TY 2019 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)	(F) Estimated amount of other compensation from the organization and related organizations
(1) Charles D Stokes...................................................................... CEO/President 7/1-8/31	40.0 ................. 1.0	X	X				3,169,788	417,657
(2) Myron M Shabot MD...................................................................... Former Officer	0.0 ................. 0.0					X	2,065,272	59,488
(3) Erin S Asprec...................................................................... EVP/COO	40.0 ................. 1.0			X			1,477,184	231,251
(4) Brian Dean...................................................................... EVP/CFO/TREASURER	40.0 ................. 1.0		X				1,368,259	193,230
(5) Deborah Gordon...................................................................... EVP/CAO/CLO/SECRETARY	40.0 ................. 1.0		X				1,311,250	174,996
(6) James McCarthy MD...................................................................... EVP/CPE	40.0 ................. 1.0			X			1,103,209	178,449
(7) Gregory L Haralson...................................................................... SVP/CEO-TMC	40.0 ................. 1.0			X			1,008,633	128,748
(8) Joshua Urban...................................................................... SVP/COMMUNITY HOSPITAL	40.0 ................. 1.0			X			964,594	130,308
(9) Angela Shippy MD...................................................................... SVP/CMQO	40.0 ................. 1.0				X		924,639	107,484
(10) Paul C O'Sullivan...................................................................... SVP/CEO-MC&GH	40.0 ................. 1.0			X			902,370	117,232
(11) Kyle Price...................................................................... SVP/SRVC LINES	40.0 ................. 1.0				X		846,383	111,419
(12) Susan M Distefano...................................................................... SVP/CEO-CHILDREN'S HOSPITAL	40.0 ................. 1.0				X		831,960	109,095
(13) Christopher M Halaska...................................................................... SVP/CIO	40.0 ................. 1.0				X		848,976	77,914
(14) Lori P Knowles...................................................................... SVP/CHRO	40.0 ................. 1.0				X		815,445	95,063
(15) Amanda Hammel...................................................................... SVP/CIO	40.0 ................. 1.0			X			764,727	110,514
(16) Carrol E Aulbaugh...................................................................... Former Officer	0.0 ................. 0.0					X	700,218	1,675
(17) David L Callender MD...................................................................... CEO/President 9/1-PRESENT	40.0 ................. 1.0	X	X				570,763	128,862

(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) Warren Shea........................................................................ VP/ASST SECRETARY	40.0 .......................1.0		X	508,104	0	50,884
(19) J Kevin Giglio MD........................................................................ Director	1.0 .......................1.0	X		0	52,234	0
(20) William H Easter III........................................................................ Director - Chair	1.0 .......................0.0	X		0	0	0
(21) Jason B Few........................................................................ Director	1.0 .......................0.0	X		0	0	0
(22) Peter R Huntsman........................................................................ Director	1.0 .......................0.0	X		0	0	0
(23) Gasper Mir III........................................................................ Director	1.0 .......................0.0	X		0	0	0
(24) James R Montague........................................................................ Director	1.0 .......................0.0	X		0	0	0
(25) Melinda H Perrin........................................................................ Director	1.0 .......................0.0	X		0	0	0
(26) William J Campbell........................................................................ Director	1.0 .......................0.0	X		0	0	0
(27) Clarence P Cazalot Jr........................................................................ Director	1.0 .......................0.0	X		0	0	0
(28) Roland Garcia Jr........................................................................ Director	1.0 .......................0.0	X		0	0	0
(29) Scott B McClelland........................................................................ Director	1.0 .......................0.0	X		0	0	0
(30) Scott J McLean........................................................................ Director	1.0 .......................0.0	X		0	0	0
(31) Deborah M Cannon........................................................................ Director	1.0 .......................0.0	X		0	0	0
(32) William F Galtney Jr........................................................................ Director	1.0 .......................0.0	X		0	0	0
(33) David J Graham........................................................................ Director	1.0 .......................0.0	X		0	0	0
(34) R Emmett McDonald MD........................................................................ Director	1.0 .......................1.0	X		0	0	0
(35) Stacy P Methvin........................................................................ Director	1.0 .......................0.0	X		0	0	0
(36) Stephen H Pouns........................................................................ Director	1.0 .......................0.0	X		0	0	0
(37) Ira L Flax MD........................................................................ Director	1.0 .......................1.0	X		0	0	0
(38) Jay Schneider........................................................................ Director	1.0 .......................0.0	X		0	0	0
(39) John Graf........................................................................ Director	1.0 .......................0.0	X		0	0	0
(40) Susan Sarofim........................................................................ Director	1.0 .......................0.0	X		0	0	0
(41) Donald M Woo........................................................................ Director	1.0 .......................0.0	X		0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
J T Vaughn Construction LLC, 10355 West Park Dr HOUSTON,TX77042	Contractor	77,889,395
Crothall Healthcare, 13028 Collection Center Dr CHICAGO,IL60693	Housekeeping	60,690,642
Siemens Medical Solutions USA Inc, 40 Liberty Blvd MALVERN,PA19355	Contract Services	28,979,249
CAREFUSION SOLUTIONS LLC, 3750 Torrey View Ct SAN DIEGO,CA92130	Medication Managemen	14,164,219
MARK III SYSTEMS INC, 3600 S Gessner Road Ste 170 HOUSTON,TX77063	DIGITAL SOLUTIONS	12,984,636
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 308

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

Memorial Hermann Health System

Employer identification number

74-1152597

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) 2019

Page 2

Part II

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. 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—2018. 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—2019. 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—2018. 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) 2019

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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. 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—2018. 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) 2019

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) 2019

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) 2019

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) 2019

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 2019 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-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, 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 2019. 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 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

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) 2019

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

2019

Name of the organization

Memorial Hermann Health System

Employer identification number

74-1152597

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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization Memorial Hermann Health System

Part I Contributors	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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization Memorial Hermann Health System		Employer identification number 74-1152597

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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization Memorial Hermann Health System			Employer identification number 74-1152597
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) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

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

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

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

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

OMB No. 1545-0047

2019

Open to Public
Inspection

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

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

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

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

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

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

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

Name of the organization

Memorial Hermann Health System

Employer identification number

74-1152597

Part I-A

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

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

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

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

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

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

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

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

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

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

Yes No

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

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

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2019

Page 2

Part II-A

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

A Check SchCMd Bullet

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

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

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

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

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) Total

2a	Lobbying nontaxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2019

Page 3

Part II-B

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

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

(a)

Yes|No

(b)

Amount

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

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

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

Yes

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

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

Yes

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

Yes

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

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

Yes

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

Yes

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

Yes

1,187,392

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

1,187,392

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

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

Part IV

Supplemental Information

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

Return Reference	Explanation
PART II-B, LINE 1	Memorial Hermann engages with national, state, and local representatives and their staff members to educate legislators regarding the dynamics, impact, and challenges of health care policies impacting the greater Houston community, including uninsured and indigent populations. Memorial Hermann has relationships with industry associations which may communicate research and educational materials. Forms of communication may involve direct contact, telephone conversations, and written correspondence. The amount of time and money involved with these activities is insubstantial. Memorial Hermann has not intervened in any political campaign.

Return Reference

Explanation

PART II-B, LINE 1

Memorial Hermann engages with national, state, and local representatives and their staff members to educate legislators regarding the dynamics, impact, and challenges of health care policies impacting the greater Houston community, including uninsured and indigent populations. Memorial Hermann has relationships with industry associations which may communicate research and educational materials. Forms of communication may involve direct contact, telephone conversations, and written correspondence. The amount of time and money involved with these activities is insubstantial. Memorial Hermann has not intervened in any political campaign.

Schedule C (Form 990 or 990EZ) 2019

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 instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

Memorial Hermann Health System

Employer identification number

74-1152597

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 FASB 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 FASB 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 FASB 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) 2019

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 ....	4,778,306	4,183,989	4,060,798	4,435,819	4,304,237
b	Contributions ...
c	Net investment earnings, gains, and losses	496,743	594,317	123,191	129,452	143,216
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...				504,473
f	Administrative expenses ....					11,634
g	End of year balance ......	5,275,049	4,778,306	4,183,989	4,060,798	4,435,819

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

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

100.000 %

Term endowment SchDMd Bullet

0 %

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

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

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

Yes

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

Yes

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

Part VI

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

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

1a	Land .....	144,829,319		144,829,319
b	Buildings ....	4,602,589,264	1,919,944,931	2,682,644,333
c	Leasehold improvements	551,530,863	348,052,057	203,478,805
d	Equipment ....	2,400,557,812	1,845,390,045	555,167,767
e	Other .....	168,082,679	35,281,496	132,801,182
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				3,718,921,406

Schedule D (Form 990) 2019

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) FIXED INCOME	113,871,808	F
(B) ALTERNATIVE INVESTMENTS	41,943,804	F
(C) CASH & CASH EQUIVALENTS	533,644	F
(D) CORPORATE OBLIGATIONS	100,058,258	F
(E) POOLED FUNDS	1,530,376,726	F
(F) GOVERNMENT SECURITIES	53,095,357	F
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	1,839,879,597

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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value
(1)DUE FROM AFFILIATES, NET				1,221,317,087
(2)DEPOSITS				7,930,420
(3)PHYSICIAN GUARANTEE RECEIVABLE				5,531,763
(4)OTHER ASSETS				100,985,048
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				1,335,764,318

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	0
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	2,203,616,964
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) 2019

Page 4

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

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

Part XIII

Supplemental Information

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

Return Reference

Explanation

PART V, LINE 4

The endowment funds of Memorial Hermann Health System consist of permanent endowment funds obtained from donor initiatives for charitable contributions through outright or planned gifts. The permanent funds consist of donations and investment income for which the donor's stipulations restrict the Foundation to using only the income resulting from the investment of the donation on a total return basis. The assets of the permanent funds income may only be used to support the charitable exempt operations, programs, and purposes of Memorial Hermann Health System through the purchase of supplies, equipment, and other expenditures necessary for the performance of those operations and programs. ASC 958 does not use the term "temporarily restricted net assets." Memorial Hermann has opted to report all net assets subject to donor-imposed restrictions on 2b, permanent endowment.

PART X, LINE 2

At June 30, 2020 and 2019, Memorial Hermann System management has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated balance sheets.

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

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

Attach to Form 990. Right pointing arrow large image

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

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization
Memorial Hermann Health System

Employer identification number

74-1152597

Part I

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

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

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

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

Yes

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

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

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in the region
	Central America and the Caribbean	0	0	Investments	559,720,196
	Europe (Including Iceland and Greenland)	0	0	Investments	70,301,409
	North America	0	0	Investments	41,475,839
	East Asia and the Pacific	0	0	Investments	13,731,553
	South Asia	0	0	Investments	1,250,230
	Middle East and North Africa	0	0	Investments	804,010
	South America	0	0	Investments	633,568










3a	Sub-total ....	0	0		687,916,805
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	0	0		687,916,805

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2019

Schedule F (Form 990) 2019

Page 2

Part II

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

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

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

Schedule F (Form 990) 2019

Schedule F (Form 990) 2019Page 3

Part III

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

Part III can be duplicated if additional space is needed.

