4A (Expenses $ 2375383913 including grants of $ 1589819) (Revenue $ 3187692954)
SEE SCHEDULE O.

PART V, SECTION B
FACILITY REPORTING GROUP A

FACILITY REPORTING GROUP A CONSISTS OF:
- FACILITY 1: HOUSTON METHODIST SUGAR LAND HOSPITAL, - FACILITY 2: HOUSTON METHODIST WILLOWBROOK HOSPITAL, - FACILITY 7: HOUSTON METHODIST CONTINUING CARE HOSPITAL, - FACILITY 6: HOUSTON METHODIST CLEAR LAKE HOSPITAL, - FACILITY 5: HOUSTON METHODIST BAYTOWN HOSPITAL, - FACILITY 3: HOUSTON METHODIST WEST HOSPITAL, - FACILITY 4: HOUSTON METHODIST THE WOODLANDS HOSPITAL

FACILITY REPORTING GROUP A PART V, SECTION B, LINE 5:
"GENERAL NOTE:POLICIES AND PROCEDURES FOR HOSPITALS IN THE METHODIST HOSPITAL GROUP TAX RETURN ARE CONSISTENT AMONG ALL SEVEN HOSPITALS (I.E., METHODIST HEALTH CENTERS DOING BUSINESS AS HOUSTON METHODIST SUGAR LAND HOSPITAL (""HMSL""), HOUSTON METHODIST WILLOWBROOK HOSPITAL (""HMWB""), HOUSTON METHODIST WEST HOSPITAL (""HMW""), HOUSTON METHODIST THE WOODLANDS HOSPITAL (""HMTW""), SAN JACINTO METHODIST HOSPITAL DOING BUSINESS AS HOUSTON METHODIST BAYTOWN HOSPITAL (""HMB""), HOUSTON METHODIST CLEAR LAKE HOSPITAL (""HMCL"") AND HOUSTON METHODIST CONTINUING CARE HOSPITAL (""HMCCH"")). THE METHODIST HOSPITAL DOING BUSINESS AS HOUSTON METHODIST HOSPITAL (""HMH""), IS FILED AS A SEPARATE FORM 990 TAX RETURN. HOUSTON METHODIST, AS A SYSTEM, IS REPRESENTED AS HOUSTON METHODIST.PART V, SECTION B, LINE 5: IN 2019, HOUSTON METHODIST IDENTIFIED ITS COMMUNITY HEALTH PRIORITIES THROUGH THE EXECUTION OF A LARGE-SCALE COMMUNITY HEALTH NEEDS ASSESSMENT (""CHNA""). KEY COMPONENTS OF THE ASSESSMENT INCLUDED SURVEYING PATIENTS AND COMMUNITY MEMBERS LIVING WITHIN THE METROPOLITAN STATISTICAL AREA (""MSA"") THAT HOUSTON METHODIST FACILITIES ARE LOCATED WITHIN, ALONG WITH OTHER TECHNIQUES DESIGNED TO ADDRESS ANY INFORMATION GAPS AND UNCOVER THE MOST PRESSING CONCERNS OF THE SURROUNDING COMMUNITY.PHASE 1: COMMUNITY FEEDBACK COLLECTIONDEVELOPING SURVEY QUESTIONS: THE FIRST STEP IN DEVELOPING THE CHNA FOR HOUSTON METHODIST REQUIRED THE HOSPITAL SYSTEM TO FIRST UNDERSTAND WHAT MATTERED MOST TO THE POPULATION SURROUNDING ITS EIGHT HOSPITALS IN GREATER HOUSTON. TO DO THIS, THE OFFICE OF COMMUNITY BENEFITS WORKED WITH LEADERS IN PUBLIC HEALTH AND CONDUCTED SECONDARY RESEARCH TO DEVELOP NEW AND REFINE PAST SURVEY QUESTIONS THAT WOULD HELP HOUSTON METHODIST GAIN THE INSIGHT INTO THE TOP SOCIAL AND HEALTH PRIORITIES OF OUR CITY. THE SURVEY CONSISTED OF 29 QUESTIONS AND WERE DIVIDED UNDER THE CATEGORIES OF:- TELL US ABOUT YOURSELF- TELL US ABOUT YOUR HEALTH- TELL US ABOUT YOUR COMMUNITY- TELL US HOW YOU FEELDISTRIBUTING THE SURVEY: AFTER THE QUESTIONS WERE DEVELOPED FOR THE SURVEY, THE SURVEYS WERE THEN DISTRIBUTED ELECTRONICALLY AND IN HARD COPY FORM ACROSS THE GREATER HOUSTON COMMUNITY. HARD COPY SURVEYS WERE DISTRIBUTED TO 10 DIFFERENT FACILITIES PROVIDING HEALTH CARE SERVICES TO THE UNINSURED AND UNDERSERVED POPULATION:- CHRIST CLINIC- EL CENTRO DE CORAZON- HEALTHCARE FOR THE HOMELESS- HOPE CLINIC- INTERFAITH CLINIC- LEGACY COMMUNITY HEALTH- NORTHWEST ASSISTANCE MINISTRIES- SAN JOSE CLINIC- STEPHEN F. AUSTIN CLINIC- VECINO HEALTH CENTERSHARD COPY SURVEYS WERE DISTRIBUTED AT HOUSTON METHODIST'S FLAGSHIP LOCATION IN THE TEXAS MEDICAL CENTER DUE TO THE VARIETY OF PATIENTS AND GUESTS WHO COME TO THE LOCATION FROM MORE THAN EIGHT COUNTIES AND AT HMW. ELECTRONIC SURVEYS WERE POSTED ON VARIOUS SOCIAL NETWORKING SITES TO CAPTURE AN UNCONTROLLED GROUP OF RESPONDENTS. OVERALL, MORE THAN 980 PEOPLE WERE SURVEYED.SURVEY RESULTS ANALYZED: SURVEYED FACILITIES WERE GIVEN ONE MONTH TO COLLECT RESPONSES FROM THE CLIENT/PATIENT BASE BEING SERVICED. RESPONSE COLLECTION BEGAN JULY 9, 2019 AND ENDED AUGUST 9, 2019. ONCE ALL RESPONSES WERE COLLECTED, HOUSTON METHODIST CONTRACTED AN EXTERNAL MARKET ANALYSIS AGENCY TO CONDUCT SIMPLE ANALYSIS OF THE DATA TO LAY THE FOUNDATION FOR THE ASSESSMENT.PHASE 2: COMMUNITY LEADERS AND STAKEHOLDER 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: HOUSTON METHODIST COLLABORATED WITH EPISCOPAL HEALTH FOUNDATION, TEXAS CHILDREN'S HOSPITAL, MEMORIAL HERMANN HOSPITAL AND CHI ST. LUKE'S HOSPITAL TO COMPILE A LIST OF TOP HEALTH AND COMMUNITY EXPERTS FROM AROUND THE GREATER HOUSTON COMMUNITY AND STATE TO SUPPORT THE STAKEHOLDER INTERVIEW PROCESS CONDUCTED BY A THIRD PARTY, HEALTH RESOURCES IN ACTION. THE THIRD PARTY DEVELOPED A SET OF KEY QUESTIONS COVERING RELEVANT HEALTH AND SOCIAL TOPICS BASED ON THE COLLABORATIVE FEEDBACK. EXPERTS AND LEADERS WERE PULLED FROM A VARIETY OF SPECIALTY AREAS, INCLUDING BUT NOT LIMITED TO DISEASE SPECIALISTS, INSURANCE COMPANY REPRESENTATIVES, NONPROFIT LEADERS AND MORE. THOSE ENGAGED WERE EXPERTS IN THEIR FIELD AND REPRESENTED FEDERALLY QUALIFIED HEALTH CENTERS, FREE/CHARITY CLINICS, LOCAL GOVERNMENTAL AGENCIES, HOSPITALS, MULTISERVICE AGENCIES, HIGHER EDUCATION AND MORE. SELECTION OF MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS: THE OFFICE OF COMMUNITY BENEFITS RECEIVED THE PRIMARY INPUT ON THE NEEDS OF THE UNDERSERVED COMMUNITY THROUGH THE DISTRIBUTION OF A SURVEY IN WHICH MEMBERS WERE ASKED TO ANSWER A SERIES OF QUESTIONS SUCH AS:- WHAT ARE THE 5 MOST IMPORTANT THINGS THAT ARE NEEDED FOR YOUR CITY/COMMUNITY TO BE CONSIDERED HEALTHY?- WHAT ARE THE 5 BIGGEST BARRIERS THAT PREVENT FRIENDS AND FAMILY FROM SEEKING MEDICAL TREATMENT?INPUT COLLECTION: INPUT FROM PERSON(S) WITH SPECIAL KNOWLEDGE - VICE PRESIDENT, POPULATION HEALTH - HOUSTON METHODIST- DIRECTOR OF SYSTEM PSYCHIATRIC SERVICES - HOUSTON METHODIST HOSPITAL- PRESIDENT/CHIEF EXECUTIVE OFFICER - THE ROSE - EXECUTIVE DIRECTOR - FORT BEND WOMEN'S CENTER- SERGEANT - FORT BEND COUNTY SHERIFF'S OFFICE- ASSISTANT VICE PRESIDENT - COMMUNITY RELATIONS, UNITED WAY OF HARRIS AND MONTGOMERY COUNTY- EXECUTIVE DIRECTOR - COASTAL AREA HEALTH EDUCATION CENTERS (AHEC)- FORMER CEO - COMMUNITY HEALTH CHOICE- PRESIDENT & CEO - ASSOCIATION FOR THE ADVANCEMENT OF MEXICAN AMERICANS- INTERIM SUPERINTENDENT - HOUSTON INDEPENDENT SCHOOL DISTRICT- EXECUTIVE DIRECTOR - AVENUE CDC- VICE PRESIDENT - PSYCHIATRY, HOUSTON METHODIST HOSPITAL- DIRECTOR OF HUMAN RESOURCES - HOUSTON METHODIST HOSPITAL- CHIEF EXECUTIVE OFFICER - CHILD ADVOCATES OF FORT BEND- MANAGER OF SEXUAL ASSAULT ADVOCATE TEAM - MONTGOMERY COUNTY WOMEN'S CENTER- EXECUTIVE DIRECTOR - TRI COUNTY SERVICES BEHAVIORAL HEALTHCARE- PRESIDENT/CHIEF EXECUTIVE OFFICER - CHILDREN AT RISK- CHIEF EXECUTIVE OFFICER - SANTA MARIA HOSTEL, INC. - ANONYMOUS REPRESENTATIVE - CHAMBERS COUNTY- FORMER EXECUTIVE DIRECTOR - MIDTOWN ARTS AND THEATER CENTER HOUSTON- PROGRAM DIRECTOR - HOUSTON METHODIST ENDOCRINOLOGY FELLOWSHIP HOUSTON METHODIST HOSPITAL- REPRESENTATIVE -CITY OF HOUSTON DEPARTMENT OF PARKS AND RECREATION- CHIEF EXECUTIVE OFFICER - THE HARRIS CENTER FOR MENTAL HEALTH AND IDD (MHMRA)INPUT COLLECTION: INPUT FROM FEDERAL, REGIONAL, STATE OR LOCAL HEALTH DEPARTMENTS /AGENCIES- SECTOR REPRESENTATIVE - GALVESTON COUNTY HEALTH DISTRICT- DIRECTOR - FORT BEND COUNTY HEALTH & HUMAN SERVICES- SECTOR REPRESENTATIVE - HOUSTON HEALTH DEPARTMENT- ANONYMOUS REPRESENTATIVE - HARRIS COUNTY- EXECUTIVE DIRECTOR - HARRIS COUNTY PHES- SENIOR POLICY PLANNER - HARRIS COUNTY PHESINPUT COLLECTION: INPUT FROM LEADERS AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME POPULATIONS- CEO - THE WOMEN'S HOME- PRESIDENT & CEO - NEIGHBORHOOD CENTERS HEAD START/EARLY HEAD START PROGRAM SERVICES/BAKER RIPLEY- VP OF HEALTH AND WELLNESS - NEIGHBORHOOD CENTERS HEAD START/EARLY HEAD START PROGRAM SERVICES/BAKER RIPLEY- CEO - FORT BEND SENIORS- FORMER PRESIDENT & CEO - UNITED WAY OF GREATER HOUSTON - ASSOCIATE CENTER DIRECTOR - MAMIE GEORGE COMMUNITY CENTER, CATHOLIC CHARITIES- FORT BEND- EXECUTIVE VICE PRESIDENT - GULF COAST MEDICAL FOUNDATION- CEO - LEGACY COMMUNITY HEALTH- CMO - LEGACY COMMUNITY HEALTH- CEO - HOPE CLINIC (FQHC)- PRESIDENT & CEO - CATHOLIC CHARITIES - ARCHDIOCESE OF GALVESTON- CEO - PATIENT CARE INTERVENTION CENTER (PCIC)- CEO - FORT BEND FAMILY HEALTH CENTER, INC. DBA ACCESSHEALTH- PRESIDENT & CEO - HOUSTON AREA FOOD BANK- CEO LONE STAR FAMILY HEALTH CENTER- PRESIDENT/CHIEF EXECUTIVE OFFICER - INTERFAITH- CEO - CHRIST CLINIC- CEO - HEALTHCARE FOR THE HOMELESS-HOUSTON- CEO - THE ARC OF FORT BEND COUNTY-FORT BEND- COMMUNITY OUTREACH DIRECTOR - UNITED WAY OF BRAZORIA COUNTY- CEO - EL CENTRO DE CORAZON- CMO - EL CENTRO DE CORAZON - DIRECTOR, CLINIC OPERATIONS - INTERFAITH COMMUNITY CLINIC- CEO - FORT BEND REGIONAL COUNCIL ON SUBSTANCE ABUSE- SENIOR VICE PRESIDENT - HOUSTON HOUSING AUTHORITY- CEO - AIDS FOUNDATION OF HOUSTONINPUT COLLECTION: INPUT FROM MEMBERS WITH BROAD INTERESTS IN THE COMMUNITY- MENTAL HEALTH UNIT COMMANDER - GALVESTON COUNTY MENTAL HEALTH DEPUTIES- COUNTY JUDGE WALLER COUNTY- PRESIDENT & CEO - GREATER HOUSTON PARTNERSHIP- EXECUTIVE DIRECTOR - HDEART CONSORTIUM, PRAIRIE VIEW A&M- PRESIDENT & CEO - EPISCOPAL HEALTH FOUNDATION- SHERIFF - LIBERTY COUNTY SHERIFF'S OFFICE- DIRECTOR - DIVISION OF NUTRITION, PHYSICAL ACTIVITY, AND OBESITY, CENTERS FOR DISEASE CONTROL AND PREVENTION"

FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6A:
THE CHNA CONDUCTED IN 2019, PER ACA GUIDELINES, WAS DONE WITH THE FOLLOWING FACILITIES: - HMH - HMSL- HMWB- HMW- HMB- HMCL- HMCCH- HMTW

FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6B:
HOUSTON METHODIST COLLABORATED WITH EPISCOPAL HEALTH FOUNDATION, TEXAS CHILDREN'S HOSPITAL, MEMORIAL HERMANN HOSPITAL AND CHI ST. LUKE'S HOSPITAL TO COMPILE A LIST OF TOP HEALTH AND COMMUNITY EXPERTS FROM AROUND THE GREATER HOUSTON COMMUNITY AND STATE TO SUPPORT THE STAKEHOLDER INTERVIEW PROCESS CONDUCTED BY A THIRD PARTY, HEALTH RESOURCES IN ACTION. THE THIRD PARTY DEVELOPED A SET OF KEY QUESTIONS COVERING RELEVANT HEALTH AND SOCIAL TOPICS BASED ON THE COLLABORATIVE FEEDBACK.EXPERTS AND LEADERS WERE PULLED FROM A VARIETY OF SPECIALTY AREAS, INCLUDING BUT NOT LIMITED TO DISEASE SPECIALISTS, INSURANCE COMPANY REPRESENTATIVES, NONPROFIT LEADERS AND MORE. THOSE ENGAGED WERE EXPERTS IN THEIR FIELD AND REPRESENTED FEDERALLY QUALIFIED HEALTH CENTERS, FREE/CHARITY CLINICS, LOCAL GOVERNMENTAL AGENCIES, HOSPITALS, MULTI-SERVICE AGENCIES, HIGHER EDUCATION AND MORE.

FACILITY REPORTING GROUP A PART V, SECTION B, LINE 7D:
IN ADDITION TO THE CONDUCTED CHNA BEING MADE EASILY ACCESSIBLE THROUGH THE HOUSTON METHODIST WEBSITE AND THE OFFICE OF COMMUNITY BENEFITS MAKING A HARD COPY AVAILABLE FOR PUBLIC INSPECTION FREE OF CHARGE, THE CHNA WAS ALSO WIDELY DISTRIBUTED VIA AN EMAIL BLAST TO MORE THAN 1,000 RECIPIENTS AROUND THE CITY, FACILITATED BY HARRIS COUNTY PUBLIC HEALTH, OF WHICH INCLUDED STAKEHOLDERS, OTHER HEALTH CARE FACILITIES, ETC. IN ADDITION, THE REPRESENTATIVES OF THE HOUSTON METHODIST OFFICE OF COMMUNITY BENEFITS PRESENTED THE CHNA FINDINGS TO AUDIENCES AT HMH AND OTHER EXTERNAL STAKEHOLDERS TO FURTHER PUBLICIZE EFFORTS.

FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11:
HOUSTON METHODIST WAS ABLE TO IDENTIFY THE TOP FOUR HEALTH PRIORITIES OF THE COMMUNITIES SURROUNDING EACH OF ITS COMMUNITY HOSPITALS VIA THE 2019 CHNA PROCESS. THE HEALTH PRIORITIES THAT HOUSTON METHODIST IDENTIFIED THROUGH THE CHNA ARE AS FOLLOWS:- INCREASE ACCESS TO PRIMARY CARE SERVICES FOR THE SURROUNDING COMMUNITIES- REDUCE BARRIERS TO ACCESSING SPECIALTY CARE SERVICES FOR THE SURROUNDING UNDERSERVED COMMUNITY- PROMOTE HEALTHY LIVING BEHAVIORS TO REDUCE THE LIKELIHOOD OF CHRONIC DISEASE DEVELOPMENT- INCREASE ACCESS TO MENTAL HEALTH CARE SERVICES WITHIN SURROUNDING UNDERSERVED COMMUNITY2021 HEALTH NEED: INCREASE ACCESS TO PRIMARY CARE SERVICES FOR THE SURROUNDING COMMUNITIESHMB2021 GOALS:- TO IMPLEMENT THE COMMUNITY NETWORK OF CARE PROGRAM AT HMB AS AN ED-DIVERSION INITIATIVE DESIGNED TO IMPROVE ACCESS TO CARE FOR LOW ACUITY ED PATIENTS WHILE AIMING TO INCREASE THE CURRENT 52% SHOW RATE TO 65% BY THE END OF Q4 2021.- TO INCREASE THE NUMBER OF STUDENTS THAT RECEIVE PRE-PARTICIPATION PHYSICALS FROM 2,200 IN 2020 TO 2,500 IN 2021. SINCE EVENTS WERE CANCELLED DUE TO COVID IN 2020, THE GOAL WILL BE BASED ON THE 2019 BASELINE DATA.- TO ENGAGE 25 COACHES/COMMUNITY MEMBERS TO ATTEND 100% OF AWARENESS PROGRAM BY END OF Q2 2021. - TO INCREASE THE VOLUME OF PATIENTS SEEN IN THE SAME DAY CLINICS FROM 1,166 IN 2020 BY AN ADDITIONAL 500 PATIENTS IN THE HMB PRIMARY CARE CLINIC BY END OF Q4 2021. 2021 OUTCOMES:- 316 ELIGIBLE PATIENTS WERE REFERRED TO THE COMMUNITY NETWORK OF CARE PROGRAM, WITH 242 PATIENTS ACCEPTING APPOINTMENTS, 289 ELIGIBLE REFERRED PATIENTS ACCEPTING COPAY ASSISTANCE, TRANSPORTATION ASSISTANCE AND FOOD SUPPORT AND 50% PERCENT OF PATIENTS SHOWING FOR SCHEDULED APPOINTMENTS.- IN 2021, 2,255 STUDENTS RECEIVED PRE-PARTICIPATION PHYSICAL EXAMS. DUE TO COVID-19, RELATED EVENTS AND OUTREACH VISITS WERE CANCELLED IN 2021. EVENTS ARE TENTATIVELY PLANNED TO BEGIN AGAIN IN SPRING 2022. - DUE TO COVID-19, RELATED EVENTS AND OUTREACH VISITS WERE CANCELLED IN 2021. EVENTS ARE TENTATIVELY PLANNED TO BEGIN AGAIN IN SPRING 2022. - AT THE END OF 2021, THERE WERE 2,954 VISITS IN SAME DAY CLINICS, A 77% INCREASE OVER THE ORIGINAL GOAL OF 1,666. HMCL2021 GOALS:- TO RECRUIT TWO NEW PCPS IN THE HMCL MARKET BY Q4 OF 2021, INCREASING THE NUMBER OF PCPS FROM 16 TO 18 SERVING THE HMCL MARKET AREA.- TO WORK DIRECTLY WITH THE HOUSTON METHODIST OFFICE OF COMMUNITY BENEFITS TO INTEGRATE THE NETWORK OF CARE PROGRAM INTO HOSPITAL ACTIVITIES BY Q2 OF 2022. AT THE END OF 2022, A BASELINE FOR ESTIMATED NUMBER OF REFERRED PATIENTS MOVING FORWARD WILL BE ESTABLISHED AND A NEW THREE-YEAR GOAL WILL BE SET FOR THE NEXT THREE-YEAR ASSESSMENT CYCLE.- TO INCREASE THE VOLUME OF PATIENTS SEEN FROM 2,661 PATIENTS (2020) AT THE HMCL PRIMARY CARE CLINIC TO 3,200 BY END OF Q4 2021.2021 OUTCOMES:- AT THE END OF 2021, ONE NEW PRIMARY CARE PHYSICIAN WAS RECRUITED AND ONBOARDED AT HMCL FOR THE FRIENDSWOOD PRIMARY CARE GROUP LOCATION. PLANS ARE IN PLACE TO ONBOARD AN ADDITIONAL PRIMARY CARE PHYSICIAN IN JANUARY 2022 FOR THE PASADENA PRIMARY CARE GROUP LOCATION.- AT THE END OF 2021, THE GOAL TO INTEGRATE THE NETWORK OF CARE PROGRAM AT HMCL WAS NOT MET. THE PROGRAM HAS NOT YET BEEN IMPLEMENTED DUE TO A SHIFT IN PRIORITIES. - AT THE END OF 2021, THERE WERE 3,798 VISITS IN SAME DAY CLINICS IN HMCL SERVICE AREA, A 19% INCREASE OVER THE ORIGINAL GOAL OF 3,200 AND AN OVERALL 42% INCREASE FROM 2020 VOLUME. DUE TO THE INCREASE IN PATIENT VISITS IN 2021, THE 2022 GOAL HAS BEEN UPDATED TO 3,988 VISITS.HMSL2021 GOALS:- TO WORK DIRECTLY WITH THE HOUSTON METHODIST OFFICE OF COMMUNITY BENEFITS TO INTEGRATE THE NETWORK OF CARE PROGRAM INTO HOSPITAL ACTIVITIES BY Q2 OF 2022. AT THE END OF 2022, A BASELINE FOR ESTIMATED NUMBER OF REFERRED PATIENTS MOVING FORWARD WILL BE ESTABLISHED AND A NEW THREE-YEAR GOAL WILL BE SET FOR THE NEXT THREE-YEAR ASSESSMENT CYCLE.- TO INCREASE THE VOLUME OF PATIENTS SEEN FROM 1,926 PATIENTS (2020) TO 2,126 PATIENTS AT THE HMSL PRIMARY CARE CLINIC BY END OF Q4 2021.2021 OUTCOMES:- AT THE END OF 2021, THE GOAL TO INTEGRATE THE COMMUNITY NETWORK OF CARE PROGRAM AT HMSL WAS NOT MET. FOR 2022, THE GOAL IS ADJUSTED TO REFLECT ACTIVITIES TO CONTINUE ENHANCEMENTS OF THE NETWORK OF CARE PROGRAM AT THE CURRENT HOUSTON METHODIST HOSPITAL LOCATIONS WHERE THE PROGRAM EXISTS, INCLUDING HMW, HMB, HMTW AND HMWB.- AT THE END OF 2021, THERE WERE 3,249 VISITS IN SAME DAY CLINICS IN HMSL SERVICE AREA, A 53% INCREASE OVER THE ORIGINAL GOAL OF 2,126. THE SAME DAY CLINIC HIRED TWO ADVANCED PRACTICE PROVIDERS IN 2021, EXPANDING COVERAGE AT ALL SAME DAY CLINIC SITES AND POSITIVELY IMPACTING CLINIC VOLUMES. DUE TO THE INCREASE IN PATIENT VISITS IN 2021, THE 2022 GOAL HAS BEEN UPDATED TO 3,411 VISITS.HMTW2021 OBJECTIVES:- TO INCREASE THE VOLUME OF PATIENTS REFERRED VIA THE NETWORK OF CARE PROGRAM TO LOCAL COMMUNITY CLINICS, INTERFAITH CLINIC AND LONE STAR FAMILY HEALTH CENTER, BY 10% (24 PATIENTS) WHILE MAINTAINING A SHOW RATE OF 65% BY END OF Q4 2021.- TO RECRUIT SIX PCPS TO SERVE IN PRIMARY CARE CLINICS IN THE HMTW SERVICE AREA WHILE CONTINUING TO ASSESS COMMUNITY NEEDS FOR CONTINUED GROWTH.- TO INCREASE THE VOLUME OF PATIENTS SEEN FROM 1,490 PATIENTS (2020) BY AN ADDITIONAL 700 PATIENTS AT HMTW SAME DAY CLINIC BY END OF Q4 2021.2021 OUTCOMES:- IN 2021, 19 ELIGIBLE PATIENTS REFERRED TO THE COMMUNITY NETWORK OF CARE PROGRAM, WITH 15 PATIENTS ACCEPTING APPOINTMENTS, 0% OF PATIENTS SHOWING FOR SCHEDULED APPOINTMENTS, 22 SERVICES ACCEPTED BY REFERRED PATIENTS. - AT THE END OF 2021, SIX PRIMARY CARE PHYSICIANS WERE RECRUITED TO SERVE IN THE HOUSTON METHODIST PRIMARY CARE CLINICS IN THE WOODLANDS AREA. - AT THE END OF 2021, THERE WERE 3,197 VISITS IN THE SAME DAY CLINICS IN THE HMTW SERVICE AREA, A 46% INCREASE OVER THE ORIGINAL GOAL OF 2,190.HMW2021 GOALS:- TO INCREASE THE SHOW RATE OF HMW UNDERSERVED PATIENTS REFERRED VIA THE COMMUNITY NETWORK OF CARE PROGRAM FROM 65% TO 70% BY END OF Q4 2021.- TO INCREASE COMMUNITY PARTICIPATION TO THE MENDED HEARTS EDUCATION AND SUPPORT GROUP, FOR HEART PATIENTS WHO NEED A POST MEDICAL INTERVENTION, FROM 20 PATIENTS TO 25 PATIENTS BY END OF Q4 2021.2021 OUTCOMES:- IN 2021, 252 ELIGIBLE PATIENTS WERE REFERRED TO THE COMMUNITY NETWORK OF CARE PROGRAM, WITH 210 PATIENTS ACCEPTING APPOINTMENTS, 345 SERVICES ACCEPTED BY REFERRED PATIENTS FOR COPAY ASSISTANCE, TRANSPORTATION ASSISTANCE AND FOOD SUPPORT AND 64% PERCENT OF PATIENTS SHOWING FOR SCHEDULED APPOINTMENTS.- 133 PATIENTS ATTENDED SUPPORT GROUPS WITH 96 PATIENTS REFERRED FROM MENDED HEARTS VOLUNTEERS IN 2021.HMWB2021 GOALS:- TO INCREASE THE VOLUME OF PATIENTS REFERRED VIA THE COMMUNITY NETWORK OF CARE PROGRAM TO LOCAL COMMUNITY CLINICS BY 10% WHILE STRIVING FOR A SHOW RATE OF AT LEAST 55%.- TO INCREASE THE VOLUME OF PATIENTS SEEN FROM 1,742 IN 2020 BY AN ADDITIONAL 850 PATIENTS AT THE WILLOWBROOK SAME DAY CLINIC BY END OF Q4 2021. - TO MAINTAIN A NEW PATIENT 5-DAY RATE ABOVE 30% AS OPERATIONS RETURN TO NORMAL AND RECRUIT FOUR ADDITIONAL PRIMARY CARE PHYSICIANS BY THE END OF Q4 2021.2021 OUTCOMES:- IN 2021, 222 PATIENTS WERE REFERRED TO THE COMMUNITY NETWORK OF CARE PROGRAM, WITH 175 PATIENTS ACCEPTING APPOINTMENTS, 297 SERVICES ACCEPTED BY PATIENTS FOR COPAY ASSISTANCE, TRANSPORTATION ASSISTANCE AND FOOD SUPPORT AND 51% OF PATIENTS SHOWING FOR SCHEDULED APPOINTMENTS.- AT THE END OF 2021, THERE WERE 2,967 VISITS IN THE SAME DAY CLINICS IN THE HMWB SERVICE AREA, A 14% INCREASE OVER THE ORIGINAL GOAL OF 2,592. - IN 2021, 39.92% NEW PATIENT 5-DAY RATE WAS MAINTAINED WITH 30 PRIMARY CARE PHYSICIANS EMPLOYED. 2021 HEALTH NEED: REDUCE BARRIERS TO ACCESSING SPECIALTY CARE SERVICES FOR THE SURROUNDING UNDERSERVED COMMUNITY HMB2021 GOALS:- TO PROVIDE FINANCIAL COUNSELING AND SUPPORT TO AT LEAST 100 CANCER PATIENTS THROUGH THE ONCOLOGY FINANCIAL LIAISON AND ONCOLOGY SOCIAL WORKER.- TO INCREASE THE VOLUME OF PATIENTS RECEIVING LOW DOSE CT LUNG SCREENINGS BY 10%, REPRESENTING AN INCREASE FROM 178 PATIENTS IN 2020 TO 195 IN 2021.- TO ATTAIN A 4% ONCOLOGY CLINICAL TRIAL ACCRUAL RATE FOR 2021 (4% OF ANNUAL ANALYTIC CASELOAD).2021 OUTCOMES:- 141 PATIENTS WERE PROVIDED FINANCIAL NAVIGATION IN 2021, WITH $149,797 IN GRANT ASSISTANCE PROVIDED. - 344 LDCT CANCER SCREENINGS PERFORMED WITH 816 INCIDENTAL NODULES IDENTIFIED. - IN 2021, 1% CLINICAL TRIAL ACCRUAL RATE.

FACILITY REPORTING GROUP A PART V, SECTION B, LINE 13B:
DISCOUNTED CARE IS PROVIDED FOR PATIENTS GREATER THAN 500% OF THE FEDERAL POVERTY GUIDELINES WHEN THE PATIENT'S ACCOUNT BALANCE IS GREATER THAN 10% OF THEIR FAMILY INCOME.

FACILITY REPORTING GROUP A PART V, SECTION B, LINE 15E:
THE PATIENT IS ALSO PROVIDED AN EXHIBIT TITLED FINANCIAL ASSISTANCE GUIDELINES LISTING THE COUNSELOR CONTACT INFORMATION AND THE FEDERAL POVERTY GUIDELINES.

FACILITY REPORTING GROUP A PART V, SECTION B, LINE 20A:
ECA'S ARE NOT USED; THEREFORE, PROVIDING NOTICE DOES NOT APPLY.

