TY 2021 Form 990

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

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

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

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

THE METHODIST HOSPITAL

Employer identification number

74-1180155

Part I

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

The organization is not a private foundation because it is: (For lines 1 through 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).)

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 33 1/3% 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 33 1/3% 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 on 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) 2021

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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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 5 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 2021 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2021. 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—2020. 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—2021. 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—2020. 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) 2021

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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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 on 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 5 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 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. 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—2020. 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) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

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

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 on 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 on 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) 2021

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2021

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 0.015 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 0.035	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) 2021

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, 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 2021. 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 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

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) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

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

2021

Name of the organization

THE METHODIST HOSPITAL

Employer identification number

74-1180155

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

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

Special Rules

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

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

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. 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) (2021)

Schedule B (Form 990) (2021) Page 2

Name of organization THE METHODIST HOSPITAL

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) (2021)

Schedule B (Form 990) (2021)

Page 3

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

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 4


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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

2021

Open to Public
Inspection

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

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

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

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

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

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

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

Name of the organization

THE METHODIST HOSPITAL

Employer identification number

74-1180155

Part I-A

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

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

Cat. No. 50084S

Schedule C (Form 990) 2021

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) 2018	(b) 2019	(c) 2020	(d) 2021	(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) 2021

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

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

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

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

Yes

856,175

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

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

Yes

161,774

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

1,017,949

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

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

Return Reference	Explanation
PART II-B, LINE 1:	HOUSTON METHODIST ENGAGES IN DISCUSSIONS WITH ELECTED OFFICIALS AT THE STATE AND NATIONAL LEVEL TO DISCUSS THE IMPACT OF EXISTING AND PROPOSED LEGISLATION ON PATIENT CARE AND HOSPITAL OPERATIONS. WE ALSO ENGAGE IN DISCUSSIONS REGARDING SUPPORT FUNDING AT THE STATE AND NATIONAL LEVEL FOR BIOMEDICAL RESEARCH. THERE IS NO GRASSROOTS ENGAGEMENT WITH THE PUBLIC. HOUSTON METHODIST DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS), ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. OTHER ACTIVITIES INCLUDE DUES TO HOSPITAL ASSOCIATIONS THAT ARE ALLOCABLE TO LOBBYING.

Return Reference

Explanation

PART II-B, LINE 1:

HOUSTON METHODIST ENGAGES IN DISCUSSIONS WITH ELECTED OFFICIALS AT THE STATE AND NATIONAL LEVEL TO DISCUSS THE IMPACT OF EXISTING AND PROPOSED LEGISLATION ON PATIENT CARE AND HOSPITAL OPERATIONS. WE ALSO ENGAGE IN DISCUSSIONS REGARDING SUPPORT FUNDING AT THE STATE AND NATIONAL LEVEL FOR BIOMEDICAL RESEARCH. THERE IS NO GRASSROOTS ENGAGEMENT WITH THE PUBLIC. HOUSTON METHODIST DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS), ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. OTHER ACTIVITIES INCLUDE DUES TO HOSPITAL ASSOCIATIONS THAT ARE ALLOCABLE TO LOBBYING.

Schedule C (Form 990) 2021

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

2021

Open to Public Inspection

Name of the organization

THE METHODIST HOSPITAL

Employer identification number

74-1180155

Part I

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

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 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) 2021

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 ....	501,522,045	438,909,392	354,742,443	332,622,778	215,976,539
b	Contributions ...	45,028,495	11,496,108	26,052,075	48,172,415	88,632,177
c	Net investment earnings, gains, and losses	60,007,314	58,476,254	64,791,438	-18,902,826	32,981,795
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	6,198,620	7,359,709	6,676,564	7,149,924	4,967,733
f	Administrative expenses ....
g	End of year balance ......	600,359,234	501,522,045	438,909,392	354,742,443	332,622,778

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

67.360 %

Term endowment SchDMd Bullet

32.640 %

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 .....	44,047,795	183,881,932		227,929,727
b	Buildings ....		2,273,382,700	968,739,617	1,304,643,083
c	Leasehold improvements		748,024	254,200	493,824
d	Equipment ....		1,736,190,366	1,359,640,348	376,550,018
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					1,909,616,652

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

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

Part VIII

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

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

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

Part IX

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

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	222,723,096
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) 2021

Page 4

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

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

Part XIII

Supplemental Information

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

Return Reference

Explanation

PART V, LINE 4:

HOUSTON METHODIST HOSPITAL FOUNDATION, A RELATED ORGANIZATION OF THE METHODIST HOSPITAL DOING BUSINESS AS HOUSTON METHODIST HOSPITAL, HOLDS PERMANENTLY RESTRICTED NET ASSETS WHICH CONSIST OF 246 INDIVIDUAL ENDOWMENT ACCOUNTS. UNLESS OTHERWISE DIRECTED BY THE DONOR, GIFTS RECEIVED FOR ENDOWMENT ACCOUNTS ARE INVESTED CONSISTENT WITH HOUSTON METHODIST HOSPITAL'S APPROVED INVESTMENT POLICY. UNLESS OTHERWISE DIRECTED BY THE DONOR, THE FOUNDATION HAS A POLICY OF ANNUALLY APPROPRIATING A CERTAIN PERCENTAGE OF EACH ENDOWMENT ACCOUNT, WHICH IS THEN AVAILABLE TO BE SPENT CONSISTENT WITH DONOR INTENT. IN ORDER TO PRESERVE THE REAL VALUE OF A DONOR'S GIFT AND TO SUSTAIN FUNDING CONSISTENT WITH DONOR INTENT, THE ANNUAL APPROPRIATION RATE IS SET TO STRIKE A REASONABLE BALANCE BETWEEN LONG-TERM OBJECTIVES OF PRESERVING AND GROWING EACH ENDOWMENT FUND FOR THE FUTURE AND PROVIDING STABLE, YEAR-TO-YEAR APPROPRIATION AMOUNTS.

Schedule D (Form 990) 2021

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

2021

Open to Public Inspection

Name of the organization
THE METHODIST HOSPITAL

Employer identification number

74-1180155

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" 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
	EAST ASIA AND THE PACIFIC	0	0	PASSIVE INVESTMENTS	291,165,560
	EUROPE (INCLUDING ICELAND & GREENLAND)	0	0	PASSIVE INVESTMENTS	261,200,614
	MIDDLE EAST AND NORTH AFRICA	0	0	PASSIVE INVESTMENTS	1,035,255
	SOUTH AMERICA	0	0	PASSIVE INVESTMENTS	16,456,106
	NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES	0	0	PASSIVE INVESTMENTS	21,771,910
	SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO,	0	0	PASSIVE INVESTMENTS	12,572,699











3a	Sub-total ....	0	0		604,202,144
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		604,202,144

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2021

Schedule F (Form 990) 2021

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) 2021

Schedule F (Form 990) 2021Page 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) 2021

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2021

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 III ACCOUNTING METHOD:

Schedule F (Form 990) 2021

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

2021

Open to Public Inspection

Name of the organization

THE METHODIST HOSPITAL

Employer identification number

74-1180155

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

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

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 50000.0000000000 %

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) . . .	140,443,302	0	140,443,302	5.210 %
b	Medicaid (from Worksheet 3, column a) . . . . .	81,037,740	63,033,099	18,004,641	0.670 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	21,153	1,068	20,085	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	221,502,195	63,034,167	158,468,028	5.880 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	710,361	0	710,361	0.030 %
f	Health professions education (from Worksheet 5) . . .	61,504,663	14,677,740	46,826,923	1.740 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .	112,122,779	45,772,410	66,350,369	2.460 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	4,404,912	0	4,404,912	0.160 %
j	Total. Other Benefits . .	178,742,715	60,450,150	118,292,565	4.390 %
k	Total. Add lines 7d and 7j .	400,244,910	123,484,317	276,760,593	10.270 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021

Schedule H (Form 990) 2021

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. ......

16,296,677

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).....

388,319,025

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

483,213,669

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

-94,894,644

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) 2021

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)						Other (describe)
1	HOUSTON METHODIST HOSPITAL 6565 FANNIN HOUSTON,TX77030 WWW.HOUSTONMETHODIST.ORG 000124	X	X	X	X	SKILLED NURSING FACILITY, PSYCH, REHAB UNITS

Schedule H (Form 990) 2021

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

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

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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): HTTPS://WWW.HOUSTONMETHODIST.ORG/CHNA/

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): HTTPS://WWW.HOUSTONMETHODIST.ORG/CHNA/

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) 2021

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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

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

Yes

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

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 500.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

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

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

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

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

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

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

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

HOUSTONMETHODIST.ORG/PAY-YOUR-BILL/NEW-POLICIES/

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

SAME AS 16.A.

A plain language summary of the FAP was widely available on a website (list url):
SAME AS 16.A.

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) 2021

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

Did the hospital facility have in place during the tax year a 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) 2021

Page 7

Part VFacility Information (continued)

