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        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <ChildrensHospitalInd>X</ChildrensHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <EmergencyRoomOtherInd>X</EmergencyRoomOtherInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>3</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>ST DAVID'S SOUTH AUSTIN MEDICAL CENTER</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>901 W BEN WHITE BLVD</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78704</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.STDAVIDS.COM</WebsiteAddressTxt>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <EmergencyRoomOtherInd>X</EmergencyRoomOtherInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>4</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>ST DAVID'S ROUND ROCK MEDICAL CENTER</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>2400 ROUND ROCK AVE</AddressLine1Txt>
          <CityNm>ROUND ROCK</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78681</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.STDAVIDS.COM</WebsiteAddressTxt>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <EmergencyRoomOtherInd>X</EmergencyRoomOtherInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>5</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HEART HOSPITAL OF AUSTIN</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>3801 NORTH LAMAR BLVD</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78756</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.STDAVIDS.COM</WebsiteAddressTxt>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>6</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>ST DAVID'S GEORGETOWN HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>2000 SCENIC DRIVE</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78626</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.STDAVIDS.COM</WebsiteAddressTxt>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>7</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>ST DAVID'S SURGICAL HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1201 W LOUIS HENNA BLVD</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78681</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.STDAVIDS.COM</WebsiteAddressTxt>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoomOtherInd>X</EmergencyRoomOtherInd>
        <FacilityReportingGroupCd>A</FacilityReportingGroupCd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>FACILITY REPORTING GROUP - A</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>1</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>1</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V, PAGE 8</OwnWebsiteURLTxt>
        <OtherWebsiteInd>X</OtherWebsiteInd>
        <OtherWebsiteURLTxt>WWW.GTHF.ORG</OtherWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V, PAGE 8</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>500.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.STDAVIDS.COM/PATIENTS-VISITORS/CHARITY-DISCOUNT-POLICY.DOT</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.STDAVIDS.COM/PATIENTS-VISITORS/CHARITY-DISCOUNT-POLICY.DOT</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.STDAVIDS.COM/PATIENTS-VISITORS/CHARITY-DISCOUNT-POLICY.DOT</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B</FormAndLineReferenceDesc>
        <ExplanationTxt>FACILITY REPORTING GROUP A</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY REPORTING GROUP A CONSISTS OF:</FormAndLineReferenceDesc>
        <ExplanationTxt>- 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</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 1 -- ST. DAVID'S MEDICAL CENTER PART V, SECTION B, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN PREPARATION OF THE CHNA FOR AUSTIN / TRAVIS COUNTY, THE FOUNDATION COLLABORATED WITH ASCENSION SETON, AUSTIN PUBLIC HEALTH, GEORGETOWN HEALTH FOUNDATION, AND BAYLOR SCOTT &amp; 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&amp;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 &amp; 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 &amp; 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&amp;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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 1 -- ST. DAVID'S MEDICAL CENTER PART V, SECTION B, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE RESPONSE TO LINE 5 ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 1 -- ST. DAVID'S MEDICAL CENTER PART V, SECTION B, LINE 6B:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE RESPONSE TO LINE 5 ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 1 -- ST. DAVID'S MEDICAL CENTER PART V, SECTION B, LINE 7D:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY HEALTH NEEDS ASSESSMENTS ARE