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

Schedule F (Form 990) 2019

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2019

Page 5

Part V

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

ReturnReference	Explanation
PART I, LINE 3	ACCRUAL METHOD

Schedule F (Form 990) 2019

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

2019

Open to Public Inspection

Name of the organization

Memorial Hermann Health System

Employer identification number

74-1152597

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) . . .	277,951,592		277,951,592	5.350 %
b	Medicaid (from Worksheet 3, column a) . . . . .	713,633,899	706,803,641	6,830,258	0.130 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	26,702,576	26,754,165	0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	1,018,288,067	733,557,806	284,781,850	5.480 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	7,600,000		7,600,000	0.150 %
f	Health professions education (from Worksheet 5) . . .	70,843,028	14,136,782	56,706,246	1.090 %
g	Subsidized health services (from Worksheet 6) . . . .	290,591,688	251,045,552	39,546,136	0.760 %
h	Research (from Worksheet 7) .	12,572,139	4,929,997	7,642,142	0.150 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	15,051,771		15,051,771	0.290 %
j	Total. Other Benefits . .	396,658,626	270,112,331	126,546,295	2.440 %
k	Total. Add lines 7d and 7j .	1,414,946,693	1,003,670,137	411,328,145	7.920 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

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

703,653,719

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

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

1,504,793,768

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

1,813,191,214

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

-308,397,446

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2019

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?13Name, 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	Memorial Hermann Hospital - TMC 6411 fannin houston,TX77030 www.memorialhermann.org 000347	X	X	X	X	X	X	A
2	MH Memorial City Medical Center 921 gessner houston,TX77024 www.memorialhermann.org 000302	X	X				X	A
3	MH The Woodlands Medical Center 9250 pinecroft the woodlands,TX77381 www.memorialhermann.org 000615	X	X				X	A
4	Memorial Hermann Southwest Hospital 7600 beechnut houston,TX77074 www.memorialhermann.org 000407	X	X		X		X	A
5	Memorial Hermann Southeast Hospital 11800 astoria blvd houston,TX77089 www.memorialhermann.org 000119	X	X				X	A
6	MH Greater Heights Hospital 1635 North Loop West Houston,TX77008 www.memorialhermann.org 000172	X	X				X	A
7	Memorial Hermann Katy Hospital 23900 katy freeway katy,TX77494 www.memorialhermann.org 000534	X	X				X	A
8	Memorial Hermann Northeast 18951 Memorial North Humble,TX77338 www.memorialhermann.org 008471	X	X				X	A
9	Memorial Hermann Sugar Land 17500 west grand parkway south sugar land,TX77479 www.memorialhermann.org 000609	X	X				X	A
10	TIRR Memorial Hermann 1333 moursund street houston,TX77030 www.memorialhermann.org 100189	X	X			X		A
11	MH Surgical Hospital First Colony 16906 Southwest Freeway Sugar Land,TX77479 www.memorialhermann.org 100161	X	X					A
12	MH Specialty Hospital Kingwood LLC 300 Kingwood Medical Drive Kingwood,TX77339 www.memorialhermann.org 008591	X	X					A
13	MH Rehabilitation Hospital Katy 21720 Kingsland Blvd Ste 102 Katy,TX77450 www.memorialhermann.org 100009	X	X					A

Schedule H (Form 990) 2019

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)

	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 19

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

Yes

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): MEMORIALHERMANN.ORG

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 19

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

Yes

If "Yes" (list url): MEMORIALHERMANN.ORG

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) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	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.%
and FPG family income limit for eligibility for discounted care of 400.%

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):

MEMORIALHERMANN.ORG

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

MEMORIALHERMANN.ORG

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

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) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2019

Page 7

Part VFacility Information (continued)

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

	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) 2019

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, 20a, 20b, 20c, 20d, 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, LINE 5	Memorial Hermann Health System joined with the Episcopal Health Foundation (EHF) in their key informant interview initiative supporting four greater Houston area hospital systems in preparing their Community Health Needs Assessments. The collaborating hospitals of this initiative included Memorial Hermann, Chi St. Luke's health, Houston Methodist, and Texas Children's. Through this partnership, a total of 53 interviews were conducted with stakeholders from a range of sectors such as government, healthcare, business, and community service organizations. An additional 11 interviews were conducted for Memorial Hermann counties not shared by the collaborative. While social and epidemiological data can provide a helpful portrait of a community, it does not tell the whole story. It is critical to understand people's health issues of concern, their perceptions of the health of their community, the perceived strengths and assets of the community, and the vision that residents have for the future of their community. Secondary data was supplemented by a community survey collected through an online survey. This survey consisted of 11 questions related to top health needs in the community, individuals' perception of their overall health, and weekly exercise habits. The community survey was distributed online through SurveyMonkey from October 23rd through November 27th of 2018. The survey was made available in both English and Spanish. Paper surveys were also made available and answers to the paper survey were entered into the SurveyMonkey tool. A total of 285 responses were collected. Survey respondents were asked to select top issues most affecting the community's quality of life. The majority of respondents identified diabetes, obesity/overweight, substance abuse, and mental health and mental disorders as top issues in the community. Interviewees who were asked to participate were recognized as having expertise in public health, special knowledge of community health needs and/or represented the broad interest of the community served by the hospital, and/or could speak to the needs of medically underserved or vulnerable populations. Community leaders with specific experience working with priority populations, such as women, children, people of color, the disabled, and more, were also a focus. The following list of organizations contributed key informant interviews; AccessHealth (FQHC) (Fort Bend Family Health Center); Aids Foundation of Houston; Association for the Advancement of Mexican Americans; Avenue CDC; Catholic Charities - Archdiocese of Galveston; Catholic Charities - Fort Bend; Child Advocates of Fort Bend; Children at Risk; Christ Clinic; City of Houston, Department of Parks and Recreation; Coastal Area Health Education Centers (AHEC); Community Health Choice; El Centro de Corazon; Episcopal Health Foundation; Fort Bend County Health and Human Services; Fort Bend County Sheriff's Office; Fort Bend Regional Council on Substance Abuse; Fort Bend Seniors Meals on Wheels; Fort Bend Women's Center; Galveston County Health District; Galveston County Mental Health Deputies; Greater Houston Partnership; Greater Houston Women's Chamber of Commerce; Gulf Coast Medical Foundation; Harris County Public Health; Healthcare for the Homeless - Houston; Hope Clinic (FQHC); Houston Food Bank; Houston Health Department; Houston Housing Authority; Houston Independent School District; Interfaith Community Clinic; Kinder Institute; Legacy Community Health; Liberty County Sheriff's Office; Lone Star Family Health Center; Midtown Arts and Theater Center Houston; Montgomery County Women's Center; Baker-Ripley Early Head Start; Patient Care Intervention Center (PCIC); Prairie View A&M University; Santa Maria Hostel, Inc.; The Arc Of Fort Bend County; The Harris Center for Mental Health and IDD (formerly MHMRA); The Rose; The Women's Home; Tri-County Services Behavioral Healthcare; United Way Of Brazoria County; United Way of Greater Houston; United Way of Harris and Montgomery County; West Chambers Medical Center (FQHC); YMCA of Greater Houston. CHNA'S were designed in accordance with CHNA requirements identified in the Patient Protection and Affordable Care Act and further addressed in the Internal Revenue Service final regulations released on December 29, 2014.
PART V, SECTION B, LINE 6A	Chi St. Luke's Health, Houston Methodist, Texas Children's
PART V, SECTION B, LINE 6B	Episcopal Health Foundation
PART V, SECTION B, LINE 11	As the largest health system in southeast Texas serving the fourth largest and fastest-growing metropolitan area in the United States, Memorial Hermann is committed to being a steward of the community's health-not only by delivering high quality services for the adults and children who seek care at a Memorial Hermann facility, but through programs and collaborations committed to making the greater Houston area a healthier and more vital place to live. Health education, healthy foods, safe places to exercise, and access to health and behavioral health services are vital to improving the overall health of residents since lack of these efforts contributes to the escalating chronic disease epidemic. Thus to support and engage our community, our foundation for our work rests on four pillars: focusing on improving access through programming, education and social service support; promoting the importance of a healthy diet through screening and creating access to nutritious foods; fostering improved health through exercise with culturally appropriate activities; and, addressing emotional well-being through innovative access points. Signature, cornerstone initiatives supporting the four pillars include: health centers for schools; mobile dental vans; ER navigators; community resource center; nurse health line; Stephealthy (reduce obesity); park activations; neighborhood health centers; and mental health crisis clinics. The 2019 CHNA findings resulted from the analysis of an extensive set of secondary data (over 100 indicators from national and state data sources) and primary data collected from community leaders, non-health professionals, and organizations serving the community at large, vulnerable populations, and/or populations with unmet health needs. Through an examination of the primary and secondary data, the following top health needs were identified: access to health services; cancers; children's health; diabetes; economy; education; food insecurity; heart disease/stroke; lack of health insurance; low-income/underserved; mental health; obesity; older adults/aging; substance abuse; transportation. Stakeholders from the 13 licensed facilities in the Memorial Hermann Health System completed a survey to prioritize the significant health issues, based on criteria including health impact and risk as well as consideration of Memorial Hermann's strategic focus. With Memorial Hermann's four pillars designed to deliver effective upstream interventions, addressing the above identified community needs continue to fall within our four pillars: access to healthcare; emotional well-being; food as health; exercise is medicine. The CHNA process enables each hospital within Memorial Hermann to develop programs and services that advance the health of its community, building the foundation for systemic change across the greater Houston area. Many are represented within the specific hospital's implementations strategies, and include the signature, cornerstone initiatives delineated above. Others are ongoing programs collected via community benefit inventory for social accountability (CBISA) and have historically included the following in previous years (Covid has seriously impacted outreach since march 2020): athletic medical coverage for schools; medical coverage for races; injury clinics; workshops for coaches; blood drives; classes and seminars: breast feeding, cardiovascular; colorectal; infant CPR; cooking demonstrations; fitness and nutrition; joint symposium and joint replacement; pediatric weight management; super sibling; teen pregnancy/parenting; teen driver safety; trauma and bleeding control; weight loss. Child and safety seat distribution. Community health education: Alzheimer's disease; breast cancer awareness; cancer prevention and testing; career night; discounted diabetes education; distracted driving; education/outreach for seniors; education and support groups for cancer patients: art, self-guided art therapy, lymphedema, breast cancer, oncology nutrition therapy, stress relief, look good feel better, yoga, meditation and health eating advices; immunotherapy; injury and fall prevention and awareness; kidney diseases; men's health; mental health and anxiety in students; opioids; parenting/siblings; prostate cancer awareness; sleep apnea; stroke signs; women's health; wound care. Education for nurses, nursing students, and school nurses. Food, book, backpack drives; health fairs; insurance coverage assistance; medical transportation, transportation vouchers; navigation services to meet the needs of uninsured and underinsured patients; post-polio patients; veterans and research subjects supported by special funds; promotion of access to healthy food; farmers markets; safe physical activities; nutrition therapy. Screenings: athletic heart screenings; biometric, blood pressure; impact concussion testing; low dose CT lung cancer, mammograms and breast ultrasounds for underserved women; prostate; stroke; skin; sports physicals; support of area walk/run/tri events; support groups for: Alzheimer's; amputees; bariatric; better breathers; breast feeding; caregiver; chronic disease; diabetics; epilepsy; grief; mended hearts; multiple sclerosis NICU; obesity; Parkinson's disease; smoking cessation; substance abuse; stroke; teen parents; transplant patients; traumatic brain injury; telemedicine consults for stroke and pediatric surgery; volunteer clinics; walk with a doc; weight management.

