2023-11-15T09:39:02-06:00 2022-12-31 366055558 GRANT THORNTON LLP 757 THIRD AVENUE 3RD FLOOR NEW YORK NY 100172013 990 2022-01-01 741356589 ST DAVID'S FOUNDATION STDA 5128796600 1303 SAN ANTONIO ST 500 AUSTIN TX 78701 AMY VAUGHAN VICE PRESIDENT OF FINANCE 5128796600 2023-11-15 1 AMY VAUGHAN XXX-XX-XXXX 0 SCOTT THOMPSETT P00741490 2125990100 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z EDWARD B BURGER 1303 SAN ANTONIO ST 500 AUSTIN TX 78701 177563370 0 X WWW.STDAVIDSFOUNDATION.ORG X 1924 TX ST. DAVID'S FOUNDATION'S ("FOUNDATION") MISSION IS TO ADVANCE HEALTH EQUITY IN CENTRAL TEXAS THROUGH INVESTMENT & ACTION. 16 16 96 40 -608924 0 34370 2509487 174084000 171517000 2579529 3527173 6115 9710 176704014 177563370 81988450 67324160 0 0 11740584 12988310 0 0 0 6867387 10112042 100596421 90424512 76107593 87138858 1636591026 1583128037 60120929 49739627 1576470097 1533388410 X THE FOUNDATION'S MISSION IS TO ADVANCE HEALTH EQUITY IN CENTRAL TEXAS THROUGH INVESTMENT AND ACTION. THE FOUNDATION'S VISION FOR CENTRAL TEXAS IS TO CREATE A VIBRANT AND INCLUSIVE COMMUNITY IN WHICH EVERY INDIVIDUAL CAN FLOURISH & REACH THEIR FULL POTENTIAL (SEE SCHEDULE O). 0 0 74268928 67324160 0 THE FOUNDATION IS ACTIVELY INVOLVED IN MEETING THE NEEDS OF INDIGENT MEMBERS OF THE COMMUNITY THROUGH GRANTS FOR INDIGENT PRIMARY CARE, MENTAL HEALTH SERVICES, SERVICES FOR THE ELDERLY AND GRANTS FOR WELLNESS PROGRAMS. THE FOUNDATION ANNUALLY INVESTS MORE THAN $70 MILLION IN GRANTS TO SUPPORT COMMUNITY HEALTH AND WELL-BEING. THE FOUNDATION INVESTS IN PERIODS OF VULNERABILITY AND OPPORTUNITY ACROSS THE LIFESPAN FROM OUR YOUNGEST CHILDREN TO OLDER ADULTS. WE ALSO RECOGNIZE AND WORK TO REDUCE THE BARRIERS TO CARE FOR OUR RURAL NEIGHBORS AND HARNESS THE POTENTIAL FOR CLINICS TO SERVE AS COMMUNITY HUBS FOR HEALTH. 8813807 0 0 THE FOUNDATION'S MOBILE DENTAL PROGRAM OFFERS FREE DENTAL CARE TO CHILDREN AT TITLE 1 ELEMENTARY SCHOOLS IN CENTRAL TEXAS, AS WELL AS ADULTS REFERRED BY AREA CLINICS. THIS IS THE LARGEST MOBILE CHARITY DENTAL PROGRAM IN THE COUNTRY.FROM AUGUST THROUGH MAY, THE MOBILE DENTAL PROGRAM TREATS ELEMENTARY SCHOOL CHILDREN WHO ATTEND TITLE I AND CHARTER SCHOOLS IN AUSTIN, DEL VALLE, HAYS, MANOR, PFLUGERVILLE, AND ROUND ROCK SCHOOL DISTRICTS. WHEN SCHOOL IS NOT IN SESSION, THE FOUNDATION'S VANS PARTNER WITH AREA SOCIAL SERVICE AGENCIES TO SERVE ADULTS AND FAMILIES (SEE SCHEDULE O). 0 0 0 THE FOUNDATION CONTROLS HOSPITALS DEDICATED TO SERVING CENTRAL TEXAS UNDER THE COMMUNITY BENEFIT STANDARD AND THE AFFORDABLE CARE ACT. ST. DAVID'S HEALTHCARE PARTNERSHIP INCLUDES HOSPITALS, FREE-STANDING EMERGENCY ROOMS, AMBULATORY CARE CENTERS, AND URGENT CARE CENTERS. THE FOUNDATION EARNED $171.5M IN REVENUES FROM THE PROVISION OF HEALTHCARE SERVICES THROUGH ST. DAVID'S HEALTHCARE PARTNERSHIP. SEE SCHEDULE H FOR MORE DETAILS. 83082735 1 1 0 1 0 0 0 0 0 1 1 1 1 0 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 92 0 1 96 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X X AMY VAUGHAN 5128796600 1303 SAN ANTONIO STREET SUITE 500 AUSTIN TX 78701 RAY BONILLA CHAIR 10.00 5.00 X X 0 0 0 PETER PINCOFFS TRUSTEE 5.00 10.00 X 0 0 0 SHANNON RATLIFF VICE CHAIR 10.00 1.00 X X 0 0 0 LINO MENDIOLA III SECRETARY 10.00 1.00 X X 0 0 0 JERRY TURNER TRUSTEE 1.00 5.00 X 0 0 0 BETSY ABELL TRUSTEE 5.00 0.00 X 0 0 0 JESSE ANCIRA TRUSTEE 1.00 0.00 X 0 0 0 RAY BENSON TRUSTEE 1.00 0.00 X 0 0 0 CRAIG HESTER TRUSTEE 1.00 0.00 X 0 0 0 H DAVID HUGHES TRUSTEE 1.00 0.00 X 0 0 0 LEW LITTLE TRUSTEE 1.00 0.00 X 0 0 0 DARRICK MCGILL TRUSTEE 1.00 0.00 X 0 0 0 JOHN MURRAY TRUSTEE 1.00 5.00 X 0 0 0 HONORABLE HARRIET O'NEILL TRUSTEE 1.00 0.00 X 0 0 0 REVEREND CHUCK TREADWELL TRUSTEE 1.00 0.00 X 0 0 0 MARC WINKELMAN TRUSTEE 1.00 0.00 X 0 0 0 AMY VAUGHAN VICE PRESIDENT OF FINANCE 34.00 6.00 X 343947 0 37900 BLAKE HOLMAN THRU 042022 CHIEF INFO & INFRASTRUCTURE OFFICER 32.00 8.00 X 117804 0 13919 BOBBIE BARKER VP OF COMMUNITY INV (THRU 02/2022) 32.00 0.00 X 12733 0 382 CATHY IBERG VICE PRESIDENT OF INVESTMENTS 10.00 0.00 X 236406 0 7091 EDWARD B BURGER PRESIDENT & CEO 39.60 5.40 X 595526 0 30011 FERNANDO X PENA EVP & GENERAL COUNSEL 30.00 10.00 X 430406 0 29027 JULIAN HUERTA VP OF COMMUNITY PROG (AS OF 01/2022) 40.00 0.00 X 224464 0 31409 REBECCA PASTNER THRU 062022 VP OF EVALUATION & STRATEG. LEARNING 40.00 0.00 X 160418 0 23301 REGAN GRUBER MOFFITT VP OF COMMUNITY INVESTMENTS 40.00 0.00 X 291062 0 38359 SHAILEE GUPTA CHIEF DENTAL OFFICER 40.00 0.00 X 252530 0 41623 ABBY MENKE LEAD DENTIST 40.00 0.00 X 186974 0 46253 CAESAR COLLAZO STAFF DENTIST 40.00 0.00 X 179680 0 42705 CARA MUELLER DIRECTOR OF HUMAN RESOURCES 40.00 0.00 X 212153 0 50048 YANA KUSHNER LEAD DENTIST 40.00 0.00 X 180587 0 40866 CHRISTINA THOMPSON CHIEF COMMUNICATIONS OFFICER 40.00 0.00 X 203062 0 41179 3627752 0 474073 34 0 1 0 CARDINAL 360 LLC 7112 GENTLE OAK DRIVE AUSTIN TX 78749 OPERATIONS CONSULTING 858161 RAND CORPORATION 1776 MAIN STREET SANTA MONICA CA 90401 MENTAL HEALTH CONSULTING 388617 HALF HELEN FOUNDATION 7801 N LAMAR BLVD STE F 34 AUSTIN TX 78752 VISION CARE PROVIDER 328870 CONSTRUCTIVE 82 NASSAU ST 909 NEW YORK NY 10038 WEBSITE DESIGN 237157 AUSTIN CENTRAL PARK PEDIATRIC DENTISTRY 1005 W 38TH ST STE 200 AUSTIN TX 78705 DENTAL CARE 227263 15 2509487 23495 2509487 HEALTHCARE SERVICES (VIA P'SHIP) 621990 171517000 171517000 171517000 3527173 -608924 4136097 9710 9710 177563370 171517000 -608924 4145807 66061930 66061930 1262230 1262230 2665293 833562 1831731 7398991 5650880 1748111 243647 161176 82471 2016782 1516489 500293 663597 450097 213500 145490 145490 107586 107586 762727 762727 3119902 2761665 358237 692646 348327 344319 542893 327461 215432 1073095 822774 250321 126159 109749 16410 35975 19406 16569 753414 603985 149429 448774 123890 324884 DENTAL PROGRAM SUPPLIES 734562 734562 DENTAL CARE SUB. PROG. 724440 724440 SPONSORSHIPS 330371 172392 157979 RECRUITING 117448 84597 32851 396560 313123 83437 90424512 83082735 7341777 0 100 100 99302359 66153401 54977377 51373197 2552051 2625137 7613094 4704187 3561576 2908907 176066272 156810088 897787617 847135140 402257067 456122067 86607 0 1636591026 1583128037 1905551 12213275 58215378 37521135 0 5217 60120929 49739627 X 1573836683 1530750361 2633414 2638049 1576470097 1533388410 1636591026 1583128037 X 87138858 -131190545 970000 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 1 466 0 0 0 1 24060 24526 0 PART II-B, LINE 1: THE SCHEDULE K-1 FROM ST. DAVID'S HEALTHCARE PARTNERSHIP, LP (THE "PARTNERSHIP") INCLUDED $24,060 OF LOBBYING EXPENDITURES, WHICH CONSTITUTED THE PORTION OF THE PARTNERSHIP'S ANNUAL ASSOCIATION DUES DEDICATED TO LOBBYING ACTIVITIES. 