MADE AVAILABLE ON THE FACILITY'S WEB PAGE, WWW.STDAVIDS.COM/LOCATIONS/ST-DAVIDS-MEDICAL-CENTER/ABOUT/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 1 -- ST. DAVID'S MEDICAL CENTER PART V, SECTION B, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION EMBRACED THE AFFORDABLE CARE ACT REQUIREMENTS TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS IN THE GEOGRAPHIES OF ITS MEDICAL FACILITIES AND CREATE STRATEGIC IMPLEMENTATIONPLANS 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. THECOMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS WAS DATA-LED, EVIDENCE-BASED AND REFLECTIVE OF KEY COMMUNITY PARTNERSHIPS.SEVERAL OVERARCHING THEMES EMERGED FROM SYNTHESIZING THE QUANTITATIVE ANDQUALITATIVE DATA OF THE CHNAS CONDUCTED IN 2019. THESE NEEDS INFORMED THEPRIORITIES, GOALS, OBJECTIVES, AND STRATEGIES OF THE ST. DAVID'S MEDICALCENTER, ST. DAVID'S NORTH AUSTIN MEDICAL CENTER, ST. DAVID'S ROUND ROCKMEDICAL CENTER STRATEGIC IMPLEMENTATION PLANS.NEED AREAS:1. IMPROVED HEALTH AND WELL-BEING OF CHILDREN2. IMPROVED HEALTH AND WELL-BEING OF WOMEN3. 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 DESCRIBED IN THE DETAILED STRATEGIC IMPLEMENTATION PLAN, WHICH CAN BE FOUND ATWWW.STDAVIDSFOUNDATION.ORG/COMMUNITY-NEEDS-ASSESSMENTS. ALL AREAS HIGHLIGHTED BY THE CHNAS ARE BEING ADDRESSED BY THE 2023 STRATEGIC IMPLEMENTATION PLANS. THIS PLANS ARE MEANT TO BE REVIEWED ANNUALLY AND ADJUSTED TO ACCOMMODATE REVISIONS THAT MERIT ATTENTION.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 2 -- ST. DAVID'S NORTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FACILITY 1 STATEMENT ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 2 -- ST. DAVID'S NORTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FACILITY 1 STATEMENT ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 2 -- ST. DAVID'S NORTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 6B:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FACILITY 1 STATEMENT ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 2 -- ST. DAVID'S NORTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 7D:</FormAndLineReferenceDesc>
        <ExplanationTxt>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/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 2 -- ST. DAVID'S NORTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FACILITY 1 STATEMENT ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 3 -- ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FACILITY 1 STATEMENT ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 3 -- ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FACILITY 1 STATEMENT ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 3 -- ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 6B:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FACILITY 1 STATEMENT ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 3 -- ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 7D:</FormAndLineReferenceDesc>
        <ExplanationTxt>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/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 3 -- ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FACILITY 1 STATEMENT ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 4 -- ST. DAVID'S ROUND ROCK MEDICAL CENTER PART V, SECTION B, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FACILITY 1 STATEMENT ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 4 -- ST. DAVID'S ROUND ROCK MEDICAL CENTER PART V, SECTION B, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FACILITY 1 STATEMENT ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 4 -- ST. DAVID'S ROUND ROCK MEDICAL CENTER PART V, SECTION B, LINE 6B:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FACILITY 1 STATEMENT ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 4 -- ST. DAVID'S ROUND ROCK MEDICAL CENTER PART V, SECTION B, LINE 7D:</FormAndLineReferenceDesc>
        <ExplanationTxt>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/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 4 -- ST. DAVID'S ROUND ROCK MEDICAL CENTER PART V, SECTION B, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FACILITY 1 STATEMENT ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 5 -- HEART HOSPITAL OF AUSTIN PART V, SECTION B, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FACILITY 1 STATEMENT ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 5 -- HEART HOSPITAL OF AUSTIN PART V, SECTION B, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FACILITY 1 STATEMENT ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 5 -- HEART HOSPITAL OF AUSTIN PART V, SECTION B, LINE 6B:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FACILITY 1 STATEMENT ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 5 -- HEART HOSPITAL OF AUSTIN PART V, SECTION B, LINE 