TY 2022 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

2022

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) 2022

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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 2022 (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—2022. 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—2021. 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—2022. 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—2021. 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) 2022

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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. 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—2021. 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) 2022

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) 2022

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) 2022

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) 2022

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 2022 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-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, 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 2022. 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 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

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) 2022

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

2022

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) (2022)

Schedule B (Form 990) (2022) 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) (2022)

Schedule B (Form 990) (2022)

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) (2022)

Schedule B (Form 990) (2022)

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) (2022)

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

464,921

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

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

Yes

159,842

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

624,763

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 ....	600,359,234	501,522,045	438,909,392	354,742,443	332,622,778
b	Contributions ...	82,335,480	45,028,495	11,496,108	26,052,075	48,172,415
c	Net investment earnings, gains, and losses	-91,205,931	60,007,314	58,476,254	64,791,438	-18,902,826
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	10,601,798	6,198,620	7,359,709	6,676,564	7,149,924
f	Administrative expenses ....
g	End of year balance ......	580,886,985	600,359,234	501,522,045	438,909,392	354,742,443

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

84.260 %

Term endowment SchDMd Bullet

15.740 %

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 .....	31,229,924	197,402,212		228,632,136
b	Buildings ....		2,306,841,023	1,041,512,225	1,265,328,798
c	Leasehold improvements		748,024	298,423	449,601
d	Equipment ....		1,820,578,338	1,464,964,552	355,613,786
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					1,850,024,321

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)DUE FROM AFFILIATES				125,658,158
(2)CONSTRUCTION IN PROGRESS				198,190,992
(3)DEPOSITS AND MISCELLANEOUS RECEIVABLES				146,571,185
(4)INVESTMENT-MEMORIAL PARTNERS				31,320,000
(5)LITCHFIELD K-1 INCOME				3,240
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				501,743,575

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.)	260,679,127
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 293 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

2022

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	293,839,585
	EUROPE (INCLUDING ICELAND & GREENLAND)	0	0	PASSIVE INVESTMENTS	293,765,339
	MIDDLE EAST AND NORTH AFRICA	0	0	PASSIVE INVESTMENTS	2,215,979
	SOUTH AMERICA	0	0	PASSIVE INVESTMENTS	16,957,472
	NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES	0	0	PASSIVE INVESTMENTS	28,845,200
	SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA FASO,	0	0	PASSIVE INVESTMENTS	8,502,249
	RUSSIA AND NEIGHBORING STATES	0	0	PASSIVE INVESTMENTS	8,105,140










3a	Sub-total ....	0	0		652,230,964
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		652,230,964

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2022

Schedule F (Form 990) 2022

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) 2022

Schedule F (Form 990) 2022Page 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) 2022

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2022

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) 2022

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 20a.
MediumBullet

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2022

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) . . .	140,239,292	0	140,239,292	5.220 %
b	Medicaid (from Worksheet 3, column a) . . . . .	87,564,989	70,163,099	17,401,890	0.650 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	5,967	53,110	0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	227,810,248	70,216,209	157,641,182	5.870 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	894,777	0	894,777	0.030 %
f	Health professions education (from Worksheet 5) . . .	62,329,027	17,701,418	44,627,609	1.660 %
g	Subsidized health services (from Worksheet 6) . . . .	0	0
h	Research (from Worksheet 7) .	137,961,573	64,198,672	73,762,901	2.750 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	4,851,389	0	4,851,389	0.180 %
j	Total. Other Benefits . .	206,036,766	81,900,090	124,136,676	4.620 %
k	Total. Add lines 7d and 7j .	433,847,014	152,116,299	281,777,858	10.490 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022

Schedule H (Form 990) 2022

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. ......

16,598,670

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).....

400,149,097

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

493,930,693

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

-93,781,596

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) 2022

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) 2022

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 22

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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

Yes

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

Hospital facility’s website (list url): 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 22

