TY 2018 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) MARK MEDFORD...................................................................... BOARD CHAIRMAN	0.00 ................. 2.00	X	X
(2) LARRY BRYAN...................................................................... BOARD VICE CHAIRMAN	0.00 ................. 2.00	X	X
(3) HARRY GOLDSMITH...................................................................... BOARD SECRETARY	0.00 ................. 2.00	X	X
(4) ALAN GRAF JR...................................................................... BOARD MEMBER	0.00 ................. 2.00	X
(5) MIKE BRUNS...................................................................... BOARD MEMBER	0.00 ................. 2.00	X
(6) HAROLD FORD JR...................................................................... BOARD MEMBER	0.00 ................. 2.00	X
(7) EDITH KELLY-GREEN...................................................................... BOARD MEMBER	0.00 ................. 2.00	X
(8) CAROLYN HARDY...................................................................... BOARD MEMBER	0.00 ................. 2.00	X
(9) JOHNNY MOORE...................................................................... BOARD MEMBER	0.00 ................. 2.00	X
(10) BILLY ORGEL...................................................................... BOARD MEMBER	0.00 ................. 2.00	X
(11) JOHN HILLIARD PETTY III...................................................................... BOARD MEMBER	0.00 ................. 2.00	X
(12) DAVID RUDD...................................................................... BOARD MEMBER	0.00 ................. 2.00	X
(13) SANDY M SMITH...................................................................... BOARD MEMBER	0.00 ................. 2.00	X
(14) FLOYD TYLER...................................................................... BOARD MEMBER	0.00 ................. 2.00	X
(15) DENISE WOOD...................................................................... BOARD MEMBER	0.00 ................. 2.00	X
(16) DAVID BECKLY PH D...................................................................... BOARD MEMBER (THRU JUNE 2018)	0.00 ................. 2.00	X
(17) BISHOP GARY MUELLER...................................................................... BOARD MEMBER	0.00 ................. 2.00	X

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) STEVE SCHWAB MD........................................................................ BOARD MEMBER	0.00 .......................2.00	X			0	0	0
(19) SCOTT E STROME MD........................................................................ BOARD MEMBER	0.00 .......................2.00	X			0	0	0
(20) BISHOP JAMES E SWANSON SR........................................................................ BOARD MEMBER	0.00 .......................2.00	X			0	0	0
(21) CARTER TOWNE MD........................................................................ BOARD MEMBER	0.00 .......................2.00	X			0	0	0
(22) BISHOP BILL MCALILLY........................................................................ BOARD MEMBER	0.00 .......................2.00	X			0	0	0
(23) GEORGE CATES........................................................................ BOARD MEMBER	0.00 .......................2.00	X			0	0	0
(24) MICHAEL UGWUEKE........................................................................ PRESIDENT/CEO/BOARD MEMBER	2.00 .......................48.00	X	X		0	1,456,728	411,661
(25) GARY SHORB........................................................................ SENIOR ADVISOR TO PRESIDENT	1.00 .......................4.00		X		0	115,776	1,327
(26) CHRISTOPHER MCLEAN........................................................................ EVP/CHIEF ADMINISTRATIVE	2.00 .......................48.00		X		0	1,622,645	195,622
(27) WILLIAM KENLEY........................................................................ EVP - COMMUNITY HOSPITALS	2.00 .......................48.00		X		0	828,523	195,304
(28) KATHLEEN FORBES........................................................................ EVP/ACADEMIC GROUP	2.00 .......................48.00		X		0	480,817	97,218
(29) DAVID BAYTOS........................................................................ SVP - MS	10.00 .......................40.00		X		0	584,083	52,464
(30) ALBERT MOSLEY........................................................................ SVP - FAITH & HEALING	2.00 .......................48.00		X		0	197,774	83,062
(31) CATO JOHNSON........................................................................ SVP - PUBLIC POLICY	2.00 .......................48.00		X		0	553,667	36,233
(32) MARK MCMATH........................................................................ SVP - CMIO	2.00 .......................48.00		X		0	439,528	100,010
(33) NIKKI POLIS........................................................................ SVP - CHIEF NURSING OFFICER	2.00 .......................48.00		X		0	666,940	26,336
(34) HUGH JONES III........................................................................ SVP - STRATEGIC PLANNING	2.00 .......................48.00		X		0	414,731	116,426
(35) CAROL ROSS-SPANG........................................................................ SVP - HUMAN RESOURCES	2.00 .......................48.00		X		0	539,960	123,415
(36) SUSAN GAIL THURMOND........................................................................ SVP - CHIEF QUALITY OFFICER	2.00 .......................48.00		X		0	587,509	40,718
(37) WILLIAM BREEN JR........................................................................ SVP - PHYSICIAN ALIGNMENT	2.00 .......................48.00		X		0	721,164	95,448
(38) JOHN MITCH GRAVES........................................................................ SVP - PRESIDENT OF HEALTH CHOICE	2.00 .......................48.00		X		0	626,119	89,539
(39) CHARLES LANE........................................................................ SVP - ASSOCIATE CFO	2.00 .......................48.00		X		0	584,294	139,087
(40) MONICA WHARTON........................................................................ SVP - CHIEF LEGAL COUNSEL	2.00 .......................48.00		X		0	390,150	95,244
(41) MERI ARMOUR........................................................................ SVP - CEO LE BONHEUR HOSPITAL	46.00 .......................4.00		X		774,663	0	42,177
(42) ROLAND CRUICKSHANK........................................................................ SVP - CEO OF UNIVERSITY	40.00 .......................		X		396,963	0	83,390
(43) DIANE RIDGWAY........................................................................ SVP - CEO OF GERMANTOWN	40.00 .......................		X		354,889	0	61,747
(44) FLORENCE JONES........................................................................ SVP - CEO OF NORTH	40.00 .......................		X		512,176	0	43,588
(45) REBECCA CULLISON........................................................................ SVP - PRESIDENT GERMANTOWN	40.00 .......................		X		262,712	0	83,672
(46) ROBIN WOMEODU........................................................................ CMO - UNIVERSITY	40.00 .......................		X		416,645	0	77,572
(47) BARRY GILMORE........................................................................ CMO - LE BONHEUR HOSPITAL	40.00 .......................		X		419,682	0	36,322
(48) CASSANDRA HOWARD........................................................................ CMO - GERMANTOWN	40.00 .......................		X		374,955	0	40,000
(49) CORBI MILLIGAN........................................................................ CMO OF SOUTH/NORTH	40.00 .......................		X		374,190	0	39,158
(50) ANN BROWN........................................................................ VP - PRACTICE TRANSFORMATION	40.00 .......................		X		141,063	0	3,788
(51) JAMES EASON........................................................................ PHYSICIAN	40.00 .......................			X	1,724,061	0	16,497
(52) EDMOND OWEN........................................................................ PHYSICIAN	40.00 .......................			X	1,015,191	0	24,468
(53) STEVAN HIMMELSTEIN........................................................................ PHYSICIAN	40.00 .......................			X	1,194,484	0	41,999
(54) SHADWAN ALSAFWAH........................................................................ PHYSICIAN	40.00 .......................			X	1,341,315	0	2,340
(55) RAMI KHOUZAM........................................................................ PHYSICIAN	40.00 .......................			X	1,151,996	0	7,780

(A) Name and business address	(B) Description of services	(C) Compensation
WEST CLINIC 100 N HUMPHREYS BLVD MEMPHIS,TN381202146	PHYSICIAN SERVICES	80,138,907
UNIVERSITY OF TENNESSEE 920 MADISON SUITE 447 MEMPHIS,TN381630001	PHYSICIAN SERVICES	35,771,089
BLOOD SYSTEMS INC DBA BIOCARE P O BOX 53022 TEMPE,AZ85072	BLOOD PROCESSING	10,732,300
JOHNSON CONTROLS INC PO BOX 730068 DALLAS,TX75373	CONTRACT SERVICES	9,841,980
UT MEDICAL GROUP INC 1407 UNION AVE STE 700 MEMPHIS,TN38104	PHYSICIAN SERVICES	4,195,085
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 103

- 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.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

METHODIST HEALTHCARE - MEMPHIS HOSPITALS

Employer identification number

62-0479367

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 12, 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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. 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—2017. 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—2018. 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—2017. 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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. 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—2017. 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) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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) 2018

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) 2018

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 (explain in Part VI). 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) 2018

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 2018 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-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

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) 2018

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

METHODIST HEALTHCARE - MEMPHIS HOSPITALS

Employer identification number

62-0479367

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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization METHODIST HEALTHCARE - MEMPHIS HOSPITALS

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization METHODIST HEALTHCARE - MEMPHIS HOSPITALS		Employer identification number 62-0479367

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization METHODIST HEALTHCARE - MEMPHIS HOSPITALS			Employer identification number 62-0479367
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) (2018)

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.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

METHODIST HEALTHCARE - MEMPHIS HOSPITALS

Employer identification number

62-0479367

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 7/25/06, 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) 2018

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 ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

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

Temporarily restricted endowment SchDMd Bullet

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)

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

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 .....	68,020,385		68,020,385
b	Buildings ....	761,811,248	445,541,811	316,269,437
c	Leasehold improvements	97,549,632	68,557,093	28,992,539
d	Equipment ....	941,874,101	617,466,729	324,407,372
e	Other .....	225,776,954		225,776,954
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				963,466,687

Schedule D (Form 990) 2018

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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

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
MINORITY INTEREST IN SUBSIDIARIES	1,800,709
OTHER LIABILITIES	2,083,410
NET DUE TO AFFILIATES	12,298,795
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	16,182,914
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) 2018

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	1,981,040,841
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	9,834,888
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	56,833
e	Add lines 2a through 2d .....................			2e	9,891,721
3	Subtract line 2e from line 1..................			3	1,971,149,120
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	261,426,422
c	Add lines 4a and 4b....................			4c	261,426,422
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	2,232,575,542

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	1,866,352,295
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	56,833
e	Add lines 2a through 2d....................			2e	56,833
3	Subtract line 2e from line 1...................			3	1,866,295,462
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	222,397,185
c	Add lines 4a and 4b.....................			4c	222,397,185
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	2,088,692,647

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 X, LINE 2:	THE ORGANIZATION CONSOLIDATES ITS AUDIT WITH ITS CORPORATE PARENT AND OTHER SUBSIDIARIES OF THE PARENT. THE FOLLOWING STATEMENT REFLECTS THE FIN 48 FOOTNOTE OF THE CONSOLIDATED GROUP. THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE SYSTEM AND ALL OF THE NONPROFIT AFFILIATES FOR WHICH THE SYSTEM OR ITS BOARD OF DIRECTORS IS CONTROLLING MEMBER ARE EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3). AS QUALIFIED TAX-EXEMPT ORGANIZATIONS, THE SYSTEM'S NONPROFIT AFFILIATES MUST OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THEIR TAX-EXEMPT STATUS. INCOME TAX FROM THE OPERATIONS OF THE SYSTEM'S WHOLLY OWNED FOR-PROFIT SUBSIDIARY, AMBULATORY OPERATIONS, INC., AND ITS SUBSIDIARIES IS NOT SIGNIFICANT. THE SYSTEM APPLIES FASB ASC TOPIC 740 (TOPIC 740), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. TOPIC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS AND PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE HAS BEEN NO IMPACT ON THE SYSTEM'S COMBINED FINANCIAL STATEMENTS AS A RESULT OF TOPIC 740.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	COST OF GOODS SOLD 56,833.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 222,397,185. EQUITY TRANSFER TO AFFILIATES 39,029,237.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	COST OF GOODS SOLD 56,833.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 222,397,185.

Schedule D (Form 990) 2018

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

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

METHODIST HEALTHCARE - MEMPHIS HOSPITALS

Employer identification number

62-0479367

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

Yes

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

Yes

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) . . .	90,982,072	89,386	90,892,686	4.870 %
b	Medicaid (from Worksheet 3, column a) . . . . .	441,410,685	346,722,917	94,687,768	5.070 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	3,256,357	1,958,624	1,297,733	0.070 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	535,649,114	348,770,927	186,878,187	10.010 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	711,929		711,929	0.040 %
f	Health professions education (from Worksheet 5) . . .	46,899,330	13,968,792	32,930,538	1.760 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	5,056,080		5,056,080	0.270 %
j	Total. Other Benefits . .	52,667,339	13,968,792	38,698,547	2.070 %
k	Total. Add lines 7d and 7j .	588,316,453	362,739,719	225,576,734	12.080 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

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.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	2,128,041	2,128,041	0.110 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development	3,110,505	3,110,505	0.170 %
9	Other
10	Total	5,238,546	5,238,546	0.280 %

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

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

43,757,882

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. ......

21,878,941

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).....

