SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2016
Open to Public Inspection
Name of the organization
Memorial Hermann Health System
 
Employer identification number

74-1152597
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
%
b
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: . . . . . . . .
3b
Yes
 
%
c
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.
4
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"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
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? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (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) . . . 		    278,438,053 0 278,438,053 6.410 %
b Medicaid (from Worksheet 3, column a) . . . . .     680,720,944 646,995,266 33,725,678 0.780 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     44,351,305 30,807,926 13,543,379 0.310 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .     1,003,510,302 677,803,192 325,707,110 7.500 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     147,243,981 0 147,243,981 3.390 %
f Health professions education (from Worksheet 5) . . .     69,094,947 18,948,957 50,145,990 1.150 %
g Subsidized health services (from Worksheet 6) . . . .     345,590,127 287,053,328 58,536,799 1.350 %
h Research (from Worksheet 7) .     10,678,590 5,241,149 5,437,441 0.130 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     1,732,601 0 1,732,601 0.040 %
j Total. Other Benefits . .     574,340,246 311,243,434 263,096,812 6.060 %
k Total. Add lines 7d and 7j .     1,577,850,548 989,046,626 588,803,922 13.560 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2016
Schedule H (Form 990) 2016
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     2,023,570 0 2,023,570 0.050 %
8 Workforce development            
9 Other            
10 Total     2,023,570 0 2,023,570 0.050 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
646,057,306
3
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. ......
3
32,302,865
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
1,153,638,224
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
1,801,340,332
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-647,702,108
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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 .........................

9b

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) 2016
Schedule H (Form 990) 2016
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?13Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 Memorial Hermann Hospital - TMC
6411 fannin
houston,TX77030
www.memorialhermann.org
347 		X X   X     X     A
2 MH Memorial City Medical Center
921 gessner
houston,TX77024
www.memorialhermann.org
302 		X X         X     A
3 MH The Woodlands Medical Center
9250 pinecroft
the woodlands,TX77381
www.memorialhermann.org
615 		X X         X     A
4 Memorial Hermann Southwest Hospital
7600 beechnut
houston,TX77074
www.memorialhermann.org
407 		X X   X     X     A
5 Memorial Hermann Southeast Hospital
11800 astoria blvd
houston,TX77089
www.memorialhermann.org
119 		X X         X     A
6 Memorial Hermann Northeast
18951 Memorial North
Humble,TX77338
www.memorialhermann.org
8471 		X X         X     A
7 Memorial Hermann Katy Hospital
23900 katy freeway
katy,TX77494
www.memorialhermann.org
534 		X X         X     A
8 MH Greater Heights Hospital
1635 North Loop West
Houston,TX77008
www.memorialhermann.org
172 		X X         X     A
9 Memorial Hermann Sugar Land
17500 west grand parkway south
sugar land,TX77479
www.memorialhermann.org
609 		X X         X     A
10 TIRR Memorial Hermann
1333 moursund street
houston,TX77030
www.memorialhermann.org
100189 		X         X       A
11 MH Specialty Hospital Kingwood LLC
300 Kingwood Medical Drive
Kingwood,TX77339
www.memorialhermann.org
8591 		X           X     A
12 MH Surgical Hospital First Colony
16906 South west Freeway
Sugar Land,TX77479
www.memorialhermann.org
100161 		X           X     A
13 MH Rehabilitation Hospital Katy
21720 Kingsland Blvd Ste 102
Katy,TX77450
www.memorialhermann.org
100009 		X                 A
Schedule H (Form 990) 2016
Page 4
Schedule H (Form 990) 2016
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		 
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 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 ................. 5 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.................................. 6a   No
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): "See Part V Section C"
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2016
Page 5
Schedule H (Form 990) 2016
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
"See Part V Section C"
b
"See Part V Section C"
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2016
Page 6
Schedule H (Form 990) 2016
Page 6
Part VFacility Information (continued)

Billing and Collections
A
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2016
Page 7
Schedule H (Form 990) 2016
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
A
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2016
Page 8
Schedule H (Form 990) 2016
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
990 Sch H Part V Sec B Line 5 While social and epidemiological data can provide a helpful portrait of a community, it does not tell the whole story. It is critical to understand peoples health issues of concern, their perceptions of the health of their community, the perceived strengths and assets of the community, and the vision that residents have for the future of their community. Secondary data was supplemented by focus groups and interviews. In total, 11 focus groups and 28 key informant discussions were conducted with individuals from MH Texas Medical Center's community from October 2015 through February 2016. Focus groups were held with 93 community residents drawn from the Greater Houston community representing the population segments noted below. Focus group and interview discussions explored participants perceptions of their communities, priority health concerns, perceptions of public health, prevention, Health care services, and suggestions for future programming and services to address these issues. Focus Groups consisted of the following population segments: Adolescents (15-18 years old); Parents of preschool children (0-5 years old); Seniors (65+ years old) (two groups) Spanish-speaking Hispanic community members (conducted in Spanish); English-speaking Hispanic community members; Asian-American community members; Low-income community members from urban area; Low-income community members from suburban area; Low-income community members from rural area; Community members of moderate to high socioeconomic status. Key informant discussions were conducted with individuals representing the community. Key informants represented a number of sectors including non-profit/community service, city government, hospital or health care, business, education, emergency preparedness, faith community, and priority populations (e.g., low-income urban residents representing the community). Organizations Contributing Key Informant Interviews were: ACCESS Health (FQHC)-Carol Edwards; Asian American Health Coalition- Tito Refi; Association for the Advancement of Mexican Americans- Beatrice Garza; Blue Cross Blue Shield- Robert Morrow; Children at Risk- Mandi Kimball; Childrens Defense Fund- Anat Kelman, Wykisha McKinney, Patrick Bresette; Christ Clinic- Kara Hill; City of Houston, Department of Neighborhoods-Angel Pounce, Kathy Barton; City of Houston, Department of Parks and Recreation- Joe Turner; Community Health Choice- Ken Janda; Fort Bend Health and Human Services- Kaye Reynolds; Harris County Public Health and Environmental Services- Umair A. Shah; Harris Health- Jennifer Small; Houston Independent School Disctrict- Gwendolyn Johnson; Institute for Spirituality and Health- Stuart Nelson; Interfaith Community Clinic- Anne Snyder; Interfaith Ministries of Greater Houston- Martin Cominsky; Lonestar Family Health Center- Steve Mckernan; Mayors Office for People with Disabilities- Jay Stiteley; Memorial Hermann Health System- Theresa Fawvor, Michael Wollner, MD; Memorial Hermann Texas Medical Center James McCarthy, MD; Office of Harris County Judge Ed Emmett- Peggy Boice; One Voice Texas- Katherine Barillas; Pasadena Independent School District- Darla Massey-Jones; SETRAC (Southeast Texas Regional Advisory Council)- Darrel Pile; Sheltering Arms Senior Services, Neighborhood Centers Inc. Terrence Adams; Southwest Management District- Alice Lee; Texas Legislature- John Zerwas; The Harris Center for Mental Health and IDD (MHMRA)- Steve Shenee; Tri County Service- Evan Robinson; United Way of Montgomery County- Julie Martineau; University of Texas School of Public Health- Charles Begley.