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) 2022

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) 2022

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) 2022

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) 2022

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 IDENTIFIED ITS COMMUNITY HEALTH PRIORITIES FOR THE 2023-2025 IMPLEMENTATION PLAN THROUGH THE EXECUTION OF A LARGE-SCALE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2022. 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 REQUIRED THE HOSPITAL SYSTEM TO 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 INSIGHT INTO THE TOP SOCIAL AND HEALTH PRIORITIES OF OUR CITY. THE SURVEY CONSISTED OF 41 QUESTIONS DIVIDED UNDER THE CATEGORIES OF: -TELL US ABOUT YOURSELF -TELL US ABOUT YOUR HEALTH -TELL US ABOUT YOUR COMMUNITY AND SOCIAL EXPERIENCES -TELL US HOW YOU FEELDISTRIBUTING THE SURVEY: AFTER THE SURVEY QUESTIONS WERE DEVELOPED, THE SURVEYS WERE DISTRIBUTED ELECTRONICALLY AND IN HARD COPY FORM ACROSS THE GREATER HOUSTON COMMUNITY. HARD COPY SURVEYS WERE DISTRIBUTED TO 14 UNIQUE NONPROFIT AGENCIES PROVIDING HEALTH CARE AND SOCIAL SERVICES TO DIVERSE POPULATIONS PROMARILY COMPRISED OF THE UNDERSERVED. THE 14 UNIQUE AGENCIES ARE OUTLINED BELOW: -ACCESSHEALTH -CHRIST CLINIC -COMMUNITY ASSISTANCE CENTER -EL CENTRO DE CORAZN -HEALTHCARE FOR THE HOMELESS-HOUSTON -HOPE CLINIC -LEGACY COMMUNITY HEALTH -LONESTAR FAMILY HEALTH CENTER -MEMORIAL ASSISTANCE MINISTRIES -NORTHWEST ASSISTANCE MINISTRIES -SAN JOSE CLINIC -TARGET HUNGER -VECINO HEALTH CENTERS -100 BLACK MEN OF METROPOLITAN HOUSTONIN ADDITION TO 14 NONPROFITS, HARD 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 WERE ALSO DISTRIBUTED AT HOUSTON METHODIST BAYTOWN HOSPITAL, HOUSTON METHODIST CLEAR LAKE HOSPITAL AND HOUSTON METHODIST WILLOWBROOK HOSPITAL. ELECTRONIC SURVEYS WERE EMAILED TO MORE THAN 100 COMMUNITY ORGANIZATIONS AND POSTED ON SOCIAL NETWORKING SITES TO CAPTURE AN UNCONTROLLED GROUP OF RESPONDENTS. OVERALL, THE SURVEY PROCESS YIELDED 1,319 RESPONDENTS.TARGET SURVEY AUDIENCE: THE SURVEY WAS DISTRIBUTED WITH THE PURPOSE OF CAPTURING AS MANY MEMBERS OF THE COMMUNITY AS POSSIBLE, REPRESENTING THE DIVERSITY OF GREATER HOUSTON. AS A RESULT:- 71% OF RESPONDENTS IDENTIFIED AS BELONGING TO A RACIAL/ETHNIC MINORITY GROUP.- 49% HAD A HOUSEHOLD INCOME OF $35,000 OR LESS.- 72% IDENTIFIED AS HAVING SOME FORM OF INSURANCE WITH 28% BEING UNINSURED.- 31% OF RESPONDENT IDENTIFIED AS BEING MALE VS 66% FEMALE.THE FEEDBACK FROM THE UNDERSERVED COMMUNITY AND GENERAL GREATER HOUSTON POPULATION SERVED AS THE BASIS FOR INTERVIEWS WITH COMMUNITY HEALTH LEADERS.SURVEY RESULTS ANALYZED: SURVEY RESPONSES WERE COLLECTED BETWEEN FEBRUARY 24, 2022 AND APRIL 22, 2022. 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. SURVEY RESULTS INDICATED COMMUNITY MEMBERS OPINIONS ON THE ELEMENTS NEEDED TO BUILD A HEALTH COMMUNITY.PHASE 2: COMMUNITY LEADERS AND STAKEHOLDER FEEDBACK SELECTION 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: HMH COMPILED A LIST OF TOP HEALTH AND COMMUNITY EXPERTS FROM AROUND THE GREATER HOUSTON COMMUNITY AND STATE TO SUPPORT THE STAKEHOLDER INTERVIEW PROCESS. A SET OF KEY QUESTIONS COVERING RELEVANT HEALTH AND SOCIAL TOPICS WERE DEVELOPED. EXPERTS AND LEADERS WERE PULLED FROM A VARIETY OF SPECIALTY AREAS, INCLUDING BUT NOT LIMITED TO DISEASE SPECIALISTS, NONPROFIT LEADERS, POLICYMAKERS AND MORE. THOSE ENGAGED WERE EXPERTS IN THEIR FIELD AND REPRESENTED FEDERALLY QUALIFIED HEALTH CENTERS, FREE/CHARITY CLINICS, LOCAL GOVERNMENTAL AGENCIES, HOSPITALS, MULTISERVICE AGENCIES, FAITH BASED ORGANIZATIONS, HIGHER EDUCATION AND MORE. THIRTY-FOUR SUBJECT MATTER EXPERTS AND LEADERS PROVIDED INPUT VIA AN ONLINE SURVEY AND/OR PERSONAL COMMUNICATION.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 SURVEYWITHIN ORGANIZATIONS THAT PRIMARILY SERVED LOW-INCOME AND/OR MINORITY GROUPS TO ENSURE A HOLISTIC UNDERSTANDING OF NEEDS WERE OBTAINED. INPUT COLLECTION: INPUT FROM PERSON(S) WITH SPECIAL KNOWLEDGE -CHIEF EXECUTIVE OFFICER, JUSTICE FORWARD -CHIEF EXECUTIVE OFFICER, THE COUNCIL ON RECOVERY -VICE PRESIDENT, EDUCATION ADMINISTRATION, HOUSTON METHODIST ACADEMIC INSTITUTE -DIRECTOR OF NURSING, HOUSTON METHODIST HOSPITAL -MEDICAL DIRECTOR, HOUSTON METHODIST GLOBAL HEALTH CARE SERVICES, CHAIRMAN EMERITUS, HOUSTON METHODIST HOSPITAL DIVISION OF INFECTIOUS DISEASES, HOUSTON METHODIST -DIRECTOR-PROVIDER ENGAGEMENT & RESILIENCE, HOUSTON METHODIST -VICE CHAIRMAN, PSYCHIATRY & BEHAVIORAL HEALTH, HOUSTON METHODIST -VICE PRESIDENT, GOVERNMENT AFFAIRS, HOUSTON METHODIST -DIRECTOR, HUMAN RESOURCES CLIENT SERVICES & STANDARDS, HOUSTON METHODIST -CHIEF ADMINISTRATIVE OFFICER, THE HARRIS CENTER FOR MENTAL HEALTH AND IDD -SENIOR WELLNESS DIETITIAN, HOUSTON METHODIST -MANAGER, EMPLOYEE WELLNESS SERVICES, HOUSTON METHODISTVICE INPUT COLLECTION: INPUT FROM MEMBERS WITH BROAD INTEREST IN THE COMMUNITY -BISHOP, TEXAS ANNUAL CONFERENCE -SENIOR RABBI, CONGREGATION BETH ISRAEL -PRESIDENT & CEO, EPISCOPAL HEALTH FOUNDATION -DIRECTOR OF MINISTRY, THE FOUNTAIN OF PRAISE INPUT COLLECTION: INPUT FROM LEADERS AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME POPULATIONS -EXECUTIVE VICE PRESIDENT, HEALTHCARE FOR THE HOMELESS HOUSTON -DIRECTOR OF PROGRAM DEVELOPMENT, VECINO HEALTH CENTERS -TREASURER, BOARD OF DIRECTORS, HISPANIC HEALTH COALITION -SR. VICE PRESIDENT OF PROGRAMS, MEMORIAL AREA MINISTRIES -CHIEF CLINICAL OFFICER, SAN JOS CLINIC -DIRECTOR OF BEHAVIORAL HEALTH SERVICES, SPRING BRANCH COMMUNITY HEALTH CENTER -EXECUTIVE DIRECTOR, CHRIST CLINIC -CHIEF EXECUTIVE OFFICER, LONESTAR FAMILY HEALTH CENTER -VICE PRESIDENT, CENTER FOR RESILIENCY, THE ALLIANCE -CHIEF EXECUTIVE OFFICER, HEALTHCARE FOR THE HOMELESS HOUSTON -CHIEF POPULATION HEALTH OFFICER, ACCESSHEALTH -CHIEF EXECUTIVE OFFICER, EL CENTRO DE CORAZON -CHIEF EXECUTIVE OFFICER, VECINO HEALTH CENTERS -CHIEF ADMINISTRATIVE OFFICER, COMMUNITY HEALTH NETWORK -VICE PRESIDENT OF PROGRAM OPERATIONS, COALITION FOR THE HOMELESS OF HOUSTON -CHIEF EXECUTIVE OFFICER, SANTA MARIA HOSTEL, INC. -MEDICAL DIRECTOR, SPECIALTY SERVICES, LEGACY COMMUNITY HEALTH -CHIEF EXECUTIVE OFFICER, TOMAGWA HEALTHCARE MINISTRIES -CLINICAL PSYCHOLOGIST, LONE STAR CIRCLE OF CARE -CHIEF EXECUTIVE OFFICER, SPRING BRANCH COMMUNITY HEALTH CENTER -MEDICAL DIRECTOR, EL CENTRO DE CORAZON -CHIEF EXECUTIVE OFFICER, TARGET HUNGER
HOUSTON METHODIST HOSPITAL	PART V, SECTION B, LINE 6A: ADDITIONAL HOSPITAL FACILITIES THAT HMH CONDUCTED A CHNA WITH INCLUDE:-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 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, INCLUDING STAKEHOLDERS, OTHER HEALTH CARE FACILITIES, ETC. IN ADDITION, THE 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: HOUSTON METHODIST HOSPITAL WAS ABLE TO IDENTIFY THE TOP FOUR HEALTH PRIORITIES OF ITS COMMUNITY VIA THE CHNA PROCESS. THE HEALTH PRIORITIES THAT HMH IDENTIFIED THROUGH ITS MOST RECENTLY CONDUCTED CHNA ARE AS FOLLOWS: -INCREASING ACCESS TO PRIMARY CARE SERVICES TO SUPPORT PREVENTION AND MANAGEMENT OF CHRONIC CONDITIONS -INCREASING ACCESS TO SPECIALTY CARE SERVICES TO SUPPORT CHRONIC CONDITION MANAGEMENT. -PROMOTING HEALTHY LIVING BEHAVIORS TO REDUCE CHRONIC DISEASE AND SUBSTANCE USE DISORDER DEVELOPMENT. -INCREASING ACCESS TO MENTAL HEALTH CARE SERVICES INCLUDING TREATMENT FOR SUBSTANCE USE DISORDERS.DUE TO THE TIMING OF THE CHNA, WHICH WAS ADOPTED IN NOVEMBER, 2022, THE RESULTING IMPLEMENTATION PLAN APPLIES TO FISCAL YEARS 2023-25. HOWEVER, HMH PERFORMED THE FOLLOWING TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY IN RESPONSE TO THE PRIOR CHNA. 2022 HEALTH NEED: INCREASE ACCESS TO PRIMARY CARE SERVICES FOR THE SURROUNDING COMMUNITY2022 GOALS: -TO INCREASE THE NUMBER OF PATIENTS WHO ARE SEEN VIA VIRTUAL HEALTH MODALITY BY 10% FROM 24,621 IN 2021 TO 27,083 BY Q4 2022 -TO REDUCE APPOINTMENT NO SHOW RATES FROM AN ESTIMATED 4.39% IN 2021 TO 4% ACROSS THE PCG BY THE END OF Q4. -TO INCREASE THE NUMBER OF STUDENT-ATHLETE PRE-PARTICIPATION PHYSICAL EXAMS FROM 2,255 TO 2,300 BY Q4 2022. -TO HAVE 25 COACHES/COMMUNITY MEMBERS ATTEND CAMPUS OUTREACH PROGRAM TO PROMOTE SCHOOL AND STUDENT ENGAGEMENT IN PRE-PARTICIPATION PHYSICAL EXAMS BY END OF Q2 2022. -TO INCREASE THE VOLUME OF SAME DAY VISITS BY 5% FROM 5,898 VISITS IN 2021 TO 6,193 VISITS BY END OF Q4 2022 ACROSS THE SYSTEM. -TO INCREASE THE SHOW RATE OF HOUSTON METHODIST HOSPITAL UNDERSERVED PATIENTS REFERRED TO THE COMMUNITY NETWORK OF CARE PROGRAM TO 60% BY END OF Q4.2022 OUTCOMES: -THE NUMBER OF VIRTUAL URGENT CARE VISITS INCREASED FROM 24,621 TO 29,145, AN 18% INCREASE FROM 2021. -THE NUMBER OF NO SHOW RATES DECREASED FROM 4.39% IN 2021 TO 4.18% IN 2022. -THE NUMBER OF STUDENT-ATHLETES WHO RECEIVED PHYSICAL EXAMS INCREASED BY 8% FROM 2,255 IN 2021 TO 2,445 IN 2022. -DUE TO COVID-19 LIMITATIONS, OUTREACH VISITS AND ENGAGEMENT EFFORTS WERE LIMITED. -THE NUMBER OF SAME DAYS VISITS INCREASED FROM 5,898 VISITS IN 2021 TO 6,551 IN 2022 WITHOUT A NEW PRIMARY CARE GROUP LOCATION ADDITION -THE NETWORK OF CARE PROGRAM SHOW RATE INCREASED FROM 37% IN 2021 TO 48% IN 2022. 