2633414 46350 41715 2638049 2633256 1580 1422 2633414 2633072 184 2633256 2628551 4521 2633072 2623278 5273 2628551 0.00000 1.00000 0.00000 0 0 993014 558292 434722 6620080 4145895 2474185 2908907 PRIVATE EQUITIES 369803639 F HEDGED INVESTMENTS 197251303 F GLOBAL EQUITIES 185913812 F FIXED INCOME FUNDS 94166386 F 847135140 ST. DAVID'S HEALTHCARE PARTNERSHIP, LP, LLP 456122067 C 456122067 DUE TO AFFILIATE 5217 5217 X PART V, LINE 4: THE FOUNDATION'S ENDOWMENT CONSISTS OF TWO INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE FOUNDATION HAS ESTABLISHED SCHOLARSHIPS WITH TEXAS STATE UNIVERSITY TO SUPPORT STUDENTS SEEKING A CAREER IN NURSING WHO ARE IN FINANCIAL NEED. ANNUALLY, 90% OF THE EARNINGS ARE DEVOTED TO THE PAYMENT OF THESE SCHOLARSHIPS, WHILE THE REMAINING 10% IS ADDED TO THE PERMANENTLY RESTRICTED CORPUS OF THE FUNDS. PART X, LINE 2: THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) PROVIDES GUIDANCE FOR HOW UNCERTAIN TAX POSITIONS SHOULD BE RECOGNIZED, MEASURED, DISCLOSED AND PRESENTED IN THE CONSOLIDATED FINANCIAL STATEMENTS. THIS REQUIRES THE EVALUATION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING THE FOUNDATION'S TAX RETURN TO DETERMINE WHETHER THE TAX POSITIONS ARE "MORE LIKELY THAN NOT" OF BEING SUSTAINED "WHEN CHALLENGED OR "WHEN EXAMINED" BY THE APPLICABLE TAX AUTHORITY. TAX POSITIONS NOT DEEMED TO MEET THE MORE LIKELY THAN NOT THRESHOLD WOULD BE RECORDED AS A TAX BENEFIT OR EXPENSE AND LIABILITY IN THE CURRENT YEAR. MANAGEMENT HAS DETERMINED THERE ARE NO MATERIAL UNCERTAIN INCOME TAX POSITIONS. CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 478541789 0 0 0 0 0 0 478541789 0 478541789 1 0 1 1 1 0 PART I, LINE 3: THE AMOUNT REPORTED IN PART I REPRESENTS THE FAIR MARKET VALUE OF FOREIGN INVESTMENTS HELD AT THE END OF THE TAX YEAR. PART III ACCOUNTING METHOD: SCHEDULE F, PART IV FOREIGN FORMS: THE FOUNDATION INVESTS IN DOMESTIC AND FOREIGN INVESTMENT VEHICLES THAT MAY OWN AN INTEREST IN A FOREIGN CORPORATION, PASSIVE FOREIGN INVESTMENT COMPANY, OR FOREIGN PARTNERSHIP. NEVERTHELESS, THE FOUNDATION ACTIVITIES MAY NOT REACH THE THRESHOLDS REQUIRED FOR FILING THE FORMS 926, 5471, 8621 OR 8865. TO THE EXTENT SUCH A FORM WAS COMPLETED, IT HAS BEEN FILED WITH THE FOUNDATION'S FORM 990-T. 1 1 X 1 X 1 X 500.000000000000 1 1 1 0 1 1 52078918 316716 51762202 0.06090 64009230 113381395 0 0.00000 0 0 116088148 113698111 51762202 0.06090 17958281 0 17958281 0.02110 945220 0 945220 0.00110 305862 196170 109692 0.00010 66663397 0 66663397 0.07850 85872760 196170 85676590 0.10080 201960908 113894281 137438792 0.16170 0 3814006 179369433 159175692 20193741 X 1 1 1 BAILEY SQUARE AMBULATORY SURGICAL CENTER LP AMBULATORY SURGERY CENTER 0.53750 0.00000 0.46250 2 SOUTH AUSTIN SURGERY CENTER LTD AMBULATORY SURGERY CENTER 0.59260 0.00000 0.40740 7 1 ST DAVID'S MEDICAL CENTER 919 E 32ND STREET AUSTIN TX 78705 WWW.STDAVIDS.COM 000035 X X X A 2 ST DAVID'S NORTH AUSTIN MEDICAL CENTER 12221 N MOPAC EXPWY AUSTIN TX 78758 WWW.STDAVIDS.COM 008299 X X X X X A 3 ST DAVID'S SOUTH AUSTIN MEDICAL CENTER 901 W BEN WHITE BLVD AUSTIN TX 78704 WWW.STDAVIDS.COM 000602 X X X X A 4 ST DAVID'S ROUND ROCK MEDICAL CENTER 2400 ROUND ROCK AVE ROUND ROCK TX 78681 WWW.STDAVIDS.COM 000608 X X X X A 5 HEART HOSPITAL OF AUSTIN 3801 NORTH LAMAR BLVD AUSTIN TX 78756 WWW.STDAVIDS.COM 000035 X X X A 6 ST DAVID'S GEORGETOWN HOSPITAL 2000 SCENIC DRIVE GEORGETOWN AUSTIN TX 78626 WWW.STDAVIDS.COM 000035 X X X A 7 ST DAVID'S SURGICAL HOSPITAL 1201 W LOUIS HENNA BLVD AUSTIN TX 78681 WWW.STDAVIDS.COM 008299 X X X A FACILITY REPORTING GROUP A 0 0 1 X X X X X X X X X 22 1 1 1 1 X WWW.STDAVIDSFOUNDATION.ORG/GRANTMAKING/COMMUNITY-NEEDS-ASSESSMENTS/ X X 1 22 1 WWW.STDAVIDSFOUNDATION.ORG/GRANTMAKING/COMMUNITY-NEEDS-ASSESSMENTS/ 0 1 X 200.000000000000 500.000000000000 X X X X X 1 1 X X X 1 X WWW.STDAVIDS.COM/PATIENTS-VISITORS/CHARITY-DISCOUNT-POLICY.DOT X WWW.STDAVIDS.COM/PATIENTS-VISITORS/CHARITY-DISCOUNT-POLICY.DOT X WWW.STDAVIDS.COM/PATIENTS-VISITORS/CHARITY-DISCOUNT-POLICY.DOT X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: ST. DAVID'S MEDICAL CENTER, - FACILITY 2: ST. DAVID'S NORTH AUSTIN MEDICAL CENTER, - FACILITY 3: ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER, - FACILITY 4: ST. DAVID'S ROUND ROCK MEDICAL CENTER, - FACILITY 5: HEART HOSPITAL OF AUSTIN, - FACILITY 6: ST. DAVID'S GEORGETOWN HOSPITAL, - FACILITY 7: ST. DAVID'S SURGICAL HOSPITAL GROUP A-FACILITY 1 -- ST. DAVID'S MEDICAL CENTER PART V, SECTION B, LINE 5: IN PREPARATION OF THE CHNA FOR AUSTIN / TRAVIS COUNTY, THE FOUNDATION COLLABORATED WITH ASCENSION SETON, AUSTIN PUBLIC HEALTH, GEORGETOWN HEALTH FOUNDATION, AND BAYLOR SCOTT & WHITE. THROUGH THE COLLECTIVE EFFORT, A FOCUS GROUP, INTERVIEWS AND ONLINE SURVEYS WERE CONDUCTED FROM JULY 2018 AUGUST 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 40 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF TRAVIS COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF FIVE INTERVIEWS, 504 UNIQUE DOOR-TO-DOOR SURVEYS AND SIX FOCUS GROUPS WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED MORE THAN 550 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE TEXAS DEPARTMENT OF STATE HEALTH SERVICES HSR 7, CENTRAL TEXAS FOOD BANK, LAKE TRAVIS ISD, CENTRAL TEXAS CATHOLIC CHARITIES, ST. JOHN EPISCOPAL CHURCH, PLEASANT HILL BRANCH PUBLIC LIBRARY, WILLIAM CANNON APARTMENT HOMES, BOOKER T. WASHINGTON TERRACES PUBLIC HOUSING COMPLEX, NORTH AUSTIN YMCA, PFLUGERVILLE LIBRARY, AND EAST AUSTIN STAKEHOLDER FOCUS GROUP. IN PREPARATION OF THE CHNA FOR BASTROP COUNTY, THE FOUNDATION COLLABORATED WITH ASCENSION SETON, GEORGETOWN HEALTH FOUNDATION, AND BASTROP COUNTY CARES. THROUGH THE COLLECTIVE EFFORT, KEY INFORMANT INTERVIEWS WERE CONDUCTED IN AUGUST OF 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 34 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF BASTROP COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF SIX COMMUNITY INPUT SESSIONS AND NINE KEY INFORMANT INTERVIEWS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED 39 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE SMITHVILLE HOSPITAL, COMBINED COMMUNITY ACTION, TEXAS A&M AGRILIFE EXTENSION SERVICES, VETERANS AFFAIRS, TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS, SMITHVILLE SCHOOL DISTRICT, BLUEBONNET TRAILS, BASTROP ISD, ASCENSION CATHOLIC CHURCH, AND LONE STAR CIRCLE OF CARE. IN PREPARATION OF THE CHNA FOR HAYS COUNTY, THE FOUNDATION COLLABORATED WITH ASCENSION SETON, GEORGETOWN HEALTH FOUNDATION AND BAYLOR SCOTT & WHITE. THROUGH THE COLLECTIVE EFFORT, TWO COMMUNITY INPUT SESSIONS AND NINE INTERVIEWS WERE CONDUCTED IN AUGUST OF 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 15 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF HAYS COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF NINE KEY INFORMANT INTERVIEWS AND TWO FOCUS GROUPS WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED 24 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE HAYS CISD, SAN MARCOS PUBLIC LIBRARY, CITY OF BUDA, TEXAS DEPARTMENT OF STATE HEALTH SERVICES HSR 7, CENTRAL TEXAS CATHOLIC CHARITIES, CENTRAL TEXAS FOOD BANK AND HAYS COUNTY FOOD BANK.IN PREPARATION OF THE CHNA FOR WILLIAMSON COUNTY, THE FOUNDATION COLLABORATED WITH THE WILLIAMSON COUNTY AND CITIES HEALTH DISTRICT, THE WILCO WELLNESS ALLIANCE, ASCENSION SETON, BAYLOR SCOTT & WHITE, BLUEBONNET TRAILS COMMUNITY SERVICES, GEORGETOWN HEALTH FOUNDATION, AND OPPORTUNITIES FOR WILLIAMSON AND BURNET COUNTIES, COLLECTIVELY REFERRED TO AS THE CHA TEAM. THE CHA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE ASSESSMENT PROCESS INCLUDED BOTH PRIMARY DATA GENERATED BY THE PARTNERS AND SECONDARY DATA FROM EXTERNAL ORGANIZATIONS. THE TEAM ALSO GATHERED QUALITATIVE DATA THROUGH FACILITATED DISCUSSIONS, KEY INFORMANT INTERVIEWS, PAPER AND ELECTRONIC SURVEYS, AND FOCUS GROUPS WITH RESIDENTS AND STAKEHOLDERS. TRAINED FACILITATORS CONDUCTED EIGHT FOCUS GROUPS WITH COMMUNITY MEMBERS FROM A VARIETY OF GROUPS INCLUDING YOUTH, NON-ENGLISH SPEAKERS, OLDER ADULTS, HEALTHCARE SYSTEMS STAFF, NON-PROFIT ORGANIZATIONS, EDUCATIONAL ENTITIES, AND LOCAL GOVERNMENTS. IN ALL, THE CHA PROCESS ENGAGED MORE THAN 2,200 INDIVIDUAL COMMUNITY MEMBERS.IN PREPARATION OF THE CHNA FOR CALDWELL COUNTY, THE FOUNDATION COLLABORATED WITH ASCENSION SETON. THROUGH THE COLLECTIVE EFFORT, KEY INFORMANT INTERVIEWS WERE CONDUCTED IN AUGUST OF 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. REPRESENTATIVES FROM THE COLLABORATING AGENCIES MADE UP A STEERING COMMITTEE, WHICH WAS RESPONSIBLE FOR DESIGNING THE ASSESSMENT. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR FIVE PEOPLE WHO REPRESENT THE BROAD INTERESTS OF CALDWELL COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF TWO COMMUNITY INPUT SESSIONS AND FIVE KEY INFORMANT INTERVIEWS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED 25 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE TEXAS A&M UNIVERSITY EXTENSION SERVICES, TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, LOCKHART WIC PROGRAM CLINIC, LOCKHART CITY LIBRARY, AND CITY OF LULING. GROUP A-FACILITY 1 -- ST. DAVID'S MEDICAL CENTER PART V, SECTION B, LINE 6A: SEE RESPONSE TO LINE 5 ABOVE. GROUP A-FACILITY 1 -- ST. DAVID'S MEDICAL CENTER PART V, SECTION B, LINE 6B: SEE RESPONSE TO LINE 5 ABOVE. GROUP A-FACILITY 1 -- ST. DAVID'S MEDICAL CENTER PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENTS ARE MADE AVAILABLE ON THE FACILITY'S WEB PAGE,WWW.STDAVIDS.COM/LOCATIONS/ST-DAVIDS-MEDICAL-CENTER/ABOUT GROUP A-FACILITY 1 -- ST. DAVID'S MEDICAL CENTER PART V, SECTION B, LINE 11: THE FOUNDATION EMBRACED THE AFFORDABLE CARE ACT REQUIREMENTS TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS IN THE GEOGRAPHIES OF ITS MEDICAL FACILITIES AND CREATE STRATEGIC IMPLEMENTATION PLANS FOR EACH FACILITY. THE FOUNDATION AUGMENTED ITS AREA-BASED, COLLABORATIVE, COMPREHENSIVE COMMUNITY HEALTH PLANNING EFFORTS IN TRAVIS AND WILLIAMSON COUNTIES BY LEADING SIMILAR ASSESSMENTS FOR BASTROP AND HAYS COUNTIES AND CONSOLIDATING AN ASSESSMENT OF COMMUNITY HEALTH NEEDS ACROSS ALL COMMUNITIES IN THE MEDICAL FACILITIES' GEOGRAPHIES. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS WAS DATA-LED, EVIDENCE-BASED AND REFLECTIVE OF KEY COMMUNITY PARTNERSHIPS.SEVERAL OVERARCHING THEMES EMERGED FROM SYNTHESIZING THE QUANTITATIVE AND QUALITATIVE DATA OF THE CHNAS CONDUCTED IN 2019. THESE NEEDS INFORMED THE PRIORITIES, GOALS, OBJECTIVES, AND STRATEGIES OF THE ST. DAVID'S MEDICAL CENTER, ST. DAVID'S NORTH AUSTIN MEDICAL CENTER, ST. DAVID'S ROUND ROCK MEDICAL CENTER STRATEGIC IMPLEMENTATION PLANS. NEED AREAS: 1. IMPROVED HEALTH AND WELL-BEING OF CHILDREN 2. IMPROVED HEALTH AND WELL-BEING OF WOMEN 3. IMPROVED HEALTH AND WELL-BEING OF OLDER ADULTS4. IMPROVED HEALTH AND WELL-BEING IN RURAL COMMUNITIES5. HEALTH CLINICS TO BECOME COMMUNITY HUBS FOR HEALTHTHESE MAJOR FINDINGS FROM THE CHNAS ALIGN WELL WITH THE FIVE ESTABLISHED PRIORITY AREAS OF THE FOUNDATION AS DESCRIBED IN THE DETAILED STRATEGIC IMPLEMENTATION PLANS, WHICH CAN BE FOUND AT WWW.STDAVIDSFOUNDATION.ORG/COMMUNITY-NEEDS-ASSESSMENTS. ALL AREAS HIGHLIGHTED BY THE CHNAS ARE BEING ADDRESSED BY THE 2022 STRATEGIC IMPLEMENTATION PLANS. THE PLANS ARE MEANT TO BE REVIEWED ANNUALLY AND ADJUSTED TO ACCOMMODATE REVISIONS THAT MERIT ATTENTION. GROUP A-FACILITY 2 -- ST. DAVID'S NORTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 5: SEE FACILITY 1 STATEMENT ABOVE GROUP A-FACILITY 2 -- ST. DAVID'S NORTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 6A: SEE FACILITY 1 STATEMENT ABOVE GROUP A-FACILITY 2 -- ST. DAVID'S NORTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 6B: SEE FACILITY 1 STATEMENT ABOVE GROUP A-FACILITY 2 -- ST. DAVID'S NORTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENTS ARE MADE AVAILABLE ON THE FACILITY'S WEB PAGE, WWW.STDAVIDS.COM/LOCATIONS/ST-DAVIDS-NORTH-AUSTIN-MEDICAL-CENTER/ABOUT. GROUP A-FACILITY 2 -- ST. DAVID'S NORTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 11: SEE FACILITY 1 STATEMENT ABOVE GROUP A-FACILITY 3 -- ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 5: SEE FACILITY 1 STATEMENT ABOVE GROUP A-FACILITY 3 -- ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 6A: SEE FACILITY 1 STATEMENT ABOVE GROUP A-FACILITY 3 -- ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 6B: SEE FACILITY 1 STATEMENT ABOVE GROUP A-FACILITY 3 -- ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENTS ARE MADE AVAILABLE ON THE FACILITY'S WEB PAGE, WWW.STDAVIDS.COM/LOCATIONS/ST-DAVIDS-SOUTH-AUSTIN-MEDICAL-CENTER/ABOUT. GROUP A-FACILITY 3 -- ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 11: SEE FACILITY 1 REPORT ABOVE GROUP A-FACILITY 4 -- ST. DAVID'S ROUND ROCK MEDICAL CENTER PART V, SECTION B, LINE 5: SEE FACILITY 1 STATEMENT ABOVE GROUP A-FACILITY 4 -- ST. DAVID'S ROUND ROCK MEDICAL CENTER PART V, SECTION B, LINE 6A: SEE FACILITY 1 STATEMENT ABOVE GROUP A-FACILITY 4 -- ST. DAVID'S ROUND ROCK MEDICAL CENTER PART V, SECTION B, LINE 6B: SEE FACILITY 1 STATEMENT ABOVE GROUP A-FACILITY 4 -- ST. DAVID'S ROUND ROCK MEDICAL CENTER PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENTS ARE MADE AVAILABLE ON THE FACILITY'S WEB PAGE, WWW.STDAVIDS.COM/LOCATIONS/ST-DAVIDS-ROUND-ROCK-MEDICAL-CENTER/ABOUT. GROUP A-FACILITY 4 -- ST. DAVID'S ROUND ROCK MEDICAL CENTER PART V, SECTION B, LINE 11: SEE FACILITY 1 STATEMENT ABOVE GROUP A-FACILITY 5 -- HEART HOSPITAL OF AUSTIN PART V, SECTION B, LINE 5: SEE FACILITY 1 STATEMENT ABOVE GROUP A-FACILITY 5 -- HEART HOSPITAL OF AUSTIN PART V, SECTION B, LINE 6A: SEE FACILITY 1 STATEMENT ABOVE GROUP A-FACILITY 5 -- HEART HOSPITAL OF AUSTIN PART V, SECTION B, LINE 6B: SEE FACILITY 1 STATEMENT ABOVE GROUP A-FACILITY 5 -- HEART HOSPITAL OF AUSTIN PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENTS ARE MADE AVAILABLE ON THE FACILITIES' WEB PAGES, WHICH ARE: WWW.STDAVIDS.COM/LOCATIONS/ST-DAVIDS-MEDICAL-CENTER/ABOUTWWW.STDAVIDS.COM/LOCATIONS/ST-DAVIDS-NORTH-AUSTIN-MEDICAL-CENTER/ABOUTWWW.STDAVIDS.COM/LOCATIONS/ST-DAVIDS-SOUTH-AUSTIN-MEDICAL-CENTER/ABOUTWWW.STDAVIDS.COM/LOCATIONS/ST-DAVIDS-ROUND-ROCK-MEDICAL-CENTER/ABOUT GROUP A-FACILITY 5 -- HEART HOSPITAL OF AUSTIN PART V, SECTION B, LINE 11: SEE FACILITY 1 STATEMENT ABOVE GROUP A-FACILITY 6 -- ST. DAVID'S GEORGETOWN HOSPITAL PART V, SECTION B, LINE 5: SEE FACILITY 1 REPORT ABOVE GROUP A-FACILITY 6 -- ST. DAVID'S GEORGETOWN HOSPITAL PART V, SECTION B, LINE 6A: SEE FACILITY 1 STATEMENT ABOVE GROUP A-FACILITY 6 -- ST. DAVID'S GEORGETOWN HOSPITAL PART V, SECTION B, LINE 6B: SEE FACILITY 1 STATEMENT ABOVE GROUP A-FACILITY 6 -- ST. DAVID'S GEORGETOWN HOSPITAL PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENTS ARE MADE AVAILABLE ON THE FACILITIES' WEB