2016-10-28T14:32:05-05:00 2015-12-31 ERNST & YOUNG US LLP 425 HOUSTON STREET SUITE 600 FORT WORTH TX 76102 990 2015-01-01 741287016 Methodist Healthcare Ministries of South Texas Inc % KEVIN C MORIARTY PRES/CEO METH 2106920234 4507 Medical Drive San Antonio TX 782294401 Tony LoBasso CFO 2106920234 2016-10-27 true MELVA SCOTT P01207335 8173351900 2015 2017-02-10 21:41:12Z Kevin C Moriarty 4507 Medical Drive San Antonio TX 782294401 322783613 false X www.mhm.org X 1955 TX "Serving Humanity to Honor God" by improving the physical, mental and spiritual health of those least served in the Rio Texas Conference area of The United Methodist Church 31 31 390 196 127094 126094 378250 375402 164031560 140379587 25942240 32921509 1254525 1301597 191606575 174978095 19905784 25964889 0 0 22995169 26175905 0 0 0 23512524 24569504 66413477 76710298 125193098 98267797 949738290 977474981 30957316 32461037 918780974 945013944 X In furtherance of the founders' vision of "Serving Humanity to Honor God," Methodist Healthcare Ministries of South Texas, Inc. (MHM) has a two-fold mission, both equally important: to improve the physical, mental, and spiritual health of those least served in the Rio Texas Conference area of The United Methodist Church, which consists of 74 counties across South Texas; and as the local half-owner of the Methodist Healthcare System (MHS)- the largest healthcare system in South Texas - MHM is committed to ensuring MHS continues to be a benefit to the community by providing quality care to all and charitable care when needed. false false 25799879 25799879 0 Since 1996, MHM has provided community grants to partners that share in its mission of serving the least served: low-income families and the uninsured, and that are successfully delivering healthcare and social services to this population in their respective communities throughout South Texas. Short-term grants include direct services to patients as well as capital funding for construction of new and/or renovations to existing facilities used for the delivery of services. 14165956 165010 98983 MHM owns and operates two primary care clinics at two locations - Wesley Health & Wellness Center and the Bishop Ernest T. Dixon, Jr. Clinic - in San Antonio where medical, dental, and behavioral health services are offered to uninsured individuals and families who do not qualify for any type of benefits such as Medicaid or Medicare. Services are based on a sliding-scale fee, household income and family size. however, no one is denied based on their ability to pay. MHM also operates School Based Health Centers which provide primary medical care, dental care and counseling to school-age children and their siblings up to the age of 21 in two school districts. 9324024 0 0 The Wesley Nurse program spans 80 sites throughout South Texas, and is MHM's largest geographic outreach program. A key component Wesley Nurses undertake in their communities is providing health education, health promotion and facilitation of resources. While the Wesley Nurse program is a component of MHM's ecumenical outreach, and located within churches, it does not teach a particular set of denominational beliefs. All Wesley Nurse programs are free and all members of the community are welcome. Programs are offered to groups or on an individual basis. 18433232 0 140280604 67723091 true true false true false false false false false true true true true false false false false true false false false false false false false false true true true true true false false false false false false false false false false false false false true true true false false true 244 0 true 390 true true true false false false false false false false false false X 31 31 true false false false false false false true true false false true true true true true true true true true true X KEVIN C MORIARTY PRESCEO 2106920234 4507 MEDICAL DRIVE SAN ANTONIO TX 78229 Mahendra C Patel MD Vice Chair (until 6/22/15) 2.0 0.0 X X 0 0 0 Joe E Johnston MD Secretary 2.0 0.0 X X 0 0 0 Alice H Gannon Treasurer (UNTIL 6/22/15) 4.0 0.0 X X 0 0 0 Scott D Bryan Immediate Past Chair 2.0 0.0 X 0 0 0 Mindi Alterman Director 2.0 0.0 X 0 0 0 Jorge Alvarez MD Director 2.0 0.0 X 0 0 0 Paul M Anderson Director (until 6/22/15) 2.0 0.0 X 0 0 0 Polin C Barraza Director 2.0 0.0 X 0 0 0 Bonnie K Berry Director 2.0 0.0 X 0 0 0 Martin F Casey Jr Director (until 6/22/15) 2.0 0.0 X 0 0 0 Blas S Catalani II Director 2.0 0.0 X 0 0 0 Bishop James E Dorff Director (until 6/22/15) 2.0 0.0 X 0 0 0 James A Garcia VICE CHAIR (BEG 6/22/15) 2.0 0.0 X 0 0 0 Lavonne Garrison TREASURER (BEG 6/22/15) 2.0 0.0 X X 0 0 0 Rinaldo J Gonzalez Director 2.0 0.0 X 0 0 0 Sherry Herndon Director (until 6/22/15) 2.0 0.0 X 0 0 0 Susan W Holmes Director 2.0 0.0 X 0 0 0 R Dan Johnson Director 2.0 0.0 X 0 0 0 Paula Larson MD Director 2.0 0.0 X 0 0 0 Rev Javier Leyva Director 2.0 0.0 X 0 0 0 Nancy F May Director (until 6/22/15) 2.0 0.0 X 0 0 0 Sam O'Krent Director 2.0 0.0 X 0 0 0 Kerwin L Overby Director 2.0 0.0 X 0 0 0 Michael F Porter Jr Director 2.0 0.0 X 0 0 0 Rev Carl W Rohlfs Director 2.0 0.0 X 0 0 0 Paula X Stallcup Director (until 6/22/15) 2.0 0.0 X 0 0 0 Rev Charles Stephens Director 2.0 0.0 X 0 0 0 John F Stoll MD Director 2.0 0.0 X 0 0 0 Rev Virgilio Vazquez-Garza Director 2.0 0.0 X 0 0 0 Pendelton Wickersham MD Director 2.0 0.0 X 0 0 0 Michael J Lane MD DIRECTOR (Beg 6/22/15) 2.0 0.0 X 0 0 0 Bishop Joel Martinez DIRECTOR (Beg 6/22/15) 2.0 0.0 X 0 0 0 Lott McIlhenny DIRECTOR (BEG 6/22/15) 2.0 0.0 X 0 0 0 Nancy Najim DIRECTOR (BEG 6/22/15) 2.0 0.0 X 0 0 0 Darrell Frank Smith chair 6.0 0.0 X X 0 0 0 GEORGE N RICKS SENIOR VICE CHAIR 6.0 0.0 X X 0 0 0 SHIRLEY W WATKINS VICE CHAIR (Until 6/22/15) 4.0 0.0 X X 0 0 0 Rev Taylor S Boone DIRECTOR 2.0 0.0 X 0 0 0 Dudley Harral DIRECTOR 2.0 0.0 X 0 0 0 Kevin Moriarty Chief Executive Officer 40.0 0.0 X 464286 0 23977 Tony Lobasso Chief Financial Officer 40.0 0.0 X 235438 0 29741 George Thomas Chief Operating Officer 40.0 0.0 X 232544 0 41223 Rebecca Brune Sr VP of Strategic Pln & GRWTH 40.0 0.0 X 191104 0 33640 Peggy Cary VP of Finance & Audit Services 40.0 0.0 X 208126 0 37510 Marc Raney Sr VP of Resource Development 40.0 0.0 X 176407 0 32045 Oanh Maroney-Omitade VP of Clinic Operations 40.0 0.0 X 131534 0 40720 Lamme-Kerr Bridget Director of Human Resources 40.0 0.0 X 158680 0 11470 Correa-Knoulton Jennifer Dir of Nursing & Wellness Pgm 40.0 0.0 X 133304 0 36389 1931423 0 286715 22 false true false Carlson Capital 2100 McKinney Avenue Dallas TX 75201 Investment Manager 731889 BBT Overseas Cap 201 Main St Suite 3300 Fort Worth TX 76102 Investment Manager 590285 Eagle Capital 499 Park Avenue 17th Floor New York NY 10022 Investment Manager 437256 Southwest Diagnostic Center PO Box 241000 San Antonio TX 78224 Radiology Services 389163 VHS San Antonio Imaging Partners L PO Box 849553 Dallas TX 752849553 Radiology Services 318825 20 0 300336 75066 0 375402 Ordinary Income from MHS 622110 140233211 140152197 81014 0 Clinic Revenue-Direct MHM 621498 98983 98983 0 0 WESLEY KITCHEN-DIRECT MHM 900099 47393 47393 0 0 140379587 9872717 46080 9826637 0 0 7282128 6049361 1232767 0 1232767 1232767 164804949 141756157 23048792 23048792 23048792 0 0 0 All other revenue 900099 68830 0 0 68830 68830 174978095 140298573 127094 34177026 25799879 25799879 165010 165010 0 0 0 0 1222212 224744 997468 0 0 0 0 0 19037983 16499648 2538335 0 1032950 881536 151414 0 3468749 2743886 724863 0 1414011 1199663 214348 0 0 0 0 0 88726 9283 79443 0 47500 0 47500 0 143268 143268 0 0 0 0 1897545 0 1897545 0 7311195 6781611 529584 49032 0 49032 0 978694 837529 141165 0 1276071 1111492 164579 0 0 0 0 0 828825 596065 232760 0 893764 799643 94121 0 0 0 0 0 263662 220436 43226 0 0 0 0 0 0 0 0 0 1975243 1641972 333271 0 298602 219319 79283 0 Pharmacy Expenses 3114027 3114027 0 0 K-1 Expenses 2489688 2489688 0 0 Dental Supplies 402124 402124 0 0 Community Outreach 360417 360417 0 0 2151121 1481851 669270 76710298 67723091 8987207 0 0 604755 877727 44169297 42319111 0 0 38389 149594 0 0 0 0 0 0 0 0 493357 648314 43142244 13088916 31857697 30053328 361628670 338570459 120531544 143225028 390206237 421087702 0 0 208344 543718 949738290 977474981 2269394 3184704 28687922 29276333 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30957316 32461037 X 918680974 944913944 0 0 100000 100000 918780974 945013944 949738290 977474981 X 98267797 -46498050 0 0 0 -25536777 X false true X true false X Schedule A, Part I, Line 3 Methodist Healthcare Ministries of South Texas, Inc. has a dual public charity status as a section 509(a)(1) and a section 509(a)(3) supporting organization. Methodist Healthcare Ministries of South Texas, Inc. is a hospital and supports the Rio Texas Conference of the United Methodist Church. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false 0 false 0 false 0 true 348400 true 4486 true 102672 true 461 456019 false SCHEDULE C, PART II-B: LOBBYING ACTIVITIES: FUNDING FOR PARTNERS TO FORMALLY COORDINATE A COALITION THAT WILL FOCUS ON MOBILIZING INTERESTED STAKEHOLDERS TO WORK WITH STATE LEADERS TO IMPROVE POLICIES AND INCREASE FUNDING FOR HEALTH SERVICES AND ACCESS TO CARE IN TEXAS; EXPLORE AND DISCUSS STRATEGIES FOR LEGISLATIVE SESSIONS; REGISTRATION FEES AND MEMBERSHIP DUES. 208344 -451 6160 201733 208539 5965 6160 208344 100000 100000 10172 1633 208539 100000 1488 1488 100000 100000 1949 1949 100000 0.50400 0.49600 0.00000 true false 2527278 2527278 34175214 8384034 25791180 242026 234879 7147 6197726 4470003 1727723 30053328 OVERSEAS CAP PARTNERS, INC. 35356725 F BLACK DIAMOND, LTD. 24777400 F DOUBLE BLACK DIAMOND, LTD. 20497911 F BLACK DIAMOND THEMATIC, LTD. 3745947 F BLACK DIAMOND ENERGY L/S LTD. 16815842 F EAGLE INCOME APPRECIATION II 12170252 F BALYASNY ATLAS GLOBAL 24130981 F TEXAS METHODIST FOUNDATION 2773232 F RESEARCH & DEVELOPMENT FUNDS 2956738 F 143225028 Equity ownership in Methodist 421087702 C 421087702 Schedule D, Part V, Line 4: Intended use of endowment funds MHM'S ENDOWMENT CONSISTS OF TWO INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED FUNDS AND FUNDS DESIGNATED BY THE BOARD TO FUNCTION AS ENDOWMENTS. true true X true X true X 500. true true false true true 44159944 1260138 42899806 0.05260 77214490 125284722 1388247 1192302 195945 0.00020 122762681 127737162 0 0.00000 43374367 416812 42957555 0.05270 1248238 66746 1181492 0.00140 25799879 25799879 0.03160 70422484 483558 69938926 0.08570 193185165 128220720 69938926 0.08570 false 10468677 637684 198972035 195785841 3186194 X true true METH AMB SUR CTR MC Freestanding ASC 0.327 0.0 0.173 METH AMB SUR CTR NC Freestanding ASC 0.3605 0.0 0.1395 CTR SPECIAL SURGERY Freestanding ASC 0.255 0.0 0.245 COMP RAD MGMT SVCS Imaging Services 0.25 0.0 0.25 8 1 Methodist Hospital 7700 Floyd Curl Drive San Antonio TX 78229 www.SAHealth.com 000154 X X X A 2 Methodist Children's Hospital 7700 FLOYD CURL DRIVE San Antonio TX 78229 www.SAHealth.com 000154 X X X A 3 Metropolitan Methodist Hospital 1310 McCullough Avenue San Antonio TX 78212 www.SAHealth.com 000154 X X X A 4 Methodist Specialty & Transplant 8026 Floyd Curl Drive San Antonio TX 78229 www.SAHealth.com 000154 X X X A 5 Methodist Stone Oak Hospital 1139 E Sonterra Blvd San Antonio TX 78258 www.SAHealth.com 008741 X X X A 6 Northeast Methodist Hospital 12412 Judson Road San Antonio TX 78223 www.SAHealth.com 000154 X X X A 7 Methodist Texsan Hospital 6700 IH 10 West San Antonio TX 78201 www.SAHealth.com 000154 X X X A 8 Methodist Ambulatory Surgery Hospital 9150 Huebner RD Suite 100 San Antonio TX 78240 www.SAHealth.com 000681 X X X A A 18 false false true X X X X X X X X X X 13 true true true true X WWW.SAHEALTH.COM X WWW.HEALTHCOLLABORATIVE.NET X true 14 true See Part V, Section C false false true X 200. 