TY 2015 Form 990

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

THE METHODIST HOSPITAL

Employer identification number

74-1180155

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

THE METHODIST HOSPITAL

Employer identification number

74-1180155

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization THE METHODIST HOSPITAL

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization THE METHODIST HOSPITAL		Employer identification number 74-1180155

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization THE METHODIST HOSPITAL			Employer identification number 74-1180155
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

THE METHODIST HOSPITAL

Employer identification number

74-1180155

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................
d	Other exempt purpose expenditures .........................................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

493,037

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

493,037

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	HOUSTON METHODIST ENGAGES IN DISCUSSIONS WITH ELECTED OFFICIALS AT THE STATE AND NATIONAL LEVEL TO DISCUSS THE IMPACT OF EXISTING AND PROPOSED LEGISLATION ON PATIENT CARE AND HOSPITAL OPERATIONS. WE ALSO ENGAGE IN DISCUSSIONS REGARDING SUPPORT FUNDING AT THE STATE AND NATIONAL LEVEL FOR BIOMEDICAL RESEARCH. THERE IS NO GRASSROOTS ENGAGEMENT WITH THE PUBLIC.

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

THE METHODIST HOSPITAL

Employer identification number

74-1180155

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	193,168,138	172,452,724	142,361,100	114,050,454	105,888,889
b	Contributions ...	7,109,200	19,574,824	10,379,898	14,531,995	9,226,495
c	Net investment earnings, gains, and losses	523,929	3,896,172	28,310,986	11,436,847	-508,641
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	2,738,660	2,755,582	8,599,260	2,341,804	-556,289
f	Administrative expenses ....
g	End of year balance ......	198,062,607	193,168,138	172,452,724	142,361,100	114,050,454

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

77.970 %

Temporarily restricted endowment SchDMd Bullet

22.030 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	41,040,108	171,429,341		212,469,449
b	Buildings		1,292,826,541	631,838,174	660,988,367
c	Leasehold improvements
d	Equipment ...		1,012,766,232	817,193,273	195,572,959
e	Other ...
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					1,069,030,775

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DUE FROM AFFILIATES				702,468,027
(2) CONSTRUCTION IN PROGRESS				391,343,711
(3) DEPOSITS AND MISCELLANEOUS RECEIVABLES				4,755,954
(4) DEFERRED FINANCING COSTS				2,788,174
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				1,101,355,866

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
RESERVE FOR CONTINGENCIES	65,395,523
ASSET RETIREMENT OBLIGATION	6,500,000
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	71,895,523
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART V, LINE 4:

HOUSTON METHODIST HOSPITAL FOUNDATION, A RELATED ORGANIZATION OF THE METHODIST HOSPITAL DOING BUSINESS AS HOUSTON METHODIST HOSPITAL, HOLDS PERMANENTLY RESTRICTED NET ASSETS WHICH CONSIST OF 100 INDIVIDUAL ENDOWMENT ACCOUNTS. UNLESS OTHERWISE DIRECTED BY THE DONOR, GIFTS RECEIVED FOR ENDOWMENT ACCOUNTS ARE INVESTED CONSISTENT WITH HOUSTON METHODIST HOSPITAL'S APPROVED INVESTMENT POLICY. UNLESS OTHERWISE DIRECTED BY THE DONOR, THE FOUNDATION HAS A POLICY OF ANNUALLY APPROPRIATING A CERTAIN PERCENTAGE OF EACH ENDOWMENT ACCOUNT, WHICH IS THEN AVAILABLE TO BE SPENT CONSISTENT WITH DONOR INTENT. IN ORDER TO PRESERVE THE REAL VALUE OF A DONOR'S GIFT AND TO SUSTAIN FUNDING CONSISTENT WITH DONOR INTENT, THE ANNUAL APPROPRIATION RATE IS SET TO STRIKE A REASONABLE BALANCE BETWEEN LONG-TERM OBJECTIVES OF PRESERVING AND GROWING EACH ENDOWMENT FUND FOR THE FUTURE AND PROVIDING STABLE, YEAR-TO-YEAR APPROPRIATION AMOUNTS.

PART X, LINE 2:

HOUSTON METHODIST HOSPITAL'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF HOUSTON METHODIST (HM), WHICH ARE AUDITED BY AN INDEPENDENT ACCOUNTANT. HM DID NOT RECOGNIZE ANY ADJUSTMENTS RELATED TO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2015.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
THE METHODIST HOSPITAL

Employer identification number

74-1180155

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers.Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	EAST ASIA AND THE PACIFIC	0	0	PASSIVE INVESTMENT	59,235,456
	EUROPE	0	0	PASSIVE INVESTMENT	18,433,534
	MIDDLE EAST AND NORTH AFRICA	0	0	PASSIVE INVESTMENT	4,322,499
	SOUTH AMERICA	0	0	PASSIVE INVESTMENT	10,118,603













3a	Sub-total .....	0	0		92,110,092
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		92,110,092

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015

Schedule F (Form 990) 2015

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2015

Schedule F (Form 990) 2015Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2015

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2015

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation

Schedule F (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

2015

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

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other %

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: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

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.

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"? . . . . . . . . . . . . .

Yes

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

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

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? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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) . . .	31,204,255		31,204,255	1.970 %
b	Medicaid (from Worksheet 3, column a) . . . . .	51,572,692	75,411,143		0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	61,094	29,956	31,138	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	82,838,041	75,441,099	31,235,393	1.970 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	429,829		429,829	0.030 %
f	Health professions education (from Worksheet 5) . . .	50,133,750	11,361,388	38,772,362	2.450 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .	101,321,212	37,949,121	63,372,091	4.010 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	22,016,870		22,016,870	1.390 %
j	Total. Other Benefits . .	173,901,661	49,310,509	124,591,152	7.880 %
k	Total. Add lines 7d and 7j .	256,739,702	124,751,608	155,826,545	9.850 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

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

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

9,938,939

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. ......

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

Enter total revenue received from Medicare (including DSH and IME).....

301,966,580

Enter Medicare allowable costs of care relating to payments on line 5.....

426,734,504

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-124,767,924

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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 .........................

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) 2015

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?1 Name, 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)						Other (Describe)
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) 2015

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):

Yes

Community Health Needs Assessment

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?........................

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...............

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......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

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 .................

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..................................

Yes

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. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C, LINE 5

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

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

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	HOUSTON METHODIST HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

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):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 non-payment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	HOUSTON METHODIST HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

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? ...............................

