SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2016
Open to Public Inspection
Name of the organization
THE METHODIST HOSPITAL
 
Employer identification number

74-1180155
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

 

No
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    28,895,265 0 28,895,265 1.610 %
b Medicaid (from Worksheet 3, column a) . . . . .     50,498,170 63,554,919 0 0 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     89,031 110,229 0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .     79,482,466 63,665,148 28,895,265 1.610 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     914,966 0 914,966 0.050 %
f Health professions education (from Worksheet 5) . . .     47,079,818 12,032,180 35,047,638 1.950 %
g Subsidized health services (from Worksheet 6) . . . .            
h Research (from Worksheet 7) .     100,893,203 37,325,949 63,567,254 3.530 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     33,331,194 0 33,331,194 1.850 %
j Total. Other Benefits . .     182,219,181 49,358,129 132,861,052 7.380 %
k Total. Add lines 7d and 7j .     261,701,647 113,023,277 161,756,317 8.990 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
10,792,677
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
335,656,309
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
489,736,296
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-154,079,987
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 HOUSTON METHODIST HOSPITAL
6565 FANNIN
HOUSTON,TX77030
WWW.HOUSTONMETHODIST.ORG
000124 		X X   X     X   SKILLED NURSING FACILITY, PSYCH, REHAB UNITS  
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
HOUSTON METHODIST HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
HOUSTON METHODIST HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HOUSTONMETHODIST.ORG/PAY-YOUR-BILL/NEW-POLICIES/
b
SAME AS 16.A.
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page 6
Part VFacility Information (continued)

Billing and Collections
HOUSTON METHODIST HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
HOUSTON METHODIST HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
HOUSTON METHODIST HOSPITAL PART V, SECTION B, LINE 5: GENERAL NOTE:THE METHODIST HOSPITAL IS DOING BUSINESS AS HOUSTON METHODIST HOSPITAL. HOUSTON METHODIST AS A SYSTEM, IS REPRESENTED AS HOUSTON METHODIST.HOUSTON METHODIST HOSPITAL: PART V, SECTION B, LINE 5HOUSTON METHODIST HOSPITAL CONDUCTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND WAS ABLE TO PRIORITIZE THE NEEDS THAT EACH OF ITS HOSPITALS WOULD ADDRESS THROUGH A SERIES OF STEPS THAT INCLUDED SURVEYING PATIENTS LOCATED IN EACH OF THE HOUSTON METHODIST HOSPITAL SERVICE AREA AS WELL AS INTERVIEWING AND SURVEYING COMMUNITY HEALTH LEADERS DESIGNED TO UNCOVER THE MOST PRESSING CONCERNS OF THE SURROUNDING COMMUNITY.PHASE 1: COMMUNITY FEEDBACK COLLECTION*DEVELOPING THE SURVEY QUESTIONS: THE FIRST STEP IN DEVELOPING THE CHNA FOR HOUSTON METHODIST HOSPITAL REQUIRED THE HOSPITAL SYSTEM TO FIRST UNDERSTAND WHAT MATTERED MOST TO THE POPULATION SURROUNDING ITS EIGHT HOSPITALS IN GREATER HOUSTON. TO DO THIS, THE OFFICE OF COMMUNITY BENEFITS WORKED WITH LEADERS IN PUBLIC HEALTH TO DEVELOP AND REFINE SURVEY QUESTIONS THAT WOULD HELP HOUSTON METHODIST HOSPITAL GAIN THE FIRST INSIGHT INTO THE TOP SOCIAL AND HEALTH PRIORITIES OF OUR CITY. THE SURVEY CONSISTED OF 25 QUESTIONS AND WERE DIVIDED UNDER THE CATEGORIES OF: + TELL US ABOUT YOURSELF + TELL US ABOUT YOUR HEALTH + TELL US ABOUT YOUR COMMUNITY + TELL US HOW YOU FEEL *DISTRIBUTING THE SURVEY: AFTER THE QUESTIONS WERE DEVELOPED FOR THE SURVEY, THE SURVEYS WERE THEN DISTRIBUTED ELECTRONICALLY AND IN HARD COPY FORM ACROSS THE COMMUNITY. HARD COPY SURVEYS WERE DISTRIBUTED TO ELEVEN (11) DIFFERENT FACILITIES PROVIDING HEALTH CARE SERVICES TO THE UNINSURED AND UNDERSERVED POPULATION. THESE HARD COPY SURVEYS WERE PLACED IN THE FOLLOWING FACILITIES ACROSS GREATER HOUSTON TO COLLECT COMMUNITY FEEDBACK: + ACCESS HEALTH + CHRIST CLINIC + EL CENTRO DE CORAZON + HOPE CLINIC + KRIST SAMARITAN COUNSELING CENTER + LEGACY COMMUNITY HEALTH + LIFE HOUSTON + NORTHWEST ASSISTANCE MINISTRIES + THE ROSE + TOMAGWA HEALTH MINISTRIES + VECINO HEALTH CENTERSADDITIONAL HARD COPY SURVEYS WERE DISTRIBUTED AT HOUSTON METHODIST HOSPITAL'S FLAGSHIP LOCATION IN THE TEXAS MEDICAL CENTER DUE TO THE VARIETY OF PATIENTS AND GUESTS WHO COME TO THE LOCATION FROM MORE THAN EIGHT COUNTIES. ELECTRONIC SURVEYS WERE POSTED ON VARIOUS SOCIAL NETWORKING SITES TO CAPTURE AN UNCONTROLLED GROUP OF RESPONDENTS. OVERALL, MORE THAN 1,000 PEOPLE WERE SURVEYED. PHASE 2: COMMUNITY LEADERS AND STAKEHOLDER FEEDBACK *SELECTION OF PUBLIC HEALTH AND COMMUNITY LEADERS WITH SPECIAL KNOWLEDGE INCLUDING LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS AND LOCAL, AND STATE HEALTH AGENCIES: THE OFFICE OF COMMUNITY BENEFITS COMPILED A LIST OF TOP HEALTH AND COMMUNITY EXPERTS FROM AROUND THE GREATER HOUSTON COMMUNITY AND STATE AND SHARED KEY DATA UNCOVERED BY THE COMMUNITY HEALTH NEEDS SURVEY. EXPERTS AND LEADERS WERE PULLED FROM A VARIETY OF SPECIALTY AREAS INCLUDING EXPERTS IN THE FIELD OF KEY HEALTH CONDITIONS FROM HEALTH CARE INSTITUTIONS INCLUDING HOUSTON METHODIST HOSPITAL. ALSO, EXPERTS WERE SELECTED FROM KEY FEDERALLY QUALIFIED HEALTH CENTERS AND FREE/CHARITY CLINICS SUCH AS BUT NOT LIMITED TO LEGACY COMMUNITY HEALTH, THE ROSE, ACCESS HEALTH AND HEALTHCARE FOR THE HOMELESS-HOUSTON. FEEDBACK WAS SOLICITED FROM EXPERTS AT PUBLIC HEALTH EDUCATION FOCUSED INSTITUTIONS SUCH AS THE KINDER INSTITUTE FOR URBAN RESEARCH AT RICE UNIVERSITY AND UT SCHOOL OF PUBLIC HEALTH AS WELL AS INSIGHT SOUGHT FROM CITY OFFICIALS. *SELECTION OF MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS: THE OFFICE OF COMMUNITY BENEFITS RECEIVED THE PRIMARY INPUT ON THE NEEDS OF THE UNDERSERVED COMMUNITY THROUGH THE DISTRIBUTION OF A SURVEY IN WHICH MEMBERS WERE ASKED TO ANSWER A SERIES OF QUESTIONS SUCH AS: + WHAT ARE THE 5 MOST IMPORTANT THINGS THAT ARE NEEDED FOR YOUR CITY/COMMUNITY TO BE CONSIDERED HEALTHY? + WHAT ARE THE 5 BIGGEST BARRIERS THAT PREVENT FRIENDS AND FAMILY FROM SEEKING MEDICAL TREATMENT?INPUT COLLECTION: INPUT FROM PERSON(S) WITH SPECIAL KNOWLEDGE * VP DEVELOPMENT -- AMERICAN HEART ASSOCIATION * CDO - AMERICAN CANCER SOCIETY * ASSOCIATE PROFESSOR OF CLINICAL NEUROLOGY, INSTITUTE FOR ACADEMIC MEDICINEASSISTANT MEMBER, HOUSTON METHODIST RESEARCH INSTITUTE-HOUSTON METHODIST HOSPITAL * CHAIR IN THE EDDY SCURLOCK STROKE CENTER, DEPARTMENT OF NEUROLOGY, PROFESSOR OF CLINICAL NEUROLOGY, INSTITUTE FOR ACADEMIC MEDICINE, ASSOCIATE CLINICAL MEMBER, HOUSTON METHODIST RESEARCH INSTITUTE-HOUSTON METHODIST HOSPITAL * CHAIR, HOUSTON METHODIST DEBAKEY CARDIOLOGY ASSOCIATES-HOUSTON METHODIST HOSPITAL * MD - HOUSTON METHODIST ONCOLOGY PARTNERS-HOUSTON METHODIST WILLOWBROOK HOSPITAL * MD - HOUSTON METHODIST ACADEMIC MEDICINE ASSOCIATES-HOUSTON METHODIST HOSPITAL * MEDICAL DIRECTOR, DEPARTMENT OF CARDIOLOGY, HOUSTON METHODIST DEBAKEY CARDIOLOGY ASSOCIATES-HOUSTON METHODIST HOSPITAL * VICE PRESIDENT, POPULATION HEALTH, HOUSTON METHODISTINPUT COLLECTION: INPUT FROM FEDERAL, REGIONAL, STATE OR LOCAL HEALTH DEPARTMENTS /AGENCIES * ASSISTANT DIRECTOR - HOUSTON HEALTH DEPARTMENT * VICE PRESIDENT - HOUSTON HOUSING AUTHORITY * DIRECTOR OF THE OFFICE OF POLICY AND PLANNING - HARRIS COUNTY PUBLIC. HEALTH AND ENVIRONMENTAL SERVICES * DIRECTOR OF PUBLIC HEALTH SERVICES - BRAZORIA COUNTY HEALTH DEPARTMENT * CHIEF NURSING OFFICER - GALVESTON COUNTY HEALTH DISTRICT * DIRECTOR - FORT BEND COUNTY HEALTH AND HUMAN SERVICESINPUT COLLECTION: INPUT FROM LEADERS AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME POPULATIONS * CEO - LEGACY COMMUNITY HEALTH * CMO - LEGACY COMMUNITY HEALTH * CEO - EL CENTRO DE CORAZON * CMO - EL CENTRO DE CORAZON * EXECUTIVE DIRECTOR - CHRIST CLINIC * CEO - HOPE CLINIC * CEO - THE ROSE * CEO - ACCESS HEALTH * CMO - VECINO HEALTH CENTERS * CEO - HEALTHCARE FOR THE HOMELESS-HOUSTON * EXECUTIVE DIRECTOR - INTERFACE-SAMARITAN COUNSELING CENTERS * MONTGOMERY COUNTY UNITED WAY (UNTIL FEBRUARY 29, 2016)INPUT COLLECTION INPUT FROM MEMBERS WITH BROAD INTERESTS IN THE COMMUNITY * ASSOCIATE DIRECTOR - UNIVERSITY OF TEXAS SCHOOL OF PUBLIC HEALTH * PH.D., MA - KINDER INSTITUTE OF URBAN RESEARCH * PRINCIPAL- TRAFFIC ENGINEERS, INC.