Schedule H (Form 990) 2019

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?21
Name and address		Type of Facility (describe)
1	MH Surgery Center Texas Medical Center 6400 Fannin Street STE 1500 Houston,TX77030	Ambulatory Surgical Center
2	MH Surgery Center The Woodlands - Pinecr 9305 Pinecroft Drive STE 200 The Woodlands,TX77380	Ambulatory Surgical Center
3	MH Surgery Center Woodlands Parkway 1441 Woodstead Court STE 100 The Woodlands,TX77380	Ambulatory Surgical Center
4	Doctors United Surgery Center 5146 Preston Avenue Pasadena,TX77504	Ambulatory Surgical Center
5	MH Surgery Center Memorial Village 1120 Business Center Dr STE 110 Houston,TX77043	Ambulatory Surgical Center
6	MH Surgery Center Kirby Glen 2457 S Braeswood Blvd Houston,TX77030	Ambulatory Surgical Center
7	MH The Woodlands Medical Center Surgery 9200 Pinecroft Drive STE 200 The Woodlands,TX77380	Ambulatory Surgical Center
8	MH Surgery Center Sugar Land 17510 W Grand Parkway STE 200 Sugar Land,TX77479	Ambulatory Surgical Center
9	MH Surgery Center Conroe 1501 River Pointe Dr STE 200 Conroe,TX77304	Ambulatory Surgical Center
10	MH Surgery Center Katy 23920 Katy Freeway STE 200 Katy,TX77494	Ambulatory Surgical Center
11	MH Surgery Center Bay Area Endoscopy Cen 444 FM 1959 STE B Houston,TX77034	Ambulatory Surgical Center
12	MH Surgery Center Southwest 7789 SW Freeway STE 200 Houston,TX77074	Ambulatory Surgical Center
13	MH Surgery Center Kingsland 21720 Kingsland Blvd STE 101 Katy,TX77450	Ambulatory Surgical Center
14	MH Surgery Center Greater Heights 1631 North Loop West STE 300 Houston,TX77008	Ambulatory Surgical Center
15	MH Surgery Center West Houston 970 Campbell Road STE 101 Houston,TX77024	Ambulatory Surgical Center
16	MH Surgery Center Texas International En 6620 Main St STE 1500 Houston,TX77030	Ambulatory Surgical Center
17	MH Endoscopy & Surgery Center North Hous 275 Lantern Bend 400 Houston,TX77090	Ambulatory Surgical Center
18	Memorial Hermann Prevention & Recovery 3043 Gessner Houston,TX77080	Drug & Alcohol Rehab
19	MH Surgery Center Richmond 1517 Thompson Road STE 100 Richmond,TX77469	Ambulatory Surgical Center
20	MH Surgery Center Brazoria 2760 Brazos Parkway Angleton,TX77515	Ambulatory Surgical Center
21	University Place 7480 Beechnut Houston,TX77074	Senior Living

Schedule H (Form 990) 2019

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	Patients who have an outstanding account balance owed on their hospital bills may be eligible for a discount if all of the following criteria are met: 1) balance exceeds ten percent of the person's annual gross family income; 2) they are unable to pay all or a portion of the remaining bill balance; and 3) the bill balance is at least $5,000. Under these circumstances, the patient or guarantor is expected to cooperate with the financial assistance process and supply personal or financial information and documentation relevant to making a determination of eligibility. If approved, the patient will be responsible for paying no more than ten percent of their annual gross family income towards the remaining outstanding account balances or AGB discount will be applied, whichever is less and most beneficial for the patient's financial situation.
PART I, LINE 6A	Memorial Hermann Health System prepares and files an annual report of community benefit plan with the Texas Department of State Health Services. This report is made available through the organization's webpage at https://communitybenefit.memorialhermann.org/about-us/report-to-the-commun ity/
PART I, LINE 7	A cost-to-charge ratio (from worksheet 2) is used to calculate the amounts on lines 7a through 7c. The amounts for lines 7e through 7i come from the books and records of specific segments of the organization and are not based on a cost-to-charge ratio.
PART I, LINE 7, COLUMN (F)	The bad debt expense is included on Form 990, Part IX, Line 25, column (a), but removed for purposes of calculating the percentage in column (f) totaled $0.
PART III, LINE 2	Bad debt expense is determined based on GAAP and is explained under significant accounting policies within section net patient service revenue and patient accounts receivable in the consolidated audited financial statements.
PART III, LINE 4	Footnotes related to Accounts Receivable and Allowance for Doubtful Accounts can be located on pages 8 through 10 on Memorial Hermann Health System's fiscal year ending 2020 consolidated audited financial statements. Memorial Hermann entered zero on Schedule H, Part III, Line 3. From prior experience, the organization believes a portion of bad debt expense may be attributable to patients whom would otherwise qualify for financial assistance. The organization estimates this could range from 0-5 percent. Memorial Hermann makes efforts to educate patients about its financial assistance program. Regardless, patients may choose not to apply for financial assistance or provide complete applications. See Part VI supplemental information line 3c narrative for more information regarding Memorial Hermann's efforts to inform and educate 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.
PART III, LINE 8	Reasons why the Medicare shortfall reported on Line 7, if any, should be treated as a community benefit include: absent the Medicare program, many of the individuals would likely qualify for financial assistance or other needs-based government programs; as payments to treat Medicare individuals are below cost of care, the burdens of government are relieved relative to these patients, Memorial Hermann Health System provides care to Medicare patients regardless of any Medicare shortfall; the real possibility that continued reductions in reimbursement may create further difficulties in access to care for Medicare patients; financial resources utilized to cover any Medicare shortfall is no longer available to cover financial assistance and any other community benefit needs; IRS Revenue Ruling 69-545 provides, in part, that hospitals serving patients with governmental health benefits, including as an example Medicare, is an indication that the hospital operates for the promotion of health in the community; Texas nonprofit hospitals must provide a minimum level of community benefit in order to obtain exemption from state and local taxes. According to the current Texas health and safety code, the unreimbursed cost of Medicare is considered to be a community benefit in determining these state statutory requirements as it helps relieve a governmental burden of providing this care that would otherwise be provided through the county hospital system in Texas. The amount reported in Part III, Section b, on Line 7 was calculated in accordance with the Schedule H instructions utilizing the organization's allowable cost reported in the Medicare cost reported based on a cost to charge ratio.
PART III, LINE 9B	Memorial Hermann Health System's billing and collection policy prohibits any collection efforts for the portion of a patient's account balance that qualifies for assistance under the organization's financial assistance policy. With respect to any remaining balance due, if any, the billing and collection policy contains actions which may be taken in the event of nonpayment and are applied equally to all patient types.
PART VI, LINE 2	Improving the health of a community is essential to enhancing the quality of life for residents in the region and supporting future social and economic well-being. In 2013, in 2016, and most recently in 2019, Memorial Hermann Health System engaged in a community health planning process that was two-fold: (1) a Community Health Needs Assessment (CHNA) to identify the health-related needs and strengths of the community and (2) a Strategic Implementation Plan (SIP) to identify major health priorities, develop goals, and select strategies and identify partners to address these priority issues across the community. The CHNA was guided by a participatory, collaborative approach, which examined health in its broadest sense. This process included integrating existing secondary data on social, economic, and health issues in the region with qualitative information from a community survey with community residents and service providers and interviews with community stakeholders. The CHNAs were conducted in accordance with state and federal guidelines including IRC Section 501(r) and the Texas Health and Safety Code Section 311.
PART VI, LINE 3	Memorial Hermann Health System is committed to making healthier communities, now and for generations to come. Patients who qualify for financial assistance through Memorial Hermann's Financial Assistance Program may be notified in the following ways: patient consent-the health care consent that is signed upon registration for healthcare services includes a statement that if charity services are required, eligibility determination should be requested upon admission to the hospital or upon receipt of itemized bill or statement; financial counseling: Memorial Hermann patients are encouraged to seek information from their hospital's financial counselor if they anticipate difficulty paying their portion of the hospital bill. Our financial counselors will make every effort to assist patients who are uninsured, underinsured, or face other financial challenges associated with paying for the health care services we provide. Financial counselors may screen patients for eligibility for a variety of government funded programs, assist with a worker's compensation or liability claim, set up an extended time payment plan, or help patients apply for financial assistance; plain language summary and application-a paper copy of the plain language summary of Memorial Hermann's FAP and a paper copy of the financial assistance application will be made available to all patients at the earliest practical time of service. Memorial Hermann will have free paper copies of these documents available upon request in the emergency department and registration areas. Free paper copies are also available by mail or by calling 713-338-5502 or 1-800-526-2121, option 5; translated copies available: Memorial Hermann translates its FAP, plain language summary, financial assistance application, and billing and collections policy for limited English proficient individuals representing the lesser of five percent or 1,000 individuals of the community served by its hospital facilities. Memorial Hermann makes free copies of these documents available on the Memorial Hermann website and upon request in the emergency department and hospital registration areas. Free paper copies are also available by mail by calling 713-338-5502 or 1-800-526-2121, option 5; signage- all financial assistance signage will be clearly and conspicuously posted in locations that are visible to the public, including, but not limited to, Memorial Hermann emergency department and patient registration areas. Signage will indicate that financial assistance is available and the phone number to reach a financial counselor for more information; website - Memorial Hermann's post notice in a prominent place on its website that financial assistance is available, with an explanation of the financial assistance application process. Memorial Hermann posts its FAP with a list of providers who are covered and not covered under the FAP, plain language summary, financial assistance application, and the billing and collections policy on Memorial Hermann's website; patient bills and statements - patient statements will include a request that the patient is responsible to inform Memorial Hermann of any available health insurance coverage, and will include a notice of the Memorial Hermann FAP, a telephone number to request financial assistance, and the website address where financial assistance documents can be obtained; mail or fax: patients may mail or fax a written request for free copies of these documents to the address below and including the individual's full name and return mailing address to which they want Memorial Hermann to send the copies. Memorial Hermann Health System, ATTN: Financial Assistance, 909 Frostwood, Suite 3:100 Houston, Texas 77024, fax: 713-338-6500
PART VI, LINE 4	Population Size: Memorial Hermann serves "Greater Houston", a multi-county area along the Gulf Coast in Southeast Texas where several counties are without hospital district services. At 6.9 million people the Houston MSA is the 5th largest in the U.S., and one of the fastest growing. This growth has strained health and social infrastructure, with some communities lacking access to healthy foods, safe parks, adequate sidewalks, and social service capacity. Demographics: Prizing our diversity, greater Houston has no racial or ethnic majority. Made up of 36% White, 38% Hispanic, 17% Black, and 7% Asian, nearly 1 in 4 residents are foreign born contributing to a wide variety of cultures and ethnicities present in the region. Roughly 49% of residents speak languages other than English at home. Twenty-seven percent of the total population are minors and 10% are over 65 years of age, resulting in a potential workforce of approximately 4.3 million. Despite this possibility for economic success, only 30% of the 25+ years of age population have a college degree or higher, readying them for Houston's growth business and industry opportunities. There are pockets of poverty throughout the area and some residents face tough economic challenges which can affect their health and the health of their family. Prior to COVID-19, 16% of all residents fell at or below the Federal Poverty Threshold. Major Employers: The energy industry dominates the Houston economy but grocery stores (Walmart and San Antonio based H-E-B) and healthcare (Memorial Hermann, MD Anderson and Methodist) are the largest employers, along with United Airlines. These healthcare organizations are collaborators with Memorial Hermann on community improvement efforts. Reducing poverty and strengthening existing graduation rates (currently 77% for high schoolers) is paramount to supporting all sector's continued strength and prosperity. Key Community Health Assessment Findings: The percentage of Harris County's population without health insurance totals 20.8%, higher than the state average of 17.7% and more than double the national average of 8.9%. Pre-COVID, 16.6% of the population was food insecure, with rates escalating as COVID-19 continues. Coupled with this is the rising rate of obesity as the single biggest threat to the Greater Houston area--34% of Houston area adults are overweight, increasing the risk of dying from cancer, heart disease, stroke, diabetes, liver disease and kidney disease. With 20% of adults self-reporting five or more poor mental health days a year, the need for increased access to behavioral health care is significant and set only to escalate in the aftermath of COVID-19. Health disparities exist across race and ethnicity, among them are: half of Hispanics are without a usual source of care; African American women are three times more likely to die from a pregnancy related death than other racial groups; and, most currently, Blacks are experiencing significantly higher contractual and death rates from COVID-19 than Whites. Significant Health and Social Service Challenges: Without insurance people skip services that detect underlying health issues, leading to delayed treatment, worsening outcomes, and higher costs. With the increase in population, a burden is placed on existing public health, social, and healthcare infrastructure. With upstream challenges of access to insurance, health literacy, safe parks, and nutritious, affordable food, chronic and mental health conditions escalate.
