2023-05-12T09:28:31-05:00 2022-06-30 ERNST & YOUNG US LLP 425 HOUSTON STREET STE 600 FORT WORTH TX 76102 990 2021-07-01 741152597 Memorial Hermann Health System % SYSTEM TAX DEPARTMENT MEMO 7133384552 929 Gessner Rd Suite 1900 Houston TX 77024 Alec King EVP & CFO 7133384552 2023-05-15 true Alec King 999009999 Melva Scott Sr Manager P01207335 8173351900 2 2021 2023-04-26 12:10:37Z David L Callender MD 929 Gessner Rd1900 Houston TX 77024 7314063690 false X www.memorialhermann.org X 1910 TX MEMORIAL HERMANN HEALTH SYSTEM IS A NONPROFIT, VALUES-DRIVEN, COMMUNITY-OWNED HEALTH SYSTEM DEDICATED TO IMPROVING HEALTH. 23 19 32313 1559 -7967037 119318624 140727497 6253677268 6694634314 369653366 417785697 51942362 60916182 6794591620 7314063690 15229304 18524963 0 0 2670225641 3028267511 0 0 0 3239940278 3376903874 5925395223 6423696348 869196397 890367342 11477325693 11387026051 4638784149 4182669254 6838541544 7204356797 X MEMORIAL HERMANN HEALTH SYSTEM IS A NONPROFIT, VALUES-DRIVEN, COMMUNITY-OWNED HEALTH SYSTEM DEDICATED TO IMPROVING HEALTH. OUR VISION IS TO CREATE HEALTHIER COMMUNITIES, NOW AND FOR GENERATIONS TO COME. OUR VALUES ARE COMMUNITY, COMPASSION, CREDIBILITY, AND COURAGE. false false 5556936721 18524963 6694634314 Memorial Hermann Health System is a nonprofit, values-driven, community-owned health system dedicated to improving health. Our vision is to create healthier communities, now and for generations to come. Our values are community, compassion, credibility, and courage. Charting a better future. A future that's built upon the HEALTH of our community. This is the driving force for Memorial Hermann, redefining health care for the individuals and many diverse populations we serve. Our 6,700 affiliated physicians and 30,000 employees practice the highest standards of safe, evidence-based, quality care to provide a personalized and outcome-oriented experience across our more than 260 care delivery sites. As one of the largest not-for-profit health systems in Southeast Texas, Memorial Hermann has an award-winning and nationally acclaimed Accountable Care Organization, 17 hospitals and numerous specialty programs and services conveniently located throughout the Greater Houston area (Memorial Hermann Health System owns and operates 14 hospitals and has joint ventures with three other hospital facilities, including Memorial Hermann Surgical Hospital First Colony, Memorial Hermann Surgical Hospital Kingwood and Memorial Hermann Rehabilitation Hospital-Katy). Beginning in 1990, U.S. News & World Report has ranked our nation's leading hospitals annually. And in every one of those years, TIRR Memorial Hermann has been named among the very best rehabilitation hospitals in the United States. TIRR Memorial Hermann ranks best in Texas and No. 3 in the nation for rehabilitation. Memorial Hermann-Texas Medical Center is one of the nation's busiest Level I trauma centers and serves as the primary teaching hospital for McGovern Medical School at UTHealth. Memorial Hermann-Texas Medical Center was ranked #4 best hospital in Texas, and also listed in the U.S. News rankings in the specialty areas of Cardiology and Heart Surgery, Ear, Nose and Throat, and Gastroenterology and GI Surgery. Also making the Top 10 statewide rankings were Memorial Hermann Greater Heights Hospital and Memorial Hermann Memorial City Medical Center were tied at #6. Children's Memorial Hermann Hospital was nationally ranked in Pediatric Cardiology and Heart Surgery, as well as Pediatric Neurology and Neurosurgery. The Heart Center at Children's Memorial Hermann Hospital has earned the Society of Thoracic Surgeons' (STS) highest rating for quality related to patient care and congenital heart surgery outcomes. Only 12 pediatric heart programs in the United States and Canada earned the distinguished STS three-star rating for congenital heart surgery, following analysis of data collected from 119 participating programs from January 2014 to December 2017. The STS star rating system is one of the most highly regarded overall measures of quality in health care, comparing the nationally benchmarked outcomes of cardiothoracic surgery programs in the U.S. and Canada. For the seventh time, Memorial Hermann Memorial City Medical Center was named one of the nation's top 100 hospitals by IBM Watson Health. Formerly known as the Truven Health Analytics 100 Top Hospitals, the study spotlights the best-performing hospitals based on a scorecard of publicly available clinical, operational and patient satisfaction metrics and data. Memorial Hermann Southeast Hospital, Memorial Hermann Greater Heights Hospital, Memorial Hermann Southwest Hospital and Memorial Hermann The Woodlands Medical Center all have received Chest Pain Center accreditation from The Joint Commission (TJC). An independent, not-for-profit organization, TJC accredits and certifies nearly 21,000 healthcare organizations and programs in the United States. Healthcare organizations that have received this accreditation have demonstrated a high level of expertise in dealing with patients with heart attack symptoms. Memorial Hermann-Texas Medical Center (TMC) and Memorial Hermann Memorial City Medical Center earned national recognition as top performers for superior quality and safety by the Vizient Quality and Accountability Study. Memorial Hermann-TMC received the 2018 Bernard A. Birnbaum, MD, Quality Leadership Award for Academic Medical Centers, and ranked ninth of 99 participating academic medical centers. Memorial Hermann Memorial City received the 2018 Bernard A. Birnbaum, MD, Quality Leadership Award for Complex Teaching Medical Centers, ranking seventh among 100 participating teaching medical centers. Memorial Hermann Sugar Land Hospital was named a recipient of the 2016 Malcolm Baldrige National Quality Award, the nation's highest Presidential honor for performance excellence. U.S. Commerce Secretary Penny Pritzker made the announcement recognizing Memorial Hermann Sugar Land for its outstanding commitment to sustainable excellence through innovation, improvement and visionary leadership. Since the healthcare category was introduced in 1999, only 21 healthcare organizations nationwide have been awarded the Malcolm Baldrige National Quality Award. Memorial Hermann Sugar Land was the first Houston area hospital and the third in Texas to win the prestigious award. For more than 114 years, our focus has been the best interest of our community. During the fiscal year, Memorial Hermann Health System provided community benefits of more than $474 million (as reported on the Internal Revenue Service Form 990, Schedule H) annually through financial assistance, school-based health centers, and other community benefit programs. During the fiscal year, Memorial Hermann admitted 172,080 patients resulting in 1,000,654 days of care, delivered 26,167 babies, had 689,795 emergency visits, 3,200 life flight missions, and over 890,000 diagnostic and therapy visits. Now and for generations to come, the health of our community will be at the center of what we do - charting a better future for all. 5556936721 true true false true false false false false false true true true false true true true false true false false true false false false false false true true true false true true false false false false false false false false true false false false false false false true true true false false true 1043 0 true 32313 true true true true CJ EI false false false false false false false false true false X 23 19 false false false false true true true true true false false true true true true true true true true true true X SYSTEM TAX DEPARTMENT 7133384552 929 GESSNER RD STE 1900 Houston TX 77024 X David L Callender MD CEO/President 40.0 1.0 X X 3133129 0 421070 Erin S Asprec EVP/COO 40.0 1.0 X 1774357 0 260531 Deborah Gordon EVP/CAO/CLO/Secretary 40.0 1.0 X 1540649 0 240520 James McCarthy MD EVP/CPE 40.0 1.0 X 1416923 0 236339 Joshua Urban SVP/Pres Comm Hosp 40.0 1.0 X 1264861 0 179588 Feby Abraham EVP/CSO 40.0 1.0 X 1200017 0 234445 Gregory L Haralson SVP/CEO - TMC 40.0 1.0 X 1213056 0 210694 Alec King EVP/CFO/Treasurer 40.0 1.0 X 1124196 0 244086 Kyle Price SVP/Srvc Lines 40.0 1.0 X 1090234 0 160355 Heath Rushing SVP/Srvc Lines 40.0 1.0 X 1060762 0 160187 Paul C O'Sullivan SVP/CEO- MC & GH 40.0 1.0 X 1057662 0 138148 Eric Smith SVP/CDO 40.0 1.0 X 1031882 0 137591 Lori P Knowles SVP/CHRO 40.0 1.0 X 1002889 0 143732 Amanda Hammel SVP/CIO 40.0 1.0 X 954962 0 121338 Malisha S Patel SVP/CEO - SW & SL 40.0 1.0 X 862453 0 121809 Christopher J Langan VP/CMO - Wdls & NE 40.0 1.0 X 765939 0 144078 Anne E Neeson EVP/CEO - Foundation 40.0 1.0 X 790290 0 106812 Jeffrey Katz VP/CMO - TMC 40.0 1.0 X 751833 0 117692 Justin P Kendrick SVP/CEO - NE & TW 40.0 1.0 X 717019 0 142821 Howard Scott VP/CMO - MC & GH 40.0 1.0 X 731963 0 125370 Jerry A Ashworth SVP/CEO - Cyp & Katy 40.0 1.0 X 729970 0 120028 Teal Holden SVP/Amb & Post-Acute Svcs 40.0 1.0 X 728628 0 110401 Thomas J Flanagan VP/Trma Svc Line & Syst Int 40.0 1.0 X 687622 0 134012 Carol J Paret SVP/CCHO 40.0 1.0 X 678292 0 138181 Noel J Cardenas SVP/CEO - SE & PL 40.0 1.0 X 712544 0 101032 Richard Lyman SVP/Rev Cycle 40.0 1.0 X 682164 0 113322 Cynthia A De Moya Former CFO 40.0 1.0 X 662089 0 112156 Warren Shea VP/Asst Secretary 40.0 1.0 X 568159 0 110641 Alexander Greengold SVP/CEO 40.0 1.0 X 562980 0 114637 Amalia Maislos Stanton SVP/Strat Comm & Mktg 40.0 1.0 X 469494 0 75316 Charles D Stokes Former CEO/President 0.0 0.0 X 408932 0 0 J Kevin Giglio MD Director 1.0 1.0 X 0 143324 0 Gary J Sheppard MD Director 1.0 1.0 X 0 6200 0 R Emmett McDonald MD Director 1.0 1.0 X 0 1300 0 Neelofer S Durrani MD Director 1.0 1.0 X 0 1299 0 David J Graham Director 1.0 0.0 X 0 0 0 Donald M Woo Director 1.0 0.0 X 0 0 0 Edward B Adams Jr Director 1.0 0.0 X 0 0 0 Gary R Petersen Director 1.0 0.0 X 0 0 0 Greg Armstrong Director 1.0 0.0 X 0 0 0 Ira L Flax MD Director 1.0 0.0 X 0 0 0 Jason B Few Director 1.0 0.0 X 0 0 0 Jay Schneider Director 1.0 0.0 X 0 0 0 John Graf Director 1.0 0.0 X 0 0 0 Melinda H Perrin Director 1.0 0.0 X 0 0 0 Monica Benton Director 1.0 0.0 X 0 0 0 Peter R Huntsman Director 1.0 0.0 X 0 0 0 Richard S Figueroa Director 1.0 0.0 X 0 0 0 Roland Garcia Jr Director 1.0 0.0 X 0 0 0 Stacy P Methvin Director 1.0 0.0 X 0 0 0 Stephen H Pouns Director 1.0 0.0 X 0 0 0 Susan Sarofim Director 1.0 0.0 X 0 0 0 William H Easter III Director 1.0 0.0 X 0 0 0 William J Campbell Director 1.0 0.0 X 0 0 0 Willoughby C