HOUSTON METHODIST HOSPITAL PART V, SECTION B, LINE 6A: THE CHNA CONDUCTED IN 2016 PER ACA GUIDELINES WAS DONE WITH THE FOLLOWING:- HOUSTON METHODIST SUGAR LAND HOSPITAL- HOUSTON METHODIST WEST HOSPITAL- HOUSTON METHODIST SAN JACINTO HOSPITAL- HOUSTON METHODIST WILLOWBROOK HOSPITAL- HOUSTON METHODIST ST. JOHN HOSPITAL- HOUSTON METHODIST ST. CATHERINE HOSPITAL
HOUSTON METHODIST HOSPITAL PART V, SECTION B, LINE 7D: IN ADDITION TO THE CONDUCTED CHNA BEING MADE EASILY ACCESSIBLE THROUGH THE HM WEBSITE AND THE OFFICE OF COMMUNITY BENEFITS MAKING A HARD COPY AVAILABLE FOR PUBLIC INSPECTION FREE OF CHARGE, THE CHNA WAS ALSO WIDELY DISTRIBUTED VIA AN EMAIL BLAST TO MORE THAN 1,000 RECIPIENTS AROUND THE CITY OF WHICH INCLUDE STAKE HOLDERS, OTHER HEALTH CARE FACILITIES, ETC. IN ADDITION, THE REPRESENTATIVES OF THE COMMUNITY BENEFITS OFFICE PRESENTED THE CHNA FINDINGS TO AUDIENCES AT EACH HOUSTON METHODIST FACILITY AND OTHER EXTERNAL STAKEHOLDERS TO FURTHER PUBLICIZE EFFORTS.
HOUSTON METHODIST HOSPITAL PART V, SECTION B, LINE 11: HOUSTON METHODIST HOSPITAL (HMH) WAS ABLE TO IDENTIFY THE TOP FOUR HEALTH PRIORITIES OF ITS COMMUNITY VIA THE CHNA PROCESS. THE HEALTH PRIORITIES THAT HMH IDENTIFIED THROUGH THE CHNA ARE AS FOLLOWS: * INCREASE ACCESS TO PRIMARY CARE SERVICES FOR THE SURROUNDING COMMUNITIES * REDUCE BARRIERS TO ACCESSING SPECIALTY CARE SERVICES FOR THE SURROUNDING UNDERSERVED COMMUNITY * PROMOTE HEALTHY LIVING BEHAVIORS THAT REDUCE THE LIKELIHOOD OF CHRONIC DISEASE DEVELOPMENT * INCREASE ACCESS TO MENTAL HEALTH CARE SERVICES WITHIN HOUSTON METHODIST HOSPITAL'S SURROUNDING UNDERSERVED COMMUNITY HEALTH NEED: INCREASE ACCESS TO PRIMARY CARE SERVICES FOR THE SURROUNDING COMMUNITIES OBJECTIVES:1. INCREASE NUMBER OF PRIMARY CARE PHYSICIANS BEING EMPLOYED BY HOUSTON METHODIST HOSPITAL 2. IMPROVE AWARENESS OF HOUSTON METHODIST HOSPITAL CHARITY CARE PROGRAMS AND CONTINUE TO WORK WITH EXTERNAL AGENCIES THAT WILL COORDINATE CARE FOR THE UNINSURED AND UNDERINSURED POPULATIONS. 3. PROVIDE A CONTINUUM OF CARE FOR PATIENTS.STRATEGY: * DEVELOP REFERRAL RELATIONSHIPS BETWEEN HOUSTON METHODIST HOSPITAL AND COMMUNITY ORGANIZATIONS FOCUSED ON THE UNDERSERVED. * SUPPORT COMMUNITY ORGANIZATIONS THAT PROVIDE COMMUNITY BASED PREVENTATIVE CARE, PRIMARY HEALTH CARE, AND EDUCATIONAL SERVICES. * PROVIDE FINANCIAL ASSISTANCE TO THE INDIGENT RECEIVING CARE AT HMH AND TO EXTERNAL AGENCIES PROVIDING CARE TO THE INDIGENT IN THE COMMUNITY. * DEVELOP NETWORK OF CARE PROGRAM TO ASSIST INDIGENT PATIENTS WITH ESTABLISHING MEDICAL HOME * RECRUIT PRIMARY CARE PHYSICIANS TO EXPAND COMMUNITY'S ACCESS TO CAREHEALTH NEED: REDUCE BARRIERS TO ACCESSING SPECIALTY CARE SERVICES FOR THE SURROUNDING UNDERSERVED COMMUNITY OBJECTIVES:1. PROVIDE ACCESS TO SPECIALTY CARE IN COMMUNITY PARTNER CLINICS.2. GIVE FINANCIAL ASSISTANCE TO AGENCIES THAT PROVIDE THAT PROVIDE SPECIALTY CARE TO THE UNDERSERVED.STRATEGY: * THROUGH THE COMMUNITY SCHOLARS PROGRAM, PROVIDE ACCESS TO NEPHROLOGY, ENDOCRINOLOGY, NEUROLOGY, OPHTHALMOLOGY, UROLOGY, URO-GYNECOLOGY, HEMATOLOGY ONCOLOGY, CARDIOLOGY, AND PULMONOLOGY SERVICES AT LOCAL FEDERALLY QUALIFIED HEALTH CENTERS AND FREE CLINICS. * CONTINUE GRANT FUNDING TO LOCAL AGENCIES THAT PROVIDE SPECIALTY CARE TO THE UNDERSERVED. HEALTH NEED: PROMOTE HEALTHY LIVING BEHAVIORS THAT REDUCE THE LIKELIHOOD OF CHRONIC DISEASE DEVELOPMENTOBJECTIVES:1. CONTINUE TO DEVELOP AND IMPLEMENT CORPORATE WELLNESS PROGRAMS.2. REDUCE THE AMOUNT OF TOBACCO USE IN THE COMMUNITY. 3. PROMOTE AWARENESS THAT EDUCATES ON HEALTH RISK BEHAVIORS TO ENCOURAGE OVERALL HEALTHY LIVING. 4. INCREASE THE LIKELIHOOD OF THE EARLY DETECTION OF CANCER THROUGH COMMUNITY EDUCATION AND EXPANDED ACCESS TO SCREENINGS AND PHYSICIAN SYMPOSIUMS.5. DEVELOP WIDESPREAD COMPREHENSIVE EDUCATION ON STROKE AWARENESS AND PREVENTION. 6. IMPROVE AWARENESS AND EDUCATION OF SPORT CONCUSSION INJURIES.7. TO DEVELOP WIDESPREAD COMPREHENSIVE EDUCATION ON HEART DISEASE AWARENESS AND PREVENTION.STRATEGY: * HOST PATIENT EDUCATION EVENTS PROMOTING AWARENESS AND SCREENING OF CANCER, AS WELL AS BRING TOGETHER MEDICAL PROFESSIONALS AND RESEARCHERS TO WORK TOGETHER TOWARDS ELIMINATION OF CANCER AND FURTHERING TREATMENT OPTIONS. * MAINTAIN PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS TO EXPAND ACCESS TO BREAST CANCER SCREENINGS. * CONTINUE TO SUPPORT THE CERVICAL DYSPLASIA CLINIC. * CONTINUE COLLABORATION WITH AMERICAN HEART/STROKE ASSOCIATION TO PROVIDE AWARENESS AND PREVENTION INFORMATION AT PUBLIC EDUCATION EVENTS AND MEDIA PROMOTIONS ON RADIO AND LOCAL TELEVISION NETWORKS. * EDUCATION AND TRAINING SUPPORT TO HEALTH CARE PROVIDERS IN SOUTHEAST TEXAS. * TO PREVENT SPORT CONCUSSIONS FROM IMPACTING OUR COMMUNITY THROUGH EDUCATION, EVIDENCE-BASED DIAGNOSTIC AND TREATMENT MODALITIES. * CONTINUE TO HOST HEART SCREENING EVENTS. * INCREASE KNOWLEDGE OF EARLY SIGNS AND SYMPTOMS OF HEART DISEASE THROUGH SERIES OF EDUCATIONAL SEMINARS. * CONTINUE IMPLEMENTATION OF HOME PLATE, A PROGRAM DESIGNED TO PROVIDE SAFETY CHECKS AND HEALTHY MEALS TO PATIENTS TO POST DISCHARGE. HEALTH NEED: INCREASE ACCESS TO MENTAL HEALTH CARE SERVICES WITHIN HOUSTON METHODIST'S SURROUNDING UNDERSERVED COMMUNITY OBJECTIVES:1. INCREASE OPPORTUNITY TO ACCESS MENTAL HEALTH/BEHAVIORAL HEALTH FOR THE UNDERSERVED. 2. PROVIDE EDUCATION ON IMPORTANCE OF MENTAL HEALTH CARE TO THE GREATER HOUSTON COMMUNITY. 