2022 HEALTH NEED: REDUCE BARRIERS TO ACCESSING SPECIALTY CARE SERVICES FOR THE SURROUNDING UNDERSERVED COMMUNITY2022 GOALS: -TO INCREASE THE NUMBER OF TELEMEDICINE CONSULTS BY THE END OF Q4 2022. -TO INCREASE THE NUMBER OF STUDENTS THAT HAVE RECEIVED TRAINING SERVICES BY 10% FROM 14,732 IN 2021 TO 16,205 BY Q4 OF 2022. -TO EXPAND THE SCOPE OF SERVICES OFFERED VIA COMMUNITY SCHOLARS FROM 8 TO 10 SPECIALTIES WHILE TREATING MORE COMPLEX CASES WITHIN HOUSTON METHODIST HOSPITAL BASED ON PROGRAM REFERRALS WHILE REMOVING PHYSICAL BARRIERS TO ACCESSING THE TMC FACILITIES BY Q4. -TO REDUCE APPOINTMENT NO SHOW RATES FROM 4.3% IN 2021 TO 4% ACROSS THE SPECIALTY PHYSICIAN GROUP BY THE END OF Q4 2022. -TO INCREASE ADULT CONGENITAL HEART DISEASE (ACHD) OUTPATIENT AND CLINIC VOLUMES BY 75% FROM 1,599 VISITS IN 2021 TO 2,798 VISITS BY THE END OF Q4 2022. -TO INCREASE PREVENTIVE MEDICINE INDIVIDUAL PATIENT ENCOUNTERS BY 200% FROM 1,949 PATIENTS IN 2021 TO 5,847 PATIENTS BY THE END OF Q4 2022. -TO INCREASE PET/CT IMAGING BY 100% FROM 2,246 PATIENT ENCOUNTERS IN 2021 TO 4,492 PATIENT ENCOUNTERS AT THE END OF Q4 2022. -TO INCREASE PSYCHOSOCIAL SUPPORT THROUGH COUNSELING SERVICES FROM 176 PATIENTS IN 2021 TO 180 CANCER PATIENTS BY THE END OF Q4 2022. -TO INCREASE NUMBER OF CANCER PATIENTS RECEIVING FINANCIAL NAVIGATION SUPPORT BY 5% FROM 532 IN 2021 TO 559 BY Q4 2022. -TO INCREASE LUNG CANCER SCREENING UTILIZATION BY 25% FROM 180 IN 2021 TO 225 BY END OF Q4 2022. -TO INCREASE THE NUMBER OF CLINICAL TRIALS INCLUSIVE OF MINORITY POPULATIONS BY AT LEAST 3% FROM 8.4% IN 2021 TO 11.4% BY END OF Q4 OF 2022. -TO INCREASE THE COMPLEX CARE INITIATIVE PATIENT ENGAGEMENT FROM 857 IN 2021 TO 890 BY END OF Q4 OF 2022. -TO INCREASE THE TRANSITIONAL CARE PATIENT ENGAGEMENT FROM 824 TO 837 BY END OF Q4 OF 2022. 2022 OUTCOMES: -AT THE CONCLUSION OF 2022, TELEMEDICINE CONCUSSION VISITS INCREASED TO 40 DURING 2022, REPRESENTING A 48% INCREASE. -THE NUMBER OF STUDENTS THAT RECEIVED TRAINING SERVICES IN 2022 WAS 18,000, EXCEEDING THE GOAL OF 16,205 FOR 2022. -IN 2022, TWO NEW SPECIALTIES WERE ADDED EQUALING A TOTAL OF 10 BEING OFFERED TO A TOTAL OF 270 REFERRED PATIENTS WITH MORE THAN 15 SURGICAL INTERVENTIONS. -THE NO SHOW RATE INCREASED SLIGHTLY FROM 4.3% IN 2021 TO 4.4% IN 2022. -ADULT CONGENITAL HEART DISEASE OUTPATIENT CLINIC VOLUMES DID NOT MEET THE GOAL SET FOR 2022 BUT DID INCREASE FROM 1,599 VISITS IN 2021 TO 1,873 IN 2022. -PREVENTIVE MEDICINE PATIENT ENCOUNTER VOLUMES DID NOT MEET THE GOAL SET FOR 2022, WITH A DECREASE FROM 1,949 ENCOUNTERS IN 2021 TO 1,807 IN 2022. -PET/CT IMAGING VOLUMES DID NOT MEET THE GOAL SET FOR 2022 BUT DID INCREASE FROM 2,246 PATIENT ENCOUNTERS IN 2021 TO 3,783 IN 2022. -AT THE CONCLUSION OF 2022, 165 PATIENTS RECEIVED PSYCHOSOCIAL SUPPORT THROUGH COUNSELING SERVICES, LOWER THAN THE 176 PATIENTS SEEN IN 2021. -AT THE CONCLUSION OF 2022, 641 PATIENTS RECEIVED FINANCIAL NAVIGATION SUPPORT, EXCEEDING THE SET GOAL OF 559. -AT THE CONCLUSION OF 2022, 311 PATIENTS RECEIVED PIVOTAL LUNG CANCER SCREENINGS, EXCEEDING THE SET GOAL OF 225. -AT THE CONCLUSION OF 2022, OUR CLINICAL TRIAL ACCRUAL RATE FOR MINORITIES AND WOMEN WAS 9.5% INCREASING FROM THE 8.4% IN 2021 BUT NOT QUITE MAKING THE GOAL OF 11.4% FOR 2022. -AT THE CONCLUSION OF 2022, THE NUMBER OF PATIENTS ENGAGED IN THE COMPLEX CARE INITIATIVE INCREASED BY 2% OR MORE EACH YEAR WITH 77% OF THOSE PATIENTS GRADUATING FROM THE PROGRAM. -THE TRANSITIONAL CARE PATIENT ENGAGEMENT HAD 1,091 PATIENT ENGAGED AND 884 PATIENTS HAVE GRADUATED THE PROGRAM IN 2022.
2022 HEALTH NEED: INCREASE ACCESS TO MENTAL HEALTH CARE SERIVES	WITHIN HOUSTON METHODIST'S SURROUNDING UNDERSERVED COMMUNITY2022 GOALS: -TO MAINTAIN A POST-DISCHARGE FOLLOW-UP VISIT COMPLETION RATE OF 39% WITHIN THE 1-7DAY WINDOW FOR PATIENTS DISCHARGED FROM THE HOUSTON METHODIST INPATIENT PSYCHIATRIC UNIT. -TO ACHIEVE A RATE FROM 25% IN 2021 TO 54% PATIENTS WITH A COMPLETED POST-DISCHARGE FOLLOW UP VISIT WITHIN 8-30 DAYS POST-DISCHARGE BY END OF Q4 2022. -TO INCREASE SUICIDE SCREENING COMPLIANCE FROM YTD 2021 AVERAGE OF 88% TO 90% AT HOUSTON METHODIST HOSPITAL FOR INPATIENT UNITS, ICUS AND OBSERVATION UNITS. -TO INCREASE SUICIDE SCREENING COMPLIANCE FROM YTD 2021 AVERAGE OF 88% TO 90% FOR HOUSTON METHODIST HOSPITAL EMERGENCY DEPARTMENT BY END OF Q4 2022. -TO INCREASE TELEPSYCHIATRY UTILIZATION (FOR PATIENTS WITH PRIMARY OR SECONDARY PSYCHIATRIC DIAGNOSIS) AT HOUSTON METHODIST HOSPITAL BY 5% TO 1,064 BY END OF Q4 2022.2022 OUTCOMES: -AT THE CONCLUSION OF 2022, WE HAD AN INCREASE OF 44% POST-DISCHARGE FOLLOW UP VISIT COMPLETION RATE. -AT THE CONCLUSION OF 2022, WE INCREASED FROM 25% IN 2021 TO 38% IN 2022, HOWEVER, IT DID NOT FULLY MEET THE GOAL. -AT THE CONCLUSION OF 2022, THE OVERALL SCREENING COMPLIANCE RATE ACROSS HOUSTON METHODIST WAS 79%. -HOUSTON METHODIST HOSPITAL INPATIENT COMPLIANCE WAS 86%. -HOUSTON METHODIST EMERGENCY DEPARTMENT COMPLIANCE WAS 94% -TELEPSYCHIATRY UTILIZATION INCREASED FROM 1,014 CALLS IN 2021 TO 1,046 CALLS IN 2022, REPRESENTING A 3% INCREASE.2022 HEALTH NEED: PROMOTE HEALTHY LIVING BEHAVIORS TO REDUCE THE LIKELIHOOD OF CHRONIC DISEASE DEVELOPMENT2022 GOALS: -GOAL 1: TO RE-ESTABLISH, POST-COVID, THE 7 LONG-TERM COMMUNITY CENTER PARTNERSHIPS PROVIDING SERIES PROGRAMS ADDRESSING STROKE AWARENESS AND PREVENTION TOPICS BY THE END OF Q4 2022. -GOAL 2: TO INCREASE THE NUMBER OF LONG-TERM COMMUNITY CENTER PARTNERSHIPS FROM 4 IN 2021 TO 10 TO PROVIDE A SERIES OF PROGRAMS ADDRESSING STROKE AWARENESS AND PREVENTION TOPICS BY END OF Q4 2022. -TO INCREASE THE NUMBER OF LONG-TERM COMMUNITY CENTER PARTNERSHIPS FROM 4 IN 2021 TO 10 TO , PROVIDE AING SERIES OF PROGRAMS ADDRESSING STROKE AWARENESS AND PREVENTION TOPICS BY END OF Q4 2022. -TO CONTINUE THE SERIES IN 2022 IN PARTNERSHIP WITH DOCTORS FOR CHANGE, HARRIS COUNTY PUBLIC HEALTH AND THE CME OFFICE WITH A GOAL TO HAVE HOSTED A TOTAL OF 3 CE EVENTS. -TO INCREASE ENGAGEMENT OF GUIDED TRACK PROGRAM PARTICIPANTS TO 70% BY Q4 2022 AND MAINTAIN THE COMPLETION RATE OF GUIDED TRACK AT 88% BY Q4 OF 2022. 2022 OUTCOMES: -IN 2022, 13 EDUCATIONAL PROGRAMS WERE PROVIDED. -FOUR CONTINUING EDUCATION EVENTS WERE HELD IN 2022 TO FOCUS ON RELEVANT HEALTH AND SOCIAL SERVICE TOPICS INCLUDING COVID-19 SAFETY -IN 2022, THE ENGAGEMENT IN THE GUIDED TRACK PROGRAM INCREASED FROM 896 IN 2021 TO 1,407 IN 2022, REPRESENTING A 36% INCREASE WITH AN OVERALL COMPLETION RATE OF 88%.HEALTH NEEDS NOT BEING ADDRESSED: THERE ARE NO IDENTIFIED HEALTH NEEDS BASED ON THE 2022 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 2022 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. ADDITIONAL RESOURCES WERE ALLOCATED TO FOCUS ON ECONOMIC EMPOWERMENT, EDUCATIONAL EMPOWERMENT AND PROMOTING HEALTHY NEIGHBORHOODS WHICH ENCOMPASS THE ORIGINAL THREE AREAS.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 2022, HOUSTON METHODIST PROVIDED $4.3 MILLION IN FUNDING TO 59 UNIQUE NONPROFIT ORGANIZATIONS ACROSS GREATER HOUSTON THROUGH THE DIVERSITY, EQUITY AND INCLUSION GRANT PROGRAM. ORGANIZATIONS SUPPORTED INCLUDE CAPITAL IDEA HOUSTON, DEPELCHIN CHILDREN'S CENTER, SEARCH HOMELESS SERVICES, REBUILDING TOGETHER HOUSTON AND MORE. PART V, SECTION B, LINE 13BDISCOUNTED 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.PART V, SECTION B, LINE 15ETHE PATIENT IS ALSO PROVIDED AN EXHIBIT TITLED FINANCIAL ASSISTANCE GUIDELINES LISTING THE COUNSELOR CONTACT INFORMATION AND THE FEDERAL POVERTY GUIDELINES.PART V, SECTION B, LINE 20AECAS ARE NOT USED; THEREFORE, PROVIDING NOTICE DOES NOT APPLY.