500. X X X X X X true true X X X X X true X WWW.SAHEALTH.COM X WWW.SAHEALTH.COM X WWW.SAHEALTH.COM X X X X X X true X false X X X X X true X false false Schedule H, Part V, Sec B, Line 3J: In 2013, each Methodist Hospital, as well as the System, adopted the health priority areas based upon the Bexar County Community Health Assessment (undertaken by The Health Collaborative), the Bexar County Community Health Improvement Plan (CHIP) and the SA 2020 goals. Additional information about The Health Collaborative's assessment process is noted below. In 2013, MHS's implementation strategy, including an execution plan and prioritization of health needs, services and metrics for each hospital were presented to and approved by the MHS Community Benefits Committee, the MHS Community Board, the MHS Board of Governors, and the Methodist Healthcare Ministries Board of Governors. In order to assess the rural areas Methodist Healthcare serves, MHS utilized assessment information from the Regional Healthcare Partnership 6 Plan submitted to the Texas Health and Human Services Commission as part of the Medicaid 1115 Waiver Program. University Healthcare System (RHP6 Anchor) led this process which included multiple meetings, conference calls and public forums from February - May of 2012. Participants in this process included hospital CEOs, county judges, county commissioners physicians from the University of Texas Health Science Center at San Antonio, University Health System and Christus Santa Rosa. Input was also obtained from federally qualified health centers, home health agencies, city government officials, indigent care coordinators, advocacy groups and Healthcare Access San Antonio. MHM and MHS are members of The Health Collaborative which consists of the following members: Baptist Health System, Christus Santa Rosa Health System, Bexar County Department of Community Resources, Community First Health Plans, San Antonio Metropolitan Health District (Metro Health), WellMed Medical Management, the YMCA of Greater San Antonio, University Health System, and Community Member, Steve Blanchard, PhD. MHM and MHS are major funders of the Bexar County Community Health Collaborative's needs assessment. As noted above, Methodist Healthcare System is a partner of The Health Collaborative. The Collaborative undertakes a county-wide community assessment study every three years to guide the community health strategic planning process. For the current study, The Health Collaborative engaged Health Resources in Action to collaborate on the process. The goals of the study included: (A) To provide a health portrait of the community, (B) To determine trends and emerging issues, (C) To engage the community and key partners to identify health concerns, priorities, strengths and opportunities for future programming and policy. The assessment was comprised of three phases: Phase I - Health Outcomes and Conditions - provided information on Bexar County's social and economic indicators, as well as the leading causes of morbidity and mortality for Bexar residents. Multiple data sources were drawn upon in order to obtain this information and included the U.S. Census Bureau, U.S. Bureau of Labor and Statistics, Texas Department of State Health Services, and the San Antonio Police Department. Phase II - Health Behaviors - this phase examined risk factors and behaviors resulting in the leading causes of morbidity and mortality of Bexar County. Phase III - In-depth Community Health Perceptions - this phase identified those areas requiring further investigation and/or community input. Focus groups, meetings, and interviews were conducted with over 280 individuals. Groups included hospital administrators, WIC Counselors, as well as children and their parents. This phase provided valuable insight into the perceived health needs and assets as well as suggestions for improving the health of the area. Using information from the Collaborative's Community Health Needs Assessment, as well as other data, Methodist Healthcare System developed individual plans for each campus, which included a 3-Year plan for 2014-2016. The implementation strategy includes the following: communication plan, priority initiative work plan, role and responsibility assignments, and measures/indicators for success along with baseline data. Additional monitoring of the plan will occur through the quarterly community benefits reports to the MHS Community Benefits Committee and the annual charity care report. Schedule H, Part V, Sec B, Line 5: As noted in Part V, Section B, Line 3j, Phase III of the Assessment identified areas requiring further investigation and/or community input. Focus groups, meetings, and interviews were conducted with over 280 individuals representing different audiences. These groups included faith organizations, social service providers, hospital administrators, local and county government officials, public health leaders, academic researchers, community planning agencies, community focused organizations, individual community members, and business leaders. Schedule H, Part V, Sec B, Line 6A: The community needs assessment was conducted with the following hospital facilities: Methodist Healthcare System (Methodist Hospital, Methodist Children's Hospital, A Campus of Methodist Hospital, Methodist Specialty and Transplant Hospital, A Campus of Methodist Hospital, Metropolitan Methodist Hospital, A Campus of Methodist Hospital, Northeast Methodist Hospital, A Campus of Methodist Hospital, Methodist Texsan Hospital, A Campus of Methodist Hospital, Methodist Stone Oak Hospital, Methodist Ambulatory Surgery Hospital (Northwest); Baptist Health System (Baptist Medical Center, North Central Baptist Hospital, Mission Trails Baptist Hospital, St. Luke's Baptist Hospital, Northeast Baptist Hospital); Christus Santa Rosa Health System (Christus Santa Rosa Medical Center, Christus Santa Rosa Westover Hills, Children's Hospital of San Antonio) and University Hospital. Schedule H, Part V, Sec B, Line 6B: In addition to the hospital facilities listed above, the community health needs assessment was conducted in conjunction with the following non-hospital organizations: Appddiction Studio, Bexar County Department of Community Resources, Community First Health Plans, Our Lady of the Lake University, the City of San Antonio Metropolitan Health District, University of Texas Health Science Center at San Antonio Department of Family and Community Medicine, WellMed Medical Management, Inc., and the YMCA of Greater San Antonio. Schedule H, Part V, Sec B, Line 10A: http://sahealth.com/about/community/community-health-needs-plan.dot Schedule H, Part V, Sec B, Line 11: As noted above, Methodist Healthcare System has developed a Community Health Improvement Plan based on the Community Health Needs Assessment. This plan addressed all items identified by the Health Collaborative. Priorities and specific tactics include the following, with implementation in 2014, and with yearly updates through 2016: Community Health Priority No. 1: Healthy Eating and Active Living - Community Goal - To foster social change and strengthen positive behaviors around healthy eating and active living to ensure access to nutritious foods and built environments that enable all residents to make healthy choices and lead healthy lives. Tactics - Community Health Priority No. 1: - Host two HeartCheck health fairs. These health fairs will be held in lower socioeconomic neighborhoods providing the community glucose, blood pressure, full lipid panel cholesterol and BMI checks, as well as literature. Methodist Healthcare anticipated screening 400 participants in 2015. Two health fairs were held, with a total of 370 attendees. - Host two Cardiac Connections Series with focus on hypertension, diabetes and hyperlipidemia. Each event is led by physicians and medical professionals. Methodist Healthcare anticipated 150 attendees throughout 2015. A total of two events occurred, with a total of 758 attendees. - Provide HeartMatters/StrokeMatters, a free resource to the community. Methodist anticipated that 20,000 members of the community would receive this magazine in 2015. In 2015, 22,000 members of the community received this publication. - Methodist Healthcare will email e-newsletters to over 12,000 subscribers on Heart, Women's Services and Children's Services each month in 2015. In 2015, a total of twelve e-newsletters were mailed. - Produce "Keeping Well", a community health and wellness magazine published three times per year and available in electronic and hard copy format. Methodist Healthcare anticipated a readership of 250,000 in 2015. Three editions of this magazine were published in 2015. - Methodist Healthcare's employer solutions program, HealthPOWER, will partner with 195 local businesses which participate in Methodist Healthcare-sponsored wellness activities, including challenge weigh-ins, glucose and blood pressure checks. In 2015, Methodist Healthcare anticipated 118,000 employees will be reached through HealthPOWER, representing more than 330,000 covered lives. Methodist held 102 HealthPOWER events in 2015. - Offer more than 600 55PLUS sponsored line dancing classes with an anticipated attendance total of greater than 7,000 in 2015. Methodist sponsored 2,835 events--Line Dancing, Walker Wellness, and Silver Sneakers (in conjunction with the YMCA)--during 2015. 