7D:</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 5 -- HEART HOSPITAL OF AUSTIN PART V, SECTION B, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FACILITY 1 STATEMENT ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 6 -- ST DAVID'S GEORGETOWN HOSPITAL PART V, SECTION B, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FACILITY 1 STATEMENT ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 6 -- ST DAVID'S GEORGETOWN HOSPITAL PART V, SECTION B, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FACILITY 1 STATEMENT ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 6 -- ST DAVID'S GEORGETOWN HOSPITAL PART V, SECTION B, LINE 6B:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FACILITY 1 STATEMENT ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 6 -- ST DAVID'S GEORGETOWN HOSPITAL PART V, SECTION B, LINE 7D:</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 6 -- ST DAVID'S GEORGETOWN HOSPITAL PART V, SECTION B, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FACILITY 1 STATEMENT ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 7 -- ST DAVID'S SURGICAL HOSPITAL PART V, SECTION B, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FACILITY 1 STATEMENT ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 7 -- ST DAVID'S SURGICAL HOSPITAL PART V, SECTION B, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FACILITY 1 STATEMENT ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 7 -- ST DAVID'S SURGICAL HOSPITAL PART V, SECTION B, LINE 6B:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FACILITY 1 STATEMENT ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 7 -- ST DAVID'S SURGICAL HOSPITAL PART V, SECTION B, LINE 7D:</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A-FACILITY 7 -- ST DAVID'S SURGICAL HOSPITAL PART V, SECTION B, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FACILITY 1 STATEMENT ABOVE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>2</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - BAILEY SQUARE SURGERY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1111 W 34TH ST 400</AddressLine1Txt>
            <CityNm>AUSTIN</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78705</ZIPCd>
          </USAddress>
          <FacilityTxt>AMBULATORY SURGERY CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - SOUTH AUSTIN SURGERY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4207 JAMES CASEY ST 203</AddressLine1Txt>
            <CityNm>AUSTIN</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78745</ZIPCd>
          </USAddress>
          <FacilityTxt>AMBULATORY SURGERY CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2023, 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, LINES 6A AND 6B:THE PARTNERSHIP FILES ANNUAL STATEMENTS OF COMMUNITY BENEFITS AS REQUIRED BY THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITALS UTILIZE THE COST TO CHARGE RATIO FROM THE AUDITED FINANCIAL STATEMENTS.PART I, LINE 7 COLUMN (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 OFCHARITY CARE AT COST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION'S PROPORTIONATE SHARE OF BAD DEBT EXPENSE FROM ITS OWNERSHIP INTEREST IN ST. DAVID'S HEALTHCARE PARTNERSHIP, LP, LLP (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 THE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>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, 2023. 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 2023 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>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) MANAGEMENTWILL 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 ANYTHIRD-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 REASONABLEPERCENTAGE 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 APPLED 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PARTNERSHIP STRATEGIC PLANNING PROCESS CONTINUALLY ASSESSES AND ADDRESSES THE NEEDS OF THE COMMUNITY. THE ISSUES HIGHLIGHTED IN THE WILLIAMSON COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INSPIRED THE ORGANIZATION TO FOCUS GREATER ATTENTION ON LOW-INCOME RESIDENTS IN GEORGETOWN, TX IN AN EFFORT TO BETTER UNDERSTAND THE BARRIERS TO ACCESSING HEALTH AND HUMAN SERVICES, THE EXPERIENCE OF RESIDENTS WHEN ACCESSING SUCH SERVICES, AND THE IMPACT THESE SERVICES HAD ON RESIDENTS' QUALITY OF LIFE. THE 2023 WILLIAMSON COUNTY CHNA NAMED 4 COUNTY-WIDE HEALTH PRIORITIES. ALL AFFIRM AND ALIGN WITH THE ORGANIZATION'S HEALTH PRIORITY FOCUS AREAS:1. SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH2. MENTAL HEALTH AND WELL BEING3. CHRONIC DISEASE AND CHRONIC DISEASE RISK FACTORS4. ACCESS TO HEALTHCARETHE ORGANIZATION IS GUIDED BY ALL OF THESE PRIORITIES, WITH EMPHASIS ON PRIORITIES #1 AND #2: SOCIAL/STRUCTURAL DETERMINANTS OF HEALTH AND MENTAL HEALTH/WELL