2018-11-14T14:32:16-06:00 2017-12-31 742900215 MAXWELL LOCKE & RITTER LLP 401 CONGRESS AVENUE SUITE 1100 AUSTIN TX 787019682 990 2017-01-01 742427148 GEORGETOWN HEALTHCARE SYSTEM GEOR 5129312221 2425 WILLIAMS DRIVE NO 101 GEORGETOWN TX 786283206 SCOTT ALARCON CEO 5129312221 2018-11-12 1 SEAN HOLCOMB P01249221 5123703200 2018-11-12 168.215.174.114 2018-11-12 23:08:14 CS P 08EBC73251E86827574879C01476BEA760C6F8FB A1DF45A4B9F1B54CB62709DB98B33E12359C108B 2017 2019-02-21 02:37:17Z GEORGETOWN HEALTH FOUNDATION SCOTT ALARCON 2425 WILLIAMS DRIVE NO 101 GEORGETOWN TX 786283206 3281262 0 X WWW.GTHF.ORG X 1985 TX THE ORGANIZATION IS DEDICATED TO THE PROMOTION OF QUALITY, ACCESSIBLE HEALTHCARE FOR ALL PERSONS LIVING IN THE GEORGETOWN, TX COMMUNITY AND SURROUNDING AREA. AS A PARTNER IN THE ST. DAVID'S HEALTHCARE PARTNERSHIP, WE PROVIDE HEALTHCARE TO THE PUBLIC THROUGH THE OPERATION OF FOUR HOSPITALS IN THE CENTRAL TEXAS AREA WHICH OPERATE UNDER THE COMMUNITY BENEFIT STANDARD. LOCALLY, WE INVEST IN AND PARTNER WITH OTHER NON-PROFIT ORGANIZATIONS WHO, LIKE US, ARE COMMITTED TO IMPROVING THE SOCIAL DETERMINANTS OF HEALTH IN OUR COMMUNITY WITH A GOAL OF BUILDING AND SUSTAINING HEALTHY, PRODUCTIVE LIVES FOR GEORGETOWN RESIDENTS. 13 13 7 148 0 0 0 20000 1847886 2366063 1665750 787219 78374 68035 3592010 3241317 1722052 2116663 0 0 885981 1067281 0 0 0 674732 664581 3282765 3848525 309245 -607208 43512841 44094734 380820 405783 43132021 43688951 TO PROMOTE AND FACILITATE THE ADVANCEMENT OF AFFORDABLE HEALTH CARE TO THE COMMUNITY OF GEORGETOWN AND THE SURROUNDING AREA. 0 0 2925868 2116663 185675 THE REPORTING ORGANIZATION PROVIDES GRANTS TO COMMUNITY ORGANIZATIONS THAT PROMOTE IMPROVED ACCESS TO, OR DIRECTLY PROVIDE HEALTHCARE TO THE CITIZENS OF THE GEORGETOWN, TEXAS AREA REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES. 2248423 THE REPORTING ORGANIZATION IS A PARTNER IN THE ST. DAVID'S HEALTHCARE PARTNERSHIP, LP, LLP. THE HOSPITALS IN THE PARTNERSHIP ARE 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. 2925868 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 26 0 1 7 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X SAM SCHULTZ CFO 5129312221 2425 WILLIAMS DRIVE NO 101 GEORGETOWN TX 786283206 DARRICK MCGILL CHAIR 2.00 X 0 0 0 ALMA MOLLEUR CHAIR-ELECT 1.50 X 0 0 0 KAREN COLE PAST CHAIR 1.50 X 0 0 0 M SCOTT MATTHEW BOARD MEMBER 1.50 X 0 0 0 JOAN MAIER BOARD MEMBER 1.50 X 0 0 0 CARRIE BRADSHAW BOARD MEMBER 1.00 X 0 0 0 J BRAD CURLEE BOARD MEMBER 1.00 X 0 0 0 JIM DONOVAN MD BOARD MEMBER 1.00 X 0 0 0 ASHLIE KOENIG BOARD MEMBER 1.00 X 0 0 0 CINDY LOCKE BOARD MEMBER 1.00 X 0 0 0 STACEY MATHEWS BOARD MEMBER 1.00 X 0 0 0 LINDA MEIGS BOARD MEMBER 1.00 X 0 0 0 JOHN STOCK BOARD MEMBER 1.00 X 0 0 0 M SCOTT ALARCON CEO 40.00 X 291820 0 34052 RICHARD SCHULTZ CFO 40.00 X 219102 0 25936 MARY S PUKYS VP-STRATEGIC PHILANTHROPY 40.00 X 131406 0 17949 642328 0 77937 3 0 1 0 0 10000 10000 20000 ST. DAVID'S HEALTHCARE 621990 2248423 2248423 FACILITY RENTALS 900099 117640 117640 2366063 582530 582530 47280 0 47280 47280 47280 204689 0 204689 204689 204689 62825 39945 22880 22880 AUXILIARY 900099 1136 1136 OTHER INCOME 900099 -3261 -3261 -2125 3241317 2434098 0 787219 X 2116663 2116663 570910 325872 245038 390561 141081 249480 17324 6165 11159 33103 12594 20509 55383 