2024-11-13T15:39:49-06:00 2023-12-31 346565596 ERNST & YOUNG US LLP 2323 VICTORY AVENUE DALLAS TX 75219 990 2023-01-01 741180155 THE METHODIST HOSPITAL METH 8326676160 6565 FANNIN ST GB 240 HOUSTON TX 770302707 ANTHONY C DEFURIO EXECUTIVE VP, CFO 8326676160 2024-11-13 1 1 PATRICK SHIELDS P01508556 2149698000 2023 2024-10-15 13:58:12Z HOUSTON METHODIST HOSPITAL MARC L BOOM MD 6565 FANNIN ST GB 240 HOUSTON TX 770302707 9327008087 0 5792 X WWW.HOUSTONMETHODIST.ORG X 1946 TX PROVIDE MEDICAL CARE (SEE MISSION STATEMENT ON PAGE 2) 24 21 13974 920 1871445 0 33741928 49192642 2737750742 2979371204 42016831 157384936 81981622 87358992 2895491123 3273307774 11798694 13840776 0 0 979985321 1145101781 0 0 0 1694886745 1868330898 2686670760 3027273455 208820363 246034319 9864255911 10941447664 3248071102 3369396323 6616184809 7572051341 X TO PROVIDE HIGH QUALITY, COST-EFFECTIVE HEALTH CARE THAT DELIVERS THE BEST VALUE TO THE PEOPLE WE SERVE IN A SPIRITUAL ENVIRONMENT OF CARING IN ASSOCIATION WITH INTERNATIONALLY RECOGNIZED TEACHING AND RESEARCH. 0 0 2630227563 13840776 3002235101 SEE SCHEDULE OCURRENTLY HOUSTON METHODIST HOSPITAL OPERATES 1,365 LICENSED BEDS IN ITS TEXAS MEDICAL CENTER FACILITIES. HOUSTON METHODIST HOSPITAL RECORDED 585,679 VISITS DURING 2023 WHICH WERE COMPRISED OF 446,888 OUTPATIENT VISITS, 97,614 EMERGENCY ROOM VISITS AND 41,177 INPATIENT ADMISSIONS. IT ALSO PERFORMED 14,748 INPATIENT SURGERIES AND 26,883 OUTPATIENT SURGERIES IN 2023.THE PRINCIPAL MEDICAL SERVICES AVAILABLE AT HOUSTON METHODIST HOSPITAL ARE ANESTHESIOLOGY, CARDIOVASCULAR SURGERY, ORAL & MAXILLOFACIAL-HOSPITAL DENTISTRY, DERMATOLOGY, FAMILY MEDICINE, GENERAL SURGERY, INTERNAL MEDICINE, CARDIOLOGY, CLINICAL IMMUNOLOGY, GASTROENTEROLOGY, GENERAL MEDICINE, HEMATOLOGY, HYPERTENSION TREATMENT, INFECTIOUS DISEASES, MEDICAL GENETICS, METABOLIC AND ENDOCRINE DISEASES, NUCLEAR MEDICINE, ONCOLOGY, PHARMACOLOGY, PULMONARY DISEASES, RENAL DISEASES, RHEUMATOLOGY, NEUROPHYSIOLOGY, NEUROSURGERY, OBSTETRICS AND GYNECOLOGY, OPHTHALMOLOGY, ORTHOPEDIC SURGERY, OTOLARYNGOLOGY-HEAD & NECK SURGERY, PATHOLOGY, PEDIATRICS, PHYSICAL MEDICINE AND REHABILITATION, PLASTIC SURGERY, PSYCHIATRY, RADIOLOGY, RADIOTHERAPY, AND UROLOGY. HOUSTON METHODIST HOSPITAL ALSO OFFERS A RANGE OF ADDITIONAL PATIENT SERVICES, INCLUDING AMBULATORY SURGERY, A BLOOD DONOR CENTER, A REHABILITATION CENTER, A SKILLED NURSING FACILITY, AND A BROAD RANGE OF PREVENTIVE HEALTH CARE INSTRUCTION, INCLUDING SMOKING CESSATION, STRESS MANAGEMENT, WEIGHT CONTROL, AND CARDIAC AND PULMONARY REHABILITATION.GENERAL OUTPATIENT SERVICES OFFERED BY HOUSTON METHODIST HOSPITAL INCLUDE AUDIOLOGY, SPEECH PATHOLOGY, PSYCHIATRIC SERVICES, DIAGNOSTIC CARDIOLOGY (INCLUDING NUCLEAR CARDIOLOGY, ECHOCARDIOGRAPHY, ELECTROCARDIOGRAPHY, PACEMAKER EVALUATION, AND CORONARY CATHETERIZATION), ENDOSCOPY, EMERGENCY SERVICES, GENERAL AND DIAGNOSTIC RADIOLOGY (INCLUDING FLUOROSCOPY, ULTRASOUND, MAMMOGRAPHY, MYELOGRAPHY, CT SCANNING, AND MRI), NUCLEAR MEDICINE, PATHOLOGY, PERIPHERAL VASCULAR LABORATORY, DERMATOLOGY, PHYSICAL MEDICINE, RADIOTHERAPY, SLEEP STUDIES AND NEUROPHYSIOLOGIC EVALUATIONS, AND SURGERY.HOUSTON METHODIST HOSPITAL OPERATES A MULTI-ORGAN TRANSPLANT CENTER. TRANSPLANTS BEING PERFORMED AT PRESENT INCLUDE KIDNEY, HEART, LUNGS, LIVER, PANCREAS, AND BONE MARROW. HOUSTON METHODIST HOSPITAL RESPONDS TO THE COMMUNITY'S NEEDS NOT ONLY THROUGH THE PROVISION OF MEDICAL CARE, BUT ALSO THROUGH EDUCATION OF HEALTH PROFESSIONALS AND PATIENTS, COMMUNITY HEALTH EDUCATION, DONATIONS TO HEALTH CARE RELATED EVENTS AND OTHER SERVICES, AND MEDICAL AND HEALTH RESEARCH. 2630227563 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 X 1662 0 1 13974 1 1 1 1 BA BD BR CH CO HR EZ DA EG GR HK HU ID IS LU MY MO NI PE RP PL QA RS SA KS TW TH TU AE UK 0 0 0 0 0 0 0 0 1 0 X 24 21 0 0 0 0 0 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 X EDWARD L TYRRELL FACHE 8326676160 6565 FANNIN GB240 HOUSTON TX 77030 X NINE OFFICERDIR-SEE METHODIST HOSPITAL GROUP RETURN-SCHE 4.89 6.22 X X 6164141 0 975493 EIGHTEEN DIRECTORS-SEE METHODIST HOSPITAL GROUP RETURN-SCHE 2.00 4.33 X 209097 798600 43768 ONE OFFICER-SEE METHODIST HOSPITAL GROUP RETURN-SCHE 24.00 26.00 X 2152714 0 277241 NINE KEY EMPLOYEES-SEE METHODIST HOSPITAL GROUP RETURN-SCHE 43.11 6.89 X 11421809 0 1319953 FOUR HIGHEST PAID-SEE METHODIST HOSPITAL GROUP RETURN-SCHE 43.75 6.25 X 3828630 0 579860 23776391 798600 3196315 3537 0 1 0 FIVE CONTRACTORS-CONSOLIDATED WITH METHODIST HOSPITAL GROUP HOUSTON TX 77030 SEE EXPLANATION IN SCHEDULE O 187464963 233 34473381 14719261 49192642 PATIENT CARE SERVICES 621110 2944558776 2944558776 RELATED ORG. RENT 531390 34812428 34812428 2979371204 201216623 -84810 201301433 8 8 851477 333319 518158 518158 518158 6009087969 447338 6051635676 1731318 -42547707 -1283980 -43831687 -43831687 INTERCOMPANY REVENUE 561499 52035447 1950000 50085447 FOOD SERVICE REVENUE 722514 11941482 6255 11935227 PARKING REVENUE 812930 4694469 4694469 18169428 18169428 86840826 3273307774 3002235101 1871445 220008586 13768776 13768776 72000 72000 22520450 22520450 1482578 1482578 793881823 705949506 87932317 50756423 32571875 18184548 201644271 200960285 683986 74816236 52123948 22692288 16906070 16906070 712000 712000 1122558 1122558 16632638 16632638 156248531 133709651 22538880 10863442 182381 10681061 22861242 15511295 7349947 124536654 122897810 1638844 32668783 30940427 1728356 3331804 929301 2402503 7801758 7366547 435211 69378326 69378326 46230346 46230346 138405537 116089764 22315773 2385102 86383 2298719 MEDICAL SUPPLIES 767292583 766429853 862730 SUPPORT FOR HMSPG 155768096 155768096 PROF. SERVICES (NET) 135289763 134026570 1263193 SUPPORT FOR HMRI 115000000 115000000 44895665 25843095 19052570 3027273455 2630227563 397045892 0 15230937 23758650 498762089 512593811 357904533 410052842 4049520 0 42348079 41473006 46243385 66492866 4499371889 2693857958 1850024321 1805513931 6528358163 7462251505 31320000 31320000 19591309 19591309 470423575 568399744 9864255911 10941447664 806262013 943431285 70390698 70000470 2110739264 2107876638 260679127 248087930 3248071102 3369396323 X 6616184809 7572051341 6616184809 7572051341 9864255911 10941447664 X 246034319 652096067 57736146 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 110000 1 858609 0 1 153949 1122558 0 PART II-B, LINE 1: HOUSTON METHODIST ENGAGES IN DISCUSSIONS WITH ELECTED OFFICIALS AT THE STATE AND NATIONAL LEVEL TO DISCUSS THE IMPACT OF EXISTING AND PROPOSED LEGISLATION ON PATIENT CARE AND HOSPITAL OPERATIONS. WE ALSO ENGAGE IN DISCUSSIONS REGARDING SUPPORT FUNDING AT THE STATE AND NATIONAL LEVEL FOR BIOMEDICAL RESEARCH. THERE IS NO GRASSROOTS ENGAGEMENT WITH THE PUBLIC. HOUSTON METHODIST DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS), ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. OTHER ACTIVITIES INCLUDE DUES TO HOSPITAL ASSOCIATIONS THAT ARE ALLOCABLE TO LOBBYING. 580886985 50587436 72844217 12879170 691439468 600359234 82335480 -91205931 10601798 580886985 501522045 45028495 60007314 6198620 600359234 438909392 11496108 58476254 7359709 501522045 354742443 26052075 64791438 6676564 438909392 0.78840 0.21160 0 1 1 27330623 200551553 227882176 2331764387 1112789900 1218974487 748024 342646 405378 1938977302 1580725412 358251890 1805513931 DUE FROM AFFILIATES 58559207 CONSTRUCTION IN PROGRESS 368488745 OP LEASE RIGHT-OF-USE 136083726 DEPOSITS AND MISCELLANEOUS RECEIVABLES 5268066 568399744 RESERVE FOR CONTINGENCIES 82698621 ASSET RETIREMENT OBLIGATION 3800000 OP LEASE LIABILITY-LONG TERM PORTION 121430495 FQHC FUNDING COMMITMENT-LONG TERM PORTION 40158814 248087930 PART V, LINE 4: HOUSTON METHODIST HOSPITAL FOUNDATION, A RELATED ORGANIZATION OF THE METHODIST HOSPITAL DOING BUSINESS AS HOUSTON METHODIST HOSPITAL, HOLDS PERMANENTLY RESTRICTED NET ASSETS WHICH CONSIST OF 339 INDIVIDUAL ENDOWMENT ACCOUNTS. UNLESS OTHERWISE DIRECTED BY THE DONOR, GIFTS RECEIVED FOR ENDOWMENT ACCOUNTS ARE INVESTED CONSISTENT WITH HOUSTON METHODIST HOSPITAL'S APPROVED INVESTMENT POLICY. UNLESS OTHERWISE DIRECTED BY THE DONOR, THE FOUNDATION HAS A POLICY OF ANNUALLY APPROPRIATING A CERTAIN PERCENTAGE OF EACH ENDOWMENT ACCOUNT, WHICH IS THEN AVAILABLE TO BE SPENT CONSISTENT WITH DONOR INTENT. IN ORDER TO PRESERVE THE REAL VALUE OF A DONOR'S GIFT AND TO SUSTAIN FUNDING CONSISTENT WITH DONOR INTENT, THE ANNUAL APPROPRIATION RATE IS SET TO STRIKE A REASONABLE BALANCE BETWEEN LONG-TERM OBJECTIVES OF PRESERVING AND GROWING EACH ENDOWMENT FUND FOR THE FUTURE AND PROVIDING STABLE, YEAR-TO-YEAR APPROPRIATION AMOUNTS. EAST ASIA AND THE PACIFIC 0 0 PASSIVE INVESTMENTS 275026088 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PASSIVE INVESTMENTS 346096489 MIDDLE EAST AND NORTH AFRICA 0 0 PASSIVE INVESTMENTS 3475285 SOUTH AMERICA 0 0 PASSIVE INVESTMENTS 18511209 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 0 0 PASSIVE INVESTMENTS 39114386 SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, 0 0 PASSIVE INVESTMENTS 8553543 RUSSIA AND NEIGHBORING STATES - ARMENIA, AZERBIJAN, BELARUS, 0 0 PASSIVE INVESTMENTS 8105140 0 0 0 0 0 0 698882140 0 698882140 0 0 0 0 0 0 1 1 X 1 X 1 X 500.000000000000 1 1 1 0 1 1 125558828 0 125558828 0.04150 82556041 73440394 9115647 0.00300 18038 10373 7665 0.00000 208132907 73450767 134682140 0.04450 582727 0 582727 0.00020 67643124 19255553 48387571 0.01600 0 0 159900225 74927872 84972353 0.02810 5373522 0 5373522 0.00180 233499598 94183425 139316173 0.04610 441632505 167634192 273998313 0.09060 1 12455727 0 419231329 515595270 -96363941 X 1 1 1 1 HOUSTON METHODIST HOSPITAL 6565 FANNIN HOUSTON TX 77030 WWW.HOUSTONMETHODIST.ORG 000124 X X X X SKILLED NURSING FACILITY, PSYCH, REHAB UNITS HOUSTON METHODIST HOSPITAL 1 0 0 1 X X X X X X X X X 22 1 1 0 1 X HTTPS://WWW.HOUSTONMETHODIST.ORG/CHNA X X 1 22 1 HTTPS://WWW.HOUSTONMETHODIST.ORG/CHNA 0 1 X 200.000000000000 500.000000000000 X X X X X 1 1 X X X X 1 X HOUSTONMETHODIST.ORG/PAY-YOUR-BILL/NEW-POLICIES/ X SAME AS 16.A. X SAME AS 16.A. X X X X X X 1 X 0 X X X 1 X 0 0 HOUSTON METHODIST HOSPITAL PART V, SECTION B, LINE 5: GENERAL NOTE:THE METHODIST HOSPITAL IS DOING BUSINESS AS HOUSTON METHODIST HOSPITAL ("HMH"), HOUSTON METHODIST AS A SYSTEM; IS REPRESENTED AS HOUSTON METHODIST.PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND ARE IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENTS. PART V, SECTION B, LINE 5 HMH IDENTIFIED ITS COMMUNITY HEALTH PRIORITIES FOR THE 2023-2025 IMPLEMENTATION PLAN THROUGH THE EXECUTION OF A LARGE-SCALE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2022. KEY COMPONENTS OF THE ASSESSMENT INCLUDED SURVEYING PATIENTS AND COMMUNITY MEMBERS LIVING WITHIN THE METROPOLITAN STATISTICAL AREA (MSA) THAT HOUSTON METHODIST FACILITIES ARE LOCATED WITHIN, ALONG WITH OTHER TECHNIQUES DESIGNED TO ADDRESS ANY INFORMATION GAPS AND UNCOVER THE MOST PRESSING CONCERNS OF THE SURROUNDING COMMUNITY.PHASE 1: COMMUNITY FEEDBACK COLLECTIONDEVELOPING SURVEY QUESTIONS: THE FIRST STEP IN DEVELOPING THE CHNA REQUIRED THE HOSPITAL SYSTEM TO UNDERSTAND WHAT MATTERED MOST TO THE POPULATION SURROUNDING ITS EIGHT HOSPITALS IN GREATER HOUSTON. TO DO THIS, THE OFFICE OF COMMUNITY BENEFITS WORKED WITH LEADERS IN PUBLIC HEALTH AND CONDUCTED SECONDARY RESEARCH TO DEVELOP NEW AND REFINE PAST SURVEY QUESTIONS THAT WOULD HELP HOUSTON METHODIST GAIN INSIGHT INTO THE TOP SOCIAL AND HEALTH PRIORITIES OF OUR CITY. THE SURVEY CONSISTED OF 41 QUESTIONS DIVIDED UNDER THE CATEGORIES OF: -TELL US ABOUT YOURSELF -TELL US ABOUT YOUR HEALTH -TELL US ABOUT YOUR COMMUNITY AND SOCIAL EXPERIENCES -TELL US HOW YOU FEELDISTRIBUTING THE SURVEY: AFTER THE SURVEY QUESTIONS WERE DEVELOPED, THE SURVEYS WERE DISTRIBUTED ELECTRONICALLY AND IN HARD COPY FORM ACROSS THE GREATER HOUSTON COMMUNITY. HARD COPY SURVEYS WERE DISTRIBUTED TO 14 UNIQUE NONPROFIT AGENCIES PROVIDING HEALTH CARE AND SOCIAL SERVICES TO DIVERSE POPULATIONS PROMARILY COMPRISED OF THE UNDERSERVED. THE 14 UNIQUE AGENCIES ARE OUTLINED BELOW: -ACCESSHEALTH -CHRIST CLINIC -COMMUNITY ASSISTANCE CENTER -EL CENTRO DE CORAZN -HEALTHCARE FOR THE HOMELESS-HOUSTON -HOPE CLINIC -LEGACY COMMUNITY HEALTH -LONESTAR FAMILY HEALTH CENTER -MEMORIAL ASSISTANCE MINISTRIES -NORTHWEST ASSISTANCE MINISTRIES -SAN JOSE CLINIC -TARGET HUNGER -VECINO HEALTH CENTERS -100 BLACK MEN OF METROPOLITAN HOUSTONIN ADDITION TO 14 NONPROFITS, HARD COPY SURVEYS WERE DISTRIBUTED AT HOUSTON METHODIST'S FLAGSHIP LOCATION IN THE TEXAS MEDICAL CENTER DUE TO THE VARIETY OF PATIENTS AND GUESTS WHO COME TO THE LOCATION FROM MORE THAN EIGHT COUNTIES-AND WERE ALSO DISTRIBUTED AT HOUSTON METHODIST BAYTOWN HOSPITAL, HOUSTON METHODIST CLEAR LAKE HOSPITAL AND HOUSTON METHODIST WILLOWBROOK HOSPITAL. ELECTRONIC SURVEYS WERE EMAILED TO MORE THAN 100 COMMUNITY ORGANIZATIONS AND POSTED ON SOCIAL NETWORKING SITES TO CAPTURE AN UNCONTROLLED GROUP OF RESPONDENTS. OVERALL, THE SURVEY PROCESS YIELDED 1,319 RESPONDENTS.TARGET SURVEY AUDIENCE: THE SURVEY WAS DISTRIBUTED WITH THE PURPOSE OF CAPTURING AS MANY MEMBERS OF THE COMMUNITY AS POSSIBLE, REPRESENTING THE DIVERSITY OF GREATER HOUSTON. AS A RESULT:- 71% OF RESPONDENTS IDENTIFIED AS BELONGING TO A RACIAL/ETHNIC MINORITY GROUP.