BEING. THE ORGANIZATION PRIORITIZES AND SUPPORTS BASIC NEEDS AND SOCIAL DETERMINANTS OF HEALTH THAT CONNECT DIRECTLY TO SUCH NEEDS, INCLUDING:1. FOOD2. SHELTER/HOUSING3. PERSONAL SECURITY4. MENTAL HEALTHCARE5. HEALTHCARE6. TRANSPORTATION7. CHILDCARE &amp; OUT-OF-SCHOOL PROGRAMS8. SUPPORT FOR HOMEBOUND ADULTS9. EMERGENCY FINANCIAL ASSISTANCE10. JOB TRAININGTHE ORGANIZATION EMPLOYS THE CHNA FOR KNOWLEDGE OF COUNTY-WIDE AND REGIONAL HEALTH CARE AND NON-MEDICAL DRIVERS OF HEALTH. IT ALSO CONTINUES TO USE ITS OWN RESEARCH, CONDUCTED IN 2015 AND 2019 IN PARTNERSHIP WITH THE UNIVERSITY OF TEXAS-AUSTIN'S INSTITUTE OF URBAN POLICY RESEARCH &amp; ANALYSIS, TO INFORM ITS STRATEGIC EFFORTS TO BOLSTER THE HEALTH OF THE GEORGETOWN COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 THEINTAKE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE REPORTING ORGANIZATION IS A PARTNER IN ST DAVID'S HEALTHCARE, 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 REPORTING ORGANIZATION HAS ASSESSED THE UNMET HEALTHCARE NEEDS OF GEORGETOWN, TEXAS AND THE SURROUNDING COMMUNITIES AND USES ITS FUNDS TO AWARD GRANTS TO SAFETY NET PROVIDERS AS WELL AS COLLABORATE WITH SEVERAL TAX EXEMPT ORGANIZATIONS TO INCREASE ACCESS TO CARE FOR THE INDIGENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>TX</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LONE STAR CIRCLE OF CARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>205 E UNIVERSITY</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78626</ZIPCd>
        </USAddress>
        <RecipientEIN>743001674</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>599000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE FUNDING FOR INDIGENT CARE AND INCREASING HEALTHCARE ACCESS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE GEORGETOWN PROJECT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 957</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78627</ZIPCd>
        </USAddress>
        <RecipientEIN>742807713</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>78620</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDES CONVENING AND LEADERSHIP SUPPORT TO ALL GEORGETOWN YOUTH ORGANIZATIONS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE CARING PLACE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1215</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78627</ZIPCd>
        </USAddress>
        <RecipientEIN>742386902</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SUPPORT MEDICAL PROGRAM FOR CLIENTS AT OR BELOW POVERTY LEVEL</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AUSTIN GROUPS FOR THE ELDERLY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3710 CEDAR</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78705</ZIPCd>
        </USAddress>
        <RecipientEIN>742431028</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE SERVICES FOR OLDER ADULTS AND FAMILY CAREGIVERS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>A GIFT OF TIME - ADULT DAY CARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 427</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78627</ZIPCd>
        </USAddress>
        <RecipientEIN>813155739</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BOYS &amp; GIRLS CLUB OF GEORGETOWN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>210 W 18TH STREET BLDG B</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78626</ZIPCd>
        </USAddress>
        <RecipientEIN>262916822</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SUPPORT AFTER SCHOOL AND SUMMER PROGRAMS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BROOKWOOD IN GEORGETOWN VOCATIONAL INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>905 N CHURCH ST</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78626</ZIPCd>
        </USAddress>
        <RecipientEIN>472152393</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SUPPORT PROGRAMS FOR ADULTS WITH DISABILITIES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CATHOLIC CHARITIES OF CENTRAL TEXAS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1625 RUTHERFORD LANE</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78754</ZIPCd>
        </USAddress>
        <RecipientEIN>742928450</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CENTRAL TEXAS COMMUNITY FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>302 N LAMPASAS ST</AddressLine1Txt>
          <CityNm>ROUND ROCK</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78664</ZIPCd>
        </USAddress>
        <RecipientEIN>432043188</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GRANTMAKERS IN AGING</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>333 MAMARONECK AVE 238</AddressLine1Txt>
          <CityNm>WHITE PLAINS</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10605</ZIPCd>