3. INCREASE ACCESS TO IN-PATIENT AND POST FOLLOW-UP MENTAL HEALTH CARE SERVICES IN HOUSTON METHODIST HOSPITAL AND ITS SURROUNDING COMMUNITY. STRATEGY: * STRUCTURE A CARE FRAMEWORK AND PROCESS TO PROVIDE CARE COORDINATION SERVICES TO THOSE WITH BEHAVIORAL HEALTH ISSUES VIA IMPLEMENTATION OF THE DSRIP 1115 WAIVER. * PROVIDE GRANT SUPPORT TO LOCAL AGENCIES WITH INNOVATIVE MENTAL HEALTH PROGRAMS. * PLACE 1-2 HOUSTON METHODIST HOSPITAL PSYCHIATRY RESIDENTS IN COMMUNITY CLINICS FOR ROTATIONS ANNUALLY. * IDENTIFY A MENTAL HEALTH PROFESSIONAL TO SERVE AS A SPEAKER FOR EDUCATIONAL ACTIVITY. * PROVIDE SCREENINGS FOR PATIENTS AT RISK FOR SUICIDE AND DEPRESSION THROUGH THE PHQ-9 SCREENING TOOL. HEALTH NEEDS NOT BEING ADDRESSED:OF THE HEALTH NEEDS IDENTIFIED BY THE CHNA PROCESS, SEGMENTS THAT FELL UNDER THE UMBRELLA OF EACH PRIORITY WERE NOT ADDRESSED DUE TO INEFFICIENT RESOURCES OR THE NEED BEING OUTSIDE THE SCOPE OF SERVICES THAT HOUSTON METHODIST HOSPITAL IS ABLE TO PROVIDE. THOSE SEGMENTS INCLUDE:-SOCIAL DETERMINANTS: HOUSTON METHODIST HOSPITAL IS UNABLE TO FOCUS ON SOCIAL DETERMINANTS THAT INCLUDE TRANSPORTATION, HOUSING AFFORDABILITY, FOOD SECURITY AND OTHER FACTORS DUE TO COMPETITION FOR RESOURCES. HOUSTON METHODIST'S PRIMARY FOCUS IS TO PROVIDE ACCESS TO HEALTH CARE SERVICES. WITH RECOGNITION THAT THE LISTED DETERMINANTS CAN HAVE AN IMPACT ON ONE'S HEALTH STATUS AND OVERALL QUALITY OF LIFE, THE HOSPITAL SYSTEM IS NOT EQUIPPED TO ADDRESS SUCH DETERMINANTS DIRECTLY. HOWEVER, THE SYSTEM WILL CONTINUE TO SUPPORT CHARITABLE PARTNER FACILITIES WHOSE MISSIONS ARE FOCUSED ON SUCH INITIATIVES. -GREEN SPACE AND PARKS: HOUSTON METHODIST HOSPITAL IS UNABLE TO FOCUS ON PROVIDING ACCESS TO GREEN SPACE AND PARKS DUE TO COMPETITION FOR RESOURCES. HOUSTON METHODIST'S PRIMARY FOCUS IS TO PROVIDE ACCESS TO HEALTH CARE SERVICES. WITH RECOGNITION THAT ACCESS TO GREEN SPACE AND PARKS HAS THE POTENTIAL TO INCREASE LEVELS OF PHYSICAL ACTIVITY, AND ACCORDING TO SOME STUDIES HAS MENTAL HEALTH BENEFITS, THE HOSPITAL SYSTEM IS UNABLE TO FOCUS HEAVY RESOURCES ON THIS PROPOSED NEED. HOUSTON METHODIST WILL CONTINUE TO WORK WITH CHARITABLE PARTNERS AND THE CITY OF HOUSTON IN SUPPORT OF POTENTIAL INITIATIVES SURROUNDING GREEN SPACE. -UNIQUE HEALTH AND SOCIAL DISPARITIES WITHIN MINORITY POPULATIONS: HOUSTON METHODIST HOSPITAL IS FOCUSED ON ADDRESSING THE HEALTH DISPARITIES THAT EXIST IN OUR COMMUNITY. THROUGH THE PRIORITIZATION OF THE PREVIOUSLY LISTED NEEDS, THE IMPACT THAT RACE AND GENDER HAVE ON SUCH DISPARITIES WERE CONSIDERED IN THE CHNA. THIS NEED WILL BE ADDRESSED INDIRECTLY.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?3
Name and address Type of Facility (describe)
1 2 - HOUSTON METHODIST KIRBY EMERG CARE CTR
2615 SOUTHWEST FWY SUITE 140
HOUSTON,TX77098 		EMERGENCY CARE CENTER
2 4 - HOUSTON METHODIST VOSS EMERG CARE CTR
1635 SOUTH VOSS RD
HOUSTON,TX77057 		EMERGENCY CARE CENTER
3 5 - HOUSTON METHODIST PEARLAND EMERG CARE CT
11525 BROADWAY
PEARLAND,TX77584 		EMERGENCY CARE CENTER
4
5
6
7
8
9
10
Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 3C: GENERAL NOTE:THE METHODIST HOSPITAL IS DOING BUSINESS AS HOUSTON METHODIST HOSPITAL. HOUSTON METHODIST AS A SYSTEM, IS REPRESENTED AS HOUSTON METHODIST.
PART I, LINE 6A: HOUSTON METHODIST (THE SYSTEM), OF WHICH HOUSTON METHODIST HOSPITAL IS THE FLAGSHIP HOSPITAL OF THE SYSTEM, PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IS MADE AVAILABLE TO THE PUBLIC. THIS REPORT INCLUDES CHARITY CARE AND COMMUNITY BENEFITS PROVIDED BY HOUSTON METHODIST HOSPITAL AND SIX OTHER RELATED ACUTE CARE COMMUNITY HOSPITALS IN HARRIS COUNTY AND IN NEIGHBORING FORT BEND COUNTY, TEXAS.
PART I, LINE 7: THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE IN PART I, LINES 7A THRU 7C, WAS A COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 (RATIO OF PATIENT CARE COST TO CHARGES), AS PROVIDED IN THE INSTRUCTIONS TO FORM 990 SCHEDULE H. THE COSTING METHODOLOGY FOR LINES 7F THROUGH 7I WAS BASED ON ACTUAL EXPENDITURES.
PART I, LINE 7G: HOUSTON METHODIST HOSPITAL HAS NOT REPORTED ANY SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7(G).PART II:HOUSTON METHODIST HOSPITAL HAS NOT REPORTED ANY COMMUNITY BUILDING ACTIVITIES IN PART II, LINES 1 - 10.
PART III, LINE 2: THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT OF BAD DEBT EXPENSE (AT COST) REPORTED ON LINE 2 (NO AMOUNT WAS REPORTED ON LINE 3) WAS DERIVED FROM APPLYING THE RATIO OF PATIENT CARE COST TO CHARGES (FROM WORKSHEET 2, LINE 11) TO BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS.
PART III, LINE 4: THE TEXT OF THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE FROM THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF HOUSTON METHODIST, WHICH INCLUDES HOUSTON METHODIST HOSPITAL, IS AS FOLLOWS:UNCOLLECTIBLE, UNCOMPENSATED CARE GENERALLY (BAD DEBT) REPRESENTS STANDARD CHARGES THAT ARE UNREALIZABLE DUE TO THE INABILITY OR AN UNWILLINGNESS TO PAY BY THOSE RESPONSIBLE FOR PAYMENT. UNCOLLECTIBLE, UNCOMPENSATED CARE IS REPORTED AS A DEDUCTION FROM GROSS PATIENT REVENUE.
PART III, LINE 8: MEDICARE ALLOWABLE COSTS WERE DERIVED FROM HOUSTON METHODIST HOSPITAL'S FILED MEDICARE COST REPORTS FOR THE YEAR ENDED DECEMBER 31, 2016. THE ENTIRE MEDICARE SHORTFALL ($154.1 MILLION) AS REPORTED IN PART III, LINE 7, AS WELL AS THE UNREIMBURSED COST OF THE MEDICARE MANAGED CARE PROGRAM ($63.2 MILLION), AND TRICARE PROGRAMS ($4.8 MILLION), SHOULD BE TREATED AS A COMMUNITY BENEFIT, SINCE THESE SHORTFALLS, OR SUBSIDIES, REDUCE THE FEDERAL GOVERNMENT'S BURDEN IN PROVIDING HEALTH CARE TO MEDICARE BENEFICIARIES.
PART III, LINE 9B: HOUSTON METHODIST HAS A WRITTEN BAD DEBT COLLECTION POLICY; HOWEVER, NO COLLECTION EFFORTS ARE PUT FORTH FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE POLICY.
PART VI, LINE 2: IN ADDITION TO THE ABOVE DESCRIBED PROCESS OF THE CHNA IN WHICH HOUSTON METHODIST HOSPITAL UTILIZES SEVERAL DIFFERENT METHODS TO IDENTIFY THE HEALTH PRIORITIES (HEALTH CARE NEEDS) OF THE COMMUNITIES IT SERVES WHICH INCLUDE BUT ARE NOT LIMITED TO THE REVIEW OF RELEVANT SECONDARY RESOURCES SUCH AS HARRIS COUNTY PUBLIC HEALTH & ENVIRONMENTAL SERVICES COMMUNITY DATA; TEXAS DEPARTMENT OF STATE HEALTH SERVICES INFORMATION AND PUBLIC HEALTH EXPERT INTERVIEWS, HOUSTON METHODIST HOSPITAL IS ABLE TO IDENTIFY THE CHANGING NEEDS OF THE UNDERSERVED POPULATION THROUGH ESTABLISHED COMMUNITY PARTNERSHIPS WITH FEDERALLY QUALIFIED HEALTH CENTERS AND CHARITY FACILITIES. THROUGH QUARTERLY REPORTING AND CONSISTENT COMMUNICATION, HOUSTON METHODIST HOSPITAL IS ABLE TO STAY ABREAST OF THE NEEDS.
