Methodist Healthcare 2021 Community Impact Report

2021

Community Impact Report

RESEARCH & INNOVATION The Pediatric Blood & Marrow Stem Cell Transplant Program at Methodist Children’s Hospital is one of the busiest programs in the nation.

The Live Donor Kidney Transplant (LDKT) Program of Methodist Hospital | Specialty and Transplant is a global leader in LDKT and has performed more procedures in the U.S. since 2009 than any other LDKT program. These efforts have successfully matched donors—many who remain anonymous—with approximately 2,000 patients suffering from End Stage Renal Failure to deliver the gift of life.

Methodist Healthcare is a national leader in robotic surgery, offering one of the most comprehensive programs in the country. 25 surgical robots, 175 surgeons, 6 locations and 4 national surgeon training programs— we continuously collaborate on emerging technologies and techniques to deliver enhanced surgical experiences that reduce hospital stays and shorten recovery time.

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COMMUNITY INVESTMENT

1.5 Billion

$

invested in capital expenditures over the past 10 years

785 Million

$

in charity and indigent care in 2020

FAST FACTS 375,568 inpatients and outpatients served per year

357,215 ER visits in 2021

11,900+ births in 2021

Economic Development WITH

8

12,500

2,400

Hospitals

Employees

AND

Beds

3,500 Physicians

as San Antonio’s second largest private employer

$21,091,433 in property taxes

SERVING

27

$13,700,000 in sales taxes

COUNTIES

$753,400,000 in total payroll

Hospitals: Methodist Hospital Methodist Children’s Hospital Methodist Hospital | Specialty and Transplant Methodist Hospital | Northeast Methodist Hospital | Stone Oak Methodist Hospital | Metropolitan Methodist Hospital | Texsan Methodist Hospital | Atascosa

METHODIST HEALTHCARE MINISTRIES IMPACT

$1.4 Billion

donated since its inception to improve wellness of the least served through direct services, grants, and community partnerships

300+

funded program sites

192 153

grant programs with more than partners

$129.9 Million planned for 2022 community health

4 clinics supporting 331,000 patients

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

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Contents

Contents Introduction

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• A Letter from Allen Harrison, President and CEO of Methodist Healthcare • Our Mission, Vision and Values • Who We Are

Dedication to our Patients

12

• Winter Storm • Service Animals •P astoral Care • Charity Care •G rand Opening: Methodist ER | Helotes

Protecting our Patients

18

• Our Commitment to Quality • COVID-19 Response

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Caring for our Communities

30

• Supporting Local Causes • Partnerships •C ommunity Health Needs Assessment and Community Health Priorities • Hands-Only CPR • Kids Teaching Kids •C rush the Crisis • HCA Hope Fund • Supporting Diverse Businesses

Supporting Our Colleagues

22

• Diversity, Equity, and Inclusion • Conscious Inclusion Training

Investing in and Advancing Clinicians

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Looking to the Future

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Our Facilities

• Methodist Hospital • Methodist Children’s Hospital •M ethodist Hospital | Northeast • Methodist Hospital | Stone Oak

• Methodist Healthcare Nursing

• Methodist Hospital | Texsan

Residency Programs

•M ethodist Hospital | Metropolitan

• Graduate Medical Education

•M ethodist Hospital | Specialty and Transplant

• Galen College of Nursing

• Methodist Hospital | Atascosa

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Above: Allen Harrison, President and CEO of Methodist Healthcare

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A Message from Allen Harrison President and CEO of Methodist Healthcare Hospitals will always be essential to their communities and serve a vital role in maintaining and improving health. Our Methodist Hospitals are there for South Texans in times of crisis – whether it’s serving our community throughout a pandemic, providing a safety net for those without health insurance or caring for those in a time of need.

Despite its challenges, 2021 was an outstanding year for Methodist Healthcare, as this Community Impact Report demonstrates. Collectively our facilities cared for over 732,000 patients (inpatient, outpatient, and ER) and provided $786 million in charity and indigent care to South Texans. The year also brought exceptional recognitions of the outstanding patient care at Methodist Healthcare: • Seven Methodist Healthcare hospitals earned Leapfrog Hospital Safety Grade “A’s” in the Spring of 2021.

• Methodist Hospital | Specialty and Transplant celebrated the 20-year anniversary of its first liver transplant.

• Methodist Hospital was named No. 1 Best Regional Hospital for 2021-2022 by U.S. News and World Report for the third year in a row.