Schedule H (Form 990) 2022

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2022

Page 10

Part VI

Supplemental Information

Provide the following information.

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

Form and Line Reference	Explanation
PART I, LINE 3C:	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 2022 FORM 990, SCHEDULE H REPORTING REQUIREMENTS, THE COST OF CARE PROVIDED TO PATIENTS WHO HAVE MEDICARE AS THEIR PRIMARY INSURER AND MEDICAID AS THEIR SECONDARY INSURER 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 THE PATIENT IS ELIGIBLE FOR CHARITY CARE 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, 2022. THE ENTIRE MEDICARE SHORTFALL ($93.8 MILLION) AS REPORTED ON PART III, LINE 7, AS WELL AS THE UNREIMBURSED COST OF THE MEDICARE MANAGED CARE PROGRAM ($112.1 MILLION) AND TRI-CARE PROGRAM ($7.1 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, 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, WOMAN, INFANT, AND CHILDREN'S PROGRAMS (WIC) AND OTHER COMMUNITY/THIRD-PARTY APPROVED PROGRAMS;AND 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 6,949,721 RESIDENTS. AS THE LARGEST COUNTY IN TEXAS AND THE COUNTY MOST SERVED BY HOUSTON METHODIST HOSPITAL, HARRIS COUNTY ACCOUNTS FOR AN ESTIMATED 4.7 MILLION OF HMH COMMUNITY RESIDENTS, EQUATING TO APPROXIMATELY 67% OF THE HMH COMMUNITY POPULATION. [1]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 29% WHITE/NON-HISPANIC POPULATION. FORT BEND COUNTY CURRENTLY RANKS AS THE MOST DIVERSE COUNTY WITHIN THE HOUSTON METHODIST HOSPITAL 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. [2] 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 (63%). 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%. [3] CURRENTLY, THE MEDIAN HOUSEHOLD INCOME IN TEXAS IS $63,826. IN COMPARISON, 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. [4]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. [5][1] U.S. CENSUS BUREAU. AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES, AGE AND SEX (2020). RETRIEVED FROM HTTPS://DATA.CENSUS.GOV [2] U.S. CENSUS BUREAU. AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES. HISPANIC OR LATINO, AND NOT HISPANIC OR LATINO BY RACE TABLE P2 (2020). RETRIEVED FROM HTTPS://DATA.CENSUS.GOV/CEDSCI/TABLE?Q=RACE%20AND%20ETHNICITY&G=0100000US_0500000US48071,48157,48167,48201,48291,48339[3] UNITED STATES CENSUS BUREAU. AMERICAN COMMUNITY SURVEY: AGE AND SEX (2020). RETRIEVED FROM HTTPS://DATA.CENSUS.GOV/CEDSCI/TABLE?Q=2020%20ACS&G=0400000US48_0500000US48039,48071,48157,48167,48201,48291,48339,48473&TID=ACSST5Y2020.S1901[4] U.S. CENSUS BUREAU. AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES, INCOME IN THE PAST 12 MONTHS (2020). RETRIEVED FROM HTTPS://DATA.CENSUS.GOV/TABLE?Q=2020+ACS&G=050XX00US48039,48071,48291,48339,48473,48167,48201,48157_040XX00US48&TID=ACSST5Y2020.S1901 [5] U.S. CENSUS BUREAU. AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES, INCOME IN THE PAST 12 MONTHS (2020). RETRIEVED FROM HTTPS://DATA.CENSUS.GOV/CEDSCI/TABLE?Q=2020%20ACS&G=0400000US48_0500000US48039,48071,48157,48167,48201,48291,48339,48473&TID=ACSST5Y2020.S1501
PART VI, LINE 5:	HOUSTON METHODIST HOSPITAL 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, HOUSTON METHODIST IS COMPRISED OF SEVEN COMMUNITY HOSPITALS, A TOP-RANKED ACADEMIC INSTITUTE, PHYSICIAN ORGANIZATIONS, A GLOBAL DEVELOPMENT ENTITY AND NINE EMERGENCY CARE CENTERS, HMH IS AFFILIATED WITH WEILL CORNELL MEDICAL COLLEGE. U.S. NEWS & WORLD REPORT HAS RECOGNIZED HMH AS THE NO.1 HOSPITAL IN TEXAS FOR THE 12TH YEAR IN A ROW. HMH WAS ALSO NAMED TO U.S. NEWS & WORLD REPORT'S PRESTIGIOUS HONOR ROLL FOR THE SEVENTH TIME. HMH WAS RANKED IN 10 SPECIALTIES, INCLUDING NINE SPECIALTIES RANKED IN THE TOP 20 AND TWO RANKED IN THE TOP 5. AMONG OUR COMMUNITY HOSPITALS, HOUSTON METHODIST SUGAR LAND HOSPITAL IS RANKED NO. 9 IN TEXAS AND NO. 5 IN HOUSTON. HOUSTON METHODIST WILLOWBROOK HOSPITAL RANKED NO. 24 IN TEXAS AND NO. 8 IN HOUSTON. HMH IS AN ACUTE CARE COMPLEX WITH 948 OPERATING BEDS, 85 OPERATING ROOMS, 2,335 AFFILIATED PHYSICIANS AND 8,488 EMPLOYEES AS OF DECEMBER 31, 2022. IT'S LOCATED IN HOUSTON'S WORLD-RENOWNED TEXAS MEDICAL CENTER. HMH RECORDED 40,435 ADMISSIONS, 528,837 OUTPATIENT VISITS, 1,745 BIRTHS, AND 44,703 EMERGENCY ROOM VISITS BY HOUSTON AREA RESIDENTS DURING 2022. IN ADDITION, HMH RECORDED MORE THAN 5,340 INTERNATIONAL PATIENT VISITS FROM 67 COUNTRIES IN 2022. 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 BODY:HOUSTON METHODIST HOSPITAL 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 HMH'S PRESIDENT/CEO, HMH'S MEDICAL STAFF PRESIDENT AND THE BISHOP OF THE TEXAS ANNUAL CONFERENCE OF THE UNITED METHODIST CHURCH.COMMUNITY COUNCILS:HOUSTON METHODIST HOSPITAL ALSO HAS COMMUNITY INVOLVEMENT THROUGH ADVISORY COUNCILS COMPRISED OF COMMUNITY MEMBERS, INCLUDING MEMBERS OF THE HMH 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 ALL HMH MEMBERS WORK WITH HMH'S PRESIDENT AND CEO TO ACHIEVE THE MISSION OF IMPROVING HEALTH FOR HMH PATIENTS THROUGH RESEARCH, EDUCATION AND CLINICAL CARE. THE MEMBERS OF THE PLC SERVE AS ADVOCATES AND PHILANTHROPIC AMBASSADORS FOR HMH. PLC MEMBERS ARE HIGH-LEVEL VOLUNTEERS WHO BRING PROFESSIONAL EXPERTISE, COMMUNITY AND PATIENT PERSPECTIVES TO HMH 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 HMH DEBAKEY HEART & VASCULAR CENTER COUNCIL, THE NEUROLOGICAL INSTITUTE NATIONAL COUNCIL AND THE CENTER FOR PERFORMING ARTS MEDICINE ADVISORY COUNCIL.MEDICAL STAFF MODEL:HOUSTON METHODIST HOSPITAL HAS AN OPEN MEDICAL STAFF MODEL. THE OPEN MODEL GIVES PATIENTS ACCESS TO PHYSICIANS OF ALL AFFILIATIONS.HEALTH EDUCATION:THE HOUSTON METHODIST INSTITUTE FOR ACADEMIC MEDICINE PERFORMS CLINICAL AND TRANSLATIONAL EDUCATION WITH A PATIENT-CENTERED AND INTER-PROFESSIONAL TEAM-BASED APPROACH. HMH 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. HMH'S MISSION OF LEADING MEDICINE IS GROUNDED IN A COMMITMENT TO TRANSLATIONAL, INTERDISCIPLINARY AND TRANSFORMATIVE RESEARCH AND EDUCATION. HMH'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 HMH 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.SINCE 2005, HMH'S GRADUATE MEDICAL EDUCATION PROGRAMS HAVE TRAINED PHYSICIANS IN VARIOUS MEDICAL AND SURGICAL SPECIALTIES. HMH SPONSORS 68 GME-ACCREDITED RESIDENCY AND FELLOWSHIP PROGRAMS WITH 372 GME RESIDENTS AND FELLOWS. IN 2022, THE PROGRAM GRADUATED ITS 17TH CLASS OF 128 RESIDENTS AND FELLOWS.2022 ALSO MARKED THE EIGHTH YEAR OF A PARTNERSHIP WITH TEXAS A&M SCHOOL OF MEDICINE. UNDER THE PARTNERSHIP, HMH AND HOUSTON METHODIST WILLOWBROOK HOSPITAL (ALL HOUSTON CAMPUS STUDENTS) NOW HAVE 206 MEDICAL STUDENTS INCLUDING 18 MD/PHD STUDENTS ON THE HOUSTON CAMPUS, (47 M1; 49 M2; 49 M3) (34 ENMED AND 15 WILLOWBROOK) AND 43 M4 STUDENTS (22 ENMED AND 21 WILLOWBROOK).IN JULY 2019, THE JOINT TEXAS A&M UNIVERSITY SCHOOL OF MEDICINE AND COLLEGE OF ENGINEERING AND HMH ENGINEERING MEDICINE (ENMED) 4-YEAR 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. THE INAUGURAL CLASS (CLASS OF 2023) GRADUATED WITH 100% OF GRADUATES MATCHING INTO RESIDENCIES, FIVE IN HOUSTON METHODIST PROGRAMS. THE PROGRAM HAS STUDENTS IN ALL FOUR CLASSES, INCLUDING 34 IN THE M4 CLASS OF 2024, 49 IN THE M3 CLASS OF 2025, 47 IN THE M2 CLASS OF 2026 AND 45 IN THE M1 CLASS OF 2027. HMH 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.THE HMH 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 RESEARCH:THE HOUSTON METHODIST ACADEMIC INSTITUTE (HMAI) GOVERNS THE ESSENTIAL CLINICAL AND TRANSLATIONAL RESEARCH AND EDUCATION INITIATIVES OF HOUSTON METHODIST. IN 2022, IT WAS HOME TO 772 FACULTY AND 2,270 CREDENTIALED RESEARCHERS, AND MORE THAN 1,430 ONGOING CLINICAL PROTOCOLS AND TRIALS. HMAI 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. HMAI IS JUST ONE WAY HOUSTON METHODIST 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 CLINICAL CARE IN THE FORM OF NEW TREATMENTS AND IMPROVED PROCEDURES