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

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

Yes

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) 2021

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
HOUSTON METHODIST HOSPITAL	PART V, SECTION B, LINE 5: GENERAL NOTE:THE METHODIST HOSPITAL IS DOING BUSINESS AS HOUSTON METHODIST HOSPITAL ("HMH"), HOUSTON METHODIST AS A SYSTEM, IS REPRESENTED AS HOUSTON METHODIST.PART V, SECTION B, LINE 5 HMH, IN CONJUNCTION WITH OTHER HOUSTON METHODIST FACILITIES, IDENTIFIED ITS' COMMUNITY HEALTH PRIORITIES FOR THE 2020 - 2022 IMPLEMENTATION PLAN THROUGH THE EXECUTION OF A LARGE-SCALE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2019. KEY COMPONENTS OF THE ASSESSMENT INCLUDED SURVEYING PATIENTS AND COMMUNITY MEMBERS LIVING WITHIN THE METROPOLITAN STATISTICAL AREA (MSA) THAT HOUSTON METHODIST FACILITIES ARE LOCATED WITHIN, ALONG WITH OTHER TECHNIQUES DESIGNED TO ADDRESS ANY INFORMATION GAPS AND UNCOVER THE MOST PRESSING CONCERNS OF THE SURROUNDING COMMUNITY.PHASE 1: COMMUNITY FEEDBACK COLLECTIONDEVELOPING SURVEY QUESTIONS: THE FIRST STEP IN DEVELOPING THE CHNA FOR HOUSTON METHODIST REQUIRED THE HOSPITAL SYSTEM TO FIRST UNDERSTAND WHAT MATTERED MOST TO THE POPULATION SURROUNDING ITS EIGHT HOSPITALS IN GREATER HOUSTON. TO DO THIS, THE OFFICE OF COMMUNITY BENEFITS WORKED WITH LEADERS IN PUBLIC HEALTH AND CONDUCTED SECONDARY RESEARCH TO DEVELOP NEW AND REFINE PAST SURVEY QUESTIONS THAT WOULD HELP HOUSTON METHODIST GAIN THE INSIGHT INTO THE TOP SOCIAL AND HEALTH PRIORITIES OF OUR CITY. THE SURVEY CONSISTED OF 29 QUESTIONS AND WERE DIVIDED UNDER THE CATEGORIES OF: -TELL US ABOUT YOURSELF -TELL US ABOUT YOUR HEALTH -TELL US ABOUT YOUR COMMUNITY -TELL US HOW YOU FEELDISTRIBUTING THE SURVEY: AFTER THE QUESTIONS WERE DEVELOPED FOR THE SURVEY, THE SURVEYS WERE THEN DISTRIBUTED ELECTRONICALLY AND IN HARD COPY FORM ACROSS THE GREATER HOUSTON COMMUNITY. HARD COPY SURVEYS WERE DISTRIBUTED TO 10 DIFFERENT FACILITIES PROVIDING HEALTH CARE SERVICES TO THE UNINSURED AND UNDERSERVED POPULATION: -CHRIST CLINIC -EL CENTRO DE CORAZON -HEALTHCARE FOR THE HOMELESS -HOPE CLINIC -INTERFAITH CLINIC -LEGACY COMMUNITY HEALTH -NORTHWEST ASSISTANCE MINISTRIES -SAN JOSE CLINIC -STEPHEN F. AUSTIN CLINIC -VECINO HEALTH CENTERSHARD COPY SURVEYS WERE DISTRIBUTED AT HOUSTON METHODIST'S FLAGSHIP LOCATION IN THE TEXAS MEDICAL CENTER DUE TO THE VARIETY OF PATIENTS AND GUESTS WHO COME TO THE LOCATION FROM MORE THAN EIGHT COUNTIES AND AT HOUSTON METHODIST WEST. ELECTRONIC SURVEYS WERE POSTED ON VARIOUS SOCIAL NETWORKING SITES TO CAPTURE AN UNCONTROLLED GROUP OF RESPONDENTS. OVERALL, MORE THAN 980 PEOPLE WERE SURVEYED.SURVEY RESULTS ANALYZED: SURVEYED FACILITIES WERE GIVEN ONE MONTH TO COLLECT RESPONSES FROM THE CLIENT/PATIENT BASE BEING SERVICED. RESPONSE COLLECTION BEGAN JULY 9, 2019 AND ENDED AUG. 9, 2019. ONCE ALL RESPONSES WERE COLLECTED, HOUSTON METHODIST CONTRACTED AN EXTERNAL MARKET ANALYSIS AGENCY TO CONDUCT SIMPLE ANALYSIS OF THE DATA TO LAY THE FOUNDATION FOR THE ASSESSMENT.PHASE 2: COMMUNITY LEADERS AND STAKEHOLDER FEEDBACKSELECTION OF PUBLIC HEALTH AND COMMUNITY LEADERS WITH SPECIAL KNOWLEDGE, INCLUDING LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, AND LOCAL AND STATE HEALTH AGENCIES: HOUSTON METHODIST COLLABORATED WITH EPISCOPAL HEALTH FOUNDATION, TEXAS CHILDREN'S HOSPITAL, MEMORIAL HERMANN HOSPITAL AND CHI ST. LUKE'S HOSPITAL TO COMPILE A LIST OF TOP HEALTH AND COMMUNITY EXPERTS FROM AROUND THE GREATER HOUSTON COMMUNITY AND STATE TO SUPPORT THE STAKEHOLDER INTERVIEW PROCESS CONDUCTED BY A THIRD PARTY, HEALTH RESOURCES IN ACTION. THE THIRD PARTY DEVELOPED A SET OF KEY QUESTIONS COVERING RELEVANT HEALTH AND SOCIAL TOPICS BASED ON THE COLLABORATIVE FEEDBACK. EXPERTS AND LEADERS WERE PULLED FROM A VARIETY OF SPECIALTY AREAS, INCLUDING BUT NOT LIMITED TO DISEASE SPECIALISTS, INSURANCE COMPANY REPRESENTATIVES, NONPROFIT LEADERS AND MORE. THOSE ENGAGED WERE EXPERTS IN THEIR FIELD AND REPRESENTED FEDERALLY QUALIFIED HEALTH CENTERS, FREE/CHARITY CLINICS, LOCAL GOVERNMENTAL AGENCIES, HOSPITALS, MULTI-SERVICE AGENCIES, HIGHER EDUCATION AND MORE.SELECTION OF MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS: THE OFFICE OF COMMUNITY BENEFITS RECEIVED THE PRIMARY INPUT ON THE NEEDS OF THE UNDERSERVED COMMUNITY THROUGH THE DISTRIBUTION OF A SURVEY IN WHICH MEMBERS WERE ASKED TO ANSWER A SERIES OF QUESTIONS SUCH AS: -WHAT ARE THE 5 MOST IMPORTANT THINGS THAT ARE NEEDED FOR YOUR CITY/COMMUNITY TO BE CONSIDERED HEALTHY? -WHAT ARE THE 5 BIGGEST BARRIERS THAT PREVENT FRIENDS AND FAMILY FROM SEEKING MEDICAL TREATMENT?INPUT COLLECTION: INPUT FROM PERSON(S) WITH SPECIAL KNOWLEDGE -VICE PRESIDENT, POPULATION HEALTH - HOUSTON METHODIST -DIRECTOR OF SYSTEM PSYCHIATRIC SERVICES - HOUSTON METHODIST HOSPITAL -PRESIDENT/CHIEF EXECUTIVE OFFICER - THE ROSE -EXECUTIVE DIRECTOR - FORT BEND WOMEN'S CENTER -SERGEANT - FORT BEND COUNTY SHERIFF'S OFFICE -ASSISTANT VICE PRESIDENT - COMMUNITY RELATIONS, UNITED WAY OF HARRIS AND MONTGOMERY COUNTY -EXECUTIVE DIRECTOR - COASTAL AREA HEALTH EDUCATION CENTERS (AHEC) -FORMER CEO - COMMUNITY HEALTH CHOICE -PRESIDENT & CEO - ASSOCIATION FOR THE ADVANCEMENT OF MEXICAN AMERICANS -INTERIM SUPERINTENDENT - HOUSTON INDEPENDENT SCHOOL DISTRICT -EXECUTIVE DIRECTOR - AVENUE CDC -VICE PRESIDENT - PSYCHIATRY, HOUSTON METHODIST HOSPITAL -DIRECTOR OF HUMAN RESOURCES - HOUSTON METHODIST HOSPITAL -CHIEF EXECUTIVE OFFICER - CHILD ADVOCATES OF FORT BEND -MANAGER OF SEXUAL ASSAULT ADVOCATE TEAM - MONTGOMERY COUNTY WOMEN'S CENTER -EXECUTIVE DIRECTOR - TRI COUNTY SERVICES BEHAVIORAL HEALTHCARE -PRESIDENT/CHIEF EXECUTIVE OFFICER - CHILDREN AT RISK -CHIEF EXECUTIVE OFFICER - SANTA MARIA HOSTEL, INC. -ANONYMOUS REPRESENTATIVE - CHAMBERS COUNTY -FORMER EXECUTIVE DIRECTOR - MIDTOWN ARTS AND THEATER CENTER HOUSTON -PROGRAM DIRECTOR - HOUSTON METHODIST ENDOCRINOLOGY FELLOWSHIP - HOUSTON METHODIST HOSPITAL -REPRESENTATIVE -CITY OF HOUSTON DEPARTMENT OF PARKS AND RECREATION -CHIEF EXECUTIVE OFFICER - THE HARRIS CENTER FOR MENTAL HEALTH AND IDD (MHMRA)INPUT COLLECTION: INPUT FROM FEDERAL, REGIONAL, STATE OR LOCAL HEALTH DEPARTMENTS /AGENCIES -SECTOR REPRESENTATIVE - GALVESTON COUNTY HEALTH DISTRICT -DIRECTOR - FORT BEND COUNTY HEALTH & HUMAN SERVICES -SECTOR REPRESENTATIVE - HOUSTON HEALTH DEPARTMENT -ANONYMOUS REPRESENTATIVE - HARRIS COUNTY -EXECUTIVE DIRECTOR - HARRIS COUNTY PHES -SENIOR POLICY PLANNER - HARRIS COUNTY PHESINPUT COLLECTION: INPUT FROM LEADERS AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME POPULATIONS -CEO - THE WOMEN'S HOME -PRESIDENT & CEO - NEIGHBORHOOD CENTERS HEAD START/EARLY HEAD START PROGRAM SERVICES/BAKER RIPLEY -VP OF HEALTH AND WELLNESS - NEIGHBORHOOD CENTERS HEAD START/EARLY HEAD START PROGRAM SERVICES/BAKER RIPLEY -CEO - FORT BEND SENIORS -FORMER PRESIDENT & CEO - UNITED WAY OF GREATER HOUSTON -ASSOCIATE CENTER DIRECTOR - MAMIE GEORGE COMMUNITY CENTER, CATHOLIC CHARITIES- FORT BEND -EXECUTIVE VICE PRESIDENT - GULF COAST MEDICAL FOUNDATION -CEO - LEGACY COMMUNITY HEALTH -CMO - LEGACY COMMUNITY HEALTH -CEO - HOPE CLINIC (FQHC) -PRESIDENT & CEO - CATHOLIC CHARITIES - ARCHDIOCESE OF GALVESTON -CEO - PATIENT CARE INTERVENTION CENTER (PCIC) -CEO - FORT BEND FAMILY HEALTH CENTER, INC. DBA ACCESSHEALTH -PRESIDENT & CEO - HOUSTON AREA FOOD BANK -CEO - LONESTAR FAMILY HEALTH CENTER -PRESIDENT/CHIEF EXECUTIVE OFFICER - INTERFAITH -CEO - CHRIST CLINIC -CEO - HEALTHCARE FOR THE HOMELESS-HOUSTON -CEO - THE ARC OF FORT BEND COUNTY-FORT BEND -COMMUNITY OUTREACH DIRECTOR - UNITED WAY OF BRAZORIA COUNTY -CEO - EL CENTRO DE CORAZON -CMO - EL CENTRO DE CORAZON -DIRECTOR, CLINIC OPERATIONS - INTERFAITH COMMUNITY CLINIC -CEO - FORT BEND REGIONAL COUNCIL ON SUBSTANCE ABUSE -SENIOR VICE PRESIDENT - HOUSTON HOUSING AUTHORITY -CEO - AIDS FOUNDATION OF HOUSTONINPUT COLLECTION: INPUT FROM MEMBERS WITH BROAD INTERESTS IN THE COMMUNITY -MENTAL HEALTH UNIT COMMANDER - GALVESTON COUNTY MENTAL HEALTH DEPUTIES -COUNTY JUDGE WALLER COUNTY -PRESIDENT & CEO - GREATER HOUSTON PARTNERSHIP -EXECUTIVE DIRECTOR - HDEART CONSORTIUM, PRAIRIE VIEW A&M -PRESIDENT & CEO - EPISCOPAL HEALTH FOUNDATION -SHERIFF - LIBERTY COUNTY SHERIFF'S OFFICE -DIRECTOR - DIVISION OF NUTRITION, PHYSICAL ACTIVITY, AND OBESITY, CENTERS FOR DISEASE CONTROL AND PREVENTION
HOUSTON METHODIST HOSPITAL	PART V, SECTION B, LINE 6A: ADDITIONAL HOSPITAL FACILITIES THAT HMH CONDUCTED A CHNA WITH INCLUDE:-HOUSTON METHODIST HOSPITAL-HOUSTON METHODIST SUGAR LAND HOSPITAL-HOUSTON METHODIST WILLOWBROOK HOSPITAL-HOUSTON METHODIST WEST HOSPITAL-HOUSTON METHODIST BAYTOWN HOSPITAL-HOUSTON METHODIST CLEAR LAKE HOSPITAL-HOUSTON METHODIST CONTINUING CARE HOSPITAL-HOUSTON METHODIST THE WOODLANDS HOSPITAL
HOUSTON METHODIST HOSPITAL	PART V, SECTION B, LINE 6B: HOUSTON METHODIST PARTNERED WITH EPISCOPAL HEALTH FOUNDATION TO COLLECT FIRST PHASE OF STAKEHOLDER INTERVIEWS FOR THE CHNA.HOUSTON METHODIST COLLABORATED WITH EPISCOPAL HEALTH FOUNDATION, TEXAS CHILDREN'S HOSPITAL, MEMORIAL HERMANN HOSPITAL AND CHI ST. LUKE'S HOSPITAL TO COMPILE A LIST OF TOP HEALTH AND COMMUNITY EXPERTS FROM AROUND THE GREATER HOUSTON COMMUNITY AND STATE TO SUPPORT THE STAKEHOLDER INTERVIEW PROCESS CONDUCTED BY A THIRD PARTY, HEALTH RESOURCES IN ACTION. THE THIRD PARTY DEVELOPED A SET OF KEY QUESTIONS COVERING RELEVANT HEALTH AND SOCIAL TOPICS BASED ON THE COLLABORATIVE FEEDBACK. EXPERTS AND LEADERS WERE PULLED FROM A VARIETY OF SPECIALTY AREAS, INCLUDING BUT NOT LIMITED TO DISEASE SPECIALISTS, INSURANCE COMPANY REPRESENTATIVES, NONPROFIT LEADERS AND MORE. THOSE ENGAGED WERE EXPERTS IN THEIR FIELD AND REPRESENTED FEDERALLY QUALIFIED HEALTH CENTERS, FREE/CHARITY CLINICS, LOCAL GOVERNMENTAL AGENCIES, HOSPITALS, MULTISERVICE AGENCIES, HIGHER EDUCATION AND MORE.
HOUSTON METHODIST HOSPITAL	PART V, SECTION B, LINE 7D: IN ADDITION TO THE CONDUCTED CHNA BEING MADE EASILY ACCESSIBLE THROUGH THE HOUSTON METHODIST WEBSITE AND THE OFFICE OF COMMUNITY BENEFITS MAKING A HARD COPY AVAILABLE FOR PUBLIC INSPECTION FREE OF CHARGE, THE CHNA WAS ALSO WIDELY DISTRIBUTED VIA AN EMAIL BLAST TO MORE THAN 1,000 RECIPIENTS AROUND THE CITY, FACILITATED BY HARRIS COUNTY PUBLIC HEALTH, OF WHICH INCLUDED STAKEHOLDERS, OTHER HEALTH CARE FACILITIES, ETC. IN ADDITION, REPRESENTATIVES OF THE COMMUNITY BENEFITS OFFICE PRESENTED THE CHNA FINDINGS TO AUDIENCES AT HMH AND OTHER EXTERNAL STAKEHOLDERS TO FURTHER PUBLICIZE EFFORTS.
HOUSTON METHODIST HOSPITAL	PART V, SECTION B, LINE 11: HMH WAS ABLE TO IDENTIFY THE TOP FOUR HEALTH PRIORITIES OF ITS COMMUNITY VIA THE CHNA PROCESS. THE HEALTH PRIORITIES THAT HMH IDENTIFIED THROUGH THE CHNA ARE AS FOLLOWS: -INCREASING ACCESS TO PRIMARY CARE SERVICES FOR THE SURROUNDING COMMUNITY -REDUCING BARRIERS TO ACCESSING SPECIALTY CARE SERVICES FOR THE SURROUNDING UNDERSERVED COMMUNITY -PROMOTING HEALTH LIVING BEHAVIORS TO REDUCE THE LIKELIHOOD OF CHRONIC DISEASE DEVELOPMENT -INCREASING ACCESS TO MENTAL HEALTH CARE SERVICES WITHIN THE SURROUNDING UNDERSERVED COMMUNITY2021 HEALTH NEED: INCREASE ACCESS TO PRIMARY CARE SERVICES FOR THE SURROUNDING COMMUNITY2021 GOALS: -TO INCREASE THE NUMBER OF PRIMARY CARE PATIENTS UTILIZING THE VIRTUAL CARE PLATFORM FROM 9,500 TO 10,500 BY END OF Q4. -TO INCREASE THE NUMBER OF STUDENTS THAT RECEIVE PRE-PARTICIPATION PHYSICALS FROM 2,200 IN 2020 TO 2,500 IN 2021. -TO ENGAGE 25 COACHES/COMMUNITY MEMBERS TO ATTEND 100% OF AWARENESS PROGRAM BY END OF Q2 2021. -TO INCREASE THE SHOW RATE OF HMH UNDERSERVED PATIENTS REFERRED TO THE COMMUNITY NETWORK OF CARE PROGRAM FROM 57% TO 65% BY END OF Q4. -TO INCREASE VOLUME AT THE BELLAIRE PRIMARY CARE CLINIC FROM ESTIMATED 2,800 ANNUALIZED VISITS IN 2020 TO 2,900 ANNUALIZED VISITS BY END OF Q4 2021. -TO REDUCE APPOINTMENT NO SHOW RATES FROM AN ESTIMATED 5.55% IN 2020 TO 5% ACROSS THE PRIMARY CARE GROUP BY THE END OF Q4.2021 OUTCOMES: -AT THE CONCLUSION OF 2021, THE TOTAL VIRTUAL URGENT CARE VISITS FOR PRIMARY CARE PATIENTS EXCEEDED THE GOAL OF 10,500 PATIENT VISITS. DUE TO COVID-19, THERE WAS AN INCREASED DEMAND FOR VIRTUAL VISITS AND AN EXPANSION AND GROWTH IN TELEHEALTH CAPACITY AND VOLUME. THERE WERE 26,262 VIRTUAL URGENT CARE VISITS IN 2021, WITH 24,621 VIRTUAL URGENT CARE VISITS COMPLETED BY A HOUSTON METHODIST PROVIDER. -IN 2021, 2,255 STUDENTS RECEIVED PRE-PARTICIPATION PHYSICAL EXAMS. THE GOAL TO INCREASE PRE-PARTICIPATION PHYSICALS TO 2,500 WAS NOT MET DUE TO COVID-19 LIMITATIONS. -DUE TO COVID-19, RELATED EVENTS AND OUTREACH VISITS WERE CANCELLED IN 2021. EVENTS ARE TENTATIVELY PLANNED TO BEGIN AGAIN IN SPRING 2022. -IN 2021, 163 ELIGIBLE PATIENTS WERE REFERRED TO THE COMMUNITY NETWORK OF CARE PROGRAM, WITH 141 PATIENTS ACCEPTING APPOINTMENTS, 208 ELIGIBLE REFERRED PATIENTS ACCEPTING COPAY, TRANSPORTATION AND FOOD ASSISTANCE. -AT THE CONCLUSION OF 2021, THERE WERE 5,898 VISITS IN SAME DAY CLINICS IN HMH SERVICE AREA, A 103% INCREASE OVER THE ORIGINAL GOAL OF 2,900. -AT THE CONCLUSION OF 2021, APPOINTMENT NO-SHOW RATES DECREASED BEYOND THE GOAL OF 5% TO 4.39%. 2021 HEALTH NEED: REDUCE BARRIERS TO ACCESSING SPECIALTY CARE SERVICES FOR THE SURROUNDING UNDERSERVED COMMUNITY2021 GOALS: -TO INCREASE THE NUMBER OF STUDENTS THAT HAVE RECEIVED ATHLETIC TRAINING/SPORTS MEDICINE IN 2020 FROM 10,973 TO 12,509 (14% INCREASE) BY Q4 OF 2021. -TO INCREASE THE NUMBER OF TELEMEDICINE VISITS FROM AN ESTIMATED 18 IN 2020 TO 35 BY THE END OF Q4 FOR 2021. -TO INCREASE THE NUMBER OF CANCER PATIENTS RECEIVING FINANCIAL NAVIGATION SUPPORT FROM 425 TO 446 (5% INCREASE FROM 2020) BY Q4 2021. -TO INCREASE LUNG CANCER SCREENING UTILIZATION FROM APPROXIMATELY 125 IN 2020 BY 20% BY END OF Q4 2021. -TO INCREASE THE NUMBER OF CLINICAL TRIALS INCLUSIVE OF MINORITY POPULATIONS BY AT LEAST 2% BY END OF Q4 OF 2021, FROM 9.2% IN 2020 TO 11.2% BY Q4 2021. -TO EXPAND THE SCOPE OF SERVICES OFFERED VIA COMMUNITY SCHOLARS FROM 8 SPECIALTIES TO 10 SPECIALTIES WHILE TREATING MORE COMPLEX CASES WITHIN HMH BASED ON PROGRAM REFERRALS BY REMOVING PHYSICAL BARRIERS TO ACCESSING THE TMC FACILITIES BY END OF Q4. -TO INCREASE ADULT CONGENITAL HEART DISEASE (ACHD) OUTPATIENT AND INPATIENT VOLUMES BY 60% (FROM 1,355 IN 2020) BY THE END OF Q4 2021. -TO INCREASE PREVENTIVE MEDICINE INDIVIDUAL PATIENT ENCOUNTERS BY 100% (FROM 1,294 IN 2020) BY THE END OF Q4 2021. -TO INCREASE PET/CT IMAGING BY 200% (FROM 1,694 IN 2020) AT THE END OF Q4 2021. -TO INCREASE PSYCHOSOCIAL SUPPORT THROUGH COUNSELING SERVICES FROM 64 PATIENTS IN 2020 TO 150 CANCER PATIENTS BY THE END OF Q4 2021. -TO INCREASE PATIENT ENGAGEMENT WITH THE COMPLEX CARE INITIATIVE BY 40% FROM 576 IN 2020 TO 650 BY END OF Q4 OF 2021. -TO INCREASE THE TRANSITIONAL CARE PATIENT ENGAGEMENT BY 10% FROM 751 IN 2020 TO 825 BY END OF Q4 OF 2021. -TO REDUCE THE APPOINTMENT NO SHOW RATE FROM APPROXIMATELY 5% IN 2020 TO 4.85% ACROSS SPECIALTY PHYSICIAN GROUP IN 2021.2021 OUTCOMES: -25 PROSPECTIVE SCHOOLS WERE VISITED IN 2021, WITH 14,732 STUDENTS SEEN BY ATHLETIC TRAINER/SPORTS MEDICINE SPECIALIST. THE NUMBER OF STUDENTS RECEIVING ATHLETIC TRAINING SERVICES INCREASED BY 34%. -21 TELEMEDICINE CONSULTS WERE OFFERED IN 2021 FOR AN 17% INCREASE FROM 2020 BY PROMOTING SERVICES TO 36 COMMUNITIES / SCHOOLS IN SOUTHEAST TEXAS. -IN 2021, 532 PATIENTS WERE PROVIDED FINANCIAL NAVIGATION BY THE ONCOLOGY LIAISON. -204 LUNG CANCER SCREENING REFERRALS WERE MADE BY A SPECIALTY PHYSICIAN WITH 180 PIVOTAL (NEW) LUNG CANCER SCREENINGS COMPLETED IN 2021 IN 2021. -THE CLINICAL TRIAL ACCRUAL RATE FOR MINORITIES AND WOMEN WAS 8.4% IN 2021. -249 UNIQUE PATIENTS WERE REFERRED TO THE HOSPITAL FOR ADDITIONAL CARE THROUGH THE COMMUNITY SCHOLARS PROGRAM. -WITH TWO PHYSICIANS INVOLVED IN THE PROGRAM IN 2021, 1,599 OUTPATIENT ACHD PATIENT VISITS FOR AN 18% INCREASE FROM 2020. -WITH ONE PHYSICIAN INVOLVED IN THE PROGRAM IN 2021, 1,949 PREVENTIVE MEDICINE PATIENT VISITS FOR A 51% INCREASE FROM 2020. -WITH TWO PHYSICIANS INVOLVED IN THE PROGRAM IN 2021, 2,246 PET/CT IMAGING PATIENTS ENCOUNTER A 51% INCREASE FROM 2020. -IN 2021, 211 PATIENTS REFERRED FOR COUNSELING SERVICES WITH 176 PROVIDED SESSIONS FOR AN 83% SHOW RATE OUT OF 274 PHQ9 SCREENINGS FROM 1,361 DISTRESS SCREENINGS. -848 PATIENTS (16% INCREASE FROM 2020) WERE ELIGIBLE FOR THE PROGRAM. 696 PATIENTS GRADUATED FROM THE COMPLEX CARE PROGRAM IN 2021 FOR A 21% INCREASE. -1,246 PATIENTS (26% INCREASE FROM 2020) WERE ELIGIBLE FOR THE PROGRAM. 824 PATIENTS GRADUATED FROM THE TRANSITIONAL CARE PROGRAM IN 2021 FOR A 10% INCREASE. -IN 2021, 77.31% OF APPOINTMENTS WERE CONFIRMED WITH 1.84% RESCHEDULED FOR THE NO-SHOW RATE TO END AT 4.3%. 2021 HEALTH NEED: INCREASE ACCESS TO MENTAL HEALTH CARE SERVICES WITHIN HOUSTON METHODIST'S SURROUNDING UNDERSERVED COMMUNITY2021 GOALS: -TO INCREASE SUICIDE SCREENING COMPLIANCE FROM 86% (2020) TO 90% (2021) AT HMH FOR INPATIENT UNITS, ICUS AND OBSERVATION UNITS BY END OF Q4. -TO INCREASE SUICIDE SCREENING COMPLIANCE FROM 92% (2020) TO 95% (2021) FOR HMH EMERGENCY DEPARTMENT BY END OF Q4. -TO INCREASE TELEPSYCHIATRY UTILIZATION AT HMH FROM 800 TOTAL INPATIENT AND ED CALLS IN 2020 TO 840 TOTAL CALLS BY END OF Q4 2021, CONTRIBUTING TO SYSTEM WIDE GOAL. -TO INCREASE PSYCHOSOCIAL SUPPORT THROUGH COUNSELING SERVICES FROM 64 PATIENTS IN 2020 TO 150 CANCER PATIENTS BY THE END OF Q4 2021. -TO ONBOARD TWO COMMUNITY-BASED AGENCIES, INCLUDING NETWORK OF CARE PARTNERS, TO THE MENTAL HEALTH SUB-INITIATIVE AND BEGIN REFERRALS BY THE END OF Q4. -TO INCREASE THE VOLUME OF HMH PATIENTS COMPLETING THEIR POST-DISCHARGE FOLLOW-UP VISITS BETWEEN DAYS 1 AND 7 FROM 15% (2020) TO 34% BY END OF Q4 2021.2021 OUTCOMES: -IN 2021, THE INPATIENT SUICIDE SCREENING COMPLIANCE RATES FOR HMH WAS 88%. -AT THE CONCLUSION OF 2021, THE HMH EMERGENCY DEPARTMENT SUICIDE SCREENING COMPLIANCE RATE WAS 88%. -IN 2021, TELEPSYCHIATRY UTILIZATION INCREASED ACROSS HOUSTON METHODIST BY 40% FROM 5,921 CALLS IN 2020 TO 8,278 CALLS IN 2021 FOR PATIENTS WITH PRIMARY OR SECONDARY PSYCHIATRIC DIAGNOSIS. HMH CONTRIBUTED TO THIS THROUGH AN INCREASE FROM 800 CALLS IN 2020 TO 1,014 CALLS IN 2021, REPRESENTING A 27% INCREASE. -1,361 DISTRESS SCREENING SUPPORT SERVICE RESULTED IN 211 PATIENT REFERRALS FOR PSYCHOSOCIAL SUPPORT THROUGH COUNSELING SERVICES WITH 83% SHOW RATE. -AT THE CONCLUSION OF 2021, THE GOAL OF ONBOARDING TWO MENTAL HEALTH CARE-FOCUSED PARTNERS WAS NOT MET. DUE TO COVID-19, THERE WAS A SHIFT IN PRIORITIES AND EFFORTS HAVE BEEN FOCUSED ON EXPANDING THE NETWORK OF CARE PROGRAM TO PROVIDE ADDITIONAL SUPPORT SERVICES AS A RESULT OF THE PANDEMIC SUCH AS FOOD SUPPORT AND TRANSPORTATION ASSISTANCE. FOR 2022, EFFORTS WILL RESUME ON ESTABLISHING THIS INITIATIVE. -IN 2021, 1,331 REFERRALS WERE MADE TO POST-DISCHARGE FOLLOW-UPS THAT RESULTED IN 516 SCHEDULED VISITS WITH A 100% SHOW RATE. 13 PATIENTS WERE ALSO REFERRED TO THE HOUSTON METHODIST RESIDENCY CLINIC.
2021 HEALTH NEED: PROMOTE HEALTHY LIVING BEHAVIORS TO REDUCE	THE LIKELIHOOD OF CHRONIC DISEASE DEVELOPMENT2021 GOALS: -TO HOST TWO CONTINUING EDUCATION EVENTS WITH ONE EVENT FOCUSED ON THE TOPIC OF PRIMARY CARE AND SPECIALTY CARE ACCESS IN MARCH OF 2021; THE OTHER, BASED ON ATTENDEE FEEDBACK FROM THE FIRST EVENT BY THE END OF Q4 WITH AN OVERALL AUDIENCE SATISFACTION RATING OF 85%+ FOR BOTH. -TO INCREASE THE NUMBER OF AD-HOC EDUCATION PROGRAMS PROVIDED IN THE METRO HOUSTON AREA FROM 4 PROGRAMS IN 2021 TO 18 PER YEAR BY END OF Q4 (A 20% INCREASE FROM AN AVERAGE OF 15 PER YEAR). -TO INCREASE THE NUMBER OF LONG-TERM COMMUNITY CENTER PARTNERSHIPS FROM 7 TO 10, PROVIDING A SERIES PROGRAMS ADDRESSING STROKE AWARENESS AND PREVENTION TOPICS BY END OF Q4. -TO INCREASE THE GUIDED TRACK ENGAGEMENT WHICH OFFERS HOUSTON METHODIST EMPLOYEES WELLNESS INITIATIVES THROUGH PROGRAMS THAT EDUCATE ON HEALTHY LIVING FROM 82.2% OF THE ELIGIBLE POPULATION IN 2020 TO 84% OF THE ELIGIBLE POPULATION BY Q4 OF 2021. -TO INCREASE THE COMPLETION RATE OF GUIDED TRACK PARTICIPANTS FROM 86% IN 2020 TO 88% BY Q4 OF 2021. -TO ONBOARD FOUR NEW FAITH AGENCIES TO THE FAITH HEALTH INITIATIVE IN PROXIMITY OF THE PATIENT POPULATION IMMEDIATELY SURROUNDING NETWORK OF CARE FACILITIES THAT ARE LOCATED WITHIN THE 610 LOOP AND IN A 10-MILE RADIUS OF HMH BY END OF Q4. -TO ESTABLISH TWO HEALTHY LIVING PROGRAMS TO BE OFFERED AT COMMUNITY PHYSICAL EVENTS BY THE END OF Q4. TOPICS INCLUDE MEN'S/WOMEN'S HEALTH, SKIN CARE AWARENESS, AND CARDIOVASCULAR HEALTH. -TO ACHIEVE AN AGGREGATE WEIGHT LOSS OF 5% FROM 3.08% IN 2021 UPON COMPLETION OF THE 6-MONTH CURRICULUM AMONG ALL COHORTS THROUGHOUT HOUSTON METHODIST BY THE END OF Q4.2021 OUTCOMES: -IN 2021, 6 EVENTS WERE HELD WITH 97% SATISFACTION RATE OF ATTENDEES. -AT THE CONCLUSION OF 2021, 19 EVENTS WERE SCHEDULED WITH 265 ATTENDEES FOR INDIVIDUAL EDUCATION PROGRAMS. -IN 2021, 4 LONG-TERM COMMUNITY PARTNERSHIPS WERE ESTABLISHED FOR HOUSTON METHODIST TO PROVIDE EDUCATIONAL STROKE AWARENESS PROGRAMMING AND 1 NEWLY IDENTIFIED LOCATION FOR EDUCATIONAL OPPORTUNITIES. -68% OF THE ELIGIBLE POPULATION ENROLLED IN THE GUIDED TRACK IN 2021. -896 EMPLOYEES AND SPOUSES ELIGIBLE FOR THE GUIDED TRACK WITH 82% OF THE ELIGIBLE POPULATION HAVE SUCCESSFULLY COMPLETED GUIDED TRACK. -IN 2021, ONE FAITH AGENCY WAS ONBOARDED WITHIN THE HMH SERVICE AREA TO OFFER COMPASSIONATE CARE SERVICE WHICH RESULTED IN 23 PATIENT REFERRALS. -DUE TO COVID-19, ALL EVENT PLANNING WAS PUT ON HOLD, WITH PLANS TO RESUME IN SPRING 2022. -DUE TO COVID-19, THE PROGRAM CONTINUED TO PAUSE IN 2021, WITH A TENTATIVE START DATE OF MARCH 2022.HEALTH NEEDS NOT BEING ADDRESSED:THERE ARE NO IDENTIFIED HEALTH NEEDS BASED ON THE 2019 CHNA SURVEY THAT HOUSTON METHODIST IS NOT ACTIVELY WORKING TO ADDRESS. HOUSTON METHODIST EXPANDED UPON ITS PRIORITIES BASED ON THE SURVEY FINDINGS OF THE ORIGINAL 2019 CHNA TO FOCUS ON KEY AREAS THAT WERE ORIGINALLY UNABLE TO BE ADDRESSED. DUE TO AN EXPANSION OF THE SYSTEM'S FOCUS ON DIVERSITY, EQUITY AND INCLUSION, HOUSTON METHODIST IS ABLE TO ADDRESS KEY AREAS THAT WERE ORIGINALLY IDENTIFIED AS NOT BEING ABLE TO BE ADDRESSED. IN 2021, ADDITIONAL RESOURCES WERE ALLOCATED TO FOCUS ON ECONOMIC EMPOWERMENT, EDUCATIONAL EMPOWERMENT AND PROMOTING HEALTHY NEIGHBORHOODS WHICH ENCOMPASS THE ORIGINAL THREE AREAS THAT WERE FIRST THOUGHT TO BE UNABLE TO BE ADDRESSED, INCLUDING LOW CRIME/SAFE NEIGHBORHOOD, GOOD SCHOOLS/STRONG EDUCATION SYSTEM AND CLEAN AIR AND WATER QUALITY.THROUGH THE ESTABLISHMENT OF THE DIVERSITY, EQUITY & INCLUSION GRANT PROGRAM, HOUSTON METHODIST ESTABLISHED THE DIVERSITY, EQUITY & INCLUSION GRANT AND THE SOCIAL EQUITY GRANT WHICH FOCUS ON ADDRESSING THE ROOT CAUSES OF HEALTH INEQUITIES EXPERIENCED BY SOCIAL, RACIAL AND ETHNIC MINORITIES. THIS GRANT PROGRAM TARGETS THE SOCIAL DETERMINANTS OF HEALTH, THE CONDITIONS WITHIN WHICH PEOPLE ARE BORN AND LIVE, THAT ARE OFTEN THE UNDERLYING CAUSE OF TODAY'S MAJOR SOCIETAL HEALTH ISSUES SUCH AS LACK OF INSURANCE, OBESITY, POOR MENTAL HEALTH, HEART DISEASE AND MORE. SOCIAL DETERMINANTS TO BE ADDRESSED THROUGH GRANT FUNDING INCLUDE ACCESS TO HOUSING AND UTILITY SERVICES, ACCESS TO SAFE DRINKING WATER, CLEAN AIR, AND TOXIN-FREE ENVIRONMENTS, AVAILABILITY OF TRANSPORTATION, CRIME RATES AND EXPOSURE TO VIOLENT BEHAVIOR, EARLY CHILDHOOD EXPERIENCES AND DEVELOPMENT, EDUCATIONAL OPPORTUNITIES, FOOD INSECURITY AND INACCESSIBILITY OF NUTRITIOUS FOOD CHOICES, GENDER INEQUITY, INCOME LEVEL, NEIGHBORHOOD CONDITIONS AND PHYSICAL ENVIRONMENT, OCCUPATION, EMPLOYMENT STATUS, AND WORKPLACE SAFETY, RECREATIONAL AND LEISURE OPPORTUNITIES AND SOCIAL SUPPORT AND COMMUNITY INCLUSIVITY.IN 2021, HOUSTON METHODIST PROVIDED $1.4 MILLION IN FUNDING TO 37 UNIQUE NONPROFIT ORGANIZATIONS ACROSS GREATER HOUSTON THROUGH THE DIVERSITY, EQUITY AND INCLUSION GRANT PROGRAM. ORGANIZATIONS SUPPORTED INCLUDE EASTER SEALS OF GREATER HOUSTON, REBUILDING TOGETHER HOUSTON, YMCA OF GREATER HOUSTON AND MORE.HMH: PART V SECTION B, LINE 13B: DISCOUNTED CARE IS PROVIDED FOR PATIENTS GREATER THAN 500% OF THE FEDERAL POVERTY GUIDELINES WHEN THE PATIENT'S ACCOUNT BALANCE IS GREATER THAN 10% OF THEIR FAMILY INCOME.HMH: PART V SECTION B, LINE 15E: THE PATIENT IS ALSO PROVIDED AN EXHIBIT TITLED FINANCIAL ASSISTANCE GUIDELINES LISTING THE COUNSELOR CONTACT INFORMATION AND THE FEDERAL POVERTY GUIDELINES.HMH: PART V SECTION B, LINE 20A: ECAS ARE NOT USED; THEREFORE, PROVIDING NOTICE DOES NOT APPLY.