• Methodist Hospital | Texsan was awarded the highest rated hospital in San Antonio for open-heart surgery by The Society of Thoracic Surgeons.

• The San Antonio Express-News readers voted three of our hospitals as Top Hospitals.

- Methodist Hospital | Northeast - Methodist Hospital | Stone Oak - Methodist Hospital

• Methodist Hospital | Specialty and Transplant is the only hospital 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.

When our System is successful, our South Texas community benefits in so many ways. Including the distribution of funds for our local co-owner, Methodist Healthcare Ministries (MHM), to operate four clinics that in 2021 supported 331,000 patients. This year, MHM has allocated $129.9 million planned for community health efforts throughout South Texas.

In addition, HCA Healthcare, equal owner of Methodist Healthcare, provided HCA Healthier Tomorrow Funds to our local American Heart Association for their efforts to drive equitable health in our community; to the Hispanic Chamber’s Latina Leadership Institute and to the Boardroom Project to develop future female leaders and to Communities in Schools to help with mental health support for students in San Antonio.

I am proud of our team, our commitment to South Texas, and to the continued investment that Methodist Healthcare, Methodist Healthcare Ministries and HCA is making to extend quality health care and access to hope and health to our region.

Many blessings to you, Allen Harrison President and CEO of Methodist Healthcare

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

Our Vision Our vision is to be a world-class health care 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 health care 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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Who We Are Methodist Healthcare created a 50-50 co-ownership between Methodist Healthcare Ministries of South Texas, Inc., and HCA Healthcare.

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

• Serving 74 counties • $1.4 billion provided to the community since its inception to improve wellness among the least served through direct services, grants, and community partnerships • 300+ funded program sites

co-ownership 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 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.

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

• Approximately $40 million was reimbursed for tuition in 2021 • $3.5 billion invested last year (2021) in land, buildings and equipment to expand or bring new services to the communities served

• Over 192 grant programs with more than 153 partners

• More than 299 GME programs making HCA Healthcare the largest graduate medical education provider in the country

• 4 clinics and community health programs serving more than 331,000 patients and clients

• More than $75 million in support to HCA Healthcare families through the Hope Fund since its inception

• $129.9 million planned for 2022 for community health

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

$1.4 Billion invested in the community over the past 10 years

$786 million

$753,400,000

in charity and indigent care in 2021

in total payroll

$21,091,433

$13,711,462

in property taxes

in sales taxes

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Dedication to Our Patients We exist because our patients need and deserve the best care possible. Each of our facilities have the highest standard for patient care and we are consistently raising the bar to keep the focus where it belongs – on our patients.

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Winter Storm Similar to 2020, the year 2021 unfolded in ways we couldn’t predict. Starting February 13, San Antonio experienced snow and ice that brought our city to a grinding halt. One thing weather cannot stop however is people’s need for medical care. Our staff responded just as they always have; with resiliency and a passion to care for patients.

Though we encountered several challenges, we were successful in maintaining regular operations during the Winter Storm. To ensure the safety of our staff, we offered hundreds of nearby hotel rooms, free-ofcharge, so employees would not have to travel to and from their facilities in hazardous conditions. Several other hundred employees opted to shelter in place at our hospitals to not only avoid roadways, but to remain onsite to guarantee their availability for their patients when their shift began. Administrators and other staff also personally transported employees to and from their homes when they were unable to drive themselves.

The generosity and teamwork across our entire system was inspirational.

The HCA Healthcare Hope Fund, which provides financial support to staff, 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 the winter storm (up from the regular disaster grant max of just over $6,100).

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The HCA Hope Fund also donated $50,000 to the San Antonio Area Foundation to help fund Mayor Nirenberg’s pipe repair program. This program helped many community members pay for damaged water pipes in mostly impoverished areas of the city.

Service Animals

Major

Bambi

Hazel

Jamie

Our animal family grew by 4 paws and 4 hoofs in 2021. We welcomed Major, a 2 year-old golden retriever and Bambi, a 4 year-old miniature therapy horse. These two new staff members join 5 other dogs that have been providing support for patients and staff for several years.

Ladybug, Chanel, and Fresca are part of our EMS Relations team and focus on visiting First Responders and staff at our facilities.

Jamie and Hazel work at Methodist Children’s Hospital and visit pediatric patients and their families.