64,668 individuals attended these events. - Utilize social media to push health and wellness topics, including topics related to healthy eating and active living to the community via Facebook and Twitter at least two times per week. Methodist Healthcare had 3,804 Twitter followers and 17,604 Facebook fans in 2015. - Donate/sponsor to the following nonprofits: American Heart Association, American Cancer Society, Leukemia and Lymphoma Society, Multiple Sclerosis Society, American Heart Association, Women and Girls' Development, Harper's Embrace, WINGS, Shared Beat, American Diabetes Association Expo, as well as other medically related non-profits. Methodist expects to donate $170,000 in 2015. Actual donations in 2015 totaled $239,740. The American Diabetes Association Expo is no longer being offered in San Antonio. Looking at alternate activities, beginning in 2016. - Continue involvement with Project Measure Up in partnership with the Health Collaborative (THC). Methodist Healthcare participates in this surveillance and service program aimed at decreasing the prevalence of youth overweight and obesity in Bexar County through programs in area school districts. Project Measure UP is implemented in nine San Antonio school districts. Methodist Healthcare anticipated reaching over 4,000 lives in 2015. In 2015, there were 13,353 participants at a total of 62 sites. - Continue its involvement in the Family Fitness Program in partnership with THC, Methodist Healthcare supports family fitness events with certified trainers and distribution of health information through several area school districts. Methodist Healthcare anticipated reaching more than 6,000 lives in 2015. Totals for these events have been included in the 2,835 events noted above. - Donate in kind printing to various non-profits including the Leukemia and Lymphoma Society, Multiple Sclerosis Society and others. The monetary value for the printing was $25,000 in 2015. The monetary value of actual printed materials was $58,807 for 2015. - Hold a Food Drive to benefit the San Antonio Food Bank. In 2015, one Food Drive spanning five locations was held. 8,036 pounds of food were collected. Community Health Priority No 2: Healthy Child and Family Development - Community Goal - To make pregnancy and early childhood the focus of system level changes that support healthy child and family development. Tactics: Community Health Priority No. 2: - Offer complimentary pregnancy testing through its five Family Health Centers. Methodist Healthcare anticipated providing 15,000 pregnancy tests in 2015. Methodist provided 10,576 tests in 2015, and referred 3,028 individuals. - Continue to offer Call-a-Nurse for Children a telephone service offering free medical advice by trained emergency care pediatric nurses to parents of sick/injured children. The Call-a-Nurse for Children service is available from 5 p.m. to 8 a.m. Monday through Friday and around the clock on weekends and holidays. Methodist Healthcare anticipated receiving 92,000 calls during 2015. The Call-A-Nurse line received 75,449 calls in 2015. - Continue to operate a community phone-in health resource called HealthLine during normal business hours. The HealthLine offers physician referrals, including primary care physicians, family medicine, obstetricians and gynecologists through the DoctorSource program. Methodist Healthcare anticipated 8,600 physician referrals in 2015. Referrals to the physician specialties noted above were 3,028 in 2015. - Continue to teach proper car seat installation to the community through our Buckle Up Baby classes. Methodist Healthcare anticipated teaching the installation of a combined total 620 car seats in 2015 at Methodist Hospital, Metropolitan Methodist Hospital, Methodist Stone Oak Hospital and various community events. Three hundred twenty-one car seats were distributed in 2015. - Offer the community parenting classes including Daddy Boot Camp, Breastfeeding, Getting Ready for Childbirth and Tour, Pets and Your Baby, CPR, NICU (Neonatal Intensive Care Unit) CPR, Beyond Baby Blues Class (Postpartum Depression) and childbirth education classes offered in Spanish to be held at Methodist Hospital, Metropolitan Methodist Hospital and Methodist Stone Oak Hospital. Methodist Healthcare anticipated a combined total of 995 classes with 16,530 attendees at the three hospitals. 10,840 individuals attended these classes in 2015. - Continue providing the community with free lactation consultations (in person and by phone). Methodist Healthcare anticipated a combined total of 47,875 consultations (including in person and by phone) in 2015 at Methodist Hospital, Metropolitan Methodist Hospital, Methodist Stone Oak Hospital and Methodist Womens Center. Methodist provided 37,329 consultations in 2015. - Partner with THC to promote immunizations of children and adults to improve community health. THC and Methodist Healthcare anticipate an increase in the Immunizations Collaborative (IZSA) partner list by 10 percent by 2016. Methodist and THC sponsored one conference in 2015. Total attendance was 2,647. - Partner with THC to promote the San Antonio Health Literacy Initiative (SAHLI) to ensure literacy is a core component of community health so that families can understand health information and make informed health-related decisions. Methodist Healthcare anticipated the 10th Annual Literacy conference to be held and a health literacy referral guide will be created. Methodist and THC sponsored one event in 2015. Community Health Priority No. 3: Safe Communities - Community Goal - To develop safe neighborhoods by identifying what works locally, planning how to replicate success in our neighborhoods, and enhancing systems that respond effectively to community identified safety needs. - Continue our involvement with Child Abuse Resource Education (CARE) team - an effort involving Methodist Healthcare, SAPD, Emergency Medical Services (EMS), local pediatricians and many more to objectively handle and support children and families affected by child abuse in 2015. Methodist coordinated forty-nine consults in 2015. - Continue our participation with the Sexual Assault Response Team. Methodist Healthcare funds this integrated community effort to treat se Schedule H, Part V, Sec B, Lines 13B, 13H AND 15E: Methodist Healthcare System uses Federal Poverty Guidelines to determine eligibility. The following is a summary of the Charity Care Policy adopted by MHS: Charity Care Eligibility System - Methodist requires the completion of an application, which allows for the collection of appropriate information. - Verification of family members in the household - Adults: patient, patient's spouse and any dependents. Minors: patient, patient's mother and father, and dependents of both. - Income calculation - Adults: sum of the total yearly gross income of the patient and the patient's spouse. Minors: total yearly gross income of the patient, and the patient's mother and father. - Documentation - various official income reporting documentation is required (e.g. W-2, Wage and Tax Statement, Pay Check Remittance and others). Documentation associated with the participation in a Public Benefit Program can be provided in lieu of income documentation (proof of participation indicates the patient has been deemed financially indigent and therefore is not required to provide income information). There is also a verification process in place for patients that do not have appropriate documentation. - ZIP Code Write-Off Eligibility - Methodist will accept uninsured residential indigent patients as eligible for charity Write-Off upon exhaustion of insurance eligibility determination (i.e. Medicaid) and efforts to obtain a completed Charity application with supporting proof of income. The write-off will apply to all patient types. A residential indigent patient is an uninsured person who is accepted for care with no obligation or with a discounted obligation to pay for the services rendered, and lives in specifically defined ZIP codes--those with high poverty populations. For the year ended December 31, 2015, the charity care write off related to this eligibility process was $100.3 million ($79.8 million in 2014). Charity Eligibility Classifications - Financially Indigent - yearly income is less than or equal to 200% of the Federal Poverty Guidelines. - Medically Indigent - the amount owed by the patient after payment by all third-party payors must exceed ten percent of the patient's yearly income and the patient must be unable to pay the remaining bill. Acceptance by MHS is based on meeting either of two criteria: Yearly income must be greater than 200%, but less than or equal to 500% of the Federal Poverty Guidelines. Alternatively, patients with abnormally large accounts may qualify as catastrophically eligible when their remaining balance exceeds a specific percentage of their income. It is important to note that the guidelines applied for Catastrophic Eligibility range from 201% of the Federal Poverty Guidelines to over 1000% of the Federal Poverty Guidelines. Schedule H, Part V, Sec B, Lines 16I AND 20E: MHS has taken steps over the past several years to heighten community awareness regarding MHS's charitable mission. Signs that prominently present information about the charity mission and guidelines are present at all points of admission. MHS also publishes a notice of its charity policy annually in the San Antonio Express-News. A patient brochure, entitled "A Guide to Your Hospital Bill", explains the hospital billing process and informs patients of the charity policy in the event they need financial assistance. Information about the Financial Assistance Policy is also available in English and Spanish on MHS's website www.sahealth.com. All Shared Service Center personnel receive training and an annual refresher course on the policy, and understand the crucial role they play in informing patients about the policy. Financial Counselors and Hospital Case Management staff educate patients and are available to assist them with the charity care application process. In addition to providing information during the admitting process, MHS continues to provide information about the availability of charity care assistance during the collection process for those patients who have been billed, but have not paid. Schedule H, Part V, Sec B, Line 22D: Methodist Healthcare System adopted an Uninsured Discount Policy effective March 1, 2005. The amount charged for emergency or other medically necessary care will not exceed amounts generally billed to patients with insurance. The discount varies based upon whether the case is an inpatient admission, emergency room visit, or other outpatient visit. For 2015, the discount rate applied to inpatient, emergency room and other outpatient accounts was 85%. Each year the Uninsured Discount rate is adjusted to compensate for price increases. 