- 49% HAD A HOUSEHOLD INCOME OF $35,000 OR LESS.- 72% IDENTIFIED AS HAVING SOME FORM OF INSURANCE WITH 28% BEING UNINSURED.- 31% OF RESPONDENT IDENTIFIED AS BEING MALE VS 66% FEMALE.THE FEEDBACK FROM THE UNDERSERVED COMMUNITY AND GENERAL GREATER HOUSTON POPULATION SERVED AS THE BASIS FOR INTERVIEWS WITH COMMUNITY HEALTH LEADERS.SURVEY RESULTS ANALYZED: SURVEY RESPONSES WERE COLLECTED BETWEEN FEBRUARY 24, 2022 AND APRIL 22, 2022. ONCE ALL RESPONSES WERE COLLECTED, HOUSTON METHODIST CONTRACTED AN EXTERNAL MARKET ANALYSIS AGENCY TO CONDUCT SIMPLE ANALYSIS OF THE DATA TO LAY THE FOUNDATION FOR THE ASSESSMENT. SURVEY RESULTS INDICATED COMMUNITY MEMBERS OPINIONS ON THE ELEMENTS NEEDED TO BUILD A HEALTH COMMUNITY.PHASE 2: COMMUNITY LEADERS AND STAKEHOLDER FEEDBACK SELECTION OF PUBLIC HEALTH AND COMMUNITY LEADERS WITH SPECIAL KNOWLEDGE, INCLUDING LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, AND LOCAL AND STATE HEALTH AGENCIES: HMH COMPILED A LIST OF TOP HEALTH AND COMMUNITY EXPERTS FROM AROUND THE GREATER HOUSTON COMMUNITY AND STATE TO SUPPORT THE STAKEHOLDER INTERVIEW PROCESS. A SET OF KEY QUESTIONS COVERING RELEVANT HEALTH AND SOCIAL TOPICS WERE DEVELOPED. EXPERTS AND LEADERS WERE PULLED FROM A VARIETY OF SPECIALTY AREAS, INCLUDING BUT NOT LIMITED TO DISEASE SPECIALISTS, NONPROFIT LEADERS, POLICYMAKERS AND MORE. THOSE ENGAGED WERE EXPERTS IN THEIR FIELD AND REPRESENTED FEDERALLY QUALIFIED HEALTH CENTERS, FREE/CHARITY CLINICS, LOCAL GOVERNMENTAL AGENCIES, HOSPITALS, MULTISERVICE AGENCIES, FAITH BASED ORGANIZATIONS, HIGHER EDUCATION AND MORE. THIRTY-FOUR SUBJECT MATTER EXPERTS AND LEADERS PROVIDED INPUT VIA AN ONLINE SURVEY AND/OR PERSONAL COMMUNICATION.SELECTION OF MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS: THE OFFICE OF COMMUNITY BENEFITS RECEIVED THE PRIMARY INPUT ON THE NEEDS OF THE UNDERSERVED COMMUNITY THROUGH THE DISTRIBUTION OF A SURVEYWITHIN ORGANIZATIONS THAT PRIMARILY SERVED LOW-INCOME AND/OR MINORITY GROUPS TO ENSURE A HOLISTIC UNDERSTANDING OF NEEDS WERE OBTAINED. INPUT COLLECTION: INPUT FROM PERSON(S) WITH SPECIAL KNOWLEDGE -CHIEF EXECUTIVE OFFICER, JUSTICE FORWARD -CHIEF EXECUTIVE OFFICER, THE COUNCIL ON RECOVERY -VICE PRESIDENT, EDUCATION ADMINISTRATION, HOUSTON METHODIST ACADEMIC INSTITUTE -DIRECTOR OF NURSING, HOUSTON METHODIST HOSPITAL -MEDICAL DIRECTOR, HOUSTON METHODIST GLOBAL HEALTH CARE SERVICES, CHAIRMAN EMERITUS, HOUSTON METHODIST HOSPITAL DIVISION OF INFECTIOUS DISEASES, HOUSTON METHODIST -DIRECTOR-PROVIDER ENGAGEMENT & RESILIENCE, HOUSTON METHODIST -VICE CHAIRMAN, PSYCHIATRY & BEHAVIORAL HEALTH, HOUSTON METHODIST -VICE PRESIDENT, GOVERNMENT AFFAIRS, HOUSTON METHODIST -DIRECTOR, HUMAN RESOURCES CLIENT SERVICES & STANDARDS, HOUSTON METHODIST -CHIEF ADMINISTRATIVE OFFICER, THE HARRIS CENTER FOR MENTAL HEALTH AND IDD -SENIOR WELLNESS DIETITIAN, HOUSTON METHODIST -MANAGER, EMPLOYEE WELLNESS SERVICES, HOUSTON METHODIST INPUT COLLECTION: INPUT FROM MEMBERS WITH BROAD INTEREST IN THE COMMUNITY -BISHOP, TEXAS ANNUAL CONFERENCE -SENIOR RABBI, CONGREGATION BETH ISRAEL -PRESIDENT & CEO, EPISCOPAL HEALTH FOUNDATION -DIRECTOR OF MINISTRY, THE FOUNTAIN OF PRAISE INPUT COLLECTION: INPUT FROM LEADERS AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME POPULATIONS -EXECUTIVE VICE PRESIDENT, HEALTHCARE FOR THE HOMELESS HOUSTON -DIRECTOR OF PROGRAM DEVELOPMENT, VECINO HEALTH CENTERS -TREASURER, BOARD OF DIRECTORS, HISPANIC HEALTH COALITION -SR. VICE PRESIDENT OF PROGRAMS, MEMORIAL AREA MINISTRIES -CHIEF CLINICAL OFFICER, SAN JOS CLINIC -DIRECTOR OF BEHAVIORAL HEALTH SERVICES, SPRING BRANCH COMMUNITY HEALTH CENTER -EXECUTIVE DIRECTOR, CHRIST CLINIC -CHIEF EXECUTIVE OFFICER, LONESTAR FAMILY HEALTH CENTER -VICE PRESIDENT, CENTER FOR RESILIENCY, THE ALLIANCE -CHIEF EXECUTIVE OFFICER, HEALTHCARE FOR THE HOMELESS HOUSTON -CHIEF POPULATION HEALTH OFFICER, ACCESSHEALTH -CHIEF EXECUTIVE OFFICER, EL CENTRO DE CORAZON -CHIEF EXECUTIVE OFFICER, VECINO HEALTH CENTERS -CHIEF ADMINISTRATIVE OFFICER, COMMUNITY HEALTH NETWORK -VICE PRESIDENT OF PROGRAM OPERATIONS, COALITION FOR THE HOMELESS OF HOUSTON -CHIEF EXECUTIVE OFFICER, SANTA MARIA HOSTEL, INC. -MEDICAL DIRECTOR, SPECIALTY SERVICES, LEGACY COMMUNITY HEALTH -CHIEF EXECUTIVE OFFICER, TOMAGWA HEALTHCARE MINISTRIES -CLINICAL PSYCHOLOGIST, LONE STAR CIRCLE OF CARE -CHIEF EXECUTIVE OFFICER, SPRING BRANCH COMMUNITY HEALTH CENTER -MEDICAL DIRECTOR, EL CENTRO DE CORAZON -CHIEF EXECUTIVE OFFICER, TARGET HUNGER HOUSTON METHODIST HOSPITAL PART V, SECTION B, LINE 6A: ADDITIONAL HOSPITAL FACILITIES THAT HMH CONDUCTED A CHNA WITH INCLUDE:-HOUSTON METHODIST SUGAR LAND HOSPITAL-HOUSTON METHODIST WILLOWBROOK HOSPITAL-HOUSTON METHODIST WEST HOSPITAL-HOUSTON METHODIST BAYTOWN HOSPITAL-HOUSTON METHODIST CLEAR LAKE HOSPITAL-HOUSTON METHODIST CONTINUING CARE HOSPITAL-HOUSTON METHODIST THE WOODLANDS HOSPITAL HOUSTON METHODIST HOSPITAL PART V, SECTION B, LINE 7D: IN ADDITION TO THE CONDUCTED CHNA BEING MADE EASILY ACCESSIBLE THROUGH THE HOUSTON METHODIST WEBSITE AND THE OFFICE OF COMMUNITY BENEFITS MAKING A HARD COPY AVAILABLE FOR PUBLIC INSPECTION FREE OF CHARGE, THE CHNA WAS ALSO WIDELY DISTRIBUTED VIA AN EMAIL BLAST TO MORE THAN 1,000 RECIPIENTS AROUND THE CITY, FACILITATED BY HARRIS COUNTY PUBLIC HEALTH, INCLUDING STAKEHOLDERS, OTHER HEALTH CARE FACILITIES, ETC. IN ADDITION, THE REPRESENTATIVES OF THE COMMUNITY BENEFITS OFFICE PRESENTED THE CHNA FINDINGS TO AUDIENCES AT HMH AND OTHER EXTERNAL STAKEHOLDERS TO FURTHER PUBLICIZE EFFORTS. HOUSTON METHODIST HOSPITAL PART V, SECTION B, LINE 11: HOUSTON METHODIST HOSPITAL WAS ABLE TO IDENTIFY THE TOP FOUR HEALTH PRIORITIES OF ITS COMMUNITY VIA THE CHNA PROCESS. THE HEALTH PRIORITIES THAT HMH IDENTIFIED THROUGH ITS MOST RECENTLY CONDUCTED CHNA ARE AS FOLLOWS: -INCREASING ACCESS TO PRIMARY CARE SERVICES TO SUPPORT PREVENTION AND MANAGEMENT OF CHRONIC CONDITIONS -INCREASING ACCESS TO SPECIALTY CARE SERVICES TO SUPPORT CHRONIC CONDITION MANAGEMENT. -PROMOTING HEALTHY LIVING BEHAVIORS TO REDUCE CHRONIC DISEASE AND SUBSTANCE USE DISORDER DEVELOPMENT. -INCREASING ACCESS TO MENTAL HEALTH CARE SERVICES INCLUDING TREATMENT FOR SUBSTANCE USE DISORDERS.2023 HEALTH NEED: INCREASE ACCESS TO PRIMARY CARE SERVICES FOR THE SURROUNDING COMMUNITY2023 GOALS: - TO ESTABLISH A RECRUITMENT BASELINE FOR APPS AT HOUSTON METHODIST HOSPITAL MARKET AREA BY Q4 2023. - LEGACY HEALTH CLINIC GOALS: -TO BREAK GROUND ON IDENTIFIED LOCATION FOR THE FIRST CLINIC IN PASADENA BY END OF Q1 AND BREAK GROUND ON THE IDENTIFIED SECOND LOCATION BY END OF Q4. -IDENTIFY INTERNAL MEDICINE PROVIDERS AND FAMILY MEDICINE PROVIDERS TO SUPPORT THE INTEGRATION OF INTERNAL MEDICINE AMBULATORY BLOCKS FOR HOUSTON METHODIST RESIDENTS AND TRANSITION OF A FAMILY MEDICINE - NETWORK OF CARE GOALS: -TO WORK DIRECTLY WITH THE OFFICE OF COMMUNITY BENEFITS TO DISCUSS OPPORTUNITY TO INTEGRATE THE NETWORK OF CARE PROGRAM INTO HOSPITAL ACTIVITIES WITH A GOAL TO OPERATIONALIZE IN 2023, INCLUDING THE DEVELOPMENT OF A MEDICAL HOME ESTABLISHMENT RATE FOR THE PROGRAM. -TO PROVIDE FOOD, TRANSPORTATION AND PRESCRIPTION ASSISTANCE TO 100% OF ELIGIBLE PATIENTS WITH IDENTIFIED NEEDS TO PREVENT UNNECESSARY READMISSIONS- TO INCREASE THE NUMBER OF PATIENT VISITS VIA THE FAMILY MEDICINE RESIDENCY PROGRAM AT PARTICIPATING CLINICS IN UNDERSERVED AREAS FROM 22,000 TO 23,100 BY Q4 2023. 2023 OUTCOMES:- 28 PRIMARY CARE APPS ON STAFF- 13 NEW APPS WERE HIRED- LEGACY HEALTH CLINIC OUTCOMES -GROUNDBREAKING FOR LEGACY PASADENA SOUTHMORE CLINIC IS MAY 10, 2024 -COMMUNITY BENEFITS DEPARTMENT HAS BEEN INVOLVED IN THE STEERING COMMITTEE THROUGHOUT THE DESIGN AND PLANNING PROCESS IN 2023- NETWORK OF CARE OUTCOMES -152 ELIGIBLE PATIENTS REFERRED TO THE PROGRAM -114 PATIENTS ACCEPTED REFERRAL TO A MEDICAL HOME -57% OF PATIENTS SHOWED FOR SCHEDULED APPOINTMENTS -114 PATIENTS SCREENED FOR SOCIAL SERVICE NEEDS -213 SERVICES ACCEPTED BY ELIGIBLE REFERRED PATIENTS -100% OF NETWORK OF CARE PATIENTS ACCEPTING A SUPPORTIVE SERVICE- FAMILY MEDICAL RESIDENCY OUTCOMES -27,107 PATIENT VISITS -24 RESIDENT PHYSICIANS DEDICATED TO THE PROGRAM (12 AT DENVER HARBOR AND 12 AT LEGACY)2023 HEALTH NEED: REDUCE BARRIERS TO ACCESSING SPECIALTY CARE SERVICES FOR THE SURROUNDING UNDERSERVED COMMUNITY2023 GOALS:- NEUROLOGICAL INSTITUTE GOALS: -TO INCREASE PARTNERSHIPS WITHIN THE COMMUNITY FOR STROKE OUTREACH BY PROVIDING INTRODUCTORY STROKE EDUCATION TO 3 TO 5 COMMUNITY CENTERS WITHIN THE HOUSTON METHODIST HOSPITAL COMMUNITY BY Q4 2023. -TO PROVIDE EXPERT TELE-STROKE CARE TO COMMUNITIES WITHOUT ACCESSIBLE NEUROLOGY SERVICES TO AT LEAST 2 PARTNERS WITHIN HOUSTON METHODIST HOSPITAL COMMUNITY BY Q4 2023.- TO INCREASE HEART DISEASE SCREENINGS BY 10% BY Q4 2023.- TO INCREASE ACCESS FOR NEW PATIENTS TO RECEIVE CV PREVENTION SPECIALTY EVALUATION AT HOUSTON METHODIST BY 10% FROM AN ESTIMATED BASELINE OF 1,300 NEW PATIENTS TO 1,430 PATIENTS END OF Q4 2023.- TO INCREASE THE COMPLEX CARE INITIATIVE PATIENT ENGAGEMENT TO FROM 890 TO 908 BY THE END OF Q4 OF 2023.- COMMUNITY SCHOLARS PROGRAM GOALS: -TO INCREASE THE AVERAGE SHOW RATE FOR PATIENTS REFERRED IN VIA SCHOLARS FROM 80% TO 85% BY Q4 OF 2023. -TO INCREASE THE VOLUME OF PATIENTS SEEN BY THE ORTHOPEDIC SURGERY GROUP FROM 30 TO 75 AND GASTROENTEROLOGY GROUP FROM 15 TO 45 BY Q4 OF 2023 -TO ADD FACIAL RECONSTRUCTIVE SURGERY TO THE PROGRAM TO SUPPORT INDIGENT DOMESTIC VIOLENCE SURVIVORS WITH NECESSARY FACIAL RECONSTRUCTIVE SERVICES. BASELINE VOLUME OF PATIENTS WILL BE ESTABLISHED IN 2023.- TO INCREASE TRANSITIONAL CARE PATIENT ENGAGEMENT FROM 900 TO 918 BY THE END OF Q4 OF 2023.- CANCER GOALS: -TO INCREASE THE RATE OF SCREENING MAMMOGRAMS FOR AFRICAN AMERICAN WOMEN AT HOUSTON METHODIST BY 2% FROM A BASELINE OF 10,790 MAMMOGRAMS BY Q4 2023. -TO RECRUIT 5,000 PATIENTS IN CLINICAL TRIAL FOCUSED ON EARLY CANCER DETECTION WITHIN ADULTS AGED 50-84 BY Q4 2023. -TO INCREASE THE NUMBER OF COLON CANCER SCREENINGS AMONG HOUSTON METHODIST PATIENTS. A BASELINE WILL BE ESTABLISHED IN Q1 2023. -TO INCREASE THE NUMBER OF AFRICAN AMERICAN AND HISPANIC MEN RECEIVING PROSTATE CANCER SCREENINGS IN THE COMMUNITY FROM BASELINE OF 30 TO 80 BY Q4 2023.- STUDENT ATHLETE/ATHLETIC TRAINING GOALS -TO INCREASE THE NUMBER OF STUDENT-ATHLETES RECEIVING SPECIALTY CARE FROM HOUSTON METHODIST BY 10% FROM AN ESTIMATED BASELINE OF 2,000 BY END OF Q4 2023. -TO INCREASE NUMBER OF STUDENT TELEMEDICINE EVALUATIONS FROM A BASELINE OF 9 TO 20 BY THE END OF Q4 2023.2023 OUTCOMES:- NEUROLOGICAL INSTITUTE OUTCOMES: -128 COMMUNITY PROGRAMS PRESENTED IN PARTNERSHIP WITH COMMUNITY PARTNERS -2,565 COMMUNITY MEMBERS ATTENDED THE PROGRAMS. -THE NEUROLOGICAL INSTITUTE'S COMMUNITY PROGRAMS INCLUDED NEW PARTNERSHIPS WITH HARRIS COUNTY PCT 1 COMMUNITY CENTERS. PART OF THE PARTNERSHIP INCLUDED THE DEVELOPMENT OF STROKE EDUCATION COLLATERAL IN SPANISH TO BE MORE ACCESSIBLE TO THE SPANISH SPEAKING COMMUNITY. -11,149 HEART DISEASE SCREENINGS WERE COMPLETED -1,827 NEW PATIENTS RECEIVED A CARDIOVASCULAR PREVENTION SPECIALTY EVALUATION- COMPLEX CARE INITIATIVE OUTCOMES: -626 PATIENTS WERE ELIGIBLE FOR THE PROGRAM -612 PATIENTS GRADUATED FROM THE COMPLEX CARE PROGRAM -98% OF PATIENTS GRADUATED FROM THE COMPLEX CARE PROGRAM- COMMUNITY SCHOLARS PROGRAM OUTCOMES: -408 ELIGIBLE PATIENTS REFERRED TO THE PROGRAM -408 PROGRAM PATIENTS SCREENED FOR SOCIAL SERVICE NEEDS -79% OF PATIENTS SHOWED UP FOR THEIR SCHEDULED APPOINTMENTS -9 ORTHOPEDIC PATIENTS REFERRED TO HOSPITAL FOR ADDITIONAL CARE -48 GASTROENTEROLOGY PATIENTS REFERRED TO HOSPITAL FOR ADDITIONAL CARE -76 SURGERIES PERFORMED -57 ORTHO AND GI PATIENTS SCREENED FOR SOCIAL SERVICE NEEDS -TWO PARTNERS WERE IDENTIFIED AND ONBOARDED TO MAKE REFERRALS INTO THE FACIAL RECONSTRUCTION PROGRAM. - TRANSITIONAL CARE OUTCOMES -1,152 PATIENTS WERE ELIGIBLE FOR THE PROGRAM -941 PATIENTS GRADUATED FROM THE TRANSITIONS CARE PROGRAM -82% OF PATIENTS GRADUATED FROM THE TRANSITIONS IN CARE PROGRAM- CANCER OUTCOMES: -16,824 SCREENING MAMMOGRAMS WERE CONDUCTED FOR AFRICAN AMERICAN WOMEN AT HOUSTON METHODIST; 3,385 SELF-REQUESTED MAMMOGRAMS (1,053 PATIENTS DIAGNOSED WITH BREAST CANCER AT HOUSTON METHODIST HOSPITAL) -PROSTATE SCREENING EVENT OUTCOMES: -42 PROSTATE CANCER SCREENINGS CONDUCTED -4 EDUCATION SESSIONS -36 AFRICAN AMERICAN MEN SCREENED -5 HISPANIC MEN SCREENED -1 PATIENT REFERRED TO AN ONCOLOGY NAVIGATOR- STUDENT ATHLETE/ATHLETIC TRAINING OUTCOMES: -2,002 UNIQUE STUDENT ATHLETE PATIENTS AT HOUSTON METHODIST HOSPITAL AND PHYSICIAN ORGANIZATION -3,129 SERVICES PROVIDED AT HOUSTON METHODIST HOSPITAL. -10 TELEMEDICINE CONSULTS COMPLETED -4 SCHOOL DISTRICTS IN WHICH SERVICES WERE PROMOTED 2023 HEALTH NEED: INCREASE ACCESS TO MENTAL HEALTH CARE SERIVES WITHIN HOUSTON METHODIST'S SURROUNDING UNDERSERVED COMMUNITY2023 GOALS:- TO UTILIZE THE PHQ-9 DEPRESSION SCREENING TOOL TO ASSESS THE SUICIDE RISK FOR 90% OF PATIENTS IN BEHAVIORAL HEALTH TRANSITION OF CARE AT HOUSTON METHODIST HOSPITAL BY END OF Q4 2023- TO CREATE A FOLLOW-UP PLAN DOCUMENTATION WITHIN EPIC FOR PATIENTS WITH HIGH OR IMMINENT RISK OF SUICIDE BY THE END OF Q4 2023.