2020-09-11T18:56:50-05:00 2019-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2019-01-01 741180155 THE METHODIST HOSPITAL METH 8326676160 6565 FANNIN NO GB240 HOUSTON TX 770302707 KEVIN J BURNS EXECUTIVE VICE PRESIDENT, CFO, CBO 8326676160 2020-09-11 1 JEFFREY D FRANK P00287234 3174648600 74.138.49.181 2020-09-11 16:16:06 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 B457E39100F69F1025E0AC0752F4D60A204E3628 2019 2021-01-29 14:40:06Z HOUSTON METHODIST HOSPITAL KEVIN J BURNS 6565 FANNIN NO GB240 HOUSTON TX 770302707 4644882657 0 5792 X WWW.HOUSTONMETHODIST.ORG X 1946 TX PROVIDE MEDICAL CARE (SEE MISSION STATEMENT ON PAGE 2) 25 23 12080 1218 1188879 0 25995961 25888219 1983880904 2218945335 88048185 23731922 47719759 59463846 2145644809 2328029322 15391951 23753128 0 0 739422171 857671838 0 0 0 1127202682 1239756326 1882016804 2121181292 263628005 206848030 7138344765 8083514618 2139051465 2269593865 4999293300 5813920753 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 1744940876 23753128 2237486324 SEE SCHEDULE OCURRENTLY HOUSTON METHODIST HOSPITAL OPERATES 1,403 LICENSED BEDS IN ITS TEXAS MEDICAL CENTER FACILITIES. HOUSTON METHODIST HOSPITAL RECORDED 506,855 VISITS DURING 2019 WHICH WERE COMPRISED OF 381,585 OUTPATIENT VISITS, 83,294 EMERGENCY ROOM VISITS AND 41,976 INPATIENT ADMISSIONS. IT ALSO PERFORMED 17,083 INPATIENT SURGERIES AND 23,601 OUTPATIENT SURGERIES IN 2019.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, DIABETES TREATMENT IN A DEDICATED INPATIENT UNIT, 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, ISLET CELL AND BONE MARROW. HOUSTON METHODIST HOSPITAL PERFORMED THE FIRST ISLET CELL TRANSPLANT IN TEXAS OF LIVER CELLS FROM A DONOR'S PANCREAS TO THE LIVER OF A DIABETIC PATIENT RESULTING IN DONOR CELLS PRODUCING INSULIN.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. 1744940876 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 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 1 X 1662 0 1 12080 1 1 1 1 BA BD BR CH CO HR EZ DA EG EN GR HU ID IS LG MY MO NI PE RP PL QA KS TW TH TU AE UK 0 0 0 0 0 0 1 0 X 25 23 0 0 0 0 0 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X EDWARD L TYRRELL FACHE 8326676160 6565 FANNIN GB240 HOUSTON TX 77030 X ONE OFFICERDIR-SEE METHODIST HOSPITAL GROUP RETURN-SCHE 30.00 20.00 X X 3477047 0 47637 NINE OFFICERDIR-SEE METHODIST HOSPITAL GROUP RETURN-SCHE 2.00 4.00 X X 0 0 0 FIFTEEN DIRECTORS-SEE METHODIST HOSPITAL GROUP RETURN-SCHE 2.00 5.33 X 0 1240658 109216 ONE OFFICER-SEE METHODIST HOSPITAL GROUP RETURN-SCHE 24.00 26.00 X 1626653 0 49008 SIX KEY EMPLOYEES-SEE METHODIST HOSPITAL GROUP RETURN-SCHE 47.33 2.67 X 6470493 0 267729 FOUR HIGHEST PD EMPLOYEES-SEE HOSPITAL GROUP RETURN-SCHE 43.75 6.25 X 2976246 0 178514 14550439 1240658 652104 1621 0 1 0 FIVE CONTRACTORS-CONSOLIDATED WITH METHODIST HOSPITAL GROUP HOUSTON TX 77030 SEE EXPLANATION IN SCHEDULE O 126557460 229 25590148 298071 25888219 PATIENT CARE SERVICES 621990 2194008629 2194008629 RELATED ORG. RENT 531390 24936706 24795673 141033 2218945335 27029299 27029299 2313259000 296958 2316518008 335327 -3259008 -38369 -3297377 -3297377 MANAGEMENT FEE INCOME 524298 29364322 1026444 28337878 OTHER INCOME 900099 18682022 18682022 FOOD SERVICE 722514 11417502 21402 11396100 59463846 2328029322 2237486324 1188879 63465900 23750326 23750326 2802 2802 11938567 11938567 619641661 534872638 84769023 41355866 24689288 16666578 131449759 130786149 663610 53285985 38851771 14434214 12542334 12542334 602560 602560 716082 716082 13815355 13815355 116217371 92847982 23369389 13380502 133868 13246634 29081799 20027411 9054388 56089867 32762721 23327146 13008894 9380405 3628489 4256386 1367863 2888523 5578620 4990543 588077 34410054 34410054 31555621 31555621 138841146 110808031 28033115 11117498 75947 11041551 MEDICAL SUPPLIES 486918114 486180397 737717 SUPPORT FOR MPO 106000000 106000000 SUPPORT FOR MRI 93800000 93800000 PROF. SERVICES (NET) 34385780 32969416 1416364 37438343 643318 36795025 2121181292 1744940876 376240416 0 245783627 196307999 246712709 282209216 32958322 34591207 31374049 36603692 4005331158 2001283866 1807493798 2004047292 3715618517 4795458144 19591309 19591309 1038812434 714705759 7138344765 8083514618 444837818 513258637 1632357103 1590489417 61856544 165845811 2139051465 2269593865 X 4999293300 5813920753 4999293300 5813920753 7138344765 8083514618 X 206848030 586492469 21286954 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 0 1 575735 0 1 140347 716082 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. 354742443 26052075 64791438 6676564 438909392 332622778 48172415 -18902826 7149924 354742443 215976539 88632177 32981795 4967733 332622778 198062607 11450020 11352376 4888464 215976539 193168138 7109200 523929 2738660 198062607 0.00000 0.76560 0.23440 0 1 1 44047795 179483835 223531630 2197550117 836447914 1361102203 1584249411 1164835952 419413459 2004047292 DUE FROM AFFILIATES 534445761 CONSTRUCTION IN PROGRESS 170972710 DEPOSITS AND MISCELLANEOUS RECEIVABLES 9287288 714705759 RESERVE FOR CONTINGENCIES 62752203 ASSET RETIREMENT OBLIGATION 4600000 OP LEASE LIABILITY-LONG TERM PORTION 98493608 165845811 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 202 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 241787996 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PASSIVE INVESTMENTS 242126907 MIDDLE EAST AND NORTH AFRICA 0 0 PASSIVE INVESTMENTS 1616291 SOUTH AMERICA 0 0 PASSIVE INVESTMENTS 15177340 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 0 0 PASSIVE INVESTMENTS 24802204 SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO, 0 0 PASSIVE INVESTMENTS 12195329 0 0 0 0 0 0 537706067 0 537706067 0 0 0 0 0 0 PART III ACCOUNTING METHOD: 1 1 1 X 1 X 1 1 1 0 1 1 125329927 0 125329927 0.05910 51689024 44023366 7665658 0.00360 22972 12332 10640 0.00000 177041923 44035698 133006225 0.06270 384967 0 384967 0.00020 57064316 14705985 42358331 0.02000 118144310 46270484 71873826 0.03390 5456044 0 5456044 0.00260 181049637 60976469 120073168 0.05670 358091560 105012167 253079393 0.11940 1 20847111 0 342982439 455790599 -112808160 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 19 1 1 0 1 X HTTPS://WWW.HOUSTONMETHODIST.ORG/CHNA/ X X 1 19 1 HTTPS://WWW.HOUSTONMETHODIST.ORG/CHNA/ 0 1 X 200.000000000000 400.000000000000 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 5 IN 2019, HMH, IN CONJUNCTION WITH OTHER HOUSTON METHODIST FACILITIES, IDENTIFIED ITS COMMUNITY HEALTH PRIORITIES THROUGH THE EXECUTION OF A LARGE-SCALE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA"). 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 FOR HOUSTON METHODIST REQUIRED HOUSTON METHODIST TO FIRST UNDERSTAND WHAT MATTERED MOST TO THE POPULATION SURROUNDING ITS EIGHT HOSPITALS IN GREATER HOUSTON. TO DO THIS, THE HOUSTON METHODIST OFFICE OF COMMUNITY BENEFITS WORKED WITH LEADERS IN PUBLIC HEALTH AND DID SECONDARY RESEARCH TO DEVELOP NEW AND REFINE PAST SURVEY QUESTIONS THAT WOULD HELP HOUSTON METHODIST GAIN THE INSIGHT INTO THE TOP SOCIAL AND HEALTH PRIORITIES OF OUR CITY. THE SURVEY CONSISTED OF 29 QUESTIONS AND WERE DIVIDED UNDER THE CATEGORIES OF:- TELL US ABOUT YOURSELF- TELL US ABOUT YOUR HEALTH- TELL US ABOUT YOUR COMMUNITY- TELL US HOW YOU FEELDISTRIBUTING THE SURVEY: AFTER THE QUESTIONS WERE DEVELOPED FOR THE SURVEY, THE SURVEYS WERE THEN DISTRIBUTED ELECTRONICALLY AND IN HARD COPY FORM ACROSS THE GREATER HOUSTON COMMUNITY. HARD COPY SURVEYS WERE DISTRIBUTED TO TEN DIFFERENT FACILITIES PROVIDING HEALTH CARE SERVICES TO THE UNINSURED AND UNDERSERVED POPULATION: -CHRIST CLINIC -EL CENTRO DE CORAZON -HEALTHCARE FOR THE HOMELESS -HOPE CLINIC -INTERFAITH CLINIC -LEGACY COMMUNITY HEALTH -NORTHWEST ASSISTANCE MINISTRIES -SAN JOSE CLINIC -STEPHEN F. AUSTIN CLINIC -VECINO HEALTH CENTERSHARD COPY SURVEYS WERE DISTRIBUTED AT HOUSTON METHODIST'S FLAGSHIP LOCATION, HMH IN THE TEXAS MEDICAL CENTER, DUE TO THE VARIETY OF PATIENTS AND GUESTS WHO COME TO THE LOCATION FROM MORE THAN EIGHT COUNTIES AND AT HOUSTON METHODIST WEST HOSPITAL. ELECTRONIC SURVEYS WERE POSTED ON VARIOUS SOCIAL NETWORKING SITES TO CAPTURE AN UNCONTROLLED GROUP OF RESPONDENTS. OVERALL, MORE THAN 980 PEOPLE WERE SURVEYED.SURVEY RESULTS ANALYZED: SURVEYED FACILITIES WERE GIVEN ONE MONTH TO COLLECT RESPONSES FROM THE CLIENT/PATIENT BASE BEING SERVICED. RESPONSE COLLECTION BEGAN JULY 9, 2019 AND ENDED AUGUST 9, 2019. 