Williams Jr Director 1.0 0.0 X 0 0 0 John M Esquivel Director 1.0 0.0 X 0 0 0 Jarvis V Hollingsworth Director 1.0 0.0 X 0 0 0 Anne Taylor Director 1.0 0.0 X 0 0 0 Alan V Ytterberg Director 1.0 0.0 X 0 0 0 27022132 0 4250860 7013 true true false AUSTIN COMMERICAL LP 3535 Travis Street Ste 300 DALLAS TX 75204 Construction 83618128 Crothall Healthcare 13028 Collection Center Dr CHICAGO IL 60693 Facilities Mgmt 32545564 AYA Healthcare Inc Dept 3519 PO Box 123519 DALLAS TX 75312 Contract Services 31922161 3M Health Information Services Inc PO Box 120881 DALLAS TX 75312 Contract Services 14459358 9TH WONDER 1201 San Jacinto Street Ste 267 HOUSTON TX 77002 Media Services 14311741 500 1928470 138799027 140727497 NET PATIENT SERVICE REVENUE 622110 6590512210 6590512210 RENTAL INCOME 531120 95125071 95125071 CORPORATE SERVICES 561110 612893 612893 MANAGEMENT FEES 561110 8384140 8384140 6694634314 417785697 -13793580 431579277 0 1532348 1532348 0 0 0 0 0 0 0 0 0 0 0 0 0 CAFETERIA 722514 22549826 22549826 PARKING 812930 14408997 14408997 LAUNDRY 561612 5826543 5826543 16598468 16598468 59383834 7314063690 6694634314 -7967037 486668916 X 18524963 18524963 0 0 0 6366133 6366133 384698 326604 58094 2493238557 2116730406 376508151 110378401 92248288 18130113 254404451 222126085 32278366 163495271 134219297 29275974 61401313 61401313 5580248 5580248 591639 591639 1327663 1327663 0 2494915 2494915 1166650075 972689193 193960882 24012284 3074336 20937948 102609701 97386094 5223607 31336129 30900369 435760 0 208014255 190813504 17200751 3591671 2429659 1162012 0 3457003 2568833 888170 86967512 52818849 34148663 0 336718682 299055407 37663275 44973868 40360984 4612884 MEDICAL SUPPLIES 1095530725 1088753390 6777335 EQUIPMENT RENTAL & MAINTENANCE 173656111 168034246 5621865 LICENSING 5848139 5091635 756504 SPECIAL FUNCTIONS 5814318 5054237 760081 16327623 12402679 3924944 6423696348 5556936721 866759627 0 X 163794818 249362771 678562320 378637894 0 0 966318236 1046156801 0 0 0 0 5780265 12880265 71279760 51790837 131488244 163276599 8321666019 4791965393 3611099255 3529700626 1664581927 1349699394 2461872716 2758251018 0 0 174919901 174919901 1547628251 1672349945 11477325693 11387026051 1230687756 977788152 0 0 138767866 143898027 1549254115 1637491344 0 0 0 0 0 0 14945295 7038265 1705129117 1416453466 4638784149 4182669254 X 6833659627 7199139411 4881917 5217386 6838541544 7204356797 11477325693 11387026051 X 890367342 -646674423 4816013 117306321 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false true true false true true true 1327663 1327663 false PART II-B, LINE 1 Memorial Hermann engages with national, state, and local representatives and their staff members to educate legislators regarding the dynamics, impact, and challenges of health care policies impacting the greater Houston community, including uninsured and indigent populations. Memorial Hermann has relationships with industry associations which may communicate research and educational materials. Forms of communication may involve direct contact, telephone conversations, and written correspondence. The amount of time and money involved with these activities is insubstantial. Memorial Hermann has not intervened in any political campaign. 5275049 -18515 5235949 20585 4778306 496743 5275049 4183989 594317 4778306 4060798 123191 4183989 false true true 150260319 150260319 4917982304 2320102784 2597879520 567596905 402749852 164847053 2573636084 2030331262 543304822 112190407 38781495 73408912 3529700626 FIXED INCOME 246605403 F ALTERNATIVE INVESTMENTS 2504901745 F CASH & CASH EQUIVALENTS 6743870 F 2758251018 DUE FROM AFFILIATES, NET 1527507600 DEPOSITS 5376051 PHYSICIAN GUARANTEE RECEIVABLE 3438310 OTHER ASSETS 136027984 1672349945 0 CAPITALIZED LEASES 691031438 POB LEASE OBLIGATION 31252578 VARIABLE DEBT SWAP LIABILITY 20828038 L/T THIRD PARTY SETTLEMENTS 40632911 OTHER ACCRUED LIABILITIES 116670303 L/T RIGHT OF USE LIABILITY 467407698 TAXABLE BOND 48630500 1416453466 X Part V, Line 4 As of June 30, 2022 Memorial Hermann does not directly hold any endowment funds. Part X, Line 2 For fiscal years ending June 30, 2022 and 2021, Memorial Hermann management has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated balance sheets. Central America and the Caribbean 0 0 Investments 841609488 Europe (Including Iceland and Greenland) 0 0 Investments 269539230 North America 0 0 Investments 44379609 East Asia and the Pacific 0 0 Investments 30757708 South America 0 0 Investments 6027965 Russia and the Newly Independent States 0 0 Investments 2540121 South Asia 0 0 Investments 2165259 0 0 0 0 1197019380 1197019380 true false true true true false PART I, LINE 3 ACCRUAL METHOD true true X true X true X true true true false true true 333132504 0 333132504 0.05190 1093448268 1093448268 0 0.00000 20320194 20320194 0 0.00000 1446900966 1113768462 333132504 0.05190 86448098 18493459 67954639 0.01060 413678666 365372438 48306228 0.00750 13876522 6774649 7101873 0.00110 7999081 0 7999081 0.00120 522002367 390640546 131361821 0.02040 1968903333 1504409008 464494325 0.07230 true 530724320 0 1867604984 2211537984 -343933000 X true true 13 1 Memorial Hermann Hospital - TMC 6411 fannin st houston TX 77030 www.memorialhermann.org 000347 X X X X X X A 2 MH The Woodlands Medical Center 9250 pinecroft drive the woodlands TX 77381 www.memorialhermann.org 000615 X X X A 3 MH Memorial City Medical Center 921 gessner road houston TX 77024 www.memorialhermann.org 000302 X X X A 4 Memorial Hermann Southeast Hospital 11800 astoria blvd houston TX 77089 www.memorialhermann.org 000119 X X X A 5 Memorial Hermann Southwest Hospital 7600 beechnut street houston TX 77074 www.memorialhermann.org 000407 X X X X A 6 Memorial Hermann Northeast 18951 Memorial North Humble TX 77338 www.memorialhermann.org 008471 X X X A 7 Memorial Hermann Katy Hospital 23900 katy freeway katy TX 77494 www.memorialhermann.org 000534 X X X A 8 Memorial Hermann Sugar Land 17500 west grand parkway south sugar land TX 77479 www.memorialhermann.org 000609 X X X A 9 MH Greater Heights Hospital 1635 North Loop West Houston TX 77008 www.memorialhermann.org 000172 X X X A 10 TIRR Memorial Hermann 1333 moursund street houston TX 77030 www.memorialhermann.org 100189 X X X A 11 MH Surgical Hospital First Colony 16906 Southwest Freeway Sugar Land TX 77479 www.memorialhermann.org 100161 X X A 12 MH Specialty Hospital Kingwood LLC 300 Kingwood Medical Drive Kingwood TX 77339 www.memorialhermann.org 008591 X X A 13 MH Rehabilitation Hospital Katy 21720 Kingsland Blvd Ste 102 Katy TX 77450 www.memorialhermann.org 100009 X X A A false false true X X X X X X X X X 22 true false false true X See supplemental statement X true 22 true See supplemental statement false true X 200. 400. X X X X true true X X X X true X See supplemental information X See supplemental information X See supplemental information X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5 Memorial Hermann Health System took into account input from persons representing the community through key informant interviews and a community survey. A total of 47 key informant interviews were conducted with leaders and staff from organizations that provide services directly to the community and officials that represent governmental and non-governmental entities. Interviewees invited to participate were recognized as having expertise in public health, special knowledge of community health needs, representing the broad interests of the community served by the hospital, and/or being able to speak to the needs of medically underserved or vulnerable populations. The interviews took place between October 25, 2021, and February 11, 2022. Interview questions focused on the interviewee's background and organization, the biggest perceived health needs and barriers of concern in the community, and the impact of health issues on the populations they serve. Input from community residents was collected through an online survey. The survey consisted of 12 questions related to top health needs in the community, individuals' perception of their overall health, individuals' access to health care services, as well as demographic, social, and economic determinants of health. The community survey was distributed online through SurveyMonkey from November 17, 2021 to January 28, 2022. Online survey distribution included email outreach and social media posts. Paper surveys were also made available and answers to the paper survey were entered into the SurveyMonkey tool. Both online and paper formats of the survey were made available in English and Spanish. A total of 1,056 responses were collected. Survey respondents were asked to select top issues most affecting the community's quality of life. The majority of respondents identified Obesity/ Overweight, Mental Health and Mental Disorders, Diabetes, Substance Abuse (alcohol, tobacco, drugs, etc.), and Cancers as top issues in the community. The following list of organizations contributed key informant interviews: AccessHealth (FQHC); Alvin City; Alvin ISD Board of Trustees; Avenue CDC; Baker Ripley; Catholic Charities - Archdiocese of Galveston; Child Advocates of Fort Bend; Children at Risk; Colorado County - Indigent Health Care; Department of State Health Services; East Fort Bend Human Needs Ministry; El Centro de Corazon; Episcopal Health Foundation; Fort Bend County Health and Human Services; Fort Bend County Sheriff's Office; Healthcare for the Homeless - Houston; Houston Galveston Institute (HGI); Houston Health Department; Houston Housing Authority; Interfaith Community Clinic; Kinder Institute for Urban Research; Legacy Community Health; Liberty County Sheriff's Office; LoneStar Family Health Center; Montgomery County Food Bank; Patient Care Intervention Center (PCIC); Pearland ISD School Board; Prairie View A&M - College of Nursing; Santa Maria Hostel, Inc.; Texas House of Representatives - District 29. CHNAs were designed in accordance with CHNA requirements identified in the Patient Protection and Affordable Care Act and further addressed in the Internal Revenue Service final regulations released on December 29, 2014. Part V, Section B, Line 7 https://www.memorialhermann.org/giving-back/community-benefit/reports-comm unity Part V, Section B, Line 10 https://www.memorialhermann.org/giving-back/community-benefit/reports-comm unity Part V, Section B, Line 11 Memorial Hermann continually identifies and meets the region's healthcare needs, committed to making greater Houston