394,284,157

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

448,066,483

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

-53,782,326

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

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 %	(e) Physicians' profit % or stock ownership %
11 NORTH SURGERY CENTER LP	OUTPATIENT SURGERY	56.500 %	43.500 %
22 METHODIST SURGERY CENTER - GERMANTOWN LP	OUTPATIENT SURGERY	55.000 %	45.000 %
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

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?5Name, 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)								Facility reporting group
1	METHODIST UNIVERSITY HOSPITAL 1265 UNION AVE MEMPHIS,TN38104	X	X		X	X	X	A
2	METHODIST LE BONHEUR GERMANTOWN HOSPITAL 7691 POPLAR AVE GERMANTOWN,TN38138	X	X				X	A
3	LE BONHEUR CHILDREN'S HOSPITAL 848 ADAMS STREET MEMPHIS,TN38103	X	X	X	X	X	X	A
4	METHODIST NORTH HOSPITAL 3960 NEW COVINGTON PIKE MEMPHIS,TN38128	X	X				X	A
5	METHODIST SOUTH HOSPITAL 1300 WESLEY DR MEMPHIS,TN38116	X	X				X	A

Schedule H (Form 990) 2018

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)

	FACILITY REPORTING GROUP A
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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

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

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 17

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

Yes

If "Yes" (list url): SEE PART V, SECTION C

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

10b

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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FACILITY REPORTING GROUP A
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 250.000000000000%

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)

Was widely publicized 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):

WWW.METHODISTHEALTH.ORG/FINANCIAL-ASSISTANCE/

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

WWW.METHODISTHEALTH.ORG/FINANCIAL-ASSISTANCE/

A plain language summary of the FAP was widely available on a website (list url):
WWW.METHODISTHEALTH.ORG/FINANCIAL-ASSISTANCE/

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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

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)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

	FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: METHODIST UNIVERSITY HOSPITAL, - FACILITY 2: METHODIST LE BONHEUR GERMANTOWN HOSPITAL, - FACILITY 3: LE BONHEUR CHILDREN'S HOSPITAL, - FACILITY 4: METHODIST NORTH HOSPITAL, - FACILITY 5: METHODIST SOUTH HOSPITAL
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 5:	MLH ENGAGED SERVICE-AREA COMMUNITY ORGANIZATIONS AND LEADERS VIA A COMBINATION OF FOCUS GROUPS AND STAKEHOLDER INTERVIEWS TO COMPLETE A THOROUGH CHNA. ORGANIZATIONS AND LEADERS IDENTIFIED ARE STAKEHOLDERS IN THE HEALTH OF THE COMMUNITY. THE MLH CHNA INCORPORATED DATA AND INPUT FROM THE FOLLOWING: CHRIST COMMUNITY HEALTH SERVICES, CHURCH HEALTH CENTER, MEMPHIS CHILD ADVOCACY CENTER, MEMPHIS HEALTH CENTER, PORTER LEATH, SHELBY COUNTY HEALTH DEPARTMENT, SHELBY COUNTY SCHOOLS, UNITED WAY OF THE MID-SOUTH, THE UNIVERSITY OF MEMPHIS, THE UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER, AS WELL AS LOCAL BUSINESS LEADERS, MLH AND WEST ASSOCIATES, LEADERSHIP, AND PHYSICIANS AND OUR PATIENT AND FAMILY PARTNERS.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6A:	METHODIST UNIVERSITY HOSPITAL, METHODIST SOUTH HOSPITAL, METHODIST NORTH HOSPITAL, METHODIST LE BONHEUR GERMANTOWN HOSPITAL, LE BONHEUR CHILDREN'S HOSPITAL, AND METHODIST OLIVE BRANCH HOSPITAL
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11:	MLH DEVELOPED HOSPITAL-SPECIFIC IMPLEMENTATION PLANS. EACH FACILITY'S IMPLEMENTATION PLAN WAS DESIGNED TO BE SYSTEM-MINDED AND FOCUSED ON ADDRESSING THE IDENTIFIED COMMUNITY HEALTH NEEDS (I.E., MATERNAL INFANT & CHILD HEALTH; ACCESS TO HEALTH SERVICES; CANCER; AND CARDIOVASCULAR DISEASE & STROKE). PLANS ASSUME ALL HOSPITAL FACILITIES WILL WORK TOGETHER IN ADDRESSING NEEDS, AND DOES NOT INCLUDE AN EXHAUSTIVE LIST OF CURRENT COMMUNITY HEALTH INITIATIVES. THE "SIGNATURE INITIATIVES" ADDRESSED WITHIN THIS PLAN ARE SPECIFIC PROGRAMS OF FOCUS WHICH WILL BE USED TO MEASURE PROGRESS OF HOW THIS SYSTEM IS WORKING TO ADDRESS THE NEEDS OF THE COMMUNITY.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 13B:	THE ORGANIZATION USES TWO DIFFERENT METHODS FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE BASED ON WHETHER THE PATIENT SUBMITS A FINANCIAL ASSISTANCE POLICY (FAP).IF THE PATIENT SUBMITS A FAP APPLICATION:-A TEAM OF FINANCIAL ASSISTANCE REPRESENTATIVES REVIEWS THE APPLICATION TO DETERMINE IF THEY QUALIFY FOR FEDERAL ASSISTANCE SUCH AS FOOD STAMPS OR WELFARE. IF SO, THE PATIENT RECEIVES A 100% WRITE OFF.- IF THE PATIENT DOES NOT QUALIFY FOR FEDERAL ASSISTANCE, THE TEAM DETERMINES THE AMOUNT OF DISCOUNT BASED ON INCOME WITHIN THE FEDERAL POVERTY GUIDELINES AND THE NUMBER OF DEPENDENTS. THE LEVEL OF DISCOUNT THEN RANGES FROM 70%, OR 90% UP TO 100% DISCOUNT.IF THE PATIENT DOES NOT SUBMIT A FAP APPLICATION:THE ORGANIZATION SENDS THE ACCOUNT TO A VENDOR TO DETERMINE IF THE ACCOUNT QUALIFIES FOR FINANCIAL ASSISTANCE AT A 100% WRITE OFF. THE ACCOUNT MUST PASS ALL OF THE FOLLOWING TESTS IN ORDER TO RECEIVE A 100% WRITE OFF. ALL OTHER ACCOUNTS SIMPLY RECEIVE ONLY THE 60% DISCOUNT. THE VENDOR USES THE FOLLOWING CRITERIA TO DETERMINE IF THE ACCOUNT QUALIFIES FOR FREE CARE:-NO CREDIT AVAILABLE-NO PRESENCE OF A MORTGAGE-NO FINANCIAL ASSISTANT DENIALS IN THE SYSTEM-NO INSURANCE PAYMENTS OR ADJUSTMENTS IN THE SYSTEM-THE PATIENT MUST RESIDE IN THE UNITED METHODIST HEALTHCARE CATCHMENT AREAS-THE ACCOUNT IS NOT BEING REVIEWED FOR MEDICAID OR MEDICARE-THE PATIENT ACCOUNT IS NOT IN REVIEW FOR LEGAL, BANKRUPTCY, TPL, DECEASED, OR PAYMENT DISPOSITIONS
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 13H:	PATIENTS CAN BE ELIGIBLE FOR 100% CHARITY THROUGH 2 METHODS. ONE IS THROUGH THE AUTOMATED WRITE OFF PROCESS AND ANOTHER IS MANUAL.AUTOMATED WRITE OFF:ACCOUNTS WITH NO INSURANCE ARE SENT TO THE VENDOR PERIODICALLY TO SCORE THEM FOR CHARITY. IF THE ACCOUNT FITS IN FOLLOWING CRITERIA IT WILL BE WRITTEN OFF TO 100% CHARITY. CRITERIA:IF ACCOUNT IS RETURNED AS "TIER 1 OR TIER 2": FPG LESS THAN OR EQUAL TO 200% ISCORE LESS THAN 700NO FA DENIAL DATE IN OUR SYSTEM NO INSURANCE PAYMENTS OR ADJUSTMENTS MADE ON HOSPITAL MAINFRAME SYSTEM (PRIOR TO LIST WITH RAP)PATIENT RESIDES IN UNITED METHODIST HEALTHCARE CATCHMENT AREAS (ALL OTHERS RECEIVE AUTOMATIC 70% DISCOUNT) NOT IN CERTAIN DISPOSITIONS OR PHASES WHERE AGENCY IS REVIEWING FOR ADDITIONAL INFORMATION (I.E., LEGAL, BANKRUPTCY, INSURANCE, TPL, DECEASED OR PAYMENT DISPOSITION, ETC.)ACCOUNT STATUS IS NOT "MED ASSIST" (BEING REVIEWED FOR MEDICAID/MEDICARE)ACCOUNTS WITH NO INSURANCE ARE SENT TO THE VENDOR PERIODICALLY TO SCORE THEM FOR CHARITY. IF THE ACCOUNT FITS IN FOLLOWING CRITERIA IT WILL BE WRITTEN OFF TO 100% CHARITY. CRITERIA:MANUAL WRITE OFF:RAP RECEIVES FINANCIAL ASSISTANCE APPLICATIONS/REQUESTS IN SEVERAL WAYS:COMPLETED FORMS FROM FACILITIES/HOSPITALS AFTER ADMISSIONPRE-SCREEN PROCESS VIA PHONE CONTACT BY RAP TEAMPATIENTS RECEIVE A FINANCIAL ASSISTANCE APPLICATION ATTACHED TO FIRST NOTICE STATEMENT IF THEY'RE UNINSUREDALL FIRST NOTICE STATEMENTS CONTAIN VERBIAGE REGARDING ELIGIBILITY FOR FINANCIAL ASSISTANCE IF UNDERINSURED (PATIENTS WILL CONTACT US IF THEY FALL INTO THIS CATEGORY)FINANCIAL ASSISTANCE REPS REVIEW APPLICATIONS WHICH CONTAINS (INCOME STATUS, NUMBER OF DEPENDENTS, SSN, IF THEY QUALIFY FOR FEDERAL ASSISTANCE)IF THEY QUALIFY FOR FEDERAL ASSISTANCE (FOOD STAMPS, WELFARE) THEY RECEIVE 100% WRITE OFFIF NOT, FINANCIAL ASSISTANCE REPS REVIEW INCOME, TAX RETURNS AND NUMBER OF DEPENDENTS AND ANNUAL FPG SPREADSHEETS TO ASSESS WRITE OFF LEVELS ABOVE 70% (80, 90 UP TO 100%)THESE ITEMS ARE SUBJECT TO CHANGE DUE TO ACQUIRING NEW AUTOMATED WRITE OFF SYSTEM
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 15E:	IN ADDITION, THE ORGANIZATION EXPLAINS THE METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE DURING ADMISSION AND DURING THE PRE-SCREENING PROCESS AFTER DISCHARGE.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 16J:	IN ADDITION, THE ORGANIZATION ATTACHES THE FINANCIAL ASSISTANCE POLICY TO FIRST NOTICE LETTERS FOR ALL UNINSURED PATIENTS. A LINK IS INCLUDED ON THE NOTICE INSTRUCTING APPLICANTS ON HOW TO APPLY FOR FINANCIAL ASSISTANCE OR HOW TO RECEIVE THE APPLICATION.
SCHEDULE H, PART V, SECTION B, LINE 7A	THE CHNA CAN BE FOUND USING THE FOLLOWING URL:HTTPS://WWW.METHODISTHEALTH.ORG/ABOUT-US/OUR-CULTURE/COMMUNITY-IMPACT/
SCHEDULE H, PART V, SECTION B, LINE 10A	THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY CAN BE FOUND USING THE FOLLOWING URL:HTTPS://WWW.METHODISTHEALTH.ORG/ABOUT-US/OUR-CULTURE/COMMUNITY-IMPACT/