USE OF SURPLUS FUNDS - HOUSTON METHODIST HOSPITAL:	IN 2022, HMH PROVIDED $140.2 MILLION IN FINANCIAL ASSISTANCE FOR INTERNAL CHARITY BASED ON THE IRS DEFINITION OF COST. HMH ALSO PROVIDED $17.4 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 $4.9 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: ABOUT HOUSTON METHODIST LOCATED IN THE HEART OF THE TEXAS MEDICAL CENTER, HOUSTON METHODIST HOSPITAL 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. HMH 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, HMH MAKES SIGNIFICANT CONTRIBUTIONS THROUGH COMMUNITY BENEFITS PROGRAMS AS DESCRIBED BELOW.COMMUNITY BENEFIT ACTIVITIES AND HEALTH SERVICES:HOUSTON METHODIST HOSPITAL RESPONDED TO THE COMMUNITY'S NEEDS IN 2022 THROUGH THE PROVISION OF MEDICAL CARE, BUT ALSO THROUGH RESEARCH, EDUCATION OF HEALTH PROFESSIONALS AND PATIENTS, COMMUNITY HEALTH EDUCATION, DONATIONS TO HEALTHCARE-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, HMH CONTRIBUTES TO THEIR ABILITY TO GROW AND THRIVE, ENSURING A HEALTHIER LIFE FOR THE FUTURE OF ALL WHO WALK THROUGH THEIR DOORS.HMH CHAMPIONS COMMUNITY ORGANIZATIONS THAT PROVIDE OUTSTANDING HEALTH CARE TO PEOPLE OF ALL BACKGROUNDS. IN 2022, 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 -AIDS FOUNDATION -ASIAN AMERICAN HEALTH COALITION -AVENUE 360 HEALTH AND WELLNESS -BOYS AND GIRLS CLUBS -BOYS AND GIRLS COUNTRY OF HOUSTON, INC. -CASA EL BUEN SAMARITANO -CHRIST CLINIC -DEPELCHIN CHILDREN'S CENTER -EL CENTRO DE CORAZON -EPILEPSY FOUNDATION -HEALTHCARE FOR THE HOMELESS - HOUSTON -HOUSTON AREA WOMEN'S CENTER -INTERFAITH COMMUNITY CLINIC -LEGACY COMMUNITY HEALTH -LONE STAR FAMILY HEALTH -MEMORIAL ASSISTANCE MINISTRIES -OPEN DOOR MISSION -SAN JOSE CLINIC -SANTA MARIA HOSTEL -SPRING BRANCH COMMUNITY HEALTH CENTER -STEPHEN F. AUSTIN COMMUNITY HEALTH CENTER, INC. -THE CENTER FOR PURSUIT -THE ROSE -THE WOMEN'S HOME -TOMAGWA -VECINO HEALTH CENTERSEDUCATIONHOUSTON METHODIST HOSPITAL'S PRIMARY ACADEMIC PARTNER IS WEILL CORNELL MEDICINE IN NEW YORK. THE TWO INSTITUTIONS SHARE BEST PRACTICES AND COLLABORATE ON RESEARCH, EDUCATION AND CLINICAL CARE. MORE THAN 600 HOUSTON METHODIST FACULTY HAVE WEILL CORNELL FACULTY APPOINTMENTS. HMH AND HOUSTON METHODIST THE WOODLANDS HOSPITAL (HMTW) SPONSOR NEARLY ALL THEIR OWN MEDICAL RESIDENCIES AND FELLOWSHIPS ACROSS MORE THAN 65 GRADUATE MEDICAL EDUCATION PROGRAMS - RANGING FROM NEUROSURGERY TO PATHOLOGY TO OBSTETRICS/GYNECOLOGY - AND HOSTS SEVERAL MORE ROTATING TRAINEES FROM OTHER MEDICAL INSTITUTIONS. HMH ALSO PARTNERS WITH TEXAS A&M COLLEGE OF ENGINEERING AND SCHOOL OF ENGINEERING MEDICINE ON THE ENGINEERING MEDICINE MEDICAL SCHOOL PROGRAM..
COMMUNITY INVOLVEMENT:	HOUSTON METHODIST HOSPITAL ACTIVELY DEVELOPS AWARENESS INITIATIVES, SPONSORSHIPS AND PROGRAMS THAT PROMOTE HEALTH AND WELLNESS, PREVENTION AND EARLY DETECTION, HMH 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 HOUSTON METHODIST COMMUNITY SPONSORSHIP AND DONATIONS PROGRAM, HOUSTON METHODIST DONATES TO HEALTHCARE-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 PATIENTS' ACCESS TO HEALTH CARE SERVICES & SUPPORT, INCREASING OPPORTUNITIES FOR HEALTHCARE PROVIDERS TO SERVE AND EDUCATING THE COMMUNITY ON HEALTH CONCERNS. HOUSTON METHODIST 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 HEALTHCARE-FOCUSED AGENCIES. SPONSORSHIP AND DONATION PARTNERS INCLUDE THE AMERICAN HEART ASSOCIATION, BARBARA BUSH LITERACY FOUNDATION, BIG BROTHERS BIG SISTERS OF LONE STAR, COALITION FOR THE HOMELESS, THE ALZHEIMER'S ASSOCIATION, AND MANY MORE. HMH PROVIDED $9.0 MILLION THROUGH ITS DONATION AND SPONSORSHIP EFFORTS. AS A SYSTEM, HOUSTON METHODIST PROVIDED $9.7 MILLION THROUGH THESE SAME EFFORTS. 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 2022 INCLUDED, BUT WERE NOT LIMITED TO, COVID-19 EDUCATION AND VACCINE DRIVES, HEART DISEASE EDUCATION/AWARENESS, BREAST CANCER SUPPORT GROUPS, AND MORE. HMH PROVIDED $50.6 MILLION THROUGH ITS OVERALL EDUCATIONAL EFFORTS IN 2022. HOUSTON METHODIST PROVIDED $54.5 MILLION IN EDUCATIONAL EFFORTS DURING 2022. HOUSTON METHODIST PARTNERED WITH 100 BLACK MEN OF METROPOLITAN HOUSTON TO PROVIDE EDUCATION ON PROSTATE AND COLON CANCER AND THE IMPACT ON THE AFRICAN AMERICAN COMMUNITY. THE EDUCATION SESSION INCLUDED TOPICS SUCH AS RISK FACTORS, HEALTHY LIVING BEHAVIORS AND HEALTH CARE ACCESS OPPORTUNITIES ASSOCIATED WITH BOTH CANCERS. THE EDUCATION SESSION ALSO PROVIDED PROSTATE AND COLON CANCER SCREENING OPPORTUNITIES TO THE AUDIENCE WHICH RESULTS IN 52 COMPLETED FREE SCREENINGS. HOUSTON METHODIST FURTHERED ITS COMMITMENT TO PROVIDING EDUCATIONAL OPPORTUNITIES TO UNDERSERVED YOUTH WITHIN GREATER HOUSTON THROUGH A PARTNERSHIP WITH CRISTO REY JESUIT. THIS PARTNERSHIP PROVIDES STUDENTS WITH AN EXPERIENTIAL LEARNING EXPERIENCE AT HOUSTON METHODIST FACILITIES TO EXPOSE THEM TO HEALTH CARE CAREERS WITH AN OVERALL INVESTMENT OF $228,735. HOUSTON METHODIST HOSPITAL HOSTED 4 STUDENTS IN 2022. LASTLY, 2022 LAUNCHED THE INAUGURAL COHORT OF THE DEI SUMMER SCHOLARS PROGRAM WHICH PROVIDES 12 MINORITY STUDENTS IN COLLEGES AND UNIVERSITIES WITH A SUMMER INTERNSHIP EXPERIENCE AT HOUSTON METHODIST HOSPITAL. STUDENTS ARE PLACED IN DIFFERENT AREAS OF THE HEALTH CARE ENVIRONMENT INCLUDING SUPPLY CHAIN, SPIRITUAL CARE, DEI, FINANCE AND MORE. HOUSTON METHODIST HOSPITAL PROVIDES A $72,000 INVESTMENT FOR STUDENTS PARTICIPATING IN THIS INTERNSHIP PROGRAM.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 50 AGENCIES AVAILABLE FOR EMPLOYEES TO SUPPORT. AGENCIES WITH VOLUNTEERS VIA THE I CARE IN ACTION PROGRAM INCLUDED HOUSTON FOOD BANK, CHRIST CLINIC, AND MEDICAL BRIDGES.IN 2022, HMH EMPLOYEES PROVIDED 3,132 VOLUNTEER HOURS THROUGH I CARE IN ACTION. THESE DONATED HOURS EQUATE TO A VOLUNTEER TIME VALUE OF $93,803. HOUSTON METHODIST PROVIDED SPECIAL VOLUNTEER ACTIVITIES TO ADDRESS FOOD INSECURITY THROUGH A SYSTEM WIDE FOOD DRIVE AND IN-PERSON VOLUNTEERISM WITH THE HOUSTON FOOD BANK AND MONTGOMERY COUNTY FOOD BANK. COLLECTIVELY, 2,969 POUNDS OF FOOD WERE DONATED, AND 82 PALLETS OF FOOD WERE SORTED WHICH RESULTED IN 81,382 MEALS MADE POSSIBLE FOR THE COMMUNITY. ACROSS THE SYSTEM, A TOTAL OF 5,898 VOLUNTEER HOURS WERE PROVIDED VIA I CARE IN ACTION EQUATING TO VOLUNTEER TIME VALUE OF $176,636. 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 56 FAMILIES AND 200 CHILDREN BEING ADOPTED BY HOUSTON METHODIST HOSPITAL IN 2022.HMH PROMOTES THE HEALTH OF THE COMMUNITY BY FULFILLING HMH'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 HMH'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 HMH, MORE THAN 100,000 HOUSTONIANS BENEFIT FROM 600,000 PATIENT VISITS FOR 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.HMH IS PLEASED TO HAVE A SIGNIFICANT PARTNERSHIP WITH EL CENTRO DE CORAZON, A FEDERALLY QUALIFIED HEALTH CENTER WITH THREE LOCATIONS THAT SERVES HOUSTON'S EAST END. FOUNDED IN 1994, THE CLINIC OFFERS A COMPREHENSIVE RANGE OF ADULT AND PEDIATRIC HEALTH CARE SERVICES FOR THE UNDERSERVED, UNINSURED, AND UNDERINSUREDINCLUDING PRIMARY CARE AND FAMILY MEDICINE, WOMEN'S HEALTH, DENTAL, AND BEHAVIORAL HEALTH SERVICES. EL CENTRO ALSO PROVIDES ANCILLARY SERVICES TO ASSIST PATIENTS IN OVERCOMING BARRIERS TO ACCESSING HEALTH CARE. EIGHTY-SEVEN PERCENT OF THE PATIENTS LIVE AT OR BELOW 200% THE FEDERAL POVERTY LEVEL. EL CENTRO DE CORAZON 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 HMH'S COMMUNITY SCHOLARS PROGRAM. ESTABLISHED IN 2013, THE PROGRAM HAS PROVIDED THE SERVICES OF ENDOCRINOLOGY, NEUROLOGY, NEPHROLOGY, OPHTHALMOLOGY, PULMONOLOGY, CARDIOLOGY, HEMATOLOGY ONCOLOGY, UROLOGY/GYNECOLOGY AND UROLOGY TO LOCAL COMMUNITY PARTNER CLINICS SUCH AS SAN JOS CLINIC AND HOPE CLINIC. IN 2022, THE PROGRAM GAINED TWO ADDITIONAL SPECIALTIES TO HELP SUPPORT THE COMMUNITY, ORTHOPEDIC SPORTS MEDICINE, AND GASTROENTEROLOGY. IN 2022, 909 PATIENTS WERE SEEN VIA THE HMH COMMUNITY SCHOLARS PROGRAM. IN ADDITION TO THE PATIENTS BEING SEEN WITHIN THE COMMUNITY PARTNER CLINIC BY HMH PHYSICIANS AND FELLOWS, IF PATIENTS' HEALTH CARE NEEDS EXCEEDED THE SCOPE OF CAPABILITY OF CARE WITHIN THE COMMUNITY CLINIC SETTING, THEY WERE REFERRED TO HMH FOR MEDICALLY NECESSARY TREATMENT TO GET THEM ON THE PATHWAY TO HEALTH AND HEALING. OF THE OVER 900 PATIENTS SEEN VIA SCHOLARS IN THE COMMUNITY, 299 WERE REFERRED TO HMH FOR ADDITIONAL SERVICES.HMH ALSO 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 HMH PATIENTS WHO ARE IDENTIFIED AS NEEDING A PRIMARY CARE MEDICAL HOME. IN 2022, 605 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.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. HOUSTON METHODIST PROVIDED $568.0 MILLION IN CHARITY CARE AND COMMUNITY BENEFITS FOR THE YEAR ENDED DECEMBER 31, 2022. IN ADDITION, BASED ON IRS COST DEFINITIONS, HOUSTON METHODIST PROVIDED $598.3 MILLION IN CARE TO MEDICARE, MEDICARE MANAGED CARE AND TRICARE/USFHP PROGRAM BENEFICIARIES FOR THE YEAR ENDED DECEMBER 31, 2022.PART VI, LINE 7: TX