- TO REDUCE 30 DAY INDEX READMISSIONS FOR PATIENTS IN BEHAVIORAL HEALTH TRANSITION OF CARE AT HOUSTON METHODIST HOSPITAL BY 10% FROM A 2022 BASELINE FOR PATIENTS WITH A PRIMARY/SECONDARY BEHAVIORAL HEALTH DIAGNOSIS BY ACHIEVING A HOME VISIT COMPLETION RATE OF 40% ENROLLMENT BY THE END OF Q4 2023. THE BASELINE WILL BE ESTABLISHED AT THE END OF 2022. - TO SUSTAIN UTILIZATION OF THE MOBILE ASSESSMENT TEAM (MAT) WITH AN AVERAGE RESPONSE TIME OF 1 HOUR OF LESS (FROM TIME OF REQUEST TO TIME OF ASSESSMENT) FOR 80% OF PATIENTS WITHIN HOUSTON METHODIST HOSPITAL EMERGENCY DEPARTMENT.- TO PROVIDE MENTAL HEALTH CARE ACCESS TO AT LEAST 370 PATIENTS ANNUALLY THROUGH COLLABORATION WITH HARRIS COUNTY PSYCHIATRIC CENTER (HCPC) FOR 8 CONTRACTED BEDS DEDICATED TO HOUSTON METHODIST HOSPITAL BY Q4 2023.- TO INCREASE THE NUMBER OF PRIMARY CARE PHYSICIANS OFFERED BEHAVIORAL HEALTH VIRTUAL COLLABORATIVE CARE MODEL (COCM) FROM 80 PHYSICIANS TO 120 PHYSICIANS BY END OF Q4 2023.2023 OUTCOMES:- 2,152 PATIENTS WERE SCREENED WITH PHQ-9 AT HOUSTON METHODIST HOSPITAL- A BEHAVIORAL HEALTH TRANSITION OF CARE SOCIAL WORKER HAS BEEN DEDICATED TO THE PROJECT PLAN AND THE PLAN IS LIVE. AT HOUSTON METHODIST HOSPITAL A TOTAL OF 209 PATIENTS WERE IDENTIFIED AS HIGH OR IMMINENT RISK OF SUICIDE IN 2023.- BHTOC OUTCOMES: -1, 341 BHTOC REFERRALS FROM BHTOC SOCIAL WORKER TO HOME VISITS PROGRAM -767 HOME VISIT ENROLLMENTS -CONVERSION RATE FROM REFERRAL TO HOME VISIT ENROLLMENT -170 HOME VISITS OCCURRING 1-7 DAYS POST DISCHARGE -224 HOME VISITS OCCURRING 8-30 DAYS POST DISCHARGE -PERCENTAGE OF COMPLETED HOME VISITS: 76% (Q1), 55% (Q2), 38% (Q3), 44% (Q4)- 1,641 MAT ASSESSMENTS COMPLETED -AVERAGE RESPONSE TIME (FROM TIME OF REQUEST TO TIME OF MAT ASSESSMENT): 1:04 (Q1), 1:02 (Q2), 1:26 (Q3), 1:35 (Q4)- 4 NEW COMMUNITY PARTNERS OFFERING SUD SUPPORT. MENTAL HEALTH INNOVATION AND DEI GRANT UTILIZED TO SUPPORT THESE PROGRAMS WITH COMMUNITY PARTNERS. A TOTAL OF $396,416 WAS GRANTED TO THESE ORGANIZATIONS IN 2023.- HCPC OUTCOMES: -2.78 DAYS EMERGENCY DEPARTMENT ALOS FOR HCPC CONTRACT BED PATIENTS FOR HOUSTON METHODIST HOSPITAL -85 PATIENTS REFERRED TO HCPC HOUSTON METHODIST HOSPITAL UTILIZING CONTRACTED BEDS -85 IDENTIFIED HIGH-NEED PATIENTS FROM HOUSTON METHODIST HOSPITAL UTILIZING HCPC CONTRACT BEDS -85 UNINSURED PATIENTS FROM HOUSTON METHODIST HOSPITAL REFERRED TO HCPC CONTRACT BEDS- COCM OUTCOMES: -143 PROVIDERS OFFERED VIRTUAL COLLABORATIVE CARE MODEL (COCM) -1,555 PATIENTS REFERRED TO THE PROGRAM -786 PATIENTS COMPLETED THE PROGRAM -BETWEEN PRE AND POST PROGRAM TESTING, THE AVERAGE PHQ9 SCORE IMPROVED FROM 10.6 TO 6.8 -BETWEEN PRE AND POST PROGRAM TESTING, THE AVERAGE GAD 7 SCORE IMPROVED FROM 10.1 TO 7.22023 HEALTH NEED: PROMOTE HEALTHY LIVING BEHAVIORS TO REDUCE THE LIKELIHOOD OF CHRONIC DISEASE DEVELOPMENT2023 GOALS:- TO INCREASE THE NUMBER STUDENT-ATHLETES RECEIVING PRE-PARTICIPATION EXAMS FROM 731 TO 800 ATHLETES BY Q4 2023.- TO HIRE A FULL-TIME ATHLETIC TRAINER DEDICATED TO THE HOUSTON INDEPENDENT SCHOOL DISTRICT BY Q2 2023, PROVIDING REAL-TIME AND IMMEDIATE HEALTH CARE TO INJURED ATHLETES.- TO MITIGATE THE RISK OF INJURY BY 2.5% DURING PRACTICES/GAMES THROUGH EDUCATION AND TRAINING SESSIONS WHILE RAISING AWARENESS OF SIGNS AND SYMPTOMS OF SERIOUS INJURIES SUCH AS CONCUSSIONS BY Q4 2023.- TO INCREASE ACCESS TO PRIMARY CARE SERVICES FOR UNINSURED STUDENT-ATHLETES AND THEIR FAMILIES THROUGH REFERRALS TO COMMUNITY PARTNER CLINICS- TO CHAMPION THE DEVELOPMENT OF A PIPELINE OF DIVERSE FUTURE SPORTS HEALTHCARE PROVIDERS TO SUPPORT CULTURAL COMPETENCE IN THE FIELD.- TO INCREASES SCREENINGS FOR SOCIAL DETERMINANTS OF HEALTH WITHIN THE PATIENT POPULATION. BASELINE WILL BE ESTABLISHED BY Q4 OF 2023- TO INTEGRATE A SOCIAL DETERMINANTS OF HEALTH RESOURCE REFERRAL PLATFORM TO SUPPORT THE IDENTIFIED NEEDS WITHIN THE PATIENT POPULATION BY Q2 OF 2023- TO DEVELOP AND EXECUTE AT LEAST 2 VIRTUAL EDUCATION SERIES FOR EMPLOYEES AND COMMUNITY MEMBERS ALIGNED WITH HOUSTON METHODIST'S 4 IDENTIFIED COMMUNITY HEALTH PRIORITIES.2023 OUTCOMES:- STUDENT ATHLETE OUTCOMES: -3 COMMUNITY PHYSICAL EVENTS HELD WITH ALVIN ISD -1,083 STUDENT ATHLETE PHYSICALS WERE PROVIDED -IN Q1 OF 2023 THE HOUSTON METHODIST ATHLETIC TRAINING PROGRAM MET WITH HISD STAKEHOLDERS TO REVIEW THE POTENTIAL PARTNERSHIP PROGRAMS. A CONVERSATION AROUND AN MOU STARTED AND WAS PUT ON HOLD DUE TO HISD RESTRUCTURING. - SDOH OUTCOMES: -103,953 SOCIAL DETERMINANTS OF HEALTH QUESTIONNAIRES COMPLETED -36,285 PATIENTS SCREENED WHO HAVE AT LEAST ONE DOCUMENTED SOCIAL DETERMINANT DOCUMENTED IN EPIC. -1,154 HOUSTON METHODIST HOSPITAL (INCLUDING SYSTEM FLOAT POOL) EMPLOYEES COMPLETED THE SDOH SCREENINGS TRAINING IN 2023 -IN 2023 A CLOSED LOOP REFERRAL PLATFORM WAS IDENTIFIED TO SUPPORT THE SOCIAL DETERMINANTS OF HEALTH INITIATIVE. IN 2023 11 NON-PROFIT PARTNERS SIGNED MOUS WITH THE COMMUNITY BENEFITS DEPARTMENT TO RECEIVE HOUSTON METHODIST REFERRALS WITHIN THE NEW SYSTEM. THE SOFTWARE WAS ONBOARDED AND INTEGRATED IN EPIC. IN Q4 OF 2023 THE PLATFORM WAS PILOTED WITH PATIENTS.- IN 2023 FIVE EDUCATIONAL SESSIONS WERE HELD FOR HOUSTON METHODIST EMPLOYEES. THE SESSIONS DESCRIBED THE FOUR COMMUNITY HEALTH PRIORITIES AND PROVIDED GUIDANCE ON HEALTH EDUCATION ACTIVITIES, CONTINUING EDUCATION ACTIVITIES, AND IN-KIND DONATIONS. IN ADDITION, TWO INFORMATIONAL SESSIONS WERE HELD AT THE START OF HOUSTON METHODIST GRANT CYCLES TO PROVIDE INFORMATION TO NON-PROFIT COMMUNITY ORGANIZATIONS ON THE HEALTH PRIORITIES AND SOCIAL DETERMINANTS OF HEALTH.HEALTH NEEDS NOT BEING ADDRESSED:THERE ARE NO IDENTIFIED HEALTH NEEDS BASED ON THE 2022 CHNA SURVEY THAT HOUSTON METHODIST IS NOT ACTIVELY WORKING TO ADDRESS. HOUSTON METHODIST EXPANDED UPON ITS PRIORITIES BASED ON THE SURVEY FINDINGS OF THE ORIGINAL 2022 CHNA TO FOCUS ON KEY AREAS THAT WERE ORIGINALLY UNABLE TO BE ADDRESSED. DUE TO AN EXPANSION OF THE SYSTEM'S FOCUS ON DIVERSITY, EQUITY AND INCLUSION, HOUSTON METHODIST IS ABLE TO ADDRESS KEY AREAS THAT WERE ORIGINALLY IDENTIFIED AS NOT BEING ABLE TO BE ADDRESSED. ADDITIONAL RESOURCES WERE ALLOCATED TO FOCUS ON ECONOMIC EMPOWERMENT, EDUCATIONAL EMPOWERMENT AND PROMOTING HEALTHY NEIGHBORHOODS WHICH ENCOMPASS THE ORIGINAL THREE AREAS.THROUGH THE ESTABLISHMENT OF THE DIVERSITY, EQUITY & INCLUSION GRANT PROGRAM, HOUSTON METHODIST ESTABLISHED THE DIVERSITY, EQUITY & INCLUSION GRANT AND THE SOCIAL EQUITY GRANT WHICH FOCUS ON ADDRESSING THE ROOT CAUSES OF HEALTH INEQUITIES EXPERIENCED BY SOCIAL, RACIAL AND ETHNIC MINORITIES. THIS GRANT PROGRAM TARGETS THE SOCIAL DETERMINANTS OF HEALTH, THE CONDITIONS WITHIN WHICH PEOPLE ARE BORN AND LIVE, THAT ARE OFTEN THE UNDERLYING CAUSE OF TODAY'S MAJOR SOCIETAL HEALTH ISSUES SUCH AS LACK OF INSURANCE, OBESITY, POOR MENTAL HEALTH, HEART DISEASE AND MORE. SOCIAL DETERMINANTS TO BE ADDRESSED THROUGH GRANT FUNDING INCLUDE ACCESS TO HOUSING AND UTILITY SERVICES, ACCESS TO SAFE DRINKING WATER, CLEAN AIR, AND TOXIN-FREE ENVIRONMENTS, AVAILABILITY OF TRANSPORTATION, CRIME RATES AND EXPOSURE TO VIOLENT BEHAVIOR, EARLY CHILDHOOD EXPERIENCES AND DEVELOPMENT, EDUCATIONAL OPPORTUNITIES, FOOD INSECURITY AND INACCESSIBILITY OF NUTRITIOUS FOOD CHOICES, GENDER INEQUITY, INCOME LEVEL, NEIGHBORHOOD CONDITIONS AND PHYSICAL ENVIRONMENT, OCCUPATION, EMPLOYMENT STATUS, AND WORKPLACE SAFETY, RECREATIONAL AND LEISURE OPPORTUNITIES AND SOCIAL SUPPORT AND COMMUNITY INCLUSIVITY.IN 2023, HOUSTON METHODIST PROVIDED $4.5 MILLION IN FUNDING TO 73 UNIQUE NONPROFIT ORGANIZATIONS ACROSS GREATER HOUSTON THROUGH THE DIVERSITY, EQUITY AND INCLUSION GRANT PROGRAM. ORGANIZATIONS SUPPORTED INCLUDE CAPITAL IDEA HOUSTON, DEPELCHIN CHILDREN'S CENTER, SEARCH HOMELESS SERVICES, REBUILDING TOGETHER HOUSTON AND MORE. PART V, SECTION B, LINE 13B DISCOUNTED CARE IS PROVIDED FOR PATIENTS GREATER THAN 500% OF THE FEDERAL POVERTY GUIDELINES WHEN THE PATIENT'S ACCOUNT BALANCE IS GREATER THAN 10% OF THEIR FAMILY INCOME.PART V, SECTION B, LINE 15E THE PATIENT IS ALSO PROVIDED AN EXHIBIT TITLED FINANCIAL ASSISTANCE GUIDELINES LISTING THE COUNSELOR CONTACT INFORMATION AND THE FEDERAL POVERTY GUIDELINES.PART V, SECTION B, LINE 20A ECA'S ARE NOT USED; THEREFORE, PROVIDINGNOTICE DOES NOT APPLY. PART I, LINE 3C: ELIGIBILITY CRITERIA INCLUDED IN THE FINANCIAL ASSISTANCE POLICY CONSISTS OF FEDERAL POVERTY GUIDELINES, INCOME LEVELS OTHER THAN FEDERAL POVERTY GUIDELINES, MEDICAL INDIGENCY, INSURANCE AND UNDERINSURANCE STATUS AND RESIDENCY. ASSET TESTS ARE NOT USED IN DETERMINING ELIGIBILITY. PART I, LINE 6A: HOUSTON METHODIST, OF WHICH HMH IS THE FLAGSHIP HOSPITAL, PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IS MADE AVAILABLE TO THE PUBLIC. THIS REPORT INCLUDES CHARITY CARE AND COMMUNITY BENEFITS PROVIDED BY HMH, HOUSTON METHODIST BAYTOWN HOSPITAL, HOUSTON METHODIST CLEAR LAKE HOSPITAL, HOUSTON METHODIST CONTINUING CARE HOSPITAL, HOUSTON METHODIST SUGAR LAND, HOUSTON METHODIST THE WOODLANDS HOSPITAL, HOUSTON METHODIST WEST HOSPITAL AND HOUSTON METHODIST WILLOWBROOK HOSPITAL WHICH ARE IN HARRIS COUNTY AND IN NEIGHBORING FORT BEND COUNTY AND MONTGOMERY COUNTY, TEXAS. PART I, LINE 7: THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE IN PART I, LINES 7A THROUGH 7C WAS A COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 (RATIO OF PATIENT CARE COST TO CHARGES), AS PROVIDED IN THE INSTRUCTIONS TO FORM 990, SCHEDULE H. THE COSTING METHODOLOGY FOR LINES 7F THROUGH 7I WAS BASED ON ACTUAL EXPENDITURES.PART I LINE 7A: IN CONNECTION WITH THE 2023 FORM 990, SCHEDULE H REPORTING REQUIREMENTS, THE COST OF CARE PROVIDED TO PATIENTS WHO HAVE MEDICARE AS THEIR PRIMARY INSURER AND MEDICAID AS THEIR SECONDARY INSURER HAS BEEN CLASSIFIED AS FINANCIAL ASSISTANCE (PART I, LINE 7A) SINCE THESE PATIENTS WERE PRESUMPTIVELY ELIGIBLE FOR FULL FINANCIAL ASSISTANCE. PART I, LINE 7G: HMH HAS NOT REPORTED ANY SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7(G). PART III, LINE 2: THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT OF BAD DEBT EXPENSE (AT COST) REPORTED ON LINE 2 (NO AMOUNT WAS REPORTED ON LINE 3) WAS DERIVED FROM APPLYING THE RATIO OF PATIENT CARE COST TO CHARGES (FROM WORKSHEET 2 LINE 11) TO THE SUM OF BAD DEBT PLUS SELF-PAY DISCOUNTS ATTRIBUTABLE TO PATIENT ACCOUNTS. PART III, LINE 3: HOUSTON METHODIST WILL NOT CLASSIFY AMOUNTS AS BAD DEBT IF THE PATIENT IS ELIGIBLE FOR CHARITY CARE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PART III, LINE 4: PLEASE REFER TO NOTE B OF THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF HOUSTON METHODIST, SECTION TITLED NET PATIENT REVENUE AND PATIENT ACCOUNTS RECEIVABLE, NET (PAGES 8- 9). PART III, LINE 8: MEDICARE ALLOWABLE COSTS WERE DERIVED FROM HMH'S FILED MEDICARE COST REPORTS FOR THE YEAR ENDED DECEMBER 31, 2023. THE ENTIRE MEDICARE SHORTFALL ($96.4 MILLION) AS REPORTED ON PART III, LINE 7, AS WELL AS THE UNREIMBURSED COST OF THE MEDICARE MANAGED CARE PROGRAM ($168.1 MILLION) AND TRI-CARE PROGRAM ($5.7 MILLION), SHOULD BE TREATED AS A COMMUNITY BENEFIT SINCE THESE SHORTFALLS OR SUBSIDIES REDUCE THE FEDERAL GOVERNMENT'S BURDEN IN PROVIDING HEALTH CARE TO MEDICARE BENEFICIARIES. PART III, LINE 9B: HOUSTON METHODIST HAS A WRITTEN BAD DEBT COLLECTION POLICY; HOWEVER, NO COLLECTION EFFORTS ARE PUT FORTH FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY. PART VI, LINE 2: IN ADDITION TO THE ABOVE-DESCRIBED PROCESS OF THE CHNA, HOUSTON METHODIST UTILIZES SEVERAL DIFFERENT METHODS TO IDENTIFY THE HEALTH PRIORITIES (HEALTH CARE NEEDS) OF THE COMMUNITIES IT SERVES WHICH INCLUDE BUT ARE NOT