a healthier and more vital place to live. To support and engage our community, the foundation for our work rests on four intersecting pillars - Access to Health Care, Emotional Well-being; Food as Health, and Exercise is Medicine - designed: to provide care for uninsured and underinsured; to reach those Houstonians needing low-cost care; to support the existing infrastructure of non-profit clinics and federally qualified health centers; to address mental and behavioral care services through innovative access points; to work against food insecurity and physical inactivity; and to educate individuals and their families on how to access the services needed by and available to them. These four tenets became the system's expanded focus to address the 60% of health that is determined by lifestyle and environment to impact the 20% of health that is impacted by traditional health care. Signature, cornerstone initiatives supporting the four pillars include: health centers for schools; mobile dental vans; ER navigators; community resource centers; nurse health line; StepHEALTHY (physical activity programming); park activations; culture of food health (nutrition literacy and food access); neighborhood health centers; and mental health crisis clinics. The 2022 CHNA findings resulted from the analysis of an extensive set of secondary data (over 200 indicators from national and state public secondary data sources) and primary data collected from community leaders, non-health professionals, and organizations serving the community at large, vulnerable populations, and/or populations with unmet health needs. Through an examination of the primary and secondary data, the following top health needs were identified: access to healthcare; cancers; children's health; diabetes; heart disease/stroke; injuries, violence, and safety; mental health and mental disorders; obesity/overweight; older adults/elderly care; oral health; physical activity; respiratory/lung disease (asthma, COPD, etc.); substance abuse (alcohol, tobacco, drugs, etc.); wellness and lifestyle; women's health. Eighty stakeholders from the 13 licensed facilities in the Memorial Hermann Health System completed a survey to prioritize the significant health issues, based on criteria including: Ability to Impact: the perceived likelihood of positive impact on each health issue; and, Scope & Severity: gauge on the magnitude of each health issue. With Memorial Hermann's four pillars designed to deliver effective upstream interventions, addressing the above identified community needs continue to fall within our four pillars: access to healthcare; emotional well-being; food as health; exercise is medicine. The CHNA process enables each hospital within Memorial Hermann to develop programs and services that advance the health of its community, building the foundation for systemic change across the greater Houston area. Memorial Hermann supports initiatives that increase patients' access to care to ensure they receive care at the right location, at the right cost, at the right time. Ongoing efforts include system-wide programs like Nurse Health Line - a 24/7 free resource where community members (uninsured and insured) within the greater Houston community can call to discuss their health concerns, receive recommendations on the appropriate setting for care, and get connected to appropriate resources; ER Navigation - navigating uninsured and Medicaid patients that access the ER for primary care, treatable and avoidable issues, to a medical home; and OneBridge Health Network - connecting uninsured patients, meeting eligibility criteria, including a referral from a PCP, with the specialty care connections they need to get well. Additional efforts include: transportation vouchers to provide a safe way home upon discharge; Neighborhood Health Center vouchers through the ER Case management team to promote awareness of and improve access for the appropriate level of care; offering access to teen pregnancy information and resources to expecting students at schools including at-risk, low income, underserved children; participating in Project Mammogram - a community program offering free mammograms and breast ultrasounds to qualifying area women and men; partnering with schools to provide a concussion trained PCP or ED physician on site at High School sports events; offering short-term medications/prescriptions upon discharge for uninsured; providing skilled nursing services and post hospitalization follow-up visit upon discharge for the uninsured/underinsured; participating in a Physician Match Program for those lacking health insurance where physicians at the hospital may provide services to patients without insurance and the hospital matches the physician contribution; offering Resource Assistance Connections; and, offering Community Resource Centers on the campuses of select hospitals to engage a variety of service providers to provide a continuum of community care to underinsured, discharged patients and community clients. System-wide initiatives focusing on emotional well-being and that connect and care for community members experiencing a mental health concern include access to appropriate psychiatric specialists at the time of their crisis with the Memorial Hermann Crisis Clinics; ER support and community connections through the Memorial Hermann Psychiatric Response team; connections between medical and mental health providers with the Memorial Hermann Integrated Care Program; and, knowledge to navigate the system, regardless of their ability to pay through support from Memorial Hermann Psychiatric Response Case Management. Implemented initiatives concentrating on food as health and increase awareness of food insecurity, provision of food programs, and education that promotes the reduction/postponement of chronic disease include: screening for food insecurity via ER staff and care managers and connecting patients to Houston Food Bank for SNAP eligibility and food pantry connections. Memorial Hermann also conducts various education and support groups for members within the hospital and the surrounding community, including Amputation Support Group; Mended Hearts Support Group; Heart and Stroke Support Groups (including STEMI) to encourage a change in knowledge and health status; Diabetes Support Group, including nutrition classes with healthy nutritional recipes to individuals with a diabetes diagnosis. Memorial Hermann also provides blood pressure screenings at community and hospital events; offers low-cost heart screenings to youth athletes; provides low cost/free school athletic physicals; participates in seasonal community food and supply drives to support those struggling with food insecurity; participates in the American Heart Association's Annual Heart Walk to raise funds for the organization and create awareness in the community around heart health activities; provides access to information/services to support management of chronic or life-threatening diseases through free Oncology Nutrition Therapy consults to cancer patients and their caregivers; and, offers free breastfeeding support groups, general education about breastfeeding and donation, and acts as Milk Bank Donor Depot donation centers via a partnership with the Austin milk bank. Implemented initiatives that encourage physical activities and that promote improved health, social cohesion, and emotional well-being through exercise is medicine include: improving health and social cohesion through food distribution and 'a walk in the park' at Moody and Castillo Parks in the Near Northside; improving health and social cohesion through Walking Clubs (including Walk with a Doc), Dancing with a Doc, Senior Fitness, and Soccer for Success; participating in a Pediatric Weight Loss Management Program in which a population 12-17 years are taught nutrition including healthy meal recipes, how to pack a healthy lunch, how to eat out healthy, how to read food labels, and exercising for better health; providing support of local adaptive sports leagues; offering physical activity classes such as yoga, tai chi, Zumba, and Pilates; and, working with Healthy Outdoor Communities - a community collaborative to create thriving parks and communities and contribute to integrated programming and resources that promote more active and healthy outdoor lifestyles leading to better mental health, well-being, and resiliency in children and youth of color and their families as well as the community at large. The following additional significant health needs emerged: Older Adults and Elderly Care, Cancer, Children's Health and Women's Health. These topics have not been specifically prioritized, but due to the interrelationship of social determinants and health, many of these areas fall, tangentially, within the prioritized health needs and may be addre Part V, Section B, Line 13b Patients who have an outstanding account balance owed on their hospital bills may be eligible for a discount if all of the following criteria are met: 1) balance exceeds ten percent of the person's annual gross family income; 2) they are unable to pay all or a portion of the remaining bill balance; and 3) the bill balance is at least $5,000. Under these circumstances, the patient or guarantor is expected to cooperate with the financial assistance process and supply personal or financial information and documentation relevant to making a determination of eligibility. If approved, the patient will be responsible for paying no more than ten percent of their annual gross family income towards the remaining outstanding account balances or AGB discount will be applied, whichever is less and most beneficial for the patient's financial situation. Part V, Section B, Line 16 https://www.memorialhermann.org/patients-visitors/patient-services/financi al-care/financial-assistance-program 23 MH Surgery Center The Woodlands Pincroft 9305 Pinecroft Dr Suite 200 The Woodlands TX 77380 Ambulatory Surgical Center MH Surgery Center Woodlands Parkway 1441 Woodstead Court Suite 100 The Woodlands TX 77380 Ambulatory Surgical Center MH Surgery Center Sugar Land 17510 W Grand Pkwy Ste 200 Sugar Land TX 77479 Ambulatory Surgical Center MH The Woodlands Med Center Surgery CTR 9200 Pinecroft Drive Suite 200 The Woodlands TX 77380 Ambulatory Surgical Center MH Surgery Center Texas Medical Center 6400 Fannin Street Suite 1500 Houston TX 77030 Ambulatory Surgical Center MH Surgery Center Katy 23920 Katy Freeway