Civic Intelligence

The Methodist Hospital

990 • Fiscal year 2017 • EIN 74-1180155

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 15, 2018

6565 Fannin No Gb240Houston, TX 77030-2707

(832) 667-6160

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

43rd percentile

0.31x

Higher debt load relative to assets than 43% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Source year 2017

Liabilities / Revenue

74th percentile

1.16x

Higher debt load relative to revenue than 74% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Source year 2017

Net Margin

22nd percentile

1.4%

Higher net margin than 22% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Source year 2017

Top Officer Pay

89th percentile

$5,577,800

Higher top officer pay than 89% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

2017 filings • 501(c)3 • $1B+ nonprofits • Source year 2017

Asset Growth

45th percentile

7.0%

Faster asset growth than 45% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2016 to 2017

Revenue Growth

19th percentile

1.3%

Faster revenue growth than 19% of similar nonprofits.

2017 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2016 to 2017

Assets

Up

$7,101,569,266

Up $465,778,412 (+7.0%) from 2016

Net Assets

Up

$4,909,156,438

Up $460,150,948 (+10%) from 2016

Liabilities

Up

$2,192,412,828

Up $5,627,464 (+0.3%) from 2016

Revenue

Up

$1,895,203,335

Up $23,811,292 (+1.3%) from 2016

Expenses

Up

$1,867,758,532

Up $69,467,843 (+3.9%) from 2016

Net Income

Down

$27,444,803

Down $45,656,551 (-62%) from 2016

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$15B$10B$5.0B$0Assets 2010: $4,871,953,096Liabilities 2010: $2,038,986,438Net Assets 2010: $2,832,966,6582010Assets 2011: $4,927,064,658Liabilities 2011: $2,044,416,806Net Assets 2011: $2,882,647,8522011Assets 2012: $5,168,532,160Liabilities 2012: $1,960,034,702Net Assets 2012: $3,208,497,4582012Assets 2013: $5,706,324,838Liabilities 2013: $1,900,830,877Net Assets 2013: $3,805,493,9612013Assets 2014: $6,115,556,852Liabilities 2014: $2,075,208,990Net Assets 2014: $4,040,347,8622014Assets 2015: $6,469,567,430Liabilities 2015: $2,254,738,180Net Assets 2015: $4,214,829,2502015Assets 2016: $6,635,790,854Liabilities 2016: $2,186,785,364Net Assets 2016: $4,449,005,4902016Assets 2017: $7,101,569,266Liabilities 2017: $2,192,412,828Net Assets 2017: $4,909,156,4382017Assets 2018: $7,138,344,765Liabilities 2018: $2,139,051,465Net Assets 2018: $4,999,293,3002018Assets 2019: $8,083,514,618Liabilities 2019: $2,269,593,865Net Assets 2019: $5,813,920,7532019Assets 2020: $9,741,386,919Liabilities 2020: $3,211,643,292Net Assets 2020: $6,529,743,6272020Assets 2021: $10,162,124,093Liabilities 2021: $2,934,033,130Net Assets 2021: $7,228,090,9632021Assets 2022: $9,864,255,911Liabilities 2022: $3,248,071,102Net Assets 2022: $6,616,184,8092022Assets 2024: $11,855,424,448Liabilities 2024: $3,398,893,808Net Assets 2024: $8,456,530,6402024

