4A (Expenses $ 35805628 including grants of $ 35805628) (Revenue $ 0)
SINCE 1996, MHM HAS PROVIDED COMMUNITY GRANTS TO PARTNERS THAT SHARE IN ITS MISSION OF SERVING THE LEAST SERVED: LOW-INCOME FAMILIES AND THE UNINSURED, AND THAT ARE SUCCESSFULLY DELIVERING HEALTHCARE AND SOCIAL SERVICES TO THIS POPULATION IN THEIR RESPECTIVE COMMUNITIES THROUGHOUT SOUTH TEXAS OR ADDRESSING SOCIAL DETERMINANTS OF HEALTH NEEDS IN THEIR RESPECTIVE COMMUNITIES. SHORT-TERM GRANTS INCLUDE DIRECT SERVICES TO PATIENTS AS WELL AS CAPITAL FUNDING FOR CONSTRUCTION OF NEW AND/OR RENOVATIONS TO EXISTING FACILITIES USED FOR THE DELIVERY OF SERVICES.

4B (Expenses $ 21777877 including grants of $ 0) (Revenue $ 54680)
MHM OWNS AND OPERATES TWO PRIMARY CARE CLINICS AT TWO LOCATIONS - WESLEY HEALTH & WELLNESS CENTER AND DIXON HEALTH & WELLNESS CENTER - IN SAN ANTONIO WHERE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES ARE OFFERED TO UNINSURED INDIVIDUALS AND FAMILIES WHO DO NOT QUALIFY FOR ANY TYPE OF BENEFITS SUCH AS MEDICAID OR MEDICARE. SERVICES ARE BASED ON A SLIDING-SCALE FEE determine by HOUSEHOLD INCOME AND FAMILY SIZE. HOWEVER, NO ONE IS DENIED BASED ON THEIR ABILITY TO PAY. MHM ALSO OPERATES SCHOOL BASED HEALTH CENTERS WHICH PROVIDE PRIMARY MEDICAL CARE, DENTAL CARE, AND COUNSELING TO SCHOOL-AGE CHILDREN AND THEIR SIBLINGS UP TO THE AGE OF 21 IN TWO SCHOOL DISTRICTS.

4C (Expenses $ 20866322 including grants of $ 0) (Revenue $ 257459738)
OTHER PROGRAM SERVICES OWNED AND OPERATED BY MHM FOR LOW-INCOME AND UNINSURED PATIENTS/CLIENTS INCLUDE: COMMUNITY COUNSELING SERVICES: COMMUNITY COUNSELORS HELP PEOPLE WHO ARE UNINSURED, WHOSE EXISTING COVERAGE DOES NOT PROVIDE MENTAL HEALTH SERVICES BENEFITS, ARE LOW-INCOME AND LACK THE MONEY TO PAY FOR COUNSELING SERVICES, OR WHO WOULD NOT RECEIVE TREATMENT ANY OTHER WAY. COUNSELING SERVICES ARE PROVIDED BY TRAINED, LICENSED, PROFESSIONAL, COUNSELORS AND SOCIAL WORKERS IN LOCAL CHURCHES ACROSS THE RIO GRANDE VALLEY, LAREDO, KERRVILLE AND THE COASTAL BEND. COMMUNITY HEALTH WORKERS OR PROMOTORES DE SALUD: COMMUNITY HEALTH WORKERS HAVE THE DISTINCT ABILITY TO REACH VULNERABLE, LOW-INCOME AND UNDERSERVED MEMBERS OF THE COMMUNITY THROUGH THEIR SPECIALIZED KNOWLEDGE OF THE COMMUNITIES MHM SERVES AND THEIR UNIQUE ABILITY TO ENGAGE COMMUNITY MEMBERS AT A HANDS-ON LEVEL. COMMUNITY HEALTH WORKERS SUPPORT HEALTH EDUCATION AND PREVENTION EFFORTS AND BRIDGE ACCESS TO COMMUNITY-BASED HEALTH PROGRAMS AND ADVOCATES. THE GET FIT (FAMILIES IN TRAINING) PROGRAM IS A PREVENTION PROGRAM AIMED AT AVERTING TYPE II DIABETES, OBESITY AND SEDENTARY LIFESTYLES, FOCUSING ON CHILDREN AND FAMILIES IN RURAL COMMUNITIES. IN ADDITION TO THE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES IDENTIFIED UNDER PROGRAM SERVICE ACTIVITY #2, THE FOLLOWING PROGRAMS ARE PARENTING PROGRAMS DESIGNED TO HELP PARENTS AND GUARDIANS LEARN PARENTING SKILLS SO THEY WILL BE MORE CONFIDENT AND MORE COMPETENT LEADERS WITHIN THEIR FAMILIES. PROGRAMS INCLUDE: PEER PARENTING; PARENTS HELPING PARENTS; PARENTS AS TEACHERS; AND THE NURTURING PARENTING PROGRAMS. RECREATION & ENRICHMENT PROGRAMS: AVAILABLE AT MHM'S WESLEY HEALTH & WELLNESS CENTER OFFERS YOUTH, ADULTS AND SENIORS FREE, SAFE AND FUN ACTIVITIES THAT PROMOTE HEALTH, WELLNESS AND LEARNING SKILLS. PROGRAMS CONSIST OF YOUTH DEVELOPMENT PROGRAMS SUCH AS CAMP WESLEY, A FREE 8-WEEK SUMMER CAMP FOR YOUTH AGES 6-18 AND 'LOS MARIACHITOS DE WESLEY,' A FREE CULTURAL ARTS PROGRAM FOR YOUTH AGES 6-18. THE YOUTH DEVELOPMENT PROGRAM AT WESLEY HEALTH & WELLNESS CENTER IS A NEIGHBORHOOD RECREATION PROGRAM AND IS NOT REGULATED BY STATE CHILDCARE LICENSING AND IS NOT A DAY CARE FACILITY. ADULT PROGRAMMING INCLUDES EXERCISE CLASSES, PARENT AND FAMILY TRAININGS AND COMMUNITY-BASED SUPPORT GROUPS SUCH AS ALCOHOLICS ANONYMOUS AND THE COMMUNITY JUSTICE PROGRAM. HEALTH EDUCATION & NUTRITION: OFFERED AT THE WESLEY HEALTH & WELLNESS CENTER (WHWC) AND THE DIXON HEALTH & WELLNESS CENTER ARE DESIGNED TO TEACH AND MODEL HEALTH AND WELLNESS THROUGH HEALTHY COOKING, DIRECT HEALTH EDUCATION WITH CLIENTS AND THROUGH THE PROVISION OF HEALTHY AND NUTRITIOUS MEALS PREPARED BY PROFESSIONAL CULINARY ARTISTS AT MHM'S WESLEY CAFE LOCATED AT WHWC. HEALTH EDUCATION IS OFFERED UNDER THE REGISTERED NURSES AND DIETICIANS AND IS PRIMARILY DESIGNED FOR DIABETIC CLIENTS IN ONE-ON-ONE AND GROUP SETTINGS AND INCLUDES DISTRIBUTION OF GLUCOMETER STRIPS TO HELP MANAGE THEIR DISEASE. THE WESLEY CAFE PREPARES HEALTHY AND NUTRITIOUS MEALS FOR THE CHILDREN AND GUESTS OF THE WHWC AND SERVES AS AN EMERGENCY FOOD PANTRY AND BREAD LINE TO THOSE IN NEED.

4D (Expenses $ 10620850 including grants of $ 0) (Revenue $ 0)
THE WESLEY NURSE PROGRAM SPANS 80 SITES THROUGHOUT SOUTH TEXAS AND IS MHM'S LARGEST GEOGRAPHIC OUTREACH PROGRAM. A KEY COMPONENT WESLEY NURSES UNDERTAKE IN THEIR COMMUNITIES IS PROVIDING HEALTH EDUCATION, HEALTH PROMOTION, AND FACILITATION OF RESOURCES. WHILE THE WESLEY NURSE PROGRAM IS A COMPONENT OF MHM'S ECUMENICAL OUTREACH, AND LOCATED WITHIN CHURCHES, IT DOES NOT TEACH A PARTICULAR SET OF DENOMINATIONAL BELIEFS. ALL WESLEY NURSE PROGRAMS ARE FREE AND ALL MEMBERS OF THE COMMUNITY ARE WELCOME. PROGRAMS ARE OFFERED TO GROUPS OR ON AN INDIVIDUAL BASIS.

Schedule H, Part V, Section B, Line 3E
THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN EACH HOSPITAL FACILITY'S CHNA ARE PRESENTED AS A PRIORITIZED DESCRIPTION.

Schedule H, Part V, Section B, Line 3 Facility A, 1
"Facility A, 1 - Group A. IN 2019, EACH METHODIST HOSPITAL, AS WELL AS THE SYSTEM (MHS), ADOPTED THE HEALTH PRIORITY AREAS BASED UPON THE BEXAR COUNTY COMMUNITY HEALTH ASSESSMENT (UNDERTAKEN BY THE HEALTH COLLABORATIVE), THE BEXAR COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) AND THE SA 2020 GOALS. ADDITIONAL INFORMATION ABOUT THE HEALTH COLLABORATIVE'S ASSESSMENT PROCESS IS NOTED BELOW. IT IS IMPORTANT TO NOTE THAT THE FIVE PRIORITY AREAS IDENTIFIED IN THE PRIOR CHNA HAVE NOT CHANGED IN THE 2019 PLAN. IN 2013, MHS'S IMPLEMENTATION STRATEGY, INCLUDING AN EXECUTION PLAN AND PRIORITIZATION OF HEALTH NEEDS, SERVICES AND METRICS FOR EACH HOSPITAL WERE PRESENTED TO AND APPROVED BY THE MHS COMMUNITY BENEFITS COMMITTEE, THE MHS COMMUNITY BOARD, THE MHS BOARD OF GOVERNORS, AND THE METHODIST HEALTHCARE MINISTRIES BOARD OF GOVERNORS. IN 2016, THE MHS COMMUNITY BENEFITS COMMITTEE, THE MHS COMMUNITY BOARD AND THE MHS BOARD OF GOVERNORS APPROVED THE IMPLEMENTATION STRATEGY FOR 2017 - 2019. IN 2019, THE MHS COMMUNITY BENEFITS COMMITTEE, THE MHS COMMUNITY BOARD AND THE MHS BOARD OF GOVERNORS APPROVED THE IMPLEMENTATION STRATEGY FOR 2020-2022. IN ORDER TO ASSESS THE RURAL AREAS METHODIST HEALTHCARE SERVES, MHS UTILIZED ASSESSMENT INFORMATION FROM THE REGIONAL HEALTHCARE PARTNERSHIP 6 PLAN SUBMITTED TO THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION AS PART OF THE MEDICAID 1115 WAIVER PROGRAM. UNIVERSITY HEALTHCARE SYSTEM (RHP6 ANCHOR) LEAD THIS PROCESS WHICH INCLUDED MULTIPLE MEETINGS, CONFERENCE CALLS AND PUBLIC FORUMS. PARTICIPANTS IN THIS PROCESS INCLUDED HOSPITAL CEOS, COUNTY JUDGES, COUNTY COMMISSIONERS, PHYSICIANS FROM THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO, UNIVERSITY HEALTH SYSTEM AND CHRISTUS SANTA ROSA. INPUT WAS ALSO OBTAINED FROM FEDERALLY QUALIFIED HEALTH CENTERS, HOME HEALTH AGENCIES, CITY GOVERNMENT OFFICIALS, INDIGENT CARE COORDINATORS, ADVOCACY GROUPS AND HEALTHCARE ACCESS SAN ANTONIO. METHODIST HEALTHCARE MINISTRIES (MHM) AND MHS ARE MEMBERS OF THE HEALTH COLLABORATIVE (THC) WHICH CONSISTS OF THE FOLLOWING MEMBERS: APPDICTION STUDIOS, BAPTIST HEALTH SYSTEM, CHRISTUS SANTA ROSA HEALTH SYSTEM, BEXAR COUNTY DEPARTMENT OF COMMUNITY RESOURCES, COMMUNITY FIRST HEALTH PLANS, SAN ANTONIO METROPOLITAN HEALTH DISTRICT (METRO HEALTH), OUR LADY OF THE LAKE UNIVERSITY, SAN ANTONIO CLUBHOUSE, UNIVERSITY HEALTH SYSTEM, THE UNIVERSITY OF THE INCARNATE WORD, THE UT HEALTH SCIENCE CENTER AT SAN ANTONIO DEPT. OF FAMILY AND COMMUNITY MEDICINE, THE YMCA AND COMMUNITY MEMBERS AT LARGE. FUNDERS OF THC COMMUNITY HEALTH ASSESSMENT ARE BAPTIST HEALTH FOUNDATION, BEXAR COUNTY, THE KRONKOSKY CHARITABLE FOUNDATION, THE UNITED WAY OF SAN ANTONIO, SAN ANTONIO METROPOLITAN HEALTH DEPARTMENT AND MHM. AS NOTED ABOVE, METHODIST HEALTHCARE SYSTEM IS A PARTNER OF THC. THE COLLABORATIVE UNDERTAKES A COUNTY-WIDE COMMUNITY ASSESSMENT STUDY EVERY THREE YEARS TO GUIDE THE COMMUNITY HEALTH STRATEGIC PLANNING PROCESS. FOR THE 2019 ASSESSMENT PROCESS, THE COLLABORATIVE SHIFTED TO A REGIONAL FOCUS, EXPANDING THE ASSESSMENT TO INCLUDE BEXAR COUNTY, AND ATASCOSA COUNTY. ATASCOSA COUNTY IS LOCATED JUST SOUTH OF BEXAR COUNTY, HOWEVER THE ASSESSMENT NOTED MARKED DIFFERENCES IN MANY SOCIAL DETERMINANTS AS WELL AS DIFFERENCES IN HEALTH BEHAVIORS AND RISK. THC ALSO INDICATED IN THE PREFACE TO THE 2019 PLAN, THAT IT WILL CONTINUE TO EXPAND THE REGIONAL FOCUS IN FUTURE PLANS, ADDING ONE OR TWO ADJOINING COUNTIES IN FUTURE ASSESSMENTS UNTIL ALL COUNTIES SURROUNDING BEXAR COUNTY ARE INCLUDED. THC CONTRACTED WITH COMMUNITY INFORMATION NOW (CI:NOW), A NONPROFIT LOCAL DATA INTERMEDIARY SERVING SOUTH CENTRAL TEXAS, FOR QUANTITATIVE DATA COLLECTION AND ANALYSIS AND FOR DEVELOPMENT OF THE ASSESSMENT NARRATIVE. UNDER THE SUPERVISION OF DR. MELISSA VALERIO-SHEWMAKER, GRADUATE STUDENTS AT THE UTHEALTH HOUSTON SCHOOL OF PUBLIC HEALTH IN SAN ANTONIO ASSISTED IN DEVELOPING THE FOCUS GROUP QUESTIONS AND CONDUCTING THE GROUPS THEMSELVES. SCHOOL OF PUBLIC HEALTH STAFF MS. KATE MARTIN AND MS. SONIA RAMOS CONDUCTED THE KEY INFORMATION INTERVIEWS. THC STAFF HANDLED ALL FOCUS GROUP AND KEY INFORMANT INTERVIEW RECRUITMENT AND SCHEDULING. ALL QUALITATIVE ANALYSIS WAS CONDUCTED BY DR. CAROLINE BERGERON, MS. JORDAN MCILVEEN, AND MS. JENNIFER QUACKENBUSH AT THC. THE 2019 ASSESSMENT CONTAINS QUANTITATIVE DATA ON APPROXIMATELY 150 INDICATORS, EACH BROKEN OUT BY RACE/ETHNICITY GROUP AND SUB-COUNTY GEOGRAPHY (ZIP CODE TABULATION AREA [ZCTA], SECTOR, CENSUS TRACT OR BLOCK GROUP) WHEREVER POSSIBLE. INDICATORS WERE ALSO DISAGGREGATED BY AGE GROUP AND SEX WHERE THOSE VARIABLES WERE THOUGHT TO ADD CRITICAL INFORMATION. THE LIST OF INDICATORS WAS DEVELOPED OVER SEVERAL MONTHS IN THE SUMMER AND FALL OF 2018. AN EXTENSIVE LIST OF CANDIDATE INDICATORS AND ISSUES WAS GENERATED USING PAST ASSESSMENTS, THE COMMUNITY HEALTH IMPROVEMENT PLAN, HEALTH PEOPLE 2020, THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY COUNTY HEALTH RANKINGS, SA2020, LOCAL SUBJECT MATTER EXPERTS, AND A NUMBER OF REFERENCES ON THE ""UPSTREAM"" SOCIAL, ECONOMIC, AND ENVIRONMENTAL CONDITIONS THAT AFFECT HEALTH. TO NARROW THE LIST, THE COMMUNITY NEEDS ASSESSMENT STEERING COMMITTEE USED AN ANONYMOUS DIGITAL SURVEY TO RATE EACH INDICATOR AS HIGH, MEDIUM, OR LOW PRIORITY, SUGGESTING MODIFICATIONS TO THE INDICATOR IF DESIRED. INDICATORS RATED AS LOW PRIORITY WITH A HIGH LEVEL OF AGREEMENT (ABOUT 65% OR MORE OF RESPONDING MEMBERS) WERE DROPPED WITHOUT DISCUSSION, AND HIGH-AGREEMENT, HIGH-PRIORITY MEASURES WERE INCLUDED WITHOUT DISCUSSION. THOSE WITHOUT CLEAR CONSENSUS WERE DISCUSSED UNTIL GENERAL AGREEMENT WAS REACHED. BUDGET CONSTRAINTS PREVENTED THE INCLUSION OF SOME INDICATORS ON WHICH THERE WAS AGREEMENT BUT FOR WHICH THE DATA WAS ESPECIALLY TIME CONSUMING TO FIND, ACQUIRE AND/OR CALCULATE. THE FOLLOWING SOURCES WERE USED HEAVILY FOR THE 2019 ASSESSMENT: - POPULATION AND HOUSING DATA FROM THE U.S. CENSUS BUREAU 2010 SUMMARY FILE 1 - POPULATION ESTIMATES AND PROJECTIONS FROM THE TEXAS STATE DEMOGRAPHIC CENTER AT THE UNIVERSITY OF TEXAS AT SAN ANTONIO - PHYSICAL, SOCIAL, AND ECONOMIC CONDITIONS DATA FROM THE U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY ONE-YEAR ESTIMATES, FIVE-YEAR ESTIMATES, AND SUPPLEMENTAL ESTIMATES - CRIME DATA FROM THE U.S. DEPARTMENT OF JUSTICE UNIFORM CRIME REPORT - BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), VITAL STATISTICS, INJURY, BLOOD LEAD, HOSPITAL DISCHARGES, HOSPITAL BED, AND HEALTH - PROFESSIONS DATA FROM THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES HEALTH DATA QUERY SYSTEM AND BY SPECIAL REQUEST - MEDICAID AND PUBLIC HEALTH BENEFITS DATA FROM THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION - MORTALITY DATA FROM THE CDC WONDER QUERY SYSTEM - MOTOR VEHICLE CRASH DATA FROM THE TEXAS DEPARTMENT OF TRANSPORTATION - COMMUNICABLE DISEASE AND VITAL STATISTICS DATA FROM THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES - THE WITTE MUSEUM"