990 Sch H Part V Sec B Line 7A & 10A CHNA report and Implementation strategy website: https://communitybenefit.memorialhermann.org/about-us/key-community-health -assessment-findings/
990 Sch H Part V Sec B Line 11 Committed to making the greater Houston area a healthier and more vital place to live, Memorial Hermann and its subsidiary, Memorial Hermann Community Benefit Corporation (MHCBC), work together to provide or to collaborate with the following initiatives: Health Centers for Schools Mobile Dental Vans ER Navigators Nurse Health Line STEP Healthy to Reduce Obesity Neighborhood Health Centers Psychiatric Response Team Mental Health Crisis Clinics Home Behavioral Health Services The CHNA was guided by a participatory, collaborative approach, which examined health in its broadest sense over a six-month period. This process included integrating existing secondary data on social, economic, and health issues in the region with qualitative information from 11 focus groups with community residents and service providers and 27 interviews with community stakeholders. The following key health issues emerged most frequently from a review of the available data across all Memorial Hermann Hospitals and were considered in the selection of the system-wide Strategic Implementation Plan (SIP) health priorities: Health Care Access Issues Related to Aging Behavioral Health, Including Substance Abuse and Mental Health Transportation Healthy Eating, Active Living, and Overweight/Obesity Chronic Disease Management Through guided facilitation, Memorial Hermann applied the criteria of relevance, appropriateness, impact and feasibility to select system-level priorities. The top three key priorities identified by this process were: Healthy Living Behavioral Health Health Care Access These three overarching priorities reflect all of the needs identified system-wide in the CHNAs including transportation (reflected under Access to Health Care), substance abuse (reflected under Behavioral Health), and issues related to aging (considered as one of several vulnerable populations addressed). The CHNA process enables each hospital within Memorial Hermann to develop programs and services that advance the health of its community, building the foundation for systemic change across the greater Houston area.
990 Sch H Part V Sec B Line 16A B C How Hospital publicized policy http://www.memorialhermann.org/financialassistanceprogram/
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2016
Page 9
Schedule H (Form 990) 2016
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?28
Name and address Type of Facility (describe)
1 MH Surgery Center Texas Medical Center
6400 Fannin Street 1500
Houston,TX77030 		Ambulatory Surgical Center
2 MH Convenient Care Center in Summer Cr
14201 East Sam Houston Parkway N
Houston,TX77044 		Convenient Care center
3 MH Surgery Center Woodlands Parkway
1441 Woodstead Court 100
The Woodlands,TX77380 		Ambulatory Surgical Center
4 MH The Woodlands Medical Center Surgery
9200 Pinecroft Drive 200
The Woodlands,TX77380 		Ambulatory Surgical Center
5 MH Surgery Center Memorial Village
1120 Business Center Dr 110
Houston,TX77043 		Ambulatory Surgical Center
6 MH Surgery Center Kingsland
21720 Kingsland Blvd 101
Katy,TX77450 		Ambulatory Surgical Center
7 MH Surgery Center Bay Area Endoscopy Ctr
444 FM 1959 Ste B
Houston,TX77034 		Ambulatory Surgical Center
8 MH Surgery Center Sugar Land
17510 W Grand Parkway 200
Sugar Land,TX77479 		Ambulatory Surgical Center
9 Pasadena Doctors Outpatient Surgicenter
3534 Vista Blvd
Pasadena,TX77504 		Ambulatory Surgical Center
10 MH Surgery Center Conroe
1501 River Pointe Dr 200
Conroe,TX77304 		Ambulatory Surgical Center
11 MH Surgery Center Greater Heights
1631 North Loop West 300
Houston,TX77008 		Ambulatory Surgical Center
12 MH Surgery Center Katy
23920 Katy Freeway 200
Katy,TX77494 		Ambulatory Surgical Center
13 MH Surgery Center Southwest
7789 SW Freeway 400
Houston,TX77074 		Ambulatory Surgical Center
14 United Surgery Center Southeast
12700 N Featherwood 100
Houston,TX77034 		Ambulatory Surgical Center
15 MH Surgery Center Kirby Glen
2457 S Braeswood Blvd
Houston,TX77030 		Ambulatory Surgical Center
16 MH 24-Hour Emergency Care
9950 Woodlands Parkway
Spring,TX77382 		Freestanding ER
17 Memorial Hermann Prevention & Recovery
3043 Gessner
Houston,TX77080 		Drug & Alcohol Rehab
18 MH Surgery Center West Houston
970 Campbell Road
Houston,TX77024 		Ambulatory Surgical Center
19 MH Convenient Care Center in Katy
22430 Grand Corner Drive
Katy,TX77494 		Convenient Care center
20 MH Surgery Center Richmond
1517 Thompson Road 100
Richmond,TX77469 		Ambulatory Surgical Center
21 MH Surgery Center Texas Intl Endo Center
6620 Main St 1500
Houston,TX77030 		Ambulatory Surgical Center
22 MH Endoscopy & Surgery Center N Houston
275 Lantern Bend 400
Houston,TX77090 		Ambulatory Surgical Center
23 MH Endoscopy Center North Freeway
7333 N Freeway 400
Houston,TX77076 		Ambulatory Surgical Center
24 MH Convenient Care Ctr at Sienna Plntn
8780 Highway 6 Suite B
Missouri City,TX77459 		Convenient Care center
25 MH Surgery Ctr The Woodlands - Pinecroft
9305 Pinecroft Drive Ste 200
The Woodlands,TX77380 		Ambulatory Surgical Center
26 Univerity Place
7480 Beechnut
Houston,TX77074 		Senior Living
27 MH Convenient Care Center at Spring
7474 N Grand Parkway W
Spring,TX77379 		Convenient Care center
28 MH Convenient Care Ctr Greater Heights
1431 Studemont Street
Houston,TX77007 		Convenient Care center
Schedule H (Form 990) 2016
Page 10
Schedule H (Form 990) 2016
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
