2025 Community Impact Report

COMMUNITY IMPACT REPORT

2025 ANNUAL

WHO WE ARE

Since 1963, Methodist Healthcare has continuously evolved to meet the growing needs of the greater San Antonio community. Our commitment has never wavered in consistently improving the health and wellness of our community by living our mission of “Serving Humanity to Honor God.” Methodist Healthcare is a 50-50 partnership between Methodist Healthcare Ministries of South Texas, Inc., South Texas’ largest non-public funding source of community health care for uninsured patients; and HCA Healthcare, the nation’s leading provider of healthcare services. This creates a unique partnership that ensures Methodist Healthcare continues to benefit the community by providing quality care to all and charitable care when needed.

ECONOMIC DEVELOPMENT

15,000

Hospitals: EMPLOYEES

as San Antonio’s third largest employer

11

hospitals

with

2,760 and

licensed beds

3,209

physicians

serving 27 counties $25,144,246

in property taxes

$21,341,428 in sales taxes

Methodist Children’s Hospital Methodist Hospital Methodist Hospital | Atascosa Methodist Hospital | Hill Country Methodist Hospital | Landmark Methodist Hospital | Metropolitan Methodist Hospital | Northeast Methodist Hospital | Specialty and Transplant Methodist Hospital | Stone Oak Methodist Hospital | Texsan Methodist Hospital | Westover Hills

Urgent and Emergency Care Locations:

$972,000,000 in total payroll

CareNow® Urgent Care Centers: 18 Neighborhood ERs: 10 Hospital ERs: 11

2024 FAST FACTS

COMMUNITY INVESTMENT $702.8 Million 2.18 Billion invested in capital expenditures in charity and indigent $

in the last 10 years

care in 2024

832,191

inpatients and outpatients served per year

506,488 ER visits

11,557 births

METHODIST HEALTHCARE MINISTRIES IMPACT provided to the community since its inception to $1.66 improve wellness among the least served through Billion direct services, grants, and community partnerships

275+

funded program sites 4

185+

grant programs

175+

partners

3

clinics supporting

350,000+

patients and clients

$213.6 planned for community Million health investments in 2024 Serving

74

counties

Largest private funding source for uninsured and underinsured patients in South Texas.

At Methodist Healthcare, you’re family At Methodist Healthcare, we believe in putting our patients, and their families first. We’re here to help during some of life’s toughest moments and to celebrate those victories- and even the little moments that make the best of memories - all so you can focus on your journey to recovery. Because, here, we are a family treating families.

Scan the QR code to hear directly from some of our patients and their care teams or check out the latest Methodist Healthcare news!

Aaron Kendle Aneurysm Survivor

Irma Ybarra Liver Transplant Recipient

2024 HIGHLIGHTS

Adam Barraza Colon Cancer Survivor

TOP NATIONAL HOSPITALS

We opened Methodist Hospital | Westover Hills to serve the the fast-growing Westside of San Antonio.

Methodist Hospital* and Methodist Hospital | Stone Oak Honored to serve South Texas with TWO of the nation's 50 Top Cardiovascular Hospitals,™ and TWO of the nation’s 100 Top Hospitals.®

$554,490 in community contributions Methodist Hopspital | Northeast was awarded Best Hospital in San Antonio for 4 years in a row (2021-2024) by the San Antonio Express News Readers Choice Awards Methodist ER | Bulverde opened In partnership with the San Antonio Spurs, we trained 1,000 fans in Hands-Only CPR at a Spurs game to celebrate Heart Month.

We onboarded 21 doctors as part of our inaugural Graduate Medical Education (GME) class.

In 2024, we added 989 new graduate nurses to our Methodist Healthcare family.

ANNIVERSARIES METHODIST HOSPITAL | NORTHEAST – 40 YEARS METHODIST HOSPITAL | TEXSAN – 15 YEARS

Sandra Sepulveda Breast Cancer Survivor

Methodist Hospital* and Methodist Hospital | Stone Oak Honored to be a Healthgrades® America's 250 Best Hospitals Award™ winner and recognized among Top 5% of hospitals nationally, based on Quality Outcomes criteria.

PATIENT SAFETY EXCELLENCE AWARD 2025

AMERICA’S 250 BEST HOSPITALS

2025

Methodist Hospital* and Methodist Hospital | Stone Oak Honored to be recognized as one of the Nation’s Top Hospitals for Patient Safety

by Healthgrades.®

Methodist ER | Alamo Heights PATIENT EXPERIENCE Methodist ER | New Braunfels EMPLOYEE EXPERIENCE

2024 HX Guardian of Excellence Award fi

Honored to have been named Press Ganey 2024 Guardian of Excellence® Winners *Contributing Hospitals: Methodist Hospital, Methodist Children’s Hospital, Methodist Hospital | Metropolitan, Methodist Hospital | Northeast, Methodist Hospital | Specialty and Transplant, Methodist Hospital | Texsan

CONNECT WITH US! Methodist Healthcare System

MethodisthealthcareSA

@methodisthealthcaresa

SAHealth

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06

INTRODUCTION

DEDICATION TO OUR PATIENTS

12

SUPPORTING OUR COLLEAGUES

20

INVESTING IN AND ADVANCING CLINICIANS

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Annual Community Impact Report