LIMITED TO THE REVIEW OF RELEVANT SECONDARY RESOURCES AND DATA FROM SOURCES SUCH AS UNITED STATES CENSUS BUREAU, CENTERS FOR DISEASE CONTROL AND PREVENTION, TEXAS STATE DATA CENTER, PUBLIC HEALTH EXPERT INTERVIEWS AND MORE. HOUSTON METHODIST IS ALSO ABLE TO IDENTIFY THE CHANGING NEEDS OF THE UNDERSERVED POPULATION THROUGH ESTABLISHED COMMUNITY PARTNERSHIPS WITH FEDERALLY QUALIFIED HEALTH CENTERS, SOCIAL SERVICE AGENCIES, HARRIS COUNTY PUBLIC HEALTH AND CHARITY FACILITIES. THROUGH QUARTERLY REPORTING AND CONSISTENT COMMUNICATION, HOUSTON METHODIST CAN STAY ABREAST OF THE NEEDS. PART VI, LINE 3: FINANCIAL ASSISTANCE INFORMATION IS PROVIDED IN MULTIPLE LOCATIONS WITHIN HOUSTON METHODIST, AT THE POINT OF REGISTRATION, DURING CASE MANAGEMENT AND AT THE TIME OF COLLECTIONS POST DISCHARGE. EVERY CHECK-IN LOCATION HAS INFORMATION POSTED IN BOTH ENGLISH AND SPANISH STATING HOW THE PATIENT CAN ACCESS FINANCIAL ASSISTANCE INFORMATION.ADDITIONALLY, THIS INFORMATION IS INCLUDED IN THE PATIENT GUIDE PROVIDED TO THE PATIENT AT THE TIME OF REGISTRATION. HOUSTON METHODIST FINANCIAL COUNSELORS ACTIVELY SEEK ALL UNINSURED INPATIENTS AND OUTPATIENTS WITH SCHEDULED SERVICES FOR A PERSONAL VISIT. DURING THESE VISITS, THE FINANCIAL COUNSELORS WILL SCREEN THE PATIENT FOR FINANCIAL ASSISTANCE AND WILL PROVIDE THE PATIENT WITH THE FINANCIAL ASSISTANCE APPLICATION ("FAA"). THE PATIENT WILL THEN BE PROVIDED A LIST OF RESOURCES WITH CONTACT INFORMATION SHOULD THE PATIENT REQUIRE FURTHER ASSISTANCE IN COMPLETING THE APPLICATION.PRESUMPTIVE FINANCIAL ASSISTANCE MAY BE EVALUATED BASED ON THE FOLLOWING WITHOUT THE PATIENT COMPLETING THE FAA:-HOMELESS OR DECEASED;-ELIGIBLE FOR OTHER GOVERNMENT PROGRAMS INCLUDING MEDICAID, FOOD STAMPS, SUBSIDIZED HOUSING, WOMAN, INFANT, AND CHILDREN'S PROGRAMS (WIC) AND OTHER COMMUNITY/THIRD-PARTY APPROVED PROGRAMS;AND ELIGIBLE BASED ON AN ELECTRONIC SCORING MODEL THAT DERIVES SCORES BASED ON FAMILY INCOME AND FAMILY MEMBERS IN THE HOUSEHOLD.HOUSTON METHODIST UTILIZES AN ELIGIBILITY PARTNER TO WORK CLOSELY WITH PATIENTS TO QUALIFY FOR STATE AND FEDERAL ASSISTANCE PROGRAMS (E.G., MEDICAID SCHIP, CRIME VICTIMS, ETC.). THIS ELIGIBILITY PARTNER WILL MEET WITH ALL UNINSURED INPATIENTS TO DISCUSS STATE AND FEDERAL ASSISTANCE PROGRAMS; WHERE THE PATIENT IS NOT ELIGIBLE FOR THESE PROGRAMS, HOUSTON METHODIST'S INTERNAL FINANCIAL ASSISTANCE PROGRAM IS INTRODUCED.HOUSTON METHODIST'S CASE MANAGEMENT UNIT WORKS CLOSELY WITH THE PATIENT DURING PATIENT DISCHARGE MANAGEMENT TO ENSURE THE PATIENT IS INTRODUCED TO ALL RESOURCES THAT MAY BE NEEDED POST DISCHARGE (E.G., HOME HEALTH, SKILLED NURSING, ETC.). THE CASE MANAGEMENT UNIT WORKS WITH THE PATIENT TO QUALIFY THE PATIENT AND TO GAIN ACCESS TO THESE RESOURCES. ADDITIONALLY, THE CASE MANAGEMENT UNIT WORKS CLOSELY WITH THE FINANCIAL COUNSELORS WHEN THE PATIENT IS IDENTIFIED AS HAVING A NEED FOR FINANCIAL ASSISTANCE.HOUSTON METHODIST'S PATIENT ACCOUNTING UNIT WORKS CLOSELY WITH ALL UNINSURED PATIENTS POST DISCHARGE DURING THE BILLING AND COLLECTIONS PROCESS. HOUSTON METHODIST'S COLLECTIONS PERSONNEL WILL VERBALLY SCREEN PATIENTS FOR FINANCIAL ASSISTANCE DURING COLLECTION CALLS; WHERE APPLICABLE, THE PATIENT WILL BE SENT A FAA AVAILABLE IN 19 LANGUAGES. ADDITIONALLY, ALL BILLING STATEMENTS PROVIDE THE PATIENT WITH A PHONE NUMBER FOR CUSTOMER SERVICE TO OBTAIN PAYMENT OPTIONS. HOUSTON METHODIST UTILIZES BAD DEBT COLLECTION AGENCIES. EACH COLLECTION AGENCY MUST ADHERE TO HOUSTON METHODIST'S FINANCIAL ASSISTANCE POLICY AND PHILOSOPHY DURING ALL COMMUNICATION AND COLLECTION EVENTS WITH HOUSTON METHODIST PATIENTS.METHODIST PERSONNEL ARE PROVIDED WITH EDUCATIONAL IN-SERVICES IN THE ADMINISTERING OF THE FINANCIAL ASSISTANCE POLICY AS NEEDED. FAA IS REVIEWED PERIODICALLY AND UPDATED AS NEEDED. PART VI, LINE 4: HMH HOUSTON METHODIST HOSPITAL SERVES THE HOUSTON-THE WOODLANDS-SUGAR LAND METROPOLITAN STATISTICAL AREA (MSA). HMH DEFINES ITS COMMUNITY AS AN AREA COMPRISED OF 75 ZIP CODES SPANNING BRAZORIA, FT. BEND AND HARRIS COUNTIES. THE HOUSTON METHODIST HOSPITAL SERVES AN ESTIMATED POPULATION OF 2,197,225. THE RACE/ETHNIC MAKEUP CONSISTS OF 2.1% AMERICAN INDIAN/AK NATIVE, 6.1% ASIAN, 18.9% BLACK/AFRICAN AMERICAN, 0.2% NATIVE HI/PI, 29.3% OTHER, 43.4% WHITE, WHICH RESULTS IN AN OVERALL 51.2% HISPANIC/LATINO POPULATION, AND 48.8% NOT HISPANIC/ LATINO. THREE MAJOR AGE GROUPS COMPRISE THE HOUSTON METHODIST HOSPITAL COMMUNITY WHICH CONSIST OF 26.4% YOUTH (UNDER 18 YEARS OF AGE), 60.4% ADULT (18-64 YEARS OF AGE), AND A 13.2% SENIOR POPULATION (65 YEARS AND OLDER). HOUSEHOLD INCOMES OF FAMILIES/INDIVIDUALS SERVED IN THE HOUSTON METHODIST HOSPITAL COMMUNITY AREA ARE AS FOLLOWS: 6.8% OF THE POPULATION HAS A HOUSEHOLD INCOME OF LESS THAN $10,000, 32.2% IS BETWEEN $10,001 -$49,999, 27.3% IS IN THE RANGE OF $50,000 -$99,000, 14.2% FALLS BETWEEN $100,000 -$149,000, 7.0% IS BETWEEN $150,000 - $199,999, AND 12.5% HAVE A HOUSEHOLD INCOME OF $200,000 OR MORE. EDUCATIONAL ATTAINMENT VARIES ACROSS THE COMMUNITY, 3.0% HAVE NO SCHOOLING COMPLETED, 8.5% ATTENDED ELEMENTARY/ MIDDLE SCHOOL ONLY, 7.8% ATTENDED SOME HIGH SCHOOL, 22.6% ARE HIGH SCHOOL GRADUATES, 16.5% ATTENDED SOME COLLEGE, 5.6% OBTAINED AN ASSOCIATE'S DEGREE, 20.8% EARNED THEIR BACHELOR'S DEGREE, 9.4% EARNED A MASTER'S DEGREE, 2.3% EARNED A DOCTORATE DEGREE, AND 3.5% HAVE A PROFESSIONAL DEGREE. THE BREAKDOWN OF PRIMARY LANGUAGE (FOR THOSE AGE 5 AND OLDER) SPOKEN FOR THIS COMMUNITY IS 3.5% ASIAN-PACIFIC, 55.8% ENGLISH ONLY, 2.8% INDO-EUROPEAN, 1.3% OTHER, AND 36.6% SPANISH. IN THE HOUSTON METHODIST HOSPITAL COMMUNITY, INSURANCE STATUS IS CATEGORIZED INTO 5 CATEGORIES: COMMERCIAL, COMMERCIAL MARKETPLACE, MEDICAID, MEDICARE AND UNINSURED. FOR THIS COMMUNITY, 44.0% OF THE POPULATION HAVE COMMERCIAL INSURANCE, 10.6% ARE COVERED UNDER COMMERCIAL MARKETPLACE INSURANCE, 13.1% HAVE MEDICAID COVERAGE, 13.6% HAVE MEDICARE COVERAGE, AND 18.6% ARE UNINSURED. PART VI, LINE 5: HOUSTON METHODIST HOSPITAL IS A NONPROFIT HOSPITAL BASED IN HOUSTON, TEXAS AND IS THE FLAGSHIP OF HOUSTON METHODIST. AFFILIATED WITH THE TEXAS ANNUAL CONFERENCE OF THE UNITED METHODIST CHURCH. HOUSTON METHODIST WORKS CLOSELY WITH LOCAL CHURCH LEADERS TO BRING COMPASSION AND SPIRITUALITY TO ALL ITS ENDEAVORS AND TO HELP MEET THE HEALTH NEEDS OF THE COMMUNITY IT SERVES.IN ADDITION TO THE FLAGSHIP HOSPITAL, HOUSTON METHODIST IS COMPRISED OF SEVEN COMMUNITY HOSPITALS, A TOP-RANKED ACADEMIC INSTITUTE, PHYSICIAN ORGANIZATIONS, A GLOBAL DEVELOPMENT ENTITY AND NINE EMERGENCY CARE CENTERS, HMH IS AFFILIATED WITH WEILL CORNELL MEDICAL COLLEGE. FOR MORE THAN 100 YEARS, HOUSTON METHODIST HOSPITAL HAS BEEN PROVIDING HIGHLY SPECIALIZED HEALTH CARE SERVICES TO THE GREATER HOUSTON COMMUNITY AND THE WORLD THROUGH THE HOSPITAL AND ITS SIX CENTERS OF EXCELLENCE. IN 2023, HOUSTON METHODIST HOSPITAL WAS NAMED IN U.S. NEWS & WORLD REPORT'S PRESTIGIOUS HONOR ROLL FOR THE SEVENTH TIME IN ITS HISTORY AND EARNED THE DISTINCTION OF BEING NAMED THE NO. 1 HOSPITAL IN TEXAS FOR THE TWELFTH YEAR IN A ROW. IN ADDITION, U.S. NEWS & WORLD REPORT RANKED HOUSTON METHODIST HOSPITAL IN 10 SPECIALTIES, INCLUDING TWO SPECIALTIES RANKED IN THE TOP 5 FOR THE FIRST TIME. HOUSTON METHODIST HOSPITAL IS PROUD TO BE A DESIGNEE OF THE AMERICAN NURSES CREDENTIALING CENTER'S (ANCC) MAGNET RECOGNITION PROGRAM, WHICH RECOGNIZES SUPERIOR QUALITY IN NURSING CARE AS EVIDENCED BY PERFORMANCE OUTCOMES. THE HOSPITAL OFFERS THE HIGHEST QUALITY, PATIENT-FOCUSED, FAMILY-CENTERED CARE IN A SPIRITUAL ENVIRONMENT. ESTABLISHED BY THE TEXAS ANNUAL CONFERENCE OF THE UNITED METHODIST CHURCH, HOUSTON METHODIST HOSPITAL CONTINUES ITS LONG-STANDING COMMITMENT TO IMPROVING THE COMMUNITY'S HEALTH AND WELL-BEING.HOUSTON METHODIST HOSPITAL IS AN ACUTE CARE COMPLEX HOSPITAL WITH 979 OPERATING BEDS, 85 OPERATING ROOMS, 2,448 AFFILIATED PHYSICIANS AND 8,178 EMPLOYEES. IT IS LOCATED IN HOUSTON'S WORLD-RENOWNED TEXAS MEDICAL CENTER. HOUSTON METHODIST HOSPITAL RECORDED 41,177 ADMISSIONS, 544,502 OUTPATIENT VISITS, INCLUDING 97,614 EMERGENCY ROOM VISITS, AND 1,562 BIRTHS DURING 2023. IN ADDITION, HOUSTON METHODIST HOSPITAL RECORDED MORE THAN 5,817 INTERNATIONAL PATIENT ENCOUNTERS FROM 80 COUNTRIES IN 2023. ALTHOUGH THESE INDIVIDUALS REPRESENT A DIVERSE GROUP OF BACKGROUNDS, CULTURES, AND SOCIO-ECONOMIC STATUS, AS PATIENTS AT HOUSTON METHODIST HOSPITAL THEY ALL SHARE ONE THING IN COMMON -- EACH HAS BEEN TREATED WITH DIGNITY AND COMPASSION. THIS RESPECT FOR EACH PERSON IS REFLECTED IN THE MISSION STATEMENT AND STATEMENT OF VALUES OF HOUSTON METHODIST HOSPITAL.GOVERNING BODY:HOUSTON METHODIST HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS COMPRISED OF MEMBERS OF THE COMMUNITY WHERE IT IS LOCATED. HMH'S BOARD OF DIRECTORS INCLUDES MEMBERS FROM THE COMMUNITY AS WELL AS HMH'S PRESIDENT/CEO, HMH'S MEDICAL STAFF PRESIDENT AND THE BISHOP OF THE TEXAS ANNUAL CONFERENCE OF THE UNITED METHODIST CHURCH.COMMUNITY COUNCILS:HOUSTON METHODIST HOSPITAL ALSO HAS COMMUNITY INVOLVEMENT THROUGH ADVISORY COUNCILS COMPRISED OF COMMUNITY MEMBERS, INCLUDING MEMBERS OF THE HMH BOARD OF DIRECTORS, WHO VOLUNTEER TO CREATE HEALTH-RELATED PROGRAMS FOR HOUSTONIANS. ONE EXAMPLE IS THE PRESIDENT'S LEADERSHIP COUNCIL (PLC), AN ADVISORY BOARD SERVING THE HOSPITAL AND ALL HMH MEMBERS WORK WITH HMH'S PRESIDENT AND CEO TO ACHIEVE THE MISSION OF IMPROVING HEALTH FOR HMH PATIENTS THROUGH RESEARCH, EDUCATION AND CLINICAL CARE. THE MEMBERS OF THE PLC SERVE AS ADVOCATES AND PHILANTHROPIC AMBASSADORS FOR HMH. PLC MEMBERS ARE HIGH-LEVEL VOLUNTEERS WHO BRING PROFESSIONAL EXPERTISE, COMMUNITY AND PATIENT PERSPECTIVES TO HMH LEADERSHIP ON BEHALF OF OUR CITY, STATE AND NATION. PARTICIPANTS ARE ENCOURAGED TO SERVE ON ONE OR MORE COMMITTEES FOCUSING ON INSTITUTIONAL ADVOCACY, PHILANTHROPY, CONSTITUENT EVENTS, CORPORATE RELATIONSHIPS OR DEPARTMENTAL PRIORITIES. THE PLC IS A NON-GOVERNING, NON-FIDUCIARY ORGANIZATION AND IS NOT RESPONSIBLE FOR HEALTH CARE OR SYSTEM OVERSIGHT. PLC MEMBERS ARE ASKED TO SERVE A THREE-YEAR TERM, WHICH IS RENEWABLE.OTHER COUNCILS INCLUDE THE HMH DEBAKEY HEART & VASCULAR CENTER COUNCIL, THE NEUROLOGICAL INSTITUTE NATIONAL COUNCIL AND THE CENTER FOR PERFORMING ARTS MEDICINE ADVISORY COUNCIL.MEDICAL STAFF MODEL:HOUSTON METHODIST HOSPITAL HAS AN OPEN MEDICAL STAFF MODEL. THE OPEN MODEL GIVES PATIENTS ACCESS TO PHYSICIANS OF ALL AFFILIATIONS.HEALTH EDUCATION:THE HOUSTON METHODIST INSTITUTE FOR ACADEMIC MEDICINE PERFORMS CLINICAL AND TRANSLATIONAL EDUCATION WITH A PATIENT-CENTERED AND INTER-PROFESSIONAL TEAM-BASED APPROACH. HMH CONTINUALLY MAXIMIZES THE EFFECTIVENESS OF ITS INNOVATIVE TEACHING AND LEARNING PROGRAMS WITH EVIDENCE-BASED METHODOLOGY GROUNDED IN EDUCATIONAL RESEARCH. THIS APPROACH, COMBINED WITH A COLLABORATIVE ENVIRONMENT OF LEARNERS FROM AROUND THE GLOBE, CREATES THE MOST EFFECTIVE EDUCATIONAL EXPERIENCE FOR HEALTH AND TRANSLATIONAL RESEARCH PROFESSIONALS.THE INSTITUTE FOR ACADEMIC MEDICINE SUPPORTS RESEARCH AND EDUCATION PROGRAMS AT HMH BY PROVIDING THE PLATFORM TECHNOLOGIES AND RESEARCH PROGRAMS, ADMINISTRATIVE SUPPORT, STAFF, AND FACILITIES THAT ARE NEEDED TO RAPIDLY TRANSLATE DISCOVERIES MADE IN THE LABORATORY AND THE CLINIC INTO NEW DIAGNOSTICS, THERAPIES AND TREATMENTS.SINCE 2005, HMH'S GRADUATE MEDICAL EDUCATION PROGRAMS HAVE TRAINED PHYSICIANS IN VARIOUS MEDICAL AND SURGICAL SPECIALTIES. HMH SPONSORS 75 GME-ACCREDITED RESIDENCY AND FELLOWSHIP PROGRAMS WITH 424 GME RESIDENTS AND FELLOWS. IN 2024, THE PROGRAM GRADUATED ITS 18TH CLASS OF 128 RESIDENTS AND FELLOWS. 