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        <ReturnReference>Part V - Explanation of Number of Facility Type</ReturnReference>
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        <ReturnReference>Part VI - Affilated Health Care System Roles and Promotion</ReturnReference>
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        <ReturnReference>Part VI - Explanation Of How Organization Furthers Its Exempt Purpose</ReturnReference>
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        <ReturnReference>Part VI - Community Building Activities</ReturnReference>
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        <ReturnReference>Part VI - Community Information</ReturnReference>
        <Explanation>Local, regional, and national patients suffering from mental illness who qualify according to the admission criteria. There are no geographic or demographic limitations for our service area.</Explanation>
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        <ReturnReference>Part VI - Patient Education of Eligibility for Assistance</ReturnReference>
        <Explanation>Information is posted on website and available through the Menninger access center.</Explanation>
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        <ReturnReference>Part VI - Needs Assessment</ReturnReference>
        <Explanation>Annual community needs assessment reports from local agencies, leadership and participation in trade organizations, internal customer service and satisfaction data and market analysis through business development department.</Explanation>
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        <Identifier>Number of Hospital Faciltiy - 0</Identifier>
        <ReturnReference>Part V, Line 19d - Other Billing Determination of Individuals Without Insurance</ReturnReference>
        <Explanation>Patients are normally charged a per diem amount approximately equivalent to the Clinic's estimated costs to provide care. Patients qualifying as financially indigent under the policy are not charged any amounts for their care. Patients qualifying as medically indigent under the policy are charged 50% of the normal per diem amount.</Explanation>
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      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 0</Identifier>
        <ReturnReference>Part V, Line 13g - Other Means Hospital Facility Publicized the Policy</ReturnReference>
        <Explanation>The Clinic provides copies of the policy to the Mental Health and Mental Retardation Authority of Harris County and local hospitals who may encounter individuals in need of mental health care.</Explanation>
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        <Identifier>Number of Hospital Faciltiy - 0</Identifier>
        <ReturnReference>Part V, Line 11h - Other Factors Used in Determing Amounts Charged Patients</ReturnReference>
        <Explanation>Patients are normally charged a per diem amount approximately equivalent to the Clinic's estimated costs to provide care. Patients qualifying as financially indigent under the policy are not charged any amounts for their care. Patients qualifying as medically indigent under the policy are charged 50% of the normal per diem amount.</Explanation>
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      <Form990ScheduleHPartVI>
        <ReturnReference>Part III, Line 9b - Provisions On Collection Practices For Qualified Patients</ReturnReference>
        <Explanation>Each patient's financial status is determined prior to admission as to whether they qualify for financial assistance. If an amount is overdue and the patient does not qualify for financial assistance, the Clinic exhausts all efforts to contact and negotiate with patient to send balance. Then the Clinic sends up to three collection letters requesting payment. If no response is received, the Clinic sends the account to Collections and writes the amount off as bad debt.</Explanation>
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      <Form990ScheduleHPartVI>
        <ReturnReference>Part III, Line 4 - Bad Debt Expense</ReturnReference>
        <Explanation>The amount of bad debt expense recorded each period and the resulting adequacy of the allowance at the end of each period are determined using a combination of historical loss experience and customer-by-customer analysis of accounts receivable balances each period.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)</ReturnReference>
        <Explanation>The Menninger Clinic has developed a relationship with local, regional and national referral sources for referring patients for inpatient charity care:a. The referral source will contact Admissions office to refer a potential patientb. The Admissions office will screen potential patients according to The Clinic's eligibility criteria and the availability of charity care services.c. The Admissions office and the Director of Admissions will determine the capability of The Clinic to treat the applicant.d. The Admissions office shall notify the referral source whether the applicant has been accepted by The Clinic within 12 hours of The Clinic's receipt of the application.If the applicant is denied admission to The Clinic, the referral source may appeal The Clinic's decision by submitting a written request for review of such decision with The Clinic's Review Committee within two (2) days of the receipt of notice of the initial refection. The Clinic Review Committee shall be comprised of the Chief Operating Officer of the Clinic and the Medical Director/Chief of Staff. The Clinic Review Committee has full discretion as to when and how it shall act on an appeal.The decision of the Clinic Review Committee is final.</Explanation>
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        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>5815834</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Book value</MethodOfDeterminingRevenues>
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      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
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      <ThirdPartiesUsed>false</ThirdPartiesUsed>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>These documents are made available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>See above process followed for individuals described in question 15b.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>Annual disclosure by members of the board of directors of any potential conflict of interest is required. Review of accounting transactions and contractual agreements for potential instances of conflict of interest is conducted.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>The CEO and Treasurer/CFO review the Form 990 prior to providing a copy to the entire board and filing with the IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 6</Identifier>
        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>The Menninger Foundation and Baylor College of Medicine are the sole Members of the Clinic.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part III, Line 4d</Identifier>
        <ReturnReference>Form 990, Part III, Line 4d : Other Program Services Description</ReturnReference>
        <Explanation>OTHER PROGRAM SERVICES 4: The Menninger Clinic provides specialty inpatient psychiatric hospital services that include programs for adults, young adults, and adolescents using evidence-based, contemporary,and psychodynamic treatment approaches.The Menninger Clinic operates a clubhouse program known as The Gathering Place which provides a supportive environment for adults with severe and persistent mental illness, focusing on strengths rather than limitations, in order to facilitate life choices and more independent living. Our psychosocial rehabilitative services help adults affected by mental illness integrate back into the community. The Gathering Place provides a safe place for adults with mental illness to find the support they need through support groups, job skills building, employment assistance, and recreational activities. Membership is always free of charge, which enables TGP to reach any qualified adult who needs support and services.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part III, Line 2</Identifier>
        <ReturnReference>Form 990, Part III, Line 2: New Services</ReturnReference>
        <Explanation>Pathfinder is a Community Integration program designed to provide therapeutic support to clients with a history of mental illness. Clients receive individual, family and group therapies to create a highly individualized approach to treatment. Additionally clients are offered a choice of either living with additional therapeutic support in the Pathfinder apartment or in the more independent and self -directed day program.</Explanation>
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