PART V, SECTION B, LINE 11 (CONTINUED)
HMCL2021 GOALS:- TO ESTABLISH A GENERAL CANCER SUPPORT GROUP THAT IS AVAILABLE TO ALL PATIENTS WITH CANCER TO DISCUSS THEIR SITUATION, FEELINGS, CONCERNS IN A CARING ATMOSPHERE AND INCREASE THE NUMBER OF PARTICIPANTS FROM TWO (BASELINE) TO FOUR BY Q4 2022. - TO INCREASE THE NUMBER OF OPEN CANCER-FOCUSED CLINICAL TRIALS FROM 25 TO 40 BY THE END OF Q4 2021.- TO INCREASE LUNG CANCER SCREENINGS BY 10% FROM 166 TO 182 BY END OF Q4 2021.2021 OUTCOMES:- AT THE END OF 2021, THE GOAL TO ESTABLISH A SUPPORT GROUP WAS MET WITH ONE GENERAL SUPPORT GROUP FOR PATIENTS WITH ALL CANCER TYPES.- 29 PATIENTS WERE SCREENED, WITH NINE ENROLLED REFERRED PATIENTS (125% INCREASE FROM 2020) AND 22 APPROVED INSTITUTIONAL REVIEW BOARD OPEN CLINICAL TRIALS.- IN 2021, THERE WERE 242 TOTAL LUNG SCREENINGS, A 46% INCREASE FROM 2020.HMCCH2021 GOALS- TO REDUCE THE PERCENTAGE OF GI CONSULTS BEING REFERRED TO HMW BY 25%. (2020 BASELINE IS 22 PATIENTS WITH A 2021 TARGET OF 16).- TO COMPLETE 100% OF UROLOGY CONSULTS AT HMCCH TO PREVENT UNNECESSARY PATIENT TRANSFERS TO HMW IN 2021.2021 OUTCOMES:- IN 2021, 65 GI CONSULTS WERE PERFORMED AT HMCCH AND 37 PATIENTS WERE TRANSFERRED TO HMW FOR GI CONSULTS. THREE CREDENTIALED GASTROINTESTINAL SPECIALISTS WERE ALREADY ONBOARDED TO PROVIDE CONSULTS AT HMCCH IN 2021.- IN 2021, 27 UROLOGY CONSULTS WERE PERFORMED AT HMCCH AND 22 PATIENTS TRANSFERRED TO HMW FOR UROLOGY CONSULTS. ONE CREDENTIALED UROLOGY SPECIALIST WAS ALREADY ONBOARDED TO PROVIDE CONSULTS AT HMCCH IN 2021.HMSL2021 GOALS:- TO EXPAND PSYCHOSOCIAL SUPPORT TO 20% OF ELIGIBLE CANCER PATIENTS REFERRED FROM THE INFUSION CENTER AND RADIATION ONCOLOGY TO AN ONCOLOGY SOCIAL WORKER AND TO IMPLEMENT A MINIMUM OF ONE GENERAL CANCER SUPPORT GROUP.- TO INCREASE THE VOLUME OF INFUSION PATIENTS RECEIVING FINANCIAL ASSISTANCE FROM 770 TO 846 (10% INCREASE FROM PRIOR YEAR) AND INCREASE THE VOLUME OF ELIGIBLE BREAST PROSTHESIS PATIENTS FROM TWO TO 10 PATIENTS BY END OF Q4 2021.- TO INCREASE LUNG SCREENING (LDCT) BY 10% IN 2021 REPRESENTING AN INCREASE FROM 140 SCREENINGS TO 154.- TO INCREASE THE CLINICAL TRIAL ACCRUAL RATE THROUGH THE INCREASED INCLUSION OF WOMEN BY 25% AND RACIAL AND ETHNIC MINORITIES BY 25% (2020 BASELINE: 19 FEMALES, 4 MALES; 3 HISPANIC/LATINOS, 3 BLACK/AFRICAN AMERICANS, 1 ASIAN AND 16 WHITE/NON-HISPANIC).2021 OUTCOMES:- 193 PATIENTS RECEIVED REFERRALS BY AN ONCOLOGY SOCIAL WORKER THROUGH FORMALIZED PROCESS VIA EPIC. ONE SUPPORT GROUP WAS IMPLEMENTED. - IN 2021, 57% OF ELIGIBLE PATIENTS WERE SERVED BY FINANCIAL NAVIGATOR. 2 ELIGIBLE PATIENTS WERE REFERRED AND SERVICED BY THE BREAST PROTHESIS PROGRAM. - 258 PATIENTS RECEIVED LUNG SCREENING IN 2021.- IN 2021, 48% CLINICAL TRIAL ACCRUALS FOR RACIAL AND ETHNIC MINORITIES AND 88% FOR WOMEN. HMTW2021 GOALS:- TO DECREASE CONGESTIVE HEART FAILURE (CHF) READMISSION RATE FROM 10% TO 8% BY END OF 2021 THROUGH DEVELOPMENT OF PATIENT EDUCATION MATERIAL AND AN EFFICIENT FOLLOW-UP PROCESS.- TO HIRE A NEW ONCOLOGY NURSE NAVIGATOR IN 2021 AND PROVIDE FINANCIAL NAVIGATION SUPPORT TO 15 CANCER PATIENTS IN NEED OF FINANCIAL ASSISTANCE BY THE END OF Q4.- TO INCREASE LUNG CANCER SCREENING UTILIZATION FROM 98 SCREENINGS IN 2020 BY 20% BY END OF Q4 2021.- TO ONBOARD THE HMTW LAB AND RADIOLOGY TEAM TO SUPPORT PATIENT REFERRALS FROM SELECT COMMUNITY PARTNERS THAT ARE ACTIVELY RECEIVING GRANT SUPPORT VIA THE COMMUNITY BENEFITS PROGRAM. ONCE ONBOARDED, 90% OF REFERRED PATIENTS WILL SHOW FOR SCHEDULED RADIOLOGY APPOINTMENTS BY THE END OF Q4 2021.2021 OUTCOMES:- DUE TO SHIFT IN STRATEGY, PERCENTAGE OF CHF PATIENTS EDUCATED AND TO RECEIVE FOLLOW-UP WAS NOT COLLECTED. THE CHF READMISSION WAS 10.04%. - ONE ONCOLOGY NURSE NAVIGATOR ADDED TO PROGRAM, 18 PATIENTS PROVIDED FINANCIAL NAVIGATION BY THE ONCOLOGY NURSE NAVIGATOR. - 213 LUNCH CANCER SCREENINGS AND 22 LUNG CANCER REFERRALS WERE PROVIDED. - ONE FEDERALLY QUALIFIED HEALTH CENTER (LONE STAR FAMILY HEALTH CENTER) ONBOARDED IN DECEMBER 2021 TO BEGIN RECEIVING IN-KIND SERVICES FROM HMTW.HMW2021 GOALS:- TO PROVIDE FINANCIAL NAVIGATION SUPPORT TO AT LEAST 200 CANCER PATIENTS IN NEED OF FINANCIAL ASSISTANCE BY THE END OF Q4.- TO INCREASE ACCRUAL RATE BY 4% IN CLINICAL TRIALS INCLUSIVE OF MINORITY POPULATIONS BY END OF Q4.- TO PROVIDE 20 PATIENT REFERRALS TO A MENTAL HEALTH PROVIDER TO SUPPORT CANCER PATIENTS' NEEDS BY OF END OF Q4.- TO INCREASE REFERRALS FROM THE EMERGENCY DEPARTMENT FROM 100 PATIENTS TO 150 PATIENTS TO THE SPINE CENTER BY Q4.- TO ONBOARD THE HMW LAB AND RADIOLOGY TEAM TO SUPPORT PATIENT REFERRALS FROM SELECT CHARITY CLINIC PARTNERS THAT ARE ACTIVELY RECEIVING GRANT SUPPORT VIA THE COMMUNITY BENEFITS PROGRAM. ONCE ONBOARDED, 100% OF REFERRED PATIENTS WILL SHOW FOR SCHEDULED RADIOLOGY APPOINTMENTS BY THE END OF Q4 2021.- TO INCREASE PERCENTAGE OF APPOINTMENTS SCHEDULED BY VOLUNTEERS FOR PATIENTS WHO ARE AT RISK FOR READMISSION WITH CARDIOLOGIST FROM 28% TO 35% BY END OF Q4.- TO INCREASE THE SHOW RATE OF FOLLOW-UP APPOINTMENTS SCHEDULED BY VOLUNTEERS FOR CONGESTIVE HEART FAILURE (CHF) PATIENTS FROM 88% TO 90% BY END OF Q4.2021 OUTCOMES:- IN 2021, 535 PATIENTS RECEIVED FINANCIAL ONCOLOGY NAVIGATION, SUCH AS INSURANCE OPTIMIZATION, DRUG REPLACEMENT, AND COPAY ASSISTANCE. 180 PATIENTS ENROLLED IN ASSISTANCE PLANS, $383,375 TOTAL FUNDS WERE SECURED TO SUPPORT PATIENTS AND $136,455 TOTAL FUNDS WERE PAID TO SUPPORT PATIENTS.- 33.3% ENROLLMENT MINORITIES INTO CLINICAL TRIALS. 41 CLINICAL TRIALS IDENTIFIED. - IN 2021, 30 PATIENTS HAVE BEEN PROVIDED WITH A REFERRAL TO A PSYCHIATRIST FOR MENTAL HEALTH SUPPORT.- 165 SPINE CENTER REFERRALS FROM THE EMERGENCY DEPARTMENT TO SPINE CENTER IN 2021.- AT THE END OF 2021, THE GOAL TO EXPAND LAB AND RADIOLOGY TESTING TO HMW WAS NOT MET. - AT THE END OF 2021, THE GOAL TO INCREASE PERCENTAGE OF CARDIOLOGY APPOINTMENTS SCHEDULED BY VOLUNTEERS FOR PATIENTS WHO ARE AT RISK FOR READMISSION WAS NOT MET. DUE TO THE IMPACT OF COVID-19, THERE WERE VOLUNTEER STAFFING LIMITATIONS ON FILLING ALL AVAILABLE SHIFTS. IN 2021, 85 VOLUNTEERS ASSISTED WITH READMISSION EFFORTS FOR 89% OF AVAILABLE SHIFTS.- IN 2021, 85% OF PATIENTS SHOWED FOR SCHEDULED FOLLOW-UP APPOINTMENT WITH CARDIOLOGIST POST-DISCHARGE. HMWB2021 GOALS:- TO INCREASE COMMUNITY ACCESS TO FOUR LICENSED CLINICAL SPECIALISTS REPRESENTING DIGESTIVE HEALTH, SPINE AND CANCER PROGRAMS TO HELP PATIENTS BETTER NAVIGATE THEIR HEALTH CARE JOURNEY RELATED TO THESE DISEASE STATES BY 2021.- TO ONBOARD THE HMWB LAB AND RADIOLOGY TEAM TO SUPPORT PATIENT REFERRALS FROM SELECT COMMUNITY PARTNERS THAT ARE ACTIVELY RECEIVING GRANT SUPPORT VIA THE COMMUNITY BENEFITS PROGRAM. ONCE ONBOARDED, 90% OF REFERRED PATIENTS WILL SHOW FOR SCHEDULED RADIOLOGY APPOINTMENTS BY END OF Q4 2021.- TO INCREASE NUMBER OF SPECIALTY PHYSICIAN ROTATIONS AT VARIOUS HOUSTON METHODIST CLINICS IN THE WILLOWBROOK MARKET AREA FROM 15 (2020) TO 18 (2021) BY Q4 2021.- TO DECREASE HEART FAILURE READMISSION RATES BY END OF Q4 2021. 2021 OUTCOMES:- AT THE END OF 2021, THE NUMBER OF LICENSED CLINICAL SPECIALISTS REPRESENTING DIGESTIVE HEALTH, SPICE AND CANCER PROGRAMS WAS SIX, A 33% INCREASE OVER 2020. A TOTAL OF 2,044 PATIENTS WERE PROVIDED NAVIGATION SERVICES 129 REFLUX PATIENTS, 51 SPINE PATIENTS AND 1,864 CANCER PATIENTS.- IN 2021, 1 CLINIC ONBOARDED WITH 3,041 LAB AND 22 RADIOLOGY SERVICES PROVIDED AND A 100% SHOW RATE FOR PATIENTS UTILIZING RADIOLOGY SERVICES. - AT THE END OF 2021, THE GOAL TO INCREASE THE NUMBER OF SPECIALTY PHYSICIANS WAS NOT MET DUE TO STAFFING CAPACITIES. - AT THE END OF 2021, THE GOAL TO DECREASE HEART FAILURE READMISSION RATES WAS MET. THE NUMBER OF AUTOMATED DISCHARGE FOLLOW-UP CALLS WAS EXCEEDED AT 21,595, AN 11% INCREASE FROM 2020 (19,327). 2021 HEALTH NEED: PROMOTE HEALTHY LIVING BEHAVIORS THAT REDUCE THE LIKELIHOOD OF CHRONIC DISEASE DEVELOPMENT HMB2021 GOALS:- TO ONBOARD TWO NEW FAITH AGENCIES TO THE FAITH HEALTH INITIATIVE IN PROXIMITY OF THE PATIENT POPULATION MOST SERVED BY HMB BY END OF Q4.- TO INCREASE ATTENDANCE OF COMMUNITY HEALTH PREVENTION AND EDUCATION EVENTS (TARGETING CANCER, STROKE, HEART AND MUSCULAR SKELETON PROBLEMS) BY 5% EACH YEAR FROM A BASELINE OF 2,900 ATTENDEES IN 2019 TO 3,045 IN 2021.2021 OUTCOMES:- AT THE END OF 2021, FOUR FAITH AGENCIES WERE ONBOARDED TO PROVIDE SERVICES SYSTEMWIDE. OUTREACH IN 2021 RESULTED IN THE CONFIRMATION OF ONE NEW FAITH AGENCY, ONBOARDED IN Q1 2022.- AT THE END OF 2021, 13 SEMINARS AND OUTREACH EVENTS TOOK PLACE, AN 18% INCREASE FROM 2020, ALLOWING FOR 915 PEOPLE (A 420% INCREASE) ATTENDING RELATIVE TO 2020. TOPICS INCLUDED STROKE AWARENESS, MAMMOGRAMS, CHILDBIRTH, SLEEPING DISORDERS, DIABETES, WEIGHT LOSS AND ORTHOPEDICS.

PART V, SECTION B, LINE 11 (CONTINUED)
HMCL2021 GOALS:- TO INCREASE THE NUMBER OF PARTICIPANTS IN HMCL HOSTED HEALTH EDUCATION AND PREVENTION EVENTS (RELATED TO HEART DISEASE, WEIGHT MANAGEMENT, COLORECTAL CANCER, DIABETES, AND BACK AND NECK PAIN) BY 5% FROM 375 BASE LINE IN 2019 TO 394 IN 2021.- TO ONBOARD TWO NEW FAITH AGENCIES TO THE FAITH HEALTH INITIATIVE IN PROXIMITY OF THE PATIENT POPULATION MOST SERVED BY HMCL BY END OF Q4 2021.2021 OUTCOMES:- ONE VIRTUAL EDUCATION SEMINAR WAS PROVIDED FOR THE COMMUNITY ON COLORECTAL CANCER WITH 68 ATTENDEES.- AT THE END OF 2021, FOUR FAITH AGENCIES ARE ONBOARDED TO PROVIDE SERVICES ACROSS THE SYSTEM. OUTREACH IN 2021 RESULTED IN THE CONFIRMATION OF ONE NEW FAITH AGENCY, TO BE ONBOARDED IN Q1 2022.HMSL2021 GOALS:- TO HAVE CURRENT FACILITATOR CROSS TRAINED TO OFFER A DIABETES-SPECIFIC CHRONIC DISEASE SELF-MANAGEMENT CLASS WITH 8-12 PARTICIPANTS BY END OF Q4 2021.- TO HOLD TWO CHRONIC DISEASE SELF-MANAGEMENT CLASSES INCLUDING SIX VIRTUAL SESSIONS WITH 8-12 PARTICIPANTS PER CLASS IN COLLABORATION WITH THE H/GAC AREA AGENCY ON AGING BY END OF Q4 2021.2021 OUTCOMES:- AT THE END OF 2021, THE GOAL TO HAVE TWO CURRENT CROSS TRAINED FACILITATORS WAS NOT MET DUE TO LIMITATIONS FROM COVID-19.- AT THE END OF 2021, THE GOAL TO HOLD TWO CHRONIC DISEASE SELF-MANAGEMENT CLASSES WAS NOT MET DUE TO LIMITATIONS FROM COVID-19.HMTW2021 GOALS:- TO INCREASE PARTICIPATION OF MONTHLY HEART SUPPORT GROUP FROM AN AVERAGE OF 12 PARTICIPANTS BY 5% BY Q4 2021. DUE TO COVID-19, SUPPORT GROUPS WERE PAUSED IN 2020.- TO ESTABLISH A NEW STROKE SUPPORT GROUP AND INCREASE PARTICIPATION BY 5% BY Q4 2021. DUE TO COVID-19, SUPPORT GROUPS WERE PAUSED IN 2020.- TO ONBOARD TWO NEW FAITH AGENCIES TO THE FAITH HEALTH INITIATIVE IN THE PROXIMITY OF INDIGENT PATIENTS MOST SERVED BY HMTW BY END OF Q4.- TO PROVIDE TWO EDUCATIONAL EVENTS, OPEN TO THE COMMUNITY ON HEALTHY LIVING BEHAVIORS BY END OF Q4 2021. EVENT TOPICS AND LOCATIONS WILL VARY.2021 OUTCOMES:- TWO HEART SUPPORT GROUPS WERE HELD IN 2021 WITH 15 ATTENDEES. - 10 STROKE SUPPORT GROUPS WERE HELD IN 2021 WITH NINE ATTENDEES IN PERSON AND 18 VIRTUAL. - AT THE END OF 2021, FOUR FAITH AGENCIES ARE ONBOARDED TO PROVIDE SERVICES ACROSS THE SYSTEM. OUTREACH IN 2021 RESULTED IN THE CONFIRMATION OF ONE NEW FAITH AGENCY, TO BE ONBOARDED IN Q1 2022 TO PROVIDE COMPASSIONATE CARE SERVICES TO REFERRED PATIENTS.- AT THE END OF 2021, THE GOAL TO HOST TWO EDUCATION EVENTS WITH TOPICS ON HEALTH LIVING BEHAVIORS WAS NOT MET. PRIORITIES SHIFTED IN 2021 TO FOCUS STAFF EFFORTS ON MOBILIZING AND OPERATING COVID-19 VACCINE CLINICS. THE ABILITY TO CONDUCT IN-PERSON OR VIA VIRTUAL PLATFORM EVENTS WILL BE RE-EVALUATED IN 2022.HMW2021 GOALS:- TO INCREASE COMMUNITY PARTICIPATION TO THE MENDED HEARTS EDUCATION AND SUPPORT GROUP, FOR HEART PATIENTS WHO NEED A POST MEDICAL INTERVENTION, FROM 20 PATIENTS TO 25 PATIENTS BY END OF Q4 2021.- TO TRACK THE NUMBER OF NEW INITIAL EVALUATIONS THAT ARE COMPLETED, PROVIDE 75% OF PATIENTS THE EDUCATION ON SPECIFIC INDIVIDUALIZED FUNCTIONAL DEFICITS IDENTIFIED DURING THEIR INITIAL EVALUATION AND 75% OF OUTPATIENT REHABILITATION PATIENTS WITH EVIDENCED BASED EDUCATION ON AN ADDITIONAL TOPIC CHOSEN BY STAFF TO INCREASE COMMUNITY AWARENESS BY Q4 2021.- TO ONBOARD TWO NEW FAITH AGENCIES TO THE FAITH HEALTH INITIATIVE IN PROXIMITY OF THE INDIGENT PATIENTS MOST SERVED BY HMW BY END OF Q4.- TO PARTNER WITH LOCAL EMS PROVIDER(S) TO PROVIDE A MINIMUM OF ONE HANDS-ON CPR (HOCPR) EVENT(S) IN KATY OR THE SURROUNDING AREA IN 2021.- TO COLLABORATE WITH HOUSTON METHODIST WEST COMMUNITY OUTREACH SPECIALIST, CORPORATE EMPLOYER OUTREACH SPECIALIST AND PHYSICIAN LIAISONS TO PROVIDE HEART ATTACK & STROKE EDUCATION AT TWO HEALTH FAIRS IN 2021 TO LOCAL BUSINESSES.2021 OUTCOMES:- IN 2021, 133 PATIENTS ATTENDED SUPPORT GROUPS WITH 96 PATIENTS REFERRED FROM MENDED HEARTS VOLUNTEERS. - AT THE END OF 2021, 3,654 NEW INITIAL EVALUATIONS WERE COMPLETED. PATIENTS IN OUTPATIENT REHAB ARE PROVIDED HEALTH EDUCATION TO ENCOURAGE IMPROVEMENTS IN THEIR OVERALL HEALTH AND WELLNESS. PATIENTS RECEIVED EDUCATION ON INDIVIDUALIZED EXERCISES FOR THE FUNCTIONAL DEFICITS IDENTIFIED IN THEIR EVALUATIONS, AS WELL AS EDUCATIONAL MATERIALS ON HEART HEALTH, HYDRATION, SLEEP, EXERCISE BENEFITS, STRETCHING AND HEALTHY EATING.- AT THE END OF 2021, FOUR FAITH AGENCIES ARE ONBOARDED TO PROVIDE SERVICES ACROSS THE SYSTEM. OUTREACH IN 2021 RESULTED IN THE CONFIRMATION OF ONE NEW FAITH AGENCY, TO BE ONBOARDED IN Q1 2022.- AT THE END OF 2021, NO PROGRESS WAS MADE ON THE GOAL TO PARTNER WITH LOCAL EMS TO PROVIDE A MINIMUM OF ONE CPR TRAINING EVENT.- DUE TO COVID-19, ALL EVENTS WERE CANCELLED. PLANS FOR SAFETY FEST ARE POSTPONED UNTIL APRIL 2022.HMWB2021 GOALS:- TO IMPLEMENT A HEALTH CARE EDUCATION SERIES IN COLLABORATION WITH THE YMCA, PROVIDING A MINIMUM OF FOUR VIRTUAL OR IN-PERSON EDUCATIONAL SESSIONS ON RELEVANT HEALTH CARE TOPICS IN 2021.- TO ONBOARD TWO NEW FAITH AGENCIES TO THE FAITH HEALTH INITIATIVE IN PROXIMITY OF THE PATIENT POPULATION IMMEDIATELY SURROUNDING COMMUNITY NETWORK OF CARE FACILITIES THAT ARE LOCATED WITHIN A 10-MILE RADIUS OF HMWB BY END OF Q4.- TO GROW MENDED HEARTS SUPPORT GROUP TO OFFERING A MONTHLY MEETING WITH MORE THAN 5 PEOPLE ATTENDING CONSISTENTLY. OFFER EDUCATIONAL PROGRAMS THROUGHOUT 2021 THAT COVER A VARIETY OF PERTINENT TOPICS FOR PATIENTS, FAMILIES AND CAREGIVERS BY END OF Q4 2021.2021 OUTCOMES:- AT THE END OF 2021, THREE EDUCATIONAL SESSIONS WITH 63 ATTENDEES WERE OFFERED IN 2021. THE TOPICS COVERED INCLUDED COVID-19 VACCINES, SPORTS MEDICINE AND NEUROLOGY ISSUES WITH A FOCUS ON HEADACHES.- AT THE END OF 2021, FOUR FAITH AGENCIES ARE ONBOARDED TO PROVIDE SERVICES ACROSS THE SYSTEM. OUTREACH IN 2021 RESULTED IN THE CONFIRMATION OF ONE NEW FAITH AGENCY THAT WILL OFFER COMPASSIONATE CARE SERVICES AFTER ONBOARDING IN 2022.- AT THE END OF 2021, THE GOAL TO GROW THE MENDED HEARTS SUPPORT GROUP WAS NOT MET. DUE TO COVID-19, MONTHLY SUPPORT GROUPS WERE NOT HELD IN 2021, WITH MENDED HEARTS MATERIALS BEING INCLUDED IN PATIENTS' DISCHARGE PAPERWORK. PLANS TO BEGIN SUPPORT GROUPS AGAIN ARE SET FOR Q2 2022.2021 HEALTH NEED: INCREASE ACCESS TO MENTAL HEALTH CARE SERVICES WITHIN HOUSTON METHODIST'S SURROUNDING UNDERSERVED COMMUNITYHMB2021 GOALS:- TO INCREASE TELEPSYCHIATRY UTILIZATION (FOR PATIENTS WITH PRIMARY OR SECONDARY PSYCHIATRIC DIAGNOSIS) AT HMB FROM 1,841 TOTAL INPATIENT AND ED CALLS (2020) TO 1,934 TOTAL CALLS BY END OF Q4 2021, CONTRIBUTING TO SYSTEMWIDE GOAL.- TO INCREASE SUICIDE SCREENING COMPLIANCE FROM YTD 2020 AVERAGE OF 87% TO 90% AT HMB FOR INPATIENT UNITS, ICUS AND OBSERVATION UNITS AND 85% TO 90% FOR THE EMERGENCY DEPARTMENT BY END OF Q4 2021 FOR PATIENTS WITH PRIMARY OR SECONDARY PSYCHIATRIC DIAGNOSIS.- FOR PATIENTS WITH A PRIMARY PSYCHIATRIC DIAGNOSIS, (1) TO INCREASE THE VOLUME OF PATIENTS AT HOUSTON METHODIST HOSPITAL AND HMB COMPLETING POST DISCHARGE FOLLOW-UP VISITS IN DAYS 1-7 FROM BASELINE 15% (2020) TO 34% AND (2) INCREASE COMPLETED POST DISCHARGE VISIT IN DAYS 8-30 FROM BASELINE 20% (2020) TO 54% BY END OF Q4 2021. 2021 OUTCOMES:- THERE WERE 8,278 TELEPSYCHIATRY CALLS SYSTEM WIDE IN 2021, WITH HMB ACCOUNTING FOR 2,108 OF TOTAL TELEPSYCHIATRY CALLS.- AT HMB, THE INPATIENT COMPLIANCE RATE WAS 77% AND THE EMERGENCY DEPARTMENT COMPLIANCE RATE WAS 86%.- AT THE END OF 2021, THE GOAL TO INCREASE POST-DISCHARGE FOLLOW-UP VISITS FOR PATIENTS DISCHARGED FROM HMB INPATIENT PSYCHIATRIC UNITS WITHIN 1-7 DAYS WAS MET (38%). THE GOAL TO INCREASE POST-DISCHARGE FOLLOW-UP VISITS FOR PATIENTS DISCHARGED FROM INPATIENT PSYCHIATRIC UNIT WITHIN 8-30 DAYS WAS NOT MET (21%).