Schedule H, Part V, Section B, Line 3 Facility A, 2
Facility A, 2 - GROUP A, CONTINUED. FINALLY, DATA IS COLLECTED AT THE NEIGHBORHOOD LEVEL WITH THE INTENT OF DESCRIBING THE SOCIAL CONTEXTS THAT POSSIBLY GIVE RISE TO HEALTH-RELATED BEHAVIORS DESCRIBED IN THE HEALTH PROFILES AND BRFSS SURVEY DATA. DISCUSSION GROUPS AND INTERVIEWS WERE CONDUCTED CITY-WIDE WITH OVER 160 PARTICIPANTS, RANGING FROM COMMUNITY RESIDENTS, SERVICE PROVIDERS, GOVERNMENT STAFF AND OFFICIALS, AND ADVOCATES FOR THE HEALTH OF BEXAR COUNTY'S LOW- INCOME, MEDICALLY-UNDERSERVED AND MINORITY POPULATIONS. THESE INTERVIEWS AND MEETINGS TOOK PLACE DURING FEBRUARY AND MAY OF 2019. THC CONTRACTED WITH COMMUNITY INFORMATION NOW (CI:NOW), A LOCAL DATA INTERMEDIARY SERVING SOUTH CENTRAL TEXAS, FOR QUANTITATIVE DATA COLLECTION AND ANALYSIS FOR DEVELOPMENT OF THE ASSESSMENT NARRATIVE. USING INFORMATION FROM THE 2016 COLLABORATIVE'S COMMUNITY HEALTH NEEDS ASSESSMENT, AS WELL AS OTHER DATA, METHODIST HEALTHCARE SYSTEM DEVELOPED INDIVIDUAL PLANS FOR EACH CAMPUS, WHICH INCLUDED A 3-YEAR PLAN FOR 2017-2019. THE IMPLEMENTATION STRATEGY INCLUDES THE FOLLOWING: COMMUNICATION PLAN, PRIORITY INITIATIVE WORK PLAN, ROLE AND RESPONSIBILITY ASSIGNMENTS, AND MEASURES/INDICATORS FOR SUCCESS ALONG WITH BASELINE DATA. ADDITIONAL MONITORING OF THE PLAN WILL OCCUR THROUGH THE QUARTERLY COMMUNITY BENEFITS REPORTS TO THE MHS COMMUNITY BENEFITS COMMITTEE AND THE ANNUAL CHARITY CARE REPORT. THE 2017-2019 PLAN HAS BEEN APPROVED BY THE MHS COMMUNITY BENEFITS COMMITTEE, THE MHS COMMUNITY BOARD, AND THE MHS BOARD OF GOVERNORS. METHODIST HEALTHCARE SYSTEM USED INFORMATION FROM THE COLLABORATIVE'S 2019 COMMUNITY HEALTH NEEDS ASSESSMENT TO DEVELOP A 3-YEAR PLAN FOR 2020-2022. LIKE THE IMPLEMENTATION STRATEGY DEVELOPED FOR THE 2017-2019 PLAN, THE PLAN FOR 2020-2022 INCLUDES A COMMUNICATION PLAN, A PRIORITY INITIATIVE WORK PLAN, ROLE AND RESPONSIBILITY ASSIGNMENTS, AND MEASURES/INDICATORS FOR SUCCESS. MONITORING WILL CONTINUE THROUGH THE QUARTERLY REPORTS TO THE MHS COMMUNITY BENEFITS COMMITTEE, AND THE MHS ANNUAL CHARITY CARE REPORT. THE 2020-2022 PLAN HAS BEEN APPROVED BY THE MHS COMMUNITY BENEFITS COMMITTEE, THE MHS COMMUNITY BOARD, AND THE MHS BOARD OF GOVERNORS.

Schedule H, Part V, Section B, Line 5 Facility A, 1
Facility A, 1 - GROUP A. AS NOTED ABOVE, DISCUSSIONS AND INTERVIEWS WERE HELD WITH MULTIPLE STAKEHOLDERS IN THE COMMUNITY. KEY REGIONAL GROUPS AND CITY OFFICIALS INCLUDED THE FOLLOWING: HAVEN FOR HOPE, UNIVERSITY HEALTH SYSTEM, NATIONAL ALLIANCE ON MENTAL HEALTH ILLNESS, SAN ANTONIO FOOD BANK, BEXAR COUNTY ECONOMIC DEVELOPMENT, SAN ANTONIO HOUSING AUTHORITY, COMMUNICARE, SAN ANTONIO METROPOLITAN HEALTH DISTRICT, HEALTHY FUTURES OF TEXAS, THE RIVARD REPORT, ROY MAAS YOUTH ALTERNATIVES, NELSON WOLFF, J.D. - BEXAR COUNTY JUDGE, AND NORTHSIDE INDEPENDENT SCHOOL DISTRICT. OTHER DISCUSSION GROUPS INCLUDED INDIVIDUALS REPRESENTING FAITH ORGANIZATIONS, SOCIAL SERVICE PROVIDERS, HOSPITALS, PUBLIC HEALTH LEADERS, ACADEMIC RESEARCHERS, COMMUNITY PLANNING AGENCIES, COMMUNITY FOCUSED ORGANIZATIONS, INDIVIDUAL COMMUNITY MEMBERS, AND BUSINESS LEADERS.

Schedule H, Part V, Section B, Line 6a Facility A, 1
Facility A, 1 - GROUP A. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: METHODIST HEALTHCARE SYSTEM (METHODIST HOSPITAL, METHODIST CHILDREN'S HOSPITAL, A CAMPUS OF METHODIST HOSPITAL, METHODIST SPECIALTY AND TRANSPLANT HOSPITAL, A CAMPUS OF METHODIST HOSPITAL, METROPOLITAN METHODIST HOSPITAL, A CAMPUS OF METHODIST HOSPITAL, NORTHEAST METHODIST HOSPITAL, A CAMPUS OF METHODIST HOSPITAL, METHODIST TEXSAN HOSPITAL, A CAMPUS OF METHODIST HOSPITAL, METHODIST STONE OAK HOSPITAL, METHODIST AMBULATORY SURGERY HOSPITAL - NORTHWEST, METHODIST HOSPITAL AT ATASCOSA; BAPTIST HEALTH SYSTEM (BAPTIST MEDICAL CENTER, NORTH CENTRAL BAPTIST HOSPITAL, MISSION TRAILS BAPTIST HOSPITAL, ST. LUKE'S BAPTIST HOSPITAL, NORTHEAST BAPTIST HOSPITAL); CHRISTUS SANTA ROSA HEALTH SYSTEM (CHRISTUS SANTA ROSA MEDICAL CENTER, CHRISTUS SANTA ROSA WESTOVER HILLS, CHILDREN'S HOSPITAL OF SAN ANTONIO) AND UNIVERSITY HOSPITAL.

Schedule H, Part V, Section B, Line 6b Facility A, 1
Facility A, 1 - GROUP A. IN ADDITION TO THE HOSPITAL FACILITIES LISTED ABOVE, THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN CONJUNCTION WITH THE FOLLOWING NON-HOSPITAL ORGANIZATIONS: APPDICTION STUDIO, BEXAR COUNTY DEPARTMENT OF COMMUNITY RESOURCES, COMMUNITY FIRST HEALTH PLANS, INTERLEX COMMUNICATIONS, METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS, INC., THE CITY OF SAN ANTONIO METROPOLITAN HEALTH DISTRICT, OUR LADY OF THE LAKE UNIVERSITY, SAN ANTONIO CLUBHOUSE, THE UNIVERSITY OF THE INCARNATE WORD, THE UT HEALTH SCIENCE CENTER AT SAN ANTONIO DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE, THE YMCA OF GREATER SAN ANTONIO, AND COMMUNITY MEMBERS AT LARGE.

Schedule H, Part V, Section B, Line 11 Facility A, 1
"Facility A, 1 - GROUP A. AS NOTED ABOVE, METHODIST HEALTHCARE SYSTEM HAS DEVELOPED A COMMUNITY HEALTH IMPROVEMENT PLAN BASED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT. PRIORITIES AND SPECIFIC TACTICS INCLUDE THE FOLLOWING, WITH THE INITIAL IMPLEMENTATION IN 2014, AND YEARLY UPDATES THROUGH 2022: METHODIST HEALTHCARE SYSTEM'S COMMUNITY HEALTH IMPROVEMENT PLAN INCLUDED THE FOLLOWING: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -COMMUNITY GOAL - TO FOSTER SOCIAL CHANGE AND STRENGTHEN POSITIVE BEHAVIORS AROUND HEALTHY EATING AND ACTIVE LIVING TO ENSURE ACCESS TO NUTRITIOUS FOODS AND BUILD ENVIRONMENTS THAT ENABLE ALL RESIDENTS TO MAKE HEALTHY CHOICES AND LEAD HEALTHY LIVES. TACTICS - COMMUNITY HEALTH PRIORITY NO. 1: -HOST AN ANNUAL FOOD DRIVE THAT BENEFITS THE SAN ANTONIO FOOD BANK. METHODIST HELD 5 DRIVES AND COLLECTED 433,168 SERVINGS. -CONTINUE TO PROVIDE HEALTH SCREENING SERVICES AT COMMUNITY EVENTS (COVID-19 CONDITIONS PERMITTING) OR THROUGH ONLINE HEALTH RISK ASSESSMENTS. THE ONLINE HEALTH RISK ASSESSMENT PROVIDES SCREENING FOR WEIGHT LOSS, HEALTHY HEART, KNEE & HIP, AND STROKE RISK. 1,836 INDIVIDUALS COMPLETED ONLINE HEALTH RISK ASSESSMENTS IN 2021 (990 IN 2020). METHODIST PERFORMED 519 IN PERSON SCREENINGS AT THE NCAA WOMEN'S BASKETBALL TOURNAMENT, AND HELD 11 VIRTUAL HEALTH FAIRS WITH 24,959 ATTENDEES DURING 2021. -CONTINUE INVOLVEMENT WITH THE HEALTHY ME PROGRAM IN PARTNERSHIP WITH THE HEALTH COLLABORATIVE. THE COLLABORATIVE SUSPENDED ALL IN-PERSON CLASSES DUE TO COVID-19 CONCERNS. -CONTINUE OUTREACH PROGRAMS GEARED TOWARD IMPROVING THE HEALTH AND WELLNESS OF THE COMMUNITY THROUGH FREE HEALTH EDUCATION SEMINARS ON HEALTHY EATING AND ACTIVE LIVING, HEALTH SERVICES, AND EXERCISE ACTIVITIES. METHODIST HELD 84 OUTREACH EVENTS WITH 4,580 IN ATTENDANCE IN 2021. METHODIST'S ATHLETIC TRAINERS PROVIDED SERVICES AT 2,312 LOCAL HIGH SCHOOL SPORTING EVENTS DURING 2021. -METHODIST HEALTHCARE SYSTEM MADE MONETARY CONTRIBUTIONS TOTALLING $379,353 TO MULTIPLE CHARITABLE ORGANIZATIONS TO INCLUDE THE AMERICAN HEART ASSOCIATION, THE AMERICAN CANCER SOCIETY, AND THE NORTHSIDE EDUCATIONAL FOUNDATION. -METHODIST EXPANDED VIRTUAL OUTREACH IN 2021. 91 ENEWS CAMPAIGNS OCCURRED IN 2021, COVERING TOPICS SUCH AS BREAST CANCER AND HEART HEALTH. METHODIST ALSO PRODUCED THE ""KEEPING WELL"" PUBLICATION WITH 3 ISSUES MAILED DURING 2021. METHODIST ALSO PUBLISHED THE INAUGURAL ISSUE OF ""METHODIST MAGAZINE"" IN 2021. THIS PUBLICATION, GEARED TO MHS EMPLOYEES AND CLINICAL STAFF, RELEASED FOUR ISSUES IN 2021. METHODIST'S WEBSITE, SAHEALTH.COM NOTED AN OVERALL INCREASE IN TRAFFIC AND WEB VIEW IN 2021 WITH 3,265,605 VIEWS. -METHODIST ALSO CONTINUED ITS PRESENCE ON SOCIAL MEDIA AND NOTED 1,217 NEW FACEBOOK FANS, 6 NEW TWITTER FOLLOWERS, AND 560 NEW INSTAGRAM FOLLOWERS IN 2021. METHODIST ALSO PRODUCED HEALTH RELATED VIDEOS AND POSTED THIS INFORMATION TO YOUTUBE, FACEBOOK, AND INSTAGRAM. COMMUNITY HEALTH PRIORITY NO 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -COMMUNITY GOAL - TO MAKE PREGNANCY AND EARLY CHILDHOOD THE FOCUS OF SYSTEM LEVEL CHANGES THAT SUPPORT HEALTH CHILD AND FAMILY DEVELOPMENT. TACTICS: COMMUNITY HEALTH PRIORITY NO. 2: -CONTINUE TO OFFER COMPLIMENTARY PREGNANCY TESTING AND PHYSICIAN REFERRALS THROUGH METHODIST FAMILY HEALTH CENTERS. IN 2021, THERE WERE 3,667 VISITS AND 1,679 PREGNANCY TESTS PROVIDED. -THE METHODIST COMMUNITY HEALTH CENTER -East ON SAN ANTONIO'S EAST SIDE, OFFERED SERVICES FREE OF CHARGE. IN 2021, THE CLINIC LOGGED 1,044 VISITS. -CONTINUE TO OFFER CALL-A-NURSE FOR CHILDREN HEALTH LINE TELEPHONE SERVICES, WHICH OFFERS FREE MEDICAL ADVICE TO PARENTS OF SICK OR INJURED CHILDREN. IN 2021, THE CALL A NURSE LINE LOGGED 32,290 CALLS. CALL A NURSE AND THE METHODIST HEALTH LINE ALSO PROVIDED 1,759 PHYSICIAN REFERRALS IN 2021. -CONTINUE TO OFFER THE COMMUNITY PARENTING CLASSES, CAR SEAT INSTALLATIONS, CAR SEAT DISTRIBUTIONS AND LACTATION CONSULTATIONS. METHODIST PROVIDED 15 CAR SEATS AND CONDUCTED 102 SESSIONS FOR CAR SEAT INSTALLATION. METHODIST PROVIDED 41,252 LACTATION CONSULTATIONS AND IN-PERSON CHILDBIRTH EDUCATION CLASSES IN 2021 WITH 2,926 IN ATTENDANCE. -PARTNER WITH AREA SCHOOL DISTRICTS TO ESTABLISH A STUDENT/WORK PROGRAM IN METHODIST HEALTHCARE HOSPITALS. 9 STUDENTS PARTICIPATED IN THE PROGRAM DURING 2021. -METHODIST PARTNERED WITH THE HEALTH COLLABORATIVE TO SERVE LOCAL EMPLOYER GROUPS THROUGH THE COLLABORATIVE'S PATHWAYS COMMUNITY HUB. METHODIST PROVIDED ASSISTANCE TO 1,126 COMMUNITY HUB CLIENTS IN 2021. -METHODIST IMPLEMENTED A COVID-19 RESPONSE ASSURANCE LINE IN 2021 AND LOGGED 3,898 CALLS. -METHODIST FACILITIES CONDUCTED 2 BACK-TO-SCHOOL DRIVES IN 2021 AND COLLECTED 500 ITEMS FOR STUDENTS IN NEED. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -COMMUNITY GOAL - TO DEVELOP SAFE NEIGHBORHOODS BY IDENTIFYING WHAT WORKS LOCALLY, PLANNING HOW TO REPLICATE SUCCESS IN OUR NEIGHBORHOODS, AND ENHANCING SYSTEMS THAT RESPOND EFFECTIVELY TO COMMUNITY IDENTIFIED SAFETY NEEDS. TACTICS: COMMUNITY HEALTH PRIORITY NO. 3: -PARTNER WITH METHODIST HEALTHCARE SERVICE AREA POLICE DEPARTMENTS AND HOST AN ANNUAL SUBSTANCE TAKE-BACK DAY TO REDUCE THE PREVALENCE OF OVERPRESCRIBED PRESCRIPTIONS IN HOUSEHOLDS. METHODIST COLLECTED 1,128 POUNDS OF PRESCRIPTION DRUGS IN 2021. -PARTNER WITH THE AMERICAN HEART ASSOCIATION TO OFFER HANDS-ONLY CPR CLASSES TO THE COMMUNITY AND CONDUCT POST EVALUATION TO MEASURE KNOWLEDGE GAINED. PARTNER WITH THE SOUTH TEXAS REGIONAL ADVISORY COUNCIL (STRAC) TO OFFER ""STOP THE BLEED"" PROGRAMS TO THE COMMUNITY. METHODIST ALSO SPONSORED SEVERAL SEXUAL ASSAULT RESPONSE TRAINING (SART) SESSIONS IN 2021. METHODIST LOGGED 111 EVENTS WITH 29,255 ATTENDEES FOR THESE PROGRAMS IN 2021. -METHODIST ALSO PROVIDED CARE TO 1,158 SEXUAL ASSAULT VICTIMS SEEKING TREATMENT IN 2021. -METHODIST OFFERED TRANSPORTATION SERVICES, HEALTH BUS AND WELL WALDO'S WHEELS AND PROVIDED 5,556 TRANSPORTS IN 2021. METHODIST PLANS TO ADD A MARKETING CAMPAIGN IN AN EFFORT TO INCREASE RIDERSHIP BACK TO PRE-COVID-19 LEVELS. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL HEALTH AND MENTAL WELL-BEING -COMMUNITY GOAL - TO IMPROVE COMPREHENSIVE BEHAVIORAL HEALTH SERVICES AND ACCESS FOR ALL. TACTICS: COMMUNITY HEALTH PRIORITY NO. 4: -CONTINUE METHODIST HEALTHARE TELE-PSYCHIATRY PROGRAM TO IMPROVE ACCESS TO PSYCHIATRISTS AS WELL AS PLACEMENT TO THE APPROPRIATE SETTING. METHODIST PROVIDED 10,085 TELE-PSYCHIATRY CONSULTATIONS IN 2021. -METHODIST PROVIDED BEHAVIORAL HEALTH TRAINING AT 84 EVENTS WITH 1,049 CLINICAL STAFFERS IN ATTENDANCE. -METHODIST HOSTED 356 EVENTS FOCUSING ON MENTAL HEALTH ISSUES WITH 2,421 IN ATTENDANCE DURING 2021. -CONTINUE TO PROVIDE ONGOING 24/7/365 PASTORAL CARE PRESENCE WITH PATIENTS, FAMILIES AND HEALTHCARE PROFESSIONALS WITH CHAPLAIN CLINICIANS. METHODIST'S CHAPLAIN CLINICIANS PROVIDED BEREAVEMENT SUPPORT TO 3,068 INDIVIDUALS IN 2021. -METHODIST'S THREE FACILITY DOGS LOGGED 8,200 VISITS OUTSIDE OF MHS FACILITIES IN 2021. COMMUNITY HEALTH PRIORITY NO. 5: SEXUAL HEALTH -COMMUNITY GOAL - TO IMPROVE THE SEXUAL HEALTH OF METHODIST HEALTHCARE'S COMMUNITY BY OFFERING FREE SEXUAL HEALTH SCREENINGS AND FREE OR LOW-COST HUMAN PAPILLOMAVIRUS (HPV) VACCINATIONS. TACTICS: COMMUNITY HEALTH PRIORITY NO. 5: -PROVIDE FREE HUMAN IMMUNODEFICIENCY VIRUS (HIV) SCREENING TESTS TO THE COMMUNITY IN METHODIST HEALTHCARE SERVICE AREAS. METHODIST'S CAMPUSES PROVIDED 8,159 HIV SCREENINGS IN 2021. -SEE INFORMATION REPORTED ABOVE RELATED TO EVENTS AND PRESENTATIONS. THE INFORMATION ABOVE REFLECTS THE PLAN FOR MHS SYSTEM."

