTING CLASSES, AND RECEIVE PHYSICIAN REFERRALS THROUGH THE METHODIST DOCTORSOURCE PROGRAM. IN 2022, METHODIST REFERRED PHYSICIANS TO 1,895 FIND A DOCTOR CALLERS (UP TO THREE PHYSICIANS MAY BE REFERRED TO EACH CALLER). IN ONE OTHER COMMUNITY BENEFITS CATEGORY, METHODIST PROVIDED OVER $418,884 IN CHARITABLE CONTRIBUTIONS TO NON- PROFIT HEALTH AND HUMAN SERVICE AGENCIES SERVING THE COMMUNITY. METHODIST HEALTHCARE ONCE AGAIN CONTRIBUTED ANNUAL FUNDING TO STRAC'S CRISIS COLLABORATIVE (STCC) IN THE AMOUNT OF $1,620,450. STCC IS AN EFFORT FOCUSED ON ENDING INEFFECTIVE UTILIZATION OF SERVICES FOR THE SAFETY NET POPULATION AT THE INTERSECTION OF MENTAL ILLNESS, HOMELESSNESS, AND HIGH EMERGENCY DEPARTMENT UTILIZATION IN SOUTHWEST TEXAS. STCC IS COMMITTED TO IMPROVEMENT BY DEVELOPING A COMPREHENSIVE, INTEGRATED CRISIS SYSTEM ACROSS ALL MAJOR PUBLIC PAYORS, HOSPITAL PROVIDERS, PHILANTHROPY, PUBLIC SAFETY AND BEHAVIORAL HEALTH PROVIDERS. MHS COMMITMENT GOES BEYOND ITS FINANCIAL CONTRIBUTION. FOR EXAMPLE, WHEN THE NIX HEALTHCARE SYSTEM SHUT DOWN IT PSYCHIATRIC EMERGENCY SERVICE (PES), MHS ESTABLISHED A SIX-BED PES AS METHODIST HOSPITAL | SPECIALTY AND TRANSPLANT TO HELP FILL THE VOID. MOREOVER, THE LOCAL MENTAL HEALTH AUTHORITY, CHCS, HAS EMBEDDED STAFF IN THE PES UNITS TO ASSURE CARE COORDINATION FOR THE OUTPATIENT SERVICES THAT CHCS WILL PROVIDE FOR PATIENTS THAT ARE TREATED AND RELEASED. MHS FUNDING HAS ALSO SUPPORTED FIVE OTHER STCC INITIATIVES: LAW ENFORCEMENT NAVIGATION OF PATIENTS TAKEN INTO CUSTODY WHO REQUIRE PSYCHIATRIC EVALUATION AND ARE REQUIRED TO DO SO VIA AN EMERGENCY DETENTION ORDER. IT IS SAFE TO SAY THAT, ABSENT THIS CAPABILITY, THE CLOSURE OF ALL PSYCHIATRIC BEDS AT THE NIX WOULD HAVE PRODUCED SEVERE "BOARDING" PROBLEMS IN THE EMERGENCY ROOMS OF HOSPITALS WITH NO PSYCHIATRIC UNITS. ACUTE CARE STATION AT HAVEN FOR HOPE, WHICH PROVIDES AN ONSITE PARAMEDIC TO SCREEN 911 CALLS, AND HAS RESULTED IN AN ALMOST 50% REDUCTIONS IN TRANSPORTS BY EMS TO THE EMERGENCY ROOMS OF AREA HOSPITALS. PROGRAM FOR INTENSIVE CARE COORDINATION (PICC), WHICH INTERVENES AND FOLLOWS HIGH UTILIZER (USUALLY HOMELESS) PATIENTS THAT HAVE EXPERIENCED MORE THAN SIX EMERGENCY DETENTIONS WITHIN A YEAR. CROSSPOINT, A 35- BED BEHAVIORAL HEALTH DIVERSION PROGRAM. SIGNIFY, A CLOUD-BASED CARE COORDINATION PLATFORM, STILL IN DEVELOPMENT. METHODIST PLAYS A LEADING ROLE IN THE SUPPORT OF THE HEALTH COLLABORATIVE, INCLUDING THE UTILIZATION OF THEIR COMMUNITY HEALTH NEEDS ASSESSMENT TO ASSIST IN THE DETERMINATION OF WHERE MHS SHOULD CONCENTRATE COMMUNITY ACTIVITIES (SEE ADDITIONAL INFORMATION IN LINE 2, SECTION V). MHS HAS AN OPEN ADMISSIONS POLICY WHICH ALLOWS MEDICAL STAFF TO ADMIT PATIENTS DIRECTLY TO ANY MHS FACILITY REGARDLESS OF THE PATIENT'S ABILITY TO PAY. MHS FUNDS AND PROVIDES TRAINING AND CONTINUING EDUCATION TO PHYSICIANS, NURSES, EMS PROFESSIONALS AND OTHER ALLIED HEALTH PROFESSIONALS. MHS PARTICIPATES IN ALL QUALITY MEASURES (CMS, JCAHO, ETC.). MHS USES THE CMS CORE MEASURES AS THE PRIMARY QUALITY INDICATORS FOR CLINICAL CARE. Schedule H, Part VI, Line 7 State filing of community benefit report TX true 911 Park Place 911 Park Avenue Corpus Christi TX 78401 742996340 501(c)(3) 70300 Operational Support Alzheimer's Association 10223 McCallister Freeway San Antonio TX 78216 133039601 501(c)(3) 25000 Donation American Cancer Society 