2011-05-13T16:35:14-05:00 2010-06-30 990 2009-07-01 741653640 Memorial Hermann Foundation MEMO 7134484175 9301 Southwest Freeway Ste 600 Houston Texas TX 77074 Carrol E Aulbaugh 2011-05-13 2009 2016-02-24 21:20:13Z Dan Wolterman 929 GESSNER SUITE 2700 HOUSTON TX 77024 23489663 false X www.memorialhermann.org X 1969 TX PROVIDE FUND RAINSING SUPPORT AND PROMOTIONAL EFFORTS TO MEMORIAL HERMANN HOSPITAL SYSTEM AND ITS TAX EXEMPT AFFILIATES AND THE TAX EXEMPT PROGRAMS AND FUNCTIONS THAT THEY CONDUCT. 26 22 0 0 0 0 19985701 19809424 0 0 1541943 3117559 -10064 -353028 21517580 22573955 7020982 15589170 0 0 3066950 3124303 0 0 1333032 619630 728899 10707562 19442372 10810018 3131583 62123499 65904464 1055874 1183848 61067625 64720616 PROVIDE FUND RAISING SUPPORT AND PROMOTIONAL EFFORTS TO MEMORIAL HERMANN HOSPITAL SYSTEM AND ITS TAX EXEMPT AFFILIATES AND THE TAX EXEMPT PROGRAMS AND FUNCTIONS THAT THEY CONDUCT. MEMORIAL HERMANN HEALTHCARE SYSTEM AND ALL OF ITS AFFILITATES HAVE ADOPTED THE FOLLOWING MISSION AND VALUE STATEMENT: 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, EMPLOY 12966624 11966393 Disbursements to and on behalf of Memorial Hermann Healthcare System and its affiliates for the funding of the purchase of patient-care related equipment, furnishings, and supplies and to fund medical programs for the benefit of various operating departments throughout the hospital locations. 1504410 1398669 Disbursements for the benefit of patients, employees, and retired employees of Memorial Hermann Healthcare System and its affiliates who demonstrated a need for financial assistance because of an existing or continuing hardship including that of a Federally declared disaster area. 2355750 2175708 Disbursements to and on behalf of Memorial Hermann Healthcare System and its affiliates to fund public, physicians, and employee training programs, health awareness, continuing education, medical seminars, Physician Graduate Medical Education Programs, and other medical courses of study. 48400 48400 Individual 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Hunton 1.0 X 0 0 0 Sanford Lubetkin MD 1.0 X 0 0 0 Sofia Adrogue 1.0 X 0 0 0 Stephen Strake 1.0 X 0 0 0 Steven J Gibson 1.0 X 0 0 0 James T Lawhon MD 1.0 X 0 0 0 Ned Holmes 1.0 X 0 0 0 William F Galtney Jr 1.0 X 0 0 0 Ferrner R Weller Jr 1.0 X 0 0 0 Susie Johnson 1.0 X 0 0 0 Mark S Adickes MD 1.0 X 0 846526 26296 Walt Mischer Jr 1.0 X 0 0 0 William E Penland Jr 1.0 X 0 0 0 Kevin Slawin MD 1.0 X 0 0 0 Daniel J Wolterman 50.0 X X 0 1896224 549208 Leslie L Alexander 1.0 X 0 0 0 Philamena Baird 1.0 X 0 0 0 Randa Duncan Williams 1.0 X 0 0 0 Sheridan P Williams 1.0 X 0 0 0 Carrol E Aulbaugh 50.0 X 0 1035155 266162 V Randolph Gleason 50.0 X 0 705703 0 Bernard Duco Jr 50.0 X 0 660742 167757 Dennis P McVeigh 50.0 X 0 500527 109825 Ileana V Trevino 50.0 X 403968 0 98006 Renee P Reimer 50.0 X 0 115827 52331 Elizabeth G Bayless 50.0 X 245509 0 34721 Douglass Beckstett 50.0 X 0 755610 183639 Richard Kammerer 50.0 X 230671 0 51122 Kristin Elliott 50.0 X 126340 0 13890 Cecelia Garcia 50.0 X 134762 0 10185 Tomas Sloan 50.0 X 143483 0 11500 Julie Voss 50.0 X 38996 0 22866 Karen E Zalud 50.0 X 131924 0 14160 1455653 6516314 1611668 10 false true false Wayne Foster Entertainment 1940 Kellogg Avenue CARLSBAD CA 92008 Entertainment 212810 1 2257254 391993 17160177 265043 19809424 0 3117559 3117559 0 0 0 562680 915708 -353028 0 0 0 22573955 3117559 15398749 15398749 190421 190421 0 0 880149 367945 192618 319586 0 1653958 422880 692093 538985 112196 52864 30111 29221 284423 108012 89528 86883 193577 60410 67582 65585 0 0 0 0 0 0 266819 139961 51468 75390 1687 590 169 928 110188 28831 51958 29399 0 0 27653 11501 6159 9993 39976 14321 8732 16923 0 7106 3261 1544 2301 0 0 0 0 SPECIAL FUNCTION COSTS 237418 69927 27166 140325 DUES AND MEMBERSHIPS 38052 5511 15028 17513 19442372 16875184 1234156 1333032 11290291 9465128 17015082 16425441 31797826 38503887 353450 311104 1666850 1198904 62123499 65904464 422442 171822 633432 1012026 1055874 1183848 X 29068 29068 51892358 64691548 9146199 61067625 64720616 62123499 65904464 X false false X X MEMORIAL HERMANN HOSPITAL SYSTEM 741152597 03 true 0 1 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 61038557 15636018 3687962 15030505 640484 64691548 51669904 17064811 -76012 7134180 485966 61038557 1.00000 false false 0 CHARITABLE