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

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, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 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.PART V, SECTION B, LINE 5 HTTP://WWW.HOUSTONMETHODIST.ORG/ABOUT-US/COMMUNITY-INVOLVEMENT/COMMUNITY- HEALTH-NEEDS-ASSESSMENT/HOUSTON METHODIST HOSPITALENGAGING THE BROAD INTERESTS OF THE COMMUNITYSECONDARY DATA SOURCES WERE ANALYZED TO IDENTIFY PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. THESE KEY STAKEHOLDERS WERE THEN INTERVIEWED FOR THEIR OPINIONS AND EXPERTISE.THE FOLLOWING THREE SECTIONS DESCRIBE HOW INPUT FROM PERSONS WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, STATE AND LOCAL HEALTH DEPARTMENTS, AND LEADERS OR REPRESENTATIVES FOR UNDERSERVED, MINORITY, LOW INCOME, POPULATIONS OR POPULATIONS WITH CHRONIC DISEASE WAS ACCOUNTED FOR DURING THIS CHNA PROCESS.ACCOUNTING FOR THE INPUT OF PERSONS WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH:MEETINGS WERE HELD BETWEEN REPRESENTATIVES OF THE COMMUNITY BENEFITS DEPARTMENT AND PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH AND THE COMMUNITY FROM JUNE TO AUGUST 2013. MEETINGS WERE CONDUCTED IN PERSON OR BY PHONE. PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH AND THE HOUSTON METHODIST HOSPITAL COMMUNITY INCLUDED AN ACADEMIC FROM THE UNIVERSITY OF TEXAS SCHOOL AT AUSTIN SCHOOL OF BIOLOGICAL SCIENCES, ACADEMICS FROM THE INSTITUTE FOR HEALTH POLICY AT THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER SCHOOL OF PUBLIC HEALTH, AN ACADEMIC FROM THE KINDER INSTITUTE FOR URBAN RESEARCH AT RICE UNIVERSITY, REPRESENTATIVES FROM THE HARRIS COUNTY HEALTH CARE ALLIANCE, A REPRESENTATIVE FROM THE HARRIS COUNTY MEDICAL SOCIETY, REPRESENTATIVES FROM THE UNITED WAY AND COUNTY AFFILIATES, A REPRESENTATIVE FROM THE HOUSTON METHODIST DEPARTMENT OF CARE MANAGEMENT AND SOCIAL WORK, AND A REPRESENTATIVE FROM HOUSTON METHODIST HOSPITAL OPERATING DIVISION. THROUGH THESE MEETINGS, RECOMMENDATIONS WERE RECEIVED FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, REQUESTED AND RECEIVED RECENT DATASETS AND PUBLICATIONS, RECEIVED CONSULTATION FOR METHODOLOGIES USED IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT, AND IDENTIFIED POTENTIAL HEALTH NEEDS CURRENTLY NOT BEING ADDRESSED IN THE HOUSTON METHODIST COMMUNITY.ORGANIZATIONAL INPUT:DURING THE COURSE OF ENGAGING THE BROAD INTERESTS OF THE COMMUNITY, REPRESENTATIVES FROM STATE, REGIONAL, AND CITY HEALTH DEPARTMENTS AS WELL AS ORGANIZATIONS INVOLVED IN HEALTH CARE WERE ENGAGED. MEETINGS INCLUDED REPRESENTATIVES FROM THE DEPARTMENT OF STATE HEALTH SERVICES CENTER FOR HEALTH STATISTICS, THE HEALTH SERVICE REGION 6/5 SOUTH OFFICE, REGIONAL HEALTH PARTNERSHIP PLAN REGIONS 2, AND THE HOUSTON DEPARTMENT OF HEALTH AND HUMAN SERVICES. DURING THESE MEETINGS, RECENT DATASETS, PUBLICATIONS AND REPRESENTATIVES' PERSPECTIVES ON COMMUNITY HEALTH NEEDS WERE RECEIVED. COMMUNITY LEADERS AND REPRESENTATIVES:INPUT FROM COMMUNITY LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED POPULATIONS, LOW INCOME POPULATIONS, MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE NEEDS WAS ALSO COLLECTED THROUGH PHONE INTERVIEWS. LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH CONSULTED DURING THE CHNA:- PUBLIC HEALTH, GLOBAL HEALTH, AND EPIDEMIOLOGY PROFESSOR AT THE UNIVERSITY OF TEXAS AT AUSTIN SCHOOL OF BIOLOGICAL SCIENCES - DIRECTOR OF THE INSTITUTE FOR HEALTH POLICY AT THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER SCHOOL OF PUBLIC HEALTH- ASSOCIATE DIRECTOR OF THE KINDER INSTITUTE FOR URBAN STUDIES AT RICE UNIVERSITY - MANAGER, CARE MANAGEMENT & SOCIAL WORK DEPARTMENT AT HOUSTON METHODIST- VICE PRESIDENT OF THE HARRIS COUNTY MEDICAL SOCIETY- VICE PRESIDENT, OPERATIONS DEPARTMENT AT HOUSTON METHODIST- MAYOR, CITY OF HOUSTON LIST OF STATE, LOCAL, OR CITY HEALTH DEPARTMENTS -STATE DEPARTMENT OF HEALTH SERVICES - CENTER FOR HEALTH STATISTICSCOMMUNITY ASSESSMENT TEXAS DEPT. OF STATE HEALTH SERVICES-DIRECTOR OF OPERATIONS FOR 1115 WAIVER-REGIONAL HEALTH CARE PARTNERSHIP 3-DIRECTOR- BRAZORIA COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT -DIRECTOR- CHAMBERS COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT -DEPUTY DIRECTOR-FORT BEND COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES-SENIOR STAFF ANALYST HOUSTON HEALTH AND HUMAN SERVICES DEPARTMENT -CEO OF ACCESSHEALTH -CEO OF VECINO HEALTH CENTERS -CEO OF LEGACY COMMUNITY HEALTH SERVICES -COO OF HOPE CLINIC
HOUSTON METHODIST HOSPITAL	PART V, SECTION B, LINE 6A: THE ORIGINAL LARGE SCALE CHNA CONDUCTED IN 2013 PER ACA GUIDELINES WAS ORIGINALLY DONE WITH THE FOLLOWING:- HOUSTON METHODIST SUGAR LAND HOSPITAL- HOUSTON METHODIST WEST HOSPITAL- HOUSTON METHODIST SAN JACINTO HOSPITAL- HOUSTON METHODIST WILLOWBROOK HOSPITALTHE BELOW HOUSTON METHODIST HOSPITALS WERE ACQUIRED AFTER THE ORIGINAL CHNA WAS ADOPTED. HOWEVER, THE FACILITIES WERE INCLUDED IN THE 2014 UPDATED VERSION OF THE CHNA:- HOUSTON METHODIST ST. CATHERINE HOSPITAL- HOUSTON METHODIST ST. JOHN HOSPITAL
HOUSTON METHODIST HOSPITAL	PART V, SECTION B, LINE 7D: IN ADDITION TO THE CONDUCTED CHNA BEING MADE EASILY ACCESSIBLE THROUGH THE HOUSTON METHODIST 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 1000 RECIPIENTS AROUND THE CITY OF WHICH INCLUDE STAKE HOLDERS, OTHER HEALTH CARE FACILITIES, ETC.
HOUSTON METHODIST HOSPITAL	PART V, SECTION B, LINE 11: HOUSTON METHODIST HOSPITAL CONDUCTED A LARGE SCALE COMMUNITY HEALTH NEEDS ASSESSMENT IN 2013 PER THE ACA GUIDELINES AND WAS ABLE TO IDENTIFY THE TOP THREE HEALTH PRIORITIES OF ITS COMMUNITY. THIS CHNA SERVES AS A GUIDE UNTIL THE NEXT CHNA THAT WILL NEED TO BE CONDUCTED PER ACA REQUIREMENTS IN 2016. IN THE INTERIM, THE OFFICE OF COMMUNITY BENEFITS UPDATES THE ASSESSMENT ANNUALLY TO ENSURE NO SIGNIFICANT CHANGES IN THE COMMUNITY'S HEALTH NEEDS OCCURS. THE UPDATED ASSESSMENT TOOK PLACE FOR 2015 AND CONFIRMED THE ORIGINALLY IDENTIFIED PRIORITIES HAD NOT CHANGED. THE HEALTH PRIORITIES THAT HOUSTON METHODIST HOSPITAL IS ADDRESSING ARE AS FOLLOWS: - ACCESS TO CARE IMPROVEMENT- EDUCATION TO DECREASE HEALTH RISK BEHAVIORS- PREVENTION OF CHRONIC DISEASE AND CONDITIONSOUTLINE OF HOW HOUSTON METHODIST HOSPITAL IDENTIFIED NEEDS ARE BEING ADDRESSED:HEALTH NEED: ACCESS TO CARE IMPROVEMENTOBJECTIVE: -IMPROVE AWARENESS OF HOUSTON METHODIST CHARITY CARE PROGRAMS AND CONTINUE TO WORK WITH EXTERNAL AGENCIES THAT WILL COORDINATE CARE FOR THE UNINSURED AND UNDERINSURED POPULATIONS.-PROVIDE A CONTINUUM OF CARE FOR PATIENTS.STRATEGY: -DEVELOP REFERRAL RELATIONSHIPS BETWEEN HOUSTON METHODIST 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.-BROADEN THE CARE NAVIGATOR PROGRAM TO DECREASE EMERGENCY DEPARTMENT (ED) VISITS AND TO COORDINATE FOLLOW-UP CARE. -STRUCTURE A CARE FRAMEWORK AND PROCESS TO PROVIDE CARE COORDINATION SERVICES TO THOSE WITH BEHAVIORAL HEALTH ISSUES VIA IMPLEMENTATION OF THE DSRIP 1115 WAIVER.-RECRUIT PRIMARY CARE PHYSICIANS TO ESTABLISH PRACTICE IN CMSA TO EXPAND COMMUNITY'S ACCESS TO CARE.HEALTH NEED: EDUCATION TO DECREASE HEALTH RISK BEHAVIORSOBJECTIVE: -CONTINUE TO DEVELOP AND IMPLEMENT CORPORATE WELLNESS PROGRAMS-REDUCE THE AMOUNT OF TOBACCO USE IN THE COMMUNITY-PROMOTE AWARENESS THAT EDUCATES ON HEALTH RISK BEHAVIORS TO ENCOURAGE OVERALL HEALTHY LIVINGSTRATEGY:-PARTNER WITH CORPORATE CLIENTS IN THE GREATER HOUSTON AREA FOR TARGETED WELLNESS PROGRAMS BASED ON POPULATION HEALTH ANALYTICS AND CLIENT NEEDS ASSESSMENT WITH INVOLVED CLINICAL OVERSIGHT OF PROGRAMS OFFERED AND PROVIDED.-HOUSTON METHODIST WILL NOT HIRE APPLICANTS WHO SMOKE.-PROMOTE AWARENESS THAT FOCUSES ON HEALTHY EATING/NUTRITION HABITS WHILE OFFERING CLASSES ON OVERALL HEALTHY LIVING. HEALTH NEED: PREVENTION OF CHRONIC DISEASES AND CONDITIONSOBJECTIVE:-INCREASE THE LIKELIHOOD OF THE EARLY DETECTION OF CANCER THROUGH COMMUNITY EDUCATION AND EXPANDED ACCESS TO SCREENINGS, AND PHYSICIAN SYMPOSIUMS.-IMPROVE ACCESS TO HEALTH INFORMATION AND INCREASE AWARENESS OF HEALTHY LIVING STRATEGIES FOR CANCER PATIENTS AND SURVIVORS.-TO DEVELOP WIDESPREAD COMPREHENSIVE EDUCATION ON STROKE AWARENESS AND PREVENTION.-IMPROVE AWARENESS AND EDUCATION OF SPORT CONCUSSION INJURIES.-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.-CONTINUATION OF WELLNESS SERIES WITH ONE SENIOR EDUCATION CENTER IN HARRIS COUNTY PRECINCT 4 AS WELL AS FOUR ADDITIONAL COMMUNITY CENTERS IN PRECINCT 4.-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.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:-PUBLIC TRANSPORTATION: PUBLIC TRANSPORTATION SERVICES ARE NOT PROVIDED BY THE COMMUNITY AND HOUSTON METHODIST HOSPITAL CANNOT CURRENTLY ADDRESS TRANSPORTATION SERVICES IN THE IMPLEMENTATION STRATEGY AS THIS IS REGARDED AS PATIENT INDUCEMENT.-DENTAL CARE: DENTAL CARE IS NOT CURRENTLY ADDRESSED IN THE IMPLEMENTATION STRATEGY. HOUSTON METHODIST HOSPITAL WILL FOCUS ON PRIMARY AND PREVENTATIVE CARE IN THE IMPLEMENTATION PLAN AS WELL AS BEHAVIORAL HEALTH. DENTAL CARE IS NOT AN ISSUE THAT HOUSTON METHODIST HOSPITAL HAS THE RESOURCES TO UNDERTAKE DIRECTLY BUT ADDRESSES THEM THROUGH EXTERNAL PARTNERSHIPS.-DRUG USE, SEXUAL BEHAVIOR RISKS AND ACCIDENTS: ALCOHOL AND OTHER DRUG USE, SEXUAL BEHAVIORS THAT MAY RESULT IN HIV INFECTION, OTHER SEXUALLY TRANSMITTED DISEASES, AND UNINTENDED PREGNANCY, AND BEHAVIORS THAT CONTRIBUTE TO UNINTENTIONAL INJURY AND VIOLENCE ARE HEALTH RISK BEHAVIORS THAT ARE NOT CURRENTLY ADDRESSED AT HOUSTON METHODIST HOSPITAL AT A PROGRAM LEVEL BUT ARE SUPPORTED THROUGH SPONSORSHIP IN SEVERAL COMMUNITY ORGANIZATIONS THAT ADDRESS THESE HEALTH RISK BEHAVIORS.
HOUSTON METHODIST HOSPITAL	PART V, SECTION B, LINE 15E: THE PATIENT IS ALSO PROVIDED AN EXHIBIT TITLED FINANCIAL ASSISTANCE GUIDELINES LISTING THE COUNSELOR CONTACT INFORMATION AND THE FEDERAL POVERTY GUIDELINES.
HOUSTON METHODIST HOSPITAL	PART V, SECTION B, LINE 16I: OTHER: DISTRIBUTED WITH PATIENT GUIDE/PACKETHOUSTON METHODIST HOSPITAL:PART V, SECTION B, LINE 20:SINCE LINES 18 AND 19 ARE NOT APPLICABLE, THEN LINE 20 IS NOT APPLICABLE.
HOUSTON METHODIST HOSPITAL	PART V, SECTION B, LINE 22D: OTHER: HOUSTON METHODIST HOSPITAL CHARGES FAP-ELIGIBLE PATIENTS A DISCOUNTED RATE IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY (SLIDING SCALE FOR PATIENTS BETWEEN 201% AND 400% OF THE FPL). THE SLIDING SCALE DISCOUNT IS 95% TO 55% OFF TOTAL CHARGES, DEPENDING ON THE PATIENT'S INCOME IN RELATION TO THE FPG.