Highlighted filing

2017

Assets$7,101,569,266
Liabilities$2,192,412,828
Net Assets$4,909,156,438

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$4.0B$3.0B$2.0B$1.0B$0Expenses 2010: $1,148,294,0342010Expenses 2011: $1,173,242,8972011Expenses 2012: $1,235,127,2332012Revenue 2013: $1,443,977,422Expenses 2013: $1,387,395,511Net Income 2013: $56,581,9112013Revenue 2014: $1,576,921,105Expenses 2014: $1,450,587,043Net Income 2014: $126,334,0622014Revenue 2015: $1,744,185,533Expenses 2015: $1,581,712,797Net Income 2015: $162,472,7362015Revenue 2016: $1,871,392,043Expenses 2016: $1,798,290,689Net Income 2016: $73,101,3542016Revenue 2017: $1,895,203,335Expenses 2017: $1,867,758,532Net Income 2017: $27,444,8032017Revenue 2018: $2,145,644,809Expenses 2018: $1,882,016,804Net Income 2018: $263,628,0052018Revenue 2019: $2,328,029,322Expenses 2019: $2,121,181,292Net Income 2019: $206,848,0302019Revenue 2020: $2,478,520,013Expenses 2020: $2,268,024,428Net Income 2020: $210,495,5852020Revenue 2021: $2,875,737,215Expenses 2021: $2,697,937,809Net Income 2021: $177,799,4062021Revenue 2022: $2,895,491,123Expenses 2022: $2,686,670,760Net Income 2022: $208,820,3632022Revenue 2024: $3,595,725,127Expenses 2024: $3,282,593,264Net Income 2024: $313,131,8632024

Highlighted filing

2017

Revenue$1,895,203,335
Expenses$1,867,758,532
Net Income$27,444,803
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 15, 2018
Return Version
2017v2.3
Gross Receipts
$5,013,151,447
Mission and Program Overview

Mission

To provide high quality, cost-effective health care that delivers the best value to the people we serve in a spiritual environment of caring in association with internationally recognized teaching and research.

Provide medical care (see mission statement on page 2)

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$3,633,903,095$3,679,247,976▲ $45,344,881
Land, Buildings, and Equipment, Net$1,254,479,108$1,271,127,812▲ $16,648,704
Accounts Receivable$280,294,125$269,650,944▼ $10,643,181
Cash and Non-Interest-Bearing Accounts$54,010,212$101,864,052▲ $47,853,840
Inventories for Sale or Use$28,842,465$30,203,078▲ $1,360,613
Prepaid Expenses and Deferred Charges$31,548,086$29,893,674▼ $1,654,412
Intangible Assets$19,591,309$19,591,309→ $0
Total Assets$6,635,790,854$7,101,569,266▲ $465,778,412
Other Assets Total$1,333,122,454$1,699,990,421▲ $366,867,967
Liabilities
Tax Exempt Bond Liabilities$1,713,635,745$1,673,597,351▼ $40,038,394
Accounts Payable and Accrued Expenses$405,749,217$450,357,426▲ $44,608,209
Other Liabilities$67,400,402$68,458,051▲ $1,057,649
Total Liabilities$2,186,785,364$2,192,412,828▲ $5,627,464
Net Assets / Fund Balance
Unrestricted Net Assets$4,449,005,490$4,909,156,438▲ $460,150,948
Total Net Assets Fund Balance$4,449,005,490$4,909,156,438▲ $460,150,948
Total Liabilities and Net Assets / Fund Balance$6,635,790,854$7,101,569,266▲ $465,778,412

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$689,100,132$718,539,322$1,407,639,454
Equipment$369,558,231$975,169,334$1,344,727,565
Land$212,469,449-$171,429,341
Other Assets Org$8,196,327--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2017$215,976,539$88,632,177▲ $32,981,795$4,967,733$332,622,778
2016$198,062,607$11,450,020▲ $11,352,376$4,888,464$215,976,539
2015$193,168,138$7,109,200▲ $523,929$2,738,660$198,062,607
2014$172,452,724$19,574,824▲ $3,896,172$2,755,582$193,168,138
2013$142,361,100$10,379,898▲ $28,310,986$8,599,260$172,452,724
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Six Key Employees-see MethodistHospital Group Return-scheFT$3,239,615$2,338,185$5,577,800
One Officerdir-see MethodistHospital Group Return-schePT$1,448,380$1,457,403$2,905,783
Four Highest Pd Employees-seeHospital Group Return-scheFT$1,687,156$1,149,016$2,836,172
One Officer-see MethodistHospital Group Return-schePT$821,157$551,731$1,372,888
One Former Key-see MethodistHospital Group Return-scheFT$230,400$5,027$235,427
Sixteen Directors-see MethodistHospital Group Return-sche-$3,775$3,775$3,775