PAGES, WHICH ARE: WWW.STDAVIDS.COM/LOCATIONS/ST-DAVIDS-MEDICAL-CENTER/ABOUTWWW.STDAVIDS.COM/LOCATIONS/ST-DAVIDS-NORTH-AUSTIN-MEDICAL-CENTER/ABOUTWWW.STDAVIDS.COM/LOCATIONS/ST-DAVIDS-SOUTH-AUSTIN-MEDICAL-CENTER/ABOUTWWW.STDAVIDS.COM/LOCATIONS/ST-DAVIDS-ROUND-ROCK-MEDICAL-CENTER/ABOUT GROUP A-FACILITY 6 -- ST. DAVID'S GEORGETOWN HOSPITAL PART V, SECTION B, LINE 11: SEE FACILITY 1 STATEMENT ABOVE GROUP A-FACILITY 7 -- ST. DAVID'S SURGICAL HOSPITAL PART V, SECTION B, LINE 5: SEE FACILITY 1 STATEMENT ABOVE GROUP A-FACILITY 7 -- ST. DAVID'S SURGICAL HOSPITAL PART V, SECTION B, LINE 6A: SEE FACILITY 1 STATEMENT ABOVE GROUP A-FACILITY 7 -- ST. DAVID'S SURGICAL HOSPITAL PART V, SECTION B, LINE 6B: SEE FACILITY 1 STATEMENT ABOVE GROUP A-FACILITY 7 -- ST. DAVID'S SURGICAL HOSPITAL PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENTS ARE MADE AVAILABLE ON THE FACILITIES' WEB PAGES, WHICH ARE: WWW.STDAVIDS.COM/LOCATIONS/ST-DAVIDS-MEDICAL-CENTER/ABOUTWWW.STDAVIDS.COM/LOCATIONS/ST-DAVIDS-NORTH-AUSTIN-MEDICAL-CENTER/ABOUTWWW.STDAVIDS.COM/LOCATIONS/ST-DAVIDS-SOUTH-AUSTIN-MEDICAL-CENTER/ABOUTWWW.STDAVIDS.COM/LOCATIONS/ST-DAVIDS-ROUND-ROCK-MEDICAL-CENTER/ABOUT GROUP A-FACILITY 7 -- ST. DAVID'S SURGICAL HOSPITAL PART V, SECTION B, LINE 11: SEE FACILITY 1 STATEMENT ABOVE 2 1 - BAILEY SQUARE AMBULATORY SURGICAL CENTER 1111 W 34TH ST 400 AUSTIN TX 78705 AMBULATORY SURGERY CENTER 2 - SOUTH AUSTIN SURGERY CENTER 4307 JAMES CASEY ST AUSTIN TX 78745 AMBULATORY SURGERY CENTER PART I, LINE 3C: IN COMPLIANCE WITH IRC SECTION 501(R), THE HOSPITALS PROVIDE 100% FINANCIAL ASSISTANCE (CHARITY CARE) FOR ELIGIBLE PATIENTS WITH INCOME EQUAL TO OR LESS THAN 200% OF THE FEDERAL POVERTY GUIDELINES (FPG). FOR ELIGIBLE PATIENTS WITH INCOME OVER 200% FPG AND EQUAL TO 500% OR LESS THAN FPG, DISCOUNTS ARE PROVIDED ON A SLIDING SCALE. ELIGIBILITY IS DETERMINED USING VARIOUS SOURCES OF DOCUMENTATION AND INCOME VERIFICATION. THROUGHOUT 2022, THE ACCOUNTS FOR INDIVIDUALS WITHOUT ANY HEALTH INSURANCE WHO LIVE IN LOW INCOME ZIP CODES AND WHO FAILED TO RESPOND TO COLLECTION EFFORTS WERE REMOVED FROM ACCOUNTS RECEIVABLE AND TREATED AS CHARITY CARE. PART I, LINE 6A: THE PARTNERSHIP FILES ANNUAL STATEMENTS OF COMMUNITY BENEFITS AS REQUIRED BY THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES. PART I, LINE 7: THE HOSPITALS UTILIZE THE COST TO CHARGE RATIO FROM THE AUDITED FINANCIAL STATEMENTS. PART I, LN 7 COL(F): BAD DEBTS ARE EXCLUDED FROM THE CALCULATION OF TOTAL EXPENSES. PART II, COMMUNITY BUILDING ACTIVITIES: ALL OF THE HOSPITALS ARE ACTIVE IN THE COMMUNITY PROMOTING HEALTH OF CENTRAL TEXANS. THE FOUNDATION PROVIDES SIGNIFICANT GRANTS EACH YEAR TO NUMEROUS AGENCIES AND LOCAL SAFETY NET CLINICS. THE FOUNDATION FOCUSES ITS FUNDING ON FIVE KEY AREAS THAT WILL IMPROVE THE HEALTH AND HEALTH CARE OF ALL CENTRAL TEXANS. PART III, LINE 2: HOSPITALS CONTROLLED BY THE FOUNDATION DETERMINE BAD DEBT AND CHARITY CARE IN ACCORDANCE WITH GAAP AND WITH IRC SECTION 501(R). WHETHER BAD DEBT IS DETERMINED IN ACCORDANCE WITH STATEMENT 15 REQUIREMENTS IS A MORE DIFFICULT ISSUE. STATEMENT 15 REQUIRES HOSPITALS TO RECOGNIZE REVENUE ONLY WHEN COLLECTIONS ARE REASONABLY ASSURED AND FOR AN AMOUNT THAT IS DETERMINABLE. MOST HOSPITALS, INCLUDING THOSE CONTROLLED BY THE FOUNDATION, USE MATHEMATICAL MODELS BASED ON PRIOR HISTORY TO DETERMINE THE PERCENTAGE OF PATIENT BILLINGS THAT IS LIKELY TO RESULT IN BAD DEBT.FOR THIS REASON, AND OUT OF AN ABUNDANCE OF CAUTION, THE FOUNDATION HAS ANSWERED "NO" TO WHETHER STATEMENT 15 IS FOLLOWED. DESPITE THE BEST EFFORTS OF HMFA TO ASSIST HOSPITALS IN DETERMINING THE DIFFERENCE BETWEEN PATIENTS WHO HAVE THE CAPACITY TO PAY FOR THEIR CARE BUT WON'T PAY AND PATIENTS WHO LACK THE CAPACITY TO PAY, THE DETERMINATION ALWAYS INVOLVES JUDGMENT. HOWEVER, THE HOSPITALS CONTROLLED BY THE FOUNDATION DETERMINE CHARITY CARE ON THE CORE PRINCIPLES SET FORTH IN STATEMENT 15, INCLUDING SPECIFIC CRITERIA FOR CHARITY CARE, A SPECIFIC TIME OF DETERMINATION, RECORD KEEPING, DISCLOSURE OF THE CHARITY CARE POLICY AND VALUATION OF CHARITY CARE AT COST. PART III, LINE 4: THE FOUNDATION'S PROPORTIONATE SHARE OF BAD DEBT EXPENSE FROM ITS OWNERSHIP INTEREST IN THE PARTNERSHIP IS REPORTED ON SCHEDULE H, PART III, LINE 2. FOLLOWING IS THE FOOTNOTE TO THE PARTNERSHIP'S AUDITED FINANCIAL STATEMENTS WHICH DESCRIBES BAD DEBT EXPENSE:THE PARTNERSHIP RECORDS A PROVISION FOR DOUBTFUL ACCOUNTS (BASED PRIMARILY ON HISTORICAL COLLECTION EXPERIENCE) RELATED TO UNINSURED ACCOUNTS AT THE ESTIMATED NET SELF-PAY REVENUES THE PARTNERSHIP EXPECTS TO COLLECT. ADVERSE CHANGES IN GENERAL ECONOMIC CONDITIONS, BUSINESS OFFICE OPERATIONS, PAYOR MIX, OR TRENDS IN FEDERAL OR STATE GOVERNMENTAL HEALTH COVERAGE COULD AFFECT THE PARTNERSHIP'S COLLECTION OF ACCOUNTS RECEIVABLE, CASH FLOWS, AND RESULTS OF OPERATIONS. PART III, LINE 8: THE AMOUNTS REPORTED ON PART III, LINES 5-7 HAVE BEEN DETERMINED BY AGGREGATING THE INFORMATION FROM THE INDIVIDUAL FACILITY COST REPORT(S) FOR EACH OF THE HOSPITALS OPERATED BY THE PARTNERSHIP. THE HOSPITALS OPERATED BY THE PARTNERSHIP MAY HAVE COST REPORT YEAR ENDS OTHER THAN DECEMBER 31, 2022. ACCORDINGLY, FOR A FACILITY WITH A NON-CALENDAR COST REPORT YEAR END, THE COST REPORT THAT WAS FILED FOR THE COST REPORT YEAR END THAT ENDED DURING 2022 WAS UTILIZED. IT IS IMPORTANT TO NOTE THAT AMOUNTS INCLUDED IN LINES 5-7 DO NOT INCLUDE MEDICARE REVENUE AND RELATED COST FOR FREESTANDING AMBULATORY SURGERY SERVICES AND FOR PHYSICIAN SERVICES. PART III, LINE 9B: THE PARTNERSHIP WILL WORK WITH ALL UNINSURED PATIENTS TO DETERMINE ELIGIBILITY FOR MEDICAID OR CHARITY ASSISTANCE, AS OUTLINED IN THE "UNINSURED PATIENT INFORMATION DOCUMENT" EXHIBIT 1 ATTACHED WITH THE FINANCIAL ASSISTANCE POLICY (FAP). SHARED SERVICE CENTER (SSC) MANAGEMENT WILL MAKE THE DETERMINATION OF ELIGIBILITY, MAY MAKE FURTHER INQUIRY INTO AVAILABLE INFORMATION SUCH AS ASSETS, ETC. TO DETERMINE A PATIENT'S ABILITY TO PAY OR MAKE FURTHER INQUIRY REGARDING QUALIFYING THE PATIENT FOR GOVERNMENTAL OR OTHER FUNDING. FOR PATIENTS WHOSE YEARLY INCOME IS LESS THAN OR EQUAL TO 200% OF THE POVERTY GUIDELINES UPDATED ANNUALLY IN THE FEDERAL REGISTER THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES ("FEDERAL POVERTY GUIDELINES"), THE PATIENT WILL BE GRANTED CLASSIFICATION AS FINANCIALLY INDIGENT, AND THE ACCOUNT WILL BE WRITTEN OFF TO CHARITY. LETTERS ARE THEN SENT TO THE PATIENT NOTIFYING THAT THE ACCOUNT HAS QUALIFIED FOR THE CHARITY DISCOUNT AND IS CONSIDERED CLOSED. IN ADDITION, A SLIDING SCALE DISCOUNT IS APPLIED TO ACCOUNTS FOR PATIENTS WHOSE INCOME IS BETWEEN 200% AND 500% OF THE FEDERAL POVERTY GUIDELINES, AND WHOSE REMAINING ACCOUNT BALANCE, AFTER ANY THIRD-PARTY PAYMENTS, EXCEEDS 10% OF THEIR INCOME ("MEDICALLY INDIGENT"). CATASTROPHIC MEDICAL INDIGENCE: PATIENTS WITH ABNORMALLY LARGE ACCOUNTS MAY QUALIFY AS CATASTROPHIC ELIGIBLE WHEN THEIR REMAINING BALANCE EXCEEDS A SPECIFIED PERCENTAGE OF THEIR INCOME. IN SUCH CASES, THE PARTNERSHIP WILL DETERMINE THE AMOUNT OF FINANCIAL ASSISTANCE BY CALCULATING THE AMOUNT NECESSARY TO REDUCE THE REMAINING BALANCE TO A REASONABLE PERCENTAGE