990 Sch H Part I line 6a Community Benefit Report MEMORIAL HERMANN HEALTH SYSTEM HAS PRODUCED A COMMUNITY BENEFIT REPORT THAT HIGHLIGHTS ALL SIGNIFICANT COMMUNITY HEALTH IMPROVEMENT EFFORTS. AS A HOSPITAL SYSTEM WITH MULTIPLE FACILITIES IN A MAJOR METROPOLITAN AREA, OUR EFFORTS ARE FOCUSED ON MEETING THE NEEDS OF THE GREATER COMMUNITY VERSUS INDIVIDUAL EFFORTS ASSOCIATED WITH INDIVIDUAL FACILITIES. BY FOCUSING ON FEWER, LARGER ENDEAVORS, THE LONG TERM IMPACT ON THE HOUSTON COMMUNITY'S HEALTH STATUS IS GREATER THAN WOULD BE ON AN INDIVIDUAL BASIS. IN ACCORDANCE WITH TEXAS ADMINISTRATIVE CODE TITLE 25, PART 1, CHAPTER 13, SUBCHAPTER B, RULE 13.17, MEMORIAL HERMANN SUBMITS AN ANNUAL REPORT OF COMMUNITY BENEFITS PLAN TO THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES (TDSHS) ANNUALLY. THE TDSHS REPORT RESIDES ON THE MEMORIAL HERMANN COMMUNITY BENEFITS WEBSITE: https://communitybenefit.memorialhermann.org/about-us/
990 Sch H Part I Line 7A-I Financial Assistance and certain other Community Benefits at Cost Line 7a - Financial Assistance at cost is calculated as charity charges times CCR per worksheet 2. Line 7b - Medicaid is calculated as Medicaid charges times CCR per worksheet 2. Line 7c- Costs of other means-tested government programs is calculated as low income government charges times CCR per worksheet 2. Line 7e - Community health improvement services and community benefit operations is dollars spent with other community providers to improve the health of the community. Line 7f- Health professions education is out patient physician/paramedical teaching expenses and revenues as reported per the Medicare Cost Report. Line 7g- Subsidized health services includes the End Stage Renal Disease Program, and the Obstetrics and Delivery Program. The losses calculated are from the Cost Accounting System. These losses exclude Medicaid and Other indigent Programs but includes, all other services: IP, OP, ER, Private Insurance, Medicare, the Uninsured, etc. Line 7h- Research is research dollars serving the community. The amount comes directly from the Medicare Cost Report. Line 7i - Cash and in-kind contributions for community benefit is community programs not reported elsewhere, along with sponsorships of other organizations.
990 Sch H Part II Line 7 Community Building Activities MEMORIAL HERMANN PROVIDED $2,023,570 IN PROGRAMS TO THE COMMUNITY FOR HEALTH EDUCATION AND PREVENTION FOR DISEASES AND CHRONIC CONDITIONS, SUPPORT GROUPS, NUTRITION AND FITNESS CLASSES, SCREENINGS FOR DISEASE, EDUCATION FOR CURRENT AND FUTURE HEALTH PROFESSIONALS, AND COMMUNITY EVENTS THAT PROMOTE AWARENESS OF HEALTH ISSUES TO THE PUBLIC.
990 Sch H Part III Sec A Line 2 Bad Debt Methodology Unpaid accounts are written off as bad debts upon reaching delinquent status. Charity care accounts are written off as identified or qualified under the System's charity care policy. Bad Debt Cost Reported on Line 2, is based on Bad Debt Charges written off during the reporting period, less any Bad Debt recoveries in the period. Net amount was extended by RCC. (From Wks 2- Line 11 to impute cost.)
990 Sch H Part III Sec A Line 3 The Hospital Facility reviews records from prior years accounts receivable balances to determine which accounts written off as bad debt are ultimately determined to be charity care. A two year look back blended average is thus calculated and then applied to the current periods account balance to estimate the current period bad debt attributable to patients eligible under the organizations financial assistance program.
990 Sch H Part III Sec A Line 4 Bad Debt footnote Patient accounts receivable are reported net of estimated allowances for contractual allowances, bad debt, and other discounts. The Health System's recorded allowances for bad debt are based on expected net collections, after contractual adjustments, primarily from patients. Management routinely assesses these recorded allowances relative to changes in payor mix, cash collections, write-offs, recoveries, and market conditions. Unpaid accounts are written off as bad debts upon reaching delinquent status. Charity care accounts are written off as identified or qualified under the Health System's charity care policy. The Health System's concentration of credit risk with respect to patient accounts receivable is limited due to the diversity of patients and payors. At June 30, 2017 and 2016, the allowance for bad debt was $702,890,000 and $735,260,000 respectively. Noted on pages 10-11 in Audited Financials.
990 Sch H Part III Sec B Line 8 Shortfall treated as community benefit While Memorial Hermann is not a proponent of capturing Medicare Shortfall as a community benefit, MHHS does serve the senior population as a part of their mission to improve the health of the greater Houston area. 12% of MHHS inpatient Medicare Days are from SSI individuals. Because SSI represents the low income seniors, 12% of this number could reasonably be considered the portion of low income seniors MHHS is serving.
990 Sch H Part III Sec C Line 9b Collection Policy If there is no coverage by a third party and the responsible party cannot pay any or part of the balance due or make acceptable financial arrangements, assistance is provided to the responsible party to complete financial assistance application forms, including application for Medicaid, Crime Victims Compensation, Harris County Hospital District or County Indigent Programs where appropriate. If the patient meets predetermined financial criteria, assistance is provided to the responsible party to complete the charity application for a full or partial charity care write-off.