Schedule H (Form 990) 2015

Page 8

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) 2015

Page 9

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 REPRESENTS STANDARD CHARGES THAT ARE UNREALIZABLE DUE TO THE INABILITY OR AN UNWILLINGNESS TO PAY BY THOSE RESPONSIBLE FOR PAYMENT (BAD DEBT). 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, 2015. THE ENTIRE MEDICARE SHORTFALL ($124.8 MILLION) AS REPORTED IN PART III, LINE 7, AS WELL AS THE UNREIMBURSED COST OF THE MEDICARE MANAGED CARE PROGRAM ($45.2 MILLION), AND TRICARE PROGRAMS ($4.6 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 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 DEFINES THE HOUSTON-SUGARLAND-BAYTOWN METROPOLITAN STATISTICAL AREA (MSA) AS ITS COMMUNITY. HOUSTON METHODIST HOSPITAL PRIMARILY SERVES THE FOLLOWING COUNTIES THAT ARE LOCATED IN THIS MSA: HARRIS, FORT BEND, MONTGOMERY, BRAZORIA, GALVESTON, LIBERTY, CHAMBERS, WALLER, AND WHARTON COUNTIES.HOUSTON METHODIST HOSPITAL 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 HOUSTON METHODIST HOSPITAL COMMUNITY RESIDENTS, EQUATING TO APPROXIMATELY 68% OF THE HOUSTON METHODIST HOSPITAL COMMUNITY POPULATION. THE HOUSTON METHODIST HOSPITAL 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%. THE HOUSTON METHODIST METROPOLITAN-STATISTICAL-AREA IS CONSIDERED ONE OF THE MOST DIVERSE IN THE NATION, WITH FORT BEND COUNTY BEING DESIGNATED AS THE MOST ETHNICALLY DIVERSE REFLECTING AN EQUAL DISTRIBUTION OF THE NATION'S MAJOR ETHNIC RACES. HOUSTON METHODIST HOSPITAL DEFINES THE YOUTH AND ADOLESCENT POPULATION AS ANY PERSON BETWEEN THE AGES OF 0-17 YEARS. THIS AGE GROUP ACCOUNTS FOR THE SECOND HIGHEST PERCENTAGE OF THE HOUSTON METHODIST HOSPITAL COMMUNITY (27%). HOUSTON METHODIST HOSPITAL DEFINES THE ADULT POPULATION AS ANY PERSON BETWEEN THE AGES OF 18-64 YEARS. THE ADULT POPULATION ACCOUNTS FOR THE HIGHEST PERCENTAGE OF THE HOUSTON METHODIST HOSPITAL COMMUNITY (63%). HOUSTON METHODIST HOSPITAL DEFINES THE SENIOR POPULATION AS ANY PERSON OVER THE AGE OF 65 YEARS. THE SENIOR POPULATION CURRENTLY ACCOUNTS FOR 10% OF THE HOUSTON METHODIST HOSPITAL COMMUNITY.IN 2015, THE AVERAGE HOUSEHOLD INCOME IN HARRIS COUNTY WAS $54,230. 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 HOUSTON METHODIST HOSPITAL 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. FORT BEND COUNTY HAS THE HIGHEST PERCENTAGE OF COMMUNITY MEMBERS WHO POSSESS A GRADUATE OR PROFESSIONAL DEGREE (14%) COMPARED TO THE OTHER COUNTIES IN THE MSA. IT IS IMPORTANT TO NOTE THAT FORT BEND COUNTY ALSO HAS THE HIGHEST HOUSEHOLD INCOME AVERAGE. WHARTON COUNTY HAS THE HIGHEST PERCENTAGE OF MEMBERS WHO DID NOT RECEIVE A HIGH SCHOOL DIPLOMA (25%), AS WELL AS THE LOWEST HOUSEHOLD INCOME AVERAGE.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 2015 OFFERED 830 OPERATING BEDS, 78 OPERATING ROOMS, 1,479 AFFILIATED PHYSICIANS AND 7,395 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 262 MEDICAL RESIDENTS IN 36 ACGME-ACCREDITED PROGRAMS AND 7 GME-SPONSORED FELLOWSHIP PROGRAMS IN 2015.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 36 ACGME-ACCREDITED AND 7 GME-SPONSORED FELLOWSHIP PROGRAMS IN 2015, GRADUATING ITS 10TH CLASS OF 105 MEDICAL RESIDENTS. AMONG THEM WERE THE FIRST CLASS OF GRADUATING RESIDENTS FROM OUR EXTRACORPOREAL LIFE SUPPORT (ECMO), ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY, ADVANCED INTERVENTIONAL CARDIOLOGY, AND INTERVENTIONAL CARDIOLOGY FELLOWSHIP PROGRAMS. BY AUGUST 2015, HOUSTON METHODIST HAD 262 RESIDENTS AND FELLOWS IN HOUSTON METHODIST-SPONSORED GRADUATE MEDICAL EDUCATION PROGRAMS. 2015 ALSO MARKED THE FIRST YEAR OF A COLLABORATION WITH TEXAS A&M HEALTH SCIENCE CENTER, AND UNDER THE PARTNERSHIP THE HOSPITAL WELCOMED 24 MEDICAL STUDENTS AND 6 M.D./PH.D. STUDENTS INTO THE FIRST CLASS. 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 2015 IT WAS HOME TO 619 FACULTY AND 1,607 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 FUNDSIN 2015 HOUSTON METHODIST HOSPITAL, THROUGH HOUSTON METHODIST'S EXTERNAL CHARITY CARE PROGRAM, PROVIDED A TOTAL OF $22.0 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 $31.2 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 AND HOUSTON METHODIST WEST HOSPITAL IN THE KATY AREA. TWO HOSPITALS WERE PURCHASED IN 2014 FROM CHRISTUS HEALTH, AND THEY ARE NOW HOUSTON METHODIST ST. JOHN HOSPITAL IN THE CLEAR LAKE AREA AND 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 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 2015, HOUSTON METHODIST HOSPITAL TREATED 36,720 INPATIENTS AND 326,534 OUTPATIENTS. IT RECEIVED 72,399 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 RESPONDED TO THE COMMUNITY'S NEEDS IN 2015 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 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 2015, HOUSTON METHODIST SUPPORTED THE FOLLOWING AGENCIES ACROSS THE GREATER HOUSTON AREA, INCLUDING THOSE COMMUNITIES SERVED BY COMMUNITY HOSPITALS:-ACCESS HEALTH-BAYLOR COLLEGE OF MEDICINE-BERING OMEGA COMMUNITY SERVICES-BOYS AND GIRLS COUNTRY OF HOUSTON, INC.-BREATH OF LIFE CHILDREN'S CENTER, INC.-CASA DE ESPERANZA DE LOS NINOS, INC.-CHRIST CLINIC-EL CENTRO DE CORAZON/EASTWOOD HEALTH CLINIC-EYE CARE FOR KIDS FOUNDATION-HARRIS COUNTY CLINICAL SERVICES, INC.-HEALTH CARE FOR THE HOMELESS - HOUSTON-HOPE CLINIC-HOUSTON AREA WOMEN'S CENTER-INTERFACE-SAMARITAN COUNSELING CENTER-INTERFAITH COMMUNITY CLINIC-KRIST SAMARITAN CENTER FOR COUNSELING AND EDUCATION-LEGACY COMMUNITY CLINIC-MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM-MEMORIAL ASSISTANCE MINISTRIES-NORTHWEST ASSISTANCE MINISTRIES-SAN JOSE CLINIC-THE ROSE-THE WOMEN'S HOME-TOMAGWA HEALTH CARE MINISTRIES-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 LIKE THE GREATER HOUSTON HEALTH CARE ALLIANCE 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.2015 WAS THE THIRD 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 2015 OUR EMPLOYEES VOLUNTEERED 2800 HOURS DURING I CARE IN ACTION WEEK, WHERE MORE THAN 300 EMPLOYEES FROM EACH HOSPITAL IN THE SYSTEM REPRESENTED THEIR ENTITIES BY WORKING IN THE COMMUNITY. BEYOND THAT SPECIAL WEEK, OUR EMPLOYEES WORKED WITH 36 OUTSIDE AGENCIES INCLUDING 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)
PART VI, LINE 6 CONTINUED	-PAWS HOUSTON (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 2015, THIS EFFORT RAISED $194,000 FOR THE UNITED WAY OF GREATER HOUSTON. PROGRAM AND COMMUNITY PARTNERSHIPSTHANKS TO THE PROGRAMS SUPPORTED BY HOUSTON METHODIST, MORE THAN 50,000 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 AND NEPHROLOGY TO A FEDERALLY QUALIFIED HEALTH CENTER, LEGACY COMMUNITY HEALTH, AND FREE CLINIC, SAN JOSE CLINIC. IN 2015, THE PROGRAM CONTINUED TO PROVIDE MUCH NEEDED ACCESS TO OUR MOST VULNERABLE POPULATIONS WITH PLANS TO EXPAND SPECIALTY CARE SERVICES OFFERED IN 2016.ALL OF HOUSTON METHODIST COMMUNITY HOSPITALS HAVE TAKEN A STRONG POSITION WITHIN THEIR COMMUNITY. HOUSTON METHODIST SUGAR LAND HOSPITAL SERVES AS A VITAL PARTNER OF THE UNIVERSITY OF HOUSTON-VICTORIA NURSING PROGRAM. HOUSTON METHODIST SAN JACINTO HOSPITAL CONTRIBUTES TO NUMEROUS COMMUNITY EVENTS EACH YEAR, BENEFITING ORGANIZATIONS SUCH AS THE NEW HORIZON WOMEN'S CENTER, STERLING HIGH SCHOOL, BAY AREA HOMELESS SERVICES AND THE BAYTOWN UNITED WAY. HOUSTON METHODIST WILLOWBROOK HOSPITAL SUPPORTS ORGANIZATIONS SUCH AS NORTHWEST ASSISTANCE MINISTRIES, BOYS AND GIRLS COUNTRY, THE AMERICAN CANCER SOCIETY AND THE YMCA.HOUSTON METHODIST IS PROUD TO BE THE HEALTH CARE CHOICE FOR HOUSTON'S STELLAR SPORTS AND ARTS PROFESSIONALS, THE ACHIEVERS WHO GET OUR HEARTS PUMPING AND OUR HOPES SOARING ON THE PLAYING FIELD AND ON STAGE. HOUSTON METHODIST IS THE OFFICIAL HEALTH CARE PROVIDER FOR THE HOUSTON ASTROS, HOUSTON TEXANS, HOUSTON DYNAMO, HOUSTON DASH, RICE UNIVERSITY ATHLETICS, RODEOHOUSTON, HOUSTON BALLET, HOUSTON GRAND OPERA, AND HOUSTON SYMPHONY. THROUGH OUR PARTNERSHIPS WITH THE SPORTS TEAMS, NUMEROUS FREE PRE-PARTICIPATION PHYSICALS ARE PROVIDED TO YOUTH ATHLETES AND EDUCATIONAL CLINICS FOR COACHES AND PARENTS. THROUGHOUT THE VARIOUS SPORTING SEASONS, HOUSTON METHODIST REGULARLY SPONSORS GAME DAY EVENTS TO RAISE AWARENESS OF HEALTH ISSUES, SUCH AS BREAST CANCER AND ALZHEIMER'S DISEASE. IDENTIFYING COMMUNITY HEALTH ISSUESHOUSTON METHODIST HOSPITAL ALONG WITH THE OTHER HOUSTON METHODIST HOSPITALS IDENTIFIED COMMUNITY HEALTH PRIORITIES THROUGH A LARGE SCALE NEEDS ASSESSMENT IN 2013. THE ORIGINAL ASSESSMENT WAS CREATED USING SEVERAL METHODS INCLUDING, BUT NOT LIMITED TO, REVIEW OF THE TEXAS INSTITUTE FOR HEALTH POLICY RESEARCH COMMUNITY DATA, TEXAS DEPARTMENT OF PUBLIC HEALTH SELECTED HEALTH DATA, COMMUNITY HEALTH STATUS REPORTS FOR HARRIS, LIBERTY, FORT BEND AND MONTGOMERY COUNTIES AND COMMUNITY ADVISORY GROUPS COMMITTEE REPORTS FOR NONPROFIT CLINICS AND AGENCIES. IN 2015, HOUSTON METHODIST UPDATED THE NEEDS ASSESSMENT TO REFLECT ANY NEW CHANGES.THE UPDATED ASSESSMENT CONFIRMED THE ORIGINALLY IDENTIFIED PRIORITIES HAD NOT CHANGED. THE HEALTH PRIORITIES THAT HOUSTON METHODIST HOSPITAL AND THE OTHER HOUSTON METHODIST HOSPITALS ARE ADDRESSING ARE AS FOLLOWS:-ACCESS TO CARE IMPROVEMENT:-EDUCATION TO DECREASE HEALTH RISK BEHAVIORS-PREVENTION OF CHRONIC DISEASE AND CONDITIONSHOUSTON METHODIST IS ADDRESSING THE IDENTIFIED NEEDS BY HOSPITAL THROUGH THE UTILIZATION OF RESOURCES UNIQUE TO EACH HOSPITAL. GENERAL STRATEGY TO ADDRESS THE NEEDS INCLUDE BUT ARE NOT LIMITED TO:-DEVELOP REFERRAL RELATIONSHIPS WITH EXTERNAL COMMUNITY AGENCIES THAT CAN CONTINUE TO COORDINATE ACCESS TO THE UNINSURED AND UNDERINSURED POPULATIONS.-SUPPORT COMMUNITY ORGANIZATIONS THAT PROVIDE COMMUNITY BASED PREVENTATIVE CARE, PRIMARY HEALTH CARE, AND EDUCATIONAL SERVICES.-OFFER GRANT ASSISTANCE TO LOCAL HEALTH CARE ORGANIZATIONS THAT TARGET THE UNINSURED POPULATION TO INCREASE IMPACT AND REACH, AS WELL AS AWARENESS. OFFER CHARITY CARE TO HOUSTON METHODIST HOSPITAL PATIENTS.-RECRUIT PRIMARY CARE PHYSICIANS TO ESTABLISH PRACTICE IN CMSA TO EXPAND COMMUNITY'S ACCESS TO CARE.-BROADEN THE CARE NAVIGATOR PROGRAM TO DECREASE ED VISITS AND TO COORDINATE FOLLOW-UP CARE.-STRUCTURE A CARE FRAMEWORK AND PROCESS TO PROVIDE CARE COORDINATION SERVICES TO THOSE WITH BEHAVIORAL HEALTH ISSUES VIA IMPLEMENTATION OF THE DSRIP 1115 WAIVER.ALSO, HOUSTON METHODIST HAS INITIATED COMMUNITY EDUCATION EFFORTS BY TRAINING AND PROVIDING NURSE-EDUCATORS TO THE COMMUNITY FOR PUBLIC EVENTS, PARTICULARLY IN MINORITY COMMUNITIES AND FOR OUTREACH TO WOMEN. HOUSTON METHODIST ALSO WORKS TO ASSIST SMALLER HOSPITALS IN THE COMMUNITY IN DEVELOPING THEIR OWN DISEASE SPECIFIC PROGRAMS DESIGNED TO EDUCATE PATIENTS.SUMMARY AS 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 $257.3 MILLION IN CHARITY CARE AND COMMUNITY BENEFITS FOR THE YEAR ENDED DECEMBER 31, 2015. IN ADDITION, BASED ON IRS COST DEFINITIONS, HOUSTON METHODIST PROVIDED $323.0 MILLION IN CARE TO MEDICARE, MEDICARE MANAGED CARE AND TRICARE/USFHP PROGRAM BENEFICIARIES FOR THE YEAR ENDED DECEMBER 31, 2015.PART VI, LINE 7: TX

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

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

2015

Open to Public
Inspection

Name of the organization
THE METHODIST HOSPITAL

Employer identification number
74-1180155

Part I

General Information on Grants and Assistance

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? ........................