26584 28799 33870 33870 16755 16755 71118 71118 189035 123611 65424 5045 5045 66324 20914 45410 4128 1981 2147 101936 60459 41477 40324 19291 21033 16370 16370 51925 50059 1866 33784 8897 24887 MISCELLANEOUS EXPENSES 20246 -12 20258 DUES & SUBSCRIPTIONS 13721 6664 7057 3848525 2925868 922657 0 198343 489643 2403 2711 470308 363831 37700 35702 15201 66008 2159506 676205 1547194 1483301 18171546 20368886 12872110 12872110 10198036 8412542 43512841 44094734 245164 256085 135656 149698 380820 405783 X 43132021 43688951 43132021 43688951 43512841 44094734 -607208 1164138 0 X X 0 1 X 1 0 X 0 0 0 0 0 0 1 11 0 1 711 722 0 PART II-B, LINE 1: THE SCHEDULE K-1 FROM ST. DAVID'S HEALTHCARE PARTNERSHIP, LP, LLP INCLUDED $722 OF LOBBYING EXPENDITURES WHICH CONSTITUTED THE PORTION OF THE ORGANIZATION'S ANNUAL ASSOCIATION DUES DEDICATED TO LOBBYING ACTIVITIES. IN ADDITION TO AMOUNTS REPORTED ON THE ABOVE-MENTIONED SCHEDULE K-1, ST. DAVID'S HEALTHCARE PARTNERSHIP PARTICIPATED IN DIRECT CONTACT WITH LOCAL LEGISLATORS. DAVID HUFFSTUTLER, CEO OF THE PARTNERSHIP, SPENT 1.0 HOURS ON LOBBYING ACTIVITIES DURING 2017. THE AMOUNT REPORTED ON LINE 1G ABOVE REFLECTS THE COSTS OF THESE ACTIVITIES BASED UPON HOURLY RATES OF COMPENSATION AND ALLOCABLE OVERHEAD FOR THE OFFICER INVOLVED. 1019762 1019762 1055880 596564 459316 83864 79641 4223 1483301 ST DAVIDS PARTNERSHIP LP 12872110 C 12872110 INVESTMENTS HELD FOR DEFERRED EMPLOYEE BENEFITS 149698 DUE FROM AFFILIATED ENTITIES (NET) 8015044 OTHER LONG TERM ASSETS - CSV 247800 8412542 DEFERRED EMPLOYEE BENEFITS 149698 149698 X PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT ORGANIZATION THAT IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT FOR ANY UNRELATED BUSINESS ACTIVITIES. NO EXPENSE HAS BEEN PROVIDED FOR INCOME TAX IN THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS. 1 1 X 1 X 1 X 500.000000000000 1 1 1 0 1 1 790253 7849 782404 0.04520 1195150 1301815 0 0.00000 1985403 1309664 782404 0.04520 175026 175026 0.01010 40827 40827 0.00240 1630440 1630440 0.09420 1846293 1846293 0.10670 3831696 1309664 2628697 0.15190 117640 47280 70360 0.01830 117640 47280 70360 0.01830 0 144366 3645202 3583280 61922 X 1 1 1 ST DAVID'S HEALTHCARE PARTNERSHIP LP LLP OWNS 1% INTEREST IN ST DAVID'S HEALTHCARE PARTNERSHIP WHICH OPERATES 4 0.01000 0.00000 0.00000 2 HOSPITALS IN CENTRAL TEXAS 4 1 ST DAVID'S MEDICAL CENTER 919 E 32ND STREET AUSTIN TX 78705 WWW.STDAVIDS.COM X X X A 2 ST DAVID'S NORTH AUSTIN MEDICAL CENTER 12221 N MOPAC EXPRESSWAY NORTH AUSTIN TX 78758 WWW.STDAVIDS.COM X X X X A 3 ST DAVID'S SOUTH AUSTIN MEDICAL CENTER 901 W BEN WHITE BLVD AUSTIN TX 78704 WWW.STDAVIDS.COM X X X A 4 ST DAVID'S ROUND ROCK MEDICAL CENTER 2400 ROUND ROCK AVE ROUND ROCK TX 78681 WWW.STDAVIDS.COM X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 16 1 1 1 1 X WWW.GTHF.ORG X X 1 16 1 WWW.GTHF.ORG 0 1 X 200.000000000000 500.000000000000 X X X X X X X 1 1 X X X 1 X WWW.STDAVIDS.COM/PATIENTS-VISITORS/CHARITY-DISCOUNT-POLICY X WWW.STDAVIDS.COM/PATIENTS-VISITORS/CHARITY-DISCOUNT-POLICY X WWW.STDAVIDS.COM/PATIENTS-VISITORS/CHARITY-DISCOUNT-POLICY X X X X X X 1 X 0 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 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 REPORTING ORGANIZATION COLLABORATED WITH ST. DAVID'S FOUNDATION, SETON, CENTRAL HEALTH AND AUSTIN/TRAVIS COUNTY HEALTH AND HUMAN SERVICES. THROUGH THE COLLECTIVE EFFORT, A FOCUS GROUP, INTERVIEWS AND ONLINE SURVEYS WERE CONDUCTED FROM NOVEMBER 2015 - FEBRUARY 2016 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 COLLABORATING AGENCIES MADE UP A STEERING COMMITTEE, WHICH WAS RESPONSIBLE FOR DESIGNING THE ASSESSMENT. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 70 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 NINE INTERVIEWS, 30 ONLINE SURVEYS AND ONE FOCUS GROUP WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED OVER 35 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE AUSTIN ISD, PEOPLE'S COMMUNITY CLINIC, LONE STAR CIRCLE OF CARE, AND COMMUNITY ACTION NETWORK.IN PREPARATION OF THE CHNA FOR BASTROP COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ST. DAVID'S FOUNDATION, SETON AND CENTRAL HEALTH. THROUGH THE COLLECTIVE EFFORT, A FOCUS GROUP, INTERVIEWS AND ONLINE SURVEYS WERE CONDUCTED FROM NOVEMBER 2015 - FEBRUARY 2016 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 COLLABORATING AGENCIES MADE UP A STEERING COMMITTEE, WHICH WAS RESPONSIBLE FOR DESIGNING THE ASSESSMENT. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 37 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 NINE INTERVIEWS, 13 ONLINE SURVEYS AND ONE FOCUS GROUP WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED OVER 20 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE BASTROP COUNTY INDIGENT HEALTH CARE, FAMILY CRISIS CENTER, BASTROP ISD, AND DSHS-BASTROP COUNTY HEALTH DEPARTMENT.IN PREPARATION OF THE CHNA FOR HAYS COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ST. DAVID'S FOUNDATION, SETON AND CENTRAL HEALTH. THROUGH THE COLLECTIVE EFFORT, A FOCUS GROUP, INTERVIEWS AND ONLINE SURVEYS WERE CONDUCTED FROM OCTOBER 2015 - FEBRUARY 2016 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 COLLABORATING AGENCIES MADE UP A STEERING COMMITTEE, WHICH WAS RESPONSIBLE FOR DESIGNING THE ASSESSMENT. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 69 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 TEN INTERVIEWS, 17 ONLINE SURVEYS AND ONE FOCUS GROUP WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED OVER 20 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE HAYS CISD, COMMUNICARE HEALTH CENTERS, METHODIST HEALTHCARE MINISTRIES, AND HAYS COUNTY FOOD BANK.IN PREPARATION OF THE CHNA FOR WILLIAMSON COUNTY, MEMBERS OF THE REPORTING ORGANIZATION'S BOARD OF DIRECTORS AND STAFF COLLABORATED WITH ST. DAVID'S FOUNDATION, THE WILLIAMSON COUNTY AND CITIES HEALTH DISTRICT, THE WILCO WELLNESS ALLIANCE, BAYLOR SCOTT & WHITE HEALTH, OPPORTUNITIES FOR WILLIAMSON AND BURNET COUNTIES, AND THE SETON HEALTHCARE FAMILY, COLLECTIVELY REFERRED TO AS THE CHA TEAM. THE CHA 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 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, AND FOCUS GROUPS WITH RESIDENTS AND STAKEHOLDERS. TRAINED FACILITATORS CONDUCTED 12 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 100 INDIVIDUAL COMMUNITY MEMBERS. GROUP A-FACILITY 1 -- ST. DAVID'S MEDICAL CENTER PART V, SECTION B, LINE 6B: CENTRAL HEALTH DISTRICT 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 GROUP A-FACILITY 1 -- ST. DAVID'S MEDICAL CENTER PART V, SECTION B, LINE 11: THE REPORTING ORGANIZATION 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 IN CONJUNCTION WITH ST. DAVID'S FOUNDATION. THE ST. DAVID'S HEALTHCARE PARTNERSHIP 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 THAT MERIT ATTENTION. 