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?86
Name and address		Type of Facility (describe)
1	1 - WEST CANCER CENTER - MIDTOWN 1588 UNION AVE MEMPHIS,TN38104	CANCER TREATMENT CENTERS
2	2 - WEST CANCER CENTER - SOUTHAVEN 7668 AIRWAYS BLVD SOUTHAVEN,MS38671	CANCER TREATMENT CENTERS
3	3 - SUTHERLAND CARDIOLOGY CLINIC 7460 WOLF RIVER BLVD GERMANTOWN,TN38138	SPECIALISTS
4	4 - UT METHODIST PHYSICIANS CARDIOLOGY - 1211 1211 UNION AVENUE SUITE 965 MEMPHIS,TN38104	SPECIALISTS
5	5 - METHODIST GERMANTOWN RADIATION ONCOLOGY CE 7945 WOLF RIVER BLVD GERMANTOWN,TN38138	CANCER TREATMENT CENTERS
6	6 - WEST CANCER CENTER 7945 WOLF RIVER BLVD GERMANTOWN,TN38138	CANCER TREATMENT CENTERS
7	7 - METHODIST MEDICAL GROUP - 3725 CHAMPION HI 3725 CHAMPION HILLS DR 2000 MEMPHIS,TN38125	MYMD CLINICS
8	8 - METHODIST DIAGNOSTIC CENTER - MIDTOWN 1801 UNION AVENUE MEMPHIS,TN38104	IMAGING & DIAGNOSTIC CENTER
9	9 - METHODIST MEDICAL GROUP - 8115 COUNTRY VIL 8115 COUNTRY VILLAGE CORDOVA,TN38016	MYMD CLINICS
10	10 - WEST CANCER CENTER - BRIGHTON 240 GRANDVIEW DR BRIGHTON,TN38011	CANCER TREATMENT CENTERS
11	11 - MARGARET WEST COMPREHENSIVE BREAST CENTER 7945 WOLF RIVER BLVD GERMANTOWN,TN38138	IMAGING & DIAGNOSTIC CENTER
12	12 - UT METHODIST PHYSICIANS CARDIOLOGY - 900 N 900 N 7TH STREET WEST MEMPHIS,AR72301	SPECIALISTS
13	13 - GERMANTOWN INTERNAL MEDICINE ASSOCIATES 6401 POPLAR AVE 530 MEMPHIS,TN38119	SPECIALISTS
14	14 - METHODIST MEDICAL GROUP - 6570 SUMMER OAKS 6570 SUMMER OAKS COVE BARTLETT,TN38134	MYMD CLINICS
15	15 - METHODIST MEDICAL GROUP - 1533 UNION 1533 UNION AVE MEMPHIS,TN38104	MYMD CLINICS
16	16 - METHODIST MEDICAL GROUP - 9047 POPLAR 9047 POPLAR AVE 105 GERMANTOWN,TN38138	MYMD CLINICS
17	17 - METHODIST MEDICAL GROUP - 1325 EASTMORELAN 1325 EASTMORELAND 150 MEMPHIS,TN38104	MYMD CLINICS
18	18 - URGENT CARE (LE BONHEUR) - MEMPHIS 8071 WINCHESTER RD MEMPHIS,TN38125	MINOR MEDICAL CENTER
19	19 - METHODIST MEDICAL GROUP - 6401 POPLAR STE 6401 POPLAR AVE 400 MEMPHIS,TN38119	MYMD CLINICS
20	20 - UT METHODIST PHYSICIANS TRANSPLANT 1265 UNION AVENUE SHERARD WING 1ST FLOOR MEMPHIS,TN38104	SPECIALISTS
21	21 - METHODIST MEDICAL GROUP - 3590 NEW COVINGT 3950 NEW COVINGTON PIKE 110 MEMPHIS,TN38128	MYMD CLINICS
22	22 - METHODIST MEDICAL GROUP - 1325 EASTMORELAN 1325 EASTMORELAND AVENUE SUITE 245 MEMPHIS,TN38104	MYMD CLINICS
23	23 - UT METHODIST PHYSICIANS - PRIMARY CARE 57 GERMANTOWN COURT SUITE 100 MEMPHIS,TN38018	MYMD CLINICS
24	24 - METHODIST MEDICAL GROUP - 5182 SANDERLIN 5182 SANDERLIN 3 MEMPHIS,TN38117	MYMD CLINICS
25	25 - METHODIST DIAGNOSTIC CENTER - GERMANTOWN 1377 S GERMANTOWN RD GERMANTOWN,TN38138	IMAGING & DIAGNOSTIC CENTER
26	26 - METHODIST MEDICAL GROUP - 1880 OLD HWY 51 1880 OLD HIGHWAY 51 S SUITE C BRIGHTON,TN38011	MYMD CLINICS
27	27 - METHODIST MEDICAL GROUP - 7690 WOLF RIVER 7690 WOLF RIVER CIRCLE GERMANTOWN,TN38138	MYMD CLINICS
28	28 - METHODIST MEDICAL GROUP - 3789 COVINGTON P 3789 COVINGTON PIKE BARTLETT,TN38135	MYMD CLINICS
29	29 - METHODIST MEDICAL GROUP - 7550 WOLF RIVER 7550 WOLF RIVER BLVD 103 GERMANTOWN,TN38138	MYMD CLINICS
30	30 - METHODIST DIAGNOSTIC CENTER - NORTH 3950 NEW COVINGTON PIKE SUITE 115 MEMPHIS,TN38128	IMAGING & DIAGNOSTIC CENTER
31	31 - METHODIST MEDICAL GROUP - 76 CAPITAL WAY 76 CAPITAL WAY COVE SUITE C ATOKA,TN38004	MYMD CLINICS
32	32 - METHODIST MEDICAL GROUP - RHEUMATOLOGY 1211 UNION STE 200 MEMPHIS,TN38104	SPECIALISTS
33	33 - METHODIST MEDICAL GROUP - 2589 APPLING 2589 APPLING RD 101 BARTLETT,TN38133	MYMD CLINICS
34	34 - METHODIST MEDICAL GROUP - 2961 CANADA 2961 CANADA RD 105 LAKELAND,TN38002	MYMD CLINICS
35	35 - METHODIST MEDICAL GROUP - 1264 WESLEY STE 1264 WESLEY DR 606 MEMPHIS,TN38116	MYMD CLINICS
36	36 - SOUTH WOUND HEALING CENTER 1251 WESLEY DR 107 MEMPHIS,TN38116	WOUND HEALING CENTER
37	37 - MARGARET WEST COMPREHENSIVE BREAST CENTER 1801 UNION AVE MEMPHIS,TN38104	IMAGING & DIAGNOSTIC CENTER
38	38 - MARGARET WEST SCREENING BREAST CENTER 1381 S GERMANTOWN RD GERMANTOWN,TN38138	IMAGING & DIAGNOSTIC CENTER
39	39 - UT METHODIST PHYSICIANS SURGICAL ONCOLOGY 7945 WOLF RIVER BOULEVARD SUITE 280 GERMANTOWN,TN38138	SPECIALISTS
40	40 - NORTH WOUND HEALING CENTER 3950 NEW COVINGTON PIKE SUITE 350 MEMPHIS,TN38128	WOUND HEALING CENTER
41	41 - METHODIST MEDICAL GROUP - 3473 POPLAR 3473 POPLAR AVE 103 MEMPHIS,TN38111	MYMD CLINICS
42	42 - METHODIST SLEEP DISORDERS CENTER 5050 POPLAR AVE 300 MEMPHIS,TN38157	SLEEP DISORDER CENTER
43	43 - METHODIST MEDICAL GROUP - 7655 POPLAR 7655 POPLAR AVENUE SUITE 140 GERMANTOWN,TN38138	MYMD CLINICS
44	44 - METHODIST MEDICAL GROUP - GENERAL SURGERY 7705 POPLAR AVENUE BLDG B SUITE 310 GERMANTOWN,TN38138	SPECIALISTS
45	45 - METHODIST UNIVERSITY SPECIALTY CLINIC 1325 EASTMORELAND 101 MEMPHIS,TN38104	MYMD CLINICS
46	46 - MEMPHIS SHOULDER AND ORTHOPEDIC SURGERY 1264 WESLEY DR 302 MEMPHIS,TN38116	SPECIALISTS
47	47 - UT METHODIST PHYSICIANS HEAD & NECK SURGER 7945 WOLF RIVER BOULEVARD SUITE 220 GERMANTOWN,TN38138	SPECIALISTS
48	48 - UT METHODIST PHYSICIANS VASCULAR SURGERY - 1325 EASTMORELAND AVENUE SUITE 310 MEMPHIS,TN38104	SPECIALISTS
49	49 - SOUTHWIND ENDOSCOPY CENTER 3725 CHAMPION HILLS DR STE 2400 MEMPHIS,TN38125	SPECIALISTS
50	50 - METHODIST MEDICAL GROUP - ENDOCRINOLOGY 6401 POPLAR AVE SUITE 400 MEMPHIS,TN38119	SPECIALISTS
51	51 - IAN GAILLARD MD 3725 CHAMPION HILLS DRIVE SUITE 2000 MEMPHIS,TN38125	SPECIALISTS
52	52 - UT METHODIST PHYSICIANS HEAD & NECK SURGER 1211 UNION AVENUE SUITE 300 MEMPHIS,TN38104	SPECIALISTS
53	53 - UT METHODIST PHYSICIANS HEAD & NECK SURGER 1325 EASTMORELAND SUITE 260 MEMPHIS,TN38104	SPECIALISTS
54	54 - UT METHODIST PHYSICIANS ENDOCRINOLOGY - 12 1251 WESLEY DRIVE SUITE 151 MEMPHIS,TN38116	SPECIALISTS
55	55 - LE BONHEUR CHILDREN'S OUTPATIENT CENTER EA 100 N HUMPHREYS BLVD MEMPHIS,TN38120	IMAGING & DIAGNOSTIC CENTER
56	56 - UT METHODIST PHYSICIANS GASTROENTEROLOGY - 1325 EASTMORELAND AVENUE SUITE 370 MEMPHIS,TN38104	SPECIALISTS
57	57 - UT METHODIST PHYSICIANS ENDOCRINOLOGY - 13 1325 EASTMORELAND AVENUE SUITE 370 MEMPHIS,TN38104	SPECIALISTS
58	58 - UT METHODIST PHYSICIANS SURGICAL ONCOLOGY 1211 UNION AVENUE SUITE 300 MEMPHIS,TN38104	SPECIALISTS
59	59 - SUTHERLAND CARDIOLOGY CLINIC 1211 UNION AVE SUITE 200 MEMPHIS,TN38104	SPECIALISTS
60	60 - METHODIST MEDICAL GROUP - GENERAL SURGERY 3950 NEW COVINGTON PIKE SUITE 200 MEMPHIS,TN38128	SPECIALISTS
61	61 - WOMENS HEALTH & WELLNESS CENTER 1251 WESLEY DRIVE SUITE 100 MEMPHIS,TN38116	SPECIALISTS
62	62 - METHODIST MEDICAL GROUP - GENERAL SURGERY 1264 WESLEY DR 304 MEMPHIS,TN38116	SPECIALISTS
63	63 - UT METHODIST PHYSICIANS INFECTIOUS DISEASE 1325 EASTMORELAND AVENUE SUITE 370 MEMPHIS,TN38104	SPECIALISTS
64	64 - UT METHODIST PHYSICIANS ENDOCRINOLOGY - 57 57 GERMANTOWN COURT SUITE 100 MEMPHIS,TN38108	SPECIALISTS
65	65 - UT METHODIST PHYSICIANS PULMONOLOGY 1325 EASTMORELAND AVENUE SUITE 370 MEMPHIS,TN38104	SPECIALISTS
66	66 - UT METHODIST PHYSICIANS GASTROENTEROLOGY - 57 GERMANTOWN COURT SUITE 100 MEMPHIS,TN38108	SPECIALISTS
67	67 - UT METHODIST PHYSICIANS THORACIC SURGERY - 1211 UNION AVENUE SUITE 300 MEMPHIS,TN38104	SPECIALISTS
68	68 - UT METHODIST PHYSICIANS GENERAL & MINIMALL 1325 EASTMORELAND AVENUE SUITE 370 MEMPHIS,TN38104	SPECIALISTS
69	69 - UT METHODIST PHYSICIANS THORACIC SURGERY - 7945 WOLF RIVER BOULEVARD SUITE 280 GERMANTOWN,TN38138	SPECIALISTS
70	70 - UT METHODIST PHYSICIANS CARDIOLOGY - 57 GE 57 GERMANTOWN COURT SUITE 100 MEMPHIS,TN38108	SPECIALISTS
71	71 - METHODIST MEDICAL GROUP - CARDIOVASCULAR S 7655 POPLAR AVE SUITE 350 GERMANTOWN,TN38138	SPECIALISTS
72	72 - METHODIST MEDICAL GROUP - CARDIOVASCULAR S 1325 EASTMORELAND AVE SUITE 365 MEMPHIS,TN38104	SPECIALISTS
73	73 - UT METHODIST PHYSICIANS VASCULAR SURGERY - 7655 POPLAR AVENUE SUITE 240 GERMANTOWN,TN38138	SPECIALISTS
74	74 - METHODIST MEDICAL GROUP - CARDIOVASCULAR S 3950 NEW COVINGTON PIKE SUITE 290 MEMPHIS,TN38128	SPECIALISTS
75	75 - UT METHODIST PHYSICIANS INFECTIOUS DISEASE 57 GERMANTOWN COURT SUITE 100 MEMPHIS,TN38108	SPECIALISTS
76	76 - ARRHYTHMIA CONSULTANTS PC 1211 UNION AVE SUITE 475 MEMPHIS,TN38104	SPECIALISTS
77	77 - UT METHODIST PHYSICIANS NEUROLOGY 1325 EASTMORELAND AVENUE SUITE 370 MEMPHIS,TN38104	SPECIALISTS
78	78 - WOLF RIVER SURGERY CENTER 1325 WOLF PARK DR 101 GERMANTOWN,TN38138	SURGERY CENTER
79	79 - METHODIST COMPREHENSIVE SICKLE CELL CENTER 1325 EASTMORELAND SUITE 101 MEMPHIS,TN38104	SICKLE CELL CENTER
80	80 - UT METHODIST PHYSICIANS THORACIC SURGERY - 7655 POPLAR AVENUE SUITE 240 GERMANTOWN,TN38138	SPECIALISTS
81	81 - UT METHODIST PHYSICIANS GENERAL & MINIMALL 3950 NEW COVINGTON PIKE SUITE 350 MEMPHIS,TN38128	SPECIALISTS
82	82 - UT METHODIST PHYSICIANS CARDIOLOGY - 3950 3950 NEW COVINGTON PIKE SUITE 220 MEMPHIS,TN38128	SPECIALISTS
83	83 - UT METHODIST PHYSICIANS CARDIOLOGY - 1251 1251 WESLEY DRIVE SUITE 153 MEMPHIS,TN38116	SPECIALISTS
84	84 - UT METHODIST PHYSICIANS WEIGHT MANAGEMENT 57 GERMANTOWN COURT SUITE 204 MEMPHIS,TN38108	SPECIALISTS
85	85 - UT METHODIST MEDICAL GROUP - 1251 WESLEY 1251 WESLEY DRIVE SUITE 100 MEMPHIS,TN38116	SPECIALISTS
86	86 - UT METHODIST PHYSICIANS SURGICAL ONCOLOGY 7705 POPLAR AVE SUITE 220 MEMPHIS,TN38138	SPECIALISTS