REMAINDER TRUST NPV 659094 INTERCOMPANY PAYABLE 352932 1012026 22573955 19442372 3131583 370516 370516 3502099 23497387 570405 353027 923432 22573955 22573955 19844396 458912 458912 19385484 56888 56888 19442372 Reconciliation of Revenue to Audit Financial Statements Part XII, Line 2d Gala related revenue Reconciliation of Expenses to Audit Part XIII, Line 2d Reconciliation of Expenses to Audited Financial Statements Part XIII, Line 2d Reconciliation of Expenses to Audited Financial Statements Part XIII, Line 4b FIN 48 Tax Statement in Audit Financial Report Footnotes Form 990, Schedule D, Part X Intended Uses of the Organization's Endowment Funds Schedule D, Part V, Line 4 Annual Gala 2257254 1694574 562680 269251 212810 433647 0 2257254 1694574 562680 269251 212810 433647 915708 -353028 true Memorial Hermann Hospital System and Affiliates 9301 Southwest Freeway Ste 600 Houston TX 77074 760025117 501(c)(3) 10871073 Disbursement to and on behalf of the Hospital in support of its tax exempt purposes for equipment, furnishings, supplies and other financial assistance. Holocaust Museum Houston 5401 Caroline Street Houston TX 77004 760135741 501(c)(3) 8100 General fund raising events Greater Houston Womens Chamber of Commerce 3015 Richmond Avenue Suite 200 Houston TX 77098 261536004 501(c)(6) 7500 General fund raising events Mexican Institute of Greater Houston 9896 Bissonnet St Houston TX 77036 760375543 501 (c)(3) 5500 General fund raising events 14 2 Financial Assistance to Employees 125 190421 Use of Grant Funds Schedule I, Part I, Line 2 GrantsYand Assistance The main purpose of Memorial Hermann Foundation is to solicit funds for the charitable purposes of Memorial Hermann Hospital System and its affiliates. The disbursement of those funds to the Hospital System is made through the application for reimbursement of purchases or expenditures made by an operating program manager and authorized by a senior executive of the Hospital System. Disbursement of funds to employees of the Hospital System is made after a review of the financial need and emergency hardship determination by an independent Employee Assistance Program agency and funding approval has been authorized by a committee of Hospital System managers. X true true X X X X X true true Mark S Adickes MD 0 852908 0 210 0 -6592 0 7350 0 18946 0 872822 0 0 Daniel J Wolterman 0 1010396 0 800000 0 85828 0 530254 0 18954 0 2445432 0 36656 Carrol E Aulbaugh 0 530505 0 320252 0 184398 0 251890 0 14272 0 1301317 0 125242 V Randolph Gleason 0 434680 0 114365 0 156658 0 0 0 0 0 705703 0 74914 Bernard Duco Jr 0 396309 0 211769 0 52664 0 154780 0 12977 0 828499 0 19050 Dennis P McVeigh 0 256112 0 145189 0 99226 0 102798 0 7027 0 610352 0 41171 Ileana V Trevino 232524 0 127867 0 43577 0 79778 0 18228 0 501974 0 5832 0 Renee P Reimer 0 113496 0 0 0 2331 0 46128 0 6203 0 168158 0 0 Elizabeth G Bayless 139429 0 61919 0 44161 0 34025 0 696 0 280230 0 16740 0 Douglass Beckstett 0 401274 0 217718 0 136618 0 170640 0 12999 0 939249 0 88440 Richard Kammerer 119247 0 69313 0 42111 0 45577 0 5545 0 281793 0 0 0 Tomas Sloan 104967 0 33752 0 4764 0 5191 0 6309 0 154983 0 0 0 Supplemental Nonqualified Retirement Plan Form 990, Schedule J, Line 4-b Memorial Hermann Healthcare System (of which the Foundation 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% Applicable amounts paid for the persons listed: AULBAUGH, CARROL $125,243 BAYLESS, ELIZABETH $ 16,470 BECKSTETT, DOUGLAS $ 88,410 GLEASON, RANDY $ 74,913 McVEIGH, DENNIS $ 41,171 TREVINO, ILEANA $ 5,832 WOLTERMAN, DAN $ 36,656 Non Fixed Payments of Compensation Form 990, Schedule J, Line 7 Memorial Hermann Healthcare System (of which the Foundation is a part) sponsors an executive compensation philosophy that is based on competitive market and pay-for-performance principles. 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. Tax Indemnification and 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. 