PART V, SECTION B, LINE 11 (CONTINUED)
"HMCL2021 GOALS:- TO INCREASE TELEPSYCHIATRY UTILIZATION (FOR PATIENTS WITH PRIMARY OR SECONDARY PSYCHIATRIC DIAGNOSIS) AT HMCL FROM 229 INPATIENT AND ED CALLS TO 241 TOTAL CALLS BY END OF Q4 2021, CONTRIBUTING TO SYSTEM WIDE GOAL.- TO INCREASE SUICIDE SCREENING COMPLIANCE FROM YTD 2020 AVERAGE OF 78% TO 80% AT HMCL FOR INPATIENT UNITS, ICUS AND OBSERVATION UNITS AND 94% TO 96% FOR HMCL EMERGENCY DEPARTMENT. ALSO, TO ENSURE 100% STAFF COMPLIANCE WITH TRAINING AND EDUCATION.2021 OUTCOMES:- IN 2021, THERE WERE 8,278 TELEPSYCHIATRY CALLS SYSTEMWIDE, WITH HMCL ACCOUNTING FOR 444 OF TOTAL TELEPSYCHIATRY CALLS SYSTEM WIDE.- AT THE END OF 2021, THE OVERALL SCREENING COMPLIANCE RATES ACROSS HOUSTON METHODIST WAS 82%, EXCEEDING THE INITIAL GOAL OF 80%. HMCL CONTRIBUTED TO THIS THROUGH A 91% AND 74% COMPLIANCE RATE IN THE EMERGENCY DEPARTMENT AND INPATIENT UNITS, RESPECTIVELY. THE EDUCATION SIGN-IN LOG TRAINING NOW INTEGRATED INTO ANNUAL LMS AND MANDATORY FOR ALL STAFF. HMCCH2021 GOALS:- TO INCREASE SUICIDE SCREENING COMPLIANCE FROM 89% TO 90% AT HMCCH FOR INPATIENT UNITS, ICUS AND OBSERVATION UNITS BY END OF Q4 2021. THE EPIC CRYSTAL REPORT WILL BE USED TO VERIFY SCREENING COMPLIANCE RATES MONTHLY.- TO INCREASE TELEPSYCHIATRY UTILIZATION (FOR PATIENTS WITH PRIMARY OR SECONDARY PSYCHIATRIC DIAGNOSIS) AT HMCCH FROM 64 TOTAL INPATIENT CALLS IN 2020 TO 67 TOTAL INPATIENT CALLS BY END OF Q4 2021, CONTRIBUTING TO SYSTEMWIDE GOAL.2021 OUTCOMES:- AT THE END OF 2021, THE OVERALL SCREENING COMPLIANCE RATES ACROSS THE HOUSTON METHODIST WAS 82%, EXCEEDING THE INITIAL GOAL OF 80%. HMCCH CONTRIBUTED TO THIS BY ACHIEVING A 93% COMPLIANCE IN THE INPATIENT UNIT.- AT THE END OF 2021, TELEPSYCHIATRY UTILIZATION INCREASED ACROSS HOUSTON METHODIST BY 40% FROM 5,921 CALLS IN 2020 TO 8,278 CALLS IN 2021 FOR PATIENTS WITH PRIMARY OR SECONDARY PSYCHIATRIC DIAGNOSIS. HMCCH CONTRIBUTED TO THIS THROUGH AN INCREASE FROM 64 CALLS IN 2020 TO 92 CALLS IN 2021, REPRESENTING A 44% INCREASE.HMSL2021 GOALS:- TO INCREASE TELEPSYCHIATRY UTILIZATION (FOR PATIENTS WITH PRIMARY OR SECONDARY PSYCHIATRIC DIAGNOSIS) BY 5% AT HMSL FROM 178 TOTAL INPATIENT AND ED CALLS IN 2020 TO 187 TOTAL CALLS BY END OF Q4 2021, CONTRIBUTING TO SYSTEM WIDE GOAL.- TO INCREASE ACCESS TO MENTAL HEALTH SERVICES AND RESOURCES PROVIDED TO PATIENTS BY 50% AT THE HMSL WITH EMPHASIS ON REFERRALS TO THE NEUROLOGY DEPARTMENT FROM OUTLYING COMMUNITY PATIENTS DEALING WITH CHRONIC ILLNESS.- TO PROVIDE SIX EDUCATIONAL SESSIONS TO HMSL STAFF BY Q4 OF 2021.- TO INCREASE SUICIDE SCREENING COMPLIANCE FROM YTD 2020 AVERAGE OF 75% TO 80% AT HMSL FOR INPATIENT UNITS, ICUS AND OBSERVATION UNITS, AND 94% TO 96% FOR EMERGENCY DEPARTMENT BY END OF Q4 2021.2021 OUTCOMES:- IN 2021, THERE WERE 8,278 TELEPSYCHIATRY CALLS SYSTEM WIDE, WITH HMSL ACCOUNTING FOR 593 OF TOTAL TELEPSYCHIATRY CALLS SYSTEM WIDE.- AT THE END OF 2021, THE GOAL TO INCREASE ACCESS TO MENTAL HEALTH SERVICES AND RESOURCES WAS MET WITH 435 PATIENT REFERRALS AND A TOTAL OF 24 PATIENTS SHOWING FOR APPOINTMENTS WITH ONLY ONE NO-SHOW.- THE GOAL TO PROVIDE SIX EDUCATIONAL SESSIONS WAS NOT MET DUE TO STAFFING CHANGES AND COVID-19 PRECAUTIONS.- AT THE CONCLUSION OF 2021, THE OVERALL SCREENING COMPLIANCE RATES ACROSS HOUSTON METHODIST WAS 82%, EXCEEDING THE INITIAL GOAL OF 80%. HMSL CONTRIBUTED TO THIS THROUGH A 94% AND 74% COMPLIANCE RATE IN THE EMERGENCY DEPARTMENT AND INPATIENT UNITS, RESPECTIVELY. IN FEBRUARY 2022, A SYSTEM PSYCH EDUCATOR WILL BE HIRED TO FOCUS ON REVIEWING COMPLIANCE PERCENTAGES AND WORKING WITH STAFF AT HMSL TO INCREASE THE RATE OF COMPLIANCE. HMTW2021 GOALS:- TO INCREASE TELEPSYCHIATRY UTILIZATION (FOR PATIENTS WITH PRIMARY OR SECONDARY PSYCHIATRIC DIAGNOSIS) AT HMTW FROM 539 TOTAL INPATIENT AND ED CALLS IN 2020 TO 566 TOTAL CALLS BY END OF Q4 OF 2021, CONTRIBUTING TO SYSTEM WIDE GOAL.- TO INCREASE SUICIDE SCREENING COMPLIANCE FROM YTD 2020 AVERAGE OF 76% TO 80% AT HMTW FOR INPATIENT UNITS, ICUS AND OBSERVATION UNIT AND OF 87% TO 90% FOR HMTW EMERGENCY DEPARTMENT BY END OF Q4 2021.- TO ESTABLISH NEW PROGRAM TO PROVIDE PSYCHOSOCIAL SUPPORT TO AT LEAST 15 CANCER PATIENTS THROUGH SOCIAL WORK ENCOUNTERS IN 2021.2021 OUTCOMES:- IN 2021, THERE WERE 8,278 TELEPSYCHIATRY CALLS SYSTEMWIDE, WITH HMTW ACCOUNTING FOR 1,108 OF TOTAL TELEPSYCHIATRY CALLS SYSTEM WIDE.- AT HMTW, THE INPATIENT COMPLIANCE RATE WAS 70% AND THE EMERGENCY DEPARTMENT COMPLIANCE RATE WAS 84% COMPLIANCE RATE.- 242 DISTRESS SCREENINGS COMPLETED WITH 19 REFERRALS TO LCSW FROM THE CANCER CENTER. HMW2021 GOALS:- TO INCREASE TELEPSYCHIATRY UTILIZATION (FOR PATIENTS WITH PRIMARY OR SECONDARY PSYCHIATRIC DIAGNOSIS) AT HMW FROM 791 TOTAL INPATIENT AND ED CALLS IN 2020 TO 831 TOTAL CALLS BY END OF Q4 OF 2021, CONTRIBUTING TO SYSTEM WIDE GOAL.- TO INCREASE SUICIDE SCREENING COMPLIANCE FROM YTD 2020 AVERAGE OF 71% TO 80% AT HMW FOR INPATIENT UNITS, ICUS AND OBSERVATION UNITS AND 80% TO 90% FOR HMW EMERGENCY DEPARTMENT BY END OF Q4 2021.- TO PROVIDE 20 PATIENT REFERRALS TO PSYCHIATRIST/PSYCHOLOGIST/ LCSW TO SUPPORT FOR CANCER PATIENTS' NEEDS BY OF END OF Q4.2021 OUTCOMES:- IN 2021, THERE WERE 8,278 TELEPSYCHIATRY CALLS SYSTEM WIDE, WITH HMW ACCOUNTING FOR 1,203 OF TOTAL TELEPSYCHIATRY CALLS SYSTEM WIDE.- AT HMW, THE INPATIENT COMPLIANCE WAS MAINTAINED AT 71% AND THE EMERGENCY DEPARTMENT COMPLIANCE RATE IS 86%.- AT THE END OF 2021, THE GOAL TO INCREASE THE NUMBER OF PATIENTS REFERRED TO A MENTAL HEALTH PROFESSIONAL FOR CANCER SUPPORT WAS EXCEEDED BY 50% WITH 30 PATIENTS. HMWB2021 GOALS:- TO INCREASE TELEPSYCHIATRY UTILIZATION (FOR PATIENTS WITH PRIMARY OR SECONDARY PSYCHIATRIC DIAGNOSIS) AT HMWB FROM 1,479 TOTAL INPATIENT AND ED CALLS IN 2020 TO 1,553 TOTAL CALLS BY END OF Q4 OF 2021, CONTRIBUTING TO SYSTEM WIDE GOAL.- TO INCREASE SUICIDE SCREENING COMPLIANCE FROM YTD 2020 AVERAGE OF 80% TO 90% AT HMWB FOR INPATIENT UNITS, ICUS AND OBSERVATION UNITS AND 87% TO 90% FOR HMWB EMERGENCY DEPARTMENT BY END OF Q4 2021. - TO ACHIEVE A 70% COMPLIANCE RATE WITH A MOBILE ASSESSMENT TEAM (""MAT"") RESPONSE TIME OF LESS THAN 60 MINUTES BY END OF Q4 2021.2021 OUTCOMES:- AT THE END OF 2021, TELEPSYCHIATRY UTILIZATION INCREASED ACROSS THE HOUSTON METHODIST SYSTEM BY 40% FROM 5,921 CALLS IN 2020 TO 8,278 CALLS IN 2021 FOR PATIENTS WITH PRIMARY OR SECONDARY PSYCHIATRIC DIAGNOSIS. HMWB CONTRIBUTED TO THIS THROUGH AN INCREASE FROM 1,479 CALLS IN 2020 TO 1,716 CALLS IN 2021, REPRESENTING A 16% INCREASE.- AT THE END OF 2021, THE OVERALL SCREENING COMPLIANCE RATES ACROSS THE HOUSTON METHODIST SYSTEM WAS 82%, EXCEEDING THE INITIAL GOAL OF 80%. HMWB CONTRIBUTED TO THIS THROUGH AN 84% AND 76% COMPLIANCE RATE IN THE EMERGENCY DEPARTMENT AND INPATIENT UNITS, RESPECTIVELY.- AT THE END OF 2021, THE GOAL TO ACHIEVE A 70% COMPLIANCE RATE WITH A MAT RESPONSE TIME OF LESS THAN 60 MINUTES WAS NOT MET DUE TO EMPLOYMENT SHORTAGES DURING THE PANDEMIC. TO INCREASE RESPONSE TIME IN 2022 AND MEET THE THREE-YEAR OBJECTIVE, THE MAT TEAM WILL BE HIRING ADDITIONAL PERSONNEL."

PART V, SECTION B, LINE 11 (CONTINUED)
HEALTH NEEDS NOT BEING ADDRESSED:THERE ARE NO IDENTIFIED HEALTH NEEDS BASED ON THE 2019 CHNA SURVEY THAT HOUSTON METHODIST IS NOT ACTIVELY WORKING TO ADDRESS. HOUSTON METHODIST EXPANDED UPON ITS PRIORITIES BASED ON THE SURVEY FINDINGS OF THE ORIGINAL 2019 CHNA TO FOCUS ON KEY AREAS THAT WERE ORIGINALLY UNABLE TO BE ADDRESSED. DUE TO AN EXPANSION OF THE SYSTEM'S FOCUS ON DIVERSITY, EQUITY AND INCLUSION, HOUSTON METHODIST WAS ABLE TO ADDRESS KEY AREAS THAT WERE ORIGINALLY IDENTIFIED AS NOT BEING ABLE TO BE ADDRESSED. IN 2021, ADDITIONAL RESOURCES WERE ALLOCATED TO FOCUS ON ECONOMIC EMPOWERMENT, EDUCATIONAL EMPOWERMENT AND PROMOTING HEALTHY NEIGHBORHOODS WHICH ENCOMPASS THE ORIGINAL THREE AREAS THAT WERE FIRST THOUGHT TO BE UNABLE TO BE ADDRESSED, INCLUDING LOW CRIME/SAFE NEIGHBORHOOD, GOOD SCHOOLS/STRONG EDUCATION SYSTEM AND CLEAN AIR AND WATER QUALITY. THROUGH THE ESTABLISHMENT OF THE DIVERSITY, EQUITY & INCLUSION GRANT PROGRAM, HOUSTON METHODIST ESTABLISHED THE DIVERSITY, EQUITY & INCLUSION GRANT AND THE SOCIAL EQUITY GRANT WHICH FOCUS ON ADDRESSING THE ROOT CAUSES OF HEALTH INEQUITIES EXPERIENCED BY SOCIAL, RACIAL AND ETHNIC MINORITIES. THIS GRANT PROGRAM TARGETS THE SOCIAL DETERMINANTS OF HEALTH, THE CONDITIONS WITHIN WHICH PEOPLE ARE BORN AND LIVE, THAT ARE OFTEN THE UNDERLYING CAUSE OF TODAY'S MAJOR SOCIETAL HEALTH ISSUES SUCH AS LACK OF INSURANCE, OBESITY, POOR MENTAL HEALTH, HEART DISEASE AND MORE. SOCIAL DETERMINANTS TO BE ADDRESSED THROUGH GRANT FUNDING INCLUDE ACCESS TO HOUSING AND UTILITY SERVICES, ACCESS TO SAFE DRINKING WATER, CLEAN AIR, AND TOXIN-FREE ENVIRONMENTS, AVAILABILITY OF TRANSPORTATION, CRIME RATES AND EXPOSURE TO VIOLENT BEHAVIOR, EARLY CHILDHOOD EXPERIENCES AND DEVELOPMENT, EDUCATIONAL OPPORTUNITIES, FOOD INSECURITY AND INACCESSIBILITY OF NUTRITIOUS FOOD CHOICES, GENDER INEQUITY, INCOME LEVEL, NEIGHBORHOOD CONDITIONS AND PHYSICAL ENVIRONMENT, OCCUPATION, EMPLOYMENT STATUS, AND WORKPLACE SAFETY, RECREATIONAL AND LEISURE OPPORTUNITIES AND SOCIAL SUPPORT AND COMMUNITY INCLUSIVITY. IN 2021, HOUSTON METHODIST PROVIDED $1.4M IN FUNDING TO 37 UNIQUE NONPROFIT ORGANIZATIONS ACROSS GREATER HOUSTON THROUGH THE DIVERSITY, EQUITY AND INCLUSION GRANT PROGRAM. ORGANIZATIONS SUPPORTED INCLUDE EASTER SEALS OF GREATER HOUSTON, REBUILDING TOGETHER HOUSTON, YMCA OF GREATER HOUSTON AND MORE.