Schedule H (Form 990) 2022

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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

2022

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 STREET RICHMOND,TX77469	74-1951476	501C3	247,083	0			PROGRAM SUPPORT
(2) AIDS FOUNDATION HOUSTON INC 6260 WESTPARK DRIVE SUITE 100 HOUSTON,TX77057	76-0073661	501C3	57,462	0			PROGRAM SUPPORT
(3) AVENUE 360 HEALTH AND WELLNESS 2150 WEST 18TH ST HOUSTON,TX77008	76-0549240	501C3	78,300	0			PROGRAM SUPPORT
(4) BOYS & GIRLS CLUB OF GREATER HOUSTON INC 815 CROSBY ST HOUSTON,TX77019	76-0270942	501C3	79,800	0			PROGRAM SUPPORT
(5) BOYS AND GIRLS COUNTRY OF HOUSTON INC 18806 ROBERTS ROAD HOCKLEY,TX774479327	74-6026198	501C3	64,830	0			PROGRAM SUPPORT
(6) CHRIST CLINIC 5504 FIRST STREET KATY,TX77493	90-0789318	501C3	227,800	0			PROGRAM SUPPORT
(7) DEPELCHIN CHILDREN'S CENTER 4950 MEMORIAL DRIVE HOUSTON,TX77007	76-0318867	501C3	150,000	0			PROGRAM SUPPORT
(8) EL CENTRO DE CORAZONEASTWOOD HEALTH CLINIC 5001 NAVIGATION HOUSTON,TX77011	76-0442781	501C3	250,100	0			PROGRAM SUPPORT
(9) UT HEALTH SCIENCE CENTER AT HOUSTON HARRIS COUNTY PSYCH CTR PO BOX 301316 DALLAS,TX753031316	80-0176343	STATE AGENCY	220,160	0			PROGRAM SUPPORT
(10) HEALTHCARE FOR THE HOMELESS - HOUSTON 2505 FANNIN ST HOUSTON,TX77002	76-0647934	501C3	425,000	0			PROGRAM SUPPORT
(11) ASIAN AMERICAN HEALTH COALITION-DBA HOPE CLINIC 7001 CORPORATE DR SUITE 120 HOUSTON,TX77036	31-1756818	501C3	62,849	0			PROGRAM SUPPORT
(12) HOUSTON AREA WOMEN'S CENTER 3077 EL CAMINO STREET HOUSTON,TX77054	74-2029166	501C3	165,628	0			PROGRAM SUPPORT
(13) INTERFAITH COMMUNITY CLINIC 101 PINE MANOR DRIVE OAK RIDGE NORTH,TX77385	75-2634623	501C3	64,200	0			PROGRAM SUPPORT
(14) LEGACY COMMUNITY HEALTH SERVICES PO BOX 66308 HOUSTON,TX772666308	76-0009637	501C3	868,606	0			PROGRAM SUPPORT
(15) LONE STAR FAMILY HEALTH CENTER 605 S CONROE MEDICAL DRIVE CONROE,TX77304	30-0038860	501C3	143,675	0			PROGRAM SUPPORT
(16) MEMORIAL ASSISTANCE MINISTRIES 1625 BLALOCK ROAD HOUSTON,TX77080	76-0044172	501C3	150,000	0			PROGRAM SUPPORT
(17) NORTHWEST ASSISTANCE MINISTRIES 15555 KUYKENDAHL ROAD HOUSTON,TX770903651	76-0088702	501C3	411,602	0			PROGRAM SUPPORT
(18) OPEN DOOR MISSION 5803 HARRISBURG BLVD HOUSTON,TX77011	76-0146890	501C3	55,000	0			PROGRAM SUPPORT
(19) SAN JOSE CLINIC 2615 FANNIN STREET HOUSTON,TX77002	76-0373703	501C3	235,995	0			PROGRAM SUPPORT
(20) SANTA MARIA HOSTEL INC PO BOX 550048 HOUSTON,TX772550048	74-1669131	501C3	221,926	0			PROGRAM SUPPORT
(21) SPRING BRANCH COMMUNITY HEALTHCARE 800 W SAM HOUSTON PARKWAY S SUITE 200 HOUSTON,TX77042	30-0198705	501C3	323,457	0			PROGRAM SUPPORT
(22) STEPHEN F AUSTIN COMMUNITY HEALTH CENTER 2552 E BROADWAY SUITE 10 PEARLAND,TX77581	41-2273820	501C3	141,368	0			PROGRAM SUPPORT
(23) THE CENTER FOR PURSUIT 4400 HARRISBURG BLVD HOUSTON,TX77011	74-1272417	501C3	25,000	0			PROGRAM SUPPORT
(24) THE ROSE 12700 NORTH FEATHERWOOD DRIVE 260 HOUSTON,TX77034	76-0193812	501C3	125,000	0			PROGRAM SUPPORT
(25) THE WOMEN'S HOME 811 WESTHEIMER ROAD HOUSTON,TX770063917	74-1467811	501C3	100,000	0			PROGRAM SUPPORT
(26) TOMAGWA HEALTH CARE MINISTRIES 455 SCHOOL SUITE 30 TOMBALL,TX773753333	76-0280324	501C3	55,950	0			PROGRAM SUPPORT
(27) VECINO HEALTH CENTERS 424 HAHLO STREET HOUSTON,TX770203022	76-0622208	501C3	728,563	0			PROGRAM SUPPORT
(28) ALZHEIMER'S ASSOCIATION 6055 SOUTH LOOP EAST HOUSTON,TX770871005	13-3039601	501C3	21,500	0			SPONSORSHIP
(29) AMERICAN CANCER SOCIETY 6301 RICHMOND AVE HOUSTON,TX77063	13-1788491	501C3	30,000	0			SPONSORSHIP
(30) AMERICAN HEART ASSOCIATION 10060 BUFFALO SPEEDWAY HOUSTON,TX77054	13-5613797	501C3	39,000	0			SPONSORSHIP
(31) AMERICAN LEADERSHIP FORUM 3101 RICHMOND SUITE 140 HOUSTON,TX77098	76-0284248	501C3	16,500	0			SPONSORSHIP
(32) ARMS WIDE ADOPTION SERVICES 6925 PORTWEST DR SUITE 110 HOUSTON,TX77024	74-2116380	501C3	93,266	0			PROGRAM SUPPORT
(33) ASIA SOCIETY TEXAS CENTER 1370 SOUTHMORE BLVD HOUSTON,TX77004	03-0433949	501C3	10,000	0			SPONSORSHIP
(34) ASSOCIATION FOR THE ADVANCEMENT OF MEXICAN AMERICANS 6001 GULF FREEWAY BLDG E HOUSTON,TX77023	74-1696961	501C3	40,000	0			PROGRAM SUPPORT
(35) ASSOCIATION OF FUNDRAISING PROFFESSIONAL-GREATER HOUSTON CHAPTER 3305 STECK AVENUE SUITE 200 AUSTIN,TX78757	74-2536109	501C3	15,000	0			SPONSORSHIP
(36) AVONDALE HOUSE 3737 OMEARA DRIVE HOUSTON,TX77025	74-1865489	501C3	50,000	0			PROGRAM SUPPORT
(37) BIG BROTHERS BIG SISTERS LONE STAR 1003 WASHINGTON AVE HOUSTON,TX77002	75-0800632	501C3	33,333	0			PROGRAM SUPPORT
(38) BOAT PEOPLE SOS INC 11360 BELLAIRE BLVD SUITE 910 HOUSTON,TX77072	45-4040991	501C3	50,000	0			PROGRAM SUPPORT
(39) BOYNTON UNITED METHODIST CHURCH 2812 MILBY ST HOUSTON,TX77004	72-1514576	501C3	6,373	0			PROGRAM SUPPORT
(40) CANCARE INC 9575 KATY FREEWAY STE 428 HOUSTON,TX77024	76-0305357	501C3	22,500	0			SPONSORSHIP
(41) CAPITAL IDEA HOUSTON 2101 CRAWFORD 211 HOUSTON,TX77002	47-2462360	501C3	357,325	0			PROGRAM SUPPORT
(42) CASA OF LIBERTY CHAMBERS COUNTIES 2015 SCOUT STREET LIBERTY,TX77575	27-0666017	501C3	20,000	0			PROGRAM SUPPORT
(43) CENIKOR FOUNDATION INC 11931 WICKCHESTER LN STE 300 HOUSTON,TX77043	76-0031861	501C3	10,000	0			SPONSORSHIP
(44) CHANGING YOUNG CHILDREN'S LIVES THROUGH 2200 LOUETTA RD SPRING,TX77388	20-0726745	501C3	32,500	0			SPONSORSHIP
(45) CHINESE COMMUNITY CENTER INC 9800 TOWN PARK DRIVE HOUSTON,TX77036	76-0067885	501C3	27,708	0			PROGRAM SUPPORT
(46) COMBINED ARMS 2929 MCKINNEY STREET HOUSTON,TX77003	47-5648923	501C3	30,000	0			PROGRAM SUPPORT
(47) COMMUNITY ASSISTANCE CENTER 1022 MCCALL AVE CONROE,TX77301	76-0000798	501C3	31,400	0			PROGRAM SUPPORT
(48) COVENANT HOUSE TEXAS 1111 LOVETT BLVD HOUSTON,TX77006	76-0050882	501C3	33,333	0			PROGRAM SUPPORT
(49) CRISTO REY JESUIT COLLEGE PREPARTORY 6700 MOUNT CARMEL ST HOUSTON,TX77087	26-3159838	501C3	10,000	0			SPONSORSHIP
(50) CY-HOPE INC 12715 TELGE RD CYPRESS,TX77429	45-2346150	501C3	13,333	0			PROGRAM SUPPORT
(51) DRESS FOR SUCCESS HOUSTON 3310 EASTSIDE STREET HOUSTON,TX77098	76-0579697	501C3	6,667	0			PROGRAM SUPPORT
(52) EAST HARRIS COUNTY EMPOWERMENT COUNCIL 11821 EAST FREEWAY SUITE 500 HOUSTON,TX77029	27-0377576	501C3	50,000	0			PROGRAM SUPPORT
(53) EASTER SEALS GREATER HOUSTON 4888 LOOP CENTRAL DRIVE SUITE 200 HOUSTON,TX77081	74-1238418	501C3	70,000	0			PROGRAM SUPPORT
(54) EDUCATIONAL FOUNDATION OF THE SETC 3109 GREENBRIAR DRIVE HOUSTON,TX77098	45-4519800	501C3	21,000	0			SPONSORSHIP
(55) FAMILY HOUSTON 4625 LILLIAN ST HOUSTON,TX77007	74-1152613	501C3	51,250	0			PROGRAM SUPPORT
(56) FAMILY TO FAMILY NETWORK INC 16225 PARK TEN PLACE 500 HOUSTON,TX77084	76-0328275	501C3	70,000	0			PROGRAM SUPPORT
(57) FRESH SPIRIT WELLNESS FOR WOMEN 5718 WESTHEIMER ROAD 10TH FLOOR HOUSTON,TX77057	76-0638759	501C3	10,667	0			PROGRAM SUPPORT
(58) GIRLS INC OF GREATER HOUSTON 2190 NORTH LOOP WEST SUITE 105 HOUSTON,TX77018	76-0483812	501C3	25,333	0			PROGRAM SUPPORT
(59) GOLFERS AGAINST CANCER 17110 NORTHGATE FOREST DRIVE HOUSTON,TX77068	76-0574871	501C3	25,000	0			SPONSORSHIP
(60) GOOD SAMARITAN FOUNDATION 3262 WESTHEIMER RD STE 764 HOUSTON,TX77098	74-1235398	501C3	30,000	0			SPONSORSHIP
(61) GREATER HOUSTON PARTNERSHIP FOUNDATION 701 AVENIDA DE LAS AMERICAS STE 900 HOUSTON,TX77010	76-0267896	501C6	33,000	0			SPONSORSHIP
(62) GREATER HOUSTON WOMENS CHAMBER OF COMMERCE 3201 KIRBY DRIVE SUITE 400 HOUSTON,TX77098	26-1536004	501C6	16,000	0			SPONSORSHIP
(63) HOLOCAUST MUSEUM HOUSTON 5401 CAROLINE STREET HOUSTON,TX77004	76-0331398	501C3	20,000	0			SPONSORSHIP
(64) HOUSTON CHILDREN'S CHORUS PO BOX 66567 HOUSTON,TX772666567	76-0286895	501C3	7,000	0			SPONSORSHIP
(65) HOUSTON FOOD BANK 535 PORTWALL STREET HOUSTON,TX77029	74-2181456	501C3	400,000	0			PROGRAM SUPPORT
(66) HOUSTON ISD FOUNDATION 4400 W 18TH STREET HOUSTON,TX77092	76-0424529	501C3	223,333	0			PROGRAM SUPPORT
(67) HOUSTON MUSEUM OF NATURAL SCIENCE 5555 HERMANN PARK DRIVE HOUSTON,TX77030	74-1036131	501C3	10,000	0			SPONSORSHIP
(68) HOUSTON SYMPHONY SOCIETY 615 LOUISIANA ST SUITE 102 HOUSTON,TX77002	74-1157373	501C3	15,000	0			SPONSORSHIP
(69) HOUSTON TEXANS FOUNDATION TWO NRG PARK HOUSTON,TX77054	01-0572814	501C3	17,000	0			SPONSORSHIP
(70) HOUSTON TEXAS EXES INC PO BOX 271648 HOUSTON,TX772771648	76-0424906	501C3	10,000	0			SPONSORSHIP
(71) HYPE FREEDOM SCHOOL INC 13233 CULLEN BLVD HOUSTON,TX77047	46-5133254	501C3	67,333	0			PROGRAM SUPPORT
(72) ICONOCLAST ARTISTS 11140 GREENBAY ST HOUSTON,TX77024	81-4170887	501C3	27,501	0			PROGRAM SUPPORT
(73) INSTITUTE FOR SPIRITUALITY & HEALTH 8100 GREENBRIAR SUITE 300 HOUSTON,TX77054	74-1246255	501C3	25,000	0			SPONSORSHIP
(74) INTERFAITH MINISTRIES FOR GREATER HOUSTON 3303 MAIN STREET HOUSTON,TX77002	74-1488102	501C3	115,000	0			SPONSORSHIP
(75) JUSTICE FORWARD 515 CAROLINE STREET HOUSTON,TX77002	20-2760137	501C3	33,333	0			PROGRAM SUPPORT
(76) LATIN WOMEN'S INITIATIVE 112 W 4THSTREET HOUSTON,TX77007	76-0560059	501C3	10,000	0			SPONSORSHIP
(77) LEUKEMIA & LYMPHOMA SOCIETY 5433 WESTHEIMER RD STE 300 HOUSTON,TX77056	13-5644916	501C3	25,000	0			SPONSORSHIP
(78) LOCAL INFANT FORMULA FOR EMERGENCIES 2002 S WAYSIDE DR STE 113 HOUSTON,TX77023	76-0296548	501C3	12,500	0			PROGRAM SUPPORT
(79) MARCH OF DIMES PO BOX 18819 ATLANTA,GA31126	13-1846366	501C3	25,000	0			SPONSORSHIP
(80) MEDICAL BRIDGES INC PO BOX 300245 HOUSTON,TX772300245	76-0548161	501C3	10,000	84,129	BOOK VALUE	SUPPLIES AND MEDICAL EQUIPMENT	SPONSORSHIP AND DONATION ASSISTANCE
(81) MEN OF DISTINCTION OF GREATER HOUSTON PO BOX 130630 HOUSTON,TX77019	26-0421594	501C3	7,500	0			SPONSORSHIP
(82) MISSOURI CITY THE LINKS PO BOX 8068 HOUSTON,TX77449	74-2209696	501C4	63,333	0			PROGRAM SUPPORT
(83) THE MONTROSE CENTER 401 BRANARD ST 2ND FLOOR HOUSTON,TX77006	74-2050245	501C3	45,289	0			PROGRAM SUPPORT
(84) MONTROSE GRACE PLACE 2515 WAUGH DRIVE HOUSTON,TX77006	27-2773965	501C3	12,215	0			PROGRAM SUPPORT
(85) NESTQUEST HOUSTON INC 1907 SABINE ST 166 HOUSTON,TX77007	81-5310771	501C3	37,500	0			PROGRAM SUPPORT
(86) NETWORK OF BEHAVIORAL HEALTH PROVIDERS 9401 SOUTHWEST FREEWAY SUITE 1242 HOUSTON,TX77074	75-3220882	501C3	53,447	0			PROGRAM SUPPORT
(87) NORA'S GIFT FOUNDATION 8300 EL RIO STREET HOUSTON,TX77054	62-1763895	501C3	15,000	0			SPONSORSHIP
(88) PORT CITY LINKS INC 3718 PARKWOOD DR HOUSTON,TX77021	76-0218846	501C4	9,000	0			PROGRAM SUPPORT
(89) PROJECT ROW HOUSES 2521 HOLMAN STREET HOUSTON,TX77004	76-0411778	501C3	64,525	0			PROGRAM SUPPORT
(90) REBUILDING TOGETHER HOUSTON PO BOX 15315 HOUSTON,TX77220	76-0027902	501C3	208,333	0			PROGRAM SUPPORT
(91) REMIND PO BOX 27607 HOUSTON,TX77227	76-0206826	501C3	10,000	0			SPONSORSHIP
(92) RICE UNIVERSITY 6100 MAIN STREET MS-208 HOUSTON,TX77005	74-1109620	501C3	10,000	0			SPONSORSHIP
(93) SAM HOUSTON AREA COUNCIL BOY SCOUTS OF AMERICA 2225 NORTH LOOP WEST HOUSTON,TX77008	76-0239833	501C3	10,000	0			SPONSORSHIP
(94) SEARCH HOMELESS SERVICES 2015 CONGRESS AVE HOUSTON,TX77002	76-0260403	501C3	33,124	0			PROGRAM SUPPORT
(95) SER-JOB FOR PROGRESS OF THE TEXAS GULF 1710 TELEPHONE RD HOUSTON,TX77023	74-1590387	501C3	116,667	0			PROGRAM SUPPORT
(96) SICKLE CELL ASSOCIATION OF HOUSTON INC 4014 MARKET STREET HOUSTON,TX77020	47-2168151	501C3	8,333	0			PROGRAM SUPPORT
(97) SOUTH TEXAS COLLEGE OF LAW HOUSTON INC 1303 SAN JACINTO STREET HOUSTON,TX77002	74-1554976	501C3	50,000	0			PROGRAM SUPPORT
(98) SUSAN G KOMEN BREAST CANCER FDN INC PO BOX 801889 DALLAS,TX75380	75-1835298	501C3	25,000	0			SPONSORSHIP
(99) TARGET HUNGER 1260 SHOTWELL ST HOUSTON,TX77020	31-1548849	501C3	46,183	0			PROGRAM SUPPORT
(100) TEXAS ANNUAL CONFERENCE UNITED METHODIST 5215 MAIN STREET HOUSTON,TX77002	74-1491628	501C3	260,000	0			PROGRAM SUPPORT
(101) TEXAS DIVERSITY COUNCIL PO BOX 590258 HOUSTON,TX772590258	38-3695039	501C3	7,000	0			SPONSORSHIP
(102) TEXAS GENERATION ONE INC 3805 BURKETT STREET HOUSTON,TX77004	20-8442170	501C3	33,333	0			PROGRAM SUPPORT
(103) TEXAS NURSES DISTRICT 9 FOUNDATION 7324 SOUTHWEST FRWY SUITE 1453 HOUSTON,TX77074	26-4369773	501C3	10,000	0			SPONSORSHIP
(104) TEXAS SOUTHERN UNIVERSITY FOUNDATION INC 3100 CLEBURN STREET HANNAH HALL STE 201 HOUSTON,TX77004	74-1620415	501C3	34,373	0			PROGRAM SUPPORT
(105) THE ALLIANCE 6420 HILLCROFT AVE HOUSTON,TX77081	76-0171217	501C3	41,833	0			PROGRAM SUPPORT
(106) THE CHILDREN'S ASSESSMENT CTR FDN 2500 BOLSOVER STREET HOUSTON,TX77005	76-0458780	501C3	38,333	0			PROGRAM SUPPORT
(107) THE HEALTH MUSEUM 1515 HERMANN DRIVE HOUSTON,TX77004	74-6106357	501C3	20,000	0			SPONSORSHIP
(108) THE MENNINGER CLINIC FOUNDATION 12301 MAIN STREET HOUSTON,TX77035	81-0588012	501C3	10,000	0			SPONSORSHIP
(109) THE TRUTH PROJECT INC PO BOX 710138 HOUSTON,TX77271	46-3044821	501C3	24,333	0			PROGRAM SUPPORT
(110) THE WOMENS RESOURCE OF GREATER HOUSTON 730 N POST OAK RD STE 203 HOUSTON,TX77024	31-1769108	501C3	84,622	0			PROGRAM SUPPORT
(111) UNITED AGAINST HUMAN TRAFFICKING 6671 SOUTHWEST FWY STE 220 HOUSTON,TX77074	26-1103492	501C3	43,042	0			PROGRAM SUPPORT
(112) UNIVERSITY OF ST THOMAS 3800 MONTROSE BLVD HOUSTON,TX77006	74-1277664	501C3	5,075	0			SPONSORSHIP
(113) UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER 7000 FANNIN ST SUITE 1200 HOUSTON,TX77030	74-1761309	STATE AGENCY	71,393	0			PROGRAM SUPPORT
(114) URBAN HARVEST INC 3302 CANAL STREET HOUSTON,TX77003	76-0501430	501C3	30,000	0			PROGRAM SUPPORT
(115) VOLUNTEERS OF AMERICA TEXAS INC 4808 YALE STREET HOUSTON,TX77018	75-0827469	501C3	100,000	0			PROGRAM SUPPORT
(116) WESLEY COMMUNITY CENTER 1410 LEE STREET HOUSTON,TX77009	74-1132578	501C3	55,000	0			PROGRAM SUPPORT
(117) WEST HOUSTON ASSISTANCE MINISTRIES INC 10501 MEADOWGLEN LANE HOUSTON,TX77042	76-0001309	501C3	30,958	0			PROGRAM SUPPORT
(118) YES PREP PUBLIC SCHOOLS INC 5515 SOUTH LOOP EAST SUITE B HOUSTON,TX77033	76-0563835	501C3	53,056	0			PROGRAM SUPPORT
(119) YMCA OF GREATER HOUSTON 1331 AUGUSTA DRIVE HOUSTON,TX77057	74-1109737	501C3	40,000	0			PROGRAM SUPPORT
(120) CENTRAL SOUTH DISTRICT UNITED METHODIST CHURCH 3511 LINKWOOD DRIVE HOUSTON,TX77025		501C3	10,000	0			PROGRAM SUPPORT