PART VI, LINE 3: FINANCIAL ASSISTANCE INFORMATION IS PROVIDED IN MULTIPLE LOCATIONS WITHIN HOUSTON METHODIST; AT THE POINT OF REGISTRATION, DURING CASE MANAGEMENT AND AT THE TIME OF COLLECTIONS POST DISCHARGE. EVERY CHECK-IN LOCATION HAS INFORMATION POSTED IN BOTH ENGLISH AND SPANISH STATING HOW THE PATIENT CAN ACCESS FINANCIAL ASSISTANCE INFORMATION.ADDITIONALLY, THIS INFORMATION IS INCLUDED IN THE PATIENT GUIDE PROVIDED TO THE PATIENT AT THE TIME OF REGISTRATION. HOUSTON METHODIST FINANCIAL COUNSELORS ACTIVELY SEEK ALL UNINSURED INPATIENTS AND OUTPATIENTS WITH SCHEDULED SERVICES FOR A PERSONAL VISIT. DURING THESE VISITS, THE FINANCIAL COUNSELORS WILL SCREEN THE PATIENT FOR FINANCIAL ASSISTANCE AND WILL PROVIDE THE PATIENT WITH THE FINANCIAL ASSISTANCE APPLICATION. THE PATIENT WILL THEN BE PROVIDED A LIST OF RESOURCES WITH CONTACT INFORMATION SHOULD THE PATIENT REQUIRE FURTHER ASSISTANCE IN COMPLETING THE APPLICATION.HOUSTON METHODIST UTILIZES AN ELIGIBILITY PARTNER TO WORK CLOSELY WITH PATIENTS TO QUALIFY FOR STATE AND FEDERAL ASSISTANCE PROGRAMS (E.G., MEDICAID, SCHIP, CRIME VICTIMS, ETC.). THIS ELIGIBILITY PARTNER WILL MEET WITH ALL UNINSURED INPATIENTS TO DISCUSS STATE AND FEDERAL ASSISTANCE PROGRAMS; WHERE THE PATIENT IS NOT ELIGIBLE FOR THESE PROGRAMS, HOUSTON METHODIST'S INTERNAL FINANCIAL ASSISTANCE PROGRAM IS INTRODUCED.HOUSTON METHODIST'S CASE MANAGEMENT UNIT WORKS CLOSELY WITH THE PATIENT DURING PATIENT DISCHARGE MANAGEMENT TO ENSURE THE PATIENT IS INTRODUCED TO ALL RESOURCES THAT MAY BE NEEDED POST DISCHARGE (E.G., HOME HEALTH, SKILLED NURSING, ETC.). THE CASE MANAGEMENT UNIT WORKS WITH THE PATIENT TO QUALIFY THE PATIENT AND TO GAIN ACCESS TO THESE RESOURCES.ADDITIONALLY, THE CASE MANAGEMENT UNIT WORKS CLOSELY WITH THE FINANCIAL COUNSELORS WHEN THE PATIENT IS IDENTIFIED AS HAVING A NEED FOR FINANCIAL ASSISTANCE.HOUSTON METHODIST'S PATIENT ACCOUNTING UNIT WORKS CLOSELY WITH ALL UNINSURED PATIENTS POST DISCHARGE DURING THE BILLING AND COLLECTIONS PROCESS. HOUSTON METHODIST'S COLLECTIONS PERSONNEL WILL VERBALLY SCREEN PATIENTS FOR FINANCIAL ASSISTANCE DURING COLLECTION CALLS; WHERE APPLICABLE, THE PATIENT WILL BE SENT A FINANCIAL ASSISTANCE APPLICATION EITHER IN ENGLISH OR SPANISH. ADDITIONALLY, ALL BILLING STATEMENTS PROVIDE THE PATIENT WITH A PHONE NUMBER FOR CUSTOMER SERVICE TO OBTAIN PAYMENT OPTIONS. HOUSTON METHODIST UTILIZES OUTSIDE COLLECTION ASSISTANCE, FOR BOTH EARLY OUT AND BAD DEBT COLLECTIONS. EACH COLLECTION AGENCY MUST ADHERE TO HOUSTON METHODIST'S FINANCIAL ASSISTANCE POLICY AND PHILOSOPHY DURING ALL COMMUNICATION AND COLLECTION EVENTS WITH HOUSTON METHODIST PATIENTS.HOUSTON METHODIST FINANCIAL ASSISTANCE APPLICATION IS REVIEWED PERIODICALLY; ADDITIONALLY, HOUSTON METHODIST PERSONNEL ARE PROVIDED WITH EDUCATIONAL IN-SERVICES IN THE ADMINISTERING OF THE FINANCIAL ASSISTANCE POLICY AS NEEDED.
PART VI, LINE 4: HOUSTON METHODIST HOSPITAL (HMH) DEFINES THE HOUSTON-SUGARLAND-BAYTOWN METROPOLITAN STATISTICAL AREA (MSA) AS ITS COMMUNITY. HMH PRIMARILY SERVES THE FOLLOWING COUNTIES THAT ARE LOCATED IN THIS MSA: HARRIS, FORT BEND, MONTGOMERY, BRAZORIA, GALVESTON, LIBERTY, CHAMBERS, WALLER, AND WHARTON COUNTIES. THE TOTAL POPULATION OF THE AREA INCREASED BY 11.9% BETWEEN 2010 AND 2015, EQUATING TO AN ADDITION OF 708,694 RESIDENTS. BASED ON THE TOTAL POPULATION IN COMPARISON TO ALL 917 METRO AREAS IN THE NATION, THE HMH COMMUNITY WAS RANKED 6TH LARGEST IN 2010 AND 5TH LARGEST IN 2015. ANNUAL NET MIGRATION TO THE MSA WAS 98,133 RESIDENTS IN 2014 AND 105,365 RESIDENTS IN 2015.THE HOUSTON METHODIST HOSPITAL (HMH) COMMUNITY SPANS 8,358 SQUARE MILES AND CONTAINS AN ESTIMATED POPULATION OF 6,518,103 RESIDENTS. AS THE LARGEST COUNTY IN TEXAS, HARRIS COUNTY ACCOUNTS FOR AN ESTIMATED 4.5 MILLION OF HMH COMMUNITY RESIDENTS, EQUATING TO APPROXIMATELY 68% OF THE HMH COMMUNITY POPULATION. THE HMH COMMUNITY SIGNIFICANTLY EXPANDED BETWEEN YEARS 2000 AND 2010. DURING THIS TIME THE COMMUNITY ADDED 1,227,255 PEOPLE FOR AN ESTIMATED GROWTH OF 26.1%. SINCE 2010, THE COMMUNITY OVERALL HAS GROWN BY ANOTHER 9%. CHAMBERS COUNTY HAS THE SMALLEST POPULATION, ACCOUNTING FOR 34,863 OF HMH COMMUNITY RESIDENTS, WHICH IS APPROXIMATELY 1% OF THE COMMUNITY POPULATION. FORT BEND COUNTY AND MONTGOMERY COUNTY EXPERIENCED THE MOST POPULATION GROWTH WITHIN THE MSA COUNTIES BETWEEN 2010 AND 2015, AT RATES OF 16% AND 13%, RESPECTIVELY. BETWEEN 2015 AND 2020, FORT BEND IS EXPECTED TO EXPERIENCE AN 11% POPULATION INCREASE, AND MONTGOMERY COUNTY IS EXPECTED TO EXPERIENCE A 9% INCREASE. BETWEEN 2010 AND 2015, THE HOUSTON-SUGARLAND-BAYTOWN MSA SAW A 9% POPULATION INCREASE OVERALL, WITH ANOTHER 8% INCREASE EXPECTED BETWEEN 2015 AND 2020. WHARTON COUNTY EXPERIENCED THE LEAST AMOUNT OF POPULATION GROWTH WITHIN THE MSA COUNTIES BETWEEN 2010 AND 2015 AT 1%. WHARTON COUNTY IS EXPECTED TO HAVE THE LOWEST POPULATION GROWTH IN COMPARISON TO THE OTHER MSA COUNTIES BETWEEN 2015 AND 2020. THE HMH COMMUNITY REFLECTS THE RACIAL MAKEUP OF THE HOUSTON-SUGARLAND-BAYTOWN METROPOLITAN STATISTICAL AREA. THIS COMMUNITY IS CONSIDERED ONE OF THE MOST DIVERSE IN THE NATION, WITH HOUSTON MAINTAINING A MINORITY-MAJORITY CITY STATUS DUE IN PART TO A LARGE HISPANIC/NON-WHITE POPULATION. HMH SERVES AN INCREDIBLY DYNAMIC AND DIVERSE COMMUNITY. THE COMMUNITY LACKS A SINGULAR RACIAL MAJORITY AND EVERY RACE CURRENTLY OCCUPIES A MINORITY POSITION. THE ASIAN POPULATION EXPERIENCED THE MOST GROWTH IN THE HMH COMMUNITY (19%) BETWEEN 2010 AND 2015. THE HISPANIC POPULATION INCREASED BY 13% BETWEEN 2010 AND 2015, AND IS EXPECTED TO INCREASE BY 12% BETWEEN 2015 AND 2020. THE ANGLO POPULATION INCREASED THE LEAST IN THE PAST FIVE YEARS IN COMPARISON TO OTHER RACIAL GROUPS, AND IS EXPECTED TO MAINTAIN THE LOWEST