Suite 200 Katy TX 77494 Ambulatory Surgical Center MH Surgery Center Kirby 2457 South Braeswood Blvd Houston TX 77030 Ambulatory Surgical Center MH Surgery Center Kingsland 21720 Kingsland Blvd Suite 101 Katy TX 77450 Ambulatory Surgical Center MH United Surgery Center in Southeast 12700 N Featherwood Ste 100 Houston TX 77034 Ambulatory Surgical Center MH Surgery Center Conroe 1501 River Pointe Dr Suite 200 Conroe TX 77304 Ambulatory Surgical Center MH Surgery Center Southwest 7789 Southwest Freeway Suite 200 Houston TX 77074 Ambulatory Surgical Center MH Surgery Center Memorial Village 1120 Business Center Drive Suite 11 Houston TX 77043 Ambulatory Surgical Center MH Bay Area Endoscopy Center 444 FM 1959 Suite B Houston TX 77034 Ambulatory Surgical Center MH Surgery Center Greater Heights 1631 North Loop West Suite 300 Houston TX 77008 Ambulatory Surgical Center MH Surgery Center West Houston 970 Campbell Road Ste 101 Houston TX 77024 Ambulatory Surgical Center MH Surgery Center Texas Intl Endoscopy 6620 Main Street Suite 1500 Houston TX 77030 Ambulatory Surgical Center MH Surgery Center Main Street 7515 Main Street Suite 800 Houston TX 77030 Ambulatory Surgical Center MH Endoscopy & Surgery Ctr N Houston 275 Lantern Bend Suite 400 Houston TX 77090 Ambulatory Surgical Center MH Surgery Center Richmond LLC 21155 Southwest Freeway Richmond TX 77469 Ambulatory Surgical Center MH Endoscopy Center North Freeway 1900 North Loop Freeway West Suite Houston TX 77018 Ambulatory Surgical Center MH Surgery Center Brazoria 2760 Brazos Parkway Angleton TX 77515 Ambulatory Surgical Center University Place 7480 Beechnut Houston TX 77074 Senior Living MH Doctors Outpatient SurgiCtr Pasadena 3534 Vista Pasadena TX 77505 Ambulatory Surgical Center Part I, Line 3c Patients who have an outstanding account balance owed on their hospital bills may be eligible for a discount if all of the following criteria are met: 1) balance exceeds ten percent of the person's annual gross family income; 2) they are unable to pay all or a portion of the remaining bill balance; and 3) the bill balance is at least $5,000. Under these circumstances, the patient or guarantor is expected to cooperate with the financial assistance process and supply personal or financial information and documentation relevant to making a determination of eligibility. If approved, the patient will be responsible for paying no more than ten percent of their annual gross family income towards the remaining outstanding account balances or AGB discount will be applied, whichever is less and most beneficial for the patient's financial situation. Part I, Line 6a Memorial Hermann Health System prepares and files an annual report of community benefit plan with the Texas Department of State Health Services. This report is made available through the organization's webpage at https://communitybenefit.memorialhermann.org/about-us/report-to-the-commun ity/ Part I, Line 7 A cost-to-charge ratio is used to calculate the amounts on line 7a. The remaining lines are calculated from the books and records of specific segments of the organization. Part I, Line 7, Column (F) The bad debt expense is included on Form 990, Part IX, Line 25, column (a), but removed for purposes of calculating the percentage in column (f) totaled $0. Part III, Line 2 Bad debt expense is determined based on GAAP and is explained under significant accounting policies within section net patient service revenue and patient accounts receivable in the consolidated audited financial statements. Part III, Line 4 Footnotes related to Accounts Receivable and Allowance for Doubtful Accounts can be located on pages 8 through 11 on Memorial Hermann Health System's fiscal year ending 2022 consolidated audited financial statements. Memorial Hermann entered zero on Schedule H, Part III, Line 3. From prior experience, the organization believes a portion of bad debt expense may be attributable to patients who would otherwise qualify for financial assistance. The organization estimates this could range from 0-5 percent. Memorial Hermann makes efforts to educate patients about its financial assistance program. Regardless, patients may choose not to apply for financial assistance or provide complete applications. See Part VI supplemental information line 3c narrative for more information regarding Memorial Hermann's efforts to inform and educate patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's financial assistance policy. Part III, Line 8 Reasons why the Medicare shortfall reported on Line 7, if any, should be treated as a community benefit include: absent the Medicare program, many of the individuals would likely qualify for financial assistance or other needs-based government programs; as payments to treat Medicare individuals are below cost of care, the burdens of government are relieved relative to these patients, Memorial Hermann Health System provides care to Medicare patients regardless of any Medicare shortfall; the real possibility that continued reductions in reimbursement may create further difficulties in access to care for Medicare patients; financial resources utilized to cover any Medicare shortfall is no longer available to cover financial assistance and any other community benefit needs; IRS Revenue Ruling 69-545 provides, in part, that hospitals serving patients with governmental health benefits, including as an example Medicare, is an indication that the hospital operates for the promotion of health in the community; Texas nonprofit hospitals must provide a minimum level of community benefit in order to obtain exemption from state and local taxes. According to the current Texas health and safety code, the unreimbursed cost of Medicare is considered to be a community benefit in determining these state statutory requirements as it helps relieve a governmental burden of providing this care that would otherwise be provided through the county hospital system in Texas. The amount reported in Part III, Section b, on Line 7 was calculated in accordance with the Schedule H instructions utilizing the organization's allowable cost reported in the Medicare cost reported based on a cost to charge ratio. Part III, Line 9b Memorial Hermann Health System's billing and collection policy prohibits any collection efforts for the portion of a patient's account balance that qualifies for assistance under the organization's financial assistance policy. With respect to any remaining balance due, if any, the billing and collection policy contains actions which may be taken in the event of nonpayment and are applied equally to all patient types. Part VI, Line 2 Improving the health of a community is essential to enhancing the quality of life for residents in the region and supporting future social and economic well-being. In 2013, in 2016, 2019 and most recently in 2022, Memorial Hermann Health System engaged in a community health planning process that was two-fold: (1) a Community Health Needs Assessment (CHNA) to identify the health-related needs and strengths of the community and (2) a Strategic Implementation Plan (SIP) to identify major health priorities, develop goals, and select strategies and identify partners to address these priority issues across the community. The CHNA was guided by a participatory, collaborative approach, which examined health in its broadest sense. This process included integrating existing secondary data on social, economic, and health issues in the region with qualitative information from a community survey with community residents and service providers and interviews with community stakeholders. The CHNAs were conducted in accordance with state and federal guidelines including IRC Section 501(r) and the Texas Health and Safety Code Section 311. Part VI, Line 3 Memorial Hermann Health System is committed to making healthier communities, now and for generations to come. Patients who qualify for financial assistance through Memorial Hermann's Financial Assistance Program may be notified in the following ways: patient consent-the health care consent that is signed upon registration for healthcare services includes a statement that if charity services are required, eligibility determination should be requested upon admission to the hospital or upon receipt of itemized bill or statement; financial counseling: Memorial Hermann patients are encouraged to seek information from their hospital's financial counselor if they anticipate difficulty paying their portion of the hospital bill. Our financial counselors will make every effort to assist patients who are uninsured, underinsured, or face other financial challenges associated with paying for the health care services we provide. Financial counselors may screen patients for eligibility for a variety of government funded programs, assist with a worker's compensation or liability claim, set up an extended time payment plan, or help patients apply for financial assistance, plain language summary and application. A paper copy of the plain language summary of Memorial Hermann's FAP and a paper copy of the financial assistance application will be made available to all patients at the earliest practical time of service. Memorial Hermann will have free paper copies of these documents available upon request in the emergency department and registration areas. Free paper copies are also available by mail or by calling 713-338-5502 or 1-800-526-2121, option 5; translated copies available: Memorial Hermann translates its FAP, plain language summary, financial assistance application, and billing and collections policy for limited English proficient individuals representing the lesser of five percent or 1,000 individuals of the community served by its hospital facilities. Memorial Hermann makes free copies of these documents available on the Memorial Hermann website and upon request in the emergency department and hospital registration areas. Free paper copies are also available by mail by calling 713-338-5502 or 1-800-526-2121, option 5; signage- all financial assistance signage will be clearly and conspicuously posted in locations that are visible to the public, including, but not limited to, Memorial Hermann emergency department and patient registration areas. Signage will indicate that financial assistance is available and the phone number to reach a financial counselor for more information; website - Memorial Hermann's post notice in a prominent place on its website that financial assistance is available, with an explanation of the financial assistance application process. Memorial Hermann posts its FAP with a list of providers who are covered and not covered under the FAP, plain language summary, financial assistance application, and the billing and collections policy on Memorial Hermann's website; patient bills and statements - patient statements will include a request that the patient is responsible to inform Memorial Hermann of any available health insurance coverage, and will include a notice of the Memorial Hermann FAP, a telephone number to request financial assistance, and the website address where financial assistance documents can be obtained; mail or fax: patients may mail or fax a written request for free copies of these documents to the address below and including the individual's full name and return mailing address to which they want Memorial Hermann to send the copies. Memorial Hermann Health System, ATTN: Financial Assistance, 909 Frostwood, Suite 3:100 Houston, Texas 77024, fax: 713-338-6500 Assistance, 909 Frostwood, Suite 3:100 Houston, Texas 77024, fax: 713-338-6500 713-338-6500 713-338-6500 713-338-6500 713-338-6500 713-338-6500. Part VI, Line 4 Demographics: Memorial Hermann serves the region of Greater Houston, including areas along the Gulf Coast in Southeast Texas, where several counties are without hospital district services. The Metropolitan Service Area is home to roughly 7 million people-the fifth largest in the U.S.