• Letter from Dan Miller, President and CEO

• Methodist Healthcare Ministries • HCA Healthcare

• Our Mission, Vision and Values • Who We Are

• Pastoral Care

• Our Commitment to Quality

• Clinical Pastoral Education Training

• Hospital Volunteer Programs

• Charity Care

• Colleague Networks • Community Service and Engagement • St. Mary’s University Partnership

• Methodist Healthcare Nursing Residency Programs • Galen College of Nursing • Graduate Medical Education • High School Partnerships

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LOOKING TO THE FUTURE

44 46

OUR FACILITIES

• Supporting Local Causes

• Car Seat Safety Day

• Partnerships

• Kids Teaching Kids

• Community Health Needs Assessment and Community Health Priorities

• Crush the Crisis

• Call-A-Nurse

This Is The Title of The Chapter

CARING FOR OUR COMMUNITIES

• Rowan Windham Cereal Drive • HCA Hope Fund

• Methodist Hospital | Stone Oak • Methodist Hospital | Northeast • Methodist Hospital | Metropolitan

• Methodist Hospital/Methodist Children’s Hospital

• Methodist Hospital | Westover Hills

• Methodist Hospital | Metropolitan

• Methodist Hospital | Landmark

• Methodist Hospital | Northeast

• Methodist Hospital | Atascosa

• Methodist Hospital | Stone Oak

• Methodist Hospital | Hill Country

• Methodist Hospital | Texsan

• Freestanding Emergency Rooms

• Methodist Hospital | Specialty and Transplant

• Urgent Care Centers

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Introduction

Above: Dan Miller, President and CEO of Methodist Healthcare

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Annual Community Impact Report

2024 was a year of meaningful progress and renewed purpose for Methodist Healthcare. As we continue our mission of “Serving humanity to honor God by providing exceptional and cost-effective healthcare, accessible to all,” our focus remains on expanding access to care, investing in talent, and strengthening community partnerships that support long-term well-being.

Our dedication to cultivating the next generation of healthcare leaders was shown by the successful launch of our Graduate Medical Education program, welcoming our first class of General Surgery and Internal Medicine residents.

At the same time, we celebrated a major recruitment achievement by exceeding our goal for new graduate nurses, with nearly 1,000 nurses joining our team in 2024.

Caring for our communities goes beyond our hospital walls. With the support of the HCA Healthier Tomorrow Fund, we placed blood pressure machines in 13 YMCA locations across San Antonio to support heart health year-round. During Heart Month, we teamed up with the American Heart Association and the San Antonio Spurs to train 1,000 fans in Hands-Only CPR during a home game which is an exciting example of education and action coming together.

We also partnered with Methodist Healthcare Ministries through out the year for some exciting community events. Two of the largest events were our Heart Health Fair attended by 500

Methodist Healthcare staff from across the system, as well as the community we serve, showed up at the Susan G. Komen MORE THAN PINK Walk, hosted at our new Westover Hills campus. More than 4,000 participants joined us to raise funds and awareness for breast cancer support, helping generate over $228,000 at our San Antonio event.

In 2024, each of our hospitals rose to meet a challenge from South Texas Blood and Tissue Center to participate in the “Commit 4 Compassion” blood drive initiative. Each facility held quarterly blood drives which collected over 1,100 units of lifesaving blood.

Introduction

One of our most exciting events in 2024 was the opening of Methodist Hospital | Westover Hills in November. This modern facility brings muchneeded acute care and emergency services to the growing northwest San Antonio community, offering specialty care in cardiovascular health, women’s services, surgery, orthopedics, and more. We also opened Methodist ER | Bulverde, giving residents in Bulverde immediate access to emergency care close to home.

community members that took place during February’s heart month and our annual Christmas Tree donation event that gives out over 100 trees that were decorated and donated by staff at our Methodist Healthcare hospitals.

Our commitment to excellence did not go unnoticed. In 2024, Methodist Healthcare was honored with multiple industry awards, including being named a Fortune 100 Top Hospital, one of Healthgrades’ 250 Best Hospitals, and receiving the Healthgrades Patient Safety Excellence Award, Premier 50 Top Cardiovascular Hospital recognition, and the Press Ganey Guardian of Excellence Award.

Each of these milestones reflects the heart of who we are: a team driven by purpose, compassion, and an unshakable commitment to those we serve. I am incredibly proud of the work we’ve accomplished together, and even more inspired by what lies ahead. Thank you for trusting us with your care and for allowing us to grow with you, for you.

Dan Miller President and CEO Methodist Healthcare

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Our Mission, Vision and Values

Our Mission, Vision and Values Our Mission The mission of Methodist Healthcare is “Serving Humanity to Honor God by providing exceptional and costeffective health care, accessible to all.”

Our Vision Our vision is to be a world-class healthcare provider, continually raising the standards of performance excellence and advancing the health status of the community by providing and constantly improving the delivery of quality, innovative healthcare services in a cost-effective way, while providing charitable care to people in our region.

Our Values In doing so, we acknowledge our values of Integrity, Compassion, Accountability, Respect, and Excellence.

On an individual basis, we commit to: • Cure when we can • Escort to death’s door when we must • Always create healing experiences

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Annual Community Impact Report

Who we are

. . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

The Power of Two

.

The Power Of Two.

This powerful partnership between the Methodist Healthcare Ministries and HCA has made an incredible impact in our community.