7800 West IH-10 San Antonio TX 78230 131788491 501(c)(3) 16500 Donation American Heart Association 8415 Wurzbach San Antonio TX 78229 135613797 501(c)(3) 60000 Donation Amistad Community Health Center 1533 Brownlee Blvd Corpus Christi TX 78404 203008507 501(c)(3) 625680 Integrated healthcare and cancer prevention program The Arc of San Antonio Inc 13430 West Avenue San Antonio TX 78216 741200110 501(c)(3) 77500 Nursing services and donation Arthur Nagel Community Clinic 1116 12th Street Bandera TX 78003 770697361 501(c)(3) 126497 Integrated healthcare program Ascension DePaul Services 7607 Somerset Road San Antonio TX 78211 746106876 501(c)(3) 1191971 Integrated healthcare program and community coalition project Atascosa Health Center 310 W Oaklawn Rd Pleasanton TX 78064 742089103 501(c)(3) 139656 Integrated healthcare program AYA Foundation 8823 Callaghan Rd San Antonio TX 78230 832929650 501(c)(3) 10000 Donation Barrio Comprehensive Family Health Care Center Inc 3066 E Commerce St San Antonio TX 78220 741724391 501(c)(3) 2008800 Integrated healthcare and dental program Behavioral Health Solutions of South Texas 5510 N Cage Blvd Pharr TX 78577 742648885 501(c)(3) 567800 Integrated healthcare program Bethel United Methodist Church 227 South Acme Road San Antonio TX 78237 742932259 501(c)(3) 122213 Community coalition project Bluebonnet Children's Center 1901 Avenue I Hondo TX 78861 742999054 501(c)(3) 25600 Donation Boys and Girls Club of Pharr 1026 S Fir Street Pharr TX 78577 752258513 501(c)(3) 150000 Youth Development Services Children's Association For Maximum Potential Inc 2525 Ladd Street Lackland AFB TX 78236 742095766 501(c)(3) 100950 Family retreats and Donation Children's Bereavement Center of the Rio Grande Valley 2302 South 77 Sunshine Strip Harlingen TX 78550 843956044 501(c)(3) 130000 Healing programs for grieving youth Children's Bereavement Center of South Texas 205 W Olmos Drive San Antonio TX 78212 742828178 501(c)(3) 148875 Healing programs for grieving youth The Children's Shelter 2939 West Woodlawn Avenue San Antonio TX 78228 741109660 501(c)(3) 393390 Behavioral health and medical services for children ChildSafe 7130 US Hwy 90 San Antonio TX 78227 742633697 501(c)(3) 90000 Counseling services City of Laredo 1110 Houston Street Laredo TX 78042 746001573 Govt 220621 Digital Inclusion program City of San Antonio 100 Military Plaza San Antonio TX 78205 746002070 Govt 7500 Donation Clarity Child Guidance Center 8535 Tom Slick Dr San Antonio TX 78229 741153067 501(c)(3) 405000 Behavioral health services for children and Donation Coastal Bend Wellness Foundation 2882 Holly Road Corpus Christi TX 78415 742429518 501(c)(3) 293976 Integrated healthcare program Coastal Plains Community Center 200 Marriot Portland TX 78374 742919178 501(c)(3) 400586 Integrated healthcare program Common Market of Texas Inc 2121 Gulf Central Dr Houston TX 77023 822421349 501(c)(3) 97000 Food access program Communities in Schools of San Antonio Inc 1616 E Commerce St San Antonio TX 78205 742393714 501(c)(3) 179984 Mental Health Services for At-Risk Youth Community Health Centers of South Central Texas 228 St George Street Gonzalez TX 78629 741548089 501(c)(3) 158324 Integrated healthcare program Community Health Development 908 S Evans Uvalde TX 78801 742269739 501(c)(3) 236790 Dental Program Community Hope Projects