-and it continues to be one of the fastest growing. We are proud of our diversity, with no racial or ethnic majority present; the population is 36% White, 38% Hispanic, 17% Black, and 8% Asian, and nearly 1 in 4 residents are foreign born, contributing to a wide variety of cultures and ethnicities throughout the region. Immigration is a valued part of our identity, and roughly 40% of residents speak languages other than English at home. Twenty-seven percent of the total population are minors, and 10% are over 65 years of age, resulting in a potential workforce of approximately 4.3 million. Notably, only 33% of those 25 years of age and older have a college degree or higher. Prior to the COVID-19 pandemic, 16% of all residents fell at or below the Federal Poverty Threshold. Major Employers: Houston's unemployment rate spiked during 2020 due to the COVID-19 pandemic, but ended 2021 at just 4.8%. The energy industry dominates the Houston economy, but grocery stores and health care (including Memorial Hermann Health System, MD Anderson Cancer Center, and Houston Methodist) are the largest employers, along with United Airlines. Memorial Hermann collaborates with these health systems on community improvement efforts. Reducing poverty and increasing existing graduation rates (a goal of our Health Centers for Schools initiative) is paramount to supporting our economy's continued strength and prosperity across all sectors. Key Community Health Needs Assessment Findings (Significant Health and Social Service Challenges): Pre-pandemic, the percentage of Harris County's population without health insurance totaled 20.8%, higher than the state average of 17.7% and more than double the national average of 8.9%. Current estimates escalate this rate to 24.2%. Without insurance, people skip services that detect underlying health issues, leading to delayed treatment, poor outcomes, and higher costs. The rising rate of obesity is the single biggest threat to the Greater Houston area; 34% of adults are overweight, increasing the risk of dying from cancer, heart disease, stroke, diabetes, liver disease and kidney disease. With 20% of adults self-reporting five or more poor mental health days a year, the need for increased access to behavioral health care is significant and projected only to escalate in the aftermath of the pandemic. In addition, health disparities exist across different races and ethnicities: half of Hispanics are without a usual source of care; African American women are three times more likely to die from a pregnancy related death than other racial groups; and African Americans have experienced significantly higher infection and death rates from COVID-19 than white Americans. COVID-19: More than 1,540,000 individuals in the region have been infected with COVID-19, and more than 15,000 did not survive. Throughout the pandemic, Memorial Hermann worked collaboratively with other health care organizations to expand access to COVID-19 vaccines. Food insecurity spiked during the pandemic, with nearly 30% of households reporting not having enough to eat. Those rates have reduced but remain at an average of 15%. Houston has ranked among the top three cities in the nation for evictions filed during the pandemic. Part VI, Line 5 Memorial Hermann Health Center for Schools Memorial Hermann Health Centers for Schools is comprised of ten school-based clinics and three mobile dental vans and designed to be a holistic medical, mental health, and dental home for uninsured and underinsured children and a secondary access point for insured children. Health Centers for Schools exist in 10 locations serving children in 80+ schools throughout the Houston, Pasadena, Alief, Aldine and Lamar Consolidated School Districts. Services offered include sick and well-visits, sports physicals, immunizations, chronic care for asthma, obesity, cholesterol, etc., mental health therapy, navigation services, and nutritional guidance. Three Mobile Dental Clinics rotate among the centers, providing restorative as well as preventive dental care. These school-based health centers (SBHCs) are located in schools and school districts with students with documented barriers to healthcare. Through transportation from feeder schools, the SBHCs offer accessible healthcare to children who would otherwise not obtain it and keep children in school where they can learn. With appropriate consent, students can be seen without their parent. No payment is collected beyond billing Medicaid. All ten Health Centers for Schools operate Monday through Friday, 40 hours/week, 12 months/year. Providing services to patients from a variety of cultural and socio-economic backgrounds, Health Centers for Schools serve individuals who have barriers to health care beyond the status of insurance. Neighborhood Health Centers - Northeast, Northwest, and Southwest Bridging the gap for primary care, for individuals and families without private health insurance and who do not qualify for sliding-scale federal poverty coverage at area FQHCs, are our three Neighborhood Health Centers (NHCs). Each center provides preventative, acute, and chronic care at little more than cost. An essential step in establishing the NHC as a patient's primary care home is education on how to navigate the healthcare delivery system and the importance of maintaining wellness visits and good health. NHCs are open every day, with extended hours for walk-ins as well as scheduled appointments. ER Navigators (Community Health Workers) Placed in all Memorial Hermann ERs, Community Health Workers (CHWs) meet with patients to help eliminate barriers to healthcare access issues and connect to medical homes. With 27,000 annual initial ER interventions, each with follow-up calls, ER Navigation realizes a 72% decrease in ER visits in the 6-month pre/post navigation intervention time frame and 62% in the 12-month time frame. The Community Resource Centers at Memorial Hermann Hospitals Southwest, Greater Heights, and Northeast The Memorial Hermann Community Resource Center at Southwest is a pilot program located inside Memorial Hermann Southwest Hospital (MHSW) professional building. The Center is designed to offer MH Southwest Hospital Emergency department, onsite physicians and care managers, as well as community members with accessing community resources, some of which will provide scheduled services on site; completing eligibility applications; and, receiving information and education on public health and social services. To date, specific services include: assistance enrolling in public health insurance; applications for public social services (SNAP, WIC, etc.); and referrals to the onsite partners that have begun to provide weekly schedules at the Center (Houston Food Bank, area Federally Qualified Health Centers, Memorial Hermann Behavioral Health and Chronic Disease prescription assistance). As we work with our clients and community, we are continually assessing the need and opportunities for new partners. The goal is for collaboration with patients, the community, and service providers to result in upstream factors and efforts. OneBridge Health Network (Previously Provider Health Network) In an effort to close the loop for needed specialty care, OneBridge Health Network was created. Our Federally Qualified Health Center partners can be connected to volunteer specialists to address debilitating conditions that, if treated, can return the patient to feeling well and improved quality of life. OneBridge verifies that patients qualify for the specialty care, ensures pre-specialty visit testing is completed, provides navigation support for other quality-of-life needs, and ensures seamless transition from referring primary care provider to specialist and back to primary care provider. Pathways for Health, Pathways for Costs Pathways for Health, Pathways for Costs is a program that engages under-insured and uninsured patients being discharged from the hospital. The program is appropriate when clinicians think the patient will require further hospital services as a result of not having the support structures in place to follow through with their health issue post-discharge. Pathways are designed to identify patients, assist them in scheduling and understanding their upcoming outpatient procedures, and assess other needs or barriers to care. The initial effort is a paracentesis pathway (i.e., needle or catheter is inserted into the peritoneal cavity to obtain ascitic fluid for diagnostic or therapeutic purposes) in which patients admitted for abdominal distortion, liver disease or ascites (i.e., accumulation of fluid in the peritoneal cavity, causing abdominal swelling) are placed on regular outpatient schedules. This process results in patients not postponing their care, avoid costly ER visits and emergency procedures, and remain more in control of their health with improved quality of life. Food as Health Recognizing that the lack of access to and understanding of healthy