16 Methodist Ambulatory Surgery Ctr-Med CTR 4411 Medical Drive Suite 200 San Antonio TX 78229 Freestanding Ambulatory Surgery Center Methodist Boerne Emergency Center 134 Menger Springs Boerne TX 78006 Emergency Department Methodist Ambulatory Surg Ctr-N CENTRAL 19010 Stone Oak Pkwy San Antonio TX 78258 Freestanding Ambulatory Surgery Center Ctr for Special Surgery Tx Ctr ATHLETE 21 Spurs Lane SL-100 San Antonio TX 78240 Freestanding Ambulatory Surgery Center Metropolitan Methodist Emergency CENTER 250 East Basse Rd 101 San Antonio TX 78209 Emergency Department Methodist Cardiology Physicians 8109 Fredericksburg Rd San Antonio TX 78229 Texas Certified Nonprofit Healthcare Corporation Texas Institute of Medicine and Surgery 8109 Fredericksburg Rd San Antonio TX 78229 Texas Certified Nonprofit Healthcare Corporation Methodist Physician Practices PLLC 8109 Fredericksburg Rd San Antonio TX 78229 Medical Services Organization Methodist Physician Practice SVCS - PLLC 8109 Fredericksburg Rd San Antonio TX 78229 Physician Practice Cardiology Clinic of San Antonio PLLC 8109 Fredericksburg Rd San Antonio TX 78229 Physician Practice Pediatric Anesthesia Consultants of SA 8109 Fredericksburg Rd San Antonio TX 78229 Physician Practice METHODIST FAMILY HEALTH CTR-AUSTIN HWY 1533 Austin Hwy Suite 105 San Antonio TX 78218 Family Health Center METHODIST FAMILY HEALTH CTR-E SOUTHCROSS 2338 E Southcross San Antonio TX 78223 Family Health Center METHODIST FAMILY HEALTH CTR-LAS PALMAS 803 Castroville Rd Suite 131 San Antonio TX 78237 Family Health Center METHODIST FAMILY HEALTH CTR-SW MILITARY 137 SW Military Drive San Antonio TX 78221 Family Health Center Methodist Community Health Center 507 St James San Antonio TX 78202 Primary Care Clinic SCHEDULE H, PART I, LINE 6A: Methodist Healthcare System of San Antonio, Ltd., LLP ("MHS") files annual statements of community benefits as required by the Texas Department of State Health Services, per provisions of the Texas Health and Safety Code, Chapter 311, Subchapters C and D. Methodist Healthcare Ministries of South Texas, Inc. ("MHM") owns a 50% interest of MHS so only 50% of MHS' financial assistance and other community benefits are reported on MHM's 990 Schedule H. SCHEDULE H, PART I, LINE 7: COSTING METHODOLOGY - COST TO CHARGE RATIOS FROM WORKSHEET 2 USED. PART I, LINE 7A EXPLANATION THE PARTNERSHIP IS A MEMBER OF THE BEXAR COUNTY CLINICAL SERVICES (BCCS), AS PART OF AN INDIGENT CARE AFFILIATION AGREEMENT ENTERED INTO WITH OTHER HEALTHCARE SYSTEMS IN SAN ANTONIO. THE AFFILIATED HOSPITALS COLLABORATE TO ENSURE THE AVAILABILITY OF, AND TO MORE COST EFFECTIVELY PROVIDE, QUALITY HEALTHCARE SERVICES TO LOW INCOME AND NEEDY RESIDENTS IN THE BEXAR COUNTY COMMUNITY. BCCS HAS CONTRACTED WITH VARIOUS PROVIDERS TO DELIVER PHYSICIAN AND OTHER HEALTHCARE SERVICES TO THE COMMUNITY'S LOW INCOME AND NEEDY RESIDENTS. EACH HOSPITAL CONTRIBUTES FUNDS TO BCCS, WHICH ARE THEN USED TO SUPPORT THE PROVISION OF HOSPITAL AND CLINICAL PHYSICIAN SERVICES, PHYSICIAN IN-TRAINING SERVICES, PHYSICIAN ASSISTANT/NURSE PRACTITIONER SERVICES, SPECIALTY PHYSICIAN SERVICES AND OTHER HEALTHCARE SERVICES THROUGH BCCS. SCHEDULE H, PART III, LINES 2 & 3: Costing Methodology - Cost to Charge Ratios from Worksheet 2 used. MHM and MHS jointly analyzed zip codes where, based on financial demographics, it appeared that the patients in those zip codes would likely qualify for charity care. An analysis of past collections in the zip code areas and several Federal Poverty Guideline surveys using the zip codes resulted in MHM's conclusion that all patients in the identified zip codes are patients that, under MHS Charity Care Policies, would likely qualify for charity care. The estimated amount of MHS's Bad Debt Expense attributable to patients eligible under the organization's financial assistance policy was calculated using zip code data. SCHEDULE H, PART III, LINE 4: Methodist Healthcare System Bad Debt Footnote: Additions to the allowance for doubtful accounts are made by means of the provision for doubtful accounts. Accounts written off as uncollectible are deducted from the allowance and subsequent recoveries are added. The amount of the provision for doubtful accounts is based upon assessment of historical and expected net collections, business and economic conditions, trends in federal and state governmental and private employer healthcare coverage, and other collection indicators. The provision for doubtful accounts and the allowance for doubtful accounts relate primarily to "uninsured" amounts (including co-payment and deductible amounts from patients who have healthcare coverage) due directly from patients. Accounts are written off when all reasonable internal and external collection efforts have been performed. The return of an account from the secondary external collection agency is considered to be the culmination of reasonable collection efforts and the timing basis for writing off the account balance. Write-offs are based upon specific identification, and the write-off process requires a write-off adjustment entry to the patient accounting system. Management relies on the results of detailed reviews of historical write-offs and recoveries at facilities that represent a majority of revenues and accounts receivable (the hindsight analysis) as a primary source of information to utilize in estimating the collectability of accounts receivable. The hindsight analysis is performed quarterly, utilizing rolling 12-month accounts receivable collection and write-off data. The results of the detailed review of historical collection and write-off experience, adjusted for changes in trends and conditions, are used to evaluate the allowance for doubtful accounts amount for the current period. At December 31, 2015 and 2014, respectively, the Partnership's combined allowance for doubtful accounts and self-pay discounts, which are recorded as a reduction to patient accounts receivable, represented approximately 94% of the $409.6 million and 96% of the $366.6 million total patient accounts receivable due balance, including accounts, net of estimated contractual discounts, related to patients for which eligibility for Medicaid coverage was being evaluated (pending Medicaid accounts). Adverse changes in general economic conditions, business office operations, payor mix, or trends in federal or state governmental healthcare coverage could affect the Partnership's collection of accounts receivable, results of operations, and cash flows. As of December 31, 2015, the Bad Debt amount was $142,281,000. This amount is not reflected on MHM's 990 Part IX Expenses due to the Bad Debt amount being reported in the Methodist Healthcare System's financials. SCHEDULE H, PART III, LINE 8: The amounts reported on Part III, Lines 5-7 have been determined by aggregating the information from the individual facility cost report(s) for each of the Hospitals operated by MHS. The Hospitals operated by MHS may have cost report year ends other than December 31, 2015. Accordingly, for a facility with a non-calendar cost report year end, the cost report that was filed for the cost report year end that ended during 2015 was utilized. It is important to note that amounts included in lines 5-7 do not include Medicare revenue and related cost for freestanding ambulatory surgery services and for physician services. SCHEDULE H, PART III, LINE 9b: MHS has a policy to provide discounts to those individuals who do not have insurance or one not covered by a governmental reimbursement program. If a patient qualifies for Medicaid, then he or she is only responsible for any non-covered charges. If the patient does not qualify for Medicaid, he or she may complete the MHS Financial Assistance Application to have the encounter reviewed for a potential charity discount. If the patient's yearly income is less than or equal to 200% of the poverty guidelines updated annually in the Federal Register by the U.S. Department of Health and Human Services ("Federal Poverty Guidelines"), the patient will be granted classification as Financially Indigent, and the account will be written off to charity. Letters are then sent to the patient notifying that the account has qualified for the charity discount and is considered closed. In addition, a sliding scale discount is applied to accounts for patients whose income is between 200% and 500% of the Federal Poverty Guidelines, and whose remaining account balance, after any third-party payments, exceeds a percentage of their income ("Medically Indigent"). In addition, patients with abnormally large accounts may qualify as catastrophically eligible when their remaining balance exceeds a specific percentage of their income. If a patient does not qualify for a charity discount, an uninsured discount is applied to total charges. If a patient is unable to pay the remaining balance in full, after applying any charity or uninsured discounts, MHS will work with the patient to set up a monthly payment arrangement. Throughout the debt collection process, MHS continues to inform patients about the availability of Charity Care Assistance. SCHEDULE H, PART VI, QUESTION 2: In addition to the items specifically noted to address the Community Health Priorities, other highlights from 2015 include the following: In late 2011, The Texas Health and Human Services Commission filed an application for a waiver of certain federal Medicaid requirements under section 1115 of the Social Security Act. As a result of the granting of this application the Texas Health Care Transformation and Quality Improvement Program was developed to provide payments (Delivery Reform Incentive Payments, or DSRIP) to hospital and other providers upon their achieving certain goals that are intended to improve the quality and lower the cost of care. This initiative divides the state into twenty different regions, each region developed a Community Needs Assessment, and providers in the region will submit projects for funding consideration to address those needs. Methodist Healthcare System received approval for the following projects: Introduce Expand or Enhance Telemedicine/Telehealth - Methodist will implement a TeleHealth program that will provide TeleHealth consultations with trained specialists in selected services. By the end of 2015, the Tele-Stroke Program expanded to include eleven locations, with additional locations planned in 2016. Through this program, physicians can dramatically increase response time, transfers can be minimized, and patients can often receive lifesaving care more rapidly, often times at their home hospital. The Behavioral Health TeleMedicine Program's operations started in January, 2014. The goal of this program is to provide timely consultations, diagnosis and treatment recommendations for Behavioral Health/Substance Abuse patients in every Methodist Emergency Department or in Medical Acute units throughout Methodist. 5,007 Behavioral Health and 179 Tele-Stroke Consultations were provided for the DSRIP Reporting Period ended September 30, 2015. 