        </USAddress>
        <RecipientEIN>134014982</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LADDERS FOR LEADERS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2912 AGAVE LOOP</AddressLine1Txt>
          <CityNm>ROUND ROCK</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78681</ZIPCd>
        </USAddress>
        <RecipientEIN>270547111</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>9320</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WHITETOWER HOLDINGS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1500 W UNIVERSITY AVE SUITE 110</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78628</ZIPCd>
        </USAddress>
        <RecipientEIN>462730214</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WILLIAMSON COUNTY CHILDREN'S ADVOCACY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>211 COMMERCE BLVD SUITE 101</AddressLine1Txt>
          <CityNm>ROUND ROCK</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78664</ZIPCd>
        </USAddress>
        <RecipientEIN>742834639</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GEORGETOWN BACKPACK BUDIES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2104</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78627</ZIPCd>
        </USAddress>
        <RecipientEIN>471439664</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>45000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE FOOD SECURITY FOR CHILDREN IN SCHOOL SYSTEM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GEORGETOWN CULTURAL CITIZEN MEMORIAL ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2021</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78627</ZIPCd>
        </USAddress>
        <RecipientEIN>742939869</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HABITAT FOR HUMANITY OF WILLIAMSON COUNTY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2108 N AUSTIN AVENUE</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78626</ZIPCd>
        </USAddress>
        <RecipientEIN>742907371</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>55000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SUPPORT VOLUNTEER AND EDUCATIONAL PROGRAMS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RIDE ON CENTER FOR KIDS (ROCK)</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2422</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78627</ZIPCd>
        </USAddress>
        <RecipientEIN>742917659</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>52500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ASSIST CLIENTS WITH MENTAL AND PHYSICAL DISABILITIES THROUGH EQUINE-ASSISTED THERAPIES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STARRY INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1300 N MAYS STREET</AddressLine1Txt>
          <CityNm>ROUND ROCK</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78664</ZIPCd>
        </USAddress>
        <RecipientEIN>043589689</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE EMERGENCY SHELTER AND CRISIS COUNSELING TO GEORGETOWN CHILDREN, YOUTH, AND FAMILIES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SIMPLE SPARROW</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1601 COUNTY RD 107</AddressLine1Txt>
          <CityNm>HUTTO</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78634</ZIPCd>
        </USAddress>
        <RecipientEIN>823616746</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE SALVATION ARMY AUSTIN AREA COMMAND</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4700 MANOR ROAD</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78723</ZIPCd>
        </USAddress>
        <RecipientEIN>580660607</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WILLIAMSON COUNTY CRISIS CENTER DBA HOPE ALLIANCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1011 GATTIS SCHOOL RD STE 106</AddressLine1Txt>
          <CityNm>ROUND ROCK</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78664</ZIPCd>
        </USAddress>
        <RecipientEIN>742277114</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION TO ASSIST THOSE AFFECTED BY FAMILY AND SEXUAL VIOLENCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ST DAVID'S COMMUNITY HEALTH FOUNDATION LEADERSHIP</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1303 SAN ANTONIO STREET STE 500</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78701</ZIPCd>
        </USAddress>
        <RecipientEIN>742898888</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>35000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SCHOLARSHIPS FOR PEOPLE PURSUING HEALTH RELATED SERVICE DEGREES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GTX CONNECT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1200 WEST 17TH STREET UNIT A5</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78626</ZIPCd>