Schedule H (Form 990) 2021

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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?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2021

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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:	ELIGIBILITY CRITERIA INCLUDED IN THE FINANCIAL ASSISTANCE POLICY CONSISTS OF FEDERAL POVERTY GUIDELINES, INCOME LEVELS OTHER THAN FEDERAL POVERTY GUIDELINES, MEDICAL INDIGENCY, INSURANCE AND UNDERINSURANCE STATUS AND RESIDENCY. ASSET TESTS ARE NOT USED IN DETERMINING ELIGIBILITY.
PART I, LINE 6A:	HOUSTON METHODIST, OF WHICH HMH IS THE FLAGSHIP HOSPITAL, PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IS MADE AVAILABLE TO THE PUBLIC. THIS REPORT INCLUDES CHARITY CARE AND COMMUNITY BENEFITS PROVIDED BY HMH, HOUSTON METHODIST BAYTOWN HOSPITAL, HOUSTON METHODIST CLEAR LAKE HOSPITAL, HOUSTON METHODIST CONTINUING CARE HOSPITAL, HOUSTON METHODIST SUGAR LAND, HOUSTON METHODIST THE WOODLANDS HOSPITAL, HOUSTON METHODIST WEST HOSPITAL AND HOUSTON METHODIST WILLOWBROOK HOSPITAL WHICH ARE IN HARRIS COUNTY AND IN NEIGHBORING FORT BEND COUNTY AND MONTGOMERY COUNTY, TEXAS.
PART I, LINE 7:	THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE IN PART I, LINES 7A THROUGH 7C, WAS A COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 (RATIO OF PATIENT CARE COST TO CHARGES), AS PROVIDED IN THE INSTRUCTIONS TO FORM 990 SCHEDULE H. THE COSTING METHODOLOGY FOR LINES 7F THROUGH 7I WAS BASED ON ACTUAL EXPENDITURES.PART I, LINE 7A: IN CONNECTION WITH THE 2021 990 SCHEDULE H REPORTING REQUIREMENTS, THE COST OF CARE PROVIDED TO PATIENTS WHO HAVE MEDICARE AS THEIR PRIMARY INSURER AND MEDICAID AS SECONDARY HAS BEEN CLASSIFIED AS FINANCIAL ASSISTANCE (PART I, LINE 7A) SINCE THESE PATIENTS WERE PRESUMPTIVELY ELIGIBLE FOR FULL FINANCIAL ASSISTANCE.
PART I, LINE 7G:	HMH HAS NOT REPORTED ANY SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7(G).
PART III, LINE 2:	THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT OF BAD DEBT EXPENSE (AT COST) REPORTED ON LINE 2 (NO AMOUNT WAS REPORTED ON LINE 3) WAS DERIVED FROM APPLYING THE RATIO OF PATIENT CARE COST TO CHARGES (FROM WORKSHEET 2, LINE 11) TO THE SUM OF BAD DEBT PLUS SELF-PAY DISCOUNTS ATTRIBUTABLE TO PATIENT ACCOUNTS.
PART III, LINE 3:	HOUSTON METHODIST WILL NOT CLASSIFY AMOUNTS AS BAD DEBT IF PATIENT IS ELIGIBLE FOR CHARITY UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
PART III, LINE 4:	PLEASE REFER TO NOTE B OF THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF HOUSTON METHODIST, SECTION TITLED NET PATIENT REVENUE AND PATIENT ACCOUNTS RECEIVABLE, NET (PAGES 8 - 9).
PART III, LINE 8:	MEDICARE ALLOWABLE COSTS WERE DERIVED FROM HMH'S FILED MEDICARE COST REPORTS FOR THE YEAR ENDED DECEMBER 31, 2021. THE ENTIRE MEDICARE SHORTFALL ($94.9 MILLION) AS REPORTED IN PART III, LINE 7, AS WELL AS THE UNREIMBURSED COST OF THE MEDICARE MANAGED CARE PROGRAM ($112.1 MILLION) AND TRI-CARE PROGRAM ($3.6 MILLION), SHOULD BE TREATED AS A COMMUNITY BENEFIT, SINCE THESE SHORTFALLS, OR SUBSIDIES, REDUCE THE FEDERAL GOVERNMENT'S BURDEN IN PROVIDING HEALTH CARE TO MEDICARE BENEFICIARIES.
PART III, LINE 9B:	HOUSTON METHODIST HAS A WRITTEN BAD DEBT COLLECTION POLICY; HOWEVER, NO COLLECTION EFFORTS ARE PUT FORTH FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY.
PART VI, LINE 2:	IN ADDITION TO THE ABOVE-DESCRIBED PROCESS OF THE CHNA, HOUSTON METHODIST UTILIZES SEVERAL DIFFERENT METHODS TO IDENTIFY THE HEALTH PRIORITIES (HEALTH CARE NEEDS) OF THE COMMUNITIES IT SERVES WHICH INCLUDE BUT ARE NOT LIMITED TO THE REVIEW OF RELEVANT SECONDARY RESOURCES AND DATA FROM SOURCES SUCH AS UNITED STATES CENSUS BUREAU, CENTERS FOR DISEASE CONTROL AND PREVENTION, TEXAS STATE DATA CENTER, PUBLIC HEALTH EXPERT INTERVIEWS AND MORE. HOUSTON METHODIST IS ALSO ABLE TO IDENTIFY THE CHANGING NEEDS OF THE UNDERSERVED POPULATION THROUGH ESTABLISHED COMMUNITY PARTNERSHIPS WITH FEDERALLY QUALIFIED HEALTH CENTERS, SOCIAL SERVICE AGENCIES, THE HARRIS COUNTY PUBLIC HEALTH AND CHARITY FACILITIES. THROUGH QUARTERLY REPORTING AND CONSISTENT COMMUNICATION, HOUSTON METHODIST CAN STAY ABREAST OF THE NEEDS.
PART VI, LINE 3:	FINANCIAL ASSISTANCE INFORMATION IS PROVIDED IN MULTIPLE LOCATIONS WITHIN HOUSTON METHODIST; AT THE POINT OF REGISTRATION, DURING CASE MANAGEMENT AND AT THE TIME OF COLLECTIONS POST DISCHARGE. EVERY CHECK-IN LOCATION HAS INFORMATION POSTED IN BOTH ENGLISH AND SPANISH STATING HOW THE PATIENT CAN ACCESS FINANCIAL ASSISTANCE INFORMATION.ADDITIONALLY, THIS INFORMATION IS INCLUDED IN THE PATIENT GUIDE PROVIDED TO THE PATIENT AT THE TIME OF REGISTRATION. HOUSTON METHODIST FINANCIAL COUNSELORS ACTIVELY SEEK ALL UNINSURED INPATIENTS AND OUTPATIENTS WITH SCHEDULED SERVICES FOR A PERSONAL VISIT. DURING THESE VISITS, THE FINANCIAL COUNSELORS WILL SCREEN THE PATIENT FOR FINANCIAL ASSISTANCE AND WILL PROVIDE THE PATIENT WITH THE FINANCIAL ASSISTANCE APPLICATION ("FAA"). THE PATIENT WILL THEN BE PROVIDED A LIST OF RESOURCES WITH CONTACT INFORMATION SHOULD THE PATIENT REQUIRE FURTHER ASSISTANCE IN COMPLETING THE APPLICATION.PRESUMPTIVE FINANCIAL ASSISTANCE MAY BE EVALUATED BASED ON THE FOLLOWING WITHOUT THE PATIENT COMPLETING THE FAA: -HOMELESS OR DECEASED; -ELIGIBLE FOR OTHER GOVERNMENT PROGRAMS INCLUDING MEDICAID, FOOD STAMPS, SUBSIDIZED HOUSING, AND WOMAN, INFANT, AND CHILDREN'S PROGRAMS (WIC) AND OTHER COMMUNITY/THIRD-PARTY APPROVED PROGRAMS; -ELIGIBLE BASED ON AN ELECTRONIC SCORING MODEL THAT DERIVES SCORES BASED ON FAMILY INCOME AND FAMILY MEMBERS IN THE HOUSEHOLD.HOUSTON METHODIST UTILIZES AN ELIGIBILITY PARTNER TO WORK CLOSELY WITH PATIENTS TO QUALIFY FOR STATE AND FEDERAL ASSISTANCE PROGRAMS (E.G., MEDICAID, SCHIP, CRIME VICTIMS, ETC.). THIS ELIGIBILITY PARTNER WILL MEET WITH ALL UNINSURED INPATIENTS TO DISCUSS STATE AND FEDERAL ASSISTANCE PROGRAMS; WHERE THE PATIENT IS NOT ELIGIBLE FOR THESE PROGRAMS, HOUSTON METHODIST'S INTERNAL FINANCIAL ASSISTANCE PROGRAM IS INTRODUCED.HOUSTON METHODIST'S CASE MANAGEMENT UNIT WORKS CLOSELY WITH THE PATIENT DURING PATIENT DISCHARGE MANAGEMENT TO ENSURE THE PATIENT IS INTRODUCED TO ALL RESOURCES THAT MAY BE NEEDED POST DISCHARGE (E.G., HOME HEALTH, SKILLED NURSING, ETC.). THE CASE MANAGEMENT UNIT WORKS WITH THE PATIENT TO QUALIFY THE PATIENT AND TO GAIN ACCESS TO THESE RESOURCES. ADDITIONALLY, THE CASE MANAGEMENT UNIT WORKS CLOSELY WITH THE FINANCIAL COUNSELORS WHEN THE PATIENT IS IDENTIFIED AS HAVING A NEED FOR FINANCIAL ASSISTANCE.HOUSTON METHODIST'S PATIENT ACCOUNTING UNIT WORKS CLOSELY WITH ALL UNINSURED PATIENTS POST DISCHARGE DURING THE BILLING AND COLLECTIONS PROCESS. HOUSTON METHODIST'S COLLECTIONS PERSONNEL WILL VERBALLY SCREEN PATIENTS FOR FINANCIAL ASSISTANCE DURING COLLECTION CALLS; WHERE APPLICABLE, THE PATIENT WILL BE SENT A FAA AVAILABLE IN 19 LANGUAGES. ADDITIONALLY, ALL BILLING STATEMENTS PROVIDE THE PATIENT WITH A PHONE NUMBER FOR CUSTOMER SERVICE TO OBTAIN PAYMENT OPTIONS, HOUSTON METHODIST UTILIZES BAD DEBT COLLECTION AGENCIES, EACH COLLECTION AGENCY MUST ADHERE TO HOUSTON METHODIST'S FINANCIAL ASSISTANCE POLICY AND PHILOSOPHY DURING ALL COMMUNICATION AND COLLECTION EVENTS WITH HOUSTON METHODIST PATIENTS.METHODIST PERSONNEL ARE PROVIDED WITH EDUCATIONAL IN-SERVICES IN THE ADMINISTERING OF THE FINANCIAL ASSISTANCE POLICY AS NEEDED. FAA IS REVIEWED PERIODICALLY AND UPDATED AS NEEDED.
PART VI, LINE 4:	HMH DEFINES THE HOUSTON-THE WOODLANDS-SUGAR LAND METROPOLITAN STATISTICAL AREA (MSA) AS ITS COMMUNITY. HMH PRIMARILY SERVES THE FOLLOWING COUNTIES THAT ARE IN THIS MSA: HARRIS, FORT BEND, MONTGOMERY, BRAZORIA, GALVESTON, LIBERTY, CHAMBERS AND WALLER COUNTIES. THE HMH COMMUNITY CONTAINS AN ESTIMATED POPULATION OF 6,979,613 RESIDENTS. AS THE LARGEST COUNTY IN TEXAS AND THE COUNTY MOST SERVED BY HMH, HARRIS COUNTY ACCOUNTS FOR AN ESTIMATED 4.6 MILLION OF HMH COMMUNITY RESIDENTS, EQUATING TO APPROXIMATELY 67% OF THE HMH COMMUNITY POPULATION. [1,2]THE HMH COMMUNITY IS CONSIDERED ONE OF THE MOST ETHNICALLY DIVERSE METROPOLITAN REGIONS IN THE NATION, WITH A 38% HISPANIC/LATINO POPULATION, 34% WHITE/NON-HISPANIC POPULATION, 17% PERCENT BLACK/AFRICAN AMERICAN POPULATION AND 8% ASIAN POPULATION. WITHIN THE HMH COMMUNITY, HARRIS COUNTY MAINTAINS A MINORITY-MAJORITY CITY STATUS DUE TO A 43% HISPANIC/LATINO POPULATION IN COMPARISON TO 28% WHITE/NON-HISPANIC POPULATION. FORT BEND COUNTY CURRENTLY RANKS AS THE MOST DIVERSE COUNTY WITHIN THE HMH COMMUNITY AND COMES CLOSE TO HAVING AN EQUAL DISTRIBUTION OF THE NATION'S FOUR MAJOR ETHNIC GROUPS (32% WHITE/NON-HISPANIC, 25% HISPANIC/LATINO, 20% BLACK/AFRICAN AMERICAN AND 21% ASIAN). CHAMBERS COUNTY RANKS BEHIND THE OTHER COUNTIES IN TERMS OF RACIAL DIVERSITY WITH A 66% WHITE/NON-HISPANIC POPULATION. [3] THREE MAJOR AGE GROUPS COMPRISE THE HMH COMMUNITY: YOUTH AND ADOLESCENT POPULATION (UNDER 18 YEARS), ADULT POPULATION (18-64 YEARS), AND SENIOR POPULATION (65 YEARS AND OVER). THE ADULT POPULATION ACCOUNTS FOR THE HIGHEST PERCENTAGE OF THE HMH COMMUNITY (62%). THE SENIOR POPULATION CURRENTLY ACCOUNTS FOR 11% OF THE HMH COMMUNITY. WHILE IT ACCOUNTS FOR THE LOWEST PERCENTAGE OF THE COMMUNITY, THE SENIOR POPULATION PROJECTS THE HIGHEST PERCENT GROWTH OF ANY COHORT BY 2030. OF THE COUNTIES WITHIN THE HMH COMMUNITY, GALVESTON COUNTY HAS THE GREATEST PERCENTAGE OF SENIORS AT 14%, WHILE HARRIS AND FORT BEND COUNTIES HAVE THE LOWEST PERCENTAGE OF SENIORS AT 11%. [4] CURRENTLY, THE MEDIAN HOUSEHOLD INCOME IN TEXAS IS $63,826. IN COMPARISON, THE HMH COMMUNITY HAS A MEDIAN HOUSEHOLD INCOME OF $69,328, WHICH RANKS ABOVE THE STATE. ONLY HARRIS ($63,022), LIBERTY ($50,917) AND WALLER ($61,752) COUNTIES RANK LOWER THAN THE TEXAS MEDIAN HOUSEHOLD INCOME VALUE, WHILE FORT BEND COUNTY ($100,189) IS 57% HIGHER. [5]EDUCATIONAL ATTAINMENT VARIES ACROSS COUNTIES WITHIN THE HMH COMMUNITY. ACCORDING TO THE UNITED STATES CENSUS BUREAU AMERICAN COMMUNITY SURVEY (2020), AMONG HMH COMMUNITY MEMBERS 25 YEARS OF AGE AND OLDER, 61% HAVE PURSUED EDUCATION BEYOND A HIGH SCHOOL DIPLOMA. WITHIN HARRIS COUNTY, 23% OF COMMUNITY MEMBERS 25 YEARS OF AGE AND OLDER HAVE OBTAINED A MINIMUM OF A HIGH SCHOOL DIPLOMA, 7% HAVE OBTAINED AN ASSOCIATE DEGREE, 20% HAVE OBTAINED A BACHELOR'S DEGREE AND 12% HAVE OBTAINED A POST-GRAD DEGREE. [6][1] UNITED STATES CENSUS BUREAU. CENSUS REPORTER - 2019. RETRIEVED FROM HTTPS://CENSUSREPORTER.ORG/PROFILES/05000US48201-HARRIS-COUNTY-TX/[2] UNITED STATES CENSUS BUREAU. CENSUS REPORTER - 2019. RETRIEVED FROM HTTPS://CENSUSREPORTER.ORG/PROFILES/31000US26420-HOUSTON-THE-WOODLANDS-SUGAR-LAND-TX-METRO-AREA [3] UNITED STATES CENSUS BUREAU. AMERICAN COMMUNITY SURVEY - 2020: HISPANIC OR LATINO BY ORIGIN; COUNTIES. RETRIEVED FROM HTTPS://CENSUSREPORTER.ORG/DATA/TABLE/?TABLE=B03002&PRIMARY_GEO_ID=31000US26420&GEO_IDS=31000US26420,04000US48,33000US288,01000US [4] UNITED STATES CENSUS BUREAU. AMERICAN COMMUNITY SURVEY: AGE AND SEX - 2020. RETRIEVED FROM HTTPS://DATA.CENSUS.GOV/.[5] UNITED STATES CENSUS BUREAU. AMERICAN COMMUNITY SURVEY: MEDIAN INCOME IN THE PAST 12 MONTHS (IN 2020 INFLATION-ADJUSTED DOLLARS). RETRIEVED FROM HTTPS://DATA.CENSUS.GOV/.[6] UNITED STATES CENSUS BUREAU. AMERICAN COMMUNITY SURVEY: EDUCATIONAL ATTAINMENT 2020. RETRIEVED FROM HTTPS://DATA.CENSUS.GOV/.
PART VI, LINE 5:	HMH IS A NONPROFIT HOSPITAL BASED IN HOUSTON, TEXAS AND IS THE FLAGSHIP OF HOUSTON METHODIST. AFFILIATED WITH THE TEXAS ANNUAL CONFERENCE OF THE UNITED METHODIST CHURCH, HOUSTON METHODIST WORKS CLOSELY WITH LOCAL CHURCH LEADERS TO BRING COMPASSION AND SPIRITUALITY TO ALL ITS ENDEAVORS AND TO HELP MEET THE HEALTH NEEDS OF THE COMMUNITY IT SERVES.IN ADDITION TO THE FLAGSHIP HOSPITAL (HMH), HOUSTON METHODIST IS COMPRISED OF SEVEN COMMUNITY HOSPITALS, A TOP-RANKED ACADEMIC INSTITUTE, PHYSICIAN ORGANIZATIONS, A GLOBAL DEVELOPMENT ENTITY AND NINE EMERGENCY CARE CENTERS. HOUSTON METHODIST IS ALSO AFFILIATED WITH WEILL CORNELL MEDICAL COLLEGE. U.S. NEWS & WORLD REPORT HAS RECOGNIZED HMH AS THE NO.1 HOSPITAL IN TEXAS FOR THE 10TH YEAR IN A ROW. HMH WAS ALSO NAMED TO U.S. NEWS & WORLD REPORT'S PRESTIGIOUS HONOR ROLL FOR THE FIFTH TIME, RANKING NO. 16 IN THE COUNTRY. HMH WAS RANKED IN 10 SPECIALTIES, INCLUDING SIX SPECIALTIES RANKED IN THE TOP 20 AND ONE RANKED IN THE TOP 10. AMONG OUR COMMUNITY HOSPITALS, HOUSTON METHODIST SUGAR LAND HAD A NATIONALLY RANKED SPECIALTY FOR THE FIRST TIME IN DIABETES AND ENDOCRINOLOGY AT NO. 49. IT RANKED NO. 6 IN HOUSTON AND NO. 8 IN TEXAS. HOUSTON METHODIST WILLOWBROOK WAS RANKED NO. 7 IN HOUSTON AND NO. 12 IN TEXAS. HMH IS AN ACUTE CARE COMPLEX WITH 946 OPERATING BEDS, 85 OPERATING ROOMS, 2,241 AFFILIATED PHYSICIANS AND 8,428 EMPLOYEES AS OF DECEMBER 31, 2021. IT'S LOCATED IN HOUSTON'S WORLD-RENOWNED TEXAS MEDICAL CENTER. HMH RECORDED 40,861 ADMISSIONS, 486,118 OUTPATIENT VISITS, INCLUDING 84,662 EMERGENCY ROOM VISITS, AND 1,510 BIRTHS BY HOUSTON AREA RESIDENTS DURING 2021. IN ADDITION, HMH RECORDED MORE THAN 6,277 INTERNATIONAL PATIENT VISITS FROM 57 COUNTRIES IN 2021. ALTHOUGH THESE INDIVIDUALS REPRESENT A DIVERSE GROUP OF BACKGROUNDS, CULTURES AND SOCIO-ECONOMIC STATUS, AS PATIENTS AT HMH THEY ALL SHARE ONE THING IN COMMON -- EACH HAS BEEN TREATED WITH DIGNITY AND COMPASSION. THIS RESPECT FOR EACH PERSON IS REFLECTED IN THE MISSION STATEMENT AND STATEMENT OF VALUES OF HMH.GOVERNING BODYHMH IS GOVERNED BY A BOARD OF DIRECTORS COMPRISED OF MEMBERS OF THE COMMUNITY WHERE IT IS LOCATED. HMH'S BOARD OF DIRECTORS INCLUDES MEMBERS FROM THE COMMUNITY AS WELL AS HOUSTON