2012-05-14T17:48:38-04:00 2011-06-30 990 2010-07-01 741152597 Memorial Hermann Hospital System MEMO 7133384175 909 Frostwood Houston TX 77024 Dennis McVeigh 2012-05-14 2010 2016-02-24 21:20:13Z X Dan Wolterman 929 Gessner Suite 2700 Houston TX 77024 2974263823 false X www.memorialhermann.org X 1910 TX Memorial Hermann Healthcare System is a not-for-profit,community-owned health care system with spriitual values, dedicated to providing high quailty health services. 62 29 23251 3071 13454247 -92822 18821365 10306054 2674159029 2781455743 30742621 66375868 75195481 63140695 2798918496 2921278360 1182578 1125902 0 0 1265399044 1277455954 0 0 0 1362350639 1414306844 2628932261 2692888700 169986235 228389660 3904390141 4130506053 2296292093 2316434406 1608098048 1814071647 MISSION AND VALUES MISSION MEMORIAL HERMANN HEALTHCARE SYSTEM IS A NOT-FOR-PROFIT, COMMUNITY-OWNED, HEALTH CARE SYSTEM WITH SPIRITUAL VALUES, DEDICATED TO PROVIDING HIGH QUALITY HEALTH SERVICES IN ORDER TO IMPROVE THE HEALTH OF THE PEOPLE IN SOUTHEAST TEXAS. VALUES IN COLLABORATION WITH OTHERS, WE ARE COMMITTED TO ASSESSING AND CREATING HEALTHCARE SOLUTIONS WHICH MEET THE NEEDS OF INDIVIDUALS IN OUR DIVERSE COMMUNITIES. WE ARE STEWARDS OF COMMUNITY RESOURCES AND ARE COMMITTED TO BEING MEDICALLY, SOCIALLY, FINANCIALLY, LEGALLY, AND ENVIRONMENTALLY RESPONSIBLE. WE ARE DEVOTED TO PROVIDING SUPERIOR QUALITY AND COST-EFFICIENT, INNOVATIVE, AND COMPASSIONATE CARE. WE COLLABORATE WITH OUR PATIENTS, FAMILIES, PHYSICIANS, EMPLOYEES, VOLUNTEERS, VENDORS, AND COMMUNITIES TO ACHIEVE OUR MISSION. WE SUPPORT TEACHING PROGRAMS THAT DEVELOP THE HEALTH CARE PROFESSIONALS OF TOMORROW. WE SUPPORT BIOMEDICAL RESEARCH AND IMPLEMENTATION OF INNOVATIVE TECHNOLOGY TO EXPAND OUR KNOWLEDGE AND LEARN HOW TO PROV false false 2355825637 1125902 MEMORIAL HERMANN IS A NON-PROFIT COMMUNITY-OWNED, HEALTHCARE SYSTEM WITH SPIRITUAL VALUES, DEDICATED TO PROVIDING HIGH QUALITY HEALTHCARE SERVICES TO OUR COMMUNITIES. ANNUAL DELIVERIES: 24,174 ANNUAL INPATIENT ADMISSIONS: 131,002 ANNUAL INPATIENT DAYS 650,441 ANNUAL EMERGENCY VISITS: 433,191 ANNUAL OUTPATIENT SURGERIES 78,563 ANNUAL DIAGNOSTIC AND THERAPY 837,275 2355825637 true true false false false false false false true true true false false true true false true false false false false false false false false true true true false true true false false false false false false false true true false false false false false true true false false false false true 890 0 true 23251 true true true CJ false false false false false false X 62 29 false false false false true true true true true false false true true true true true true true true true true X DENNIS MCVEIGH 7133384179 909 FROSTWOOD SUITE 2100 Houston TX 77024 X Adams Edward B Jr 1.0 X 0 0 0 Alexander Charlotte B MD 1.0 X 0 0 0 Baird Arthur L 1.0 X 0 0 0 Balasura Viren J 1.0 X 0 0 0 Bennett R Gerald 1.0 X 0 0 0 Cannon Deborah M 1.0 X 0 0 0 Colasurado Giuseppe N MD 1.0 X 0 0 0 Cross Mary A MD 1.0 X 0 159465 25060 Croyle Robert G 1.0 X 0 0 0 Curling Susan Dobbs MD 1.0 X 0 0 0 Dara Anil A MD 1.0 X 0 0 0 Davis Joe R 1.0 X 0 0 0 Denman Carolyn 1.0 X 0 0 0 Diaz-Gonzalez Irma 1.0 X 0 0 0 Easter William H 1.0 X 0 0 0 Edmonds James T 1.0 X 0 0 0 Elliott Don H 1.0 X 0 0 0 Ewing J Randolph 1.0 X 0 0 0 Farris George R 1.0 X 0 0 0 Felix Brian MD 1.0 X 0 0 0 Few Jason B 1.0 X 0 0 0 Giglio J Kevin MD 1.0 X 0 0 0 Graham David J 1.0 X 0 0 0 Guo James S 1.0 X 0 0 0 Hearnsberger Roy G 1.0 X 0 0 0 Jackson Grover G 1.0 X 0 0 0 James Argentina M 1.0 X 0 0 0 Kaiser Larry R MD 1.0 X 0 0 0 King Brent 1.0 X 0 0 0 Kochar Harmohinder MD 1.0 X 0 0 0 Lee Ethel Kaye 1.0 X 0 0 0 Manning Ramon 1.0 X 0 0 0 McClaren Robert S 1.0 X 0 0 0 McClelland Scott B 1.0 X 0 0 0 McCord Frederick R 1.0 X 0 0 0 McLean Scott J 1.0 X 0 0 0 Morfey Daryl 1.0 X 0 0 0 Noor Sohail I MD 1.0 X 0 0 0 Odhav Anil C MD 1.0 X 0 0 0 Pensland William E Jr 1.0 X 0 0 0 Perez Sonia A 1.0 X 0 0 0 Postl James J 1.0 X 0 0 0 Peterkin George A III MD 1.0 X 0 0 0 Pouns Stephen H 1.0 X 0 0 0 Raspino Louis A 1.0 X 0 0 0 Ray Anita Lacy 1.0 X 0 0 0 Reddick Max E MD 1.0 X 0 0 0 Rensinger Edward R MD 1.0 X 0 0 0 Rosales Oscar R MD 1.0 X 0 0 0 Sheppard Gary J MD 1.0 X 0 0 0 Simon Caralisa 1.0 X 0 0 0 Smith James R 1.0 X 0 0 0 Snider Stephen A 1.0 X 0 0 0 Strake Stephen D 1.0 X 0 0 0 Tang J B Jr MD 1.0 X 0 0 0 Tinsley Emily G 1.0 X 0 0 0 Vaduganathan Periyanan MD 1.0 X 0 0 0 Villarreal Masey 1.0 X 0 0 0 Vitenas Paul Jr MD 1.0 X 0 0 0 Wolterman Daniel J 50.0 X X 2188310 0 1638525 Woo Donald M 1.0 X 0 0 0 Ytterberg Alan V 1.0 X 0 0 0 Ardoin Charles D MD 50.0 X 608003 0 75347 Aulbaugh Carrol E 50.0 X 1195590 0 693073 Duco Bernard A Jr 50.0 X 717411 0 448875 McVeigh Dennis P 50.0 X 558449 0 266724 Reimer P Renee 50.0 X 315710 0 194583 Romans Juanita F 50.0 X 1015449 0 79042 Shabot M Michael MD 50.0 X 823951 0 517909 Stokes Charles D 50.0 X 1108530 0 796264 Alexander Keith 50.0 X 651915 0 399033 Asprec Erin S 50.0 X 346775 0 239421 Baldwin Joe G 50.0 X 366863 0 22122 Beckstett Douglas G 50.0 X 843423 0 484283 Brace Rodney 50.0 X 778931 0 500360 Bradshaw David 50.0 X 755520 0 490921 Brown James B 50.0 X 370041 0 210146 Brownawell H Jeffrey 50.0 X 697822 0 432584 Flanagan Thomas J 50.0 X 443989 0 217766 Gaston George H 50.0 X 599677 0 449281 Heins Marshall B 50.0 X 714162 0 451450 Jadlowski Susan L 50.0 X 338494 0 184634 Jones David L 50.0 X 1193627 0 68388 Polfreman James D 50.0 X 575532 0 302713 Sanders G Steven 50.0 X 748731 0 433157 Smith Louis G Jr 50.0 X 385852 0 241251 Springhetti David 50.0 X 372879 0 148467 Strickland Barrie 50.0 X 417394 0 21258 Barbe Brian S 50.0 X 575735 0 290777 Bartimmo Ernest 50.0 X 461994 0 141428 Cordola Craig A 50.0 X 542516 0 484100 Kerr Gary 50.0 X 464514 0 278909 Metzger Pat 50.0 X 336020 0 140938 Murphy Robert 50.0 X 349341 0 195005 Parmer David N 50.0 X 372975 0 16205 22236125 159465 11579999 1166 false true false Manhattan Construction 5601 S 122 E Ave TULSA OK 74146 Construction 18292778 D E Harvey Builders 3630 Westchase HOUSTON TX 77242 Construction 16768696 Universal Hospital Services PO Box 86 SDS 12-0940 MINNEAPOLIS MN 55486 Equipment Rental 14336590 C A Walker Construction PO Box 19069 HOUSTON TX 77224 Construction 11008609 Crothall Healthcare 13028 Collection Center Dr CHICAGE IL 60693 Housekeeping 10903993 78 7843500 2427248 35306 10306054 PATIENT SERVICE REVENUE 2781455743 2781455743 2781455743 66375868 66375868 0 293255 293255 40244852 49513347 -9268495 -9268495 -9268495 0 0 0 7477632 3472116 4005516 4005516 HOUSEKEEPING 561700 17351 17351 LABORATORY SERVICES 621500 5443 5443 LAUNDRY SERVICES 812300 6183457 6183457 68087625 45152251 13431453 9503921 68110419 2921278360 2826607994 13454247 70910065 1125902 1125902 0 0 0 19133030 10501676 8631354 0 1013975835 888107367 125868468 55961106 47104085 8857021 111360939 94698480 16662459 77025044 65889302 11135742 0 7941228 3509481 4431747 0 0 0 0 0 10877351 5179982 5697369 467975016 459650014 8325002 0 0 94561356 76060592 18500764 2650338 1778478 871860 0 1585836 1113537 472299 75979890 42450614 33529276 0 188402024 159672774 28729250 40131434 38825238 1306196 EQUIPMENT RENTAL & MAINTENANCE 104677636 85606513 19071123 PROFESSIONAL & CONTRACT FEES 367417903 330241387 37176516 MISCELLANEOUS & OTHER EXPENSE 31219952 30824481 395471 PHYSICIAN INTERGRATION 16829005 10506236 6322769 PRINTING & PUBLICATIONS 4057875 2979498 1078377 2692888700 2355825637 337063063 0 600858966 580280008 62991261 30906172 389664491 414697676 12188622 14482765 25469141 27905964 4090103699 1922397766 2134558068 2167705933 459169000 707480000 219490592 187047535 3904390141 4130506053 394336900 392414242 1065245453 1040392466 836709740 883627698 2296292093 2316434406 X 1544920968 1801073606 63177080 12998041 1608098048 1814071647 3904390141 4130506053 X 228389660 -22416061 X false false true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3677951 172286 38574 5078 3806585 3543498 148951 7116 7382 3677951 3498448 65990 14460 6480 3543498 1.00000 false false 80690317 80690317 2312082326 861867307 1450215019 294815305 87106820 207708485 1227151060 953909774 273241286 175364691 19513865 155850826 2167705933 U.S. GOVERNMENT SECURITIES 14706000 F POOLED FUNDS 580822000 F MORTGAGE-BACKED SECURITIES 1325000 F CORPORATE OBLIGATIONS 87030000 F CORPORATE EQUITIES 23597000 F 707480000 0 ACCRUED LIABILITIES TO 3RD PAR 183489698 CAPITALIZED LEASES 700138000 883627698 Intended Uses of the Organization's Endowment Funds Supplemental Information for Schedule D, Part V. Line 4 The endowment funds of Memorial Hermann Hospital System consist of permanent endowment funds obtained from donor initiatives for charitable contributions through last will and testament bequests. The permanent funds consist of donations and investment income for which the donor's stipulations restrict the Foundation to using only the income resulting from the investment of the donation on a total return basis. The assets of the permanent funds income may only be used to support the charitable exempt operations, programs and purposes of Memorial Hermann Hospital System through the purchase of supplies, equipment, and other expenditures necessary for the performance of those operations and programs. FIN 48 Audit Financial Statement Footnote Disclosure Form 990, Schedule D, Part X as disclosed in Part XIV Memorial Hermann Hospital System does not have an annual financial audit conducted. The financial accounts of the Hospital System are included in the financial statements that are audited by an independent public accounting firm of the consolidated Memorial Hermann Healthcare System entities and its related affiliates. The paragraph included in the last issued audited financial statements of the Healthcare System was: Taxes The System, MHHS, and certain other affiliates are Texas not-for-profit corporations exempt from federal income tax. The System owns certain taxable subsidiaries and engages in certain activities that are unrelated to its exempt purpose and, therefore, subject to tax. Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the accompanying combined balance sheets. true true X true X true X true true false false 104745138 104745138 0.03900 443773558 263158800 180614758 0.03000 33493975 26043848 7450127 0.00300 582012671 289202648 292810023 0.01200 111334237 111334237 0.04100 43536152 9543000 33993152 0.01300 218527457 195105604 23421583 0.00100 2174552 1119499 1055053 1349661 1349661 0.00100 376922059 205768103 171153686 0.05600 958934730 494970751 463963709 0.06800 false 143238724 729480821 1010325095 -280844274 X true true 10 1 Memorial Hermann Katy Hospital