OF THE PATIENT'S INCOME WHICH RANGES FROM 10-40%. THE PATIENT MAY OBTAIN MORE INFORMATION REGARDING THIS CALCULATION BY SUBMITTING A REQUEST TO THE PATIENT ACCOUNT SERVICES AT: PO BOX 292369, NASHVILLE, TN 37229-2369. IF A PATIENT DOES NOT QUALIFY FOR A CHARITY DISCOUNT, AN UNINSURED DISCOUNT IS APPLIED TO TOTAL CHARGES. IN THE EVENT THAT THERE IS A PATIENT BALANCE DUE AFTER APPLICATION OF THE FAP AND/OR OTHER POLICY DISCOUNTS, THEN THIS BALANCE IS PURSUED UNDER OUR NORMAL COLLECTION PROCESS. OUR NORMAL PATIENT COLLECTION PROCESS IS GOVERNED BY A VARIETY OF BALANCE RESOLUTION PROCESSES/POLICIES THAT ARE CONSISTENTLY APPLIED TO ALL PATIENTS. THESE ACTIVITIES INCLUDE REGULAR STATEMENTS, LETTERS, PHONE CALLS TO DISCUSS BALANCES DUE, OFFERING REASONABLE PAYMENT PLANS AND THE AVAILABILITY OF SETTLEMENT DISCOUNTS ON AGED UNPAID BALANCES. PART VI, LINE 2: THE PARTNERSHIP STRATEGIC PLANNING PROCESS CONTINUALLY ASSESSES AND ADDRESSES THE NEEDS OF THE COMMUNITY. THE FOUNDATION RECENTLY PARTICIPATED IN A CAPACITY STUDY FOR THE SURROUNDING SERVICE AREA TO ASSESS THE OVERALL COMMUNITY NEEDS. THE FOUNDATION'S GRANTS PROGRAM ADDRESSES THE NEEDS OF THE SERVICE AREA. PART VI, LINE 3: EACH HOSPITAL POSTS A SUMMARY OF ITS CHARITY CARE POLICY IN ADMISSION AREAS, EMERGENCY ROOMS, AND OTHER AREAS WHERE ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. THE HOSPITALS' CONDITION OF ADMISSION CONSENT INFORMS THE PATIENTS THAT THEY MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE OR CHARITY CARE AND THEY MAY REQUEST INFORMATION ABOUT THESE PROGRAMS. A SUMMARY OF THE FINANCIAL ASSISTANCE PROGRAM IS PROVIDED TO THE PATIENT DURING THE INTAKE AND DISCHARGE PROCESSES. PATIENTS ARE INFORMED OF AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID, AND RECEIVE ASSISTANCE WITH THE QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. PART VI, LINE 4: THE HOSPITALS ARE LOCATED IN TRAVIS AND WILLIAMSON COUNTIES. THE PATIENTS ARE PREDOMINATELY FROM TRAVIS, WILLIAMSON AND HAYS COUNTIES. THE FOUNDATION'S GRANT PROGRAM RECIPIENTS CLOSELY ALIGN WITH PATIENT DEMOGRAPHICS SERVED AT THE HOSPITALS. PART VI, LINE 5: THE HOSPITALS OPERATE AS EXEMPT HOSPITALS; THEY HAVE OPEN EMERGENCY ROOMS AND MEDICAL STAFF. THE FOUNDATION INVESTS ITS SHARE OF EARNINGS FROM THE HOSPITALS INTO PROGRAMS IN CENTRAL TEXAS THAT INCREASE ACCESS TO HEALTHCARE. PART VI, LINE 6: THE FOUNDATION IS A GENERAL PARTNER IN THE PARTNERSHIP, A HOSPITAL SYSTEM THAT MEETS THE COMMUNITY BENEFIT STANDARD AND THE REQUIREMENTS OF THE AFFORDABLE CARE ACT IN DELIVERING HOSPITAL CARE TO CENTRAL TEXAS. IN ADDITION, THE FOUNDATION HAS ASSESSED THE UNMET HEALTHCARE NEEDS OF CENTRAL TEXAS AND USES THE EARNINGS FROM THE HOSPITALS TO MEET THOSE NEEDS IN MANY WAYS. THE FOUNDATION MAKES GRANTS TO CHARITIES IN CENTRAL TEXAS MEETING THE HEALTHCARE NEEDS OF THE INDIGENT. THE FOUNDATION ALSO MAKES GRANTS TO EDUCATIONAL INSTITUTIONS TO SUPPORT MEDICAL EDUCATION. THE FOUNDATION'S RELATED ENTITIES GIVE NEEDS-BASED SCHOLARSHIPS TO STUDENTS PURSUING HEALTHCARE CAREERS. IN ADDITION, THE FOUNDATION PROVIDES FREE DENTAL CARE TO THE CHILDREN IN 35 LOW INCOME SCHOOLS AND TO THE ADULT PATIENTS OF SAFETY NET CLINICS IN CENTRAL TEXAS, AND IT PAYS FOR DISCOUNTED EYE EXAMS AND EYEGLASSES FOR LOW INCOME CENTRAL TEXANS. PART VI, LINE 7, REPORTS FILED WITH STATES TX 1 212 CATALYSTS 6633 E HWY 290 SUITE 303 AUSTIN TX 78723 832143716 501(C)(3) 244200 0 HEALTH ACCESS GRANT AFFORDABLE CENTRAL TEXAS INC 2525 WALLINGWOOD DR BLDG 13 AUSTIN TX 78746 813188845 501(C)(3) 225000 0 HEALTH ACCESS GRANT AFRICAN AMERICAN YOUTH HARVEST FOUNDATION 6633 EAST HIGHWAY 290 SUITE 307 AUSTIN TX 78723 208592001 501(C)(3) 100000 0 HEALTH ACCESS GRANT AIDS SERVICES OF AUSTIN DBA VIVENT HEALTH 7215 CAMERON ROAD AUSTIN TX 78752 742440845 501(C)(3) 1578376 0 HEALTH ACCESS GRANT AMERICAN YOUTHWORKS 1901 E BEN WHITE BLVD AUSTIN TX 78741 742197942 501(C)(3) 231429 0 HEALTH ACCESS GRANT ANY BABY CAN OF AUSTIN INC 6207 SHERIDAN AVENUE AUSTIN TX 78723 742684335 501(C)(3) 1092000 0 HEALTH ACCESS GRANT AUSTIN COMMUNITY FOUNDATION 4315 GUADALUPE STREET SUITE 300 AUSTIN TX 78751 741934031 501(C)(3) 1975000 0 HEALTH ACCESS GRANT AUSTIN GROUP FOR THE ELDERLY (AGE) 3710 CEDAR STREET AUSTIN TX 78705 742431028 501(C)(3) 1000000 0 HEALTH ACCESS GRANT AUSTIN HEALTH COMMONS 2200 RIVERVIEW STREET AUSTIN TX 78704 812872043 501(C)(3) 100000 0 HEALTH ACCESS GRANT AUSTIN INTERFAITH SPONSORING COMMITTEE INCORPORATED 1301 S IH-35 SUITE 201 AUSTIN TX 78741 742389210 501(C)(3) 250000 0 HEALTH ACCESS GRANT AUSTIN LATINOA LESBIAN & GAY ORGANIZATION (ALLGO) 701 TILLERY STREET BOX 4 AUSTIN TX 78702 742495181 501(C)(3) 150000 0 HEALTH ACCESS GRANT AUSTIN PALLIATIVE CARE 4107 SPICEWOOD SPRINGS SUITE 100 AUSTIN TX 78759 743000910 501(C)(3) 750000 0 HEALTH ACCESS GRANT AUSTIN PUBLIC EDUCATION FOUNDATION 4000 S IH 35 FRONTAGE ROAD AUSTIN TX 78704 742654168 501(C)(3) 1959105 0 HEALTH ACCESS GRANT AUSTIN SPEECH LABS 7800 SHOAL CREEK BLVD STE AUSTIN TX 78757 262137242 501(C)(3) 150000 0 HEALTH ACCESS GRANT AUSTIN TRAVIS COUNTY MHMR CENTER DBA INTEGRAL CARE 1430 COLLIER STREET AUSTIN TX 78704 741547909 501(C)(3) 1383864 0 HEALTH ACCESS GRANT AVANCE-AUSTIN 745 MANSELL AVE AUSTIN TX 78702 911916705 501(C)(3) 977197 0 HEALTH ACCESS GRANT BASTROP COUNTY CARES PO BOX 1148 BASTROP TX 78602 473250104 501(C)(3) 595702 0 HEALTH ACCESS GRANT BASTROP COUNTY EMERGENCY FOOD PANTRY 806 FAYETTE STREET PO BOX 953 BASTROP TX 78602 742485884 501(C)(3) 140000 0 HEALTH ACCESS GRANT BLACK MEN'S HEALTH CLINIC 6633 E HWY 290 SUITE 100 AUSTIN TX 78723 872368435 501(C)(3) 35000 0 HEALTH ACCESS GRANT BLUEBONNET TRAILS COMMUNITY MHMR CENTER 1009 N GEORGETOWN STREET ROUND ROCK TX 78664 742795332 501(C)(3) 202446 0 HEALTH ACCESS GRANT BORN INTO THIS INC 916 SPRINGDALE RD BLDG 4 ST 109 AUSTIN TX 78702 842333851 501(C)(3) 50000 0 HEALTH ACCESS GRANT BOYS & GIRLS CLUBS OF THE AUSTIN AREA 6648 ED BLUESTEIN BLVD AUSTIN TX 78723 746087356 501(C)(3) 250000 0 HEALTH ACCESS GRANT CALDWELL COUNTY COMMUNITY SERVICES FOUNDATION 110 S MAIN ST LOCKHART TX 78644 844844532 501(C)(3) 200000 0 HEALTH ACCESS GRANT CAPACITY CATALYST 2028 EAST BEN WHITE BLVD AUSTIN TX 78741 825417593 501(C)(3) 75000 0 HEALTH ACCESS GRANT CAPITAL AREA INITIATIVES FOUNDATION 6800 BURLESON ROAD BLDG 310 STE 165 AUSTIN TX 78744 742934978 501(C)(3) 354000 0 HEALTH ACCESS GRANT CENTRAL TEXAS ALLIED HEALTH INSTITUTE 13203 VIENTO DEL SUR MANCHACA TX 78652 831515596 501(C)(3) 300000 0 HEALTH ACCESS GRANT CENTRAL TEXAS FOOD BANK 6500 METROPOLIS DRIVE AUSTIN TX 78744 742217350 501(C)(3) 323000 0 HEALTH ACCESS GRANT CITY OF ELGIN PARKS AND RECREATION DEPARTMENT 361 N HWY 95 ELGIN TX 78621 746000822 GOV 300000 0 HEALTH ACCESS GRANT CITY OF SMITHVILLE 507 MAIN STREET SMITHVILLE TX 78957 746002322 GOV 300000 0 HEALTH ACCESS GRANT CITY OF TAYLOR 400 PORTER STREET TAYLOR TX 76574 746002355 GOV 225000 0 HEALTH ACCESS GRANT COMBINED COMMUNITY ACTION INCORPORATED 165 WEST AUSTIN STREET GIDDINGS TX 789423205 741548511 501(C)(3) 125000 0 HEALTH ACCESS GRANT COMMONSENSE CHILDBIRTH INC - DBA NATIONAL PERINATAL TASK FORCE 213 SOUTH DILLARD STREET SUITE 