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	ALL SELF PAY PATIENTS RECEIVE A 70% DISCOUNT WHICH IS NOT BASED ON INCOME LEVELS. THE ORGANIZATION USES TWO DIFFERENT METHODS FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE BASED ON WHETHER THE PATIENT SUBMITS A FINANCIAL ASSISTANCE POLICY (FAP).IF THE PATIENT SUBMITS A FAP APPLICATION:-A TEAM OF FINANCIAL ASSISTANCE REPRESENTATIVES REVIEWS THE APPLICATION TO DETERMINE IF THEY QUALIFY FOR FEDERAL ASSISTANCE SUCH AS FOOD STAMPS OR WELFARE. IF SO, THE PATIENT RECEIVES A 100% DISCOUNT.- IF THE PATIENT DOES NOT QUALIFY FOR FEDERAL ASSISTANCE, THE TEAM DETERMINES THE AMOUNT OF DISCOUNT BASED ON INCOME ACCORDING TO THE FEDERAL POVERTY GUIDELINES AND THE NUMBER OF DEPENDENTS. THE LEVEL OF DISCOUNT THEN RANGES FROM 70%, OR 90% UP TO 100% DISCOUNT.IF THE PATIENT DOES NOT SUBMIT A FAP APPLICATION:THE ORGANIZATION SENDS THE ACCOUNT TO A VENDOR TO DETERMINE IF THE ACCOUNT QUALIFIES FOR FINANCIAL ASSISTANCE AT A 100% DISCOUNT. THE ACCOUNT MUST PASS ALL OF THE FOLLOWING TESTS IN ORDER TO RECEIVE A 100% DISCOUNT. ALL OTHER ACCOUNTS RECEIVE ONLY THE 60% DISCOUNT. THE VENDOR USES THE FOLLOWING CRITERIA TO DETERMINE IF THE ACCOUNT QUALIFIES FOR FREE CARE:-NO CREDIT AVAILABLE-NO PRESENCE OF A MORTGAGE-NO FINANCIAL ASSISTANCE DENIALS IN THE SYSTEM-NO INSURANCE PAYMENTS OR ADJUSTMENTS IN THE SYSTEM-THE PATIENT MUST RESIDE WITHIN THE UNITED METHODIST HEALTHCARE CATCHMENT AREAS-THE ACCOUNT IS NOT BEING REVIEWED FOR MEDICAID OR MEDICARE-THE PATIENT ACCOUNT IS NOT IN REVIEW FOR LEGAL, BANKRUPTCY, TPL, DECEASED, OR PAYMENT DISPOSITIONS
PART I, LINE 6A:	METHODIST HEALTHCARE-MEMPHIS HOSPITALS' COMMUNITY BENEFIT REPORT IS PREPARED PRIMARILY BY THE COMMUNICATIONS AND MARKETING DEPARTMENT, WITH SUPPORT FROM THE ACCOUNTING AND FINANCE DEPARTMENTS, OF METHODIST LE BONHEUR HEALTHCARE, THE HOME OFFICE/CORPORATE PARENT ENTITY OF THE HOSPITAL. THE HOSPITAL'S COMMUNITY BENEFIT REPORT CAN BE FOUND ON THE COMPANY'S WEBSITE AT WWW.METHODISTHEALTH.ORG UNDER THE "ABOUT US" SECTION.
PART I, LINE 7:	WORKSHEET 2 OF THE 2018 SCHEDULE H INSTRUCTIONS WAS USED TO COMPUTE A COST-TO-CHARGES RATIO THAT WAS USED TO CALCULATE CHARITY CARE, UNREIMBURSED MEDICAID, AND OTHER MEANS-TESTED PROGRAM SHORTFALLS AT COST.
PART I, LN 7 COL(F):	THE AMOUNT ON FORM 990, PART IX, LINE 25 CONTAINS A BAD DEBT EXPENSE OF $ 222,397,185 THAT HAS BEEN REMOVED FOR PURPOSES OF CALCULATING PERCENT OF TOTAL EXPENSE ON SCHEDULE H, PART I, LINE 7, COLUMN (F).
PART III, LINE 4:	THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE ON BAD DEBTS, ACCOUNTS RECEIVABLE, OR ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.WORKSHEET 2 OF THE 2018 SCHEDULE H INSTRUCTIONS WAS USED TO COMPUTE A COST-TO-CHARGES RATIO THAT WAS USED TO CONVERT BAD DEBT TO APPROXIMATE COST.WHEN A PORTION OF PATIENT CHARGES BECOME THE PATIENT'S RESPONSIBILITY, THE AMOUNT IS WRITTEN OFF TO BAD DEBTS AND THEN SENT TO OUR COLLECTION GROUP, ANY PAYMENTS RECOUPED BY OUR COLLECTIONS GROUP ARE THEN APPLIED AGAINST THE BAD DEBT EXPENSE. IT IS OUR ESTIMATION BASED ON HISTORICAL EXPERIENCE THAT ABOUT 50% OF THE REMAINING PORTION OF BAD DEBTS (AFTER RECOVERIES) COULD BE APPLICABLE TO PATIENTS WHO, ON ADDITIONAL REVIEW AND PROVIDING ALL RELEVANT INFORMATION, WOULD QUALIFY FOR FINANCIAL ASSISTANCE.
PART III, LINE 8:	THE ORGANIZATION USED ITS MEDICARE COST REPORT TO COMPUTE AMOUNTS PRESENTED ON LINES 5 AND 6.
PART III, LINE 9B:	METHODIST LE BONHEUR HEALTHCARE'S COLLECTION PROCESS BEGINS WITH THE ORGANIZATION'S REVENUE CYCLE TEAM MAKING INITIAL COLLECTION EFFORTS TO RECOUP ALL MONIES DUE FROM THE PATIENT'S INSURANCE PROVIDERS. WHEN THE AMOUNT IS SOLELY THE PATIENT'S PORTION, THE ACCOUNT IS TRANSFERRED TO ANOTHER TEAM THAT SPECIALIZES IN PATIENT PORTION ACCOUNTS (EARLY-OUT PROGRAM). IT IS THIS PROGRAM THAT INITIALLY DETERMINES IF A PATIENT QUALIFIES FOR CHARITY CARE UNDER THE ORGANIZATION'S POLICY. IF QUALIFICATION IS UNCLEAR, THIS PROGRAM ATTENDS TO THE ACCOUNT FOR A PREDETERMINED TIME THROUGH LETTERS AND PHONE CALLS. THE DURATION IS DEPENDENT ON VARIOUS SCENARIOS THAT AFFECT ITS LENGTH, SUCH AS PAYMENT ARRANGEMENTS, DISPUTES, ETC. AFTER THE EARLY-OUT TIME PERIOD HAS EXPIRED, THE ACCOUNT IS THEN SENT TO OUR COLLECTIONS GROUP. AN ACCOUNT PLACED WITHIN OUR COLLECTION GROUP EXPERIENCES A CONTINUED AND THOROUGH COLLECTION PHASE. ONCE ALL COLLECTION EFFORTS HAVE BEEN EXHAUSTED AND IT IS DETERMINED THAT THE REMAINING BALANCE WILL NOT BE COLLECTED, THE ACCOUNT IS REEVALUATED ON THE CRITERIA USED TO DETERMINE FINANCIAL AID ELIGIBILITY.
PART VI, LINE 2:	METHODIST LE BONHEUR HEALTHCARE (MLH) CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS TO IDENTIFY THE MOST PRESSING HEALTH ISSUES OF ITS COMMUNITY AND TO STRATEGIZE PLANS WHICH ADDRESS AND COMBAT HEALTH ISSUES AMONG ITS PATIENT POPULATION. MINIMUM ELEMENTS INCLUDE COMMUNITY INPUT; COMMUNITY STAKEHOLDER INPUT; ANALYSES OF SECONDARY HEALTH DATA; AN IMPLEMENTATION PLAN; THE PRIORITIZATION OF HEALTH NEEDS AND DETAILED ACTION PLAN OF HOW TO MOVE FORWARD FROM THE ASSESSMENT; AND THE ACCOMPLISHMENTS IN ADDRESSING THE NEEDS IDENTIFIED IN THE PREVIOUS CHNA. MLH CONDUCTED ITS LAST CHNA IN 2016. IN 2019 MLH INITIATED WORK TO UPDATE THIS ASSESSMENT THROUGH COLLABORATIVE EFFORTS WITH THE SHELBY COUNTY HEALTH DEPARTMENT (SCHD), REGIONAL ONE HEALTH, ST. JUDE CHILDREN'S RESEARCH HOSPITAL AND BAPTIST MEMORIAL HEALTH. ALTHOUGH EACH OF THESE HEALTHCARE AGENCIES HAS A UNIQUE MISSION, VISION, AND SET OF VALUES, THE COMMONALITY OF SERVING THE PEOPLE OF SHELBY COUNTY BRINGS THESE FIVE ORGANIZATIONS IN COLLABORATION TO ADDRESS THE HEALTH NEEDS AND HEALTH DISPARITY AMONG PATRONS. THIS COLLABORATIVE EFFORT IS BEING CO-FACILITATED BY THE SCHD AND MLH.EVEN THOUGH EACH AGENCY DIFFERS IN ITS REPORTING TIMEFRAME AND WILL SUBMIT THEIR OWN CHNA REPORT TO THE IRS, WITHIN THIS PARTNERSHIP, THE AGENCIES DISTRIBUTE VARIOUS ADMINISTRATIVE TASKS AND SHARE DATA FOR THE PURPOSE TO COLLECTIVELY IDENTIFY THE HEALTH NEEDS AND BUILD UPON THE STRENGTHS AND RESOURCES TO TACKLE HEALTH ISSUES TOGETHER. THE ULTIMATE GOAL OF THIS CHNA COLLABORATION IS TO COORDINATE COMMUNITYWIDE HEALTH IMPROVEMENT EFFORTS THROUGH MOVING TOWARDS A MORE COMPREHENSIVE, INCLUSIVE JOINT SHELBY COUNTY CHNA.SHARED ELEMENTS OF THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDE: 1) STAKEHOLDER SURVEY: CONTACT INFORMATION FOR KEY STAKEHOLDERS WITHIN THE COMMUNITY WAS GATHERED BY EACH AGENCY. SURVEY QUESTIONS WERE AGREED UPON. REGIONAL ONE HEALTH TOOK THE LEAD IN DISTRIBUTING AND COLLECTING THE SURVEY RESPONSES FROM ALL CONTACTS. 2) COMMUNITY HEALTH SURVEY: SURVEY QUESTIONS WERE AGREED UPON TO CREATE ONE SURVEY. THE TOP TWO NON-ENGLISH LANGUAGES USED AT EACH AGENCY WERE IDENTIFIED. THE COMMUNITY SURVEY WAS TRANSLATED INTO SPANISH AND ARABIC AND WILL BE DISTRIBUTED ALONG WITH THE ENGLISH VERSION VIA ELECTRONIC AND PAPER SURVEYS. EACH AGENCY RECEIVED THE ONLINE LINKS AND PAPER VERSIONS TO DISTRIBUTE TO COMMUNITY MEMBERS AS THEY SEE FIT. MLH HAS WRITTEN A SUMMARY FROM THEIR ANALYSIS OF THE SURVEY RESULTS.3) SECONDARY DATA ANALYSIS: EACH AGENCY INTERESTED IN OBTAINING SECONDARY (PREVIOUSLY COLLECTED) DATA FROM THE SCHD SUBMITTED A LIST OF DATA ELEMENTS FOR SPECIFIC HEALTH ISSUES. A LIST OF COMMON DATA WAS CREATED AND SUBMITTED TO THE SCHD EPIDEMIOLOGY DIVISION FOR RETRIEVAL. THIS DATA WAS PULLED ONCE AND DISTRIBUTED TO ALL PARTNERS. OTHER SOURCES OF SECONDARY DATA WERE OBTAINED FOR THE MLH REPORT. 4) COMMUNITY FOCUS GROUPS: NEW THIS YEAR WILL BE THE ADDITION OF COMMUNITY MEMBER FOCUS GROUPS. MLH WILL TAKE THE LEAD ON THIS OPTIONAL METHOD OF INFORMATION GATHERING. THE EVALUATION TEAM IDENTIFIED PARTICULAR POPULATIONS WITH CERTAIN HEALTH NEEDS AND CONDUCTED FOCUS GROUPS TO GATHER MORE IN-DEPTH INFORMATION ON THEIR NEEDS, PERCEPTION OF COMMUNITY RESOURCES, AND BARRIERS TO ACCESSING HEALTHCARE OR HEALTHY LIVING. SINCE MLH'S REPORT IS DUE LATER THAN THE OTHER HOSPITALS, THESE FOCUS GROUPS WERE CONDUCTED AFTER BOTH SURVEYS WERE DISTRIBUTED AND ANALYZED. THE RESULTS WERE NOT AVAILABLE IN TIME TO BE REFERENCED BY THE PARTNER AGENCIES IN THEIR CHNA REPORTS. ONCE FINALIZED THE REPORT WILL BE SHARED WITH THE PARTNERS AS WE ALL WORK TOWARDS OUR IMPLEMENTATION PLANS.
PART VI, LINE 3:	AT THE TIME OF REGISTRATION FINANCIAL COUNSELING IS PROVIDED BASED ON THE PATIENT'S INSURANCE AND INFORMATION PROVIDED. METHODIST HEALTHCARE MEMPHIS HOSPITALS (MHMH) DISCUSSES WITH PATIENTS THE AVAILABILITY OF VARIOUS GOVERNMENTAL BENEFITS SUCH AS MEDICAID OR OTHER STATE PROGRAMS, AND PROVIDES ASSISTANCE IN THE DETERMINATION OF QUALIFICATION AND COMPLETION OF APPLICATIONS AS NEEDED. OUR STAFF ALSO PROVIDES INFORMATION ON OUR CHARITY CARE POLICIES AND ASSISTS WITH APPLICATIONS FOR ASSISTANCE. ANY NOTED LANGUAGE BARRIERS ARE ADDRESSED TO FACILITATE COMMUNICATION. OUR FINANCIAL ASSISTANCE SERVICES ARE AVAILABLE TO ANY QUALIFYING UNINSURED PATIENTS ACCORDING TO ESTABLISHED ELIGIBILITY POLICIES. MHMH UTILIZES THE FEDERAL POVERTY GUIDELINES (FPG) TO DETERMINE ELIGIBILITY AND THE LEVEL OF DISCOUNT. THE LEVEL OF ASSISTANCE IS DETERMINED THROUGH AN ESTABLISHED SCALE WHICH INCLUDES FACTORS SUCH AS INCOME AND NUMBER OF RESIDENTS PER HOUSEHOLD. THESE CHARITY CARE POLICIES ARE PERIODICALLY REVIEWED AND UPDATED AND ARE POSTED USING A PATIENT-FRIENDLY FORMAT ONLINE AND THROUGHOUT ALL PUBLIC AREAS OF OUR FACILITIES. ALL STAFF HAVING DIRECT PATIENT CONTACT HAVE RECEIVED TRAINING AND ARE KNOWLEDGEABLE ABOUT THESE POLICIES.
PART VI, LINE 4:	METHODIST HEALTHCARE MEMPHIS HOSPITALS (MHMH) WAS FOUNDED BY THE MEMPHIS, ARKANSAS, AND MISSISSIPPI CONFERENCES OF THE UNITED METHODIST CHURCH TO SERVE A POPULATION OF ABOUT 1.25 MILLION PEOPLE. WE SERVE A BROAD CROSS SECTION OF OUR COMMUNITY, REACHING MANY DISADVANTAGED AREAS. PATIENTS FROM AROUND THE COUNTRY AND ALL OVER THE WORLD FIND THEIR WAY TO US FOR CARE, BUT FOR THE PURPOSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WHICH OUR ORGANIZATION CONDUCTS EVERY THREE YEARS, WE IDENTIFY SHELBY COUNTY, TENNESSEE AND DESOTO COUNTY, MISSISSIPPI AS OUR PRIMARY SERVICE AREA. THESE TWO COUNTIES COMPRISE MORE THAN 75 PERCENT OF INPATIENT DISCHARGES ACROSS OUR SYSTEM AND IS A REPRESENTATIVE SAMPLE OF OUR PATIENT POPULATION.THE SERVICE AREA IS COMPRISED OF: -FORTY-EIGHT PERCENT MALES AND TWENTY-ONE PERCENT FEMALES OF CHILD-BEARING AGE-FORTY-EIGHT PERCENT AFRICAN AMERICANS, FORTY-TWO PERCENT WHITES, SIX PERCENT HISPANICS, AND FOUR PERCENT OTHER RACES/ETHNICITIES-THE AVERAGE HOUSEHOLD INCOME IS $66,530-59.3 PERCENT OF THE POPULATION HAS AT LEAST SOME COLLEGE EDUCATION MHMH IS THE LARGEST TENNCARE/MEDICAID HEALTHCARE PROVIDER IN THE AREA, WITH APPROXIMATELY 13,000 INPATIENTS SERVED EACH YEAR. LE BONHEUR CHILDREN'S HOSPITAL IS THE ONLY PEDIATRIC HOSPITAL IN THE REGION, PROVIDING A FULL CONTINUUM OF SERVICES MEETING CHILDREN'S PRIMARY THROUGH AND QUATERNARY NEEDS. AS AN ACADEMIC MEDICAL CENTER, MHMH TRAINS HEALTH PROFESSIONALS AND FURNISHES SPECIALIZED HEALTHCARE SERVICES NOT OTHERWISE AVAILABLE IN THE REGION. MHMH IS THE PRIMARY TEACHING SITE FOR THE UNIVERSITY OF TENNESSEE SCHOOL OF MEDICINE. THIS DISTINCTION, ALONG WITH THE ACCOMPANYING RESEARCH, BENEFITS THE ENTIRE METROPOLITAN COMMUNITY.
PART VI, LINE 5:	METHODIST LE BONHEUR HEALTHCARE HAS SERVED THE MEMPHIS AND MID-SOUTH REGION FOR MORE THAN 100 YEARS. OUR ADULT HOSPITALS ARE LOCATED ACROSS THE CITY, AND ARE PART OF THE COMMUNITIES THEY SERVE. OUR CHILDREN'S HOSPITAL IS THE REGION'S ONLY COMPREHENSIVE PEDIATRIC HOSPITAL. MLH PHYSICIANS, NURSES AND OTHER CLINICIANS LIVE IN THE COMMUNITIES THAT THEY SERVE AND PROVIDE EXPERT CARE INSIDE THE HOSPITALS AND PREVENTATIVE SERVICES IN THEIR NEIGHBORHOODS.OUR CARE IS SUPERB. METHODIST ADULT HOSPITALS ARE RANKED #1 IN MEMPHIS BY U.S. NEWS & WORLD REPORT. LE BONHEUR CHILDREN'S HOSPITAL HAS BEEN NAMED A "BEST CHILDREN'S HOSPITAL" BY U.S. NEWS & WORLD REPORT FOR NINE CONSECUTIVE YEARS. LE BONHEUR PROVIDES OUTPATIENT SERVICES IN WEST TENNESSEE, NORTHERN MISSISSIPPI AND EASTERN ARKANSAS TO ENSURE CHILDREN THERE HAVE ACCESS TO EXPERT PEDIATRIC CARE. LE BONHEUR IS ALSO A LEVEL 1 PEDIATRIC TRAUMA CENTER, AND SERVES AS THE REGION'S PRIMARY SOURCE FOR PEDIATRIC TRAUMA CARE AND TRAUMA EDUCATION FOR REGIONAL PROVIDERS. METHODIST ALSO SERVES THE COMMUNITY WITH DIAGNOSTIC CARE FACILITIES IN THE COMMUNITIES WE SERVE AND ONE HOSPICE FACILITY COMMITTED TO HONORING OUR PATIENTS AT END-OF-LIFE. METHODIST UNIVERSITY HOSPITAL IS THE PRIMARY TEACHING HOSPITAL FOR THE UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER AND LE BONHEUR CHILDREN'S SERVES AS THE PRIMARY TEACHING AFFILIATE FOR THE UNIVERSITY, TRAINING HUNDREDS OF HEALTH CARE PROFESSIONALS, INCLUDING NURSES, PHARMACISTS, REHABILITATION PROFESSIONALS, SOCIAL WORKERS, PRIMARY CARE PHYSICIANS, PEDIATRICIANS, SURGEONS AND OTHER PHYSICIAN SPECIALISTS EACH YEAR. IN ADDITION, MLH PROVIDES A VARIETY OF EDUCATIONAL PROGRAMS FOR ITS MEDICAL STAFF AND MEDICAL STUDENTS, AND OUR CLINICAL PASTORAL EDUCATION PROGRAM, AN ACPE ACCREDITED PROGRAM THAT PROVIDES TRAINING AND CERTIFICATION FOR HOSPITAL PASTORAL STAFF. OUR RESEARCHERS ARE WORKING TO FIND NEW SOLUTIONS TO CHRONIC DISEASE THAT AFFECTS OUR POPULATION ESPECIALLY INCLUDING NEW TREATMENTS FOR DIABETES, SICKLE CELL AND ASTHMA. WE ALSO HAVE SIGNIFICANT PARTNERSHIPS WITH ST. JUDE CHILDREN'S RESEARCH HOSPITAL AND THE UNIVERSITY OF MEMPHIS TO EXTEND OUR RESEARCH AND TEACHING CAPABILITIES. WE ARE AN ECONOMIC DRIVER FOR THE COMMUNITY, CONTRIBUTING $5 BILLION TO THE MEMPHIS-AREA ECONOMY. MLH HAS 2,100 MEDICAL PROVIDERS, EMPLOYS MORE THAN 13,000 EMPLOYEES, MAKING IT THE SECOND-LARGEST PRIVATE EMPLOYER IN SHELBY COUNTY. CENTRAL TO OUR MISSION IS THE COMMITMENT TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE, PROVIDING UNCOMPENSATED CARE, CHARITABLE CONTRIBUTIONS TO OTHER COMMUNITY ORGANIZATIONS AND COMMUNITY OUTREACH. WITHIN OUR COMMUNITY OUTREACH DIVISION, WE EMPLOY 250 HEALTH CARE PROFESSIONALS TO ADDRESS COMMUNITY NEEDS AS THEY RELATE TO FOUR MAJOR AREAS: MATERNAL-CHILD HEALTH, CHILD DEVELOPMENT, SCHOOL HEALTH, CHRONIC DISEASE PREVENTION AND MANAGEMENT. WE PARTNER WITH HUNDREDS OF CHURCHES, SCHOOLS, CHILD CARE FACILITIES, BUSINESSES, GOVERNMENTAL AND COMMUNITY ORGANIZATIONS TO ACCOMPLISH OUR WORK. IN 2018, MLH REPORTED $228 MILLION IN COMMUNITY BENEFIT EXPENSES. -$710,000 OF COMMUNITY HEALTH IMPROVEMENT SERVICES WERE PROVIDED; INCLUDING NON-BILLED COMMUNITY HEALTH EDUCATION OUTREACH, COMMUNITY-BASED CLINICAL SERVICES, HEALTH CARE SUPPORT SERVICES, AND SOCIAL AND ENVIRONMENTAL IMPROVEMENT ACTIVITIES. THESE SERVICES INCLUDE FREE/DISCOUNTED PRESCRIPTION DRUGS, IN-HOME MEDICAL SERVICES AND HEALTH EQUIPMENT, TRANSPORTATION VOUCHERS, SUPPORT GROUPS, AND A VARIETY OF HEALTH FAIRS ALL AIMED AT KEEPING OUR COMMUNITIES HEALTHY. COLLECTIVELY, THESE ACTIVITIES SERVED OVER SERVED 58,000 PEOPLE IN SHELBY COUNTY AND THE SURROUNDING AREAS; IMPACT INCLUDES: - FREE OR DISCOUNTED MEDICATIONS FOR UNINSURED OR UNDERINSURED INDIVIDUALS - FREE HEALTH EQUIPMENT AND HOME HEALTH VISITS TO UNINSURED OR UNDERINSURED INDIVIDUALS - TRANSPORTATION PASSES - SUPPORT GROUPS - HEALTH FAIRS - CAR SEAT SAFETY CLASSES - CHILDBIRTH CLASSES - COMMUNITY EDUCATION CLASSES - COMMUNITY PRESENTATIONS FOR THE GENERAL PUBLIC- $410 THOUSAND IN PROVIDING HEALTH PROFESSIONS EDUCATION SERVICES- EMPLOYEES VOLUNTEERING ON BOARDS- $5 MILLION IN DONATIONS TO COMMUNITY ORGANIZATIONS - ASSISTANCE WAS PROVIDED FOR CANCER PATIENTS
PART VI, LINE 6:	METHODIST HEALTHCARE - MEMPHIS HOSPITALS, THE FILING ORGANIZATION, IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, METHODIST LE BONHEUR HEALTHCARE (MLH). ALTHOUGH THIS FORM 990 ONLY INCLUDES THE CHARITY CARE AND COMMUNITY BENEFIT OF THIS ORGANIZATION, MLH INCLUDES THE FOLLOWING ENTITIES THAT ALSO PROVIDE CHARITY CARE AND COMMUNITY BENEFIT: - ALLIANCE HEALTH SERVICES, INC. - METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATES - METHODIST HEALTHCARE - OLIVE BRANCH HOSPITALIN ADDITION, METHODIST HEALTHCARE FOUNDATION AND LE BONHEUR CHILDREN'S HOSPITAL FOUNDATION PROVIDE VALUABLE FINANCIAL SUPPORT TO THE OPERATIONS OF THE GROUP, ALLOWING IT TO PURSUE RESEARCH AND CONSTRUCTION PROJECTS TO PROVIDE ADDITIONAL BENEFITS TO THE COMMUNITY. MLH OPERATES HOSPITALS, CLINICS, URGENT CARE CENTERS, AMBULATORY SURGERY CENTERS, AND OTHER NON-HOSPITAL FACILITIES THAT PROVIDED OVER $228 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT DURING THE YEAR. METHODIST HEALTHCARE - MEMPHIS HOSPITALS ALSO HAS A TEACHING AND RESEARCH AFFILIATION WITH THE UNIVERSITY OF TENNESSEE. THE UNIVERSITY HAS A CLINICAL REACH THAT EXTENDS BEYOND THE LOCAL SERVICE AREA, PROVIDING HIGHLY SPECIALIZED SERVICES THAT ATTRACT PATIENTS FROM A MULTI-STATE SERVICE AREA. MHMH HAD OVER 300 MEDICAL INTERNS AND RESIDENTS THAT TRAINED IN OUR FACILITIES DURING THE YEAR.
PART VI, LINE 7, REPORTS FILED WITH STATES	TN