Board Members and Trustees

NameTitle
Nine Officerdir-see MethodistHospital Group Return-sche

Highest Paid Contractors

ContractorServicesLocationCompensation
Five Contractors-consolidated WithSee Explanation In Schedule OMETHODIST HOSPITAL GROUP, Houston, TX 77030$322,854,566
Revenue and Support

Revenue Composition

Contributions and Grants
$22,838,960
Program Service Revenue
$1,789,812,240
Investment Income
$22,884,361
Other Revenue
$59,667,774
Change in Net Assets
$27,444,803
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,087,644,296
Salaries, Compensation, and Employee Benefits$754,047,879
Grants and Similar Amounts Paid$26,066,357
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$458,003,557$81,544,227-$539,547,784
Other Employee Benefits$92,004,512$37,536,949-$129,541,461
Depreciation Depletion$79,635,946$33,214,907-$112,850,853
Fees for Services Other$69,968,973$24,073,345-$94,042,318
Other Expenses$83,500,000$8,171,288-$83,500,000
Information Technology$58,720,159$13,813,380-$72,533,539
Payroll Taxes$33,302,102$10,760,533-$44,062,635
Pension Plan Contributions$20,201,008$9,633,352-$29,834,360
Grants to Domestic Orgs$26,066,357--$26,066,357
Office Expenses$15,840,768$9,523,509-$25,364,277
Interest-$23,477,873-$23,477,873
Occupancy$21,290,479$678,530-$21,969,009
Advertising$64,551$15,993,631-$16,058,182
Fees for Service Investment Mgmnt Fees-$12,579,460-$12,579,460
Current Officers, Directors, Trustees, and Key Employees-$10,826,211-$10,826,211
Fees for Services Legal-$10,221,963-$10,221,963
Insurance-$6,796,861-$6,796,861
All Other Expenses$470,576$5,675,175-$6,145,751
Travel$968,225$2,285,852-$3,254,077
Conferences and Meetings$1,219,928$427,294-$1,647,222
Fees for Services Lobbying-$695,436-$695,436
Fees for Services Accounting-$581,567-$581,567
Comp Disqual Persons-$235,428-$235,428
Total Functional Expenses$1,545,152,407$322,606,125$0$1,867,758,532
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Baylor College of MedicineHouston, TX501c3Educational$20,004,948
Harris County Clinical Services IncAustin, TX501c3Community Service$1,919,863
Vecino Health CentersHouston, TX501c3Health Care Services$650,000
Legacy Community ClinicHouston, TX501c3Health Care Services$330,521
El Centro De Corazoneastwood Health ClinicHouston, TX501c3Outpatient Clinic$330,000
Healthcare for the Homeless - HoustonHouston, TX501c3Outpatient Clinic$300,000
THE WOMEN'S HOMEHouston, TX501c3Mental Health Services$260,000
Northwest Assistance MinistriesHouston, TX501c3Outpatient Clinic$250,000
Access Health (formerly Fort Bend Family Health)Richmond, TX501c3Outpatient Clinic$155,000
HOUSTON AREA WOMEN'S CENTERHouston, TX501c3Mental Health Services$150,000
Krist Samaritan Center of Counseling & EdHouston, TX501c3Mental Health Services$145,000