$2.18 Billion invested in the community over the past 10 years

$702

$972 million

million

million

in charity and indigent care in 2024

in total payroll

in property taxes

in sales taxes

million

$25

$21

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Who We Are

Methodist Healthcare System (MHS) has evolved to meet the growing needs of the greater San Antonio community, and our commitment since opening our first hospital in 1963 has never wavered: to continuously improve the health and wellness of our community by “Serving Humanity to Honor God.” Formed in 1995 by Methodist Hospital’s Board of Trustees, Methodist Healthcare created a 50-50 partnership between Methodist Healthcare Ministries of South Texas Inc., South Texas’ largest nonpublic funding source of community health care for uninsured patients, and HCA Healthcare, the nation’s leading provider of health care services. This creates a unique avenue to ensure that Methodist Healthcare Ministries continues to benefit the community by providing quality care to all and charitable care when needed.

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Annual Community Impact Report

Methodist Healthcare Ministries is the largest private funding source for uninsured and underinsured patients in South Texas.

• Serving 74 counties

Who We Are

• $1.66B provided to the community since its inception to improve wellness among the least served through direct services, grants, and community partnerships • 275+ funded program sites • Over 185 grant programs • 3 clinics supporting 350,000 patients • $213.6 million planned for 2024 for community health

HCA Healthcare is continually investing in colleagues and facilities to better serve patients and local communities.

• $42.1M in tuition assistance benefits given to HCA colleagues in 2024 • $4.9B invested last year (2024) in land, buildings, and equipment to expand or bring new services to the communities served • HCA Healthcare is the largest sponsor of Graduate Medical Education (GME) in the nation. In 2024, they had over 5,100 residents and 325 GME programs.

• In 2024 HCA onboarded more than 12,000 new graduate nurses • $14.1M in assistance distributed in 2024 to HCA Healthcare families through the Hope Fund

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Dedication to Our Patients 12

Annual Community Impact Report

DEDICATION TO OUR PATIENTS At Methodist Healthcare hospitals, pastoral care is part of the life of the hospital. It is essential in completing the patient’s circle of healing which includes mind, body, and spirit. It’s also an important way to help patients connect and communicate during a very stressful time in their lives.

“Humans are spiritual beings,” said Dr. Austin Frederick, Jr., Vice President of Pastoral Care Services. “Spirituality is an important aspect of healing and our commitment to pastoral care puts that aspect of healing to work.”

At Methodist Healthcare hospitals, chaplains are part of the medical team and reflect an interdisciplinary approach.

Every newly admitted patient is visited by a chaplain within the first 24 hours of their stay. Last year, over 400,000 visits were made and the number continues to increase.

“We conduct a spiritual assessment to determine the object of their spiritual strength and to look into how connecting with that strength may enhance their healing,” he said. “We want to connect spiritually to that which feeds their soul.”

Methodist’s Pastoral Care department includes 44 chaplains on staff, with 34 of them full-time employees. Ten different

faiths or traditions are represented on staff, and others are available through community resources.

Dedication to Our Patients

Pastoral Care

“During our visits, we work to create a sacred space where people may communicate with each other and say things that need to be said. We help patients and their families come to peace.

At the moment of death, to see the patient at peace and the family at peace, is beautiful,” Dr. Frederick explains.

Chaplains facilitate communication in other ways. “We walk with our patients,” he said. Dr. Frederick recalls a patient who did not want to tell his children that he had cancer. “In this case, our chaplain offered to be there so he and the patient could deliver the news together,” he said.

In walking with their patients, chaplains often take them back to a time when spirituality was part of their lives—

Pastoral Care met with over

370K

people in 2024

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Dedication to Our Patients

grandma took them to church or they attended Sunday school with friends. Lessons learned early come back to them.

Dr. Frederick recalled a patient whose room was filled with friends and loved ones, many of whom appeared to be gang members. “When the Catholic priest entered the room, there was nothing but respect and reverence,” said Dr. Frederick. “They all knew the rosary and recited it.” He also remarked that some patients dealing with Alzheimer’s still can recite the Lord’s Prayer or favorite hymns.

Because of the way it helps patients connect and communicate during such important times of their lives, pastoral care is an essential part of the Methodist Healthcare mission of “Serving Humanity to Honor God.” “Our founders have been committed to it since the beginning, and we continue to uphold this commitment,” said Dr. Austin. “The world longs for spiritual connection. Today, pastoral care is more relevant than ever in our world. It helps our patients heal and makes a difference in their lives.”

Charity Care As part of our mission, Methodist Healthcare provides care to patients without the financial means to pay for hospital services.

Services will be provided to all patients who present themselves for care at any Methodist Healthcare facility ER without regard to race, creed, color, or national origin and who are classified as financially or medically indigent.

Further eligibility and assistance information, a copy of our financial assistance policy, the financial assistance form, and a listing of

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Annual Community Impact Report

physicians who provide emergency or other medically necessary services at Methodist Healthcare facilities are available at the link below or by written request to the following address: Patient Accounting Services 15727 Anthem Parkway, Suite 101 San Antonio, TX 78249 SAHealth.com/about/mission-values/charitycare.dot

Clinical Pastoral Education Training

Methodist Healthcare has started its Clinical Pastoral Education Training and Introduction to Hospital Chaplaincy Program. Clinical Pastoral Education (CPE) is a unique interfaith experience, open to people of all faiths. Methodist Healthcare, in partnership with the Institute for Clinical Pastoral Training (ICPT), offers CPE to spiritual professionals and theological students seeking professional growth and development in clinical pastoral settings.