PART VI, LINE 5	Memorial Hermann Health System works with other healthcare providers, government agencies, business leaders and community stakeholders to ensure that all residents of the greater Houston area have access to the care and services they need to improve their quality of life and the overall health of the community. Programs are designed to provide care for uninsured and underinsured children; to reach those Houstonians needing affordable care; to support the existing infrastructure of non-profit clinics and FQHCS; to educate individuals and their families on how to access the healthcare available to them; and to promote a culture of health through health initiatives designed to reduce obesity and increase access to healthy food, increase physical activity, improve health and reduce chronic conditions. Health education, healthy foods, safe places to exercise, and access to health and behavioral health services are vital to improving the overall health of residents since lack of these efforts contributes to the escalating chronic disease epidemic. Thus to support and engage our community our foundation for our work rests on four pillars--focusing on improving access through programming, education and social service support; promoting the importance of a healthy diet through screening and creating access to nutritious foods; fostering improved health through exercise with culturally appropriate activities; and, addressing emotional well-being through innovative access points. Committed to making the greater Houston area a healthier and more vital place to live, and spanning these four interconnecting pillars, memorial Hermann supports the following initiatives: ten Memorial Hermann health centers for schools, established in 1996, offer access to primary medical and mental health services to underserved children at 85 schools in the greater Houston area. The memorial Hermann mobile dental clinic, established in 2000, has three dental vans and provides access to preventative and restorative dental services at nine health centers for schools' sites and is accessible as a dental home for uninsured students. Serving the community since 2008, the Memorial Hermann ER navigation program places certified community health workers who have the training, cultural understanding and linguistic capacity to help the uninsured, who disproportionately use emergency rooms for healthcare, 'navigate' the complex health system, obtain a medical home, schedule appointments, secure needed social services and cope with future healthcare concerns. In 2017, added components were health literacy outreach, health care and disease prevention workshops and health promotion. Memorial Hermann neighborhood health centers are strategically located near two of Houston's busiest ERs, are open extended hours and serve as a medical home to uninsured and underinsured working families. The goal is to provide this population with the provision of preventive, acute, and chronic care. Memorial Hermann medical missions (MHMM) exists to finance, facilitate, and encourage physician led teams into third world countries. MHMM provides supplies, pharmaceuticals, and scholarships for non-physician team members. MHMM facilitates by linking physicians and support teams together; advising on passports, vaccinations, air travel; and coordinating necessary supplies. MHMM encourages by sharing the knowledge of past experiences; communicating what a medical mission means to a poverty or disaster-stricken area; and coaching on safety practices so that participants feel comfortable in their new surroundings. In 2014 the psychiatric response case management program was introduced to address the gap in the mental and behavioral care services by connecting patients to outpatient treatment and other community resources. The initiative was designed to provide intensive, community-based case management services for those with behavioral health diagnosis and a history of multiple hospitalizations. Under this program, patients are actively engaged in the development of their own mental health care plan and long-term recovery goals with the ultimate objective of improved patient wellness and goal achievement. The case management program works closely with Memorial Hermann's psychiatric response team, in which mental health clinicians evaluate, stabilize, arrange for transfers and develop aftercare plans for patients in emergency room and medical inpatient settings. The psychiatric response team refers patients to more than 200 mental health community treatment providers within Harris, Fort Bend and Montgomery counties. This large referral network allows the program to leverage the patients with insurance to obtain care for those without. This network also eliminates a single facility from competing with all local emergency centers for limited psychiatric resources. The nurse health line was established in 2014 as a free telephone service for greater Houston residents who are experiencing a health concern and are unsure of what to do or where to go. Experienced, bilingual nurses use their training and expertise to conduct assessments by phone and are available to answer calls 24 hours a day, seven days a week for any resident living in Harris or surrounding counties. They help callers decide when and where to go for medical care and assist with social service referrals and transportation needs. Callers receive healthcare advice and education using nationally recognized standardized protocols. Memorial Hermann began screening patients for food insecurity in 2015 in a few select clinics and have since expanded throughout the system. Patients identified as food insecure receive support in applying for benefits, a referral to the Houston Food Bank, and guidance on questions to ask for an appropriate food pantry referral. Since rolling out the questions we have teamed up with several agencies to take programming support to a next level. In a pilot program, meals that heal, discharged patients identified in need of prepared, hot meals to support a successful healing process at home are delivered nutritious meals for as long as is necessary. The trajectory of the food initiative leads to exercise, and implementation of the evidenced-based exercise is medicine program which incorporates exercise as a vital sign into physician offices, exercise prescriptions, and activation of parks. Together these programs improve the health and well-being of our community through combating behaviors leading to chronic disease. Our work increasingly encompasses working within collaboratives and grants. Through CMS' accountable health communities grant we are, along with the school of public health and two other health systems, screening and referring for social determinants of health to determine the impact that addressing social determinants of health has on health status. Through Pasadena vibrant community collaborative agency goals revolve around the engagement in ongoing dialogues about and activities around the importance of healthy behaviors. Through Healthy Women Houston we are collaborating to address maternal mortality and morbidity in specific, high risk communities integrating health, behavioral, and social supports for pregnant and post-partum women. A new model for working with partners is our memorial Hermann community resource center at southwest hospital. The center is designed to offer the ER department, onsite physicians and care managers, as well as community members with: accessing community resources, some of which will provide scheduled services on site; completing eligibility applications; and, receiving information and education on public health and social services. To date, specific services include: assistance enrolling in public health insurance; applications for public social services (SNAP, WIC, etc.); and referrals to the onsite partners that have begun to provide weekly schedules at the center (Houston food bank, area federally qualified health centers, Houston lawyer referral service and chronic disease prescription assistance). As we work with our clients and community, we are continually assessing the need and opportunities for new partners. The goal is for collaboration with patients, the community, and service providers to result in upstream factors and efforts. A second effort to bridge the community's needs is Onebridge health network, under implementation to address the need for specialty care for the uninsured population at 150% of poverty. The network will allow specialists to provide care to uninsured patients in a controlled environment by agreeing to see 'x' patients per year. The role of the provider health network is to vet the patients, ensure pre-specialty visit testing is completed, provide navigation support for other quality of life needs, and ensure seamless transition from referring primary care provider to specialist and back to primary care provider. Memorial Hermann financi
PART VI, LINE 6	Charting a better future. A future that's built upon the health of our community. This is the driving force for Memorial Hermann, redefining health care for the individuals and many diverse populations we serve. Our 6,700 affiliated physicians and 27,000 employees practice the highest standards of safe, evidence-based, quality care to provide a personalized and outcome-oriented experience across our more than 300 care delivery sites. As one of the largest not-for-profit health systems in southeast Texas, Memorial Hermann has an award-winning and nationally acclaimed Accountable Care Organization, 13 hospital facilities and numerous specialty programs and services conveniently located throughout the greater Houston area. Memorial Hermann-Texas Medical Center is one of the nation's busiest level I trauma centers and serves as the primary teaching hospital for McGovern Medical School at UTHealth. For more than 113 years, our focus has been the best interest of our community, contributing more than $521 million annually through school-based health centers and other community benefit programs. Now and for generations to come, the health of our community will be at the center of what we do - charting a better future for all. All aspects of the health system - care delivery, physicians and health solutions are brought together to create a truly integrated health system. This breadth of service uniquely positions Memorial Hermann to collaborate with other providers to assess and create health care solutions for individuals in greater Houston's diverse communities; to provide superior quality, cost-efficient, innovative and compassionate care; to support teaching and research to advance the health professionals and health care of tomorrow; and to provide holistic health care which addresses the physical, social, psychological and spiritual needs of individuals. Our Memorial Hermann physician network, MHMD, comprises physicians from Memorial Hermann Medical Group, UTHealth and private physicians and specialists. We offer leading-edge clinical expertise, patient-centered care, and leading-edge technology and innovation. Through Memorial Hermann's subsidiary, Memorial Hermann Community Benefit Corporation (MHCBC), Memorial Hermann implements programs to work with other healthcare providers, government agencies, business leaders and community stakeholders to ensure that all residents of the greater Houston area have access to the care they need to improve their quality of life and the overall health of the community. The mission of Memorial Hermann Community Benefit Corporation is to test and measure innovative solutions that promote good health for the individual, the health system and the community. MHCBC collaborates with others as well as creates signature, evidence-based ways to improve the communities where people live, work, learn, and play. MHCBC areas of expertise span access and navigation, nutrition and physical activity, support of the whole person, and rigorous outcome measurement. Primary program focus include education on, access to, and provision of primary medical, dental, mental health, and social service support to underserved populations; food as health; and, exercise as medicine. New programs are piloted, and proved programs are replicated in the community. Community benefit corporation funding tenets include: provision of primary and/or specialty care for the uninsured and underinsured; contribution to the existing infrastructure of non-profit clinics and FQHC's; programs, practices, and policies that affect the health of individuals, families, and communities; commitment to measurement; existence of collaborative partners; programmatic inclusion of health education and literacy; strive towards sustainability. As required by the Community Health Needs Assessment-Section 501(r)(3)-requirement of the aca, Memorial Hermann Community Benefit Corporation supports the Memorial Hermann Health System licensed acute care, rehab, and surgical and ER hospitals in conducting community needs assessments. The corresponding implementations strategies balance the individuality of the different hospitals with the system strategy of collectively supporting community objectives to achieve the necessary alignment and leverage to impact true community change.
PART VI, LINE 7	TEXAS