RATE OF INCREASE BY 2020. FORT BEND COUNTY CURRENTLY RANKS AS THE MOST DIVERSE COUNTY WITHIN THE HMH COMMUNITY. MONTGOMERY COUNTY CURRENTLY RANKS BEHIND ALL OF THE OTHER COUNTIES IN TERMS OF RACIAL DIVERSITY. THREE MAJOR AGE GROUPS MAKE UP THE HOSPITAL METHODIST HOSPITAL (HMH) COMMUNITY. THEY ARE 1) THE YOUTH, ADOLESCENT, AND YOUNG ADULT POPULATION; 2) THE ADULT POPULATION; AND 3) THE SENIOR POPULATION. THE YOUTH AND ADOLESCENT POPULATION IS DEFINED AS ANY PERSON BETWEEN THE AGES OF 0-17 YEARS. THE YOUTH AND ADOLESCENT POPULATION ACCOUNTS FOR THE SECOND HIGHEST PERCENTAGE OF THE HMH COMMUNITY (27%). THERE IS LOW PERCENTAGE VARIABILITY BETWEEN THE AGE GROUPS INCLUDED IN THIS POPULATION. THE ADULT POPULATION IS DEFINED AS ANY PERSON BETWEEN THE AGES OF 18-64 YEARS. THE ADULT POPULATION ACCOUNTS FOR THE HIGHEST PERCENTAGE OF THE HMH COMMUNITY (63%). THE ADULT POPULATION IS EXPECTED TO GROW 12% BY 2020. PROJECTIONS TO 2020 ESTIMATE THE ADULT POPULATION TO REMAIN THE MOST SIGNIFICANT PORTION OF THE HMH COMMUNITY. COMMUNITY MEMBERS BETWEEN 18-44 YEARS OLD CURRENTLY ACCOUNT FOR THE HIGHEST PERCENTAGE OF THE ADULT POPULATION. THE SENIOR POPULATION IS DEFINED AS ANY PERSON OVER THE AGE OF 65 YEARS. THE SENIOR POPULATION CURRENTLY ACCOUNTS FOR 10% OF THE HMH COMMUNITY. WHILE IT ACCOUNTS FOR THE LOWEST PERCENTAGE OF THE COMMUNITY, THE SENIOR POPULATION PROJECTS THE HIGHEST PERCENT GROWTH OF ANY COHORT BY 2020 (30%). GROWTH TRENDS WITHIN THE SENIOR POPULATION REFLECT THE AGING OF THE HMH COMMUNITY. THE LARGEST PERCENT GROWTH WITHIN THE HMH COMMUNITY OCCURS IN THE SENIOR POPULATION BETWEEN THE AGES OF 65-79. THIS RANGE ENCOMPASSES THREE SUB COHORTS PROJECTED TO INCREASE BY AN AVERAGE OF 35% BY 2020. THE SENIOR POPULATION OF THE HMH COMMUNITY ALSO CONTAINS FOUR OF THE FIVE POPULATION SUB COHORTS EXPECTED TO GROW THE MOST BY 2020(65-69, 70-74, AND 75-79, 85+). NO SUB COHORT OF THE SENIOR POPULATION IS EXPECTED TO CONTRACT BY 2020THE HMH COMMUNITY AS A WHOLE HAS EXPERIENCED AN EXPANSION IN AVERAGE HOUSEHOLD INCOME DATING BACK TO 2000. THIS INCREASE OF HMH AVERAGE HOUSEHOLD INCOME ALSO PROJECTS TO CONTINUE INTO 2020 FOR NEARLY ALL HMH COMMUNITY COUNTIES. IN 2015, THE AVERAGE HOUSEHOLD INCOME IN HARRIS COUNTY WAS $54, 457. FORT BEND COUNTY CURRENTLY HAS THE HIGHEST AVERAGE HOUSEHOLD INCOME AT $88,516. WHARTON COUNTY CURRENTLY HAS THE LOWEST AVERAGE HOUSEHOLD INCOME AT $44,110. EDUCATIONAL ATTAINMENT VARIES ACROSS COUNTIES WITHIN THE HMH COMMUNITY. AMONG THE 3,908,384 COMMUNITY MEMBERS AGE 25 YEARS OF AGE AND OLDER, 18.5% DID NOT GRADUATE FROM HIGH SCHOOL, 23.5% POSSESS ONLY A HIGH SCHOOL DIPLOMA, 19.5% ALSO POSSESS A BACHELOR'S DEGREE, AND 10.5% ALSO POSSESS A GRADUATE OR PROFESSIONAL DEGREE.THE HOUSTON METHODIST HOSPITAL (HMH) COMMUNITY IS ONE OF THE MOST LINGUISTICALLY DIVERSE IN THE UNITED STATES, WITH 37.8% OF COMMUNITY MEMBERS UTILIZING A DOMINATE LANGUAGE OTHER THAN ENGLISH. SPANISH IS THE PREDOMINATE LANGUAGE SECOND TO ENGLISH, WITH 1.7 MILLION COMMUNITY MEMBERS (29%) REPORTING SPANISH AS THEIR PRIMARY LANGUAGE. 3.1% OF COMMUNITY MEMBERS SPEAK OTHER INDO-EUROPEAN LANGUAGES, 4.5% SPEAK ASIAN AND PACIFIC ISLANDER LANGUAGES, AND 1.1% SPEAK OTHER LANGUAGES, NOT IDENTIFIED. HOUSTON METHODIST HOSPITAL (HMH) IS LOCATED WITHIN HARRIS COUNTY. WITH HARRIS BEING THE LARGEST COUNTY AND THE COUNTY MOST SERVED BY HMH, IT IS IMPORTANT TO NOTE THE INSURANCE STATUS OF THIS SPECIFIC POPULATION. IN 2015, 16% OF HARRIS COUNTY MEMBERS WERE REPORTED AS UNINSURED. IN 2015, 16.6% OF OVERALL COMMUNITY MEMBERS (ALL COUNTIES THAT HMH SERVES COMBINED), WERE ENROLLED IN MEDICARE. WITH THAT, 494,942 RESIDENTS OF HARRIS COUNTY ENROLLED IN MEDICARE WHICH ACCOUNTS FOR APPROXIMATELY 11% OF THE ESTIMATED HARRIS POPULATION.
PART VI, LINE 5: HOUSTON METHODIST HOSPITAL IS AN ACUTE CARE COMPLEX THAT IN 2016 OFFERED 907 OPERATING BEDS, 78 OPERATING ROOMS, 1,848 AFFILIATED PHYSICIANS AND 7,244 EMPLOYEES. IT IS THE FLAGSHIP OF HOUSTON METHODIST.AFFILIATED WITH THE TEXAS ANNUAL CONFERENCE OF THE UNITED METHODIST CHURCH, HOUSTON METHODIST HOSPITAL WORKS CLOSELY WITH LOCAL CHURCH LEADERS TO BRING COMPASSION AND SPIRITUALITY TO ALL OF ITS ENDEAVORS AND TO HELP MEET THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. HOUSTON METHODIST HOSPITAL'S PRIMARY ACADEMIC AFFILIATES ARE WEILL CORNELL MEDICAL COLLEGE AND NEW YORK-PRESBYTERIAN HOSPITAL. HOUSTON METHODIST HOSPITAL ALSO HAS AFFILIATIONS WITH THE UNIVERSITY OF HOUSTON, RICE UNIVERSITY, BAYLOR COLLEGE OF MEDICINE, TEXAS A&M UNIVERSITY AND OTHERS. HOUSTON METHODIST HOSPITAL IS A TEACHING HOSPITAL AND AS PART OF ITS TEACHING PROGRAM IT SPONSORED 267 MEDICAL RESIDENTS IN 40 ACGME-ACCREDITED PROGRAMS AND 9 GME-SPONSORED FELLOWSHIP PROGRAMS IN 2016.GOVERNING BODYHOUSTON METHODIST HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS COMPRISED OF MEMBERS OF THE COMMUNITY WHERE IT IS LOCATED. HOUSTON METHODIST HOSPITAL'S BOARD OF DIRECTORS INCLUDES MEMBERS FROM THE COMMUNITY AS WELL AS THE SYSTEM'S PRESIDENT/CEO, HOUSTON METHODIST HOSPITAL'S MEDICAL STAFF PRESIDENT AND THE BISHOP OF THE TEXAS ANNUAL CONFERENCE OF THE UNITED METHODIST CHURCH.COMMUNITY COUNCILSHOUSTON METHODIST HOSPITAL ALSO HAS COMMUNITY INVOLVEMENT THROUGH ADVISORY COUNCILS COMPRISED OF COMMUNITY MEMBERS, INCLUDING MEMBERS OF THE HOUSTON METHODIST BOARD OF DIRECTORS, WHO VOLUNTEER TO CREATE HEALTH-RELATED PROGRAMS FOR HOUSTONIANS. ONE EXAMPLE IS THE PRESIDENT'S LEADERSHIP COUNCIL (PLC), AN ADVISORY BOARD SERVING THE HOSPITAL AND THE ENTIRE HOUSTON METHODIST SYSTEM. PLC MEMBERS WORK WITH HOUSTON METHODIST'S PRESIDENT AND CEO TO ACHIEVE THE HOSPITAL SYSTEM'S MISSION OF IMPROVING HEALTH FOR ITS PATIENTS THROUGH RESEARCH, EDUCATION AND CLINICAL CARE. THE MEMBERS OF THE PLC SERVE AS