Schedule H (Form 990) 2018

Additional Data

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- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
METHODIST HEALTHCARE - MEMPHIS HOSPITALS

Employer identification number
62-0479367

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 noncash assistance	(h) Purpose of grant or assistance
(1) UNIVERSITY OF TENNESSEE 2407 RIVER RUN DRIVE ROOM A102 KNOXVILLE,TN37996	62-6001636	501(C)(3)	5,000,000				OPERATIONAL SUPPORT OF PHYSICIAN CLINICS AT MHMH LOCATIONS

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) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(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:

GRANTS ARE MADE ONLY TO OTHER CHARITABLE INSTITUTIONS WITH AN IRS TAX EXEMPTION. GRANTS ARE MADE IN ACCORDANCE WITH THE METHODIST LE BONHEUR HEALTHCARE MISSION STATEMENT OF PROVIDING RESOURCES TO EXTEND HEALTH CARE THROUGH THE METHODIST LE BONHEUR HEALTHCARE SERVICE AREA. ALL GRANT REQUESTS ARE REVIEWED AND APPROVED BY A GROUP OF EXECUTIVES CONSISTING OF THE CEO, COO, CFO AND EVP OF METHODIST LE BONHEUR HEALTHCARE.

Schedule I (Form 990) 2018

Additional Data

Software ID:
Software Version:

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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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

METHODIST HEALTHCARE - MEMPHIS HOSPITALS

Employer identification number

62-0479367

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 nonfixed
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) 2018

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)
1MICHAEL UGWUEKE PRESIDENT/CEO/BOARD MEMBER	(i) (ii)	0 ------------- 918,210	0 ------------- 293,841	0 ------------- 244,677	0 ------------- 391,963	0 ------------- 19,698	0 ------------- 1,868,389	0 ------------- 142,823
2CHRISTOPHER MCLEAN EVP/CHIEF ADMINISTRATIVE	(i) (ii)	0 ------------- 674,058	0 ------------- 615,194	0 ------------- 333,393	0 ------------- 173,274	0 ------------- 22,348	0 ------------- 1,818,267	0 ------------- 279,625
3WILLIAM KENLEY EVP - COMMUNITY HOSPITALS	(i) (ii)	0 ------------- 535,327	0 ------------- 155,013	0 ------------- 138,183	0 ------------- 173,381	0 ------------- 21,923	0 ------------- 1,023,827	0 ------------- 95,829
4KATHLEEN FORBES EVP/ACADEMIC GROUP	(i) (ii)	0 ------------- 366,983	0 ------------- 0	0 ------------- 113,834	0 ------------- 71,866	0 ------------- 25,352	0 ------------- 578,035	0 ------------- 0
5DAVID BAYTOS SVP - MS	(i) (ii)	0 ------------- 356,386	0 ------------- 149,513	0 ------------- 78,184	0 ------------- 37,024	0 ------------- 15,440	0 ------------- 636,547	0 ------------- 0
6ALBERT MOSLEY SVP - FAITH & HEALING	(i) (ii)	0 ------------- 134,638	0 ------------- 0	0 ------------- 63,136	0 ------------- 22,298	0 ------------- 60,764	0 ------------- 280,836	0 ------------- 0
7CATO JOHNSON SVP - PUBLIC POLICY	(i) (ii)	0 ------------- 344,407	0 ------------- 83,579	0 ------------- 125,681	0 ------------- 16,500	0 ------------- 19,733	0 ------------- 589,900	0 ------------- 0
8MARK MCMATH SVP - CMIO	(i) (ii)	0 ------------- 354,153	0 ------------- 63,105	0 ------------- 22,270	0 ------------- 86,137	0 ------------- 13,873	0 ------------- 539,538	0 ------------- 16,735
9NIKKI POLIS SVP - CHIEF NURSING OFFICER	(i) (ii)	0 ------------- 345,876	0 ------------- 151,056	0 ------------- 170,008	0 ------------- 14,101	0 ------------- 12,235	0 ------------- 693,276	0 ------------- 108,009
10HUGH JONES III SVP - STRATEGIC PLANNING	(i) (ii)	0 ------------- 346,343	0 ------------- 65,452	0 ------------- 2,936	0 ------------- 87,760	0 ------------- 28,666	0 ------------- 531,157	0 ------------- 0
11CAROL ROSS-SPANG SVP - HUMAN RESOURCES	(i) (ii)	0 ------------- 366,998	0 ------------- 97,910	0 ------------- 75,052	0 ------------- 107,103	0 ------------- 16,312	0 ------------- 663,375	0 ------------- 82,298
12SUSAN GAIL THURMOND SVP - CHIEF QUALITY OFFICER	(i) (ii)	0 ------------- 418,488	0 ------------- 101,326	0 ------------- 67,695	0 ------------- 27,399	0 ------------- 13,319	0 ------------- 628,227	0 ------------- 0
13WILLIAM BREEN JR SVP - PHYSICIAN ALIGNMENT	(i) (ii)	0 ------------- 285,416	0 ------------- 387,505	0 ------------- 48,243	0 ------------- 86,202	0 ------------- 9,246	0 ------------- 816,612	0 ------------- 33,569
14JOHN MITCH GRAVES SVP - PRESIDENT OF HEALTH CHOICE	(i) (ii)	0 ------------- 388,905	0 ------------- 108,220	0 ------------- 128,994	0 ------------- 74,357	0 ------------- 15,182	0 ------------- 715,658	0 ------------- 98,736
15CHARLES LANE SVP - ASSOCIATE CFO	(i) (ii)	0 ------------- 429,780	0 ------------- 63,069	0 ------------- 91,445	0 ------------- 118,014	0 ------------- 21,073	0 ------------- 723,381	0 ------------- 25,204
16MONICA WHARTON SVP - CHIEF LEGAL COUNSEL	(i) (ii)	0 ------------- 367,645	0 ------------- 21,166	0 ------------- 1,339	0 ------------- 76,698	0 ------------- 18,546	0 ------------- 485,394	0 ------------- 0
17MERI ARMOUR SVP - CEO LE BONHEUR HOSPITAL	(i) (ii)	509,235 ------------- 0	180,315 ------------- 0	85,113 ------------- 0	21,742 ------------- 0	20,435 ------------- 0	816,840 ------------- 0	0 ------------- 0
18ROLAND CRUICKSHANK SVP - CEO OF UNIVERSITY	(i) (ii)	304,509 ------------- 0	26,400 ------------- 0	66,054 ------------- 0	57,631 ------------- 0	25,759 ------------- 0	480,353 ------------- 0	0 ------------- 0
19DIANE RIDGWAY SVP - CEO OF GERMANTOWN	(i) (ii)	184,999 ------------- 0	54,819 ------------- 0	115,071 ------------- 0	50,404 ------------- 0	11,343 ------------- 0	416,636 ------------- 0	27,433 ------------- 0
20FLORENCE JONES SVP - CEO OF NORTH	(i) (ii)	273,388 ------------- 0	69,191 ------------- 0	169,597 ------------- 0	27,966 ------------- 0	15,622 ------------- 0	555,764 ------------- 0	70,053 ------------- 0
21REBECCA CULLISON SVP - PRESIDENT GERMANTOWN	(i) (ii)	225,681 ------------- 0	36,269 ------------- 0	762 ------------- 0	53,470 ------------- 0	30,202 ------------- 0	346,384 ------------- 0	0 ------------- 0
22ROBIN WOMEODU CMO - UNIVERSITY	(i) (ii)	341,834 ------------- 0	26,725 ------------- 0	48,086 ------------- 0	50,734 ------------- 0	26,838 ------------- 0	494,217 ------------- 0	18,687 ------------- 0
23BARRY GILMORE CMO - LE BONHEUR HOSPITAL	(i) (ii)	342,856 ------------- 0	40,071 ------------- 0	36,755 ------------- 0	16,500 ------------- 0	19,822 ------------- 0	456,004 ------------- 0	0 ------------- 0
24CASSANDRA HOWARD CMO - GERMANTOWN	(i) (ii)	340,350 ------------- 0	32,752 ------------- 0	1,853 ------------- 0	34,735 ------------- 0	5,265 ------------- 0	414,955 ------------- 0	0 ------------- 0
25CORBI MILLIGAN CMO OF SOUTH/NORTH	(i) (ii)	325,973 ------------- 0	47,069 ------------- 0	1,148 ------------- 0	30,774 ------------- 0	8,384 ------------- 0	413,348 ------------- 0	0 ------------- 0
26JAMES EASON PHYSICIAN	(i) (ii)	1,724,061 ------------- 0	0 ------------- 0	0 ------------- 0	12,856 ------------- 0	3,641 ------------- 0	1,740,558 ------------- 0	0 ------------- 0
27EDMOND OWEN PHYSICIAN	(i) (ii)	1,015,191 ------------- 0	0 ------------- 0	0 ------------- 0	5,500 ------------- 0	18,968 ------------- 0	1,039,659 ------------- 0	0 ------------- 0
28STEVAN HIMMELSTEIN PHYSICIAN	(i) (ii)	1,194,484 ------------- 0	0 ------------- 0	0 ------------- 0	15,181 ------------- 0	26,818 ------------- 0	1,236,483 ------------- 0	0 ------------- 0
29SHADWAN ALSAFWAH PHYSICIAN	(i) (ii)	1,341,315 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	2,340 ------------- 0	1,343,655 ------------- 0	0 ------------- 0
30RAMI KHOUZAM PHYSICIAN	(i) (ii)	1,151,996 ------------- 0	0 ------------- 0	0 ------------- 0	5,500 ------------- 0	2,280 ------------- 0	1,159,776 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