“We are revitalizing our clinical pastoral education program,” said Dr. Austin Frederick, Jr., Vice President of Pastoral Care Services. “We want to reach out to individuals interested in clinical pastoral education to help them determine if it’s the right path for them.”

The educational training includes four units of 300 hours each, followed by the opportunity to apply for board

certification. The training helps chaplain candidates perfect their listening skills, learn how to conduct a spiritual assessment, and learn to walk with patients in their healing.

The clinical training is held at one of our Methodist Healthcare locations in the San Antonio area. Classes are taught both inperson and virtually.

Offered nationally, the program is the gold standard for CPE. Ninety-two percent of Methodist Healthcare chaplains are board-certified, and new chaplains are encouraged to apply for certification.

Dedication to Our Patients

With the important role that pastoral care plays at Methodist Hospitals, training has become even more important.

All program costs are covered by the Methodist Healthcare Pastoral Care Services department and the Taylor Boone Scholarship Fund. A stipend is paid for each of the required 25 clinical hours/week.

The application is available at SAHealth. com/careers or interested individuals should phone 210-575-4030 for assistance.

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Our Commitment to Quality

Dedication to Our Patients

Methodist Healthcare System is committed to providing exceptional care for patients experiencing a stroke or stroke like symptoms.

Every year, approximately 800,000 people in the US have a stroke1. A stroke can happen to anyone, so it’s important to know the signs of a stroke, personal risk factors and how to protect yourself.

How to spot a stroke: BE FAST B – Balance – Does the person have a sudden loss of balance?

E – Eyes – Has the person lost vision in one or both eyes?

F – Face – Does the person’s face look uneven?

A – Arms – Is one arm hanging low down?

S – Speech – Is the person’s speech slurred?

Does the person have trouble speaking or seem confused?

T – Time – Time to call 911. Seeking emergency care is imperative to optimal outcomes.

An ambulance is the fastest and safest transportation to the ER. EMS teams can begin the assessment and treatment in route to the closest ER. A large majority of strokes can be prevented: • Manage your blood pressure – Lowering your blood pressure reduces your risk of stroke. According to the 2025 American Heart Association Statistical Update, nearly half of adults in the U.S. have high blood pressure, and many don’t even know it.​ • ​Live a healthy lifestyle – Eating well, staying active, quitting smoking and managing stress can all help lower your stroke risk 2.

• Monitor health conditions – Conditions like atrial fibrillation (AFib), diabetes and high cholesterol increase stroke risk. Work with your health care provider to manage them.

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Annual Community Impact Report

• Reduce risk for a second stroke - Nearly 1 in 4 survivors will have another stroke3, in some instances because they don’t know what caused the first stroke. Testing to identify cause and additional risk factors can help you and your health care team develop a plan to prevent another one.

Methodist Healthcare ER physicians evaluating a patient with stroke symptoms will collaborate with EMS to identify that a patient is arriving to the ER with symptoms, call an in-house stroke alert to activate the entire stroke team simultaneously as well as prep the CT scanner for stroke protocol brain imaging if indicated. Based on the CT scan results, the physician leading the stroke team, may order Tenecteplaste or TNK which is a thrombolytic medication to dissolve blood clots causing the stroke. The effectiveness if TNK is time-dependent, meaning it is crucial to administer it quickly after stroke symptoms begin (within 4.5 hours of the start of stroke symptoms).

Since 2023, MHS has been focused on improving Door To Needle Times (DTN). DTN is the time elapsed between a stroke patient's arrival at the ER and the administration of a thrombolytic medication. From 2023 to 2025, MHS has improved overall percentage of DTN zero to 45 minutes by 48%.

Median Door-to-Needle Time

Dedication to Our Patients

Methodist Healthcare has three Joint Commission certified Primary Stroke programs at Methodist Hospital | Stone Oak, Methodist Hospital | Metropolitan and Methodist Hospital | Northeast. Additionally, Methodist Hospital is a Comprehensive Stroke Center certified by Det Norske Veritas (DNV). A comprehensive stroke program provides the highest level of stroke care, including specialized diagnostics, around the clock availability of experts including vascular neurologists, neurosurgeons, interventional neuroradiologists and other specialists.

1 S S Martin; et al Heart Disease and Stroke Statistics—2025 Update: A Report of US and Global Data From the American Heart Association Circulation. 2025;151:e1–e620. DOI: 10.1161/CIR.0000000000001303 2 C Bushnell; et al 2024 Guideline for the Primary Prevention of Stroke: A Guideline From the

22% better than the National standard

American Heart Association/American Stroke Association. Stroke 2024;55:e344–e424. DOI: 10.1161/STR.0000000000000475 3 S S Martin; et al Heart Disease and Stroke Statistics—2025 Update: A Report of US and Global Data From the American Heart Association Circulation. 2025;151:e1–e620. DOI: 10.1161/CIR.0000000000001303

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Hospital Volunteer Programs 18

Annual Community Impact Report

HOSPITAL VOLUNTEER PROGRAMS 425

Blue Bird Volunteers in 2024

and development of the hospital. The Auxiliary now provides support to Methodist Hospital | Specialty and Transplant, Methodist Hospital | Texsan, Methodist Hospital | Northeast, and Methodist Hospital | Metropolitan.