ADVOCATES AND PHILANTHROPIC AMBASSADORS FOR HOUSTON METHODIST. PLC MEMBERS ARE HIGH-LEVEL VOLUNTEERS WHO BRING PROFESSIONAL EXPERTISE, COMMUNITY AND PATIENT PERSPECTIVES TO HOUSTON METHODIST LEADERSHIP ON BEHALF OF OUR CITY, STATE AND NATION. PARTICIPANTS ARE ENCOURAGED TO SERVE ON ONE OR MORE COMMITTEES FOCUSING ON INSTITUTIONAL ADVOCACY, PHILANTHROPY, CONSTITUENT EVENTS, CORPORATE RELATIONSHIPS OR DEPARTMENTAL PRIORITIES. THE PLC IS A NON-GOVERNING, NON-FIDUCIARY ORGANIZATION AND IS NOT RESPONSIBLE FOR HEALTH CARE OR SYSTEM OVERSIGHT. PLC MEMBERS ARE ASKED TO SERVE A THREE-YEAR TERM, WHICH IS RENEWABLE.OTHER COUNCILS INCLUDE THE HOUSTON METHODIST DEBAKEY HEART & VASCULAR CENTER COUNCIL, THE NEUROLOGICAL INSTITUTE NATIONAL COUNCIL AND THE CENTER FOR PERFORMING ARTS MEDICINE ADVISORY COUNCIL.MEDICAL STAFF MODELHOUSTON METHODIST HOSPITAL HAS AN OPEN MEDICAL STAFF MODEL. THE OPEN MODEL GIVES PATIENTS ACCESS TO PHYSICIANS OF ALL AFFILIATIONS.HEALTH EDUCATIONTHE HOUSTON METHODIST INSTITUTE FOR ACADEMIC MEDICINE PERFORMS CLINICAL AND TRANSLATIONAL EDUCATION WITH A PATIENT-CENTERED AND INTER-PROFESSIONAL TEAM BASED APPROACH. HOUSTON METHODIST HOSPITAL CONTINUALLY MAXIMIZES THE EFFECTIVENESS OF ITS INNOVATIVE TEACHING AND LEARNING PROGRAMS WITH EVIDENCE-BASED METHODOLOGY GROUNDED IN EDUCATIONAL RESEARCH. THIS APPROACH, COMBINED WITH A COLLABORATIVE ENVIRONMENT OF LEARNERS FROM AROUND THE GLOBE, CREATES THE MOST EFFECTIVE EDUCATIONAL EXPERIENCE FOR HEALTH AND TRANSLATIONAL RESEARCH PROFESSIONALS.HOUSTON METHODIST'S MISSION OF LEADING MEDICINE IS GROUNDED IN A COMMITMENT TO TRANSLATIONAL, INTERDISCIPLINARY AND TRANSFORMATIVE RESEARCH AND EDUCATION. OUR MISSION IS TO INNOVATE IN HEALTH CARE TECHNOLOGY AND TRAIN CURRENT AND FUTURE CLINICIANS AND TRANSLATIONAL RESEARCHERS IN CUTTING EDGE HEALTH CARE ADVANCES. THE INSTITUTE FOR ACADEMIC MEDICINE SUPPORTS RESEARCH AND EDUCATION PROGRAMS AT HOUSTON METHODIST BY PROVIDING THE PLATFORM TECHNOLOGIES AND RESEARCH PROGRAMS, ADMINISTRATIVE SUPPORT, STAFF, AND FACILITIES THAT ARE NEEDED TO RAPIDLY TRANSLATE DISCOVERIES MADE IN THE LABORATORY AND THE CLINIC INTO NEW DIAGNOSTICS, THERAPIES AND TREATMENTS.THE OFFICE OF CONTINUING MEDICAL EDUCATION PROVIDES LOCAL, NATIONAL AND INTERNATIONAL EDUCATION CONCENTRATED IN AREAS WHERE OUR CLINICIANS AND SCIENTISTS HAVE RECOGNIZED EXCELLENCE AND WHERE OUR COMMUNITY HAS THE GREATEST NEED. SINCE 2005, HOUSTON METHODIST HOSPITAL HAS TRAINED PHYSICIANS IN VARIOUS MEDICAL AND SURGICAL SPECIALTIES. HOUSTON METHODIST SPONSORED 40 ACGME-ACCREDITED AND 9 GME-SPONSORED FELLOWSHIP PROGRAMS IN 2016, GRADUATING ITS 11TH CLASS OF 92 MEDICAL RESIDENTS. AMONG THEM WERE THE FIRST CLASS OF GRADUATING RESIDENTS FROM OUR INTEGRATED VASCULAR SURGERY AND ORTHOPEDIC SURGERY RESIDENCY PROGRAMS. IT IS GENUINELY EXCITING TO SEE HOW THIS PROGRAM HAS GROWN OVER THE PAST 11 YEARS AND WE NOW HAVE 270 RESIDENTS AND FELLOWS IN HOUSTON METHODIST-SPONSORED GRADUATE MEDICAL EDUCATION. BY AUGUST 2016, HOUSTON METHODIST HAD 262 RESIDENTS AND FELLOWS IN HOUSTON METHODIST-SPONSORED GRADUATE MEDICAL EDUCATION PROGRAMS. 2016 ALSO MARKED THE SECOND YEAR OF A COLLABORATION WITH TEXAS A&M HEALTH SCIENCE CENTER, AND UNDER THE PARTNERSHIP THE HOSPITAL WELCOMED 23 MEDICAL STUDENTS AND 1 M.D./PH.D. STUDENTS TO THE HOUSTON CAMPUS, BRINGING THE TOTAL NUMBER OF A&M COLLEGE OF MEDICINE STUDENTS TO 48 (23 M4 STUDENTS + 1 EXISTING MD/PHD STUDENT). HOUSTON METHODIST HOSPITAL HOPES THIS TYPE OF COLLABORATIVE RELATIONSHIP WILL ONE DAY FACILITATE MEDICAL INNOVATION, AS YOUNG RESEARCHERS ARE PROVIDED THE OPPORTUNITY TO WORK WITH WORLD-CLASS RESEARCHERS AND PHYSICIANS.THE HOUSTON METHODIST INSTITUTE FOR TECHNOLOGY, INNOVATION AND EDUCATION (MITIE) IS A COMPREHENSIVE, STATE-OF-THE-ART EDUCATION AND RESEARCH CENTER FOR PHYSICIANS WHO WISH TO ACQUIRE NEW PROCEDURAL SKILLS AND INTEGRATE NEW TECHNOLOGIES INTO THEIR PRACTICES. ITS RESEARCH MISSION IS TO ENHANCE THE USE OF IMAGE GUIDED TECHNOLOGY TO GUIDE PROCEDURES, INCORPORATE ROBOTIC SURGERY INTO THE IMAGE GUIDED PLATFORM AND DEVELOP NEW TECHNOLOGY AND PROCEDURAL TECHNIQUES. HOUSTON METHODIST HOSPITAL ALSO OFFERS A MEDICAL LABORATORY SCIENCE PROGRAM WITH A 12-MONTH TRACK FOR PROFESSIONALS IN PATHOLOGY AND LABORATORY MEDICINE; AN ADMINISTRATIVE FELLOWSHIP AND INTERNSHIP PROGRAM FOR FUTURE HEALTH CARE LEADERS; PROFESSIONAL DEVELOPMENT PROGRAMS FOR NURSING; A PHARMACY RESIDENCY PROGRAM AND A POSTGRADUATE RESIDENCY FOR CARDIOVASCULAR SURGERY PHYSICIAN ASSISTANTS.MEDICAL RESEARCHHOUSTON METHODIST RESEARCH INSTITUTE, A SUBSIDIARY OF HOUSTON METHODIST HOSPITAL, WAS ESTABLISHED IN 2004 TO CONDUCT ESSENTIAL TRANSLATIONAL RESEARCH. IN 2016 IT WAS HOME TO 622 FACULTY AND 1,843 CREDENTIALED RESEARCHERS, AND MORE THAN 1,000 ONGOING CLINICAL TRIALS. HOUSTON METHODIST RESEARCH INSTITUTE IS DIRECTLY TIED TO CLINICIANS AND PATIENTS TO HELP MOVE THE BEST IN MEDICAL TECHNOLOGY TO THE PATIENT FASTER - FOR BETTER PREVENTION, DIAGNOSIS AND TREATMENT OF DISEASE. HOUSTON METHODIST RESEARCH INSTITUTE IS ONE WAY HOUSTON METHODIST HOSPITAL INTEGRATES ITS SERVICES, BY BRINGING THE RESEARCH CONDUCTED IN THE LABORATORY TO THE PATIENT'S BEDSIDE. THE DISCOVERIES MADE BY OUR RESEARCHERS QUICKLY FILTER DOWN TO OUR HOSPITALS IN THE FORM OF NEW TREATMENTS AND IMPROVED PROCEDURES.USE OF SURPLUS FUNDS IN 2016 HOUSTON METHODIST HOSPITAL, THROUGH HOUSTON METHODIST'S EXTERNAL CHARITY CARE PROGRAM, PROVIDED A TOTAL OF $33.3 MILLION FOR SERVICES TO THE MEDICALLY NEEDY THROUGH EXTERNAL ORGANIZATIONS THAT ARE ALREADY MEETING THE HEALTH CARE NEEDS THAT HOUSTON METHODIST HAS IDENTIFIED AS PRIORITIES. HOUSTON METHODIST HOSPITAL PROVIDED $28.9 MILLION IN FINANCIAL ASSISTANCE FOR INTERNAL CHARITY BASED ON THE IRS DEFINITION OF COST.