Schedule H (Form 990) 2019

Additional Data

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- TIN:

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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

2019

Open to Public
Inspection

Name of the organization
Memorial Hermann Health System

Employer identification number
74-1152597

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	(h) Purpose of grant or assistance
(1) Memorial Hermann Community Benefit Corporation 929 GESSNER STE 1900 HOUSTON,TX77024	68-0511504	501(c)(3)	6,506,531	Support Charitable Support Charitable Support Educational Support Charitable Support Educational Support Charitable Support Mission Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Community Support Charitable Support Charitable Support Educational Support Charitable Support Community Support Charitable Support Educational Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Community Support Charitable Support Charitable Support Charitable Support Educational Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Charitable Support Chari
(2) MEMORIAL HERMANN FOUNDATION 929 GESSNER STE 1900 HOUSTON,TX77024	74-1653640	501(c)(3)	6,391,412
(3) THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT H 7000 FANNIN ST HOUSTON,TX77030	74-1761309	State of TX	175,000
(4) American Heart Association Inc 7272 GREENVILLE AVE DALLAS,TX75231	13-5613797	501(c)(3)	175,000
(5) LAMAR CONSOLIDATED ISD 3911 AVE I ROSENBURG,TX77471	74-6002016	State of TX	125,000
(6) HOLOCAUST MUSEUM HOUSTON 9220 KIRBY DR STE 100 HOUSTON,TX77054	76-0331398	501(c)(3)	112,500
(7) PROMEDICA INTERNATIONAL CME 300 CARLSBAD VILLAGE DR STE 108A-3 CARLSBAD,CA92008	80-0891393	N/A	100,000
(8) THE HOUSTON FOOD BANK 535 PORTWALL ST HOUSTON,TX77029	74-2181456	501(c)(3)	51,500
(9) JEWISH FAMILY SERVICE 4131 S BRAESWOOD BLVD HOUSTON,TX77025	74-1152607	501(c)(3)	50,000
(10) THE ROSE 12700 N FEATHERWOOD DR HOUSTON,TX77034	76-0193812	501(c)(3)	50,000
(11) SKEETERS BASEBALL FOUNDATION 3555 TIMMONS HOUSTON,TX77027	45-4846464	501(c)(3)	42,500
(12) CANCARE INC 9575 KATY FWY STE 428 HOUSTON,TX77024	76-0305357	501(c)(3)	32,000
(13) CRISTO REY WORK STUDY PROGRAM 6700 MOUNT CARMEL STREET HOUSTON,TX77087	26-3739361	501(c)(3)	31,500
(14) CY-FAIR HOUSTON CHAMBER OF COMMERCE 8711 HIGHWAY 6 N STE 120 HOUSTON,TX77095	76-0194069	501(c)(6)	25,185
(15) HOUSTON BALLET FOUNDATION 601 PRESTON ST HOUSTON,TX77002	74-1394920	501(c)(3)	25,000
(16) UNITED WAY OF GREATER HOUSTON 50 WAUGH DR HOUSTON,TX77007	74-1167964	501(c)(3)	25,000
(17) CY-FAIR ISD 10300 JONES ROAD HOUSTON,TX77065	74-6000654	State of TX	24,400
(18) WOODLANDS RELIGIIOUS COMMUNITY INC 4242 INTERFAITH WAY THE WOODLANDS,TX77381	74-1804123	501(c)(3)	21,750
(19) KATY AREA ECONOMIC DEVELOPMENT COUNCIL 2002 W GRAND PKWY N STE 220 Katy,TX77449	20-0321679	501(c)(6)	20,000
(20) AMERICAN CANCER SOCIETY INC 250 Williams ST NW 400 Atlanta,GA30303	13-1788491	501(c)(3)	18,500
(21) NEW CANEY INDEPENDENT SCHOOL DISTRICT 21580 LOOP 494 NEW CANEY,TX77357	74-6019972	State of TX	18,000
(22) HOUSTON BAPTIST UNIVERSITY 7502 FONDREN ROAD HOUSTON,TX77074	74-1400699	501(c)(3)	17,500
(23) CROHN'S & COLITIS FOUNDATION INC 733 THIRD AVE STE 510 NEW YORK,NY10017	13-6193105	501(c)(3)	17,000
(24) SPORTS AUTHORITY FOUNDATION 701 AVENIDA HOUSTON,TX77010	82-2157834	501(c)(3)	15,000
(25) BARBARA BUSH HOUSTON LITERACY FOUNDATION 7887 SAN FELIPE STE 250 HOUSTON,TX77063	46-5037878	501(c)(3)	15,000
(26) FOUNDATION OF THE AMERICAN COLLEGE OF HEALTHCARE E 300 S RIVERSIDE PLZA CHICAGO,IL60606	36-0724325	501(c)(3)	15,000
(27) THEATRE UNDER THE STARTS INC 800 BAGBY STREET 200 HOUSTON,TX77002	74-1621647	501(c)(3)	15,000
(28) American Leadership Forum Houston Gulf Coast Chapt 3101 RICHMOND AVE STE140 HOUSTON,TX77098	76-0284248	501(c)(3)	15,000
(29) FORT BEND JUNIOR SERVICE LEAGUE PO BOX 17387 SUGAR LAND,TX77496	76-0664152	501(c)(3)	15,000
(30) Alzheimer's Disease & Related Disorders Assoc 225 N Michigan Ave CHICAGO,IL606017633	13-3039601	501(c)(3)	15,000
(31) HOUSTON PARKS BOARD 300 N POST OAK LANE HOUSTON,TX77024	74-1860046	501(c)(3)	15,000
(32) KATY ISD EDUCATION FOUNDATION INC 6301 S STADIUM LN Katy,TX77494	80-0732375	501(c)(3)	14,000
(33) AMERICAN LIVER FOUNDATION 39 BROADWAY FLOOR 27 NEW YORK,NY10006	36-2883000	501(c)(3)	12,500
(34) MARCH OF DIMES INC 1550 CRYSTAL DR STE 1300 ARLINGTON,VA22202	13-1846366	501(c)(3)	12,500
(35) HUMBLE AREA CHAMBER OF COMMERCE INCORPORATED 110 W MAIN ST HUMBLE,TX77338	74-1341059	501(c)(6)	12,050
(36) NORTHEAST HOSPITAL FOUNDATION PO BOX 2738 HUMBLE,TX77347	76-0224541	501(c)(3)	11,159
(37) CONTEMPORARY ARTS MUSEUM HOUSTON 5216 MONTROSE BLVD HOUSTON,TX77006	74-1093771	501(c)(3)	11,000
(38) RONALD MCDONALD HOUSE OF HOUSTON INC 1907 HOLCOMBE BLVD HOUSTON,TX77030	74-1984499	501(c)(3)	11,000
(39) UNIVERSITY OF HOUSTON 5000 GULF FWY RM 109 HOUSTON,TX77204	74-6001399	State of TX	10,500
(40) JUNIOR ACHIEVEMENT OF SOUTHEAST TEXAS INC 2115 E GOVERNORS CIRCLE HOUSTON,TX77092	74-1153957	501(c)(3)	10,000
(41) HOUSTON ZOO INC 1513 CAMBRIDGE HOUSTON,TX77030	74-1590271	501(c)(3)	10,000
(42) CULLINAN PARK CONSERVANCY PO BOX 422 SUGAR LAND,TX77487	45-4477343	501(c)(3)	10,000
(43) KATY CHAMBER OF COMMERCE 814 EAST AVE STE G Katy,TX77493	74-2028745	501(c)(3)	10,000
(44) HUMBLE AREA ACTIVITY CENTER INC 1401 SOUTH HOUSTON AVENUE HUMBLE,TX77338	36-4548653	501(c)(3)	10,000
(45) CHILDREN'S DEFENSE FUND 25 E STREET NW WASHINGTON,DC20001	52-0895622	501(c)(3)	10,000
(46) WILLIAMS MARSH RICE UNIVERSITY 6100 MAIN ST MS-70 HOUSTON,TX77005	74-1109620	501(c)(3)	10,000
(47) AMERICAN CONGRESS OF REHABILITATION 11654 PLAZA AMERICA DRIVE NO 53 RESTON,VA20190	36-2170784	501(c)(3)	10,000
(48) THE ARTS OF HEALING FOUNDATION 2364 DUNSTAN RD HOUSTON,TX77005	82-2515875	501(c)(3)	10,000
(49) CAMP ALLEN CAMP & CONFERENCE CENTER 18800 FM 362 NAVASOTA,TX77868	74-6016479	501(c)(3)	10,000
(50) ASTROS FOUNDATION 501 CRAWFORD STREET HOUSTON,TX77002	74-2793078	501(c)(3)	10,000
(51) NORAS GIFT FOUNDATION INC 8300 EL RIO ST HOUSTON,TX77054	62-1763895	501(c)(3)	10,000
(52) HOPE AND HEALING CENTER & INSTITUTE 717 SAGE ROAD HOUSTON,TX77056	45-3305276	501(c)(3)	10,000
(53) COMMUNITIES IN SCHOOLS OF HOUSTON INC 1235 NORTH LOOP W STE 300 HOUSTON,TX77008	76-0031827	501(c)(3)	10,000
(54) FAITH IN PRACTICE 7500 BEECHNUT ST STE 208 HOUSTON,TX77074	76-0415986	501(c)(3)	10,000
(55) CY-FAIR EDUCATIONAL FOUNDATION PO BOX 1698 CYPRESS,TX774101698	23-7079589	501(c)(3)	8,000
(56) MEN OF DISTINCTION OF GREATER HOUSTON 7914 S WELLINGTON COURT HOUSTON,TX77055	26-0421594	501(c)(3)	7,500
(57) NEEDVILLE INDEPENDENT SCHOOL DISTRICT PO BOX 412 NEEDVILLE,TX77461	74-6001773	State of TX	7,000
(58) EAST BERNARD ISD 723 COLLEGE ST EAST BERNARD,TX77435	74-6000708	State of TX	7,000
(59) EL CAMPO ISD 700 W NORRIS EL CAMPO,TX77437	74-6000730	N/A	7,000
(60) HALLETTSVILLE ISD PO BOX 368 302 NORTH RIDGE ST HALLETTSVILLE,TX77964	74-6001029	State of TX	6,000
(61) GREATER HOUSTON PARTNERSHIP INC 701 AVENIDA DE LAS AMERICAS STE 900 HOUSTON,TX77010	76-0267896	501(c)(6)	6,000
(62) YMCA OF THE GREATER HOUSTON AREA 2600 NORTH LOOP W STE 300 HOUSTON,TX77092	74-1109737	501(c)(3)	5,250

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) 2019

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

Schedule I (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

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

Attach to Form 990.
SchJMediumBullet

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

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

Memorial Hermann Health System

Employer identification number

74-1152597

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 on 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 .........

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 on Line 1a? ..

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) 2019

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)
1Charles D Stokes CEO/President 7/1-8/31	(i) (ii)	1,388,693 ------------- 0	1,407,894 ------------- 0	373,201 ------------- 0	415,982 ------------- 0	1,675 ------------- 0	3,587,445 ------------- 0	224,855 ------------- 0
2Myron M Shabot MD Former Officer	(i) (ii)	313,053 ------------- 0	592,355 ------------- 0	1,159,864 ------------- 0	57,813 ------------- 0	1,675 ------------- 0	2,124,760 ------------- 0	128,446 ------------- 0
3Erin S Asprec EVP/COO	(i) (ii)	766,705 ------------- 0	566,218 ------------- 0	144,261 ------------- 0	229,576 ------------- 0	1,675 ------------- 0	1,708,435 ------------- 0	89,981 ------------- 0
4Brian Dean EVP/CFO/TREASURER	(i) (ii)	737,125 ------------- 0	545,402 ------------- 0	85,732 ------------- 0	191,555 ------------- 0	1,675 ------------- 0	1,561,489 ------------- 0	54,510 ------------- 0
5Deborah Gordon EVP/CAO/CLO/SECRETARY	(i) (ii)	658,296 ------------- 0	500,699 ------------- 0	152,255 ------------- 0	173,321 ------------- 0	1,675 ------------- 0	1,486,246 ------------- 0	121,785 ------------- 0
6James McCarthy MD EVP/CPE	(i) (ii)	677,790 ------------- 0	405,329 ------------- 0	20,090 ------------- 0	176,774 ------------- 0	1,675 ------------- 0	1,281,658 ------------- 0	0 ------------- 0
7Gregory L Haralson SVP/CEO-TMC	(i) (ii)	565,808 ------------- 0	358,042 ------------- 0	84,783 ------------- 0	127,073 ------------- 0	1,675 ------------- 0	1,137,381 ------------- 0	53,464 ------------- 0
8Joshua Urban SVP/COMMUNITY HOSPITAL	(i) (ii)	504,306 ------------- 0	343,019 ------------- 0	117,269 ------------- 0	128,633 ------------- 0	1,675 ------------- 0	1,094,902 ------------- 0	79,093 ------------- 0
9Angela Shippy MD SVP/CMQO	(i) (ii)	501,220 ------------- 0	317,828 ------------- 0	105,591 ------------- 0	105,809 ------------- 0	1,675 ------------- 0	1,032,123 ------------- 0	88,731 ------------- 0
10Paul C O'Sullivan SVP/CEO-MC&GH	(i) (ii)	448,107 ------------- 0	347,920 ------------- 0	106,343 ------------- 0	115,557 ------------- 0	1,675 ------------- 0	1,019,602 ------------- 0	44,012 ------------- 0
11Christopher M Halaska SVP/CIO	(i) (ii)	368,726 ------------- 0	404,962 ------------- 0	75,288 ------------- 0	76,239 ------------- 0	1,675 ------------- 0	926,890 ------------- 0	60,954 ------------- 0
12Kyle Price SVP/SRVC LINES	(i) (ii)	442,619 ------------- 0	304,134 ------------- 0	99,630 ------------- 0	109,744 ------------- 0	1,675 ------------- 0	957,802 ------------- 0	40,530 ------------- 0
13Susan M Distefano SVP/CEO-CHILDREN'S HOSPITAL	(i) (ii)	401,164 ------------- 0	329,588 ------------- 0	101,208 ------------- 0	107,420 ------------- 0	1,675 ------------- 0	941,055 ------------- 0	59,063 ------------- 0
14Lori P Knowles SVP/CHRO	(i) (ii)	439,344 ------------- 0	321,701 ------------- 0	54,400 ------------- 0	93,388 ------------- 0	1,675 ------------- 0	910,508 ------------- 0	34,860 ------------- 0
15Amanda Hammel SVP/CIO	(i) (ii)	446,323 ------------- 0	237,535 ------------- 0	80,869 ------------- 0	108,839 ------------- 0	1,675 ------------- 0	875,241 ------------- 0	49,952 ------------- 0
16Carrol E Aulbaugh Former Officer	(i) (ii)	95,868 ------------- 0	252,270 ------------- 0	352,080 ------------- 0	0 ------------- 0	1,675 ------------- 0	701,893 ------------- 0	0 ------------- 0
17David L Callender MD CEO/President 9/1-PRESENT	(i) (ii)	418,868 ------------- 0	136,052 ------------- 0	15,843 ------------- 0	127,187 ------------- 0	1,675 ------------- 0	699,625 ------------- 0	0 ------------- 0
18Warren Shea VP/ASST SECRETARY	(i) (ii)	310,441 ------------- 0	134,380 ------------- 0	63,283 ------------- 0	49,209 ------------- 0	1,675 ------------- 0	558,988 ------------- 0	50,812 ------------- 0