23900 Katy Freeway Katy TX 77494

X X X 2 Memorial Hermann Northeast Hospital

18951 Memorial North Humble TX 77338

X X X 3 Memorial Hermann Northwest Hospital

1635 North Loop West Houston TX 77008

X X X 4 Memorial Hermann Southeast Hospital

11800 Astoria Blvd Houston TX 77089

X X X 5 Memorial Hermann Southwest Hospital

7600 Beechnut Houston TX 77074

X X X X 6 Memorial Hermann Sugar Land Hosptial

17500 West Grand Parkway South Sugar Land TX 77479

X X X 7 Memorial Hermann Texas Medical Center

6411 Fannin Houston TX 77030

X X X X 8 Memorial Hermann Woodlands Hospital

9250 Pinecroft The Woodlands TX 77381

X X X 9 Memorial Hermann Memorial City Hospital

921 Gessner Houston TX 77024

X X X 10 Memorial Hermann Rehab Hospital Katy

909 Frostwood Suite 2100 Houston TX 77024

X Memorial Hermann Katy Hospital 1 Memorial Hermann Northeast Hospital 2 Memorial Hermann Northwest Hospital 3 Memorial Hermann Southeast Hospital 4 Memorial Hermann Southwest Hospital 5 Memorial Hermann Sugar Land Hosptial 6 Memorial Hermann Texas Medical Center 7 Memorial Hermann Woodlands Hospital 8 Memorial Hermann Memorial City Hospital 9 Memorial Hermann Rehab Hospital Katy 10 89 Bellaire