Memorial Assistance MinistriesHouston, TX501c3Outpatient Clinic$125,000
Christ ClinicKaty, TX501c3Outpatient Clinic$100,000
United Way of Greater HoustonHouston, TX501c3Community Service$100,000
Interface-samaritan Counseling Centers IncHouston, TX501c3Mental Health Services$95,000
The RoseHouston, TX501c3Outpatient Clinic$90,000
San Jose ClinicHouston, TX501c3Outpatient Clinic$88,917
Boys and Girls Country of Houston IncHockley, TX501c3Mental Health Services$73,333
Healthnetwork FoundationChagrin Falls, OH501c3Community Service$50,000
Tomagwa Health Care MinistriesTomball, TX501c3Outpatient Clinic$50,000
Asian American Health Coalition-dba Hope ClinicHouston, TX501c3Pediatric Health Care$45,000
Interfaith Community ClinicOak Ridge North, TX501c3Outpatient Clinic$45,000
Spring Branch Community Health CenterHouston, TX501c3Health Care Services$45,000
Eye Care for Kids FoundationHouston, TX501c3CHILDREN'S OPHTHOMOLOGY SERVICES$40,000
American Heart AssociationAustin, TX501c3Medical Research$30,000
Golfers Against Cancer IncKingwood, TX501c3Medical Research$25,000
Institute for SpiritualityHouston, TX501c3Community Service$25,000
March of DimesAtlanta, GA501c3Medical Research$25,000
NORA'S GIFT FOUNDATIONHouston, TX501c3Housing for Transplant Patients and Families$25,000
Victory-american Cancer SocietyHouston, TX501c3Medical Research$25,000
The Health MuseumHouston, TX501c3Community Service$22,500
Good Samaritan FoundationHouston, TX501c3Community Service$20,000
Leukemia & Lymphoma SocietyHouston, TX501c3Medical Research$20,000
Susan G Komen HoustonHouston, TX501c3Medical Research$20,000
Ache-southeast Texas ChapterKaty, TX501c3Education Assist$15,000
Santa Maria HostelHouston, TX501c3WOMEN'S RECOVERY CENTER$15,000
The Immunization PartnershipHouston, TX501c3Health Care Services$13,000
Americans for the ArtsWashington, DC501c3Art Advancement Support$10,000
Barbara Bush Houston LiteracyHouston, TX501c3Educational Assistance$10,000
Can Care of HoustonHouston, TX501c3Medical Research$10,000
Casa De Esperanza De Los Ninos IncHouston, TX501c3Mental Health Services$10,000
Faith in PracticeHouston, TX501c3Medical Relief$10,000
Medical Bridges IncHouston, TX501c3Relief Services$10,000
Texan by NatureAustin, TX501c3Outreach$10,000
The Texas LyceumDallas, TX501c3Community Service$10,000
Muscular Dystropy AssociationHouston, TX501c3Medical Research$8,000
DEPELCHIN CHILDREN'S CENTERHouston, TX501c3Youth Services, Mental Health Etc$7,500
Houston Texans FoundationHouston, TX501c3Community Service$7,500
Texas Medical CenterDallas, TX501c3Assist W Improving Surgical Science$7,500
HOUSTON CHILDREN'S CHORUSHouston, TX501c3Education Assistance$6,000
The Salvation ArmyHouston, TX501c3Relief Assistance$6,000