2024 ALSO MARKED THE TENTH YEAR OF A PARTNERSHIP WITH TEXAS A&M SCHOOL OF MEDICINE. UNDER THE PARTNERSHIP, HMH AND HOUSTON METHODIST WILLOWBROOK HOSPITAL (ALL HOUSTON CAMPUS STUDENTS) NOW HAVE 245 MEDICAL STUDENTS INCLUDING 5 MD/PHD STUDENTS ON THE HOUSTON CAMPUS, (48 M1; 45 M2; 75 M3) (47 ENMED AND 28 WILLOWBROOK) AND 72 M4 STUDENTS (49 ENMED AND 23 WILLOWBROOK). IN JULY 2019, THE JOINT TEXAS A&M UNIVERSITY SCHOOL OF MEDICINE AND COLLEGE OF ENGINEERING AND HMH ENGINEERING MEDICINE (ENMED) 4-YEAR PROGRAM BEGAN IN HOUSTON WITH 25 STUDENTS IN THE FIRST YEAR (CLASS OF 2023) AND PLANS TO GROW TO 50 PER CLASS EACH YEAR TO FOLLOW. THE INAUGURAL CLASS (CLASS OF 2023) GRADUATED WITH 100% OF GRADUATES MATCHING INTO RESIDENCIES, AS DID THE SECOND CLASS OF STUDENTS (CLASS OF 2024) WITH FOUR IN HOUSTON METHODIST PROGRAMS. THE PROGRAM HAS STUDENTS IN ALL FOUR CLASSES, INCLUDING 49 IN THE M4 CLASS OF 2025, 47 IN THE M3 CLASS OF 2026, 45 IN THE M2 CLASS OF 2027 AND 48 IN THE M1 CLASS OF 2028. HMH HOPES THESE TYPES OF COLLABORATIVE RELATIONSHIPS WILL FACILITATE MEDICAL INNOVATION, AS THESE YOUNG STUDENTS ARE PROVIDED THE OPPORTUNITY TO WORK WITH WORLD-CLASS RESEARCHERS AND PHYSICIANS. IN JULY 2019, THE JOINT TEXAS A&M UNIVERSITY SCHOOL OF MEDICINE AND COLLEGE OF ENGINEERING AND HMH ENGINEERING MEDICINE (ENMED) 4-YEAR PROGRAM BEGAN IN HOUSTON WITH 25 STUDENTS IN THE FIRST YEAR (CLASS OF 2023) AND PLANS TO GROW TO 50 PER CLASS EACH YEAR TO FOLLOW. THE INAUGURAL CLASS (CLASS OF 2023) GRADUATED WITH 100% OF GRADUATES MATCHING INTO RESIDENCIES, FIVE IN HOUSTON METHODIST PROGRAMS. THE HMH INSTITUTE FOR TECHNOLOGY, INNOVATION AND EDUCATION (ALSO CALLED MITIE) IS A COMPREHENSIVE, STATE-OF-THE-ART EDUCATION AND RESEARCH CENTER FOR PHYSICIANS WHO WISH TO ACQUIRE NEW PROCEDURAL SKILLS AND INTEGRATE NEW TECHNOLOGIES INTO THEIR PRACTICES. ITS RESEARCH MISSION IS TO ENHANCE THE USE OF IMAGE GUIDED TECHNOLOGY TO GUIDE PROCEDURES, INCORPORATE ROBOTIC SURGERY INTO THE IMAGE GUIDED PLATFORM AND DEVELOP NEW TECHNOLOGY AND PROCEDURAL TECHNIQUES.MEDICAL RESEARCH:THE HOUSTON METHODIST ACADEMIC INSTITUTE (HMAI) GOVERNS THE ESSENTIAL CLINICAL AND TRANSLATIONAL RESEARCH AND EDUCATION INITIATIVES OF HOUSTON METHODIST. IN 2023, IT WAS HOME TO 772 FACULTY AND 2,270 CREDENTIALED RESEARCHERS, AND MORE THAN 1,430 ONGOING CLINICAL PROTOCOLS AND TRIALS. HMAI IS DIRECTLY TIED TO CLINICIANS AND PATIENTS TO HELP MOVE THE BEST IN MEDICAL TECHNOLOGY TO THE PATIENT FASTER FOR BETTER PREVENTION, DIAGNOSIS AND TREATMENT OF DISEASE. HMAI IS JUST ONE WAY HOUSTON METHODIST INTEGRATES ITS SERVICES, BY BRINGING THE RESEARCH CONDUCTED IN THE LABORATORY TO THE PATIENT'S BEDSIDE. THE DISCOVERIES MADE BY HOUSTON METHODIST RESEARCHERS QUICKLY FILTER DOWN TO CLINICAL CARE IN THE FORM OF NEW TREATMENTS AND IMPROVED PROCEDURES. USE OF SURPLUS FUNDS - HOUSTON METHODIST HOSPITAL: IN 2022, HMH PROVIDED $125.6 MILLION IN FINANCIAL ASSISTANCE FOR INTERNAL CHARITY BASED ON THE IRS DEFINITION OF COST. HMH ALSO PROVIDED $9.1 MILLION IN UNREIMBURSED COSTS OF MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. THE MAJORITY OF PATIENTS WHO QUALIFIED FOR CHARITY CARE WERE EDUCATED ABOUT THE PROGRAM THROUGH SIGNS POSTED THROUGHOUT THE HOSPITAL. OTHER PATIENTS WERE REFERRED BY THEIR PHYSICIANS, HOSPITAL STAFF AND THROUGH FUNDED COMMUNITY AGENCIES. HMH, THROUGH HOUSTON METHODIST'S EXTERNAL CHARITY CARE PROGRAM, ALSO PROVIDED OVER $5 MILLION FOR SERVICES TO THE MEDICALLY NEEDY, THROUGH EXTERNAL ORGANIZATIONS THAT ARE MEETING THE HEALTH CARE NEEDS THAT HOUSTON METHODIST HAS IDENTIFIED AS PRIORITIES. SERVICES PROVIDED INCLUDE PRIMARY HEALTH CARE, EMERGENCY AND ROUTINE CARE, IMMUNIZATIONS, DENTAL CARE, MENTAL AND BEHAVIORAL HEALTH, WELL CHILD EXAMINATIONS, SICK VISITS, PREVENTIVE CARE, CANCER AND HEALTH SCREENINGS, WELL WOMAN EXAMS AND IN-KIND LAB SERVICES AND X-RAYS. WITH THE HOSPITAL'S SUPPORT, COMMUNITY AGENCIES LIKE VECINO HEALTH CENTERS AND LEGACY COMMUNITY HEALTH WERE POSITIONED TO MEET FEDERALLY QUALIFIED HEALTH CENTER DESIGNEE QUALIFICATIONS, THEREBY ALLOWING THEM TO QUALIFY FOR ENHANCED MEDICARE AND MEDICAID REIMBURSEMENT.PART VI, LINE 6: ABOUT HOUSTON METHODISTLOCATED IN THE HEART OF THE TEXAS MEDICAL CENTER, HOUSTON METHODIST HOSPITAL IS THE FLAGSHIP HOSPITAL OF HOUSTON METHODIST AND SERVES PATIENTS FROM ALL OVER THE WORLD. HOUSTON METHODIST AS A SYSTEM INCLUDES HOUSTON METHODIST SUGAR LAND HOSPITAL IN FORT BEND COUNTY (SOUTHWEST OF HOUSTON), HOUSTON METHODIST WILLOWBROOK HOSPITAL IN HARRIS COUNTY (NORTHWEST OF HOUSTON), HOUSTON METHODIST WEST HOSPITAL IN HARRIS COUNTY (WEST OF HOUSTON), HOUSTON METHODIST BAYTOWN HOSPITAL IN HARRIS COUNTY (EAST OF HOUSTON), HOUSTON METHODIST CLEAR LAKE HOSPITAL IN HARRIS COUNTY (SOUTH OF HOUSTON), HOUSTON METHODIST CONTINUING CARE HOSPITAL IN HARRIS COUNTY (WEST OF HOUSTON) AND HOUSTON METHODIST THE WOODLANDS HOSPITAL IN MONTGOMERY COUNTY (NORTH OF HOUSTON). EACH COMMUNITY HOSPITAL PROMOTES COMMUNITY HEALTH THROUGH SPONSORSHIPS, DONATIONS, IN-KIND SERVICES, HEALTH OUTREACH AND FREE SCREENINGS, COMMUNITY HEALTH EDUCATION, AND VOLUNTEERISM. HMH IS THE ACADEMIC MEDICAL CENTER FOR HOUSTON METHODIST, BRINGING THE COMMUNITY AN INSTITUTION DEDICATED TO PATIENT CARE, RESEARCH AND EDUCATION. BY SERVING AS A LEADING ACADEMIC MEDICAL CENTER, IT PROVIDES THE COMMUNITY WITH QUALITY PATIENT CARE, LEADING RESEARCH THAT CAN BE QUICKLY TRANSLATED INTO TREATMENTS AND THE TRAINING OF OUR COUNTRY'S FUTURE DOCTORS. WHILE ALL HOUSTON METHODIST HOSPITALS PROVIDE QUALITY PATIENT CARE, HMH EXPANDS THE VISION TO INCLUDE RESEARCH AND A COMPREHENSIVE RESIDENCY PROGRAM. ASIDE FROM PROMOTING THE HEALTH OF OUR COMMUNITY BY DELIVERING EXCEPTIONAL LEADING CARE TO OUR PATIENTS, HMH MAKES SIGNIFICANT CONTRIBUTIONS THROUGH COMMUNITY BENEFITS PROGRAMS AS DESCRIBED BELOW.COMMUNITY BENEFIT ACTIVITIES & HEALTH SERVICESHOUSTON METHODIST RESPONDED TO THE COMMUNITY'S NEEDS IN 2023 THROUGH THE PROVISION OF MEDICAL CARE, BUT ALSO THROUGH RESEARCH, EDUCATION OF HEALTH PROFESSIONALS AND PATIENTS, COMMUNITY HEALTH EDUCATION, DONATIONS TO HEALTHCARE-RELATED EVENTS AND OTHER SERVICES.SINCE 1993, HOUSTON METHODIST HAS PROVIDED COMMUNITY BENEFIT GRANTS TO ORGANIZATIONS THAT PROVIDE DIRECT PATIENT CARE WITH A FOCUS ON PREVENTIVE CARE, DENTAL SERVICES, MENTAL HEALTH, HEALTH CARE ACCESS, PRENATAL CARE AND DIABETES/NUTRITION CARE TO UNDERSERVED COMMUNITIES. HOUSTON METHODIST CHAMPIONS COMMUNITY ORGANIZATIONS THAT PROVIDE OUTSTANDING HEALTH CARE TO PEOPLE OF ALL BACKGROUNDS. IN 2023, HOUSTON METHODIST SUPPORTED THE FOLLOWING AGENCIES VIA THE COMMUNITY BENEFITS GRANT PROGRAM AND OTHER INITIATIVES ACROSS THE GREATER HOUSTON AREA, INCLUDING THOSE COMMUNITIES SERVED BY COMMUNITY HOSPITALS:- ACCESS HEALTH- AIDS FOUNDATION HOUSTON, INC.- ANGEL REACH- ANGELA HOUSE- AVENUE 360 HEALTH & WELLNESS- BOYS AND GIRLS CLUB OF GREATER HOUSTON- BOYS AND GIRLS COUNTRY OF HOUSTON, INC.- CASA EL BUEN SAMARITANO- CATHOLIC CHARITIES OF THE ARCHDIOCESE OF GALVESTON-HOUSTON- CHRIST CLINIC- COMMUNITY HEALTH NETWORK- DEPELCHIN CHILDREN'S CENTER- EL CENTRO DE CORAZON- HARRIS COUNTY PSYCHIATRIC CENTER- HEALTHCARE FOR THE HOMELESS HOUSTON- HOPE CLINIC- HOUSTON AREA WOMEN'S CENTER- INTERFAITH COMMUNITY CLINIC- LEGACY COMMUNITY HEALTH- LONE STAR CIRCLE OF CARE- LONE STAR FAMILY HEALTH CENTER- MEMORIAL ASSISTANCE MINISTRIES- NORTHWEST ASSISTANCE MINISTRIES- REINING STRENGTH THERAPEUTIC HORSEMANSHIP- SAN JOSE CLINIC- SANTA MARIA HOSTEL- SPRING BRANCH COMMUNITY HEALTH CENTER- THE BRIDGE OVER TROUBLED WATERS, INC.- THE COUNCIL ON RECOVERY- THE ROSE- THE WOMEN'S HOME- TOMAGWA HEALTHCARE MINISTRIES- VECINO HEALTH CENTERSEDUCATIONHOUSTON METHODIST HOSPITAL'S PRIMARY ACADEMIC PARTNER IS WEILL CORNELL MEDICINE IN NEW YORK. THE TWO INSTITUTIONS SHARE BEST PRACTICES AND COLLABORATE ON RESEARCH, EDUCATION AND CLINICAL CARE. MORE THAN 600 HOUSTON METHODIST FACULTY HAVE WEILL CORNELL FACULTY APPOINTMENTS. HMH AND HOUSTON METHODIST THE WOODLANDS HOSPITAL (HMTW) SPONSOR NEARLY ALL THEIR OWN MEDICAL RESIDENCIES AND FELLOWSHIPS ACROSS MORE THAN 65 GRADUATE MEDICAL EDUCATION PROGRAMS - RANGING FROM NEUROSURGERY TO PATHOLOGY TO OBSTETRICS/GYNECOLOGY - AND HOSTS SEVERAL MORE ROTATING TRAINEES FROM OTHER MEDICAL INSTITUTIONS. HMH ALSO PARTNERS WITH TEXAS A&M COLLEGE OF ENGINEERING AND SCHOOL OF ENGINEERING MEDICINE ON THE ENGINEERING MEDICINE MEDICAL SCHOOL PROGRAM. COMMUNITY INVOLVEMENT: HOUSTON METHODIST HOSPITAL ACTIVELY DEVELOPS AWARENESS INITIATIVES, SPONSORSHIPS AND PROGRAMS THAT PROMOTE HEALTH AND WELLNESS, PREVENTION AND EARLY DETECTION, HMH STAFF AND VOLUNTEERS CAN BE SEEN AT HEALTH SCREENINGS, EXERCISE AND NUTRITION PROMOTIONS, STRESS MANAGEMENT CLINICS AND OTHER HEALTH PROMOTION ACTIVITIES THROUGHOUT THE YEAR.HOUSTON METHODIST HOSPITAL DONATES TO CHARITABLE ACTIVITIES AND LOCAL NONPROFIT COMMUNITY AGENCIES THAT HAVE A MISSION IN ADVANCING HEALTH INITIATIVES. HEALTH INITIATIVES INCLUDE RAISING AWARENESS OF CHRONIC CONDITIONS, ADVANCING RESEARCH TO IDENTIFY CURES, INCREASING PATIENT'S ACCESS TO HEALTH CARE SERVICES, INCREASING OPPORTUNITIES FOR HEALTH CARE PROVIDERS TO SERVE, AND EDUCATING THE COMMUNITY ON NON-MEDICAL DRIVERS OF HEALTH AND OTHER DIRECT HEALTH CONCERNS. HOUSTON METHODIST HOSPITAL DONATES HOSPITAL EQUIPMENT AND MEDICAL SUPPLIES AS NEEDED TO NONPROFITS LOCALLY AND INTERNATIONALLY THAT FACILITATE CARE AND SUPPORT FOR OTHER HEALTH CARE AGENCIES AND PATIENTS. SPONSORSHIP AND DONATION PARTNERS INCLUDE AMERICAN RED CROSS, AMERICAN CANCER SOCIETY, MARCH OF DIMES, AMERICAN HEART ASSOCIATION, MEDICAL BRIDGES, AND OTHERS. IN 2023 A TOTAL OF $8,013,330 WAS DONATED BY THE HOUSTON METHODIST HOSPITAL TO HEALTH PARTNER ORGANIZATIONS THROUGH COMMUNITY SPONSORSHIPS, GRANTS, AND IN-KIND MEDICAL DONATIONS. HOUSTON METHODIST HOSPITAL WORKS TO ADDRESS THE IDENTIFIED HEALTH NEEDS OF THE HOUSTON COMMUNITY THROUGH EDUCATING THE POPULATION ON VARIOUS TOPICS THAT AFFECT THEIR OVERALL HEALTH AND WELLBEING. COMMUNITY OUTREACH EFFORTS IN 2023 INCLUDED OUTREACH INITIATIVES, CHRONIC DISEASE EDUCATION/AWARENESS, AND HEALTH-RELATED SUPPORT GROUPS, TOTALING $134,353 IN ITEMS AND IN-KIND TIME DONATED. A FEATURED EDUCATION EFFORT AT HOUSTON METHODIST HOSPITAL WAS THE CONCUSSION EDUCATIONAL SESSIONS PROVIDED TO HIGH SCHOOL STUDENT ATHLETES AND THEIR FAMILIES, PROVIDING FAMILIES WITH THE MOST UP TO DATE INFORMATION ON CONCUSSION BEST PRACTICES AND RESEARCH. IN 2023, HOUSTON METHODIST PARTNERED WITH 100 BLACK MEN OF METROPOLITAN HOUSTON, EMANCIPATION PARK CONSERVANCY, COOLXDAD, THE FOUNTAIN OF PRAISE, PROJECT ROW HOUSES, AND THE AFRICAN AMERICAN MALE WELLNESS AGENCY TO PROVIDE EDUCATION ON PROSTATE CANCER AND FREE SCREENINGS. THE EDUCATION SESSION INCLUDED TOPICS SUCH AS RISK FACTORS, HEALTHY LIVING BEHAVIORS AND HEALTH CARE ACCESS OPPORTUNITIES ASSOCIATED WITH BOTH CANCERS. THE EDUCATION SESSION PROVIDED PROSTATE SCREENING OPPORTUNITIES TO THE AUDIENCE WHICH RESULTS IN 42 COMPLETED FREE SCREENINGS. AN IMPACTFUL COMMUNITY BENEFIT PROGRAM PROVIDED IS HOUSTON METHODIST'S I CARE IN ACTION PROGRAM. I CARE IN ACTION ALLOWS HOUSTON METHODIST EMPLOYEES TIME OFF TO VOLUNTEER AT COMMUNITY CHARITIES. BY ALLOWING EMPLOYEES TIME OFF TO VOLUNTEER, HOUSTON METHODIST HELPS COMMUNITY AGENCIES SAVE FINANCIAL RESOURCES SO THAT MORE OF THEIR FUNDS CAN GO TOWARDS PROVIDING DIRECT CARE TO THEIR UNDERSERVED PATIENT AND CLIENT BASE. THE PROGRAM HAS MORE THAN 50 AGENCIES AVAILABLE FOR EMPLOYEES TO SUPPORT. AGENCIES WITH VOLUNTEERS VIA THE I CARE IN ACTION PROGRAM INCLUDED HOUSTON FOOD BANK, NORTHWEST ASSISTANCE MINISTRIES, AND HABITAT FOR HUMANITY, AMONG OTHERS.IN 2023, HOUSTON METHODIST HOSPITAL EMPLOYEES PROVIDED APPROXIMATELY 4,145 VOLUNTEER HOURS THROUGH I CARE IN ACTION. THESE DONATED HOURS EQUATE TO A VOLUNTEER TIME VALUE OF $124,148. HOUSTON METHODIST PROVIDED SPECIAL VOLUNTEER ACTIVITIES THAT TARGETED FOUR NON-MEDICAL DRIVERS OF HEALTH INCLUDING HOUSING AND FOOD INSECURITY, EDUCATION, AND SOCIAL SUPPORT THROUGH IN-PERSON VOLUNTEERISM. HOUSTON METHODIST HOSPITAL EMPLOYEES ALSO PARTICIPATED IN THE ADOPT-A-FAMILY HOLIDAY DONATION PROGRAM THAT PROVIDED HOLIDAYS GIFTS FOR 60 FAMILIES INCLUDING 100 CHILDREN.HMH PROMOTES THE HEALTH OF THE COMMUNITY BY FULFILLING HMH'S MISSION THROUGH EXCEPTIONAL, HIGH-QUALITY PATIENT CARE, EDUCATION AND RESEARCH, AFFILIATIONS WITH ACADEMIC AND MEDICAL PARTNERS FOR IMPROVED COMMUNITY HEALTH CARE, CHARITY CARE, AND COMMUNITY INVOLVEMENT.HMH ALSO COOPERATES WITH LOCAL ENTITIES TO IDENTIFY COMMUNITY NEEDS. MEMBERS OF HMH'S EXECUTIVE TEAM ARE ON THE BOARDS OF LOCAL ORGANIZATIONS THAT ADVOCATE FOR EDUCATIONAL, ENVIRONMENTAL AND HEALTH CARE ISSUES THAT AFFECT PUBLIC POLICY AND INTERNATIONAL COMPANIES THAT DO BUSINESS IN HOUSTON.COMMUNITY DIRECT SERVICES:IN RESPONSE TO THE COMMUNITY HEALTH NEEDS OF ACCESS TO SPECIALTY CARE, HMH CONTINUES TO GROW ITS COMMUNITY SCHOLARS PROGRAM. ESTABLISHED IN 2013, THE PROGRAM HAS PROVIDED THE SERVICES OF ENDOCRINOLOGY, NEUROLOGY, NEPHROLOGY, OPHTHALMOLOGY, PULMONOLOGY, CARDIOLOGY, GASTROENTEROLOGY, HEMATOLOGY ONCOLOGY, SPORTS ORTHOPEDICS, UROLOGY/GYNECOLOGY AND UROLOGY TO LOCAL COMMUNITY PARTNER CLINICS SUCH AS SAN JOS CLINIC AND HOPE CLINIC. IN 2023, 1,098 PATIENTS WERE SEEN VIA THE HMH COMMUNITY SCHOLARS PROGRAM. IN ADDITION TO THE PATIENTS BEING SEEN WITHIN THE COMMUNITY PARTNER CLINIC BY HMH PHYSICIANS AND FELLOWS, IF PATIENTS' HEALTH CARE NEEDS EXCEEDED THE SCOPE OF CAPABILITY OF CARE WITHIN THE COMMUNITY CLINIC SETTING, THEY WERE REFERRED TO HMH FOR MEDICALLY NECESSARY TREATMENT TO GET THEM ON THE PATHWAY TO HEALTH AND HEALING. OF THE PATIENTS SEEN VIA SCHOLARS IN THE COMMUNITY, 408 WERE REFERRED TO