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 TEST IS NOT USED IN DETERMINING ELIGIBILITY.

PART I, LINE 6A:
HOUSTON METHODIST, OF WHICH HOUSTON METHODIST HOSPITAL 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, HMB, HMCL, HMCCH, HMSL, HMTW, HMW AND HMWB WHICH ARE LOCATED IN HARRIS COUNTY AND IN NEIGHBORING FORT BEND COUNTY AND MONTGOMERY COUNTY, TEXAS.

PART I, LINE 7:
THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE IN PART I, LINES 7A THROUGH 7C, WAS A COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 (RATIO OF PATIENT CARE COST TO CHARGES), AS PROVIDED IN THE INSTRUCTIONS TO FORM 990 SCHEDULE H. THE COSTING METHODOLOGY FOR LINES 7F THROUGH 7I WAS BASED ON ACTUAL EXPENDITURES.PART I, LINE 7A:IN CONNECTION WITH THE 2021 990 SCHEDULE H REPORTING REQUIREMENTS, THE COST OF CARE PROVIDED TO PATIENTS WHO HAVE MEDICARE AS THEIR PRIMARY INSURER AND MEDICAID AS SECONDARY HAS BEEN CLASSIFIED AS FINANCIAL ASSISTANCE (PART I, LINE 7A) SINCE THESE PATIENTS WERE PRESUMPTIVELY ELIGIBLE FOR FULL FINANCIAL ASSISTANCE.

PART I, LINE 7G:
HMSL, HMWB, HMW, HMTW, HMB, HMCL AND HMCCH HAVE NOT REPORTED ANY SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7(G).PART II, COMMUNITY BUILDING ACTIVITIES:HMSL, HMWB, HMW, HMTW, HMB, HMCL AND HMCCH HAVE NOT REPORTED ANY COMMUNITY BUILDING ACTIVITIES IN PART II, LINES 1-10.

PART III, LINE 2:
THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT OF BAD DEBT EXPENSE (AT COST) REPORTED ON LINE 2 (NO AMOUNT WAS REPORTED ON LINE 3) WAS DERIVED FROM APPLYING THE RATIO OF PATIENT CARE COST TO CHARGES (FROM WORKSHEET 2, LINE 11) TO THE SUM OF BAD DEBT PLUS SELF-PAY DISCOUNTS ATTRIBUTABLE TO PATIENT ACCOUNTS.

PART III, LINE 3:
HOUSTON METHODIST WILL NOT CLASSIFY AMOUNTS AS BAD DEBT IF PATIENT IS ELIGIBLE FOR CHARITY UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.

PART III, LINE 4:
PLEASE REFER TO NOTE B OF THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF HOUSTON METHODIST, SECTION TITLED NET PATIENT REVENUE AND PATIENT ACCOUNTS RECEIVABLE, NET (PAGES 8 - 9).

PART III, LINE 8:
MEDICARE ALLOWABLE COSTS WERE DERIVED FROM HOUSTON METHODIST'S FILED MEDICARE COST REPORTS (BY FACILITY) FOR THE YEAR ENDED DECEMBER 31, 2021. THE ENTIRE MEDICARE SHORTFALL ($112.6 MILLION) AS REPORTED IN PART III, LINE 7, AS WELL AS THE UNREIMBURSED COST OF THE MEDICARE MANAGED CARE PROGRAM ($131.4 MILLION), AND TRICARE PROGRAMS ($9.4 MILLION) SHOULD BE TREATED AS A COMMUNITY BENEFIT, SINCE THESE SHORTFALLS, OR SUBSIDIES, REDUCE THE FEDERAL GOVERNMENT'S BURDEN IN PROVIDING HEALTH CARE TO MEDICARE BENEFICIARIES.

PART III, LINE 9B:
HOUSTON METHODIST HAS A WRITTEN BAD DEBT COLLECTION POLICY; HOWEVER, NO COLLECTION EFFORTS ARE PUT FORTH FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY.

PART VI, LINE 2:
IN ADDITION TO THE ABOVE DESCRIBED PROCESS OF THE CHNA, HOUSTON METHODIST UTILIZES SEVERAL DIFFERENT METHODS TO IDENTIFY THE HEALTH PRIORITIES (HEALTH CARE NEEDS) OF THE COMMUNITIES IT SERVES WHICH INCLUDE BUT ARE NOT LIMITED TO THE REVIEW OF RELEVANT SECONDARY RESOURCES AND DATA FROM SOURCES SUCH AS UNITED STATES CENSUS BUREAU, CENTERS FOR DISEASE CONTROL AND PREVENTION, TEXAS STATE DATA CENTER, PUBLIC HEALTH EXPERT INTERVIEWS AND MORE. HOUSTON METHODIST IS ALSO ABLE TO IDENTIFY THE CHANGING NEEDS OF THE UNDERSERVED POPULATION THROUGH ESTABLISHED COMMUNITY PARTNERSHIPS WITH FEDERALLY QUALIFIED HEALTH CENTERS, SOCIAL SERVICE AGENCIES, THE HARRIS COUNTY PUBLIC HEALTH, AND CHARITY FACILITIES. THROUGH QUARTERLY REPORTING AND CONSISTENT COMMUNICATION, HOUSTON METHODIST CAN STAY ABREAST OF THE NEEDS.

PART VI, LINE 3:
"FINANCIAL ASSISTANCE INFORMATION IS PROVIDED IN MULTIPLE LOCATIONS WITHIN HOUSTON METHODIST; AT THE POINT OF REGISTRATION, DURING CASE MANAGEMENT AND AT THE TIME OF COLLECTIONS POST DISCHARGE. EVERY CHECK-IN LOCATION HAS INFORMATION POSTED IN BOTH ENGLISH AND SPANISH STATING HOW THE PATIENT CAN ACCESS FINANCIAL ASSISTANCE INFORMATION.ADDITIONALLY, THIS INFORMATION IS INCLUDED IN THE PATIENT GUIDE PROVIDED TO THE PATIENT AT THE TIME OF REGISTRATION. HOUSTON METHODIST FINANCIAL COUNSELORS ACTIVELY SEEK ALL UNINSURED INPATIENTS AND OUTPATIENTS WITH SCHEDULED SERVICES FOR A PERSONAL VISIT. DURING THESE VISITS, THE FINANCIAL COUNSELORS WILL SCREEN THE PATIENT FOR FINANCIAL ASSISTANCE AND WILL PROVIDE THE PATIENT WITH THE FINANCIAL ASSISTANCE APPLICATION (""FAA""). THE PATIENT WILL THEN BE PROVIDED A LIST OF RESOURCES WITH CONTACT INFORMATION SHOULD THE PATIENT REQUIRE FURTHER ASSISTANCE IN COMPLETING THE APPLICATION.PRESUMPTIVE FINANCIAL ASSISTANCE MAY BE EVALUATED BASED ON THE FOLLOWING WITHOUT THE PATIENT COMPLETING THE FAA:- HOMELESS OR DECEASED;- ELIGIBLE FOR OTHER GOVERNMENT PROGRAMS INCLUDING MEDICAID, FOOD STAMPS, SUBSIDIZED HOUSING, AND WOMAN, INFANT, AND CHILDREN'S PROGRAMS (WIC) AND OTHER COMMUNITY/THIRD-PARTY APPROVED PROGRAMS;- ELIGIBLE BASED ON AN ELECTRONIC SCORING MODEL THAT DERIVES SCORES BASED ON FAMILY INCOME AND FAMILY MEMBERS IN THE HOUSEHOLD.HOUSTON METHODIST UTILIZES AN ELIGIBILITY PARTNER TO WORK CLOSELY WITH PATIENTS TO QUALIFY FOR STATE AND FEDERAL ASSISTANCE PROGRAMS (E.G., MEDICAID, SCHIP, CRIME VICTIMS, ETC.). THIS ELIGIBILITY PARTNER WILL MEET WITH ALL UNINSURED INPATIENTS TO DISCUSS STATE AND FEDERAL ASSISTANCE PROGRAMS; WHERE THE PATIENT IS NOT ELIGIBLE FOR THESE PROGRAMS, HOUSTON METHODIST'S INTERNAL FINANCIAL ASSISTANCE PROGRAM IS INTRODUCED.HOUSTON METHODIST'S CASE MANAGEMENT UNIT WORKS CLOSELY WITH THE PATIENT DURING PATIENT DISCHARGE MANAGEMENT TO ENSURE THE PATIENT IS INTRODUCED TO ALL RESOURCES THAT MAY BE NEEDED POST DISCHARGE (E.G., HOME HEALTH, SKILLED NURSING, ETC.). THE CASE MANAGEMENT UNIT WORKS WITH THE PATIENT TO QUALIFY THE PATIENT AND TO GAIN ACCESS TO THESE RESOURCES. ADDITIONALLY, THE CASE MANAGEMENT UNIT WORKS CLOSELY WITH THE FINANCIAL COUNSELORS WHEN THE PATIENT IS IDENTIFIED AS HAVING A NEED FOR FINANCIAL ASSISTANCE.HOUSTON METHODIST'S PATIENT ACCOUNTING UNIT WORKS CLOSELY WITH ALL UNINSURED PATIENTS POST DISCHARGE DURING THE BILLING AND COLLECTIONS PROCESS. HOUSTON METHODIST'S COLLECTIONS PERSONNEL WILL VERBALLY SCREEN PATIENTS FOR FINANCIAL ASSISTANCE DURING COLLECTION CALLS; WHERE APPLICABLE, THE PATIENT WILL BE SENT A FAA AVAILABLE IN 19 LANGUAGES. ADDITIONALLY, ALL BILLING STATEMENTS PROVIDE THE PATIENT WITH A PHONE NUMBER FOR CUSTOMER SERVICE TO OBTAIN PAYMENT OPTIONS. HOUSTON METHODIST UTILIZES BAD DEBT COLLECTION AGENCIES. EACH COLLECTION AGENCY MUST ADHERE TO HOUSTON METHODIST'S FINANCIAL ASSISTANCE POLICY AND PHILOSOPHY DURING ALL COMMUNICATION AND COLLECTION EVENTS WITH HOUSTON METHODIST PATIENTS.METHODIST PERSONNEL ARE PROVIDED WITH EDUCATIONAL IN-SERVICES IN THE ADMINISTERING OF THE FINANCIAL ASSISTANCE POLICY AS NEEDED. FAA IS REVIEWED PERIODICALLY AND UPDATED AS NEEDED."

PART VI, LINE 5
HMSL IN FORT BEND COUNTY, HMWB IN NORTHWEST HOUSTON, HMW IN WEST HOUSTON, HMB IN BAYTOWN, TEXAS, HMTW IN NORTH HOUSTON, HMCL IN SOUTHEAST HOUSTON AND HMCCH, A LONG-TERM ACUTE CARE FACILITY IN KATY, TEXAS, PROVIDE MEDICAL SERVICES TO PEOPLE LIVING IN CITIES AND SUBURBS ADJACENT TO HOUSTON.GOVERNING BODYMETHODIST HEALTH CENTERS, HMB, HMCL AND HMCCH ARE GOVERNED BY A BOARD OF DIRECTORS, WHICH INCLUDE MEMBERS OF THE COMMUNITY WHERE EACH HOSPITAL IS LOCATED.COMMUNITY HOSPITALS - HMSLSINCE 1998, HMSL HAS BEEN SERVING FORT BEND AND SURROUNDING COUNTIES, AND RESIDENTS RELY ON THE HOSPITAL FOR COMPASSIONATE CARE AND LEADING-EDGE TECHNOLOGY THAT WAS ONCE AVAILABLE ONLY IN THE TEXAS MEDICAL CENTER. AS OF DECEMBER 31, 2021, THE HOSPITAL HAD 324 OPERATING BEDS, 23 OPERATING ROOMS, 1,166 AFFILIATED PHYSICIANS AND 2,442 EMPLOYEES. HMSL RECORDED 18,731 INPATIENT ADMISSIONS, 259,100 OUTPATIENT VISITS, INCLUDING 62,279 EMERGENCY ROOM VISITS, FOR 2021. IN ADDITION, HMSL RECORDED 2,467 BIRTHS. HMSL IS A WELL-ESTABLISHED LEADER IN MULTIPLE SERVICE AREAS, INCLUDING EXCEPTIONAL WOMEN'S HEALTH SERVICES, CANCER CARE, NEUROLOGY AND NEUROSURGERY, ORTHOPEDICS AND SPORTS MEDICINE, WOUND CARE AND HYPERBARIC MEDICINE, HEART AND VASCULAR CARE.COMMUNITY HOSPITALS - HMWBOPENED IN 2000, HMWB OFFERS CARE AND TECHNOLOGY TO THE NORTHWEST HOUSTON COMMUNITY, AS OF DECEMBER 31, 2021, THE HOSPITAL HAD 358 OPERATING BEDS, 20 OPERATING ROOMS AND 1,171 AFFILIATED PHYSICIANS. THE HOSPITAL CONTINUES TO EXPAND FACILITIES AND SERVICES TO MEET THE NEEDS OF PATIENTS AND THE COMMUNITY, OFFERING CARDIOVASCULAR SURGERY, NEUROSCIENCE CARE, ORTHOPEDICS AND SPORTS MEDICINE SERVICES. THE WOMEN'S & CHILDREN'S PAVILION FEATURES FAMILY-CENTERED CARE SERVICES, INCLUDING A CHILDBIRTH CENTER, WITH PRIVATE LABOR AND DELIVERY SUITES, A LEVEL III NEONATAL INTENSIVE CARE UNIT AND A BREAST CARE CENTER. HMWB RECORDED 21,717 INPATIENT ADMISSIONS, 230,466 OUTPATIENT VISITS, INCLUDING 85,068 EMERGENCY ROOM VISITS, FOR 2021. IN ADDITION, HMWB RECORDED 3,744 BIRTHS. HMWB IS A WELL-KNOWN LEADER IN MULTIPLE SERVICE AREAS, INCLUDING CANCER CARE, NEUROLOGY AND NEUROSURGERY, HEART AND VASCULAR, ORTHOPEDICS & SPORTS MEDICINE AND WOMEN'S SERVICES.COMMUNITY HOSPITALS - HMWHMW OPENED ITS DOORS TO THE WEST HOUSTON AND KATY COMMUNITIES IN DECEMBER 2010. LOCATED AT I-10 AND BARKER CYPRESS, IT OFFERS THE COMMUNITY SPECIALTY MEDICAL SERVICES SUCH AS INPATIENT AND OUTPATIENT MEDICAL AND SURGICAL CARE, STATE OF THE ART SURGERY SUITES, ENDOSCOPY SUITES, CARDIAC CATHETERIZATION LABS, A 24-HOUR EMERGENCY CARE CENTER, FULL-SERVICE IMAGING CENTER, AND VASCULAR CARE, ROBOTIC SURGERY, WOMEN'S SERVICES, ORTHOPEDICS AND SPORTS MEDICINE, NEUROLOGY AND NEUROSURGERY, UROLOGY, PLASTIC SURGERY, AND OTOLARYNGOLOGY. HMW BOASTS A TEAM OF EXPERTS USING THE NEWEST TECHNOLOGIES AND PERSONALIZED CARE TAILORED TO PATIENTS' UNIQUE NEEDS. AS OF DECEMBER 31, 2021, THE HOSPITAL HAD 237 OPERATING BEDS, 22 OPERATING ROOMS AND 1,220 AFFILIATED PHYSICIANS. IT RECORDED 14,406 INPATIENT ADMISSIONS, 170,289 OUTPATIENT VISITS, INCLUDING 58,909 EMERGENCY ROOM VISITS, IN 2021. IN ADDITION, HMW RECORDED 2,506 BIRTHS. HMW IS A WELL-KNOWN LEADER IN MULTIPLE SERVICE AREAS, INCLUDING CANCER CARE, HEART AND VASCULAR, SPINE AND ORTHOPEDICS AND SPORTS MEDICINE. COMMUNITY HOSPITALS - HMTWHMTW OPENED AS A FULL SERVICE, ACUTE CARE HOSPITAL IN JUNE 2017. THE HOSPITAL HAS 187 OPERATING BEDS, 15 OPERATING ROOMS, 1,200 AFFILIATED PHYSICIANS AND 1,800 EMPLOYEES. HMTW IS A COMMUNITY BASED, NOT FOR PROFIT HOSPITAL THAT PRIMARILY SERVES MONTGOMERY COUNTY. HMTW RECORDED 14,498 INPATIENT ADMISSIONS AND 166,935 OUTPATIENT VISITS, INCLUDING 42,343 EMERGENCY CARE VISITS, BY AREA RESIDENTS DURING 2021. IN ADDITION, HMTW RECORDED 1,769 BIRTHS DURING 2021. HMTW IS A WELL-ESTABLISHED LEADER IN MULTIPLE SERVICES, INCLUDING CANCER CARE, HEART AND VASCULAR, NEUROSCIENCES, ORTHOPEDICS AND SPORTS MEDICINE, SURGERY SERVICES AND WOMEN'S HEALTH. ALTHOUGH HMTW PATIENTS REPRESENT A DIVERSE GROUP OF BACKGROUNDS, CULTURES AND SOCIOECONOMIC STATUS, AS PATIENTS AT HMTW THEY ALL SHARE ONE THING IN COMMON -- EACH IS TREATED WITH DIGNITY AND COMPASSION. THIS RESPECT FOR EACH PERSON IS REFLECTED IN THE MISSION STATEMENT AND STATEMENT OF VALUES OF HOUSTON METHODIST. COMMUNITY HOSPITALS - HMBHMB IS A NONPROFIT HOSPITAL LOCATED IN BAYTOWN, TEXAS, HMB IS ONE OF SEVEN COMMUNITY HOSPITALS UNDER THE HOUSTON METHODIST SYSTEM OF CARE. HOUSTON METHODIST INCLUDES A FLAGSHIP TEACHING HOSPITAL IN THE TEXAS MEDICAL CENTER, AS WELL AS SEVEN COMMUNITY HOSPITALS AND A TOP-RANKED RESEARCH INSTITUTE. THE SYSTEM IS AFFILIATED WITH WEILL CORNELL MEDICAL COLLEGE AND NEW YORK-PRESBYTERIAN HOSPITAL.HMB, AN ACUTE CARE COMPLEX WITH 226 OPERATING BEDS, 15 OPERATING ROOMS, 647 AFFILIATED PHYSICIANS AND 1,730 EMPLOYEES, IS A COMMUNITY BASED, NOT FOR PROFIT HOSPITAL THAT PRIMARILY SERVES THE EAST HARRIS, CHAMBERS AND LIBERTY COUNTIES ENCOMPASSING MORE THAN 350,000 RESIDENTS.HMB RECORDED 14,233 INPATIENT ADMISSIONS, 137,540 OUTPATIENT VISITS, INCLUDING 56,887 EMERGENCY ROOM VISITS, BY AREA RESIDENTS DURING 2021. IN ADDITION, HMB RECORDED 1,697 BIRTHS IN 2021. AS PART OF A $250 MILLION HOSPITAL EXPANSION PROJECT, HMB IS BUILDING A NEW STATE-OF-THE-ART FIVE-STORY PATIENT TOWER. CURRENTLY UNDER CONSTRUCTION, THE FACILITY WILL EXPAND CAPACITY AND SERVICES TO THE COMMUNITY SO THE COMMUNITY HOSPITAL CAN CONTINUE DELIVERING EXCEPTIONAL CARE, ADVANCED TREATMENTS AND AN OUTSTANDING PATIENT EXPERIENCE. ALTHOUGH HMB PATIENTS REPRESENT A DIVERSE GROUP OF BACKGROUNDS, CULTURES AND SOCIO-ECONOMIC STATUS, AS PATIENTS AT HMB 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 HOUSTON METHODIST.COMMUNITY HOSPITALS - HMCLHMCL IS A NONPROFIT, GENERAL ACUTE CARE FACILITY LOCATED IN SOUTHEAST HOUSTON WITH 149 OPERATING BEDS, 12 OPERATING ROOMS, 764 AFFILIATED PHYSICIANS AND 1,108 EMPLOYEES, SERVING HARRIS AND GALVESTON COUNTIES. IN 2021, THE HOSPITAL RECORDED 6,608 INPATIENT VISITS, 175,322 OUTPATIENT VISITS, INCLUDING 32,551 EMERGENCY ROOM VISITS. IN ADDITION, HMCL RECORDED 851 BIRTHS. ALTHOUGH PATIENTS REPRESENT A DIVERSE GROUP OF BACKGROUNDS, CULTURES AND SOCIO-ECONOMIC STATUS, AS PATIENTS AT HMCL THEY ALL SHARE ONE THING EACH IS TREATED WITH DIGNITY AND COMPASSION. THIS RESPECT FOR EACH PERSON IS REFLECTED IN THE MISSION STATEMENT AND STATEMENT OF VALUES OF HMCL.HMCL OFFERS AN EXCEPTIONAL ARRAY OF PROGRAMS AND SERVICES AT OUR FULL-SERVICE HOSPITAL, INCLUDING HEART AND VASCULAR CARE, NEUROLOGY, ORTHOPEDICS & SPORTS MEDICINE AND WOMEN'S HEALTH. AND WHEN PATIENTS NEED EMERGENCY CARE, HMCL PROVIDES EASY, ONLINE CHECK-IN TO ITS ER, TO HELP SHORTEN WAIT TIMES TO BE SEEN BY ITS BOARD-CERTIFIED EMERGENCY MEDICINE PHYSICIANS. THE HOSPITAL'S IMAGING DEPARTMENT IS ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY FOR MAMMOGRAPHY, ULTRASOUND AND MAGNETIC RESONANCE IMAGING. ADDITIONAL HOSPITAL ACCREDITATIONS INCLUDE CHEST PAIN ACCREDITED FACILITY THROUGH THE SOCIETY OF CARDIOVASCULAR PATIENT CARE, STROKE READY DESIGNATED FACILITY THROUGH DET NORSKE VERITAS, AND COMMISSION ON CANCER ACCREDITATION FROM THE AMERICAN COLLEGE OF SURGEONS.HMCL HAS ADVANCED DECONTAMINATION EDUCATION, TRAINING AND EMERGENCY CARE. THE FACILITY COLLABORATES WITH CITY AND COUNTY OFFICIALS FOR ADVANCED HURRICANE PREPAREDNESS AND READINESS, GIVEN ITS PROXIMITY TO THE GALVESTON GULF COAST.COMMUNITY HOSPITALS - HMCCHHMCCH, ACQUIRED FROM THE CHRISTUS HEALTH SYSTEM IN FEBRUARY 2014, OPERATES 82 BEDS AS A SEPARATELY LICENSED, LONG-TERM ACUTE CARE FACILITY. HMCCH HAS 497 AFFILIATED PHYSICIANS, 384 EMPLOYEES AND RECORDED 1,820 ADMISSIONS IN 2021.HMCCH IS A FULLY ACCREDITED DNV SPECIALTY HOSPITAL, LICENSED BY THE STATE OF TEXAS AND IS MEDICARE CERTIFIED. THE HOSPITAL'S SERVICES INCLUDE PULMONARY CARE MANAGEMENT FOR VENTILATOR-DEPENDENT PATIENTS, OR THOSE WITH RESPIRATORY FAILURE; COMPLEX WOUND CARE; INFECTIOUS DISEASE MANAGEMENT REQUIRING LONG-TERM INTRAVENOUS OR ANTIBIOTIC THERAPY; POSTSURGICAL COMPLICATION MANAGEMENT; HEMODIALYSIS OR PERITONEAL DIALYSIS; TRAUMA AND NEUROLOGICAL INJURY MANAGEMENT; PAIN MANAGEMENT; REHABILITATION THERAPIES (PHYSICAL, OCCUPATIONAL AND SPEECH); AND PHARMACY.