International Summary

Offices
0
Employees
0
Spending
$126,131,458

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
No
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
No

International Activities

RegionActivityServicesOfficesEmployeesSpending
East Asia and the PacificPassive Investments-00$78,049,973
Europe (including Iceland & Greenland)Passive Investments-00$23,461,156
South AmericaPassive Investments-00$15,943,570
Central America and the CaribbeanPassive Investments-00$5,077,913
Middle East and North AfricaPassive Investments-00$3,598,846
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Lee SchwartzFamily Member of Roberta Schwartz-key Emp-executive Vice PresidentEmploymentNo$313,198
Harris GarciaFamily Member of Michael Garcia-key Emp-svp Cheif Operations ExecutiveEmploymentNo$168,199
Steve OrtegonFamily Member of Liisa Ortegon-key Emp-senior Vice Pres, CneEmploymentNo$77,250
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Reserve for Contingencies$63,058,051
Asset Retirement Obligation$5,400,000

Bond Issues

BondIssuerIssuedIssue PricePurpose
CHarris County Cultural Education Facilities Finance Corporation2008-08-21$692,760,000Refunding bonds for portion of series 2006a issued 4/4/06
DHarris County Cultural Education Facilities Finance Corporation2009-06-02$586,480,000Refunding series 2005a issued 1/20/05 & series 2008c issued 8/21/08
AHarris County Health Facilities Development Corporation2008-04-10$350,000,000Refunding bonds for series 2006b issued 5/10/06
AHarris County Cultural Education Facilities Finance Corporation2015-08-06$308,098,500New money bonds for funding capital construction projects
BHarris County Cultural Education Facilities Finance Corporation2008-08-21$257,239,185Refunding bonds for portion of series 2006a issued 4/4/06

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
C$692,760,000$692,760,000$286,480,000-
D$586,480,000$586,480,000--
A$350,000,000$350,000,000$12,950,000$1,768,692
A$308,107,608---
B$257,239,185$257,239,185$205,400,000-

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
Yes
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 1

The executive committee consists of the officers who are members of the board of directors as defined in the bylaws; the resident bishop; and one physician director. In the event of an emergency when there is insufficient time to convene the board of directors, the executive committee has and may exercise all the powers of the board of directors in the management of the business and affairs of the corporation in such a manner as the executive committee may deem to be in the best interest of the corporation in all cases in which specific directions have been given by the board of directors, provided any action which the committee may take does not conflict with the mission of the corporation and the policies and directives of the board of directors. The chairperson of the board of directors, upon the calling of any executive committee meeting, as the first item of business, is required to state the nature of the emergency and the fact that there was insufficient time to convene the board of directors, which is recorded in the minutes before any action is deemed valid and on behalf of the board of directors. Vacancies in the membership of said committee are filled by appointment of the chairperson and approval by the board of directors. The executive committee meets upon the call of the chairperson. The committee keeps regular minutes of its proceedings and forthwith delivers by mail, facsimile, email, or in person, a written report of the same to all members of the board of directors. All acts or resolutions of the executive committee are subject to the approval of, or revision by, the board of directors, but no rights of third parties are affected by any such revision. The secretary of the corporation acts as secretary of the executive committee.

Form 990, Part VI, Section A, Line 7A

The texas annual conference of the south central jurisdiction of the united methodist church ("conference") elects or ratifies the board of directors.

Form 990, Part VI, Section A, Line 7B

The conference has the authority to approve any amendments to the following provisions of houston methodist hospital's bylaws or the articles of incorporation: i) the provision that the conference elects all directors of this organization from nominees recommended by the committee on nominations of the conference based on nominations made by the board of directors, (ii) the provision that a sufficient number of directors be members of the united methodist church to comply with the membership requirements set forth in the book of discipline of the united methodist church, (iii) the provision that four methodist ministers, including the resident bishop be members of the board of directors, (iv) the provision that the board of directors shall consist of no more than twenty-six and no fewer than fifteen members, or (v) the provision that amends the purpose clauses (article ii and vi) of the articles of incorporation of the corporation or the dissolution clause (article vii) of the articles of incorporation of the corporation.

Form 990, Part VI, Section B, Line 11B

Management, including certain officers, works diligently to complete the form 990 and attached schedules ("return") in a thorough manner. The return is prepared by a paid preparer. Prior to filing the return, a copy of the form 990 is made available to board members (including required schedules), and management team members are available to answer any board members' questions.