53.5% of the consultations provided were to Medicaid or low income uninsured patients. Establish More Primary Care Clinics - Methodist opened the Methodist Community Health Center in 2014. The center is an urgent care center located in east San Antonio. The Methodist Community Health Center provides services to all patients at no cost. The center provided 1,696 encounters for the DSRIP reporting period ending September 30, 2015. Of these encounters, 84.5% were provided to Medicaid or low income uninsured patients. Redesign to Improve the Patient Experience - The focus for this project is to improve how patients experience clinical care as well as the patient's satisfaction with their care. In 2015, Methodist started a Patient Family Advisory Council, and has implemented an online patient portal to further improve communication efforts with patients. Methodist has also developed an electronic dashboard which summarizes HCAHPS and outpatient survey data by facility and by nursing unit. Methodists' managers and above receive weekly notifications regarding dashboard updates. Apply Process Improvement Methodology to Improve Quality/Efficiencies specific to Sepsis - Improvement of sepsis management is a key initiative in Methodist's Clinical Excellence Plan. Methodist has developed and continues to refine the Sepsis Early Recognition Screening Tool which will allow clinical staff to better identify patients in early sepsis and to provide rapid intervention and reduction of patients developing severe sepsis and/or septic shock. Sepsis bundle elements are not included in the electronic triage screening for ED, ICU, in-hospital nursing, and rapid response teams. The Metropolitan Methodist Hospital campus is currently the only sepsis certified facility in Texas. Methodist now has full time sepsis coordinators at three campuses, and part-time coordinators at the other campuses. In 2015, Metropolitan Methodist Hospital, a campus of Methodist Hospital, completed renovation of the 5th floor surgical unit, initiated renovation of the laboratory and upgraded and renovated Cath Lab Suites. Metropolitan Methodist Hospital also celebrated the Women's Pavilion 10-year anniversary. Metropolitan Methodist Hospital welcomes nearly 4,000 newborns into the world each year. The Women's Pavilion offers women and their families comfortable and spacious labor, delivery and recovery rooms. Also in 2015, Metropolitan Methodist Hospital purchased new vascular ultrasound machines and new stress testing equipment to better serve the community. Methodist Stone Oak Hospital received approval of the new bed tower expansion (81 beds), as well as a new Cath Lab in 2015. Methodist Specialty and Transplant Hospital, a campus of Methodist Hospital, purchased its third da Vinci Surgical System - Xi Robot. In 2015, Northeast Methodist Hospital, a campus of Methodist Hospital opened its first outpatient imaging clinic. The new clinic offers echocardiograms and stress testing. In an effort to facilitate Northeast Methodist Hospital's throughput efforts, the facility is opening one additional patient care area and re-purposing an existing patient care area. In 2015, six beds on the second floor next to Telemetry 2 became available for use; these beds are licensed as critical care beds and have brand new monitoring equipment. The focus of this area is critical care and progressive care overflow. Also in 2015, the current eight-bed CTU transitioned into an Observation Unit. Northeast Methodist Hospital also replaced the hemodynamic monitoring system in the Cardiac Cath Lab. Methodist Hospital's administration has moved into the south tower of the hospital. The PICU opened three additional beds on the third floor, and the 10th floor central tower opened. Construction continues on both Methodist Hospital and its campus, Methodist Children's Hospital (approximately 120 new beds). Clinical service enhancements include Methodist Healthcare further investing in building its team of Patient Nurse Navigators. Methodist Healthcare has four breast cancer navigators, two complex GI navigators, one blood cancer navigator and one lung cancer navigator for a total of eight Patient Nurse Navigators. Together, they have navigated 828 total cancer patients in 2015, up from 721 cancer patients in 2014. To address a growing need for psychiatric assessments, a "Tele-Psych" program was established to expedite the evaluation and treatment of patients in the emergency departments of Methodist hospitals. Methodist Specialty and Transplant Hospital, Metropolitan Methodist Hospital, Northeast Methodist Hospital, all campuses of Methodist Hospital, and Methodist Stone Oak Hospital have all gone live with this service in their emergency departments. By utilizing video conferencing technology, board-certified psychiatrists in other parts of Texas and the U.S. are available around the clock to provide evaluations and recommend treatment options for patients. In 2015, Methodist Healthcare provided over 10,000 tele-psych consults. Patients requiring psychiatric services are often one of the most underserved populations in the community, and Methodist strives to ensure these patients have access to appropriate care. Upwards of 30% of the behavioral health services offered by Methodist Specialty and Transplant Hospital are provided to charity and self-pay patients. Furthermore, Methodist Healthcare supports a clinically aligned Non-Profit Healthcare Organization (NPHO) which employs a number of hospitalists to support this program, as San Antonio psychiatrists in private practice typically will not treat hospitalized patients. Methodist management also continues to monitor and work with Parallon, an HCA subsidiary, to improve the processes for identifying and processing charity cases in the most efficient and timely manner possible. All Parallon personnel receive training, including an annual refresher course, to include instruction on the Methodist charity policy and our charitable mission in conjunction with Methodist Healthcare Ministries. In addition, they have a formal process for MHM's patients to directly access charitable medical services at Methodist facilities. As part of Methodist Healthcare's continued commitment to the health of the community, Greg Seiler, CEO of Metropolitan Methodist Hospital served as chair for the March of Dimes March for Babies, raising over $800,000 across the City. For the third year in a row, Methodist Healthcare was named a Top Performer on Key Quality Measures by The Joint Commission, the leading accreditor of health care organizations in America. Methodist Hospital and its campuses at Methodist Children's Hospital, Methodist Specialty and Transplant Hospital, Methodist Texsan Hospital, Metropolitan Methodist Hospital and Northeast Methodist Hospital plus Methodist Stone Oak Hospital were recognized by The Joint Commission for exemplary performance in using evidence-based clinical processes. Methodist Hospital received the American Heart Association 2015 Mission Lifeline Silver Quality Achievement Awar SCHEDULE H, PART VI, QUESTION 3: MHS has taken steps over the past several years to heighten community awareness regarding MHS's charitable mission. Signs that prominently present information about the charity mission and guidelines are present at all points of admission. MHS also publishes a notice of its charity policy annually in the San Antonio Express-News. A patient brochure, entitled "A Guide to Your Hospital Bill", explains the hospital billing process and informs patients of the charity policy in the event they need financial assistance. Information about the Financial Assistance Policy is also available in English and Spanish on MHS's website www.sahealth.com. All Shared Service Center personnel receive training and an annual refresher course on the policy, and understand the crucial role they play in informing patients about the policy. Financial Counselors and Hospital Case Management staff educate patients and are available to assist them with the charity care application process. In addition to providing information during the admitting process, MHS continues to provide information about the availability of charity care assistance during the collection process for those patients who have been billed, but have not paid. As noted above, MHS uses multiple methods to communicate and publicize financial assistance policies. Information Systems programming changes are currently in development. These changes will allow a message about the policies to print on patient billing statements. SCHEDULE H, PART VI, QUESTION 4: The San Antonio Metropolitan Statistical Area (MSA) of 2.13 million people includes the seventh largest percentage of Hispanics in the United States. 53.7% of the local population is Hispanic, 37.0% is White Non-Hispanic, 5.7% is Black and 3.6% is Other. Texas and San Antonio continue to lead the nation in the number of uninsured adults and children (Texas is ranked No. 1 with 24.3% uninsured and the U.S. is 17%). A little over sixteen percent of children in Texas are without health insurance compared to the U.S. at 8.6%. In San Antonio, one out of four adults and close to one out of three children do not have health insurance. The median household income in San Antonio is $42,731, compared to $45,792 for Texas and $50,221 for the nation. San Antonio has a large population living in poverty when compared to other parts of Texas. 14.5% of San Antonio residents live at or below the poverty level, and Bexar County is at 13%, compared to 12.8% for Texas, and 14.3% for the U.S. San Antonio's percent of households receiving food stamps is 17%, with Texas at 15.3%, and the U.S. at 13.8%. Methodist Healthcare serves an estimated population of nearly 2.9 million in Bexar and 26 South and Central Texas counties: Atascosa, Bandera, Caldwell, Comal, DeWitt, Dimmit, Edwards, Frio, Gillespie, Gonzales, Guadalupe, Karnes, Kendall, Kerr, Kinney, La Salle, Lavaca, Maverick, McMullen, Medina, Real, Uvalde, Val Verde, Webb, Wilson and Zavala. Since this geographic area is majority Hispanic, MHS sees this reflected in our patient population. SCHEDULE H, PART VI, QUESTION 5: In addition to the items specifically noted to address the Community Health Priorities, other highlights from 2015 include the following: In late 2011, The Texas Health and Human Services Commission filed an application for a waiver of certain federal Medicaid requirements under section 1115 of the Social Security Act. As a result of the granting of this application the Texas Health Care Transformation and Quality Improvement Program was developed to provide payments (Delivery Reform Incentive Payments, or DSRIP) to hospital and other providers upon their achieving certain goals that are intended to improve the quality and lower the cost of care. This initiative divides the state into twenty different regions, each region developed a Community Needs Assessment, and providers in the region will submit projects for funding consideration to address those needs. Methodist Healthcare System received approval for the following projects: Introduce Expand or Enhance Telemedicine/Telehealth - Methodist will implement a TeleHealth program that will provide TeleHealth consultations with trained specialists in selected services. By the end of 2015, the Tele-Stroke Program expanded to include eleven locations, with additional locations planned in 2016. Through this program, physicians can dramatically increase response time, transfers can be minimized, and patients can often receive lifesaving care more rapidly, often times at their home hospital. The Behavioral Health TeleMedicine Program's operations started in January, 2014. The goal of this program is to provide timely consultations, diagnosis and treatment recommendations for Behavioral Health/Substance Abuse patients in every Methodist Emergency Department or in Medical Acute units throughout Methodist. 5,007 Behavioral Health and 179 Tele-Stroke Consultations were provided for the DSRIP Reporting Period ended September 30, 2015. 