Inc (DBA Hope Family Health Center) 2332 Jordan Road McAllen TX 78503 742742024 501(c)(3) 400000 Integrated healthcare program MHMR Services for the Concho Valley 404 S Irving St San Angelo TX 76903 751251523 501(c)(3) 61488 Operational Support Corpus Christi Metro Ministries 1919 Leopard Street Corpus Christi TX 78408 742247261 501(c)(3) 200000 Medical services and Donation Courage Ranch 3292 Hwy 97 West Floresville TX 78114 832819350 501(c)(3) 35500 Equine-assisted mental health program Dreamvoice LLC 1142 E Commerce St San Antonio TX 78205 460641552 10000 Donation Doyle Community Center 110 West Barnett Kerrville TX 78028 200266181 501(c)(3) 500000 Capacity building program Ecumenical Center for Religion and Health 8310 Ewing Halsell Dr San Antonio TX 78229 741587388 501(c)(3) 760447 Medical ethics program, pastoral care, trauma and child therapy program, and donation El Centro del Barrio (DBA CentroMed) 3750 Commercial Ave San Antonio TX 78221 741787031 501(c)(3) 1820800 Integrated healthcare program and building renovation Esperanza Peace and Justice 922 San Pedro Avenue San Antonio TX 78212 742419582 501(c)(3) 9000 Community coalition project Family Counseling Service 3833 S Staples Corpus Christi TX 78411 741321308 501(c)(3) 132500 Counseling services for children and families and donation FII National (DBA UpTogether) 663 13th St Oakland CA 94612 020784790 501(c)(3) 150000 Financial empowerment program Family Service Association of San Antonio Inc 702 San Pedro San Antonio TX 78212 741117341 501(c)(3) 1330733 Child abuse prevention, mental health services, Donation, and community coalition project Family Violence Prevention Services Inc 7911 Broadway San Antonio TX 78209 741994151 501(c)(3) 74293 Counseling services Fannin Street United Methodist Church 354 South Mt Auburn Street Goliad TX 77963 562565969 501(c)(3) 30000 Community park construction First United Methodist Church Eagle Pass 571 Quarry Street Eagle Pass TX 78852 742584271 501(c)(3) 20000 Donation Frontera Healthcare Network 604 Eaker Street Eden TX 76837 752854259 501(c)(3) 203466 Dental services and donation Fuerza Unida 710 New Laredo Highway San Antonio TX 78211 742615917 501(c)(3) 7500 Community coalition project Gateway Community Health Center Inc 1515 Pappas St Laredo TX 78041 742553409 501(c)(3) 1372977 Integrated healthcare program, dental program and dentist/psychiatrist salary supplement The Good Samaritan Center 140 Industrial Loop Fredericksburg TX 78624 912129853 501(c)(3) 60000 Community health worker program Greater Houston Community 515 Post Oak Blvd Houston TX 77027 237160400 501(c)(3) 250000 Texas Equitable vaccine uptake Gulf Bend Mental Health Mental Retardation Center 6502 Nursery Drive Victoria TX 77904 741659064 501(c)(3) 193850 Integrated healthcare program Healthcare Access San Antonio 5535 Fredericksburg San Antonio TX 78229 203752122 501(c)(3) 251143 Operational support Healy-Murphy Center 618 Live Oak San Antonio TX 78202 741667875 501(c)(3) 64118 Behavioral health services HFCC Inc 1215 Colzona Rd San Antonio TX 78219 611861486 501(c)(3) 250000 Donation Hill Country Christian Counseling Center Inc 1127 East Main Street Kerrville TX 78028 742897680 501(c)(3) 117240 Counseling Services Hill Country Daily Bread Ministries 234 West Bandera Road Boerne TX 78006 300148195 501(c)(3) 88840 Family mentoring