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. THESE NEEDS INFORMED THE PRIORITIES, GOALS, OBJECTIVES, AND STRATEGIES OF THE ST. DAVID'S MEDICAL CENTER STRATEGIC IMPLEMENTATION PLAN.NEEDS AREAS:1. IMPROVED HEALTHCARE ACCESS, QUALITY AND INSURANCE COVERAGE2. IMPROVED SOCIOECONOMIC FACTORS THAT CONTRIBUTE TO HEALTH3. IMPROVED HEALTH AND WELL-BEING OF CHILDREN4. IMPROVED HEALTH AND WELL-BEING OF WOMEN5. IMPROVED HEALTH AND WELL-BEING OF SENIORS6. IMPROVED HEALTH AND WELL-BEING IN RURAL COMMUNITIESTHESE MAJOR FINDINGS FROM THE CHNAS ALIGN WELL WITH THE SIX ESTABLISHED PRIORITY AREAS OF ST. DAVID'S HEALTHCARE PARTNERSHIP AS DESCRIBED IN THE DETAILED STRATEGIC IMPLEMENTATION PLAN, ATTACHED AS PART OF EXHIBIT H-1. ALL AREAS HIGHLIGHTED BY THE CHNAS ARE BEING ADDRESSED BY THE 2016-2018 STRATEGIC IMPLEMENTATION PLAN. THIS PLAN IS MEANT TO BE REVIEWED ANNUALLY AND ADJUSTED TO ACCOMMODATE REVISIONS THAT MERIT ATTENTION. THE REPORTING ORGANIZATION'S BOARD OF DIRECTORS REVIEWED AND APPROVED THE CURRENT STRATEGIC IMPLEMENTATION PLAN FOR THE ST. DAVID'S HEALTHCARE PARTNERSHIP IN 2017. GROUP A-FACILITY 1 -- ST. DAVID'S MEDICAL CENTER PART V, SECTION B, LINE 13H: THE FOLLOWING IS A SUMMARY OF THE CHARITY CARE POLICY ADOPTED BY ST. DAVID'S MEDICAL CENTER: THE FACILITY PROVIDES APPLICATIONS TO PATIENTS AND PROVIDES HELP, IF NEEDED TO FILL OUT THE APPLICATION FOR CHARITY CARE. THE PATIENT IS ASKED TO VERIFY THE INCOME OF FAMILY MEMBERS. ADULT PATIENTS MUST PROVIDE THE INCOME FOR SPOUSES AND ANY DEPENDENTS. DEPENDENT PATIENTS MUST PROVIDE THE INCOME FOR PARENTS AND OTHER DEPENDENTS. THE FACILITY SEEKS DOCUMENTATION OF INCOME FROM THE PATIENT INCLUDING W-2 AND PAYCHECK STUBS. QUALIFICATION FOR A PUBLIC BENEFIT PROGRAM ALSO QUALIFIES PATIENTS FOR CHARITY CARE. THE FACILITY WORKS WITH PATIENTS WHO DO NOT HAVE DOCUMENTATION TO FIND OTHER WAYS TO PROVE THE PATIENT'S STATUS.THE FACILITY PROVIDES CHARITY CARE FOR PATIENTS WHO HAVE AN INCOME OF LESS THAN 200% OF FEDERAL POVERTY GUIDELINES. THE FACILITY DETERMINES CHARITY ELIGIBILITY FOR PATIENTS WHO HAVE AN INCOME IN EXCESS OF 200% OF FEDERAL POVERTY GUIDELINES. FOR THESE FINANCIALLY INDIGENT PATIENTS, A SLIDINGSCALE DISCOUNT IS APPLIED TO ACCOUNTS FOR PATIENTS WHOSE INCOME IS BETWEEN 200% AND 500% OF FPG. IF THE PATIENT'S DISCOUNTED ACCOUNT BALANCE, AFTER ANY THIRD-PARTY PAYMENTS, EXCEEDS 10% OF THE PATIENT'S ANNUAL INCOME, THE EXCESS IS FORGIVEN. GROUP A-FACILITY 2 -- ST. DAVID'S NORTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 5: IN PREPARATION OF THE CHNA FOR AUSTIN / TRAVIS COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ST. DAVID'S FOUNDATION, SETON, CENTRAL HEALTH AND AUSTIN/TRAVIS COUNTY HEALTH AND HUMAN SERVICES. THROUGH THE COLLECTIVE EFFORT, A FOCUS GROUP, INTERVIEWS AND ONLINE SURVEYS WERE CONDUCTED FROM NOVEMBER 2015 - FEBRUARY 2016 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 COLLABORATING AGENCIES MADE UP A STEERING COMMITTEE, WHICH WAS RESPONSIBLE FOR DESIGNING THE ASSESSMENT. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 70 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 NINE INTERVIEWS, 30 ONLINE SURVEYS AND ONE FOCUS GROUP WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED OVER 35 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE AUSTIN ISD, PEOPLE'S COMMUNITY CLINIC, LONE STAR CIRCLE OF CARE, AND COMMUNITY ACTION NETWORK.IN PREPARATION OF THE CHNA FOR BASTROP COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ST. DAVID'S FOUNDATION, SETON AND CENTRAL HEALTH. THROUGH THE COLLECTIVE EFFORT, A FOCUS GROUP, INTERVIEWS AND ONLINE SURVEYS WERE CONDUCTED FROM NOVEMBER 2015 - FEBRUARY 2016 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 COLLABORATING AGENCIES MADE UP A STEERING COMMITTEE, WHICH WAS RESPONSIBLE FOR DESIGNING THE ASSESSMENT. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 37 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 NINE INTERVIEWS, 13 ONLINE SURVEYS AND ONE FOCUS GROUP WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED OVER 20 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE BASTROP COUNTY INDIGENT HEALTH CARE, FAMILY CRISIS CENTER, BASTROP ISD, AND DSHS-BASTROP COUNTY HEALTH DEPARTMENT.IN PREPARATION OF THE CHNA FOR HAYS COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ST. DAVID'S FOUNDATION, SETON AND CENTRAL HEALTH. THROUGH THE COLLECTIVE EFFORT, A FOCUS GROUP, INTERVIEWS AND ONLINE SURVEYS WERE CONDUCTED FROM OCTOBER 2015 - FEBRUARY 2016 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 COLLABORATING AGENCIES MADE UP A STEERING COMMITTEE, WHICH WAS RESPONSIBLE FOR DESIGNING THE ASSESSMENT. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 69 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 TEN INTERVIEWS, 17 ONLINE SURVEYS AND ONE FOCUS GROUP WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED OVER 20 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE HAYS CISD, COMMUNICARE HEALTH CENTERS, METHODIST HEALTHCARE MINISTRIES, AND HAYS COUNTY FOOD BANK.IN PREPARATION OF THE CHNA FOR WILLIAMSON COUNTY, MEMBERS OF THE REPORTING ORGANIZATION'S BOARD OF DIRECTORS AND STAFF COLLABORATED WITH ST. DAVID'S FOUNDATION, THE WILLIAMSON COUNTY AND CITIES HEALTH DISTRICT, THE WILCO WELLNESS ALLIANCE, BAYLOR SCOTT & WHITE HEALTH, OPPORTUNITIES FOR WILLIAMSON AND BURNET COUNTIES, AND THE SETON HEALTHCARE FAMILY, COLLECTIVELY REFERRED TO AS THE CHA TEAM. THE CHA 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 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, AND FOCUS GROUPS WITH RESIDENTS AND STAKEHOLDERS. TRAINED FACILITATORS CONDUCTED 12 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 100 INDIVIDUAL COMMUNITY MEMBERS. GROUP A-FACILITY 2 -- ST. DAVID'S NORTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 6B: CENTRAL HEALTH DISTRICT 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. GROUP A-FACILITY 2 -- ST. DAVID'S NORTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 11: THE REPORTING ORGANIZATION 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 IN CONJUNCTION WITH ST. DAVID'S FOUNDATION. THE ST. DAVID'S HEALTHCARE PARTNERSHIP 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 THAT MERIT ATTENTION. 