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.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: HOUSTON METHODIST COLLABORATED WITH EPISCOPAL HEALTH FOUNDATION, TEXAS CHILDREN'S HOSPITAL, MEMORIAL HERMANN HOSPITAL AND CHI ST. LUKE'S HOSPITAL TO COMPILE A LIST OF TOP HEALTH AND COMMUNITY EXPERTS FROM AROUND THE GREATER HOUSTON COMMUNITY AND STATE TO SUPPORT THE STAKEHOLDER INTERVIEW PROCESS CONDUCTED BY A THIRD PARTY, HEALTH RESOURCES IN ACTION. THE THIRD PARTY DEVELOPED A SET OF KEY QUESTIONS COVERING RELEVANT HEALTH AND SOCIAL TOPICS BASED ON THE COLLABORATIVE FEEDBACK. EXPERTS AND LEADERS WERE PULLED FROM A VARIETY OF SPECIALTY AREAS, INCLUDING BUT NOT LIMITED TO DISEASE SPECIALISTS, INSURANCE COMPANY REPRESENTATIVES, NONPROFIT LEADERS AND MORE. THOSE ENGAGED WERE EXPERTS IN THEIR FIELD AND REPRESENTED FEDERALLY QUALIFIED HEALTH CENTERS, FREE/CHARITY CLINICS, LOCAL GOVERNMENTAL AGENCIES, HOSPITALS, MULTISERVICE AGENCIES, HIGHER EDUCATION AND MORE. SELECTION OF MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS: HOUSTON METHODIST'S OFFICE OF COMMUNITY BENEFITS RECEIVED THE PRIMARY INPUT ON THE NEEDS OF THE UNDERSERVED COMMUNITY THROUGH THE DISTRIBUTION OF A SURVEY IN WHERE MEMBERS WERE ASKED TO ANSWER A SERIES OF QUESTIONS SUCH AS:- WHAT ARE THE FIVE MOST IMPORTANT THINGS THAT ARE NEEDED FOR YOUR CITY/COMMUNITY TO BE CONSIDERED HEALTHY?- WHAT ARE THE FIVE BIGGEST BARRIERS THAT PREVENT FRIENDS AND FAMILY FROM SEEKING MEDICAL TREATMENT?INPUT COLLECTION: INPUT FROM PERSON(S) WITH SPECIAL KNOWLEDGE -VICE PRESIDENT, POPULATION HEALTH - HOUSTON METHODIST -DIRECTOR OF SYSTEM PSYCHIATRIC SERVICES - HMH -PRESIDENT - THE ROSE -EXECUTIVE DIRECTOR - FORT BEND WOMEN'S CENTER -SERGEANT - FORT BEND COUNTY SHERIFF'S OFFICE -ASSISTANT VICE PRESIDENT, COMMUNITY RELATIONS - UNITED WAY OF HARRIS AND MONTGOMERY COUNTY -EXECUTIVE DIRECTOR - COASTAL AREA HEALTH EDUCATION CENTERS (AHEC) -FORMER CEO - COMMUNITY HEALTH CHOICE -PRESIDENT & CEO - ASSOCIATION FOR THE ADVANCEMENT OF MEXICAN AMERICANS -INTERIM SUPERINTENDENT - HOUSTON INDEPENDENT SCHOOL DISTRICT -EXECUTIVE DIRECTOR - AVENUE CDC -VICE PRESIDENT, PSYCHIATRY - HMH -DIRECTOR OF HUMAN RESOURCES - HMH -CHIEF EXECUTIVE OFFICER - CHILD ADVOCATES OF FORT BEND -MANAGER OF SEXUAL ASSAULT ADVOCATE TEAM - MONTGOMERY COUNTY WOMEN'S CENTER -EXECUTIVE DIRECTOR - TRI COUNTY SERVICES BEHAVIORAL HEALTHCARE -PRESIDENT/CHIEF EXECUTIVE OFFICER - CHILDREN AT RISK -CHIEF EXECUTIVE OFFICER - SANTA MARIA HOSTEL, INC. -ANONYMOUS REPRESENTATIVE - CHAMBERS COUNTY -FORMER EXECUTIVE DIRECTOR - MIDTOWN ARTS AND THEATER CENTER HOUSTON -PROGRAM DIRECTOR, HOUSTON METHODIST ENDOCRINOLOGY FELLOWSHIP - HMH -REPRESENTATIVE - CITY OF HOUSTON DEPARTMENT OF PARKS AND RECREATION -CHIEF EXECUTIVE OFFICER - THE HARRIS CENTER FOR MENTAL HEALTH AND IDD, FORMERLY KNOWN AS MENTAL HEALTH AND MENTAL RETARDATION AUTHORITY (MHMRA) -PRESIDENT/CHIEF EXECUTIVE OFFICER - GREATER HOUSTON WOMEN'S CHAMBER OF COMMERCE AND -FOUNDING DIRECTOR - THE KINDER INSTITUTEINPUT COLLECTION: INPUT FROM FEDERAL, REGIONAL, STATE OR LOCAL HEALTH DEPARTMENTS /AGENCIES -SECTOR REPRESENTATIVE - GALVESTON COUNTY HEALTH DISTRICT-DIRECTOR - FORT BEND COUNTY HEALTH & HUMAN SERVICES-SECTOR REPRESENTATIVE - HOUSTON HEALTH DEPARTMENT-ANONYMOUS REPRESENTATIVE - HARRIS COUNTY-EXECUTIVE DIRECTOR - HARRIS COUNTY PUBLIC HEALTH AND ENVIRONMENTAL SERVICES-SENIOR POLICY PLANNER - HARRIS COUNTY PUBLIC HEALTH AND ENVIRONMENTAL SERVICESINPUT COLLECTION: INPUT FROM LEADERS AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME POPULATIONS -CEO - THE WOMEN'S HOME-PRESIDENT & CEO - NEIGHBORHOOD CENTERS HEAD START/EARLY HEAD START PROGRAM SERVICES/BAKER RIPLEY-VP OF HEALTH AND WELLNESS - NEIGHBORHOOD CENTERS HEAD START/EARLY HEAD START PROGRAM SERVICES/BAKER RIPLEY-CEO - FORT BEND SENIORS-FORMER PRESIDENT & CEO - UNITED WAY OF GREATER HOUSTON -ASSOCIATE CENTER DIRECTOR - MAMIE GEORGE COMMUNITY CENTER, CATHOLIC CHARITIES- FORT BEND-EXECUTIVE VICE PRESIDENT - GULF COAST MEDICAL FOUNDATION-CEO - LEGACY COMMUNITY HEALTH-CMO - LEGACY COMMUNITY HEALTH-CEO - HOPE CLINIC (FEDERALLY QUALIFIED HEALTH CENTER)-PRESIDENT & CEO - CATHOLIC CHARITIES - ARCHDIOCESE OF GALVESTON-CEO - PATIENT CARE INTERVENTION CENTER (PCIC)-CEO - FORT BEND FAMILY HEALTH CENTER, INC. DBA ACCESSHEALTH-PRESIDENT & CEO - HOUSTON AREA FOOD BANK-CEO - LONE STAR FAMILY HEALTH CENTER-PRESIDENT/CHIEF EXECUTIVE OFFICER - INTERFAITH-CEO - CHRIST CLINIC-CEO - HEALTHCARE FOR THE HOMELESS-HOUSTON-CEO - THE ARC OF FORT BEND COUNTY-FORT BEND-COMMUNITY OUTREACH DIRECTOR - UNITED WAY OF BRAZORIA COUNTY-CEO - EL CENTRO DE CORAZON-CMO - EL CENTRO DE CORAZON -DIRECTOR, CLINIC OPERATIONS - INTERFAITH COMMUNITY CLINIC-CEO - FORT BEND REGIONAL COUNCIL ON SUBSTANCE ABUSE-SENIOR VICE PRESIDENT - HOUSTON HOUSING AUTHORITY-CEO - AIDS FOUNDATION OF HOUSTONINPUT COLLECTION: INPUT FROM MEMBERS WITH BROAD INTERESTS IN THE COMMUNITY -MENTAL HEALTH UNIT COMMANDER - GALVESTON COUNTY MENTAL HEALTH DEPUTIES -COUNTY JUDGE - WALLER COUNTY -PRESIDENT & CEO - GREATER HOUSTON PARTNERSHIP -EXECUTIVE DIRECTOR - HDEART CONSORTIUM, PRAIRIE VIEW A&M -PRESIDENT & CEO - EPISCOPAL HEALTH FOUNDATION -SHERIFF - LIBERTY COUNTY SHERIFF'S OFFICE -DIRECTOR - DIVISION OF NUTRITION, PHYSICAL ACTIVITY, AND OBESITY, CENTERS FOR DISEASE CONTROL AND PREVENTION, CENTERS FOR DISEASE CONTROL AND PREVENTION HOUSTON METHODIST HOSPITAL PART V, SECTION B, LINE 6A: THE CHNA CONDUCTED IN 2019 PER ACA GUIDELINES WAS DONE WITH THE FOLLOWING FACILITIES: -HMH -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 HOUSTON METHODIST'S 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, OF WHICH INCLUDED STAKEHOLDERS, OTHER HEALTH CARE FACILITIES, ETC. IN ADDITION, THE REPRESENTATIVES OF THE HOUSTON METHODIST OFFICE OF COMMUNITY BENEFITS 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: HMH WAS ABLE TO IDENTIFY THE TOP FOUR HEALTH PRIORITIES OF ITS COMMUNITY VIA THE CHNA PROCESS. THE HEALTH PRIORITIES THAT HMH IDENTIFIED THROUGH THE CHNA ARE AS FOLLOWS:- INCREASE ACCESS TO PRIMARY CARE SERVICES FOR THE SURROUNDING COMMUNITIES- REDUCE BARRIERS TO ACCESSING SPECIALTY CARE SERVICES FOR THE SURROUNDING UNDERSERVED COMMUNITY- PROMOTE HEALTHY LIVING BEHAVIORS THAT REDUCE THE LIKELIHOOD OF CHRONIC DISEASE DEVELOPMENT- INCREASE ACCESS TO MENTAL HEALTH CARE SERVICES WITHIN HMH'S SURROUNDING UNDERSERVED COMMUNITYDUE TO THE TIMING OF THE CHNA, WHICH WAS ADOPTED IN NOVEMBER 2019, THE RESULTING IMPLEMENTATION PLAN APPLIES TO FISCAL YEARS 2020-2022. BELOW IS AN OUTLINE OF THE IMPLEMENTATION PLAN OBJECTIVES WHICH IS A DIRECT RESPONSE TO THE HEALTH NEEDS IDENTIFIED THROUGH THE CHNA. THE IMPLEMENTATION PLAN OUTCOMES WILL BE TRACKED BEGINNING IN JANUARY OF 2020.2020 HEALTH NEED: INCREASE ACCESS TO PRIMARY CARE SERVICES FOR THE SURROUNDING COMMUNITIES2020 OBJECTIVES:- TO DECREASE THE NO-SHOW RATE OF HMH UNDERSERVED PATIENTS REFERRED TO THE COMMUNITY NETWORK OF CARE PROGRAM FROM 55% TO 40% BY END OF Q4 2020.