HMH FOR ADDITIONAL SERVICES.LASTLY, HMH ALSO PARTNERS WITH MORE THAN 14 FEDERALLY QUALIFIED HEALTH CENTERS AND CHARITY CLINICS IN THE GREATER HOUSTON AREA THROUGH ITS COMMUNITY NETWORK OF CARE PROGRAM. THE COMMUNITY NETWORK OF CARE PROVIDES FACILITATED REFERRALS TO UNDERSERVED/NON-RESOURCE HMH PATIENTS WHO ARE IDENTIFIED AS NEEDING A PRIMARY CARE MEDICAL HOME. IN 2023, 114 HMH PATIENTS ACCEPTED REFERRALS INTO THE NETWORK OF CARE PROGRAM. THE PROGRAM PROVIDES TRANSPORTATION AND COPAY ASSISTANCE FOR THE FIRST APPOINTMENT TO ENSURE A WARM HANDOFF AND ASSIST THE PATIENT IN ESTABLISHING CARE AT THEIR NEW MEDICAL HOME.SUMMARY AS A SYSTEM, HOUSTON METHODIST MADE SIGNIFICANT CONTRIBUTIONS THROUGH ITS COMMUNITY BENEFITS AND CHARITY CARE PROGRAM WHICH HAVE BEEN A RESOURCE FOR PATIENTS IN THE COMMUNITY. HOUSTON METHODIST PROVIDED $532.2 MILLION IN CHARITY CARE AND COMMUNITY BENEFITS FOR THE YEAR ENDED DECEMBER 31, 2023. IN ADDITION, BASED ON IRS COST DEFINITIONS, HOUSTON METHODIST PROVIDED $720.4 MILLION IN CARE TO MEDICARE, MEDICARE MANAGED CARE AND TRICARE/USFHP PROGRAM BENEFICIARIES FOR THE YEAR ENDED DECEMBER 31, 2023.PART VI, LINE 7: TX 1 ACCESS HEALTH (FORMERLY FORT BEND FAMILY HEALTH) 400 AUSTIN STREET RICHMOND TX 77469 741951476 501C3 295700 0 PROGRAM SUPPORT AIDS FOUNDATION HOUSTON INC 6260 WESTPARK DRIVE SUITE 100 HOUSTON TX 77057 760073661 501C3 131527 0 PROGRAM SUPPORT ANGEL REACH 206A SOUTH LOOP 336 W203 CONROE TX 77304 205665097 501C4 10000 0 PROGRAM SUPPORT ANGELA HOUSE 6725 REED RD HOUSTON TX 77087 204860946 CHURCH 40000 0 PROGRAM SUPPORT AVENUE 360 HEALTH AND WELLNESS 2150 WEST 18TH ST HOUSTON TX 77008 760549240 501C3 100600 0 PROGRAM SUPPORT BOYS & GIRLS CLUB OF GREATER HOUSTON INC 815 CROSBY ST HOUSTON TX 77019 760270942 501C3 126879 0 PROGRAM SUPPORT BOYS AND GIRLS COUNTRY OF HOUSTON INC 18806 ROBERTS ROAD HOCKLEY TX 774479327 746026198 501C3 65183 0 PROGRAM SUPPORT CATHOLIC CHARITIES OF THE ARCHDIOCESE OF GALVESTON - HOUSTON 2900 LOUISIANA ST HOUSTON TX 77006 741109733 501C3 31000 0 PROGRAM SUPPORT CHRIST CLINIC 5504 FIRST STREET KATY TX 77493 900789318 501C3 249100 0 PROGRAM SUPPORT DEPELCHIN CHILDREN'S CENTER 4950 MEMORIAL DRIVE HOUSTON TX 77007 760318867 501C3 175000 0 PROGRAM SUPPORT EL CENTRO DE CORAZONEASTWOOD HEALTH CLINIC 5001 NAVIGATION HOUSTON TX 77011 760442781 501C3 250500 0 PROGRAM SUPPORT UT HEALTH SCIENCE CENTER AT HOUSTON HARRIS COUNTY PSYCH CTR PO BOX 301316 DALLAS TX 753031316 800176343 STATE AGENCY 316800 0 PROGRAM SUPPORT HEALTHCARE FOR THE HOMELESS - HOUSTON 2505 FANNIN ST HOUSTON TX 77002 760647934 501C3 425000 0 PROGRAM SUPPORT ASIAN AMERICAN HEALTH COALITION-DBA HOPE CLINIC 7001 CORPORATE DR SUITE 120 HOUSTON TX 77036 311756818 501C3 105231 0 PROGRAM SUPPORT HOUSTON AREA WOMEN'S CENTER 3077 EL CAMINO STREET HOUSTON TX 77054 742029166 501C3 140942 0 PROGRAM SUPPORT INTERFAITH COMMUNITY CLINIC 101 PINE MANOR DRIVE OAK RIDGE NORTH TX 77385 752634623 501C3 67533 0 PROGRAM SUPPORT LEGACY COMMUNITY HEALTH SERVICES PO BOX 66308 HOUSTON TX 772666308 760009637 501C3 2397810 16140 BOOK VALUE GYM EQUIPMENT PROGRAM SUPPORT LONE STAR CIRCLE OF CARE 205 EAST UNIVERSITY AVENUE 200 GEORGETOWN TX 78626 743001674 501C3 25000 0 PROGRAM SUPPORT LONE STAR FAMILY HEALTH CENTER 605 S CONROE MEDICAL DRIVE CONROE TX 77304 300038860 501C3 287134 0 PROGRAM SUPPORT MEMORIAL ASSISTANCE MINISTRIES 1625 BLALOCK ROAD HOUSTON TX 77080 760044172 501C3 176667 0 PROGRAM SUPPORT NORTHWEST ASSISTANCE MINISTRIES 15555 KUYKENDAHL ROAD HOUSTON TX 770903651 760088702 501C3 470731 0 PROGRAM SUPPORT REIGNING STRENGTH THERAPEUTIC HORSEMANSHIP 3802 CRYSTAL OAKS CT HOUSTON TX 77406 470979792 501C3 30000 0 PROGRAM SUPPORT SAN JOSE CLINIC 2615 FANNIN STREET HOUSTON TX 77002 760373703 501C3 248715 0 PROGRAM SUPPORT SANTA MARIA HOSTEL INC PO BOX 550048 HOUSTON TX 772550048 741669131 501C3 221741 2842 BOOK VALUE GUEST CHAIRS AND EXAM BED PROGRAM SUPPORT SPRING BRANCH COMMUNITY HEALTHCARE 800 W SAM HOUSTON PARKWAY S SUITE 200 HOUSTON TX 77042 300198705 501C3 97025 0 PROGRAM SUPPORT STEPHEN F AUSTIN COMMUNITY HEALTH CENTER 2552 E BROADWAY SUITE 100 PEARLAND TX 77581 412273820 501C3 135400 0 PROGRAM SUPPORT THE BRIDGE OVER TROUBLED WATERS INC 47 WEST STREET BOSTON MA 02111 042472126 501C3 50000 0 PROGRAM SUPPORT THE COUNCIL ON RECOVERY PO BOX 2768 HOUSTON TX 77252 741173235 501C3 19086 0 PROGRAM SUPPORT THE ROSE 12700 NORTH FEATHERWOOD DRIVE 260 HOUSTON TX 77034 760193812 501C3 155000 0 PROGRAM SUPPORT THE WOMEN'S HOME 811 WESTHEIMER ROAD HOUSTON TX 770063917 741467811 501C3 240176 0 PROGRAM SUPPORT TOMAGWA HEALTH CARE MINISTRIES 455 SCHOOL SUITE 30 TOMBALL TX 773753333 760280324 501C3 76600 0 PROGRAM SUPPORT VECINO HEALTH CENTERS 424 HAHLO STREET HOUSTON TX 770203022 760622208 501C3 780469 0 PROGRAM SUPPORT ALZHEIMER'S ASSOCIATION 6055 SOUTH LOOP EAST HOUSTON TX 770871005 133039601 501C3 29000 0 SPONSORSHIP AMERICAN CANCER SOCIETY 6301 RICHMOND AVE HOUSTON TX 77063 131788491 501C3 25000 0 SPONSORSHIP AMERICAN FESTIVAL FOR THE ARTS (AFA) 241NORTH MILBY STREET SUITE B HOUSTON TX 77003 760460311 501C3 7500 0 SPONSORSHIP AMERICAN HEART ASSOCIATION 10060 BUFFALO SPEEDWAY HOUSTON TX 77054 135613797 501C3 58000 0 SPONSORSHIP AMERICAN LEADERSHIP FORUM 3101 RICHMOND SUITE 140 HOUSTON TX 77098 760284248 501C3 15000 0 SPONSORSHIP AMERICAN SOCIETY OF ECHOCARDIOGRAPHY INC 2530 MERIDIAN PARKWAY SUITE 450 DURHAM NC 27713 310899106 501C3 5715 0 PROGRAM SUPPORT ARMS WIDE ADOPTION SERVICES 6925 PORTWEST DR SUITE 110 HOUSTON TX 77024 742116380 501C3 100000 0 PROGRAM SUPPORT ASSOCIATION FOR THE ADVANCEMENT OF MEXICAN AMERICANS 6001 GULF FREEWAY BLDG E HOUSTON TX 77023 741696961 501C3 34839 0 PROGRAM SUPPORT ASSOCIATION OF FUNDRAISING PROFFESSIONAL-GREATER HOUSTON CHAPTER 3305 STECK AVENUE SUITE 200 AUSTIN TX 78757 742536109 501C3 21500 0 SPONSORSHIP AVENUE COMMUNITY DEVELOPMENT CORPORATION 3517 IRVINGTON BLVD HOUSTON TX 77009 760380602 501C3 62500 0 PROGRAM SUPPORT AVONDALE HOUSE 3737 OMEARA DRIVE HOUSTON TX 77025 741865489 501C3 75000 0 PROGRAM SUPPORT BAKERRIPLEY PO BOX 231808 HOUSTON TX 77223 237062976 501C3 33333 0 PROGRAM SUPPORT BIG BROTHERS BIG SISTERS LONE STAR 1003 WASHINGTON AVE HOUSTON TX 77002 750800632 501C3 50000 0 PROGRAM SUPPORT BOAT PEOPLE SOS INC 11360 BELLAIRE BLVD SUITE 910 HOUSTON TX 77072 454040991 501C3 16667 0 PROGRAM SUPPORT CANCARE INC 9575 KATY FREEWAY STE 428 HOUSTON TX 77024 760305357 501C3 22500 0 SPONSORSHIP CAPITAL IDEA HOUSTON 2101 CRAWFORD 211 HOUSTON TX 77002 472462360 501C3 375000 0 PROGRAM SUPPORT CASA OF LIBERTY CHAMBERS COUNTIES 2015 SCOUT STREET LIBERTY TX 77575 270666017 501C3 10000 0 PROGRAM SUPPORT CENTER FOR HOUSTON'S FUTURE INC 701 AVENIDA DE LAS AMERICAS STE 900 HOUSTON TX 77010 760386539 501C3 10000 0 SPONSORSHIP CHINESE COMMUNITY CENTER INC 9800 TOWN PARK DRIVE HOUSTON TX 77036 760067885 501C3 90200 0 PROGRAM SUPPORT COMBINED ARMS 2929 MCKINNEY STREET HOUSTON TX 77003 475648923 501C3 65000 0 PROGRAM SUPPORT COMMUNITY ASSISTANCE CENTER 1022 MCCALL AVE CONROE TX 77301 CONROE TX 77301 760000798 501C3 45200 0 PROGRAM SUPPORT COMMUNITY FAMILY CENTERS 7524 AVENUE F HOUSTON TX 77012 741691632 501C3 21129 0 PROGRAM SUPPORT COMP-U-DOPT 1602 AIRLINE DRIVE HOUSTON TX 77009 261460311 501C3 115955 0 PROGRAM SUPPORT COVENANT HOUSE TEXAS 1111 LOVETT BLVD HOUSTON TX 77006 760050882 501C3 38000 2160 BOOK VALUE FURNITURE (HM LOBBY FURNITURE) PROGRAM SUPPORT CRISTO REY JESUIT COLLEGE PREPARTORY 6700 MOUNT CARMEL ST HOUSTON TX 77087 263159838 501C3 238310 0 SPONSORSHIP CROHN'S & COLITIS FOUNDATION OF AMERICA 733 THIRD AVENUE 510 NEW YORK NY 10017 136193105 501C3 8000 0 SPONSORSHIP DRESS FOR SUCCESS HOUSTON 3310 EASTSIDE STREET HOUSTON TX 77098 760579697 501C3 8333 0 PROGRAM SUPPORT EAST HARRIS COUNTY EMPOWERMENT COUNCIL 11821 EAST FREEWAY SUITE 500 HOUSTON TX 77029 270377576 501C3 25000 0 PROGRAM SUPPORT EASTER SEALS GREATER HOUSTON 4888 LOOP CENTRAL DRIVE SUITE 200 HOUSTON TX 77081 741238418 501C3 65000 0 PROGRAM SUPPORT EDUCATIONAL FOUNDATION OF THE SETC 3109 GREENBRIAR DRIVE HOUSTON TX 77098 454519800 501C3 19000 0 SPONSORSHIP EIGHT MILLION STORIES INC 7414 SAIN LO ROAD HOUSTON TX 77033 463716567 501C3 12500 0 PROGRAM SUPPORT EMERGE FELLOWSHIP 11251 NORTHWEST FWY 330 HOUSTON TX 77092 454077397 501C3 50000 0 PROGRAM SUPPORT FAITH IN PRACTICE 7500 BEECHNUT STREET 208 HOUSTON TX 77074 760415986 501C3 7500 0 SPONSORSHIP FAMILY HOUSTON 4625 LILLIAN ST HOUSTON TX 77007 741152613 501C3 28068 0 PROGRAM SUPPORT FAMILY TO FAMILY NETWORK INC 16225 PARK TEN PLACE 500 HOUSTON TX 77084 760328275 501C3 70000 0 PROGRAM SUPPORT FRESH SPIRIT WELLNESS FOR WOMEN 5718 WESTHEIMER ROAD 10TH FLOOR HOUSTON TX 77057 760638759 501C3 9333 0 PROGRAM SUPPORT GIRLS INC OF GREATER HOUSTON 2190 NORTH LOOP WEST SUITE 105 HOUSTON TX 77018 760483812 501C3 12667 0 PROGRAM SUPPORT GOLFERS AGAINST CANCER 17110 NORTHGATE FOREST DRIVE HOUSTON TX 77068 760574871 501C3 25000 0 SPONSORSHIP GOOD SAMARITAN FOUNDATION 3262 WESTHEIMER RD STE 764 HOUSTON TX 77098 741235398 501C3 45000 0 SPONSORSHIP GREATER HOUSTON PARTNERSHIP FOUNDATION 701 AVENIDA DE LAS AMERICAS STE 900 HOUSTON TX 77010 760267896 501C6 50000 0 SPONSORSHIP HISPANIC AMERICAN MEDICAL SCHOLARSHIP PO BOX 22405 HOUSTON TX 77227 760341524 501C3 6500 0 SPONSORSHIP HOLOCAUST MUSEUM HOUSTON 5401 CAROLINE STREET HOUSTON TX 77004 760331398 501C3 15000 0 SPONSORSHIP HOUSTON CHILDREN'S CHARITY 1600 W LOOP SOUTH 610 HOUSTON TX 77027 760135741 501C3 10000 0 SPONSORSHIP HOUSTON CHILDREN'S CHORUS PO BOX 66567 HOUSTON TX 772666567 760286895 501C3 8000 0 SPONSORSHIP HOUSTON HABITAT FOR HUMANITY 3750 NORTH MCCARTY STREET HOUSTON TX 77029 760207084 501C3 25000 0 SPONSORSHIP HOUSTON ISD FOUNDATION 4400 W 18TH STREET HOUSTON TX 77092 760424529 501C3 111667 0 PROGRAM SUPPORT HOUSTON PARKS BOARD INC 300 NORTH POST OAK LANE HOUSTON TX 77024 741860046 501C3 75000 0 PROGRAM SUPPORT HOUSTON TEXANS FOUNDATION TWO NRG PARK HOUSTON TX 77054 010572814 501C3 10000 0 SPONSORSHIP HYPE FREEDOM SCHOOL INC 13233 CULLEN BLVD HOUSTON TX 77047 465133254 501C3 61667 0 PROGRAM SUPPORT ICONOCLAST ARTISTS 11140 GREENBAY ST HOUSTON TX 77024 814170887 501C3 47667 0 PROGRAM SUPPORT INTERFAITH CARING MINISTRIES 151 PARK AVENUE LEAGUE CITY TX 77573 760143694 501C4 31600 0 PROGRAM SUPPORT INTERFAITH MINISTRIES FOR GREATER HOUSTON 3303 MAIN STREET HOUSTON TX 77002 741488102 501C3 10000 0 SPONSORSHIP INTERFATH CAREPARTNERS INC 3838 ABERDEEN WAY HOUSTON TX 770252416 760253480 501C3 10000 0 PROGRAM SUPPORT JUSTICE FORWARD 515 CAROLINE STREET HOUSTON TX 77002 202760137 501C3 43333 0 PROGRAM SUPPORT KIDS MEAL INC 330 GARDEN OAKS BLVD HOUSTON TX 770185502 760330447 501C3 20000 0 PROGRAM SUPPORT LATIN WOMEN'S INITIATIVE 112 W 4TH STREET HOUSTON TX 77007 760560059 501C3 10000 0 SPONSORSHIP LEUKEMIA & LYMPHOMA SOCIETY 5433 WESTHEIMER RD STE 300 HOUSTON TX 77056 135644916 501C3 25000 0 SPONSORSHIP LOCAL INFANT FORMULA FOR EMERGENCIES 2002 S WAYSIDE DR STE 113 HOUSTON TX 77023 760296548 501C3 16667 0 PROGRAM SUPPORT MARCH OF DIMES PO BOX 18819 ATLANTA GA 31126 131846366 501C3 25000 0 SPONSORSHIP MEDICAL BRIDGES INC PO BOX 300245 HOUSTON TX 772300245 760548161 501C3 5000 366623 BOOK VALUE MED SUPPLIES, GOWNS, GLOVES, HOSP MATTRESSES PROGRAM SUPPORT MEN OF DISTINCTION OF GREATER HOUSTON PO BOX 130630 HOUSTON TX 77019 260421594 501C3 7500 0 SPONSORSHIP MISSOURI CITY THE LINKS PO BOX 8068 HOUSTON TX 77449 742209696 501C4 20000 0 PROGRAM SUPPORT MONTGOMERY COUNTY HABITAT FOR HUMANITY PO BOX 2624 CONROE TX 773052624 760276330 501C3 65333 0 PROGRAM SUPPORT MONTROSE GRACE PLACE 2515 WAUGH DRIVE HOUSTON TX 77006 272773965 501C3 9583 0 PROGRAM SUPPORT MUSEUM OF FINE ARTS HOUSTON 1001 BISSONNET HOUSTON TX 77005 741109655 501C3 10000 0 SPONSORSHIP NESTQUEST HOUSTON INC 1907 SABINE ST 166 HOUSTON TX 77007 815310771 501C3 58333 0 PROGRAM SUPPORT NETWORK OF BEHAVIORAL HEALTH PROVIDERS 9401 SOUTHWEST FREEWAY SUITE 1242 HOUSTON TX 77074 753220882 501C3 28333 0 PROGRAM SUPPORT NEUHAUS EDUCATION CENTER 4433 BISSONNET BELLAIRE TX 77401 742128239 501C3 33333 0 PROGRAM SUPPORT NORA'S GIFT FOUNDATION 8300 EL RIO STREET HOUSTON TX 77054 621763895 501C3 15000 0 SPONSORSHIP OPEN DOOR MISSION 5803 HARRISBURG BLVD HOUSTON TX 77011 760146890 501C3 46667 0 PROGRAM SUPPORT PRAYERS OF THE PEOPLE 1110 LOVETT BLVD HOUSTON TX 770063824 813195902 501C3 6000 0 SPONSORSHIP PRIDE HOUSTON INC PO BOX 541713 HOUSTON TX 772541713 760360374 501C3 20000 0 SPONSORSHIP PROJECT CURE 10377 E GEDDES AVENUE CENTENNIAL CO 80112 841568566 501C3 2500 459249 BOOK VALUE MED SUPPLIES AND HOSP MATTRESES PROGRAM SUPPORT PROJECT ROW HOUSES 2521 HOLMAN