6700 West Loop South Suite 100 Bellaire TX 77401

OUTPATIENT IMAGING Clear Lake

16915 El Camino Real Webster TX 77058

OUTPATIENT IMAGING Cy-Fair

Medical Plaza 1 13114 FM 1960 W Houston TX 77065

OUTPATIENT IMAGING East Houston

13525 East Fwy Houston TX 77015

OUTPATIENT IMAGING Friendswood

1505 East Winding Way Drive Suite Friendswood TX 77546

OUTPATIENT IMAGING Hedwig Village

9418 Gaylord Drive Houston TX 77024

OUTPATIENT IMAGING Katy

Medical Plaza I 23920 Katy Fwy Su Katy TX 77494

OUTPATIENT IMAGING Katy Rehab

21720 Kingsland Blvd Suite 102 Katy TX 77450

OUTPATIENT IMAGING Kingsland

21222 Kingsland Blvd Katy TX 77450

OUTPATIENT IMAGING Memorial City Medical Center

Medical Plaza 4 925 Gessner Suite Houston TX 77024

OUTPATIENT IMAGING Northeast

Medical Plaza I 18955 North Memori Humble TX 77338

OUTPATIENT IMAGING Northwest

1635 North Loop West Houston TX 77008

OUTPATIENT IMAGING Pasadena

3620 Spencer Highway Pasadena TX 77504

OUTPATIENT IMAGING Pearland

Med Plaza 1 10905 Memorial Hermann Pearland TX 77584

OUTPATIENT IMAGING Richmond

1517 Thompson Rd FM 762 Richmond TX 77469

OUTPATIENT IMAGING Southeast

11800 Astoria Boulevard Houston TX 77089

OUTPATIENT IMAGING Southwest

Medical Plaza 4 7789 Southwest Fre Houston TX 77074

OUTPATIENT IMAGING Sugar Land

Medical Plaza 1 17510 W Grand Pkwy Sugar Land TX 77479

OUTPATIENT IMAGING Sugarcreek

15035 Southwest Fwy Sugar Land TX 77478

OUTPATIENT IMAGING Texas Medical Center

MH Medical Plaza 6400 Fannin 16th Houston TX 77030

OUTPATIENT IMAGING The Woodlands

Medical Plaza 3 9200 Pinecroft Dri The Woodlands TX 77380

OUTPATIENT IMAGING Upper Kirby

2900 Richmond Avenue Houston TX 77098

OUTPATIENT IMAGING Willowbrook

7520 Cypress Creek Parkway FM 1960 Houston TX 77070

OUTPATIENT IMAGING Conroe

2956 Interstate 45 N Suite 500 Conroe TX 77303

SPORTS MEDICINE & REHABILITATI Humble

9767 Farm to Market 1960 Bypass Ro Humble TX 77338

SPORTS MEDICINE & REHABILITATI Willowbrook

19760 Texas 249 Houston TX 77070

SPORTS MEDICINE & REHABILITATI Branch Crossing YMCA - The Woodlands

8100 Ashlane Way The Woodlands TX 77382

SPORTS MEDICINE & REHABILITATI The Woodlands Hospital

920 Medical Plaza Dr Suite 270 The Woodlands TX 77385

SPORTS MEDICINE & REHABILITATI Woodlands Parkway

1441 Woodstead Ct Suite 200 The Woodlands TX 77380

SPORTS MEDICINE & REHABILITATI Greenway Plaza

3651 Weslayan St Suite 110 Houston TX 77027

SPORTS MEDICINE & REHABILITATI Northwest Hospital

1635 North Loop West Freeway Houston TX 77008

SPORTS MEDICINE & REHABILITATI Ironman Sports Medicine Inst

6400 Fannin Street Suite 1620 Houston TX 77030

SPORTS MEDICINE & REHABILITATI Shepherd Square

2085 Westheimer Rd Houston TX 77098

SPORTS MEDICINE & REHABILITATI East Houston

10907 East Fwy Houston TX 77029

SPORTS MEDICINE & REHABILITATI Mid County - Jefferson

3512 Hwy 365 Nederland TX 77627

SPORTS MEDICINE & REHABILITATI Baseball USA

2626 West Sam Houston Pkwy N Houston TX 77043

SPORTS MEDICINE & REHABILITATI Katy Hospital

23920 Katy Fwy Suite 100 Katy TX 77493

SPORTS MEDICINE & REHABILITATI Memorial City Hospital

925 N Gessner Rd Suite 108 Houston TX 77024

SPORTS MEDICINE & REHABILITATI Town & Country

700 Town Country Blvd Suite 2490 Houston TX 77024

SPORTS MEDICINE & REHABILITATI Richmond

1517 Thompson Rd Richmond TX 77469

SPORTS MEDICINE & REHABILITATI Sienna Plantation

8790 Texas 6 Suite 140 Missouri City TX 77459

SPORTS MEDICINE & REHABILITATI Southwest Hospital

7500 Beechnut St Suite 110 Houston TX 77074

SPORTS MEDICINE & REHABILITATI Sugarcreek

15035 Southwest Fwy Sugar Land TX 77478

SPORTS MEDICINE & REHABILITATI Sugar Land Hospital

17510 W Grand Pkwy Suite 100 Sugar Land TX 77479

SPORTS MEDICINE & REHABILITATI Sugar Land -Williams Trace

14857 Southwest Fwy Suite C-303 Sugar Land TX 77478

SPORTS MEDICINE & REHABILITATI The Wellness Center

7731 Southwest Fwy Houston TX 77074

SPORTS MEDICINE & REHABILITATI Alvin - Thelma Ley Anderson YMCA

3201 Texas 35 Alvin TX 77511

SPORTS MEDICINE & REHABILITATI Clear Lake

16915 El Camino Real Houston TX 77058

SPORTS MEDICINE & REHABILITATI Pasadena

4804 E Sam Houston Pkwy S Suite 20 Pasadena TX 77505

SPORTS MEDICINE & REHABILITATI Pearland East

5032 Broadway St Pearland TX 77581

SPORTS MEDICINE & REHABILITATI Pearland West-Silverlake Village

3149 Silverlake Village Dr Suite 1 Pearland TX 77584

SPORTS MEDICINE & REHABILITATI Southeast Hospital

11914 Astoria Blvd Suite 620 Houston TX 77089

SPORTS MEDICINE & REHABILITATI Webster-EA Smith YMCA

14650 Texas 3 Webster TX 77598

SPORTS MEDICINE & REHABILITATI Bellaire

6700 W Loop Suite 320 Houston TX 77401

DIAGNOSTIC LABORATORIES Friendswood (Inside Imaging Center)

1505 Winding Way Suit 178 Houston TX 77546

DIAGNOSTIC LABORATORIES Katy (Inside Imaging Center)

Medical Plaza 1 23920 Katy Freeway Houston TX 77024

DIAGNOSTIC LABORATORIES Memorial City Memorial Hermann Tower

929 Gessner Suite 2210 Houston TX 77024

DIAGNOSTIC LABORATORIES Memorial City Medical Plaza 3

915 Gessner Suite 175 Houston TX 77024

DIAGNOSTIC LABORATORIES Northeast (Inside Imaging Center)

18951 Memorial North Humble TX 77338

DIAGNOSTIC LABORATORIES Northwest Hospital Medical Plaza 1

23920 Katy Freeway Suite 112 Houston TX 77008

DIAGNOSTIC LABORATORIES Northwest Hospital Medical Plaza 3

1801 N Loop W Suite 15 Houston TX 77008

DIAGNOSTIC LABORATORIES Pearland (Inside Imaging Center)