53.5% of the consultations provided were to Medicaid or low income uninsured patients. Establish More Primary Care Clinics - Methodist opened the Methodist Community Health Center in 2014. The center is an urgent care center located in east San Antonio. The Methodist Community Health Center provides services to all patients at no cost. The center provided 1,696 encounters for the DSRIP reporting period ending September 30, 2015. Of these encounters, 84.5% were provided to Medicaid or low income uninsured patients. Redesign to Improve the Patient Experience - The focus for this project is to improve how patients experience clinical care as well as the patient's satisfaction with their care. In 2015, Methodist started a Patient Family Advisory Council, and has implemented an online patient portal to further improve communication efforts with patients. Methodist has also developed an electronic dashboard which summarizes HCAHPS and outpatient survey data by facility and by nursing unit. Methodists' managers and above receive weekly notifications regarding dashboard updates. Apply Process Improvement Methodology to Improve Quality/Efficiencies specific to Sepsis - Improvement of sepsis management is a key initiative in Methodist's Clinical Excellence Plan. Methodist has developed and continues to refine the Sepsis Early Recognition Screening Tool which will allow clinical staff to better identify patients in early sepsis and to provide rapid intervention and reduction of patients developing severe sepsis and/or septic shock. Sepsis bundle elements are not included in the electronic triage screening for ED, ICU, in-hospital nursing, and rapid response teams. The Metropolitan Methodist Hospital campus is currently the only sepsis certified facility in Texas. Methodist now has full time sepsis coordinators at three campuses, and part-time coordinators at the other campuses. In 2015, Metropolitan Methodist Hospital, a campus of Methodist Hospital, completed renovation of the 5th floor surgical unit, initiated renovation of the laboratory and upgraded and renovated Cath Lab Suites. Metropolitan Methodist Hospital also celebrated the Women's Pavilion 10-year anniversary. Metropolitan Methodist Hospital welcomes nearly 4,000 newborns into the world each year. The Women's Pavilion offers women and their families comfortable and spacious labor, delivery and recovery rooms. Also in 2015, Metropolitan Methodist Hospital purchased new vascular ultrasound machines and new stress testing equipment to better serve the community. Methodist Stone Oak Hospital received approval of the new bed tower expansion (81 beds), as well as a new Cath Lab in 2015. Methodist Specialty and Transplant Hospital, a campus of Methodist Hospital, purchased its third da Vinci Surgical System - Xi Robot. In 2015, Northeast Methodist Hospital, a campus of Methodist Hospital opened its first outpatient imaging clinic. The new clinic offers echocardiograms and stress testing. In an effort to facilitate Northeast Methodist Hospital's throughput efforts, the facility is opening one additional patient care area and re-purposing an existing patient care area. In 2015, six beds on the second floor next to Telemetry 2 became available for use; these beds are licensed as critical care beds and have brand new monitoring equipment. The focus of this area is critical care and progressive care overflow. Also in 2015, the current eight-bed CTU transitioned into an Observation Unit. Northeast Methodist Hospital also replaced the hemodynamic monitoring system in the Cardiac Cath Lab. Methodist Hospital's administration has moved into the south tower of the hospital. The PICU opened three additional beds on the third floor, and the 10th floor central tower opened. Construction continues on both Methodist Hospital and its campus, Methodist Children's Hospital (approximately 120 new beds). Clinical service enhancements include Methodist Healthcare further investing in building its team of Patient Nurse Navigators. Methodist Healthcare has four breast cancer navigators, two complex GI navigators, one blood cancer navigator and one lung cancer navigator for a total of eight Patient Nurse Navigators. Together, they have navigated 828 total cancer patients in 2015, up from 721 cancer patients in 2014. To address a growing need for psychiatric assessments, a "Tele-Psych" program was established to expedite the evaluation and treatment of patients in the emergency departments of Methodist hospitals. Methodist Specialty and Transplant Hospital, Metropolitan Methodist Hospital, Northeast Methodist Hospital, all campuses of Methodist Hospital, and Methodist Stone Oak Hospital have all gone live with this service in their emergency departments. By utilizing video conferencing technology, board-certified psychiatrists in other parts of Texas and the U.S. are available around the clock to provide evaluations and recommend treatment options for patients. In 2015, Methodist Healthcare provided over 10,000 tele-psych consults. Patients requiring psychiatric services are often one of the most underserved populations in the community, and Methodist strives to ensure these patients have access to appropriate care. Upwards of 30% of the behavioral health services offered by Methodist Specialty and Transplant Hospital are provided to charity and self-pay patients. Furthermore, Methodist Healthcare supports a clinically aligned Non-Profit Healthcare Organization (NPHO) which employs a number of hospitalists to support this program, as San Antonio psychiatrists in private practice typically will not treat hospitalized patients. Methodist management also continues to monitor and work with Parallon, an HCA subsidiary, to improve the processes for identifying and processing charity cases in the most efficient and timely manner possible. All Parallon personnel receive training, including an annual refresher course, to include instruction on the Methodist charity policy and our charitable mission in conjunction with Methodist Healthcare Ministries. In addition, they have a formal process for MHM's patients to directly access charitable medical services at Methodist facilities. As part of Methodist Healthcare's continued commitment to the health of the community, Greg Seiler, CEO of Metropolitan Methodist Hospital served as chair for the March of Dimes March for Babies, raising over $800,000 across the City. For the third year in a row, Methodist Healthcare was named a Top Performer on Key Quality Measures by The Joint Commission, the leading accreditor of health care organizations in America. Methodist Hospital and its campuses at Methodist Children's Hospital, Methodist Specialty and Transplant Hospital, Methodist Texsan Hospital, Metropolitan Methodist Hospital and Northeast Methodist Hospital plus Methodist Stone Oak Hospital were recognized by The Joint Commission for exemplary performance in using evidence-based clinical processes. Methodist Hospital received the American Heart Association 2015 Mission Lifeline Silver Quality Achievement Awar SCHEDULE H, PART VI, QUESTION 6: See responses for question 2 above regarding expansion of services in 2015. All Shared Service Center personnel receive training and an annual refresher course on the policy, and understand the crucial role they play in informing patients about the policy. Financial Counselors and Hospital Case Management staff educate patients and are available to assist them with the charity care application process. In addition to providing information during the admitting process, MHS continues to provide information about the availability of charity care assistance during the collection process for those patients who have been billed, but have not paid. As noted above, MHS uses multiple methods to communicate and publicize financial assistance policies. Information Systems programming changes have been implemented. These changes will allow a message about the policies to print on patient billing statements. Late in 2009 Methodist consolidated all bed placement services, including rural ED transfer assistance, into a system-wide Patient Placement Center. Rural transfers through the Center continue to increase (4.2% over 2014). The acceptance rate in 2015 was 96.5% compared to 97.4% in 2014. Self-pay patients accounted for 14.9% of all transfers as compared to 16.6% in 2014. Pediatric and high-risk maternal transfers are also now handled through these consolidated placement services. The acceptance rate for these transfers was 99.6%, with self-pay patients accounting for 13.5% of all pediatric transfers as compared to 11.1% in 2014. Methodist AirCare, in partnership with REACH Air Medical Services has three rural helicopters in the region. Specialized services available at MHS facilities include the following: Neonatology services, Pediatric Subspecialty services, Bone Marrow Transplant, Kidney Transplants, Heart Transplants, Liver Transplants, Pancreas Transplants, Hyperbaric Oxygen Treatment, Stroke Care, Medical Air Transport, Gamma Knife Radiosurgery, and Bariatric Surgery. The majority of charity care provided by the hospitals is from patients receiving emergency services. Emergency Department (ED) visits to Methodist facilities totaled 321,308 an increase of 4.8% over 2014. Sixteen percent of total ED visits resulted in inpatient admissions with an 8.09% increase in ED admissions over 2014. In addition, 21.2% of all visits to Methodist emergency departments in 2014 were made by charity or self-pay patients. Methodist continues to focus on improving access to care for the community by improving emergency department access. When comparing 2015 to 2014, Methodist saw a 7.1% decline in the Patient-Arrival-to-Bed (ATB) metric and an 36/5% improvement in Arrival-to-Greet (ATG) metric. The Average Length of Stay for all patients increased from 207.12 minutes to 223.23 minutes. Texas Transplant Institute (TTI), at Methodist Specialty & Transplant Hospital, a Campus of Methodist Hospital, continues to provide increased access for patients requiring kidney transplants. TTI is the home of the busiest paired exchange kidney transplant program in the nation, and the nation's No. 1 living donor kidney transplant program. MHS also operates three Health Buses on the east, south and west side of San Antonio offering complimentary transportation to various health care facilities. There were 11,775 transports in 2015, which is above the mandated benchmark, as well as a 2% increase from 2014. Metropolitan Methodist Hospital in conjunction with Methodist Hospital Women's Services, operates five Family Health Centers that provide complimentary pregnancy testing, physician referrals (3,028 in 2015), counseling, health education and screening programs. MHS also operates Call-a-Nurse for Children, a telephone service offering free medical advice by trained emergency care pediatric nurses to parents of sick/injured children. The service operates from 5:00 p.m. to 8:00 a.m. Monday through Friday and around the clock on weekends and holidays (when physicians offices are closed). Call volumes in 2015 were 75,449. In 2015, the Methodist Contact Center was sold to HCA with the agreement to continue operating a community phone-in health resource called HealthLine during normal business hours. HealthLine callers schedule attendance to health and wellness events, parenting classes, and receive physician referrals through the