AN INTERNAL CHARITY CARE PROGRAM PROVIDES SERVICES TO THE INDIGENT AT HOUSTON METHODIST HOSPITAL AND THROUGH AFFILIATED ORGANIZATIONS. THE MAJORITY OF PATIENTS WHO QUALIFIED FOR CHARITY CARE WERE EDUCATED ABOUT THE PROGRAM THROUGH SIGNS POSTED THROUGHOUT THE HOSPITAL. OTHER PATIENTS WERE REFERRED BY THEIR PHYSICIANS, HOSPITAL STAFF AND THROUGH FUNDED COMMUNITY AGENCIES. SURPLUS FUNDS ARE ALSO USED EACH YEAR TO STRENGTHEN COMMUNITY SERVICE OUTREACH TO SUPPORT LOW-INCOME AND UNINSURED PATIENTS TO HELP THEM ATTAIN ACCESS TO COMPREHENSIVE HEALTH CARE. SERVICES PROVIDED INCLUDE PRIMARY HEALTH CARE, EMERGENCY AND ROUTINE CARE, IMMUNIZATIONS, DENTAL CARE, PSYCHOLOGICAL AND CASE MANAGEMENT SERVICES, WELL CHILD EXAMINATIONS, SICK VISITS, HEALTH EDUCATION, HEALTH SCREENINGS, WELL WOMAN EXAMS AND IN-KIND LAB SERVICES AND X-RAYS.HOUSTON METHODIST HOSPITAL'S SUPPORT ALLOWED THESE ORGANIZATIONS TO ENHANCE THEIR SERVICES TO LOW-INCOME PATIENTS WITH DIVERSE HEALTH NEEDS. HOUSTON METHODIST PROVIDED DIRECT FUNDING AND/OR IN-KIND SERVICES INCLUDING LAB TESTS, X-RAYS, IMMUNIZATIONS, HUMAN RESOURCES CONSULTATION AND OTHER SERVICES. WITH THE HOSPITAL'S SUPPORT, AGENCIES LIKE VECINO HEALTH CENTERS AND GOOD NEIGHBOR HEALTHCARE CENTER WERE POSITIONED TO MEET FEDERALLY QUALIFIED HEALTH CENTER DESIGNEE QUALIFICATIONS, THEREBY ALLOWING THEM TO QUALIFY FOR ENHANCED MEDICARE AND MEDICAID REIMBURSEMENT.PART VI, LINE 6:LOCATED IN THE HEART OF THE TEXAS MEDICAL CENTER, HOUSTON METHODIST HOSPITAL IS THE FLAGSHIP HOSPITAL OF THE HOUSTON METHODIST SYSTEM AND SERVES PATIENTS FROM ALL OVER THE WORLD. HOUSTON METHODIST INCLUDES HOUSTON METHODIST SUGAR LAND HOSPITAL IN FORT BEND COUNTY, HOUSTON METHODIST SAN JACINTO HOSPITAL IN BAYTOWN, HOUSTON METHODIST WILLOWBROOK HOSPITAL IN NORTHWEST HOUSTON, HOUSTON METHODIST WEST HOSPITAL IN THE KATY AREA, HOUSTON METHODIST ST. JOHN HOSPITAL IN THE CLEAR LAKE AREA, HOUSTON METHODIST ST. CATHERINE HOSPITAL IN THE KATY AREA. THE ST. CATHERINE FACILITY HAS BEEN CONVERTED TO A LONG-TERM ACUTE CARE FACILITY. HOUSTON METHODIST THE WOODLANDS HOSPITAL IS SCHEDULED TO OPEN IN JULY 2017. HOUSTON METHODIST HOSPITAL SHARES THE GREATER MISSION OF HOUSTON METHODIST TO PROVIDE HIGH QUALITY, COST-EFFECTIVE HEALTH CARE THAT DELIVERS THE BEST VALUE TO THE PEOPLE WE SERVE IN A SPIRITUAL ENVIRONMENT OF CARING IN ASSOCIATION WITH INTERNATIONALLY RECOGNIZED TEACHING AND RESEARCH. HOUSTON METHODIST HOSPITAL IS AMONG THE COUNTRY'S LARGEST NON-PROFIT HEALTH CARE PROVIDERS. IN 2016, HOUSTON METHODIST HOSPITAL RECORDED 38,077 ADMISSIONS AND TREATED 289,378 OUTPATIENTS. IT RECEIVED 73,409 EMERGENCY ROOM VISITS.HOUSTON METHODIST HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY AND THE MISSION OF HOUSTON METHODIST BY DELIVERING THE HIGHEST QUALITY AND SAFEST HEALTH CARE TO OUR PATIENTS. QUALITY INITIATIVES RANGE FROM HAND HYGIENE PROGRAMS (WITH EXCEPTIONALLY GOOD RESULTS), TO PATIENT FALL AND INFECTION REDUCTION PROGRAMS. HOUSTON METHODIST HOSPITAL WAS THE FIRST HOSPITAL IN THE TEXAS MEDICAL CENTER TO REQUIRE ITS EMPLOYEES, VENDORS AND VOLUNTEERS TO RECEIVE THE SEASONAL FLU SHOT TO PROTECT OUR PATIENTS, THOSE TYPICALLY MOST VULNERABLE TO COMPLICATIONS FROM THE FLU.HOUSTON METHODIST HOSPITAL IS THE ACADEMIC MEDICAL CENTER FOR HOUSTON METHODIST, BRINGING THE COMMUNITY AN INSTITUTION DEDICATED TO PATIENT CARE, RESEARCH AND EDUCATION. BY SERVING AS A LEADING ACADEMIC MEDICAL CENTER, IT PROVIDES THE COMMUNITY WITH QUALITY PATIENT CARE, LEADING RESEARCH THAT CAN BE QUICKLY TRANSLATED INTO TREATMENTS AND THE TRAINING OF OUR COUNTRY'S FUTURE DOCTORS. WHILE ALL HOUSTON METHODIST HOSPITALS PROVIDE QUALITY PATIENT CARE, HOUSTON METHODIST HOSPITAL EXPANDS THE VISION TO INCLUDE RESEARCH AND A COMPREHENSIVE RESIDENCY PROGRAM. ASIDE FROM PROMOTING THE HEALTH OF OUR COMMUNITY BY DELIVERING EXCEPTIONAL LEADING CARE TO OUR PATIENTS, HOUSTON METHODIST MAKES SIGNIFICANT CONTRIBUTIONS THROUGH COMMUNITY BENEFITS PROGRAMS AS DESCRIBED BELOW.COMMUNITY BENEFIT ACTIVITIES AND HEALTH SERVICES:HOUSTON METHODIST HOSPITAL RESPONDED TO THE COMMUNITY'S NEEDS IN 2016 THROUGH THE PROVISION OF MEDICAL CARE, BUT ALSO THROUGH RESEARCH, EDUCATION OF HEALTH PROFESSIONALS AND PATIENTS, COMMUNITY HEALTH EDUCATION, DONATIONS TO HEALTH CARE-RELATED EVENTS AND OTHER SERVICES.SINCE 1993, HOUSTON METHODIST HOSPITAL HAS PROVIDED COMMUNITY BENEFITS GRANTS TO ORGANIZATIONS THAT PROVIDE DIRECT PATIENT CARE WITH A FOCUS ON PREVENTIVE CARE, DENTAL SERVICES, MENTAL HEALTH, HEALTH CARE ACCESS, PRENATAL CARE AND DIABETES/NUTRITION CARE TO UNDERSERVED COMMUNITIES. BY PROVIDING FINANCIAL ASSISTANCE TO LOCAL CLINICS AND NON-PROFIT ORGANIZATIONS, HOUSTON METHODIST CONTRIBUTES TO THEIR ABILITY TO GROW AND THRIVE, ENSURING A HEALTHIER LIFE FOR THE FUTURE OF ALL WHO WALK THROUGH THEIR DOORS.
HOUSTON METHODIST CHAMPIONS COMMUNITY ORGANIZATIONS THAT PROVIDE OUTSTANDING HEALTH CARE TO PEOPLE OF ALL BACKGROUNDS. IN 2016, HOUSTON METHODIST HOSPITAL SUPPORTED NUMEROUS AGENCIES ACROSS THE GREATER HOUSTON AREA INCLUDING BUT NOT LIMITED TO:-CASA DE ESPERANZA DE LOS NINOS, INC.-EL CENTRO DE CORAZON-EYE CARE FOR KIDS FOUNDATION-HEALTHCARE FOR THE HOMELESS - HOUSTON-HOPE CLINIC-HOUSTON AREA WOMEN'S CENTER-INTERFACE-SAMARITAN COUNSELING CENTER-LEGACY COMMUNITY HEALTH SERVICES-SAN JOSE CLINIC-THE ROSE-THE WOMEN'S HOME-VECINO HEALTH CENTERSEDUCATIONHOUSTON METHODIST HOSPITAL'S PRIMARY ACADEMIC PARTNER IS WEILL CORNELL MEDICINE IN NEW YORK. THE TWO INSTITUTIONS SHARE BEST PRACTICES AND COLLABORATE ON RESEARCH, EDUCATION AND CLINICAL CARE. MORE THAN 460 METHODIST PHYSICIANS HAVE WEILL CORNELL FACULTY POSITIONS, AND HOUSTON METHODIST HOSPITAL SPONSORS 262 OF ITS OWN MEDICAL RESIDENTS IN VARIOUS SPECIALTIES - RANGING FROM NEUROSURGERY TO PATHOLOGY TO OBSTETRICS/GYNECOLOGY - AND HOSTS SEVERAL MORE FROM OTHER MEDICAL INSTITUTIONS.IN ADDITION, HOUSTON METHODIST HOSPITAL COLLABORATES WITH MANY OTHER ACADEMIC AND MEDICAL INSTITUTIONS TO PROMOTE THE HEALTH OF THE COMMUNITY, INCLUDING NEW YORK-PRESBYTERIAN HOSPITAL, RICE UNIVERSITY, BAYLOR COLLEGE OF MEDICINE, UNIVERSITY OF HOUSTON, TEXAS A&M UNIVERSITY, TEXAS CHILDREN'S HOSPITAL, UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER, TEXAS WOMAN'S UNIVERSITY AND PRAIRIE VIEW A&M, AMONG OTHERS.COMMUNITY INVOLVEMENTHOUSTON METHODIST HOSPITAL ACTIVELY DEVELOPS AWARENESS INITIATIVES, SPONSORSHIPS AND PROGRAMS THAT PROMOTE HEALTH AND WELLNESS, PREVENTION AND EARLY DETECTION. HOUSTON METHODIST HOSPITAL STAFF AND VOLUNTEERS CAN BE SEEN AT HEALTH SCREENINGS, EXERCISE AND NUTRITION PROMOTIONS, STRESS MANAGEMENT CLINICS AND OTHER HEALTH PROMOTION ACTIVITIES THROUGHOUT THE YEAR.HOUSTON METHODIST CONCUSSION CENTER PROVIDES COMPREHENSIVE SERVICES AND A DEDICATED TEAM OF CONCUSSION SPECIALISTS TO EDUCATE ATHLETES, ESPECIALLY STUDENT-ATHLETES, ABOUT THE IMPORTANCE OF CONCUSSION AWARENESS. THROUGH THE CENTER, STUDENT ATHLETES HAVE ACCESS TO IMPACT (IMMEDIATE, POST CONCUSSION ASSESSMENT AND COGNITIVE TESTING) TESTING, AT THEIR SCHOOLS OR AT THE CONCUSSION CENTER. IMPACT IS THE FIRST COMPUTERIZED CONCUSSION EVALUATION SYSTEM. IN ADDITION TO PROVIDING CLINICAL CARE, THE CONCUSSION CENTER STAFF EDUCATES THE COMMUNITY ABOUT SIGNS AND SYMPTOMS, DANGERS AND PROPER MEDICAL MANAGEMENT. THE CENTER CONDUCTS OUTREACH ACTIVITIES WHICH BENEFIT MORE THAN 1,000 HOUSTON-AREA RESIDENTS MONTHLY.THE NANTZ NATIONAL ALZHEIMER CENTER AT HOUSTON METHODIST HOSPITAL ADVANCES RESEARCH AND TREATMENT OF ALZHEIMER'S DISEASE, ONE OF THE LARGEST THREATS TO THE ELDERLY POPULATION IN OUR COUNTRY. IT IS PROJECTED THAT AS MANY AS 16 MILLION PEOPLE WILL HAVE ALZHEIMER'S BY 2050. THE CENTER, DEDICATED TO FINDING A CURE FOR ALZHEIMER'S, ADDRESSES ONE OF THE LARGEST HEALTH CRISES AFFECTING AMERICANS TODAY.HOUSTON METHODIST HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY BY FULFILLING HOUSTON METHODIST'S MISSION THROUGH EXCEPTIONAL, HIGH-QUALITY PATIENT CARE, EDUCATION AND RESEARCH, AFFILIATIONS WITH ACADEMIC AND MEDICAL PARTNERS FOR IMPROVED COMMUNITY HEALTH CARE, CHARITY CARE AND COMMUNITY INVOLVEMENT.HOUSTON METHODIST HOSPITAL ALSO COOPERATES WITH LOCAL ENTITIES TO IDENTIFY COMMUNITY NEEDS. MEMBERS OF HOUSTON METHODIST HOSPITAL'S EXECUTIVE TEAM ARE ON THE BOARDS OF LOCAL ORGANIZATIONS THAT ADVOCATE FOR EDUCATIONAL, ENVIRONMENTAL AND HEALTH CARE ISSUES THAT AFFECT PUBLIC POLICY AND INTERNATIONAL COMPANIES THAT DO BUSINESS IN HOUSTON.HOUSTON METHODIST'S EMPLOYEES HAVE A LONGSTANDING TRADITION OF SUPPORTING EFFORTS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. OUR EMPLOYEES DONATE TIME, TALENT AND MONEY TOWARDS MANY GREAT COMMUNITY CAUSES.2016 WAS THE FOURTH YEAR OF HOUSTON METHODIST'S I CARE IN ACTION PROGRAM, WHICH PROVIDES EMPLOYEES PAID TIME TO VOLUNTEER AT APPROVED COMMUNITY ORGANIZATIONS. I CARE IN ACTION ENCOURAGES EMPLOYEES TO BECOME INVOLVED IN THE LOCAL COMMUNITIES HOUSTON METHODIST SERVES AND PROVIDES THE EXPERTISE AND PASSION OF HOUSTON METHODIST EMPLOYEES TO ASSIST OTHERS. IN 2016 HOUSTON METHODIST HOSPITAL EMPLOYEES VOLUNTEERED MORE THAN 2,000 AT A VARIETY OF NONPRFIT AGENCIES NCLUDING HOUSTON FOOD BANK, HOUSTON CHILDREN'S CHARITY AND OTHERS FOR THE GOOD OF THE COMMUNITY.HOSPITAL ADMINISTRATION ALSO ALLOCATES HOURS TO COORDINATE AND SUPPORT VOLUNTARY EMPLOYEE PROJECTS TO MEET SPECIFIC COMMUNITY NEEDS. HOUSTON METHODIST EMPLOYEES PARTICIPATED IN OR PROVIDED A SERVICE FOR THE FOLLOWING:-UNITED WAY CAMPAIGN (EMPLOYEE CONTRIBUTIONS)-AMERICAN HEART ASSOCIATION'S HOUSTON HEART WALK AND STROKE SPONSORSHIP (EMPLOYEES PARTICIPATED IN WALK)-NATIONAL MULTIPLE SCLEROSIS BP MS150 BIKE TOUR (SPONSORED EMPLOYEES PARTICIPATED IN HOUSTON-TO-AUSTIN BIKE RIDE)-DOCTORS FOR CHANGE (CORPORATE SPONSORSHIP)-ADOPT-A-CHILD/FAMILY HOLIDAY PROGRAM (EMPLOYEE PARTICIPATION-GIFT GIVING AND VOLUNTEER EMPLOYEE BLOOD DRIVE DONATIONS OF BLOOD, PLASMA AND PLATELETS)-CAREER DAY TALKS AT AREA SCHOOLS (EMPLOYEES VOLUNTEER TO PARTICIPATE)-MEDICAL BRIDGES (HOSPITAL DONATIONS, CORPORATE SPONSORSHIP AND EMPLOYEES VOLUNTEERING THEIR TIME)-HABITAT FOR HUMANITY (EMPLOYEES VOLUNTEERING THEIR TIME AND CORPORATE SPONSORSHIP)-SAN JOSE CLINIC ART WITH HEART (CORPORATE SPONSORSHIP AND EMPLOYEES VOLUNTEERING THEIR TIME)-THE ROSE (EMPLOYEES VOLUNTEERING THEIR TIME)-HOUSTON CHILDREN'S CHARITY (EMPLOYEES VOLUNTEERING THEIR TIME)-TEXAS WOMAN'S UNIVERSITY-HOUSTON HEALTH MUSEUM (CORPORATE SPONSORSHIP)I CARE IN ACTION OFFERS EMPLOYEES PAID TIME OFF TO VOLUNTEER WITH OUR COMMUNITY PARTNER AGENCIES. FULL TIME EMPLOYEES ARE ELIGIBLE FOR UP TO EIGHT HOURS OF PAID TIME OFF AND PART-TIME EMPLOYEES ARE ELIGIBLE FOR UP TO FOUR HOURS OF PAID TIME OFF EACH YEAR TO VOLUNTEER. BY ALLOWING EMPLOYEES TO BE PAID FOR VOLUNTEERING DURING WORK HOURS, HOUSTON METHODIST IS TAKING AN ACTIVE ROLE IN ENCOURAGING EMPLOYEES TO SUPPORT THE COMMUNITY. BY IMPLEMENTING OUR "I CARE IN ACTION" EMPLOYEE VOLUNTEER PROGRAM, WE HAVE OPENED THE DOOR FOR SOME OF OUR EMPLOYEES TO TAKE THAT FIRST STEP INTO VOLUNTEERING.HOUSTON METHODIST HOSPITAL OPERATES A THRIVING HOSPITAL VOLUNTEER PROGRAM THAT OFFERS MEMBERS OF THE OUTSIDE COMMUNITY AN OPPORTUNITY TO PARTICIPATE IN A NUMBER OF PATIENT-ORIENTED ACTIVITIES INCLUDING HOSPITAL VISITS; COLLECTING AND/OR CREATING ITEMS TO DISTRIBUTE TO PATIENTS AND WAYFINDING HELP FOR PATIENTS AND FAMILIES VISITING THE COMPLEX FOR DOCTORS' APPOINTMENTS AND TESTS.EACH YEAR HOUSTON METHODIST ORGANIZES A SYSTEM-WIDE FUNDRAISER FOR THE UNITED WAY OF GREATER HOUSTON, FEATURING SPECIAL EVENTS SUCH AS GRILLED CHEESE LUNCHEONS WITH MANAGERS AND DIRECTORS SERVING AS THE CHEFS, SENDING CANDY GRAMS TO THANK SOMEONE OR BRIGHTEN THEIR DAY, A SILENT AUCTION WITH AUTOGRAPHED SPORTS MEMORABILIA OR EVENT TICKETS, ICE CREAM SOCIAL EVENTS, AND ONE-ON-ONE TIME WITH HOSPITAL LEADERSHIP. IN 2016, THIS EFFORT RAISED $228,000 FOR THE UNITED WAY OF GREATER HOUSTON.PROGRAM AND COMMUNITY PARTNERSHIPSTHANKS TO THE PROGRAMS SUPPORTED BY HOUSTON METHODIST, MORE THAN 127,000 HOUSTONIANS BENEFIT FROM ANNUAL PEDIATRIC CHECK-UPS, PREVENTATIVE SCREENING, DENTAL CARE, DIAGNOSTIC PROCEDURES, COMPLEX SURGERIES AND A HOST OF OTHER MEDICAL TREATMENTS - CARE TO WHICH THEY MIGHT OTHERWISE NOT HAVE ACCESS.HOUSTON METHODIST IS PLEASED TO HAVE A SIGNIFICANT PARTNERSHIP WITH VECINO COMMUNITY HEALTH CENTERS' DENVER HARBOR CLINIC, WHICH SERVES A NEIGHBORHOOD OF NEARLY 28,000 PEOPLE. THIS CLINIC, WHICH WAS ESTABLISHED IN 1999, HAS GROWN WITH HOUSTON METHODIST'S HELP INTO A VIBRANT HEALTH CARE CENTER FOR THIS EXPANDING COMMUNITY. IN ADDITION TO PROVIDING STAFF, HOUSTON METHODIST ALSO PROVIDES FUNDING AND IN-KIND SERVICES, INCLUDING X-RAYS, IMMUNIZATIONS AND LABORATORY TESTING, FOR 9,000 PATIENTS ANNUALLY.DENVER HARBOR IS JUST ONE OF MANY COLLABORATIVE PARTNERSHIPS THAT HOUSTON METHODIST HAS FOSTERED THROUGH ITS COMMUNITY OUTREACH EFFORTS. AN INITIATIVE THAT HAS HELPED PROVIDE ACCESS TO SPECIALTY CARE SERVICE FOR THE UNDERSERVED COMMUNITY IS HOUSTON METHODIST'S COMMUNITY SCHOLARS PROGRAM. ESTABLISHED IN 2013, THE PROGRAM HAS PROVIDE THE SERVICES OF ENDOCRINOLOGY, NEUROLOGY,NEPHROLOGY, OPTHALMOLOGY, PULMONOLOGY, AND HEMATOLOGY ONCOLOGY TO LOCAL COMMUNITY PARTNER CLINICS SUCH AS LEGACY COMMUNITY HEALTH AND HOPE CLINIC.SUMMARYAS A SYSTEM, HOUSTON METHODIST MADE SIGNIFICANT CONTRIBUTIONS THROUGH ITS COMMUNITY BENEFITS AND CHARITY CARE PROGRAM WHICH HAVE BEEN A RESOURCE FOR PATIENTS IN THE COMMUNITY. BASED ON IRS COST DEFINITIONS HOUSTON METHODIST PROVIDED $303.1 MILLION IN CHARITY CARE AND COMMUNITY BENEFITS FOR THE YEAR ENDED DECEMBER 31, 2016. IN ADDITION, BASED ON IRS COST DEFINITIONS, HOUSTON METHODIST PROVIDED $398.7 MILLION IN CARE TO MEDICARE, MEDICARE MANAGED CARE AND TRICARE/USFHP PROGRAM BENEFICIARIES FOR THE YEAR ENDED DECEMBER 31, 2016.PART VI, LINE 7: TX
Schedule H (Form 990) 2016
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