Medical Plaza 1 10905 Memorial Hem Pearland TX 77584

DIAGNOSTIC LABORATORIES Physicians at Sugar Creek

14023 SW Freeway Sugar Land TX 77479

DIAGNOSTIC LABORATORIES Southeast Hospital Medical Plaza

11914 Astoria Blvd Suie 110 Houston TX 77074

DIAGNOSTIC LABORATORIES Southwest Hospital Medical Plaza 1

7777 SW Freeway Suite 756 Houston TX 77074

DIAGNOSTIC LABORATORIES Southwest Hospital Medical Plaza 2

7737 SW Freeway Suite 940 Houston TX 77074

DIAGNOSTIC LABORATORIES Southwest Hospital Medical Plaza 4

7789 SW Freeway Suite 150 Houston TX 77074

DIAGNOSTIC LABORATORIES Sugar Land Hospital Medical Plaza 1

17510 W Grand Parkway S Suite 110 Sugar Land TX 77479

DIAGNOSTIC LABORATORIES Sugar Land Surgical Center

1211 Highway 6 Suite 70 Sugar Land TX 77479

DIAGNOSTIC LABORATORIES TMC Medical Plaza (Inside Imaging Center

6400 Fannin 16th Floor Houston TX 77030

DIAGNOSTIC LABORATORIES TMC UT Professional Building

6410 Fannin Suite 143 Houston TX 77030

DIAGNOSTIC LABORATORIES Westside Campus

1140 Business Center Dr Suite 310 Houston TX 77043

DIAGNOSTIC LABORATORIES The Woodlands Medical Plaza 2

920 Medical Plaza Suite 160 The Woodlands TX 77380

DIAGNOSTIC LABORATORIES The Woodlands Medical Plaza 3

9200 Pinecroft Suite 100 The Woodlands TX 77380

DIAGNOSTIC LABORATORIES MH Endoscopy Center North Freeway

7333 N Freeway Suite 400 Houston TX 77076

AMBULATORY SURGICAL CENTER MH Endoscopy &Surg Ctr North Houston

275 Lantern Bend Suite 400 Houston TX 77090

AMBULATORY SURGICAL CENTER MH Surgery Center Katy

23920 Katy Freeway Suite 200 Katy TX 77494

AMBULATORY SURGICAL CENTER MH Surgery Center Kingsland

21720 Kingsland Blvd Suite 101 Katy TX 77450

AMBULATORY SURGICAL CENTER MH Surgery Center Memorial Village

12727 Kimberley Lane Suite 100 Houston TX 77024

AMBULATORY SURGICAL CENTER MH Surgery Center Northwest

1631 North Loop West Suite 300 Houston TX 77008

AMBULATORY SURGICAL CENTER MH Surgery Center Richmond

1517 Thompson Rd 100 Richmond TX 77469

AMBULATORY SURGICAL CENTER MH Surgery Center Southwest

7789 Southwest Freeway Ste 200 Houston TX 77074

AMBULATORY SURGICAL CENTER MH Surgery Center Sugar Land

17510 West Grand Parkway Suite 200 Sugar Land TX 77479

AMBULATORY SURGICAL CENTER MH Surgery Center Texas Med Center

6400 Fannin Suite 1500 Houston TX 77030

AMBULATORY SURGICAL CENTER MH Surgery Center Woodlands Parkway

1441 Woodstead Court 100 The Woodlands TX 77380

AMBULATORY SURGICAL CENTER MH Surgery Center The Woodlands

9200 Pinecroft Suite 200 The Woodlands TX 77380

AMBULATORY SURGICAL CENTER MH Surgery Hospital Kingwood

300 Kingwood Medical Drive Kingwood TX 77339

AMBULATORY SURGICAL CENTER West Houston Ambulatory Surgical Assoc

970 Campbell Rd Houston TX 77024

AMBULATORY SURGICAL CENTER Memorial Hermann 24-Hour Freestanding ER

9950 Woodlands Parkway Spring TX 77382

FREESTANDING ER Community Benefit Report Schedule H Part I Line 6 a Memorial Hermann Healthcare System produces a single community benefit report that highlights all of our corporation's activities. As a hospital system with multiple facilities in a major metropolitan area, our efforts are focused on meeting the needs of the greater community versus individual efforts associated with individual facilities. By focusing on fewer, larger endeavors, the long term impact on the Houston community's health status is greater than would be on an individual basis. Bad Debt Footnote Schedule H Part III Section A, Line 4 Patient accounts receivable are reported net of estimated allowances for contractual allowances, bad debt, charity care, and other discounts. The Systems recorded allowances for bad debt and charity care are based on expected net collections, after contractual adjustments, primarily from patients. Management routinely assesses these recorded allowances relative to changes in payor mix, cash collections, write-offs, recoveries, and market dynamics. At June 30, 2011 and 2010, the allowance for bad debt was $534,358,000 and $465,426,000, respectively, and the allowance for charity care was $40,113,000 and $40,269,000, respectively. Unpaid accounts are written off as bad debts upon reaching delinquent status. Charity care accounts are written off as identified or qualified under the Systems charity care policy. Bad Debt Cost Reported on Line 2, is based on Bad Debt Charges written off during the reporting period, less any Bad Debt recoveries in the period. Net amount was extended by RCC from Wks 2- Line 11 to impute cost. Line 3 is zero since anyone in Bad Debt status that quailfies for CHARITY is treated as a recover of Bad Debt and said dollars are moved to the Charity line in Wks 1. Section B Shortfall costing methodology Schedule H Part III Section B, Line 8 Memorial Hermann Hospital System operates 9 licensed Hospitals within this EIN, of which 6 are 340-B facilities and 3 are not. When looking at the Medicare Revenue split between the 340-B and non-340-B facilities, we find that 77% of the patient revenues are generated in these low income facilities. Therefore, please recognize 77% of the Medicare Loss as a community benefit. Collection Policy Schedule H Part III Section C, Line 9 b If there is no coverage by a third party and the responsible party cannot pay any or part of the balance due or make acceptable financial arrangements, assistance is provided to the responsible party to complete financial assistance application forms, including application for Medicaid, Crime Victims Compensation, Harris County Hospital District or County Indigent Programs where appropriate. The application process must be complete and account resolved within 60 days. If the patient meets predetermined financial criteria, assistance is provided to the responsible party to complete charity application for a full or partial charity care write-off. Patient Education Schedule H Part VI, Line 3 All Memorial Hermann Acute Care facilities and Rehab facilities have Third Party Qualification vendors on-site. Once someone requests or a financial counselor has determined through interaction with the patient and/or guarantor that the patient cannot pay for services, the patient/guarantor is referred to the Eligibility vendor on-site to screen for any Federal/State/Local Government program which may cover their services. These vendors act as agents for the patient/guarantor and may at times go to hearings for Medicaid or Disability as a legal representative of the patient. Also, all our entities including service lines have posted notices of a patient's right to request charity. Our statements that are sent to patients have documentation on the back informing the patient of Memorial Hermann's Charity policy and their right to request such, (in English and Spanish). Accounts are referred to be processed either on a real time basis by the hospital staff while the patient is still in the hospital or by electronic referral via data download which occur weekly and after the patient has been discharged. The goal is to make contact with the patient for financial screening to determine eligibility for governmental assistance as soon as possible. Additional assistance for patients to take advantage of all appropriate health improvement programs available within the community are through Memorial Hermann's navigation services. Patient Navigators (also known as Community Health Workers) meet uninsured persons where they are in the healthcare continuum and help them to move forward to achieve mutually agreed upon goals, which includes finding and obtaining a Primary Care Physician or Medical Home. They are located in three Memorial Hermann ERs and work with uninsured families to: 1) secure county, state, and federal benefits; 2) to connect with an accessible community clinic that addresses their specific needs; and 3) to be a contact for future needs. Similar support of all Memorial Hermann Hospitals is also provided through the COPE (Care Management Community Program Eligibility) Program which provides empowering services for uninsured patients to improve their health and well being through education about and coordination with community health services. COPE targets patients who have repetitively been inpatients and ER patients and exhibit the need for one- on-one support to identify, access, and obtain services in their own community. Enrolling these populations into public benefits through all of these venues automatically increases their likelihood of obtaining regular primary and preventative care; the kind of care that ensures health and the potential for a prosperous future while concurrently eliminating the cost burden presently experienced by safety-net providers. Community Information Schedule H Part VI, Line 4 Houston is home to the world's largest medical center. People come from all over the world to obtain the highest quality care, based on the latest research. Unfortunately, a large portion of Houston's own residents face barriers to accessing these world class services. In Houston's Harris County, 1.1 million of the 3.5 million residents have no health insurance. Twelve percent (12%) of the nation is uninsured; 26% of Texas is uninsured; and 32% of Houston's population is insured. There are eleven Memorial Hermann acute care hospitals in the Houston metropolitan area, and with 25% of the market share and some of the city's busiest emergency rooms (including one of only two level 1 trauma centers), a more than significant percent of any area healthcare crisis cannot help but