Memorial Hermann Community Benefit Corporation

What it reported doing in 2024

Addressing the need for a "medical home" for the uninsured and underinsured, Memorial Hermann Community Benefits partners with five school districts, Houston--the largest in Texas, Pasadena, Lamar Consolidated, Alief and Aldine for its Health Centers for Schools program designed to provide a "medical home" for uninsured children and a secondary access point for insured children, grades k-12th. The Health Centers for Schools program provides primary healthcare, mental healthcare, nutritional care, navigation support and dental care to medically underserved, at-risk children. The program began in 1996 with two school-based health centers servicing three schools. Today, Memorial Hermann operates Health Centers on-site at nine campuses in the greater Houston area providing access to healthcare for students at 80+ schools. "Feeder" patterns are accommodated, making it possible for a child to receive continuity of care from pre-kindergarten through twelfth grade. All services are provided at no cost to families. The Health Centers for Schools operate Monday through Friday, 7:30 am to 4:00 pm, 12 months a year. The primary goal of the Health Centers for Schools program is to bring increased health care to children who will otherwise not obtain it and to keep children healthy and in school so they can learn the skills they will need for a brighter future. 60% of the children served at the clinics do not have any type of healthcare coverage. 29% have some form of Medicaid. The remaining 11% are children who would not obtain healthcare due to transportation issues, working parents unable to accommodate time off from work, high private insurance deductibles or simply a lack of parental involvement. 95% of students served through the program are on the free/reduced lunch program, and 39% are more comfortable speaking, reading and writing in a language other than English. The scope of services offered includes immunizations, general and sports physicals including well woman and man care, acute, chronic and minor injury care, mental health therapy, social service counseling and referrals, health education, and nutritional guidance as well as other specific care to meet students' needs. Staffing at each center consists of a nurse practitioner, licensed clinical social worker, licensed vocational nurse, and a receptionist, with medical clinic oversight provided by a family practitioner. Two dietitians and a certified community health worker rotate amongst the nine centers. The dietitians deliver the healthy eating and lifestyles program (HELP) designed to educate health centers for schools' students and their families on the importance of proper nutrition and exercise. The HELP program is intensive and individual, meeting the student and family where they are on the "stage of change" continuum. The navigator supports in health and social service applications and referrals. The three mobile dental clinic vans rotate among the health centers for schools and are staffed by a dentist and one to two dental assistants. The vans provide services that include periodic oral examinations, diagnostic x-rays, prophylaxis, fluoride treatments, oral hygiene instructions, sealants, composite fillings, extractions, stainless steel crowns, and pulpotomies. This program has served as a "dental home" to uninsured students since 2000. An evidenced-based program, Memorial Hermann Health Centers for Schools benchmarks are derived from the National Association of School Based Health Centers, pre/post data, and Healthy People 2020. Outcomes in 2023 include: 2.9% of Health Center students used an ER for primary care purposes versus 10.5% of the general primary care pediatric community; asthma exacerbations, emergency room visits, hospitalizations and absenteeism were reduced by 92%; 97% of students with 3+ clinic visits for acute or chronic reasons receive a bi-annual physical; and 85% of students returned to their classroom on the same day. Although our behavioral h

Financial Efficiency

• Mission deployment rate: 92.3%; rating input score 92
• Program expense ratio: 89.5%; rating input score 89
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.9%; rating input score 93; 10th percentile among comparable filings
• Pay-setting controls: 5 of 6 controls in place; rating input score 83
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Pass
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 92.9%; rating input score 93; 22nd percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 0%; rating input score 0; 3rd percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -3.1%; rating input score 21; 21st percentile among comparable filings
• Total-asset coverage ratio: 0.67; rating input score 23; 23rd percentile among comparable filings
• Liabilities to assets ratio: 0.15; rating input score 65; 65th percentile among comparable filings
• Officer compensation ratio: 13.6%; rating input score 11; 11th percentile among comparable filings

Growth

• Program expense growth: 8% per year; rating input score 100; 61st percentile among comparable filings
• Revenue growth: 8.5% per year; rating input score 100; 68th percentile among comparable filings
• Asset growth: 8.7% per year; rating input score 100; 59th percentile among comparable filings