Schedule J (Form 990) 2019

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
Form 990 Schedule J Part I Line 4a	Myron M. Shabot, M.D. ($718,765.00)
Form 990 Schedule J Part I Line 4b	MEMORIAL HERMANN HEALTH SYSTEM SPONSORS TWO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS; MEMORIAL HERMANN SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP); EXECUTIVE DEFERRED COMPENSATION PLAN (EDCP). THE FOLLOWING INDIVIDUALS PARTICIPATED IN AND/OR RECEIVED PAYMENTS (NOTED IN PARENTHESIS FOR SERP AND EDCP RESPECTIVELY) FROM MEMORIAL HERMANN HEALTH SYSTEM'S SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DURING THE TAX YEAR: CHARLES STOKES ($76,056.06/$228,854.72); MYRON M. SHABOT, M.D. ($111,047.27/$128,445.89); ERIN S. ASPREC ($73.96/$89,981.25); BRIAN DEAN ($0/$54,510.36); DEBORAH GORDON ($0/$121,785.42); GREGORY L. HARALSON ($0/$53,464.07); JOSHUA URBAN ($18,157.51; $79,093.26); ANGELA SHIPPY, M.D. ($0/$88,731.39); PAUL C. O'SULLIVAN ($17,016.09/$44,011.56); CHRISTOPHER M. HALASKA ($0/$60,953.74); KYLE PRICE ($15,934.27/$40,529.77); SUSAN M. DISTEFANO ($15,472.24/$59,062.68); LORI P. KNOWLES ($0/$34,859.91); AMANDA HAMMEL ($13,208.32/$49,952.45); CARROL E. AULBAUGH ($0/$258,439.49); WARREN SHEA ($0/$50,811.75)
Form 990 Schedule J Part I Line 7	MEMORIAL HERMANN HEALTH SYSTEM HAS TWO INCENTIVE PROGRAMS IN WHICH CERTAIN MANAGEMENT INDIVIDUALS MAY PARTICIPATE, THE MANAGEMENT INCENTIVE BONUS AND LONG TERM INCENTIVE PLAN. THE MANAGEMENT INCENTIVE BONUS IS AN ANNUAL INCENTIVE DESIGNED TO ATTRACT AND RETAIN KEY LEADERS AND ESTABLISH GREATER ACCOUNTABILITY AND ALIGNMENT TO BUSINESS PERFORMANCE. PAYMENT AMOUNT TARGETS ARE BASED UPON A PERCENTAGE OF BASE SALARY, DEVELOPED BY INDEPENDENT THIRD PARTY EXPERTS. MEMORIAL HERMANN'S COMPENSATION COMMITTEE AND GOVERNING BOARD HAVE FINAL DISCRETION WHETHER TO AWARD AMOUNTS TO INDIVIDUALS AND TO ADJUST THE PAYMENT AT THEIR SOLE DISCRETION. THE LONG TERM INCENTIVE PLAN IS BASED ON A THREE-YEAR PERFORMANCE PLAN, WHICH REWARDS KEY SENIOR LEADERS BY ALIGNING THEIR COMPENSATION TO STRATEGIC INITIATIVES OF MEMORIAL HERMANN. PERFORMANCE TARGETS ARE BASED UPON A PERCENTAGE OF THE INDIVIDUAL'S BASE SALARY AND ARE DEVELOPED BY INDEPENDENT THIRD PARTY EXPERTS USING MARKET COMPETITIVE DATA WITHIN THE GUIDES OF REASONABLENESS. AT THE END OF A THREE-YEAR PERIOD, MEMORIAL HERMANN'S COMPENSATION COMMITTEE REVIEWS PERFORMANCE AGAINST GOALS TO DETERMINE APPROPRIATE PAYOUT. MEMORIAL HERMANN'S COMPENSATION COMMITTEE AND GOVERNING BOARD HAVE FINAL DISCRETION WHETHER TO AWARD AMOUNTS TO INDIVIDUALS AND TO ADJUST THE PAYMENT AT THEIR SOLE DISCRETION.

Schedule J (Form 990) 2019

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

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

Attach to Form 990.
SchKMediumBullet

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

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
Memorial Hermann Health System

Employer identification number
74-1152597

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	HARRIS COUNTY CULTURAL ED FAC FINANCE CORP	76-0337885	414009GR5	03-28-2013	468,778,930	Refund Series 2004A and 2008B/C	X			X		X
B	HARRIS COUNTY CULTURAL ED FAC FINANCE CORP	76-0337885	414009HL7	06-11-2014	307,303,890	Construction of healthcare facilit	X			X		X
C	HARRIS COUNTY CULTURAL ED FAC FINANCE CORP	76-0337885	414009KP4	12-15-2015	270,200,000	Refund Series 2008A1 and 2010B		X		X		X
D	HARRIS COUNTY CULTURAL ED FAC FINANCE CORP	76-0337885	414009KP4	06-08-2016	151,216,215	Construction of healthcare facilit		X		X		X
	HARRIS COUNTY CULTURAL ED FAC FINANCE CORP	76-0337885	414009KS8	06-08-2016	326,305,000	Construction of healthcare facilit		X		X		X
	HARRIS COUNTY CULTURAL ED FAC FINANCE CORP	76-0337885	414009MR8	11-21-2019	649,138,065	Construction of healthcare facilit		X		X		X
	Harris County Cultural Education Facilities Financ	76-0337885	414009MV9	03-03-2020	22,068,756	Refund Series 2010A		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	111,865,000		82,835,000		107,800,000		0
2 Amount of bonds legally defeased ..............	153,225,000		28,270,000		0		0
3 Total proceeds of issue ..................	468,778,930		308,759,499		270,200,000		152,153,046
4 Gross proceeds in reserve funds .............	0		0		0		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	3,629,482		2,303,890		0		1,216,215
8 Credit enhancement from proceeds .............	0		0		0		0
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	0		306,455,609		0		150,936,831
11 Other spent proceeds .............	465,149,448		0		270,200,000		0
12 Other unspent proceeds .............	0		0		0		0
13 Year of substantial completion .............	2013		2020		2015		2018
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........	X			X	X			X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? ........	X			X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

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

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

Cat. No. 50193E

Schedule K (Form 990) 2019

Page 2

Part Ⅲ

Private Business Use (Continued)

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

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X	X
b Exception to rebate? ........		X		X	X			X
c No rebate due? .........	X		X			X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X		X		X			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........	0		0		0		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2019

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........	0		0		0		0
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

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

Part Ⅵ

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

Return Reference	Explanation
PART II.B.3 SET 1	DIFFERENCE FROM ISSUE PRICE DUE TO INVESTMENT EARNINGS
PART II.D.3 SET 1	DIFFERENCE FROM ISSUE PRICE DUE TO INVESTMENT EARNINGS
PART IV.A.2 SET 1	04/28/2016
PART IV.B.2 SET 1	04/28/2016
PART II.A.3 SET 2	DIFFERENCE FROM ISSUE PRICE DUE TO INVESTMENT EARNINGS
PART II.B.3 SET 2	DIFFERENCE FROM ISSUE PRICE DUE TO INVESTMENT EARNINGS
Part I.B Column(f)	Refunded bonds were issued 6/11/2014, 12/15/2015 and 6/8/2016
Part I.C Column (f)	Refunded bonds were issued on 11/30/2010

Schedule K (Form 990) 2019

Additional Data

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

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

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

Attach to Form 990.
SchKMediumBullet

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

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
Memorial Hermann Health System

Employer identification number
74-1152597

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	HARRIS COUNTY CULTURAL ED FAC FINANCE CORP	76-0337885	414009GR5	03-28-2013	468,778,930	Refund Series 2004A and 2008B/C	X			X		X
B	HARRIS COUNTY CULTURAL ED FAC FINANCE CORP	76-0337885	414009HL7	06-11-2014	307,303,890	Construction of healthcare facilit	X			X		X
C	HARRIS COUNTY CULTURAL ED FAC FINANCE CORP	76-0337885	414009KP4	12-15-2015	270,200,000	Refund Series 2008A1 and 2010B		X		X		X
D	HARRIS COUNTY CULTURAL ED FAC FINANCE CORP	76-0337885	414009KP4	06-08-2016	151,216,215	Construction of healthcare facilit		X		X		X
	HARRIS COUNTY CULTURAL ED FAC FINANCE CORP	76-0337885	414009KS8	06-08-2016	326,305,000	Construction of healthcare facilit		X		X		X
	HARRIS COUNTY CULTURAL ED FAC FINANCE CORP	76-0337885	414009MR8	11-21-2019	649,138,065	Construction of healthcare facilit		X		X		X
	Harris County Cultural Education Facilities Financ	76-0337885	414009MV9	03-03-2020	22,068,756	Refund Series 2010A		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	111,865,000		82,835,000		107,800,000		0
2 Amount of bonds legally defeased ..............	153,225,000		28,270,000		0		0
3 Total proceeds of issue ..................	468,778,930		308,759,499		270,200,000		152,153,046
4 Gross proceeds in reserve funds .............	0		0		0		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	0		0		0		0
7 Issuance costs from proceeds ...............	3,629,482		2,303,890		0		1,216,215
8 Credit enhancement from proceeds .............	0		0		0		0
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	0		306,455,609		0		150,936,831
11 Other spent proceeds .............	465,149,448		0		270,200,000		0
12 Other unspent proceeds .............	0		0		0		0
13 Year of substantial completion .............	2013		2020		2015		2018
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........	X			X	X			X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? ........	X			X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

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

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

Cat. No. 50193E

Schedule K (Form 990) 2019

Page 2

Part Ⅲ

Private Business Use (Continued)

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

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X	X
b Exception to rebate? ........		X		X	X			X
c No rebate due? .........	X		X			X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X		X		X			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........	0		0		0		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2019

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........	0		0		0		0
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

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

Part Ⅵ

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

Return Reference	Explanation
PART II.B.3 SET 1	DIFFERENCE FROM ISSUE PRICE DUE TO INVESTMENT EARNINGS
PART II.D.3 SET 1	DIFFERENCE FROM ISSUE PRICE DUE TO INVESTMENT EARNINGS
PART IV.A.2 SET 1	04/28/2016
PART IV.B.2 SET 1	04/28/2016
PART II.A.3 SET 2	DIFFERENCE FROM ISSUE PRICE DUE TO INVESTMENT EARNINGS
PART II.B.3 SET 2	DIFFERENCE FROM ISSUE PRICE DUE TO INVESTMENT EARNINGS
Part I.B Column(f)	Refunded bonds were issued 6/11/2014, 12/15/2015 and 6/8/2016
Part I.C Column (f)	Refunded bonds were issued on 11/30/2010

Schedule K (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Attach to Form 990 or Form 990-EZ.
MediumBullet

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

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

Memorial Hermann Health System

Employer identification number

74-1152597

Part I

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

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

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

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

Part II

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

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






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

Part III

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

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

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2019

Page 2

Part IV

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

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Angela Bell	Family member of Director	83,001	Employee Compensation		No