Yes No

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 non-cash assistance	(h) Purpose of grant or assistance

(1) ACCESS HEALTH-FORMERLY FORT BEND FAMILY HEALTH 400 AUSTIN STREET RICHMOND,TX77469	74-1951476	501(C)3	180,000	HEALTH CARE SERVICES
(2) ASIAN AMERICAN HEALTH COALITION - DBA HOPE CLINIC 7001 CORPORATE DR STE 120 HOUSTON,TX77036	31-1756818	501(C)3	75,000	PEDIATRIC HEALTH CARE
(3) BAYLOR COLLEGE OF MEDICINE 1 BAYLOR PLAZA HOUSTON,TX77030	74-1613878	501(C)3	16,750,529	EDUCATIONAL
(4) BERINGOMEGA COMMUNITY SERVICE FOUNDATION 1429 HAWTHORNE STREET HOUSTON,TX770063711	76-0589592	501(C)3	50,000	DENTAL SERVICES
(5) BOYS AND GIRLS COUNTRY OF HOUSTON INC 18806 ROBERTS ROAD HOCKLEY,TX774479327	74-6026198	501(C)3	25,000	MENTAL HEALTH SERVICES
(6) CASA DE ESPERANZA DE LOS NINOS INC 2911 CORDER ST HOUSTON,TX77054	76-0105306	501(C)3	25,000	MENTAL HEALTH SERVICES
(7) CHRIST CLINIC 5504 FIRST STREET KATY,TX77493	90-0789318	501(C)3	80,000	MULTICULTURAL SERVICES
(8) EL CENTRO DE CORAZONEASTWOOD HEALTH CLINIC 5001 NAVIGATION HOUSTON,TX77011	76-0442781	501(C)3	200,000	HEALTH CARE SERVICES
(9) EYE CARE FOR KIDS FOUNDATION 9660 HILLCROFT ST 325 HOUSTON,TX77096	76-0573182	501(C)3	50,000	CHILDREN'S OPHTHALMOLOGY SERVICES
(10) HARRIS COUNTY CLINICAL SERVICES INC 2801 VIA FORTUNA STE 500C AUSTIN,TX78746	43-2110434	501(C)3	2,756,341	MEDICAL LABORATORY SERVICES
(11) HEALTHCARE FOR THE HOMELESS - HOUSTON 2505 FANNIN ST HOUSTON,TX77002	76-0647934	501(C)3	300,000	HEALTH CARE SERVICES
(12) HOUSTON AREA WOMEN'S CENTER 1010 WAUGH DRIVE HOUSTON,TX770193996	74-2029166	501(C)3	15,000	MENTAL HEALTH SERVICES
(13) INTERFACE-SAMARITAN COUNSELING CENTERS INC 4803 SAN FELIPE HOUSTON,TX77045	74-1764082	501(C)3	15,000	MENTAL HEALTH SERVICES
(14) INTERFAITH COMMUNITY CLINIC 101 PINE MANOR DRIVE OAK RIDGE NORTH,TX77385	75-2634623	501(C)3	30,000	DENTAL/HEALTH CARE SERVICES
(15) KRIST SAMARITAN CENTER OF COUNSELING & ED 17555 EL CAMINO REAL HOUSTON,TX770583031	76-0173176	501(C)3	80,000	MENTAL HEALTH SERVICES
(16) LEGACY COMMUNITY HEALTH SERVICES PO BOX 66308 HOUSTON,TX772666308	76-0009637	501(C)3	200,000	HEALTH CARE SERVICES
(17) MATAGORDA EPISCOPAL HOSPITAL OUTREACH PROGRAM 101 AVENUE F NORTH BAY CITY,TX77414	20-0537948	501(C)3	25,000	DENTAL/HEALTH CARE SERVICES
(18) MEMORIAL ASSISTANCE MINISTRIES 1625 BLALOCK RD HOUSTON,TX77080	76-0044172	501(C)3	25,000	COMMUNITY SERVICE
(19) NORTHWEST ASSISTANCE MINISTRIES 15555 KUYKENDAHL ROAD HOUSTON,TX770903651	76-0088702	501(C)3	250,000	CHILDREN'S CLINIC SUPPORT
(20) SAN JOSE CLINIC 301 HAMILTON ST HOUSTON,TX77002	76-6071951	501(C)3	110,000	HEALTH CARE SERVICES
(21) THE ROSE 12700 NORTH FEATHERWOOD DRIVE 260 HOUSTON,TX77034	76-0193812	501(C)3	100,000	CANCER SCREENING SERVICES
(22) THE WOMEN'S HOME 811 WESTHEIMER ROAD HOUSTON,TX770063917	74-1467811	501(C)3	50,000	MENTAL HEALTH SERVICES
(23) TOMAGWA HEALTH CARE MINISTRIES 13414 MEDICAL COMPLEX DR 1 TOMBALL,TX773753333	76-0280324	501(C)3	90,000	HEALTH CARE SERVICES
(24) VECINO HEALTH CENTERS 424 HAHLO STREET HOUSTON,TX770203022	76-0622208	501(C)3	550,000	HEALTH CARE SERVICES
(25) AMERICAN CANCER SOCIETY 6301 RICHMOND AVE HOUSTON,TX77057	52-2340031	501(C)3	25,000	MEDICAL RESEARCH
(26) AMERICAN DIABETES ASSOCIATION 2400 AUGUST DR STE 175 HOUSTON,TX77057	13-1623888	501(C)3	8,000	MEDICAL RESEARCH
(27) AMERICAN HEART ASSOCIATION PO BOX 15186 AUSTIN,TX78761	13-5613797	501(C)3	100,000	MEDICAL RESEARCH
(28) ASSOCIATION OF FUNDRAISING PROFESSIONAL-GREATER HOUSTON CHAPTER PO BOX 59 BELLAIRE,TX77405	13-2590764	501(C)3	7,500	EDUCATION ASSITANCE
(29) BARBARA BUSH HOUSTON LITERACY 7887 SAN FELIPE STE 250 HOUSTON,TX77063	46-5037878	501(C)3	5,000	EDUCATION ASSITANCE
(30) BROOKWOOD COMMUNITY 1752 FM 1489 BROOKSHIRE,TX77423	74-1587672	501(C)3	5,000	MENTAL HEALTH SERVICES
(31) CANCARE OF HOUSTON 9575 KATY FREEWAY STE 428 HOUSTON,TX77024	76-0305357	501(C)3	11,000	MEDICAL RESEARCH
(32) CENTER FOR HOUSTON'S FUTURE 1200 SMITH STREET SUITE 1150 HOUSTON,TX77002	76-0386539	501(C)3	5,000	COMMUNITY SERVICE
(33) CHILDBUILDERS 2425 FOUNTAIN VIEW STE 210 HOUSTON,TX77057	23-7442963	501(C)3	10,000	COMMUNITY SERVICE
(34) CHRISTUS FOUNDATION FOR HEALTHCARE PO BOX 1919 HOUSTON,TX772511919	74-6074210	501(C)3	5,000	MEDICAL RESEARCH
(35) CRISTO REY JESUIT COLLEGE 6700 MOUNT CARMEL ST HOUSTON,TX77087	26-3159838	501(C)3	5,000	SCHOLARSHIP SERVICES
(36) CROHN'S AND COLITIS FOUNDATION OF AMERICA 5120 WOODWAY DR STE 8008 HOUSTON,TX77056	13-6293105	501(C)3	23,000	MEDICAL RESEARCH
(37) DRESS FOR SUCCESS HOUSTON 3310 EASTSIDE ST HOUSTON,TX77098	76-0579697	501(C)3	5,000	COMMUNITY SERVICE
(38) EASTER SEALS 4500 BISSONNET STE 340 BELLAIRE,TX77401	74-1238418	501(C)3	10,000	MEDICAL RESEARCH
(39) FAITH IN PRACTICE 7500 BEECHNUT STE 208 HOUSTON,TX77074	76-0415986	501(C)3	5,000	COMMUNITY SERVICE
(40) FOUNDATION OF THE NATIONAL STUDENT NURSES ASSOCIATION 45 MAIN STREET STE 606 BROOKLYN,NY11201	13-3123125	501(C)3	15,000	HEALTH CARE SERVICES
(41) GOOD SAMARITAN FOUNDATION 5615 KIRBY DRIVE STE 610 HOUSTON,TX77005	74-1235398	501(C)3	24,500	COMMUNITY SERVICE
(42) GREATER HOUSTON PARTNERSHIP 1200 SMITH STREET SUITE 700 HOUSTON,TX77002	76-0267896	501(C)6	12,950	COMMUNITY SERVICE
(43) HEALTHNETWORK FOUNDATION 33 RIVER ST CHAGRIN FALLS,OH44022	04-3804600	501(C)3	50,000	HEALTH CARE SERVICES
(44) HERMANN PARK CONSERVANCY 6201 HERMANN PARK DR HOUSTON,TX77030	76-0327389	501(C)3	5,000	COMMNUITY SERVICE
(45) HOLOCAUST MUSEUM HOUSTON 5401 CAROLINE ST HOUSTON,TX77004	74-0331398	501(C)3	6,000	COMMNUITY SERVICE
(46) HOUSTON BALLET 1921 WEST BELL PO BOX 130487 HOUSTON,TX77019	74-1394920	501(C)3	15,000	COMMNUITY SERVICE
(47) HOUSTON CHILDREN'S CHORUS PO BOX 66567 HOUSTON,TX772666567	76-0286895	501(C)3	5,000	EDUCATION ASSITANCE
(48) INSTITUTE FOR SPIRITUALITY 8100 GREENBRIAR STE 220 HOUSTON,TX77054	74-1246255	501(C)3	30,000	COMMUNITY ASSISTANCE
(49) LEUKEMIA & LYMPHOMA SOCIETY 5433 WESTHEIMER RD STE 300 HOUSTON,TX77056	13-5644916	501(C)3	10,000	MEDICAL RESEARCH
(50) LOCAL INFANT FORMULA FOR EMERGENCIES(LIFE) 2002 S WAYSIDE 113 HOUSTON,TX77023	76-0296548	501(C)3	10,000	BABY NEEDS FOR DISASTERS
(51) MARCH OF DIMES PO BOX 932852 ATLANTA,GA311932852	13-1846366	501(C)3	10,000	MEDICAL RESEARCH
(52) NEHEMIAH CENTER 5015 FANNIN ST HOUSTON,TX77004	76-0437157	501(C)3	5,000	COMMUNITY ASSISTANCE
(53) NEIGHBORHOOD CENTERS INC PO BOX 271389 HOUSTON,TX77277	23-7062976	501(C)3	5,000	COMMUNITY INITIATIVES
(54) NORA'S GIFT FOUNDATION PO BOX 8350 HOUSTON,TX772888350	62-1763895	501(C)3	10,000	COMMUNITY ASSISTANCE
(55) PAWS HOUSTON 5201 MEMORIAL DR STE 1162 HOUSTON,TX77007	26-0054032	501(C)3	5,000	REHABILITATIVE SUPPORT
(56) PINK DOOR NONPROFIT ORGANIZATION PO BOX 6990 HOUSTON,TX77265	20-8876200	501(C)3	10,000	COMMUNITY SERVICE
(57) POINTS OF LIGHT 600 MEANS ST STE 210 ATLANTA,GA30318	65-0206641	501(C)3	10,000	COMMUNITY SERVICE
(58) PREVENT BLINDNESS TEXAS 2202 WAUGH DR HOUSTON,TX77006	74-6075105	501(C)3	5,000	COMMUNITY ASSISTANCE
(59) RENE MOAWAD FOUNDATION 3231 P ST NW 2ND FLOOR WASHINGTON,DC20007	52-1801228	501(C)3	5,000	MEDICAL RESEARCH
(60) RONALD MCDONALD HOUSE OF HOUSTON 1907 HOLCOMBE BLVD HOUSTON,TX77030	74-1984499	501(C)3	5,000	FAMILY HOUSING FOR HOSPITALIZED KIDS
(61) SOUTHEAST TEXAS REGIONAL 1111 NORTH LOOP WEST STE 160 HOUSTON,TX77008	76-0419172	501(C)3	11,500	COMMUNITY SERVICE
(62) SUSAN G KOMEN HOUSTON 5433 WESTHEIMER RD STE 325 HOUSTON,TX77056	76-0360372	501(C)3	30,000	MEDICAL RESEARCH
(63) TAKING CARE OF TEXAS 3500 JEFFERSON ST STE 301 AUSTIN,TX78731	45-1864591	501(C)3	100,000	COMMNUITY ASSISTANCE
(64) TEXAS MEDICAL CENTER PO BOX 301433 DALLAS,TX75303	74-1030788	501(C)3	10,000	COMMNUITY ASSISTANCE
(65) TEXAS NURSE PRACTITIONERS 4425 S MOPAC AUSTIN,TX78735	20-3277048	501(C)6	10,000	COMMNUITY ASSISTANCE
(66) THE HEALTH MUSEUM 1515 HERMAN DRIVE HOUSTON,TX770047126	74-6106357	501(C)3	45,000	COMMUNITY AWARENESS
(67) THE IMMUNIZATION PARTNERSHIP 3015 RICHMOND AVE STE 270 HOUSTON,TX77098	76-0695612	501(C)3	25,000	HEALTH CARE SERVICES
(68) THE LIVING BANK PO BOX 6725 HOUSTON,TX77265	74-1607315	501(C)3	10,000	MEDICAL RESEARCH
(69) THE MENNINGER CLINIC 12301 MAIN STREET HOUSTON,TX77035	34-1453409	501(C)3	5,000	COMMNUITY ASSISTANCE
(70) THE TEXAS LYCEUM 6046 AZALEA LANE DALLAS,TX75230	75-1720024	501(C)3	10,000	COMMUNITY SERVICE
(71) TIRR FOUNDATION 4605 POST OAK PLACE STE 222 HOUSTON,TX77027	76-0185588	501(C)3	7,500	COMMUNITY SERVICE
(72) YMCA OF GREATER HOUSTON 2600 NORTH LOOP WEST HOUSTON,TX77092	74-1109737	501(C)3	5,000	COMMUNITY SERVICE