- TO INCREASE THE NUMBER OF PATIENTS WHO ARE SEEN VIA VIRTUAL HEALTH MODALITY FROM 8,500 IN 2019 TO 9,500 BY Q4 2020.- TO INCREASE THE NUMBER OF STUDENTS THAT RECEIVE PRE-PARTICIPATION PHYSICALS FROM 2,200 IN 2019 TO 2,500 BY END OF Q4 2020.- TO HAVE 25 COACHES/COMMUNITY MEMBERS ATTEND EACH CAMPUS OUTREACH PROGRAM BY END OF Q2 2020 TO ENCOURAGE THE IMPORTANCE OF ACCESSING PREVENTION/PRIMARY SUPPORT IN ATHLETICS.2020 HEALTH NEED: REDUCE BARRIERS TO ACCESSING SPECIALTY CARE SERVICES FOR THE SURROUNDING UNDERSERVED COMMUNITY2020 OBJECTIVES: - TO EXPAND THE SCOPE OF SERVICES OFFERED VIA HOUSTON METHODIST COMMUNITY SCHOLARS PROGRAM FROM EIGHT TO TEN SPECIALTIES WHILE TREATING MORE COMPLEX CASES WITHIN HMH BASED ON PROGRAM REFERRALS WHILE REMOVING PHYSICAL BARRIERS TO ACCESSING THE TEXAS MEDICAL CENTER FACILITIES BY END OF Q4 2020.- TO PROVIDE PSYCHOSOCIAL SUPPORT TO 25 CANCER PATIENTS THROUGH COUNSELING SERVICES BY THE END OF Q4 2020.- TO PROVIDE FINANCIAL NAVIGATION SUPPORT TO 25 CANCER PATIENTS IN NEED OF FINANCIAL ASSISTANCE BY END OF Q4 2020.- TO INCREASE LUNG CANCER SCREENING UTILIZATION FROM 102 SCREENINGS IN 2019 BY 20% BY END OF Q4 2020.- TO INCREASE THE NUMBER OF CLINICAL TRIALS INCLUSIVE OF MINORITY POPULATIONS BY 2% BY END OF Q4 2020. BASELINE FOR THE GROWTH WILL BE ESTABLISHED BY END OF Q4 2020.- TO INCREASE THE TRANSITIONAL CARE PATIENT ENGAGEMENT FROM 663 IN 2019 TO 677 BY END OF Q4 2020.- TO INCREASE THE COMPLEX CARE INITIATIVE PATIENT ENGAGEMENT FROM 400 IN 2019 TO 408 BY END OF Q4 2020.- TO INCREASE THE NUMBER OF TELEMEDICINE VISITS TO 30 BY END OF Q4 2020.- TO INCREASE THE 7,150 NUMBER OF STUDENTS THAT HAVE RECEIVED ATHLETIC TRAINING/ORTHOPEDICS/SPORTS MEDICINE IN 2019 BY 10% BY Q4 2020.2020 HEALTH NEED: PROMOTE HEALTHY LIVING BEHAVIORS THAT REDUCE THE LIKELIHOOD OF CHRONIC DISEASE DEVELOPMENT2020 OBJECTIVES:- TO ONBOARD TWO COMMUNITY-BASED AGENCIES, INCLUDING NETWORK OF CARE PARTNERS TO THE MENTAL HEALTH SUB-INITIATIVE AND BEGIN REFERRALS BY END OF Q4 2020.- TO INCREASE TELEPSYCHIATRY UTILIZATION SYSTEM-WIDE FROM 2,089 CALLS IN 2019 BY 5% FOR PATIENTS WITH A PRIMARY OR SECONDARY PSYCHIATRIC DIAGNOSIS BY END OF Q4 2020.- TO HARDWIRE STAFF UTILIZATION AT HMH OF THE SUICIDE SCREENING TOOL, TRACK SCREENING COMPLIANCE WITH THE NEW EPIC UTILIZATION REPORT AND TO CREATE BASELINE FOR FOLLOWING YEARS BY END OF Q4 2020.2020 HEALTH NEED: INCREASE ACCESS TO MENTAL HEALTH CARE SERVICES WITHIN HOUSTON METHODIST'S SURROUNDING UNDERSERVED COMMUNITY2020 OBJECTIVES:- HOST TWO CONTINUING EDUCATION EVENTS WITH ONE EVENT FOCUSED ON THE TOPIC OF PRIMARY CARE AND SPECIALTY CARE ACCESS IN MARCH OF 2020 AND ANOTHER EVENT BASED ON ATTENDEE FEEDBACK FROM THE FIRST EVENT BY THE END OF Q4 2020. THE OVERALL AUDIENCE SATISFACTION RATING FOR BOTH WILL BE 85% OR ABOVE.- TO ONBOARD FOUR NEW FAITH AGENCIES TO THE FAITH HEALTH INITIATIVE IN PROXIMITY OF THE PATIENT POPULATION IMMEDIATELY SURROUNDING NETWORK OF CARE FACILITIES THAT ARE LOCATED WITHIN THE 610 LOOP AND IN A 10-MILE RADIUS OF HMH BY END OF Q4 2020.- TO ESTABLISH TWO HEALTHY LIVING PROGRAMS TO BE OFFERED AT COMMUNITY PHYSICAL EVENTS BY END OF Q4 2020. TOPICS INCLUDE, MEN'S/WOMEN'S HEALTH, SKIN CARE AWARENESS, AND CARDIOVASCULAR HEALTH.- TO INCREASE THE NUMBER OF AD-HOC EDUCATION PROGRAMS PROVIDED IN THE METRO HOUSTON AREA BY 20% FROM AN AVERAGE OF 15 PROGRAMS PER YEAR.- TO INCREASE THE NUMBER OF LONG-TERM COMMUNITY CENTER PARTNERSHIPS FROM SEVEN TO TEN, PROVIDING SERIES PROGRAMS ADDRESSING STROKE AWARENESS AND PREVENTION TOPICS.- TO HAVE 85% OF PATIENTS ASSIGNED TO A GUIDED TRACK (SPECIFIC TO THEIR CHRONIC DISEASE) COMPLETING THE TRACK BY END OF Q4 2020.- TO ACHIEVE AN AGGREGATE WEIGHT LOSS OF 5% UPON COMPLETION OF THE 12-MONTH CURRICULUM AMONG ALL COHORTS THROUGHOUT HOUSTON METHODIST BY THE END OF Q4 2020.IN 2019, HOUSTON METHODIST'S COMMUNITY ACTIVITIES WERE DRIVEN BY THE 2016-2019 CHNA AND ITS ASSOCIATED IMPLEMENTATION PLAN. BELOW ARE THE 2019 OBJECTIVES AND OUTCOMES. PLEASE NOTE, THE HEALTH NEEDS UNCOVERED IN THE 2019 CHNA DID NOT VARY FROM THE 2016 CHNA. 2019 HEALTH NEED: INCREASE ACCESS TO PRIMARY CARE SERVICES FOR THE SURROUNDING COMMUNITIES2019 OBJECTIVES:- INCREASE AWARENESS AND SCREENING REFERRALS FOR HIGH RISK SMOKING POPULATION WHO ARE AT RISK FOR LUNG CANCER, THROUGH PARTICIPATION IN THE LUNG CANCER SCREENING PROGRAM VIA HOUSTON METHODIST PRIMARY CARE GROUP PHYSICIANS IN COLLABORATION WITH HOUSTON METHODIST COMMUNITY HOSPITALS.- PROVIDE ON-GOING PARTICIPATION INFORMING THE PUBLIC OF LUNG CANCER AWARENESS AND SCREENING VIA HEALTH FAIRS AND COMMUNITY EVENTS IN COLLABORATION WITH HARRIS HEALTH SYSTEM AND OTHER COMMUNITY AGENCIES.- WORK WITH KEY HOUSTON METHODIST DEPARTMENTS TO EXPAND THE NETWORK OF CARE PROGRAM WITH THE PURPOSE OF PROVIDING HOUSTON METHODIST UNDERSERVED PATIENTS WITH AN OPPORTUNITY TO ESTABLISH A MEDICAL HOME.- CONTINUE TO PROVIDE COMPREHENSIVE PRIMARY CARE SERVICES AT DENVER HARBOR CLINIC THROUGH THE HOUSTON METHODIST FAMILY MEDICINE RESIDENCY PROGRAM.- CONTINUE TO ADMINISTER THE HOUSTON METHODIST COMMUNITY BENEFITS GRANT PROGRAM WITH A FOCUS ON INCREASING THE FINANCIAL INVESTMENT INTO NONPROFIT ORGANIZATIONS PROVIDING PRIMARY CARE SERVICES TO THE UNDERSERVED/INDIGENT POPULATIONS IN THE SURROUNDING MSA.2019 OUTCOMES:- IN 2019, 774 LUNG CANCER SCREENINGS WERE PERFORMED SYSTEM-WIDE. - HOUSTON METHODIST LUNG CANCER SCREENING PROGRAM PARTICIPATED IN ONE HEALTH FAIR IN COLLABORATION WITH COMMUNITY PARTNERS AND OVER 200 PARTICIPANTS WERE IN ATTENDANCE. - IN 2019, 1,457 PATIENTS WERE REFERRED TO THE NETWORK OF CARE PROGRAM SYSTEM-WIDE. A TOTAL OF 17 NEW PARTNER LOCATIONS WERE ADDED ACROSS THE HOUSTON METROPLEX. THE INCREASE WILL HELP HMH BETTER ADDRESS THE NEED OF ELIGIBLE PATIENTS AND REDUCE THE LIKELIHOOD OF TRANSPORTATION BEING A BARRIER TO ACCESSING CARE.- HMH CONTINUED TO PROVIDE CARE THROUGH THE FAMILY MEDICINE RESIDENCY PROGRAM AT DENVER HARBOR CLINIC. IN 2019, 3,310 PATIENTS WERE SERVED THROUGH THE PROGRAM. - $5,017,000 IN AWARDED GRANT FUNDS WAS ADMINISTERED FOR THE 2019 AWARD YEAR, WITH APPROXIMATELY 135,000 PATIENTS SERVED. A TOTAL OF 2 NEW APPLICANTS WERE FUNDED.2019 HEALTH NEED: REDUCE BARRIERS TO ACCESSING SPECIALTY CARE SERVICES FOR THE SURROUNDING UNDERSERVED COMMUNITY2019 OBJECTIVES:- CONTINUE TO PROVIDE ACCESS TO SPECIALTY CARE UTILIZING THE HOUSTON METHODIST COMMUNITY SCHOLARS PROGRAM AS AN ADMINISTRATION VEHICLE WITHIN LOCAL FEDERALLY QUALIFIED AND CHARITY HEALTH FACILITIES. INCREASE THE SPECIALTY CARE SERVICES OFFERED THROUGH THIS PROGRAM AS WELL AS INCREASE THE NUMBER OF HOST SITES.- DEVELOP AN ONCOLOGY PATIENT NAVIGATION PROGRAM TO INCLUDE DISTRESS SCREENING, WHICH WILL PROMPT RESOURCES AND REFERRALS FOR PATIENT NEEDS. PATIENT NAVIGATOR WILL WORK WITH THESE GROUPS TO FACILITATE COMPLIANCE WITH COC-DEFINED PATIENT NAVIGATION PROCESS FOR UTILIZATION OF DISTRESS SCREENING AND SURVIVORSHIP CARE PLANS.- INCREASE ATTENDANCE IN MONTHLY BREAST CANCER SUPPORT GROUP IN PARTNERSHIP WITH COMMUNITY PARTNERS SUCH AS THE ROSE AND DENVER HARBOR CLINIC. - CONTINUE TO PROVIDE BREAST ONCOLOGY SERVICES AT DENVER HARBOR CLINIC THROUGH A CLINIC STAFFED BY HMH ONCOLOGISTS, WITH THE GOAL OF MAINTAINING THIS CLINIC AS A MEANS FOR PATIENTS TO HAVE ACCESS TO CARE THAT MAY OTHERWISE NOT BE AVAILABLE TO THEM. 2019 OUTCOMES: - IN 2019, 996 PATIENTS WERE SERVED VIA NEPHROLOGY, ENDOCRINOLOGY, NEUROLOGY, CARDIOLOGY, HEM-ONCOLOGY, PULMONOLOGY, URO-GYNECOLOGY, UROLOGY, AND OPHTHALMOLOGY COMMUNITY SCHOLARS PROGRAMS.