990 Sch H Part VI Line 2 Needs Assesment. IMPROVING THE HEALTH OF A COMMUNITY IS ESSENTIAL TO ENHANCING THE QUALITY OF LIFE FOR RESIDENTS IN THE REGION AND SUPPORTING FUTURE SOCIAL AND ECONOMIC WELL-BEING. IN 2013, AND AGAIN IN 2016, MEMORIAL HERMANN HEALTH SYSTEM (MHHS) ENGAGED IN A COMMUNITY HEALTH PLANNING PROCESS THAT WAS TWO-FOLD: (1) A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO IDENTIFY THE HEALTH-RELATED NEEDS AND STRENGTHS OF THE COMMUNITY AND (2) A STRATEGIC IMPLEMENTATION PLAN (SIP) TO IDENTIFY MAJOR HEALTH PRIORITIES, DEVELOP GOALS, AND SELECT STRATEGIES AND IDENTIFY PARTNERS TO ADDRESS THESE PRIORITY ISSUES ACROSS THE COMMUNITY. THE CHNA WAS GUIDED BY A PARTICIPATORY, COLLABORATIVE APPROACH, WHICH EXAMINED HEALTH IN ITS BROADEST SENSE. THIS PROCESS INCLUDED INTEGRATING EXISTING SECONDARY DATA ON SOCIAL, ECONOMIC, AND HEALTH ISSUES IN THE REGION WITH QUALITATIVE INFORMATION FROM FOCUS GROUPS WITH COMMUNITY RESIDENTS AND SERVICE PROVIDERS AND INTERVIEWS WITH COMMUNITY STAKEHOLDERS. KEY THEMES AND CONCLUSIONS INCLUDE: THE SERVICE AREAS OF THE THIRTEEN LICENSED FACILITIES ARE UNIQUE IN TERMS OF DEMOGRAPHICS AND POPULATION HEALTH NEEDS BUT EACH ALSO HAS A STRONG SET OF ASSETS ON WHICH TO BUILD. EACH HAS A TREMENDOUSLY DIVERSE POPULATION IN TERMS OF AGE, AFFLUENCE, RACE, ETHNICITY, LANGUAGE, AND HEALTH NEEDS. WHILE HARRIS COUNTY AND HOUSTON EXPERIENCE MORE CHALLENGES IN TERMS OF POPULATION HEALTH THAN THEIR MORE SUBURBAN AND RURAL NEIGHBORS IN THE REGION, IT ALSO HAS MORE ACCESSIBLE SOCIAL AND HEALTH RESOURCES AND BETTER PUBLIC TRANSPORTATION FOR ITS RESIDENTS. THE INCREASE IN POPULATION OVER THE PAST FIVE YEARS HAS PLACED A TREMENDOUS BURDEN ON EXISTING PUBLIC HEALTH, SOCIAL, AND HEALTH CARE INFRASTRUCTURE, A TREND THAT PLACES BARRIERS TO PURSUING A HEALTHY LIFESTYLE AMONG RESIDENTS. INFRASTRUCTURE THAT DOES NOT KEEP UP WITH DEMAND LEADS TO UNMET NEED AND SUSTAINS UNHEALTHY HABITS IN THE COMMUNITY. COMMUNITIES WITHOUT EASY ACCESS TO HEALTHY FOODS, SAFE ROADS, AFFORDABLE HOUSING, FEWER SIDEWALKS, AND MORE VIOLENCE ARE AT A DISADVANTAGE IN THE PURSUIT OF HEALTHY LIVING. ALTHOUGH THERE IS ECONOMIC OPPORTUNITY FOR MANY RESIDENTS, THERE ARE POCKETS OF POVERTY AND SOME RESIDENTS FACE ECONOMIC CHALLENGES WHICH CAN AFFECT HEALTH. SENIORS AND MEMBERS OF LOW-INCOME COMMUNITIES FACE CHALLENGES IN ACCESSING CARE AND RESOURCES COMPARED TO THEIR YOUNGER AND HIGHER INCOME NEIGHBORS. STRATEGIES SUCH AS COMMUNITY HEALTH WORKERS MAY INCREASE RESIDENTS ABILITY TO NAVIGATE AN INCREASINGLY COMPLEX HEALTH CARE AND PUBLIC HEALTH SYSTEM. OBESITY AND CONCERNS RELATED TO MAINTAINING A HEALTHY LIFESTYLE EMERGED AS CHALLENGES FOR THE REGION. BARRIERS RANGED FROM INDIVIDUAL CHALLENGES OF LACK OF TIME TO CULTURAL ISSUES INVOLVING CULTURAL NORMS TO STRUCTURAL CHALLENGES SUCH AS LIVING IN A FOOD DESSERT OR HAVING LIMITED ACCESS TO SIDEWALKS, RECREATIONAL FACILITIES, OR AFFORDABLE FRUITS AND VEGETABLES. BEHAVIORAL HEALTH WAS IDENTIFIED AS A KEY CONCERN AMONG RESIDENTS. STAKEHOLDERS HIGHLIGHTED SIGNIFICANT UNMET NEEDS FOR MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES. KEY INFORMANTS PARTICULARLY DREW ATTENTION TO THE BURDEN OF MENTAL ILLNESS ON THE INCARCERATED POPULATION. TRANSPORTATION TO HEALTH SERVICES WAS IDENTIFIED AS A SUSBSTANTIAL CONCERN, ESPECIALLY FOR SENIORS AND LOWER INCOME RESIDENTS, AS ACCESS TO PUBLIC TRANSPORTATION MAY BE LIMITED IN SOME AREAS. BASED ON RELEVANCE, APPROPRIATENESS, IMPACT AND FEASIBILITY THE THREE OVERARCHING PRIORITIES SELECTED AND APPROVED BY THE MEMORIAL HERMANN HEALTH SYSTEM BOARD IN JUNE 2016 WERE: HEALTH CARE ACCESS, INCLUDING TRANSPORTATION HEALTHY LIVING, INCLUDING CHRONIC DISEASE MANAGEMENT BEHAVIORAL HEALTH, INCLUDING SUBSTANCE ABUSE AND MENTAL HEALTH FOLLOWING THE COMMUNITY NEEDS ASSESSMENT, EACH MEMORIAL HERMANN HOSPITAL ALONG WITH THE SUPPORT OF MEMORIAL HERMANN COMMUNITY BENEFIT DEPARTMENT DEVELOPED AN IMPLEMENTATION PLAN WITH SUPPORTING OBJECTIVES, AND IMPLEMENTATION ACTIVITIES AND METRICS. ALL DOCUMENTS RESIDE ON EACH HOSPITAL'S WEBSITE. IMPLEMENTATION PLANS ARE MONITORED QUARTERLY AND UPDATED ANNUALLY. NUMEROUS COMMUNITY ANALYSES ARE CONDUCTED AND SUPPORT NOT ONLY THIS MEMORIAL HERMANN DRIVEN PROCESS BUT ONGOING THOUGHT AND PLANNING EFFORTS. THIS INCLUDES THE UNIVERSITY OF TEXAS SCHOOL OF PUBLIC HEALTHS HOUSTON AREA HOSPITALS EMERGENCY DEPARTMENT USE STUDY; THE STATE OF HEALTH OF HOUSTON/HARRIS COUNTY; HARRIS COUNTY PUBLIC HEALTHS THE STATE OF HEALTHCARE IN HOUSTON/HARRIS COUNTY AND ITS RESPONSE TO SOCIAL DETERMINANTS OF HEALTH; THE CLINTON HEALTH MATTERS INITIATIVE; HOUSTON AND HARRIS COUNTY BLUEPRINT FOR ACTION, HOUSTON AREA FOUNDATIONS PROVIDING HEALTH CARE TO THOSE IN NEED; MIGRATION POLICY INSTITUTES A PROFILE OF IMMIGRANTS IN HOUSON, THE NATIONS MOST DIVERSE METROPOLITAN AREA; AND DATA FROM SELECT COLLABORATIVES INCLUDING YMCA CHILDHOOD OBESITY TAKS FORCE, CITIES CHANGING DIABETES, AND HEALTHY LIVING MATTERS, AMONGST OTHERS.