Part V

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

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2019

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

2019

Open to Public
Inspection

Name of the organization

Memorial Hermann Health System

Employer identification number

74-1152597

Return Reference	Explanation
Form 990, Part VI, Section A, Line 6	The Corporation is a non-profit corporation existing under the Texas Business Organizations Code, as amended from time to time. The Corporation shall have individual corporate members.
Form 990, Part VI, Section A, Line 7a	The Corporation's Members shall have such powers, exercise such rights and perform such duties as Members of the Corporation as may be required by applicable law or by express provision of the Certificate of Formation or its Bylaws, and the Members shall have no other powers, rights, or duties. The Members shall elect Directors to fill any existing or soon to be existing vacancy occurring in the Board of Directors.
Form 990, Part VI, Section A, Line 7b	The following matters are reserved to the Corporation's Members and shall require the affirmative action of the Members to be effective: Any amendment to or restatement or repeal of the Certificate of Formation; Any amendment to or restatement or repeal of these Bylaws; The sale, transfer, or other disposition of all or substantially all of the assets of the Corporation and its Affiliates; The merger of the Corporation into, or the consolidation of the Corporation with, any other entity; or, the dissolution of the Corporation.
Form 990, Part VI, Section B, Line 11b	The Form 990 is prepared and reviewed by Memorial Hermann System Tax department. The System Tax department works with other departments throughout the organization to obtain the information needed to complete the Form 990. Upon completion, the Form 990 is reviewed by the organization's Chief Financial Officer, Chief Accounting Officer, and/or other key officers. A complete copy of the Form 990 is then provided to each member of the governing body prior to filing the Form 990.
Form 990, Part VI, Section B, Line 12c	Memorial Hermann Health System utilizes conflict of interest surveys and has codified its procedure in a policy. The policy is monitored by the organization's Corporate Compliance department through annual surveys of board members, corporate officers, management level employees, and other selected employees, physicians and vendors for all of its entities and related affiliates. In addition to responding to the survey, each recipient affirms that they have received a copy of the policy, have read and understood it, have agreed to comply with it, and understands that Memorial Hermann is a charitable organization to must engage in primarily tax-exempt purpose activities. The corporate compliance department, chief legal officer, and the corporate audit committee, consisting of independent board members, receive a report of all items disclosed. The audit committee chair reports the existence of any conflicts to the corporate board of directors. Memorial Hermann's conflicts of interest policy requires that board members excuse themselves from discussions in which they have a conflict of interest. The policy also subjects board members to disciplinary action if they are found to have violated the policy.
Form 990, Part VI, Section B, Line 15	The compensation committee of the Memorial Hermann board of directors retains the ultimate discretionary authority over all elements of executive compensation. The committee is comprised of individuals who are not employed by Memorial Hermann, and have no conflicting interests. The process for determining compensation for the organization's CEO and disqualified persons is modeled after the requirements in IRC section 4958 to establish the presumption of reasonable compensation. The compensation committee reviews and approves the total remuneration for the organization's disqualified persons in advance of being paid. On an annual basis, the compensation committee engages an independent third-party executive compensation consultant who uses comparable market data from published surveys and/or form 990 of similar organizations to perform a competitive analysis and write an opinion letter regarding the competitive position of Memorial Hermann's disqualified persons. The compensation committee reviews the comparability data and opinion letter, and documents its discussion and decisions in minutes that are retained with the organization's other governance materials. The analysis is performed annually and it includes the President and CEO, all executive vice presidents and senior vice presidents of the organization, as well as family members of disqualified persons who are employed by Memorial Hermann.
Form 990, Part VI, Section C, Line 19	Certain documents of the organization are available to the public through the Texas Secretary of State, such as the organization's certificate of formation and any amendments thereto. The organization is included in the consolidated audited financial statements, which are attached to the Form 990 and are made available to the public upon request. The organization's other governing documents and conflicts of interest policy are not made available to the public.
Form 990, Part XI, Line 9	Noncontrolling interests $67,878,928; Change in pension obligation $89,364,986; Contributions and grants received and other changes in net assets, net $63,525,956; Cumulative adjustment of ASU 842 $93,339,000; Change in noncontrolling interests $15,568,380
FORM 990 PART IX LINE 11G	DESCRIPTION:INDIGENT CARE SERVICES TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:ADMINISTRATIVE SERVICES TOTAL FEES:XXX-XX-XXXX
FORM 990 PART IX LINE 11G	DESCRIPTION:CLEANING SERVICES TOTAL FEES:64668080
FORM 990 PART IX LINE 11G	DESCRIPTION:MISCELLANEOUS SERVICES TOTAL FEES:64640649
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL SERVICES TOTAL FEES:51025596
FORM 990 PART IX LINE 11G	DESCRIPTION:CATERING AND SUPPLIES SERVICES TOTAL FEES:37610376
FORM 990 PART IX LINE 11G	DESCRIPTION:MANAGEMENT CONSULTING FEES TOTAL FEES:9498146
FORM 990 PART IX LINE 11G	DESCRIPTION:TECHNOLOGY SERVVICES TOTAL FEES:6389386
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL EQUIPMENT SERVICES TOTAL FEES:5626136
FORM 990 PART IX LINE 11G	DESCRIPTION:PROPERTY MANAGEMENT SERVICES TOTAL FEES:5372156
FORM 990 PART IX LINE 11G	DESCRIPTION:SUPPLY CHAIN SERVICES TOTAL FEES:4585106
FORM 990 PART IX LINE 11G	DESCRIPTION:BANK SERVICE FEES TOTAL FEES:2414836
FORM 990 PART IX LINE 11G	DESCRIPTION:SECURITY SERVICES TOTAL FEES:2254821
FORM 990 PART IX LINE 11G	DESCRIPTION:WASTE MANAGEMENT SERVICES TOTAL FEES:1746334
FORM 990 PART IX LINE 11G	DESCRIPTION:REPAIR AND MAINTENANCE SERVICE TOTAL FEES:1468754
FORM 990 PART IX LINE 11G	DESCRIPTION:LAUNDRY SERVICES TOTAL FEES:1233670

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

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

2019

Open to Public Inspection

Name of the organization

Memorial Hermann Health System

Employer identification number

74-1152597

Part I

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

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

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)Memorial Hermann Community Benefit 929 Gessner Rd STE 1900 Houston,TX77024 68-0511504	Community	TX	501(c)(3)	10	MHHS	Yes
(2)Memorial Hermann Medical Group 929 Gessner Rd STE 1900 Houston,TX77024 20-4923281	Physician Svc	TX	501(c)(3)	10	MHHS	Yes
(3)MHS Physicians of Texas 929 Gessner Rd STE 1900 Houston,TX77024 76-0385980	Physician Svc	TX	501(c)(3)	3	MHHS	Yes
(4)Memorial Hermann Foundation 929 Gessner Rd STE 1900 Houston,TX77024 74-1653640	Fundraising	TX	501(c)(3)	12a I	MHHS	Yes
(5)Memorial Hermann Information Exchange 929 Gessner Rd STE 1900 Houston,TX77024 02-0684202	Pop Health	TX	501(c)(3)	3	MHHS	Yes
(6)Memorial Hermann Accountable Care Org 929 Gessner Rd STE 1900 Houston,TX77024 80-0778181	ACO	TX	501(c)(4)	N/A	MHHS	Yes
(7)Memorial Hermann Pharmacy Services LLC 929 Gessner Rd STE 1900 Houston,TX77024 20-2184459	Pharmacy	TX	501(c)(3)	10	MHHS	Yes
(8)Memorial Hermann Hospital Based Physicia 929 Gessner Rd Ste 1900 Houston,TX77024 84-4504483	PHYSICIAN SVC	TX	501(C)(3)	N/A	MHHS	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2019

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) MHUSP Surgery Ctr III LLP 14201 Dallas Parkway Dallas,TX75254 20-0707543	Amb Srgry Ctr	TX	MH HealthSystem	Related	9,198,920	24,291,563		No	0	Yes		50.100 %
(2) MH Rehab Hospital Katy LLC 929 Gessner Rd Ste 1900 Houston,TX77024 26-3896170	Rehabilitation	TX	MH HealthSystem	Related	1,116,123	29,713,539		No	0	Yes		60.940 %
(3) MHUSP Surgery Centers IV LLP 14201 Dallas Parkway Dallas,TX75254 20-8575266	Amb Srgry Ctr	TX	MH HealthSystem	Related	17,076,536	116,164,465		No	0		No	50.100 %
(4) MH Surgery Crt Katy LLP 14201 Dallas Parkway Dallas,TX75254 20-3360737	Amb Srgry Ctr	TX	NA	Related	138,739	0		No	0		No	0 %
(5) MH Surgery Ctr Memorial City LLC 14201 Dallas Parkway Dallas,TX75254 26-4276930	Amb Srgry Ctr	TX	NA	Related	41,336	5,184,532		No	0		No	0.804 %
(6) MH Surgery Ctr Texas Medical Ctr LLP 14201 Dallas Parkway Dallas,TX75254 20-3233666	Amb Srgry Ctr	TX	NA	Related	335,647	5,227,267		No	0		No	11.989 %
(7) MH Surgery Ctr The Woodlands 14201 Dallas Parkway Dallas,TX75254 20-1765863	Amb Srgry Ctr	TX	NA	Related	476	0		No	0		No	0.006 %

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	(h) Percentage ownership	(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) MHMD 929 Gessner Rd STE 1900 Houston,TX77024 76-0074819	Integrated PN	TX	NA	C corp	23,093,643	3,799,973	100.000 %	Yes
(2) The Health Professionals Ins Company LTD Barclays House 3rd Floor Grand Cayman CJ	Investments	CJ	MH HealthSystem	C Corp	88,494,827	118,292,196	100.000 %	Yes
(3) Memorial Hermann Health Solutions Inc 929 Gessner Rd STE 1900 Houston,TX77024 26-4419989	Insurance	TX	NA	C corp				Yes
(4) Memorial Hermann Health Insurance Co 929 Gessner Rd STE 1900 Houston,TX77024 76-0646301	Insurance	TX	na	C corp				Yes
(5) Memorial Hermann Health Plan Inc 929 Gessner Rd STE 1900 Houston,TX77024 46-2707092	Insurance	TX	na	C Corp				Yes
(6) MH Health Plan Holdings LLC 929 Gessner Rd STE 1900 Houston,TX77024 81-2971502	Insurance	TX	MH HealthSystem	C Corp	103,618,328	86,017,256	100.000 %	Yes
(7) MH Commercial Health Plan Inc 929 Gessner Rd Ste 1900 Houston,TX77024 20-6680981	Insurance	TX	NA	C Corp				Yes
(8) Memorial Hermann Ventures LLC 929 Gessner Rd Ste 1900 Houston,TX77024 82-5207571	Holding Company	TX	MH HealthSystem	C Corp	4,527,871	837,201	100.000 %	Yes