Form 990, Part VI, Section B, Line 12C

Individuals serving in a significant decision making capacity complete a conflict of interest (coi) questionnaire annually. A comprehensive evaluation and thorough review of disclosures is performed by a 6-member coi committee comprised of executives, management, and staff. The results of the coi disclosures are summarized and reported to the parent corporation, houston methodist hospital's board audit & compliance committee, including certain actions being taken to protect the integrity of houston methodist decision-making. In addition, certain disclosure results are also communicated to management and to affected committee chairs to promote transparency, protect decision-making integrity, and to ensure restrictions are imposed where appropriate. Conflicted individuals may not vote or exert self-serving influence on the disclosed matter.

Form 990, Part VI, Section B, Line 15

This organization follows irs regulations as it relates to establishing a rebuttable presumption of reasonableness related to total compensation of key employees and compensated officers of the organization listed below. It has established a process that includes the following elements: a separate committee (the board committee) comprised of independent directors meets at least annually to review, deliberate and make recommendations to the board as it relates to any changes in total compensation including base pay, bonus awards from incentive programs or benefits and perquisites of the ceo and other officers and some key employees (typically those who report directly to the ceo). The board committee establishes that no member has any conflict of interest with regard to the executive compensation arrangements being approved. The board committee reviews and considers information provided by an external consultant engaged to ensure it has direct access to: - compensation information paid by comparable organizations, for functionally comparable positions. - compensation norms in the organization's immediate locale and from other independent compensation surveys by nationally recognized independent firms that represent the organization's logical peer group; - compensation information that includes information on base salary, incentives, benefits and perquisites for total compensation comparison purposes to ensure reasonable competitive ranking. The committee relies on the comparability data to reach consensus that its recommendations to the board regarding executive compensation changes are reasonable and in line with this organization's overall total compensation philosophy for executive pay. The deliberation and decisions of the committee are contemporaneously substantiated. The compensation for positions held by key employees not included in the process above, is determined based on a thorough review of numerous compensation studies conducted by nationally recognized, independent firms that provide market data for total compensation for similar positions. The compensation information considered includes information on base salary, incentives, and benefits for total compensation purposes to ensure reasonable competitive ranking in order to meet recruitment and retention objectives that secure the talent required to contribute to organizational success.

Form 990, Part VI, Section C, Line 19

The governing documents (except for the articles of incorporation, which are on file with the secretary of the state of texas), conflict of interest policy, and financial statements of the organization are not made available to the general public.

Filing and Contact Details

Filer

Filer Name
The Methodist Hospital
EIN
74-1180155
Phone
8326676160
Address
6565 FANNIN NO GB240, HOUSTON, TX 77030-2707
Doing Business As
Houston Methodist Hospital

Signing Officer

Name
Kevin J Burns
Title
Executive Vice President, CFO, CBO
Phone
8326676160
Signed
2018-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kevin J Burns
Formed
1946
Legal Domicile
TX
Voting Board Members
25
Independent Board Members
22
Employees
10,860
Volunteers
1,016

Preparer

Firm
Deloitte Tax Llp
Address
1111 BAGBY STREET SUITE 4500, HOUSTON, TX 77002-2591
Preparer
Jeffrey D Frank
Phone
7139822000
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Transfer from houston methodist hospital foundation 479,907. Transfer to other entity 18,540,799.

Financial Statement Notes

PART V, LINE 4:

Houston methodist hospital foundation, a related organization of the methodist hospital doing business as houston methodist hospital, holds permanently restricted net assets which consist of 136 individual endowment accounts. Unless otherwise directed by the donor, gifts received for endowment accounts are invested consistent with houston methodist hospital's approved investment policy. Unless otherwise directed by the donor, the foundation has a policy of annually appropriating a certain percentage of each endowment account, which is then available to be spent consistent with donor intent. In order to preserve the real value of a donor's gift and to sustain funding consistent with donor intent, the annual appropriation rate is set to strike a reasonable balance between long-term objectives of preserving and growing each endowment fund for the future and providing stable, year-to-year appropriation amounts.