Schedule H, Part V, Section B, Line 11 Facility A, 2
"Facility A, 2 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -PROVIDE DIABETES EDUCATION TO PATIENTS LIVING WITH, OR AT RISK FOR, DIABETES PRIOR TO DISCHARGE AND OFFER CLASSES TO THE COMMUNITY. 2,059 DIABETES EDUCATION VISITS WERE PROVIDED IN 2021. -PARTNER WITH THE HEALTH COLLABORATIVE TO PROMOTE THE ""IS YOUR DRINK SUGAR PACKED"" CAMPAIGN TO PATIENTS AND THEIR FAMILIES WHO ARE IN THE SURGICAL WAITING ROOMS OF METHODIST HOSPITAL. THIS PROGRAM WAS PLACED ON HOLD IN 2020 DUE TO COVID-19 AND CONTINUED IN 2021. -PROVIDE A HEALTHY RECIPE BOOKLET THAT TARGETS SPECIFIC ACUTE AND CHRONIC DISEASES. NO RECIPE BOOKS WERE PROVIDED IN 2021. -CONDUCT AN ANNUAL HEALTHY FOOD DRIVE FOR THE SAN ANTONIO FOOD BANK AND PROVIDE VOLUNTEER SUPPORT BY METHODIST HOSPITAL STAFF. METHODIST HEALTHCARE SYSTEM HELD A CEREAL DRIVE IN 2021 AND COLLECTED 433,168 SERVINGS. -PARTNER WITH THE AMERICAN HEART ASSOCIATION TO HOST AN ANNUAL CARDIAC EDUCATION EVENT WITH FOCUS ON HYPERTENSION, DIABETES AND HYPERLIPIDIMIA. SEE REPORTING IN METHODIST HEALTHCARE SYSTEM ABOVE. -METHODIST HOSPITAL PLANNED TO HOST A VIRTUAL HEALTH LITERACY CONFERENCE IN THE FOURTH QUARTER OF 2021, HOWEVER THIS DID NOT OCCUR. -METHODIST CONTRIBUTED $5,000 TO THE LEUKEMIA AND LYMPHOMA SOCIETY AS A SPONSOR OF THEIR ""LIGHT THE NIGHT"" EVENT. COMMUNITY HEALTH PRIORITY NO 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -OFFER THE COMMUNITY PARENTING CLASSES INCLUDING ""BUCKLE UP BABY, GETTING READY FOR CHILDBIRTH, PEEK-A-BOO TOURS AND INFANT AND CHILD CPR"". METHODIST HOSTED 904 EVENTS, AND 2,926 INDIVIDUALS ATTENDED THESE EVENTS IN 2021. -PARTNER WITH GLEN OAKS ELEMENTARY IN THE NORTHSIDE INDEPENDENT SCHOOL DISTRICT TO ADOPT THE SCHOOL AND PROVIDE AT LEAST TWO SCHOOL SUPPLY DRIVES EACH YEAR. ONE DRIVE WAS HELD IN 2021 WITH 15 BOXES OF SUPPLIES COLLECTED. -PROVIDE THE COMMUNITY WITH COMPLIMENTARY LACTATION CONSULTATION IN-PERSON AND OVER THE PHONE. METHODIST HEALTHCARE SYSTEM PROVIDED 41,252 CONSULTS IN 2021. -IMPLEMENT PERINATAL NURSE NAVIGATORS TO ENSURE CONTINUITY OF CARE FOR CHILDREN AND CHILD-BEARING WOMEN. THIS PROGRAM CONTINUED A ""HOLD"" STATUS IN 2021. -DISTRIBUTE CALL-A-NURSE MAGNETS TO RAISE AWARENESS OF THE FREE OFFERING TO THE COMMUNITY FOR PEDIATRIC MEDICAL ADVISE TO PARENTS OF SICK/INJURED CHILDREN. THE METHODIST CALL-A-NURSES SERVICE PROVIDED MEDICAL ADVICE TO 32,290 CALLERS DURING 2021. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -PARTNER WITH KRAV MAGA TRAINING CENTER TO PROVIDE FREE SELF-DEFENSE CLASSES FOR WOMEN BIANNUALLY. METHODIST WAS NOT ABLE TO HOLD THESE SESSIONS IN 2021 DUE TO COVID-19. -PARTNER WITH BEXAR COUNTY SHERIFF'S OFFICE AND IMPLEMENT BI-ANNUAL SEMINARS TO EMPLOYEES ON PROVIDING SAFER COMMUNITIES AND EDUCATION ON IDENTIFYING VIOLENCE. DUE TO COVID-19 RESTRICTIONS, METHODIST WAS NOT ABLE TO HOST THESE FORUMS IN 2021. -PARTNER WITH THE TEXAS POISON CONTROL CENTER NETWORK TO PROVIDE LITERATURE IN METHODIST HOSPITAL WAITING ROOMS. LITERATURE DISTRIBUTION IN WAITING ROOMS WAS SUSPENDED IN 2021 DUE TO COVID-19. -PARTNER WITH BEACON HEALTH TO PROVIDE DOMESTIC VIOLENCE AND ABUSE CLASSES TO EMPLOYEES AND DISTRIBUTE LITERATURE IN THE HOSPITAL. THIS PROGRAM CONTINUED TO BE ON HOLD IN 2021 DUE TO COVID-19. -METHODIST HEALTHCARE FACILITIES COLLECTED 1,128 POUNDS OF PRESCRIPTION DRUGS IN THE 2021 CRUSH THE CRISIS DRIVE. METHODIST HOSPITAL HOSTED ONE BLOOD DRIVE IN 2021. 85 UNITS OF BLOOD WERE COLLECTED. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL HEALTH AND MENTAL WELL-BEING - THIS PRIORITY IS ADDRESSED AT THE SYSTEM LEVEL. PLEASE REFER TO COMMENTS IN THE METHODIST HEALTHCARE SYSTEM SECTION ABOVE. - METHODIST HOSPITAL RECEIVED AN ADDITIONAL THERAPY ANIMAL IN 2021. BAMBI, A MINI-HORSE JOINED METHODIST'S THREE FACILITY DOGS. BAMBI VISITED TWO ELEMENTARY SCHOOLS, THE WESTOVER HILLS GROUNDBREAKING, AND THE OPENING OF METHODIST EMERGENCY DEPARTMENT : HELOTES IN ADDITION TO HER HOSPITAL PATIENT VISITS. COMMUNITY HEALTH PRIORITY NO 5: SEXUAL HEALTH -PARTNER WITH NORTHSIDE INDEPENDENT SCHOOL DISTRICT TO PROVIDE ""ASK AN RN"" SESSION TO CREATE A SAFE ENVIRONMENT FOR STUDENTS TO ASK QUESTIONS REGARDING SEXUAL HEALTH. THIS PROGRAM WAS NOT HELD IN 2020 DUE TO COVID-19 AND CONTINUED TO BE ON HOLD IN 2021. -PARTNER WITH JOHN MARSHALL HIGH SCHOOL DURING STD AWARENESS MONTH (APRIL) TO PROVIDE EDUCATION TO STUDENTS ON STD PREVENTION. THIS PROGRAM WAS ALSO PRE-EMPTED BY COVID-19. -PROMOTE TEEN PREGNANCY AWARENESS AND PROVIDE RESOURCES TO CARE THROUGH METHODIST WOMEN AND TEEN CENTERS. THE CENTER WAS CLOSED IN 2020 DUE TO COVID-19 RESTRICTIONS AND HAS NOT REOPENED."

Schedule H, Part V, Section B, Line 11 Facility A, 3
"Facility A, 3 - GROUP A, CONTINUED. RESULTS FROM METHODIST CHILDREN'S HOSPITAL ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING - PARTICIPATE IN THE HEALTHY ME, HEALTHY WE PROGRAM THROUGH THE HEALTH COLLABORATIVE. IN 2021 37 SESSIONS WERE HELD WITH 740 IN ATTENDANCE. - CONDUCT AN ANNUAL HEALTHY FOOD DRIVE FOR THE SAN ANTONIO FOOD BANK AND PROVIDE VOLUNTEER SUPPORT BY METHODIST HOSPITAL STAFF. METHODIST HEALTHCARE SYSTEM HELD A CEREAL DRIVE IN 2021 AND COLLECTED 433,168 SERVINGS. - METHODIST CHILDREN'S HAD PLANNED THE FOLLOWING PROGRAMS IN 2021, HOWEVER ALL CONTINUED TO BE ON HOLD DUE TO COVID-19: WIC COOKING CLASSES, BOTANICAL GARDENS CHEF PROGRAM, FOOD PANTRY, YOGA CLASSES AND THE LITTLE HEROES PROM. - TWO SESSION OF CAMP BRAVE HEARTS OCCURRED IN 2021 WITH 335 IN ATTENDANCE. COMMUNITY HEALTH PRIORITY NO 2: HEALTHY CHILD AND FAMILY DEVELOPMENT - OFFER THE COMMUNITY PARENTING CLASSES INCLUDING ""BUCKLE UP BABY, GETTING READY FOR CHILDBIRTH, PEEK -A-BOO TOURS AND INFANT AND CHILD CPR"". METHODIST HOSTED 904 EVENTS, WITH 2,926 INDIVIDUALS ATTENDING. - PROVIDE THE COMMUNITY WITH COMPLIMENTARY LACTATION CONSULTATION IN-PERSON AND OVER THE PHONE. METHODIST HEALTHCARE SYSTEM PROVIDED 41,252 CONSULTS IN 2021. - CONTINUE TO OFFER COMPLIMENTARY PREGNANCY TESTING AND PHYSICIAN REFERRALS THROUGH METHODIST FAMILY HEALTH CENTERS. IN 2021, THERE WERE 3,667 VISITS AND 1,679 PREGNANCY TEST PROVIDED. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES - METHODIST OFFERS TRANSPORTATION SERVICES, HEALTH BUS AND WELL WALDO'S WHEELS AND PROVIDED 5,556 TRANSPORTS IN 2021. METHODIST PLANS TO ADD A MARKETING CAMPAIGN IN AN EFFORT TO INCREASE RIDERSHIP BACK TO PRE-COVID-19 LEVELS. - METHODIST CHILDREN'S HOSPITAL'S BUCKLE UP BABY PROGRAM DISTRIBUTED 15 CAR SEATS AND PROVIDED INSTALLATION INSTRUCTION TO 102 FAMILIES IN 2021. - METHODIST CHILDREN'S HOSPITAL OPENED 32 CASES FOR CARE ASSESSMENTS IN 2021. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL HEALTH AND MENTAL WELL-BEING - THIS PRIORITY IS ADDRESSED AT THE SYSTEM LEVEL. PLEASE REFER TO COMMENTS IN THE METHODIST HEALTHCARE SYSTEM SECTION ABOVE. - THE WAGS OVER TEXAS FACILITY DOG PROGRAM LOGGED 2,705 VISITS IN 2021. - METHODIST CHILDREN'S HOSPITAL PLANNED TO START A FAMILY COUNSELING PROGRAM IN 2021, HOWEVER THE PROGRAM DID NOT START DUE TO COVID-19 CONCERNS. - METHODIST CHILDREN'S HOSPITAL STARTED A ""SENSORY FRIENDLY"" PROGRAM IN 2021. THE GOAL OF THIS PROGRAM IS TO PROVIDE SUPPORTIVE ITEMS/DESIGN ELEMENTS TO HELP NEURO-SENSITIVE CHILDREN WHO ARE IN THE ER AND HOSPITAL. THE GOAL IS TO EXPAND THIS PROGRAM TO METHODIST'S FREE-STANDING ERS AS WELL. - IN PARTNERSHIP WITH UNIVERSITY OF THE INCARNATE WORD, METHODIST CHILDREN'S HOSTED 24 MUSIC THERAPY SESSIONS WITH 144 IN ATTENDANCE. COMMUNITY HEALTH PRIORITY NO 5: SEXUAL HEALTH - ALL PLANNED ACTIVITIES RELATED TO THIS INITIATIVE WERE PRE-EMPTED BY COVID-19 IN 2021."

Schedule H, Part V, Section B, Line 11 Facility A, 4
"Facility A, 4 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL : METROPOLITAN (""METROPOLITAN"") ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -METHODIST HOSPITAL : METROPOLITAN HELD 4 BREAST CANCER AWARENESS SESSIONS WITH 100 IN ATTENDANCE. THE HOSPITAL CAFETERIA ALSO HOSTED ""PINK TUESDAYS"", PROVIDING EDUCATIONAL MATERIALS TO PATIENTS AND VISITORS. METROPOLITAN HOSTED A FACEBOOK LIVE EVENT, ""MAKE YOUR MAMMO"" WITH A QUESTION AND ANSWER SESSION FEATURING DR. PORTILLO. METROPOLITAN ALSO HOSTED BREAST CANCER SUPPORT GROUPS - THREE SESSIONS WERE HELD WITH 45 IN ATTENDANCE. LIVE EVENT PARTICIPATION CONTINUED TO BE LIMITED DUE TO COVID-19. -METROPOLITAN'S BARIATRIC PROGRAM HOSTED 24 INFORMATIONAL SESSIONS WITH 1,560 ATTENDING IN 2021. -METHODIST HOSPITAL : METROPOLITAN IS AN EVENT SPONSOR FOR THE AMERICAN HEART ASSOCIATION HEART WALK. THIS EVENT RAISED $545,000 FOR THE ASSOCIATION IN 2021. -EMPLOYEES OF METHODIST HOSPITAL : METROPOLITAN PROVIDED HEALTH SCREENINGS TO 6,548 INDIVIDUALS ATTENDING THE NCAA WOMEN'S BASKETBALL TOURNAMENT. COMMUNITY HEALTH PRIORITY NO 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -OFFER THE COMMUNITY PARENTING CLASSES INCLUDING ""BUCKLE UP BABY, GETTING READY FOR CHILDBIRTH, PEEK-A-BOO TOURS AND INFANT AND CHILD CPR"". METHODIST HOSTED 904 EVENTS WITH 2,926 INDIVIDUALS ATTENDING. -CONTINUE TO OFFER COMPLIMENTARY PREGNANCY TESTING AND PHYSICIAN REFERRALS THROUGH METHODIST FAMILY HEALTH CENTERS. IN 2021, THERE WERE 3,667 VISITS AND 1,679 PREGNANCY TEST PROVIDED. -PROVIDE THE COMMUNITY WITH COMPLIMENTARY LACTATION CONSULTATION IN-PERSON AND OVER THE PHONE. METHODIST HEALTHCARE SYSTEM PROVIDED 41,252 CONSULTS IN 2021. -METHODIST HOSPITAL : METROPOLITAN PROVIDED ASSISTANCE TO 2,127 INDIVIDUALS ENROLLING IN THE WIC PROGRAM. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -METHODIST OFFERS TRANSPORTATION SERVICES, HEALTH BUS AND WELL WALDO'S WHEELS AND PROVIDED 5,556 TRANSPORTS IN 2021. METHODIST PLANS TO ADD A MARKETING CAMPAIGN IN AN EFFORT TO INCREASE RIDERSHIP BACK TO PRE-COVID-19 LEVELS. -METHODIST HOSPTIAL : METROPOLITAN PARTICIPATED IN THE NATIONAL NIGHT OUT EVENT IN 2021, DISTRIBUTING EDUCATIONAL MATERIALS. -EMPLOYEES OF METHODIST HOSPITAL : METROPOLITAN PARTICIPATED IN THE ANNUAL TOBIN HILL COMMUNITY CLEANUP. -METHODIST HEALTHCARE FACILITIES COLLECTED 1,128 POUNDS OF PRESCRIPTION DRUGS AT THE 2021 CRUSH THE CRISIS DRIVE. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL HEALTH AND MENTAL WELL-BEING -THIS PRIORITY IS ADDRESSED AT THE SYSTEM LEVEL. PLEASE REFER TO COMMENTS IN THE METHODIST HEALTHCARE SYSTEM SECTION ABOVE. -METHODIST HOSPITAL : METROPOLITAN'S FACILITY DOG AND OTHER MHS FACILITY ANIMALS PROVIDED OUTREACH TO 8,200 INDIVIDUALS IN 2021. COMMUNITY HEALTH PRIORITY NO 5: SEXUAL HEALTH -PROVIDE FREE HUMAN IMMUNODEFICIENCY VIRUS (HIV) SCREENING TESTS TO THE COMMUNITY IN METHODIST HEALTHCARE SERVICE AREAS. METHODIST'S CAMPUSES PROVIDED 8,159 HIV SCREENINGS IN 2021. -PROMOTE TEEN PREGNANCY AWARENESS AND PROVIDE RESOURCES TO CARE THROUGH METHODIST FAMILY HEALTH CENTERS. 1,679 PREGNANCY TESTS WERE PROVIDED IN 2021."

Schedule H, Part V, Section B, Line 11 Facility A, 5
"Facility A, 5 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL : STONE OAK (""MSOH"") ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING - CONDUCT AN ANNUAL HEALTHY FOOD DRIVE FOR THE SAN ANTONIO FOOD BANK AND PROVIDE VOLUNTEER SUPPORT BY METHODIST HOSPITAL STAFF. METHODIST HEALTHCARE SYSTEM HELD A CEREAL DRIVE IN 2021 AND COLLECTED 433,168 SERVINGS. - METHODIST HOSPITAL : STONE OAK HELD ONE HEALTHY HEART COOKING DEMONSTRATION IN 2021 WITH 25 IN ATTENDANCE. - METHODIST HOSPITAL : STONE OAK CONTRIBUTED $5,000 TO THE AMERICAN HEART ASSOCIATION HEART WALK. - METHODIST HOSPITAL : STONE OAK'S CAFETERIA CONTINUED TO PROVIDE INFORMATION ON HEALTHY FOOD OPTIONS WITH LABELING AND NUTRITIONAL INFORMATION. - OTHER EVENTS PLANNED FOR 2021 DID NOT OCCUR DUE TO COVID-19 CONCERNS. THIS INCLUDED THE CARDIAC CONNECTION EVENTS AND BREAST CANCER AWARENESS EVENTS. COMMUNITY HEALTH PRIORITY NO. 2: HEALTHY CHILD AND FAMILY DEVELOPMENT - OFFER THE COMMUNITY PARENTING CLASSES INCLUDING ""BUCKLE UP BABY, GETTING READY FOR CHILDBIRTH, PEEK-A-BOO TOURS AND INFANT AND CHILD CPR"". METHODIST HOSTED 904 EVENTS WITH 2,926 INDIVIDUALS ATTENDING. - PROVIDE THE COMMUNITY WITH COMPLIMENTARY LACTATION CONSULTATION IN-PERSON AND OVER THE PHONE. METHODIST HEALTHCARE SYSTEM PROVIDED 41,252 CONSULTS IN 2021. - METHODIST HOSPITAL : STONE OAK HAD PLANNED TO START A NEW PROGRAM ""PERIOD OF PURPLE CRYING PROGRAM"" IN 2021, BUT THIS WAS DEFERRED DUE TO COVID-19 CONCERNS. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES - METHODIST HOSPITAL : STONE OAK HOSTED ONE BLOOD DRIVE IN 2021. 52 UNITS OF BLOOD WERE COLLECTED. - METHODIST HOSPITAL : STONE OAK, ALONG WITH OTHER MHS FACILITIES HOSTED HAND ONLY CPR CLASSES. 8 SESSION WITH 28,717 WERE HELD IN 2021. ATTENDANCE AT THESE SESSIONs WAS BOOSTED DUE TO PUBLIC SERVICE ANNOUNCEMENTS FEATURING THE SAN ANTONIO SPURS COYOTE. - DOMESTIC VIOLENCE SCREENINGS AND THE BABY SAFE HAVEN PROGRAM DID NOT OCCUR IN 2021 DUE TO COVID-19 CONCERNS. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL HEALTH AND MENTAL WELL-BEING - THIS PRIORITY IS ADDRESSED AT THE SYSTEM LEVEL. PLEASE REFER TO COMMENTS IN THE METHODIST HEALTHCARE SYSTEM SECTION ABOVE. - METHODIST HOSPITAL : STONE OAK'S FACILITY DOG PARTICIPATED WITH OTHER MHS FACILITY ANIMALS IN PROVIDING OUTREACH TO 8,200 INDIVIDUALS IN 2021. COMMUNITY HEALTH PRIORITY NO 5: SEXUAL HEALTH - PRESENTATIONS RELATED TO SEXUAL HEALTH AND PLANNED TRAINING SESSIONS ON THE TOPIC OF HUMAN TRAFFICKING DID NOT OCCUR DUE TO COVID-19 CONCERNS."