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2015

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 non-cash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of non-cash assistance

(1) OUTSTANDING STUDENT NURSE SCHOLARSHIP	11	11,000
(2) MEDICAL TECHNOLOGIST STUDENT SCHOLARSHIP	6	12,616
(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: ELEVEN NURSING STUDENTS, ONE EACH FROM ELEVEN 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. GRANTS TO INDIVIDUALS: SIX APPLICANTS ARE CHOSEN AS MEDICAL LABORATORY SCIENCE STUDENTS WHO MEET THE FOLLOWING CRITERIA: THE APPLICANTS MUST HAVE RECEIVED A BACCALAUREATE DEGREE FROM AN ACCREDITED COLLEGE OR UNIVERSITY AND SATISFACTORILY COMPLETED ALL UNDERGRADUATE COURSES REQUIRED OR HAVE COMPLETED ALL UNDERGRADUATE COURSES REQUIRED BY A UNIVERSITY WITH WHICH WE HOLD AN AFFILIATION AGREEMENT AND BE ELIGIBLE FOR A BACCALAUREATE DEGREE IN MEDICAL LABORATORY SCIENCE AT THE COMPLETION OF THE PROGRAM. IN ADDITION, ALL PREREQUISITE COURSES MUST HAVE BEEN COMPLETED BEFORE ADMISSION INTO THE PROGRAM. AN ADMISSION COMMITTEE CONSIDERS TRANSCRIPT RECORD, PERSONAL STATEMENT, FACULTY REFERENCE LETTER AND INTERVIEW SCORE. THE CHOSEN APPLICANTS ARE SELECTED AS RECIPIENTS FOR A $1,600.00 SCHOLARSHIP PER STUDENT, PLUS TAX.

Schedule I (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

THE METHODIST HOSPITAL

Employer identification number

74-1180155

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1NINE OFFICERDIR-SEE METHODISTHOSPITAL GROUP RETURN-SCHEDULE O	(i) (ii)	1,272,391 ------------- 0	855,000 ------------- 0	337,515 ------------- 0	26,000 ------------- 0	22,316 ------------- 0	2,513,222 ------------- 0	0 ------------- 0
2SEVENTEEN DIRECTORS-SEE METHODISTHOSPITAL GROUP RETURN-SCHEDULE O	(i) (ii)	0 ------------- 278,899	0 ------------- 7,854	104,765 ------------- 2,664	0 ------------- 21,400	0 ------------- 34,164	104,765 ------------- 344,981	0 ------------- 0
3ONE OFFICER-SEE METHODISTHOSPITAL GROUP RETURN-SCHEDULE O	(i) (ii)	694,562 ------------- 0	360,847 ------------- 0	187,525 ------------- 0	26,000 ------------- 0	35,105 ------------- 0	1,304,039 ------------- 0	0 ------------- 0
4FIVE KEY EMPLOYEES-SEE METHODISTHOSPITAL GROUP RETURN-SCHEDULE O	(i) (ii)	2,661,547 ------------- 0	1,280,998 ------------- 0	605,061 ------------- 0	120,701 ------------- 0	165,228 ------------- 0	4,833,535 ------------- 0	0 ------------- 0
5FIVE HIGHEST PD EMPLOYEES-SEEHOSPITAL GROUP RETURN-SCHEDULE O	(i) (ii)	2,055,450 ------------- 0	639,110 ------------- 0	383,116 ------------- 0	107,000 ------------- 0	129,650 ------------- 0	3,314,326 ------------- 0	0 ------------- 0
6ONE FORMER KEY-SEE METHODISTHOSPITAL GROUP RETURN-SCHEDULE O	(i) (ii)	297,628 ------------- 0	119,379 ------------- 0	75,050 ------------- 0	23,700 ------------- 0	34,195 ------------- 0	549,952 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	TRAVEL FOR COMPANIONS: HOUSTON METHODIST HOSPTIAL REQUIRES ALL EMPLOYEES INCLUDING OFFICERS TO PROVIDE WRITTEN SUBSTANTIATION OF EXPENSES RELATED TO THEIR BUSINESS TRAVEL THROUGH THE PROVISION OF DETAILED RECEIPTS IN ORDER TO RECEIVE APPROVAL FROM THEIR DIRECT SUPERIORS FOR REIMBURSEMENT IN ACCORDANCE WITH OUR CORPORATE POLICY ON TRAVEL AND OTHER BUSINESS EXPENSES. IN 2015, THE PRESIDENT/CEO HAD 1 TRIP APPROVED FOR ATTENDANCE AT AN OUT OF STATE MEETING WHERE IT WAS DEEMED APPROPRIATE BY THE CHAIR OF OUR BOARD THAT THE ATTENDANCE OF THE PRESIDENT/CEO'S SPOUSE (AND THE RELATED EXPENSES FOR HER TRAVEL TO THESE MEETINGS) WAS INTEGRAL TO CONDUCTING EFFECTIVE METHODIST BUSINESS AT THESE MEETINGS. PART I, LINE 4A: HOUSTON METHODIST HOSPITAL HAS A FORMAL SEVERANCE PLAN. ELIGIBLE EMPLOYEES INCLUDE ALL FULL-TIME AND PART-TIME STAFF (NOT TEMPORARY OR PRN), INCLUDING HOURLY STAFF, UP THROUGH SENIOR VICE PRESIDENTS PROVIDED THEY WORK AT LEAST 20 HOURS PER WEEK AND ARE NOT OTHERWISE COVERED BY A PHYSICIAN EMPLOYMENT AGREEMENT. THE PLAN ONLY PROVIDES SALARY AND BENEFITS IN THE EVENT AN ELIGIBLE EMPLOYEE IS INVOLUNTARILY TERMINATED DUE TO THE ELIMINATION OF THEIR POSITION OR IF THEIR CURRENT POSITION IS SIGNIFICANTLY IMPACTED BY AN ORGANIZATIONAL RESTRUCTURING OR CHANGE IN REQUIREMENT AND A COMPARABLE POSITION IS NOT AVAILABLE WITHIN THE ORGANIZATION. THE ELIGIBLE PERSON MUST ALSO SIGN A TERMINATION AGREEMENT IN ORDER TO RECEIVE SALARY CONTINUATION AND BENEFITS UNDER THE PLAN TO WHICH THEY WOULD NOT NORMALLY BE ELIGIBLE TO RECEIVE UNDER A VOLUNTARY RESIGNATION. PURSUANT TO TREASURY REG SECTION 1 6033-2(D)(5), HOUSTON METHODIST HOSPITAL HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GIFTS & GRANTS, COMPENSATION AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES, CERTAIN OTHER HIGHLY PAID EMPLOYEES, CERTAIN PROFESSIONAL CONTRACTORS AND CERTAIN OTHER CONTRACTORS ON A CONSOLIDATED BASIS FOR ALL OF THE MEMBERS OF THE GROUP, INCLUDING THE PARENT ORGANIZATION, ON THE GROUP RETURN OF METHODIST HOSPITAL GROUP, EIN 35-2410801.
PART I, LINES 4A-B	HOUSTON METHODIST HOSPITAL HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, A NON-QUALIFIED EMPLOYER FUNDED PLAN. CONTRIBUTIONS ARE MADE ANNUALLY INTO A TAX DEFERRED ACCOUNT AND ARE CONSIDERED TAXABLE UPON VESTING (I.E. COMPLETION OF THREE YEARS OF VESTING SERVICE). ONCE VESTED, EACH YEAR'S SUBSEQUENT CONTRIBUTION IS TAXABLE WITHIN THE CALENDAR YEAR IN WHICH THE DEPOSIT WAS MADE. ACCOUNT BALANCES CANNOT BE ACCESSED UNTIL RETIREMENT OR TERMINATION (WHICHEVER OCCURS FIRST) AND MAY BE SUBJECT TO NON-REVOCABLE DISTRIBUTION OPTIONS UPON ELECTION.
PART I, LINE 7	THIS ORGANIZATION PROVIDES VARIABLE COMPENSATION OPPORTUNITY THROUGH AN ANNUAL MANAGEMENT INCENTIVE PLAN. EXECUTIVES AT THE VICE PRESIDENT LEVEL AND ABOVE MAY BE ELIGIBLE TO PARTICIPATE. THE ANNUAL INCENTIVE PROGRAM IS BASED ON SYSTEM AND OPERATING ENTITY LEVEL PERFORMANCE IN THE AREAS OF QUALITY IMPROVEMENT OUTCOMES, PATIENT SATISFACTION AND FINANCIAL PERFORMANCE. IN ADDITION, A PORTION OF THE PAYOUT PERCENTAGE IS BASED ON GOALS THAT ARE SPECIFIC TO THE PARTICIPANTS' MANAGEMENT ROLES AT THE DIVISION OR DEPARTMENT LEVEL INCLUDING BUT NOT LIMITED TO SUCH METRICS AS OPERATING RESULTS, QUALITY AND SAFETY IMPROVEMENTS, CUSTOMER SATISFACTION MEASURES, GROWTH AND INNOVATION INITIATIVES. DETERMINATION OF A PARTICIPANT'S PERCENTAGE OF THE POTENTIAL BONUS PAYOUT (PAID AS A PERCENT OF BASE SALARY) IS BASED ON WHETHER THE INDIVIDUAL ATTAINS AGREED UPON GOALS FOR THEIR AREA OF RESPONSIBILITY AS DETERMINED BY THEIR IMMEDIATE SUPERVISOR.
SCHEDULE J, PART II	PURSUANT TO TREASURY REG SECTION 1 6033-2(D)(5), HOUSTON METHODIST HOSPITAL HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GIFTS & GRANTS, COMPENSATION AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES, CERTAIN OTHER HIGHLY PAID EMPLOYEES, CERTAIN PROFESSIONAL CONTRACTORS AND CERTAIN OTHER CONTRACTORS ON A CONSOLIDATED BASIS FOR ALL OF THE MEMBERS OF THE GROUP, INCLUDING THE PARENT ORGANIZATION, ON THE GROUP RETURN OF METHODIST HOSPITAL GROUP, EIN 35-2410801.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
THE METHODIST HOSPITAL

Employer identification number
74-1180155

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION	52-1284201	41315RGV0	04-10-2008	350,000,000	REFUNDING BONDS FOR SERIES 2006B ISSUED 5/10/06		X		X		X
B	HARRIS COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION	76-0337885	414009AS9	08-21-2008	257,239,185	REFUNDING BONDS FOR PORTION OF SERIES 2006A ISSUED 4/4/06		X		X		X
C	HARRIS COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION	76-0337885	414009AW0	08-21-2008	692,760,000	REFUNDING BONDS FOR PORTION OF SERIES 2006A ISSUED 4/4/06		X		X		X
D	HARRIS COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION	76-0337885	414009BS8	06-02-2009	586,480,000	REFUNDING SERIES 2005A ISSUED 1/20/05 & SERIES 2008C ISSUED 8/21/08		X		X		X
	HARRIS COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION	76-0337885	414009KE9	08-06-2015	308,098,500	NEW MONEY BONDS FOR FUNDING CAPITAL CONSTRUCTION PROJECTS		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	8,375,000		132,100,000		286,480,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	350,000,000		257,239,185		692,760,000		586,480,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	1,768,692
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	306,338,916
11 Other spent proceeds .............	350,000,000		257,239,185		692,760,000		586,480,000
12 Other unspent proceeds .............
13 Year of substantial completion .............
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X		X		X		X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	3.800 %		2.000 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %
6 Total of lines 4 and 5 .............	3.800 %		2.000 %
7 Does the bond issue meet the private security or payment test? ...		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X		X
b Exception to rebate? ........	X		X		X		X
c No rebate due? .........		X		X		X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X	X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

SCHEDULE K - PART II, LINE 13 (ISSUES A THROUGH D)

ALL OUTSTANDING BONDS OF THE METHODIST HOSPITAL ISSUED PRIOR TO 2015 ARE REFUNDIG BONDS. THE METHODIST HOSPITAL ASSUMES THAT LINE 13 DOES NOT ADDRESS REFUNDING BONDS.