The Blue Bird, signifying the happiness they hoped to bring into the lives of others, was chosen as their symbol.

Membership is open to anyone interested in giving freely of themselves to help alleviate the suffering of mankind by performing their duties willingly with love and compassion. The Blue Bird Auxiliary is honored to serve the community and create a network of life‑long companions.

In 1947, the Blue Birds established the Nix Tumor Clinic. They employed a visiting nurse for the patients, purchased equipment for the clinic, gave volunteer service, and provided hospitalization for the charity tumor patients in District V, Texas Division American Cancer Society.

Hospital Volunteer Programs

In 1920, a group of young adults at Laurel Heights Methodist Church founded the “Blue Birds of Laurel Heights.”

They had one aim – service; one hope – forgetfulness of self; one inspiration – the love and fellowship of Jesus Christ.

For more info on the Blue Birds and how to volunteer, please visit sabluebirds.org.

The Blue Birds voted to amend their charter in October 1960 to become the Blue Bird Auxiliary to Methodist Hospital. Since that time, the Auxiliary has become actively involved in almost every area of hospital service…and their continued dedication and loyalty have been most instrumental in the growth

47,141

Volunteer Hours by Blue Bird Volunteers

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Supporting Our Colleagues 20

Annual Community Impact Report

SUPPORTING OUR COLLEAGUES

In 2024, our Colleague Networks exceeded expectations by hosting innovative events focused on giving back and professional growth. These networks continue to advocate, educate, and work with community organizations to expand their impact.

• 9 colleague networks launched • 478 employees participated • 84 events and meetings organized, attended, and executed

Supporting Our Colleagues

Colleague Networks in Motion

Community Service and Engagement The Colleague Network’s dedication to community service stayed strong in 2024, as we collaborated with 13 nonprofit organizations through volunteering, advocacy, and leadership.

A key highlight was our active involvement in the 2024 More Than Pink Walk, supporting Susan G. Komen and the fight against breast cancer. Thanks to our team’s efforts, we helped raise nearly $250,000 to benefit the San Antonio and Jourdanton communities.

St. Mary’s University Partnership In May 2024, Methodist Healthcare proudly announced a $200,000 gift from HCA Healthcare to St. Mary’s University’s Greehey School of Business. The donation funds scholarships, fellowships, and faculty development in the MBA program. The first group of students has already started building strong relationships and mentorships with St. Mary’s alumni now working at Methodist Healthcare.

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Annual Community Impact Report

Investing In and Advancing Clinicians

INVESTING IN AND ADVANCING CLINICIANS

The Methodist Healthcare Nursing Residency Program consists of an intensive structured specialty orientation designed to support the transition of the graduate registered nurse to bedside nursing practice in a specific clinical setting. These include NICU, Pediatrics, L&D, Adult ICU, MedicalSurgical, Progressive Care, Telemetry, Perioperative Services, Rehab, Dialysis, Behavioral Health, Oncology, and Emergency Department.

thinking skills required for safe practice.

Nurse Residents are introduced to the Methodist Healthcare mission, collaborate with members of the healthcare team, expand their knowledge of regulatory requirements, and benefit from customized career planning during the professional development phase of the program.

Investing In and Advancing Clinicians

Methodist Healthcare Nursing Residency Programs

The paid 10-25 week program is designed for novice nurses with less than six months of acute care experience and includes comprehensive didactic training, robust simulation experiences, clinical preceptorship, as well as BLS, ACLS, NIH Stroke Scale, ECG interpretation training, and Crisis Prevention Institute certifications. Each Nursing Residency specialty focuses on developing and validating proficiency in key entry-level technical, interpersonal, and critical

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Investing In and Advancing Clinicians

Graduate Medical Education Methodist Healthcare System of San Antonio (MHS) Graduate Medical Education (GME) provides clinical rotation opportunities for affiliated training institutions accredited residency, fellowship, and Medical and Physician Assistant (PA) student programs.

We are proud of the clinical experience gained at our facilities.

High School Partnerships We are proud to partner with high schools that have dedicated healthcare sciences programs across our community. We assist students pursuing careers in the healthcare field by giving them an opportunity to receive credit for clinicals at our hospitals. These students will go on to receive certificates in areas such as Patient Care Tech, Pharmacy Tech, Sterile Processing, Phlebotomy, and EMT. In the summer of 2024, Methodist Healthcare System and Fox Tech High School collaborated on a 7-week Summer Bridge Program for their unique HTECH program, a variant of PTECH (Pathways in Technology Early Career High School) where the H stands for Healthcare.

Each week, Methodist Healthcare professionals visited Fox Tech High School to speak about their roles. Instead of focusing solely on physicians and nurses, the program highlighted areas in radiology, respiratory therapy, surgery and anesthesia where many careers exist in the technician space. The program ended with in an immersive full-day tour of Methodist Hospital, where 90+ students witnessed firsthand the healthcare roles they had learned about, and helped apply the knowledge to real world situations.

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Annual Community Impact Report

Similarly, Educate Texas highlighted Methodist Healthcare's impactful partnership with Fox Tech High School, creating an educational video showcasing our collaboration as a model for other Texas healthcare organizations and PTECH/HTECH programs.