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. THESE NEEDS INFORMED THE PRIORITIES, GOALS, OBJECTIVES, AND STRATEGIES OF THE ST. DAVID'S MEDICAL CENTER STRATEGIC IMPLEMENTATION PLAN.NEEDS AREAS:1. IMPROVED HEALTHCARE ACCESS, QUALITY AND INSURANCE COVERAGE2. IMPROVED SOCIOECONOMIC FACTORS THAT CONTRIBUTE TO HEALTH3. IMPROVED HEALTH AND WELL-BEING OF CHILDREN4. IMPROVED HEALTH AND WELL-BEING OF WOMEN5. IMPROVED HEALTH AND WELL-BEING OF SENIORS6. IMPROVED HEALTH AND WELL-BEING IN RURAL COMMUNITIESTHESE MAJOR FINDINGS FROM THE CHNAS ALIGN WELL WITH THE SIX ESTABLISHED PRIORITY AREAS OF ST. DAVID'S HEALTHCARE PARTNERSHIP AS DESCRIBED IN THE DETAILED STRATEGIC IMPLEMENTATION PLAN, ATTACHED AS PART OF EXHIBIT H-1. ALL AREAS HIGHLIGHTED BY THE CHNAS ARE BEING ADDRESSED BY THE 2016-2018 STRATEGIC IMPLEMENTATION PLAN. THIS PLAN IS MEANT TO BE REVIEWED ANNUALLY AND ADJUSTED TO ACCOMMODATE REVISIONS THAT MERIT ATTENTION. THE REPORTING ORGANIZATION'S BOARD OF DIRECTORS REVIEWED AND APPROVED THE CURRENT STRATEGIC IMPLEMENTATION PLAN FOR THE ST. DAVID'S HEALTHCARE PARTNERSHIP IN 2017. GROUP A-FACILITY 2 -- ST. DAVID'S NORTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 13H: THE FOLLOWING IS A SUMMARY OF THE CHARITY CARE POLICY ADOPTED BY ST. DAVID'S NORTH AUSTIN MEDICAL CENTER:THE FACILITY PROVIDES APPLICATIONS TO PATIENTS AND PROVIDES HELP, IF NEEDED TO FILL OUT THE APPLICATION FOR CHARITY CARE.THE PATIENT IS ASKED TO VERIFY THE INCOME OF FAMILY MEMBERS. ADULT PATIENTS MUST PROVIDE THE INCOME FOR SPOUSES AND ANY DEPENDENTS. DEPENDENT PATIENTS MUST PROVIDE THE INCOME FOR PARENTS AND OTHER DEPENDENTS.THE FACILITY SEEKS DOCUMENTATION OF INCOME FROM THE PATIENT INCLUDING W-2 AND PAYCHECK STUBS. QUALIFICATION FOR A PUBLIC BENEFIT PROGRAM ALSO QUALIFIES PATIENTS FOR CHARITY CARE. THE FACILITY WORKS WITH PATIENTS WHO DO NOT HAVE DOCUMENTATION TO FIND OTHER WAYS TO PROVE THE PATIENT'S STATUS.THE FACILITY PROVIDES CHARITY CARE FOR PATIENTS WHO HAVE AN INCOME OF LESS THAN 200% OF FEDERAL POVERTY GUIDELINES. THE FACILITY DETERMINES CHARITY ELIGIBILITY FOR PATIENTS WHO HAVE AN INCOME IN EXCESS OF 200% OF FEDERAL POVERTY GUIDELINES. FOR THESE FINANCIALLY INDIGENT PATIENTS, A SLIDING SCALE DISCOUNT IS APPLIED TO ACCOUNTS FOR PATIENTS WHOSE INCOME IS BETWEEN 200% AND 500% OF FPG. IF THE PATIENT'S DISCOUNTED ACCOUNT BALANCE, AFTER ANY THIRD-PARTY PAYMENTS, EXCEEDS 10% OF THE PATIENT'S ANNUAL INCOME, THE EXCESS IS FORGIVEN. GROUP A-FACILITY 3 -- ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 5: IN PREPARATION OF THE CHNA FOR AUSTIN / TRAVIS COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ST. DAVID'S FOUNDATION, SETON, CENTRAL HEALTH AND AUSTIN/TRAVIS COUNTY HEALTH AND HUMAN SERVICES. THROUGH THE COLLECTIVE EFFORT, A FOCUS GROUP, INTERVIEWS AND ONLINE SURVEYS WERE CONDUCTED FROM NOVEMBER 2015 - FEBRUARY 2016 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 COLLABORATING AGENCIES MADE UP A STEERING COMMITTEE, WHICH WAS RESPONSIBLE FOR DESIGNING THE ASSESSMENT. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 70 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 NINE INTERVIEWS, 30 ONLINE SURVEYS AND ONE FOCUS GROUP WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED OVER 35 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE AUSTIN ISD, PEOPLE'S COMMUNITY CLINIC, LONE STAR CIRCLE OF CARE, AND COMMUNITY ACTION NETWORK.IN PREPARATION OF THE CHNA FOR BASTROP COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ST. DAVID'S FOUNDATION, SETON AND CENTRAL HEALTH. THROUGH THE COLLECTIVE EFFORT, A FOCUS GROUP, INTERVIEWS AND ONLINE SURVEYS WERE CONDUCTED FROM NOVEMBER 2015 - FEBRUARY 2016 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 COLLABORATING AGENCIES MADE UP A STEERING COMMITTEE, WHICH WAS RESPONSIBLE FOR DESIGNING THE ASSESSMENT. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 37 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 NINE INTERVIEWS, 13 ONLINE SURVEYS AND ONE FOCUS GROUP WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED OVER 20 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE BASTROP COUNTY INDIGENT HEALTH CARE, FAMILY CRISIS CENTER, BASTROP ISD, AND DSHS-BASTROP COUNTY HEALTH DEPARTMENT.IN PREPARATION OF THE CHNA FOR HAYS COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ST. DAVID'S FOUNDATION, SETON AND CENTRAL HEALTH. THROUGH THE COLLECTIVE EFFORT, A FOCUS GROUP, INTERVIEWS AND ONLINE SURVEYS WERE CONDUCTED FROM OCTOBER 2015 - FEBRUARY 2016 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 COLLABORATING AGENCIES MADE UP A STEERING COMMITTEE, WHICH WAS RESPONSIBLE FOR DESIGNING THE ASSESSMENT. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 69 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 TEN INTERVIEWS, 17 ONLINE SURVEYS AND ONE FOCUS GROUP WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED OVER 20 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE HAYS CISD, COMMUNICARE HEALTH CENTERS, METHODIST HEALTHCARE MINISTRIES, AND HAYS COUNTY FOOD BANK.IN PREPARATION OF THE CHNA FOR WILLIAMSON COUNTY, MEMBERS OF THE REPORTING ORGANIZATION'S BOARD OF DIRECTORS AND STAFF COLLABORATED WITH ST. DAVID'S FOUNDATION, THE WILLIAMSON COUNTY AND CITIES HEALTH DISTRICT, THE WILCO WELLNESS ALLIANCE, BAYLOR SCOTT & WHITE HEALTH, OPPORTUNITIES FOR WILLIAMSON AND BURNET COUNTIES, AND THE SETON HEALTHCARE FAMILY, COLLECTIVELY REFERRED TO AS THE CHA TEAM. THE CHA 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 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, AND FOCUS GROUPS WITH RESIDENTS AND STAKEHOLDERS. TRAINED FACILITATORS CONDUCTED 12 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 100 INDIVIDUAL COMMUNITY MEMBERS. GROUP A-FACILITY 3 -- ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 6B: CENTRAL HEALTH DISTRICT 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 GROUP A-FACILITY 3 -- ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 11: THE REPORTING ORGANIZATION 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 IN CONJUNCTION WITH ST. DAVID'S FOUNDATION. THE ST. DAVID'S HEALTHCARE PARTNERSHIP 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 THAT MERIT ATTENTION. 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. THESE NEEDS INFORMED THE PRIORITIES, GOALS, OBJECTIVES, AND STRATEGIES OF THE ST. DAVID'S MEDICAL CENTER STRATEGIC IMPLEMENTATION PLAN.NEEDS AREAS:1. IMPROVED HEALTHCARE ACCESS, QUALITY AND INSURANCE COVERAGE2. IMPROVED SOCIOECONOMIC FACTORS THAT CONTRIBUTE TO HEALTH3. IMPROVED HEALTH AND WELL-BEING OF CHILDREN4. IMPROVED HEALTH AND WELL-BEING OF WOMEN5. IMPROVED HEALTH AND WELL-BEING OF SENIORS6. IMPROVED HEALTH AND WELL-BEING IN RURAL COMMUNITIESTHESE MAJOR FINDINGS FROM THE CHNAS ALIGN WELL WITH THE SIX ESTABLISHED PRIORITY AREAS OF ST. DAVID'S HEALTHCARE PARTNERSHIP