340 WINTER GARDEN FL 34787 593479821 501(C)(3) 375000 0 HEALTH ACCESS GRANT COMMUNICARE HEALTH CENTERS 3066 EAST COMMERCE ST SAN ANTONIO TX 78220 741724391 501(C)(3) 1256477 0 HEALTH ACCESS GRANT COMMUNITIES FOUNDATION OF TEXAS 5500 CARUTH HAVEN LANE DALLAS TX 75225 750964565 501(C)(3) 53800 0 HEALTH ACCESS GRANT COMMUNITIES IN SCHOOLS OF CENTRAL TEXAS 3000 S IH 35 STE 200 AUSTIN TX 78704 742369020 501(C)(3) 2350000 0 HEALTH ACCESS GRANT COMMUNITIES IN SCHOOLS OF SOUTH CENTRAL TEXAS 161 S CASTELL AVE NEW BRAUNFELS TX 78130 742653402 501(C)(3) 50000 0 HEALTH ACCESS GRANT COMMUNITIES UNLIMITED INC 3 EAST COLT SQUARE DRIVE FAYETTEVILLE AR 72703 710464321 501(C)(3) 25000 0 HEALTH ACCESS GRANT COMMUNITY ACTION INC OF CENTRAL TEXAS 215 S REIMER AVE SUITE 130 SAN MARCOS TX 78667 741541726 501(C)(3) 469124 0 HEALTH ACCESS GRANT COMMUNITY ECONSULT NETWORK 635 MAIN STREET MIDDLETOWN CT 06457 810690892 501(C)(3) 378543 0 HEALTH ACCESS GRANT COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS INC 1918 CHURCH STREET GONZALES TX 78629 741548089 501(C)(3) 2857251 0 HEALTH ACCESS GRANT CON MI MADRE 1825 FORTVIEW RD STE 114 AUSTIN TX 78704 262034766 501(C)(3) 100000 0 HEALTH ACCESS GRANT COUNCIL FOR A STRONG AMERICA 1025 CONNECTICUT AVENUE NW WASHINGTON DC 20036 133840271 501(C)(3) 50000 0 HEALTH ACCESS GRANT COURT APPOINTED SPECIAL ADVOCATES OF TRAVIS COUNTY 7600 CHEVY CHASE DRIVE SUITE 200 AUSTIN TX 78752 742369123 501(C)(3) 74187 0 HEALTH ACCESS GRANT CREATIVE ACTION 1023 SPRINGDALE RD BLDG 3 AUSTIN TX 78721 742856925 501(C)(3) 705000 0 HEALTH ACCESS GRANT DELIVERING UNTO YOU PO BOX 3581 AUSTIN TX 78764 832654009 501(C)(3) 200000 0 HEALTH ACCESS GRANT DRIVE A SENIOR CENTRAL TEXAS DBA CHARIOT 724 EBERHART LN 500 AUSTIN TX 78745 262735793 501(C)(3) 136500 0 HEALTH ACCESS GRANT DRIVE A SENIOR-AUSTIN TX 2601 EXPOSITION BLVD AUSTIN TX 78703 742367556 501(C)(3) 61000 0 HEALTH ACCESS GRANT E3 ALLIANCE 5930 MIDDLE FISKVILLE RD AUSTIN TX 78752 640963235 501(C)(3) 250000 0 HEALTH ACCESS GRANT E4 YOUTH INC 628 PHEASANT HILL LN GEORGETOWN TX 78628 462878544 501(C)(3) 100000 0 HEALTH ACCESS GRANT EAST TRAVIS GATEWAY LIBRARY DISTRICT 13512 FM 812 DEL VALLE TX 78617 205953375 GOV 64000 0 HEALTH ACCESS GRANT EL BUEN SAMARITANO EPISCOPAL MISSION 7000 WOODHUE DRIVE AUSTIN TX 78745 742488682 501(C)(3) 20000 0 HEALTH ACCESS GRANT EPISCOPAL HEALTH FOUNDATION 500 FANNIN ST SUITE 300 HOUSTON TX 77002 462599162 501(C)(3) 500000 0 HEALTH ACCESS GRANT EVERY BODY TEXAS 314 E HIGHLAND MALL BLVD AUSTIN TX 78752 741936078 501(C)(3) 100000 0 HEALTH ACCESS GRANT EVERY TEXAN 7020 EASY WIND DRIVE SUITE 200 AUSTIN TX 78752 742898197 501(C)(3) 75000 0 HEALTH ACCESS GRANT EXCELLENCE AND ADVANCEMENT FOUNDATION 900 CHICON AUSTIN TX 78702 472738914 501(C)(3) 100000 0 HEALTH ACCESS GRANT FAMILY ELDERCARE 1700 RUTHERFORD LANE AUSTIN TX 78754 742286387 501(C)(3) 497911 0 HEALTH ACCESS GRANT FAYETTE COMMUNITY FOUNDATION 1630 NORTH JEFFERSON STREET LA GRANGE TX 78945 742997477 501(C)(3) 200000 0 HEALTH ACCESS GRANT FOUNDATION COMMUNITIES 3000 S IH 35 SUITE 300 AUSTIN TX 78704 742563260 501(C)(3) 4222533 0 HEALTH ACCESS GRANT GET UP PROJECT DBA HOPE 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STE 500 JARRELL TX 76537 472198949 501(C)(3) 50000 0 HEALTH ACCESS GRANT LEADERSHIP AUSTIN 1609 SHOAL CREEK BLVD STE 202 AUSTIN TX 78701 742967463 501(C)(3) 330000 0 HEALTH ACCESS GRANT LOCKHART INDEPENDENT SCHOOL DISTRICT 419 BOIS DARC STREET LOCKHART TX 78644 746001635 GOV 274000 0 HEALTH ACCESS GRANT LONE STAR CIRCLE OF CARE 205 E UNIVERSITY AVENUE STE 200 GEORGETOWN TX 78626 743001674 501(C)(3) 6450000 0 HEALTH ACCESS GRANT LOUISIANA HEALTH CARE QUALITY FORUM 8550 UNITED PLAZA BLVD SUITE 301 BATON ROUGE LA 70809 260497115 501(C)(3) 215280 0 HEALTH ACCESS GRANT MANOS DE CRISTO 4911 HARMON AVE AUSTIN TX 78751 742511974 501(C)(3) 268093 0 HEALTH ACCESS GRANT MARY LEE FOUNDATION 1339 LAMAR SQUARE DRIVE AUSTIN TX 78704 741479633 501(C)(3) 30000 0 HEALTH ACCESS GRANT MEADOWS MENTAL HEALTH POLICY INSTITUTE FOR TEXAS 2800 SWISS AVENUE DALLAS TX 75204 463992618 501(C)(3) 200000 0 HEALTH ACCESS GRANT MEALS ON WHEELS CENTRAL TEXAS 3227 E 5TH ST AUSTIN TX 78702 237202594 501(C)(3) 595000 0 HEALTH ACCESS GRANT MEALS ON WHEELS CENTRAL TEXAS IN-HOME CARE 3227 E 5TH STREET AUSTIN TX 78702 741888198 501(C)(3) 2090000 0 HEALTH ACCESS GRANT MEASURE AUSTIN 2921 E 17TH ST BLDG D STE 6 AUSTIN TX 78702 822372196 501(C)(3) 300000 0 HEALTH ACCESS GRANT MENTAL HEALTH RESOURCE OF TEXAS DBA VIA HOPE 4301 WEST WILLIAM CANNON DRIVE STE B-150 517 AUSTIN TX 78749 464931600 501(C)(3) 784000 0 HEALTH ACCESS GRANT MISSION CAPITAL 2028 E BEN WHITE BLVD 240-7723 AUSTIN TX 787416931 742992877 501(C)(3) 500000 0 HEALTH ACCESS GRANT ONE VOICE CENTRAL TEXAS PO BOX 300152 AUSTIN TX 787030003 742314772 501(C)(3) 75000 0 HEALTH ACCESS GRANT PARTNERS IN PARENTING 2207 PHILOMENA STREET AUSTIN TX 78723 300809437 501(C)(3) 72000 0 HEALTH ACCESS GRANT PEOPLE'S COMMUNITY CLINIC 1101 CAMINO LA COSTA AUSTIN TX 78752 237087608 501(C)(3) 6397281 0 HEALTH ACCESS GRANT PRESERVATION TEXAS INC 1343 LCR 666 1343 LCR 667 KOSSE TX 76653 752129913 501(C)(3) 100000 0 HEALTH ACCESS GRANT RAND CORPORATION PO BOX 2138 SANTA MONICA CA 904072138 951958142 501(C)(3) 200000 0 HEALTH ACCESS GRANT ROUND ROCK AREA SERVING CENTER 1099 E MAIN STREET ROUND ROCK TX 78664 742454410 501(C)(3) 346000 0 HEALTH ACCESS GRANT ROUND ROCK ISD EDUCATION FOUNDATION 595 ROUND ROCK WEST DR STE 404 ROUND ROCK TX 78681 742488709 501(C)(3) 36000 0 HEALTH ACCESS GRANT SACRED HEART COMMUNITY CLINIC INC 620 ROUND ROCK WEST DR BLDG 8 ROUND ROCK TX 78681 272901548 501(C)(3) 72500 0 HEALTH ACCESS GRANT SAMARITAN HEALTH MINISTRIES 904 CRYSTAL FALLS PKWY LEANDER TX 78641 742570190 501(C)(3) 50625 0 HEALTH ACCESS GRANT SENIOR ACCESS 2498 E PALM VALLEY BLVD ROUND ROCK TX 78665 742692484 501(C)(3) 190000 0 HEALTH ACCESS GRANT SMITHVILLE COMMUNITY CLINIC 300 LYNCH STREET SMITHVILLE TX 78957 204515999 501(C)(3) 90000 0 HEALTH ACCESS GRANT SOCCER ASSIST 2212 EAST WINDSOR AUSTIN TX 78703 472922753 501(C)(3) 40000 0 HEALTH ACCESS GRANT SOCIAL CURRENT 648 N PLANKINTON AVE MILWAUKEE WI 53203 391709925 501(C)(3) 159592 0 HEALTH ACCESS GRANT SOCIAL GOOD FUND 12651 SAN PABLO AVE UNIT 5473 RICHMOND CA 94805 461323531 501(C)(3) 200000 0 HEALTH ACCESS GRANT SUSTAINABLE FOOD CENTER 2921 E 17TH ST BLDG C AUSTIN TX 78702 742441468 501(C)(3) 50000 0 HEALTH ACCESS GRANT SWAN SONGS 706 WEST BEN WHITE BLVD 236A AUSTIN TX 78704 203174875 501(C)(3) 30000 0 HEALTH ACCESS GRANT TAYLOR LIBRARY FOUNDATION INC 801 VANCE STREET TAYLOR TX 76574 010757267 501(C)(3) 50000 0 HEALTH ACCESS GRANT TEXAS 2036 3963 MAPLE AVE STE 290 DALLAS TX 75219 813063099 501(C)(3) 50000 0 HEALTH ACCESS GRANT TEXAS ASSOCIATION OF CHARITABLE CLINICS INC PO BOX 684127 AUSTIN TX 78768 331115138 501(C)(3) 75000 0 HEALTH ACCESS GRANT TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS INC 5900 SOUTHWEST PARKWAY BUILDING 3 AUSTIN TX 78735 742308695 501(C)(3) 100000 0 HEALTH ACCESS GRANT TEXAS DEPARTMENT OF AGRICULTURE 1700 N CONGRESS AVE 11TH FLOOR AUSTIN TX 78701 746027560 GOV 581039 0 HEALTH ACCESS