Galen College of Nursing has been a proud member of the San Antonio nursing education community since the Texas Board of Nursing approved Galen’s Vocational Nurse program in 1990.

In May 2025, Galen College of Nursing celebrated the Grand Opening of its new San Antonio campus, located at 13805 I-10W. The 150,000-square-foot campus features advanced classroom and clinical technology to encourage hands-on learning mixed with collaborative and creative space. Designed with students in mind, the campus environment reflects a high-quality educational approach and an expression of commitment to students and the community.

Today, Galen is one of the largest nursing educators in South Texas, offering students a cutting-edge approach to nursing education, and graduating hundreds of future nurses each year from their 3-year BSN, VN, and LVN to ADN Bridge programs.

“With partners like Methodist Healthcare, we are so proud to help serve the San Antonio community by graduating confident, wellprepared, and compassionate nurses,” said Dr. Donna Hedges, PhD, MSN, MBA, RN, CNE, Dean of the San Antonio campus. “For more than 35 years, we have been deeply embedded in South Texas to help address the critical nursing shortage and provide better care to our citizens.”

Investing In and Advancing Clinicians

Galen College of Nursing

Methodist Healthcare's tuition assistance program includes the HCA Healthcare - Galen College of Nursing Grant, which allows direct billing between our two organizations. That means zero out-of-pocket tuition costs for colleagues pursuing their nursing education.

13,568

Galen graduates since 1990

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Caring for our Communities 26

Annual Community Impact Report

CARING FOR OUR COMMUNITIES Caring for our Communities

Supporting Local Causes As Methodist Healthcare, we are proud to offer support to a variety of worthy causes. For over 60 years, Methodist Healthcare has given back to the community through charitable donations, sponsorships, and volunteering. In 2024 alone, we supported 109 local non-profit organizations donating a total of $554,490.

Our Methodist Healthcare employees also provide support and funding to hundreds of non-profit organizations of their choice, through an online giving portal. Our staff donated over $350,000 in 2024.

The portal also allows staff to search for volunteer opportunities throughout our community. Last year, our staff volunteered 5,241 hours which supported 210 different local non-profit organizations.

Methodist Healthcare donated

$554,490

to local non-profits in 2024

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Caring for our Communities

Partnerships Methodist Healthcare supports a variety of worthy causes through annual agreements with likeminded organizations. Sharing an enduring purpose to improve the health of our community, our relationships are based on mutual values, goals, and an advocacy for the wellbeing of our area families.

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Annual Community Impact Report

Community Health Needs Assessment and Community Health Priorities

To work in coordination with other healthcare systems and organizations, businesses, and nonprofits, Methodist Healthcare has adopted the five health priority areas based upon the Bexar County Community Health Assessment, and the Bexar County Community Health Improvement plan. Methodist Healthcare and its hospitals have created community improvement plans based on these five health priorities so we may better serve you and the greater San Antonio community.

Caring for our Communities

As part of our commitment to the greater San Antonio community, Methodist Healthcare participates in a county-wide health needs assessment every three years. This assessment is conducted through the Health Collaborative, a non-profit convening organization that brings together hospital systems, other healthcare organizations, local government, and non-profit organizations in Bexar County, Atascosa County to identify and solve community health issues through collaboration. Methodist Healthcare is proud to be a founding member of the Health Collaborative.

Methodist Hospital | Hill Country was acquired in April 2023. They had completed their Community Health Assessment and developed a Community Health Improvement Plan based on their findings covering Gillespie, Blanco, and Kendall Counties.

Bexar and Atascosa Counties

Gillispie, Blanco, and Kendall Counties

1. Healthy Eating and Active Living

1. Nutrition/diet education

2. Healthy Child and Family Development

2. Exercise resources/fitness center

3. Safe Communities

3. Substance abuse services

4. Behavioral and Mental Well-Being

4. Behavioral health services

5. Sexual Health

5. Health education for chronic conditions

Access to the Community Health Needs Assessment (CHNA) and each facility’s Community Health Implementation Plan (CHIP) can be found by visiting: SAHealth.com/about-us/community

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Call-A-Nurse

Caring for Our Communities

We know sometimes you or a loved one may be experiencing a non-life-threatening emergency, and you do not need to call 911, but you could use someone to call and ask for advice about symptoms or if you should make that drive to the ER. 24 hours a day, 365 days a year, you can call our Call-A-Nurse hotline for the appropriate advice. The service is completely free of charge and offered to those with, and without, health insurance. Nurses representing Methodist Healthcare are standing by to personally assist you with medical advice.

Call-A-Nurse for ADULT (210) 575-0355 Call-A-Nurse for CHILD (210) 226-8773 Common reasons we receive calls through the CallA-Nurse program include: • If you or a loved one is feeling ill, but you aren’t sure how serious it is • If you need a recommendation on the level of service you or a loved one needs, including next-day appointments, urgent care visits, or emergency room visits • If an appointment is needed for you or a loved one, you can book a next-day appointment through our Call-A-Nurse hotline • If you need instructions for tending to a medical issue at home Tenemos enfermeras que hablan español.

In 2024, we received

29,686 calls through our Call-A-Nurse hotline.