PART VI, LINE 4:
HMSL:HMSL DEFINES THE HOUSTON-THE WOODLANDS-SUGAR LAND METROPOLITAN STATISTICAL AREA (MSA) AS ITS COMMUNITY. HMSL PRIMARILY SERVES THE COUNTIES OF HARRIS AND FORT BEND, ALTHOUGH THE FULL LIST OF COUNTIES WHICH FALL INTO THE SPECIFIED MSA ALSO INCLUDE AUSTIN, MONTGOMERY, BRAZORIA, GALVESTON, LIBERTY, CHAMBERS, AND WALLER COUNTIES. THE HMSL COMMUNITY SPANS 2,569 SQUARE MILES AND CONTAINS AN ESTIMATED POPULATION OF 5,471,501 RESIDENTS. AS THE LARGEST COUNTY IN TEXAS AND THE COUNTY MOST SERVED BY HMSL, HARRIS COUNTY ACCOUNTS FOR AN ESTIMATED 4.6 MILLION OF HMSL COMMUNITY RESIDENTS, EQUATING TO APPROXIMATELY 85.5% OF THE HMSL COMMUNITY POPULATION. IN COMPARISON, FORT BEND COUNTY HAS A POPULATION OF 790,892, ACCOUNTING FOR APPROXIMATELY 14.5% OF THE HMSL COMMUNITY POPULATION. [1,2,6,10]WITHIN THE HMSL COMMUNITY, HARRIS COUNTY MAINTAINS A MINORITY-MAJORITY CITY STATUS DUE TO A 43% HISPANIC/LATINO POPULATION IN COMPARISON TO 28% WHITE/NON-HISPANIC POPULATION. FORT BEND COUNTY CURRENTLY RANKS AS THE MOST DIVERSE COUNTY WITHIN THE HMSL COMMUNITY AND COMES CLOSE TO HAVING AN EQUAL DISTRIBUTION OF THE NATION'S FOUR MAJOR ETHNIC GROUPS (30% WHITE/NON-HISPANIC, 24% HISPANIC/LATINO, 20% BLACK/AFRICAN AMERICAN AND 22% ASIAN). [3]THREE MAJOR AGE GROUPS COMPRISE THE HMSL 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 HMSL COMMUNITY (60.3%). HARRIS COUNTY HAS AN ADULT POPULATION OF 60.5%. FORT BEND COUNTY HAS THE SMALLER PERCENTAGE OF ADULTS WITHIN THE HMSL COMMUNITY AT 59.2%. THE SENIOR POPULATION ACCOUNTS FOR 10.6% OF THE HMSL COMMUNITY. [6,10]CURRENTLY, THE MEDIAN HOUSEHOLD INCOME IN TEXAS IS $63,826. FORT BEND COUNTY'S IS 57% HIGHER ($100,189), WHILE HARRIS COUNTY ($63,022) FALLS 1.3% BELOW THE STATE'S MEDIAN HOUSEHOLD INCOME. [4] EDUCATIONAL ATTAINMENT VARIES ACROSS COUNTIES WITHIN THE HMSL COMMUNITY. ACCORDING TO THE U.S. CENSUS BUREAU. AMERICAN COMMUNITY SURVEY (2020), AMONG HMSL COMMUNITY MEMBERS 25 YEARS OF AGE AND OLDER, 73% HAVE PURSUED EDUCATION BEYOND A HIGH SCHOOL DIPLOMA. ADDITIONALLY, FORT BEND COUNTY HAS THE HIGHEST PERCENTAGE OF COMMUNITY MEMBERS WHO POSSESS A GRADUATE OR PROFESSIONAL DEGREE (19%) COMPARED TO HARRIS COUNTY (12%). IT IS IMPORTANT TO NOTE THAT FORT BEND COUNTY ALSO HAS THE HIGHEST MEDIAN HOUSEHOLD INCOME, WHICH CAN CORRELATE WITH EDUCATIONAL ATTAINMENT. [5]HMWBHMWB IS A NON-PROFIT HOSPITAL LOCATED IN HARRIS COUNTY WITHIN THE GREATER HOUSTON AREA. CURRENTLY, 24.4% OF TEXANS RESIDE IN THE HOUSTON-THE WOODLANDS-SUGAR LAND METROPOLITAN STATISTICAL AREA (MSA). THIS MSA IS COMPRISED OF THE FOLLOWING NINE COUNTIES: AUSTIN, BRAZORIA, CHAMBERS, FORT BEND, GALVESTON, HARRIS, LIBERTY, MONTGOMERY AND WALLER. IN THIS REPORT, THE FOCUS WILL BE PLACED ON THE IDENTIFIED COUNTY (HARRIS) PRIMARILY SERVED BY HMWB AND WILL REFER TO THE ONE COUNTY BEING PRIMARILY SERVED AS THE HMWB COMMUNITY. THE HMWB COMMUNITY SPANS 1,707 SQUARE MILES AND CONTAINS AN ESTIMATED POPULATION OF 4,680,609 RESIDENTS. AS THE LARGEST COUNTY IN TEXAS AND THE ONLY COUNTY SERVED BY HMWB, HARRIS COUNTY ACCOUNTS FOR ALL HMWB COMMUNITY RESIDENTS. [1,2,6]THE HOUSTON METHODIST COMMUNITY IS CONSIDERED ONE OF THE MOST ETHNICALLY DIVERSE METROPOLITAN REGIONS IN THE NATION, WITH A 38% HISPANIC/LATINO POPULATION, 36% WHITE/NON-HISPANIC POPULATION, 17% PERCENT BLACK/AFRICAN AMERICAN POPULATION AND 8% ASIAN POPULATION. WITHIN THE HMWB COMMUNITY, HARRIS COUNTY MAINTAINS A MINORITY-MAJORITY CITY STATUS DUE TO A 43% HISPANIC/LATINO POPULATION IN COMPARISON TO 28% WHITE/NON-HISPANIC POPULATION. [3]THREE MAJOR AGE GROUPS COMPRISE THE HMWB 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 HMWB COMMUNITY (63%). THE SENIOR POPULATION ACCOUNTS FOR 11% OF THE HMWB COMMUNITY. [6]CURRENTLY, THE MEDIAN HOUSEHOLD INCOME IN TEXAS IS $63,826, WHICH IS 1.3% HIGHER THAN THE MEDIAN HOUSEHOLD INCOME OF HARRIS COUNTY ($63,022). [4]ACCORDING TO THE UNITED STATES CENSUS BUREAU AMERICAN COMMUNITY SURVEY (2020), AMONG HMWB COMMUNITY MEMBERS 25 YEARS OF AGE AND OLDER, 59% HAVE PURSUED EDUCATION BEYOND A HIGH SCHOOL DIPLOMA. ADDITIONALLY, 17.8% OF COMMUNITY MEMBERS HAVE LESS THAN A HIGH SCHOOL DIPLOMA, 23.7% GRADUATED FROM HIGH SCHOOL, 20% COMPLETED SOME COLLEGE COURSEWORK BUT DID NOT GRADUATE, 7% HAVE AN ASSOCIATE DEGREE, 20% HAVE A BACHELOR'S DEGREE AND 12% HAVE A POST-GRAD DEGREE. [5]HMWHMW IS A NON-PROFIT HOSPITAL LOCATED IN HARRIS COUNTY WITHIN THE GREATER HOUSTON AREA. IT IS OWNED AND OPERATED BY HOUSTON METHODIST, A NOT-FOR-PROFIT HEALTH CARE SYSTEM. HMW IS A FULL-SERVICE, ACUTE CARE HOSPITAL THAT SERVES WEST HOUSTON, KATY, AND SURROUNDING COMMUNITIES. CURRENTLY, 24.4% OF TEXANS RESIDE IN THE HOUSTON-THE WOODLANDS-SUGAR LAND METROPOLITAN STATISTICAL AREA (MSA). THIS MSA IS COMPRISED OF THE FOLLOWING NINE COUNTIES: AUSTIN, BRAZORIA, CHAMBERS, FORT BEND, GALVESTON, HARRIS, LIBERTY, MONTGOMERY AND WALLER. HMW PRIMARILY SERVES HARRIS AND FORT BEND COUNTIES. THE HMW COMMUNITY SPANS 2,569 SQUARE MILES AND CONTAINS AN ESTIMATED POPULATION OF 5,471,501 RESIDENTS. AS THE LARGEST COUNTY IN TEXAS AND THE COUNTY MOST SERVED BY HMW, HARRIS COUNTY ACCOUNTS FOR AN ESTIMATED 4.6 MILLION OF THE HOSPITAL'S COMMUNITY RESIDENTS, EQUATING TO APPROXIMATELY 85.5% OF THE HMW COMMUNITY POPULATION. IN COMPARISON, FORT BEND COUNTY HAS A POPULATION OF 790,892, ACCOUNTING FOR APPROXIMATELY 14.5% OF THE HMW COMMUNITY POPULATION. [1,2,6,10]WITHIN THE HMW COMMUNITY, HARRIS COUNTY MAINTAINS A MINORITY-MAJORITY CITY STATUS DUE TO A 38% HISPANIC/LATINO POPULATION IN COMPARISON TO 34% WHITE/NON-HISPANIC POPULATION. FORT BEND COUNTY CURRENTLY RANKS AS THE MOST DIVERSE COUNTY WITHIN THE HMW COMMUNITY AND COMES CLOSE TO HAVING AN EQUAL DISTRIBUTION OF THE NATION'S FOUR MAJOR ETHNIC GROUPS (30% WHITE/NON-HISPANIC, 24% HISPANIC/LATINO, 20% BLACK/AFRICAN AMERICAN AND 22% ASIAN). [3]THREE MAJOR AGE GROUPS COMPRISE THE HMW 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 HMW COMMUNITY (60.3%). HARRIS COUNTY HAS AN ADULT POPULATION OF 63%. FORT BEND COUNTY HAS THE SMALLER PERCENTAGE OF ADULTS WITHIN THE HMW COMMUNITY AT 61%. THE SENIOR POPULATION ACCOUNTS FOR 10.2% OF THE HMW COMMUNITY. [6,10]CURRENTLY, THE MEDIAN HOUSEHOLD INCOME IN TEXAS IS $63,826. WHILE HARRIS COUNTY ($63,022) FALLS 1.3% BELOW THE STATE'S MEDIAN HOUSEHOLD INCOME, FORT BEND COUNTY'S IS 57% HIGHER ($100,189). [4] EDUCATIONAL ATTAINMENT VARIES ACROSS COUNTIES WITHIN THE HMW COMMUNITY. ACCORDING TO THE U.S. CENSUS BUREAU. AMERICAN COMMUNITY SURVEY (2020), AMONG HMW COMMUNITY MEMBERS 25 YEARS OF AGE AND OLDER, 61% HAVE PURSUED EDUCATION BEYOND A HIGH SCHOOL DIPLOMA. ADDITIONALLY, FORT BEND COUNTY HAS THE HIGHEST PERCENTAGE OF COMMUNITY MEMBERS WHO POSSESS A GRADUATE OR PROFESSIONAL DEGREE (19%) COMPARED TO HARRIS COUNTY (12%). IT IS IMPORTANT TO NOTE THAT FORT BEND COUNTY ALSO HAS THE HIGHEST MEDIAN HOUSEHOLD INCOME, WHICH CAN CORRELATE WITH EDUCATIONAL ATTAINMENT. [5]