fall to Memorial Hermann. With 103 years of service, Memorial Hermann remains dedicated to respond to the needs of the community regardless of the magnitude. Houston's Harris County, the County in which eight of Memorial Hermann's acute care hospitals reside, is the third most populated county in the nation. The population is an ethnic melting pot of 42% Anglo, 34% Hispanic, 17% African American, and 6% Asian. Over the next five years, the Hispanic population will increase to 37%. This has an additional significant public health impact as residents of Hispanic descent have lower rates of health insurance coverage than other sectors of the population. Forty-nine percent of Houston's Hispanic community is presently uninsured. The unemployment rate has remained fairly steady at 5.5%, as the Houston economy has been somewhat resilient during these months of economic uncertainty due to our diversity. The single largest private employer is Wal-Mart. Other large private employers include our own Memorial Hermann, Continental Airlines, and Exxon Mobil. The overall largest employer is the Houston Independent School District (HISD), the seventh largest school district in the nation. Memorial Hermann has been named into HISD's Hall of Fame, an award which recognizes a forged viable partnership. Seventy-two percent (72%) of the uninsured are actually working individuals and families. The reasons are complex but include the fact that only 53% of Texas employers offer health benefits to their employees - seven percentage points below the national average. Additionally, the Texas Medicaid program, the statewide system of coverage for the very poor and predominantly for poor children, is quite limited in comparison to other states' programs. Imagine serving a community in which one in every three people is uninsured and remaining financially viable. The course chosen by Memorial Hermann is to systematically work through a variety of evidence based community initiatives that work to close the gap for children and families. Other Information Through our fifteen-year history with school-based health care (a program in which we place full-time primary care clinics on the school campuses of the community's most at-risk children); we have learned to quantitatively show the improved health status of providing a medical, mental health, and dental home to at-risk children. The annual budget of $1.5 million for this program is the best indicator of Memorial Hermann's commitment and the documented outcomes are the best indicator that the right program in the right setting can make a difference. Over the years this approach has been applied to additional key initiatives that address the issue of healthcare access for the underserved. From the provision and support of accessible primary and specialty care services to the educational programs to support the infrastructure of each, we are committed to finding ways to serve the uninsured. Following are some of the core programs, all of which center around access to care, and specifically access in which all populations have a medical home on which they can call for their preventive, acute care, and long term needs. Memorial Hermann's Health Centers for Schools program, established in 1996, operate as medical, mental health, and dental homes to underserved children at 33 schools in the greater Houston area, making access to free healthcare services available to 25,500 youth. Eighty-four percent of the children seen at the clinics are on the free/reduced lunch program, a national indicator for poverty. Outcome data validates the impact the program is having: reductions in ER visits, absenteeism, cholesterol, asthma exacerbations, and dental caries are just a sample of the measurable outcomes realized by bringing a medical, mental health and dental home to children. Memorial Hermann's Neighborhood Health Centers are strategically located near three of Houston's busiest ERs and provide care to working families without access to insurance and who do not qualify for other programs. The goal is to provide these citizens with a medical home for routine care, and prevent these cases from escalating to ERs. At $48/visit, with low cost labs and prescriptions, seven day a week access, and the provision of preventive, acute, as well as chronic care, they are an affordable medical home for newborns to the elderly. Decreased hypertension, management of diabetes, and a place where women feel comfortable returning for their annual well-woman exams are examples of the continuity of care and improved health resulting. Memorial Hermann supports the operating costs of each center prior to break-even. Patient Navigators (also known as Community Health Workers) meet uninsured persons where they are in the healthcare continuum and help them to move forward to achieve mutually agreed upon goals, which includes finding and obtaining a Primary Care Physician or Medical Home. They help clients understand their qualification for public benefits; understand how to utilize public benefits; and tackle the barriers that keep them from accessing their safety-net options. Patient Navigators are used in a variety of settings, including emergency rooms to connect and guide uninsured persons through the healthcare system. Memorial Hermann has played numerous and critical roles with a grass-roots Houston collaborative, Gateway to Care and its Provider Health Network (PHN) to recruit physicians, hospitals, and ancillary providers to provide specialty care to uninsured patients with incomes below 150% of poverty. With one in every four primary care visits requiring a referral to a specialist, the Provider Health Network serves as a bridge, connecting uninsured people to the specialty care they desperately need to get well. Recruiting is through numerous avenues-societies, insurance companies, etc.-to rally the resulting city-wide effort. The PHN has provided significant opportunities for our own medical staffs to participate in caring for the uninsured. The provision of an organized effort with a designated staff for monitoring referrals is welcomed by the medical community as they desperately want to be a part of a solution, but fear being overwhelmed. In the PHN, everyone plays a part. Adjacent to Harris County is Montgomery County, where one of our hospitals resides. The collaborative, the Montgomery County Healthcare Alliance is emulating the successful Harris County Provider Health Network, and Memorial Hermann has been a strong financial supporter. Federally Qualified Health Centers (FQHC's) and not-for-profit private clinics struggle with the payer distribution challenges required to be successful. They are essential to the city's existing safety-net infrastructure, yet struggle more in Houston than other communities because of the area's high uninsured rate. Memorial Hermann annually supports several area clinics with monetary donations to help this essential primary medical, mental health, and dental clinics remain in operation. Affiliated Health Care System Schedule H Part VI, Line 6 As the business of healthcare gets more difficult and the pressure on operational performance intensifies, staying true to our mission and values takes dedicated focus and resources. To devote to this area the time and focus required, Memorial Hermann Healthcare System has been divided into two components-one focusing on internal operations and the other focusing on our external environment and strategy. The external components include a Community Benefits Corporation, led by a Chief Community Benefits Officer. The separation and focus was supported by the governing board which desired increased definition and structure for the expanding scope and nature of our community efforts. The Chief Community Benefits Officer reports directly to Memorial Hermann's president and is responsible for the development, implementation, and success of a formalized community benefit program that guides the system expenditures and quantifies the resulting community values. This position is responsible for a 3-year strategic plan. The eleven Memorial Hermann Hospitals contribute five million dollars annually to the Community Benefits Corporation (CBC) and, in turn, the CBC is charged with the creation, implementation, and sustenance of solutions. The CBC is focused on eliminating the roadblocks that prevent access to healthcare--lack of education, accessibility, insurance status, and capacity--and partners with numerous sectors of the community to sustain this focus. All of the programs described in #6 above, fall within the scope of the CBC. Needs assessment Schedule H Part VI, Line 2 Each decision made by MHCBC to invest its people, resources, and talents in community benefit efforts is data driven. Given that 31% of the Houston area is uninsured, numerous community needs analyses center around the University of Texas School of Public Health's HOUSTON AREA HOSPITALS EMERGENCY DEPARTMENT USE STUDY, which Memorial Hermann has participated in since 2003. The study monitors hospital emergency department use in Houston hospitals and is a data source for numerous assessments to understand primary care-related ER use including the characteristics of these patients; particularly those who are children, who are uninsured, and who have Medicaid. The study conducted in 2011 shows that 41% of all ER visits and 48% of all treated and released ER visits are primary care related. With the desire to change emergency room