990 Sch H Part VI Line 3 Patient Education of eligibility for assistance. All Memorial Hermann Acute Care facilities and Rehab facilities have Third Party Qualification vendors on-site or trained financial counselors. Once someone requests or a financial counselor has determined through interaction with the patient and/or guarantor that the patient cannot pay for services, the financial counselors will either screen themselves or the patient/guarantor is referred to the Eligibility vendor on-site to screen for any Federal/State/Local Government program which may cover their services. These vendors act as agents for the patient/guarantor and may at times go to hearings for Medicaid or Disability as a legal representative of the patient. Also, all our entities, including service lines, have posted notices of a patient's right to request charity. Our statements that are sent to patients have documentation on the back informing the patient of Memorial Hermann's Charity policy and their right to request such, (in English and Spanish). Accounts are referred to be processed either on a real time basis by the hospital staff while the patient is still in the hospital or by electronic referral via data download which occur weekly and after the patient has been discharged. The goal is to make contact with the patient for financial screening to determine eligibility for governmental assistance as soon as possible. TIRR Memorial Hermann has embedded case managers and social workers in the hospital-based physician clinic to help patients with their doctors and needs. TIRR Memorial Hermann inpatients and outpatients require a great deal of assistance with a wide range of resources, and case management plays a significant role in providing supportive services to each patient. Social workers provide not only case management, but behavioral counseling as well. If needed, social workers can refer patients to TIRR Memorial Hermann's psychiatrist. Counseling services are available to families as well as to patients. Assistance for Memorial Hermann ER patients to take advantage of Community resources for primary care outside the emergency rooms are through Memorial Hermann's navigation services. In 2008, Memorial Hermann launched the ER Navigation program and Today, the ER Navigation program places Community Health Workers (CHWs) or "navigators" on-site in seven Memorial Hermann's emergency rooms to educate patients on the importance of identifying and using a consistent health home rather than relying on emergency rooms for their primary care. Patients eligible for the program are 18 months to age 65 who have accessed the ER for primary care related conditions and are uninsured or on Medicaid. They provide patients with clinic referrals, make appointments, arrange transportation, share information and referrals to community and safety net programs, educate about qualifying for and using public benefits and other payment resources, serve as a liaison between the patient and providers and tackle other challenges to appropriate care. CHWs stress the importance of having a health home and provide support and guidance in making and keeping future health appointments. While navigators initially meet with patients during the ER visit, much of their work is done in follow-up, ensuring that a clinic appointment was made, was successful and assisting with the paperwork required for qualification for Medicaid, CHIP or county indigent programs. Similar support is through the COPE (Community Outreach for Personal Empowerment) Program which provides empowering services for uninsured patients to improve their health and well being through education about and coordination with community health services. COPE targets patients who are at the highest rate of declining health and recidivism. Enrolling these populations into public benefits through all of these venues automatically increases their likelihood of obtaining regular primary and preventative care; the kind of care that ensures health and the potential for a prosperous future while concurrently eliminating the cost burden presently experienced by safety-net providers.
990 Sch H Part VI Line 4 Community Information. Memorial Hermann serves "Greater Houston." A Multi-county area along the GULF COAST IN SOUTHEAST TEXAS WHERE SEVERAL COUNTIES ARE WITHOUT HOSPITAL DISTRICT SERVICES. THE HOUSTON- THE WOODLANDS- SUGAR LAND METROPOLITAN STATISTICAL AREA (MSA) IS THE 5TH LARGEST MSA IN THE UNITED STATES, GREATER HOUSTON IS ONE OF THE FASTEST GROWING REGIONS IN AMERICA, WITH A POPULATION OF 6.7 MILLION. THE INCREASE IN POPULATION OVER THE PAST FIVE YEARS HAS PLACED A TREMENDOUS BURDEN ON EXISTING PUBLIC HEALTH, SOCIAL, AND HEALTH CARE INFRASTRUFCTURE. A SOURCE OF STRENGTH IN A GLOBAL ECONOMY, HOUSTON PRIZES ITS RACIAL AND ETHNIC DIVERSITY. ACCORDING TO THE U.S. CENSUS ACS FIVE YEAR ESTIMATES, HOUSTONS HARRIS COUNTY, THE METROPOLITAN AREAS DOMINANT COUNTY, IS 31.7% WHITE, 41.1% HISPANIC, 18.9% BLACK OR AFRICAN AMERICAN, 6.6% ASIAN/PACIFIC ISLANDER AND 1.6% OTHER. MORE THAN FORTY PERCENT OF HOUSTON RESIDENTS SPEAK LANGUAGES OTHER THAN ENGLISH AT HOME. IMMIGRATION IS A MAJOR PART OF THE IDENTITY OF THE CITY OF HOUSTON AND THE GREATER HOUSTON METROPOLITAN AREA. BETWEEN 2000 AND 2013 HOUSTONS IMMIGRANT POPULATION GREW NEARLY TWICE THE NATIONAL RATE: 59% VERSUS 33%. ADDITIONALLY, HARRIS COUNTY HAS ONE OF THE LARGEST REFUGEE POPULATIONS IN THE U.S. ALTHOUGH THERE IS ECONOMIC OPPORTUNITY FOR MANY RESIDENTS, THERE ARE POCKETS OF POVERTY. MEDIAN HOUSEHOLD INCOME IS $53,113. 15.1% OF HARRIS COUNTY RESIDENTS ARE LIVING BELOW THE POVERTY LINE. 18% OF CHIILDREN AND 26.3% OF THE TOTAL HARRIS COUNTY POPULATION ARE FOOD INSECURE. THE GREATER HOUSTON AREA IS ONE OF THE HARDEST HIT AREAS IN THE "UNINSURED" HEALTHCARE CRISIS WITH A QUARTER OF HARRIS COUNTY RESIDENTS UNINSURED. THE RISING RATE OF OBESITY IS THE SINGLE BIGGEST THREAT TO THE GREATER HOUSTON AREA-MORE THAN ONE IN FOUR GREATER HOUSTON RESIDENTS ARE OBESE. OBESITY AND CONCERNS RELATED TO MAINTAINING A HEALTHY LIFESTYLE ARE CHALLENGES WITH RESIDENTS FACING BARRIERS, RANGING FROM A LACK OF TIME TO CULTURAL ISSUES INVOLVING CULTURAL NORMS TO STRUCTURAL CHALLENGES SUCH AS LIVING IN A FOOD DESERT OR HAVING LIMITED ACCESS TO SIDEWALKS, RECREATIONAL FACILITIES, OR AFFORDABLE FRUITS AND VEGETABLES. HEALTH EDUCATION, PREVENTION, AND INCREASED ACCESS TO HEALTHCARE ARE VITAL TO IMPROVING THE OVERALL HEALTH OF RESIDENTS WHOSE LEADING CAUSES OF HEALTH ISSUES ARE MENTAL HEALTH PROBLEMS, DIABETES, OBESITY (ADULT), OBESITY (CHILDREN), SUBSTANCE ABUSE, HEART DISEASE/STROKE, CANCER AND HIGH BLOOD PRESSURE. THE MOST PREVALENT CHRONIC DISEASES ARE DIABETES, OBESITY, HIGH BLOOD PRESSURE, CANCER, HEART FAILURE AND ASTHMA. ONLY 18.9% OF THE HARRIS COUNTY POPULATION, AGE 25+, HAS A COLLEGE DEGREE. SO VITAL TO THE WELL-BEING OF INDIVIDUALS AND FAMILIES, THE HOUSTON AREA'S UNEMPLOYMENT RATE IS RELATIVELY LOW AT 4.8% AND THE HOUSTON AREA ENJOYS A LOW COST OF LIVING.