HMTW:
HMTW IS A NON-PROFIT HOSPITAL LOCATED IN MONTGOMERY COUNTY WITHIN THE GREATER HOUSTON AREA. IT IS OWNED AND OPERATED BY HOUSTON METHODIST, A NOT-FOR-PROFIT HEALTH CARE SYSTEM. HMTW PRIMARILY SERVES MONTGOMERY AND HARRIS COUNTIES. CURRENTLY, 24.4% OF TEXANS RESIDE IN THE HOUSTON-THE WOODLANDS-SUGAR LAND METROPOLITAN STATISTICAL AREA (MSA), WHICH IN ADDITION TO MONTGOMERY AND HARRIS COUNTIES ALSO INCLUDES BRAZORIA, FORT BEND, GALVESTON, LIBERTY, CHAMBERS, AND WALLER COUNTIES. THE HMTW COMMUNITY SPANS 2,749 SQUARE MILES AND CONTAINS AN ESTIMATED POPULATION OF 5,270,797 RESIDENTS. AS THE LARGEST COUNTY IN TEXAS AND THE COUNTY MOST SERVED BY HMTW, HARRIS COUNTY ACCOUNTS FOR AN ESTIMATED 4.6 MILLION OF THE HOSPITAL'S COMMUNITY RESIDENTS, EQUATING TO APPROXIMATELY 89% OF THE HMTW COMMUNITY POPULATION. IN COMPARISON, MONTGOMERY COUNTY HAS A POPULATION OF 590,188, ACCOUNTING FOR APPROXIMATELY 11% OF THE HMTW COMMUNITY POPULATION. [1,2,6,11]THE HOUSTON METHODIST 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 HMTW COMMUNITY, HARRIS COUNTY MAINTAINS A MINORITY-MAJORITY CITY STATUS DUE TO A 43% HISPANIC/LATINO POPULATION IN COMPARISON TO 28% WHITE/NON-HISPANIC POPULATION. MONTGOMERY COUNTY RANKS BEHIND HARRIS IN TERMS OF RACIAL DIVERSITY, WITH A 60% WHITE/NON-HISPANIC POPULATION. [3]THREE MAJOR AGE GROUPS COMPRISE THE HMTW 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 HMTW COMMUNITY (60.2%). MONTGOMERY COUNTY HAS THE SMALLER PERCENTAGE OF ADULTS WITHIN THE HMTW COMMUNITY AT 58.8%. THE SENIOR POPULATION ACCOUNTS FOR 10.4% OF THE HMTW COMMUNITY. [6,11] CURRENTLY, THE MEDIAN HOUSEHOLD INCOME IN TEXAS IS $63,826. IN COMPARISON, WITHIN THE HMTW COMMUNITY, MONTGOMERY COUNTY RANKS HIGHER WITH A MEDIAN HOUSEHOLD INCOME OF $83,274. HARRIS COUNTY FALLS BELOW THE STATE AT $63,022. [4] EDUCATIONAL ATTAINMENT VARIES ACROSS COUNTIES WITHIN THE HMTW COMMUNITY. ACCORDING TO THE UNITED STATES CENSUS BUREAU AMERICAN COMMUNITY SURVEY (2020), AMONG HMTW COMMUNITY MEMBERS 25 YEARS OF AGE AND OLDER, 60% HAVE PURSUED EDUCATION BEYOND A HIGH SCHOOL DIPLOMA. ADDITIONALLY, HARRIS AND MONTGOMERY HAVE SIMILAR PERCENTAGE OF COMMUNITY MEMBERS WHO POSSESS A GRADUATE OR PROFESSIONAL DEGREE (12% AND 11% RESPECTIVELY). HARRIS COUNTY, HOWEVER, HAS A HIGHER PERCENTAGE OF MEMBERS WHO DID NOT RECEIVE A HIGH SCHOOL DIPLOMA (18%), COMPARED TO 11% IN MONTGOMERY COUNTY. [5]HMBHMB DEFINES THE HOUSTON-THE WOODLANDS-SUGAR LAND METROPOLITAN STATISTICAL AREA (MSA) AS ITS COMMUNITY. THIS MSA IS COMPRISED OF THE FOLLOWING NINE COUNTIES: AUSTIN, BRAZORIA, CHAMBERS, FORT BEND, GALVESTON, HARRIS, LIBERTY, MONTGOMERY AND WALLER. HMB PRIMARILY SERVES HARRIS, LIBERTY AND CHAMBERS COUNTIES. THE HMB COMMUNITY SPANS 3,463 SQUARE MILES AND CONTAINS AN ESTIMATED POPULATION OF 4,809,353 RESIDENTS. AS THE LARGEST COUNTY IN TEXAS AND THE COUNTY MOST SERVED BY HMB, HARRIS COUNTY ACCOUNTS FOR AN ESTIMATED 4.6 MILLION OF THE HOSPITAL'S COMMUNITY RESIDENTS, EQUATING TO APPROXIMATELY 97.3% OF THE HMB COMMUNITY POPULATION. IN COMPARISON, CHAMBERS COUNTY HAS THE SMALLEST POPULATION, ACCOUNTING FOR 42,571 OF HMB COMMUNITY RESIDENTS, WHICH LESS THAN 1% OF THE COMMUNITY POPULATION. [1,2,6,7,8]WITHIN THE HMB COMMUNITY, HARRIS COUNTY MAINTAINS A MINORITY-MAJORITY CITY STATUS DUE TO A 43% HISPANIC/LATINO POPULATION IN COMPARISON TO 28% WHITE/NON-HISPANIC POPULATION. LIBERTY AND CHAMBERS COUNTIES RANK BEHIND HARRIS IN TERMS OF RACIAL DIVERSITY, WITH LIBERTY COUNTY HAVING A 55% WHITE/NON-HISPANIC POPULATION AND CHAMBERS COUNTY HAVING A 64% WHITE/NON-HISPANIC POPULATION. [3]THREE MAJOR AGE GROUPS COMPRISE THE HMB 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 HMB COMMUNITY (61%). THE SENIOR POPULATION ACCOUNTS FOR 12% OF THE HMB 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 HMB COMMUNITY, LIBERTY COUNTY HAS THE GREATEST PERCENTAGE OF SENIORS AT 13%, COMPARED TO HARRIS COUNTY (11%) AND CHAMBERS COUNTY (12%) [6,7,8]CURRENTLY, THE MEDIAN HOUSEHOLD INCOME IN TEXAS IS $63,826. IN THE HMB COMMUNITY, LIBERTY ($50,917) AND HARRIS ($63,022) COUNTIES RANK LOWER THAN THE TEXAS MEDIAN HOUSEHOLD INCOME VALUE, WHILE CHAMBERS COUNTY ($95,989) RANKS HIGHER. [4]EDUCATIONAL ATTAINMENT VARIES ACROSS COUNTIES WITHIN THE HMB COMMUNITY. ACCORDING TO THE UNITED STATES CENSUS BUREAU AMERICAN COMMUNITY SURVEY (2020), AMONG HMB COMMUNITY MEMBERS 25 YEARS OF AGE AND OLDER, 58.6% HAVE PURSUED EDUCATION BEYOND A HIGH SCHOOL DIPLOMA. ADDITIONALLY, LIBERTY COUNTY HAS THE HIGHEST PERCENTAGE OF MEMBERS WHO DID NOT RECEIVE A HIGH SCHOOL DIPLOMA (22%), COMPARED TO HARRIS COUNTY (18%) AND CHAMBERS COUNTY (10%) [5]HMCLHMCL DEFINES THE HOUSTON-THE WOODLANDS-SUGAR LAND METROPOLITAN STATISTICAL AREA (MSA) AS ITS COMMUNITY. HMCL PRIMARILY SERVES THE COUNTIES OF HARRIS AND GALVESTON. HOWEVER, THE FULL LIST OF COUNTIES WHICH FALL INTO THE SPECIFIED MSA INCLUDE: AUSTIN, MONTGOMERY, BRAZORIA, CHAMBERS, LIBERTY, FORT BEND, AND WALLER COUNTIES. THE HMCL COMMUNITY SPANS 2086 SQUARE MILES AND CONTAINS AN ESTIMATED POPULATION OF 5,018,209 RESIDENTS. AS THE LARGEST COUNTY IN TEXAS AND THE COUNTY MOST SERVED BY HMCL, HARRIS COUNTY ACCOUNTS FOR AN ESTIMATED 4.6 MILLION OF THE HOSPITAL'S COMMUNITY RESIDENTS, EQUATING TO APPROXIMATELY 93% OF THE HMCL COMMUNITY POPULATION. [1,2,6,9]WITHIN THE HMCL COMMUNITY, HARRIS COUNTY MAINTAINS A MINORITY-MAJORITY CITY STATUS DUE TO A 38% HISPANIC/LATINO POPULATION IN COMPARISON TO 28% WHITE/NON-HISPANIC POPULATION. GALVESTON COUNTY RANKS BEHIND HARRIS IN TERMS OF RACIAL DIVERSITY, WITH A 55% WHITE/NON-HISPANIC POPULATION. [3]THREE MAJOR AGE GROUPS COMPRISE THE HMCL 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 HMCL COMMUNITY (62%). THE SENIOR POPULATION ACCOUNTS FOR 12% OF THE HMCL COMMUNITY. [6,9]CURRENTLY, THE MEDIAN HOUSEHOLD INCOME IN TEXAS IS $63,826. IN COMPARISON, THE AVERAGE HOUSEHOLD INCOME IN HARRIS COUNTY RANKS LOWER THAN THE STATE AT $63,022, WHILE GALVESTON COUNTY RANKS HIGHER AT $74,633. [4]EDUCATIONAL ATTAINMENT VARIES ACROSS COUNTIES WITHIN THE HMCL COMMUNITY. ACCORDING TO THE UNITED STATES CENSUS BUREAU AMERICAN COMMUNITY SURVEY (2020), AMONG HMCL COMMUNITY MEMBERS 25 YEARS OF AGE AND OLDER, 59% HAVE PURSUED EDUCATION BEYOND A HIGH SCHOOL DIPLOMA. ADDITIONALLY, IN HARRIS COUNTY, 18% DO NOT HAVE A HIGH SCHOOL DIPLOMA, COMPARED TO 10% IN GALVESTON COUNTY. [5]

HMCCH:
HMCCH DEFINES THE HOUSTON-THE WOODLANDS-SUGAR LAND METROPOLITAN STATISTICAL AREA (MSA) AS ITS COMMUNITY. HMCCH PRIMARILY SERVES THE COUNTIES OF HARRIS AND FORT BEND, ALTHOUGH THE FULL LIST OF COUNTIES WHICH FALL INTO THE SPECIFIED MSA ALSO INCLUDE AUSTIN, MONTGOMERY, BRAZORIA, GALVESTON, LIBERTY, CHAMBERS, AND WALLER COUNTIES. THE HMCCH COMMUNITY SPANS 2,569 SQUARE MILES AND CONTAINS AN ESTIMATED POPULATION OF 5,471,501 RESIDENTS. AS THE LARGEST COUNTY IN TEXAS AND THE COUNTY MOST SERVED BY HMCCH, HARRIS COUNTY ACCOUNTS FOR AN ESTIMATED 4.6 MILLION OF THE HOSPITAL'S COMMUNITY RESIDENTS, EQUATING TO APPROXIMATELY 85.5% OF THE HMCCH COMMUNITY POPULATION. IN COMPARISON, FORT BEND COUNTY HAS A POPULATION OF 790,892, ACCOUNTING FOR APPROXIMATELY 14.5% OF THE HMCCH COMMUNITY POPULATION. [1,2,6,10]WITHIN THE HMCCH COMMUNITY, HARRIS COUNTY MAINTAINS A MINORITY-MAJORITY CITY STATUS DUE TO A 38% HISPANIC/LATINO POPULATION IN COMPARISON TO 34% WHITE/NON-HISPANIC POPULATION. FORT BEND COUNTY CURRENTLY RANKS AS THE MOST DIVERSE COUNTY WITHIN THE HMCCH COMMUNITY AND COMES CLOSE TO HAVING AN EQUAL DISTRIBUTION OF THE NATION'S FOUR MAJOR ETHNIC GROUPS (30% WHITE/NON-HISPANIC, 24% HISPANIC/LATINO, 20% BLACK/AFRICAN AMERICAN AND 22% ASIAN). [3]THREE MAJOR AGE GROUPS COMPRISE THE HMCCH 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 HMCCH COMMUNITY (60.3%). HARRIS COUNTY HAS AN ADULT POPULATION OF 63%. FORT BEND COUNTY HAS THE SMALLER PERCENTAGE OF ADULTS WITHIN THE HMCCH COMMUNITY AT 61%. THE SENIOR POPULATION ACCOUNTS FOR 10.2% OF THE HMCCH COMMUNITY. [6,10]CURRENTLY, THE MEDIAN HOUSEHOLD INCOME IN TEXAS IS $63,826. WHILE HARRIS COUNTY ($63,022) FALLS 1.3% BELOW THE STATE'S MEDIAN HOUSEHOLD INCOME, FORT BEND COUNTY'S IS 57% HIGHER ($100,189). [4] EDUCATIONAL ATTAINMENT VARIES ACROSS COUNTIES WITHIN THE HMCCH COMMUNITY. ACCORDING TO THE U.S. CENSUS BUREAU. AMERICAN COMMUNITY SURVEY (2020), AMONG HMCCH COMMUNITY MEMBERS 25 YEARS OF AGE AND OLDER, 61% HAVE PURSUED EDUCATION BEYOND A HIGH SCHOOL DIPLOMA. ADDITIONALLY, FORT BEND COUNTY HAS THE HIGHEST PERCENTAGE OF COMMUNITY MEMBERS WHO POSSESS A GRADUATE OR PROFESSIONAL DEGREE (19%) COMPARED TO HARRIS COUNTY (12%). IT IS IMPORTANT TO NOTE THAT FORT BEND COUNTY ALSO HAS THE HIGHEST MEDIAN HOUSEHOLD INCOME, WHICH CAN CORRELATE WITH EDUCATIONAL ATTAINMENT. [5]CITATIONS:[1] UNITED STATES CENSUS BUREAU. CENSUS REPORTER-2020. RETRIEVED FROM HTTPS://CENSUSREPORTER.ORG/PROFILES/31000US26420-HOUSTON-THE-WOODLANDS-SUGAR-LAND-TX-METRO-AREA/.[2] TEXAS COUNTY PROFILES. COUNTY SIZE IN SQUARE MILES (2020). RETRIEVED FROM HTTP://TXCIP.ORG/TAC/CENSUS/COUNTYPROFILES.PHP/.[3] UNITED STATES CENSUS BUREAU. AMERICAN COMMUNITY SURVEY - 2020: HISPANIC OR LATINO BY ORIGIN; COUNTIES. RETRIEVED FROM HTTPS://CENSUSREPORTER.ORG/DATA/TABLE/?TABLE=B03002&PRIMARY_GEO_ID=31000US26420&GEO_IDS=31000US26420,04000US48,33000US288,01000US[4] UNITED STATES CENSUS BUREAU. AMERICAN COMMUNITY SURVEY: MEDIAN INCOME IN THE PAST 12 MONTHS (IN 2020 INFLATION-ADJUSTED DOLLARS). RETRIEVED FROM HTTPS://DATA.CENSUS.GOV [5] UNITED STATES CENSUS BUREAU. AMERICAN COMMUNITY SURVEY: EDUCATIONAL ATTAINMENT 2020. RETRIEVED FROM HTTPS://DATA.CENSUS.GOV/.[6] UNITED STATES CENSUS BUREAU. CENSUS REPORTER - 2020. RETRIEVED FROM HTTPS://CENSUSREPORTER.ORG/PROFILES/05000US48201-HARRIS-COUNTY-TX/.[7] UNITED STATES CENSUS BUREAU. CENSUS REPORTER - 2020. RETRIEVED FROM HTTPS://CENSUSREPORTER.ORG/PROFILES/05000US48291-LIBERTY-COUNTY-TX/ [8] UNITED STATES CENSUS BUREAU. CENSUS REPORTER - 2020. RETRIEVED FROM HTTPS://CENSUSREPORTER.ORG/PROFILES/05000US48071-CHAMBERS-COUNTY-TX/ [9] UNITED STATES CENSUS BUREAU. CENSUS REPORTER - 2020. RETRIEVED FROM HTTPS://CENSUSREPORTER.ORG/PROFILES/05000US48167-GALVESTON-COUNTY-TX/. [10] UNITED STATES CENSUS BUREAU. CENSUS REPORTER - 2020. RETRIEVED FROM HTTPS://CENSUSREPORTER.ORG/PROFILES/05000US48157-FORT-BEND-COUNTY-TX/.[11] UNITED STATES CENSUS BUREAU. CENSUS REPORTER 2020. RETRIEVED FROM HTTPS://CENSUSREPORTER.ORG/PROFILES/05000US48339-MONTGOMERY-COUNTY-TX/.

COMMUNITY SUPPORT - HMCCH
THROUGH THE HMCCH COMMUNITY SPONSORSHIP AND DONATIONS PROGRAM, HMCCH DONATES TO CAUSE-RELATED CHARITABLE ACTIVITIES AND LOCAL NONPROFIT COMMUNITY AGENCIES THAT HAVE A MISSION IN ADVANCING HEALTH, EDUCATION AND SOCIAL INITIATIVES BY MEANS OF RAISING AWARENESS, ADVANCING RESEARCH, INCREASING PATIENT'S ACCESS TO HEALTH CARE SERVICES & SUPPORT AND OVERALL INCREASING OPPORTUNITIES FOR MEMBERS OF THE COMMUNITY TO LIVE IN A POSITIVE ENVIRONMENT. COMMUNITY SUPPORT - HMSLTHROUGH THE HMSL COMMUNITY SPONSORSHIP AND DONATIONS PROGRAM, THE HOSPITAL DONATES TO CAUSE-RELATED CHARITABLE ACTIVITIES AND LOCAL NONPROFIT COMMUNITY AGENCIES THAT HAVE A MISSION IN ADVANCING HEALTH, EDUCATION AND SOCIAL INITIATIVES BY MEANS OF RAISING AWARENESS, ADVANCING RESEARCH, INCREASING PATIENT'S ACCESS TO HEALTH CARE SERVICES & SUPPORT AND OVERALL INCREASING OPPORTUNITIES FOR MEMBERS OF THE COMMUNITY TO LIVE IN A POSITIVE ENVIRONMENT. SPONSORSHIP AND DONATION PARTNERS INCLUDE ACCESS HEALTH, FORT BEND CHAMBER OF COMMERCE, AMERICAN CANCER SOCIETY, FORT BEND EDUCATION FOUNDATION AND MANY MORE. COMMUNITY SUPPORT - HMTWTHROUGH THE HMTW COMMUNITY SPONSORSHIP AND DONATIONS PROGRAM, THE HOSPITAL DONATES TO HEALTH CARE RELATED CHARITABLE ACTIVITIES AND LOCAL NONPROFIT COMMUNITY AGENCIES THAT HAVE A MISSION IN ADVANCING HEALTH, EDUCATION AND SOCIAL INITIATIVES BY MEANS OF RAISING AWARENESS, ADVANCING RESEARCH, INCREASING PATIENT'S ACCESS TO HEALTH CARE SERVICES & SUPPORT AND OVERALL INCREASING OPPORTUNITIES FOR MEMBERS OF THE COMMUNITY TO LIVE IN A POSITIVE ENVIRONMENT. SPONSORSHIP AND DONATION PARTNERS INCLUDE INTERFAITH COMMUNITY CLINIC, ALZHEIMER'S ASSOCIATION, AMERICAN HEART ASSOCIATION AND MORE. COMMUNITY SUPPORT - HMWTHROUGH THE HMW COMMUNITY SPONSORSHIP AND DONATIONS PROGRAM, THE HOSPITAL DONATES TO CAUSE-RELATED CHARITABLE ACTIVITIES AND LOCAL NONPROFIT COMMUNITY AGENCIES THAT HAVE A MISSION IN ADVANCING HEALTH, EDUCATION AND SOCIAL INITIATIVES BY MEANS OF RAISING AWARENESS, ADVANCING RESEARCH, INCREASING PATIENT'S ACCESS TO HEALTH CARE SERVICES & SUPPORT AND OVERALL INCREASING OPPORTUNITIES FOR MEMBERS OF THE COMMUNITY TO LIVE IN A POSITIVE ENVIRONMENT. SPONSORSHIP AND DONATION PARTNERS INCLUDE SPRING BRANCH COMMUNITY HEALTH CARE, AMERICAN HEART ASSOCIATION, FAITH IN PRACTICE AND MANY MORE. COMMUNITY SUPPORT - HMWBTHROUGH THE HMWB COMMUNITY SPONSORSHIP AND DONATIONS PROGRAM, THE HOSPITAL DONATES TO CAUSE-RELATED CHARITABLE ACTIVITIES AND LOCAL NONPROFIT COMMUNITY AGENCIES THAT HAVE A MISSION IN ADVANCING HEALTH, EDUCATION AND SOCIAL INITIATIVES BY MEANS OF RAISING AWARENESS, ADVANCING RESEARCH, INCREASING PATIENT'S ACCESS TO HEALTH CARE SERVICES & SUPPORT AND OVERALL INCREASING OPPORTUNITIES FOR MEMBERS OF THE COMMUNITY TO LIVE IN A POSITIVE ENVIRONMENT. SPONSORSHIP AND DONATION PARTNERS INCLUDE AMERICAN HEART ASSOCIATION, BOYS AND GIRLS COUNTRY, AMERICAN CANCER SOCIETY, YMCA OF GREATER HOUSTON AND MANY MORE.