program Hill Country Family Services 114 West Advogt Boerne TX 78006 742425029 501(c)(3) 64209 Diabetes prevention program Hill Country Mission Health 122 Commerce Avenue Boerne TX 78006 481262832 501(c)(3) 101000 Primary care and behavioral health services Horses Helping the Handicapped Inc 791 Backhaus Road Pipe Creek TX 78063 742746369 501(c)(3) 200500 Equine-assisted mental health program and Donation I Care San Antonio 1 Haven for Hope Way San Antonio TX 78207 742690192 501(c)(3) 125000 Vision care for the Homeless It's Time Texas 13492 Research Blvd Austin TX 78750 432051509 501(c)(3) 262867 Diabetes Prevention program Jewish Family Service of San Antonio Inc 12500 NW Military Hwy San Antonio TX 78231 741759254 501(c)(3) 306301 Behavioral health services and donation Justice for all Immigrants 2220 Broadway Street Houston TX 77012 472079630 501(c)(3) 180000 Immigration legal services Lower Rio Grande Valley Community Health Management Corporation Inc 901 E Vermont Ave McAllen TX 78503 742784427 501(c)(3) 464862 Integrated behavioral health program La Union del Pueblo Entero 1601 US 83 Business San Juan TX 78589 931029197 501(c)(3) 263837 Healthcare services, patient education for colonia residents Laurel Heights United Methodist Church 227 W Woodlawn Avenue San Antonio TX 78212 741272395 501(c)(3) 10000 Donation Life Choices Medical Clinic 3234 Northwestern Drive San Antonio TX 78238 742809910 501(c)(3) 100000 Women's healthcare Leukemia and Lymphoma Society 1218 Arion Parkway San Antonio TX 78216 135644916 501(c)(3) 10000 Donation Magdelena House 6257 Babcock Road San Antonio TX 78240 800251526 501(c)(3) 53500 Family wellness program Martinez Street Women's Center 801 North Olive Street San Antonio TX 78202 742934053 501(c)(3) 371149 Community coalition project Matagorda Episcopal Health Outreach Program 101 Ave F North Bay City TX 77414 200537948 501(c)(3) 170304 Integrated healthcare program Mercy Ministries of Laredo 2500 Zacatecas Street Laredo TX 78046 200198462 501(c)(3) 632991 Integrated healthcare program and Donation Mission Border Hope 3371 Del Rio Blvd Eagle Pass TX 78852 455327586 501(c)(3) 10000 Donation National Center for Behavioral Health Solutions 6800 Park Ten Blvd San Antonio TX 78213 471857847 501(c)(3) 401104 Behavioral health services New Braunfels Christian Ministries 169 S Hickory Ave New Braunfels TX 78130 262221231 501(c)(3) 209000 Medical and dental services New Braunfels Housing Partners 801 W San Antonio St New Braunfels TX 78130 461955404 501(c)(3) 300000 Housing stability project Northern Hills United Methodist Church 3703 North Loop 1604 East San Antonio TX 78247 741904431 501(c)(3) 493673 Community coalition project Nuestra Clinica del Valle 801 W 1st Street San Juan TX 78577 741721807 501(c)(3) 137496 Dental salary supplement and integrated behavioral health program People's Community Clinic 1101 Camino La Costa Austin TX 78752 237087608 501(c)(3) 139392 Integrated behavioral health program Pillar 1403 North Seymour Avenue Laredo TX 78040 273656127 501(c)(3) 50000 Counseling services Planned Living Assistance Network of Central Texas 4110 Guadalupe Austin TX 78751 742861614 501(c)(3) 39857 Counseling services Planned Parenthood of San Antonio 2140 Babcock Road San Antonio TX 78229 741297211 501(c)(3) 438900 Health care services The Prosthetic Foundation 5047 Sherri