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. Average Hours Worked per Week Schedule J-2, Col. B Corporate officers, key employees, and highly compensated employees work an average of 50 hours per week for the reporting organization, related organizations included in Schedule R, and all other affiliated entities. X Underwriting In The Pink VIP kick off 1 50111 FMV X Gala Invitation and Program Printing of Materials 1 21253 FMV X Decor for the 2010 Circle of Life Gala 1 16174 FMV X Underwriting of Gala sponsor appreciation party 1 25000 FMV X Gala Golf Outing - greens fees, professional fees 1 17341 FMV X Gala Honoree dinner catering and valet service 1 8040 FMV X HP product donations to clinics 1 6896 FMV X Household Items 1 5675 FMV X nvacarwe TDX SP wheelchair, shower chair, hoyer 1 5000 FMV false true false Payroll record keeping Form 990, Part V, Line 2b The employees of the Memorial Hermann Foundation are record-kept and paid through the payroll system of Memorial Hermann Hospital System and reported under the Hospital System's EIN for Form 941 and Form W-2 purposes. All costs of the compensation and benefits of the Foundation employees are reimbursed to the Hospital System. Members of Corporation Form 990, Part VI, Section A, Line 6, Line 7a and Line 7b The Memorial Hermann Foundation has as its sole member Memorial Hermann Healthcare System, both of which are a 501(c)(3) non-profit entity. The member has the authority to annually elect the board members of the organization and to terminate and replace them at its discretion. 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. Review of Form 990 Form 990, Part VI, Section A, Line 10 The Memorial Hermann Foundation 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 Financial Officer, and by Memorial Hermann's public accounting firm Ernst & Young prior to its filing. Conflict of Interest Policy Form 990, Part VI, Section B, Line 12c The Memorial Hermann 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 of Directors, Officers, and Key Employees Form 990, Part VI, Section C, Line 15a and Line 15b 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 Disclosure of Corporate Organizational Documents Form 990, Part VI, Section C, Line 19 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. Audited Financial Statement Oversight Form 990, Part II, Line 2c 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, including the Foundation. The audit committee hires the independent accounts and oversees all audits that are conducted within all affiliated entities for financial information, grants and awards, and qualified plans. Business Relationship between Directors, Officers, and Key Employees Form 990, Part VI, Section A, Line 2 Director Alvaro Trullenque and Director Richard Hunton have a business relationship unrelated to the activities of Memorial Hermann Foundation. Corporate Compliance and Fraud and Abuse Form 990, Part VI, Section B, Line 13 Memorial Hermann Healthcare System is committed to providing all services in full compliance with all applicable laws, regulations and guidelines, as well as with its own policies and procedures. Memorial Hermann is particularly sensitive to requirements applicable to federal and state healthcare programs and the submission of accurate bills for all services provided. Compliance by vendors, contractors and consultants conducting business on behalf of Memorial Hermann or in the Memorial Hermann work environment is important to Memorial Hermann's overall compliance efforts. In accordance with the requirements of the Deficit Reduction Act of 2005, Memorial Hermann has developed False Claims Policies. These policies state that Memorial Hermann is committed to complying with all applicable laws and regulations and supports the efforts of federal and state authorities in identifying incidents of fraud and/or abuse and has the necessary procedures in place to prevent, detect, report and correct incidents of fraud and/or abuse in accordance with contractual, regulatory and statutory requirements. All contractors or agents of Memorial Hermann must comply with the Memorial Hermann False Claims Policies which are modeled after the state and federal policies. 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 employees do their 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 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 Community Benefits and Needs Needs Assessment Each decision made by Memorial Hermann to invest its people, resources, and talents in community benefit efforts is data driven. Given that 32% 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 (ED) use in Houston hospitals and is a data source for numerous assessments to understand primary care-related ED use including the characteristics of these patients; particularly those who are children, who are uninsured, and who have Medicaid. The study conducted in 2009 showed a decline in primary care related ER visits from 83.2% in 2004 to 81.2% in 2007. 