990 Sch H Part VI Line 5 Promotion of Community Health. MEMORIAL HERMANN HEALTH SYSTEM WORKS WITH OTHER HEALTHCARE PROVIDERS, GOVERNMENT AGENCIES, BUSINESS LEADERS AND COMMUNITY STAKEHOLDERS TO ENSURE THAT ALL RESIDENTS OF THE GREATER HOUSTON AREA HAVE ACCESS TO THE CARE AND SERVICES THEY NEED TO IMPROVE THEIR QUALITY OF LIFE AND THE OVERALL HEALTH OF THE COMMUNITY. PROGRAMS ARE DESIGNED TO PROVIDE CARE FOR UNINSURED AND UNDERINSURED CHILDREN; TO REACH THOSE HOUSTONIANS NEEDING LOW COST CARE; TO SUPPORT THE EXISTING INFRASTRUCTURE OF NON-PROFIT CLINICS AND FQHCS; TO EDUCATE INDIVIDUALS AND THEIR FAMILIES ON HOW TO ACCESS THE HEALTHCARE AVAILABLE TO THEM; AND TO PROMOTE A CULTURE OF HEALTH THROUGH HEALTH INITIATIVES DESIGNED TO REDUCE OBESITY INCREASE ACCESS TO HEALTHY FOOD, INCREASE PHYSICAL ACTIVITY, IMPROVE HEALTH AND REDUCE CHRONIC CONDITIONS. COMMITTED TO MAKING THE GREATER HOUSTON AREA A HEALTHIER AND MORE VITAL PLACE TO LIVE, MEMORIAL HERMANN SUPPORTS THE FOLLOWING INITIATIVES: TEN MEMORIAL HERMANN HEALTH CENTERS FOR SCHOOLS, ESTABLISHED IN 1996, OFFER ACCESS TO PRIMARY MEDICAL AND MENTAL HEALTH SERVICES TO UNDERSERVED CHILDREN AT 72 SCHOOLS IN THE GREATER HOUSTON AREA. THE MEMORIAL HERMANN MOBILE DENTAL CLINIC, ESTABLISHED IN 2000, HAS THREE DENTAL VANS AND PROVIDES ACCESS TO PREVENTATIVE AND RESTORATIVE DENTAL SERVICES AT NINE HEALTH CENTERS FOR SCHOOLS' SITES AND IS ACCESSIBLE AS A "DENTAL HOME" FOR UNINSURED STUDENTS. SERVING THE COMMUNITY SINCE 2008, THE MEMORIAL HERMANN ER NAVIGATION PROGRAM PLACES CERTIFIED COMMUNITY HEALTH WORKERS WHO HAVE THE TRAINING, CULTURAL UNDERSTANDING AND LINGUISTIC CAPACITY TO HELP THE UNINSURED, WHO DISPROPORTIONATELY USE EMERGENCY ROOMS FOR HEALTHCARE, 'NAVIGATE' THE COMPLEX HEALTH SYSTEM, OBTAIN A MEDICAL HOME, SCHEDULE APPOINTMENTS, SECURE NEEDED SOCIAL SERVICES AND COPE WITH FUTURE HEALTHCARE CONCERNS. FOOD INSECURITY SCREENINGS, REFERRALS, AND SUBSEQUENT PARTNERING WITH FOOD PANTRIES WERE INCORPORATED INTO THE ER NAVIGATION PROGRAM IN 2016. IN 2017, THE PROGRAM REVITALIZED THE PREVIOUS COPE (COMMUNITY OUTREACH FOR PERSONAL EMPOWERMENT), PROVIDING HEALTH LITERACY OUTREACH, HEALTH CARE AND DISEASE PREVENTION WORKSHOPS AND HEALTH PROMOTION. MEMORIAL HERMANN NEIGHBORHOOD HEALTH CENTERS ARE STRATEGICALLY LOCATED NEAR TWO OF HOUSTON'S BUSIEST ERS, ARE OPEN EXTENDED HOURS AND SERVE AS A MEDICAL HOME TO UNINSURED AND UNDERINSURED WORKING FAMILIES. THE GOAL IS TO PROVIDE THIS POPULATION WITH THE PROVISION OF PREVENTIVE, ACUTE, AND CHRONIC CARE. MEMORIAL HERMANN MEDICAL MISSIONS EXISTS TO FINANCE, FACILITATE, AND ENCOURAGE PHYSICIAN LED TEAMS INTO THIRD WORLD COUNTRIES. IT FINANCES BY PROVIDING SUPPLIES, PHARMACEUTICALS, AND SCHOLARSHIPS FOR NON-PHYSICIAN TEAM MEMBERS IT FACILITATES BY LINKING PHYSICIANS AND SUPPORT TEAMS TOGETHER; ADVISING ON PASSPORTS, VACCINATIONS, AIR TRAVEL; AND COORDINATING NECESSARY SUPPLIES. IT ENCOURAGES BY SHARING THE KNOWLEDGE OF PAST EXPERIENCES; COMMUNICATING WHAT A MEDICAL MISSION MEANS TO A POVERTY OR DISASTER STRICKEN AREA; AND COACHING ON SAFETY PRACTICES SO THAT PARTICIPANTS FEEL COMFORTABLE IN THEIR NEW SURROUNDINGS. SEVERAL NEW MEMORIAL HERMANN INITIATIVES HAVE BEEN UNDER THE STATE OF TEXAS' MEDICAID 1115 WAIVER - TEXAS HEALTH CARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM COLLABORATIVE. THE PSYCHIATRIC RESPONSE CASE MANAGEMENT PROGRAM WAS INTRODUCED TO ADDRESS THE GAP IN THE MENTAL AND BEHAVIORAL CARE SERVICES BY CONNECTING PATIENTS TO OUTPATIENT TREATMENT AND OTHER COMMUNITY RESOURCES. THE INITIATIVE WAS DESIGNED TO PROVIDE INTENSIVE, COMMUNITY-BASED CASE MANAGEMENT SERVICES FOR THOSE WITH BEHAVIORAL HEALTH DIAGNOSIS AND A HISTORY OF MULTIPLE HOSPITALIZATIONS. UNDER THIS PROGRAM, PATIENTS ARE ACTIVELY ENGAGED IN THE DEVELOPMENT OF THEIR OWN MENTAL HEALTH CARE PLAN AND LONG-TERM RECOVERY GOALS WITH THE ULTIMATE OBJECTIVE OF IMPROVED PATIENT WELLNESS AND GOAL ACHIEVEMENT. THE CASE MANAGEMENT PROGRAM WORKS CLOSELY WITH MEMORIAL HERMANN'S PSYCHIATRIC RESPONSE TEAM, IN WHICH MENTAL HEALTH CLINICIANS EVALUATE, STABILIZE, ARRANGE FOR TRANSFERS AND DEVELOP AFTERCARE PLANS FOR PATIENTS IN EMERGENCY ROOM AND MEDICAL INPATIENT SETTINGS. THE PSYCHIATRIC RESPONSE TEAM REFERS PATIENTS TO MORE THAN 200 MENTAL HEALTH COMMUNITY TREATMENT PROVIDERS WITHIN HARRIS, FORT BEND AND MONTGOMERY COUNTIES. THIS LARGE REFERRAL NETWORK ALLOWS THE PROGRAM TO LEVERAGE THE PATIENTS WITH INSURANCE TO OBTAIN CARE FOR THOSE WITHOUT. THIS NETWORK ALSO ELIMINATES