Schedule H, Part V, Section B, Line 11 Facility A, 6
"Facility A, 6 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL : NORTHEAST ""NEMH"" ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -METHODIST HOSPITAL : NORTHEAST PARTICIPATED IN THE CONVERSE HEALTH AND WHOLENESS FAIR IN 2021 AND PROVIDED SCREENINGS FOR 520 INDIVIDUALS. -THE DIABETES EDUCATOR AT METHODIST HOSPITAL : NORTHEAST CONDUCTED 158 VISITS IN 2021. -MINDFUL EATING PROGRAM - THIS ONGOING PROGRAM DESIGNATES HEALTHY FOOD OPTIONS IN THE HOSPITAL'S CAFETERIA AND INCLUDES NUTRITIONAL INFORMATION. -EMPLOYEES OF METHODIST HOSPITAL : NORTHEAST CONTRIBUTED 320 SERVINGS TO GREATER RANDOLPH AREA SERVICE PROJECTS AND FOOD PANTRY. -PLANNED CARDIAC CONNECTIONS EVENTS AND BREAST CANCER AWARENESS EVENTS WERE PRE-EMPTED IN 2021 DUE TO COVID-19 CONCERNS. COMMUNITY HEALTH PRIORITY NO. 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -METHODIST HOSPITAL : NORTHEAST PROVIDED SUPPORT FOR THE JUDSON HIGH SCHOOL SENIOR SUNRISE EVENT IN 2021. -OTHER PROGRAMS, SUCH AS HEALTHY FOODS PRESENTATIONS TO NEIGHBORING SCHOOL DISTRICTS AND THE MEDS-TO-BEDS PROGRAM WERE PLACED ON HOLD IN 2021 DUE TO COVID-19. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -METHODIST OFFERS TRANSPORTATION SERVICES, HEALTH BUS AND WELL WALDO'S WHEELS AND PROVIDED 5,556 TRANSPORTS IN 2021. METHODIST PLANS TO ADD A MARKETING CAMPAIGN IN AN EFFORT TO INCREASE RIDERSHIP BACK TO PRE-COVID-19 LEVELS. -METHODIST HOSPITAL : NORTHEAST SPONSORED AND WORKED A TENT AT THE SKYLIGHT BALLOON FESTIVAL SUPPORTING THE SCHERTZ/CIBOLO CHAMBER OF COMMERCE. 15,000 ATTENDED THIS THREE-DAY EVENT. -METHODIST HEALTHCARE FACILITIES COLLECTED 1,128 POUNDS OF PRESCRIPTION DRUGS IN THE 2021 CRUSH THE CRISIS DRIVE. -METHODIST HOSPITAL : NORTHEAST HOSTED ONE BLOOD DRIVE IN 2021. 23 UNITS OF BLOOD WERE COLLECTED. COMMUNITY HEALTH PRIORITY NO.4 : BEHAVIORAL AND MENTAL WELL BEING -THIS PRIORITY IS ADDRESSED AT THE SYSTEM LEVEL. PLEASE REFER TO COMMENTS IN THE METHODIST HEALTHCARE SYSTEM SECTION ABOVE. COMMUNITY HEALTH PRIORITY NO.5 : SEXUAL HEALTH -PRESENTATIONS RELATED TO SEXUAL HEALTH AND PLANNED TRAINING SESSIONS ON THE TOPIC OF HUMAN TRAFFICKING DID NOT OCCUR DUE TO COVID-19 CONCERNS."

Schedule H, Part V, Section B, Line 11 Facility A, 7
"Facility A, 7 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT (""MSTH"") ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -PROVIDE DIABETES EDUCATION TO PATIENTS LIVING WITH, OR AT RISK FOR, DIABETES PRIOR TO DISCHARGE AND OFFER CLASSES TO THE COMMUNITY. 2,860 DIABETES EDUCATION VISITS WERE PROVIDED IN 2021. -METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT SPONSORED THE WALK TO END PKD, CONTRIBUTING $2,500 IN 2021. -METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT HOSTED TWELVE FARMERS MARKET SESSIONS WITH 85 IN ATTENDANCE. -THE BARIATRIC PROGRAM AT METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT HELD THREE EDUCATIONAL SESSIONS WITH 10 ATTENDEES. -EMPLOYEES AT METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT RAISED $6,000 TO SUPPORT THE LEUKEMIA AND LYMPHOMA SOCIETY. -HEALTHY EATING CLASSES AND GROCERY STORE TOURS DID NOT OCCUR IN 2021 DUE TO COVID -19 CONCERNS. COMMUNITY HEALTH Priority NO. 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT HELD TWO CLOTHING DRIVES IN 2021. EMPLOYEES DONATED FIVE BAGS OF CLOTHING. -METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT HAD PLANNED TO HOST A NAMI BASICS CLASS AND NUTRITION CLASSES IN 2021, BUT THOSE DID NOT OCCUR DUE TO COVID-19. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT HOSTED 29 SEXUAL ASSAULT FORENSIC EXAMINER (SAFE) PRESENTATIONS IN 2021 WITH 427 ATTENDING. -THE SEXUAL ASSAULT response TEAM (SART) AT METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT INVESTIGATED 1,158 CASES IN 2021. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL HEALTH AND MENTAL WELL BEING -PROVIDE BEHAVIORAL HEALTH EDUCATIONAL MATERIALS/PRESENTATIONS AT COMMUNITY EVENTS - METHODIST HOSPTIAL : SPECIALTY AND TRANSPLANT PARTICIPATED IN 25 EVENTS IN 1,538 IN ATTENDANCE. -METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT PROVIDED IN-KIND PRINTING SERVICES TO LOCAL ORGANIZATIONs. 23,980 EDUCATIONAL NEWSLETTERS AND MANUALS WERE PRINTED IN 2021. -METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT PROVIDED TWO TRAINING SESSIONS FOR THE SAN ANTONIO FIRE DEPARTMENT AND THE SAN ANTONIO POLICE DEPARTMENT WITH 55 IN ATTENDANCE. -METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT CONDUCTED 52 CLINICAL STAFF EDUCATIONAL SESSIONs WITH 291 ATTENDING. -METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT HAD PLANNED TO SPONSOR A BEHAVIORAL HEALTH CME EVENT AND PROVIDE DEPRESSION SCREENINGS IN 2021. THESE EVENTS DID NOT OCCUR DUE TO COVID-19. -METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT ALONG WITH OTHER METHODIST CAMPUSES SPONSORED THE WALK TO END ALZHEIMER'S CONTRIBUTING $25,000 TO THE ALZHEIMER'S ASSOCIATION. -SEE ADDITIONAL COMMENTS IN THE METHODIST HEALTHCARE SYSTEM SECTION ABOVE REGARDING THIS INITIATIVE. COMMUNITY HEALTH PRIORITY NO. 5: SEXUAL HEALTH -METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT SPONSORED THE ZERO PROSTATE CANCER RUN IN 2021 CONTRIBUTING OVER $3,000 FOR THIS EVENT. -METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT HAD PLANNED TO HOST EDUCATIONAL EVENTS ON SEXUAL ASSAULT, SEXUAL HEALTH AND HUMAN TRAFFICKING IN 2021, HOWEVER THESE DID NOT OCCUR DUE TO COVID-19."

Schedule H, Part V, Section B, Line 11 Facility A, 8
"Facility A, 8 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL : TEXSAN ""TEXSAN"" ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -METHODIST HOSPITAL : TEXSAN'S CAFETERIA CONTINUED TO PROVIDE INFORMATION ON HEALTHY FOOD OPTIONS WITH LABELING AND NUTRITIONAL INFORMATION. -METHODIST HOSPITAL : TEXSAN HOSTED A FOOD DRIVE TO SUPPORT THE SAN ANTONIO FOOD BANK. EMPLOYEES COLLECTED 294 SERVINGS OF FOOD. -PLANNED CARDIAC CONNECTIONS EVENTS AND HEALTHY COOKING DEMONSTRATIONS DID NOT OCCUR IN 2021 DUE TO COVID-19 CONCERNS. COMMUNITY HEALTH PRIORITY NO 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -PARTNER WITH ARNOLD ELEMENTARY TO ADOPT THE SCHOOL AND COLLECT SUPPLIES FOR STUDENTS IN NEED. THE 2021 DRIVE COLLECTED 250 ITEMS FOR STUDENTS. -STATISTICS FOR PARTICIPATION IN THE UTSA FAN DAY IN 2021 WERE NOT AVAILABLE. -PRESENTATIONS TO SCHOOL DISTRICTS ON HEALTH-RELATED TOPICS DID NOT OCCUR IN 2021 DUE TO COVID-19 CONCERNS. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -EVENTS PLANNED FOR 2021 WITH THE BALCONES HEIGHTS POLICE DEPARTMENT DID NOT OCCUR DUE TO COVID-19 CONCERNS. -METHODIST HEALTHCARE FACILITIES COLLECTED 1,128 POUNDS OF PRESCRIPTION DRUGS IN THE 2021 CRUSH THE CRISIS DRIVE. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL AND MENTAL WELL-BEING -THIS PRIORITY IS ADDRESSED AT THE SYSTEM LEVEL. PLEASE REFER TO COMMENTS IN THE METHODIST HEALTHCARE SYSTEM SECTION ABOVE. COMMUNITY HEALTH PRIORITY NO 5: SEXUAL HEALTH - PROVIDE FREE HUMAN IMMUNODEFICIENCY VIRUS (HIV) SCREENING TESTS TO THE COMMUNITY IN METHODIST HEALTHCARE SERVICE AREAS. METHODIST'S CAMPUSES PROVIDED 8,159 HIV SCREENINGS IN 2021."

Schedule H, Part V, Section B, Line 11 Facility A, 9
"Facility A, 9 - GROUP A, CONTINUED. RESULTS FROM METHODIST HOSPITAL : ATASCOSA ARE AS FOLLOWS: COMMUNITY HEALTH PRIORITY NO. 1: HEALTHY EATING AND ACTIVE LIVING -METHODIST HOSPITAL : ATASCOSA CONDUCTED A BACKPACK DRIVE BENEFITTING JOURDANTON ISD AND CHARLOTTE ISD - 75 BACKPACKS STUFFED WITH FOOD FOR THANKSGIVING WERE DISTRIBUTED. -METHODIST HOSPITAL : ATASCOSA HAD PLANNED TO HOLD CLASSES FOR ""A MATTER OF BALANCE"" AND SPONSOR A HEALTH FAIR, HOWEVER THIS DID NOT OCCUR DUE TO COVID-19 CONCERNS. COMMUNITY HEALTH PRIORTY NO. 2: HEALTHY CHILD AND FAMILY DEVELOPMENT -METHODIST HOSPITAL : ATASCOSA HOSTED A SILVER SANTA DRIVE COLLECTING GIFTS FOR INDIVIDUALS IN SENIOR LIVING FACILITIES. GIFTS FOR 40 PEOPLE WERE COLLECTED IN 2021. -METHODIST HOSPITAL : ATASCOSA PARTICIPATED IN NOVEMBER VETERAN'S DAY PARADE DISTRIBUTING METHODIST HEALTHCARE CAPS TO ALL VETERANS IN ATTENDANCE. COMMUNITY HEALTH PRIORITY NO. 3: SAFE COMMUNITIES -METHODIST HOSPITAL : ATASCOSA SPONSORED A COAT AND BLANKET DRIVE TO BENEFIT HAVEN FOR HOPE. FIFTY COATS AND/OR BLANKETS WERE COLLECTED. -METHODIST HOSPITAL : ATASCOSA DID NOT PARTICIPATE IN THE 2021 NATIONAL NIGHT OUT DUE TO COVID-19 CONCERNS. COMMUNITY HEALTH PRIORITY NO. 4: BEHAVIORAL AND MENTAL WELL-BEING -THIS PRIORITY IS ADDRESSED At THE SYSTEM LEVEL. PLEASE REFER TO COMMENTS IN THE METHODIST HEALTHCARE SYSTEM SECTION ABOVE. -METHODIST HOSPITAL : ATASCOSA ALSO PARTICIPATED IN THE ONE-EIGHT PROGRAM WHICH PROVIDES A HOSPITAL BASED INPATIENT MEDICAL WITHDRAWAL SERVICE FROM ALCOHOL, OPIOIDS, OR OTHER DRUGS. SIXTY-ONE INDIVIDUALS WERE TREATED IN 2021. COMMUNITY HEALTH PRIORITY NO. 5: SEXUAL HEALTH -ALL PLANNED EDUCATIONAL PROGRAMMING DID NOT OCCUR IN 2021 DUE TO COVID-19 CONCERNS."

Schedule H, Part V, Section B, Line 13 Facility A, 1
Facility A, 1 - GROUP A. METHODIST HEALTHCARE SYSTEM USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. THE FOLLOWING IS A SUMMARY OF THE CHARITY CARE POLICY ADOPTED BY METHODIST HEALTHCARE SYSTEM AND METHODIST HEALTHCARE MINISTRIES: FINANCIAL ASSISTANCE ELIGIBILITY SYSTEM - METHODIST REQUIRES THE COMPLETION OF AN APPLICATION, WHICH ALLOWS FOR THE COLLECTION OF APPROPRIATE INFORMATION. - VERIFICATION OF FAMILY MEMBERS IN THE HOUSEHOLD - ADULTS: PATIENT, PATIENT'S SPOUSE AND ANY DEPENDENTS. MINORS: PATIENT, PATIENT'S MOTHER AND FATHER, AND DEPENDENTS OF BOTH. - INCOME CALCULATION - ADULTS: SUM OF THE TOTAL YEARLY GROSS INCOME OF THE PATIENT AND THE PATIENT'S SPOUSE. MINORS: TOTAL YEARLY GROSS INCOME OF THE PATIENT, AND THE PATIENT'S MOTHER AND FATHER. - DOCUMENTATION - VARIOUS OFFICIAL INCOME REPORTING DOCUMENTATION IS REQUIRED (E.G. W-2, WAGE AND TAX STATEMENT, PAYCHECK REMITTANCE AND OTHERS). DOCUMENTATION ASSOCIATED WITH THE PARTICIPATION IN A PUBLIC BENEFIT PROGRAM CAN BE PROVIDED IN LIEU OF INCOME DOCUMENTATION (PROOF OF PARTICIPATION INDICATES THE PATIENT HAS BEEN DEEMED FINANCIALLY INDIGENT AND THEREFORE IS NOT REQUIRED TO PROVIDE INCOME INFORMATION). THERE IS ALSO A VERIFICATION PROCESS IN PLACE FOR PATIENTS THAT DO NOT HAVE APPROPRIATE DOCUMENTATION. - ZIP CODE WRITE-OFF ELIGIBILITY - METHODIST WILL ACCEPT UNINSURED RESIDENTIAL INDIGENT PATIENTS AS ELIGIBLE FOR CHARITY WRITE-OFF UPON EXHAUSTION OF INSURANCE ELIGIBILITY DETERMINATION (I.E. MEDICAID) AND EFFORTS TO OBTAIN A COMPLETED CHARITY APPLICATION WITH SUPPORTING PROOF OF INCOME. THE WRITE-OFF WILL APPLY TO ALL PATIENT TYPES. A RESIDENTIAL INDIGENT PATIENT IS AN UNINSURED PERSON WHO IS ACCEPTED FOR CARE WITH NO OBLIGATION OR WITH A DISCOUNTED OBLIGATION TO PAY FOR THE SERVICES RENDERED, AND LIVES IN SPECIFICALLY DEFINED ZIP CODES--THOSE WITH HIGH POVERTY POPULATIONS. FOR THE YEAR ENDED DECEMBER 31, 2021, THE CHARITY CARE WRITE OFF RELATED TO THIS ELIGIBILITY PROCESS WAS $303.9 MILLION ($265.3 MILLION IN 2020). CHARITY ELIGIBILITY CLASSIFICATIONS - FINANCIALLY INDIGENT - YEARLY INCOME IS LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY GUIDELINES. - MEDICALLY INDIGENT - THE AMOUNT OWED BY THE PATIENT AFTER PAYMENT BY ALL THIRD-PARTY PAYORS MUST EXCEED TEN PERCENT OF THE PATIENT'S YEARLY INCOME AND THE PATIENT MUST BE UNABLE TO PAY THE REMAINING BILL. ACCEPTANCE BY MHS IS BASED ON MEETING EITHER OF TWO CRITERIA: YEARLY INCOME MUST BE GREATER THAN 200%, BUT LESS THAN OR EQUAL TO 500% OF THE FEDERAL POVERTY GUIDELINES. ALTERNATIVELY, PATIENTS WITH ABNORMALLY LARGE ACCOUNTS MAY QUALIFY AS CATASTROPHICALLY ELIGIBLE WHEN THEIR REMAINING BALANCE EXCEEDS A SPECIFIC PERCENTAGE OF THEIR INCOME. IT IS IMPORTANT TO NOTE THAT THE GUIDELINES APPLIED FOR CATASTROPHIC ELIGIBILITY RANGE FROM 201% OF THE FEDERAL POVERTY GUIDELINES TO OVER 1000% OF THE FEDERAL POVERTY GUIDELINES.