@PawsForMethodist

Ladybug Handler: Frankie Trifilio

Chanel Handler: Brandon Miller

Fresca Handler: Jason Miller

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Pastoral Care

Methodist Healthcare System Chaplains

Methodist Healthcare has a team of chaplains dedicated to helping patients and their families deal with a health crisis, including specially trained chaplains for children, oncology patients, sexual assault survivors and critically ill patients. The chaplaincy program is considered a national benchmark for hospitals. Our chaplains made over 320,000 patient visits last year.

Charity Care As part of our mission, Methodist Healthcare provides care to patients without 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.

350k Chaplain/ Patient Visits

$786 Charity Care Charges

19k+ Patients Helped through Charity Care

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Further eligibility and assistance information, a copy of our financial assistance policy, the financial assistance form and a listing of physicians who provide emergency or other medically necessary services at Methodist Healthcare facilities, including whether their services 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/ charity-care.dot

Grand Opening: Methodist ER Helotes In October 2021 we opened a free‑standing ER in Helotes, Texas to further expand care to residents immediately outside of San Antonio.

• 7 private rooms • Radiology, full-service laboratory and telemetry • On-site diagnostic equipment, including CT scanner, x-ray suite, and ultrasound • Patients requiring more specialized inpatient care will be transferred to Methodist Hospital, Methodist Children’s Hospital or any other Methodist hospital for continued care.

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Protecting Our Patients Our Commitment to Quality

Our patients’ safety is our priority. Our goal is to make our patients feel safe and secure during their hospital stay. We assure a standard of quality care through proactive, ongoing training for staff and credentialing processes for all of our physicians.

Every member of our staff is dedicated to: • Providing a safe, healthy and secure environment • Performing their jobs carefully and completely • Providing better quality care based on the unique needs of our international patients • Responding to the wants and needs of our patients in a timely manner • Ensuring timely communication between caregivers and patients by answering questions regarding treatment and health • Providing specific information about our patients’ care and explaining changes about their treatment

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COVID-19 Response

After welcoming a vaccine and quickly standing up on‑site vaccination clinics for staff and physicians, the hope was that we found the ammunition to beat this pandemic. But even with the promise of slowing the spread, much of our focus remained on managing this virus. As a system, we tested 103,018 people for COVID-19, of which 12,964 were positive, 10,298 were admitted to one of our hospitals, and 1,435 unfortunately expired from battling this terrible disease.

Of those admitted to our hospitals, 3,788 were in the ICUs, 1,535 were treated on ventilators and 111 were treated on our Extracorporeal Membrane Oxygenation (ECMO) machines. Methodist Hospital is still the only private hospital in South Texas that offers the option of ECMO treatment.

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To this day, our response to COVID-19 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 our response that are important to know: • We acted early. Our preparations began before the World Health Organization (WHO) declared 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 case in Texas.

• Since we saw that first positive case in February of 2020, we have cared for over 50,000 COVID-19 patients through December 2021.

• We 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 clinically triaged, with 35% triaged to the ER. • We protected our staff both physically and financially.

In 2021, we distributed almost 78 million pieces of PPE, 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 our 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 a Methodist Hospital System and Methodist Healthcare Ministries board member gratitude tour to thank hospital staff for their resilience during the pandemic. Over 2,000 prayer cards were distributed.

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Supporting Our Colleagues Our staff is our most precious resource. They are a force 12,000 strong that show up each day ready to serve others.

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Diversity, Equity, and Inclusion We are committed to providing an inclusive work environment where everyone is treated with fairness, dignity and respect. We will make ourselves accountable to one another for the manner in which we treat one another and for the manner in which people around us are treated. We are committed to recruit and retain a diverse staff reflective of the patients and communities we serve. We regard laws, regulations and policies relating to diversity as a minimum standard. We strive to create and maintain a setting in which we celebrate cultural and other differences and consider them strengths of the organization.

Methodist Healthcare System is an equal opportunity workforce and no one shall discriminate against any individual with regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity

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or expression, genetic information or veteran status with respect to any offer, or term or condition, of employment. We make reasonable accommodations to the known physical and mental limitation of qualified individuals with disabilities.

HEI Designation The staff and physicians have helped Methodist Hospital | Metropolitan earn the status of “Leader in LGBTQ+ Healthcare Equality” by the Human Rights Campaign Foundation (HRC), for six consecutive years in a row. The HRC is the education arm of the country’s largest LGBTQ civil rights organization. Methodist Hospital | Metropolitan is the only hospital in San Antonio to earn this designation, with a total of only four in the state of Texas.