METHODIST'S PRESIDENT/CEO, HMH'S MEDICAL STAFF PRESIDENT AND THE BISHOP OF THE TEXAS ANNUAL CONFERENCE OF THE UNITED METHODIST CHURCH.COMMUNITY COUNCILSHMH ALSO HAS COMMUNITY INVOLVEMENT THROUGH ADVISORY COUNCILS COMPRISED OF COMMUNITY MEMBERS, INCLUDING MEMBERS OF THE HOUSTON METHODIST BOARD OF DIRECTORS, WHO VOLUNTEER TO CREATE HEALTH-RELATED PROGRAMS FOR HOUSTONIANS. ONE EXAMPLE IS THE PRESIDENT'S LEADERSHIP COUNCIL (PLC), AN ADVISORY BOARD SERVING THE HOSPITAL AND THE ENTIRE HOUSTON METHODIST. PLC MEMBERS WORK WITH HOUSTON METHODIST'S PRESIDENT AND CEO TO ACHIEVE THE MISSION OF IMPROVING HEALTH FOR HOUSTON METHODIST PATIENTS THROUGH RESEARCH, EDUCATION AND CLINICAL CARE.PLC MEMBERS ARE HIGH-LEVEL VOLUNTEERS WHO BRING PROFESSIONAL EXPERTISE, COMMUNITY AND PATIENT PERSPECTIVES TO HOUSTON METHODIST LEADERSHIP ON BEHALF OF OUR CITY, STATE AND NATION. PARTICIPANTS ARE ENCOURAGED TO SERVE ON ONE OR MORE COMMITTEES FOCUSING ON INSTITUTIONAL ADVOCACY, PHILANTHROPY, CONSTITUENT EVENTS, CORPORATE RELATIONSHIPS OR DEPARTMENTAL PRIORITIES. THE PLC IS A NON-GOVERNING, NON-FIDUCIARY ORGANIZATION AND IS NOT RESPONSIBLE FOR HEALTH CARE OR SYSTEM OVERSIGHT. PLC MEMBERS ARE ASKED TO SERVE A THREE-YEAR TERM, WHICH IS RENEWABLE.OTHER COUNCILS INCLUDE THE HOUSTON METHODIST DEBAKEY HEART & VASCULAR CENTER COUNCIL, THE NEUROLOGICAL INSTITUTE NATIONAL COUNCIL AND THE CENTER FOR PERFORMING ARTS MEDICINE ADVISORY COUNCIL.MEDICAL STAFF MODELHMH HAS AN OPEN MEDICAL STAFF MODEL. THE OPEN MODEL GIVES PATIENTS ACCESS TO PHYSICIANS OF ALL AFFILIATIONS.HEALTH EDUCATIONTHE HOUSTON METHODIST INSTITUTE FOR ACADEMIC MEDICINE PERFORMS CLINICAL AND TRANSLATIONAL EDUCATION WITH A PATIENT-CENTERED AND INTER-PROFESSIONAL TEAM-BASED APPROACH. HOUSTON METHODIST CONTINUALLY MAXIMIZES THE EFFECTIVENESS OF ITS INNOVATIVE TEACHING AND LEARNING PROGRAMS WITH EVIDENCE-BASED METHODOLOGY GROUNDED IN EDUCATIONAL RESEARCH. THIS APPROACH, COMBINED WITH A COLLABORATIVE ENVIRONMENT OF LEARNERS FROM AROUND THE GLOBE, CREATES THE MOST EFFECTIVE EDUCATIONAL EXPERIENCE FOR HEALTH AND TRANSLATIONAL RESEARCH PROFESSIONALS.HOUSTON METHODIST'S MISSION OF LEADING MEDICINE IS GROUNDED IN A COMMITMENT TO TRANSLATIONAL, INTERDISCIPLINARY AND TRANSFORMATIVE RESEARCH AND EDUCATION. HOUSTON METHODIST'S MISSION IS TO INNOVATE IN HEALTH CARE TECHNOLOGY AND TRAIN CURRENT AND FUTURE CLINICIANS AND TRANSLATIONAL RESEARCHERS IN CUTTING EDGE HEALTH CARE ADVANCES. THE INSTITUTE FOR ACADEMIC MEDICINE SUPPORTS RESEARCH AND EDUCATION PROGRAMS AT HOUSTON METHODIST BY PROVIDING THE PLATFORM TECHNOLOGIES AND RESEARCH PROGRAMS, ADMINISTRATIVE SUPPORT, STAFF, AND FACILITIES THAT ARE NEEDED TO RAPIDLY TRANSLATE DISCOVERIES MADE IN THE LABORATORY AND THE CLINIC INTO NEW DIAGNOSTICS, THERAPIES AND TREATMENTS.THE OFFICE OF CONTINUING MEDICAL EDUCATION PROVIDES LOCAL, NATIONAL AND INTERNATIONAL EDUCATION CONCENTRATED IN AREAS WHERE HOUSTON METHODIST CLINICIANS AND SCIENTISTS HAVE RECOGNIZED EXCELLENCE AND WHERE THE COMMUNITY HAS THE GREATEST NEED. THE CME ACTIVITIES PROMOTE THE CONTINUED PROFESSIONAL DEVELOPMENT OF PHYSICIANS IN ORDER TO DELIVER THE SAFEST, HIGHEST QUALITY AND MOST EFFECTIVE PATIENT CARE. HOUSTON METHODIST IS ACCREDITED WITH COMMENDATION BY THE ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION (ACCME) TO PROVIDE CONTINUING MEDICAL EDUCATION FOR PHYSICIANS. WE ARE COMMITTED TO QUALITY AND PATIENT SAFETY AND TO FOSTERING AN EDUCATIONAL CONTINUUM TO ENCOURAGE AND STIMULATE PHYSICIANS AS LIFELONG LEARNERS, WHICH WILL ENABLE QUALITY, PATIENT SAFETY AND THE MOST EFFECTIVE PATIENT CARE.SINCE 2005, HOUSTON METHODIST'S GRADUATE MEDICAL EDUCATION PROGRAMS HAVE TRAINED PHYSICIANS IN VARIOUS MEDICAL AND SURGICAL SPECIALTIES. HOUSTON METHODIST SPONSORS 47 ACGME-ACCREDITED (PLUS 14 NON-ACGME) RESIDENCY PROGRAMS WITH 334 ACGME RESIDENTS AND 18 NON-ACGME RESIDENTS. IN 2021 THE PROGRAM, GRADUATED ITS 16TH CLASS OF 120 RESIDENTS AND FELLOWS. IT IS GENUINELY EXCITING TO SEE HOW THIS PROGRAM HAS GROWN OVER THE PAST 16 YEARS AND HOUSTON METHODIST NOW HAS ALMOST 360 RESIDENTS AND FELLOWS IN HOUSTON METHODIST-SPONSORED GRADUATE MEDICAL EDUCATION.2021 ALSO MARKED THE SEVENTH YEAR OF A PARTNERSHIP WITH TEXAS A&M HEALTH SCIENCE CENTER COLLEGE OF MEDICINE. UNDER THE PARTNERSHIP, THE HOSPITAL NOW HAS 182 MEDICAL STUDENTS ON THE HOUSTON CAMPUS (49 M1; 34 M2; 43 M3 AND 45 M4 STUDENTS) AND 11 MD/PHD STUDENTS CURRENTLY WORKING ON PHD).IN JULY 2019, THE JOINT TEXAS A&M UNIVERSITY COLLEGE OF MEDICINE AND COLLEGE OF ENGINEERING AND HOUSTON METHODIST ENGINEERING MEDICINE (ENMED) PROGRAM BEGAN IN HOUSTON WITH 25 STUDENTS IN THE FIRST YEAR (CLASS OF 2023) AND PLANS TO GROW TO 50 PER CLASS EACH YEAR TO FOLLOW. IN ADDITION TO THE INAUGURAL CLASS, THE PROGRAM NOW HAS STUDENTS IN ALL FOUR CLASSES, THAT INCLUDES 34 IN THE SECOND CLASS (CLASS OF 2024), 49 IN THE THIRD CLASS (CLASS OF 2025) AND 47 IN THE FOURTH CLASS (CLASS OF 2026), WHICH BEGAN IN JUNE 2022. HOUSTON METHODIST HOPES THESE TYPES OF COLLABORATIVE RELATIONSHIPS WILL FACILITATE MEDICAL INNOVATION, AS THESE YOUNG STUDENTS ARE PROVIDED THE OPPORTUNITY TO WORK WITH WORLD-CLASS RESEARCHERS AND PHYSICIANS. SOME OF THESE STUDENTS VOLUNTEERED TO HELP WITH THE ROLLOUT OF HOUSTON METHODIST'S COVID-19 VACCINE CLINICS. THE HOUSTON METHODIST INSTITUTE FOR TECHNOLOGY, INNOVATION AND EDUCATION (ALSO CALLED MITIE) IS A COMPREHENSIVE, STATE-OF-THE-ART EDUCATION AND RESEARCH CENTER FOR PHYSICIANS WHO WISH TO ACQUIRE NEW PROCEDURAL SKILLS AND INTEGRATE NEW TECHNOLOGIES INTO THEIR PRACTICES. ITS RESEARCH MISSION IS TO ENHANCE THE USE OF IMAGE GUIDED TECHNOLOGY TO GUIDE PROCEDURES, INCORPORATE ROBOTIC SURGERY INTO THE IMAGE GUIDED PLATFORM AND DEVELOP NEW TECHNOLOGY AND PROCEDURAL TECHNIQUES.MEDICAL RESEARCHHOUSTON METHODIST RESEARCH INSTITUTE, (NOW KNOWN AS THE HOUSTON METHODIST ACADEMIC INSTITUTE, A SUBSIDIARY OF HMH) WAS ESTABLISHED IN 2004 TO CONDUCT ESSENTIAL TRANSLATIONAL RESEARCH. IN 2021 IT WAS HOME TO 742 FACULTY AND 2,110 CREDENTIALED RESEARCHERS, AND MORE THAN 1,387 ONGOING CLINICAL PROTOCOLS AND TRIALS. HOUSTON METHODIST RESEARCH INSTITUTE IS DIRECTLY TIED TO CLINICIANS AND PATIENTS TO HELP MOVE THE BEST IN MEDICAL TECHNOLOGY TO THE PATIENT FASTER - FOR BETTER PREVENTION, DIAGNOSIS AND TREATMENT OF DISEASE. HOUSTON METHODIST RESEARCH INSTITUTE IS JUST ONE-WAY HMH INTEGRATES ITS SERVICES, BY BRINGING THE RESEARCH CONDUCTED IN THE LABORATORY TO THE PATIENT'S BEDSIDE. THE DISCOVERIES MADE BY HOUSTON METHODIST RESEARCHERS QUICKLY FILTER DOWN TO HOUSTON METHODIST HOSPITALS IN THE FORM OF NEW TREATMENTS AND IMPROVED PROCEDURES.
USE OF SURPLUS FUNDS - HMH	IN 2021, HMH PROVIDED $140.4 MILLION IN FINANCIAL ASSISTANCE FOR INTERNAL CHARITY BASED ON THE IRS DEFINITION OF COST. HMH ALSO PROVIDED $18.0 MILLION IN UNREIMBURSED COSTS OF MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. HMH, THROUGH HOUSTON METHODIST'S EXTERNAL CHARITY CARE PROGRAM, ALSO PROVIDED A TOTAL OF $4.4 MILLION FOR SERVICES TO THE MEDICALLY NEEDY, THROUGH EXTERNAL ORGANIZATIONS THAT ARE MEETING THE HEALTH CARE NEEDS THAT HOUSTON METHODIST HAS IDENTIFIED AS PRIORITIES.AN INTERNAL CHARITY CARE PROGRAM PROVIDES SERVICES TO THE INDIGENT AT HMH AND THROUGH AFFILIATED ORGANIZATIONS. THE MAJORITY OF PATIENTS WHO QUALIFIED FOR CHARITY CARE WERE EDUCATED ABOUT THE PROGRAM THROUGH SIGNS POSTED THROUGHOUT THE HOSPITAL. OTHER PATIENTS WERE REFERRED BY THEIR PHYSICIANS, HOSPITAL STAFF AND THROUGH FUNDED COMMUNITY AGENCIES. SURPLUS FUNDS ARE ALSO USED EACH YEAR TO STRENGTHEN COMMUNITY SERVICE OUTREACH TO SUPPORT LOW-INCOME AND UNINSURED PATIENTS WITH ACCESSING HIGH QUALITY, COMPREHENSIVE HEALTH CARE. SERVICES PROVIDED INCLUDE PRIMARY HEALTH CARE, EMERGENCY AND ROUTINE CARE, IMMUNIZATIONS, DENTAL CARE, PSYCHOLOGICAL AND CASE MANAGEMENT SERVICES, WELL CHILD EXAMINATIONS, SICK VISITS, HEALTH EDUCATION, HEALTH SCREENINGS, WELL WOMAN EXAMS AND IN-KIND LAB SERVICES AND X-RAYS.HMH'S SUPPORT ALLOWED THESE ORGANIZATIONS TO ENHANCE THEIR SERVICES TO LOW-INCOME PATIENTS WITH DIVERSE HEALTH NEEDS. HMH PROVIDED DIRECT FUNDING AND/OR IN-KIND SERVICES INCLUDING LAB TESTS, X-RAYS, IMMUNIZATIONS, HUMAN RESOURCES CONSULTATION AND OTHER SERVICES. WITH THE HOSPITAL'S SUPPORT, AGENCIES LIKE VECINO HEALTH CENTERS AND LEGACY COMMUNITY HEALTH WERE POSITIONED TO MEET FEDERALLY QUALIFIED HEALTH CENTER DESIGNEE QUALIFICATIONS, THEREBY ALLOWING THEM TO QUALIFY FOR ENHANCED MEDICARE AND MEDICAID REIMBURSEMENT.PART VI, LINE 6:LOCATED IN THE HEART OF THE TEXAS MEDICAL CENTER, HMH IS THE FLAGSHIP HOSPITAL OF HOUSTON METHODIST AND SERVES PATIENTS FROM ALL OVER THE WORLD. HOUSTON METHODIST INCLUDES HOUSTON METHODIST SUGAR LAND HOSPITAL IN FORT BEND COUNTY (SOUTHWEST OF HOUSTON), HOUSTON METHODIST WILLOWBROOK HOSPITAL IN HARRIS COUNTY (NORTHWEST OF HOUSTON), HOUSTON METHODIST WEST HOSPITAL IN HARRIS COUNTY (WEST OF HOUSTON), HOUSTON METHODIST BAYTOWN HOSPITAL IN HARRIS COUNTY (EAST OF HOUSTON), HOUSTON METHODIST CLEAR LAKE HOSPITAL IN HARRIS COUNTY (SOUTH OF HOUSTON), HOUSTON METHODIST CONTINUING CARE HOSPITAL IN HARRIS COUNTY (WEST OF HOUSTON) AND HOUSTON METHODIST THE WOODLANDS HOSPITAL IN MONTGOMERY COUNTY (NORTH OF HOUSTON).HMH PROMOTES THE HEALTH OF THE COMMUNITY AND THE MISSION OF HOUSTON METHODIST BY DELIVERING THE HIGHEST QUALITY AND SAFEST HEALTH CARE TO PATIENTS. QUALITY INITIATIVES RANGE FROM HAND HYGIENE PROGRAMS (WITH EXCEPTIONALLY GOOD RESULTS), TO PATIENT FALL AND INFECTION REDUCTION PROGRAMS. HMH WAS THE FIRST HOSPITAL IN THE TEXAS MEDICAL CENTER TO REQUIRE ITS EMPLOYEES, VENDORS AND VOLUNTEERS TO RECEIVE THE SEASONAL FLU SHOT TO PROTECT PATIENTS, THOSE TYPICALLY MOST VULNERABLE TO COMPLICATIONS FROM THE FLU. HOUSTON METHODIST WAS THE FIRST HOSPITAL IN THE COUNTRY TO MANDATE THE COVID-19 VACCINE FOR ALL EMPLOYEES. HMH IS THE ACADEMIC MEDICAL CENTER FOR HOUSTON METHODIST, BRINGING THE COMMUNITY AN INSTITUTION DEDICATED TO PATIENT CARE, RESEARCH AND EDUCATION. BY SERVING AS A LEADING ACADEMIC MEDICAL CENTER, IT PROVIDES THE COMMUNITY WITH QUALITY PATIENT CARE, LEADING RESEARCH THAT CAN BE QUICKLY TRANSLATED INTO TREATMENTS AND THE TRAINING OF OUR COUNTRY'S FUTURE DOCTORS. WHILE ALL HOUSTON METHODIST HOSPITALS PROVIDE QUALITY PATIENT CARE, HMH EXPANDS THE VISION TO INCLUDE RESEARCH AND A COMPREHENSIVE RESIDENCY PROGRAM. ASIDE FROM PROMOTING THE HEALTH OF OUR COMMUNITY BY DELIVERING EXCEPTIONAL LEADING CARE TO OUR PATIENTS, HOUSTON METHODIST MAKES SIGNIFICANT CONTRIBUTIONS THROUGH COMMUNITY BENEFITS PROGRAMS AS DESCRIBED BELOW.COMMUNITY BENEFIT ACTIVITIES AND HEALTH SERVICES:HMH RESPONDED TO THE COMMUNITY'S NEEDS IN 2021 THROUGH THE PROVISION OF MEDICAL CARE, BUT ALSO THROUGH RESEARCH, EDUCATION OF HEALTH PROFESSIONALS AND PATIENTS, COMMUNITY HEALTH EDUCATION, DONATIONS TO HEALTH CARE-RELATED EVENTS AND OTHER SERVICES.SINCE 1993, HMH HAS PROVIDED COMMUNITY BENEFITS GRANTS TO ORGANIZATIONS THAT PROVIDE DIRECT PATIENT CARE WITH A FOCUS ON PREVENTIVE CARE, DENTAL SERVICES, MENTAL HEALTH, HEALTH CARE ACCESS, PRENATAL CARE AND DIABETES/NUTRITION CARE TO UNDERSERVED COMMUNITIES. BY PROVIDING FINANCIAL ASSISTANCE TO LOCAL CLINICS AND NON-PROFIT ORGANIZATIONS, HOUSTON METHODIST CONTRIBUTES TO THEIR ABILITY TO GROW AND THRIVE, ENSURING A HEALTHIER LIFE FOR THE FUTURE OF ALL WHO WALK THROUGH THEIR DOORS.HOUSTON METHODIST CHAMPIONS COMMUNITY ORGANIZATIONS THAT PROVIDE OUTSTANDING HEALTH CARE TO PEOPLE OF ALL BACKGROUNDS. IN 2021, HMH SUPPORTED NUMEROUS AGENCIES ACROSS THE GREATER HOUSTON AREA THROUGH THE ESTABLISHED COMMUNITY BENEFITS GRANT PROGRAM AND OTHER ACTIVITIES. THESE AGENCIES INCLUDED BUT WERE NOT LIMITED TO: -ACCESS HEALTH -ASIAN AMERICAN HEALTH COALITION -AVENUE 360 HEALTH AND WELLNESS -BOYS AND GIRLS COUNTRY OF HOUSTON, INC. -CHRIST CLINIC -DEPELCHIN CHILDREN'S CENTER -EL CENTRO DE CORAZON -HEALTHCARE FOR THE HOMELESS - HOUSTON -HOUSTON AREA WOMEN'S CENTER -INSPIRATION RANCH -INTERFAITH COMMUNITY CLINIC -LEGACY COMMUNITY HEALTH -LONE STAR FAMILY HEALTH -MEMORIAL ASSISTANCE MINISTRIES -NORTHWEST ASSISTANCE MINISTRIES -OPEN DOOR MISSION -SAN JOSE CLINIC -SANTA MARIA HOSTEL -SPRING BRANCH COMMUNITY HEALTH CENTER -STEPHEN F. AUSTIN COMMUNITY HEALTH CENTER, INC. -THE ROSE -THE WOMEN'S HOME -TOMAGWA HEALTH CARE MINISTRIES, INC. -VECINO HEALTH CENTERSEDUCATIONHMH'S PRIMARY ACADEMIC PARTNER IS WEILL CORNELL MEDICINE IN NEW YORK. THE TWO INSTITUTIONS SHARE BEST PRACTICES AND COLLABORATE ON RESEARCH, EDUCATION AND CLINICAL CARE. MORE THAN 550 HOUSTON METHODIST FACULTY HAVE WEILL CORNELL FACULTY APPOINTMENTS, AND HMH SPONSORS NEARLY ALL ITS OWN MEDICAL RESIDENTS ACROSS 60 GRADUATE MEDICAL EDUCATION PROGRAMS - RANGING FROM NEUROSURGERY TO PATHOLOGY TO OBSTETRICS/GYNECOLOGY - AND HOSTS SEVERAL MORE FROM OTHER MEDICAL INSTITUTIONS.IN ADDITION, HMH COLLABORATES WITH MANY OTHER ACADEMIC AND MEDICAL INSTITUTIONS TO PROMOTE THE HEALTH OF THE COMMUNITY, INCLUDING NEW YORK-PRESBYTERIAN HOSPITAL, RICE UNIVERSITY, BAYLOR COLLEGE OF MEDICINE, UNIVERSITY OF HOUSTON, TEXAS A&M UNIVERSITY, TEXAS CHILDREN'S HOSPITAL, UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER, TEXAS WOMAN'S UNIVERSITY AND PRAIRIE VIEW A&M, AMONG OTHERS.COMMUNITY INVOLVEMENT:HMH ACTIVELY DEVELOPS AWARENESS INITIATIVES, SPONSORSHIPS AND PROGRAMS THAT PROMOTE HEALTH AND WELLNESS, PREVENTION AND EARLY DETECTION, HOUSTON METHODIST HOSPITAL STAFF AND VOLUNTEERS CAN BE SEEN AT HEALTH SCREENINGS, EXERCISE AND NUTRITION PROMOTIONS, STRESS MANAGEMENT CLINICS AND OTHER HEALTH PROMOTION ACTIVITIES THROUGHOUT THE YEAR.THROUGH THE HMH COMMUNITY SPONSORSHIP AND DONATIONS PROGRAM, HMH DONATES TO HEALTH CARE RELATED CHARITABLE ACTIVITIES AND LOCAL NONPROFIT COMMUNITY AGENCIES THAT HAVE A MISSION IN ADVANCING HEALTH INITIATIVES. HEALTH INITIATIVES INCLUDE RAISING AWARENESS OF CHRONIC CONDITIONS, ADVANCING RESEARCH TO UNCOVER CURES FOR AILMENTS, INCREASING PATIENT'S ACCESS TO HEALTH CARE SERVICES & SUPPORT, INCREASING OPPORTUNITIES FOR HEALTH CARE PROVIDERS TO SERVE AND EDUCATING THE COMMUNITY ON HEALTH CONCERNS. HMH ALSO DONATES HOSPITAL EQUIPMENT AND MEDICAL SUPPLIES AS NEEDED TO CHARITIES LOCALLY WHO MAY BE IN NEED OR TO CHARITIES THAT FACILITATE CARE AND SUPPORT FOR OTHER HEALTH CARE FOCUSED AGENCIES. SPONSORSHIP AND DONATION PARTNERS INCLUDE THE AMERICAN CANCER SOCIETY, UNITED WAY OF GREATER HOUSTON, SUSAN G. KOMEN FOUNDATION, MARCH OF DIMES AND MANY MORE. HOUSTON METHODIST WORKS TO ADDRESS THE IDENTIFIED HEALTH NEEDS OF THE HOUSTON COMMUNITY THROUGH EDUCATING THE POPULATION ON VARIOUS TOPICS THAT AFFECT THEIR OVERALL HEALTH AND WELLBEING. COMMUNITY OUTREACH EFFORTS IN 2021 INCLUDED COVID-19 EDUCATION AND VACCINE DRIVES, HEART DISEASE EDUCATION/AWARENESS, BREAST CANCER SUPPORT GROUPS, AND MORE. .