- THROUGH THE ONCOLOGY PATIENT NAVIGATION PROGRAM, IN COLLABORATION WITH MEDICAL, SURGICAL AND RADIATION ONCOLOGY GROUPS, APPROXIMATELY 1,340 PATIENTS WERE RECRUITED AND NAVIGATED IN 2019. A TOTAL OF 476 BREAST, LUNG, GI, AND UROLOGY/PROSTATE SURVIVORSHIP CARE PLANS WERE DISTRIBUTED TO ELIGIBLE PATIENTS. - IN 2019, 39 PATIENTS ATTENDED BREAST CANCER SUPPORT GROUP MEETINGS. - HMH CONTINUED TO PROVIDE BREAST ONCOLOGY SERVICES AT DENVER HARBOR CLINIC UTILIZING THE SUPPORT OF SELECT HMH CANCER CENTER PHYSICIANS. IN 2019, 165 PATIENTS, VIA THIS INITIATIVE, RECEIVED BREAST EXAMS, SCREENING OR DIAGNOSTIC MAMMOGRAMS.2019 HEALTH NEED: PROMOTE HEALTHY LIVING BEHAVIORS THAT REDUCE THE LIKELIHOOD OF CHRONIC DISEASE DEVELOPMENT2019 OBJECTIVES:- CONTINUE TO WORK WITH HOME PLATE, A COMMUNITY COLLABORATION PROGRAM WITH INTERFAITH MINISTRY DESIGNED TO HELP HMH PATIENTS AND THEIR FAMILIES DURING THE CRITICAL 30 DAYS POST DISCHARGE TO PROVIDE SAFETY CHECKS AND HEALTHY MEALS AS PART OF HOUSTON METHODIST PATIENT CARE NAVIGATOR PROGRAM. - PROVIDE COMPREHENSIVE EDUCATION ON STROKE AWARENESS AND PREVENTION TO THE GREATER HOUSTON COMMUNITY AND WITHIN HMH, RECRUITING NEW COMMUNITY PARTNERSHIPS INCLUDING COUNTY PRECINCT COMMUNITY CENTERS. - PROVIDE STROKE AWARENESS OPPORTUNITIES FOR STAFF WITHIN HMH AIMED AT RECOGNITION OF STROKE SYMPTOMS AND THE APPROPRIATE IN-HOUSE RESPONSE.2019 OUTCOMES:- IN 2019, A TOTAL OF 8,937 MEALS WERE PROVIDED TO POST-DISCHARGE PATIENTS AND THEIR FAMILIES. MEALS INCLUDED SUPPLEMENTAL FRUITS AND VEGETABLES. - APPROXIMATELY 45 STROKE PRESENTATIONS WERE HELD AT LOCAL COMMUNITY AND SENIOR CENTERS. TWO NEW STROKE PREVENTION COMMUNITY PARTNERS WERE ADDED, AND APPROXIMATELY 1,250 PARTICIPANTS ATTENDED EVENTS IN 2019. - HMH HELD 12 EVENTS, INCLUDING A STROKE AWARENESS DAY PROGRAM. APPROXIMATELY, 230 EMPLOYEES WERE TRAINED AT HOSPITAL-BASED STROKE EVENTS AND 495 PARTICIPANTS ATTENDED. 2019 HEALTH NEED: INCREASE ACCESS TO MENTAL HEALTH CARE SERVICES WITHIN HOUSTON METHODIST'S SURROUNDING UNDERSERVED COMMUNITY2019 OBJECTIVES:- INCREASE ACCESS TO INPATIENT AND POST FOLLOW-UP MENTAL HEALTH CARE SERVICES IN HMH AND ITS SURROUNDING COMMUNITY BY PROVIDING SUICIDE AND DEPRESSION SCREENINGS AND PROVIDE POST DISCHARGE FOLLOW-UP APPOINTMENTS FOR HMH BEHAVIORAL HEALTH PATIENTS. - CONTINUE TO ADMINISTER THE HOUSTON METHODIST MENTAL HEALTH INNOVATION ("MHI") GRANT ON AN ANNUAL BASIS WITH INTEREST IN EXPANDING THE NUMBER OF ELIGIBLE APPLICANTS THROUGH COLLABORATION AND ELEVATING THE GRANT AS A STRONG MEDIUM FOR INNOVATIVE APPROACHES TO ADDRESSING BEHAVIORAL HEALTH WITHIN THE UNDERSERVED COMMUNITY.- WORK WITH THE EDUCATION DEPARTMENT AT HMH TO PROVIDE PSYCHIATRY STUDENTS ANNUALLY TO COMMUNITY-BASED HEALTH CLINIC PARTNERS WITH A PURPOSE OF ENHANCING EDUCATION OF FUTURE MENTAL HEALTH PROFESSIONALS ON THE UNIQUE BEHAVIORAL HEALTH NEEDS OF THE UNDERSERVED POPULATION WITHIN THE HOUSTON METHODIST MSA.2019 OUTCOMES:- APPROXIMATELY 32,400 PATIENTS WERE SCREENED FOR A MENTAL HEALTH DISORDER UPON ADMISSION TO THE HOSPITAL. THESE PATIENTS WERE SCREENED UTILIZING THE PHQ-9 SCREENING TOOL. WHEN A PATIENT PRESENTS AS HIGH RISK OF READMISSION, AN ALERT IS SENT TO DSRIP SOCIAL WORKERS TO INITIATE INVOLVEMENT. ALSO, A TOTAL OF 31 COMMUNITY PARTNERS WERE COLLABORATED WITH AS PART OF THE BEHAVIORAL HEALTH TRANSITIONS OF CARE PROGRAM FOR PATIENTS IN NEED OF POST-DISCHARGE FOLLOW-UP. - IN 2019, A TOTAL OF $995,000 WAS ADMINISTERED VIA THE MHI GRANT. AN ESTIMATED 6,600 PATIENTS WERE SERVED THROUGH SERVICES PROVIDED VIA THE MHI GRANT FUNDING IN 2019.- ONE PSYCHIATRY COMMUNITY PLACEMENT TOOK PLACE IN 2019, WITH THE STUDENT PLACED AT A COMMUNITY-BASED HEALTH CLINIC.HEALTH NEEDS NOT ADDRESSED:AS A RESULT OF THE CHNA PREPARED IN 2019, HMH WILL NOT BE ADDRESSING THE FOLLOWING NEEDS. THROUGH THE CHNA SURVEY RESULTS, THE BELOW WERE INDICATED AS "NECESSARY COMPONENTS OF A HEALTHY COMMUNITY". THOUGH THESE ISSUES HAVE AN IMPACT ON ONE'S QUALITY OF LIFE, HOUSTON METHODIST DOES NOT HAVE THE EXPERTISE NOR RESOURCES TO DIRECTLY ADDRESS THEM. THE HOSPITAL SYSTEM FULLY SUPPORTS LOCAL GOVERNMENT AND OTHER SOCIAL INSTITUTIONS AND THEIR EFFORTS TO CURB THESE ISSUES. THE "HEALTH NEEDS NOT ADDRESSED" ARE GENERALLY THE SAME AS THOSE IDENTIFIED FOR THE CHNA PREPARED IN 2016. - LOW CRIME/SAFE NEIGHBORHOOD: HMH IS UNABLE TO ADDRESS CRIME AND THE CREATION OF A SAFER NEIGHBORHOOD DUE TO THE HOSPITAL'S PRIMARY SCOPE OF SERVICES BEING PROVISION OF DIRECT PATIENT HEALTH CARE. HMH ACKNOWLEDGES THE IMPORTANCE OF THIS COMPONENT'S EFFECT ON A COMMUNITY, HOWEVER, DOES NOT HAVE THE RESOURCES NOR IS IN THE POSITION TO TACKLE THIS ISSUE. HMH WILL CONTINUE TO WORK WITH LOCAL GOVERNMENT AND ORGANIZATIONS TO INDIRECTLY IMPROVE SAFETY. - GOOD SCHOOLS/STRONG EDUCATION SYSTEM: HMH IS UNABLE TO ADDRESS IMPROVING THE EDUCATION SYSTEM DUE TO THE HOSPITAL'S PRIMARY SCOPE OF SERVICES BEING PROVISION OF DIRECT PATIENT HEALTH CARE. HMH ACKNOWLEDGES THE IMPORTANCE OF THIS COMPONENT'S EFFECT ON A COMMUNITY, HOWEVER, DOES NOT HAVE THE RESOURCES NOR IS IN THE POSITION TO TACKLE THIS ISSUE. HMH WILL CONTINUE TO WORK WITH LOCAL GOVERNMENT AND ORGANIZATIONS TO INDIRECTLY SUPPORT LOCAL INITIATIVES TO ENHANCE THE EDUCATION SYSTEM.- CLEAN AIR AND WATER QUALITY: HMH IS UNABLE TO ADDRESS IMPROVING AIR AND WATER QUALITY DUE TO THE HOSPITAL'S PRIMARY SCOPE OF SERVICES BEING PROVISION OF DIRECT PATIENT HEALTH CARE. HMH ACKNOWLEDGES THE IMPORTANCE OF THIS COMPONENT'S EFFECT ON A COMMUNITY, HOWEVER, DOES NOT HAVE THE RESOURCES NOR IS IN THE POSITION TO TACKLE THIS ISSUE. HMH WILL CONTINUE TO WORK WITH LOCAL GOVERNMENT AND ORGANIZATIONS TO INDIRECTLY FOCUS ON IMPROVING THE ENVIRONMENT. HMH: 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 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 SUGAR LAND HOSPITAL, HOUSTON METHODIST WILLOWBROOK HOSPITAL, HOUSTON METHODIST WEST HOSPITAL, HOUSTON METHODIST THE WOODLANDS HOSPITAL, HOUSTON METHODIST BAYTOWN HOSPITAL, HOUSTON METHODIST CLEAR LAKE HOSPITAL, AND HOUSTON METHODIST CONTINUING CARE 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 THRU 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 2019 990 SCHEDULE H REPORTING REQUIREMENTS, THE COST OF CARE PROVIDED TO PATIENTS WHO HAVE MEDICARE AS THEIR PRIMARY INSURER AND MEDICAID AS SECONDARY HAS BEEN CLASSIFIED AS FINANCIAL ASSISTANCE (PART I, LINE 7A) SINCE THESE PATIENTS WERE PRESUMPTIVELY ELIGIBLE FOR FULL FINANCIAL ASSISTANCE. IN PRIOR YEARS, THE COST FOR THESE PATIENTS WAS CLASSIFIED AS MEDICARE (PART III, SECTION B). 