These networks will provide our employees with a safe space to discuss challenges and opportunities and will create value for the organization in the areas of community, professional development, recruiting, and innovation.

Conscious Inclusion Training

Colleague Networks As part of Methodist Healthcare’s commitment to fostering an engaged and inclusive culture where all colleagues can thrive, we are excited to launch the Colleague Networks Program. Colleague Networks are voluntary, employee-led groups that convene around a shared commonality or experience to foster an inclusive and diverse workplace.

These groups are open to all Methodist Healthcare employees, which means if you consider yourself an ally or are interested in learning more about a particular network, we encourage you to join. Colleague Network offerings include: • Asian Colleague Network

We know education and training is key to teaching our staff about how to incorporate diversity, equity and inclusion in their daily work life. We have started by training all Directors and above through our Conscious Inclusion classes. The objectives for this training include: • Articulate areas of potential unconscious bias and actions to eliminate them • Introduce practical day-to-day inclusive skills and behaviors to make a difference for your colleagues • Equip leaders with additional tools and resources to continue dialogue post-session

Results 88% of Directors & Above have completed Conscious Inclusion training

• Black Colleague Network • Hispanic/Latinx Colleague Network • LGBTQ+ Colleague Network • Veterans Colleague Network • Women's Colleague Network • Young Professionals Colleague Network

Overall, 13,942 HCA colleagues have completed the workshop including Parallon and HealthTrust staff

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Investing In and Advancing Clinicians Methodist Healthcare is a place where our staff can grow in their respective fields in a safe and accepting environment.

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Methodist Healthcare Nursing Residency Programs Methodist Healthcare Nursing Residency Programs consist of intensive structured specialty orientation designed to support transition of the graduate registered nurse to bedside nursing practice in a specific clinical setting. Each Nursing Residency focuses on development and verification of proficiency in key entry level technical, interpersonal and critical thinking skills required for safe practice. Residents are introduced to the Methodist Healthcare mission, interact with members of the health care team and acquire knowledge of regulatory requirements related to clinical practice in an acute care setting.

Methodist Healthcare System Education & Research Department supports all nurse Residency Programs coordinating learning activities, time and attendance, feedbacks and other personal related functions. Each Nurse Resident is designated as a full time, 40 hours/ week employee.

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Upon completion of the program, the Nurse Resident is reclassified to the appropriate hours/week schedule (ex. 36 hours/week) and transferred to the unit of hire.

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, Medical and Physician Assistant (PA) student programs. We are proud of the clinical experience gained at our facilities.

The Graduate Medical Education Committee (GMEC) in partnership with the Medical Executive Board provides oversight to ensure the quality of education and the work environment in full compliance with the guidelines of the Accreditation Council for Graduate Medical Education (ACGME).

In the 2020-2021 academic year, there were 42 program from 36 various specialties. A total of 540 residents and fellows participated in clinical rotations at a Methodist Healthcare facility.

Galen College of Nursing 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 2015, Galen opened its doors to a newly expanded and renovated San Antonio campus, a 70,000-square-foot facility featuring high-level clinical learning labs, as well as a simulation ER, ICU, and Pediatric units. 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, well-prepared, and compassionate nurses,” exclaimed Dean of the San Antonio campus, Terry Douglas, DPN, RN. “For over 30 years, we have been deeply embedded in South Texas to help address the critical nursing shortage and provide better care to our citizens.”

HCA 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.

8,943 Galen graduates since 2008

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Caring for Our Communities Supporting Local Causes As Methodist Healthcare, we are proud to offer support to a variety of worthy causes. For almost 60 years, Methodist Healthcare has given back to the community through charitable donations, sponsorships and volunteering. As the most preferred health care provider in San Antonio, we are advocates for the advancement of the community.

Our Methodist Healthcare employees also provide support and funding to hundreds of non-profit organizations of their choice, through an online giving portal. The portal also allows staff to search for volunteer opportunities throughout our community.

Partnerships Methodist Healthcare supports a variety of worthy causes through annual agreements with like-minded 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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Community Health Needs Assessment and Community Health Priorities 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 health care organizations, local government and non-profit organizations in Bexar County and Atascosa County to identify and solve community health issues through collaboration. Methodist Healthcare is proud to be a founding member of the Health Collaborative.

In order to work in coordination with other health care systems and organizations, businesses and non-profits, Methodist Healthcare has adopted the five health priority areas based upon the Bexar County and Atascosa County community health assessment, the Bexar County community health improvement plan and the SA2020 goals. 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.