SCHEDULE K - PART III, LINE 4 (ISSUE D)

THE REPORTED PRIVATE USE PERCENTAGE OF 4.2% HAS BEEN CALCULATED ON THE PORTION OF THE SERIES 2009C REFUNDING BONDS THAT REFUNDED THE SERIES 2005A BONDS ISSUED IN THE AMOUNT OF $350,000,000. THE REMAINING AMOUNT OF THE SERIES 2009C BONDS THAT REFUNDED BONDS ISSUED PRIOR TO DECEMBER 31, 2002 IN THE AMOUNT OF $236,480,000 WERE EXCLUDED FROM DETERMINING THE REPORTED 2.0% PRIVATE USE CALCULATION FOR 2015.

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
THE METHODIST HOSPITAL

Employer identification number
74-1180155

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION	52-1284201	41315RGV0	04-10-2008	350,000,000	REFUNDING BONDS FOR SERIES 2006B ISSUED 5/10/06		X		X		X
B	HARRIS COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION	76-0337885	414009AS9	08-21-2008	257,239,185	REFUNDING BONDS FOR PORTION OF SERIES 2006A ISSUED 4/4/06		X		X		X
C	HARRIS COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION	76-0337885	414009AW0	08-21-2008	692,760,000	REFUNDING BONDS FOR PORTION OF SERIES 2006A ISSUED 4/4/06		X		X		X
D	HARRIS COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION	76-0337885	414009BS8	06-02-2009	586,480,000	REFUNDING SERIES 2005A ISSUED 1/20/05 & SERIES 2008C ISSUED 8/21/08		X		X		X
	HARRIS COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION	76-0337885	414009KE9	08-06-2015	308,098,500	NEW MONEY BONDS FOR FUNDING CAPITAL CONSTRUCTION PROJECTS		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	8,375,000		132,100,000		286,480,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	350,000,000		257,239,185		692,760,000		586,480,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	1,768,692
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	306,338,916
11 Other spent proceeds .............	350,000,000		257,239,185		692,760,000		586,480,000
12 Other unspent proceeds .............
13 Year of substantial completion .............
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X		X		X		X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	3.800 %		2.000 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %
6 Total of lines 4 and 5 .............	3.800 %		2.000 %
7 Does the bond issue meet the private security or payment test? ...		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X		X
b Exception to rebate? ........	X		X		X		X
c No rebate due? .........		X		X		X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X	X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

SCHEDULE K - PART II, LINE 13 (ISSUES A THROUGH D)

ALL OUTSTANDING BONDS OF THE METHODIST HOSPITAL ISSUED PRIOR TO 2015 ARE REFUNDIG BONDS. THE METHODIST HOSPITAL ASSUMES THAT LINE 13 DOES NOT ADDRESS REFUNDING BONDS.

SCHEDULE K - PART III, LINE 4 (ISSUE D)

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

THE METHODIST HOSPITAL

Employer identification number

74-1180155

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No










Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2015

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) LEE SCHWARTZ	FAMILY MEMBER OF ROBERTA SCHWARTZ-KEY EMP-EXECUTIVE VICE PRESIDENT	292,081	EMPLOYMENT		No
(2) STEVE ORTEGON	FAMILY MEMBER OF LIISA ORTEGON-KEY EMP-SENIOR VICE PRES, CNE	66,212	EMPLOYMENT		No
(3) HARRIS GARCIA	FAMILY MEMBER OF MICHAEL GARCIA-KEY EMP-SVP CHEIF OPERATIONS EXECUTIVE	143,176	EMPLOYMENT		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

THE METHODIST HOSPITAL

Employer identification number

74-1180155

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 1	THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS WHO ARE MEMBERS OF THE BOARD OF DIRECTORS AS DEFINED IN THE BYLAWS; THE RESIDENT BISHOP; AND ONE PHYSICIAN DIRECTOR. IN THE EVENT OF AN EMERGENCY WHEN THERE IS INSUFFICIENT TIME TO CONVENE THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE ALL THE POWERS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS AND AFFAIRS OF THE CORPORATION IN SUCH A MANNER AS THE EXECUTIVE COMMITTEE MAY DEEM TO BE IN THE BEST INTEREST OF THE CORPORATION IN ALL CASES IN WHICH SPECIFIC DIRECTIONS HAVE BEEN GIVEN BY THE BOARD OF DIRECTORS, PROVIDED ANY ACTION WHICH THE COMMITTEE MAY TAKE DOES NOT CONFLICT WITH THE MISSION OF THE CORPORATION AND THE POLICIES AND DIRECTIVES OF THE BOARD OF DIRECTORS. THE CHAIRPERSON OF THE BOARD OF DIRECTORS, UPON THE CALLING OF ANY EXECUTIVE COMMITTEE MEETING, AS THE FIRST ITEM OF BUSINESS, IS REQUIRED TO STATE THE NATURE OF THE EMERGENCY AND THE FACT THAT THERE WAS INSUFFICIENT TIME TO CONVENE THE BOARD OF DIRECTORS, WHICH IS RECORDED IN THE MINUTES BEFORE ANY ACTION IS DEEMED VALID AND ON BEHALF OF THE BOARD OF DIRECTORS. VACANCIES IN THE MEMBERSHIP OF SAID COMMITTEE ARE FILLED BY APPOINTMENT OF THE CHAIRPERSON AND APPROVAL BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE MEETS UPON THE CALL OF THE CHAIRPERSON. THE COMMITTEE KEEPS REGULAR MINUTES OF ITS PROCEEDINGS AND FORTHWITH DELIVERS BY MAIL, FACSIMILE, EMAIL, OR IN PERSON, A WRITTEN REPORT OF THE SAME TO ALL MEMBERS OF THE BOARD OF DIRECTORS. ALL ACTS OR RESOLUTIONS OF THE EXECUTIVE COMMITTEE ARE SUBJECT TO THE APPROVAL OF, OR REVISION BY, THE BOARD OF DIRECTORS, BUT NO RIGHTS OF THIRD PARTIES ARE AFFECTED BY ANY SUCH REVISION. THE SECRETARY OF THE CORPORATION ACTS AS SECRETARY OF THE EXECUTIVE COMMITTEE.
FORM 990, PART VI, SECTION A, LINE 7A	THE TEXAS ANNUAL CONFERENCE OF THE SOUTH CENTRAL JURISDICTION OF THE UNITED METHODIST CHURCH ("CONFERENCE") ELECTS OR RATIFIES THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	THE CONFERENCE HAS THE AUTHORITY TO APPROVE ANY AMENDMENTS TO THE FOLLOWING PROVISIONS OF HOUSTON METHODIST HOSPITAL'S BYLAWS OR THE ARTICLES OF INCORPORATION: I) THE PROVISION THAT THE CONFERENCE ELECTS ALL DIRECTORS OF THIS ORGANIZATION FROM NOMINEES RECOMMENDED BY THE COMMITTEE ON NOMINATIONS OF THE CONFERENCE BASED ON NOMINATIONS MADE BY THE BOARD OF DIRECTORS, (II) THE PROVISION THAT A SUFFICIENT NUMBER OF DIRECTORS BE MEMBERS OF THE UNITED METHODIST CHURCH TO COMPLY WITH THE MEMBERSHIP REQUIREMENTS SET FORTH IN THE BOOK OF DISCIPLINE OF THE UNITED METHODIST CHURCH, (III) THE PROVISION THAT FOUR METHODIST MINISTERS, INCLUDING THE RESIDENT BISHOP BE MEMBERS OF THE BOARD OF DIRECTORS, (IV) THE PROVISION THAT THE BOARD OF DIRECTORS SHALL CONSIST OF NO MORE THAN TWENTY-SIX AND NO FEWER THAN FIFTEEN MEMBERS, OR (V) THE PROVISION THAT AMENDS THE PURPOSE CLAUSES (ARTICLE II AND VI) OF THE ARTICLES OF INCORPORATION OF THE CORPORATION OR THE DISSOLUTION CLAUSE (ARTICLE VII) OF THE ARTICLES OF INCORPORATION OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11	MANAGEMENT, INCLUDING CERTAIN OFFICERS, WORKS DILIGENTLY TO COMPLETE THE FORM 990 AND ATTACHED SCHEDULES ("RETURN") IN A THOROUGH MANNER. THE RETURN IS PREPARED BY A PAID PREPARER. PRIOR TO FILING THE RETURN, A COPY OF THE FORM 990 IS MADE AVAILABLE TO BOARD MEMBERS (INCLUDING REQUIRED SCHEDULES), AND MANAGEMENT TEAM MEMBERS ARE AVAILABLE TO ANSWER ANY BOARD MEMBERS' QUESTIONS.
FORM 990, PART VI, SECTION B, LINE 12C	INDIVIDUALS SERVING IN A SIGNIFICANT DECISION MAKING CAPACITY COMPLETE A CONFLICT OF INTEREST (COI) QUESTIONNAIRE ANNUALLY. A COMPREHENSIVE EVALUATION AND THOROUGH REVIEW OF DISCLOSURES IS PERFORMED BY A 6-MEMBER COI COMMITTEE COMPRISED OF EXECUTIVES, MANAGEMENT, AND STAFF. THE RESULTS OF THE COI DISCLOSURES ARE SUMMARIZED AND REPORTED TO THE PARENT CORPORATION, HOUSTON METHODIST HOSPITAL'S BOARD AUDIT & COMPLIANCE COMMITTEE, INCLUDING CERTAIN ACTIONS BEING TAKEN TO PROTECT THE INTEGRITY OF HOUSTON METHODIST DECISION-MAKING. IN ADDITION, CERTAIN DISCLOSURE RESULTS ARE ALSO COMMUNICATED TO MANAGEMENT AND TO AFFECTED COMMITTEE CHAIRS TO PROMOTE TRANSPARENCY, PROTECT DECISION-MAKING INTEGRITY, AND TO ENSURE RESTRICTIONS ARE IMPOSED WHERE APPROPRIATE. CONFLICTED INDIVIDUALS MAY NOT VOTE OR EXERT SELF-SERVING INFLUENCE ON THE DISCLOSED MATTER.
FORM 990, PART VI, SECTION B, LINE 15	THIS ORGANIZATION FOLLOWS IRS REGULATIONS AS IT RELATES TO ESTABLISHING A REBUTTABLE PRESUMPTION OF REASONABLENESS RELATED TO TOTAL COMPENSATION OF KEY EMPLOYEES AND COMPENSATED OFFICERS OF THE ORGANIZATION LISTED BELOW. IT HAS ESTABLISHED A PROCESS THAT INCLUDES THE FOLLOWING ELEMENTS: A SEPARATE COMMITTEE (THE BOARD COMMITTEE) COMPRISED OF INDEPENDENT DIRECTORS MEETS AT LEAST ANNUALLY TO REVIEW, DELIBERATE AND MAKE RECOMMENDATIONS TO THE BOARD AS IT RELATES TO ANY CHANGES IN TOTAL COMPENSATION INCLUDING BASE PAY, BONUS AWARDS FROM INCENTIVE PROGRAMS OR BENEFITS AND PERQUISITES OF THE CEO AND OTHER OFFICERS AND SOME KEY EMPLOYEES (TYPICALLY THOSE WHO REPORT DIRECTLY TO THE CEO). THE BOARD COMMITTEE ESTABLISHES THAT NO MEMBER HAS ANY CONFLICT OF INTEREST WITH REGARD TO THE EXECUTIVE COMPENSATION ARRANGEMENTS BEING APPROVED. THE BOARD COMMITTEE REVIEWS AND CONSIDERS INFORMATION PROVIDED BY AN EXTERNAL CONSULTANT ENGAGED TO ENSURE IT HAS DIRECT ACCESS TO: - COMPENSATION INFORMATION PAID BY COMPARABLE ORGANIZATIONS, FOR FUNCTIONALLY COMPARABLE POSITIONS. - COMPENSATION NORMS IN THE ORGANIZATION'S IMMEDIATE LOCALE AND FROM OTHER INDEPENDENT COMPENSATION SURVEYS BY NATIONALLY RECOGNIZED INDEPENDENT FIRMS THAT REPRESENT THE ORGANIZATION'S LOGICAL PEER GROUP; - COMPENSATION INFORMATION THAT INCLUDES INFORMATION ON BASE SALARY, INCENTIVES, BENEFITS AND PERQUISITES FOR TOTAL COMPENSATION COMPARISON PURPOSES TO ENSURE REASONABLE COMPETITIVE RANKING. THE COMMITTEE RELIES ON THE COMPARABILITY DATA TO REACH CONSENSUS THAT ITS RECOMMENDATIONS TO THE BOARD REGARDING EXECUTIVE COMPENSATION CHANGES ARE REASONABLE AND IN LINE WITH THIS ORGANIZATION'S OVERALL TOTAL COMPENSATION PHILOSOPHY FOR EXECUTIVE PAY. THE DELIBERATION AND DECISIONS OF THE COMMITTEE ARE CONTEMPORANEOUSLY SUBSTANTIATED. THE COMPENSATION FOR POSITIONS HELD BY KEY EMPLOYEES NOT INCLUDED IN THE PROCESS ABOVE, IS DETERMINED BASED ON A THOROUGH REVIEW OF NUMEROUS COMPENSATION STUDIES CONDUCTED BY NATIONALLY RECOGNIZED, INDEPENDENT FIRMS THAT PROVIDE MARKET DATA FOR TOTAL COMPENSATION FOR SIMILAR POSITIONS. THE COMPENSATION INFORMATION CONSIDERED INCLUDES INFORMATION ON BASE SALARY, INCENTIVES, AND BENEFITS FOR TOTAL COMPENSATION PURPOSES TO ENSURE REASONABLE COMPETITIVE RANKING IN ORDER TO MEET RECRUITMENT AND RETENTION OBJECTIVES THAT SECURE THE TALENT REQUIRED TO CONTRIBUTE TO ORGANIZATIONAL SUCCESS.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS (EXCEPT FOR THE ARTICLES OF INCORPORATION, WHICH ARE ON FILE WITH THE SECRETARY OF THE STATE OF TEXAS), CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS OF THE ORGANIZATION ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART VII, SECTION A	COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, HIGHEST COMPENSATED: HOUSTON METHODIST HOSPITAL HAS ELECTED TO REPORT COMPENSATION FOR INDIVIDUAL OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES, AND CERTAIN OTHER HIGHLY PAID EMPLOYEES ON A CONSOLIDATED BASIS ON THE GROUP RETURN OF METHODIST HOSPITAL GROUP, EIN 35-2410801. THIS ELECTION IS BASED UPON TREASURY REG SECTION 1 6033-2(D)(5). AS A RESULT, HOUSTON METHODIST HOSPITAL'S FIVE HIGHEST PAID EMPLOYEES ARE CONSOLIDATED WITH OTHER ENTITIES WITHIN THE GROUP TO PRESENT FIVE HIGHEST PAID EMPLOYEES OF THE GROUP.
FORM 990, PART VII, SECTION B	HIGHEST PAID INDEPENDENT CONTRACTORS: HOUSTON METHODIST HOSPITAL HAS ELECTED TO REPORT CERTAIN PROFESSIONAL CONTRACTORS AND CERTAIN OTHER CONTRACTORS ON A CONSOLIDATED BASIS FOR ALL OF THE MEMBERS OF THE GROUP, INCLUDING THE PARENT ORGANIZATION, ON THE GROUP RETURN OF METHODIST HOSPITAL GROUP,EIN 35-2410801. THIS ELECTION IS BASED UPON TREASURY REG SECTION 1 6033-2(D)(5). AS A RESULT, HOUSTON METHODIST HOSPITAL'S FIVE HIGHEST PAID CONTRACTORS ARE CONSOLIDATED WITH OTHER ENTITIES WITHIN THE GROUP TO PRESENT FIVE HIGHEST PAID CONTRACTORS OF THE GROUP.
SCHEDULE B DETAIL - INCLUDED IN GROUP RETURN	PURSUANT TO TREASURY REG SECTION 1 6033-2(D)(5), HOUSTON METHODIST HOSPITAL HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GIFTS & GRANTS, COMPENSATION AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES, CERTAIN OTHER HIGHLY PAID EMPLOYEES, CERTAIN PROFESSIONAL CONTRACTORS AND CERTAIN OTHER CONTRATORS ON A CONSOLIDATED BASIS FOR ALL OF THE MEMBERS OF THE GROUP, INCLUDING THE PARENT ORGANIZATION, ON THE GROUP RETURN OF METHODIST HOSPITAL GROUP, EIN 35-2410801.
FORM 990, PART XI, LINE 9:	TRANSFER FROM HOUSTON METHODIST HOSPITAL FOUNDATION 461,020. TRANSFER TO OTHER ENTITY 23,669,391.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