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 PATIENT IS ELIGIBLE FOR CHARITY 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 7 - 9). PART III, LINE 8: MEDICARE ALLOWABLE COSTS WERE DERIVED FROM HMH'S FILED MEDICARE COST REPORTS FOR THE YEAR ENDED DECEMBER 31, 2019. THE ENTIRE MEDICARE SHORTFALL ($112.8 MILLION) AS REPORTED IN PART III, LINE 7, AS WELL AS THE UNREIMBURSED COST OF THE MEDICARE MANAGED CARE PROGRAM ($85.7 MILLION) AND TRI-CARE PROGRAM ($5.9 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 IN WHICH 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 U.S. CENSUS, CENTER FOR DISEASE CONTROL, TEXAS STATE DATA CENTER, AND PUBLIC HEALTH EXPERT INTERVIEWS. HOUSTON METHODIST CAN IDENTIFY THE CHANGING NEEDS OF THE UNDERSERVED POPULATION THROUGH ESTABLISHED COMMUNITY PARTNERSHIPS WITH FEDERALLY QUALIFIED HEALTH CENTERS AND CHARITY FACILITIES. IN ADDITION, HOUSTON METHODIST'S OFFICE OF COMMUNITY BENEFITS STAFF STAY INVOLVED WITH LOCAL COLLABORATIVES TO MAINTAIN LOCAL LEVEL AWARENESS OF PUBLIC HEALTH ISSUES. ALSO, THROUGH QUARTERLY REPORTING AND CONSISTENT COMMUNICATION WITH ESTABLISHED CHARITY PARTNERS, 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, AND WOMAN, INFANT, AND CHILDREN'S PROGRAMS (WIC) AND OTHER COMMUNITY/THIRD-PARTY APPROVED PROGRAMS; - 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 OUTSIDE COLLECTION ASSISTANCE, FOR BOTH EARLY OUT AND BAD DEBT COLLECTIONS. EACH COLLECTION AGENCY MUST ADHERE TO HOUSTON METHODIST'S FINANCIAL ASSISTANCE POLICY AND PHILOSOPHY DURING ALL COMMUNICATION AND COLLECTION EVENTS WITH HOUSTON METHODIST PATIENTS.HOUSTON METHODIST FAA IS REVIEWED PERIODICALLY; ADDITIONALLY, HOUSTON METHODIST PERSONNEL ARE PROVIDED WITH EDUCATIONAL IN-SERVICES IN THE ADMINISTERING OF THE FINANCIAL ASSISTANCE POLICY AS NEEDED. PART VI, LINE 4: HMH DEFINES THE HOUSTON-SUGARLAND-BAYTOWN MSA AS ITS COMMUNITY. HMH PRIMARILY SERVES THE FOLLOWING COUNTIES THAT ARE IN THIS MSA: HARRIS, FORT BEND, MONTGOMERY, BRAZORIA, GALVESTON, LIBERTY, CHAMBERS AND WALLER COUNTIES. THE HMH COMMUNITY CONTAINS AN ESTIMATED POPULATION OF 6.6 MILLION RESIDENTS. AS THE LARGEST COUNTY IN TEXAS AND THE COUNTY MOST SERVED BY HMH, HARRIS COUNTY ACCOUNTS FOR AN ESTIMATED 4.5 MILLION OF HMH COMMUNITY RESIDENTS, EQUATING TO APPROXIMATELY 68% OF THE HMH COMMUNITY POPULATION. [1]THE HMH COMMUNITY IS CONSIDERED ONE OF THE MOST ETHNICALLY DIVERSE METROPOLITAN REGIONS IN THE NATION, WITH HARRIS COUNTY MAINTAINING A MINORITY-MAJORITY CITY STATUS DUE TO A 42% HISPANIC/LATINO POPULATION IN COMPARISON TO 31% WHITE/NON-HISPANIC POPULATION. FORT BEND COUNTY CURRENTLY RANKS AS THE MOST DIVERSE COUNTY WITHIN THE HMH COMMUNITY AND COMES CLOSE TO HAVING AN EQUAL DISTRIBUTION OF THE NATION'S FOUR MAJOR ETHNIC GROUPS (34% WHITE/NON-HISPANIC, 24% HISPANIC/LATINO, 20% BLACK/AFRICAN AMERICAN AND 19% ASIAN). CHAMBERS COUNTY RANKS BEHIND THE OTHER COUNTIES IN TERMS OF RACIAL DIVERSITY WITH A 68% WHITE/NON-HISPANIC POPULATION AND 1% ASIAN POPULATION. [2]THREE MAJOR AGE GROUPS COMPRISE THE HMH COMMUNITY: YOUTH AND ADOLESCENT POPULATION (UNDER 18 YEARS), ADULT POPULATION (18-64 YEARS), AND SENIOR POPULATION (65 YEARS AND OVER). THE ADULT POPULATION ACCOUNTS FOR THE HIGHEST PERCENTAGE OF THE HMH COMMUNITY (62%). THE SENIOR POPULATION CURRENTLY ACCOUNTS FOR 11% OF THE HMH COMMUNITY. WHILE IT ACCOUNTS FOR THE LOWEST PERCENTAGE OF THE COMMUNITY, THE SENIOR POPULATION PROJECTS THE HIGHEST PERCENT GROWTH OF ANY COHORT BY 2030. OF THE COUNTIES WITHIN THE HMH COMMUNITY, LIBERTY COUNTY HAS THE GREATEST PERCENTAGE OF SENIORS AT 13%. [3] CURRENTLY, THE MEDIAN HOUSEHOLD INCOME IN TEXAS IS $57,051. IN COMPARISON, THE HMH COMMUNITY HAS A MEDIAN HOUSEHOLD INCOME OF $70,013 WHICH RANKS ABOVE THE TEXAS MEDIAN. ONLY LIBERTY ($48,344) AND WALLER ($53,506) COUNTIES RANK LOWER THAN THE TEXAS MEDIAN HOUSEHOLD INCOME VALUE, WHILE FORT BEND COUNTY ($93,645) IS 64% HIGHER. [4]EDUCATIONAL ATTAINMENT VARIES ACROSS COUNTIES WITHIN THE HMH COMMUNITY. ACCORDING TO THE U.S. CENSUS BUREAU, AMONG HMH COMMUNITY MEMBERS 25 YEARS OF AGE AND OLDER, 60% HAVE PURSUED EDUCATION BEYOND A HIGH SCHOOL DIPLOMA. ADDITIONALLY, FORT BEND COUNTY HAS THE HIGHEST PERCENTAGE OF COMMUNITY MEMBERS WHO POSSESS A GRADUATE OR PROFESSIONAL DEGREE (17.1%) COMPARED TO THE OTHER COUNTIES IN THE COMMUNITY. [5] ON AVERAGE, 18.9% OF THE HMH COMMUNITY LACKS INSURANCE. THE UNINSURED RATE WAS HIGHEST IN HARRIS COUNTY (21.2%) AND LOWEST IN FORT BEND (12.0%). HISPANIC/LATINO POPULATIONS ARE MORE LIKELY TO BE UNINSURED COMPARED TO OTHER POPULATIONS; ONE-THIRD OF HISPANIC/LATINOS WERE UNINSURED BASED ON RECENT CENSUS DATA. [6][1] TEXAS HEALTH AND HUMAN SERVICES. TEXAS POPULATION (2019). RETRIEVED FROM HTTPS://WWW.DSHS.TEXAS.GOV/CHS/POPDAT/ST2019.SHTM. [2] U.S. CENSUS BUREAU. AMERICAN COMMUNITY SURVEY (2013-2017); RACE AND ETHNICITY (2018). RETRIEVED FROM HTTPS://FACTFINDER.CENSUS.GOV/.[3] U.S. CENSUS BUREAU. AGE REPORT (2017). RETRIEVED FROM HTTPS://FACTFINDER.CENSUS.GOV.[4] U.S. CENSUS BUREAU. AMERICAN COMMUNITY SURVEY (2013-2017); HOUSEHOLD INCOME (2018). RETRIEVED FROM HTTPS://FACTFINDER.CENSUS.GOV/.[5] U.S. CENSUS BUREAU. AMERICAN COMMUNITY SURVEY (2013-2017); EDUCATIONAL ATTAINMENT (2013-2017). RETRIEVED FROM HTTPS://FACTFINDER.CENSUS.GOV/.[6] U.S. CENSUS BUREAU. AMERICAN COMMUNITY SURVEY (2013-2017); HEALTH INSURANCE (2013-2017). RETRIEVED FROM HTTPS://FACTFINDER.CENSUS.GOV/. PART VI, LINE 5: HMH 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 (HMH), HOUSTON METHODIST IS COMPRISED OF SEVEN COMMUNITY HOSPITALS, A TOP-RANKED RESEARCH INSTITUTE, PHYSICIAN ORGANIZATIONS, A GLOBAL DEVELOPMENT ENTITY AND EIGHT EMERGENCY CARE CENTERS. HOUSTON METHODIST IS AFFILIATED WITH WEILL CORNELL MEDICAL COLLEGE. U.S. NEWS & WORLD REPORT HAS RECOGNIZED HMH AS THE NO. 1 HOSPITAL IN TEXAS FOR THE EIGHTH YEAR IN A ROW. HMH WAS ALSO NAMED TO THE PUBLICATION'S PRESTIGIOUS HONOR ROLL FOR THE THIRD TIME. HMH IS RANKED IN NINE SPECIALTIES, THE MOST OF ANY HOSPITAL IN THE STATE. HOUSTON METHODIST ALSO APPEARS IN THE MAGAZINE'S REGIONAL AND STATE RANKINGS WITH HOUSTON METHODIST SUGAR LAND HOSPITAL TIED FOR A NO. 5 RANKING IN HOUSTON AND NO. 9 IN THE STATE OF TEXAS. HMH IS AN ACUTE CARE COMPLEX WITH 952 OPERATING BEDS, 85 OPERATING ROOMS, 2,206 AFFILIATED PHYSICIANS AND 8,294 EMPLOYEES AS OF DECEMBER 31, 2019. IT'S LOCATED IN HOUSTON'S WORLD-RENOWNED TEXAS MEDICAL CENTER.HMH RECORDED 41,976 ADMISSIONS, 381,585 OUTPATIENT VISITS, 1,244 BIRTHS, AND 45,511 EMERGENCY ROOM VISITS BY HOUSTON AREA RESIDENTS DURING 2019. IN ADDITION, HMH RECORDED MORE THAN 6,333 INTERNATIONAL PATIENT VISITS FROM 76 COUNTRIES IN 2019. ALTHOUGH THESE INDIVIDUALS REPRESENT A DIVERSE GROUP OF BACKGROUNDS, CULTURES AND SOCIO-ECONOMIC STATUS, AS PATIENTS AT HMH 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 HMH.GOVERNING BODYHMH 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 HOUSTON METHODIST'S PRESIDENT/CEO, HMH'S MEDICAL STAFF PRESIDENT AND THE BISHOP OF THE TEXAS ANNUAL CONFERENCE OF THE UNITED METHODIST CHURCH.COMMUNITY COUNCILSHMH ALSO HAS COMMUNITY INVOLVEMENT THROUGH ADVISORY COUNCILS COMPRISED OF COMMUNITY MEMBERS, INCLUDING MEMBERS OF THE HOUSTON METHODIST 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 THE ENTIRE HOUSTON METHODIST. PLC MEMBERS WORK WITH HOUSTON METHODIST'S PRESIDENT AND CEO TO ACHIEVE THE MISSION OF IMPROVING HEALTH FOR HOUSTON METHODIST PATIENTS THROUGH RESEARCH, EDUCATION AND CLINICAL CARE. THE MEMBERS OF THE PLC SERVE AS ADVOCATES AND PHILANTHROPIC AMBASSADORS FOR HOUSTON METHODIST. PLC MEMBERS ARE HIGH-LEVEL VOLUNTEERS WHO BRING PROFESSIONAL EXPERTISE, COMMUNITY AND PATIENT PERSPECTIVES TO HOUSTON METHODIST 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 HOUSTON METHODIST DEBAKEY HEART & VASCULAR CENTER COUNCIL, THE NEUROLOGICAL INSTITUTE NATIONAL COUNCIL AND THE CENTER FOR PERFORMING ARTS MEDICINE ADVISORY COUNCIL.MEDICAL STAFF MODELHMH HAS AN OPEN MEDICAL STAFF MODEL. THE OPEN MODEL GIVES PATIENTS ACCESS TO PHYSICIANS OF ALL AFFILIATIONS.HEALTH EDUCATIONTHE 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.HOUSTON METHODIST'S MISSION OF LEADING MEDICINE IS GROUNDED IN A COMMITMENT TO TRANSLATIONAL, INTERDISCIPLINARY AND TRANSFORMATIVE RESEARCH AND EDUCATION. HOUSTON METHODIST'S MISSION IS TO INNOVATE IN HEALTH CARE TECHNOLOGY AND TRAIN CURRENT AND FUTURE CLINICIANS AND TRANSLATIONAL RESEARCHERS IN CUTTING EDGE HEALTH CARE ADVANCES. THE INSTITUTE FOR ACADEMIC MEDICINE SUPPORTS RESEARCH AND EDUCATION PROGRAMS AT HOUSTON METHODIST 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.THE