Schedule H, Part V, Section B, Line 13 Facility A, 1
Facility A, 1 - GROUP A. METHODIST HEALTHCARE SYSTEM USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. THE FOLLOWING IS A SUMMARY OF THE CHARITY CARE POLICY ADOPTED BY METHODIST HEALTHCARE SYSTEM AND METHODIST HEALTHCARE MINISTRIES: FINANCIAL ASSISTANCE ELIGIBILITY SYSTEM - METHODIST REQUIRES THE COMPLETION OF AN APPLICATION, WHICH ALLOWS FOR THE COLLECTION OF APPROPRIATE INFORMATION. - VERIFICATION OF FAMILY MEMBERS IN THE HOUSEHOLD - ADULTS: PATIENT, PATIENT'S SPOUSE AND ANY DEPENDENTS. MINORS: PATIENT, PATIENT'S MOTHER AND FATHER, AND DEPENDENTS OF BOTH. - INCOME CALCULATION - ADULTS: SUM OF THE TOTAL YEARLY GROSS INCOME OF THE PATIENT AND THE PATIENT'S SPOUSE. MINORS: TOTAL YEARLY GROSS INCOME OF THE PATIENT, AND THE PATIENT'S MOTHER AND FATHER. - DOCUMENTATION - VARIOUS OFFICIAL INCOME REPORTING DOCUMENTATION IS REQUIRED (E.G. W-2, WAGE AND TAX STATEMENT, PAYCHECK REMITTANCE AND OTHERS). DOCUMENTATION ASSOCIATED WITH THE PARTICIPATION IN A PUBLIC BENEFIT PROGRAM CAN BE PROVIDED IN LIEU OF INCOME DOCUMENTATION (PROOF OF PARTICIPATION INDICATES THE PATIENT HAS BEEN DEEMED FINANCIALLY INDIGENT AND THEREFORE IS NOT REQUIRED TO PROVIDE INCOME INFORMATION). THERE IS ALSO A VERIFICATION PROCESS IN PLACE FOR PATIENTS THAT DO NOT HAVE APPROPRIATE DOCUMENTATION. - ZIP CODE WRITE-OFF ELIGIBILITY - METHODIST WILL ACCEPT UNINSURED RESIDENTIAL INDIGENT PATIENTS AS ELIGIBLE FOR CHARITY WRITE-OFF UPON EXHAUSTION OF INSURANCE ELIGIBILITY DETERMINATION (I.E. MEDICAID) AND EFFORTS TO OBTAIN A COMPLETED CHARITY APPLICATION WITH SUPPORTING PROOF OF INCOME. THE WRITE-OFF WILL APPLY TO ALL PATIENT TYPES. A RESIDENTIAL INDIGENT PATIENT IS AN UNINSURED PERSON WHO IS ACCEPTED FOR CARE WITH NO OBLIGATION OR WITH A DISCOUNTED OBLIGATION TO PAY FOR THE SERVICES RENDERED, AND LIVES IN SPECIFICALLY DEFINED ZIP CODES--THOSE WITH HIGH POVERTY POPULATIONS. FOR THE YEAR ENDED DECEMBER 31, 2021 THE CHARITY CARE WRITE OFF RELATED TO THIS ELIGIBILITY PROCESS WAS $303.9 MILLION ($265.3 MILLION IN 2020). CHARITY ELIGIBILITY CLASSIFICATIONS - FINANCIALLY INDIGENT - YEARLY INCOME IS LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY GUIDELINES. - MEDICALLY INDIGENT - THE AMOUNT OWED BY THE PATIENT AFTER PAYMENT BY ALL THIRD-PARTY PAYORS MUST EXCEED TEN PERCENT OF THE PATIENT'S YEARLY INCOME AND THE PATIENT MUST BE UNABLE TO PAY THE REMAINING BILL. ACCEPTANCE BY MHS IS BASED ON MEETING EITHER OF TWO CRITERIA: YEARLY INCOME MUST BE GREATER THAN 200%, BUT LESS THAN OR EQUAL TO 500% OF THE FEDERAL POVERTY GUIDELINES. ALTERNATIVELY, PATIENTS WITH ABNORMALLY LARGE ACCOUNTS MAY QUALIFY AS CATASTROPHICALLY ELIGIBLE WHEN THEIR REMAINING BALANCE EXCEEDS A SPECIFIC PERCENTAGE OF THEIR INCOME. IT IS IMPORTANT TO NOTE THAT THE GUIDELINES APPLIED FOR CATASTROPHIC ELIGIBILITY RANGE FROM 201% OF THE FEDERAL POVERTY GUIDELINES TO OVER 1000% OF THE FEDERAL POVERTY GUIDELINES.

Schedule H, Part V, Section B, Line 15 Facility A, 1
Facility A, 1 - GROUP A. METHODIST HEALTHCARE SYSTEM USES FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY. THE FOLLOWING IS A SUMMARY OF THE CHARITY CARE POLICY ADOPTED BY METHODIST HEALTHCARE SYSTEM AND METHODIST HEALTHCARE MINISTRIES: FINANCIAL ASSISTANCE ELIGIBILITY SYSTEM - METHODIST REQUIRES THE COMPLETION OF AN APPLICATION, WHICH ALLOWS FOR THE COLLECTION OF APPROPRIATE INFORMATION. - VERIFICATION OF FAMILY MEMBERS IN THE HOUSEHOLD - ADULTS: PATIENT, PATIENT'S SPOUSE AND ANY DEPENDENTS. MINORS: PATIENT, PATIENT'S MOTHER AND FATHER, AND DEPENDENTS OF BOTH. - INCOME CALCULATION - ADULTS: SUM OF THE TOTAL YEARLY GROSS INCOME OF THE PATIENT AND THE PATIENT'S SPOUSE. MINORS: TOTAL YEARLY GROSS INCOME OF THE PATIENT, AND THE PATIENT'S MOTHER AND FATHER. - DOCUMENTATION - VARIOUS OFFICIAL INCOME REPORTING DOCUMENTATION IS REQUIRED (E.G. W-2, WAGE AND TAX STATEMENT, PAYCHECK REMITTANCE AND OTHERS). DOCUMENTATION ASSOCIATED WITH THE PARTICIPATION IN A PUBLIC BENEFIT PROGRAM CAN BE PROVIDED IN LIEU OF INCOME DOCUMENTATION (PROOF OF PARTICIPATION INDICATES THE PATIENT HAS BEEN DEEMED FINANCIALLY INDIGENT AND THEREFORE IS NOT REQUIRED TO PROVIDE INCOME INFORMATION). THERE IS ALSO A VERIFICATION PROCESS IN PLACE FOR PATIENTS THAT DO NOT HAVE APPROPRIATE DOCUMENTATION. - ZIP CODE WRITE-OFF ELIGIBILITY - METHODIST WILL ACCEPT UNINSURED RESIDENTIAL INDIGENT PATIENTS AS ELIGIBLE FOR CHARITY WRITE-OFF UPON EXHAUSTION OF INSURANCE ELIGIBILITY DETERMINATION (I.E. MEDICAID) AND EFFORTS TO OBTAIN A COMPLETED CHARITY APPLICATION WITH SUPPORTING PROOF OF INCOME. THE WRITE-OFF WILL APPLY TO ALL PATIENT TYPES. A RESIDENTIAL INDIGENT PATIENT IS AN UNINSURED PERSON WHO IS ACCEPTED FOR CARE WITH NO OBLIGATION OR WITH A DISCOUNTED OBLIGATION TO PAY FOR THE SERVICES RENDERED, AND LIVES IN SPECIFICALLY DEFINED ZIP CODES--THOSE WITH HIGH POVERTY POPULATIONS. FOR THE YEAR ENDED DECEMBER 31, 2021, THE CHARITY CARE WRITE OFF RELATED TO THIS ELIGIBILITY PROCESS WAS $303.9 MILLION ($265.3 MILLION IN 2020). CHARITY ELIGIBILITY CLASSIFICATIONS - FINANCIALLY INDIGENT - YEARLY INCOME IS LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY GUIDELINES. - MEDICALLY INDIGENT - THE AMOUNT OWED BY THE PATIENT AFTER PAYMENT BY ALL THIRD-PARTY PAYORS MUST EXCEED TEN PERCENT OF THE PATIENT'S YEARLY INCOME AND THE PATIENT MUST BE UNABLE TO PAY THE REMAINING BILL. ACCEPTANCE BY MHS IS BASED ON MEETING EITHER OF TWO CRITERIA: YEARLY INCOME MUST BE GREATER THAN 200%, BUT LESS THAN OR EQUAL TO 500% OF THE FEDERAL POVERTY GUIDELINES. ALTERNATIVELY, PATIENTS WITH ABNORMALLY LARGE ACCOUNTS MAY QUALIFY AS CATASTROPHICALLY ELIGIBLE WHEN THEIR REMAINING BALANCE EXCEEDS A SPECIFIC PERCENTAGE OF THEIR INCOME. IT IS IMPORTANT TO NOTE THAT THE GUIDELINES APPLIED FOR CATASTROPHIC ELIGIBILITY RANGE FROM 201% OF THE FEDERAL POVERTY GUIDELINES TO OVER 1000% OF THE FEDERAL POVERTY GUIDELINES.

Schedule H, Part V, Section B, Line 16 Facility A, 1
"Facility A, 1 - GROUP A. MHS HAS TAKEN STEPS OVER THE PAST SEVERAL YEARS TO HEIGHTEN COMMUNITY AWARENESS REGARDING MHS'S CHARITABLE MISSION. SIGNS THAT PROMINENTLY PRESENT INFORMATION ABOUT THE CHARITY MISSION AND GUIDELINES ARE PRESENT AT ALL POINTS OF ADMISSION. MHS ALSO PUBLISHES A NOTICE OF ITS CHARITY POLICY ANNUALLY IN THE SAN ANTONIO EXPRESS-NEWS. A PATIENT BROCHURE, ENTITLED ""A GUIDE TO YOUR HOSPITAL BILL"", EXPLAINS THE HOSPITAL BILLING PROCESS AND INFORMS PATIENTS OF THE CHARITY POLICY IN THE EVENT THEY NEED FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS ALSO AVAILABLE IN ENGLISH AND SPANISH ON MHS'S WEBSITE WWW.SAHEALTH.COM. ALL SHARED SERVICE CENTER PERSONNEL RECEIVE TRAINING AND AN ANNUAL REFRESHER COURSE ON THE POLICY AND UNDERSTAND THE CRUCIAL ROLE THEY PLAY IN INFORMING PATIENTS ABOUT THE POLICY. FINANCIAL COUNSELORS AND HOSPITAL CASE MANAGEMENT STAFF EDUCATE PATIENTS AND ARE AVAILABLE TO ASSIST THEM WITH THE CHARITY CARE APPLICATION PROCESS. IN ADDITION TO PROVIDING INFORMATION DURING THE ADMITTING PROCESS, MHS CONTINUES TO PROVIDE INFORMATION ABOUT THE AVAILABILITY OF CHARITY CARE ASSISTANCE DURING THE COLLECTION PROCESS FOR THOSE PATIENTS WHO HAVE BEEN BILLED BUT HAVE NOT PAID."

Schedule H, Part V, Section B, Line 20 Facility A, 1
"Facility A, 1 - GROUP A. MHS HAS TAKEN STEPS OVER THE PAST SEVERAL YEARS TO HEIGHTEN COMMUNITY AWARENESS REGARDING MHS'S CHARITABLE MISSION. SIGNS THAT PROMINENTLY PRESENT INFORMATION ABOUT THE CHARITY MISSION AND GUIDELINES ARE PRESENT AT ALL POINTS OF ADMISSION. MHS ALSO PUBLISHES A NOTICE OF ITS CHARITY POLICY ANNUALLY IN THE SAN ANTONIO EXPRESS-NEWS. A PATIENT BROCHURE, ENTITLED ""A GUIDE TO YOUR HOSPITAL BILL"", EXPLAINS THE HOSPITAL BILLING PROCESS AND INFORMS PATIENTS OF THE CHARITY POLICY IN THE EVENT THEY NEED FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS ALSO AVAILABLE IN ENGLISH AND SPANISH ON MHS'S WEBSITE WWW.SAHEALTH.COM. ALL SHARED SERVICE CENTER PERSONNEL RECEIVE TRAINING AND AN ANNUAL REFRESHER COURSE ON THE POLICY AND UNDERSTAND THE CRUCIAL ROLE THEY PLAY IN INFORMING PATIENTS ABOUT THE POLICY. FINANCIAL COUNSELORS AND HOSPITAL CASE MANAGEMENT STAFF EDUCATE PATIENTS AND ARE AVAILABLE TO ASSIST THEM WITH THE CHARITY CARE APPLICATION PROCESS. IN ADDITION TO PROVIDING INFORMATION DURING THE ADMITTING PROCESS, MHS CONTINUES TO PROVIDE INFORMATION ABOUT THE AVAILABILITY OF CHARITY CARE ASSISTANCE DURING THE COLLECTION PROCESS FOR THOSE PATIENTS WHO HAVE BEEN BILLED BUT HAVE NOT PAID."

Schedule H, Part I, Line 6a SCHEDULE H, PART I, LINE 6A
METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., LLP ('MHS') FILES ANNUAL STATEMENTS OF COMMUNITY BENEFITS AS REQUIRED BY THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES, PER PROVISIONS OF THE TEXAS HEALTH MINISTRIES OF SOUTH TEXAS, INC. ('MHM') OWNS A 50% INTEREST OF MHS SO ONLY 50% OF MHS' FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS ARE REPORTED ON MHM'S FORM 990 SCHEDULE H.

Schedule H, Part VI, Line 2 SCHEDULE H, PART VI, LINE 2, CONTINUED
"THE HCA HEALTHCARE HOPE FUND RESPONDED TO EMPLOYEES IMPACTED BY THE WEATHER AND EXTREMELY LOW TEMPERATURES, KNOWING EXTENDED POWER OUTAGES MAY CREATE UNSAFE LIVING CONDITIONS. THE HCA HEALTHCARE HOPE FUND EXECUTIVE COMMITTEE APPROVED A $10,000 GRANT MAXIMUM FOR THIS WINTER STORM (UP FROM THE REGULAR DISASTER GRANT MAXIMUM OF JUST $6,100.) EXTENSIONS OF MEDICAL DOCUMENTATION DUE DATES FOR ALL DISABILITY AND LEAVE CLAIMS WERE GRANTED FOR AFFECTED EMPLOYEES IN AREAS THAT ISSUE A STATE OF EMERGENCY. FOR FMLA/LEAVE OF ABSENCE: 5 BUSINESS DAY EXTENSION OF MEDICAL DUE DATES. FOR SHORT-TERM DISABILITY: 30 CALENDAR DAY EXTENSION OF MEDICAL DUE DATES. COUNSELING RESOURCES WERE AVAILABLE TO ALL EMPLOYEES AND THEIR FAMILY MEMBERS VIA ONLINE OR THE TALKSPACE APP. THE HCA HOPE FUND DONATED $50,000 TO THE SAN ANTONIO AREA FOUNDATION TO HELP FUND MAYOR NIRENBERG'S PIPE REPAIR PROGRAM. THE PROGRAM HELPED MANY COMMUNITY MEMBERS, PAY FOR DAMAGED WATER PIPES IN MOSTLY IMPOVERISHED AREAS OF THE CITY. HOSPITAL SERVICE GROWTH METHODIST HEALTHCARE BROKE GROUND ON A NEW MEDICAL CAMPUS IN WESTOVER HILLS. IT WILL INCLUDE A 54-BED ACUTE CARE COMMUNITY HOSPITAL AND MEDICAL OFFICE BUILDING. THE METHODIST HOSPITAL CAMPUS ADDED THE FOLLOWING SERVICES IN 2021: METHODIST EXPANDED ACCESS TO EMERGENCY CARE WITH THE OPENING OF METHODIST ER : HELOTES. METHODIST CONTINUED TO EXPAND ITS ROBOTIC SURGERY PROGRAM WITH THE ADDITION OF A SINGLE PORT ROBOT IN 2021. METHODIST PERFORMED OVER 3,550 ROBOTIC CASES IN 2021. METHODIST HOSPITAL WAS ALSO THE FIRST FDA COMMERCIAL APPROVED HOSPITAL IN TEXAS TO PIONEER AN ORGAN CARE SYSTEM (OSC) TO ALLOW PHYSICIANS THE ABILITY TO TRAVEL FURTHER DISTANCES TO PROCURE TRANSPLANT ORGANS. METHODIST HOSPITAL HAS THE LARGEST EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) PROGRAM IN THE NATION. THE PROGRAM HAS RECEIVED THE ELSO - EXTRACORPOREAL LIFE SUPPORT ORGANIZATION GOLD LEVEL CENTER OF EXCELLENCE AWARD. METHODIST HOSPITAL HIT RECORD CARDIOVASCULAR SURGICAL/PROCEDURAL VOLUMES IN AORTIC, VASCULAR, HEART TRANSPLANT AND TAVR. METHODIST WAS THE FIRST HOSPITAL IN THE NATION TO IMPLANT A NEWLY DESIGNED CARDIAC MECHANICAL PUMP ON A PATIENT WITH SEVERE HEART FAILURE AS AN ALTERNATIVE TO TRANSPLANTATION. METHODIST HOSPITAL IS THE FIRST IN SOUTH TEXAS TO PERFORM A ROBOT-ASSISTED ESOPHAGECTOMY, ONE OF THE MOST ADVANCED SURGERIES A THORATIC SURGEON CAN PERFORM. METHODIST HOSPITAL IS THE FIRST FACILITY IN THE NATION TO IMPLANT A NEWLY DESIGNED CARDIAC MECHANICAL PUMP, EVAHEART*2, ON A PATIENT WITH SEVERE HEART FAILURE ON THE COMPETENCE TRIAL. METHODIST HOSPITAL IS THE FIRST IN SOUTH TEXAS, AND SECOND IN THE STATE, TO PERFORM THE TULSA PROCEDURE, AN MRI-GUIDED TRANSURETHRAL ULTRASOUND ABLATION TO TREAT PROSTATE DISEASE. METHODIST HOSPITAL OPENED A NEW SLEEP CENTER AT 4330 MEDICAL DRIVE. THE EIGHT-BED SPECIALIZED CARE CENTER PROVIDES TESTING TO PATIENTS OF ALL AGES WITH VARIOUS SLEEPING DISORDERS THAT AFFECT THEIR HEALTH AND WELL-BEING. METHODIST CHILDREN'S HOSPITAL IS PROUD TO ANNOUNCE A 17% GROWTH IN OB SERVICES THE LAST TWO YEARS. THE HOSPITAL BROKE ITS RECORD FOR NUMBER OF BABIES DELIVERED IN A SINGLE YEAR WITH 6,364 BABIES BORN. IN AUGUST 2021, THE HOSPITAL BROKE ITS MONTHLY BIRTH RECORD BY 59 BIRTHS, DELIVERING A TOTAL OF 643 BABIES. IN MARCH 2021, METHODIST CHILDREN'S HOSPITAL LAUNCHED A MIDWIFERY PROGRAM AND EXPANDED ITS PERINATAL NAVIGATOR PROGRAM TO GUIDE HIGH-RISK MATERNAL PATIENTS THROUGH THE HEALTH CARE PROCESS. METHODIST CHILDREN'S HOSPITAL LAUNCHED THE FIRST TELE-MATERNAL FETAL MEDICINE (MFM) CLINIC IN LAREDO, PROVIDING HIGH-RISK SPECIALTY CARE IN A COMMUNITY WHERE ACCESS TO SPECIALIZED CARE WAS LACKING. THIS SERVICE DEVELOPS PATHWAYS OF HIGH-RISK DELIVERIES FROM THE LAREDO COMMUNITY TO OUR HOSPITAL. THE FDA APPROVED RYLAZE, A CHEMOTHERAPY DRUG IN JUNE OF 2021. METHODIST CHILDREN'S HOSPITAL WAS THE FIRST SITE IN THE COUNTRY TO ENROLL A PEDIATRIC PATIENT IN THE DRUG'S CLINICAL RESEARCH TRIAL. ACCORDING TO THE FDA, THE DRUG'S EFFICACY WAS STUDIED IN 102 PATIENTS, SIX OF WHICH ARE PATIENT'S AT METHODIST CHILDREN'S HOSPITAL. THE HOSPITAL HIRED A SECOND FULL-TIME PATIENT TECHNOLOGY SPECIALIST TO HELP PROVIDE BENEFITS OF VIRTUAL REALITY AND GAMING AS PART OF THE PATIENT'S HEALING PROCESS. METHODIST CHILDREN'S HOSPITAL ALSO ANNOUNCED THAT IT IS THE FIRST SENSORY-FRIENDLY PEDIATRIC EMERGENCY ROOM IN SOUTH TEXAS. METHODIST HOSPITAL : NORTHEAST EXPANDED ACCESS TO EMERGENCY CARE WITH THE OPENING OF METHODIST ER : NACOGDOCHES. IN OCTOBER 2021, THE HOSPITAL OPENED THEIR ELECTROPHYSIOLOGY (EP) LAB USED TO DIAGNOSE ABNORMAL HEARTBEATS AND ARRHYTHMIA. THE 6-FLOOR STAFF PARKING GARAGE OPENED IN DECEMBER 2021, ADDING 555 TOTAL PARKING SPOTS AND FREEING UP SURFACE PARKING FOR PATIENTS AND THEIR FAMILIES. METHODIST HOSPITAL : STONE OAK WAS THE FIRST SITE TO LAUNCH THE METHODIST CARE COORDINATION PROGRAM TO BETTER CONNECT EMERGENCY ROOM PATIENTS WITH MHS-ALIGNED SPECIALISTS IN ORTHOPEDIC AND CARDIOVASCULAR SERVICES. IN THE FIRST THREE MONTHS OF THE PROGRAM, THE ER PATIENT EXPERIENCE SCORES TRIPLED, THE FOLLOW-UP APPOINTMENT RATE FOR THESE PATIENTS DOUBLED, AND GENERATED $150,000 IN INCREMENTAL REVENUE. METHODIST HOSPITAL : TEXSAN WAS THE FIRST IN SOUTH TEXAS TO IMPLANT ABBOTT'S AMPLATZER AMULET DEVICE AFTER BEING APPROVED BY THE FDA, WHICH REPRESENTS A LONG-STANDING COMMITMENT TO EXCELLENCE IN CARDIOVASCULAR MEDICINE. THIS DEVICE IS THE FIRST AND ONLY MINIMALLY INVASIVE TREATMENT OPTION TO OFFER IMMEDIATE CLOSURE TO THE LEFT ATRIAL APPENDAGE. THE AMPLATZER AMULET DEVICE WAS CREATED TO TREAT PEOPLE WITH ATRIAL FIBRILLATION (A-FIB), THE MOST COMMON SUSTAINED CARDIAC ARRHYTHMIA. THE CATH LAB AT METHODIST HOSPITAL : METROPOLITAN SURPASSED 500 CHRONIC TOTAL OCCLUSION PROCEDURES IN THEIR NEWLY UPGRADED CATH LAB. METHODIST HOSPITAL : METROPOLITAN'S SUZELL WALLER WOMEN'S PAVILLION EARNED LEVEL III DESIGNATIONS AS A NICU AND MATERNAL CARE FACILITY. METHODIST HOSPITAL : METROPOLITAN LAUNCHED A HEARTBURN AND REFLUX PROGRAM TO SERVE THOSE SUFFERING FROM HEARTBURN AND REFLUX. METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT - ACCORDING TO THE SCIENTIFIC REGISTRY OF TRANSPLANT RECIPIENTS (SRTR) AND UNITED NETWORK FOR ORGAN SHARING (UNOS), THE METHODIST TRANSPLANT INSTITUTE AT METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT IS THE ONLY PROGRAM IN HISTORY TO HAVE PERFORMED OVER 200 LIVING AND 200 DECEASED KIDNEY TRANSPLANTS IN A SINGLE YEAR. THE PROGRAM ALSO CELEBRATED 20 YEARS OF LIVER TRANSPLANTATION. THE HOSPITAL WAS THE FIRST IN SAN ANTONIO TO COMPLETE THE 50TH TRANSCAROTID ARTERY REVASCULARIZATION PROCEDURE (TCAR) REVERSING DIRECTION OF BLOOD FLOW DURING OPERATION AND SIGNIFICANTLY REDUCING RISK OF STROKE. IN 2021 THE KIDNEY TRANSPLANT PROGRAM LEAD THE NATION IN PERFORMING THE MOST LIVING DONOR KIDNEY TRANSPLANTS (221). THE KIDNEY PROGRAM CONTINUES TO BE AN INTERNATIONALLY RECOGNIZED LEADER IN PAIRED KIDNEY DONOR EXCHANGE TRANSPLANTS WITH 2021 MARKING THE 12TH TIME IN 13 YEARS, THAT THE LIVING KIDNEY DONOR PROGRAM HAS REACHED THIS ESTEEMED NATIONALly RECOGNIZED MILESTONE. METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT CELEBRATED THE EXPANSION OF ITS OUTPATIENT BEHAVIORAL HEALTH SERVICES. THE DEPARTMENT ADDED GROUP THERAPY ROOMS AND EXPANDED ITS INTENSIVE OUTPATIENT PROGRAM WITH ADDITIONAL DAYS AND TIMES OFFERED TO ACCOMMODATE PATIENT SCHEDULES. THE HOSPITAL ALSO LAUNCHed THE HEARTBURN AND REFLUX PROGRAM TO PROVIDE COMPREHENSIVE CARE FOR THOSE SUFFERING FROM GASTROESOPHAGEAL REFLUX DISEASe (GERD). METHODIST HOSPITAL : ATASCOSA ACQUIRED THEIR FIRST SURGICAL ROBOT TO OFFER MINIMALLY INVASIVE SURGICAL OPTIONS TO THOSE THEY SERVE. IMPORTANT DESIGNATIONS METHODIST HOSPITAL/METHODIST CHILDREN'S HOSPITAL - METHODIST HOSPITAL EXPANDED THE LEVEL OF MATERNAL FETAL CARE SERVICES BY RECEIVING A LEVEL IV MATERNAL DESIGNATION, AND A LEVEL IV RE-DESIGNATION FOR NEONATAL INTENSIVE CARE. - METHODIST HOSPITAL RECEIVED AN ""A"" LEAPFROG HOSPITAL SAFETY GRADE IN 5 OF THE LAST 6 REPORTING PERIODS. - METHODIST HOSPITAL RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES - STROKE GOLD PLUS WITH HONOR ROLL ELITE AND TARGET: TYPE 2 DIABETES HONOR ROLL ACHIEVEMENT AWARD. - METHODIST WAS RECOGNIZED AS THE BEST REGIONAL HOSPITAL BY ""U.S. NEWS AND WORLD REPORT"" FOR THE THIRD CONSECUTIVE YEAR. - IN CONTINUING THE COMMITMENT TO BEING AN ANIMAL FRIENDLY FACILITY, METHODIST HOSPITAL WELCOMED MAJOR, A FACILITY DOG DESIGNATED TO ADULT ICU CARE, AS WELL AS BAMBI, THE FIRST THERAPY MINI-HORSE IN TEXAS. - THROUGH THE ROWAN WINDHAM MEMORIAL CEREAL DRIVE, METHODIST CHILDREN'S HOSPTIAL DONATED $61,772 TO THE SAN ANTONIO FOOD BANK TO ENSURE CHILDREN WERE FED DURING THE SUMMER MONTHS."