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Annual Community Impact Report

Kids Teaching Kids

Caring for Our Communities

In our fourth year, we're continuing our program aimed at educating kids about healthy eating habits, offering family-friendly physical activity videos, and promoting children's mental health through "Mindful Minutes." Kids Teaching Kids is focused on our 21-Day Healthy Snack Challenge designed for elementary school students. Last year, over 1,750 local students eagerly signed up to participate. Older students also

played a vital role in this program; high school culinary students from the San Antonio area competed to create the best healthy snack recipe.

Their recipes were featured in a recipe book distributed to all participants of the 21-day challenge. It's a wonderful blend of education, community engagement, and delicious healthy eating!

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Rowan Windham Cereal Drive Every year, in early June the lobby of our Methodist Children’s Hospital is filled to the brim with boxes of cereal signifying another successful Rowan Windham Memorial Cereal Drive. To reduce summertime childhood hunger in Bexar County and surrounding communities, staff, along with members of the San Antonio community donated a total of 283,601 servings of cereal to the San Antonio Foodbank for children in need.

Caring for Our Communities

225,132 servings of cereal donated

HCA Hope Fund Our employees’ first goal is to take care of patients. Methodist Healthcare is also a family of co-workers, and so we take care of each other. The HCA Hope Fund was formed more than 19 years ago in the wake of devastating Florida hurricanes so employees around the country who are in need – and those who want to help – have a single, reliable source to give and receive assistance.

The well-named HCA Hope Fund has offered just that – hope. Its support has helped employees who have suffered everything from loss due to hurricane, tornado, or fire to those dealing with unexpected catastrophic illnesses or accidents.

The fund also steps up to aid employees who are dealing with domestic violence, the death

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Annual Community Impact Report

Brett McAda, Pharmacist, Methodist Hospital | Atascosa.

Hope Fund recipient, pictured with his daughter Amanda.

of a loved one, or other special situations. Since its inception, it has helped more than 56,000 families through contributions of $115 million in assistance. In 2024, the HCA Hope Fund provided a total of $657,000 in support to 172 Methodist Healthcare division employees

Crush the Crisis

Car Seat Safety Day During September, we celebrate Car Seat Safety. In 2024, we partnered with Methodist Healthcare Ministries, the Bluebird Auxiliary, and Safe Kids during National Car Seat Safety Week to provide free installations and car seat checks to over 25 families, and gave away six free car seats to those who needed them.

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Caring for Our Communities

In October, Methodist Healthcare hosted our 6th annual Crush the Crisis event.

Aligned with the DEA’s Drug Take Back Day, we set up medication collection sites at seven of our free-standing ERs, along with a location at the Fredericksburg Police Department. Staff, alongside San Antonio Police Department officers and Fredericksburg Police Department officers, spent the morning collecting unneeded and/ or expired medications. Across the 11 locations, we collected 2,600 lbs.! Many community members we spoke with were grateful to safely dispose of the medications they no longer needed. The goal of the event is to remove over-the-counter and prescription medications from people’s houses where they could be misused.

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Looking to the Future 34

Annual Community Impact Report

LOOKING TO THE FUTURE Looking to the Future

We are excited to share major expansion projects happening across several of our campuses to better serve our communities:

Methodist Hospital | Stone Oak Methodist Hospital | Stone Oak is expanding its existing bed tower with two additional floors to meet increasing demand. This expansion will enhance patient care by adding: • 40 Medical/Surgical Beds • 14 Intensive Care Unit (ICU) Beds • Shell space to support future service growth

Methodist Hospital | Northeast A new two-story tower will be constructed on the southwest portion of the Northeast campus, increasing hospital capacity and supporting expanded services.

The project will include: • 46 Medical/Surgical Beds • 14 Intensive Care Unit (ICU) Beds

Methodist Hospital | Metropolitan Methodist Hospital | Metropolitan is expanding its women’s pavilion tower by adding two additional floors. This important growth will provide: • 40 Medical/Surgical Beds • 14 Intensive Care Unit (ICU) Beds • Shell space for continued future development

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Who We Are 36

Annual Community Impact Report

WHO WE ARE

• U.S. News & World Report recognized Methodist Hospital as the #1 Hospital in San Antonio • Healthgrades recognized Methodist Hospital’s top-quality cardiac care in the following areas: America’s Best 100 Hospitals for Cardiac Care, Cardiac Care Excellence Award, Top 5% in the Nation for Cardiac Services, Five-Star Recipient for Treatment of Heart Attack, Five-Star Recipient for Treatment of Heart Failure

Who We Are

Methodist Hospital | Methodist Children's Hospital

• Methodist Hospital celebrated the first successful lung transplant at its facility • Methodist Hospital completed its ICU expansion adding 23 adult beds as well as 25 PICU beds

Methodist Hospital | Metropolitan • Methodist Hospital| Metropolitan received the Everest Award by PINC AI for setting national benchmarks for both the fastest rate of improvement and the highest current year performance on the Top 100 Hospital balanced scorecards • Healthgrades recognized Methodist Hospital | Metropolitan's top-quality care in the following areas: America’s Best 100 Hospitals for Critical Care, Top 5% in the Nation for Cardiac Services, and America’s 50 Best Vascular Surgery facilities • Recognized by National Quality Measures for Breast Centers (NQMBC) as the only Clinical Certified Quality Breast Center of Excellence in South Texas • Received 3rd Nursing Pathway to Excellence Designation

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Methodist Hospital | Northeast