OFFICE OF CONTINUING MEDICAL EDUCATION PROVIDES LOCAL, NATIONAL AND INTERNATIONAL EDUCATION CONCENTRATED IN AREAS WHERE HOUSTON METHODIST CLINICIANS AND SCIENTISTS HAVE RECOGNIZED EXCELLENCE AND WHERE THE COMMUNITY HAS THE GREATEST NEED. SINCE 2005, HMH'S GRADUATE MEDICAL EDUCATION HAS TRAINED PHYSICIANS IN VARIOUS MEDICAL AND SURGICAL SPECIALTIES. HOUSTON METHODIST SPONSORS 42 ACGME-ACCREDITED AND 9 GME-SPONSORED FELLOWSHIP PROGRAMS IN 2019, GRADUATING ITS 14TH CLASS OF 109 MEDICAL RESIDENTS IN JUNE 2019. IT IS GENUINELY EXCITING TO SEE HOW THIS PROGRAM HAS GROWN OVER THE PAST 14 YEARS AND HOUSTON METHODIST NOW HAS ALMOST 320 RESIDENTS AND FELLOWS IN HOUSTON METHODIST-SPONSORED GRADUATE MEDICAL EDUCATION.2019 ALSO MARKED THE FIFTH YEAR OF A PARTNERSHIP WITH TEXAS A&M HEALTH SCIENCE CENTER COLLEGE OF MEDICINE, AND UNDER THE PARTNERSHIP THE HOSPITAL NOW HAS 122 MEDICAL STUDENTS AND 27 MD/PHD STUDENTS TO THE HOUSTON CAMPUS, BRINGING THE TOTAL NUMBER OF A&M COLLEGE OF MEDICINE STUDENTS TO 149 MEDICAL STUDENTS AND 18 MD/PHD STUDENTS TO THE HOUSTON CAMPUS, BRINGING THE TOTAL NUMBER OF TEXAS A&M COLLEGE OF MEDICINE STUDENTS TO 149 (25 M1; 36 M2; 43 M3 AND 30 M4 STUDENTS + 15 MD/PHD STUDENTS CURRENTLY WORKING ON PHD).IN JULY 2019, THE TEXAS A&M AND HOUSTON METHODIST ENGINEERING AND MEDICINE (ALSO CALLED ENMED) MEDICAL SCHOOL TRACK BEGAN IN HOUSTON WITH AN ESTIMATED 25 STUDENTS IN THE FIRST YEAR AND PLANS TO GROW TO 50 PER CLASS EACH YEAR TO FOLLOW. THERE WILL BE 33 IN THE SECOND CLASS BEGINNING JUNE 2020. 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.THE HOUSTON METHODIST 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 RESEARCHHOUSTON METHODIST RESEARCH INSTITUTE, A SUBSIDIARY OF HMH, WAS ESTABLISHED IN 2004 TO CONDUCT ESSENTIAL TRANSLATIONAL RESEARCH. IN 2019 IT WAS HOME TO 706 FACULTY AND 1,978 CREDENTIALED RESEARCHERS, AND MORE THAN 1,354 ONGOING CLINICAL TRIALS. HOUSTON METHODIST RESEARCH INSTITUTE 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. HOUSTON METHODIST RESEARCH INSTITUTE IS ONE WAY HMH 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 HOUSTON METHODIST HOSPITALS IN THE FORM OF NEW TREATMENTS AND IMPROVED PROCEDURES. USE OF SURPLUS FUNDS - HMH IN 2019, HMH PROVIDED $123.5 MILLION IN FINANCIAL ASSISTANCE FOR INTERNAL CHARITY BASED ON THE IRS DEFINITION OF COST. HMH ALSO PROVIDED $7.7 MILLION IN UNREIMBURSED COSTS OF MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. HMH, THROUGH HOUSTON METHODIST'S EXTERNAL CHARITY CARE PROGRAM, ALSO PROVIDED A TOTAL OF $5.5 MILLION FOR SERVICES TO THE MEDICALLY NEEDY, THROUGH EXTERNAL ORGANIZATIONS THAT ARE MEETING THE HEALTH CARE NEEDS THAT HOUSTON METHODIST HAS IDENTIFIED AS PRIORITIES.AN INTERNAL CHARITY CARE PROGRAM PROVIDES SERVICES TO THE INDIGENT AT HMH AND THROUGH AFFILIATED ORGANIZATIONS. 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. SURPLUS FUNDS ARE ALSO USED EACH YEAR TO STRENGTHEN COMMUNITY SERVICE OUTREACH TO SUPPORT LOW-INCOME AND UNINSURED PATIENTS TO HELP THEM ATTAIN ACCESS TO COMPREHENSIVE HEALTH CARE. SERVICES PROVIDED INCLUDE PRIMARY HEALTH CARE, EMERGENCY AND ROUTINE CARE, IMMUNIZATIONS, DENTAL CARE, PSYCHOLOGICAL AND CASE MANAGEMENT SERVICES, WELL CHILD EXAMINATIONS, SICK VISITS, HEALTH EDUCATION, HEALTH SCREENINGS, WELL WOMAN EXAMS AND IN-KIND LAB SERVICES AND X-RAYS.HMH'S SUPPORT ALLOWED THESE ORGANIZATIONS TO ENHANCE THEIR SERVICES TO LOW-INCOME PATIENTS WITH DIVERSE HEALTH NEEDS. HMH PROVIDED DIRECT FUNDING AND/OR IN-KIND SERVICES INCLUDING LAB TESTS, X-RAYS, IMMUNIZATIONS, HUMAN RESOURCES CONSULTATION AND OTHER SERVICES. WITH THE HOSPITAL'S SUPPORT, 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: LOCATED IN THE HEART OF THE TEXAS MEDICAL CENTER, HMH IS THE FLAGSHIP HOSPITAL OF HOUSTON METHODIST AND SERVES PATIENTS FROM ALL OVER THE WORLD. HOUSTON METHODIST INCLUDES HOUSTON METHODIST SUGAR LAND HOSPITAL IN FORT BEND COUNTY (SOUTHWEST OF HOUSTON), HOUSTON METHODIST WILLOWBROOK HOSPITAL IN HARRIS COUNTING (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 HARRIS COUNTY (WEST OF HOUSTON) AND HOUSTON METHODIST THE WOODLANDS HOSPITAL IN MONTGOMERY COUNTY (NORTH OF HOUSTON).HMH PROMOTES THE HEALTH OF THE COMMUNITY AND THE MISSION OF HOUSTON METHODIST BY DELIVERING THE HIGHEST QUALITY AND SAFEST HEALTH CARE TO PATIENTS. QUALITY INITIATIVES RANGE FROM HAND HYGIENE PROGRAMS (WITH EXCEPTIONALLY GOOD RESULTS), TO PATIENT FALL AND INFECTION REDUCTION PROGRAMS. HMH WAS THE FIRST HOSPITAL IN THE TEXAS MEDICAL CENTER TO REQUIRE ITS EMPLOYEES, VENDORS AND VOLUNTEERS TO RECEIVE THE SEASONAL FLU SHOT TO PROTECT PATIENTS, THOSE TYPICALLY MOST VULNERABLE TO COMPLICATIONS FROM THE FLU.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, HOUSTON METHODIST MAKES SIGNIFICANT CONTRIBUTIONS THROUGH COMMUNITY BENEFITS PROGRAMS AS DESCRIBED BELOW.COMMUNITY BENEFIT ACTIVITIES AND HEALTH SERVICES:HMH RESPONDED TO THE COMMUNITY'S NEEDS IN 2019 THROUGH THE PROVISION OF MEDICAL CARE, BUT ALSO THROUGH RESEARCH, EDUCATION OF HEALTH PROFESSIONALS AND PATIENTS, COMMUNITY HEALTH EDUCATION, DONATIONS TO HEALTH CARE-RELATED EVENTS AND OTHER SERVICES.SINCE 1993, HMH HAS PROVIDED COMMUNITY BENEFITS 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. BY PROVIDING FINANCIAL ASSISTANCE TO LOCAL CLINICS AND NON-PROFIT ORGANIZATIONS, HOUSTON METHODIST CONTRIBUTES TO THEIR ABILITY TO GROW AND THRIVE, ENSURING A HEALTHIER LIFE FOR THE FUTURE OF ALL WHO WALK THROUGH THEIR DOORS.HOUSTON METHODIST CHAMPIONS COMMUNITY ORGANIZATIONS THAT PROVIDE OUTSTANDING HEALTH CARE TO PEOPLE OF ALL BACKGROUNDS. IN 2019, HMH SUPPORTED NUMEROUS AGENCIES ACROSS THE GREATER HOUSTON AREA INCLUDING BUT NOT LIMITED TO:- ACCESS HEALTH- BOYS AND GIRLS COUNTRY OF HOUSTON, INC.- CHRIST CLINIC- DEPELCHIN CHILDREN'S CENTER- EL CENTRO DE CORAZON- HEALTHCARE FOR THE HOMELESS - HOUSTON- HOPE CLINIC- HOUSTON AREA WOMEN'S CENTER- INTERFAITH COMMUNITY CLINIC- LEGACY COMMUNITY CLINIC- LONE STAR FAMILY HEALTH CENTER- MEMORIAL ASSISTANCE MINISTRIES- NORTHWEST ASSISTANCE MINISTRIES- SAN JOSE CLINIC- SANTA MARIA HOSTEL, INC.- SPRING BRANCH COMMUNITY HEALTH CENTER- STEPHEN F. AUSTIN COMMUNITY HEALTH CENTER- THE ROSE- THE WOMEN'S HOME- TOMAGWA HEALTH CARE MINISTRIES, INC.- VECINO HEALTH CENTERSEDUCATIONHMH'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 500 HOUSTON METHODIST FACULTY HAVE WEILL CORNELL FACULTY APPOINTMENTS, AND HMH SPONSORS NEARLY ALL OF ITS OWN MEDICAL RESIDENTS IN VARIOUS SPECIALTIES - RANGING FROM NEUROSURGERY TO PATHOLOGY TO OBSTETRICS/GYNECOLOGY - AND HOSTS SEVERAL MORE FROM OTHER MEDICAL INSTITUTIONS.IN ADDITION, HMH COLLABORATES WITH MANY OTHER ACADEMIC AND MEDICAL INSTITUTIONS TO PROMOTE THE HEALTH OF THE COMMUNITY, INCLUDING NEW YORK-PRESBYTERIAN HOSPITAL, RICE UNIVERSITY, BAYLOR COLLEGE OF MEDICINE, UNIVERSITY OF HOUSTON, TEXAS A&M UNIVERSITY, TEXAS CHILDREN'S HOSPITAL, UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER, TEXAS WOMAN'S UNIVERSITY AND PRAIRIE VIEW A&M, AMONG OTHERS.COMMUNITY INVOLVEMENTHMH 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 CONCUSSION CENTER PROVIDES COMPREHENSIVE SERVICES AND A DEDICATED TEAM OF CONCUSSION SPECIALISTS TO EDUCATE ATHLETES, ESPECIALLY STUDENT-ATHLETES, ABOUT THE IMPORTANCE OF CONCUSSION AWARENESS. THROUGH THE CENTER, STUDENT ATHLETES HAVE ACCESS TO IMPACT (IMMEDIATE, POST-CONCUSSION ASSESSMENT AND COGNITIVE TESTING) TESTING, AT THEIR SCHOOLS OR AT THE CONCUSSION CENTER. IMPACT IS THE FIRST COMPUTERIZED CONCUSSION EVALUATION SYSTEM. IN ADDITION TO PROVIDING CLINICAL CARE, THE CONCUSSION CENTER STAFF EDUCATES THE COMMUNITY ABOUT SIGNS