Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (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
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) ACCESS HEALTH (FORMERLY FORT BEND FAMILY HEALTH)
400 AUSTIN ST
RICHMOND,TX77469 		74-1951476 501C3 160,000       OUTPATIENT CLINIC
(2) ACHE-SOUTHEAST TEXAS CHAPTER
6207 CANYON RUN COURT
KATY,TX77450 		45-4519800 501C3 15,000       EDUCATION ASSIST
(3) AMAZING PLACE
3735 DREXEL
HOUSTON,TX77027 		76-0604478 501C3 10,000       ADULT DAY CARE FOR DEMENTIA PTS
(4) AMERICAN CANCER SOCIETY
6301 RICHMOND AVE
HOUSTON,TX77057 		52-2340031 501C3 33,000       MEDICAL RESEARCH
(5) AMERICAN HEART ASSOCIATION
PO BOX 15186
AUSTIN,TX78761 		13-5613797 501C3 35,000       MEDICAL RESEARCH
(6) AMERICAN RED CROSS-GREATER HOUSTON
2700 SOUTHWEST FREEWAY
HOUSTON,TX77098 		53-0196605 501C3 9,000       COMMUNITY SERVICE
(7) ASIAN AMERICAN HEALTH COALITION-DBA HOPE CLINIC
7001 CORPORATE DR SUITE 120
HOUSTON,TX77036 		31-1756818 501C3 50,000       PEDIATRIC HEALTH CARE
(8) BAYLOR COLLEGE OF MEDICINE
1 BAYLOR PLAZA
HOUSTON,TX77030 		74-1613878 501C3 30,106,528       EDUCATIONAL
(9) BOYS AND GIRLS COUNTRY OF HOUSTON INC
18806 ROBERTS ROAD
HOCKLEY,TX774479327 		74-6026198 501C3 15,000       MENTAL HEALTH SERVICES
(10) CAN CARE OF HOUSTON
9575 KATY FREEWAY SUITE 428
HOUSTON,TX77024 		76-0305357 501C3 17,000       MEDICAL RESEARCH
(11) CASA DE ESPERANZA DE LOS NINOS INC
2911 CORDER ST
HOUSTON,TX77054 		76-0105306 501C3 15,000       MENTAL HEALTH SERVICES
(12) CHILDREN'S RIGHTS
88 PINE STREET SUITE 800
NEW YORK,NY10005 		13-3801864 501C3 10,000       COMMUNITY SERVICE
(13) CHRIST CLINIC
5504 FIRST STREET
KATY,TX77493 		90-0789318 501C3 143,583       OUTPATIENT CLINIC
(14) EL CENTRO DE CORAZONEASTWOOD HEALTH CLINIC
5001 NAVIGATION
HOUSTON,TX77011 		76-0442781 501C3 200,000       OUTPATIENT CLINIC
(15) EYE CARE FOR KIDS FOUNDATION
9660 HILLCROFT ST 325
HOUSTON,TX77096 		76-0573182 501C3 45,000       CHILDREN'S OPHTHOMOLOGY SERVICES
(16) FOUNDATION OF THE NATIONAL STUDENT NURSES ASSOCIATION
45 MAIN STREET SUITE 606
BROOKLYN,NY11201 		13-3123125 501C3 7,500       SCHOLARSHIP SERVICES
(17) GOLFERS AGAINST CANCER INC
1700 LAKE KINGWOOD TRAIL
KINGWOOD,TX77345 		76-0574871 501C3 50,000       MEDICAL RESEARCH
(18) GOOD SAMARITAN FOUNDATION
5615 KIRBY DRIVE STE 610
HOUSTON,TX77005 		74-1235398 501C3 21,000       COMMUNITY SERVICE
(19) GREATER HOUSTON PARTNERSHIP
1200 SMITH STREET SUITE 700
HOUSTON,TX77002 		76-0267896 501C6 13,500       COMMUNITY SERVICE
(20) HEALTHCARE FOR THE HOMELESS - HOUSTON
2505 FANNIN ST