use comes the need to identify available capacity of our existing safety-net clinics, and what is needed by each entity to increase its capacity to be able to respond to changes in ER usage our community efforts achieve. This study, the GREATER HOUSTON CLINIC CAPACITY ANALYSIS, performed in early 2012 by Project Safety-Net and University of Texas School of Public Health, indicates that the community clinics are currently meeting about 30 percent of the demand for primary care visits by the low-income population and the rest is either met by private practice physicians or is left unmet. Further, the study anticipates that safety net providers will only be able to meet 25 percent of the demand under the Affordable Care Act (ACA). It is important to be concerned because a shortage of primary care leads to more people experiencing serious illness requiring expensive specialty care, emergency services and hospitalization. It is the MHCBC's mission to implement programs to work with other healthcare providers, government agencies, business leaders and community stakeholders to ensure that all residents of the greater Houston area have access to the care they need to improve their quality of life and the overall health of the community. MHCBC's programs are designed to provide care for uninsured and underinsured children; to reach those Houstonians needing low cost care; to support the existing infrastructure of non-profit clinics and FQHCs; and to educate individuals and their families on how to access the healthcare available to them. THE HEALTH OF HOUSTON STUDY, a recent comprehensive study conducted by the Institute for Health Policy of The University of Texas School of Public Health through stakeholder input and neighborhood surveying will be a continuing source to MHCBC in continued program planning efforts by biennially assessing the health of Houstonians and tracking emerging health issues and health improvements. Committed to making the greater Houston area a healthier and more vital place to live, MHCBC supports the following initiatives: Memorial Hermann Health Centers for Schools, established in 1995, offers access to primary medical and mental health services to more than 38,300 underserved children at 49 schools in the Greater Houston area. In 2011, asthma exacerbations, emergency room visits and hospitalizations were reduced by 83%. The Memorial Hermann Mobile Dental Clinic, established in 2000, has two dental vans and provides access to preventative and restorative dental services at all six Health Centers for Schools' sites and is accessible as a "dental home" for 38,300 uninsured and underinsured students from 49 schools. In 2011, no more than 25% of patients at recall of both age groups experienced caries. These outcomes are significant given 80% of initial patients are diagnosed with caries; 33% are diagnosed with five or more caries. A dietitian is available through the Health Eating and Lifestyles Program (HELP) designed to educate Health Centers for Schools children and their families on the importance of proper nutrition and exercise. In 2011, 77% of enrolled students reduced their BMI; 67% reduced their cholesterol levels. Serving the community since 2008, the Memorial Hermann ER Navigation program places certified Community Health Workers who have the training, cultural understanding and linguistic capacity to help the uninsured, who disproportionately use emergency rooms for healthcare, 'navigate' the complex health system, obtain a medical home, schedule appointments, secure needed social services and cope with future healthcare concerns. Since its inception, the ER Navigation Program has navigated 18,270 patients. The Memorial Hermann Neighborhood Health Centers are strategically located near three of Houston's busiest ERs and provide care to working families without access to insurance and who do not qualify for other programs. The goal is to provide this population with a medical home for routine care, and prevent these cases from escalating to emergencies. At $48/visit, with low cost labs and prescriptions, seven day a week access, and the provision of preventive, acute, as well as chronic care, they are an affordable medical home for newborns to the elderly. Decreased hypertension, management of diabetes, and a place where women feel comfortable returning for their annual well-woman exams are examples of the continuity of care and improved health resulting. MHCBC has played numerous and critical roles with a grass-roots Houston collaborative, Gateway to Care and its Provider Health Network (PHN) to recruit physicians, hospitals, and ancillary providers to provide specialty care to uninsured patients with incomes below 150% of poverty. With one in every four primary care visits requiring a referral to a specialist, the Provider Health Network serves as a bridge, connecting uninsured people to the specialty care they desperately need to get well. Recruiting is through numerous avenues-societies, insurance companies, etc.-to rally the resulting city-wide effort. The PHN has provided significant opportunities for our own medical staffs to participate in caring for the uninsured. The provision of an organized effort with a designated staff for monitoring referrals is welcomed by the medical community as they desperately want to be a part of a solution, but fear being overwhelmed. Community Clinic (private-not-for-profit and FQHC) Initiatives receive MHCBC funding and support to fill target population gaps by providing primary healthcare and chronic illness care to uninsured children and adults. Children at Risk: MHCBC supports a Policy Coordinator for a Food in Schools initiative with the goal of increasing participation in the Universal Free Breakfast program by connecting an additional 3,610 students to 649,728 meals. Patient Education of Eligibility for Assistance: Assistance for patients to take advantage of all appropriate health improvement programs available within the community are through MHCBC's navigation services. In 2008, MHCBC launched the ER Navigation program at Memorial Hermann as a natural response to the community need of educating patients on how to navigate through their existing resources, increasing access and using healthcare resources appropriately to reduce healthcare costs. Today, the ER Navigation program places a Community Health Worker (CHW) or "navigator" on-site in Memorial Hermann's three busiest emergency rooms to educate patients on the importance of identifying and using a consistent health home rather than relying on emergency rooms for their primary care. Patients eligible for the program are 18 months to age 65 who frequently use the ER for primary care and are uninsured or Medicaid. Certified CHW training is offered by Memorial Hermann partner, Gateway to Care. CHWs gain the trust of patients by being familiar with the community's culture, language and values and by sharing their knowledge about local healthcare services and programs. CHWs identify clinics that are the best fit for an individual's location, income, language, work hours, bus routes and address issues that may push health care down the priority list--the need for food stamps, rental support and assistance with utilities. They provide patients with clinic referrals, make appointments, arrange transportation, share information and referrals to community and safety net programs, educate about qualifying for and using public benefits and other payment resources, serve as a liaison between the patient and providers and tackle other challenges to appropriate care. CHW's stress the importance of having a health home and provide support and guidance in making and keeping future health appointments. While navigators initially meet with patients during the ER visit, much of their work is done in follow-up, ensuring that a clinic appointment was made, was successful and assisting with the paperwork required for qualification for Medicaid, CHIP or county indigent programs. The primary goal of the ER Navigation program is to find an appropriate health home for patients and provide them with the false American Heart Association POBox 15186 Austin TX 78761 135613797 501 c(3) 130320 General support Sponsorship of fundraising event LONE STAR COLLEGE FOUNDATION 5000 RESEARCH FOREST DRIVE THE WOODLANDS TX 773814399 760336902 501 c(3) 62752 General support Sponsorship of fundraising event GOOD SAMARITAN FOUNDATION PO Box 271108 Houston TX 772771108 741235398 501 c(3) 38000 General support Sponsorship of fundraising event American Cancer Society P O BOX 572915 HOUSTON TX 772572915 741185665 501 c(3) 38000 General support Sponsorship of fundraising event TEXAS A & M UNIVERSITY 2nd Floor Rudder Tower College Station TX 778431232 741185725 501 c(3) 33000 General support Sponsorship of fundraising event TEXAS RUSH SOCCER CLUB 2204 Timberloch Place THE WOODLANDS TX 77380 501 c(3) 32500 General support Sponsorship of fundraising events Cristo Rey Jesuit 6700 Mount 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The Compensation Committee of the System implements this philosophy by, generally, setting base salaries at the median of the organization's talent market and using an annual incentive plan and long-term incentive plan that make incentive payments based on the achievement of performance goals determined by the Committee at the beginning of the year for the annual plan or at the beginning of the three year cycle for the long-term performance