foods is a connection to health, the Food as Health program was initiated in 2015. Efforts reside in a variety of environments, all with the goal of reducing food insecurities and freeing up purchasing dollars for other needs. Patients identified as food insecure receive a referral to the Houston Food Bank and guidance on questions to ask for an appropriate food pantry referral. Discharged patients at hospitals with Community Resource Centers are provided with a basic food care package. Food distribution occurs bi-monthly in the Near Northside. School-based clinic families, educated by our dietitians on utilizing affordable whole foods have access to at least 30 pounds of free fruits and vegetables plus additional whole foods twice a month. All of the programs provide access to Community Health Workers to assist in enrolling for the very essential SNAP benefits. Creating a healthy eating environment that is fruitful, educational, and sustainable, the Culture of Food Health initiative focuses on enhancing green spaces by creating nutrition hubs in which community residents can attend nutrition education classes, agricultural and gardening workshops, and offer an access point to obtain healthier food items through a community garden. Exercise is Medicine (EIM) EIM focuses on helping residents to self-manage their health and wellness with exercise and physical activity programming, Memorial Hermann collaborates with partners across the region to activate park features and promote safe, engaging, culturally appropriate opportunities for people to get fit within their own neighborhoods and communities. Physical activity is promoted through a variety of programs, all with the goal of providing education on the benefits of regular exercise from emotional wellbeing to support in combating chronic diseases and health complications. Memorial Hermann Mental Health Crisis Clinics Memorial Hermann is a safety net system for Greater Houston's most vulnerable, especially patients with mental health issues. In 2013, we conducted considerable community engagement with partners and local stakeholders, reviewed over a decade of referral data, identified gaps in our region and studied public transportation routes; all of this led to the creation of our Mental Health Crisis Clinics (MHCC), an innovative access point. Three clinic locations were selected in retail centers with careful signage to minimize the stigma associated with accessing behavioral health. While COVID-19 has exacerbated mental health needs in our community, our MHCCs eliminate the 90-plus day wait time to be connected to outpatient behavioral health. MHCCs offer psychiatric urgent care, so any patient in need can walk-in, without an appointment, and be immediately assessed and cared for by a licensed mental health team. Extended and weekend hours enable patients to access care during non-traditional hours. Our care team includes board certified adult and child psychiatrists, psychiatric-focused nurse practitioners and physician assistants, behavioral health clinicians and support staff. Every patient is systematically screened for suicide risk, assessed by our team and participates in psycho-social education. As appropriate, clinicians create Part VI, Line 6 Memorial Hermann Health System is a non-profit, values-driven, community-owned health system dedicated to improving the health of the communities we serve. We are one of the largest not-for-profit health systems in southeast Texas and the second largest employer in the area. With a market share of 27% in the 12 counties that comprise Greater Houston, our vision is to create healthier communities, now and for generations to come. Governed by a Board of 22 community members, our integrated system of 6,700 affiliated physicians and 29,000 employees practices the highest standards of safe, evidence-based quality care as we strive to provide a personalized and outcome-oriented experience across our 270 care delivery sites, including 17 (13 licensed) hospitals and numerous specialty programs and services conveniently located throughout the greater Houston area. With 115 years of history serving our region, our system is a trusted source for health care ranging from burn treatment and wound care, oncology, pediatrics, maternal health, diabetes and endocrinology, digestive health, general surgery, cardiovascular care, neurology and neurosurgery, nutrition, ophthalmology, orthopedics, rehabilitation, robotic surgery, transplants, weight loss and more. Our flagship hospital, Memorial Hermann-Texas Medical Center, houses one of the nation's busiest Level 1 trauma centers and serves as the primary teaching hospital for McGovern Medical School at UTHealth Houston. Memorial Hermann Life Flight, spearheaded by the late legend Dr. Red Duke, is the only hospital-based air ambulance service in Houston. Our system also runs the only comprehensive burn center in Houston and our Mischer Neuroscience Institute is the largest and most comprehensive neuroscience program in Texas. We are also a national leader in rehabilitation treatment and care, with TIRR Memorial Hermann ranking No. 2 this past year by U.S. News & World Report. All aspects of the health system - care delivery, physicians and health solutions are brought together to create a truly integrated health system. This breadth of service uniquely positions Memorial Hermann to collaborate with other providers to assess and create health care solutions for individuals in greater Houston's diverse communities; to provide superior quality, cost-efficient, innovative and compassionate care; to support teaching and research to advance the health professionals and health care of tomorrow; and to provide holistic health care which addresses the physical, social, psychological and spiritual needs of individuals. Memorial Hermann has an award-winning and nationally acclaimed Accountable Care Organization, and our Memorial Hermann physician network, MHMD, comprises physicians from Memorial Hermann Medical Group, UTHealth and private physicians and specialists. We offer leading-edge clinical expertise, patient-centered care, and leading-edge technology and innovation. Through Memorial Hermann's subsidiary, Memorial Hermann Community Benefit Corporation (MHCBC), Memorial Hermann implements programs to work with other healthcare providers, government agencies, business leaders and community stakeholders to ensure that all residents of the greater Houston area have access to the care they need to improve their quality of life and the overall health of the community. The mission of Memorial Hermann Community Benefit Corporation is to test and measure innovative solutions that promote good health for the individual, the health system and the community. MHCBC collaborates with others as well as creates signature, evidence-based ways to improve the communities where people live, work, learn, and play. MHCBC areas of expertise span access and navigation, nutrition and physical activity, support of the whole person, and rigorous outcome measurement. Primary program focus include education on, access to, and provision of primary medical, dental, mental health, and social service support to underserved populations; food as health; and, exercise as medicine. New programs are piloted, and proved programs are replicated in the community. Community benefit corporation funding tenets include: provision of primary and/or specialty care for the uninsured and underinsured; contribution to the existing infrastructure of non-profit clinics and FQHC's; programs, practices, and policies that affect the health of individuals, families, and communities; commitment to measurement; existence of collaborative partners; programmatic inclusion of health education and literacy; strive towards sustainability. As required by the Community Health Needs Assessment-Section 501(r)(3)-requirement of the acaACA, Memorial Hermann Community Benefit Corporation supports the Memorial Hermann Health System licensed acute care, rehab, and surgical and ER hospitals in conducting community needs assessments. The corresponding implementations strategies balance the individuality of the different hospitals with the system strategy of collectively supporting community objectives to achieve the necessary alignment and leverage to impact true community change. Part VI, Line 7 Texas true MEMORIAL HERMANN FOUNDATION 929 GESSNER STE 1900 HOUSTON TX 77024 741653640 501(c)(3) 7932132 Support Charitable Programs Memorial Hermann Community Benefits Corp 929 Gessner Rd St 1900 HOUSTON TX 77024 680511504 501(c)(3) 7870654 Support Charitable Programs American Heart Association Inc 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(c)(3) 220000 Support Charitable Programs THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT H 7000 FANNIN ST HOUSTON TX 77030 741761309 State of TX 210000 Support Educational Programs MARCH OF DIMES INC 1275 MAMARONECK AVE WHITE PLAINS NY 10605 131846366 501(c)(3) 125000 Support Charitable Programs KATY INDEPENDENT SCHOOL DISTRICT 6301 S STADIUM LN KATY TX 77494 746001484 State of TX 111250 Support Community Programs PROMEDICA INTERNATIONAL CME 300 CARLSBAD VILLAGE DR STE 108A-3 CARLSBAD CA 92008 800891393 100000 general fundraising GREATER HOUSTON PARTNERSHIP INC 701 AVENIDA DE LAS AMERICAS STE 900 HOUSTON TX 77010 760267896 501(c)(6) 92000 Support Community Programs SPRING BRANCH INDEPENDENT SCHOOL DISTRICT 955 CAMPBELL RD HOUSTON TX 77024 746001379 State of TX 60000 Sponsorship Hermann Park Conservancy 1700 Hermann Dr Houston TX 77004 760327389 501(c)(3) 55000 general fundraising Hodges Products Inc PO Box 1326 EL Cajon CA 92022 330389809 52900 Support Community Programs JEWISH FAMILY SERVICE 4131 S BRAESWOOD BLVD HOUSTON TX 77025 741152607 501(c)(3) 50000 Support Charitable Programs HOUSTON BAPTIST UNIVERSITY 7502 FONDREN ROAD HOUSTON TX 77074 741400699 501(c)(3) 50000 general fundraising THE ROSE 12700 N FEATHERWOOD DR HOUSTON TX 77034 760193812 501(c)(3) 50000 Support Charitable Programs ISHI MINISTRIES 550 S 4TH STREET MINNEAPOLIS MN 55415 941347393 501(c)(3) 43000 general fundraising OVARCOME NON-PROFIT INC 2525 ROBINHOOD ST STE 203 HOUSTON TX 77005 454716979 501(c)(3) 37500 Support Charitable Programs CANCARE INC 9575 KATY FREEWAY STE 428 HOUSTON TX 77024 760305357 501(c)(3) 35000 Support Charitable Programs FORT BEND JUNIOR SERVICE LEAGUE PO BOX 17387 SUGAR LAND TX 77496 760664152 501(c)(3) 35000 Support Charitable