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

114

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) 2022

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) SCHOLARSHIPS	6	36,000
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

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

Return Reference

Explanation

PART I, LINE 2:

PRIOR TO THE METHODIST HOSPITAL'S APPROVAL OF A GRANT TO A REQUESTING ORGANIZATION, THE FOLLOWING CRITERIA MUST BE MET: (1) THE REQUESTING ORGANIZATION MUST BE AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX (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) 2022

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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

2022

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) 2022

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)
1SEVEN KEY EMPLOYEES-SEE METHODIST HOSPITAL GROUP RETURN-SCHE	(i) (ii)	4,985,084 ------------- 0	2,034,164 ------------- 0	1,317,739 ------------- 0	1,048,773 ------------- 0	171,834 ------------- 0	9,557,594 ------------- 0	0 ------------- 0
2NINE OFFICERDIR-SEE METHODIST HOSPITAL GROUP RETURN-SCHE	(i) (ii)	2,018,602 ------------- 0	1,358,631 ------------- 0	640,662 ------------- 0	777,250 ------------- 0	25,992 ------------- 0	4,821,137 ------------- 0	0 ------------- 0
3FOUR HIGHEST PAID-SEE METHODIST HOSPITAL GROUP RETURN-SCHE	(i) (ii)	2,046,767 ------------- 15,112	740,618 ------------- 0	451,401 ------------- 100	393,530 ------------- 0	137,240 ------------- 0	3,769,556 ------------- 15,212	0 ------------- 0
4ONE OFFICER-SEE METHODIST HOSPITAL GROUP RETURN-SCHE	(i) (ii)	1,005,503 ------------- 0	463,100 ------------- 0	326,169 ------------- 0	222,824 ------------- 0	27,339 ------------- 0	2,044,935 ------------- 0	0 ------------- 0
5SIXTEEN DIRECTORS-SEE METHODIST HOSPITAL GROUP RETURN-SCHE	(i) (ii)	0 ------------- 572,275	0 ------------- 195,862	93,500 ------------- 4,670	0 ------------- 19,250	0 ------------- 18,900	93,500 ------------- 810,957	0 ------------- 0

Schedule J (Form 990) 2022

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	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 SEVERANCE PAYMENT WAS MADE FROM THIS PLAN IN 2022.
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. NO PAYMENT WAS MADE FROM THIS PLAN IN 2022.
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) 2022

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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 ..................	25,900,000
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 %		0.100 %		1.600 %		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 %		0.100 %		1.600 %		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	889,012	EMPLOYMENT		No
(2) LEE SCHWARTZ	FAMILY MEMBER OF ROBERTA SCHWARTZ-KEY EMPLOYEE	441,285	EMPLOYMENT		No
(3) TIFFANY GARCIA	FAMILY MEMBER OF MICHAEL L GARCIA-KEY EMPLOYEE	44,530	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 TO OTHER ENTITIES 33,559,271.