GRANT TEXAS HEALTH ACTION 101 W KOENIG LN SUITE 300 AUSTIN TX 78751 473809253 501(C)(3) 90000 0 HEALTH ACCESS GRANT TEXAS HEALTH INSTITUTE 9111 JOLLYVILLE ROAD AUSTIN TX 78759 742237787 501(C)(3) 112500 0 HEALTH ACCESS GRANT TEXAS INSTITUTE FOR CHILD AND FAMILY WELLBEING OFFICE OF ACCOUNTING OSP-SPAA - K5300 PO BOX 7159 AUSTIN TX 787137159 746000203 GOV 123795 0 HEALTH ACCESS GRANT TEXAS PEDIATRIC SOCIETY 401 W 15TH STREET STE 682 AUSTIN TX 78701 751499413 501(C)(3) 245416 0 HEALTH ACCESS GRANT TEXAS RIOGRANDE LEGAL AID INC 4920 N IH-35 AUSTIN TX 78751 741675230 501(C)(3) 200000 0 HEALTH ACCESS GRANT TEXAS RURAL FUNDERS PO BOX 650011 AUSTIN TX 78765 861401662 501(C)(3) 100000 0 HEALTH ACCESS GRANT TEXAS STATE UNIVERSITY 601 UNIVERSITY DRIVE SAN MARCOS TX 78666 741946138 501(C)(3) 110000 0 HEALTH ACCESS GRANT THE CARING PLACE 2000 RAILROAD AVE GEORGETOWN TX 78626 742386902 501(C)(3) 432000 0 HEALTH ACCESS GRANT THE NEW PHILANTHROPISTS PO BOX 302528 AUSTIN TX 78703 821819025 501(C)(3) 150000 0 HEALTH ACCESS GRANT THE OTHER ONES FOUNDATIONS 780 S HWY 183 AUSTIN TX 78741 821690537 501(C)(3) 500000 0 HEALTH ACCESS GRANT THE SAFE ALLIANCE (SAFE STOP ABUSE FOR EVERYONE) 4800 MANOR ROAD BLDG K 2ND FLOOR AUSTIN TX 78723 742320657 501(C)(3) 1340040 0 HEALTH ACCESS GRANT THE UNIVERSITY OF TEXAS AT AUSTIN SCHOOL OF NURSING 1710 RED RIVER MAIL CODE D0100 AUSTIN TX 78712 746000203 GOV 314240 0 HEALTH ACCESS GRANT THE UNIVERSITY OF TEXAS AT AUSTIN STEVE HICKS SCHOOL OF SOCIAL WORK 1925 SAN JACINTO BLVD STOP D3500 AUSTIN TX 78712 746000203 GOV 945415 0 HEALTH ACCESS GRANT TRAVIS COUNTY TEXAS 700 LAVACA STREET AUSTIN TX 78701 746000192 GOV 150000 0 HEALTH ACCESS GRANT UNITED WAY FOR GREATER AUSTIN 5930 MIDDLE FISKVILLE RD 5TH FL AUSTIN TX 78752 741193439 501(C)(3) 1799820 0 HEALTH ACCESS GRANT UNIVERSITY OF TX - RGK CENTER FOR PHILANTHROPY AND COMMUNITY SERVICE UT AUSTIN-RGK CENTER LBJ SCHOOL AUSTIN TX 78759 746000203 GOV 60000 0 HEALTH ACCESS GRANT UPTOGETHER 663 13TH ST SUITE 200 OAKLAND CA 94612 020784790 501(C)(3) 1455000 0 HEALTH ACCESS GRANT WILLIAMSON COUNTY CRISIS CENTER - HOPE ALLIANCE 1011 GATTIS SCHOOL ROAD ROUND ROCK TX 78664 742277114 501(C)(3) 112500 0 HEALTH ACCESS GRANT WILLIAMSON-BURNET COUNTY OPPORTUNITIES INC 604 HIGH TECH DRIVE GEORGETOWN TX 78626 746075213 501(C)(3) 190000 0 HEALTH ACCESS GRANT YOUTH AND FAMILY ALLIANCE DBA LIFEWORKS ATTN SUSAN MCDOWELL 3700 SOUTH 1ST STREET AUSTIN TX 78704 742137189 501(C)(3) 2430024 0 HEALTH ACCESS GRANT 128 0 DISCOUNTED EYE EXAMS AND EYEGLASSES FOR NEEDY CENTRAL TEXANS. 11417 1262230 PART I, LINE 2: THE FOUNDATION MONITORS THE USE OF GRANT FUNDS THROUGH THE FOLLOWING PROCEDURES: - GRANTEES SUBMIT QUARTERLY REPORTS TO PROGRAM OFFICERS 30 DAYS AFTER THE CLOSE OF EACH CALENDAR QUARTER. REVIEW OF QUARTERLY REPORT INFORMATION INCLUDES ANALYSIS OF A) METRIC DATA FOR GOAL AND OUTCOME MEASURES; B) DEMOGRAPHIC DATA; C) SIGNIFICANT PROGRAM ACTIVITIES, ACCOMPLISHMENTS AND/OR CHANGES; AND D) RESULTS OF CLIENT SATISFACTION SURVEYS. - GRANTEES SUBMIT YEAR-END REPORTS TO PROGRAM OFFICERS AFTER THE CLOSE OF FOURTH QUARTER. REVIEW OF YEAR-END REPORTS INCLUDES ANALYSIS OF AGGREGATE DATA FROM QUARTERLY REPORTS AND DOCUMENTATION OF FINANCIAL STATEMENTS. - PROGRAM OFFICERS DISTRIBUTE SUMMARY REPORTS TO SENIOR MANAGEMENT AND BOARD MEMBERS FOR ANALYSIS. - STAFF AND BOARD MEMBERS REVIEW AGENCY GRANT PROPOSALS IN CONNECTION WITH SITE VISITS. - STAFF CONDUCT PERIODIC SITE VISITS THROUGHOUT FUNDING YEAR. - SCHOLARSHIPS ARE PROVIDED TO STUDENTS WHO WANT TO PURSUE CAREERS IN HEALTHCARE, THEREBY ENSURING THAT THE FUNDS ARE EXPENDED FOR THE INTENDED PURPOSES. SCHOLARSHIP APPLICANTS WILL BE EVALUATED ON THE BASIS OF ACADEMIC MERIT AS WELL AS FINANCIAL NEED. PART III THE FOUNDATION PAYS FOR DISCOUNTED EYE EXAMS AND EYE GLASSES FOR CENTRAL TEXANS. EYE-CARE PROVIDERS SUBMIT INVOICES FOR SERVICES PROVIDED TO PATIENTS WHO SUBMIT VOUCHERS FOR CARE. VOUCHERS ARE PROVIDED TO FINANCIALLY INDIGENT INDIVIDUALS WHOSE INCOME EQUALS 200% OR LESS OF FEDERAL POVERTY GUIDELINES (FPG). THE FOUNDATION PAYS PROVIDER INVOICES DIRECTLY UPON RECEIVING THE VOUCHERS. X X X X X 0 0 0 0 0 0 0 0 0 EDWARD B BURGER PRESIDENT & CEO 595526 0 0 0 0 0 18300 0 11711 0 625537 0 0 0 FERNANDO X PENA EVP & GENERAL COUNSEL 430406 0 0 0 0 0 17316 0 11711 0 459433 0 0 0 AMY VAUGHAN VICE PRESIDENT OF FINANCE 343947 0 0 0 0 0 18300 0 19600 0 381847 0 0 0 REGAN GRUBER MOFFITT VP OF COMMUNITY INVESTMENTS 291062 0 0 0 0 0 8710 0 29649 0 329421 0 0 0 SHAILEE GUPTA CHIEF DENTAL OFFICER 252530 0 0 0 0 0 12480 0 29143 0 294153 0 0 0 CARA MUELLER DIRECTOR OF HUMAN RESOURCES 212153 0 0 0 0 0 13186 0 36862 0 262201 0 0 0 JULIAN HUERTA VP OF COMMUNITY PROG (AS OF 01/2022) 224464 0 0 0 0 0 6681 0 24728 0 255873 0 0 0 CHRISTINA THOMPSON CHIEF COMMUNICATIONS OFFICER 203062 0 0 0 0 0 12163 0 29016 0 244241 0 0 0 CATHY IBERG VICE PRESIDENT OF INVESTMENTS 236406 0 0 0 0 0 7091 0 0 0 243497 0 0 0 ABBY MENKE LEAD DENTIST 186974 0 0 0 0 0 11544 0 34709 0 233227 0 0 0 CAESAR COLLAZO STAFF DENTIST 179680 0 0 0 0 0 10916 0 31789 0 222385 0 0 0 YANA KUSHNER LEAD DENTIST 180587 0 0 0 0 0 10881 0 29985 0 221453 0 0 0 REBECCA PASTNER THRU 062022 VP OF EVALUATION & STRATEG. LEARNING 160418 0 0 0 0 0 7994 0 15307 0 183719 0 0 0 FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: THE FOUNDATION IS ONE OF THE LARGEST HEALTH FOUNDATIONS IN THE UNITED STATES, FUNDING OVER $80 MILLION ANNUALLY IN A FIVE-COUNTY AREA SURROUNDING AUSTIN, TEXAS INCLUDING BASTROP, CALDWELL, HAYS, TRAVIS, AND WILLIAMSON COUNTIES. THROUGH A UNIQUE PARTNERSHIP WITH THE PARTNERSHIP, THE FOUNDATION STRATEGICALLY REINVESTS PROCEEDS FROM THE HOSPITAL SYSTEM BACK INTO THE COMMUNITY, WITH THE GOAL OF ADVANCING HEALTH EQUITY AND IMPROVING THE HEALTH AND WELL-BEING OF THE FOUNDATION'S MOST UNDERSERVED CENTRAL TEXAS NEIGHBORS. THROUGH INVESTMENTS AND ACTION, THE FOUNDATION IS COMMITTED TO CENTERING HEALTH EQUITY SO THAT ALL CENTRAL TEXANS HAVE A FAIR CHANCE TO ACHIEVE OPTIMAL HEALTH WITH NO AVOIDABLE, UNJUST, OR SYSTEMATICALLY CAUSED DIFFERENCES IN HEALTH STATUS DUE TO ETHNICITY, RACE, AGE, ABILITY, OR GEOGRAPHY. FORM 990, PART III, LINE 4B, PROGRAM SERVICE ACCOMPLISHMENTS: EACH OF THE FOUNDATION'S NINE DENTAL VANS IS EQUIPPED WITH TWO DENTAL EXAM ROOMS, DIGITAL X-RAYS, AND COMPUTER WORKSTATIONS. BOARD-CERTIFIED DENTISTS, HYGIENISTS, AND ASSISTANTS GIVE FREE HIGH-QUALITY CARE TO CHILDREN AT THEIR SCHOOLS, SO STUDENTS DON'T HAVE TO MISS CLASS, AND PARENTS DON'T HAVE TO MISS WORK. BEYOND ADDRESSING URGENT NEEDS, THIS PROGRAM ALSO EDUCATES STUDENTS ABOUT DENTAL HYGIENE HABITS THAT WILL LAST A LIFETIME. FORM 990, PART VI, SECTION A, LINE 1A THE BOARD OF TRUSTEES ESTABLISHED AN EXECUTIVE COMMITTEE (THE "COMMITTEE") TO ASSIST THE BOARD IN FULFILLING ITS OVERSIGHT RESPONSIBILITY FOR THE OPERATIONS OF THE FOUNDATION AND ITS RELATED ENTITIES. THE COMMITTEE HAS THE POWER TO CONDUCT THE BUSINESS OF THE FOUNDATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, IN ACCORDANCE WITH THE POLICIES AND EXPRESSED WISHES OF THE BOARD AND ESTABLISHED PROTOCOL. THE COMMITTEE IS AUTHORIZED TO SECURE SUCH