Community Health Priorities 1. Healthy Eating and Active Living 2. Healthy Child and Family Development 3. Safe Communities 4.Behavioral and Mental Well-Being 5. Sexual Health Access to the Community Health Needs Assessments (CHNA) and each facility’s Community Health Implementation Plan (CHIP) can be found by visiting: SAHealth.com/about/mission-values/ charity-care.dot

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Hands-Only CPR In 2021, we set a goal to work with our partners at American Heart Association to train 10,000 community members on Hands-Only CPR. About 70% of out-ofhospital cardiac arrests happen in homes.

Responding quickly with CPR when someone has a cardiac arrest can double or triple their chances of surviving. We surpassed our goal for the year by training over 27,000 people on Hands-Only CPR!

Kids Teaching Kids A program focused on teaching kids how to make healthy snack choices started at MedCity Healthcare in Dallas launched a San Antonio program through Methodist Healthcare. The program revolved around a 21-Day Healthy Snack Challenge aimed at elementary school students. We had over 600 local students sign up to participate in inaugural year of the program. Nine local high school culinary programs also competed to come up with the best healthy snack recipe to be included in a recipe book that all 21-day challenge participants received.

Supporting Diverse Businesses

Crush the Crisis In October, Methodist Healthcare hosted our 3rd annual Crush the Crisis event. Aligned with the DEA’s Drug Take Back Day, we set up medication collections sites at 3 of our free-standing ERs: Alamo Heights, Converse, and Legacy Trails. Staff, alongside San Antonio Police Department officers, spent the morning collecting unneeded and/or expired medications. Across the three locations, we collected 1,128 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 drugs from people’s houses where they could be misused.

Not only is Diversity something we strive for in hiring and patient care, we also work hard to support diverse businesses when purchasing supplies our facilities need.

Did you know we spent:

$24,388,070

with Minority Owned Businesses

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 15 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 illness or accident. The fund also steps up to aid employees who are dealing with domestic violence, death of a loved one or other special situations. Since its inception, it has helped more than 45,000 families through contributions of $80 million is assistance. Through the HCA Hope Fund, 146 San Antonio division employees were provided support in 2021.

$21,133,921

with Women Owned Businesses

$1,929,455

with Veteran Owned Businesses

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Looking to the Future

We are happy to announce that Methodist Healthcare is growing in two different areas of our community: Methodist Medical Campus | Westover Hills

An extension of Methodist Healthcare, Methodist Hospital | Westover Hills will be approximately 180,000 square feet, with 54-beds, offering acute care designed to create access for the Westover Hills Community. Key service lines: • Emergency Care • Surgery, Gastrointestinal • Cardiology • Maternity and NICU Medical Office Building The campus will be the future home to our 4-story, 125,000 square foot medical office building – housing physician offices and other outpatient services in one convenient location. Key service lines: • Primary Care (internal medicine, family practice) • Specialty Care (cardiology, obstetrics, gynecology, oncology, maternal fetal medicine, orthopedics, urology, surgery and radiology) • South Texas Radiology and Imaging Center Methodist ER | New Braunfels (opening in August of 2022) • 7,000 sq. ft, 7 room FSER including full lab, pharmacy, and imaging suites to serve the New Braunfels community

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Methodist Hospital • Recognized as best regional hospital

by U.S. News and World Report for the third consecutive year • First in South Texas to perform a robotic‑assisted esophagectomy, one of the most advanced surgeries a thoracic surgeon can perform • The first FDA commercial approved hospital in Texas to pioneer an organ care system (OCS) to allow physicians the ability to travel further distances to procure transplant organs • Largest Extracorporeal Membrane Oxygenation (ECMO) Program in the Nation

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Methodist Children’s Hospital • 17% growth in OB services in the last two years; the hospital broke its record for number of babies delivered in a single year with 6,364 babies born in 2021 • Received a Level IV Maternal Designation from the State of Texas, which is reserved for facilities that demonstrate the ability to provide the highest level of care available for high-risk maternal patients • First sensory-friendly pediatric emergency room in the South Texas region • Launched a midwifery program and expanded its perinatal navigator program to guide highrisk maternal patients through the health care process

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Methodist Hospital | Metropolitan

Methodist Hospital | Stone Oak

• Earned level III designations as NICU and maternal care facility

• Received Level III Maternal and NICU designation

• Launched a Heartburn and Reflux Program to serve those suffering from heartburn and reflux