Programs CRISTO REY WORK STUDY PROGRAM 6700 MOUNT CARMEL STREET HOUSTON TX 77087 263739361 501(c)(3) 34500 general fundraising FRIENDS OF WEST UNIVERSITY PARKS FUND 4210 BELLAIRE BLVD WEST UNIVERSITY PLACE TX 77025 760192413 501(c)(3) 30000 Support Charitable Programs ATHLETES AND CAUSES INC 12551 FRANKLIN RD THONOTOSASSA FL 33592 472377003 501(c)(3) 30000 Sponsorship HOLOCAUST MUSEUM HOUSTON 9220 KIRBY DR STE 100 HOUSTON TX 77054 760331398 501(c)(3) 30000 Support Charitable Programs THEATRE UNDER THE STARTS INC 800 BAGBY STREET 200 HOUSTON TX 77002 741621647 501(c)(3) 28880 Support Charitable Programs Foreever Parks Foundation of Pearland 4141 Bailey Rd PEARLAND TX 77581 473392404 501(c)(3) 25000 Support Community Programs The University of Texas at Tyler 3900 University Blvd Tyler TX 75799 751396988 State of TX 24000 Support Community Programs CY-FAIR HOUSTON CHAMBER OF COMMERCE 8711 HIGHWAY 6 N STE 120 HOUSTON TX 77095 760194069 501(c)(6) 22750 Support Community Programs THE THORACIC SURGERY FOUNDATION 633 N SAINT CLAIR ST STE 2100 CHICAGO IL 60611 363635910 501(c)(3) 20000 Support Charitable Programs AMERICAN CANCER SOCIETY INC 250 Williams Street NW 400 Atlanta GA 30303 131788491 501(c)(3) 20000 Support Charitable Programs JOHN P MCGOVERN MUSEUM OF HEALTH & MED SCI 1515 HERMANN DR HOUSTON TX 77004 746106357 501(c)(3) 20000 Support Charitable Programs CY-FAIR EDUCATIONAL FOUNDATION PO BOX 1698 CYPRESS TX 774101698 237079589 501(c)(3) 19700 Support Charitable Programs SAN JOSE CLINIC 711 LOUISIANA ST STE 2300 HOUSTON TX 77002 760373703 501(c)(3) 18000 general fundraising BARBARA BUSH HOUSTON LITERACY FOUNDATION 7887 SAN FELIPE STE 250 HOUSTON TX 77063 465037878 501(c)(3) 15000 Support Charitable Programs SAM HOUSTON AREA CNCL BOY SCOUTS OF AMERICA 2225 NORTH LOOP W HOUSTON TX 77008 760239833 501(c)(3) 15000 Support Community Programs NORTHEAST HOSPITAL FOUNDATION PO BOX 2738 HUMBLE TX 77347 760224541 501(c)(3) 15000 Support Charitable Programs WEST UNIVERSITY LITTLE LEAGUE PO BOX 25053 HOUSTON TX 772655053 746052531 501(c)(3) 15000 Sponsorship TEXAS MEDICAL ASSOCIATION FOUNDATION 401 WEST 15TH ST AUSTIN TX 787011680 746073346 501(c)(3) 15000 general fundraising TEAM CATAPULT 1806 SEAMIST CT HOUSTON TX 77008 475137944 501(c)(3) 15000 Support Charitable Programs HOUSTON PARKS BOARD 300 N POST OAK LANE HOUSTON TX 77024 741860046 501(c)(3) 15000 Support Charitable Programs KNOWLEDGE ARTS FOUNDATION 2900 WESLAYAN SUITE 375 HOUSTON TX 77027 202425139 501(c)(3) 15000 Support Charitable Programs HUMBLE AREA CHAMBER OF COMMERCE INCORPORATED 110 W MAIN ST HUMBLE TX 77338 741341059 501(c)(6) 14331 Support Community Programs YOUNG MEN'S CHRISTIAN ASSO OF THE GTR HOUSTON AREA 2600 NORTH LOOP WEST STE 300 HOUSTON TX 77092 741109737 501(c)(3) 14000 Support Charitable Programs CHRIST CLINIC 25722 KINGSLAND BLVD STE 101 KATY TX 77494 900789318 501(c)(3) 13197 general fundraising FORT BEND CHAMBER OF COMMERCE 445 COMMERCE GREEN BLVD SUGAR LAND TX 77478 741751927 501(c)(6) 12500 general fundraising JUNIOR ACHIEVEMENT OF SOUTHEAST TEXAS INC 2115 E GOVERNORS CIRCLE HOUSTON TX 77092 741153957 501(c)(3) 11300 Support Charitable Programs CY-FAIR ISD 10300 JONES ROAD HOUSTON TX 77065 746000654 State of TX 10500 Support Community Programs EAST BERNARD INDEPENDENT SCHOOL DISTRICT 723 COLLEGE ST EAST BERNARD TX 77435 746000708 State of TX 10000 Support Community Programs NORAS GIFT FOUNDATION INC 8300 EL RIO ST HOUSTON TX 77054 621763895 501(c)(3) 10000 general fundraising EL CAMPO ISD 700 W NORRIS EL CAMPO TX 77437 746000730 State of TX 10000 Support Community Programs HOUSTON AREA URBAN LEAGUE INC 1301 TEXAS AVE HOUSTON TX 77002 741611455 501(c)(3) 10000 general fundraising RIVER POINTE COMMUNITY CHURCH 21000 SOUTHWEST FWY RICHMOND TX 77469 760521517 501(c)(3) 10000 Sponsorship INDO-AMERICAN CHAMBER OF COMMERCE OF GRTR HOUSTON ONE RIVERWAY STE 1700 HOUSTON TX 77056 760609781 501(c)(6) 10000 general fundraising THE KATY ROTARY FUND 20501 KATY FREEWAY 217 KATY TX 77450 760538180 501(c)(3) 10000 general fundraising AMERICAN JEWISH COMMITTEE 165 EAST 56TH ST NEW YORK NY 100222709 135563393 501(c)(3) 10000 general fundraising The Will Erwin Headache Foundation Research FND 609 Main St Ste 2350 HOUSTON TX 77002 464886305 501(c)(3) 10000 general fundraising CHILDREN AT RISK 2900 WESLAYAN STE 400 HOUSTON TX 770275132 760360533 501(c)(3) 10000 general fundraising MEDICAL BRIDGES INC PO BOX 300245 HOUSTON TX 77230 760548161 501(c)(3) 10000 general fundraising WOODLANDS RELIGIOUS COMMUNITY INC 4242 INTERFAITH WAY THE WOODLANDS TX 77381 741804123 501(c)(3) 8875 general fundraising CLUTCH CITY FOUNDATION 1510 POLK ST HOUSTON TX 77002 760495717 501(c)(3) 7500 general fundraising MONTGOMERY COUNTY FOOD BANK ONE FOOD FOR LIFE WAY CONROE TX 77385 760153892 501(c)(3) 7000 Support Community Programs NEEDVILLE INDEPENDENT SCHOOL DISTRICT PO BOX 412 NEEDVILLE TX 77461 746001773 State of TX 7000 Support Community Programs CRIME STOPPERS OF HOUSTON INC PO BOX 541654 HOUSTON TX 77254 742137744 501(c)(3) 5500 Support Charitable Programs MONTGOMERY COUNTY YOUTH SERVICES INC 105 W LEWIS ST CONROE TX 77301 742035878 501(c)(3) 5250 general fundraising CENTRAL FORT BEND CHAMBER ALLIANCE 4120 AVENUE H ROSENBERG TX 77471 741653742 501(c)(6) 5150 general fundraising 56 7 X X X X X false true false false false false false true false David L Callender MD CEO/President 1444096 0 1647041 0 41992 0 409483 0 11587 0 3554199 0 0 0 Deborah Gordon EVP/CAO/CLO/Secretary 728975 0 788109 0 23565 0 211165 0 29355 0 1781169 0 135579 0 Warren Shea VP/Asst Secretary 343614 0 203145 0 21400 0 91784 0 18857 0 678800 0 53240 0 Alec King EVP/CFO/Treasurer 749579 0 353307 0 21310 0 217312 0 26774 0 1368282 0 0 0 James McCarthy MD EVP/CPE 735983 0 658787 0 22153 0 209182 0 27157 0 1653262 0 0 0 Joshua Urban SVP/Pres Comm Hosp 668723 0 572995 0 23143 0 176759 0 2829 0 1444449 0 74053 0 Erin S Asprec EVP/COO 883592 0 887658 0 3107 0 233374 0 27157 0 2034888 0 99406 0 Gregory L Haralson SVP/CEO - TMC 652676 0 558104 0 2276 0 183965 0 26729 0 1423750 0 82649 0 Paul C O'Sullivan SVP/CEO- MC & GH 498229 0 537190 0 22243 0 126279 0 11869 0 1195810 0 74672 0 Kyle Price SVP/Srvc Lines 583774 0 504429 0 2031 0 133475 0 26880 0 1250589 0 73082 0 Amalia Maislos Stanton SVP/Strat Comm & Mktg 316502 0 135043 0 17949 0 65701 0 9615 0 544810 0 0 0 Teal Holden SVP/Amb & Post-Acute Svcs 400187 0 314557 0 13884 0 100617 0 9784 0 839029 0 31823 0 Lori P Knowles SVP/CHRO 494660 0 486008 0 22221 0 127250 0 16482 0 1146621 0 41581 0 Amanda Hammel SVP/CIO 493134 0 440576 0 21252 0 114767 0 6571 0 1076300 0 48782 0 Feby Abraham EVP/CSO 744867 0 453406 0 1744 0 207288 0 27157 0 1434462 0 0 0 Anne E Neeson EVP/CEO - Foundation 365210 0 399843 0 25237 0 95708 0 11104 0 897102 0 53666 0 Eric Smith SVP/CDO 423353 0 606260 0 2269 0 108484 0 29107 0 1169473 0 0 0 Carol J Paret SVP/CCHO 344587 0 323591 0 10114 0 116122 0 22059 0 816473 0 49391 0 Heath Rushing SVP/Srvc Lines 564322 0 475586 0 20854 0 133030 0 27157 0 1220949 0 42945 0 Justin P Kendrick SVP/CEO - NE & TW 431337 0 265136 0 20546 0 114014 0 28807 0 859840 0 49274 0 Malisha S Patel SVP/CEO - SW & SL 469580 0 391798 0 1075 0 105327 0 16482 0 984262 0 34707 0 Jerry A Ashworth SVP/CEO - Cyp & Katy 409099 0 318710 0 2161 0 103546 0 16482 0 849998 0 29014 0 Alexander Greengold SVP/CEO 328515 0 213776 0 20689 0 87780 0 26857 0 677617 0 0 0 Noel J Cardenas SVP/CEO - SE & PL 376013 0 313197 0 23334 0 97463 0 3569 0 813576 0 135623 0 Christopher J Langan VP/CMO - Wdls & NE 467269 0 297044 0 1626 0 118827 0 25251 0 910017 0 103889 0 Jeffrey Katz VP/CMO - TMC 439639 0 281774 0 30420 0 113986 0 3706 0 869525 0 96079 0 Howard Scott VP/CMO - MC & GH 399976 0 300322 0 31665 0 105311 0 20059 0 857333 0 128474 0 Thomas J Flanagan VP/Trma Svc Line & Syst Int 393276 0 257866 0 36480 0 114874 0 19138 0 821634 0 77694 0 Richard Lyman SVP/Rev Cycle 346009 0 311119 0 25036 0 92963 0 20359 0 795486 0 66950 0 Charles D Stokes Former CEO/President 0 0 408932 0 0 0 0 0 0 0 408932 0 0 0 Cynthia A De Moya Former CFO 343653 0 293479 0 24957 0 91103 0 21053 0 774245 0 74999 0 Form 990 Schedule J Part I Line 4b MEMORIAL HERMANN HEALTH SYSTEM SPONSORS TWO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS; MEMORIAL HERMANN SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP); EXECUTIVE DEFERRED COMPENSATION PLAN (EDCP). THE FOLLOWING INDIVIDUALS PARTICIPATED IN AND/OR RECEIVED PAYMENTS (NOTED IN PARENTHESIS FOR SERP AND EDCP RESPECTIVELY) FROM MEMORIAL HERMANN HEALTH SYSTEM'S SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DURING THE TAX YEAR: DEBORAH GORDON ($0/$135,578.86); WARREN SHEA ($0/$53,239.70); CYNTHIA DE MOYA ($0/$74,999.29); JOSHUA URBAN ($23,025.47/$74,053.36); ERIN S. ASPREC ($33,983.38/$99,406.35); GREGORY L. HARALSON ($0/$82,648.81); PAUL C. O'SULLIVAN ($16,424.15/$74,671.61); KYLE PRICE ($18,584.17/$73,081.71); AMALIA MAISLOS STANTON ($4,727.97/$0); TEAL HOLDEN ($0/$31,822.97); LORI P. KNOWLES ($0/$41,581.22); AMANDA HAMMEL ($15,373.78/$48,781.62); ANNE E. NEESON ($0/$53,665.78); CAROL J. PARET ($7,920.33/$49,391.10); HEATH RUSHING ($18,584.17/$42,945.06); JUSTIN P. KENDRICK ($0/$49,274.13); MALISHA S. PATEL ($13,279.10/$34,706.98); JERRY A. ASHWORTH ($0/$29,013.68); NOEL J. CARDENAS ($0/$135,622.75); CHRISTOPHER J. LANGAN ($0/$103,888.97); JEFFREY KATZ ($0/$96,078.82); THOMAS J. FLANAGAN ($9,161.62/$77,693.57); RICHARD LYMAN ($0/$66,949.68). Form 990 Schedule J Part I Line 7 MEMORIAL HERMANN HEALTH SYSTEM HAS TWO INCENTIVE PROGRAMS IN WHICH CERTAIN MANAGEMENT INDIVIDUALS MAY PARTICIPATE, THE MANAGEMENT INCENTIVE BONUS AND LONG TERM INCENTIVE PLAN. THE MANAGEMENT INCENTIVE BONUS IS AN ANNUAL INCENTIVE DESIGNED TO ATTRACT AND RETAIN KEY LEADERS AND ESTABLISH GREATER ACCOUNTABILITY AND ALIGNMENT TO BUSINESS PERFORMANCE. PAYMENT AMOUNT TARGETS ARE BASED UPON A PERCENTAGE OF BASE SALARY, DEVELOPED BY INDEPENDENT THIRD PARTY EXPERTS. MEMORIAL HERMANN'S COMPENSATION COMMITTEE AND GOVERNING BOARD HAVE FINAL DISCRETION WHETHER TO AWARD AMOUNTS TO INDIVIDUALS AND TO ADJUST THE PAYMENT AT THEIR SOLE DISCRETION. THE LONG TERM INCENTIVE PLAN IS BASED ON A THREE-YEAR PERFORMANCE PLAN, WHICH REWARDS KEY SENIOR LEADERS BY ALIGNING THEIR COMPENSATION TO STRATEGIC INITIATIVES OF MEMORIAL HERMANN. PERFORMANCE TARGETS ARE BASED UPON A PERCENTAGE OF THE INDIVIDUAL'S BASE SALARY AND ARE DEVELOPED BY INDEPENDENT THIRD PARTY EXPERTS USING MARKET COMPETITIVE DATA WITHIN THE GUIDES OF REASONABLENESS. AT