AND SYMPTOMS, DANGERS AND PROPER MEDICAL MANAGEMENT. THE CENTER CONDUCTS OUTREACH ACTIVITIES WHICH BENEFIT MORE THAN 1,000 HOUSTON-AREA RESIDENTS MONTHLY.THE NANTZ NATIONAL ALZHEIMER CENTER ("NNAC") AT HMH ADVANCES RESEARCH AND TREATMENT OF ALZHEIMER'S DISEASE, ONE OF THE LARGEST THREATS TO THE ELDERLY POPULATION IN OUR COUNTRY. THE NNAC HAS CONTRIBUTED IMPORTANT SCIENTIFIC INFORMATION RELEVANT TO TREATMENT. MULTIPLE PRECLINICAL AND CLINICAL STUDIES ARE PROCEEDING TO EVALUATE VARIOUS APPROACHES AND NEW MEDICATIONS AIMED AT DELAYING THE PROGRESSION OF THE DISEASE OR STOPPING ITS COURSE. THE CENTER, DEDICATED TO FINDING A CURE FOR ALZHEIMER'S, ADDRESSES ONE OF THE LARGEST HEALTH CRISES AFFECTING AMERICANS TODAY.HMH PROMOTES THE HEALTH OF THE COMMUNITY BY FULFILLING HOUSTON METHODIST'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.HOUSTON METHODIST'S EMPLOYEES HAVE A LONGSTANDING TRADITION OF SUPPORTING EFFORTS TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY. HOUSTON METHODIST EMPLOYEES DONATE TIME, TALENT AND MONEY TOWARDS MANY GREAT COMMUNITY CAUSES.IN 2019, ADMINISTRATIVE HOURS WERE ALLOCATED TO COORDINATE VOLUNTARY EMPLOYMENT PROJECTS TO MEET SPECIFIC COMMUNITY NEEDS. BECAUSE OF ADMINISTRATIVE SUPPORT, HOSPITAL EMPLOYEES PARTICIPATED IN OR PROVIDED A SERVICE TO THE FOLLOWING: AMERICAN HEART ASSOCIATION'S HOUSTON HEART WALK, SUSAN G. KOMEN RACE FOR THE CURE, ADOPT-A-FAMILY HOLIDAY PROGRAM, MEDICAL BRIDGES, COMMUNITY HEALTH FAIRS, MEDICAL MISSIONS, EMPLOYEE BLOOD DRIVES, WINTER CARE DRIVE FOR THE HOMELESS, AND OTHER COMMUNITY-BASED ACTIVITIES. A PROMINENT 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 MORE OF THEIR FUNDS CAN GO TOWARDS PROVIDING DIRECT CARE TO THEIR UNDERSERVED PATIENT AND CLIENT BASE. FOR 2019, HMH EMPLOYEES PROVIDED 2,470 VOLUNTEER HOURS THROUGH I CARE IN ACTION. THESE DONATED HOURS EQUATE TO A VOLUNTEER TIME VALUE OF APPROXIMATELY $63,000. AGENCIES VOLUNTEERED WITH VIA THE I CARE IN ACTION PROGRAM INCLUDED BUT WERE NOT LIMITED TO THE CENTER-HOUSTON, REBUILDING TOGETHER HOUSTON, MEMORIAL ASSISTANCE MINISTRIES, HOUSTON CHILDREN'S CHARITY AND MORE. THE PROGRAM HAS MORE THAN 30 AGENCIES AVAILABLE FOR EMPLOYEES TO SUPPORT. 2019 WAS THE SEVENTH YEAR OF HOUSTON METHODIST'S I CARE IN ACTION PROGRAM.PROGRAM AND COMMUNITY PARTNERSHIPSTHANKS TO THE PROGRAMS SUPPORTED BY HOUSTON METHODIST, MORE THAN 100,000 HOUSTONIANS BENEFIT FROM ANNUAL PEDIATRIC CHECK-UPS, PREVENTATIVE SCREENING, DENTAL CARE, DIAGNOSTIC PROCEDURES, COMPLEX SURGERIES AND A HOST OF OTHER MEDICAL TREATMENTS - CARE TO WHICH THEY MIGHT OTHERWISE NOT HAVE ACCESS.HOUSTON METHODIST IS PLEASED TO HAVE A SIGNIFICANT PARTNERSHIP WITH VECINO COMMUNITY HEALTH CENTERS' DENVER HARBOR CLINIC, WHICH SERVES A NEIGHBORHOOD OF NEARLY 28,000 PEOPLE. THIS CLINIC, WHICH WAS ESTABLISHED IN 1999, HAS GROWN WITH HOUSTON METHODIST'S HELP INTO A VIBRANT HEALTH CARE CENTER FOR THIS EXPANDING COMMUNITY. IN ADDITION TO PROVIDING STAFF, HOUSTON METHODIST ALSO PROVIDES FUNDING AND IN-KIND SERVICES, INCLUDING X-RAYS, IMMUNIZATIONS AND LABORATORY TESTING, FOR MORE THAN 5,000 PATIENTS ANNUALLY.DENVER HARBOR IS JUST ONE OF MANY COLLABORATIVE PARTNERSHIPS THAT HOUSTON METHODIST HAS FOSTERED THROUGH ITS COMMUNITY OUTREACH EFFORTS. AN INITIATIVE THAT HAS HELPED PROVIDE ACCESS TO SPECIALTY CARE SERVICE FOR THE UNDERSERVED COMMUNITY IS HOUSTON METHODIST'S COMMUNITY SCHOLARS PROGRAM. ESTABLISHED IN 2013, THE PROGRAM HAS PROVIDED THE SERVICES OF ENDOCRINOLOGY, NEUROLOGY, NEPHROLOGY, OPHTHALMOLOGY, PULMONOLOGY, CARDIOLOGY AND HEMATOLOGY ONCOLOGY, UROLOGY/GYNECOLOGY AND UROLOGY TO LOCAL COMMUNITY PARTNER CLINICS SUCH AS LEGACY COMMUNITY HEALTH AND HOPE CLINIC. FOR 2019, 996 PATIENTS WERE SEEN VIA THE HOUSTON METHODIST COMMUNITY SCHOLARS PROGRAM.HOUSTON METHODIST ALSO PARTNERS WITH MORE THAN 40 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 HOUSTON METHODIST PATIENTS WHO ARE IDENTIFIED AS NEEDING A PRIMARY CARE MEDICAL HOME. IN 2019, MORE THAN 400 PATIENTS WERE CONNECTED TO A CLINIC IN THEIR COMMUNITY. 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. BASED ON IRS COST DEFINITIONS HOUSTON METHODIST PROVIDED $470.9 MILLION IN CHARITY CARE AND COMMUNITY BENEFITS FOR THE YEAR ENDED DECEMBER 31, 2019. IN ADDITION, BASED ON IRS COST DEFINITIONS, HOUSTON METHODIST PROVIDED $420.4 MILLION IN CARE TO MEDICARE, MEDICARE MANAGED CARE AND TRICARE/USFHP PROGRAM BENEFICIARIES FOR THE YEAR ENDED DECEMBER 31, 2019.PART VI, LINE 7: TX 1 ACCESS HEALTH (FORMERLY FORT BEND FAMILY HEALTH) 400 AUSTIN ST RICHMOND TX 77469 741951476 501C3 115000 OUTPATIENT CLINIC ASIAN AMERICAN HEALTH COALITION-DBA HOPE CLINIC 7001 CORPORATE DR SUITE 120 HOUSTON TX 77036 311756818 501C3 90000 PEDIATRIC HEALTH CARE BAYLOR COLLEGE OF MEDICINE 1 BAYLOR PLAZA HOUSTON TX 77030 741613878 501C3 6036056 EDUCATIONAL BOYS AND GIRLS COUNTRY OF HOUSTON INC 18806 ROBERTS ROAD HOCKLEY TX 774479327 746026198 501C3 40000 MENTAL HEALTH SERVICES CHRIST CLINIC 5504 FIRST STREET KATY TX 77493 900789318 501C3 175000 OUTPATIENT CLINIC DEPELCHIN CHILDREN'S CENTER 4950 MEMORIAL DRIVE HOUSTON TX 77007 760318867 501C3 50000 YOUTH SERVICES, MENTAL HEALTH ETC EL CENTRO DE CORAZONEASTWOOD HEALTH CLINIC 5001 NAVIGATION HOUSTON TX 77011 760442781 501C3 380000 OUTPATIENT CLINIC HARRIS COUNTY CLINICAL SERVICES INC 2801 VIA FORTUNA STE 500C AUSTIN TX 78746 432110434 501C3 500000 MEDICAL LABORATORY SERVICES HEALTHCARE FOR THE HOMELESS - HOUSTON 2505 FANNIN ST HOUSTON TX 77002 760647934 501C3 375000 OUTPATIENT CLINIC HOUSTON AREA WOMEN'S CENTER 1010 WAUGH DRIVE HOUSTON TX 770193996 742029166 501C3 100000 MENTAL HEALTH SERVICES INTERFAITH COMMUNITY CLINIC 101 PINE MANOR DRIVE OAK RIDGE NORTH TX 77385 752634623 501C3 45000 OUTPATIENT CLINIC LEGACY COMMUNITY CLINIC PO BOX 66308 HOUSTON TX 772666308 760009637 501C3 461408 HEALTH CARE SERVICES MEMORIAL ASSISTANCE MINISTRIES 1625 BLALOCK RD HOUSTON TX 77080 760044172 501C3 75000 OUTPATIENT CLINIC METHODIST BAYTOWN HOSPITAL 4401 GARTH RD BAYTOWN TX 77521 741287015 501C3 2000000 HOSPITAL SERVICES NORTHWEST ASSISTANCE MINISTRIES 15555 KUYKENDAHL ROAD HOUSTON TX 770903651 760088702 501C3 300000 OUTPATIENT CLINIC SAN JOSE CLINIC 301 HAMILTON ST HOUSTON TX 77002 766071951 501C3 100300 OUTPATIENT CLINIC SANTA MARIA HOSTEL 2605 PARKER ROAD HOUSTON TX 77093 741669131 501C3 100000 WOMEN'S RECOVERY CENTER SPRING BRANCH COMMUNITY HEALTH CENTER 1615 HILLENDAHL BLVD STE 100 HOUSTON TX 77055 300198705 501C3 75150 HEALTH CARE SERVICES STEPHEN F AUSTIN COMMUNITY HEALTH CENTER 2552 E BROADWAY SUITE 10 PEARLAND TX 77581 412273820 501C3 96414 NURSE PRACTIONERS AND COUNSELING SERVICES THE ROSE 12700 NORTH FEATHERWOOD DRIVE 260 HOUSTON TX 77034 760193812 501C3 100000 OUTPATIENT CLINIC THE WOMEN'S HOME 811 WESTHEIMER ROAD HOUSTON TX 770063917 741467811 501C3 50000 MENTAL HEALTH SERVICES TOMAGWA HEALTH CARE MINISTRIES 13414 MEDICAL COMPLEX DR 1 TOMBALL TX 773753333 760280324 501C3 55000 OUTPATIENT CLINIC VECINO HEALTH CENTERS 424 HAHLO STREET HOUSTON TX 770203022 760622208 501C3 671057 HEALTH CARE SERVICES ALZHEIMER'S ASSOCIATION 6055 SOUTH LOOP EAST HOUSTON TX 770871005 133039601 501C3 12500 SPONSORSHIP AMERICAN CANCER SOCIETY 6301 RICHMOND AVE HOUSTON TX 77057 522340031 501C3 2030000 CANCER TREATMENT, PREVENTION, RESEARCH RELATED CHARITABLE SERVICES AMERICAN HEART ASSOCIATION PO BOX 15186 AUSTIN TX 78761 135613797 501C3 45000 MEDICAL RESEARCH ASIA SOCIETY TEXAS CENTER 1370 SOUTHMORE BLVD HOUSTON TX 77004 030433949 501C3 10000 COMMUNITY SERVICE ASTROS IN ACTION FOUNDATION PO BOX 288 HOUSTON TX 770010288 742793078 501C3 10000 COMMUNITY SERVICE BARABARA