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)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	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(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	THE METHODIST HOSPITAL	UNRELATED	3,278	13,454,286		No	3,240		No	90.000 %

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

Yes

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	14,347,680	FAIR MARKET VALUE
(2) METHODIST HOSPITAL FOUNDATION	C	29,995,733	FAIR MARKET VALUE
(3) METHODIST HOSPITAL FOUNDATION	S	47,566,136	FAIR MARKET VALUE
(4) MEDVEST 1 LIMITED PARTNERSHIP	S	510,041	FAIR MARKET VALUE
(5) ALLIED METHODIST HOSPITAL PHYSICIANS	P	1,590,031	FAIR MARKET VALUE
(6) ALLIED METHODIST HOSPITAL PHYSICIANS	L	1,625,000	FAIR MARKET VALUE
(7) METHODIST HOSPITAL SELF INSURANCE TRUST	Q	21,085,246	FAIR MARKET VALUE
(8) METHODIST HOSPITAL SELF INSURANCE TRUST	B	21,751,346	FAIR MARKET VALUE
(9) METHODIST HOSPITAL SELF INSURANCE TRUST	R	8,000,000	FAIR MARKET VALUE
(10) TMH PHYSICIAN ORGANIZATION	P	175,717,865	FAIR MARKET VALUE
(11) TMH PHYSICIAN ORGANIZATION	Q	16,482,962	FAIR MARKET VALUE
(12) TMH PHYSICIAN ORGANIZATION	B	6,161,979	FAIR MARKET VALUE
(13) TMH PHYSICIAN ORGANIZATION	L	2,661,675	FAIR MARKET VALUE
(14) TMH PHYSICIAN ORGANIZATION	J	2,364,693	FAIR MARKET VALUE
(15) TMH PHYSICIAN ORGANIZATION	R	362,259,401	FAIR MARKET VALUE
(16) MEDVEST INCORPORATED	H	31,320,000	FAIR MARKET VALUE
(17) MEDVEST INCORPORATED	L	165,000	FAIR MARKET VALUE
(18) MEDVEST INCORPORATED	R	915,195	FAIR MARKET VALUE
(19) METHODIST PRIMARY CARE GROUP	Q	1,700,408	FAIR MARKET VALUE
(20) METHODIST PRIMARY CARE GROUP	L	974,021	FAIR MARKET VALUE
(21) METHODIST PRIMARY CARE GROUP	R	42,492,733	FAIR MARKET VALUE
(22) METHODIST HEALTH CENTERS	P	315,000	FAIR MARKET VALUE
(23) METHODIST HEALTH CENTERS	Q	6,502,093	FAIR MARKET VALUE
(24) METHODIST HEALTH CENTERS	B	468,360	FAIR MARKET VALUE
(25) METHODIST HEALTH CENTERS	L	236,159,676	FAIR MARKET VALUE
(26) METHODIST HEALTH CENTERS	J	120,252	FAIR MARKET VALUE
(27) METHODIST HEALTH CENTERS	S	550,100,901	FAIR MARKET VALUE
(28) METHODIST HEALTH CENTERS	R	83,182,927	FAIR MARKET VALUE
(29) HOUSTON METHODIST ST JOHN HOSPITAL	Q	2,662,378	FAIR MARKET VALUE
(30) HOUSTON METHODIST ST JOHN HOSPITAL	L	27,672,698	FAIR MARKET VALUE
(31) HOUSTON METHODIST ST JOHN HOSPITAL	S	63,696,347	FAIR MARKET VALUE
(32) HOUSTON METHODIST ST CATHERINE	Q	5,351,001	FAIR MARKET VALUE
(33) HOUSTON METHODIST ST CATHERINE	L	3,422,994	FAIR MARKET VALUE
(34) HOUSTON METHODIST ST CATHERINE	J	831,808	FAIR MARKET VALUE
(35) HOUSTON METHODIST ST CATHERINE	K	925,733	FAIR MARKET VALUE
(36) HOUSTON METHODIST ST CATHERINE	R	54,173,189	FAIR MARKET VALUE
(37) DIAGNOSTIC CENTER HOSPITAL	S	122,330	FAIR MARKET VALUE
(38) TMH MEDICAL OFFICE BUILDINGS	Q	712,962	FAIR MARKET VALUE
(39) TMH MEDICAL OFFICE BUILDINGS	L	3,268,643	FAIR MARKET VALUE
(40) TMH MEDICAL OFFICE BUILDINGS	R	37,152,542	FAIR MARKET VALUE
(41) THE METHODIST HOSPITAL RESEARCH INSTITUTE	P	105,324,487	FAIR MARKET VALUE
(42) THE METHODIST HOSPITAL RESEARCH INSTITUTE	Q	13,812,985	FAIR MARKET VALUE
(43) THE METHODIST HOSPITAL RESEARCH INSTITUTE	B	14,527,232	FAIR MARKET VALUE
(44) THE METHODIST HOSPITAL RESEARCH INSTITUTE	L	8,533,257	FAIR MARKET VALUE
(45) THE METHODIST HOSPITAL RESEARCH INSTITUTE	J	6,108,110	FAIR MARKET VALUE
(46) THE METHODIST HOSPITAL RESEARCH INSTITUTE	R	86,629,447	FAIR MARKET VALUE
(47) HOUSTON METHODIST ACADEMIC INSTITUTE	P	39,850,000	FAIR MARKET VALUE
(48) HOUSTON METHODIST ACADEMIC INSTITUTE	B	1,490,144	FAIR MARKET VALUE
(49) HOUSTON METHODIST ACADEMIC INSTITUTE	L	563,704	FAIR MARKET VALUE
(50) HOUSTON METHODIST ACADEMIC INSTITUTE	R	37,286,974	FAIR MARKET VALUE
(51) SAN JACINTO METHODIST HOSPITAL	Q	1,363,661	FAIR MARKET VALUE
(52) SAN JACINTO METHODIST HOSPITAL	B	171,825	FAIR MARKET VALUE
(53) SAN JACINTO METHODIST HOSPITAL	L	41,261,242	FAIR MARKET VALUE
(54) SAN JACINTO METHODIST HOSPITAL	S	34,190,054	FAIR MARKET VALUE
(55) HOUSTON METHODIST COORDINATED CARE	L	4,250,000	FAIR MARKET VALUE
(56) HOUSTON METHODIST COORDINATED CARE	S	16,505,455	FAIR MARKET VALUE
(57) HEALTH CARE GROUP	R	1,723,933	FAIR MARKET VALUE
(58) HOUSTON METHODIST GLOBAL	L	165,000	FAIR MARKET VALUE
(59) HOUSTON METHODIST GLOBAL	S	74,295	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	13,509
6	Total number of volunteers (estimate if necessary) .............	6	1,203
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,987,931
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) .........	192,547,051	33,741,928
9	Program service revenue (Part VIII, line 2g) .........	2,523,982,801	2,737,750,742
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	99,445,184	42,016,831
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	59,762,179	81,981,622
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	2,875,737,215	2,895,491,123
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	57,758,338	11,798,694
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)	1,071,912,998	979,985,321
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)....	1,568,266,473	1,694,886,745
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,697,937,809	2,686,670,760
19	Revenue less expenses. Subtract line 18 from line 12.......	177,799,406	208,820,363
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	10,162,124,093	9,864,255,911
21	Total liabilities (Part X, line 26).............	2,934,033,130	3,248,071,102
22	Net assets or fund balances. Subtract line 21 from line 20.....	7,228,090,963	6,616,184,809

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 2,325,253,152 including grants of $ 11,798,694 ) (Revenue $ 2,767,191,091 )
	SEE SCHEDULE OCURRENTLY HOUSTON METHODIST HOSPITAL OPERATES 1,365 LICENSED BEDS IN ITS TEXAS MEDICAL CENTER FACILITIES. HOUSTON METHODIST HOSPITAL RECORDED 569,272 VISITS DURING 2022 WHICH WERE COMPRISED OF 436,659 OUTPATIENT VISITS, 92,178 EMERGENCY ROOM VISITS AND 40,435 INPATIENT ADMISSIONS. IT ALSO PERFORMED 14,345 INPATIENT SURGERIES AND 27,162 OUTPATIENT SURGERIES IN 2022.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 expenses2,325,253,152

(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			4,017,895	0	803,242
(2) SIXTEEN DIRECTORS-SEE METHODIST...................................................................... HOSPITAL GROUP RETURN-SCHE	2.00 ................. 1.75	X				93,500	772,807	38,150
(3) ONE OFFICER-SEE METHODIST...................................................................... HOSPITAL GROUP RETURN-SCHE	24.00 ................. 26.00		X			1,794,772	0	250,163
(4) SEVEN KEY EMPLOYEES-SEE METHODIST...................................................................... HOSPITAL GROUP RETURN-SCHE	44.86 ................. 5.14			X		8,336,987	0	1,220,607
(5) FOUR HIGHEST PAID-SEE METHODIST...................................................................... HOSPITAL GROUP RETURN-SCHE	43.75 ................. 6.25				X	3,238,786	15,212	530,770

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	17,481,940	788,019	2,842,932

(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	84,905,860




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 234

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	29,995,733
e	Government grants (contributions)		1e	3,746,195

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.......		33,741,928

		Business Code
2a	PATIENT CARE SERVICES	622110	2,706,583,508	2,706,583,508
b	RELATED ORG. RENT	531390	31,167,234	31,141,061	26,173
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		2,737,750,742

3 Investment income (including dividends, interest, and othersimilar amounts) ......			108,116,278		3,240	108,113,038
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........			19			19
		(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	1,083,266	3,556,463,136	7a
b	Less: cost or other basis and sales expenses	78,014	3,623,567,835	7b
c	Gain or (loss)	1,005,252	-67,104,699	7c
d	Net gain or (loss).........			-66,099,447			-66,099,447
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	42,125,341		1,955,000	40,170,341
b	FOOD SERVICE		722514	10,415,913		3,518	10,412,395
c	INSURANCE PROCEEDS		524126	5,626,478	5,626,478
d	All other revenue ....			23,813,871	23,813,871
e	Total. Add lines 11a–11d ......			81,981,603
12	Total revenue. See instructions.....			2,895,491,123	2,767,164,918	1,987,931	92,596,346

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	11,762,694	11,762,694
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	36,000	36,000
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 ...........	16,517,166		16,517,166
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	1,374,827	44,530	1,330,297
7	Other salaries and wages........	724,327,202	642,028,946	82,298,256
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	54,774,811	29,604,630	25,170,181
9	Other employee benefits .......	117,881,483	117,446,669	434,814
10	Payroll taxes ...........	65,109,832	46,182,634	18,927,198
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	14,863,589		14,863,589
c	Accounting ...........	768,111		768,111
d	Lobbying ...........	624,763		624,763
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	15,862,635		15,862,635
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	149,345,260	127,379,651	21,965,609
12	Advertising and promotion ....	11,482,369	173,523	11,308,846
13	Office expenses .......	22,806,273	15,476,941	7,329,332
14	Information technology ......	100,289,052	99,007,248	1,281,804
15	Royalties ..
16	Occupancy ...........	39,328,109	36,509,755	2,818,354
17	Travel ............	3,041,674	699,886	2,341,788
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	2,121,881	1,335,768	786,113
20	Interest ...........	42,248,720		42,248,720
21	Payments to affiliates .......	38,680,452		38,680,452
22	Depreciation, depletion, and amortization ..	140,154,138	116,410,489	23,743,649
23	Insurance ...	5,388,444	99,240	5,289,204
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	716,040,091	715,570,411	469,680
b	SUPPORT FOR MPO	141,677,664	141,677,664
c	PROF. SERVICES (NET)	117,394,281	116,650,859	743,422
d	SUPPORT FOR MRI	105,000,000	105,000,000
e	All other expenses	27,769,239	2,155,614	25,613,625
25	Total functional expenses. Add lines 1 through 24e	2,686,670,760	2,325,253,152	361,417,608	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 ........			36,280,825	1	15,230,937
2	Savings and temporary cash investments .........			361,073,010	2	498,762,089
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			308,131,658	4	357,904,533
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	4,049,520
8	Inventories for sale or use ............			55,705,401	8	42,348,079
9	Prepaid expenses and deferred charges ......			40,947,736	9	46,243,385
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	4,356,799,521
b	Less: accumulated depreciation	10b	2,506,775,200	1,909,616,652	10c	1,850,024,321
11	Investments—publicly traded securities .			7,111,010,390	11	6,528,358,163
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 ...........			319,767,112	15	501,743,575
16	Total assets. Add lines 1 through 15 (must equal line 33)...			10,162,124,093	16	9,864,255,911

17	Accounts payable and accrued expenses .....	681,852,513	17	806,262,013
18	Grants payable ...		18
19	Deferred revenue .........	45,680,631	19	70,390,698
20	Tax-exempt bond liabilities .........	1,983,776,890	20	2,110,739,264
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	222,723,096	25	260,679,127
26	Total liabilities. Add lines 17 through 25..	2,934,033,130	26	3,248,071,102

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	7,228,090,963	27	6,616,184,809
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 ...........	7,228,090,963	32	6,616,184,809
33	Total liabilities and net assets/fund balances ........	10,162,124,093	33	9,864,255,911

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