Ann San Antonio TX 78233 010949598 501(c)(3) 90085 Operational support Project Transformation 1902 Vance Jackson Road San Antonio TX 78123 842069964 501(c)(3) 104370 Children's literacy program and donation Proyecto Desarrollo Humano Inc 17617 Sabal Palm Drive Penitas TX 78576 205709276 501(c)(3) 40000 Wellness program Proyecto Juan Diego Inc 2216 Eduardo Avenue Brownsville TX 78526 810606967 501(c)(3) 78033 Diabetes program Raphael Community Free Clinic Inc 1807 Water Street Kerrville TX 78028 742819628 501(c)(3) 229400 Integrated behavioral health services Resource Center for Congregational Mental Health 719 Earl Garrett Street Kerrville TX 78028 883764967 501(c)(3) 100000 Mental health and wellness start up program Respite Care of San Antonio 605 Belknap Place San Antonio TX 78212 742467770 501(c)(3) 200000 Medical services and Donation RGV HIE 1816 E Harrison Street Harlingen TX 78550 364697880 501(c)(3) 300000 Operational Support RISE Recovery 10226 Ironside Dr San Antonio TX 78230 742216041 501(c)(3) 75000 Broadband and Telehealth Support Expansion Services Rio Texas Conference of the United Methodist Church 16400 Huebner Road San Antonio TX 78248 741326672 501(c)(3) 2989031 Clergy Excellence & Wellness and donation Roy Maas Youth Alternatives Inc 3103 West Avenue San Antonio TX 78213 741914638 501(c)(3) 140432 Counseling services SA Hope Center 321 North General McMullen Drive San Antonio TX 78237 742989365 501(c)(3) 334567 Community coalition project San Antonio Christian Dental Clinic 1 Haven for Hope Way San Antonio TX 78207 742428161 501(c)(3) 418013 Dental services for homeless population San Antonio Clubhouse Inc 6851 Citizens Parkway San Antonio TX 78229 820559940 501(c)(3) 232500 Operational Support San Antonio Food Bank 5200 Enrique Barrera Parkway San Antonio TX 78227 742122979 501(c)(3) 330207 Social services outreach and mobile food pantry San Antonio Juneteenth 6306 Port Royal Street San Antonio TX 78244 872987066 501(c)(4) 10000 Donation San Antonio Lifetime Recovery 10290 Southton Road San Antonio TX 78223 741540097 501(c)(3) 77500 Counseling services San Antonio Metropolitan Ministry 1919 NW Loop 410 San Antonio TX 78213 742285793 501(c)(3) 168573 Integrated health and wellness program SLEW Inc (Support Lending for Emotional Well-Being) 12521 Nacogdoches Road San Antonio TX 78217 421580967 501(c)(3) 97025 Mental health services for women with cancer Smithville 300 Lynch Street Smithville TX 78957 204515999 501(c)(3) 111760 Medical services South Texas Rural Health Service 611 Thornton Cotulla TX 78014 741905196 501(c)(3) 486045 Dental salary supplement and integrated behavioral health program Southwest General Hospital 7400 Barlite Boulevard San Antonio TX 78224 621795572 501(c)(3) 10000 Donation Southwest Texas Regional Advisory Council 7500 US Hwy 90 West San Antonio TX 78227 742896432 501(c)(3) 4591869 Women's and Men's transitional housing, acute care station and psychiatric bed capacity Su Clinica Familiar 1706 Treasure Hills Blvd Harlingen TX 78550 742357970 501(c)(3) 129600 Integrated healthcare program Team Brownsville 34 Poinsettia Drive Brownsville TX 78520 841727617 501(c)(3) 7000 Donation Tejas Health Care 753 East Travis Street La Grange TX 78945 753260266 501(c)(3) 317594 Integrated healthcare program Texas A&M Health Science Center 209 North Water Street Corpus Christi