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, was performed several years ago by Project Safety-Net and University of Texas School of Public Health and is again underway in 2009. Preliminary results indicate an increase in safety-net capacity from 48% in 2005 to 60% in 2009. Prioritizing areas in need of school-based health care for un- and under-insured children is an on-going assessment process for Memorial Hermann with our fourteen year history with school-based healthcare. A variety of data sources are applied including school district demographic data, census poverty data, identification of safety-net resources, identification of Medicaid and SCHIP enrollees in relation to Providers, and, again, the ED Use Study. Patient Education of Eligibility for Assistance 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 programs 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 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. In 2009 they were located in three Memorial Hermann ERs and worked 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 Houston's Harris County is the third most populated county in the nation and one of the most culturally diverse metropolitan areas in the country. Interestingly, all of its ethnic communities are now 'minorities' (Stephen L. Klineberg, The New Rice University "Center for the Study of Houston"). 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 Harris County, 1.1 million of the 3.5 million residents have no health insurance. Fifteen percent (15%) of the nation is uninsured; 32% of Houston's population is uninsured. In 2009, 25% of survey respondents interviewed for the 28th Houston Area Survey said, 'yes," in answer to the question: "during the past five years, did you or anyone in your family ever have to go without medical treatment because of the cost of that treatment?" Driving this response are the seventy-two percent (72%) of the uninsured who are actually working individuals and families. The reasons include the fact that today only 53% of Texas employers offer health benefits to their employees - 7% below the national average. Additionally, the Texas Medicaid program, the statewide system of coverage for the very poor and predominantly for poor children, is limited in comparison to other states' programs. The single largest private employer is Wal-Mart, a company in which high premiums and deductibles keep well over half of Wal-Mart workers from participating in the company health plan. 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. 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 important to describing how the organization furthers its exempt purposes by promoting the health of the community. Through our fourteen-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. Community Benefits contiunued Needs Assessment continued 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 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. 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. The PHN consists today of 900 providers, 33 hospitals and 42+ ancillary providers. In the last three years, the PHN has provided $5.8 million in charity care. This equates to the provision of $9.34 of service for every $1.00 of infrastructure. In the PHN, everyone plays a part. 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 these essential primary medical, mental health, and dental clinics remain in operation. Respective roles of the organization and its affiliates. Leadership: When Dan Wolterman became CEO of Memorial Hermann in 2002, both he and the Board were committed to 'move wisely into the future while, at the same time, preserving the dignity of Memorial Hermann's identity, culture, and mission. His primary challenge was to paint a vision of what Memorial Hermann could become, and then forcefully communicate that vision to employees, physicians, and the community as a whole'. As a system with 24% market share and the largest provider of charity care (including the Hospital District), two key components to address were the uninsured and the over-burdened, fragmented safety net provider system