• Recipient of ACTION Registry/NCDR Platinum Performance Achievement Award for Cardiac Excellence

• Awarded an OR Excellence Award for Diversity, Equity, and Inclusion Award by Outpatient Surgery Magazine for the care they provide the LGBTQ+ community

• Received a 4-Star CMS Rating for Overall Quality and Patient Safety Measures

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Methodist Hospital | Northeast • 2021 YourSA Readers’ Choice Awards “Best Hospital” in San Antonio • Opened their Patient Care tower; a 30-bed unit for step-down care from Critical Care • Opened their Electrophysiology (EP) Lab used to diagnose abnormal heartbeats and arrhythmia

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Methodist Hospital | Specialty and Transplant • Expanded its Outpatient Behavioral Health Services; added group therapy rooms and expanded its intensive outpatient program with additional days and times • Led the nation in performing the most living donor kidney transplants (221); 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 recognized milestone • 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.

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Methodist Hospital | Texsan • First and only hospital in San Antonio to receive 3-Star Rating by the Society of Thoracic Surgeons, performing in the top 7.5% of heart programs in the U.S. • Earned The Joint Commission’s Gold Seal of Approval for Hip / Knee Replacement and Spine Surgery certifications • Designated as a HeartCARE Center for a third year in a row

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Methodist Hospital | Atascosa • Methodist Hospital | Atascosa renamed from Methodist Hospital | South to better reflect the community they serve • Acquired their first surgical robot to offer minimally-invasive surgical options to those they serve

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Freestanding Emergency Centers 9. Methodist ER | Boerne 134 Menger Springs Rd., Boerne, TX 78006 830-331-3000

13. Methodist ER | De Zavala Rd. 12805 W. I-10, San Antonio, TX 78249 210-575-9805

10. Methodist ER | Westover Hills 5538 W Loop 1604 N, San Antonio, TX 78251 210-575-9610

14. Methodist ER | Legacy Trails 9211 Potranco Rd., San Antonio, TX 78251 210-575-9211

11. Methodist ER | Converse 6402 Mallard Meadow, San Antonio, TX 78244 210-757-8010

15. Methodist ER | Nacogdoches Rd. 13434 Nacogdoches Rd., San Antonio, TX 78217 210-575-9805

12. Methodist ER | Alamo Heights 250 E. Basse Rd., San Antonio, TX 78023 210-638-4159

16. Methodist ER | Helotes 12285 Bandera Rd., San Antonio, TX 78023 210-575-2285

Urgent Care Centers 17. CareNow Urgent Care - Bulverde Road 17122 Bulverde Rd., Suite 104, San Antonio, TX 78247 210-783-0170

20. CareNow Urgent Care - Potranco 10538 Potranco Rd., Building 1, San Antonio, TX 78251 210-890-2640

18. CareNow Urgent Care - De Zavala 12840 IH-10 West, Suite 101, San Antonio, TX 78249 210-817-8490

21. CareNow Urgent Care - Leon Valley 5755 NW Loop 410, Suite 102, San Antonio, TX 78238 210-963-8445

19. CareNow Urgent Care - Alamo Heights 5410 Broadway St., Alamo Heights, TX 78209 210-998-6677

22. C areNow Urgent Care - Stone Oak 20780 US HWY 281 North, San Antonio, TX 78258 210-963-8455

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One Year After Leaving the Hospital, Covid-19 Patient Returns with Tacos and a Grateful Heart This letter is dedicated to a group a very special people, ICU nurses and personnel. I say special because I know they are dedicated to their jobs and patients; it is a calling. They put in long hours and during COVID times, they truly give their hearts and souls to their patients. I know my family sent tacos to these wonderful people as they took care of me during my stay in ICU. It was the beginning of COVID and I now realize how busy they were and how many times they only had a brief moment to eat those yummy tacos. Whether they were warm or stone cold, their primary concern was to care for their patients, including me. I cannot stress my gratitude for your dedication and for not giving up on me and other patients during the first wave of COVID. I was blessed to be in your care and you all were blessed by a strong team of prayer warriors praying for you as well. On the day I was released from rehab, I was interviewed by KSAT news. I told our community that Methodist Hospital | Stone Oak was not only a hospital, but a temple of God. I truly believe this because without your faith, prayer and medicine, I would not be here today to bring you tacos. I thank you from my heart.

Jose Luís (Louie) COVID-19 Survivor at Methodist Hospital | Stone Oak

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2021 Community Impact Report