HOUSTON METHODIST CONCUSSION CENTER PROVIDES COMPREHENSIVE	SERVICES AND A DEDICATED TEAM OF CONCUSSION SPECIALISTS TO EDUCATE ATHLETES, ESPECIALLY STUDENT-ATHLETES, ABOUT THE IMPORTANCE OF CONCUSSION AWARENESS. OVERALL, SINCE ITS INCEPTION IN 2010, THE CENTER HAS PROVIDED 335 EVENTS ON CONCUSSION EDUCATION AND BOOTHS REACHING 68,879 PEOPLE. SINCE ITS INCEPTION, EDUHERO, THE TWO-HOUR CONCUSSION EDUCATIONAL VIDEO, HAS BEEN VIEWED 15,869 TIMES ACROSS 419 TEXAS SCHOOL DISTRICTS AS OF DECEMBER 2021.THE NANTZ NATIONAL ALZHEIMER CENTER ("NNAC") AT HMH ADVANCES RESEARCH AND TREATMENT OF ALZHEIMER'S DISEASE, ONE OF THE LARGEST THREATS TO THE ELDERLY POPULATION IN OUR COUNTRY, THE NNAC HAS CONTRIBUTED IMPORTANT SCIENTIFIC INFORMATION RELEVANT TO TREATMENT. MULTIPLE PRECLINICAL AND CLINICAL STUDIES ARE PROCEEDING TO EVALUATE VARIOUS APPROACHES AND NEW MEDICATIONS AIMED AT DELAYING THE PROGRESSION OF THE DISEASE OR STOPPING ITS COURSE. THE CENTER, DEDICATED TO FINDING A CURE FOR ALZHEIMER'S, ADDRESSES ONE OF THE LARGEST HEALTH CRISES AFFECTING AMERICANS TODAY.FURTHERMORE, IN PARTNERSHIP WITH HARRIS COUNTY PUBLIC HEALTH AND DOCTORS FOR CHANGE, HOUSTON METHODIST HOSTED THE 3RD ANNUAL SOCIAL DETERMINANTS OF HEALTH: EXPLORING BARRIERS TO ACCESSING CARE CONFERENCE IN 2021. THE CONFERENCE FOCUSED ON EXPLORING BARRIERS TO ACCESSING PRIMARY AND SPECIALTY CARE, ADDRESSING KEY SOCIAL AND ENVIRONMENTAL FACTORS CURRENTLY AFFECTING THE GREATER HOUSTON COMMUNITY. SPEAKERS' TOPICS INCLUDED HEALTH CARE ACCESS POLICY, THE INTERSECTION OF HEALTH CARE AND THE JUSTICE SYSTEM, APPROACHES TO CREATING HEALTH CARE ACCESS, PUBLIC HEALTH APPROACHES TO VIOLENCE PREVENTION AND MATERNAL HEALTH.HOUSTON METHODIST CONTINUED TO EDUCATE THE COMMUNITY REGARDING COVID-19 SAFETY GUIDELINES. CONTENT WAS FOCUSED ON EDUCATION AROUND MASK WEARING, HAND HYGIENE, SOCIAL DISTANCING AND LIMITING HOLIDAY GATHERINGS. HOUSTON METHODIST DEPARTMENT OF INFECTIOUS DISEASE ALSO HOSTED WEBINARS ON COVID-19 WHICH FOCUSED ON TOPICS INCLUDING CORONAVIRUS SYMPTOMS, VIRUS TRANSMISSION AND MAINTAINING SAFETY DURING THE PANDEMIC.STARTING ON DECEMBER 16, 2020, HOUSTON METHODIST BEGAN DISTRIBUTING COVID-19 VACCINES TO HEALTH CARE WORKERS AND FIRST RESPONDERS. VACCINES WERE EXTENDED TO COMMUNITY MEMBERS ACROSS THE GREATER HOUSTON AREA STARTING ON JANUARY 4, 2021, HOUSTON METHODIST WAS DESIGNATED BY THE STATE AS A COVID VACCINE HUB. WITH THIS DESIGNATION, HOUSTON METHODIST EXTENDED ITS WORK TO ENSURE EMPHASIS ON EQUITABLE ACCESS FOR THE MOST VULNERABLE WITHIN THE COMMUNITY. TO ENSURE EQUITABLE ACCESS OF THE COVID-19 VACCINES, HOUSTON METHODIST PARTNERED WITH COMMUNITY HEALTH CLINICS, SOCIAL SERVICES PROVIDERS, FAITH ORGANIZATIONS, SCHOOLS, GOVERNMENT LEADERS AND CIVIC GROUPS TO TARGET UNDERSERVED AREAS. THIS TARGETED OUTREACH FOCUSED ON RAISING AWARENESS OF THE IMPORTANCE OF VACCINATION AND PROVIDING EDUCATION ON THE VACCINES, WHICH ALLOWED HOUSTON METHODIST TO MEET THE COMMUNITY WHERE THEY ARE. HOUSTON METHODIST HOSTED A TOTAL OF 52 COMMUNITY VACCINE CLINICS WHICH DISTRIBUTED OVER 5,000 DOSES OF THE COVID-19 VACCINE. MORE THAN 40 COMMUNITY PARTNERS WERE ENGAGED IN THIS COLLABORATIVE EFFORT WITH HMH MSA INCLUDING HOUSTON COMMUNITY COLLEGE EASTSIDE CAMPUS, BAKER RIPLEY GULFTON SHARPSTOWN, UNIVERSITY OF HOUSTON DOWNTOWN AND MORE.AT THE CONCLUSION OF 2021, HOUSTON METHODIST DISTRIBUTED A TOTAL OF 1,042,482 VACCINE DOSES, INCLUDING INITIAL SHOTS AND BOOSTER SHOTS, TO INDIVIDUALS FIVE YEARS OF AGE AND OLDER ACROSS THE GREATER HOUSTON AREA. OF THE DISTRIBUTED VACCINATIONS, 228,777 DOSES WERE PROVIDED BY THE VACCINE CLINIC LOCATED AT HMH. HOUSTON METHODIST CONTINUED EFFORTS TO PROVIDE THE COMMUNITY ACCESS TO THE COVID-19 VACCINE THROUGH WALK-IN CLINICS AND APPOINTMENT SCHEDULING. TO ALSO HELP THE COMMUNITY OVERCOME BARRIERS TO ACCESSING THE VACCINE, HOUSTON METHODIST OFFERED MORE THAN 800 RIDES TO ENSURE TRANSPORTATION WAS NOT A BARRIER AND ALSO ENSURE ALL INFORMATION PROVIDED ON THE VACCINE WAS OFFERED IN ENGLISH AND SPANISH IN RECOGNITION OF SPANISH BEING THE SECOND MOST SPOKEN LANGUAGE IN GREATER HOUSTON. A PROMINENT COMMUNITY BENEFIT PROGRAM PROVIDED IS HOUSTON METHODIST'S I CARE IN ACTION PROGRAM. I CARE IN ACTION ALLOWS HOUSTON METHODIST EMPLOYEES TIME OFF TO VOLUNTEER AT COMMUNITY CHARITIES. BY ALLOWING EMPLOYEES TIME OFF TO VOLUNTEER, HOUSTON METHODIST HELPS COMMUNITY AGENCIES SAVE FINANCIAL RESOURCES SO THAT MORE OF THEIR FUNDS CAN GO TOWARDS PROVIDING DIRECT CARE TO THEIR UNDERSERVED PATIENT AND CLIENT BASE. THE PROGRAM HAS MORE THAN 40 AGENCIES AVAILABLE FOR EMPLOYEES TO SUPPORT. AGENCIES WITH VOLUNTEERS VIA THE I CARE IN ACTION PROGRAM INCLUDED HOUSTON FOOD BANK, SPECIAL PALS AND MEDICAL BRIDGES.IN 2021, HMH EMPLOYEES PROVIDED 1,284 VOLUNTEER HOURS THROUGH I CARE IN ACTION. THESE DONATED HOURS EQUATE TO A VOLUNTEER TIME VALUE OF $64,274. TYPICALLY, OVERALL VOLUNTEER HOURS ARE MUCH HIGHER FOR HOUSTON METHODIST. HOWEVER, DUE TO COVID-19 LIMITATIONS, MANY VOLUNTEER OPPORTUNITIES WERE LIMITED THROUGHOUT THE YEAR. DESPITE THE PANDEMIC CHALLENGES, HOUSTON METHODIST STILL PROVIDED SPECIAL VOLUNTEER ACTIVITIES THROUGH A SYSTEMWIDE BIKE BUILD IN PARTNERSHIP WITH CHANGING YOUNG CHILDREN'S LIVES THROUGH EDUCATION (CYCLE) HOUSTON, WHERE 268 BIKES WERE BUILT, 495 WATER BOTTLES DECORATED AND OVER 700 ENCOURAGEMENT CARDS WERE WRITTEN TO REWARD STUDENTS IN TITLE ONE SCHOOLS ACROSS THE GHA WHO HAVE MET THEIR ACADEMIC GOALS. ACROSS THE SYSTEM, A TOTAL OF 2,360 VOLUNTEER HOURS WERE PROVIDED VIA I CARE IN ACTION. IN ADDITION TO THE I CARE IN ACTION PROGRAM; TIME WAS ALLOCATED TO SUPPORT ADDITIONAL COMMUNITY-FOCUSED ACTIVITIES TO HELP MEET SPECIFIC COMMUNITY NEEDS. ACTIVITIES INCLUDED PARTICIPATION IN OR PROVIDING A SERVICE FOR THE FOLLOWING: UNITED WAY CAMPAIGN, EMPLOYEE BLOOD DRIVES, THE ADOPT-A-FAMILY PROGRAM AND MORE. THE ADOPT-A-FAMILY HOLIDAY DONATION PROGRAM RESULTED IN 170 FAMILIES AND 502 CHILDREN BEING ADOPTED BY HOUSTON METHODIST IN 2021.HMH PROMOTES THE HEALTH OF THE COMMUNITY BY FULFILLING HOUSTON METHODIST'S MISSION THROUGH EXCEPTIONAL, HIGH-QUALITY PATIENT CARE, EDUCATION AND RESEARCH, AFFILIATIONS WITH ACADEMIC AND MEDICAL PARTNERS FOR IMPROVED COMMUNITY HEALTH CARE, CHARITY CARE AND COMMUNITY INVOLVEMENT.HMH ALSO COOPERATES WITH LOCAL ENTITIES TO IDENTIFY COMMUNITY NEEDS. MEMBERS OF HOUSTON METHODIST HOSPITAL'S EXECUTIVE TEAM ARE ON THE BOARDS OF LOCAL ORGANIZATIONS THAT ADVOCATE FOR EDUCATIONAL, ENVIRONMENTAL AND HEALTH CARE ISSUES THAT AFFECT PUBLIC POLICY AND INTERNATIONAL COMPANIES THAT DO BUSINESS IN HOUSTON.PROGRAM AND COMMUNITY PARTNERSHIPS:THANKS TO THE PROGRAMS SUPPORTED BY HOUSTON METHODIST, MORE THAN 90,000 HOUSTONIANS BENEFIT FROM ANNUAL PEDIATRIC CHECK-UPS, PREVENTATIVE SCREENING, DENTAL CARE, DIAGNOSTIC PROCEDURES, COMPLEX SURGERIES AND A HOST OF OTHER MEDICAL TREATMENTS - CARE TO WHICH THEY MIGHT OTHERWISE NOT HAVE ACCESS.HOUSTON METHODIST IS PLEASED TO HAVE A SIGNIFICANT PARTNERSHIP WITH VECINO HEALTH CENTERS WHO SERVE A TARGETED POPULATION OF 370,080 INDIVIDUALS WHO ARE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. ESTABLISHED IN 2001, THE DENVER HARBOR FAMILY HEALTH CENTER, A CLINIC UNDER THE VECINO HEALTH CENTERS UMBRELLA - PROVIDES MEDICAL, DENTAL, AND COUNSELING SERVICES TO FAMILIES OF ALL AGES WITHIN THE COMMUNITY. IN ADDITION TO PROVIDING STAFF VIA THE HOUSTON METHODIST FAMILY MEDICINE RESIDENCY PROGRAM, HMH ALSO PROVIDES FUNDING AND IN-KIND SERVICES, INCLUDING CARDIOLOGY SPECIALTY STAFF, IMMUNIZATIONS, AND LABORATORY TESTING. VECINO HEALTH CENTERS - DENVER HARBOR FAMILY HEALTH CENTER IS JUST ONE OF MANY COLLABORATIVE PARTNERS THAT HMH HAS FOSTERED THROUGH ITS COMMUNITY OUTREACH EFFORTS. AN INITIATIVE THAT HAS HELPED PROVIDE ACCESS TO SPECIALTY CARE SERVICES FOR THE UNDERSERVED COMMUNITY IS HOUSTON METHODIST'S COMMUNITY SCHOLARS PROGRAM. ESTABLISHED IN 2013, THE PROGRAM HAS PROVIDED THE SERVICES OF ENDOCRINOLOGY, NEUROLOGY, NEPHROLOGY, OPHTHALMOLOGY, PULMONOLOGY, CARDIOLOGY AND HEMATOLOGY ONCOLOGY, UROLOGY/GYNECOLOGY AND UROLOGY TO LOCAL COMMUNITY PARTNER CLINICS SUCH AS EL CENTRO DE CORAZON AND HOPE CLINIC. FOR 2021, 728 PATIENTS WERE SEEN VIA THE HOUSTON METHODIST COMMUNITY SCHOLARS PROGRAM. IN ADDITION TO THE PATIENT BEING SEEN WITHIN THE COMMUNITY PARTNER CLINIC BY HOUSTON METHODIST PHYSICIANS AND FELLOWS, IF A PATIENTS HEALTH CARE NEEDS EXCEEDED THE SCOPE OF CAPABILITY OF CARE WITHIN THE COMMUNITY CLINIC SETTING, THEY WERE REFERRED INTO HMH FOR MEDICALLY NECESSARY TREATMENT TO GET THEM ON THE PATHWAY TO HEALTH AND HEALING. IN 2021, OF THE 700 PATIENTS SEEN VIA SCHOLARS IN THE COMMUNITY, 252 WERE REFERRED INTO HMH FOR ADDITIONAL SERVICES..
HOUSTON METHODIST PARTNERS WITH MORE THAN 14 FEDERALLY QUALIFIED HEALTH	CENTERS AND CHARITY CLINICS IN THE GREATER HOUSTON AREA REPRESENTING MORE THAN 43 UNIQUE LOCATIONS THROUGH ITS COMMUNITY NETWORK OF CARE PROGRAM. THE COMMUNITY NETWORK OF CARE PROVIDES FACILITATED REFERRALS TO UNDERSERVED/NON-RESOURCE HOUSTON METHODIST PATIENTS WHO ARE IDENTIFIED AS NEEDING A PRIMARY CARE MEDICAL HOME. IN 2021, 414 PATIENTS WERE CONNECTED TO A CLINIC IN THEIR COMMUNITY. THE PROGRAM PROVIDES TRANSPORTATION AND COPAY ASSISTANCE FOR THE FIRST APPOINTMENT TO ENSURE A WARM HANDOFF AND ASSIST THE PATIENT IN ESTABLISHING CARE AT THEIR NEW MEDICAL HOME.THROUGHOUT 2021, HOUSTON METHODIST, IN PARTNERSHIP WITH THE HOUSTON FOOD BANK, CONNECTED UNDERSERVED COVID-19-POSITIVE PATIENTS AT SELECT HOUSTON METHODIST EMERGENCY DEPARTMENTS WITH ESSENTIAL FOOD RESOURCES WHILE THEY WERE IN QUARANTINE TO HELP EASE THE DIFFICULTIES THEY FACED WITH ACCESSING FOOD WHILE UNABLE TO LEAVE THEIR HOMES. ELIGIBLE PATIENTS WERE CONTACTED AND OFFERED UNIQUE CODES THAT THEY COULD USE TO RECEIVE TWO WEEKS OF FOOD SUPPORT FROM THE HOUSTON FOOD BANK, DELIVERED RIGHT TO THEIR HOMES. A HOME DELIVERY COMPRISED OF 2-3 BOXES OF SHELF-STABLE FOOD CONTAINING PROTEIN, GRAIN, FRUIT, VEGETABLE, AND DAIRY. EACH DELIVERY WAS DIABETIC/PEANUT ALLERGEN FRIENDLY AND DESIGNED TO SERVE A FAMILY OF 4 FOR 7 DAYS. PATIENTS ELIGIBLE TO RECEIVE THE FOOD SUPPORT MUST BE COVID-19-POSITIVE OR FOOD INSECURE AND HIGH-RISK FOR COVID-19. IN 2021, 160 CODES WERE DISTRIBUTED SYSTEM WIDE AT A VALUE OF $20,800.HOUSTON METHODIST IS PLEASED TO HAVE A LONGSTANDING RELATIONSHIP WITH LEGACY COMMUNITY HEALTH, THE LARGEST FEDERALLY QUALIFIED HEALTH CENTER IN THE STATE OF TEXAS WITH 50 COMMUNITY HEALTH CENTERS ACROSS THE STATE AND 41 IN THE GREATER HOUSTON AREA. IN 2021, LEGACY SERVED NEARLY 200,000 COMMUNITY MEMBERS. HOUSTON METHODIST HAS SUPPORTED SUCH LANDMARK PROGRAMS OF THE ORGANIZATION SUCH AS ITS YOUTH RE-ENTRY PROGRAM, THE COMMUNITY SCHOLARS PROGRAM, AND THE COMMUNITY NETWORK OF CARE AND LEGACY BAYTOWN'S FAMILY MEDICINE RESIDENCY PROGRAM AT HOUSTON METHODIST BAYTOWN HOSPITAL. AS PART OF THE COMMUNITY HEALTH PROGRAM INVESTMENT TO INCREASE HEALTH CARE ACCESS FOR THE UNDERSERVED, HOUSTON METHODIST DESIGNATED A $50 MILLION INVESTMENT FOR LEGACY COMMUNITY HEALTH CAPITAL PROJECTS. THE DONATION WILL ALLOW LEGACY COMMUNITY HEALTH TO EXPAND ITS PRESENCE IN THE GREATER HOUSTON AREA. THIS COMMITMENT FROM HOUSTON METHODIST WILL SUPPORT TWO NEW CAPITAL PROJECTS AND PROVIDE OPERATING FUNDS FOR LEGACY COMMUNITY HEALTH CENTERS IN NORTH HOUSTON AND PASADENA WHICH WILL FILL A SIGNIFICANT GAP IN SOME OF THE MOST UNDERSERVED AREAS OF THE STATE BY OFFERING RESIDENTS IN THESE COMMUNITIES ACCESS TO ADULT AND PEDIATRIC PRIMARY CARE, COMPREHENSIVE HIV CARE, SPECIALTY CARE SUCH AS ENDOCRINOLOGY, AND SUPPORT SERVICES. THESE CENTERS WILL BE EQUIPPED WITH STATE-OF-THE-ART TECHNOLOGY DESIGNED TO OFFER A WELCOMING ATMOSPHERE TO THOSE IN NEED OF HEALTH AND WELLNESS SERVICES, WITHOUT JUDGMENT AND REGARDLESS OF THEIR ABILITY TO PAY. SUMMARY AS A SYSTEM, HOUSTON METHODIST MADE SIGNIFICANT CONTRIBUTIONS THROUGH ITS COMMUNITY BENEFITS AND CHARITY CARE PROGRAM WHICH HAVE BEEN A RESOURCE FOR PATIENTS IN THE COMMUNITY. BASED ON IRS COST DEFINITIONS HOUSTON METHODIST PROVIDED $506.0 MILLION IN CHARITY CARE AND COMMUNITY BENEFITS FOR THE YEAR ENDED DECEMBER 31, 2021. IN ADDITION, BASED ON IRS COST DEFINITIONS, HOUSTON METHODIST PROVIDED $464.0 MILLION IN CARE TO MEDICARE, MEDICARE MANAGED CARE AND TRICARE/USPHP PROGRAM BENEFICIARIES FOR THE YEAR ENDED DECEMBER 31, 2021.PART VI, LINE 7: TX