Schedule H, Part VI, Line 2 SCHEDULE H, PART VI, LINE 2, CONTINUED
"METHODIST HOSPITAL : NORTHEAST - METHODIST HOSPITAL : NORTHEAST RECEIVED AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES: STROKE GOLD PLUS WITH HONOR ROLL ELITE AND TARGET: TYPE 2 DIABETES HONOR ROLL ACHIEVEMENT AWARD. - METHODIST HOSPITAL : NORTHEAST RECEIVED A ""B"" LEAPFROG HOSPITAL SAFETY GRADE. - IN 2021, THE YOUR SA READER'S CHOICE AWARDS RECOGNIZED METHODIST HOSPITAL : NORTHEAST AS THE ""BEST HOSPITAL"" IN SAN ANTONIO. METHODIST HOSPITAL : STONE OAK - METHODIST HOSPITAL : STONE OAK WAS RECERTIFIED AS AN ADVANCED PRIMARY STROKE CENTER BY THE JOINT COMMISSION. - METHODIST HOSPITAL : STONE OAK RECEIVED A LEVEL III MATERNAL AND NICU DESIGNATION - METHODIST HOSPITAL : STONE OAK RECEIVED A 4-STAR CMS RATING FOR OVERALL QUALITY AND PATIENT SAFETY MEASURES - METHODIST HOSPITAL : STONE OAK WAS THE RECIPIENT OF ACTION REGISTRY/NCDR PLATINUM PERFORMANCE ACHIEVEMENT AWARD FOR CARDIAC EXCELLENCE. - METHODIST HOSPITAL : STONE OAK RECEIVED AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES: STROKE GOLD PLUS WITH HONOR ROLL ELITE AND TARGET: TYPE 2 DIABETES HONOR ROLL ACHIEVEMENT AWARD. - METHODIST HOSPITAL : STONE OAK RECEIVED THE HEALTHGRADES LABOR AND DELIVERY EXCELLENCE AWARD, AS WELL AS THE OBSTRETICS AND GYNECOLOGY EXCELLENCE AWARD. - METHODIST HOSPITAL : STONE OAK RECEIVED A ""B"" LEAPFROG HOSPITAL SAFETY GRADE. METHODIST HOSPITAL : TEXSAN - METHODIST HOSPITAL : TEXSAN RECEIVED THEIR 5TH CONSECUTIVE ""A"" LEAPFROG GRADE FOR PATIENT SAFTEY. - METHODIST HOSPITAL : TEXSAN WAS AWARDED THE HEARTCARE CENTER NATIONAL DISTINCTION OF EXCELLENCE BY THE AMERICAN COLLEGE OF CARDIOLOGY (ACC) FOR ITS DEMONSTRATED COMMITMENT TO COMPREHENSIVE, HIGH-QUALITY CARDIOVASCULAR CARE. - METHODIST HOSPITAL : TEXSAN WAS THE FIRST AND ONLY HOSPITAL IN SAN ANTONIO TO RECEIVE A 3-STAR RATING BY THE SOCIETY OF THORACIC SURGEONS, PERFORMING IN THE TOP 7.5% OF HEART PROGRAMS IN THE U.S. - METHODIST HOSPITAL : TEXSAN WAS AWARDED THE AMERICAN COLLEGE OF CARDIOLOGY'S (ACC) NCDR CHEST PAIN-MI REGISTRY PLATINUM PERFORMANCE ACHIEVEMENT AWARD FOR 2021. - METHODIST HOSPITAL : TEXSAN EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR HIP/KNEE REPLACEMENT AND SPINE SURGERY CERTIFICATIONS. - METHODIST HOSPITAL : TEXSAN DEMONSTRATED EXPERTISE AND COMMITMENT IN CARDIAC CATH LAB CARE, BY EARNING A 4-STAR RATING FOR THEIR ACC CATH PCI REGISTRY PERFORMANCE METRICS. METHODIST HOSPITAL : METROPOLITAN - METHODIST HOSPITAL : METROPOLITAN RECEIVED THEIR 11TH ""A"" LEAPFROG HOSPITAL SAFETY GRADE (MOST CONSECUTIVE ""A'S"" IN THE METHODIST HEALTHCARE SYSTEM). - METHODIST HOSPITAL : METROPOLITAN RECEIVED AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES: STROKE GOLD PLUS WITH HONOR ROLL ELITE AND TARGET: TYPE 2 DIABETES HONOR ROLL ACHIEVEMENT AWARD. - METHODIST HOSPITAL : METROPOLITAN EARNED THEIR FOURTH CONSECUTIVE DESIGNATION AS A LEADER IN LGBTQ+ HEALTHCARE EQUALITY BY HUMAN RIGHT CAMPAIGN FOUNDATION. - METHODIST HOSPITAL : METROPOLITAN WAS AWARDED AN OR EXCELLENCE AWARD FOR DIVERSITY, EQUITY, AND INCLUSION BY ""OUTPATIENT SURGERY"" MAGAZINE FOR THE CARE THEY PROVIDE THE LGBTQ+ COMMUNITY AND THEIR FAMILIES. - METHODIST HOSPITAL : METROPOLITAN'S BREAST CANCER PROGRAM CELEBRATED 10 YEARS OF SERVING BREAST CANCER PATIENTS DURING NATIONAL BREAST CANCER AWARENESS MONTH. METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT - METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT RECEIVED THEIR 8TH CONSECUTIVE ""A"" LEAPFROG GRADE FOR PATIENT SAFETY. - METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT'S LIVER TRANSPLANT PROGRAM CONTINUES TO DEMONSTRATE EXCEPTIONAL OUTCOMES WITH 95.61% THREE-YEAR PATIENT SURVIVAL RATES, WHICH IS THE BEST IN THE NATION. - METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT WAS AWARDED PATHWAYS TO EXCELLENCE DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) FOR THEIR COMMITMENT TO CREATING A POSITIVE WORK ENVIRONMENT THAT EMPOWERS AND ENGAGES STAFF. THIS RECOGNITION IDENTIFIES THE BEST PLACES FOR NURSES TO WORK. - METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT IS CERTIFIED IN CHEST PAIN CARE. METHODIST HOSPITAL : ATASCOSA - METHODIST HOSPITAL : ATASCOSA RECEIVED AN ""A"" LEAPFROG HOSPITAL SAFETY GRADE. - METHODIST HOSPITAL : ATASCOSA RENAMED IN 2021 TO BETTER REFLECT THE COMMUNITY IT SERVES."

Schedule H, Part I, Line 7 Schedule H, Part I, Line 7
COSTING METHODOLOGY - COST TO CHARGE RATIOS FROM WORKSHEET 2 USED.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
COSTING METHODOLOGY - COST TO CHARGE RATIOS FROM WORKSHEET 2 USED. MHM AND MHS JOINTLY ANALYZED ZIP CODES WHERE, BASED ON FINANCIAL DEMOGRAPHICS, IT APPEARED THAT THE PATIENTS IN THOSE ZIP CODES WOULD LIKELY QUALIFY FOR CHARITY CARE. AN ANALYSIS OF PAST COLLECTIONS IN THE ZIP CODE AREAS AND SEVERAL FEDERAL POVERTY GUIDELINE SURVEYS USING THE ZIP CODES RESULTED IN MHM'S CONCLUSION THAT ALL PATIENTS IN THE IDENTIFIED ZIP CODES ARE PATIENTS THAT, UNDER MHS FINANCIAL ASSISTANCE POLICIES, WOULD LIKELY QUALIFY FOR CHARITY CARE. THE ESTIMATED AMOUNT OF MHS' BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS CALCULATED USING ZIP CODE DATA.

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
COSTING METHODOLOGY - COST TO CHARGE RATIOS FROM WORKSHEET 2 USED. MHM AND MHS JOINTLY ANALYZED ZIP CODES WHERE, BASED ON FINANCIAL DEMOGRAPHICS, IT APPEARED THAT THE PATIENTS IN THOSE ZIP CODES WOULD LIKELY QUALIFY FOR CHARITY CARE. AN ANALYSIS OF PAST COLLECTIONS IN THE ZIP CODE AREAS AND SEVERAL FEDERAL POVERTY GUIDELINE SURVEYS USING THE ZIP CODES RESULTED IN MHM'S CONCLUSION THAT ALL PATIENTS IN THE IDENTIFIED ZIP CODES ARE PATIENTS THAT, UNDER MHS FINANCIAL ASSISTANCE POLICIES, WOULD LIKELY QUALIFY FOR CHARITY CARE. THE ESTIMATED AMOUNT OF MHS' BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS CALCULATED USING ZIP CODE DATA.

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
THE AMOUNTS REPORTED ON PART III, LINES 5-7 HAVE BEEN DETERMINED BY AGGREGATING THE INFORMATION FROM THE INDIVIDUAL FACILITY COST REPORT(S) FOR EACH OF THE HOSPITALS OPERATED BY MHS. THE HOSPITALS OPERATED BY MHS MAY HAVE COST REPORT YEAR ENDS OTHER THAN DECEMBER 31, 2021. ACCORDINGLY, FOR A FACILITY WITH A NON-CALENDAR COST REPORT YEAR END, THE COST REPORT THAT WAS FILED FOR THE COST REPORT YEAR END THAT ENDED DURING 2021 WAS UTILIZED. IT IS IMPORTANT TO NOTE THAT AMOUNTS INCLUDED IN LINES 5-7 DO NOT INCLUDE MEDICARE REVENUE AND RELATED COST FOR FREESTANDING AMBULATORY SURGERY SERVICES AND FOR PHYSICIAN SERVICES.