MEDICAL STAFF MODEL
METHODIST HEALTH CENTERS, HMB, HMCL AND HMCCH HAVE AN OPEN MEDICAL STAFF MODEL. THE OPEN MODEL GIVES PATIENTS ACCESS TO PHYSICIANS OF ALL AFFILIATIONS. HMSL, LOCATED IN SUGAR LAND, TEXAS, IS APPROXIMATELY 21 MILES SOUTHWEST OF DOWNTOWN HOUSTON. SINCE 1998, HMSL HAS BEEN THE HEALTH CARE PROVIDER OF CHOICE FOR RESIDENTS OF FORT BEND AND SURROUNDING COUNTIES AND HAS GROWN INTO A 324-BED HOSPITAL WITH 23 OPERATING ROOMS. THE HOSPITAL HAS 1,166 AFFILIATED PHYSICIANS REPRESENTING THE FULL RANGE OF MEDICAL SPECIALTIES THAT ARE ON STAFF. HMSL OFFERS A WIDE RANGE OF SERVICES AND CENTERS OF EXCELLENCE IN CARDIOLOGY, NEUROSCIENCES, ONCOLOGY, ORTHOPEDICS, UROLOGY AND WOMEN'S SERVICES. HMSL IS A MAGNET-RECOGNIZED HOSPITAL AND CONTINUES TO BE THE ONLY HOSPITAL IN FORT BEND COUNTY TO EARN ACCREDITATION WITH COMMENDATION BY THE AMERICAN COLLEGE OF SURGEONS - COMMISSION ON CANCER. HMWB HOUSES A PRIMARY CARE SPORTS MEDICINE GRADUATE MEDICAL EDUCATION PROGRAM. AS ONE OF HOUSTON'S MOST EXPERIENCED COMPREHENSIVE ORTHOPEDICS GROUP, HMWB TREATS A WIDE RANGE OF COMMON AND COMPLEX CONDITIONS. HMB IS A TEACHING HOSPITAL AND COLLABORATES WITH UTMB TO PROVIDE OBSTETRICAL AND GYNECOLOGICAL SERVICES WITH A LEVEL II NURSERY. WITH EVEN FURTHER PLANNED ONGOING DEVELOPMENT OF THE CAMPUS STARTING IN 2021, HMB WILL CONTINUE ITS MISSION OF PROVIDING UNPARALLELED SAFETY, QUALITY, SERVICE AND INNOVATION TO THE COMMUNITIES WE SERVE FOR MANY YEARS TO COME.USE OF SURPLUS FUNDS - HMSLIN 2021, HMSL PROVIDED $40.2 MILLION IN FINANCIAL ASSISTANCE FOR INTERNAL CHARITY BASED ON THE IRS DEFINITION OF COST. USE OF SURPLUS FUNDS - HMWBIN 2021, HMWB PROVIDED $49.3 MILLION IN FINANCIAL ASSISTANCE FOR INTERNAL CHARITY BASED ON THE IRS DEFINITION OF COST. USE OF SURPLUS FUNDS - HMWIN 2021, HMW PROVIDED $33.2 MILLION IN FINANCIAL ASSISTANCE FOR INTERNAL CHARITY BASED ON THE IRS DEFINITION OF COST. USE OF SURPLUS FUNDS - HMTWIN 2021, HMTW PROVIDED $24.5 MILLION IN FINANCIAL ASSISTANCE FOR INTERNAL CHARITY BASED ON THE IRS DEFINITION OF COST. USE OF SURPLUS FUNDS - HMBIN 2021, HMB PROVIDED $52.6 MILLION IN FINANCIAL ASSISTANCE FOR INTERNAL CHARITY BASED ON THE IRS DEFINITION OF COST. USE OF SURPLUS FUNDS - HMCLIN 2021, HMCL PROVIDED $12.8 MILLION IN FINANCIAL ASSISTANCE FOR INTERNAL CHARITY BASED ON THE IRS DEFINITION OF COST. USE OF SURPLUS FUNDS - HMCCHIN 2021, HMCCH PROVIDED $14.9 MILLION IN FINANCIAL ASSISTANCE FOR INTERNAL CHARITY BASED ON THE IRS DEFINITION OF COST. HMCCH ALSO PROVIDED $12.0 MILLION IN UNREIMBURSED COSTS OF MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS.COMMUNITY SUPPORTIN ADDITION TO HOUSTON METHODIST'S CONTRIBUTIONS TO COMMUNITY HEALTH THROUGH CHARITY CARE AND COMMUNITY BENEFITS, EACH HOUSTON METHODIST FACILITY ACTIVELY DEVELOPS AWARENESS INITIATIVES, SPONSORSHIPS AND PROGRAMS THAT PROMOTE HEALTH AND WELLNESS, PREVENTION AND EARLY DETECTION, HOUSTON METHODIST STAFF AND VOLUNTEERS CAN BE FOUND AT HEALTH SCREENINGS AND OTHER HEALTH PROMOTION EVENTS THROUGHOUT THE YEAR.HOUSTON METHODIST ALSO REACHES OUT TO THE COMMUNITY THROUGH HEALTH SCREENINGS, COMMUNITY HEALTH EDUCATION AND FLU VACCINE EVENTS, AMONG OTHER TYPES OF COMMUNITY OUTREACH AND SUPPORT. FOR EXAMPLE, AN ANNUAL HEART EVENT IS ONE OF THE COMMUNITY OUTREACH EVENTS - THOSE WHO ATTEND RECEIVED FREE HEALTH SCREENINGS, INCLUDING CHOLESTEROL AND BLOOD PRESSURE CHECKS.A PROMINENT COMMUNITY BENEFIT PROGRAM PROVIDED IS HOUSTON METHODIST'S I CARE IN ACTION PROGRAM. I CARE IN ACTION ALLOWS HOUSTON METHODIST EMPLOYEES TIME OFF TO VOLUNTEER AT COMMUNITY CHARITIES. BY ALLOWING EMPLOYEES TIME OFF TO VOLUNTEER, HOUSTON METHODIST HELPS COMMUNITY AGENCIES SAVE FINANCIAL RESOURCES SO THAT MORE OF THEIR FUNDS CAN GO TOWARDS PROVIDING DIRECT CARE TO THEIR UNDERSERVED PATIENT AND CLIENT BASE. THE PROGRAM HAS MORE THAN 40 AGENCIES AVAILABLE FOR EMPLOYEES TO SUPPORT. AGENCIES WITH VOLUNTEERS VIA THE I CARE IN ACTION PROGRAM INCLUDED HOUSTON FOOD BANK, SPECIAL PALS AND MEDICAL BRIDGES. IN 2021, HOUSTON METHODIST EMPLOYEES PROVIDED 2,360 VOLUNTEER HOURS THROUGH I CARE IN ACTION. THESE DONATED HOURS EQUATE TO A VOLUNTEER TIME VALUE OF $64,274. TYPICALLY, OVERALL VOLUNTEER HOURS ARE MUCH HIGHER FOR HOUSTON METHODIST. HOWEVER, DUE TO COVID-19 LIMITATIONS, MANY VOLUNTEER OPPORTUNITIES WERE LIMITED THROUGHOUT THE YEAR. DESPITE THE PANDEMIC CHALLENGES, HOUSTON METHODIST STILL PROVIDED SPECIAL VOLUNTEER ACTIVITIES THROUGH A SYSTEMWIDE BIKE BUILD IN PARTNERSHIP WITH CHANGING YOUNG CHILDREN'S LIVES THROUGH EDUCATION (CYCLE) HOUSTON, WHERE 268 BIKES WERE BUILT, 495 WATER BOTTLES DECORATED AND OVER 700 ENCOURAGEMENT CARDS WERE WRITTEN TO REWARD STUDENTS IN TITLE ONE SCHOOLS ACROSS THE GHA WHO HAVE MET THEIR ACADEMIC GOALS. ACROSS THE SYSTEM, A TOTAL OF 2,360 VOLUNTEER HOURS WERE PROVIDED VIA I CARE IN ACTION. IN ADDITION TO THE I CARE IN ACTION PROGRAM; TIME WAS ALLOCATED TO SUPPORT ADDITIONAL COMMUNITY-FOCUSED ACTIVITIES TO HELP MEET SPECIFIC COMMUNITY NEEDS. ACTIVITIES INCLUDED PARTICIPATION IN OR PROVIDING A SERVICE FOR THE FOLLOWING: UNITED WAY CAMPAIGN, EMPLOYEE BLOOD DRIVES, THE ADOPT-A-FAMILY PROGRAM AND MORE. THE ADOPT-A-FAMILY HOLIDAY DONATION PROGRAM RESULTED IN 170 FAMILIES AND 502 CHILDREN BEING ADOPTED BY HOUSTON METHODIST IN 2021. THROUGHOUT 2021, HOUSTON METHODIST, IN PARTNERSHIP WITH THE HOUSTON FOOD BANK, CONNECTED UNDERSERVED COVID-19-POSITIVE PATIENTS AT SELECT HOUSTON METHODIST EMERGENCY DEPARTMENTS WITH ESSENTIAL FOOD RESOURCES WHILE THEY WERE IN QUARANTINE TO HELP EASE THE DIFFICULTIES THEY FACED WITH ACCESSING FOOD WHILE UNABLE TO LEAVE THEIR HOMES. ELIGIBLE PATIENTS WERE CONTACTED AND OFFERED UNIQUE CODES THAT THEY COULD USE TO RECEIVE TWO WEEKS OF FOOD SUPPORT FROM THE HOUSTON FOOD BANK, DELIVERED RIGHT TO THEIR HOMES.TO ENSURE EQUITABLE ACCESS OF THE COVID-19 VACCINES, HOUSTON METHODIST PARTNERED WITH COMMUNITY HEALTH CLINICS, SOCIAL SERVICES PROVIDERS, FAITH ORGANIZATIONS, SCHOOLS, GOVERNMENT LEADERS AND CIVIC GROUPS TO TARGET UNDERSERVED AREAS. THIS TARGETED OUTREACH FOCUSED ON RAISING AWARENESS OF THE IMPORTANCE OF VACCINATION, PROVIDED EDUCATION ON THE VACCINES AND ALLOWED HOUSTON METHODIST TO MEET THE COMMUNITY WHERE THEY ARE. HOUSTON METHODIST HOSTED A TOTAL OF 52 COMMUNITY VACCINE CLINICS WHICH DISTRIBUTED OVER 5,000 DOSES OF THE COVID-19 VACCINE. TO ALSO HELP THE COMMUNITY OVERCOME BARRIERS TO ACCESSING THE VACCINE, HOUSTON METHODIST OFFERED MORE THAN 800 RIDES TO ENSURE TRANSPORTATION WAS NOT A BARRIER AND ENSURE ALL INFORMATION PROVIDED ON THE VACCINE WAS OFFERED IN ENGLISH AND SPANISH IN RECOGNITION OF SPANISH BEING THE SECOND MOST SPOKEN LANGUAGE IN GREATER HOUSTON.IN ADDITION TO PARTICIPATING IN HOUSTON METHODIST EVENTS, HMSL, HMWB, HMCL, HMW, HMTW, HMCCH AND HMB ALSO PARTICIPATE IN COMMUNITY SUPPORTED EVENTS IN THEIR RESPECTIVE SERVICE AREAS AS DELINEATED BELOW. EACH COMMUNITY HOSPITAL SUPPORTS THEIR RESPECTIVE COMMUNITIES THROUGH SPONSORSHIPS OF LOCAL ORGANIZATIONS' ACTIVITIES, PHYSICIAN SPEAKING ENGAGEMENTS, FREE SEMINARS ON HEALTH AND MEDICAL TOPICS AND HEALTH SCREENINGS.COMMUNITY SUPPORT - HMBTHROUGH THE HMB COMMUNITY SPONSORSHIP AND DONATIONS PROGRAM, HMB DONATES TO HEALTH CARE-RELATED CHARITABLE ACTIVITIES AND LOCAL NONPROFIT COMMUNITY AGENCIES THAT HAVE A MISSION IN ADVANCING HEALTH INITIATIVES. HEALTH INITIATIVES INCLUDE RAISING AWARENESS OF CHRONIC CONDITIONS, ADVANCING RESEARCH TO UNCOVER CURES FOR AILMENTS, INCREASING PATIENT'S ACCESS TO HEALTH CARE SERVICES AND SUPPORT, INCREASING OPPORTUNITIES FOR HEALTH CARE PROVIDERS TO SERVE AND EDUCATING THE COMMUNITY ON HEALTH CONCERNS. COMMUNITY SUPPORT - HMCLTHROUGH THE HMCL COMMUNITY SPONSORSHIP AND DONATIONS PROGRAM, HMCL DONATES TO CAUSE- RELATED CHARITABLE ACTIVITIES AND LOCAL NONPROFIT COMMUNITY AGENCIES THAT HAVE A MISSION IN ADVANCING HEALTH, EDUCATION AND SOCIAL INITIATIVES BY MEANS OF RAISING AWARENESS, ADVANCING RESEARCH, INCREASING PATIENT'S ACCESS TO HEALTH CARE SERVICES & SUPPORT AND OVERALL INCREASING OPPORTUNITIES FOR MEMBERS OF THE COMMUNITY TO LIVE IN A POSITIVE ENVIRONMENT.

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IN 2021, HOUSTON METHODIST WAS COMPRISED OF EIGHT-MEMBER HOSPITALS, A RESEARCH INSTITUTE, A MEDICAL RESIDENCY EDUCATION PROGRAM AND A PHYSICIAN ORGANIZATION. THE SYSTEM, WITH 27,947 EMPLOYEES IN 2021, IS ONE OF THE HOUSTON AREA'S LARGEST EMPLOYERS. SIX COMMUNITY HOSPITALS HMSL IN FORT BEND COUNTY, HMWB IN NORTHWEST HOUSTON, HMW IN WEST HOUSTON, HMTW IN MONTGOMERY COUNTY, HMB IN BAYTOWN, AND HMCL IN THE SOUTHEAST HOUSTON PROVIDE MEDICAL SERVICES TO PEOPLE LIVING IN ADJACENT CITIES AND SUBURBS. THEY SERVE THEIR RESPECTIVE AREAS WITH SERVICES SUCH AS CARDIOLOGY, OBSTETRICS/GYNECOLOGY, OUTPATIENT SURGERY, CANCER SERVICES, DIAGNOSTIC IMAGING AND EMERGENCY SERVICES. THE SEVENTH COMMUNITY HOSPITAL, HMCCH IN KATY, OPERATES AS A LONG-TERM ACUTE CARE HOSPITAL.COMMUNITY BENEFIT ACTIVITIES & HEALTH SERVICES:HOUSTON METHODIST RESPONDED TO THE COMMUNITY'S NEEDS IN 2021 THROUGH THE PROVISION OF MEDICAL CARE, BUT ALSO THROUGH RESEARCH, EDUCATION OF HEALTH PROFESSIONALS AND PATIENTS, COMMUNITY HEALTH EDUCATION, DONATIONS TO HEALTH CARE RELATED EVENTS AND OTHER SERVICES. SINCE 1993, HOUSTON METHODIST 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 NONPROFIT ORGANIZATIONS, HOUSTON METHODIST CONTRIBUTES TO THEIR ABILITY TO GROW AND THRIVE, ENSURING A HEALTHIER LIFE FOR THE FUTURE OF ALL WHO WALK THROUGH THEIR DOORS. HOUSTON METHODIST CHAMPIONS COMMUNITY ORGANIZATIONS THAT PROVIDE OUTSTANDING HEALTH CARE TO PEOPLE OF ALL BACKGROUNDS. IN 2021, HOUSTON METHODIST SUPPORTED THE FOLLOWING AGENCIES VIA THE COMMUNITY BENEFITS GRANT PROGRAM AND OTHER INITIATIVES ACROSS THE GREATER HOUSTON AREA, INCLUDING THOSE COMMUNITIES SERVED BY COMMUNITY HOSPITALS:- ACCESS HEALTH - ASIAN AMERICAN HEALTH COALITION - AVENUE 360 HEALTH AND WELLNESS - BOYS AND GIRLS COUNTRY OF HOUSTON, INC. - CHRIST CLINIC - DEPELCHIN CHILDREN'S CENTER - EL CENTRO DE CORAZON - HEALTHCARE FOR THE HOMELESS - HOUSTON - HOUSTON AREA WOMEN'S CENTER - INSPIRATION RANCH - INTERFAITH COMMUNITY CLINIC - LEGACY COMMUNITY HEALTH - LONE STAR FAMILY HEALTH - MEMORIAL ASSISTANCE MINISTRIES - NORTHWEST ASSISTANCE MINISTRIES - OPEN DOOR MISSION - SAN JOSE CLINIC - SANTA MARIA HOSTEL - SPRING BRANCH COMMUNITY HEALTH CENTER - STEPHEN F. AUSTIN COMMUNITY HEALTH CENTER, INC. - THE ROSE - THE WOMEN'S HOME - TOMAGWA HEALTH CARE MINISTRIES, INC.- VECINO HEALTH CENTERSUMMARY AS A SYSTEM, HOUSTON METHODIST MADE SIGNIFICANT CONTRIBUTIONS THROUGH ITS COMMUNITY BENEFITS AND CHARITY CARE PROGRAM WHICH HAVE BEEN A RESOURCE FOR PATIENTS IN THE COMMUNITY. BASED ON IRS COST DEFINITIONS HOUSTON METHODIST PROVIDED $506.0 MILLION IN CHARITY CARE AND COMMUNITY BENEFITS FOR THE YEAR ENDED DECEMBER 31, 2021. IN ADDITION, BASED ON IRS COST DEFINITIONS HOUSTON METHODIST PROVIDED $464.0 MILLION IN CARE TO MEDICARE, MEDICARE MANAGED CARE AND TRICARE/USFHP PROGRAM BENEFICIARIES FOR THE YEAR ENDED DECEMBER 31, 2021.PART VI, LINE 7: TX