plan. In all cases, the incentive targets are set so that all payments will be reasonable. Participate in a supplemental non-qualified retirement plan. Form 990, Schedule J, Line 4-b During the year did any person listed in Form 990, Part VII, Section A, line 1a participate in a supplemental non-qualified retirement plan. Memorial Hermann Healthcare System (of which this filer is a part) sponsors two nonqualified retirement plans for certain executives who are part of a select group of highly compensated or management employees. The first plan is a make-up plan and provides for an annual payment (upon achieving full vesting in the qualified retirement plan) equivalent to the amount of contribution from the employer that is lost to the employee due to the limits on compensation and benefits in the Internal Revenue Code. The second plan is called the Deferred Compensation Plan, and it provides for a payment (upon full vesting in the plan). In this plan, certain executives who are part of a select group of highly compensated or management employees are provided with a payment such that the total retirement contribution for the participant is based on a percentage of the participant's base salary. For example, someone earning a base salary in the range of $200,000 to $350,000 will receive a payment such that the total amount of retirement contributions from the qualified cash balance pension plan, the make-up plan and this plan equal 20%. Base salary range >$600,000 Total Contributions @ 27.5% of base salary; $350,000 to $600,000 @ 24%; $200,000 to $350,000 @ 20%; < $200,000 @ 17.9% ALEXANDER, KEITH 16,820 ARDOIN, CHARLES 11,311 AULBAUGH, CARROL 164,395 BARBE, BRIAN 58,601 BALDWIN, JOE 28,672 BECKSTETT, DOUGLAS 114,499 BRACE, RODNEY 22,300 BRADSHAW, DAVID 30,075 BROWN, JAMES 3,112 BROWNAWELL, JEFFREY 30,208 CORDOLA, CRAIG 7,649 DUCO, BERNARD A. JR 15,391 FLANAGIN, TOM 7,806 GASTON, GEORGE 9,264 HEINS, MARSHALL 23,605 JONES, DAVID 114,481 KERR, GARY 28,163 McVEIGH, DENNIS 63,086 METZGER, PAT 35,594 POLFREMAN, JAMES 7,789 ROMANS, JUANITA 133,142 SANDERS, STEVE 132,709 SMITH, LOUIS 2,724 STRICKLAND, BARRIE 16,558 WOLTERMAN, DAN 113,192 Gross-up Payments Form 990, Schedule J, Line 1a Memorial Hermann provides certain cash payments to employees for non-wage purposes that are grossed up for tax indemnification. These could include moving related expenses, special recognition rewards, and holiday awards. The payments are included in each employee's W-2 as taxable income on a grossed-up basis. Harris County Health Facilities Development Corp 561284201 414152QU5 2004-04-08 107652499 Purchase Land and Equipment false false Harris County Heath Facilities Development Corp 760337885 414152SRO 2008-11-13 225979281 Refund Issue 04/29/2004 false false Harris County Heath Facilities Development Corp 760337885 414152RT7 2008-11-25 184800000 Refund Issue 3/11/1998 false false Harris County Heath Facilities Development Corp 760337885 414009BB5 2008-12-11 121400000 Refund Issue 3/20/2007 false false 0 0 107652499 8807655 0 0 925250 0 0 97919148 0 446 2005 false false true true 0 0 225979281 22700000 0 200000000 3279281 0 0 0 0 0 2008 true false true true 0 0 184800000 0 0 0 4475909 0 0 0 0 0 2008 true false true true 0 0 121400000 0 0 0 1400000 0 0 0 0 0 2008 true false true true false false false false false 0.00000 0.00000 0.00000 true false false false false false 0.00000 0.00000 0.00000 false false false false false false 0.00000 0.00000 0.00000 true false false false false false 0.00000 0.00000 0.00000 true false false false false false false false false false false false false false false false false true true true Bear Stearns 19.2 false false false false false false true true Bear Sterns 17.2 false false false false false Mary A Cross MD Medical Staff Pres Se 5555 chief of staff fees false James Edmonds Consultant 99996 retainer fees false Angela Bell family member 55700 employment false Kevin J Giglio MD Consultant MHMD 19655 Consulting agreement false Mike Allen family member 14249 employment false Adrienne Pouns family member 28293 employment false Oscar R Rosales MD Medical Staff Pres TMC 36553 chief of staff fees false Gary J Sheppard MD Medical Staff Pres NW 42663 chief of staff fees false Kerry Moble Family Member 49981 employment false Bruce Meyers Family Member 28971 Employment false Todd Aulbaugh Family Member 60302 Employment false Ashley McVeigh Family Member 75984 Employment false Melissa Paschal Family Member 299528 employment false Mark Gilgen Family Member 75110 Employment false David Bauer Family Member 255229 Employment false Corporate Conflict of Interest Policy Form 990, Part VI, Section B, Line 12c The Healthcare System began utilizing conflict of interest surveys in the 1970's and codified its procedure in a policy in 1980. The policy is monitored by our Corporate Compliance Department through annual surveys of board members, corporate officers, management level employees, and other selected employees, physicians and vendors for all of its entities and related affiliates. In addition to responding to the survey, each recipient affirms that they have received a copy of the policy, has read and understood it, has agreed to comply with it, and understands that Memorial Hermann is a charitable organization that must engage in primarily tax-exempt purpose activities. The Corporate Compliance Department, Chief Legal Officer and the Corporate Audit Committee, consisting of independent board members, review and investigate all survey responses and report to the Corporate Board of Directors on the existence of any conflicts. Compensation Determination Form 990, Part VI, Section C, Line 15a and 15b Describe the process for determining compensation for the corporate officers and key employees of the organization. The process for determining compensation for the Organization's CEO and other top management is modeled after the requirements in Internal Revenue Code Section 4958 to establish the presumption of reasonable compensation. Compensation was reviewed and approved by a Compensation Committee (the "Committee") of the Board of Memorial Hermann Healthcare System, which is comprised of independent persons. By engaging an independent compensation consultant, the Committee considered comparable market data from published surveys and Form 990 of comparable organizations in evaluating the compensation for each individual. The Committee conducted a review of this comparability data and documented its deliberation and discussion in minutes that are retained with the other governance materials of the Organization. The Committee followed the process to establish the presumption that compensation paid to the Organization's CEO and other top management for purposes of Section 4958 by relying on professional advice in the written opinion of reasonableness from the independent compensation consultant. ALL EMPLOYEES ARE PAID BY CORPORATION OR AFFILIATE HEALTHCARE SYSTEM ENTITY AND NO TIME OR SALARY IS ALLOCATED. CORPORATE OFFICERS PERFORM ADMINISTRATIVE ACTIVITIES FOR MULTIPLE RELATED ENTITIES FOR WHICH NO INTERUNIT ALLOCATION OF TIME OR SALARY IS MADE. DIRECTORS ARE VOLUNTARY CITIZENS OF COMMUNITY WHO PERFORM THEIR DUTIES WITHOUT COMPENSATION FOR HOURS DEVOTED TO BOARD WORK. Oversight Review of Financial Statements Form 990, Part XI, Line 2c Does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of independent accountant? Memorial Hermann Healthcare System has independent committees for audits, governance, and compensation which perform their respective functions on a consolidated basis for all corporate entities. The audit committee hires the independent accountants and oversees all audits that are conducted within all affiliated entities for financial information, grants and awards, and qualified plans. Members of Organization Form 990, Part VI, Section A, Line 6 Memorial Hermann Hospital System has as its sole member Memorial Hermann Healthcare System, both of which are a 501(c)(3) non-profit entity. Election of Members Form 990, Part VI, Section A, Line 7a The member has the authority to annually elect the board members of the organization and to terminate and replace them at its discretion. Decisions of Governing Body Form 990, Part VI, Section A, Line 7b The member has approval authority over the decisions of the board for amendments to the bylaws and articles of incorporation, annual operating and capital budget, the purchase or sale of substantial assets, and the merger or dissolution of the organization. Disclosure of Organizational Documents Form 990, Part VI, Section C, Line 19 Describe how the organization makes its governing documents, conflict of interest policy, and financial statements available to the public. The articles of incorporation, corporate bylaws, conflict of interest policy and financial statements of Memorial Hermann Healthcare System and its affiliates are generally not made available to the public. If the inquirer provided a valid reason for desiring a copy of the documents that are related to the business interests of any of the Memorial Hermann Healthcare System corporate entities, we would consider doing so. Review of Form 990 Form 990, Part VI, Section A, Line 10 Was a copy of Form 990 provided to governing body before being filed? Describe the process, if any, the organization uses to review the Form 990. Memorial Hermann Hospital System provides a copy of the Form 990 to any member of the governing body that requests one. The Form 