THE METHODIST HOSPITAL

Employer identification number

74-1180155

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)METHODIST HOSPITAL SELF INSURANCE TRUST 6565 FANNIN HOUSTON,TX77030 74-1948396	INSURANCE TRUST	TX	501(C)(3)	LINE 11A, I	THE METHODIST HOSPITAL	Yes
(2)METHODIST PRIMARY CARE GROUP 6565 FANNIN HOUSTON,TX77030 76-0556120	PRIMARY CARE PHYSICIANS	TX	501(C)(3)	LINE 11A, I	TMH HEALTH CARE GROUP		No
(3)STEHLIN FOUNDATION 6565 FANNIN HOUSTON,TX77030 74-1622404	INACTIVE	TX	501(C)(3)	LINE 9	THE METHODIST RESEARCH INSTITUTE		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) MEDVEST 1 LIMITED PARTNERSHIP 6565 FANNIN HOUSTON,TX77030 76-0534067	HEALTH CARE INVESTMENTS	TX	N/A
(2) LITCHFIELD MEMORIAL PARTNERS LP 800 TOWN AND COUNTRY BLVD SUITE 200 HOUSTON,TX77024 36-4778395	PROPERTY INVESTMENTS	TX	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) ALLIED METHODIST HOSPITAL PHYSICIANS 6565 FANNIN HOUSTON,TX77030 76-0551274	PHYSICIAN GROUP	TX	N/A	C				No
(2) MEDVEST HOLDINGS INC 6565 FANNIN HOUSTON,TX77030 76-0667765	HEALTHCARE INVESTMENT	TX	N/A	C				No
(3) MEDVEST INCORPORATED 6565 FANNIN HOUSTON,TX77030 76-0182470	INVESTMENT COMPANY	TX	N/A	C				No
(4) METHODIST WILLOWBROOK MOB CONDOMINIUM ASSOCIATION 6565 FANNIN HOUSTON,TX77030 68-0500294	CONDO ASSOCIATION	TX	N/A	C				No
(5) METHODIST WILLOWBROOK MOB CONDO ASSOCIATION II 6565 FANNIN HOUSTON,TX77030 26-2137993	CONDO ASSOCIATION	TX	N/A	C				No
(6) SAN JACINTO METHODIST-ALEXANDER CONDOMINIUM ASSOCIATION 6565 FANNIN HOUSTON,TX77030 47-0921764	CONDO ASSOCIATION	TX	N/A	C				No
(7) SJMH CONDOMINIUM ASSOCIATION 6565 FANNIN HOUSTON,TX77030 41-2096917	CONDO ASSOCIATION	TX	N/A	C				No
(8) THE METHODIST HOSPITAL CONDOMINIUM ASSOCIATION 6565 FANNIN HOUSTON,TX77030 86-1065871	CONDO ASSOCIATION	TX	N/A	C				No
(9) TMH MEDICAL OFFICE BUILDINGS CONDOMINIUM ASSOCIATION 6565 FANNIN HOUSTON,TX77030 76-0287893	CONDO ASSOCIATION	TX	N/A	C				No
(10) METHODIST WEST HOUSTON MOB CONDOMINIUM ASSOC 6565 FANNIN HOUSTON,TX77030 30-0655123	CONDO ASSOCIATION	TX	N/A	C				No
(11) METHODIST HEALTH CARE SYSTEM SHORT TERM DISABILITY PLAN TRUST 6565 FANNIN HOUSTON,TX77030 76-6161019	INSURANCE TRUST	TX	N/A	T				No
(12) ROMLAC INC 6565 FANNIN HOUSTON,TX77030 74-1674943	REAL ESTATE INV	TX	N/A	C				No
(13) THE SUE CHANDLER TRUST 6565 FANNIN HOUSTON,TX77030 01-0828432	SPLIT INTEREST TRUST	TX	N/A	T				No

Schedule R (Form 990) 2015

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) METHODIST HOSPITAL FOUNDATION	P	7,427,892	FAIR MARKET VALUE
(2) METHODIST HOSPITAL FOUNDATION	C	15,148,427	FAIR MARKET VALUE
(3) METHODIST HOSPITAL FOUNDATION	R	116,045,590	FAIR MARKET VALUE
(4) MEDVEST 1 LIMITED PARTNERSHIP	R	4,354,416	FAIR MARKET VALUE
(5) MEDVEST HOLDINGS	R	93,361	FAIR MARKET VALUE
(6) STEHLIN FOUNDATION	R	130,389	FAIR MARKET VALUE
(7) METHODIST INTERNATIONAL LLC	Q	843,358	FAIR MARKET VALUE
(8) METHODIST INTERNATIONAL LLC	L	110,000	FAIR MARKET VALUE
(9) METHODIST INTERNATIONAL LLC	S	1,251,495	FAIR MARKET VALUE
(10) ALLIED METHODIST HOSPITAL PHYSICIANS	P	2,813,796	FAIR MARKET VALUE
(11) ALLIED METHODIST HOSPITAL PHYSICIANS	S	969,530	FAIR MARKET VALUE
(12) ALLIED METHODIST HOSPITAL PHYSICIANS	L	388,683	FAIR MARKET VALUE
(13) METHODIST HOSPITAL SELF INSURANCE TRUST	P	13,477,303	FAIR MARKET VALUE
(14) METHODIST HOSPITAL SELF INSURANCE TRUST	B	13,898,004	FAIR MARKET VALUE
(15) METHODIST HOSPITAL SELF INSURANCE TRUST	Q	13,898,004	FAIR MARKET VALUE
(16) METHODIST HOSPITAL SELF INSURANCE TRUST	S	8,000,000	FAIR MARKET VALUE
(17) TMH PHYSICIAN ORGANIZATION	P	104,863,939	FAIR MARKET VALUE
(18) TMH PHYSICIAN ORGANIZATION	Q	9,276,404	FAIR MARKET VALUE
(19) TMH PHYSICIAN ORGANIZATION	L	1,300,000	FAIR MARKET VALUE
(20) TMH PHYSICIAN ORGANIZATION	J	9,428,542	FAIR MARKET VALUE
(21) TMH PHYSICIAN ORGANIZATION	S	11,599,615	FAIR MARKET VALUE
(22) MEDVEST INCORPORATED	S	103,974,406	FAIR MARKET VALUE
(23) METHODIST PRIMARY CARE GROUP	Q	3,162,929	FAIR MARKET VALUE
(24) METHODIST PRIMARY CARE GROUP	L	229,412	FAIR MARKET VALUE
(25) METHODIST PRIMARY CARE GROUP	J	241,675	FAIR MARKET VALUE
(26) METHODIST PRIMARY CARE GROUP	P	166,575	FAIR MARKET VALUE
(27) METHODIST PRIMARY CARE GROUP	R	144,007,911	FAIR MARKET VALUE
(28) METHODIST HEALTH CENTERS	Q	3,992,920	FAIR MARKET VALUE
(29) METHODIST HEALTH CENTERS	L	86,671,785	FAIR MARKET VALUE
(30) METHODIST HEALTH CENTERS	M	2,540,336	FAIR MARKET VALUE
(31) METHODIST HEALTH CENTERS	J	1,706,808	FAIR MARKET VALUE
(32) METHODIST HEALTH CENTERS	S	815,084,433	FAIR MARKET VALUE
(33) METHODIST HEALTH CENTERS	P	1,900,332	FAIR MARKET VALUE
(34) METHODIST HEALTH CENTERS	R	1,292,485	FAIR MARKET VALUE
(35) HOUSTON METHODIST ST JOHN HOSPITAL	L	6,372,860	FAIR MARKET VALUE
(36) HOUSTON METHODIST ST JOHN HOSPITAL	R	12,903,355	FAIR MARKET VALUE
(37) HOUSTON METHODIST ST JOHN HOSPITAL	Q	59,006	FAIR MARKET VALUE
(38) HOUSTON METHODIST ST CATHERINE	Q	2,364,391	FAIR MARKET VALUE
(39) HOUSTON METHODIST ST CATHERINE	L	482,000	FAIR MARKET VALUE
(40) HOUSTON METHODIST ST CATHERINE	M	1,323,270	FAIR MARKET VALUE
(41) HOUSTON METHODIST ST CATHERINE	R	17,921,536	FAIR MARKET VALUE
(42) DIAGNOSTIC CENTER HOSPITAL	R	117,099,583	FAIR MARKET VALUE
(43) TMH MEDICAL OFFICE BUILDINGS	Q	902,413	FAIR MARKET VALUE
(44) TMH MEDICAL OFFICE BUILDINGS	L	2,000,000	FAIR MARKET VALUE
(45) TMH MEDICAL OFFICE BUILDINGS	K	7,697,505	FAIR MARKET VALUE
(46) TMH MEDICAL OFFICE BUILDINGS	R	357,555,653	FAIR MARKET VALUE
(47) THE METHODIST HOSPITAL RESEARCH INSTITUTE	P	82,272,882	FAIR MARKET VALUE
(48) THE METHODIST HOSPITAL RESEARCH INSTITUTE	Q	1,019,406	FAIR MARKET VALUE
(49) THE METHODIST HOSPITAL RESEARCH INSTITUTE	L	7,200,000	FAIR MARKET VALUE
(50) THE METHODIST HOSPITAL RESEARCH INSTITUTE	K	16,295,476	FAIR MARKET VALUE
(51) THE METHODIST HOSPITAL RESEARCH INSTITUTE	R	470,246,022	FAIR MARKET VALUE
(52) SAN JACINTO METHODIST HOSPITAL	Q	1,486,858	FAIR MARKET VALUE
(53) SAN JACINTO METHODIST HOSPITAL	L	21,809,289	FAIR MARKET VALUE
(54) SAN JACINTO METHODIST HOSPITAL	J	568,174	FAIR MARKET VALUE
(55) SAN JACINTO METHODIST HOSPITAL	R	99,143,040	FAIR MARKET VALUE
(56) HEALTH CARE GROUP	R	298,757,206	FAIR MARKET VALUE
(57) THE METHODIST HEALTH CARE SYSTEM SHORT TERM DISABILITY PLAN	R	1,337,715	FAIR MARKET VALUE