RESOURCES AS IT REASONABLY NEEDS TO FULFILL ITS RESPONSIBILITIES, INCLUDING OUTSIDE CONSULTANTS, AS APPROPRIATE. THE CHIEF EXECUTIVE OFFICER OF THE FOUNDATION, OR AN APPOINTED REPRESENTATIVE, SERVES AS THE COMMITTEE'S STAFF LIAISON. THE COMMITTEE ALSO CONSISTS OF THREE ELECTED GOVERNING BOARD OFFICERS: CHAIR, VICE CHAIR AND SECRETARY, THE PAST CHAIR OF THE FOUNDATION, THE CHAIR OF THE BOARD OF GOVERNORS OF THE PARTNERSHIP, AND ONE TO THREE AT LARGE MEMBERS FROM THE BOARD OF THE FOUNDATION. ALL COMMITTEE MEMBERS ARE GOVERNING BOARD MEMBERS, MUST BE INDEPENDENT OF MANAGEMENT, AND RECEIVE NO COMPENSATION FROM THE FOUNDATION. THE BOARD OF TRUSTEES HAS ADOPTED A SET OF CENTRAL GOVERNANCE PRINCIPLES TO PROVIDE A SPECIFIC FRAMEWORK FOR THE DECISION-MAKING AND GOVERNANCE ACTIVITIES OF THE COMMITTEE. FORM 990, PART VI, SECTION A, LINE 7B BOARD DECISION MATTERS ARE DELEGATED BY THE FOUNDATION'S BOARD AS FOLLOWS: DECISIONS ON BUDGET TRANSFERS OF AMOUNTS OF LESS THAN $1M OF BUDGETED EXPENDITURES IS DELEGATED TO THE CHIEF EXECUTIVE OFFICER, WITH A RECOMMENDATION PROVIDED BY THE APPROPRIATE VICE PRESIDENT OVERSEEING SUCH EXPENDITURE. PRIOR TO APPROVAL (BY THE CEO) OF ANY DIRECT COMMUNITY BENEFIT EXPENSES UNDER $1M, THE BOARD WILL BE PROVIDED WITH A SUMMARY OF THE PROPOSED EXPENDITURE. DECISIONS ON CONTRACTS AND EXPENDITURES OF AMOUNTS OF $250,000 OR LESS ARE DELEGATED TO THE CHIEF EXECUTIVE OFFICER, WITH BOARD CHAIR APPROVAL. FORM 990, PART VI, SECTION B, LINE 11B THE FOUNDATION'S FORM 990 IS PREPARED BY A NATIONALLY-RECOGNIZED ACCOUNTING FIRM IN CONJUNCTION WITH ITS FINANCE DEPARTMENT. THE FOUNDATION'S TAX AND AUDIT COMMITTEE PERFORMS A COMPREHENSIVE REVIEW OF DRAFT OF THE FORM 990 PRIOR TO IT BEING FINALIZED AND APPROVED FOR SUBMISSION TO THE FULL BOARD. THE FORM 990 IS THEN SHARED WITH THE BOARD OF TRUSTEES FOR THEIR REVIEW AND COMMENT, AFTER WHICH TIME THE FORM 990 IS ELECTRONICALLY FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION ANNUALLY VERIFIES COMPLIANCE WITH THE CONFLICTS OF INTEREST POLICY. THE INDIVIDUALS COVERED BY THIS POLICY INCLUDE THE OFFICERS AND TRUSTEES. THE PERSONS COVERED BY THIS POLICY ARE REQUIRED TO ANNUALLY DISCLOSE OR UPDATE ON A FORM PROVIDED BY THE FOUNDATION THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTEREST. FOR EACH INTEREST DISCLOSED DETERMINATION WILL BE MADE WHETHER TO: (A) TAKE NO ACTION; (B) ASSURE FULL DISCLOSURE; (C) ASK THE PERSON TO RECUSE FROM PARTICIPATION IN RELATED DISCUSSIONS OR DECISIONS WITHIN THE ORGANIZATION; OR (D) ASK THE PERSON TO RESIGN FROM HIS OR HER POSITION IN THE FOUNDATION OR, IF THE PERSON REFUSES TO RESIGN, BECOME SUBJECT TO POSSIBLE REMOVAL IN ACCORDANCE WITH THE FOUNDATION'S REMOVAL PROCEDURES. FORM 990, PART VI, SECTION B, LINE 15 TO ESTABLISH THE COMPENSATION OF THE FOUNDATION'S TOP MANAGEMENT OFFICIALS, OTHER OFFICERS, AND KEY EMPLOYEES, THE FOUNDATION USED THE REPORT OF AN INDEPENDENT COMPENSATION CONSULTANT. THE LATEST COMPENSATION REPORT WAS COMPLETED IN 2022 WITHOUT PARTICIPATION OF THE OFFICER, DIRECTOR OR OTHER TOP MANAGEMENT OFFICIAL UNDER CONSIDERATION. THIS PROCESS WAS UNDERTAKEN FOR THE FOLLOWING OFFICERS, DIRECTORS, KEY EMPLOYEES FOR 2022 COMPENSATION ON DECEMBER 6, 2021: EDWARD BURGER, CEO FERNANDO X. PENA, EVP AND GENERAL COUNSEL AMY VAUGHAN, VP OF FINANCE CATHY IBERG, VP OF INVESTMENTS SHAILEE GUPTA, CHIEF DENTAL OFFICER THIS PROCESS WAS REPEATED FOR THE FOLLOWING OFFICERS, DIRECTORS, KEY EMPLOYEES FOR ADDITIONAL 2022 COMPENSATION ON MAY 5, 2022: REGAN GRUBER MOFFITT, VP OF COMMUNITY INVESTMENTS FERNANDO X. PENA, EVP AND GENERAL COUNSEL AMY VAUGHAN, VP OF FINANCE SHAILEE GUPTA, CHIEF DENTAL OFFICER FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: GRANT AMENDMENTS 970,000. OFFICER COMPENSATION OF RELATED ORGANIZATIONS: THE FOUNDATION OWNS A GENERAL PARTNER INTEREST IN ST. DAVID'S HEALTHCARE PARTNERSHIP, LP, LLP ("PARTNERSHIP"). IN THE INTERESTS OF FULL TRANSPARENCY, THE FOUNDATION NOTES THAT IT PAYS A PORTION OF THE PARTNERSHIP'S CEO AND CFO COMPENSATION AS FOLLOWS: SHARI COLLIER, CFO SALARY $179,149 EMPLOYEE BENEFITS $18,896 DAVID HUFFSTUTLER, CEO SALARY $359,496 EMPLOYEE BENEFITS $33,449 ST DAVID'S COMMUNITY HEALTH FOUNDATION HOLDINGS 1303 SAN ANTONIO ST 500 AUSTIN TX 78701 742206098 HOLDING COMPANY TX 501(C)(3) LINE 7 ST DAVID'S FOUNDATION 1 ST DAVID'S FOUNDATION COMMUNITY FUND 1303 SAN ANTONIO ST 500 AUSTIN TX 78701 742898888 PROVIDES NEEDS-BASED SCHOLARSHIPS AND CONTROLS MEDICAL FACILITIES TX 501(C)(3) LINE 7 ST DAVID'S FOUNDATION 1 ST DAVID'S COMMUNITY HEALTH FOUNDATION INITIATIVES 1303 SAN ANTONIO ST 500 AUSTIN TX 78701 270112979 SUPPORT SERVICES TO RELATED ORGANIZATIONS TX 501(C)(3) LINE 12A, I ST DAVID'S FOUNDATION COMMUNITY FUND 1 ST DAVID'S HEALTHCARE PARTNERSHIP LP LLP 98 SAN JACINTO STE 1800 AUSTIN TX 78701 742781812 OWNS & OPERATES FOUR HOSPITALS IN CENTRAL TX TX N/A RELATED 266545184 1104254433 0 1 0.40590 BAILEY SQUARE AMBULATORY SURGICAL CENTER LTD 98 SAN JACINTO STE 1800 AUSTIN TX 78701 752467365 AMBULATORY SURGERY CENTER TX N/A 0 0 SOUTH AUSTIN SURGERY CENTER LTD 98 SAN JACINTO STE 1800 AUSTIN TX 78701 621775267 AMBULATORY SURGERY CENTER TX N/A 0 0 LEADERSHIP HEALTHCARE HOLDINGS II LP LLP 98 SAN JACINTO STE 1800 AUSTIN TX 78701 341996283 OWNS AN INTEREST IN A RADIOLOGY CENTER TX N/A 0 0 LEADERSHIP HEALTHCARE HOLDINGS LP LLP 98 SAN JACINTO STE 1800 AUSTIN TX 78701 203151012 OWNS MAJORITY INTERESTS IN AMBULATORY SURGERY CENTERS TX N/A 0 0 OAKWOOD SURGERY CENTER LTD 98 SAN JACINTO STE 1800 AUSTIN TX 78701 621641024 AMBULATORY SURGERY CENTER TX N/A 0 0 NORTH AUSTIN SURGERY CENTER LP 98 SAN JACINTO STE 1800 AUSTIN TX 78701 200648730 AMBULATORY SURGERY CENTER TX N/A 0 0 CP SURGERY CENTER LLC 98 SAN JACINTO STE 1800 AUSTIN TX 78701 800776412 AMBULATORY SURGERY CENTER TX N/A 0 0 MCA-CTMC HOLDINGS LLC 98 SAN JACINTO STE 1800 AUSTIN TX 78701 800899140 AMBULATORY SURGERY CENTER TX N/A 0 0 SOUTH AUSTIN SURGICENTER LLC 98 SAN JACINTO STE 1800 AUSTIN TX 78701 300924492 AMBULATORY SURGERY CENTER TX N/A 0 0 ST DAVID'S AUSTIN AREA ASC LLC 98 SAN JACINTO STE 1800 AUSTIN TX 78701 611760247 AMBULATORY SURGERY CENTER TX N/A 0 0 AUSTIN GI SURGICENTER LLC 98 SAN JACINTO STE 1800 AUSTIN TX 78701 301073754 AMBULATORY SURGERY CENTER TX N/A 0 0 CAREOS SURGICENTER LLC 98 SAN JACINTO STE 1800 AUSTIN TX 78701 844484446 AMBULATORY SURGERY CENTER TX N/A 0 0 HEALTH AT HOME HOLDINGS - AUSTIN LLC 98 SAN JACINTO STE 1800 AUSTIN TX 78701 863865064 HOME HEALTH AND HOSPICE SERVICES TX N/A 0 0 ST DAVID'S FOUNDATION IMPACT FUND LP 1303 SAN ANTONIO ST 500 AUSTIN TX 78701 341996279 OWNS INDIRECT INTEREST IN A RADIOLOGY CENTER TX N/A C 0 ST DAVID'S FOUNDATION IMPACT FUND GP LLC 1303 SAN ANTONIO ST 500 AUSTIN TX 78701 341996272 OWNS INDIRECT INTEREST IN A RADIOLOGY CENTER TX N/A C 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 1 ST DAVID'S COMMUNITY HEALTH FOUNDATION INITIATIVES Q 516365 BOOK ST DAVID'S COMMUNITY HEALTH FOUNDATION INITIATIVES K 1136271 BOOK ST DAVID'S FOUNDATION COMMUNITY FUND A 3566807 CASH ST DAVID'S HEALTHCARE PARTNERSHIP LP LLP S 117652000 BOOK ST DAVID'S HEALTHCARE PARTNERSHIP LP LLP A 26627401 BOOK