        </USAddress>
        <RecipientEIN>820860142</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>38740</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE CHRISTI CENTER INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2306 HANCOCK DR</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78756</ZIPCd>
        </USAddress>
        <RecipientEIN>742463672</RecipientEIN>
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        <CashGrantAmt>24410</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE GRIEF / BEREAVEMENT SERVICES TO GEORGETOWN COMMUNITY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FAITH IN ACTION - GEORGETOWN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2995 DAWN DR STE 106</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78628</ZIPCd>
        </USAddress>
        <RecipientEIN>203414707</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION HELPING SENIORS MAINTAIN INDEPENDENCE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ROTARY CLUB OF GEORGETOWN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 921</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78627</ZIPCd>
        </USAddress>
        <RecipientEIN>746062434</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LITERACY COUNCIL OF WILLIAMSON COUNTY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>805 W UNIVERSITY AVE</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78626</ZIPCd>
        </USAddress>
        <RecipientEIN>742392855</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5250</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SAMARITAN CENTER COUNSELING AND PASTORAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>8956 RESEARCH BLVD BLDG 2</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78758</ZIPCd>
        </USAddress>
        <RecipientEIN>741832864</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION FOR MENTAL AND PHYSICAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TEXAS BAPTIST CHILDREN'S HOME INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1101 NORTH MAYS</AddressLine1Txt>
          <CityNm>ROUND ROCK</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78664</ZIPCd>
        </USAddress>
        <RecipientEIN>743021647</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>59400</CashGrantAmt>
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        <PurposeOfGrantTxt>PROVIDE ASSISTANCE FOR SUMMER CAMPS FOR CHILDREN</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER WILLIAMSON COUNTY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 819</AddressLine1Txt>
          <CityNm>ROUND ROCK</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78680</ZIPCd>
        </USAddress>
        <RecipientEIN>742206558</RecipientEIN>
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        <CashGrantAmt>50000</CashGrantAmt>
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        <PurposeOfGrantTxt>PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION</PurposeOfGrantTxt>
      </RecipientTable>
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          <BusinessNameLine1Txt>ANY BABY CAN OF AUSTIN INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>6207 SHERIDAN AVENUE</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78723</ZIPCd>
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        <RecipientEIN>742684335</RecipientEIN>
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        <CashGrantAmt>50000</CashGrantAmt>
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        <PurposeOfGrantTxt>PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION</PurposeOfGrantTxt>
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          <AddressLine1Txt>2100 SCENIC DRIVE UNIT 140A</AddressLine1Txt>
          <CityNm>GEORGETOWN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78626</ZIPCd>
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        <PurposeOfGrantTxt>PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION</PurposeOfGrantTxt>
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      <RecipientTable>
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          <AddressLine1Txt>9101 BURNET RD 205</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78758</ZIPCd>
        </USAddress>
        <RecipientEIN>743012982</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>9200</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>33</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MONITORS THE USE OF GRANT FUNDS BY REQUIRING ANY GRANTEES RECEIVING IN EXCESS OF $10,000 TO PROVIDE INTERIM AND FINAL REPORTS WITHIN THEIR GRANT PERIOD. GRANT PERIODS ARE TYPICALLY 1-2 YEARS IN DURATION. THE REPORTS MUST IDENTIFY PROGRAM GOALS AND OUTCOME MEASUREMENTS. GRANT APPLICANTS SEEKING FUNDS IN EXCESS OF $10,000 ARE REQUIRED TO SUBMIT FINANCIAL STATEMENTS AS PART OF THE APPLICATION PROCESS AND MUST SUBMIT CURRENT FINANCIAL STATEMENTS AS PART OF THEIR INTERIM AND FINAL REPORTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <PersonNm>M SCOTT ALARCON</PersonNm>