Who We Are

• Awarded Best Hospital in San Antonio for 4 years in a row 2021 - 2024 by the SA Express-News Reader’s Choice Awards • Completed construction of Methodist Hospital | Northeast Medical Plaza II, a 3-story medical office building and a hospital-based outpatient surgery center with 4 operating rooms • Methodist Hospital | Northeast received an “A” Leapfrog Hospital Safety Grade • Opened Methodist Outpatient Surgery | Northeast. A 23,000 square feet surgery center offering multispecialty surgical care for breast, colorectal, gynecological, orthopedic, podiatry, robotics, and reconstructive plastic surgery

Methodist Hospital | Stone Oak • Methodist Hospital | Stone Oak celebrated it’s 15th anniversary in the community • Welcomed Neurosurgical Associates of San Antonio, which added 6 neurosurgeons as well as 8 mid-level providers • U.S. News rated Methodist Hospital | Stone Oak Rehabilitation as a Top Rehab Center five years in a row

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Annual Community Impact Report

Methodist Hospital | Specialty and Transplant • Methodist Hospital | Specialty and Transplant is a Top 100 Hospitals Award Winner from U.S. News Best Regional Hospitals 2024-2025

• In 2024, the Methodist Transplant Institute completed 177 living donor kidney transplants and 175 deceased donor kidney transplants. The program was recognized as the largest living donor kidney transplant program and the largest Hispanic kidney transplant program in the nation. Additionally, this program is the largest kidney-paired donation program in the Nation.

Who We Are

• Methodist Hospital | Specialty and Transplant’s liver program achieved 1,000 liver transplants

Methodist Hospital | Texsan • Acquired a 48-bed inpatient rehabilitation hospital, Methodist Rehabilitation Hospital | Texsan, in September 2024 • American Nurses Credentialing Center's (ANCC) Pathway to Excellence Designation for 2024 • The Intensive Care Unit at Methodist Texsan Hospital successfully achieved a SILVER-level AACN Beacon Award for Excellence in 2024

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Methodist Hospital | Westover Hills • Officially opened its doors on November 13, 2024 to serve the Westside of San Antonio

Who We Are

• This facility offers 54 beds, including a 15 bed Emergency Department with adult and pediatric services • Other specialties include cardiovascular care, women’s services, general surgery and orthopedics

Methodist Hospital | Landmark • Celebrated one year of excellence in patient care • Key service lines include: Bariatrics, Breast Surgery and Reconstruction, Gynecologic Oncology, Urology, Colorectal, Neuro/ Spine, Orthopedics, Robotic Surgery, General Surgery • Facility Overview: - 54 beds - 6 ICU beds - 12 operating suites - 1 Cardiac Cath Lab

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Annual Community Impact Report

Methodist Hospital | Atascosa • Ranked #1 in Hospital Cleanliness among all hospitals in HCA Healthcare • Received an “A” in Leapfrog Hospital Safety Grade • Celebrated 1,000 days of no hospitalacquired infections Who We Are

Methodist Hospital | Hill Country • Methodist Hospital | Hill Country received 23 “A’s” in a row from Leapfrog (since 2013) • Recognized by U.S. News as a High Performer in Knee Replacement • Added an additional Cath Lab to the cardiovascular services available

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Our Facilities

Hospitals 1.

Methodist Hospital/Methodist Children’s Hospital

2.

Methodist Hospital | Northeast

3.

Methodist Hospital | Stone Oak

4.

Methodist Hospital | Texsan

5.

Methodist Hospital | Metropolitan

6.

Methodist Hospital | Specialty and Transplant

7.

Methodist Hospital | Atascosa

8.

Methodist Hospital | Landmark

9.

Methodist Hospital | Westover Hills

10. Methodist Hospital | Hill Country

Freestanding Emergency Rooms 11.

Methodist ER | Alamo Heights

16. Methodist ER | De Zavala Rd.

12.

Methodist ER | Boerne

17.

13.

Methodist ER | Bulverde

18. Methodist ER | Legacy Trails

14. Methodist ER | City Base 15.

Methodist ER | Helotes

19. Methodist ER | Nacogdoches Rd.

Methodist ER | Converse

20. Methodist ER | New Braunfels

Urgent Care Centers 21.

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CareNow Urgent Care | Alamo Heights

30. CareNow Urgent Care | Nacogdoches

CareNow Urgent Care | New Braunfels

22. CareNow Urgent Care | Bandera

31.

23. CareNow Urgent Care | Bulverde Rd.

32. CareNow Urgent Care | Potranco

24. CareNow Urgent Care | Cibolo

33. CareNow Urgent Care | Seguin

25. CareNow Urgent Care | Converse

34. CareNow Urgent Care | Selma

26. CareNow Urgent Care | De Zavala

35. CareNow Urgent Care | Stone Oak

27. CareNow Urgent Care | Kitty Hawk

36. CareNow Urgent Care | Stone Oak & Evans Road

28. CareNow Urgent Care | Leon Valley

37. CareNow Urgent Care | Thousand Oaks

29. CareNow Urgent Care | McCreless

38. CareNow Urgent Care | West Hildebrand

Annual Community Impact Report

16 FREDERICKSBURG

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LOOP

20

13

337 NEW BRAUNFELS

10

SPUR

453

290 16

35 36

12

LOOP

337

23 17

26

22

28

32

34

37 16

19

30 27

15

11 38

21

24

25

33

18

29

14

7