presently existing for the uninsured. Appointed by the mayor, Dan was on the 2004 Public Health Task Force which developed recommendations on how to better collaborate public and private health care delivery programs, and on Houston's Healthcare Alliance which established the issues hindering the effectiveness of the existing health care infrastructure. Dan believed that his external relationships would be key to rallying the community to address the issues that had been identified, and his election to the leadership of the Greater Houston Partnership (Houston's Chamber of Commerce) and Texas VHA (Voluntary Hospitals of America) was the beginning of his strategies to accomplish that goal. As a spokesman and through the promotion of his white paper: 'A Region in Crisis: A Call to Reduce the Uninsured and Expand Access to Health Care in the Ten-County Houston Region', he emphasizes that the problem is regional and can only be solved through collaborative initiatives undertaken by all stakeholders-government, health care providers, businesses, faith-based organizations and others. The blueprint outlined has been adopted by the Greater Houston Partnership. Through the leadership of Houston's business community combined with government leadership throughout the region, the tactics outlined have a chance for regional implementation and significant improvement in access. To devote to this area the time and focus required, Memorial Hermann Healthcare System established a Community Benefits Corporation, led by a Chief, Community Benefits Officer. Carol Paret 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 Memorial Hermann Hospital System contributes 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. Organizational Commitment: Whether as one of the 140 Board members, one of the 19,500 employees, or one of the 4,200 physicians, we are expected to support the mission, vision, values, plans, and policies of Memorial Hermann. A strategic plan to engage staff in ways to become a part of larger community efforts focuses on the following major programs: The United Way - as a pacesetter for healthcare in the greater Houston area, Memorial Hermann annually leads the industry in contributions. Memorial Hermann employees raised $715,984 for this year's United Way Campaign. Food Drive - each facility donates the proceeds from the annual food drive to a local agency to make an impact within the community in which the facility resides. Since 2001 the System has, on average, annually collected 33,000 pounds of food and $29,000 in money to donate to agencies serving those facing job losses and work reductions. Blood Drive - since 1993 Memorial Hermann has hosted drives that have contributed more than 52,414 units of blood to the community. In 2009, the Gulf Coast Regional Blood Center recognized Memorial Hermann with the "Path for Success Award" as having had one of the most successful hospital blood drive programs in the nation, saving more than 12,000 lives per year. American Heart Walk, MS150 Bicycle Race - system-wide volunteer efforts such as these sustain an engaged workforce, organize community support, and strengthen our culture. Covenant House - For more than fourteen years Memorial Hermann has partnered with and provided free linen services for Covenant House, a child care agency that provides free emergency shelter, counseling, vocational and educational services, and health care and legal information to homeless and runaway youth. Salud Para Todos - Memorial Hermann and Community Health Choice (a Health Maintenance Organization owned and operated by the Harris County Hospital District) partnered to create and implement "Salud Para Todos"- a campaign to educate the Hispanic community on the value of a medical home and how to utilize nurse triage services. The mechanism was 6-month TV and radio ads on Univision, Houston's #1 Spanish language station. University of Texas School of Nursing at Houston - Memorial Hermann financially partners with several nursing schools in the support of creative solutions to increase enrollment of student nurses and therefore increase the number of nurses working within our community. creative solutions to increase enrollment of student nurses and therefore increase the number of nurses working within our community. 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