Schedule H (Form 990) 2021

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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

2021

Open to Public
Inspection

Name of the organization
THE METHODIST HOSPITAL

Employer identification number
74-1180155

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) ACCESS HEALTH (FORMERLY FORT BEND FAMILY HEALTH) 400 AUSTIN ST RICHMOND,TX77469	74-1951476	501C3	134,964	0			OUTPATIENT CLINIC
(2) ASIAN AMERICAN HEALTH COALITION-DBA HOPE CLINIC 7001 CORPORATE DR SUITE 120 HOUSTON,TX77036	31-1756818	501C3	81,975	0			PEDIATRIC HEALTH CARE
(3) AVENUE 360 HEALTH AND WELLNESS 2150 WEST 18TH ST HOUSTON,TX77008	76-0549240	501C3	72,475	0			MENTAL HEALTH SERVICES
(4) BOYS AND GIRLS COUNTRY OF HOUSTON INC 18806 ROBERTS ROAD HOCKLEY,TX774479327	74-6026198	501C3	50,000	0			COMMUNITY ASSITANCE FOR KIDS EDUC, ETC
(5) CHRIST CLINIC 5504 FIRST STREET KATY,TX77493	90-0789318	501C3	174,975	0			OUTPATIENT CLINIC
(6) DEPELCHIN CHILDREN'S CENTER 4950 MEMORIAL DRIVE HOUSTON,TX77007	76-0318867	501C3	75,000	0			YOUTH SERVICES, MENTAL HEALTH ETC
(7) EL CENTRO DE CORAZONEASTWOOD HEALTH CLINIC 5001 NAVIGATION HOUSTON,TX77011	76-0442781	501C3	350,150	0			OUTPATIENT CLINIC
(8) HEALTHCARE FOR THE HOMELESS - HOUSTON 2505 FANNIN ST HOUSTON,TX77002	76-0647934	501C3	395,000	0			OUTPATIENT CLINIC
(9) HOUSTON AREA WOMEN'S CENTER 1010 WAUGH DRIVE HOUSTON,TX770193996	74-2029166	501C3	135,000	0			MENTAL HEALTH SERVICES
(10) INSPIRATION RANCH 33029 WRIGHT RD MAGNOLIA,TX77355	20-5323335	501C3	50,000	0			EQUINE ASSISTED MENTAL HEALTH PROGRAM
(11) INTERFAITH COMMUNITY CLINIC 101 PINE MANOR DRIVE OAK RIDGE NORTH,TX77385	75-2634623	501C3	57,050	0			OUTPATIENT CLINIC
(12) LEGACY COMMUNITY CLINIC PO BOX 66308 HOUSTON,TX772666308	76-0009637	501C3	50,766,046	0			HEALTH CARE SVS TO UNDERSERVED COMMUNITIES
(13) LONE STAR FAMILY HEALTH CENTER 605 S CONROE MEDICAL DRIVE CONROE,TX77304	30-0038860	501C3	74,487	0			OUTPATIENT CLINIC
(14) MEMORIAL ASSISTANCE MINISTRIES 1625 BLALOCK RD HOUSTON,TX77080	76-0044172	501C3	113,333	0			OUTPATIENT CLINIC
(15) NORTHWEST ASSISTANCE MINISTRIES 15555 KUYKENDAHL ROAD HOUSTON,TX770903651	76-0088702	501C3	373,334	0			OUTPATIENT CLINIC
(16) OPEN DOOR MISSION 5803 HARRISBURG BLVD HOUSTON,TX77011	76-0146890	501C3	36,667	0			BEHAVIORAL HEALTH INITIATIVE
(17) SAN JOSE CLINIC 2615 FANNIN STREET HOUSTON,TX77002	76-0373703	501C3	160,375	0			OUTPATIENT CLINIC
(18) SANTA MARIA HOSTEL 2605 PARKER ROAD HOUSTON,TX77093	74-1669131	501C3	158,067	0			WOMEN'S RECOVERY CENTER
(19) SPRING BRANCH COMMUNITY HEALTH CENTER 1615 HILLENDAHL BLVD STE 100 HOUSTON,TX77055	30-0198705	501C3	144,575	0			HEALTH CARE SERVICES
(20) STEPHEN F AUSTIN COMMUNITY HEALTH CENTER 2552 E BROADWAY SUITE 10 PEARLAND,TX77581	41-2273820	501C3	103,933	0			NURSE PRACTIONERS AND COUNSELING SERVICES
(21) THE ROSE 12700 NORTH FEATHERWOOD DRIVE 260 HOUSTON,TX77034	76-0193812	501C3	119,000	0			OUTPATIENT CLINIC
(22) THE WOMEN'S HOME 811 WESTHEIMER ROAD HOUSTON,TX770063917	74-1467811	501C3	70,833	0			MENTAL HEALTH SERVICES
(23) TOMAGWA HEALTH CARE MINISTRIES 13414 MEDICAL COMPLEX DR 1 TOMBALL,TX773753333	76-0280324	501C3	57,000	0			OUTPATIENT CLINIC
(24) UT HEALTH SCIENCE CENTER AT HOUSTON HARRIS COUNTY PSYCHIATRIC CENTER 2800 S MACGREGOR WAY HOUSTON,TX77021	80-0176343	STATE AGENCY	338,179	0			MENTAL HEALTH SERVICES
(25) VECINO HEALTH CENTERS 424 HAHLO STREET HOUSTON,TX770203022	76-0622208	501C3	689,325	0			HEALTH CARE SERVICES
(26) ALZHEIMER'S ASSOCIATION 6055 SOUTH LOOP EAST HOUSTON,TX770871005	13-3039601	501C3	14,000	0			SPONSORSHIP
(27) AMERICAN HEART ASSOCIATION PO BOX 15186 AUSTIN,TX78761	13-5613797	501C3	32,000	0			SPONSORSHIP
(28) AMERICAN LEADERSHIP FORUM 3101 RICHMOND AVE SUITE 140 HOUSTON,TX77098	76-0284248	501C3	15,000	0			COMMUNITY SERVICE THRU LEADERSHIP
(29) ARMS WIDE ADOPTION SERVICES 6925 PORTWEST DR SUITE 110 HOUSTON,TX77024	74-2116380	501C3	63,333	0			ADOPTION ASSISTANCE
(30) ASIA SOCIETY TEXAS CENTER 1370 SOUTHMORE BLVD HOUSTON,TX77004	03-0433949	501C3	10,000	0			COMMUNITY SERVICE
(31) BOAT PEOPLE SOS INC 11360 BELLAIRE BLVD SUITE 910 HOUSTON,TX77072	45-4040991	501C3	33,333	0			ASSISTANCE FOR IMMIGRANTS IN COMMUNITY
(32) CANCARE INC 9575 KATY FREEWAY SUITE 428 HOUSTON,TX77024	76-0305357	501C3	22,500	0			COMMUNITY SERVICE
(33) CAPITAL IDEA HOUSTON 2101 CRAWFORD 211 HOUSTON,TX77002	47-2462360	501C3	216,667	0			EDUCATION ASSISTANCE FOR CAREERS
(34) CENTRAL SOUTH DISTRICT UNITED METHODIST CHURCH 3511 LINKWOOD DRIVE HOUSTON,TX77025	74-1491628	501C3	20,000	0			COMMUNITY SERVICE
(35) CULTURE OF HEALTH ADVANCING TOGETHER 6711 HORNWOOD DRIVE STE 245 HOUSTON,TX77074	47-3990099	501C3	10,000	0			ASSISTANCE TO ADVANCE DIVERSITY IN COMMUNITY
(36) CY-HOPE INC 12715 TELGE RD CYPRESS,TX77429	45-2346150	501C3	26,667	0			SUPPORT FOR FOOD LOCKER FEEDING PROGRAM
(37) EASTER SEALS 4500 BISSONNET SUITE 340 BELLAIRE,TX77401	74-1238418	501C3	40,000	0			MEDICAL RESEARCH
(38) EDUCATIONAL FOUNDATION OF THE SETC 2121 MILFORD ST HOUSTON,TX77098	45-4519800	501C3	15,000	0			SPONSORSHIP
(39) FAMILY TO FAMILY NETWORK INC 16225 PARK TEN PLACE 500 HOUSTON,TX77084	76-0328275	501C3	46,667	0			ASSIST FAMILIES OF CHILDREN W DISABILITIES
(40) FAMILY HOUSTON 4625 LILLIAN ST HOUSTON,TX77021	74-1152613	501C3	32,500	0			HEALTH AND HUMAN SERVICES
(41) GOLFERS AGAINST CANCER INC 1700 LAKE KINGWOOD TRAIL KINGWOOD,TX77345	76-0574871	501C3	25,000	0			SPONSORSHIP
(42) GOOD SAMARITAN FOUNDATION 5615 KIRBY DRIVE STE 610 HOUSTON,TX77005	74-1235398	501C3	8,000	0			SPONSORSHIP
(43) HOLOCAUST MUSEUM HOUSTON 5401 CAROLINE STREET HOUSTON,TX77004	74-0331398	501C3	6,000	0			COMMUNITY SERVICE
(44) HOUSTON CHILDREN'S CHORUS PO BOX 66567 HOUSTON,TX772666567	76-0286895	501C3	7,000	0			SPONSORSHIP
(45) HOUSTON TEXANS FOUNDATION TWO NRG PARK HOUSTON,TX77054	01-0572814	501C3	10,000	0			GOLF TOURNAMENT SPONSORSHIP
(46) HYPE FREEDOM SCHOOL INC 13233 CULLEN BLVD HOUSTON,TX77047	46-5133254	501C3	48,000	0			EDUCATIONAL AND CULTURAL ENRICHMENT
(47) INSTITUTE FOR SPIRITUALITY & HEALTH 8100 GREENBRIAR 300 HOUSTON,TX77054	74-1246255	501C3	25,000	0			PROGRAM SUPPORT
(48) JUSTICE FORWARD 515 CAROLINE STREET HOUSTON,TX77002	20-2760137	501C3	43,333	0			ASSIST CLIENTS OF HARRIS CTY SPECIALTY COURTS
(49) LATIN WOMEN'S INITIATIVE 112 W 4TH STREET HOUSTON,TX77007	76-0560059	501C3	10,000	0			COMMUNITY SERVICE
(50) LATINO LEARNING CENTER 3522 POLK HOUSTON,TX77003	74-2103741	501C3	7,500	0			COMMUNITY SERVICE
(51) MARCH OF DIMES PO BOX 932852 ATLANTA,GA311932852	13-1846366	501C3	12,000	0			SPONSORSHIP
(52) MONTROSE GRACE PLACE 2515 WAUGH DRIVE HOUSTON,TX77006	27-2773965	501C3	7,700	0			SAFE ENVIRONMENT FOR ALL HOMELESS GENDERS
(53) NORA'S GIFT FOUNDATION PO BOX 8350 HOUSTON,TX772888350	62-1763895	501C3	20,000	0			HOUSING SERVICES
(54) OVARCOME NON-PROFIT INC 2525 ROBINHOOD STREET NO 203 HOUSTON,TX77005	45-4716979	501C3	6,000	0			OVARIAN CANCER RESEARCH
(55) PROJECT CURE 10377 E GEDDES AVENUE CENTENNIAL,CO80112	84-1568566	501C3	0	134,663	BOOK VALUE	MEDICAL SUPPLIES	DONATE MEDICAL SUPPLIES FOR DISTRIBUTION TO OTHER COUNTRIES
(56) REBUILDING TOGETHER HOUSTON PO BOX 15315 HOUSTON,TX77220	76-0027902	501C3	83,333	0			COMMUNITY SERVICE
(57) SER-JOB FOR PROGRESS OF THE TEXAS GULF 1710 TELEPHONE RD HOUSTON,TX77023	74-1590387	501C3	33,333	0			CAREER COUNSELING AND JOB PLACEMENT
(58) SICKLE CELL ASSOCIATION OF HOUSTON INC 4014 MARKET STREET HOUSTON,TX77027	47-2168151	501C3	16,667	0			HELP PPL WITH TRAIT TO LIVE WITHOUT LIMITS
(59) SOUTH TEXAS COLLEGE OF LAW HOUSTON INC 1303 SAN JACINTO STREET HOUSTON,TX77002	74-1554976	501C3	33,333	0			LEGAL EDUCATION FOR DIVERSE STUDENT BODY
(60) SPORTS AUTHORITY FOUNDATION 701 AVEMDA DE LAS AMERICAS SUITE 450 HOUSTON,TX77010	82-2157834	501C3	10,000	0			SUPPORTING AMATEUR ATHLETICS
(61) SPRING BRANCH COMMUNITY HEALTH CARE 800 W SAM HOUSTON PARKWAY S SUITE 200 HOUSTON,TX77042	30-0198705	501C3	17,250	0			COMMUNITY BENEFITS
(62) SUSAN G KOMEN FOR THE CURE 602 SAWYER STREET SUITE 201 HOUSTON,TX77007	76-0360372	501C3	30,000	0			RACE FOR THE CURE SPONSORSHIP
(63) TEXAS ANNUAL CONFERENCE 5215 MAIN STREET HOUSTON,TX77002	74-1491628	501C3	250,000	0			ASSITANCE FOR BUILDING FUND
(64) TEXAS STATE HISTORICAL ASSOCIATION 3000 LAKE AUSTIN BLVD AUSTIN,TX78703	74-6025220	501C3	10,000	0			EDUCATION SPONSORSHIP
(65) THE ENSEMBLE THEATRE 3535 MAIN STREET HOUSTON,TX77002	74-1941943	501C3	20,000	0			SUPPORT AFRICAN AMERICAN EXPRESSION FOR COMMUNTIY
(66) THE HEALTH MUSEUM 1515 HERMAN DRIVE HOUSTON,TX770047126	74-6106357	501C3	20,000	0			COMMUNITY SERVICE
(67) THE TRUTH PROJECT INC PO BOX 710138 HOUSTON,TX77271	46-3044821	501C3	15,333	0			EDUCATES LGBTQ COMMUNITIES OF COLOR
(68) THE WOMEN'S RESOURCE OF GREATER HOUSTON 730 N POST OAK SUITE 203 HOUSTON,TX77024	31-1769108	501C3	37,334	0			HELP WOMEN WITH FINANCIAL KNOWLEDGE & SKILLS
(69) URBAN HARVEST INC 3302 CANAL STREET HOUSTON,TX77003	76-0501430	501C3	20,000	0			PROVIDES COMMUNITY GARDEN, FARMER'S MARKET, ETC
(70) VOLUNTEERS OF AMERICA TEXAS INC 4808 YALE STREET HOUSTON,TX77018	75-2593210	501C3	66,667	0			HELPING THE VULNERABLE REACH THEIR FULL POTENTIAL
(71) WESLEY COMMUNITY CENTER 1410 LEE STREET HOUSTON,TX77009	74-1132578	501C3	27,500	0			SOCIAL SERVICE AGENCY
(72) WORLD AFFAIRS COUNCIL OF GREATER HOUSTON PO BOX 920905 HOUSTON,TX77292	76-0308253	501C3	6,000	0			COMMUNITY SERVICES
(73) YES PREP PUBLIC SCHOOLS 5515 SOUTH LOOP EAST SUITE B HOUSTON,TX77033	76-0563835	501C3	26,944	0			EDUCATION SERVICES TO RID EDUCATION INEQUITY
(74) YMCA OF GREATER HOUSTON 2600 NORTH LOOP WEST HOUSTON,TX77092	74-1109737	501C3	26,667	0			COMMUNITY SERVICES
(75) COMMUNITY ASSISTANCE CENTER 1022 MCCALL AVE CONROE,TX77301	76-0000798	501C3	15,333	0			EMERGENCY FUNDS ASSISTANCE DURING CRISIS
(76) GREATER HOUSTON PARTNERSHIP 1200 SMITH STREET SUITE 700 HOUSTON,TX77002	76-0267896	501C6	15,000	0			CONVENING RESOURCES TO ADDRESS COMMUNITY NEEDS
(77) MISSOURI CITY THE LINKS PO BOX 8068 HOUSTON,TX77288	74-2209696	501C4	46,667	0			VOLUNTEER ORGANIZATION
(78) PORT CITY LINKS INC 3718 PARKWOOD DR HOUSTON,TX77021	76-0218846	501C4	12,000	0			EDUCATION AND CIVIC ACTIVITIES

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) 2021

Page 2

Part III

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

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

PRIOR TO THE METHODIST HOSPITAL'S APPROVAL OF A GRANT TO A REQUESTING ORGANIZATION, THE FOLLOWING CRITERIA MUST BE MET: (1) THE REQUESTING ORGANIZATION MUST BE AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX (2) THE REQUESTING ORGANIZATION MUST PROVIDE A RECOGNIZABLE OR DEMONSTRABLE BENEFIT TO THE COMMUNITY; (3) THE MISSION OF THE REQUESTING ORGANIZATION MUST AUGMENT THE MISSION OF THE METHODIST HOSPITAL; (4) THE REQUESTING ORGANIZATION'S MISSION AND SERVICES SHOULD NOT DUPLICATE AND MUST NOT CONFLICT WITH THOSE OF THE METHODIST HOSPITAL. PERIODIC REPORTS WERE REVIEWED TO ENSURE THE FUNDS WERE USED TO SUPPORT INDIGENT CARE SERVICE AND OR OTHER NEEDS OF THE COMMUNITY.

Schedule I (Form 990) 2021

Additional Data

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

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

Attach to Form 990.
SchJMediumBullet

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

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

THE METHODIST HOSPITAL

Employer identification number

74-1180155

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

If any of the boxes 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 .....