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	A HOUSING ALLOWANCE IS PROVIDED TO ONE CLERGYMAN FOR MINISTERIAL SERVICES PROVIDED TO PATIENTS AND THEIR FAMILIES. THIS AMOUNT IS INCLUDED IN BOX 14 OF THE EMPLOYEE'S W-2.
PART I, LINE 3	NOTE THAT THE GOVERNING BODY OF METHODIST HEALTHCARE - MEMPHIS HOSPITALS IS IDENTICAL TO THE GOVERNING BODY OF METHODIST LE BONHEUR HEALTHCARE, THE SOLE MEMBER AND CONTROLLING ORGANIZATION.
PART I, LINES 4A-B	THE PURPOSE OF THE METHODIST LE BONHEUR HEALTHCARE CONSOLIDATED EXECUTIVE DEFERRED COMPENSATION PLAN IS TO PROVIDE RETIREMENT BENEFITS FOR CERTAIN EXECUTIVE LEVEL EMPLOYEES IN ADDITION TO THE BENEFITS PROVIDED THROUGH THE OTHER RETIREMENT PLANS THAT ARE SPONSORED BY THE COMPANY. IT IS INTENDED THAT THIS PLAN COMPLY WITH INTERNAL REVENUE CODE SECTION 457(F) AND QUALIFY FOR THE SHORT TERM DEFERRAL EXCEPTION TO CODE SECTION 409A. UNDER THE PLAN, CORPORATE EXECUTIVES AT OR ABOVE THE VICE PRESIDENT LEVEL ARE ELIGIBLE TO RECEIVE EXECUTIVE DEFERRED COMPENSATION CREDITS DEPENDING ON THEIR POSITION CLASSIFICATION [6%, 8%, 10%, 12%, 15%, 25% OF BASE SALARY]. EACH PLAN YEAR, THE EXECUTIVE MUST ELECT A DEFERRED VESTING DATE TO BE APPLIED TO THE DEFERRED COMPENSATION CREDIT THAT WILL BE EARNED IN THAT PLAN YEAR. THE DEFERRED VESTING DATE IS SUBJECT TO A VESTING SCHEDULE THAT REQUIRES A MINIMUM DEFERRAL OF 5 YEARS TO BECOME VESTED. UPON REACHING AGE 55, THE MINIMUM DEFERRAL IS REDUCED TO 3 YRS. UPON REACHING AGE 60, THE MINIMUM DEFERRAL IS REDUCED TO 2 YRS. AT AGE 64, A CASH EQUIVALENT IS PROVIDED TO THE EXECUTIVE AND NO ADDITIONAL DEFERRALS ARE MADE UNDER THIS PLAN. THE PLAN IS UNFUNDED WITH ALL BENEFITS PAID FROM THE COMPANY'S GENERAL ASSETS. HOWEVER, THE EXECUTIVE IS ALLOWED TO DIRECT THE INVESTMENTS OF HIS DEFERRED COMPENSATION CREDIT IN A MENU OF INVESTMENT ALTERNATIVES MADE AVAILABLE BY THE COMPANY. UPON VESTING, A DISTRIBUTION IS PROVIDED LESS THE APPLICABLE TAX. IN THE CASE OF A VOLUNTARY TERMINATION OF EMPLOYMENT BY THE EXECUTIVE OR INVOLUNTARY TERMINATION OF EMPLOYMENT FOR CAUSE BY THE COMPANY, THE NON-VESTED FUNDS ARE FORFEITED. ACCELERATED VESTING (100%) IS ALLOWED UPON DEATH, DISABILITY OR AN INVOLUNTARY TERMINATION BY THE COMPANY WITHOUT CAUSE. ALLOCATIONS TO THE 457(F) PLAN FOR THE YEAR INCLUDE THE FOLLOWING: $300,138 MICHAEL UGWUEKE $94,156 CHRISTOPHER MCLEAN $16,891 ALBERT MOSLEY $48,602 MARK MCMATH $49,607 HUGH JONES III $50,376 CAROL ROSS-SPANG $39,126 WILLIAM BREEN JR. $59,019 JOHN GRAVES $103,646 WILLIAM KENLEY $68,406 CHARLES LANE $53,143 MONICA WHARTON $22,505 DIANE RIDGWAY $27,260 ROBIN WOMEODU $26,742 CASSANDRA HOWARD $25,274 CORBI MILLIGAN $46,000 ROLAND CRUICKSHANK $67,727 KATHLEEN FORBES $17,377 REBECCA CULLISON ALLOCATIONS TO THE SERP PLAN FOR THE YEAR INCLUDE THE FOLLOWING: $11,423 CAROL ROSS-SPANG THE FOLLOWING INDIVIDUALS RECEIVED 457(F) PAYOUTS. THIS AMOUNT REPRESENTS THE FULLY VESTED PORTION PURSUANT TO THE 457(F) PLAN. THIS AMOUNT WAS REFLECTED IN COLUMN (C) ON THE PRIOR YEARS FORM 990 AS REQUIRED. PAYOUTS FROM THE 457(F) PLAN FOR THE YEAR INCLUDE THE FOLLOWING: $83,904 MICHAEL UGWUEKE $207,046 CHRISTOPHER MCLEAN $16,735 MARK MCMATH $39,688 NIKKI POLIS $51,561 CAROL ROSS-SPANG $65,092 JOHN GRAVES $55,189 WILLIAM KENLEY $25,204 CHARLES LANE $27,433 DIANE RIDGWAY $70,053 FLORENCE JONES $18,687 ROBIN WOMEODU $14,640 ANN BROWN IN ADDITION, SEVERAL EXECUTIVES RECEIVED AN EXECUTIVE RETIREMENT LUMP SUM PAYOUT. THIS AMOUNT REPRESENTS THE FULLY VESTED PORTION PURSUANT TO THE 457(F) PLAN. THIS AMOUNT WAS REFLECTED IN COLUMN (C) ON THE PRIOR YEAR'S FORM 990 AS REQUIRED. PAYOUTS FROM THE EXECUTIVE RETIREMENT PLAN FOR THE YEAR INCLUDE THE FOLLOWING: $45,016 DAVID BAYTOS $48,808 CATO JOHNSON $52,152 NIKKI POLIS $48,350 SUSAN THURMOND $61,621 MERI ARMOUR $39,139 FLORENCE JONES $20,853 BARRY GILMORE THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT: $95,728 ANN BROWN
PART I, LINE 7	THE MANAGEMENT INCENTIVE PLAN INTENDS TO REWARD MANAGEMENT FOR THE ACHIEVEMENT OF PERFORMANCE AGAINST A PREESTABLISHED SET OF BALANCED AND CHALLENGING GOALS. THE PLAN INCLUDED A PROVISION THAT DEFERRED VESTING OF A PORTION OF THE AWARD FOR THREE YEARS SUBJECT TO CONTINUED EMPLOYMENT (WITH A SUBSTANTIAL RISK OF FORFEITURE) TO ENCOURAGE RETENTION OF EXECUTIVES. EXECUTIVES REACHING AGE 64 AND HAVING 5 YEARS' SERVICE WERE PAID ALL UNVESTED DEFERRALS IN THE CALENDAR YEAR OF THE VESTING EVENT. THE DEFERRAL PROVISION WAS ELIMINATED BEGINNING WITH PLAN YEAR 2018.