Schedule H, Part I, Line 7a SCHEDULE H, PARTI, LINE 7A
IN THE STATE OF TEXAS 86TH LEGISLATIVE REGULAR SESSION, A BILL WAS PASSED WHICH AMENDED THE HEALTH AND SAFETY CODE, AUTHORIZING BEXAR COUNTY HOSPITAL DISTRICT TO CREATE A NONPUBLIC HOSPITAL PROVIDER PARTICIPATION PROGRAM. THE PROVIDER PARTICIPATION PROGRAM ALLOWS THE COLLECTION OF MANDATORY PAYMENTS FROM NONPUBLIC HOSPITALS. THESE PAYMENTS WILL BE DEPOSITED IN A LOCAL PROVIDER PARTICIPATION FUND (LPPF) TO FUND INTERGOVERNMENTAL TRANSFERS (IGTS) TO BE USED BY HHSC AS THE NONFEDERAL SHARE TO DRAW DOWN MEDICAID SUPPLEMENTAL PAYMENTS UNDER THE 1115 WAIVER PROGRAM AND THE UNIFORM HOSPITAL RATE INCREASE PROGRAM (UHRIP). THE BILL WAS EFFECTIVE JUNE 10, 2019, HOWEVER THE LPPF PROGRAM COMMENCED JANUARY 1, 2020. THE PARTNERSHIP MADE PAYMENTS UNDER THIS LPPF OF $64.9 MILLION AND $56.5 MILLION FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2020, RESPECTIVELY. OF THE $64.9 MILLION PAID IN 2021, APPROXIMATELY $33.1 MILLION WAS DESIGNATED TOWARDS THE COMPREHENSIVE HOSPITAL REIMBURSEMENT INCREASE PROGRAM (CHIRP) BEGINNING SEPTEMBER 1, 2021. AS CHIRP WAS UNAPPROVED UNTIL MARCH 25, 2022, THE PARTNERSHIP RECORDED THIS LPPF PAYMENT AS A PREPAID EXPENSE IN ITS CONSOLIDATED BALANCE SHEET. THE REMAINING LPPF EXPENSE IS RECORDED WITHIN OTHER OPERATING EXPENSE IN MHS'S CONSOLIDATED STATEMENTS OF INCOME. IN MARCH 2022, THE PARTNERSHIP EXPENSED THE $33.1 MILLION PREPAID DUE TO THE APPROVAL OF CHIRP, OF WHICH TWO-THIRDS, OR $22.1 MILLION WAS RELATED TO 2021.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
"BAD DEBT FOOTNOTE FROM METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD, LLP'S CONSOLIDATED FINANCIAL STATEMENTS: IN MAY 2014, THE FINANCIAL ACCOUNTING STANDARDS BOARD (""FASB"") ISSUED A NEW STANDARD RELATED TO REVENUE RECOGNITION. THE PARTNERSHIP ADOPTED THE NEW STANDARD EFFECTIVE JANUARY 1, 2018, USING THE FULL RETROSPECTIVE METHOD. THE ADOPTION OF THE NEW STANDARD DID NOT HAVE AN IMPACT ON THE RECOGNITION OF NET PATIENT REVENUES FOR ANY PERIODS PRIOR TO ADOPTION. THE MOST SIGNIFICANT IMPACT OF ADOPTING THE NEW STANDARD IS THAT THE CONSOLIDATED STATEMENTS OF INCOME NO LONGER PRESENTS THE ""PROVISION FOR DOUBTFUL ACCOUNTS"" AS A SEPARATE LINE ITEM, INSTEAD NET PATIENT REVENUE IS PRESENTED NET OF ESTIMATED IMPLICIT PRICE CONCESSION REVENUE DEDUCTIONS. IN ADDITION, THE ""ALLOWANCE FOR DOUBTFUL ACCOUNTS"" IS NO LONGER PRESENTED ON THE CONSOLIDATED BALANCE SHEETS AS A RESULT OF THE ADOPTION OF THE NEW STANDARD. NET PATIENT REVENUE GENERALLY RELATES TO CONTRACTS WITH PATIENTS IN WHICH THE PARTNERSHIP'S PERFORMANCE OBLIGATIONS ARE TO PROVIDE HEALTH CARE SERVICES TO THE PATIENTS. REVENUE IS RECORDED DURING THE PERIOD THAT THE OBLIGATIONS TO PROVIDE HEALTH CARE SERVICES ARE SATISFIED. PERFORMANCE OBLIGATIONS FOR INPATIENT SERVICES ARE GENERALLY SATISFIED OVER PERIODS THAT AVERAGE APPROXIMATELY FIVE DAYS AND PERFORMANCE OBLIGATIONS FOR OUTPATIENT SERVICES ARE GENERALLY SATISFIED OVER A PERIOD OF LESS THAN ONE DAY. THE CONTRACTUAL RELATIONSHIPS WITH PATIENTS, IN MOST CASES, ALSO INVOLVE A THIRD PARTY PAYER (MEDICARE, MEDICAID, MANAGED CARE HEALTH PLANS, AND COMMERCIAL INSURANCE COMPANIES) AND THE TRANSACTION PRICES FOR THE SERVICES PROVIDED ARE DEPENDENT UPON THE TERMS PROVIDED BY (MEDICARE AND MEDICAID) OR NEGOTIATED WITH (MANAGED CARE HEALTH PLANS AND COMMERCIAL INSURANCE COMPANIES) THE THIRD PARTY PAYERS. THE PAYMENT ARRANGEMENTS WITH THIRD PARTY PAYERS FOR THE SERVICES PROVIDED TO THE RELATED PATIENTS TYPICALLY SPECIFY PAYMENTS AT AMOUNTS LESS THAN THE PARTNERSHIP'S STANDARD CHARGES. MEDICARE GENERALLY PAYS FOR INPATIENT AND OUTPATIENT SERVICES AT PROSPECTIVELY DETERMINED RATES BASED ON CLINICAL, DIAGNOSTIC AND OTHER FACTORS. SERVICES PROVIDED TO PATIENTS HAVING MEDICAID COVERAGE ARE GENERALLY PAID AT PROSPECTIVELY DETERMINED RATES PER DISCHARGE OR IDENTIFIED SERVICE. AGREEMENTS WITH COMMERCIAL INSURANCE CARRIERS, MANAGED CARE AND PREFERRED PROVIDER ORGANIZATIONS GENERALLY PROVIDE FOR PAYMENTS BASED UPON PREDETERMINED RATES PER DIAGNOSIS, PER DIEM RATES OR DISCOUNTED FEE-FOR-SERVICE RATES. MANAGEMENT CONTINUALLY REVIEWS THE ESTIMATED TRANSACTION PRICE TO BE RECEIVED FROM THE THIRD-PARTY PAYER TO CONSIDER AND INCORPORATE UPDATES TO LAWS AND REGULATIONS AND THE FREQUENT CHANGES IN MANAGED CARE CONTRACTUAL TERMS RESULTING FROM CONTRACT RE-NEGOTIATIONS AND RENEWALS. NET PATIENT REVENUE IS BASED UPON THE ESTIMATED AMOUNTS EXPECTED TO BE RECEIVED FROM PATIENTS AND THIRD-PARTY PAYERS. THE ESTIMATED TRANSACTION PRICE TO BE RECEIVED UNDER MANAGED CARE AND COMMERCIAL INSURANCE PLANS IS BASED UPON THE PAYMENT TERMS SPECIFIED IN THE RELATED CONTRACTUAL AGREEMENTS. REVENUE RELATED TO UNINSURED PATIENTS AND UNINSURED CO-PAYMENT AND DEDUCTIBLE AMOUNTS FOR PATIENTS WHO HAVE HEALTH CARE COVERAGE MAY HAVE AN IMPLICIT PRICE CONCESSION APPLIED. AN ESTIMATED IMPLICIT PRICE CONCESSION (BASED PRIMARILY ON PAYER HISTORICAL COLLECTION EXPERIENCE) IS RECORDED WITHIN NET PATIENT REVENUE TO RECORD SELF-PAY REVENUE AT THE ESTIMATED AMOUNTS TO BE COLLECTED. AS OF DECEMBER 31, 2021, THE BAD DEBT INCLUDED IN REVENUE DEDUCTIONS WAS $195,502,050. THIS AMOUNT IS NOT REFLECTED ON MHM'S 990 PART IX EXPENSES DUE TO THE BAD DEBT AMOUNT BEING REPORTED IN THE METHODIST HEALTHCARE SYSTEM'S FINANCIALS."

Schedule H, Part V, Section B, Line 16a FAP website
A - METHODIST HOSPITAL: Line 16a URL: https://sahealth.com/about/mission-values/financial-assistance-policy-and-application.dot;

Schedule H, Part V, Section B, Line 16b FAP Application website
A - METHODIST HOSPITAL: Line 16b URL: https://sahealth.com/about/mission-values/financial-assistance-policy-and-application.dot;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
A - METHODIST HOSPITAL: Line 16c URL: https://sahealth.com/about/mission-values/financial-assistance-policy-and-application.dot;

Schedule H, Part VI, Line 2 Needs assessment
"IN ADDITION TO THE ITEMS SPECIFICALLY NOTED TO ADDRESS THE COMMUNITY HEALTH PRIORITIES, OTHER HIGHLIGHTS FROM 2021 INCLUDE THE FOLLOWING: IN LATE 2011, THE TEXAS HEALTH AND HUMAN SERVICES COMMISSION FILED AN APPLICATION FOR A WAIVER OF CERTAIN FEDERAL MEDICAID REQUIREMENTS UNDER SECTION 1115 OF THE SOCIAL SECURITY ACT. AS A RESULT OF THE GRANTING OF THIS APPLICATION THE TEXAS HEALTH CARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM WAS DEVELOPED TO PROVIDE PAYMENTS (DELIVERY REFORM INCENTIVE PAYMENTS, OR DSRIP) TO HOSPITAL AND OTHER PROVIDERS UPON THEIR ACHIEVING CERTAIN GOALS THAT ARE INTENDED TO IMPROVE THE QUALITY AND LOWER THE COST OF CARE. THIS INITIATIVE DIVIDES THE STATE INTO TWENTY DIFFERENT REGIONS, EACH REGION DEVELOPED A COMMUNITY HEALTH NEEDS ASSESSMENT, AND PROVIDERS IN THE REGION WILL SUBMIT PROJECTS FOR FUNDING CONSIDERATION TO ADDRESS THOSE NEEDS. METHODIST HEALTHCARE SYSTEM RECEIVED APPROVAL FOR THE FOLLOWING PROJECTS: INTRODUCE, EXPAND OR ENHANCE TELEMEDICINE/TELEHEALTH - METHODIST WILL IMPLEMENT A TELEHEALTH PROGRAM THAT WILL PROVIDE TELEHEALTH CONSULTATIONS WITH TRAINED SPECIALISTS IN SELECTED SERVICES. BY THE END OF 2017, THE TELE-STROKE PROGRAM EXPANDED TO INCLUDE TWELVE LOCATIONS. THROUGH THIS PROGRAM, PHYSICIANS CAN DRAMATICALLY INCREASE RESPONSE TIME, TRANSFERS CAN BE MINIMIZED, AND PATIENTS CAN OFTEN RECEIVE LIFESAVING CARE MORE RAPIDLY, OFTEN TIMES AT THEIR HOME HOSPITAL. THE BEHAVIORAL HEALTH TELEMEDICINE PROGRAM'S OPERATIONS STARTED IN JANUARY 2014. THE GOAL OF THIS PROGRAM IS TO PROVIDE TIMELY CONSULTATIONS, DIAGNOSIS AND TREATMENT RECOMMENDATIONS FOR BEHAVIORAL HEALTH/SUBSTANCE ABUSE PATIENTS IN EVERY METHODIST EMERGENCY DEPARTMENT OR IN MEDICAL ACUTE UNITS THROUGHOUT METHODIST. 4,227 BEHAVIORAL HEALTH AND 803 TELE-STROKE CONSULTATIONS WERE PROVIDED FOR THE DSRIP REPORTING PERIOD ENDED SEPTEMBER 30, 2021. OVER 50% OF THE CONSULTATIONS PROVIDED WERE TO MEDICAID OR LOW-INCOME UNINSURED PATIENTS. ENHANCE BEHAVIORAL HEALTH SERVICES - PATIENTS REQUIRING PSYCHIATRIC SERVICES ARE OFTEN ONE OF THE MOST UNDERSERVED POPULATIONS IN THE COMMUNITY, AND METHODIST STRIVES TO ENSURE THAT THESE PATIENTS HAVE ACCESS TO APPROPRIATE CARE. METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT IS ONE OF THE THREE SAN ANTONIO HOSPITALS THAT PROVIDE PSYCHIATRIC EMERGENCY SERVICES (PES) THROUGH THE SOUTHWEST TEXAS CRISIS COLLABORATIVE OF THE SOUTHWEST TEXAS REGIONAL ADVISORY COUNCIL. METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT PROVIDES SIX PES BEDS PROVIDING IMMEDIATE PSYCHIATRIC EVALUATIONS, CLINICAL ASSESSMENTS, AND LINKAGE TO THE NEXT APPROPRIATE LEVEL OF CARE TO ADULT MENTAL HEALTH PATIENTS. ESTABLISH MORE PRIMARY CARE CLINICS - METHODIST OPENED THE METHODIST COMMUNITY HEALTH CENTER -East IN 2014. THE CENTER IS AN URGENT CARE CENTER LOCATED IN EAST SAN ANTONIO. THE METHODIST Family HEALTH CENTER - East PROVIDES SERVICES TO ALL PATIENTS AT NO COST. THE CENTER PROVIDED 1,525 ENCOUNTERS FOR THE DSRIP REPORTING PERIOD ENDING SEPTEMBER 30, 2021. OF THESE ENCOUNTERS, 80% WERE PROVIDED TO MEDICAID OR LOW-INCOME UNINSURED PATIENTS. THIS LOCATION NOTED AN OVERALL DECREASE IN VOLUME IN 2021 AS A RESULT OF COVID-19. REDESIGN TO IMPROVE THE PATIENT EXPERIENCE - THE FOCUS FOR THIS PROJECT IS TO IMPROVE HOW PATIENTS EXPERIENCE CLINICAL AREA AS WELL AS THE PATIENT'S SATISFACTION WITH THEIR CARE. METHODIST ROLLED OUT A NEW ONLINE REPORTING RESOURCE IN THE FOURTH QUARTER OF 2019 THAT PROVIDES MULTIPLE SCORECARDS AND REPORTS THAT ALLOW UNITS TO PRIORITIZE OPPORTUNITIES FOR IMPROVEMENT. METHODIST LAUNCHED A NEW INITIATIVE WITH STAFF THAT FOCUSES ON ""COMPASSIONATE, CONNECTED, CARE"". THIS INITIATIVE PROVIDES NURSING LEADERS AND STAFF WITH ADDITIONAL TOOLS AND GUIDANCE TO ENHANCE PATIENT EXPERIENCE WITH TRAINING AND TOOLKITS TO USE REGARDING THIS TOPIC AS THE ROUND ON PATIENTS. METHODIST HAS CONTINUED TO NOTE IMPROVEMENT IN THE PERCENTAGE OF PATIENTS WHO WOULD RATE THEIR EXPERIENCE A ""9"" OR ""10"" AS WELL AS IMPROVEMENT IN THE PERCENTAGE OF PATIENTS WHO WOULD ""DEFINITELY RECOMMEND"" THE HOSPITAL. APPLY PROCESS IMPROVEMENT METHODOLOGY TO IMPROVE QUALITY/EFFICIENCIES SPECIFIC TO SEPSIS - IMPROVEMENT OF SEPSIS MANAGEMENT IS A KEY INITIATIVE IN METHODIST'S CLINICAL EXCELLENCE PLAN. METHODIST HAS DEVELOPED AND CONTINUES TO REFINE THE SEPSIS EARLY RECOGNITION SCREENING TOOL, WHICH WILL ALLOW CLINICAL STAFF TO BETTER IDENTIFY PATIENTS IN EARLY SEPSIS AND TO PROVIDE RAPID INTERVENTION AND REDUCTION OF PATIENTS DEVELOPING SEVERE SEPSIS AND/OR SEPTIC SHOCK. SEPSIS BUNDLE ELEMENTS ARE NOT INCLUDED IN THE ELECTRONIC TRIAGE SCREENING FOR ED, ICU, IN HOSPITAL NURSING, AND RAPID RESPONSE TEAMS. EVIDENCE BASED ORDER SETS FOR CPOE CONTINUE TO BE REFINED BASED UPON INPUT FROM THE MEDICAL AND NURSING STAFF. STAFF CONTINUE TO USE THE SEPSIS PREVENTION & OPTIMIZATION OF THERAPY (SPOT) MONITORING TOOL TO VIEW ALL PATIENT LABS AND VITALS IN REAL TIME AND TO AID IN THE EARLY DETECTION OF PATIENTS AT RISK FOR SEPSIS. SIMILAR TO 2020, THE YEAR 2021 UNFOLDED IN WAYS MHS COULD NOT PREDICT. AFTER WELCOMING A COVID-19 VACCINE AND QUICKLY STANDING UP ON -SITE VACCINATION CLINICS, THE HOPE WAS THAT WE FOUND AMMUNITION TO BEAT THE PANDEMIC. BUT EVEN WITH THE PROMISE OF SLOWING THE SPREAD, MUCH OF MHS'S FOCUS REMAINED ON MANAGING THE VIRUS. AS A SYSTEM, MHS TESTED 103,018 PEOPLE FOR COVID-19, OF WHICH 12,964 WERE POSITIVE. 10,298 WERE ADMITTED TO ONE MHS'S HOSPITALS AND 1,435 UNFORTUNATELY EXPIRED FROM BATTLING THIS TERRIBLE DISEASE. OF THOSE ADMITTED TO MHS HOSPITALS, 3,788 WERE IN THE ICUS, 1,535 WERE TREATED ON VENTILATORS, AND 111 WERE TREATED ON OUR ECMO MACHINES. METHODIST HOSPITAL IS STILL THE ONLY PRIVATE HOSPITAL IN SOUTH TEXAS THAT OFFERS THE OPTION OF ECMO TREATMENT. TO THIS DAY, MHS'S COVID-19 RESPONSE REMAINS ONGOING, BUT WE ARE PROUD OF THE STEPS WE HAVE TAKEN TO HELP KEEP OUR STAFF, PATIENTS, AND COMMUNITIES SAFE. OUR RESPONSE HAS BEEN POSSIBLE BECAUSE OF THE UNWAVERING COMMITMENT AND TREMENDOUS SACRIFICE OF OUR METHODIST HEALTHCARE STAFF. MAIN ELEMENTS OF MHS'S RESPONSE ARE IMPORTANT TO KNOW: WE ACTED EARLY. OUR PREPARATIONS BEGAN BEFORE THE WORLD HEALTH ORGANIZATION (WHO) DECLEARED A GLOBAL HEALTH EMERGENCY OR THE FIRST CASE WAS IDENTIFIED IN THE U.S. THAT PREPAREDNESS WAS INVALUABLE WHEN METHODIST HOSPITAL : TEXSAN CARED FOR THE FIRST POSITIVE COVID-19 CASE IN TEXAS. SINCE MHS SAW THAT FIRST CASE IN FEBRUARY OF 2020, OUR FACILITIES HAVE CARED FOR OVER 50,000 COVID-19 PATIENTS. MHS DID NOT LAYOFF OR FURLOUGH ANY EMPLOYEES DUE TO THE PANDEMIC. IN 2021, THE METHODIST HEALTHCARE COVID-19 RESPONSE AND ASSURANCE LINE ASSISTED 4,000 COMMUNITY MEMBERS WITH INFORMATION ABOUT COVID-19 AND THEIR HEALTH. 58% WERE CLINICAL TRIAGES WITH 35% TRIAGED TO THE ER. WE PROTECTED OUR STAFF BOTH PHYSICALLY AND FINANCIALLY. IN 2021, WE DISTRIBUTED ALMOST 78 MILLION PIECES OF PERSONAL PROTECTIVE EQUIPMENT, AN INCREASE OF 71% COMPARED TO 2019 (PRIOR TO THE PANDEMIC). OUR NOVEL PANDEMIC PAY PROGRAM ALLOWED US TO CONTINUE TO PAY OUR STAFF, EVEN WHEN THEIR HOURS WERE AFFECTED BY THE SIGNIFICANT DECREASE IN PATIENTS. WE PROVIDED MULTIPLE RESOURCES TO STAFF WHO WORKED ENDLESS HOURS AND SHIFTS SUCH AS: VIRTUAL MENTAL WELLNESS SEMINARS, COUNSELING, 24/7 ADVICE LINES AND COPING TOOLS AND FREE ""DOCTOR ON DEMAND"" TELEHEALTH VISITS. COLLABORATED WITH HEARTS NEED ART AND THE SAN ANTONIO SYMPHONY TO PROVIDE ""ART AND MUSIC"" RESPITES FOR STAFF ACROSS ALL FACILITIES TO HELP ALLEVIATE STRESS AND ANXIETY AMONG OUR STAFF. FACILITATED AN MHS AND MHM BOARD MEMBER GRATITUDE TOUR TO THANK HOSPITAL STAFF FOR THEIR RESILIENCE DURING THE PANDEMIC. OVER 2,000 PRAYER CARDS WERE DISTRIBUTED. MHS CONTINUES TO WORK WITH COMMUNITY PARTNERS TO HELP WITH THE IMPACT OF THE PANDEMIC SUCH AS THE SOUTH TEXAS BLOOD AND TISSUE CENTER (BLOOD DRIVES), AMERICAN CANCER SOCIETY (IMPORTANCE OF CANCER SCREENINGS, EVEN IN TIME OF PANDEMIC), AMERICAN HEART ASSOCIATION (FOOD INSECURITY) AND THE ALAMO COMMUNITY COLLEGE DISTRICT (JOB TRAINING). IN ADDITION TO THE CONTINUING PANDEMIC, 2021 BROUGHT A RECORD WINTER STORM. MHS ENCOUNTERED MULTIPLE CHALLENGES BUT WAS SUCCESSFUL IN MAINTAINING REGULAR OPERATIONS DURING THE WINTER STORM. TO ENSURE THE SAFETY OF OUR STAFF, MHS OFFERED HUNDREDS OF NEARBY HOTEL ROOMS, FREE-OF-CHARGES SO THAT EMPLOYEES DID NOT HAVE TO TRAVEL TO AND FROM THEIR HOMES IN HAZARDOUS CONDITIONS. SEVERAL HUNDRED OTHER EMPLOYEES OPTED TO SHELTER IN PLACE At MHS HOSPITALS TO NOT ONLY AVOID ROADWAYS, BUT TO REMAIN ONSITE TO GUARANTEE THEIR AVAILABILITY FOR THEIR PATIENTS WHEN THEIR SHIFTS BEGAN. ADMINISTRATORS AND OTHER STAFF PERSONALLY TRANSPORTED EMPLOYEES TO AND FROM THEIR HOMES WHEN THEY WERE UNABLE TO DRIVE THEMSELVES. MHS UNDERSTOOD AND APPRECIATED THE RISK ASSOCIATED WITH TRAVELING DURING A STORM OF THIS MAGNITUDE AND OFFERED EXTENDED PAY PRACTICES TO EMPLOYEES THAT WORKED THROUGHOUT THE STORM."

Schedule H, Part VI, Line 5 Promotion of community health
SEE RESPONSES FOR SCHEDULE H, PART VI, LINE 2.