Yes

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

Yes

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

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) 2021

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, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1NINE KEY EMPLOYEES-SEE METHODIST HOSPITAL GROUP RETURN-SCHE	(i) (ii)	4,611,546 ------------- 0	2,418,176 ------------- 0	1,527,985 ------------- 0	192,060 ------------- 0	120,028 ------------- 0	8,869,795 ------------- 0	0 ------------- 0
2NINE OFFICERDIR-SEE METHODIST HOSPITAL GROUP RETURN-SCHE	(i) (ii)	1,782,183 ------------- 0	1,506,938 ------------- 0	622,373 ------------- 0	29,200 ------------- 0	19,333 ------------- 0	3,960,027 ------------- 0	0 ------------- 0
3FOUR HIGHEST PD EMPLOYEES-SEE HOSPITAL GROUP RETURN-SCHE	(i) (ii)	1,852,015 ------------- 0	784,005 ------------- 0	332,474 ------------- 0	103,800 ------------- 0	97,415 ------------- 0	3,169,709 ------------- 0	0 ------------- 0
4ONE OFFICER-SEE METHODIST HOSPITAL GROUP RETURN-SCHE	(i) (ii)	972,565 ------------- 0	525,000 ------------- 0	289,201 ------------- 0	29,200 ------------- 0	20,471 ------------- 0	1,836,437 ------------- 0	0 ------------- 0
5SEVENTEEN DIRECTORS-SEE METHODIST HOSPITAL GROUP RETURN-SCHE	(i) (ii)	0 ------------- 1,107,311	0 ------------- 244,830	125,275 ------------- 12,090	0 ------------- 53,200	0 ------------- 59,309	125,275 ------------- 1,476,740	0 ------------- 0

Schedule J (Form 990) 2021

Page 3

Part III

Supplemental Information

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

Return Reference	Explanation
PART I, LINE 1A	TRAVEL FOR COMPANIONS: HOUSTON METHODIST HOSPITAL REQUIRES ALL EMPLOYEES INCLUDING OFFICERS TO PROVIDE WRITTEN SUBSTANTIATION OF EXPENSES RELATED TO THEIR BUSINESS TRAVEL THROUGH THE PROVISION OF DETAILED RECEIPTS IN ORDER TO RECEIVE APPROVAL FROM THEIR DIRECT SUPERIORS FOR REIMBURSEMENT IN ACCORDANCE WITH OUR CORPORATE POLICY ON TRAVEL AND OTHER BUSINESS EXPENSES. THERE WAS NO TRAVEL FOR COMPANIONS IN 2021. HEALTH OR SOCIAL CLUB DUES: AS STIPULATED BY THE EMPLOYMENT OF THE CEO, HE IS ENTITLED TO ANNUAL MEMBERSHIP IN THE RIVER OAKS COUNTRY CLUB IN SUPPORT OF HOUSTON METHODIST RELATED BUSINESS DEVELOPMENT ACTIVITIES. THIS AMOUNT IS INCLUDED IN THE TAXABLE INCOME OF THE CEO. PART I, LINE 4A: HOUSTON METHODIST HOSPITAL HAS A FORMAL SEVERANCE PLAN. ELIGIBLE EMPLOYEES INCLUDE ALL FULL-TIME AND PART-TIME STAFF (NOT TEMPORARY OR PRN), INCLUDING HOURLY STAFF, UP THROUGH SENIOR VICE PRESIDENTS PROVIDED THEY WORK AT LEAST 20 HOURS PER WEEK AND ARE NOT OTHERWISE COVERED BY A PHYSICIAN EMPLOYMENT AGREEMENT. THE PLAN ONLY PROVIDES SALARY AND BENEFITS IN THE EVENT AN ELIGIBLE EMPLOYEE IS INVOLUNTARILY TERMINATED DUE TO THE ELIMINATION OF THEIR POSITION OR IF THEIR CURRENT POSITION IS SIGNIFICANTLY IMPACTED BY AN ORGANIZATIONAL RESTRUCTURING OR CHANGE IN REQUIREMENT AND A COMPARABLE POSITION IS NOT AVAILABLE WITHIN THE ORGANIZATION. THE ELIGIBLE PERSON MUST ALSO SIGN A TERMINATION AGREEMENT IN ORDER TO RECEIVE SALARY CONTINUATION AND BENEFITS UNDER THE PLAN TO WHICH THEY WOULD NOT NORMALLY BE ELIGIBLE TO RECEIVE UNDER A VOLUNTARY RESIGNATION. NO SERVERANCE PAYMENT WAS MADE FROM THIS PLAN IN 2021. PURSUANT TO TREASURY REG SECTION 1 6033-2(D)(5), HOUSTON METHODIST HOSPITAL HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GIFTS & GRANTS, COMPENSATION AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES, CERTAIN OTHER HIGHLY PAID EMPLOYEES, CERTAIN PROFESSIONAL CONTRACTORS AND CERTAIN OTHER CONTRACTORS ON A CONSOLIDATED BASIS FOR ALL OF THE MEMBERS OF THE GROUP, INCLUDING THE PARENT ORGANIZATION, ON THE GROUP RETURN OF METHODIST HOSPITAL GROUP, EIN 35-2410801.
PART I, LINE 4B	HOUSTON METHODIST HOSPITAL HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, A NON-QUALIFIED EMPLOYER FUNDED PLAN. CONTRIBUTIONS ARE MADE ANNUALLY INTO A TAX DEFERRED ACCOUNT AND ARE CONSIDERED TAXABLE UPON VESTING (I.E. COMPLETION OF THREE YEARS OF VESTING SERVICE). ONCE VESTED, EACH YEAR'S SUBSEQUENT CONTRIBUTION IS TAXABLE WITHIN THE CALENDAR YEAR IN WHICH THE DEPOSIT WAS MADE. ACCOUNT BALANCES CANNOT BE ACCESSED UNTIL RETIREMENT OR TERMINATION (WHICHEVER OCCURS FIRST) AND MAY BE SUBJECT TO NON-REVOCABLE DISTRIBUTION OPTIONS UPON ELECTION.
PART I, LINE 7	THIS ORGANIZATION PROVIDES VARIABLE COMPENSATION OPPORTUNITY THROUGH AN ANNUAL MANAGEMENT INCENTIVE PLAN. EMPLOYEES AT THE SUPERVISOR LEVEL AND ABOVE MAY BE ELIGIBLE TO PARTICIPATE. THE ANNUAL INCENTIVE PROGRAM IS BASED ON SYSTEM AND OPERATING ENTITY LEVEL PERFORMANCE IN THE AREAS OF QUALITY IMPROVEMENT OUTCOMES, PATIENT SATISFACTION AND FINANCIAL PERFORMANCE. IN ADDITION, A PORTION OF THE PAYOUT PERCENTAGE IS BASED ON GOALS THAT ARE SPECIFIC TO THE PARTICIPANTS' MANAGEMENT ROLES AT THE DIVISION OR DEPARTMENT LEVEL INCLUDING BUT NOT LIMITED TO SUCH METRICS AS OPERATING RESULTS, QUALITY AND SAFETY IMPROVEMENTS, OR CUSTOMER SATISFACTION MEASURES. DETERMINATION OF A PARTICIPANT'S PERCENTAGE OF THE POTENTIAL BONUS PAYOUT (PAID AS A PERCENT OF BASE SALARY) IS BASED ON WHETHER THE INDIVIDUAL ATTAINS AGREED UPON GOALS FOR THEIR AREA OF RESPONSIBILITY AS DETERMINED BY THEIR IMMEDIATE SUPERVISOR AS WELL AS ENTITY AND SYSTEM GOALS MET. HOUSTON METHODIST HOSPITAL ALSO HAS THE DEFERRED RETENTION BONUS PLAN (DRBP), A NONQUALIFIED EMPLOYER FUNDED PLAN. CONTRIBUTIONS ARE MADE TO ELIGIBLE EMPLOYEES EACH YEAR BASED UPON THEIR POSITION THROUGHOUT THE PLAN YEAR WHICH RUNS JULY 1 TO JUNE 30. EACH YEAR'S CONTRIBUTION IS SUBJECT TO THREE YEAR LAPSE TIME CLASS VESTING AT WHICH TIME THE VESTED CONTRIBUTION IS PAID OUT TO THE EMPLOYEE AND TAXED. SCHEDULE J, PART II PURSUANT TO TREASURY REG SECTION 1 6033-2(D)(5), HOUSTON METHODIST HOSPITAL HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GIFTS & GRANTS, COMPENSATION AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES, CERTAIN OTHER HIGHLY PAID EMPLOYEES, CERTAIN PROFESSIONAL CONTRACTORS AND CERTAIN OTHER CONTRACTORS ON A CONSOLIDATED BASIS FOR ALL OF THE MEMBERS OF THE GROUP, INCLUDING THE PARENT ORGANIZATION, ON THE GROUP RETURN OF METHODIST HOSPITAL GROUP, EIN 35-2410801.

Schedule J (Form 990) 2021

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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

2021

Open to Public
Inspection

Name of the organization
THE METHODIST HOSPITAL

Employer identification number
74-1180155

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	HARRIS COUNTY HEALTH FACILITIES DEVELOPMENT CORPORATION	52-1284201	41315RGV0	04-10-2008	350,000,000	REFUNDING BONDS FOR SERIES 2006B ISSUED 5/10/06		X		X		X
B	HARRIS COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION	76-0337885	414009PV6	08-27-2020	370,000,000	NEW MONEY BONDS FOR FUNDING CAPITAL CONSTRUCTION PROJECTS		X		X		X
C	HARRIS COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION	76-0337885	414009BS8	06-02-2009	586,480,000	REFUNDING FOR SERIES 2005A ISSUED 1/20/05 & PORTION OF 2008C ISSUED 8/21/08		X		X		X
D	HARRIS COUNTY CULTURAL EDUCATION FACILITIES FINANCE CORPORATION	76-0337885	414009KE9	08-06-2015	308,098,500	NEW MONEY BONDS FOR FUNDING CAPITAL CONSTRUCTION PROJECTS		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	23,075,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	350,000,000		370,000,000		586,480,000		308,107,608
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............			595,700				1,768,692
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............			369,404,300				306,338,916
11 Other spent proceeds .............	350,000,000				586,480,000
12 Other unspent proceeds .............
13 Year of substantial completion .............			2021				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 2020, 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 2020, 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

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

Cat. No. 50193E

Schedule K (Form 990) 2021

Page 2

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
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?	X		X		X		X
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?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.400 %		0 %		1.700 %		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 .............	0.400 %		0 %		1.700 %		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. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		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

Schedule K (Form 990) 2021

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

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

Part Ⅵ

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

Return Reference

Explanation

SCHEDULE K SUPPLENTAL INFORMATION

SCHEDULE K - PART II, LINE 13 (ISSUES A AND C) ALL OUTSTANDING BONDS OF THE METHODIST HOSPITAL ISSUED PRIOR TO 2015 ARE REFUNDING BONDS. THE METHODIST HOSPITAL ASSUMES THAT LINE 13 DOES NOT ADDRESS REFUNDING BONDS. SCHEDULE K - PART III, LINE 4 (ISSUE C) THE REPORTED PRIVATE USE PERCENTAGE HAS BEEN CALCULATED ON THE PORTION OF THE SERIES 2009C REFUNDING BONDS THAT REFUNDED THE SERIES 2005A BONDS ISSUED IN THE AMOUNT OF $350,000,000. THE REMAINING AMOUNT OF THE SERIES 2009C BONDS THAT REFUNDED BONDS ISSUED PRIOR TO DECEMBER 31, 2002 IN THE AMOUNT OF $236,480,000 WERE EXCLUDED FROM DETERMINING THE REPORTED PRIVATE USE CALCULATION. SCHEDULE K - PART II, LINE 3 (ISSUE D) DIFFERENCES BETWEEN THE ISSUE PRICE (PART I) AND TOTAL PROCEEDS (PART II LINE 3) ARE DUE TO INVESTMENT EARNINGS.

Schedule K (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

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

2021

Open to Public Inspection

Name of the organization

THE METHODIST HOSPITAL

Employer identification number

74-1180155

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 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) 2021

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) JULIA ANDRIENI	FAMILY MEMBER OF ROBERT PHILLIPS-KEY EMPLOYEE	756,547	EMPLOYMENT		No
(2) LEE SCHWARTZ	FAMILY MEMBER OF ROBERTA SCHWARTZ-KEY EMPLOYEE	386,774	EMPLOYMENT		No

Part V

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

Return Reference	Explanation

Schedule L (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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

2021

Open to Public
Inspection

Name of the organization

THE METHODIST HOSPITAL

Employer identification number

74-1180155

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 1A	THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS WHO ARE MEMBERS OF THE BOARD OF DIRECTORS AS DEFINED IN THE BYLAWS; THE RESIDENT BISHOP; AND ONE PHYSICIAN DIRECTOR. IN THE EVENT OF AN EMERGENCY WHEN THERE IS INSUFFICIENT TIME TO CONVENE THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE ALL THE POWERS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS AND AFFAIRS OF THE CORPORATION IN SUCH A MANNER AS THE EXECUTIVE COMMITTEE MAY DEEM TO BE IN THE BEST INTEREST OF THE CORPORATION IN ALL CASES IN WHICH SPECIFIC DIRECTIONS HAVE BEEN GIVEN BY THE BOARD OF DIRECTORS, PROVIDED ANY ACTION WHICH THE COMMITTEE MAY TAKE DOES NOT CONFLICT WITH THE MISSION OF THE CORPORATION AND THE POLICIES AND DIRECTIVES OF THE BOARD OF DIRECTORS. THE CHAIRPERSON OF THE BOARD OF DIRECTORS, UPON THE CALLING OF ANY EXECUTIVE COMMITTEE MEETING, AS THE FIRST ITEM OF BUSINESS, IS REQUIRED TO STATE THE NATURE OF THE EMERGENCY AND THE FACT THAT THERE WAS INSUFFICIENT TIME TO CONVENE THE BOARD OF DIRECTORS, WHICH IS RECORDED IN THE MINUTES BEFORE ANY ACTION IS DEEMED VALID AND ON BEHALF OF THE BOARD OF DIRECTORS. VACANCIES IN THE MEMBERSHIP OF SAID COMMITTEE ARE FILLED BY APPOINTMENT OF THE CHAIRPERSON AND APPROVAL BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE MEETS UPON THE CALL OF THE CHAIRPERSON. THE COMMITTEE KEEPS REGULAR MINUTES OF ITS PROCEEDINGS AND FORTHWITH DELIVERS BY MAIL, FACSIMILE, EMAIL, OR IN PERSON, A WRITTEN REPORT OF THE SAME TO ALL MEMBERS OF THE BOARD OF DIRECTORS. ALL ACTS OR RESOLUTIONS OF THE EXECUTIVE COMMITTEE ARE SUBJECT TO THE APPROVAL OF, OR REVISION BY, THE BOARD OF DIRECTORS, BUT NO RIGHTS OF THIRD PARTIES ARE AFFECTED BY ANY SUCH REVISION. THE SECRETARY OF THE CORPORATION ACTS AS SECRETARY OF THE EXECUTIVE COMMITTEE.
FORM 990, PART VI, SECTION A, LINE 7A	THE TEXAS ANNUAL CONFERENCE OF THE SOUTH CENTRAL JURISDICTION OF THE UNITED METHODIST CHURCH ("CONFERENCE") ELECTS OR RATIFIES THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	THE CONFERENCE HAS THE AUTHORITY TO APPROVE ANY AMENDMENTS TO THE FOLLOWING PROVISIONS OF HOUSTON METHODIST HOSPITAL'S BYLAWS OR THE ARTICLES OF INCORPORATION: I) THE PROVISION THAT THE CONFERENCE ELECTS ALL DIRECTORS OF THIS ORGANIZATION FROM NOMINEES RECOMMENDED BY THE COMMITTEE ON NOMINATIONS OF THE CONFERENCE BASED ON NOMINATIONS MADE BY THE BOARD OF DIRECTORS, (II) THE PROVISION THAT A SUFFICIENT NUMBER OF DIRECTORS BE MEMBERS OF THE UNITED METHODIST CHURCH TO COMPLY WITH THE MEMBERSHIP REQUIREMENTS SET FORTH IN THE BOOK OF DISCIPLINE OF THE UNITED METHODIST CHURCH, (III) THE PROVISION THAT FOUR METHODIST MINISTERS, INCLUDING THE RESIDENT BISHOP BE MEMBERS OF THE BOARD OF DIRECTORS, (IV) THE PROVISION THAT THE BOARD OF DIRECTORS SHALL CONSIST OF NO MORE THAN TWENTY-SIX AND NO FEWER THAN FIFTEEN MEMBERS, OR (V) THE PROVISION THAT AMENDS THE PURPOSE CLAUSES (ARTICLE II AND VI) OF THE ARTICLES OF INCORPORATION OF THE CORPORATION OR THE DISSOLUTION CLAUSE (ARTICLE VII) OF THE ARTICLES OF INCORPORATION OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B	MANAGEMENT, INCLUDING CERTAIN OFFICERS, WORKS DILIGENTLY TO COMPLETE THE FORM 990 AND ATTACHED SCHEDULES ("RETURN") IN A THOROUGH MANNER. THE RETURN IS REVIEWED BY A PAID PREPARER. PRIOR TO FILING THE RETURN, A COPY OF THE FORM 990 IS MADE AVAILABLE TO BOARD MEMBERS (INCLUDING REQUIRED SCHEDULES), AND MANAGEMENT TEAM MEMBERS ARE AVAILABLE TO ANSWER ANY BOARD MEMBERS' QUESTIONS.
FORM 990, PART VI, SECTION B, LINE 12C	INDIVIDUALS SERVING IN A SIGNIFICANT DECISION MAKING CAPACITY COMPLETE A CONFLICT OF INTEREST (COI) QUESTIONNAIRE ANNUALLY. A COMPREHENSIVE EVALUATION AND THOROUGH REVIEW OF DISCLOSURES IS PERFORMED BY A 6-MEMBER COI COMMITTEE COMPRISED OF EXECUTIVES, MANAGEMENT, AND STAFF. THE RESULTS OF THE COI DISCLOSURES ARE SUMMARIZED AND REPORTED TO THE PARENT CORPORATION, HOUSTON METHODIST HOSPITAL'S BOARD AUDIT & COMPLIANCE COMMITTEE, INCLUDING CERTAIN ACTIONS BEING TAKEN TO PROTECT THE INTEGRITY OF HOUSTON METHODIST DECISION-MAKING. IN ADDITION, CERTAIN DISCLOSURE RESULTS ARE ALSO COMMUNICATED TO MANAGEMENT AND TO AFFECTED COMMITTEE CHAIRS TO PROMOTE TRANSPARENCY, PROTECT DECISION-MAKING INTEGRITY, AND TO ENSURE RESTRICTIONS ARE IMPOSED WHERE APPROPRIATE. CONFLICTED INDIVIDUALS MAY NOT VOTE OR EXERT SELF-SERVING INFLUENCE ON THE DISCLOSED MATTER.
FORM 990, PART VI, SECTION B, LINE 15	THIS ORGANIZATION FOLLOWS IRS REGULATIONS AS IT RELATES TO ESTABLISHING A REBUTTABLE PRESUMPTION OF REASONABLENESS RELATED TO TOTAL COMPENSATION OF KEY EMPLOYEES AND COMPENSATED OFFICERS OF THE ORGANIZATION LISTED BELOW. IT HAS ESTABLISHED A PROCESS THAT INCLUDES THE FOLLOWING ELEMENTS: A SEPARATE COMMITTEE (THE BOARD COMMITTEE) COMPRISED OF INDEPENDENT DIRECTORS MEETS AT LEAST ANNUALLY TO REVIEW, DELIBERATE AND MAKE RECOMMENDATIONS TO THE BOARD AS IT RELATES TO ANY CHANGES IN TOTAL COMPENSATION INCLUDING BASE PAY, BONUS AWARDS FROM INCENTIVE PROGRAMS OR BENEFITS AND PERQUISITES OF THE CEO AND OTHER OFFICERS AND SOME KEY EMPLOYEES (TYPICALLY THOSE WHO REPORT DIRECTLY TO THE CEO). THE BOARD COMMITTEE ESTABLISHES THAT NO MEMBER HAS ANY CONFLICT OF INTEREST WITH REGARD TO THE EXECUTIVE COMPENSATION ARRANGEMENTS BEING APPROVED. THE BOARD COMMITTEE REVIEWS AND CONSIDERS INFORMATION PROVIDED BY AN EXTERNAL CONSULTANT ENGAGED TO ENSURE IT HAS DIRECT ACCESS TO: - COMPENSATION INFORMATION PAID BY COMPARABLE ORGANIZATIONS, FOR FUNCTIONALLY COMPARABLE POSITIONS. - COMPENSATION NORMS IN THE ORGANIZATION'S IMMEDIATE LOCALE AND FROM OTHER INDEPENDENT COMPENSATION SURVEYS BY NATIONALLY RECOGNIZED INDEPENDENT FIRMS THAT REPRESENT THE ORGANIZATION'S LOGICAL PEER GROUP; - COMPENSATION INFORMATION THAT INCLUDES INFORMATION ON BASE SALARY, INCENTIVES, BENEFITS AND PERQUISITES FOR TOTAL COMPENSATION COMPARISON PURPOSES TO ENSURE REASONABLE COMPETITIVE RANKING. THE COMMITTEE RELIES ON THE COMPARABILITY DATA TO REACH CONSENSUS THAT ITS RECOMMENDATIONS TO THE BOARD REGARDING EXECUTIVE COMPENSATION CHANGES ARE REASONABLE AND IN LINE WITH THIS ORGANIZATION'S OVERALL TOTAL COMPENSATION PHILOSOPHY FOR EXECUTIVE PAY. THE DELIBERATION AND DECISIONS OF THE COMMITTEE ARE CONTEMPORANEOUSLY SUBSTANTIATED. THE COMPENSATION FOR POSITIONS HELD BY KEY EMPLOYEES NOT INCLUDED IN THE PROCESS ABOVE, IS DETERMINED BASED ON A THOROUGH REVIEW OF NUMEROUS COMPENSATION STUDIES CONDUCTED BY NATIONALLY RECOGNIZED, INDEPENDENT FIRMS THAT PROVIDE MARKET DATA FOR TOTAL COMPENSATION FOR SIMILAR POSITIONS. THE COMPENSATION INFORMATION CONSIDERED INCLUDES INFORMATION ON BASE SALARY, INCENTIVES, AND BENEFITS FOR TOTAL COMPENSATION PURPOSES TO ENSURE REASONABLE COMPETITIVE RANKING IN ORDER TO MEET RECRUITMENT AND RETENTION OBJECTIVES THAT SECURE THE TALENT REQUIRED TO CONTRIBUTE TO ORGANIZATIONAL SUCCESS.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS (EXCEPT FOR THE ARTICLES OF INCORPORATION, WHICH ARE ON FILE WITH THE SECRETARY OF THE STATE OF TEXAS), CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS OF THE ORGANIZATION ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART VII, SECTION B, LINE 1B	PURSUANT TO TREASURY REG SECTION 1 6033-2(D)(5), HOUSTON METHODIST HOSPITAL HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GIFTS & GRANTS, COMPENSATION AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES, CERTAIN OTHER HIGHLY PAID EMPLOYEES, CERTAIN PROFESSIONAL CONTRACTORS AND CERTAIN OTHER CONTRACTORS ON A CONSOLIDATED BASIS FOR ALL OF THE MEMBERS OF THE GROUP, INCLUDING THE PARENT ORGANIZATION, ON THE GROUP RETURN OF METHODIST HOSPITAL GROUP, EIN 35-2410801.
FORM 990, PART XI, LINE 9:	TRANSFER FROM HOUSTON METHODIST HOSPITAL FOUNDATION 132,275. TRANSFER TO OTHER ENTITIES 31,520,627. TRANSFER TO HOUSTON METHODIST HOSPITAL FOUNDATION -2,322,885.