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        <PersonNm>MARY S PUKYS</PersonNm>
        <TitleTxt>VP-STRATEGIC PHILANTHROPY</TitleTxt>
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        <PersonNm>KARIN SLADEK</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 5, NUMBER OF EMPLOYEES - USE OF PEO:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S EMPLOYEES ARE CONTRACTED THROUGH A PROFESSIONAL EMPLOYMENT ORGANIZATION (PEO). THE ORGANIZATION HAS 10 EMPLOYEES, INCLUDING OFFICERS LISTED IN PART VII, SECTION A AND SCHEDULE J, FOR WHICH THE PEO HANDLES THE PAYROLL DUTIES, INCLUDING THE REQUIRED FEDERAL AND STATE REPORTING AND WITHHOLDING OBLIGATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S TAX RETURN IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. AN INITIAL DRAFT OF THE FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS AND MANAGEMENT PRIOR TO FINALIZATION. AFTER ANY CHANGES RESULTING FROM THE REVIEW HAVE BEEN MADE, THE FINAL VERSION OF THE FORM 990 IS FILED AND A COPY OF THE FILED FORM IS DISTRIBUTED TO THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S BOARD OF DIRECTORS AND KEY EMPLOYEES REVIEW THE CONFLICT OF INTEREST POLICY ANNUALLY. EACH INDIVIDUAL IS REQUIRED TO COMPLETE AND SIGN A DOCUMENT PROVIDED BY THE ORGANIZATION DISCLOSING ANY INTEREST THEY MAY HAVE WHICH COULD GIVE RISE TO A CONFLICT OF INTEREST. THE ORGANIZATION COMPILES A LIST OF ALL DISCLOSURES AND REPORTS IT TO ALL MEMBERS OF THE BOARD.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION COMMITTEE OF GHS FOLLOWS AN EXECUTIVE COMPENSATION PLAN DEVELOPED AND RATIFIED BY THE GHS BOARD WHEN DETERMINING ANNUAL COMPENSATION OF THE GHS CHIEF EXECUTIVE. THIS PHILOSOPHY IS UTILIZED TO DETERMINE THE ANNUAL COMPENSATION OF THE CHIEF EXECUTIVE OFFICER (CEO) AND THE CHIEF FINANCIAL OFFICER (CFO). AS PART OF THIS PROCESS, THE GHS BOARD CONTRACTED WITH OVERTON CONSULTING, INC. IN 2021 TO ASSIST IN THE DEVELOPMENT OF FAIR MARKET VALUE EXECUTIVE COMPENSATION. OVERTON CONSULTING IS A COMPANY THAT SPECIALIZES IN EXECUTIVE COMPENSATION ISSUES IN THE NON-PROFIT AREA. OVERTON CONSULTING CREATED AN EXECUTIVE COMPENSATION GUIDELINE FOR THE GHS CEO AND CFO USING COMPARATIVE DATA FROM ERI (ECONOMIC RESEARCH INSTITUTE), WHICH IS A SURVEY THAT CONTAINS NUMEROUS COMPENSATION SURVEYS AND GEOGRAPHIC SURVEY DATA. THE FOLLOWING LABOR MARKET SEGMENTS WERE USED FOR THE EXECUTIVE POSITIONS OF CEO AND CFO, SINCE THESE POSITIONS PERFORM RESPONSIBILITIES IN ALL THREE AREAS: SIMILAR PHILANTHROPIC AND GRANTMAKING ORGANIZATIONS; HEALTH TREATMENT FACILITIES AND HOSPITALS; REAL ESTATE DEVELOPMENT COMPANIES. MARKET SALARY AVERAGES (GEOGRAPHICALLY FACTORED) FOR BOTH THE GHS CEO AND CFO WERE ESTABLISHED USING THIS DATA. THE GHS COMPENSATION COMMITTEE'S RECOMMENDATIONS FOR THE GHS CEO WAS RATIFIED BY THE FULL BOARD OF GEORGETOWN HEALTHCARE SYSTEM.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE REPORTING ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, COLUMN (C) MANAGEMENT AND GENERAL EXPENSES:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION INCURS ALL OF THE MANAGEMENT AND GENERAL EXPENSES FOR ITS RELATED ORGANIZATIONS LISTED ON SCHEDULE R, PART II OF THIS FORM. AS A RESULT, ITS MANAGEMENT AND GENERAL EXPENSES, AS A PERCENTAGE OF TOTAL EXPENSES, ARE HIGHER THAN WOULD OTHERWISE BE THE CASE. THE REPORTING ORGANIZATIONS'S FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM AS PART OF CONSOLIDATED FINANCIAL STATEMENTS. THE CONSOLIDATED FINANCIAL STATEMENTS INCLUDED GEORGETOWN HEALTHCARE SYSTEM AND GEORGETOWN HEALTHCARE COMMUNITY SERVICES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S OVERSIGHT PROCESS AND ITS PROCESS FOR SELECTION OF AN INDEPENDENT ACCOUNTANT DID NOT CHANGE DURING THE TAX YEAR.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>COMMUNITY BENEFIT REPORT 2023:</FormAndLineReferenceDesc>