Schedule J (Form 990) 2018

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

METHODIST HEALTHCARE - MEMPHIS HOSPITALS

Employer identification number

62-0479367

Return Reference	Explanation
FORM 990, PART III, LINE 4A:	CONTINUATION OF PROGRAM SERVICE ACCOMPLISHMENTS: THE FIVE (5) FACILITIES OF METHODIST HEALTHCARE - MEMPHIS HOSPITALS ARE LICENSED AS ONE HOSPITAL. IT IS THE THIRD LARGEST HOSPITAL IN THE COUNTRY. METHODIST HAS FIVE MAJOR AREAS OF FOCUS: CARDIOLOGY, CANCER, NEUROSCIENCES, TRANSPLANT, AND PEDIATRICS. METHODIST HEALTHCARE - MEMPHIS HOSPITALS OPERATES THE FOLLOWING HOSPITALS: - METHODIST UNIVERSITY HOSPITAL, THE FLAGSHIP OF THE METHODIST HEALTHCARE SYSTEM, IS LOCATED IN THE HEART OF THE MEMPHIS MEDICAL CENTER. METHODIST IS FORMALLY AFFILIATED WITH THE UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER AND SERVES AS ITS PRIMARY TEACHING SITE. A TERTIARY CARE AND REFERRAL CENTER, METHODIST UNIVERSITY HOSPITAL HAS ONE OF THE LARGEST NEUROSCIENCES PROGRAMS IN THE COUNTRY. THE TRANSPLANT PROGRAM SPECIALIZES IN SOLID ORGAN TRANSPLANTS OF THE KIDNEY, LIVER AND PANCREAS. - METHODIST NORTH HOSPITAL IS A COMMUNITY HOSPITAL SERVING RESIDENTS OF THE RALEIGH-BARTLETT AREA OF NORTH MEMPHIS AND SURROUNDING AREAS. THE FACILITY OFFERS STATE-OF-THE-ART, COMPREHENSIVE CARDIAC SERVICES. THE HOSPITAL HAS EXPANDED LASER SURGERY CAPABILITIES AND SAME-DAY SURGERY SERVICES ON CAMPUS, AS WELL AS AN AFFILIATED REHABILITATION FACILITY ON CAMPUS. - METHODIST SOUTH HOSPITAL SERVES THE CITIZENS OF SOUTH MEMPHIS AND SURROUNDING AREAS. THIS ACUTE CARE HOSPITAL INCLUDES A MATERNITY CENTER, A CANCER CENTER, A CRITICAL CARE UNIT, A SAME-DAY SURGERY UNIT AND A COMPLETE ARRAY OF OUTPATIENT SERVICES. THE METHODIST SOUTH HOSPITAL ALSO OFFERS STATE-OF-THE-ART CARDIAC SERVICES, INCLUDING CARDIAC CATHETERIZATION AND OPEN-HEART SURGERY. - METHODIST LE BONHEUR GERMANTOWN HOSPITAL IS A COMMUNITY HOSPITAL SERVING GERMANTOWN, COLLIERVILLE, EAST MEMPHIS AND NORTH MISSISSIPPI. THE HOSPITAL OFFERS ACUTE INPATIENT CARE AND TREATMENT, EXTENSIVE SURGICAL SERVICES, WOMEN'S HEALTH SERVICES, CARDIAC SERVICES, CHILDREN'S SERVICES AND EMERGENCY SERVICES WITH URGENT AND EMERGENCY CARE FOR ADULTS AND CHILDREN. - LE BONHEUR CHILDREN'S HOSPITAL IS THE MID-SOUTH'S FIRST AND ONLY COMPREHENSIVE PEDIATRIC MEDICAL FACILITY. FOUNDED IN 1952, LE BONHEUR TREATS CHILDREN FROM 47 STATES AND MANY COUNTRIES. THE HOSPITAL IS HOME TO ONE OF THE NATION'S 10 BUSIEST PEDIATRIC EMERGENCY DEPARTMENTS AND HOSTS ONE OF THE LARGEST PEDIATRIC SURGICAL BRAIN TUMOR PROGRAMS. IT IS THE TEACHING SITE FOR THE UNIVERSITY OF TENNESSEE DEPARTMENT OF PEDIATRICS AND HOME TO THE CHILDREN'S FOUNDATION RESEARCH CENTER OF MEMPHIS. LE BONHEUR CHILDREN'S HOSPITAL WAS NAMED A NATIONAL BEST CHILDREN'S HOSPITAL BY U.S. NEWS & WORLD REPORT AND ALSO RECOGNIZED AS HIGH-PERFORMING IN THE FOLLOWING SEVEN SPECIALTIES: CARDIOLOGY & HEART SURGERY, NEUROLOGY & NEUROSURGERY, PULMONOLOGY, UROLOGY, NEPHROLOGY, ORTHOPEDICS, AND NEONATOLOGY. AT METHODIST LE BONHEUR HEALTHCARE, WE TAKE OUR MISSION SERIOUSLY AND ARE COMMITTED TO GIVING BACK TO THE COMMUNITY IN A MEANINGFUL WAY. OUR HOSPITALS ARE PART OF A SYSTEM THAT IS THE LARGEST PROVIDER OF TENNCARE SERVICES IN THE STATE, AND OUR FACILITIES PROVIDE FULL ACCESS TO ALL INDIVIDUALS IN OUR SERVICES AREA. * * * IN 2018 MLH CONTRIBUTED MORE THAN $228 MILLION IN COMMUNITY BENEFIT TO MEMPHIS AND THE MID-SOUTH THROUGH VARIOUS EFFORTS INCLUDING, CHARITY CARE, MEDICARE/TNCARE SHORTFALL, MEDICAL EDUCATION, AND COMMUNITY HEALTH IMPROVEMENT SERVICES. NET COMMUNITY BENEFIT EXPENSE IS CALCULATED USING A STANDARD APPROACH AS REQUIRED FOR GOVERNMENT BENEFIT REPORTING.
FORM 990, PART III, LINE 4A:	CONTINUATION OF PROGRAM SERVICE ACCOMPLISHMENTS: ABOUT METHODIST LE BONHEUR HEALTHCARE METHODIST LE BONHEUR HEALTHCARE (MLH) HAS SERVED THE MEMPHIS AND MID-SOUTH REGION FOR MORE THAN 100 YEARS. OUR FOUR ADULT HOSPITALS ARE LOCATED ACROSS THE CITY, AND ARE PART OF THE COMMUNITIES THEY SERVE. OUR CHILDREN'S HOSPITAL IS THE REGION'S ONLY COMPREHENSIVE PEDIATRIC HOSPITAL. OUR PHYSICIANS, NURSES AND OTHER CLINICIANS LIVE IN THE COMMUNITIES THAT THEY SERVE AND PROVIDE EXPERT CARE INSIDE THE HOSPITALS AND PREVENTATIVE SERVICES IN THEIR NEIGHBORHOODS. OUR ORGANIZATION IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE, BY PROVIDING UNCOMPENSATED CARE, CHARITABLE CONTRIBUTIONS TO OTHER COMMUNITY ORGANIZATIONS AND COMMUNITY OUTREACH PROGRAMS. WE EMPLOY MORE THAN 250 ASSOCIATES WHO WORK DIRECTLY IN THE COMMUNITY TO HELP FAMILIES ADDRESS NEEDS AFFECTING THEIR HEALTH. OUR COMMUNITY PROGRAMS ADDRESS FIVE KEY AREAS: MATERNAL AND CHILD HEALTH; CHRONIC DISEASE MANAGEMENT; DISEASE PREVENTION; SCHOOL HEALTH AND CHILD DEVELOPMENTAL SERVICES. ADDITIONAL OUTREACH ACTIVITIES INCLUDE; FREE OR DISCOUNTED PRESCRIPTION DRUGS, IN-HOME HEALTH SERVICES, MEDICAL EQUIPMENT, TRANSPORTATION, HEALTH EDUCATION CLASSES, HEALTH FAIRS AND SCREENINGS FOR DISEASE. ALL OF THESE EFFORTS ARE DIRECTED TO IMPROVE THE HEALTH OF OUR COMMUNITY. OUR CARE IS SUPERB. METHODIST ADULT HOSPITALS METHODIST UNIVERSITY, METHODIST GERMANTOWN, METHODIST NORTH AND METHODIST SOUTH ARE RANKED #1 IN MEMPHIS BY U.S. NEWS & WORLD REPORT. LE BONHEUR CHILDREN'S HOSPITAL HAS BEEN NAMED A "BEST CHILDREN'S HOSPITAL" BY U.S. NEWS & WORLD REPORT FOR NINE CONSECUTIVE YEARS. LE BONHEUR PROVIDES OUTPATIENT SERVICES IN WEST TENNESSEE, NORTHERN MISSISSIPPI AND EASTERN ARKANSAS TO ENSURE CHILDREN THERE HAVE ACCESS TO EXPERT PEDIATRIC CARE. LE BONHEUR IS ALSO A LEVEL 1 PEDIATRIC TRAUMA CENTER, AND SERVES AS THE REGION'S PRIMARY SOURCE FOR PEDIATRIC TRAUMA CARE AND TRAUMA EDUCATION FOR REGIONAL PROVIDERS. METHODIST ALSO SERVES THE COMMUNITY WITH DIAGNOSTIC CARE FACILITIES IN THE COMMUNITIES WE SERVE AND ONE HOSPICE FACILITY COMMITTED TO HONORING OUR PATIENTS AT END-OF-LIFE. WE ARE ALSO AN ECONOMIC DRIVER FOR THE COMMUNITY, CONTRIBUTING $5 BILLION TO THE MEMPHIS-AREA ECONOMY. MLH HAS 2,100 MEDICAL PROVIDERS EMPLOYS MORE THAN 13,000 ASSOCIATES AND 2,100 MEDICAL PROVIDERS, MAKING IT THE SECOND-LARGEST PRIVATE EMPLOYER IN SHELBY COUNTY. METHODIST UNIVERSITY HOSPITALS IS THE PRIMARY TEACHING HOSPITAL FOR THE UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER AND LE BONHEUR CHILDREN'S SERVES AS THE PRIMARY TEACHING AFFILIATE FOR THE UNIVERSITY, TRAINING HUNDREDS OF PEDIATRICIANS AND SPECIALISTS EACH YEAR. OUR RESEARCHERS ARE WORKING TO FIND NEW SOLUTIONS TO CHRONIC DISEASE THAT AFFECTS OUR POPULATION INCLUDING NEW TREATMENTS FOR DIABETES AND ASTHMA. WE ALSO HAVE SIGNIFICANT PARTNERSHIPS WITH ST. JUDE CHILDREN'S RESEARCH HOSPITAL AND THE UNIVERSITY OF MEMPHIS TO EXTEND OUR RESEARCH AND TEACHING CAPABILITIES. METHODIST SUPPORTS MEDICAL EDUCATION AND RESEARCH VIA DIRECT SALARY AND BENEFIT CONTRIBUTIONS TO THE UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER (UTHSC) FOR GRADUATE MEDICAL TRAINING POSITIONS (GME) AT METHODIST UNIVERSITY HOSPITAL, LE BONHEUR CHILDREN'S HOSPITAL, AND METHODIST LE BONHEUR GERMANTOWN HOSPITAL. THESE GME RESIDENTS AND FELLOWS ARE EMPLOYEES AND TRAINEES AT THE UNIVERSITY OF TENNESSEE, BUT THEIR FINANCIAL SUPPORT FOR SALARIES AND BENEFITS COMES VIA METHODIST. THESE TRAINEES SPEND TIME AT A METHODIST AND ARE INVOLVED IN PATIENT CARE IN ADDITION TO EDUCATIONAL ACTIVITIES.
FORM 990, PART VI, SECTION A, LINE 6	METHODIST HEALTHCARE - MEMPHIS HOSPITALS IS A SUBSIDIARY OF METHODIST LE BONHEUR HEALTHCARE (MLH, 58-1454711), WITH THE PERSONS SERVING ON THE MLH BOARD OF DIRECTORS SERVING AS THE MEMBERS OF MHMH.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF METHODIST HEALTHCARE - MEMPHIS HOSPITALS IS COMPRISED OF THE SAME PERSONS AS METHODIST LE BONHEUR HEALTHCARE, THE PARENT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7B	THE MEMBERS SHALL, FROM TIME TO TIME, ADOPT AND PROMULGATE SUCH AMENDMENTS AS THEY SHALL DEEM APPROPRIATE TO THE BYLAWS AND TO THE GENERAL POLICIES AND GUIDELINES OF THE ORGANIZATION, ALL OF WHICH SHALL NOT BE INCONSISTENT WITH THE PURPOSES OF METHODIST LE BONHEUR HEALTHCARE. UPON REQUEST BY THE BOARD OF DIRECTORS OF THE CORPORATION AND AT SUCH TIMES AS THE MEMBERS MAY SELECT, THE MEMBERS SHALL REVIEW THE AFFAIRS OF THE CORPORATION AND TAKE SUCH ACTION AS THEY MAY DEEM APPROPRIATE IN ACCORDANCE WITH THESE BYLAWS. THE "CORPORATE LIMIT" REFERRED TO IN THE FOLLOWING ITEMS SHALL BE THE SUM OF ONE MILLION DOLLARS OR SUCH OTHER SUMS AS MAY FROM TIME TO TIME BE DESIGNATED BY ACTION OF THE MEMBERS; AND FOR THE PURPOSES OF THESE BYLAWS THE WORDS 'THE CORPORATION" SHALL MEAN METHODIST HEALTHCARE-MEMPHIS HOSPITALS. THE FOLLOWING ITEMS, AFTER BEING REVIEWED AND ACCEPTED BY THE BOARD OF DIRECTORS, SHALL BE SUBMITTED TO THE MEMBER FOR APPROVAL: - IN DECEMBER OF EACH YEAR, A STRATEGIC PLAN AND A ONE YEAR OPERATING BUDGET OF THE CORPORATION'S ENSUING FISCAL YEAR, AND, THEREAFTER, ANY ACTION WHICH WILL RESULT IN A SUBSTANTIAL CHANGE IN THE EXPENDITURES OR REVENUE FORCAST IN ANY SUCH PLAN OR BUDGET; - ANY CREATION OR SUBSTANTIVE AMENDMENT OF A CONTRACT, LEASE OR OTHER AGREEMENT OF WHICH THE CORPORATION IS A PARTY WHICH INVOLVES AN OBLIGATION, OR A POTENTIAL OBLIGATION, ON THE PART OF THE CORPORATION IN EXCESS OF THE CORPORATE LIMIT, UNLESS SUCH TRANSACTION HAS BEEN PREVIOUSLY APPROVED WITHIN THE CAPITAL OR OPERATING BUDGETS; - ANY SALE, EXCHANGE, GIFT, MORTGAGE, OPTION, LEASE WITH A TERM IN EXCESS OF ONE YEAR (EXCEPT TO DOCTORS FOR OFFICE SPACE), OR OTHER DISPOSITION OF ANY REAL PROPERTY OR INTEREST THEREIN OWNED BY THE CORPORATION, OR ANY OTHER ASSET OWNED BY THE CORPORATION WITH A VALUE IN EXCESS OF THE CORPORATE LIMIT, EXCEPT WITH RESPECT TO TRANSACTIONS SPECIFIED AND PREVIOUSLY APPROVED WITHIN THE CAPITAL OR OPERATING BUDGET; - ANY RELEASE OR CANCELLATION BY THE CORPORATION OF A CLAIM OR RIGHT OF ACTION AGAINST ANOTHER PARTY IN AN AMOUNT IN EXCESS OF THE CORPORATE LIMIT; - ANY APPLICATION FOR A GOVERNMENT GRANT; - ANY AMENDMENT OR RESTATEMENT OF THE CORPORATE CHARTER OR ANY PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION; - ANY ACTION OR INACTION AT VARIANCE WITH THE STATED POLICIES OF THE CORPORATION WHICH POLICIES HAVE BEEN APPROVED BY THE MEMBERS; - THE SELECTION OF ANY BANKING INSTITUTION AS A DESPOSITORY OF CORPORATE FUNDS; AND - ANY OTHER MATTERS AS MAY BE REQUIRED BY LAW TO BE SUBMITTED TO THE MEMBERS OF A NOT-FOR-PROFIT CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH INPUT FROM HUMAN RESOURCES, LEGAL, COMPLIANCE, AND FINANCE DEPARTMENTS AND EXTERNAL FINANCIAL CONSULTANTS. FINANCIAL INFORMATION IS RECONCILED TO AUDITED FINANCIAL STATEMENTS AS APPROPRIATE. THE INFORMATION TO BE DISCLOSED REGARDING COMPENSATION IS REVIEWED WITH THE COMPENSATION COMMITTEE OF THE BOARD. THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER OF MLH AND MANAGEMENT OF THE ORGANIZATION AS APPROPRIATE. A COPY OF THE RETURN IS MADE AVAILABLE TO ALL BOARD MEMBERS AND DISCUSSED AT A SCHEDULED BOARD MEETING PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	METHODIST LE BONHEUR HEALTHCARE, THE PARENT ORGANIZATION, EMPLOYS A COMPLIANCE OFFICER WHO MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY FOR ALL VOTING BOARD MEMBERS AND APPLICABLE OFFICERS.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION FOR OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS DETERMINED BY THE BOARD OF DIRECTORS OF METHODIST LE BONHEUR HEALTHCARE, THE SOLE MEMBER ORGANIZATION. AN EXTERNAL INDEPENDENT CONSULTANT ADVISES THE BOARD COMPENSATION COMMITTEE ON EXECUTIVE SALARY AND INCENTIVE COMPENSATION. BENEFITS ARE PERIODICALLY BENCHMARKED BY A SEPARATE EXTERNAL CONSULTANT AND ANY CHANGES ARE APPROVED BY THE BOARD OF DIRECTORS COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT MEMBERS AND IS A SUBGROUP OF THE FULL BOARD OF DIRECTORS. THE COMPENSATION CONSULTANT ANNUALLY DEVELOPS TOTAL CASH COMPENSATION COMPARISONS OF PEER NON-PROFIT SYSTEMS ESTABLISHED BY THE COMPENSATION COMMITTEE. THE COMPENSATION CONSULTANT INTERPRETS THE INFORMATION AND PROVIDES AN OPINION OF REASONABLENESS ON THE TOTAL CASH COMPENSATION PACKAGE. THE COMPENSATION COMMITTEE APPROVES ANY CHANGES TO THE COMPENSATION AND EXECUTIVE BENEFIT STRUCTURE OF THE CEO AND OTHER TOP EXECUTIVES, OTHERWISE KNOWN AS DISQUALIFIED CANDIDATES. ALL OTHER COMPENSATION DECISIONS ARE DETERMINED BY ARRANGEMENT AS DELEGATED BY THE BOARD OF DIRECTORS. THE COMMITTEE DOCUMENTS ALL DETERMINATIONS.
FORM 990, PART VI, SECTION C, LINE 18	PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT OUR WEBSITE IN THE "ABOUT US" SECTION.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED IN A CONSOLIDATION WITH ITS CORPORATE PARENT, METHODIST LE BONHEUR HEALTHCARE, AND RELATED SUBSIDIARIES. INFORMATION ON FINANCIAL STATEMENTS IS AVAILABLE BY CONTACTING THE ORGANIZATION'S CORPORATE OFFICE. PLEASE SEE FORM 990, PART VI, LINE 20 FOR DETAILS. CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS FOR ALL AFFILIATES OF METHODIST LE BONHEUR HEALTHCARE ARE ALSO AVAILABLE BY REQUEST.
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 179,324,652. MANAGEMENT AND GENERAL EXPENSES 36,529,258. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 215,853,910.
FORM 990, PART XI, LINE 9:	EQUITY TRANSFERS TO AFFILIATES -39,027,746.
FORM 990, PART XII, LINE 2C:	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