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

Cat. No. 51056K

Schedule O (Form 990) 2021

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

2021

Open to Public Inspection

Name of the organization

THE METHODIST HOSPITAL

Employer identification number

74-1180155

Part I

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

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

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)METHODIST PRIMARY CARE GROUP 6565 FANNIN HOUSTON,TX77030 76-0556120	HEALTH CARE	TX	501(C)(3)	LINE 12B, II	TMH HEALTH CARE GROUP		No
(2)STEHLIN FOUNDATION 6565 FANNIN HOUSTON,TX77030 74-1622404	INACTIVE	TX	501(C)(3)	PF	THE METHODIST RESEARCH INSTITUTE		No
(3)METHODIST HOSPITAL SELF INSURANCE TRUST 6565 FANNIN HOUSTON,TX77030 74-1948396	INSURANCE TRUST	TX	501(C)(3)	LINE 12A, I	THE METHODIST HOSPITAL	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

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

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

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	(h) Percentage ownership	Yes	No
(1) ALLIED METHODIST HOSPITAL PHYSICIANS 6565 FANNIN HOUSTON,TX77030 76-0551274	PHYSICIAN GROUP	TX	N/A	C					No
(2) HOUSTON METHODIST CLEAR LAKE MOB CONDO ASSOC 6565 FANNIN HOUSTON,TX77030 85-1911578	CONDOMINIUM ASSOCIATION	TX	N/A	C					No
(3) HOUSTON METHODIST ST CATHERINE MOB CONDO ASSOC 6565 FANNIN HOUSTON,TX77030 81-4457755	CONDOMINIUM ASSOCIATION	TX	N/A	C					No
(4) HOUSTON METHODIST THE WOODLANDS MOB CONDO ASSOC 6565 FANNIN HOUSTON,TX77030 81-3764171	CONDOMINIUM ASSOCIATION	TX	N/A	C					No
(5) MEDVEST HOLDINGS INC 6565 FANNIN HOUSTON,TX77030 76-0667765	INVESTMENT COMPANY	TX	N/A	C					No
(6) MEDVEST INCORPORATED 6565 FANNIN HOUSTON,TX77030 76-0182470	INVESTMENT COMPANY	TX	N/A	C					No
(7) METHODIST HEALTH CARE SYSTEM SHORT TERM DISABILITY PLAN TRUST 6565 FANNIN HOUSTON,TX77030 76-6161019	INSURANCE TRUST	TX	N/A	T					No
(8) METHODIST WEST HOUSTON MOB CONDO ASSOC 6565 FANNIN HOUSTON,TX77030 30-0655123	CONDOMINIUM ASSOCIATION	TX	N/A	C					No
(9) METHODIST WILLOWBROOK MOB CONDO ASSOC 6565 FANNIN HOUSTON,TX77030 68-0500294	CONDOMINIUM ASSOCIATION	TX	N/A	C					No
(10) METHODIST WILLOWBROOK MOB CONDO ASSOC II 6565 FANNIN HOUSTON,TX77030 26-2137993	CONDOMINIUM ASSOCIATION	TX	N/A	C					No
(11) ROMLAC INC 6565 FANNIN HOUSTON,TX77030 74-1674943	REAL ESTATE INVESTMENT	TX	N/A	C					No
(12) SJMH CONDOMINIUM ASSOCIATION 6565 FANNIN HOUSTON,TX77030 41-2096917	CONDOMINIUM ASSOCIATION	TX	N/A	C					No
(13) THE METHODIST HOSPITAL CONDO ASSOC 6565 FANNIN HOUSTON,TX77030 86-1065871	CONDOMINIUM ASSOCIATION	TX	N/A	C					No
(14) TMH MEDICAL OFFICE BUILDINGS CONDO ASSOC 6565 FANNIN HOUSTON,TX77030 76-0287893	CONDOMINIUM ASSOCIATION	TX	N/A	C					No

Schedule R (Form 990) 2021

Page 3

Part V

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

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

Yes

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

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

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

Yes

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

Yes

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

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

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

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

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

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

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

Yes

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

Yes

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

Yes

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

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

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

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

Yes

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

Yes

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

Yes

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

Yes

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) METHODIST HOSPITAL FOUNDATION	P	11,655,908	FAIR MARKET VALUE
(2) METHODIST HOSPITAL FOUNDATION	C	23,899,893	FAIR MARKET VALUE
(3) METHODIST HOSPITAL FOUNDATION	S	8,816,272	FAIR MARKET VALUE
(4) MEDVEST 1 LIMITED PARTNERSHIP	S	515,568	FAIR MARKET VALUE
(5) ALLIED METHODIST HOSPITAL PHYSICIANS	P	1,195,028	FAIR MARKET VALUE
(6) ALLIED METHODIST HOSPITAL PHYSICIANS	L	1,200,000	FAIR MARKET VALUE
(7) METHODIST HOSPITAL SELF INSURANCE TRUST	Q	14,734,926	FAIR MARKET VALUE
(8) METHODIST HOSPITAL SELF INSURANCE TRUST	B	12,237,926	FAIR MARKET VALUE
(9) METHODIST HOSPITAL SELF INSURANCE TRUST	R	8,000,000	FAIR MARKET VALUE
(10) TMH PHYSICIAN ORGANIZATION	P	164,733,571	FAIR MARKET VALUE
(11) TMH PHYSICIAN ORGANIZATION	Q	14,704,109	FAIR MARKET VALUE
(12) TMH PHYSICIAN ORGANIZATION	B	5,424,971	FAIR MARKET VALUE
(13) TMH PHYSICIAN ORGANIZATION	L	3,689,597	FAIR MARKET VALUE
(14) TMH PHYSICIAN ORGANIZATION	J	2,309,366	FAIR MARKET VALUE
(15) TMH PHYSICIAN ORGANIZATION	S	299,679,213	FAIR MARKET VALUE
(16) MEDVEST INCORPORATED	L	155,000	FAIR MARKET VALUE
(17) MEDVEST INCORPORATED	R	2,672,146	FAIR MARKET VALUE
(18) METHODIST PRIMARY CARE GROUP	Q	1,437,911	FAIR MARKET VALUE
(19) METHODIST PRIMARY CARE GROUP	L	550,000	FAIR MARKET VALUE
(20) METHODIST PRIMARY CARE GROUP	R	41,229,858	FAIR MARKET VALUE
(21) METHODIST HEALTH CENTERS	P	250,000	FAIR MARKET VALUE
(22) METHODIST HEALTH CENTERS	Q	5,225,253	FAIR MARKET VALUE
(23) METHODIST HEALTH CENTERS	B	211,609	FAIR MARKET VALUE
(24) METHODIST HEALTH CENTERS	L	196,791,809	FAIR MARKET VALUE
(25) METHODIST HEALTH CENTERS	J	155,523	FAIR MARKET VALUE
(26) METHODIST HEALTH CENTERS	S	4,129,321	FAIR MARKET VALUE
(27) METHODIST HEALTH CENTERS	R	193,920,216	FAIR MARKET VALUE
(28) HOUSTON METHODIST ST JOHN HOSPITAL	Q	1,909,883	FAIR MARKET VALUE
(29) HOUSTON METHODIST ST JOHN HOSPITAL	L	22,701,368	FAIR MARKET VALUE
(30) HOUSTON METHODIST ST JOHN HOSPITAL	S	9,546,614	FAIR MARKET VALUE
(31) HOUSTON METHODIST ST CATHERINE	Q	148,676	FAIR MARKET VALUE
(32) HOUSTON METHODIST ST CATHERINE	L	2,099,622	FAIR MARKET VALUE
(33) HOUSTON METHODIST ST CATHERINE	J	83,550	FAIR MARKET VALUE
(34) HOUSTON METHODIST ST CATHERINE	K	925,732	FAIR MARKET VALUE
(35) HOUSTON METHODIST ST CATHERINE	R	24,990,827	FAIR MARKET VALUE
(36) DIAGNOSTIC CENTER HOSPITAL	S	122,330	FAIR MARKET VALUE
(37) TMH MEDICAL OFFICE BUILDINGS	Q	800,291	FAIR MARKET VALUE
(38) TMH MEDICAL OFFICE BUILDINGS	L	3,150,000	FAIR MARKET VALUE
(39) TMH MEDICAL OFFICE BUILDINGS	R	50,103,048	FAIR MARKET VALUE
(40) THE METHODIST HOSPITAL RESEARCH INSTITUTE	P	99,067,880	FAIR MARKET VALUE
(41) THE METHODIST HOSPITAL RESEARCH INSTITUTE	Q	13,928,172	FAIR MARKET VALUE
(42) THE METHODIST HOSPITAL RESEARCH INSTITUTE	B	11,063,589	FAIR MARKET VALUE
(43) THE METHODIST HOSPITAL RESEARCH INSTITUTE	L	8,065,394	FAIR MARKET VALUE
(44) THE METHODIST HOSPITAL RESEARCH INSTITUTE	J	6,563,998	FAIR MARKET VALUE
(45) THE METHODIST HOSPITAL RESEARCH INSTITUTE	S	96,543,370	FAIR MARKET VALUE
(46) HOUSTON METHODIST ACADEMIC INSTITUTE	P	25,650,532	FAIR MARKET VALUE
(47) HOUSTON METHODIST ACADEMIC INSTITUTE	B	1,275,360	FAIR MARKET VALUE
(48) HOUSTON METHODIST ACADEMIC INSTITUTE	L	635,111	FAIR MARKET VALUE
(49) HOUSTON METHODIST ACADEMIC INSTITUTE	S	22,619,272	FAIR MARKET VALUE
(50) SAN JACINTO METHODIST HOSPITAL	Q	1,081,193	FAIR MARKET VALUE
(51) SAN JACINTO METHODIST HOSPITAL	B	130,868	FAIR MARKET VALUE
(52) SAN JACINTO METHODIST HOSPITAL	L	34,646,341	FAIR MARKET VALUE
(53) SAN JACINTO METHODIST HOSPITAL	R	88,582,014	FAIR MARKET VALUE
(54) HOUSTON METHODIST COORDINATED CARE	L	3,385,000	FAIR MARKET VALUE
(55) HOUSTON METHODIST COORDINATED CARE	R	4,716,621	FAIR MARKET VALUE

Schedule R (Form 990) 2021

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2021

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) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PROVIDE MEDICAL CARE (SEE MISSION STATEMENT ON PAGE 2)
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	25
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	22
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	13,290
6	Total number of volunteers (estimate if necessary) .............	6	1,158
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,655,636
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	197,395,400	192,547,051
9	Program service revenue (Part VIII, line 2g) .........	2,177,812,722	2,523,982,801
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	48,511,034	99,445,184
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	54,800,857	59,762,179
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	2,478,520,013	2,875,737,215
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	5,255,519	57,758,338
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)	897,155,278	1,071,912,998
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,365,613,631	1,568,266,473
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,268,024,428	2,697,937,809
19	Revenue less expenses. Subtract line 18 from line 12.......	210,495,585	177,799,406
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	9,741,386,919	10,162,124,093
21	Total liabilities (Part X, line 26).............	3,211,643,292	2,934,033,130
22	Net assets or fund balances. Subtract line 21 from line 20.....	6,529,743,627	7,228,090,963

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 2,353,676,522 including grants of $ 57,758,338 ) (Revenue $ 2,542,280,130 )
	SEE SCHEDULE OCURRENTLY HOUSTON METHODIST HOSPITAL OPERATES 1,398 LICENSED BEDS IN ITS TEXAS MEDICAL CENTER FACILITIES. HOUSTON METHODIST HOSPITAL RECORDED 526,979 VISITS DURING 2021 WHICH WERE COMPRISED OF 401,456 OUTPATIENT VISITS, 84,662 EMERGENCY ROOM VISITS AND 40,861 INPATIENT ADMISSIONS. IT ALSO PERFORMED 14,256 INPATIENT SURGERIES AND 25,543 OUTPATIENT SURGERIES IN 2021.THE PRINCIPAL MEDICAL SERVICES AVAILABLE AT HOUSTON METHODIST HOSPITAL ARE ANESTHESIOLOGY, CARDIOVASCULAR SURGERY, ORAL & MAXILLOFACIAL-HOSPITAL DENTISTRY, DERMATOLOGY, FAMILY MEDICINE, GENERAL SURGERY, INTERNAL MEDICINE, CARDIOLOGY, CLINICAL IMMUNOLOGY, GASTROENTEROLOGY, GENERAL MEDICINE, HEMATOLOGY, HYPERTENSION TREATMENT, INFECTIOUS DISEASES, MEDICAL GENETICS, METABOLIC AND ENDOCRINE DISEASES, NUCLEAR MEDICINE, ONCOLOGY, PHARMACOLOGY, PULMONARY DISEASES, RENAL DISEASES, RHEUMATOLOGY, NEUROPHYSIOLOGY, NEUROSURGERY, OBSTETRICS AND GYNECOLOGY, OPHTHALMOLOGY, ORTHOPEDIC SURGERY, OTOLARYNGOLOGY-HEAD & NECK SURGERY, PATHOLOGY, PEDIATRICS, PHYSICAL MEDICINE AND REHABILITATION, PLASTIC SURGERY, PSYCHIATRY, RADIOLOGY, RADIOTHERAPY, AND UROLOGY. HOUSTON METHODIST HOSPITAL ALSO OFFERS A RANGE OF ADDITIONAL PATIENT SERVICES, INCLUDING AMBULATORY SURGERY, A BLOOD DONOR CENTER, A REHABILITATION CENTER, A SKILLED NURSING FACILITY, AND A BROAD RANGE OF PREVENTIVE HEALTH CARE INSTRUCTION, INCLUDING SMOKING CESSATION, STRESS MANAGEMENT, WEIGHT CONTROL, AND CARDIAC AND PULMONARY REHABILITATION.GENERAL OUTPATIENT SERVICES OFFERED BY HOUSTON METHODIST HOSPITAL INCLUDE AUDIOLOGY, SPEECH PATHOLOGY, PSYCHIATRIC SERVICES, DIAGNOSTIC CARDIOLOGY (INCLUDING NUCLEAR CARDIOLOGY, ECHOCARDIOGRAPHY, ELECTROCARDIOGRAPHY, PACEMAKER EVALUATION, AND CORONARY CATHETERIZATION), ENDOSCOPY, EMERGENCY SERVICES, GENERAL AND DIAGNOSTIC RADIOLOGY (INCLUDING FLUOROSCOPY, ULTRASOUND, MAMMOGRAPHY, MYELOGRAPHY, CT SCANNING, AND MRI), NUCLEAR MEDICINE, PATHOLOGY, PERIPHERAL VASCULAR LABORATORY, DERMATOLOGY, PHYSICAL MEDICINE, RADIOTHERAPY, SLEEP STUDIES AND NEUROPHYSIOLOGIC EVALUATIONS, AND SURGERY.HOUSTON METHODIST HOSPITAL OPERATES A MULTI-ORGAN TRANSPLANT CENTER. TRANSPLANTS BEING PERFORMED AT PRESENT INCLUDE KIDNEY, HEART, LUNGS, LIVER, PANCREAS, AND BONE MARROW. HOUSTON METHODIST HOSPITAL RESPONDS TO THE COMMUNITY'S NEEDS NOT ONLY THROUGH THE PROVISION OF MEDICAL CARE, BUT ALSO THROUGH EDUCATION OF HEALTH PROFESSIONALS AND PATIENTS, COMMUNITY HEALTH EDUCATION, DONATIONS TO HEALTH CARE RELATED EVENTS AND OTHER SERVICES, AND MEDICAL AND HEALTH RESEARCH.

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












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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses2,353,676,522

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)				(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(1) NINE OFFICERDIR-SEE METHODIST...................................................................... HOSPITAL GROUP RETURN-SCHE	4.89 ................. 6.22	X	X			3,911,494	0	48,533
(2) SEVENTEEN DIRECTORS-SEE METHODIST...................................................................... HOSPITAL GROUP RETURN-SCHE	2.00 ................. 7.53	X				125,275	1,364,231	112,509
(3) ONE OFFICER-SEE METHODIST...................................................................... HOSPITAL GROUP RETURN-SCHE	24.00 ................. 26.00		X			1,786,766	0	49,671
(4) NINE KEY EMPLOYEES-SEE METHODIST...................................................................... HOSPITAL GROUP RETURN-SCHE	46.00 ................. 4.00			X		8,557,707	0	312,088
(5) FOUR HIGHEST PD EMPLOYEES-SEE...................................................................... HOSPITAL GROUP RETURN-SCHE	43.75 ................. 6.25				X	2,968,494	0	201,215

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	17,349,736	1,364,231	724,016

(A) Name and business address	(B) Description of services	(C) Compensation
FIVE CONTRACTORS-CONSOLIDATED WITH METHODIST HOSPITAL GROUP HOUSTON,TX77030	SEE EXPLANATION IN SCHEDULE O	73,654,463




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 217

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	23,899,893
e	Government grants (contributions)		1e	168,647,158

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.......		192,547,051

		Business Code
2a	PATIENT CARE SERVICES	621990	2,497,261,031	2,497,261,031
b	RELATED ORG. RENT	531390	26,721,770	26,659,370	62,400
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		2,523,982,801

3 Investment income (including dividends, interest, and othersimilar amounts) ......			87,860,975			87,860,975
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	93,472	9,344,682,373	7a
b	Less: cost or other basis and sales expenses	4,176,161	9,329,015,475	7b
c	Gain or (loss)	-4,082,689	15,666,898	7c
d	Net gain or (loss).........			11,584,209			11,584,209
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	MANAGEMENT FEE INCOME		524298	33,085,512		1,510,000	31,575,512
b	FOOD SERVICE		722514	8,296,712		610	8,296,102
c	PARKING REVENUE		812930	3,340,829	3,340,829
d	All other revenue ....			15,039,126	14,956,500	82,626
e	Total. Add lines 11a–11d ......			59,762,179
12	Total revenue. See instructions.....			2,875,737,215	2,542,217,730	1,655,636	139,316,798

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	57,758,338	57,758,338
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	14,791,535		14,791,535
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	1,143,321		1,143,321
7	Other salaries and wages........	763,341,639	683,133,596	80,208,043
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	51,381,535	27,030,321	24,351,214
9	Other employee benefits .......	172,082,152	171,299,300	782,852
10	Payroll taxes ...........	69,172,816	51,196,610	17,976,206
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	11,926,487		11,926,487
c	Accounting ...........	605,300		605,300
d	Lobbying ...........	1,017,949		1,017,949
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	19,689,828		19,689,828
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	146,662,163	128,161,010	18,501,153
12	Advertising and promotion ....	13,213,841	85,479	13,128,362
13	Office expenses .......	27,831,089	19,236,393	8,594,696
14	Information technology ......	86,908,544	85,835,234	1,073,310
15	Royalties ..
16	Occupancy ...........	31,141,733	26,246,600	4,895,133
17	Travel ............	902,376	328,536	573,840
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	807,327	614,276	193,051
20	Interest ...........	29,712,526		29,712,526
21	Payments to affiliates .......	31,651,667		31,651,667
22	Depreciation, depletion, and amortization ..	138,202,310	114,298,265	23,904,045
23	Insurance ...	780,909	114,635	666,274
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	663,573,400	660,468,931	3,104,469
b	SUPPORT FOR MPO	126,000,000	126,000,000
c	PROF. SERVICES (NET)	103,228,885	102,035,974	1,192,911
d	SUPPORT FOR MRI	98,552,738	98,552,738
e	All other expenses	35,857,401	1,280,286	34,577,115
25	Total functional expenses. Add lines 1 through 24e	2,697,937,809	2,353,676,522	344,261,287	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 ........			990,465,899	1	397,353,835
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			290,556,757	4	308,131,658
5	Loans and other receivables from 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 .......
					5
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) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			50,059,663	8	55,705,401
9	Prepaid expenses and deferred charges ......			40,079,252	9	40,947,736
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	4,238,250,817
b	Less: accumulated depreciation	10b	2,328,634,165	1,966,686,799	10c	1,909,616,652
11	Investments—publicly traded securities .			5,975,864,826	11	7,111,010,390
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			19,591,309	14	19,591,309
15	Other assets. See Part IV, line 11 ...........			408,082,414	15	319,767,112
16	Total assets. Add lines 1 through 15 (must equal line 33)...			9,741,386,919	16	10,162,124,093

17	Accounts payable and accrued expenses .....	1,079,789,801	17	727,533,144
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	1,970,731,039	20	1,983,776,890
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
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 .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	161,122,452	25	222,723,096
26	Total liabilities. Add lines 17 through 25..	3,211,643,292	26	2,934,033,130

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	6,529,743,627	27	7,228,090,963
28	Net assets with donor restrictions ...........		28
	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 ...........	6,529,743,627	32	7,228,090,963
33	Total liabilities and net assets/fund balances ........	9,741,386,919	33	10,162,124,093

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