HOUSTON,TX77002 		76-0647934 501C3 300,000       OUTPATIENT CLINIC
(21) HEALTHNETWORK FOUNDATION
33 RIVER ST
CHAGRIN FALLS,OH44022 		04-3804600 501C3 50,000       COMMUNITY SERVICE
(22) HOUSTON AREA WOMEN'S CENTER
1010 WAUGH DRIVE
HOUSTON,TX770193996 		74-2029166 501C3 136,667       MENTAL HEALTH SERVICES
(23) HOUSTON BALLET
1921 WEST BELL PO BOX 130487
HOUSTON,TX77019 		74-1394920 501C3 15,000       COMMUNITY SERVICE
(24) HOUSTON TEXANS FOUNDATION
TWO NRG PARK
HOUSTON,TX77054 		01-0572814 501C3 17,500       COMMUNITY SERVICE
(25) INSTITUTE FOR SPIRITUALITY
8100 GREENBRIAR STE 220
HOUSTON,TX77054 		74-1246255 501C3 25,000       COMMUNITY SERVICE
(26) INTERFACE-SAMARITAN COUNSELING CENTERS INC
4803 SAN FELIPE
HOUSTON,TX77045 		74-1734082 501C3 40,000       MENTAL HEALTH SERVICES
(27) INTERFAITH COMMUNITY CLINIC
101 PINE MANOR DRIVE
OAK RIDGE NORTH,TX77385 		75-2634623 501C3 15,000       OUTPATIENT CLINIC
(28) KRIST SAMARITAN CENTER OF COUNSELING & ED
17555 EL CAMINO REAL
HOUSTON,TX770583031 		76-0173176 501C3 135,000       MENTAL HEALTH SERVICES
(29) LEGACY COMMUNITY CLINIC
PO BOX 66308
HOUSTON,TX772666308 		76-0009637 501C3 316,667       HEALTH CARE SERVICES
(30) MARCH OF DIMES
PO BOX 932852
ATLANTA,GA311932852 		13-1846366 501C3 5,335       MEDICAL RESEARCH
(31) MEMORIAL ASSISTANCE MINISTRIES
1625 BLALOCK RD
HOUSTON,TX77080 		76-0044172 501C3 108,333       OUTPATIENT CLINIC
(32) METHODIST RESEARCH INSTITUTE
6565 FANNIN ST
HOUSTON,TX77030 		87-0721923 501C3   206,161     TRANSFER OF EQUIPMENT
(33) MUSCULAR DYSTROPY ASSOCIATION
5615 KIRBY DRIVE STE 500
HOUSTON,TX77005 		13-1665552 501C3 8,000       MEDICAL RESEARCH
(34) NORTHWEST ASSISTANCE MINISTRIES
15555 KUYKENDAHL ROAD
HOUSTON,TX770903651 		76-0088702 501C3 250,000       OUTPATIENT CLINIC
(35) REBUILDING TOGETHER HOUSTON
PO BOX 15315
HOUSTON,TX77220 		76-0027902 501C3 15,297       COMMUNITY SERVICE
(36) RICE UNIVERSITY
6100 MAIN ST
HOUSTON,TX77005 		74-1109620 501C3 7,500       ACADEMIC SUPPORT
(37) SAN JOSE CLINIC
301 HAMILTON ST
HOUSTON,TX77002 		76-6071951 501C3 210,833       OUTPATIENT CLINIC
(38) SPRING BRANCH COMMUNITY HEALTH CENTER
1615 HILLENDAHL BLVD STE 100
HOUSTON,TX77055 		30-0198705 501C3 40,000       HEALTH CARE SERVICES
(39) ST LUKE'S UNITED METHODIST CHURCH
PO BOX 22013
HOUSTON,TX77227 		54-1047097 501C3 50,000       COMMUNITY SERVICE
(40) SUSAN G KOMEN HOUSTON
5433 WESTHEIMER RD STE 325
HOUSTON,TX77056 		76-0360372 501C3 35,000       MEDICAL RESEARCH
(41) TEXAS SURGICAL SOCIETY
12700 DRIPPING SPRINGS LANE
BELTON,TX76513 		23-7136006 501C3 25,000       ASSIST W IMPROVING SURGICAL SCIENCE
(42) THE HEALTH MUSEUM