990 is reviewed by Memorial Hermann financial accounting staff, by specific departments involved in related sections of the return, by the Memorial Hermann Chief Accounting Officer, prior to its filing and by Memorial Hermann's public accounting firm Ernst & Young. Whistleblower Policy Form 990, Part VI, Section B, Line 13 Memorial Hermann Healthcare System (MHHCS) is committed to complying with all applicable laws and regulations. We support the efforts of federal and state authorities in identifying incidents of fraud and/or abuse and we have the necessary policies and procedures in place to prevent, detect, report and correct incidents of fraud and/or abuse in accordance with contractual, regulatory and statutory requirements. Recognizing the complexity of the various federal, state, and local laws regulating health care, MHHCS has adopted a voluntary Corporate Compliance Program. This Program is designed to assist the Board, the System and its employees, medical staff members, and independent contractors to maintain compliance through responsive educational programs, internal monitoring and reporting mechanisms, and compliance Standards of Conduct. Corporate Compliance is "Doing the Right Thing by following government regulations and the law." The MHHCS Compliance Program includes these 7 elements: A Compliance Officer and Committee: to oversee and advise the Compliance Program Compliance Policies and Procedures: to provide written guidance to help you do your job and demonstrate our commitment to compliance Compliance Training and Education: to ensure appropriate education on areas of legal and regulatory compliance Auditing and Monitoring: to conduct periodic and ongoing auditing and monitoring of high-risk areas and adherence to policies and procedures Corrective Action: to develop plans to resolve identified issues, prevent them from happening again and avoid the risk of the same or similar issues occurring in other areas, departments or facilities Disciplinary Guidelines: may be necessary to encourage prompt reporting of Compliance concerns, to ensure non-retaliation for reporting concerns and to encourage cooperation with compliance investigations Open Lines of Communication: to establish an open environment for reporting compliance concerns - a hotline is available to all employees to call to report compliance concerns and non-retaliation for reporting a compliance concern in good faith Available 24 hours a day, 7 days a week Anonymous and Confidential Callers making reports in good faith are protected from any form of retaliation or adverse action Audited Financials Form 990, Part IV, Line 12 Did the organization receive an audited financial statement for the year for which it is completing this return that was prepared in accordance with GAAP? The Hospital System does not have its financial accounts separately audited nor receive audited financial statements. For the consolidated entities of the Memorial Hermann Healthcare System and its affiliates an independent audit is conducted and audited financial statements are prepared according to GAAP by an independent accounting firm, of which the financial accounts of the Hospital System is a part. Tax Exempt Bonds Form 990, Schedule K, Part 1 (f) Bond A Renovations and replacements of, additions to and equipment for Hermann including Children's, Southwest including affiliated long-term acute facility, Southeast, Northwest, Memorial City, The Woodlands, & Katy, MHCC Hospital , Spring Shadows Pines, Prevention & Recovery Center and the initial outpatient/inpatient primary healthcare facilities at SH 288 and FM 518, Pearland, Brazoria County Bond B Renovations and replacements of, additions to and equipment for Hermann including Children's, Southwest including affiliated long-term acute facility, Southeast, Northwest, Memorial City, The Woodlands, & Katy, MHCC Hospital , Spring Shadows Pines, Prevention & Recovery Center and the initial outpatient/inpatient primary healthcare facilities at SH 288 and FM 518, Pearland, Brazoria County Bond C Expansion, renovation & equipment for Southwest, Southeast, Northwest, The Woodlands, Hermann, Pasadena, memorial City, Rehabilitation Hospital, Spring Shadows Glen & Spring Shadows Pines; Construction of inpatient/outpatient facilities, equipment and elderly care facilities at I-10 & Eldridge Road and Highway 290 & FM 1960; Construction of proposed preventative health care facility and equipment at 7701-7737 Southwest Freeway; Construction & equipment for elderly care facilities at Southwest & Southeast Bond D Previously financed projects: (1) the construction and renovation of Northwest, excluding the chapel therein; (2) the construction and renovation of The Woodlands; (3) construction and renovation of inpatient/outpatient facilities at I-10 & Eldridge and at Highway 290 & FM 1960 including construction and equipping elderly care facilities at such sites; (4) construction/renovation at Southeast and Southwest including construction of elderly care facilities and 544 parking spaces at Southeast; (5) reimbursement/payment of capital equipment for Southwest, Southeast, Northwest, The Woodlands and facilities in (3) and (4). Bond E Renovations of, additions (including elderly care facilties) to and equipment for inpatient/outpatient facilities at Highway 290 & FM 1960, formerly owned & operated Pasadena Hospital, inpatient/outpatient facilities at I-10 & Eldridge Road, Spring Shadows Pines and the Wellness Center Officers hours devoted to related organizations Schedule J-2, Column B Corporate officers, key employees, and highly compensated employees work on average of 50 hours per week for the reporting organization, related organizations included in Schedule R, and all other affiliated entities. Changes in Net Assets or Fund Balance 990 Part XI Reconciliation of Net Assets Line 4 DESCRIPTION TOTAL RECLASS OF FUND BALANCES OF AFFILIATED COMPANIES (69,700,061) CHANGE IN UNFUNDED PENSION LOSSES 30,889,000 RECLASS OF CONTRIBUTIONS 14,413,000 CHANGE IN NONCONTROLLING INTERESTS 1,982,000 TOTAL CHANGES IN FUND BALANCES (22,416,061) Form 5471 cat 5 filing Form 5471 US Corporation with Form 5471 Category 5 Filing Requirement __________________________________________________________________________ ____ Memorial Hermann Hospital System EIN 74-1152597 Tax Year Ended 06/30/2011 Disclosure Statement Related to Forms 5471, Information Return of U.S. Persons With Respect to Certain Foreign Corporations, Filed on Behalf of the Taxpayer Under the constructive ownership rules of IRC Sections 958(a) and (b), if the taxpayer is required to file Forms 5471, Information Return of U.S. Persons With Respect to Certain Foreign Corporations, as a Category 5 filer with respect to certain controlled foreign corporations (CFCs). These filing requirements are or will be satisfied through the filing of Forms 5471 for these CFCs by other U.S. taxpayers identified below who have the same filing requirement. Taxpayer Name Address Identifying Number of U.S. tax return with which the Forms 5471 were or will be filed IRS Service Center where U.S. tax return was or will be filed Memorial Hermann Healthcare System 909 Frostwood Suite 2:100, Houston, Texas 77024 76-0025117 e-file Memorial Hermann Foundation 909 Frostwood Suite 2:100, Houston, Texas 77024 74-1653640 e-file Memorial Hermann Community Benefit Corporation 909 Frostwood Suite 2:100, Houston, Texas 77024 68-0511504 e-file The Institute for Rehabilitation and Research 909 Frostwood Suite 2:100, Houston, Texas 77024 74-1334678 e-file Memorial Hermann Medical Group 909 Frostwood Suite 2:100, Houston, Texas 77024 20-4923281 e-file MHS Physicians of Texas 909 Frostwood Suite 2:100, Houston, Texas 77024 76-0385980 e-file Memorial Hermann Healthcare System 909 Frostwood Suite 2100 Houston TX 77024 760025117 Healthcare TX 501(c)3 11a I Memorial Hermann Community Benefits 909 Frostwood Suite 2100 Houston TX 77024 680511504 Healthcare TX 501(c)3 11 The Institute for Rehab and Research 909 Frostwood Suite 2100 Houston TX 77024 741334678 Healthcare TX 501(c)3 3 Memorial Hermann Medical Group 909 Frostwood Suite 2100 Houston TX 77024 204923281 Healthcare TX 501(c)3 3 MHS Physicians of Texas 909 Frostwood Suite 2100 Houston TX 77024 760385980 Healthcare TX 501(c)3 3 Memorial Hermann Foundation 909 Frostwood Suite 2100 Houston TX 77024 741653640 Fundraising TX 501(c)3 11a The Woodlands POB III LP 909 Frostwood Suite 2100 Houston TX 77024 202184543 Manages Med Build TX na Related or Exempt 44236 14056700 29284 0.89000 Memorial HermannUSP Surgery Ctr III LP 15305 Dallas Parkway Suite 1600 L Addison TX 75001 200707543 Surgery Center TX na Related or Exempt 8316313 16830141 101085 0.82000 Memorial Hermann Surgery Center Katy LLP 15305 Dallas Parkway Suite 1600 L Addison TX 75001 203360737 Surgery Center TX na Related or Exempt 203925 1162382 538 0.34000 Memorial Hermann Rehabilitaion Hospital 909 Frostwood Suite 2100 Houston TX 77024 263896170 Medical Services TX NA Related or Exempt -807825 12472722 -2551 0.51000 Memorial Hermann Health Network Provider 909 Frostwood Suite 2100 Houston TX 77024 760074819 Healthcare TX na C corp Memorial Health Ventures 909 Frostwood Suite 2100 Houston TX 77024 742211474 Healthcare TX na C corp The Health Professionals Ins Company LTD Barclays House 3rd Floor Grand Cayman CJ Insurance CJ na Foreign 2975774 58561131 1.00000 false true true false false true false false true true false false false true true true true true NA