BUSH HOUSTON LITERACY 7887 SAN FELIPE STE 250 HOUSTON TX 77063 465037878 501C3 10000 EDUCATION ASSIST CAMP ALLEN FM362 NAVASOTA TX 77868 746016479 501C3 6000 SPONSORSHIP CANCARE INC 9575 KATY FREEWAY SUITE 428 HOUSTON TX 77024 760305357 501C3 16000 LUNCHEON SPONSORSHIP CENIKOR FOUNDATION INC 11931 WICKCHESTER LANE SUITE 300 HOUSTON TX 77043 760031861 501C3 10000 SUBSTANCE DISORDER TREATMENTS CROHN'S AND COLITIS FOUNDATION OF AMERICA 5120 WOODWAY DRIVE SUITE 8008 HOUSTON TX 77056 136293105 501C3 10000 MEDICAL RESEARCH EASTER SEALS 4500 BISSONNET SUITE 340 BELLAIRE TX 77401 741238418 501C3 20000 MEDICAL RESEARCH EDUCATIONAL FOUNDATION OF THE SETC 2121 MILFORD ST HOUSTON TX 77098 454519800 501C3 15000 SPONSORSHIP EPISCOPAL HEALTH FOUNDATION 500 FANNIN STREET SUITE 300 HOUSTON TX 77002 462599162 501C3 6948 SHARED COMMUNITY HLTH NEEDS ASSESSMENT INITIATIVE GOLFERS AGAINST CANCER INC 1700 LAKE KINGWOOD TRAIL KINGWOOD TX 77345 760574871 501C3 25000 SPONSORSHIP GOOD SAMARITAN FOUNDATION 5615 KIRBY DRIVE STE 610 HOUSTON TX 77005 741235398 501C3 26000 SPONSORSHIP GREATER HOUSTON PARTNERSHIP 1200 SMITH STREET SUITE 700 HOUSTON TX 77002 760267896 501C3 8000 COMMUNITY SERVICE GREATER HOUSTON PRESERVATION ALLIANCE 3272 WESTHEIMER ROAD SUITE 2 HOUSTON TX 77098 742139150 501C3 10000 SPONSORSHIP GREATER HOUSTON WOMENS CHAMBER OF COMMERCE 3201 KIRBY DR SUITE 400 HOUSTON TX 77098 211536004 501C3 10000 SPONSORSHIP HEALTHNETWORK FOUNDATION 33 RIVER ST CHAGRIN FALLS OH 44022 043804600 501C3 25000 COMMUNITY SERVICE HOUSTON BALLET 1921 WEST BELL PO BOX 130487 HOUSTON TX 77019 741394920 501C3 10000 SPONSORSHIP HOUSTON CHILDREN'S CHORUS PO BOX 66567 HOUSTON TX 772666567 760286895 501C3 6000 DONATION HOUSTON GRAND OPERA 510 PRESTON ST HOUSTON TX 770021504 746016764 501C3 7000 COMMUNITY SERVICE HOUSTON TEXANS FOUNDATION TWO NRG PARK HOUSTON TX 77054 010572814 501C3 15000 GOLF TOURNAMENT SPONSORSHIP INSTITUTE FOR SPIRITUALITY 8100 GREENBRIAR STE 300 HOUSTON TX 77054 741246255 501C3 25000 ANNUAL SUPPORT LEUKEMIA & LYMPHOMA SOCIETY 5433 WESTHEIMER RD STE 300 HOUSTON TX 77056 135644916 501C3 20000 SPONSORSHIP MARCH OF DIMES PO BOX 932852 ATLANTA GA 311932852 131846366 501C3 25000 SPONSORSHIP MEN OF DISTINCTION OF GREATER HOUSTON PO BOX 130630 HOUSTON TX 77219 260421594 501C3 7500 SPONSORSHIP NATIONAL KIDNEY FOUNDATION 30 EAST 33RD STREET NEW YORK NY 10016 131673104 501C3 8500 RESEARCH, COMMUNITY SERVICE NORA'S GIFT FOUNDATION PO BOX 8350 HOUSTON TX 772888350 621763895 501C3 50000 PLEDGE NORA'S HOME 8300 EL RIO ST HOUSTON TX 77054 621763895 501C3 8000 HOUSING SERVICES PINK DOOR NONPROFIT ORGANIZATION PO BOX 6990 HOUSTON TX 77265 208876200 501C3 7500 COMMUNITY SERVICE REMIND PO BOX 27607 HOUSTON TX 77227 760206826 501C3 10000 MENTAL HEALTH SERVICES SUSAN G KOMEN HOUSTON 5433 WESTHEIMER RD STE 325 HOUSTON TX 77056 760360372 501C3 20000 RACE FOR THE CURE SPONSORSHIP TEXAN BY NATURE 3500 JEFFERSON ST STE 301 AUSTIN TX 78731 451864591 501C3 10000 SUPPORT FOR THE CTR FOR HEALTH AND NATURE VISION THE BROOKWOOD COMMUNITY 1752 FM 1489 BROOKSHIRE BROOKSHIRE TX 77423 741587672 501C3 15000 MENTAL HEALTH SERVICES THE HEALTH MUSEUM 1515 HERMAN DRIVE HOUSTON TX 770047126 746106357 501C3 20000 COMMUNITY SERVICE THE JOE NEIKERO FOUNDATION PO BOX 2876 SCOTTSDALE AZ 852522876 421740818 501C3 10000 MEDICAL RESEARCH THE SALVATION ARMY 1500 AUSTIN STREET HOUSTON TX 77002 742446170 501C3 6000 PATRON TABLE UNITED WAY OF GREATER HOUSTON 50 WAUGH DRIVE HOUSTON TX 772533247 741167964 501C3 30000 COMMUNITY SERVICE YELLOWSTONE ACADEMY 3000 TRULLEY STREET HOUSTON TX 77007 760686870 501C3 10000 SPONSORSHIP 62 0 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 UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; (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 X 1 1 X X X X 0 1 0 0 0 0 0 1 0 ONE OFFICERDIR-SEE METHODIST HOSPITAL GROUP RETURN-SCHE 1671629 0 1300825 0 504593 0 26300 0 21337 0 3524684 0 0 0 FIFTEEN DIRECTORS-SEE METHODIST HOSPITAL GROUP RETURN-SCHE 0 1149848 0 78000 0 12810 0 51852 0 57364 0 1349874 0 0 ONE OFFICER-SEE METHODIST HOSPITAL GROUP RETURN-SCHE 918775 0 462845 0 245033 0 26300 0 22708 0 1675661 0 0 0 SIX KEY EMPLOYEES-SEE METHODIST HOSPITAL GROUP RETURN-SCHE 3850613 0 1754534 0 865346 0 143464 0 124265 0 6738222 0 0 0 FOUR HIGHEST PD EMPLOYEES-SEE HOSPITAL GROUP RETURN-SCHE 1944280 0 604895 0 427071 0 79691 0 98823 0 3154760 0 0 0 PART I, LINE 1A TRAVEL FOR COMPANIONS: HOUSTON METHODIST HOSPITAL REQUIRES ALL EMPLOYEES INCLUDING OFFICERS TO PROVIDE WRITTEN SUBSTANTIATION OF EXPENSES RELATED TO THEIR BUSINESS TRAVEL THROUGH THE PROVISION OF DETAILED RECEIPTS IN ORDER TO RECEIVE APPROVAL FROM THEIR DIRECT SUPERIORS FOR REIMBURSEMENT IN ACCORDANCE WITH OUR CORPORATE POLICY ON TRAVEL AND OTHER BUSINESS EXPENSES. IN 2019, THE PRESIDENT/CEO HAD 2 TRIPS APPROVED FOR ATTENDANCE AT OUT OF STATE MEETINGS WHERE IT WAS DEEMED APPROPRIATE BY THE CHAIR OF OUR BOARD THAT THE ATTENDANCE OF THE SPOUSE (AND THE RELATED EXPENSES FOR THEIR TRAVEL TO THESE MEETINGS) WAS INTEGRAL TO CONDUCTING EFFECTIVE METHODIST BUSINESS AT THESE MEETINGS. HEALTH OR SOCIAL CLUB DUES: AS STIPULATED BY THE EMPLOYMENT CONTRACT 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. 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. 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 SYTEM GOALS MET. 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 414009AW0 2008-08-21 692760000 REFUNDING BONDS FOR PORTION OF SERIES 2006A ISSUED 4/4/06 0 0 0 C HARRIS COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION 760337885 414009BS8 2009-06-02 586480000 REFUNDING SERIES 2005A ISSUED 1/20/05 & SERIES 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 17850000 350000000 350000000 1 0 1 1 B 325725000 692760000 692760000 1 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 0.00600 0.00000 0.00600 0 0 1 C 0 1 1 1 1 1 0.01800 0.00000 0.01800 0 0 1 D 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 1 0 1 0 0 0 1 C 0 0 1 0 1 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 SCHEDULE K - PART II, LINE 13 (ISSUES A THROUGH 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 VI 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 614048 EMPLOYMENT 0 LEE SCHWARTZ FAMILY MEMBER OF ROBERTA SCHWARTZ-KEY EMPLOYEE 298975 EMPLOYMENT 0 FORM 990, PART VI, SECTION A, LINE 1 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 PREPARED 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: TRANSFER FROM HOUSTON METHODIST HOSPITAL FOUNDATION 310,111. TRANSFER TO OTHER ENTITY 20,976,843. METHODIST HOSPITAL SELF INSURANCE TRUST 6565 FANNIN HOUSTON TX 77030 741948396 INSURANCE TRUST TX 501(C)(3) LINE 12A, I THE METHODIST HOSPITAL 1 METHODIST PRIMARY CARE GROUP 6565 FANNIN HOUSTON TX 77030 760556120 HEALTH CARE TX 501(C)(3) LINE 12A, I TMH HEALTH CARE GROUP 0 STEHLIN FOUNDATION 6565 FANNIN HOUSTON TX 77030 741622404 INACTIVE TX 501(C)(3) PF THE METHODIST RESEARCH INSTITUTE 0 MEDVEST 1 LIMITED PARTNERSHIP 6565 FANNIN HOUSTON TX 77030 760534067 HEALTH CARE INVESTMENTS TX N/A LITCHFIELD MEMORIAL PARTNERS LP 800 TOWN AND COUNTRY BLVD SUITE 200 HOUSTON TX 77024 364778395 PROPERTY INVESTMENTS TX N/A ALLIED METHODIST HOSPITAL PHYSICIANS 6565 FANNIN HOUSTON TX 77030 760551274 PHYSICIAN GROUP TX N/A C 0 MEDVEST HOLDINGS INC 6565 FANNIN HOUSTON TX 77030 760667765 INVESTMENT COMPANY TX N/A C 0 MEDVEST INCORPORATED 6565 FANNIN HOUSTON TX 77030 760182470 INVESTMENT COMPANY TX N/A C 0 METHODIST WILLOWBROOK MOB CONDOMINIUM ASSOCIATION 6565 FANNIN HOUSTON TX 77030 680500294 CONDOMINIUM 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