A SINGLE FACILITY FROM COMPETING WITH ALL LOCAL EMERGENCY CENTERS FOR LIMITED PSYCHIATRIC RESOURCES. ANOTHER MEMORIAL HERMANN 1115 WAIVER PROGRAM IS THE MENTAL HEALTH CRISIS CLINICS, CREATED IN RESPONSE TO THE SIGNIFICANT GAP IN MENTAL AND BEHAVIORAL HEALTH SERVICES IN HARRIS AND SURROUNDING COUNTIES. MEMORIAL HERMANN CREATED MENTAL HEALTH CRISIS CLINICS THAT PROVIDE RAPID ACCESS TO INITIATE PSYCHIATRIC TREATMENT AND OUTPATIENT MULTI-DISCIPLINARY SERVICES FOR PATIENTS WITH NO IMMEDIATE ACCESS TO MENTAL HEALTH CARE. THE GOAL IS TO KEEP INDIVIDUALS HEALTHY AND SAFE, DEVELOP PROCESSES AND INTERVENTIONS TO MANAGE CHALLENGING BEHAVIORS, AND REDUCE IMPROPER HOSPITALIZATION OR POSSIBLE INCARCERATION. THE NURSE HEALTH LINE WAS ESTABLISHED IN 2014 AS A FREE TELEPHONE SERVICE FOR GREATER HOUSTON RESIDENTS WHO ARE EXPERIENCING A HEALTH CONCERN AND ARE UNSURE OF WHAT TO DO OR WHERE TO GO. EXPERIENCED, BILINGUAL NURSES USE THEIR TRAINING AND EXPERTISE TO CONDUCT ASSESSMENTS BY PHONE, AND ARE AVAILABLE TO ANSWER CALLS 24 HOURS A DAY, SEVEN DAYS A WEEK FOR ANY RESIDENT LIVING IN HARRIS OR SURROUNDING COUNTIES. THEY HELP CALLERS DECIDE WHEN AND WHERE TO GO FOR MEDICAL CARE AND ASSIST WITH SOCIAL SERVICE REFERRALS AND TRANSPORTATION NEEDS. CALLERS RECEIVE HEALTHCARE ADVICE AND EDUCATION USING NATIONALLY RECOGNIZED STANDARDIZED PROTOCOLS. MEMORIAL HERMANN FINANCIAL SUPPORT OF COMMUNITY EFFORTS THAT ALIGN WITH MEMORIAL HERMANN TENETS INCLUDE: Children at Risk Operational funding for efforts to conduct a research study on recess policies and implementation in the Greater Houston area; and to develop and publish a report highlighting the state of recess in Houston, recess best practices, and recommendations for recess polices that school districts can implement. E.C.H.O.S. (Epiphany Community Health Outreach) This program helps underwrite the expense of the annual dinner to support operations that provide health and social services to the new immigrants and refugees, primarily living in the Southwest area. Health Disparities, Awareness, Research and Training Consortium The goal of the consortium is to provide a comprehensive understanding of health disparities and to investigate approaches to advancing health equity. Interfaith Community Clinic This program provides operational funding for this private not-for-profit volunteer based health care clinic. Its mission is to provide short-term medical care, dental care, and social service referrals for indigent persons who do not have private health insurance and are not eligible for Medicaid. Opened in 1966, the clinic specifically concentrates on providing services to Montgomery County residents who are not eligible for other programs and have nowhere else to turn. Nora's Home Support of Nora's Home Expansion Campaign to increase the ability to meet the demand for housing and a healing environment for the organ failure and transplant patients receiving care in the Texas Medical Center. Physicians of Sugar Creek Funding of the difference between costs and sliding fee scale payments of care provided by this Memorial Family Practice Residency Training site to the working poor of the area. Population Research This program provides research, development, and implementation of effective approaches that improve the health of the Houston area patient populations through data driven research, interventions, evaluation and community engagement. Present foci are on ER Navigation and obesity programming. Spring Branch Community Health Center This federally qualified health center serves the uninsured and underinsured populations in Spring Branch and West Houston areas. Using the primary care model, SBCHC offers an integrated and comprehensive service delivery system, serving as a medical home for all who seek it. University of Texas Health Science Center Support of creative solutions to increase enrollment of student nurses and therefore increase the number of nurses working within the community. Ronald McDonald House Three year commitment in support of the Behind Every Door campaign to expand and update facilities that provide families of seriously ill children in the Texas Medical Center with accessible, affordable, and comfortable living accommodations. SEVA Clinic This charity clinic, opened in 2017, serves the uninsured and underinsured populations in Pearland. TOMAGWA Ministries, Inc. This program provides support of primary care and education to the working poor not qualifying for public assistance and not earning enough to pay fo