TX 78401 742907553 GOVT 457230 Diabetes prevention program and Safe Water Project Texas Diaper Bank 5415 Bandera Road San Antonio TX 78238 742886380 501(c)(3) 255000 Assistance for low income families Texas Impact 200 East 30th Street Austin TX 78705 741902234 501(c)(3) 6000 Donation ThriveWell Cancer Foundation 4383 Medical Drive San Antonio TX 78229 260371270 501(c)(3) 55000 Cancer patient transportation program and Donation Timons Ministries 10501 South Padre Island Drive Corpus Christi TX 78418 311638327 501(c)(3) 89800 Medical and dental program United Medical Centers 2525 North Veterans Blvd Eagle Pass TX 78852 741993570 501(c)(3) 354163 Integrated healthcare program and provider recruitment program United Way of San Antonio 700 South Alamo Street San Antonio TX 78205 741272381 501(c)(3) 20040 Donation University of Texas Rio Grande Valley 1201 West University Drive Edinburg TX 78539 465292740 GOVT 370684 Collaborative medical care programs University of Texas Health Science Center at Houston 7000 Fannin Street UCT 1006 Houston TX 77030 741761309 GOVT 297205 Diabetes prevention program University of Texas Health Science Center San Antonio 7703 Floyd Curl Drive San Antonio TX 78229 741586031 GOVT 727292 Medical and dental services, medical student training Vida Y Salud Health Systems Inc 308 Cesar Chavez Avenue Crystal City TX 78839 741715419 501(c)(3) 126081 Integrated behavioral health program Wesley Community Center 4015 MacArthur Corpus Christi TX 78416 741185657 501(c)(3) 165603 Homeless children's program West Texas Counseling & Guidance Inc 242 North Magdalen San Angelo TX 76903 751561599 501(c)(3) 739888 Counseling services and Donation Westlawn United Methodist Church 122 South San Manuel San Antonio TX 78237 742769878 501(c)(3) 5108 Donation Women Involved in Nurturing Giving Sharing Inc 7500 US Hwy 90 W San Antonio TX 78227 742920912 501(c)(3) 261923 Breast cancer treatment support 120 2 ELECTRICITY ASSISTANCE 156 59972 WATER ASSISTANCE 41 10480 RENT/MORTGAGE ASSISTANCE 98 74399 HEALTHCARE PROGRAM ASSISTANCE 1 473 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE GRANTEE IS GIVEN A DISBURSEMENT REQUEST FORM AT THE BEGINNING OF THE FISCAL YEAR TO USE IN REQUESTING FUNDS. WHEN A REQUEST IS SUBMITTED FOR PAYMENT (MONTHLY, QUARTERLY OR ANNUALLY) THE ACCOUNTANT REVIEWS AND VERIFIES EXPENSES BASED ON ACTUAL INVOICES AND/OR THE ORGANIZATION'S GENERAL LEDGER. THE ORGANIZATION'S EXPENSES ARE VERIFIED TO THE APPROVED BUDGET SUBMITTED WITH THE GRANT APPLICATION. THE PAYMENT INFORMATION IS THEN ENTERED INTO THE GRANT TRACKING SOFTWARE (GIFTS). THE PROGRAM OFFICER REVIEWS REPORTED GOALS AND OUTCOMES FOR GRANT COMPLIANCE. AFTER THE EXPENSES HAVE BEEN VERIFIED AND DOCUMENTED, IT IS SUBMITTED TO THE GRANTS ACCOUNTING MANAGER AND VP OF ACCOUNTING & CONTROLLER FOR REVIEW AND APPROVAL. IF THE PAYMENT REQUEST IS GREATER THAN OR EQUAL TO $10,000, THE REQUEST REQUIRES CFO APPROVAL. THE PAYMENT REQUEST IS THEN FORWARDED TO THE ACCOUNTS PAYABLE DEPARTMENT FOR PAYMENT. A CHECK IS PROCESSED AND MAILED TO THE GRANTEE OR PAID VIA ACH. IN ADDITION TO THESE PROCEDURES, THE ACCOUNTANTS PERFORM SITE VISITS OR DESK AUDITS TO REVIEW PATIENT FILES OR EXPENSE BACKUP TO ENSURE THAT FUNDS ARE BEING USED APPROPRIATELY. EACH GRANTEE IS AUDITED EVERY YEAR OR EVERY OTHER YEAR BASED ON THE TYPE OF GRANT TO ENSURE COMPLIANCE