METHODIST HEALTHCARE - MEMPHIS HOSPITALS

Employer identification number

62-0479367

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)	(f) Direct controlling entity
(1) LE BONHEUR PATIENT TRANSPORTATION LLC 1265 UNION AVENUE MEMPHIS,TN38104 20-3200654	MEDICAL TRANSPORT	TN	N/A
(2) METHODIST INPATIENT PHYSICIANS LLC 1265 UNION AVENUE MEMPHIS,TN38104 47-0892411	PHYSICIANS	TN	N/A
(3) SPECIALTY PHYSICIAN GROUP LLC 1211 UNION AVENUE MEMPHIS,TN38104 27-2097600	PHYSICIANS	TN	N/A
(4) PRIMARY CARE GROUP LLC 1265 UNION AVENUE MEMPHIS,TN38104 27-3186375	PHYSICIANS	TN	N/A
(5) FOUNDATION PRIMARY CARE LLC 1265 UNION AVENUE MEMPHIS,TN38104 27-4200498	HEALTHCARE	TN	PRIMARY CARE GROUP LLC
(6) UT METHODIST PHYSICIANS LLC 1211 UNION AVENUE SUITE 700 MEMPHIS,TN38104 45-4853491	PHYSICIANS	TN	N/A
(7) LE BONHEUR PEDIATRICS LLC 50 N DUNLAP STREET MEMPHIS,TN38103 46-1556529	PEDIATRICS	TN	N/A
(8) SPG II LLC 7655 POPLAR AVENUE GERMANTOWN,TN38138 32-0365415	PHYSICIANS	TN	N/A
(9) DIVISION OF CLINICAL NEUROSCIENCES LLC 51 N DUNLAP STREET MEMPHIS,TN38105 45-4117901	PHYSICIANS	TN	N/A
(10) PCG II LLC 1533 UNION AVENUE MEMPHIS,TN38104 37-1668387	PHYSICIANS	TN	N/A

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)ALLIANCE HEALTH SERVICES INC 6400 SHELBY VIEW SUITE 101 MEMPHIS,TN38134 62-0841121	HEALTHCARE	TN	501(C)(3)	LINE 10	METHODIST LE BONHEUR HEALTHCARE		No
(2)LE BONHEUR CHILDREN'S HOSPITAL FOUNDATION 850 POPLAR AVENUE BLDG 2 MEMPHIS,TN38105 62-1872938	FOUNDATION	TN	501(C)(3)	LINE 12A, I	METHODIST LE BONHEUR HEALTHCARE		No
(3)METHODIST LE BONHEUR COMMUNITY OUTREACH 1211 UNION AVENUE SUITE 700 MEMPHIS,TN38104 62-1251288	FOUNDATION	TN	501(C)(3)	LINE 7	LE BONHEUR CHILDREN'S FOUNDATION		No
(4)MEMPHIS MEDICAL CENTER AIR AMBULANCE SERVICES INC 1080 EASTMORELAND AVE MEMPHIS,TN38104 62-1280261	AMBULATORY SERVICES	TN	501(C)(3)	LINE 12B, II	N/A		No
(5)METHODIST EXTENDED CARE HOSPITAL INC 225 SOUTH CLAYBROOK MEMPHIS,TN38104 62-1518342	INACTIVE HOSPITAL	TN	501(C)(3)	LINE 3	METHODIST LE BONHEUR HEALTHCARE		No
(6)METHODIST HEALTHCARE CENTRAL MS MEDICAL ASSOCIATES 1211 UNION AVENUE SUITE 657 MEMPHIS,TN38104 64-0884720	INACTIVE	MS	501(C)(3)	LINE 3	METHODIST LE BONHEUR HEALTHCARE		No
(7)METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATES 6400 SHELBY VIEW SUITE 101 MEMPHIS,TN38134 62-1403517	OUTPATIENT HEALTHCARE	TN	501(C)(3)	LINE 10	METHODIST LE BONHEUR HEALTHCARE		No
(8)METHODIST HEALTHCARE FOUNDATION 1211 UNION AVENUE SUITE 450 MEMPHIS,TN38104 23-7320638	FOUNDATION	TN	501(C)(3)	LINE 12A, I	METHODIST LE BONHEUR HEALTHCARE		No
(9)METHODIST HEALTHCARE PRIMARY CARE ASSOCIATES 1211 UNION AVENUE SUITE 657 MEMPHIS,TN38104 58-2078931	HEALTHCARE	TN	501(C)(3)	LINE 10	METHODIST LE BONHEUR HEALTHCARE		No
(10)METHODIST HEALTHCARE-DYERSBURG HOSPITAL 1211 UNION AVENUE SUITE 657 MEMPHIS,TN38104 62-1155084	INACTIVE HOSPITAL	TN	501(C)(3)	LINE 3	METHODIST LE BONHEUR HEALTHCARE		No
(11)METHODIST HEALTHCARE-JACKSON HOSPITAL 1211 UNION AVENUE SUITE 657 MEMPHIS,TN38104 64-0794199	INACTIVE HOSPITAL	TN	501(C)(3)	LINE 3	METHODIST LE BONHEUR HEALTHCARE		No
(12)METHODIST HEALTHCARE-JONESBORO HOSPITAL 1211 UNION AVENUE SUITE 657 MEMPHIS,TN38104 71-0499625	INACTIVE HOSPITAL	TN	501(C)(3)	LINE 3	METHODIST LE BONHEUR HEALTHCARE		No
(13)METHODIST HEALTHCARE-MIDDLE MISSISSIPPI HOSPITAL 1211 UNION AVENUE SUITE 657 MEMPHIS,TN38104 64-0698911	INACTIVE HOSPITAL	MS	501(C)(3)	LINE 3	METHODIST LE BONHEUR HEALTHCARE		No
(14)METHODIST HEALTHCARE-OLIVE BRANCH HOSPITAL 1211 UNION AVENUE SUITE 700 MEMPHIS,TN38104 64-0889822	HOSPITAL	MS	501(C)(3)	LINE 3	METHODIST LE BONHEUR HEALTHCARE		No
(15)METHODIST LE BONHEUR HEALTHCARE 1211 UNION AVENUE SUITE 700 MEMPHIS,TN38104 58-1454711	SUPPORTING ORGANIZATION	TN	501(C)(3)	LINE 12B, II	N/A		No
(16)UT LEBONHEUR PEDIATRIC SPECIALISTS INC 1211 UNION AVENUE SUITE 450 MEMPHIS,TN38104 27-3426141	PEDIATRIC HOSPITAL	TN	501(C)(3)	LINE 3	N/A		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

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	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(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?		(k) Percentage ownership
(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) NORTH SURGERY CENTER LP 3960 NEW COVINGTON PIKE MEMPHIS,TN38128 62-1685756	SURGERY CENTER	TN	N/A	RELATED	-28,380	419,431		No		Yes		58.670 %
(2) METHODIST SURGERY CENTER-GERMANTOWN LP 1363 S GERMANTOWN ROAD GERMANTOWN,TN38138 62-1659904	SURGERY CENTER	TN	N/A	RELATED	1,017,919	1,348,086		No		Yes		55.000 %
(3) HAMILTON EYE INSTITUTE SURGERY CENTER LP 930 MADISON AVE 3RD FLOOR MEMPHIS,TN38103 20-2873438	SURGERY CENTER	TN	N/A	RELATED	161,510	258,712		No		Yes		35.400 %

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) AMBULATORY OPERATIONS INC 1211 UNION AVENUE SUITE 600 MEMPHIS,TN38104 62-1157166	MEDICAL AND MANAGEMENT SERVICES	TN	N/A	C				No
(2) SOLUS MANAGEMENT SERVICES INC 6400 SHELBY VIEW SUITE 101 MEMPHIS,TN38134 62-1361349	HEALTH SERVICES MANAGEMENT	TN	N/A	C				No
(3) MEMPHIS PROFESSIONAL BUILDING INC 1211 UNION AVENUE SUITE 600 MEMPHIS,TN38104 62-1847544	INVESTMENTS	TN	N/A	C				No

Schedule R (Form 990) 2018

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

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) .....................

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

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) ............................

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

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

Schedule R (Form 990) 2018

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) 2018

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) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: METHODIST HEALTHCARE-MEMPHIS HOSPITALS, IN PARTNERSHIP WITH ITS MEDICAL STAFF, IS THE PREMIER, COMPREHENSIVE HEALTHCARE PROVIDER SERVING PATIENTS AND FAMILIES IN ITS SURROUNDING COMMUNITIES. HIGH QUALITY, PATIENT AND FAMILY-CENTERED CARE IS PROVIDED IN A PERSONALIZED ENVIRONMENT.
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	21
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	12,596
6	Total number of volunteers (estimate if necessary) .............	6	681
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,891,886
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	745,435

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,219,683	35,944,979
9	Program service revenue (Part VIII, line 2g) .........	2,056,403,454	2,147,092,717
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	26,476,491	31,355,968
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	16,035,839	18,181,878
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	2,101,135,467	2,232,575,542
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	5,166,224	5,109,644
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)	753,968,676	775,612,902
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)....	1,240,708,019	1,307,970,101
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,999,842,919	2,088,692,647
19	Revenue less expenses. Subtract line 18 from line 12.......	101,292,548	143,882,895
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,139,677,829	1,255,488,800
21	Total liabilities (Part X, line 26).............	154,176,941	155,297,875
22	Net assets or fund balances. Subtract line 21 from line 20.....	985,500,888	1,100,190,925

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,946,521,138 including grants of $ 5,109,644 ) (Revenue $ 2,145,845,124 )
	METHODIST HEALTHCARE - MEMPHIS HOSPITALS IS A 501(C)(3) NON-PROFIT ORGANIZATION CONSISTING OF FIVE HOSPITALS WITHIN AN INTEGRATED HEALTHCARE DELIVERY SYSTEM BASED IN MEMPHIS, TENNESSEE. THE FIRST METHODIST HOSPITAL IN THE SYSTEM WAS FOUNDED IN 1918 BY THE UNITED METHODIST CHURCH TO HELP MEET THE GROWING NEEDS FOR QUALITY HEALTHCARE IN THE MID-SOUTH. AFFILIATED WITH THE MEMPHIS, MISSISSIPPI AND ARKANSAS CONFERENCES OF THE UNITED METHODIST CHURCH, METHODIST HEALTHCARE - MEMPHIS HOSPITALS COMBINE A DEDICATION TO THE ART OF HEALING WITH A CHRIST-CENTERED COMMITMENT TO MINISTER TO THE WHOLE PERSON.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	PLEASE SEE OUR EXTENDED DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS IN SCHEDULE O.IN ADDITION, PLEASE VISIT OUR WEBSITE FOR A POSTING OF THE MOST CURRENT COMMUNITY BENEFIT REPORT AT: WWW.METHODISTHEALTH.ORG/ARTICLES/COMMUNITY-INVOLVEMENT

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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,946,521,138

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	10,454,985	10,810,408	2,503,612

1a	Federated campaigns..		1a	74,945
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	35,797,522
e	Government grants (contributions)		1e	72,512

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.......		35,944,979

		Business Code
2a	NET PATIENT SERVICE	623000	1,790,537,064	1,790,537,064
b	OUTPATIENT LABS	900099	214,025,311	213,906,595	118,716
c	DRUG SALES	446110	77,353,606	77,353,606
d	340B DRUG PROGRAM REVENUE	900099	65,150,717	65,150,717
e	PATHOLOGY SERVICES	900099	7,354,659	7,354,659
f	All other program service revenue.		-7,328,640	-8,457,517	1,128,877
g	Total. Add lines 2a–2f ....		2,147,092,717

3 Investment income (including dividends, interest, and othersimilar amounts) ......			31,367,658			31,367,658
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		5,256,812
b	Less: rental expenses		0
c	Rental income or (loss)		5,256,812
d	Net rental income or (loss)......			5,256,812			5,256,812
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses	11,690
c	Gain or (loss)	-11,690
d	Net gain or (loss).....			-11,690			-11,690
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		318,449
b	Less: cost of goods sold ..b		56,833
c	Net income or (loss) from sales of inventory..			261,616			261,616
Business Code			Miscellaneous Revenue
11a	EDUCATION & DAYCARE		900099	378,718			378,718
b	CAFETERIA & VENDING		722210	265,690			265,690
c	MISCELLANEOUS REVENUE		900099	26,627			26,627
d	All other revenue ....			11,992,415		644,293	11,348,122
e	Total. Add lines 11a–11d ......			12,663,450
12	Total revenue. See Instructions......			2,232,575,542	2,145,845,124	1,891,886	48,893,553

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	5,109,644	5,109,644
2	Grants and other assistance to domestic individuals. See Part IV, line 22
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	4,494,982	3,595,985	898,997
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	630,055,520	605,620,948	24,434,572
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	33,586,953	32,896,199	690,754
9	Other employee benefits .......	64,078,723	56,139,382	7,939,341
10	Payroll taxes ...........	43,396,724	42,833,111	563,613
11	Fees for services (non-employees):
a	Management ......	5,082,989	957,239	4,125,750
b	Legal .........	562,677	368,493	194,184
c	Accounting ...........	1,324,568	55,817	1,268,751
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	215,853,910	179,324,652	36,529,258
12	Advertising and promotion ....	399,284	22,976	376,308
13	Office expenses .......	81,400,694	36,108,216	45,292,478
14	Information technology ......	4,905,415	3,109,975	1,795,440
15	Royalties ..
16	Occupancy ...........	27,124,519	25,627,536	1,496,983
17	Travel ............	1,342,736	1,084,088	258,648
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	3,329,815	1,561,048	1,768,767
20	Interest ...........	26,579,519	26,579,519
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	100,818,470	100,814,259	4,211
23	Insurance ...	15,592,664	2,662,577	12,930,087
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	452,832,110	452,832,110
b	BAD DEBT EXPENSE	222,397,185	222,397,185
c	OVERHEAD & ADMINISTRATI	145,191,192	145,191,192
d	RECRUITMENT	3,110,362	1,732,086	1,378,276
e	All other expenses	121,992	-103,099	225,091
25	Total functional expenses. Add lines 1 through 24e	2,088,692,647	1,946,521,138	142,171,509	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 ........			-10,050,570	1	-10,659,951
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			229,189,090	4	243,162,617
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 ....			124,935	7	109,195
8	Inventories for sale or use ........			29,003,736	8	28,952,102
9	Prepaid expenses and deferred charges ......			5,948,494	9	7,077,883
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,095,032,320
b	Less: accumulated depreciation	10b	1,131,565,633	855,148,718	10c	963,466,687
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			23,662,007	13	22,729,054
14	Intangible assets ...............			28,430	14
15	Other assets. See Part IV, line 11 ...........			6,622,989	15	651,213
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,139,677,829	16	1,255,488,800

17	Accounts payable and accrued expenses .....	129,272,074	17	138,521,133
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
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 ..	772,649	23	593,828
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	24,132,218	25	16,182,914
26	Total liabilities. Add lines 17 through 25..	154,176,941	26	155,297,875

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	985,500,888	27	1,100,190,925
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 ...........	985,500,888	33	1,100,190,925
34	Total liabilities and net assets/fund balances ........	1,139,677,829	34	1,255,488,800