1515 HERMAN DRIVE
HOUSTON,TX770047126 		74-6106357 501C3 20,000       COMMUNITY SERVICE
(43) THE IMMUNIZATION PARTNERSHIP
3015 RICHMOND AVENUE STE 270
HOUSTON,TX77098 		76-0695612 501C3 10,000       HEALTH CARE SERVICES
(44) THE PERIWINKLE FOUNDATION
3000 RICHMOND SUITE 340
HOUSTON,TX77098 		76-0093914 501C3 5,500       COMMUNITY SERVICE
(45) THE ROSE
12700 NORTH FEATHERWOOD DRIVE 260
HOUSTON,TX77034 		76-0193812 501C3 90,000       OUTPATIENT CLINIC
(46) THE SHUL OF BELLAIRE CHABAD LUBAVITCH
4909 BISSONNET ST SUITE 180
BELLAIRE,TX77401 		26-3624670 501C3 7,200       COMMUNITY SERVICE
(47) THE TEXAS LYCEUM
6046 AZALEA LANE
DALLAS,TX75230 		75-1720024 501C3 10,000       COMMUNITY SERVICE
(48) THE WOMEN'S HOME
811 WESTHEIMER ROAD
HOUSTON,TX770063917 		74-1467811 501C3 229,583       MENTAL HEALTH SERVICES
(49) TOMAGWA HEALTH CARE MINISTRIES
13414 MEDICAL COMPLEX DR 1
TOMBALL,TX773753333 		76-0280324 501C3 70,000       OUTPATIENT CLINIC
(50) VECINO HEALTH CENTERS
424 HAHLO STREETHOUSTON
HOUSTON,TX770203022 		76-0622208 501C3 654,000       HEALTH CARE SERVICES
(51) WORLD METHODIST COUNCIL
PO BOX 518
LAKE JUNALUSKA,NC28745 		56-0603907 501C3 100,000       COMMUNITY SERVICE
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
50
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2016

Schedule I (Form 990) 2016
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1) OUTSTANDING STUDENT NURSE SCHOLARSHIP 12 12,000      
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: PRIOR TO THE METHODIST HOSPITAL'S APPROVAL OF A GRANT TO A REQUESTING ORGANIZATION, THE FOLLOWING CRITERIA MUST BE MET: (1) THE REQUESTING ORGANIZATION MUST BE AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; (2) THE REQUESTING ORGANIZATION MUST PROVIDE A RECOGNIZABLE OR DEMONSTRABLE BENEFIT TO THE COMMUNITY; (3) THE MISSION OF THE REQUESTING ORGANIZATION MUST AUGMENT THE MISSION OF THE METHODIST HOSPITAL; (4) THE REQUESTING ORGANIZATION'S MISSION AND SERVICES SHOULD NOT DUPLICATE AND MUST NOT CONFLICT WITH THOSE OF THE METHODIST HOSPITAL. PERIODIC REPORTS WERE REVIEWED TO ENSURE THE FUNDS WERE USED TO SUPPORT INDIGENT CARE SERVICE AND OR OTHER NEEDS OF THE COMMUNITY. GRANTS TO INDIVIDUALS: TWELVE NURSING STUDENTS, ONE EACH FROM TWELVE NURSING SCHOOLS, ARE SELECTED AS RECIPIENTS FOR A $1,000.00 SCHOLARSHIP PER STUDENT. STUDENTS MUST BE IN GOOD ACADEMIC STANDING, SUBMIT DOCUMENTATION OF EXCELLENT CLINICAL PERFORMANCE, AND STRONG RECOMMENDATIONS FROM FACULTY MEMBERS IN ORDER TO BE NOMINATED FOR THE SCHOLARSHIP.
Schedule I (Form 990) 2016



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