        <ExplanationTxt>GEORGETOWN HEALTHCARE SYSTEM, THROUGH ITS GOVERNANCE AND PARTICIPATION IN THE ST. DAVID'S HEALTHCARE PARTNERSHIP, WILL ENSURE THAT HOSPITAL AND HEALTHCARE SERVICES ARE AVAILABLE IN THE GEORGETOWN AREA, REGARDLESS OF THE ABILITY OF THE PATIENT TO PAY FOR SUCH SERVICES. ADDITIONALLY, GEORGETOWN HEALTHCARE SYSTEM'S CURRENT ACTIVITIES INCLUDE INVOLVEMENT WITH OTHER COMMUNITY NON-PROFIT ORGANIZATIONS THAT OPERATE COMMUNITY HEALTH CENTERS AND OTHER FACILITIES THAT BENEFIT THE PUBLIC AND MEET THE HEALTH RELATED NEEDS OF THE GEORGETOWN TEXAS COMMUNITY AND RESIDENTS OF CENTRAL TEXAS. HOSPITAL SERVICES THE ST. DAVID'S HEALTHCARE PARTNERSHIP PROVIDES A SUBSTANTIAL AMOUNT OF CHARITY CARE TO THE ELDERLY, INDIGENT, AND ECONOMICALLY DISADVANTAGED IN CENTRAL TEXAS. ALL PATIENTS ARE ADMITTED TO EMERGENCY ROOMS REGARDLESS OF THEIR ABILITY TO PAY. IF FURTHER ACUTE INPATIENT CARE IS REQUIRED, PATIENTS FROM THE EMERGENCY DEPARTMENT ARE ADMITTED TO THE HOSPITAL, ALSO WITHOUT REGARD TO THEIR ABILITY TO PAY. THE PARTNERSHIP PROVIDED FOR THE CARE OF THOUSANDS OF CENTRAL TEXANS IN 2023 IN MANY DIFFERENT WAYS. SOME OF THOSE WERE IN THE FORM OF: HOSPITAL ADMISSIONS 88,610 EMERGENCY ROOM VISITS 336,427 COMMUNITY COLLABORATIONS THE ORGANIZATION INVESTS ITS SHARE OF THE EARNINGS FROM THE ST. DAVID'S HEALTHCARE PARTNERSHIP IN NOT-FOR-PROFIT ORGANIZATIONS AND PROGRAMS THAT ALIGN WITH GHS' KEY STRATEGIC INITIATIVES. THESE STRATEGIC INITIATIVES ALIGN WITH THE 2023 WILLIAMSON COUNTY CHNA'S 4 COUNTY-WIDE HEALTH PRIORITIES: 1. SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH 2. MENTAL HEALTH AND WELL BEING 3. CHRONIC DISEASE AND CHRONIC DISEASE RISK FACTORS 4. ACCESS TO HEALTHCARE THE ORGANIZATION ALSO PRIORITIZED BASIC NEEDS SUPPORT DUE TO THE LONG-TERM IMPACT OF THE COVID-19 PANDEMIC AND ITS SOCIO-ECONOMIC CONSEQUENCES ON ITS TARGET POPULATION, E.G., LOW-INCOME INDIVIDUALS EARNING NO MORE THAN 200% OF FEDERAL POVERTY GUIDELINES. THUS, STRATEGIC FUNDING INITIATIVES IN 2023 FOCUSED ON THE BASIC NEEDS OF FOOD AND SHELTER, AND THE SOCIAL DETERMINANTS THAT SUPPORT SUCH NEEDS, INCLUDING MENTAL HEALTH/SUBSTANCE USE, TRANSPORTATION, CHILDCARE, OUT-OF-SCHOOL CARE, SUPPORT FOR HOMEBOUND ADULTS, EMERGENCY FINANCIAL ASSISTANCE, AND JOB TRAINING. IN 2023, THE ORGANIZATION AND ITS AFFILIATES INVESTED $2,067,959 TO SUPPORT 52 UNIQUE ORGANIZATIONS ADDRESSING BASIC NEEDS, SOCIAL DETERMINANTS OF HEALTH, AND HEALTHCARE. THIS SUPPORT INCLUDED: 1) $1,480,000 IN DIRECT GRANTS 2) $391,910 IN NON-CASH CONTRIBUTIONS COMPRISED OF RENT ASSISTANCE. 3) $196,049 IN SPONSORSHIPS AND SMALL MINI-GRANTS SUPPORTING NOT-FOR-PROFIT EVENTS AND PROGRAMS. BASIC NEEDS &amp; SOCIAL DETERMINANTS OF HEALTH. $934,159 OF THE ORGANIZATION'S TOTAL INVESTMENTS IN 2023 ADDRESSED BASIC NEEDS &amp; SOCIAL DETERMINANTS OF HEALTH. HEALTH &amp; DENTAL CARE. $663,520 OF THE ORGANIZATION'S TOTAL INVESTMENTS IN 2023 ADDRESSED THE AVAILABILITY AND ACCESSIBILITY OF AFFORDABLE, QUALITY HEALTH &amp; DENTAL CARE. MENTAL HEALTH/SUBSTANCE USE. $387,080 OF THE ORGANIZATION'S TOTAL INVESTMENTS IN 2023 ADDRESSED THE AVAILABILITY AND ACCESSIBILITY OF AFFORDABLE, QUALITY MENTAL HEALTH CARE AND SUBSTANCE USE TREATMENT. CARVER CENTER FOR FAMILIES IN 2023, GHS PURCHASED A FORMER ELEMENTARY SCHOOL BUILDING IN SOUTHEAST GEORGETOWN WITH THE INTENT TO CONVERT IT INTO A FAMILY RESOURCE CENTER. LAUNCHED IN 2023, THE CARVER CENTER FOR FAMILIES PRIORITIZES PROGRAMS, SERVICES, AND SPACES FOR PARENTS AND CAREGIVERS, UTILIZES AN APPROACH THAT IS MULTI-GENERATIONAL, STRENGTHS-BASED, AND FAMILY-CENTERED, REFLECTS AND IS RESPONSIVE TO COMMUNITY NEEDS AND INTERESTS, PROVIDES SUPPORT AT NO- OR LOW-COST TO PARTICIPANTS, AND BUILDS COMMUNITIES OF PEER SUPPORT FOR FAMILIES TO REDUCE ISOLATION AND STRESS. THE CENTER IS HOME TO NONPROFIT AGENCIES THAT PROVIDE RESOURCE NAVIGATION, CASE MANAGEMENT, PARENT &amp; CAREGIVER EDUCATION, PARENT &amp; CAREGIVER SUPPORT, RESPITE, AND WELLNESS &amp; NUTRITION SUPPORT (WIC), AND SPORTS/RECREATIONAL ACTIVITIES. IT SEEKS TO WORK IN EQUAL PARTNERSHIP WITH FAMILIES TO BECOME MORE PREVENTATIVE, FLEXIBLE, AND HOLISTIC. VOLUNTEER SERVICES GHS MAINTAINS A VOLUNTEER SERVICES PROGRAM AT ST. DAVID'S GEORGETOWN HOSPITAL. THE PROGRAM IS COMPRISED OF APPROXIMATELY 75 COMMUNITY MEMBERS THAT SERVE IN VARIOUS VOLUNTEER ROLES THROUGHOUT THE HOSPITAL. IN 2023, THE VOLUNTEER SERVICES PROGRAM PROVIDED 10,259 HOURS OF VOLUNTEER SUPPORT TO THE HOSPITAL IN CAPACITIES RANGING FROM PATIENT AND FAMILY ASSISTANCE TO ADMINISTRATIVE/CLERICAL SUPPORT IN VARIOUS DEPARTMENTS OF THE HOSPITAL. A CONSERVATIVE ESTIMATED VALUE OF THIS SERVICE IS APPROXIMATELY $154,000.</ExplanationTxt>
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          <AddressLine1Txt>2425 WILLIAMS DRIVE</AddressLine1Txt>
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          <BusinessNameLine1Txt>ST DAVID'S HEALTHCARE PARTNERSHIP LP LLP</BusinessNameLine1Txt>
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          <AddressLine1Txt>98 SAN JACINTO BLVD STE 1800</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78701</ZIPCd>
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        <PrimaryActivitiesTxt>OPERATES HOSPITALS IN CENTRAL TEXAS.</PrimaryActivitiesTxt>
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        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
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