WITH GRANT REQUIREMENTS. X X X X false false false false false false false false false JAIME WESOLOWSKI CEO & PRESIDENT 516693 0 14450 0 30501 0 43801 0 33718 0 639163 0 0 0 ANTHONY LOBASSO CHIEF FINANCIAL OFFICER 285675 0 0 0 47600 0 21128 0 21322 0 375725 0 0 0 XOCHY HURTADO CHIEF OPERATING OFFICER 297977 0 0 0 22900 0 17984 0 32667 0 371528 0 0 0 OANH MARONEY-OMITADE VP OF ORG. EXCELLENCE 188143 0 0 0 20667 0 20667 0 43776 0 273253 0 0 0 CYNTHIA MCCLOY VP OF ACCOUNTING & CONTROLLER 173133 0 0 0 38059 0 17603 0 14918 0 243713 0 0 0 JENNIFER KNOULTON VP OF COMMUNITY HEALTH & WELLNESS 185277 0 0 0 8153 0 18345 0 30479 0 242254 0 0 0 LETICIA ORTIZ-JOHNSON VP OF CLINICAL OPERATIONS 176002 0 0 0 13845 0 13846 0 25947 0 229640 0 0 0 CHRISTINE YANAS RICHARDSON VP OF POLICY & ADVOCACY 143657 0 0 0 42512 0 9460 0 11994 0 207623 0 0 0 Form 990, Part III, Line 4d Description of other program services (Expenses $ 13,543,943 including grants of $ 0)(Revenue $ 0) THE WESLEY NURSE PROGRAM SPANS 80 SITES THROUGHOUT SOUTH TEXAS AND IS MHM'S LARGEST GEOGRAPHIC OUTREACH PROGRAM. A KEY COMPONENT WESLEY NURSES UNDERTAKE IN THEIR COMMUNITIES IS PROVIDING HEALTH EDUCATION, HEALTH PROMOTION, AND FACILITATION OF RESOURCES. WHILE THE WESLEY NURSE PROGRAM IS A COMPONENT OF MHM'S ECUMENICAL OUTREACH, AND LOCATED WITHIN CHURCHES, IT DOES NOT TEACH A PARTICULAR SET OF DENOMINATIONAL BELIEFS. ALL WESLEY NURSE PROGRAMS ARE FREE AND ALL MEMBERS OF THE COMMUNITY ARE WELCOME. PROGRAMS ARE OFFERED TO GROUPS OR ON AN INDIVIDUAL BASIS. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FINANCE COMMITTEE REVIEWS A DRAFT OF THE FORM 990 TAX RETURN AND MAKES RECOMMENDATION TO THE FULL BOARD. AFTER THIS REVIEW, THE TAX RETURN IS FORWARDED TO THE FULL BOARD FOR REVIEW AND ACCEPTANCE PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY ARTICLE 7 OF THE BOARD'S BYLAWS REQUIRE A CONFLICTS OF INTEREST POLICY. THE BOARD ADOPTED A POLICY ON DECEMBER 10, 1997, ARTICLE VI OF WHICH REQUIRES ANNUAL STATEMENTS. THE POLICY IS ENFORCED AND THE RESULTS ARE REPORTED ANNUALLY TO THE GOVERNANCE COMMITTEE AND TO THE FULL BOARD OF DIRECTORS. Form 990, Part VI, Line 15a Process to establish compensation of top management official PRESIDENT & CEO - WERLING AND ASSOCIATES WAS RETAINED TO CONDUCT A TOTAL COMPENSATION STUDY IN 2020. THE COMPLETE STUDY WAS RECEIVED BY THE PERSONNEL COMMITTEE OF THE MHM BOARD. Form 990, Part VI, Line 15b Process to establish compensation of other employees OFFICERS AND KEY EMPLOYEES - WERLING AND ASSOCIATES WAS RETAINED TO CONDUCT A TOTAL COMPENSATION STUDY IN 2020. THE COMPLETE STUDY WAS RECEIVED BY THE PERSONNEL COMMITTEE OF THE MHM BOARD. Form 990, Part VI, Line 19 Required documents available to the public DOCUMENTS ARE CURRENTLY PROVIDED UPON REQUEST. THE FINANCIAL STATEMENTS AND TAX RETURNS ARE ALSO AVAILABLE THROUGHOUT METHODIST HEALTHCARE MINISTRIES' WEBSITE AT: MHM.ORG>LIBRARY>FINANCIAL STATEMENTS AND TAX RETURNS. Form 990, Part IX, Line 11g Other Fees Specialty Referral Services - Total Expense: 2945904, Program Service Expense: 2945904, Management and General Expenses: 0, Fundraising Expenses: ; Contract Services - Total Expense: 1446972, Program Service Expense: 1446972, Management and General Expenses: 0, Fundraising Expenses: ; Big Ideas - Total Expense: 1341523, Program Service Expense: 1341523, Management and