STREET HOUSTON TX 77004 760411778 501C3 33333 0 PROGRAM SUPPORT REBUILDING TOGETHER HOUSTON PO BOX 15315 HOUSTON TX 77220 760027902 501C3 255000 0 PROGRAM SUPPORT REMIND PO BOX 27607 HOUSTON TX 77227 760206826 501C3 10000 0 SPONSORSHIP RICE UNIVERSITY 6100 MAIN STREET MS-208 HOUSTON TX 77005 741109620 501C3 12500 0 SPONSORSHIP SAM HOUSTON AREA COUNCIL BOY SCOUTS OF AMERICA 2225 NORTH LOOP WEST HOUSTON TX 77008 760239833 501C3 10000 0 SPONSORSHIP SEARCH HOMELESS SERVICES 2015 CONGRESS AVE HOUSTON TX 77002 760260403 501C3 70000 0 PROGRAM SUPPORT SER-JOB FOR PROGRESS OF THE TEXAS GULF 1710 TELEPHONE RD HOUSTON TX 77023 741590387 501C3 200000 0 PROGRAM SUPPORT SOUJOURN LANDING DBA THE LANDING 9894 BISSONNET ST STE 605 HOUSTON TX 770368272 474507618 501C3 40000 0 PROGRAM SUPPORT SOUTH TEXAS COLLEGE OF LAW HOUSTON INC 1303 SAN JACINTO STREET HOUSTON TX 77002 741554976 501C3 16667 0 PROGRAM SUPPORT SUSAN G KOMEN BREAST CANCER FDN INC PO BOX 801889 DALLAS TX 75380 751835298 501C3 25000 0 SPONSORSHIP SYRIAN AMERICAN MEDICAL SOCIETY (SAMS) 1012 14TH ST NW WASHINGTON DC 200053403 050513407 501C6 0 45161 BOOK VALUE GLOVES AND STERILE GOWNS PROGRAM SUPPORT TARGET HUNGER 1260 SHOTWELL ST HOUSTON TX 77020 311548849 501C3 78972 0 PROGRAM SUPPORT TEJANO CENTER FOR COMMUNITY CONCERNS INC 2950 BROADWAY ST HOUSTON TX 770171706 760377101 501C3 33235 0 PROGRAM SUPPORT TEXAS CULTURAL TRUST COUNCIL 901 SOUTH MOPAC EXPY BARTON OAKS PLAZA II STE 410 AUSTIN TX 78746 742778878 501C3 15000 0 SPONSORSHIP TEXAS GENERATION ONE INC 3805 BURKETT STREET HOUSTON TX 77004 208442170 501C3 16667 0 PROGRAM SUPPORT TEXAS SOUTHERN UNIVERSITY FOUNDATION INC 3100 CLEBURN STREET HANNAH HALL STE 201 HOUSTON TX 77004 741620415 501C3 20333 0 PROGRAM SUPPORT THE ALLIANCE 6420 HILLCROFT AVE HOUSTON TX 77081 760171217 501C3 20917 0 PROGRAM SUPPORT THE BROOKWOOD COMMUNITY 1752 FM 1489 BROOKSHIRE TX 77423 741587672 501C3 10000 0 SPONSORSHIP THE CHILDREN'S ASSESSMENT CTR FDN 2500 BOLSOVER STREET HOUSTON TX 77005 760458780 501C3 16667 0 PROGRAM SUPPORT THE HEALTH MUSEUM 1515 HERMANN DRIVE HOUSTON TX 77004 746106357 501C3 25000 0 SPONSORSHIP THE IMMUNIZATION PARTNERSHIP PO BOX 1985 HOUSTON TX 775741985 760695612 501C3 15000 0 SPONSORSHIP THE MONTROSE CENTER 401 BRANARD ST 2ND FLOOR HOUSTON TX 77006 742050245 501C3 105417 0 PROGRAM SUPPORT THE TRUTH PROJECT INC PO BOX 710138 HOUSTON TX 77271 463044821 501C3 8333 0 PROGRAM SUPPORT THE WOMENS RESOURCE OF GREATER HOUSTON 730 N POST OAK RD STE 203 HOUSTON TX 77024 311769108 501C3 118667 0 PROGRAM SUPPORT UNITED AGAINST HUMAN TRAFFICKING 6671 SOUTHWEST FWY STE 220 HOUSTON TX 77074 261103492 501C3 23250 0 PROGRAM SUPPORT UNITED WAY OF GREATER HOUSTON 50 WAUGH DRIVE HOUSTON TX 77007 741167964 501C3 25000 0 SPONSORSHIP UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER 7000 FANNIN ST SUITE 1200 HOUSTON TX 77030 741761309 STATE INSTITUTION 46667 0 PROGRAM SUPPORT URBAN HARVEST INC 3302 CANAL STREET HOUSTON TX 77003 760501430 501C3 15200 0 PROGRAM SUPPORT VOLUNTEERS OF AMERICA TEXAS INC 4808 YALE STREET HOUSTON TX 77018 752593210 501C3 110000 0 PROGRAM SUPPORT WESLEY COMMUNITY CENTER 1410 LEE STREET HOUSTON TX 77009 741132578 501C3 106622 0 PROGRAM SUPPORT WEST HOUSTON ASSISTANCE MINISTRIES INC 10501 MEADOWGLEN LANE HOUSTON TX 77042 760001309 501C3 151000 0 PROGRAM SUPPORT YES PREP PUBLIC SCHOOLS INC 5515 SOUTH LOOP EAST SUITE B HOUSTON TX 77033 760563835 501C3 48333 0 PROGRAM SUPPORT YMCA OF GREATER HOUSTON 1331 AUGUSTA DRIVE HOUSTON TX 77057 741109737 501C3 53333 0 PROGRAM SUPPORT HERMANN PARK CONSERVANCY 1700 HERMANN DRIVE HOUSTON TX 77004 760327389 501C3 105000 0 PROGRAM SUPPORT 133 6 SCHOLARSHIPS 12 72000 PART I, LINE 2: PRIOR TO THE METHODIST HOSPITAL'S APPROVAL OF A GRANT TO A REQUESTING ORGANIZATION, THE FOLLOWING CRITERIA MUST BE MET: (1) THE REQUESTING ORGANIZATION MUST BE AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX (2) THE REQUESTING ORGANIZATION MUST PROVIDE A RECOGNIZABLE OR DEMONSTRABLE BENEFIT TO THE COMMUNITY; (3) THE MISSION OF THE REQUESTING ORGANIZATION MUST AUGMENT THE MISSION OF THE METHODIST HOSPITAL; (4) THE REQUESTING ORGANIZATION'S MISSION AND SERVICES SHOULD NOT DUPLICATE AND MUST NOT CONFLICT WITH THOSE OF THE METHODIST HOSPITAL. PERIODIC REPORTS WERE REVIEWED TO ENSURE THE FUNDS WERE USED TO SUPPORT INDIGENT CARE SERVICE AND OR OTHER NEEDS OF THE COMMUNITY. X 1 1 X X X X 0 1 0 0 0 0 0 1 0 NINE KEY EMPLOYEES-SEE METHODIST HOSPITAL GROUP RETURN-SCHE 5004614 0 4321420 0 2095775 0 1096809 0 223144 0 12741762 0 772875 0 NINE OFFICERDIR-SEE METHODIST HOSPITAL GROUP RETURN-SCHE 2328110 0 2536092 0 1299939 0 892172 0 83321 0 7139634 0 821092 0 FOUR HIGHEST PAID-SEE METHODIST HOSPITAL GROUP RETURN-SCHE 2140967 0 1108764 0 578899 0 453540 0 126320 0 4408490 0 257823 0 ONE OFFICER-SEE METHODIST HOSPITAL GROUP RETURN-SCHE 1089165 0 743761 0 319788 0 240778 0 36463 0 2429955 0 202326 0 EIGHTEEN DIRECTORS-SEE METHODIST HOSPITAL GROUP RETURN-SCHE 0 620094 0 169775 209097 8731 0 27600 0 16168 209097 842368 0 0 PART I, LINE 1A HEALTH OR SOCIAL CLUB DUES: AS STIPULATED BY THE EMPLOYMENT OF THE CEO, HE IS ENTITLED TO ANNUAL MEMBERSHIP IN THE RIVER OAKS COUNTRY CLUB IN SUPPORT OF HOUSTON METHODIST RELATED BUSINESS DEVELOPMENT ACTIVITIES. THIS AMOUNT IS INCLUDED IN THE TAXABLE INCOME OF THE CEO. PART I, LINE 4A: HOUSTON METHODIST HOSPITAL HAS A FORMAL SEVERANCE PLAN. ELIGIBLE EMPLOYEES INCLUDE ALL FULL-TIME AND PART-TIME STAFF (NOT TEMPORARY OR PRN), INCLUDING HOURLY STAFF, UP THROUGH SENIOR VICE PRESIDENTS PROVIDED THEY WORK AT LEAST 20 HOURS PER WEEK AND ARE NOT OTHERWISE COVERED BY A PHYSICIAN EMPLOYMENT AGREEMENT. THE PLAN ONLY PROVIDES SALARY AND BENEFITS IN THE EVENT AN ELIGIBLE EMPLOYEE IS INVOLUNTARILY TERMINATED DUE TO THE ELIMINATION OF THEIR POSITION OR IF THEIR CURRENT POSITION IS SIGNIFICANTLY IMPACTED BY AN ORGANIZATIONAL RESTRUCTURING OR CHANGE IN REQUIREMENT AND A COMPARABLE POSITION IS NOT AVAILABLE WITHIN THE ORGANIZATION. THE ELIGIBLE PERSON MUST ALSO SIGN A TERMINATION AGREEMENT IN ORDER TO RECEIVE SALARY CONTINUATION AND BENEFITS UNDER THE PLAN TO WHICH THEY WOULD NOT NORMALLY BE ELIGIBLE TO RECEIVE UNDER A VOLUNTARY RESIGNATION. PURSUANT TO TREASURY REG SECTION 1 6033-2(D)(5), HOUSTON METHODIST HOSPITAL HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GIFTS & GRANTS, COMPENSATION AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES, CERTAIN OTHER HIGHLY PAID EMPLOYEES, CERTAIN PROFESSIONAL CONTRACTORS AND CERTAIN OTHER CONTRACTORS ON A CONSOLIDATED BASIS FOR ALL OF THE MEMBERS OF THE GROUP, INCLUDING THE PARENT ORGANIZATION, ON THE GROUP RETURN OF METHODIST HOSPITAL GROUP, EIN 35-2410801. PART I, LINE 4B HOUSTON METHODIST HOSPITAL HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, A NON-QUALIFIED EMPLOYER FUNDED PLAN. CONTRIBUTIONS ARE MADE ANNUALLY INTO A TAX DEFERRED ACCOUNT AND ARE CONSIDERED TAXABLE UPON VESTING (I.E. COMPLETION OF THREE YEARS OF VESTING SERVICE). ONCE VESTED, EACH YEAR'S SUBSEQUENT CONTRIBUTION IS TAXABLE WITHIN THE CALENDAR YEAR IN WHICH THE DEPOSIT WAS MADE. ACCOUNT BALANCES CANNOT BE ACCESSED UNTIL RETIREMENT OR TERMINATION (WHICHEVER OCCURS FIRST) AND MAY BE SUBJECT TO NON-REVOCABLE DISTRIBUTION OPTIONS UPON ELECTION. PURSUANT TO TREASURY REG SECTION 1 6033-2(D)(5), HOUSTON METHODIST HOSPITAL HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GIFTS & GRANTS, COMPENSATION AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES, CERTAIN OTHER HIGHLY PAID EMPLOYEES, CERTAIN PROFESSIONAL CONTRACTORS AND CERTAIN OTHER CONTRACTORS ON A CONSOLIDATED BASIS FOR ALL OF THE MEMBERS OF THE GROUP, INCLUDING THE PARENT ORGANIZATION, ON THE GROUP RETURN OF METHODIST HOSPITAL GROUP, EIN 35-2410801. PART I, LINE 7 THIS ORGANIZATION PROVIDES VARIABLE COMPENSATION OPPORTUNITY THROUGH AN ANNUAL MANAGEMENT INCENTIVE PLAN. EMPLOYEES AT THE SUPERVISOR LEVEL AND ABOVE MAY BE ELIGIBLE TO PARTICIPATE. THE ANNUAL INCENTIVE PROGRAM IS BASED ON SYSTEM AND OPERATING ENTITY LEVEL PERFORMANCE IN THE AREAS OF QUALITY IMPROVEMENT OUTCOMES, PATIENT SATISFACTION AND FINANCIAL PERFORMANCE. IN ADDITION, A PORTION OF THE PAYOUT PERCENTAGE IS BASED ON GOALS THAT ARE SPECIFIC TO THE PARTICIPANTS' MANAGEMENT ROLES AT THE DIVISION OR DEPARTMENT LEVEL INCLUDING BUT NOT LIMITED TO SUCH METRICS AS OPERATING RESULTS, QUALITY AND SAFETY IMPROVEMENTS, OR CUSTOMER SATISFACTION MEASURES. DETERMINATION OF A PARTICIPANT'S PERCENTAGE OF THE POTENTIAL BONUS PAYOUT (PAID AS A PERCENT OF BASE SALARY) IS BASED ON WHETHER THE INDIVIDUAL ATTAINS AGREED UPON GOALS FOR THEIR AREA OF RESPONSIBILITY AS DETERMINED BY THEIR IMMEDIATE SUPERVISOR AS WELL AS ENTITY AND SYSTEM GOALS MET. HOUSTON METHODIST HOSPITAL ALSO HAS THE DEFERRED RETENTION BONUS PLAN (DRBP), A NONQUALIFIED EMPLOYER FUNDED PLAN. CONTRIBUTIONS ARE MADE TO ELIGIBLE EMPLOYEES EACH YEAR BASED UPON THEIR POSITION THROUGHOUT THE PLAN YEAR WHICH RUNS JULY 1 TO JUNE 30. EACH YEAR'S CONTRIBUTION IS SUBJECT TO THREE YEAR LAPSE TIME CLASS VESTING AT WHICH TIME THE VESTED CONTRIBUTION IS PAID OUT TO THE EMPLOYEE AND TAXED. SCHEDULE J, PART II PURSUANT TO TREASURY REG SECTION 1 6033-2(D)(5), HOUSTON METHODIST HOSPITAL HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GIFTS & GRANTS, COMPENSATION AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES, CERTAIN OTHER HIGHLY PAID EMPLOYEES, CERTAIN PROFESSIONAL CONTRACTORS AND CERTAIN OTHER CONTRACTORS ON A CONSOLIDATED BASIS FOR ALL OF THE MEMBERS OF THE GROUP, INCLUDING THE PARENT ORGANIZATION, ON THE GROUP RETURN OF METHODIST HOSPITAL GROUP, EIN 35-2410801. A HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION 521284201 41315RGV0 2008-04-10 350000000 REFUNDING BONDS FOR SERIES 2006B ISSUED 5/10/06 0 0 0 B HARRIS COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION 760337885 414009PV6 2020-08-27 370000000 NEW MONEY BONDS FOR FUNDING CAPITAL CONSTRUCTION PROJECTS 0 0 0 C HARRIS COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION 760337885 414009BS8 2009-06-02 586480000 REFUNDING FOR SERIES 2005A ISSUED 1/20/05 & PORTION OF 2008C ISSUED 8/21/08 0 0 0 D HARRIS COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION 760337885 414009KE9 2015-08-06 308098500 NEW MONEY BONDS FOR FUNDING CAPITAL CONSTRUCTION PROJECTS 0 0 0 A 28700000 350000000 350000000 1 0 1 1 B 370000000 595700 369404300 2021 0 0 1 1 C 586480000 586480000 1 0 1 1 D 308107608 1768692 306338916 2018 0 0 1 1 A 0 1 1 1 1 1 0.00500 0.00500 0 0 1 B 0 1 1 1 1 1 0.00100 0.00100 0 0 1 C 0 1 1 1 1 1 0.01300 0.01300 0 0 1 D 0 0 1 1 1 1 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 C 0 0 1 0 1 0 0 0 1 D 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 SCHEDULE K SUPPLENTAL INFORMATION SCHEDULE K - PART II, LINE 13 (ISSUES A AND C) ALL OUTSTANDING BONDS OF THE METHODIST HOSPITAL ISSUED PRIOR TO 2015 ARE REFUNDING BONDS. THE METHODIST HOSPITAL ASSUMES THAT LINE 13 DOES NOT ADDRESS REFUNDING BONDS. SCHEDULE K - PART III, LINE 4 (ISSUE C) THE REPORTED PRIVATE USE PERCENTAGE HAS BEEN CALCULATED ON THE PORTION OF THE SERIES 2009C REFUNDING BONDS THAT REFUNDED THE SERIES 2005A BONDS ISSUED IN THE AMOUNT OF $350,000,000. THE REMAINING AMOUNT OF THE SERIES 2009C BONDS THAT REFUNDED BONDS ISSUED PRIOR TO DECEMBER 31, 2002 IN THE AMOUNT OF $236,480,000 WERE EXCLUDED FROM DETERMINING THE REPORTED PRIVATE USE CALCULATION. SCHEDULE K - PART II, LINE 3 (ISSUE D) DIFFERENCES BETWEEN THE ISSUE PRICE (PART I) AND TOTAL PROCEEDS (PART II LINE 3) ARE DUE TO INVESTMENT EARNINGS. JULIA ANDRIENI FAMILY MEMBER OF ROBERT PHILLIPS-KEY EMPLOYEE 975596 EMPLOYMENT 0 LEE SCHWARTZ FAMILY MEMBER OF ROBERTA SCHWARTZ-KEY EMPLOYEE 506982 EMPLOYMENT 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS WHO ARE MEMBERS OF THE BOARD OF DIRECTORS AS DEFINED IN THE BYLAWS; THE RESIDENT BISHOP; AND ONE PHYSICIAN DIRECTOR. IN THE EVENT OF AN EMERGENCY WHEN THERE IS INSUFFICIENT TIME TO CONVENE THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE ALL THE POWERS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS AND AFFAIRS OF THE CORPORATION IN SUCH A MANNER AS THE EXECUTIVE COMMITTEE MAY DEEM TO BE IN THE BEST INTEREST OF THE CORPORATION IN ALL CASES IN WHICH SPECIFIC DIRECTIONS HAVE BEEN GIVEN BY THE BOARD OF DIRECTORS, PROVIDED ANY ACTION WHICH THE COMMITTEE MAY TAKE DOES NOT CONFLICT WITH THE MISSION OF THE CORPORATION AND THE POLICIES AND DIRECTIVES OF THE BOARD OF DIRECTORS. THE CHAIRPERSON OF THE BOARD OF DIRECTORS, UPON THE CALLING OF ANY EXECUTIVE COMMITTEE MEETING, AS THE FIRST ITEM OF BUSINESS, IS REQUIRED TO STATE THE NATURE OF THE EMERGENCY AND THE FACT THAT