Schedule H, Part VI, Line 7 State filing of community benefit report
TX

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
"MHS HAS A POLICY TO PROVIDE DISCOUNTS TO THOSE INDIVIDUALS WHO DO NOT HAVE INSURANCE OR ARE NOT COVERED BY A GOVERNMENTAL REIMBURSEMENT PROGRAM. IF A PATIENT QUALIFIES FOR MEDICAID, THEN HE OR SHE IS ONLY RESPONSIBLE FOR ANY NON-COVERED CHARGES. IF THE PATIENT DOES NOT QUALIFY FOR MEDICAID, HE OR SHE MAY COMPLETE THE MHS FINANCIAL ASSISTANCE APPLICATION TO HAVE THE ENCOUNTER REVIEWED FOR A POTENTIAL CHARITY DISCOUNT. IF THE PATIENT'S YEARLY INCOME IS LESS THAN OR EQUAL TO 200% OF THE POVERTY GUIDELINES UPDATED ANNUALLY IN THE FEDERAL REGISTER BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (""FEDERAL POVERTY GUIDELINES""), THE PATIENT WILL BE GRANTED CLASSIFICATION AS FINANCIALLY INDIGENT, AND THE ACCOUNT WILL BE WRITTEN OFF TO CHARITY. LETTERS ARE THEN SENT TO THE PATIENT NOTIFYING THAT THE ACCOUNT HAS QUALIFIED FOR THE CHARITY DISCOUNT AND IS CONSIDERED CLOSED. IN ADDITION, A SLIDING SCALE DISCOUNT IS APPLIED TO ACCOUNTS FOR PATIENTS WHOSE INCOME IS BETWEEN 200% AND 500% OF THE FEDERAL POVERTY GUIDELINES, AND WHOSE REMAINING ACCOUNT BALANCE, AFTER ANY THIRD-PARTY PAYMENTS, EXCEEDS A PERCENTAGE OF THEIR INCOME (""MEDICALLY INDIGENT""). IN ADDITION, PATIENTS WITH ABNORMALLY LARGE ACCOUNTS MAY QUALIFY AS CATASTROPHICALLY ELIGIBLE WHEN THEIR REMAINING BALANCE EXCEEDS A SPECIFIC PERCENTAGE OF THEIR INCOME. IF A PATIENT DOES NOT QUALIFY FOR A CHARITY DISCOUNT, AN UNINSURED DISCOUNT IS APPLIED TO TOTAL CHARGES. IF A PATIENT IS UNABLE TO PAY THE REMAINING BALANCE IN FULL, AFTER APPLYING ANY CHARITY OR UNINSURED DISCOUNTS, MHS WILL WORK WITH THE PATIENT TO SET UP A MONTHLY PAYMENT ARRANGEMENT. THROUGHOUT THE DEBT COLLECTION PROCESS, MHS CONTINUES TO INFORM PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE."

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
"MHS HAS TAKEN STEPS OVER THE PAST SEVERAL YEARS TO HEIGHTEN COMMUNITY AWARENESS REGARDING MHS'S CHARITABLE MISSION. SIGNS THAT PROMINENTLY PRESENT INFORMATION ABOUT THE CHARITY MISSION AND GUIDELINES ARE PRESENT AT ALL POINTS OF ADMISSION. MHS ALSO PUBLISHES A NOTICE OF ITS FINANCIAL ASSISTANCE POLICY ANNUALLY IN THE SAN ANTONIO EXPRESS-NEWS. A PATIENT BROCHURE, ENTITLED ""A GUIDE TO YOUR HOSPITAL BILL"", EXPLAINS THE HOSPITAL BILLING PROCESS AND INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY IN THE EVENT THEY NEED FINANCIAL ASSISTANCE. INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS ALSO AVAILABLE IN ENGLISH AND SPANISH ON MHS'S WEBSITE WWW.SAHEALTH.COM. ALL SHARED SERVICE CENTER PERSONNEL RECEIVE TRAINING AND AN ANNUAL REFRESHER COURSE ON THE POLICY AND UNDERSTAND THE CRUCIAL ROLE THEY PLAY IN INFORMING PATIENTS ABOUT THE POLICY. FINANCIAL COUNSELORS AND HOSPITAL CASE MANAGEMENT STAFF EDUCATE PATIENTS AND ARE AVAILABLE TO ASSIST THEM WITH THE FINANCIAL POLICY APPLICATION PROCESS. IN ADDITION TO PROVIDING INFORMATION DURING THE ADMITTING PROCESS, MHS CONTINUES TO PROVIDE INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THE COLLECTION PROCESS FOR THOSE PATIENTS WHO HAVE BEEN BILLED BUT HAVE NOT PAID. AS NOTED ABOVE, MHS USES MULTIPLE METHODS TO COMMUNICATE AND PUBLICIZE FINANCIAL ASSISTANCE POLICIES. INFORMATION SYSTEMS PROGRAMMING CHANGES HAVE BEEN IMPLEMENTED. THESE CHANGES WILL ALLOW A MESSAGE ABOUT THE POLICIES TO PRINT ON PATIENT BILLING STATEMENTS."

Schedule H, Part VI, Line 4 Community information
THE SAN ANTONIO METROPOLITAN STATISTICAL AREA (MSA) OF 2.5 MILLION PEOPLE INCLUDES THE SEVENTH LARGEST PERCENTAGE OF HISPANICS IN THE UNITED STATES. 60% OF THE LOCAL POPULATION IS HISPANIC, 28% IS WHITE NON-HISPANIC, 7% IS BLACK, 3% IS ASIAN AND 2% IS OTHER. TEXAS AND SAN ANTONIO CONTINUE TO LEAD THE NATION IN THE NUMBER OF UNINSURED ADULTS AND CHILDREN (TEXAS IS RANKED NO. 1 WITH 17.7% UNINSURED AND THE U.S. IS 8.9%). OVER ELEVEN PERCENT OF CHILDREN IN TEXAS ARE WITHOUT HEALTH INSURANCE COMPARED TO THE U.S. AT 5.5%. IN SAN ANTONIO, ONE OUT OF FOUR ADULTS AND CLOSE TO ONE OUT OF THREE CHILDREN DO NOT HAVE HEALTH INSURANCE. THE MEDIAN HOUSEHOLD INCOME IN SAN ANTONIO IS $53,410, COMPARED TO $63,826 FOR TEXAS AND $79,900 FOR THE NATION. SAN ANTONIO HAS A LARGE POPULATION LIVING IN POVERTY WHEN COMPARED TO OTHER PARTS OF TEXAS. 18.6% OF SAN ANTONIO RESIDENTS LIVE AT OR BELOW THE POVERTY LEVEL, AND BEXAR COUNTY IS AT 16.4%, COMPARED TO 15.5% FOR TEXAS, AND 14.1% FOR THE U.S. SAN ANTONIO'S PERCENT OF HOUSEHOLDS RECEIVING FOOD STAMPS IS 15.6%, WITH TEXAS AT 13.1%, AND THE U.S. AT 13.3%. METHODIST HEALTHCARE SERVES AN ESTIMATED POPULATION OF NEARLY 2.9 MILLION IN BEXAR AND 26 SOUTH AND CENTRAL TEXAS COUNTIES: ATASCOSA, BANDERA, CALDWELL, COMAL, DEWITT, DIMMIT, EDWARDS, FRIO, GILLESPIE, GONZALES, GUADALUPE, KARNES, KENDALL, KERR, KINNEY, LA SALLE, LAVACA, MAVERICK, MCMULLEN, MEDINA, REAL, UVALDE, VAL VERDE, WEBB, WILSON AND ZAVALA. SINCE THIS GEOGRAPHIC AREA IS MAJORITY HISPANIC, MHS SEES THIS REFLECTED IN OUR PATIENT POPULATION.

Schedule H, Part VI, Line 6 Affiliated health care system
"ALL SHARED SERVICE CENTER PERSONNEL RECEIVE TRAINING AND AN ANNUAL REFRESHER COURSE ON THE POLICY AND UNDERSTAND THE CRUCIAL ROLE THEY PLAY IN INFORMING PATIENTS ABOUT THE POLICY. FINANCIAL COUNSELORS AND HOSPITAL CASE MANAGEMENT STAFF EDUCATE PATIENTS AND ARE AVAILABLE TO ASSIST THEM WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. IN ADDITION TO PROVIDING INFORMATION DURING THE ADMITTING PROCESS, MHS CONTINUES TO PROVIDE INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE DURING THE COLLECTION PROCESS FOR THOSE PATIENTS WHO HAVE BEEN BILLED BUT HAVE NOT PAID. AS NOTED ABOVE, MHS USES MULTIPLE METHODS TO COMMUNICATE AND PUBLICIZE FINANCIAL ASSISTANCE POLICIES. INFORMATION SYSTEMS PROGRAMMING CHANGES HAVE BEEN IMPLEMENTED. THESE CHANGES WILL ALLOW A MESSAGE ABOUT THE POLICIES TO PRINT ON PATIENT BILLING STATEMENTS. LATE IN 2009 METHODIST CONSOLIDATED ALL BED PLACEMENT SERVICES, INCLUDING RURAL ED TRANSFER ASSISTANCE, INTO A SYSTEM-WIDE PATIENT PLACEMENT CENTER. RURAL TRANSFERS THROUGH THE CENTER INCREASED IN 2021 BY 18.9%. THE ACCEPTANCE RATE IN 2021 WAS 95.4% COMPARED TO 82% IN 2020. SELF-PAY PATIENTS ACCOUNTED FOR 12.4% OF ALL TRANSFERS IN 2021 AS COMPARED TO 15.7% IN 2020. PEDIATRIC AND HIGH-RISK MATERNAL TRANSFERS ARE ALSO NOW HANDLED THROUGH THESE CONSOLIDATED PLACEMENT SERVICES. THE ACCEPTANCE RATE FOR THESE TRANSFERS WAS 98.4% IN 2021 (99.4% IN 2020). MHS SELF-PAY AND CHARITY PATIENTS ACCOUNTED FOR 5.4% OF ALL PEDIATRIC (AGES 0-17) AND MATERNAL TRANSFERS AS COMPARED TO 8.3% IN 2020. METHODIST AIRCARE, IN PARTNERSHIP WITH REACH AIR MEDICAL SERVICES, HAS THREE RURAL HELICOPTERS IN THE REGION. SPECIALIZED SERVICES AVAILABLE AT MHS FACILITIES INCLUDE THE FOLLOWING: NEONATOLOGY SERVICES, PEDIATRIC SUBSPECIALTY SERVICES, BONE MARROW TRANSPLANT, KIDNEY TRANSPLANTS, HEART TRANSPLANTS, LIVER TRANSPLANTS, PANCREAS TRANSPLANTS, HYPERBARIC OXYGEN TREATMENT, STROKE CARE, MEDICAL AIR TRANSPORT, GAMMA KNIFE RADIOSURGERY, AND BARIATRIC SURGERY. SEE RESPONSES FOR QUESTION 2 ABOVE REGARDING EXPANSION OF SERVICES IN 2021. THE MAJORITY OF CHARITY CARE PROVIDED BY THE HOSPITALS IS FROM PATIENTS RECEIVING EMERGENCY SERVICES. EMERGENCY DEPARTMENT (ED) VISITS TO METHODIST FACILITIES TOTALED 357,251 IN 2021(277,951 IN 2020), UP ALMOST 29% FROM 2020 (2020 WAS DOWN DUE TO COVID-19). 28.5% OF TOTAL ED VISITS RESULTED IN INPATIENT ADMISSIONS WITH A 12.3% INCREASE IN ED ADMISSIONS OVER 2020. IN ADDITION, 20.3% OF ALL VISITS TO METHODIST EMERGENCY DEPARTMENTS IN 2021 WERE MADE BY CHARITY OR SELF-PAY PATIENTS. METHODIST CONTINUES TO FOCUS ON IMPROVING ACCESS TO CARE FOR THE COMMUNITY BY IMPROVING EMERGENCY DEPARTMENT ACCESS. WHEN COMPARING 2021 TO 2020, METHODIST SAW A 28% INCREASE IN THE PATIENT-ARRIVAL-TO-BED (ATB) METRIC AND A 48% IINCREASE IN ARRIVAL-TO GREET (ATG) METRIC. THE AVERAGE LENGTH OF STAY FOR ALL PATIENTS INCREASED FROM 270.7 MINUTES IN 2020 TO 283.8 MINUTES IN 2021. TEXAS TRANSPLANT INSTITUTE (TTI), AT METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT, A CAMPUS OF METHODIST HOSPITAL, CONTINUES TO PROVIDE INCREASED ACCESS FOR PATIENTS REQUIRING KIDNEY TRANSPLANTS. TTI IS THE HOME OF THE BUSIEST PAIRED EXCHANGE KIDNEY TRANSPLANT PROGRAM IN THE NATION, AND THE NATION'S NO. 1 LIVING DONOR KIDNEY TRANSPLANT PROGRAM. MHS ALSO OPERATES THREE HEALTH BUSES ON THE EAST, SOUTH AND WEST SIDE OF SAN ANTONIO OFFERING COMPLIMENTARY TRANSPORTATION TO VARIOUS HEALTH CARE FACILITIES. THERE WERE 5,556 TRANSPORTS IN 2021, WITH THE SYSTEM STILL SEEING LOWER OVERALL TRANSPORTS AS A RESULT OF COVID-19. METHODIST HOSPITAL : METROPOLITAN IN CONJUNCTION WITH METHODIST HOSPITAL WOMEN'S SERVICES AND COMMUNICARE, OPERATES THREE FAMILY HEALTH CENTERS THAT PROVIDE COMPLIMENTARY PREGNANCY TESTING (1,679 TESTS IN 2021), PHYSICIAN REFERRALS, COUNSELING, HEALTH EDUCATION AND SCREENING PROGRAMS. MHS ALSO OPERATES CALL-A-NURSE FOR CHILDREN, A TELEPHONE SERVICE OFFERING FREE MEDICAL ADVICE BY TRAINED EMERGENCY CARE PEDIATRIC NURSES TO PARENTS OF SICK/ INJURED CHILDREN. THE SERVICE OPERATES FROM 5:00 P.M. TO 8:00 A.M. MONDAY THROUGH FRIDAY AND AROUND THE CLOCK ON WEEKENDS AND HOLIDAYS (WHEN PHYSICIANS' OFFICES ARE CLOSED). CALL VOLUMES IN 2021 WERE 35,124. IN 2015, THE METHODIST CONTACT CENTER WAS SOLD TO HCA WITH THE AGREEMENT TO CONTINUE OPERATING A COMMUNITY PHONE-IN HEALTH RESOURCE CALLED HEALTHLINE DURING NORMAL BUSINESS HOURS. HEALTHLINE CALLERS SCHEDULE ATTENDANCE TO HEALTH AND WELLNESS EVENTS, PARENTING CLASSES, AND RECEIVE PHYSICIAN REFERRALS THROUGH THE METHODIST DOCTORSOURCE PROGRAM. IN 2021, METHODIST REFERRED PHYSICIANS TO 1,759 FIND A DOCTOR CALLERS (UP TO THREE PHYSICIANS MAY BE REFERRED TO EACH CALLER). IN ONE OTHER COMMUNITY BENEFITS CATEGORY, METHODIST PROVIDED OVER $378,353 IN CHARITABLE CONTRIBUTIONS TO NON- PROFIT HEALTH AND HUMAN SERVICE AGENCIES SERVING THE COMMUNITY. METHODIST HEALTHCARE ONCE AGAIN CONTRIBUTED ANNUAL FUNDING TO STRAC'S CRISIS COLLABORATIVE (STCC) IN THE AMOUNT OF $1,620,450. STCC IS AN EFFORT FOCUSED ON ENDING INEFFECTIVE UTILIZATION OF SERVICES FOR THE SAFETY NET POPULATION AT THE INTERSECTION OF MENTAL ILLNESS, HOMELESSNESS, AND HIGH EMERGENCY DEPARTMENT UTILIZATION IN SOUTHWEST TEXAS. STCC IS COMMITTED TO IMPROVEMENT BY DEVELOPING A COMPREHENSIVE, INTEGRATED CRISIS SYSTEM ACROSS ALL MAJOR PUBLIC PAYORS, HOSPITAL PROVIDERS, PHILANTHROPY, PUBLIC SAFETY AND BEHAVIORAL HEALTH PROVIDERS. MHS COMMITMENT GOES BEYOND ITS FINANCIAL CONTRIBUTION. FOR EXAMPLE, WHEN THE NIX HEALTHCARE SYSTEM SHUT DOWN IT PSYCHIATRIC EMERGENCY SERVICE (PES), MHS ESTABLISHED A SIX-BED PES AS METHODIST HOSPITAL : SPECIALTY AND TRANSPLANT TO HELP FILL THE VOID. MOREOVER, THE LOCAL MENTAL HEALTH AUTHORITY, CHCS, HAS EMBEDDED STAFF IN THE PES UNITS TO ASSURE CARE COORDINATION FOR THE OUTPATIENT SERVICES THAT CHCS WILL PROVIDE FOR PATIENTS THAT ARE TREATED AND RELEASED. MHS FUNDING HAS ALSO SUPPORTED FIVE OTHER STCC INITIATIVES: LAW ENFORCEMENT NAVIGATION OF PATIENTS TAKEN INTO CUSTODY WHO REQUIRE PSYCHIATRIC EVALUATION AND ARE REQUIRED TO DO SO VIA AN EMERGENCY DETENTION ORDER. IT IS SAFE TO SAY THAT, ABSENT THIS CAPABILITY, THE CLOSURE OF ALL PSYCHIATRIC BEDS AT THE NIX WOULD HAVE PRODUCED SEVERE ""BOARDING"" PROBLEMS IN THE EMERGENCY ROOMS OF HOSPITALS WITH NO PSYCHIATRIC UNITS. ACUTE CARE STATION AT HAVEN FOR HOPE, WHICH PROVIDES AN ONSITE PARAMEDIC TO SCREEN 911 CALLS, AND HAS RESULTED IN AN ALMOST 50% REDUCTIONS IN TRANSPORTS BY EMS TO THE EMERGENCY ROOMS OF AREA HOSPITALS. PROGRAM FOR INTENSIVE CARE COORDINATION (PICC), WHICH INTERVENES AND FOLLOWS HIGH UTILIZER (USUALLY HOMELESS) PATIENTS THAT HAVE EXPERIENCED MORE THAN SIX EMERGENCY DETENTIONS WITHIN A YEAR. CROSSPOINT, A 35- BED BEHAVIORAL HEALTH DIVERSION PROGRAM. SIGNIFY, A CLOUD-BASED CARE COORDINATION PLATFORM, STILL IN DEVELOPMENT. METHODIST PLAYS A LEADING ROLE IN THE SUPPORT OF THE HEALTH COLLABORATIVE, INCLUDING THE UTILIZATION OF THEIR COMMUNITY HEALTH NEEDS ASSESSMENT TO ASSIST IN THE DETERMINATION OF WHERE MHS SHOULD CONCENTRATE COMMUNITY ACTIVITIES (SEE ADDITIONAL INFORMATION IN line 2, SECTION V). MHS HAS AN OPEN ADMISSIONS POLICY WHICH ALLOWS MEDICAL STAFF TO ADMIT PATIENTS DIRECTLY TO ANY MHS FACILITY REGARDLESS OF THE PATIENT'S ABILITY TO PAY. MHS FUNDS AND PROVIDES TRAINING AND CONTINUING EDUCATION TO PHYSICIANS, NURSES, EMS PROFESSIONALS AND OTHER ALLIED HEALTH PROFESSIONALS. MHS PARTICIPATES IN ALL QUALITY MEASURES (CMS, JCAHO, ETC.). MHS USES THE CMS CORE MEASURES AS THE PRIMARY QUALITY INDICATORS FOR CLINICAL CARE."