990 Sch H Part VI Line 6 Affiliated health care system. PROUDLY SERVING THE GREATER HOUSTON COMMUNITY FOR MORE THAN 110 YEARS, MEMORIAL HERMANN, THE LARGEST NOT-FOR-PROFIT HEALTH SYSTEM IN SOUTHEAST TEXAS, HAS 13 HOSPITALS AND NUMEROUS SPECIALTY PROGRAMS AND SERVICES. OUR 5,500 AFFILIATED PHYSICIANS AND 24,000 EMPLOYEES PRACTICE EVIDENCE-BASED MEDICINE WITH A RELENTLESS FOCUS ON QUALITY AND PATIENT SAFETY. ALL ASPECTS OF THE HEALTH SYSTEM - CARE DELIVERY, PHYSICIANS AND HEALTH SOLUTIONS ARE BROUGHT TOGETHER TO CREATE A TRULY INTEGRATED HEALTH SYSTEM. THIS BREADTH OF SERVICE UNIQUELY POSITIONS MEMORIAL HERMANN TO COLLABORATE WITH OTHER PROVIDERS TO ASSESS AND CREATE HEALTH CARE SOLUTIONS FOR INDIVIDUALS IN GREATER HOUSTON'S DIVERSE COMMUNITIES; TO PROVIDE SUPERIOR QUALITY, COST-EFFICIENT, INNOVATIVE AND COMPASSIONATE CARE; TO SUPPORT TEACHING AND RESEARCH TO ADVANCE THE HEALTH PROFESSIONALS AND HEALTH CARE OF TOMORROW; AND TO PROVIDE HOLISTIC HEALTH CARE WHICH ADDRESSES THE PHYSICAL, SOCIAL, PSYCHOLOGICAL AND SPIRITUAL NEEDS OF INDIVIDUALS. OUR MEMORIAL HERMANN PHYSICIAN NETWORK, MHMD, COMPRISES PHYSICIANS FROM MEMORIAL HERMANN MEDICAL GROUP, UTHEALTH AND PRIVATE PHYSICIANS AND SPECIALISTS. MEMORIAL HERMANN HEALTH PLAN HOLDINGS LLC's SUBSIDIARIES OFFER COMPREHENSIVE, INTEGRATED HEALTH SOLUTIONS THAT DELIVER QUALITY BENEFITS WHILE HELPING TO CONTAIN COSTS. WE OFFER LEADING-EDGE CLINICAL EXPERTISE, PATIENT-CENTERED CARE, AND LEADING EDGE TECHNOLOGY AND INNOVATION AS WELL AS HOUSTON'S FIRST HEALTH INFORMATION EXCHANGE THAT SHARES VITAL PATIENT DATA AMONG CARE PROVIDERS, HELPING TO ENSURE PATIENTS RECEIVE THE RIGHT CARE AT THE RIGHT TIME. THROUGH MEMORIAL HERMANN'S SUBSIDIARY, MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION (MHCBC), MEMORIAL HERMANN IMPLEMENTS PROGRAMS TO WORK WITH OTHER HEALTHCARE PROVIDERS, GOVERNMENT AGENCIES, BUSINESS LEADERS AND COMMUNITY STAKEHOLDERS TO ENSURE THAT ALL RESIDENTS OF THE GREATER HOUSTON AREA HAVE ACCESS TO THE CARE THEY NEED TO IMPROVE THEIR QUALITY OF LIFE AND THE OVERALL HEALTH OF THE COMMUNITY. THE MISSION OF MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION IS TO TEST AND MEASURE INNOVATIVE SOLUTIONS THAT PROMOTE GOOD HEALTH FOR THE INDIVIDUAL, THE HEALTH SYSTEM AND THE COMMUNITY. MHCBC COLLABORATES WITH OTHERS AS WELL AS CREATES SIGNATURE, EVIDENCE-BASED WAYS TO IMPROVE THE COMMUNITIES WHERE PEOPLE LIVE, WORK, LEARN, AND PLAY. MHCBC AREAS OF EXPERTISE SPAN ACCESS AND NAVIGATION, NUTRITION AND PHYSICAL ACTIVITY, SUPPORT OF THE WHOLE CHILD, AND RIGOROUS OUTCOME MEASUREMENT. PRIMARY PROGRAM FOCUS INCLUDE EDUCATION ON, ACCESS TO, AND PROVISION OF PRIMARY MEDICAL, DENTAL, MENTAL HEALTH, AND SOCIAL SERVICE SUPPORT TO UNDERSERVED POPULATIONS; FOOD AS HEALTH; AND, EXERCISE AS MEDICINE. NEW PROGRAMS ARE PILOTED, AND PROVEN PROGRAMS ARE REPLICATED IN THE COMMUNITY. COMMUNITY BENEFIT CORPORATION FUNDING TENETS INCLUDE: PROVISION OF PRIMARY AND/OR SPECIALTY CARE FOR THE UNINSURED AND UNDERINSURED; CONTRIBUTION TO THE EXISTING INFRASTRUCTURE OF NON-PROFIT CLINICS AND FQHC'S; PROGRAMS, PRACTICES, AND POLICIES THAT AFFECT THE HEALTH OF INDIVIDUALS, FAMILIES, AND COMMUNITIES; COMMITMENT TO MEASUREMENT; EXISTENCE OF COLLABORATIVE PARTNERS; PROGRAMMATIC INCLUSION OF HEALTH EDUCATION AND LITERACY; STRIVE TOWARDS SUSTAINABILITY. AS REQUIRED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT-SECTION 501(R)(3)-REQUIREMENT OF THE ACA, MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION SUPPORTS THE MEMORIAL HERMANN HEALTH SYSTEM LICENSED ACUTE CARE, REHAB, AND SURGICAL HOSPITALS IN CONDUCTING COMMUNITY NEEDS ASSESSMENTS. THE CORRESPONDING IMPLEMENTATION STRATEGIES BALANCE THE INDIVIDUALITY OF THE DIFFERENT HOSPITALS WITH THE SYSTEM STRATEGY OF COLLECTIVELY SUPPORTING COMMUNITY OBJECTIVES TO ACHIEVE THE NECESSARY ALIGNMENT AND LEVERAGE TO IMPACT TRUE COMMUNITY CHANGE.
990 Sch H Part VI Line 7 State Filing of community benefit report. Memorial Hermann Health System files a community benefit report in Texas that is available on the world wide web at: https://communitybenefit.memorialhermann.org/about-us/ Community Health Needs Assessments and Strategic Implementation Plans are available through links to each Memorial Hermann licensed facility at https://communitybenefit.memorialhermann.org/about-us/key-community-health -assessment-findings/
Schedule H (Form 990) 2016
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