Schedule R (Form 990) 2019

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Memorial Hermann Foundation	C	22,925,396	GAAP
(2) MHS Physicians of Texas	R	33,761,233	GAAP
(3) MHS Physicians of Texas	S	37,343,111	GAAP
(4) Memorial Hermann Accountable Care Org	R	27,707,629	GAAP
(5) Memorial Hermann Accountable Care Org	S	14,850,464	GAAP
(6) Memorial Hermann Information Exchange	R	4,262,133	GAAP
(7) Memorial Hermann Information Exchange	S	6,212,773	GAAP
(8) Memorial Hermann Pharmacy Services LLC	R	73,355,144	GAAP
(9) Memorial Hermann Pharmacy Services LLC	S	78,186,321	GAAP
(10) Memorial Hermann Rehab Hospital Katy LLC	R	34,682,384	GAAP
(11) Memorial Hermann Rehab Hospital Katy LLC	S	28,479,126	GAAP
(12) Memorial Hermann Medical Group	R	203,100,967	GAAP
(13) Memorial Hermann Medical Group	S	314,052,292	GAAP
(14) Memorial Hermann Foundation	R	21,080,444	GAAP
(15) Memorial Hermann Foundation	S	19,097,459	GAAP
(16) Memorial Hermann Health Solutions Inc	R	16,923,871	GAAP
(17) Memorial Hermann Health Solutions Inc	S	46,895,535	GAAP
(18) Memorial Hermann Health Insurance Company	R	16,923,871	GAAP
(19) Memorial Hermann Health Insurance Company	S	24,598,077	GAAP
(20) Memorial Hermann Health Plan Inc	R	40,541,112	GAAP
(21) Memorial Hermann Health Plan Inc	S	38,605,450	GAAP
(22) Memorial Hermann Commercial Health Plan Inc	R	13,346,267	GAAP
(23) Memorial Hermann Commercial Health Plan Inc	S	14,827,348	GAAP
(24) MHMD	R	26,226,803	GAAP
(25) MHMD	S	45,170,414	GAAP
(26) Memorial Hermann Ventures	R	4,580,326	GAAP
(27) Memorial Hermann Ventures	S	16,129,447	GAAP
(28) Memorial Hermann Community Benefit	R	13,666,379	GAAP
(29) Memorial Hermann Community Benefit	S	24,261,742	GAAP
(30) Memorial Hermann Hospital Based Physician Gro	S	35,857	GAAP

Schedule R (Form 990) 2019

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) 2019

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) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: MEMORIAL HERMANN HEALTH SYSTEM IS A NONPROFIT, VALUES-DRIVEN, COMMUNITY-OWNED HEALTH SYSTEM DEDICATED TO IMPROVING HEALTH.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	22
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	19
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	29,745
6	Total number of volunteers (estimate if necessary) .............	6	2,112
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	41,733
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	19,169,604	125,135,396
9	Program service revenue (Part VIII, line 2g) .........	5,192,114,528	5,314,364,945
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	118,370,893	115,795,304
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	42,713,656	54,201,437
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	5,372,368,681	5,609,497,082
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	13,172,701	15,082,302
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)	2,245,257,560	2,352,605,531
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)....	2,688,558,158	2,823,085,161
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	4,946,988,419	5,190,772,994
19	Revenue less expenses. Subtract line 18 from line 12.......	425,380,262	418,724,088
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	8,171,507,761	10,233,853,414
21	Total liabilities (Part X, line 26).............	3,517,210,955	5,145,643,097
22	Net assets or fund balances. Subtract line 21 from line 20.....	4,654,296,806	5,088,210,317

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 4,375,076,436 including grants of $ 15,082,302 ) (Revenue $ 5,314,364,945 )
	Memorial Hermann Health System is a nonprofit, values-driven, community-owned health system dedicated to improving health. Our vision is to create healthier communities, now and for generations to come. Our values are community, compassion, credibility, and courage. Charting a better future. A future that's built upon the HEALTH of our community. This is the driving force for Memorial Hermann, redefining health care for the individuals and many diverse populations we serve. Our 6,500 affiliated physicians and 28,000 employees practice the highest standards of safe, evidence-based, quality care to provide a personalized and outcome-oriented experience across our more than 270 care delivery sites. As one of the largest not-for-profit health systems in Southeast Texas, Memorial Hermann has an award-winning and nationally acclaimed Accountable Care Organization, 17 hospitals and numerous specialty programs and services conveniently located throughout the Greater Houston area (Memorial Hermann Health System owns and operates 14 hospitals and has joint ventures with three other hospital facilities, including Memorial Hermann Surgical Hospital First Colony, Memorial Hermann Surgical Hospital Kingwood and Memorial Hermann Rehabilitation Hospital-Katy). Memorial Hermann-Texas Medical Center is one of the nation's busiest Level I trauma centers and serves as the primary teaching hospital for McGovern Medical School at UTHealth. U.S. News & World Report for 2018-2019 ranks TIRR Memorial Hermann as the best rehabilitation hospital in Texas and No. 3 in the United States. This is the 29th consecutive year TIRR Memorial Hermann has been ranked in the top 10 nationally. Memorial Hermann-Texas Medical Center was also listed in the U.S. News rankings in the specialty areas of Cardiology and Heart Surgery, Ear, Nose and Throat, and Gastroenterology and GI Surgery. Children's Memorial Hermann Hospital was nationally ranked in Pediatric Cardiology and Heart Surgery, as well as Pediatric Neurology and Neurosurgery. The Heart Center at Children's Memorial Hermann Hospital has earned the Society of Thoracic Surgeons' (STS) highest rating for quality related to patient care and congenital heart surgery outcomes. Only 12 pediatric heart programs in the United States and Canada earned the distinguished STS three-star rating for congenital heart surgery, following analysis of data collected from 119 participating programs from January 2014 to December 2017. The STS star rating system is one of the most highly regarded overall measures of quality in health care, comparing the nationally benchmarked outcomes of cardiothoracic surgery programs in the U.S. and Canada. For the seventh time, Memorial Hermann Memorial City Medical Center was named one of the nation's top 100 hospitals by IBM Watson Health. Formerly known as the Truven Health Analytics 100 Top Hospitals, the study spotlights the best-performing hospitals based on a scorecard of publicly available clinical, operational and patient satisfaction metrics and data. Memorial Hermann Southeast Hospital, Memorial Hermann Greater Heights Hospital, Memorial Hermann Southwest Hospital and Memorial Hermann The Woodlands Medical Center all have received Chest Pain Center accreditation from The Joint Commission (TJC). An independent, not-for-profit organization, TJC accredits and certifies nearly 21,000 healthcare organizations and programs in the United States. Healthcare organizations that have received this accreditation have demonstrated a high level of expertise in dealing with patients with heart attack symptoms. Memorial Hermann-Texas Medical Center (TMC) and Memorial Hermann Memorial City Medical Center earned national recognition as top performers for superior quality and safety by the Vizient Quality and Accountability Study. Memorial Hermann-TMC received the 2018 Bernard A. Birnbaum, MD, Quality Leadership Award for Academic Medical Centers, and ranked ninth of 99 participating academic medical centers. Memorial Hermann Memorial City received the 2018 Bernard A. Birnbaum, MD, Quality Leadership Award for Complex Teaching Medical Centers, ranking seventh among 100 participating teaching medical centers. Memorial Hermann Sugar Land Hospital was named a recipient of the 2016 Malcolm Baldrige National Quality Award, the nation's highest Presidential honor for performance excellence. U.S. Commerce Secretary Penny Pritzker made the announcement recognizing Memorial Hermann Sugar Land for its outstanding commitment to sustainable excellence through innovation, improvement and visionary leadership. Since the healthcare category was introduced in 1999, only 21 healthcare organizations nationwide have been awarded the Malcolm Baldrige National Quality Award. Memorial Hermann Sugar Land was the first Houston area hospital and the third in Texas to win the prestigious award. For more than 113 years, our focus has been the best interest of our community. During the fiscal year, Memorial Hermann Health System provided community benefits of more than $411 million (as reported on the Internal Revenue Service Form 990, Schedule H) annually through financial assistance, school-based health centers, and other community benefit programs. During the fiscal year, Memorial Hermann admitted 171,743 patients resulting in 900,278 days of care, delivered 26,652 babies, had 665,675 emergency visits, and 1,303,502 diagnostic and therapy visits. Now and for generations to come, the health of our community will be at the center of what we do - charting a better future for all.

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












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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses4,375,076,436

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	20,181,774	52,234	2,424,269

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	7,043,187
e	Government grants (contributions)		1e	118,092,209

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

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		125,135,396

		Business Code
2a	NET PATIENT SERVICE REVENUE	622110	5,209,178,996	5,208,334,442	844,554
b	RENTAL INCOME	531120	88,734,530	88,734,530
c	CORPORATE SERVICES	561110	1,840,913	1,840,913
d	MANAGEMENT FEES	561110	9,899,536	9,899,536
e	OTHER PROGRAM REVENUE	900099	4,710,970	4,710,970
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		5,314,364,945

3 Investment income (including dividends, interest, and othersimilar amounts) ......			115,795,304		-802,821	116,598,125
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			1,137,627			1,137,627
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)	0	0	6c
d	Net rental income or (loss).......			0
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)			7c
d	Net gain or (loss).........			0
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	CAFETERIA		722514	28,659,998			28,659,998
b	PARKING		812930	10,963,739			10,963,739
c	SECURITY		561612	1,376,622			1,376,622
d	All other revenue ....			12,063,451			12,063,451
e	Total. Add lines 11a–11d ......			53,063,810
12	Total revenue. See instructions.....			5,609,497,082	5,313,520,391	41,733	170,799,562

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	15,082,302	15,082,302
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	6,928,164		6,928,164
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	83,001		83,001
7	Other salaries and wages........	1,910,640,775	1,621,583,805	289,056,970
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	92,075,029	76,691,841	15,383,188
9	Other employee benefits .......	203,226,677	172,116,096	31,110,581
10	Payroll taxes ...........	139,651,885	115,604,956	24,046,929
11	Fees for services (non-employees):
a	Management ......	22,399,022		22,399,022
b	Legal .........	5,700,957		5,700,957
c	Accounting ...........	1,161,144		1,161,144
d	Lobbying ...........	1,187,392	1,187,392
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	1,752,042	1,752,042
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	917,081,360	609,005,157	308,076,203	0
12	Advertising and promotion ....	22,765,254	2,097,149	20,668,105
13	Office expenses .......	90,644,772	77,040,441	13,604,331
14	Information technology ......	28,948,774	28,948,774
15	Royalties ..	0
16	Occupancy ...........	205,286,430	190,989,183	14,297,247
17	Travel ............	5,170,228	3,822,146	1,348,082
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	2,180,520	1,949,645	230,875
20	Interest ...........	91,002,038	83,769,994	7,232,044
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	308,688,025	265,857,009	42,831,016
23	Insurance ...	18,202,712	14,330,751	3,871,961
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	883,099,793	883,084,993	14,800
b	EQUIPMENT RENTAL & MAINTENANCE	175,922,428	172,510,519	3,411,909
c	LICENSING	7,296,374	4,264,047	3,032,327
d	SPECIAL FUNCTIONS	4,618,868	3,411,166	1,207,702
e	All other expenses	29,977,028	29,977,028
25	Total functional expenses. Add lines 1 through 24e	5,190,772,994	4,375,076,436	815,696,558	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 ........			83,098,919	1	244,580,880
2	Savings and temporary cash investments .........			118,297,567	2	978,069,152
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			727,580,495	4	701,257,103
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			13,081	7	1,780,265
8	Inventories for sale or use ............			104,694,896	8	99,353,556
9	Prepaid expenses and deferred charges ......			22,302,651	9	73,258,679
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	7,867,589,936
b	Less: accumulated depreciation	10b	4,148,668,530	3,130,235,729	10c	3,718,921,406
11	Investments—publicly traded securities .			1,130,782,431	11	1,064,544,691
12	Investments—other securities. See Part IV, line 11 .....			1,616,599,187	12	1,839,879,597
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............			191,154,207	14	176,443,767
15	Other assets. See Part IV, line 11 ...........			1,046,748,598	15	1,335,764,318
16	Total assets. Add lines 1 through 15 (must equal line 33)...			8,171,507,761	16	10,233,853,414

17	Accounts payable and accrued expenses .....	631,087,378	17	1,194,779,515
18	Grants payable ...	0	18	0
19	Deferred revenue .........	208,552,436	19	133,821,341
20	Tax-exempt bond liabilities .........	1,366,955,034	20	1,589,248,243
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	41,780,354	24	24,177,034
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	1,268,835,753	25	2,203,616,964
26	Total liabilities. Add lines 17 through 25..	3,517,210,955	26	5,145,643,097

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	4,646,078,522	27	5,078,616,396
28	Net assets with donor restrictions ...........	8,218,284	28	9,593,921
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	4,654,296,806	32	5,088,210,317
33	Total liabilities and net assets/fund balances ........	8,171,507,761	33	10,233,853,414

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No