THE END OF A THREE-YEAR PERIOD, MEMORIAL HERMANN'S COMPENSATION COMMITTEE REVIEWS PERFORMANCE AGAINST GOALS TO DETERMINE APPROPRIATE PAYOUT. MEMORIAL HERMANN'S COMPENSATION COMMITTEE AND GOVERNING BOARD HAVE FINAL DISCRETION WHETHER TO AWARD AMOUNTS TO INDIVIDUALS AND TO ADJUST THE PAYMENT AT THEIR SOLE DISCRETION. A HARRIS COUNTY CULTURAL ED FAC FINANCE CORP 760337885 414009GR5 2013-03-28 468778930 Refund Series 2004A and 2008B/C true false false B HARRIS COUNTY CULTURAL ED FAC FINANCE CORP 760337885 414009HL7 2014-06-11 307303890 Construction of healthcare facilit true false false C HARRIS COUNTY CULTURAL ED FAC FINANCE CORP 760337885 414009KP4 2016-06-08 151216215 Construction of healthcare facilit false false false D Harris County Cultural Education Facilities 760337885 414009RS1 2022-06-01 295412710 Construction of healthcare facilit false false false A 160940000 234385000 468778930 0 0 0 3629482 0 0 0 465149488 0 2013 true true true true B 105130000 28270000 308759499 0 0 0 2303890 0 0 306455609 0 0 2020 false false true true C 8885000 0 152153046 0 0 0 1216215 0 0 150936831 0 0 2018 false false true true D 0 0 295412710 0 0 0 2892303 0 0 0 145520407 147000000 true false false true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A false false false true true false 0 false 0 false true B false false false true true false 0 false 0 false true C false false false true false false 0 false 0 false true D false true false true true false 0 false 0 false true A true B true C true D true PART II.B.3 SET 1 DIFFERENCE FROM ISSUE PRICE DUE TO INVESTMENT EARNINGS PART II.C.3 SET 1 DIFFERENCE FROM ISSUE PRICE DUE TO INVESTMENT EARNINGS PART IV.A.2 SET 1 04/26/2018 PART II.A.3 SET 2 DIFFERENCE FROM ISSUE PRICE DUE TO INVESTMENT EARNINGS PART II.B.3 SET 2 DIFFERENCE FROM ISSUE PRICE DUE TO INVESTMENT EARNINGS PART IV.B.2 SET 1 08/25/2017 PART IV.c.2 SET 1 06/08/2021 A HARRIS COUNTY CULTURAL ED FAC FINANCE CORP 760337885 414009KS8 2016-06-08 326305000 Construction of healthcare facilit false false false B HARRIS COUNTY CULTURAL ED FAC FINANCE CORP 760337885 414009MR8 2019-11-21 649138065 Construction of healthcare facilit false false false C HARRIS COUNTY CULTURAL ED FAC FINANCE CORP 760337885 414009PG9 2020-08-05 204804866 Refund Series 2013A, 2014A, 2015A/ false false false D Harris County Cultural Education Facilities Financ 760337885 414009MV9 2020-03-03 22068756 Refund Series 2010A 2020 false false false A 72330000 0 326642593 0 0 0 1649048 0 0 149508545 175485000 0 2018 true false true true B 138840000 0 0 0 0 0 4133065 0 0 0 203005000 0 true false false true C 34180000 0 204804866 0 0 0 1767703 0 0 0 203037163 0 2020 true false true true D 9605000 0 22068756 0 0 0 155452 0 0 0 21913304 0 2020 true false true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A false true true false 0 false 0 false true B false true false false true false 0 false 0 false true C false true false false true false 0 false 0 false true D false true false false true false 0 false 0 false true A true B true C true D true Part I.B Column(f) Refunded bonds were issued 6/11/2014, 12/15/2015 and 6/8/2016 Part I.C Column (f) Refunded bonds were issued on 11/30/2010 PART IV.A.2 SET 2 06/08/2021 Angela Bell Family member of Director 97818 Compensation false Sonal Patel Family member of Key Employee 84635 Compensation false Victoria Ashworth Family member of Key Employee 197269 Compensation false Form 990, Part VI, Section A, Line 6 The Corporation is a non-profit corporation existing under the Texas Business Organizations Code, as amended from time to time. The Corporation shall have individual corporate members. Form 990, Part VI, Section A, Line 7a The Corporation's Members shall have such powers, exercise such rights and perform such duties as Members of the Corporation as may be required by applicable law or by express provision of the Certificate of Formation or its Bylaws, and the Members shall have no other powers, rights, or duties. The Members shall elect Directors to fill any existing or soon to be existing vacancy occurring in the Board of Directors. Form 990, Part VI, Section A, Line 7b The following matters are reserved to the Corporation's Members and shall require the affirmative action of the Members to be effective: Any amendment to or restatement or repeal of the Certificate of Formation; Any amendment to or restatement or repeal of these Bylaws; The sale, transfer, or other disposition of all or substantially all of the assets of the Corporation and its Affiliates; The merger of the Corporation into, or the consolidation of the Corporation with, any other entity; or, the dissolution of the Corporation. Form 990, Part VI, Section B, Line 11b The Form 990 is prepared and reviewed by Memorial Hermann System Tax department. The System Tax department works with other departments throughout the organization to obtain the information needed to complete the Form 990. Upon completion, the Form 990 is reviewed by the organization's Chief Financial Officer, Chief Accounting Officer, and/or other key officers. A complete copy of the Form 990 is then provided to each member of the governing body prior to filing the Form 990. Form 990, Part VI, Section B, Line 12c Memorial Hermann Health System utilizes conflict of interest surveys and has codified its procedure in a policy. The policy is monitored by the organization's Corporate Compliance department through annual surveys of board members, corporate officers, management level employees, and other selected employees, physicians and vendors for all of its entities and related affiliates. In addition to responding to the survey, each recipient affirms that they have received a copy of the policy, have read and understood it, have agreed to comply with it, and understands that Memorial Hermann is a charitable organization to must engage in primarily tax-exempt purpose activities. The corporate compliance department, chief legal officer, and the corporate audit committee, consisting of independent board members, receive a report of all items disclosed. The audit committee chair reports the existence of any conflicts to the corporate board of directors. Memorial Hermann's conflicts of interest policy requires that board members excuse themselves from discussions in which they have a conflict of interest. The policy also subjects board members to disciplinary action if they are found to have violated the policy. Form 990, Part VI, Section B, Line 15 The compensation committee of the Memorial Hermann board of directors retains the ultimate discretionary authority over all elements of executive compensation. The committee is comprised of individuals who are not employed by Memorial Hermann, and have no conflicting interests. The process for determining compensation for the organization's CEO and disqualified persons is modeled after the requirements in IRC section 4958 to establish the presumption of reasonable compensation. The compensation committee reviews and approves the total remuneration for the organization's disqualified persons in advance of being paid. On an annual basis, the compensation committee engages an independent third-party executive compensation consultant who uses comparable market data from published surveys and/or form 990 of similar organizations to perform a competitive analysis and write an opinion letter regarding the competitive position of Memorial Hermann's disqualified persons. The compensation committee reviews the comparability data and opinion letter, and documents its discussion and decisions in minutes that are retained with the organization's other governance materials. The analysis is performed annually and it includes the President and CEO, all executive vice presidents and senior vice presidents of the organization, as well as family members of disqualified persons who are employed by Memorial Hermann. Form 990, Part VI, Section C, Line 19 Certain documents of the organization are available to the public through the Texas Secretary of State, such as the organization's certificate of formation and any amendments thereto. The organization is included in the consolidated audited financial statements, which are attached to the Form 990 and are made available to the public upon request. The organization's other governing documents and conflicts of interest policy are not made available to the public. Form 990, Part XI, Line 9 Noncontrolling interests ($80,905,000); Change in pension obligation $24,604,000; Contributions and grants received and other changes in net assets, net $14,578,000; Change in noncontrolling interests ($1,749,000); Reclass of Fund Balances of Affiliated Companies $160,778,321 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL CARE SERVICES FEES TOTAL FEES:631001044 FORM 990 PART IX LINE 11G DESCRIPTION:INDIGENT CARE SVCS FEE TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:PROPERTY MANAGEMENT FEES TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:ADMINISTRATION SVCS FEES TOTAL FEES:48429533 FORM 990 PART IX LINE 11G DESCRIPTION:SUPPLY CHAIN MGMT SVCS TOTAL FEES:4374325 FORM 990 PART IX LINE 11G DESCRIPTION:TECHNOLOGY SERVICES FEE TOTAL FEES:3946784 FORM 990 PART IX LINE 11G DESCRIPTION:MISC CONTRACT SVCS FEE TOTAL FEES:XXX-XX-XXXX Memorial Hermann Community Benefit 929 Gessner Rd STE 1900 Houston TX 77024 680511504 Community TX 501(c)(3) 10 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130011272 1.00000 true Memorial Hermann Health Solutions Inc 929 Gessner Rd STE 1900 Houston TX 77024 264419989 Insurance TX NA C corp Memorial Hermann Health Insurance Co 929 Gessner Rd STE 1900 Houston TX 77024 760646301 Insurance TX na C corp Memorial Hermann Health Plan Inc 929 Gessner Rd STE 1900 Houston TX 77024 462707092 Insurance TX na C Corp MH Health Plan Holdings LLC 929 Gessner Rd STE 1900 Houston TX 77024 812971502 Insurance TX MH HealthSystem C Corp 59785331 72968428 1.00000 true MH Commercial Health Plan Inc 929 Gessner Rd Ste 1900 Houston TX 77024 206680981 Insurance TX NA C Corp Memorial Hermann Ventures LLC 929 Gessner Rd Ste 1900 Houston TX 77024 825207571 Holding Company TX MH HealthSystem C Corp 7472328 6739744 1.00000 true Memorial Hermann Urgent Care PLLC 929 Gessner Rd Ste 1900 Houston TX 77024 881580452 Urgent Care Ctr TX MH Medical Grp C Corp 0 0 1.00000 false false true true false false false true false false true true false false false true true true true 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