Schedule R (Form 990) 2015

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PROVIDE MEDICAL CARE (SEE MISSION STATEMENT ON PAGE 2)
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	23
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	20
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	10,565
6	Total number of volunteers (estimate if necessary) .............	6	1,203
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	428,869
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-111,847

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	14,649,690	15,148,427
9	Program service revenue (Part VIII, line 2g) .........	1,471,135,173	1,647,678,034
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	39,527,173	34,856,766
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	51,609,069	46,502,306
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,576,921,105	1,744,185,533
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	35,164,655	23,003,567
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	568,950,822	625,484,662
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	846,471,566	933,224,568
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,450,587,043	1,581,712,797
19	Revenue less expenses. Subtract line 18 from line 12.......	126,334,062	162,472,736
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	6,115,556,852	6,469,567,430
21	Total liabilities (Part X, line 26).............	2,075,208,990	2,254,738,180
22	Net assets or fund balances. Subtract line 21 from line 20.....	4,040,347,862	4,214,829,250

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,360,838,591 including grants of $ 23,003,567 ) (Revenue $ 1,647,604,684 )
	SEE SCHEDULE OCURRENTLY HOUSTON METHODIST HOSPITAL OPERATES 856 STAFFED BEDS IN ITS TEXAS MEDICAL CENTER FACILITIES. HOUSTON METHODIST HOSPITAL RECORDED 435,653 VISITS DURING 2015 WHICH WERE COMPRISED OF 326,534 OUTPATIENT VISITS, 72,399 EMERGENCY ROOM VISITS AND 36,720 INPATIENT VISITS. IT ALSO PERFORMED 15,203 INPATIENT SURGERIES AND 19,270 OUTPATIENT SURGERIES IN 2015.THE PRINCIPAL MEDICAL SERVICES AVAILABLE AT HOUSTON METHODIST HOSPITAL ARE ANESTHESIOLOGY, CARDIOVASCULAR SURGERY, ORAL & MAXILLOFACIAL-HOSPITAL DENTISTRY, DERMATOLOGY, FAMILY MEDICINE, GENERAL SURGERY, INTERNAL MEDICINE, CARDIOLOGY, CLINICAL IMMUNOLOGY, GASTROENTEROLOGY, GENERAL MEDICINE, HEMATOLOGY, HYPERTENSION, INFECTIOUS DISEASES, MEDICAL GENETICS, METABOLIC AND ENDOCRINE DISEASES, NUCLEAR MEDICINE, ONCOLOGY, PHARMACOLOGY, PULMONARY DISEASES, RENAL DISEASES, RHEUMATOLOGY, NEUROPHYSIOLOGY, NEUROSURGERY, OBSTETRICS AND GYNECOLOGY, OPHTHALMOLOGY, ORTHOPEDIC SURGERY, OTOLARYNGOLOGY-HEAD & NECK SURGERY, PATHOLOGY, PEDIATRICS, PHYSICAL MEDICINE AND REHABILITATION, PLASTIC SURGERY, PSYCHIATRY, RADIOLOGY, RADIOTHERAPY, AND UROLOGY. HOUSTON METHODIST HOSPITAL ALSO OFFERS A RANGE OF ADDITIONAL PATIENT SERVICES, INCLUDING AMBULATORY SURGERY, A BLOOD DONOR CENTER, DIABETES TREATMENT IN A DEDICATED INPATIENT UNIT, A REHABILITATION CENTER, A SKILLED NURSING FACILITY, AND A BROAD RANGE OF PREVENTIVE HEALTH CARE INSTRUCTION, INCLUDING SMOKING CESSATION, STRESS MANAGEMENT, WEIGHT CONTROL, AND CARDIAC AND PULMONARY REHABILITATION.GENERAL OUTPATIENT SERVICES OFFERED BY HOUSTON METHODIST HOSPITAL INCLUDE AUDIOLOGY, SPEECH PATHOLOGY, PSYCHIATRIC SERVICES, DIAGNOSTIC CARDIOLOGY (INCLUDING NUCLEAR CARDIOLOGY, ECHOCARDIOGRAPHY, ELECTROCARDIOGRAPHY, PACEMAKER EVALUATION, AND CORONARY CATHETERIZATION), CHRONIC RENAL DIALYSIS, ENDOSCOPY, EMERGENCY SERVICES, GENERAL AND DIAGNOSTIC RADIOLOGY (INCLUDING FLUOROSCOPY, ULTRASOUND, MAMMOGRAPHY, MYELOGRAPHY, CT SCANNING, AND MRI), NUCLEAR MEDICINE, PATHOLOGY, PERIPHERAL VASCULAR LABORATORY, DERMATOLOGY, PHYSICAL MEDICINE, RADIOTHERAPY, SLEEP STUDIES AND NEUROPHYSIOLOGIC EVALUATIONS, AND SURGERY.HOUSTON METHODIST HOSPITAL OPERATES A MULTI-ORGAN TRANSPLANT CENTER. TRANSPLANTS BEING PERFORMED AT PRESENT INCLUDE KIDNEY, HEART, LUNGS, LIVER, PANCREAS, ISLET CELL AND BONE MARROW. HOUSTON METHODIST HOSPITAL PERFORMED THE FIRST ISLET CELL TRANSPLANT IN TEXAS OF LIVER CELLS FROM A DONOR'S PANCREAS TO THE LIVER OF A DIABETIC PATIENT RESULTING IN DONOR CELLS PRODUCING INSULIN.HOUSTON METHODIST HOSPITAL RESPONDS TO THE COMMUNITY'S NEEDS NOT ONLY THROUGH THE PROVISION OF MEDICAL CARE, BUT ALSO THROUGH EDUCATION OF HEALTH PROFESSIONALS AND PATIENTS, COMMUNITY HEALTH EDUCATION, DONATIONS TO HEALTH CARE RELATED EVENTS AND OTHER SERVICES, AND MEDICAL AND HEALTH RESEARCH.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,360,838,591

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)					(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(1) NINE OFFICERDIR-SEE METHODIST...................................................................... HOSPITAL GROUP RETURN-SCHEDULE O	5.70 ................. 5.70	X	X				2,464,906	0	48,316
(2) SEVENTEEN DIRECTORS-SEE METHODIST...................................................................... HOSPITAL GROUP RETURN-SCHEDULE O	1.90 ................. 4.50	X					104,765	289,417	55,564
(3) ONE OFFICER-SEE METHODIST...................................................................... HOSPITAL GROUP RETURN-SCHEDULE O	38.00 ................. 12.00		X				1,242,934	0	61,105
(4) FIVE KEY EMPLOYEES-SEE METHODIST...................................................................... HOSPITAL GROUP RETURN-SCHEDULE O	48.40 ................. 1.60			X			4,547,606	0	285,929
(5) FIVE HIGHEST PD EMPLOYEES-SEE...................................................................... HOSPITAL GROUP RETURN-SCHEDULE O	39.80 ................. 10.20				X		3,077,676	0	236,650
(6) ONE FORMER KEY-SEE METHODIST...................................................................... HOSPITAL GROUP RETURN-SCHEDULE O	50.00 ................. 0.00					X	492,057	0	57,895

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	11,929,944	289,417	745,459

(A) Name and business address	(B) Description of services	(C) Compensation
FIVE CONTRACTORS-CONSOLIDATED WITH METHODIST HOSPITAL GROUP HOUSTON,TX77030	SEE EXPLANATION IN SCHEDULE O	199,155,888




2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 203

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	15,148,427
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		15,148,427

			Business Code
2a	PATIENT CARE SERVICES	900099	1,620,561,800	1,620,561,800
b	RELATED ORG. RENT	531390	27,116,234	27,042,884	73,350
c
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			1,647,678,034

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			46,258,321			46,258,321
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			310			310
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	1,102,589	3,653,626,000
b	Less: cost or other basis and sales expenses	1,970,363	3,664,159,781
c	Gain or (loss)	-867,774	-10,533,781
d	Net gain or (loss).....			-11,401,555			-11,401,555
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	OTHER INCOME		900099	19,105,519			19,105,519
b	PATIENT PARKING		812940	10,931,289			10,931,289
c	PATIENT FOOD SERVICES		900099	9,627,507		25,519	9,601,988
d	All other revenue ....			6,837,681		330,000	6,507,681
e	Total. Add lines 11a–11d ......			46,501,996
12	Total revenue. See Instructions......			1,744,185,533	1,647,604,684	428,869	81,003,553

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	22,979,383	22,979,383
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	24,184	24,184
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	9,100,543	449,746	8,650,797
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	453,199,069	402,018,981	51,180,088
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	24,279,418	16,921,489	7,357,929
9	Other employee benefits .......	100,636,862	80,014,306	20,622,556
10	Payroll taxes ...........	38,268,770	29,437,223	8,831,547
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	8,229,832		8,229,832
c	Accounting ...........	547,891		547,891
d	Lobbying ...........	493,037		493,037
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	11,131,720		11,131,720
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	95,979,969	69,754,244	26,225,725
12	Advertising and promotion ....	14,647,518	1,636,840	13,010,678
13	Office expenses .......	23,242,767	18,615,696	4,627,071
14	Information technology ......	36,111,982	28,097,739	8,014,243
15	Royalties ..
16	Occupancy ...........	33,326,521	28,972,296	4,354,225
17	Travel ............	3,916,639	1,571,519	2,345,120
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,894,462	1,638,558	255,904
20	Interest ...........	9,420,275		9,420,275
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	88,693,969	71,925,138	16,768,831
23	Insurance ...	7,435,938		7,435,938
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	366,640,760	364,148,225	2,492,535
b	SUPPORT FOR MRI	80,855,240	80,855,240
c	SUPPORT FOR MPO	76,999,999	76,999,999
d	PROF. SERVICES (NET)	69,654,935	64,259,317	5,395,618
e	All other expenses	4,001,114	518,468	3,482,646
25	Total functional expenses. Add lines 1 through 24e	1,581,712,797	1,360,838,591	220,874,206	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			92,265,840	1	63,465,525
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			203,226,476	4	248,936,102
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........			23,287,788	8	25,275,342
9	Prepaid expenses and deferred charges ......			30,657,625	9	32,712,678
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,518,062,222
b	Less: accumulated depreciation	10b	1,449,031,447	1,011,776,310	10c	1,069,030,775
11	Investments—publicly traded securities .			3,661,626,266	11	3,909,199,833
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			19,591,309	14	19,591,309
15	Other assets. See Part IV, line 11 ...........			1,073,125,238	15	1,101,355,866
16	Total assets. Add lines 1 through 15 (must equal line 34)...			6,115,556,852	16	6,469,567,430

17	Accounts payable and accrued expenses .....	518,901,876	17	427,502,482
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	1,485,154,012	20	1,755,340,175
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	71,153,102	25	71,895,523
26	Total liabilities. Add lines 17 through 25..	2,075,208,990	26	2,254,738,180

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	4,040,347,862	27	4,214,829,250
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	4,040,347,862	33	4,214,829,250
34	Total liabilities and net assets/fund balances ........	6,115,556,852	34	6,469,567,430

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No