Methodist DoctorSource program. In 2015, Methodist referred physicians to 7,495 DoctorSource callers (up to three physicians may be referred to each caller). In one other community benefits category, Methodist provided direct support to 63 non-profit health and human service agencies serving the community. Methodist plays a leading role in the support of The Health Collaborative, including the utilization of their Community Health Assessment to assist in the determination of where MHS should concentrate community activities (see additional information in Question 3, Section V). MHS has an open admissions policy which allows medical staff to admit patients directly to any MHS facility regardless of the patient's ability to pay. MHS funds and provides training and continuing education to physicians, nurses, EMS professionals and other allied health professionals. MHS participates in all quality measures (CMS, JCAHO, etc). MHS uses the CMS Core Measures as the primary quality indicators for clinical care. SCHEDULE H, PART VI, QUESTION 7: MHS files an annual Statement of Community Benefits with the State of Texas. true Alamo Colleges 201 W Sheridan San Antonio TX 78204 746002173 501(c)(3) 132983 Nursing student training Donation Donation Healthcare Services Primary care services and women's healthcare Medical and dental health services and dental sala Medical, dental and counseling services Capital and residency training program Childhood screening for mental health related issu Youth Development Services Dental salary supplement Healing programs for grieving youth Counseling services Behavioral health services for children Capital Mental Health Services for At-Risk Youth Dental salary supplement, behavioral health and wo Oral health services Counseling services and capital improvements Medical services at Gabbard Health Clinic Medical, dental and mental health services Medical ethics program, pastoral care, seminars, c Capital, medical, dental, respite, behavioral heal Counseling services Child abuse prevention, mental health services and Community based counseling programs for the homele Operational Support Diabetes management, behavioral health and dental Youth Development American Heart Association 8415 Wurzbach San Antonio TX 78229 135613797 501(c)(3) 14250 DONATION American Diabetes Association 1100 Northeast Loop 410 San Antonio TX 78209 131623888 501(c)(3) 8472 Amistad Community Health Center 1533 Brownlee Blvd Corpus Christi TX 78404 203008507 501(c)(3) 380215 Healthcare Services Arthur Nagel Community Clinic 1116 12th Street 3 Bandera TX 78003 770697361 501(c)(3) 62081 Primary care services and women's healthcare Atascosa Health Center 310 W Oaklawn Rd Pleasanton TX 78064 742089103 501(c)(3) 132688 Medical and dental health services and dental salary supplement Barrio Comprehensive Family Health Care Ctr 3066 E Commerce Street San Antonio TX 78220 741724391 501(c)(3) 1872179 Medical, dental and counseling services Behavioral Health Solutions of South Texas 5510 N Cage Blvd Suite C Suite C Pharr TX 78577 742648885 501(c)(3) 597234 Capital and residency training program Bexar County Health Collaborative 1002 N Flores San Antonio TX 78212 742953076 501(c)(3) 110000 Childhood screening for mental health related issues and health literacy Boys and Girls Club of Pharr 1026 S Fir Street Pharr TX 78577 752258513 501(c)(3) 100000 Youth Development Services Brownsville Community Health Center 191 E Price Road Brownsville TX 78521 742176836 501(c)(3) 42000 Dental salary supplement Children's Bereavement Center of South Texas 205 W Olmos Drive San Antonio TX 78212 742828178 501(c)(3) 348875 Healing programs for grieving youth ChildSafe 7130 US Hwy 90 San Antonio TX 78227 742633697 501(c)(3) 60000 Counseling services Clarity Child Guidance Center 8535 Tom Slick Dr Bldg 1 San Antonio TX 78229 741153067 501(c)(3) 408000 Behavioral health services for children Coker United Methodist Church 231 E North Loop Road San Antonio TX 78216 741367519 501(c)(3) 95000 Capital Communities in Schools of San Antonio Inc 1616 E Commerce St Bldg 1 Bldg A San Antonio TX 78205 742393714 501(c)(3) 104984 Mental Health Services for At-Risk Youth Community Health Ctrs of South Central TX 228 St George Street Gonzalez TX 78629 741548089 501(c)(3) 230658 Dental salary supplement, behavioral health and women's health programs Community Health Development 908 S Evans Bldg A Uvalde TX 78801 742269739 501(c)(3) 262500 Oral health services Community Hope Projects Inc 2332 W Jordan Road McAllen TX 78503 742742024 501(c)(3) 267140 Counseling services and capital improvements Corpus Christi Metro Ministries 1919 Leopard Street Corpus Christi TX 78408 742247261 501(c)(3) 138500 Medical services at Gabbard Health Clinic Daughters of Charity Services 7607 Somerset Road San Antonio TX 78211 746106876 501(c)(3) 570851 Medical, dental and mental health services Ecumenical Center for Religion and Health 8310 Ewing Halsell Dr S203 San Antonio TX 78229 741587388 501(c)(3) 747132 Medical ethics program, pastoral care, seminars, child therapy and IBH services El Centro del Barrio (DBA CentroMed) 3750 Commercial Ave San Antonio TX 78221 741787031 501(c)(3) 3404012 Capital, medical, dental, respite, behavioral health care services and ACA enrollment Family Counseling Service 3833 S Staples S203 Corpus Christi TX 78411 741321308 501(c)(3) 109564 Counseling services Family Service Association of San Antonio Inc 702 San Pedro San Antonio TX 78212 741117341 501(c)(3) 652973 Child abuse prevention, mental health services and financial counseling Family Violence Prevention Services Inc 7911 Broadway San Antonio TX 78209 741994151 501(c)(3) 73678 Community based counseling programs for the homeless Frontera Healthcare Network 604 Eaker Street Suite 220 Eden TX 76837 752854259 Hospital 78543 Operational support Gateway Community Health Center Inc 1515 Pappas St Laredo TX 78041 742553409 501(c)(3) 739484 Diabetes management, behavioral health and dental salary supplement Good Samaritan Community Services 1600 Saltillo San Antonio TX 78207 741117340 501(c)(3) 64664 Youth Development Services Greater San Antonio Healthcare Foundation 7703 Floyd Curl Drive MS 7942 San Antonio TX 78229 742907670 501(c)(3) 25000 Operational support Healthcare Access San Antonio 5535 Fredericksburg Suite 220 San Antonio TX 78229 203752122 501(c)(3) 219826 Operational support Healy-Murphy Center 618 Live Oak San Antonio TX 78202 741667875 501(c)(3) 64118 Behavioral health services Healthy Futures of Texas 2300 West Commerce St San Antonio TX 78207 205793076 501(c)(3) 10000 Hill Country Daily Bread Ministries 140 Industrial Drive Suite 250 Boerne TX 78006 300148195 501(c)(3) 82840 Family mentoring Hill Country Mission Health 122 Commerce Avenue Boerne TX 78006 481262832 501(c)(3) 50125 Medical services Horses Helping the Handicapped Inc 791 Backhaus Road Pipe Creek TX 78063 742746369 501(c)(3) 203565 Equine-assisted children's mental health program I Care San Antonio One Haven for Hope Way San Antonio TX 78207 742690192 501(c)(3) 172110 Vision care and capital equipment Infant & Family Nutrition Agency 1225 Boca Chica BLVD Brownsville TX 78520 743005860 501(c)(3) 20000 Operational support JDRF International 8700 Crownhille BLVD San Antonio TX 78209 231907729 501(c)(3) 6500 Jewish Family Service of San Antonio Inc 12500 NW Military Hwy San Antonio TX 78231 741759254 501(c)(3) 288527 Youth counseling, outpatient psychiatry and EMR system Laurel Heights United Methodist Church 227 W Woodlawn Ave San Antonio TX 78212 741272395 501(c)(3) 10000 Lower Rio Grande Valley Comm Health Mgmt 901 E Vermont Ave McAllen TX 78503 742784427 501(c)(3) 362957 Wellness center and medical services and capital equipment La Union del Pueblo Entero 1601 US 83 Business San Juan TX 78589 931029197 501(c)(3) 199894 Healthcare services and patient education for colonia residents Medical Center Alliance 4242 N IH 35 San Antonio TX 78218 742892751 501(c)(3) 100000 Fund San Antonio Medical Center Improvements Medina County Hospital District 3100 Avenue E Hondo TX 78861 270492434 Hospital 261250 Capital Mercy Ministries of Laredo 2500 Zacatecas Street Laredo TX 78046 200198462 501(c)(3) 320085 Dental services, women's health services and comprehensive diabetes program MHP Salud 3102 E Business 83 Weslaco TX 78596 383092194 501(c)(3) 125242 Behavioral health services Mission 911 911 Park Avenue Corpus Christi TX 78401 742996340 501(c)(3) 40300 Operational Support Mission of Mercy Inc 719 S Shoreline Corpus Christi TX 78401 860704883 501(c)(3) 67668 Mobile medical services Morningside Ministries Foundation Inc 700 Babcock Road San Antonio TX 78201 742927605 501(c)(3) 105000 Web-based program providing training for caring for older adults National Ctr for Behavioral Health Solutions 3031 IH 10 West San Antonio TX 78201 470857847 501(c)(3) 400000 Behavioral health services New Braunfels Christian Ministries 1659 State Hwy 46W New Braunfels TX 78132 262221231 501(c)(3) 111603 Medical and dental care to uninsured, low-income Comal County residents Nuestra Clinica del Valle 801 W 1st Street San Juan TX 78589 741721807 501(c)(3) 42000 Dental salary supplement Our Lady Of The Lake Uni Of San Antonio 411 SW 24th Street San Antonio TX 78207 741109631 501(c)(3) 34783 OLLU/Haven for Hope Mental Health Care for Homeless People's Community Clinic 2909 N Interstate 35 Austin TX 78722 237087608 501(c)(3) 243840 Nutrition counseling and mental health screening Planned Living Asst Network of Central TX 4110 Guadalupe Blvd 410 Austin TX 78751 742861614 501(c)(3) 26707 Behavioral health services Planned Parenthood of San Antonio 104 Babcock Road San Antonio TX 78201 741297211 501(c)(3) 442200 Diagnostic women's health care services Proyecto Desarrollo Humano Inc 17617 Sabal Palm Drive Penitas TX 78576 205709276 501(c)(3) 20000 Wellness program Proyecto Juan Diego Inc 2216 Eduardo Ave Brownsville TX 78526 810606967 501(c)(3) 307330 Diabetes program and collective impact initiative Raphael Community Free Clinic Inc 1807 Water Street Kerrville TX 78028 742819628 501(c)(3) 125400 Medical services Rio TX Conf of the United Methodist ChurcH 16400 Huebner Road San Antonio TX 78248 741326672 501(c)(3) 450169 Pastoral health and wellness education and chaplaincy programs Roy Maas Youth Alternatives Inc 3103 West Ave San Antonio TX 78213 741914638 501(c)(3) 65220 Emergency shelter psychiatric services San Antonio Christian Dental Clinic One Haven for Hope Way San Antonio TX 78207 742428161 501(c)(3) 392000 Dental services and dental salary supplement San Antonio Clubhouse Inc 6851 Citizens Parkway San Antonio TX 78229 820559940 501(c)(3) 303750 Mental health services San Antonio Food Bank 5200 Old Highway 90 W San Antonio TX 78227 742122979 501(c)(3) 202500 Social Services Outreach: CHIP & Medicaid Enrollment San Antonio Metropolitan Ministry 5254 Blanco Road San Antonio TX 78216 742285793 501(c)(3) 120000 Culture of poverty training and spiritual services Schreiner University 2100 Memorial Blvd Kerrville TX 78013 741193459 SCHOOL 249860 Nursing program SLEW Inc 12521 Nacogdoches Rd San