PART X, LINE 2:

Houston methodist hospital's financial statements are included in the consolidated financial statements of houston methodist (hm), which are audited by an independent accountant. Hm did not recognize any adjustments related to uncertain tax positions as of december 31, 2017.

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IRS990/ActivityOrMissionDesc0PROVIDE MEDICAL CARE (SEE MISSION STATEMENT ON PAGE 2)
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IRS990/Desc0SEE SCHEDULE OCURRENTLY HOUSTON METHODIST HOSPITAL OPERATES 933 STAFFED BEDS IN ITS TEXAS MEDICAL CENTER FACILITIES. HOUSTON METHODIST HOSPITAL RECORDED 422,245 VISITS DURING 2017 WHICH WERE COMPRISED OF 305,918 OUTPATIENT VISITS, 77,862 EMERGENCY ROOM VISITS AND 38,465 INPATIENT VISITS. IT ALSO PERFORMED 16,963 INPATIENT SURGERIES AND 21,156 OUTPATIENT SURGERIES IN 2017.THE PRINCIPAL MEDICAL SERVICES AVAILABLE AT HOUSTON METHODIST HOSPITAL ARE ANESTHESIOLOGY, CARDIOVASCULAR SURGERY, ORAL & MAXILLOFACIAL-HOSPITAL DENTISTRY, DERMATOLOGY, FAMILY MEDICINE, GENERAL SURGERY, INTERNAL MEDICINE, CARDIOLOGY, CLINICAL IMMUNOLOGY, GASTROENTEROLOGY, GENERAL MEDICINE, HEMATOLOGY, HYPERTENSION, INFECTIOUS DISEASES, MEDICAL GENETICS, METABOLIC AND ENDOCRINE DISEASES, NUCLEAR MEDICINE, ONCOLOGY, PHARMACOLOGY, PULMONARY DISEASES, RENAL DISEASES, RHEUMATOLOGY, NEUROPHYSIOLOGY, NEUROSURGERY, OBSTETRICS AND GYNECOLOGY, OPHTHALMOLOGY, ORTHOPEDIC SURGERY, OTOLARYNGOLOGY-HEAD & NECK SURGERY, PATHOLOGY, PEDIATRICS, PHYSICAL MEDICINE AND REHABILITATION, PLASTIC SURGERY, PSYCHIATRY, RADIOLOGY, RADIOTHERAPY, AND UROLOGY. HOUSTON METHODIST HOSPITAL ALSO OFFERS A RANGE OF ADDITIONAL PATIENT SERVICES, INCLUDING AMBULATORY SURGERY, A BLOOD DONOR CENTER, DIABETES TREATMENT IN A DEDICATED INPATIENT UNIT, A REHABILITATION CENTER, A SKILLED NURSING FACILITY, AND A BROAD RANGE OF PREVENTIVE HEALTH CARE INSTRUCTION, INCLUDING SMOKING CESSATION, STRESS MANAGEMENT, WEIGHT CONTROL, AND CARDIAC AND PULMONARY REHABILITATION.GENERAL OUTPATIENT SERVICES OFFERED BY HOUSTON METHODIST HOSPITAL INCLUDE AUDIOLOGY, SPEECH PATHOLOGY, PSYCHIATRIC SERVICES, DIAGNOSTIC CARDIOLOGY (INCLUDING NUCLEAR CARDIOLOGY, ECHOCARDIOGRAPHY, ELECTROCARDIOGRAPHY, PACEMAKER EVALUATION, AND CORONARY CATHETERIZATION), CHRONIC RENAL DIALYSIS, ENDOSCOPY, EMERGENCY SERVICES, GENERAL AND DIAGNOSTIC RADIOLOGY (INCLUDING FLUOROSCOPY, ULTRASOUND, MAMMOGRAPHY, MYELOGRAPHY, CT SCANNING, AND MRI), NUCLEAR MEDICINE, PATHOLOGY, PERIPHERAL VASCULAR LABORATORY, DERMATOLOGY, PHYSICAL MEDICINE, RADIOTHERAPY, SLEEP STUDIES AND NEUROPHYSIOLOGIC EVALUATIONS, AND SURGERY.HOUSTON METHODIST HOSPITAL OPERATES A MULTI-ORGAN TRANSPLANT CENTER. TRANSPLANTS BEING PERFORMED AT PRESENT INCLUDE KIDNEY, HEART, LUNGS, LIVER, PANCREAS, ISLET CELL AND BONE MARROW. HOUSTON METHODIST HOSPITAL PERFORMED THE FIRST ISLET CELL TRANSPLANT IN TEXAS OF LIVER CELLS FROM A DONOR'S PANCREAS TO THE LIVER OF A DIABETIC PATIENT RESULTING IN DONOR CELLS PRODUCING INSULIN.HOUSTON METHODIST HOSPITAL RESPONDS TO THE COMMUNITY'S NEEDS NOT ONLY THROUGH THE PROVISION OF MEDICAL CARE, BUT ALSO THROUGH EDUCATION OF HEALTH PROFESSIONALS AND PATIENTS, COMMUNITY HEALTH EDUCATION, DONATIONS TO HEALTH CARE RELATED EVENTS AND OTHER SERVICES, AND MEDICAL AND HEALTH RESEARCH.