THERE WAS INSUFFICIENT TIME TO CONVENE THE BOARD OF DIRECTORS, WHICH IS RECORDED IN THE MINUTES BEFORE ANY ACTION IS DEEMED VALID AND ON BEHALF OF THE BOARD OF DIRECTORS. VACANCIES IN THE MEMBERSHIP OF SAID COMMITTEE ARE FILLED BY APPOINTMENT OF THE CHAIRPERSON AND APPROVAL BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE MEETS UPON THE CALL OF THE CHAIRPERSON. THE COMMITTEE KEEPS REGULAR MINUTES OF ITS PROCEEDINGS AND FORTHWITH DELIVERS BY MAIL, FACSIMILE, EMAIL, OR IN PERSON, A WRITTEN REPORT OF THE SAME TO ALL MEMBERS OF THE BOARD OF DIRECTORS. ALL ACTS OR RESOLUTIONS OF THE EXECUTIVE COMMITTEE ARE SUBJECT TO THE APPROVAL OF, OR REVISION BY, THE BOARD OF DIRECTORS, BUT NO RIGHTS OF THIRD PARTIES ARE AFFECTED BY ANY SUCH REVISION. THE SECRETARY OF THE CORPORATION ACTS AS SECRETARY OF THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION A, LINE 7A THE TEXAS ANNUAL CONFERENCE OF THE SOUTH CENTRAL JURISDICTION OF THE UNITED METHODIST CHURCH ("CONFERENCE") ELECTS OR RATIFIES THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE CONFERENCE HAS THE AUTHORITY TO APPROVE ANY AMENDMENTS TO THE FOLLOWING PROVISIONS OF HOUSTON METHODIST HOSPITAL'S BYLAWS OR THE ARTICLES OF INCORPORATION: I) THE PROVISION THAT THE CONFERENCE ELECTS ALL DIRECTORS OF THIS ORGANIZATION FROM NOMINEES RECOMMENDED BY THE COMMITTEE ON NOMINATIONS OF THE CONFERENCE BASED ON NOMINATIONS MADE BY THE BOARD OF DIRECTORS, (II) THE PROVISION THAT A SUFFICIENT NUMBER OF DIRECTORS BE MEMBERS OF THE UNITED METHODIST CHURCH TO COMPLY WITH THE MEMBERSHIP REQUIREMENTS SET FORTH IN THE BOOK OF DISCIPLINE OF THE UNITED METHODIST CHURCH, (III) THE PROVISION THAT FOUR METHODIST MINISTERS, INCLUDING THE RESIDENT BISHOP BE MEMBERS OF THE BOARD OF DIRECTORS, (IV) THE PROVISION THAT THE BOARD OF DIRECTORS SHALL CONSIST OF NO MORE THAN TWENTY-SIX AND NO FEWER THAN FIFTEEN MEMBERS, OR (V) THE PROVISION THAT AMENDS THE PURPOSE CLAUSES (ARTICLE II AND VI) OF THE ARTICLES OF INCORPORATION OF THE CORPORATION OR THE DISSOLUTION CLAUSE (ARTICLE VII) OF THE ARTICLES OF INCORPORATION OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT, INCLUDING CERTAIN OFFICERS, WORKS DILIGENTLY TO COMPLETE THE FORM 990 AND ATTACHED SCHEDULES ("RETURN") IN A THOROUGH MANNER. THE RETURN IS REVIEWED BY A PAID PREPARER. PRIOR TO FILING THE RETURN, A COPY OF THE FORM 990 IS MADE AVAILABLE TO BOARD MEMBERS (INCLUDING REQUIRED SCHEDULES), AND MANAGEMENT TEAM MEMBERS ARE AVAILABLE TO ANSWER ANY BOARD MEMBERS' QUESTIONS. FORM 990, PART VI, SECTION B, LINE 12C INDIVIDUALS SERVING IN A SIGNIFICANT DECISION MAKING CAPACITY COMPLETE A CONFLICT OF INTEREST (COI) QUESTIONNAIRE ANNUALLY. A COMPREHENSIVE EVALUATION AND THOROUGH REVIEW OF DISCLOSURES IS PERFORMED BY A 6-MEMBER COI COMMITTEE COMPRISED OF EXECUTIVES, MANAGEMENT, AND STAFF. THE RESULTS OF THE COI DISCLOSURES ARE SUMMARIZED AND REPORTED TO THE PARENT CORPORATION, HOUSTON METHODIST HOSPITAL'S BOARD AUDIT & COMPLIANCE COMMITTEE, INCLUDING CERTAIN ACTIONS BEING TAKEN TO PROTECT THE INTEGRITY OF HOUSTON METHODIST DECISION-MAKING. IN ADDITION, CERTAIN DISCLOSURE RESULTS ARE ALSO COMMUNICATED TO MANAGEMENT AND TO AFFECTED COMMITTEE CHAIRS TO PROMOTE TRANSPARENCY, PROTECT DECISION-MAKING INTEGRITY, AND TO ENSURE RESTRICTIONS ARE IMPOSED WHERE APPROPRIATE. CONFLICTED INDIVIDUALS MAY NOT VOTE OR EXERT SELF-SERVING INFLUENCE ON THE DISCLOSED MATTER. FORM 990, PART VI, SECTION B, LINE 15 THIS ORGANIZATION FOLLOWS IRS REGULATIONS AS IT RELATES TO ESTABLISHING A REBUTTABLE PRESUMPTION OF REASONABLENESS RELATED TO TOTAL COMPENSATION OF KEY EMPLOYEES AND COMPENSATED OFFICERS OF THE ORGANIZATION LISTED BELOW. IT HAS ESTABLISHED A PROCESS THAT INCLUDES THE FOLLOWING ELEMENTS: A SEPARATE COMMITTEE (THE BOARD COMMITTEE) COMPRISED OF INDEPENDENT DIRECTORS MEETS AT LEAST ANNUALLY TO REVIEW, DELIBERATE AND MAKE RECOMMENDATIONS TO THE BOARD AS IT RELATES TO ANY CHANGES IN TOTAL COMPENSATION INCLUDING BASE PAY, BONUS AWARDS FROM INCENTIVE PROGRAMS OR BENEFITS AND PERQUISITES OF THE CEO AND OTHER OFFICERS AND SOME KEY EMPLOYEES (TYPICALLY THOSE WHO REPORT DIRECTLY TO THE CEO). THE BOARD COMMITTEE ESTABLISHES THAT NO MEMBER HAS ANY CONFLICT OF INTEREST WITH REGARD TO THE EXECUTIVE COMPENSATION ARRANGEMENTS BEING APPROVED. THE BOARD COMMITTEE REVIEWS AND CONSIDERS INFORMATION PROVIDED BY AN EXTERNAL CONSULTANT ENGAGED TO ENSURE IT HAS DIRECT ACCESS TO: - COMPENSATION INFORMATION PAID BY COMPARABLE ORGANIZATIONS, FOR FUNCTIONALLY COMPARABLE POSITIONS. - COMPENSATION NORMS IN THE ORGANIZATION'S IMMEDIATE LOCALE AND FROM OTHER INDEPENDENT COMPENSATION SURVEYS BY NATIONALLY RECOGNIZED INDEPENDENT FIRMS THAT REPRESENT THE ORGANIZATION'S LOGICAL PEER GROUP; - COMPENSATION INFORMATION THAT INCLUDES INFORMATION ON BASE SALARY, INCENTIVES, BENEFITS AND PERQUISITES FOR TOTAL COMPENSATION COMPARISON PURPOSES TO ENSURE REASONABLE COMPETITIVE RANKING. THE COMMITTEE RELIES ON THE COMPARABILITY DATA TO REACH CONSENSUS THAT ITS RECOMMENDATIONS TO THE BOARD REGARDING EXECUTIVE COMPENSATION CHANGES ARE REASONABLE AND IN LINE WITH THIS ORGANIZATION'S OVERALL TOTAL COMPENSATION PHILOSOPHY FOR EXECUTIVE PAY. THE DELIBERATION AND DECISIONS OF THE COMMITTEE ARE CONTEMPORANEOUSLY SUBSTANTIATED. THE COMPENSATION FOR POSITIONS HELD BY KEY EMPLOYEES NOT INCLUDED IN THE PROCESS ABOVE, IS DETERMINED BASED ON A THOROUGH REVIEW OF NUMEROUS COMPENSATION STUDIES CONDUCTED BY NATIONALLY RECOGNIZED, INDEPENDENT FIRMS THAT PROVIDE MARKET DATA FOR TOTAL COMPENSATION FOR SIMILAR POSITIONS. THE COMPENSATION INFORMATION CONSIDERED INCLUDES INFORMATION ON BASE SALARY, INCENTIVES, AND BENEFITS FOR TOTAL COMPENSATION PURPOSES TO ENSURE REASONABLE COMPETITIVE RANKING IN ORDER TO MEET RECRUITMENT AND RETENTION OBJECTIVES THAT SECURE THE TALENT REQUIRED TO CONTRIBUTE TO ORGANIZATIONAL SUCCESS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS (EXCEPT FOR THE ARTICLES OF INCORPORATION, WHICH ARE ON FILE WITH THE SECRETARY OF THE STATE OF TEXAS), CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS OF THE ORGANIZATION ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART VII, SECTION B, LINE 1B PURSUANT TO TREASURY REG SECTION 1 6033-2(D)(5), HOUSTON METHODIST HOSPITAL HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GIFTS & GRANTS, COMPENSATION AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES, CERTAIN OTHER HIGHLY PAID EMPLOYEES, CERTAIN PROFESSIONAL CONTRACTORS AND CERTAIN OTHER CONTRACTORS ON A CONSOLIDATED BASIS FOR ALL OF THE MEMBERS OF THE GROUP, INCLUDING THE PARENT ORGANIZATION, ON THE GROUP RETURN OF METHODIST HOSPITAL GROUP, EIN 35-2410801. FORM 990, PART XI, LINE 9: TRANSFERS FROM DONOR RESTRICTED FUNDS 10,154. LPPF NET ADJUSTMENTS 57,725,992. METHODIST PRIMARY CARE GROUP 6565 FANNIN HOUSTON TX 77030 760556120 HEALTH CARE TX 501(C)(3) LINE 12A, I TMH HEALTH CARE GROUP 1 METHODIST HOSPITAL SELF INSURANCE TRUST 6565 FANNIN HOUSTON TX 77030 741948396 INSURANCE TRUST TX 501(C)(3) LINE 12A, I THE METHODIST HOSPITAL 1 MEDVEST 1 LIMITED PARTNERSHIP 6565 FANNIN HOUSTON TX 77030 760534067 HEALTH CARE INVESTMENTS TX N/A 0 0 LITCHFIELD MEMORIAL PARTNERS LP 800 TOWN AND COUNTRY BLVD SUITE 200 HOUSTON TX 77024 364778395 PROPERTY INVESTMENTS TX THE METHODIST HOSPITAL UNRELATED 194928 10411014 0 -84810 0 0.90000 ALLIED METHODIST HOSPITAL PHYSICIANS 6565 FANNIN HOUSTON TX 77030 760551274 PHYSICIAN GROUP TX N/A C 1 HOUSTON METHODIST CLEAR LAKE HOSPITAL MOB CONDO ASSOC 6565 FANNIN HOUSTON TX 77030 851911578 CONDOMINIUM ASSOCIATION TX N/A C 1 HOUSTON METHODIST ST CATHERINE MOB CONDO ASSOC 6565 FANNIN HOUSTON TX 77030 814457755 CONDOMINIUM ASSOCIATION TX N/A C 1 HOUSTON METHODIST THE WOODLANDS MOB CONDO ASSOC 6565 FANNIN HOUSTON TX 77030 813764171 CONDOMINIUM ASSOCIATION TX N/A C 1 MEDVEST HOLDINGS INC 6565 FANNIN HOUSTON TX 77030 760667765 INVESTMENT COMPANY TX N/A C 1 MEDVEST INCORPORATED 6565 FANNIN HOUSTON TX 77030 760182470 INVESTMENT COMPANY TX N/A C 1 METHODIST HEALTH CARE SYSTEM SHORT TERM DISABILITY PLAN TRUST 6565 FANNIN HOUSTON TX 77030 766161019 INSURANCE TRUST TX N/A T 1 METHODIST WEST HOUSTON MOB CONDO ASSOC 6565 FANNIN HOUSTON TX 77030 300655123 CONDOMINIUM ASSOCIATION TX N/A C 1 METHODIST WILLOWBROOK MOB CONDO ASSOC 6565 FANNIN HOUSTON TX 77030 680500294 CONDOMINIUM ASSOCIATION TX N/A C 1 METHODIST WILLOWBROOK MOB CONDO ASSOC II 6565 FANNIN HOUSTON TX 77030 262137993 CONDOMINIUM ASSOCIATION TX N/A C 1 ROMLAC INC 6565 FANNIN HOUSTON TX 77030 741674943 REAL ESTATE INVESTMENT TX N/A C 1 SJMH CONDOMINIUM ASSOCIATION 6565 FANNIN HOUSTON TX 77030 412096917 CONDOMINIUM ASSOCIATION TX N/A C 1 THE METHODIST HOSPITAL CONDO ASSOC 6565 FANNIN HOUSTON TX 77030 861065871 CONDOMINIUM ASSOCIATION TX N/A C 1 TMH MEDICAL OFFICE BUILDINGS CONDO ASSOC 6565 FANNIN HOUSTON TX 77030 760287893 CONDOMINIUM ASSOCIATION TX N/A C 1 0 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 1 METHODIST HOSPITAL FOUNDATION P 15565785 FAIR MARKET VALUE METHODIST HOSPITAL FOUNDATION C 34473381 FAIR MARKET VALUE METHODIST HOSPITAL FOUNDATION S 30821552 FAIR MARKET VALUE MEDVEST 1 LIMITED PARTNERSHIP S 529312 FAIR MARKET VALUE ALLIED METHODIST HOSPITAL PHYSICIANS P 1598614 FAIR MARKET VALUE ALLIED METHODIST HOSPITAL PHYSICIANS L 1600000 FAIR MARKET VALUE METHODIST HOSPITAL SELF INSURANCE TRUST Q 22873928 FAIR MARKET VALUE METHODIST HOSPITAL SELF INSURANCE TRUST B 26666328 FAIR MARKET VALUE METHODIST HOSPITAL SELF INSURANCE TRUST R 8000000 FAIR MARKET VALUE TMH PHYSICIAN ORGANIZATION P 192566603 FAIR MARKET VALUE TMH PHYSICIAN ORGANIZATION Q 18390799 FAIR MARKET VALUE TMH PHYSICIAN ORGANIZATION B 6727417 FAIR MARKET VALUE TMH PHYSICIAN ORGANIZATION L 10964756 FAIR MARKET VALUE TMH PHYSICIAN ORGANIZATION J 3070500 FAIR MARKET VALUE TMH PHYSICIAN ORGANIZATION R 383822683 FAIR MARKET VALUE MEDVEST INCORPORATED L 175000 FAIR MARKET VALUE MEDVEST INCORPORATED R 1097021 FAIR MARKET VALUE METHODIST PRIMARY CARE GROUP Q 1918425 FAIR MARKET VALUE METHODIST PRIMARY CARE GROUP L 1068150 FAIR MARKET VALUE METHODIST PRIMARY CARE GROUP R 50064791 FAIR MARKET VALUE METHODIST HEALTH CENTERS P 337890 FAIR MARKET VALUE METHODIST HEALTH CENTERS Q 8751344 FAIR MARKET VALUE METHODIST HEALTH CENTERS B 740418 FAIR MARKET VALUE METHODIST HEALTH CENTERS L 275349201 FAIR MARKET VALUE METHODIST HEALTH CENTERS J 114229 FAIR MARKET VALUE METHODIST HEALTH CENTERS S 850129927 FAIR MARKET VALUE METHODIST HEALTH CENTERS R 304350562 FAIR MARKET VALUE HOUSTON METHODIST ST JOHN HOSPITAL Q 3061782 FAIR MARKET VALUE HOUSTON METHODIST ST JOHN HOSPITAL L 32115864 FAIR MARKET VALUE HOUSTON METHODIST ST JOHN HOSPITAL S 73185402 FAIR MARKET VALUE HOUSTON METHODIST ST CATHERINE Q 8691922 FAIR MARKET VALUE HOUSTON METHODIST ST CATHERINE L 3410636 FAIR MARKET VALUE HOUSTON METHODIST ST CATHERINE J 2049851 FAIR MARKET VALUE HOUSTON METHODIST ST CATHERINE K 1591704 FAIR MARKET VALUE HOUSTON METHODIST ST CATHERINE R 4307628 FAIR MARKET VALUE DIAGNOSTIC CENTER HOSPITAL S 121506 FAIR MARKET VALUE TMH MEDICAL OFFICE BUILDINGS Q 4159430 FAIR MARKET VALUE TMH MEDICAL OFFICE BUILDINGS L 3500000 FAIR MARKET VALUE TMH MEDICAL OFFICE BUILDINGS R 148874821 FAIR MARKET VALUE THE METHODIST HOSPITAL RESEARCH INSTITUTE P 115246171 FAIR MARKET VALUE THE METHODIST HOSPITAL RESEARCH INSTITUTE Q 14706366 FAIR MARKET VALUE THE METHODIST HOSPITAL RESEARCH INSTITUTE B 16442389 FAIR MARKET VALUE THE METHODIST HOSPITAL RESEARCH INSTITUTE L 8001876 FAIR MARKET VALUE THE METHODIST HOSPITAL RESEARCH INSTITUTE J 6617358 FAIR MARKET VALUE THE METHODIST HOSPITAL RESEARCH INSTITUTE R 97054346 FAIR MARKET VALUE HOUSTON METHODIST ACADEMIC INSTITUTE P 43727824 FAIR MARKET VALUE HOUSTON METHODIST ACADEMIC INSTITUTE Q 69650 FAIR MARKET VALUE HOUSTON METHODIST ACADEMIC INSTITUTE B 1314238 FAIR MARKET VALUE HOUSTON METHODIST ACADEMIC INSTITUTE L 795015 FAIR MARKET VALUE HOUSTON METHODIST ACADEMIC INSTITUTE R 46081378 FAIR MARKET VALUE SAN JACINTO METHODIST HOSPITAL Q 1767429 FAIR MARKET VALUE SAN JACINTO METHODIST HOSPITAL B 177978 FAIR MARKET VALUE SAN JACINTO METHODIST HOSPITAL L 45528606 FAIR MARKET VALUE SAN JACINTO METHODIST HOSPITAL S 79856315 FAIR MARKET VALUE HOUSTON METHODIST COORDINATED CARE L 4540000 FAIR MARKET VALUE HOUSTON METHODIST COORDINATED CARE S 27059049 FAIR MARKET VALUE HOUSTON METHODIST GLOBAL L 175000 FAIR MARKET VALUE HOUSTON METHODIST GLOBAL S 1112185 FAIR MARKET VALUE SCHEDULE R, PART II THERE ARE VARIOUS RELATED TAX-EXEMPT HEALTHCARE ORGANIZATIONS THAT ARE INCLUDED IN A GROUP EXEMPTION, AND THEREFORE, IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS ARE NOT REPORTED ON SCHEDULE R, PART II.