Antonio TX 78217 421580967 501(c)(3) 52534 Mental health services for women with cancer South Texas Rural Health Service 611 Thornton Cotulla TX 78014 741905196 501(c)(3) 549064 Dental salary supplement, mental health and medical services Southwest Texas Network Inc 7475 Callaghan Rd San Antonio TX 78229 743015876 501(c)(3) 141544 Operational support Sports Outdoor and Recreation (SOAR) Inc 1202 W Bitters Rd San Antonio TX 78216 261219640 501(c)(3) 1000000 Capital Su Clinica Familiar 1706 Treasure Hills Blvd Harlingen TX 78550 742357970 501(c)(3) 35879 Diabetic retinopathy screening program Tejas Health Care 753 East Travis Street La Grange TX 78945 753260266 501(c)(3) 344623 Diabetes outreach, dental services and behavioral health services Texas A&M Health Science Center 200 Tech Way College Station TX 77845 311702109 501(c)(3) 230000 Diabetes prevention programs Texas A&M International University 5201 University Boulevard Laredo TX 78041 742515406 501(C)(3) 399948 Nursing program Texas A&M University 400 Harvey Mitchell Pkwy College Station TX 77845 746000531 SCHOOL 131227 Community health worker program Texas Diaper Bank 5415 Bandera Road San Antonio TX 78238 742886380 501(c)(3) 100000 Health and human services and diaper bank Texas Lutheran University 1000 West Court Street Seguin TX 78155 741109748 501(C)(3) 211807 Nursing program The Arc of San Antonio Inc 13430 West Avenue San Antonio TX 78216 741200110 501(c)(3) 143270 Nursing services Univ of TX Health Science Ctr at HOUSTON 7000 Fannin Street Houston TX 77030 741761309 SCHOOL 489668 Wellness promotion and collective impact initiative ThriveWell Cancer Foundation 4383 Medical Dr San Antonio TX 78229 260371270 501(c)(3) 41704 Patient transportation Timons Ministries 10501 S Padre Islnd Corpus Christi TX 78418 311638327 501(c)(3) 33800 Operational Support United Medical Centers 2525 N Veterans Blvd Eagle Pass TX 78852 741993570 501(c)(3) 217040 Diabetes and hypertension management program University of Texas Rio Grande Valley 1201 W University Dr Edinburg TX 78539 465292740 SCHOOL 1065510 Collaborative medical care program Univ of TX Health Science Ctr San AntoNIO 7703 Floyd Curl Dr San Antonio TX 78229 741586031 SCHOOL 1485817 Dental, psychiatric and medical student training and services Vida Y Salud Health Systems Inc 308 Cesar Chavez Ave Crystal City TX 78839 741715419 501(c)(3) 159946 Dental salary supplement and behavioral health services West Texas Counseling & Guidance Inc 242 N Magdalen San Angelo TX 76903 751561599 501(c)(3) 749000 Counseling services and capital improvements Women Involved in Nurturing Giving Sharing 7900 US Hwy 90 W San Antonio TX 78227 742920912 501(c)(3) 267423 Breast cancer treatment support Respite Care of San Antonio 605 Belknap Pl San Antonio TX 78212 742467770 501(c)(3) 7500 89 0 Electricity Assistance 475 94316 Water Assistance 72 12460 Rent/Mortgage Assistance 151 53481 Healthcare Program Assistance 13 4753 SCHEDULE I, PART I, LINE 2: DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS: THE GRANTEE IS GIVEN A DISBURSEMENT REQUEST FORM IN THE BEGINNING OF THE FISCAL YEAR TO USE IN REQUESTING FUNDS. WHEN A REQUEST IS SUBMITTED FOR PAYMENT (YEARLY, QUARTERLY, OR MONTHLY) THE ACCOUNTANT REVIEWS AND VERIFIES EXPENSES BASED ON ACTUAL INVOICES AND/OR THE ORGANIZATION'S GENERAL LEDGER. THE ORGANIZATION'S EXPENSE INFORMATION IS VERIFIED TO THE APPROVED BUDGET SUBMITTED WITH THE GRANTEE APPLICATION. THE EXPENSE INFORMATION IS THEN ENTERED INTO THE GRANT TRACKING SOFTWARE (GIFTS). AFTER THE EXPENSES HAVE BEEN VERIFIED AND DOCUMENTED, IT IS SUBMITTED TO THE VP OF ACCOUNTING & CONTROLLER FOR APPROVAL AND SIGNATURE. IF PAYMENT REQUEST IS GREATER OR EQUAL TO $10,000, THE REQUEST REQUIRES CFO APPROVAL. THE GRANTS ASSOCIATE ALSO REVIEWS EACH GRANT REQUEST FOR COMPLIANCE WITH BUDGETED GOALS AND OUTCOMES. IT IS THEN FORWARDED TO THE ACCOUNTS PAYABLE DEPARTMENT FOR PAYMENT. A CHECK IS PROCESSED AND MAILED TO THE GRANTEE. THE BACKUP OF THE CHECK REQUEST IS RETURNED TO THE ACCOUNTANT TO FILE IN A GRANT FOLDER. IN ADDITION TO THESE PROCEDURES, THE ACCOUNTANTS DO SITE VISITS TO REVIEW PATIENT FILES OR INVOICES TO ENSURE THAT FUNDS ARE BEING USED APPROPRIATELY. EACH GRANTEE IS AUDITED EVERY OTHER YEAR (SOME ARE VISITED ANNUALLY BASED ON THE TYPE OF GRANT) TO ENSURE COMPLIANCE WITH GRANT CONTRACTS. X X X X false false false false false false false false false Kevin Moriarty Chief Executive Officer 419809 0 25000 0 19477 0 1267 0 22710 0 488263 0 0 0 Tony Lobasso Chief Financial Officer 234284 0 0 0 1154 0 11115 0 18626 0 265179 0 0 0 George Thomas Chief Operating Officer 230236 0 0 0 2308 0 15796 0 25427 0 273767 0 0 0 Peggy Cary VP of Finance & Audit Services 205989 0 0 0 2137 0 17099 0 20411 0 245636 0 0 0 Rebecca Brune Sr VP of Strategic Pln & GRWTH 191104 0 0 0 0 0 11478 0 22162 0 224744 0 0 0 Marc Raney Sr VP of Resource Development 176407 0 0 0 0 0 11325 0 20720 0 208452 0 0 0 Oanh Maroney-Omitade VP of Clinic Operations 131534 0 0 0 0 0 11895 0 28825 0 172254 0 0 0 Lamme-Kerr Bridget Director of Human Resources 153680 0 5000 0 0 0 706 0 10764 0 170150 0 0 0 Correa-Knoulton Jennifer Dir of Nursing & Wellness Pgm 131141 0 0 0 2163 0 12667 0 23722 0 169693 0 0 0 FORM 990, PART III, LINE 4D: DESCRIPTION OF OTHER PROGRAM SERVICES Other program services owned and operated by MHM for low-income and uninsured patients/clients include: Community Counseling Services: Community Counselors help people who are uninsured, whose existing coverage does not provide mental health services benefits, are low-income and lack the money to pay for counseling services, or who would not receive treatment any other way. Counseling services are provided by trained, licensed professional counselors and social workers in local churches across the Rio Grande Valley, Laredo and the Coastal Bend. Community Health Workers or Promotores de Salud: Community Health Workers have the distinct ability to reach vulnerable, low-income and underserved members of the community through their specialized knowledge of the communities MHM serves and their unique ability to engage community members at a hands-on level. Community Health Workers support health education and prevention efforts and bridge access to community-based health programs and advocates. Parenting Programs: Designed to help parents and guardians learn parenting skills so they will be more confident and more competent leaders within their families. Programs include: Meld; Parents Helping Parents; Parents as Teachers; and the Nurturing Parenting Programs. In addition to the medical, dental, and behavioral health services identified under Program Service Activity #2, the following programs are also offered at both MHM owned facilities: Recreation & Enrichment Programs: Available at MHM's Wesley Health & Wellness Center offers youth, adults and seniors free, safe and fun activities that promote health, wellness and learning skills. Programs consist of Youth Development programs such as Camp Wesley, a free 8-week summer camp for youth ages 6-18 and 'Los Mariachitos de Wesley,' a free cultural arts program for youth ages 6-18. The Youth Development program at Wesley Health & Wellness Center is a neighborhood recreation program and is not regulated by state childcare licensing, and is not a day care facility. Adult programming includes exercise classes, parent and family trainings and community-based support groups such as Alcoholics Anonymous and the Community Justice Program. Health Education & Nutrition: Offered at the Wesley Health & Wellness Center (WHWC) and the Bishop Ernest T. Dixon, Jr. Clinic are designed to teach and model health and wellness through healthy cooking, direct health education with clients and through the provision of healthy and nutritious meals prepared by professional culinary artists at MHM's Wesley Caf located at WHWC. Health education is offered under the direction of registered nurses and dieticians and is primarily designed for diabetic clients in one-on-one and group settings, and includes distribution of glucometer strips to help manage their disease. The Wesley Caf prepares healthy and nutritious meals for the children and guests of the WHWC, and serves as an emergency food pantry and bread line to those in need. Part of Health Education & Nutrition, the Get FIT (Families in Training) program is a preventive program aimed at averting type II diabetes, obesity and sedentary lifestyles, focusing on children and families in rural communities. FORM 990, PART VI, LINE 2: Family or Business Relationships JOE JOHNSTON (18% OWNERSHIP) AND PENDLETON WICKERSHAM (41% OWNERSHIP) ARE PARTNERS IN A MEDICAL DEVICE COMPANY. FORM 990, PART VI, LINE 11B: Process to review the Form 990 THE FINANCE COMMITTEE REVIEWS A DRAFT OF THE FORM 990 TAX RETURN AND MAKES RECOMMENDATION TO THE FULL BOARD. AFTER THIS REVIEW, THE TAX RETURN IS FORWARDED TO THE FULL BOARD FOR REVIEW AND ACCEPTANCE PRIOR TO FILING. FORM 990, PART VI, LINE 12C: Monitoring and Enforcement of Compliance with Conflict of Interest Policy ARTICLE 7 OF THE BOARD'S BYLAWS REQUIRE A CONFLICTS OF INTEREST POLICY. THE BOARD ADOPTED A POLICY ON DECEMBER 10, 1997, ARTICLE VI OF WHICH REQUIRES ANNUAL STATEMENTS. THE POLICY IS ENFORCED AND THE RESULTS ARE REPORTED ANNUALLY TO THE FINANCE COMMITTEE AND TO THE FULL BOARD OF DIRECTORS. Form 990, Part VI, Lines 15A and 15B: Process for determining compensation Line 15A: PRESIDENT & CEO - INTELLIGENT COMPENSATION, LLC WAS RETAINED TO CONDUCT A TOTAL COMPENSATION STUDY IN AUGUST 2014. THE COMPLETE STUDY WAS RECEIVED BY THE EXECUTIVE COMMITTEE WHO DETERMINED THE AMOUNT OF COMPENSATION FOR THE PRESIDENT & CEO. Line 15B: OFFICERS AND KEY EMPLOYEES - INTELLIGENT COMPENSATION, LLC WAS RETAINED TO CONDUCT A COMPENSATION STUDY OF ALL KEY LEADERSHIP POSITIONS IN AUGUST 2014. THE STUDY WAS RECEIVED BY THE EXECUTIVE COMMITTEE AND THE PRESIDENT & CEO WHO DETERMINED THE AMOUNT OF COMPENSATION FOR THE OFFICERS AND KEY EMPLOYEES. FORM 990, PART VI, LINE 19: Process for Making Documents Available to the Public DOCUMENTS ARE CURRENTLY PROVIDED UPON REQUEST. THE FINANCIAL STATEMENTS AND TAX RETURNS ARE ALSO AVAILABLE THROUGH METHODIST HEALTHCARE MINISTRIES WEBSITE AT: MHM.ORG>LIBRARY>FINANCIAL STATEMENTS AND TAX RETURNS Form 990, Part XI, Question 9: WPCC Revenue $ 171,746 WPCC Expenses (2,965,533) Tax Partnership on Form 1065 (144,642,741) Partnership Earnings on Books 121,881,465 Other 18,286 Total $ (25,536,777) Wesley Primary Care Clinic 4507 Medical Drive San Antonio TX 78229 742784284 Medical Svcs TX 501(c)(3) 11a - type1 MHM true Rio Texas Conference of the UMC 16400 Huebner Road San Antonio TX 78248 741326672 Church TX 501(c)(3) 1 NA false Methodist Healthcare System SA 8109 Fredericksburg Rd San Antonio TX 78229 742730328 Hospital System TX NA Related 147292866 538274261 false 0 true 0.50000 false true false false false false false false false false false false false false false false false true true Wesley Primary Care Clinic r 2802639 Cash Rio Texas Conference of the UMC b 450169 Cash Methodist Healthcare System of San Antonio s 91000000 Cash