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IRS990/MissionDesc0TO PROVIDE HIGH QUALITY, COST-EFFECTIVE HEALTH CARE THAT DELIVERS THE BEST VALUE TO THE PEOPLE WE SERVE IN A SPIRITUAL ENVIRONMENT OF CARING IN ASSOCIATION WITH INTERNATIONALLY RECOGNIZED TEACHING AND RESEARCH.
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IRS990ScheduleC/SupplementalInformationDetail/ExplanationTxt0HOUSTON METHODIST ENGAGES IN DISCUSSIONS WITH ELECTED OFFICIALS AT THE STATE AND NATIONAL LEVEL TO DISCUSS THE IMPACT OF EXISTING AND PROPOSED LEGISLATION ON PATIENT CARE AND HOSPITAL OPERATIONS. WE ALSO ENGAGE IN DISCUSSIONS REGARDING SUPPORT FUNDING AT THE STATE AND NATIONAL LEVEL FOR BIOMEDICAL RESEARCH. THERE IS NO GRASSROOTS ENGAGEMENT WITH THE PUBLIC. HOUSTON METHODIST DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS), ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.
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IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt0198062607
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt0523929
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/OtherExpendituresAmt02738660
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/BeginningYearBalanceAmt0172452724
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/ContributionsAmt019574824
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt0193168138
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt03896172
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/OtherExpendituresAmt02755582
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/BeginningYearBalanceAmt0142361100
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/ContributionsAmt010379898
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt0172452724
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt028310986

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$11,855$3,399$8,457$3,596$3,283$313
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$9,864$3,248$6,616$2,895$2,687$209
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$10,162$2,934$7,228$2,876$2,698$178
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$9,741$3,212$6,530$2,479$2,268$210
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$8,084$2,270$5,814$2,328$2,121$207
2018Summary only. Only limited summary data is available for this year.$7,138$2,139$4,999$2,146$1,882$264
2017Detailed filing. Detailed filing data is available for this year.$7,102$2,192$4,909$1,895$1,868$27.4
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6,636$2,187$4,449$1,871$1,798$73.1
2015Summary only. Only limited summary data is available for this year.$6,470$2,255$4,215$1,744$1,582$162
2014Summary only. Only limited summary data is available for this year.$6,116$2,075$4,040$1,577$1,451$126
2013Detailed filing. Detailed filing data is available for this year.$5,706$1,901$3,805$1,444$1,387$56.6
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$5,169$1,960$3,208$1,235
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$4,927$2,044$2,883$1,173
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$4,872$2,039$2,833$1,148