General Expenses: 0, Fundraising Expenses: ; Other Purchased Services - Total Expense: 1336250, Program Service Expense: 989610, Management and General Expenses: 346640, Fundraising Expenses: ; Other Professional Fees - Administrative - Total Expense: 1130697, Program Service Expense: 759278, Management and General Expenses: 371419, Fundraising Expenses: ; Security Services - Total Expense: 702202, Program Service Expense: 691493, Management and General Expenses: 10709, Fundraising Expenses: ; Outside Radiology Services - Total Expense: 565064, Program Service Expense: 565064, Management and General Expenses: 0, Fundraising Expenses: ; Outside Lab Fees - Total Expense: 418312, Program Service Expense: 418312, Management and General Expenses: 0, Fundraising Expenses: ; GetFit - Payments to ISD - Total Expense: 298927, Program Service Expense: 298927, Management and General Expenses: 0, Fundraising Expenses: ; Contract Labor - Total Expense: 258415, Program Service Expense: 242815, Management and General Expenses: 15600, Fundraising Expenses: ; Strategic Initiatives - Total Expense: 231244, Program Service Expense: 231244, Management and General Expenses: 0, Fundraising Expenses: ; Janitorial Services - Total Expense: 292103, Program Service Expense: 221956, Management and General Expenses: 70147, Fundraising Expenses: ; Temporary Services/Agency Fees - Total Expense: 160245, Program Service Expense: 160245, Management and General Expenses: 0, Fundraising Expenses: ; Equipment Maintenance - Total Expense: 144582, Program Service Expense: 143009, Management and General Expenses: 1573, Fundraising Expenses: ; Other Professional Fees - Patient Related - Total Expense: 47974, Program Service Expense: 47974, Management and General Expenses: 0, Fundraising Expenses: ; Xerox Copier Services - Total Expense: 44791, Program Service Expense: 44791, Management and General Expenses: 0, Fundraising Expenses: ; HR/Payroll Services - Total Expense: 99860, Program Service Expense: 0, Management and General Expenses: 99860, Fundraising Expenses: ; Recruitment Fees - Total Expense: 54543, Program Service Expense: 0, Management and General Expenses: 54543, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances PARTNERSHIP EARNINGS OF THE BOOKS - XXX-XX-XXXX; TAX PARTNERSHIP OF FORM 1065 - -XXX-XX-XXXX; WPCC REVENUE - 114074; WPCC EXPENSES - -5511933; OTHER - 131250; RIO TEXAS CONFERENCE OF THE UMC 16400 HUEBNER ROAD SAN ANTONIO TX 78248 741326672 CHURCH TX 501(c)(3) 1 NA false WESLEY PRIMARY CARE CLINIC 4507 MEDICAL DRIVE SAN ANTONIO TX 78229 742784284 MEDICAL SERVICES TX 501(c)(3) Type I MHM true METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO 8109 FREDERICKSBURG ROAD SAN ANTONIO TX 78229 742730328 HOSPITAL SYSTEM TX NA Related 341302235 1440884826 false 0 true 0.5 false true false false false false true true false true false false false false false false true true true WESLEY PRIMARY CARE CLINIC R 5266602 CASH RIO TEXAS CONFERENCE OF THE UMC B 2989031 CASH METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO S 215000000 CASH METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO J 14933 CASH METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO Q 98679 CASH METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO H 13384343 CASH METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO G 4857612 CASH