AS DESCRIBED IN THE DETAILED STRATEGIC IMPLEMENTATION PLAN, ATTACHED AS PART OF EXHIBIT H-1. ALL AREAS HIGHLIGHTED BY THE CHNAS ARE BEING ADDRESSED BY THE 2016-2018 STRATEGIC IMPLEMENTATION PLAN. THIS PLAN IS MEANT TO BE REVIEWED ANNUALLY AND ADJUSTED TO ACCOMMODATE REVISIONS THAT MERIT ATTENTION. THE REPORTING ORGANIZATION'S BOARD OF DIRECTORS REVIEWED AND APPROVED THE CURRENT STRATEGIC IMPLEMENTATION PLAN FOR THE ST. DAVID'S HEALTHCARE PARTNERSHIP IN 2017. GROUP A-FACILITY 3 -- ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 13H: THE FOLLOWING IS A SUMMARY OF THE CHARITY CARE POLICY ADOPTED BY ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER:THE FACILITY PROVIDES APPLICATIONS TO PATIENTS AND PROVIDES HELP, IF NEEDED TO FILL OUT THE APPLICATION FOR CHARITY CARE. THE PATIENT IS ASKED TO VERIFY THE INCOME OF FAMILY MEMBERS. ADULT PATIENTS MUST PROVIDE THE INCOME FOR SPOUSES AND ANY DEPENDENTS. DEPENDENT PATIENTS MUST PROVIDE THE INCOME FOR PARENTS AND OTHER DEPENDENTS.THE FACILITY SEEKS DOCUMENTATION OF INCOME FROM THE PATIENT INCLUDING W-2 AND PAYCHECK STUBS. QUALIFICATION FOR A PUBLIC BENEFIT PROGRAM ALSO QUALIFIES PATIENTS FOR CHARITY CARE. THE FACILITY WORKS WITH PATIENTS WHO DO NOT HAVE DOCUMENTATION TO FIND OTHER WAYS TO PROVE THE PATIENT'S STATUS.THE FACILITY PROVIDES CHARITY CARE FOR PATIENTS WHO HAVE AN INCOME OF LESS THAN 200% OF FEDERAL POVERTY GUIDELINES. THE FACILITY DETERMINES CHARITY ELIGIBILITY FOR PATIENTS WHO HAVE AN INCOME IN EXCESS OF 200% OF FEDERAL POVERTY GUIDELINES. FOR THESE FINANCIALLY INDIGENT PATIENTS, A SLIDING SCALE DISCOUNT IS APPLIED TO ACCOUNTS FOR PATIENTS WHOSE INCOME IS BETWEEN 200% AND 500% OF FPG. IF THE PATIENT'S DISCOUNTED ACCOUNT BALANCE, AFTER ANY THIRD-PARTY PAYMENTS, EXCEEDS 10% OF THE PATIENT'S ANNUAL INCOME, THE EXCESS IS FORGIVEN. GROUP A-FACILITY 4 -- ST. DAVID'S ROUND ROCK MEDICAL CENTER PART V, SECTION B, LINE 5: IN PREPARATION OF THE CHNA FOR AUSTIN / TRAVIS COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ST. DAVID'S FOUNDATION, SETON, CENTRAL HEALTH AND AUSTIN/TRAVIS COUNTY HEALTH AND HUMAN SERVICES. THROUGH THE COLLECTIVE EFFORT, A FOCUS GROUP, INTERVIEWS AND ONLINE SURVEYS WERE CONDUCTED FROM NOVEMBER 2015 - FEBRUARY 2016 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 COLLABORATING AGENCIES MADE UP A STEERING COMMITTEE, WHICH WAS RESPONSIBLE FOR DESIGNING THE ASSESSMENT. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 70 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 NINE INTERVIEWS, 30 ONLINE SURVEYS AND ONE FOCUS GROUP WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED OVER 35 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE AUSTIN ISD, PEOPLE'S COMMUNITY CLINIC, LONE STAR CIRCLE OF CARE, AND COMMUNITY ACTION NETWORK.IN PREPARATION OF THE CHNA FOR BASTROP COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ST. DAVID'S FOUNDATION, SETON AND CENTRAL HEALTH. THROUGH THE COLLECTIVE EFFORT, A FOCUS GROUP, INTERVIEWS AND ONLINE SURVEYS WERE CONDUCTED FROM NOVEMBER 2015 - FEBRUARY 2016 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 COLLABORATING AGENCIES MADE UP A STEERING COMMITTEE, WHICH WAS RESPONSIBLE FOR DESIGNING THE ASSESSMENT. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 37 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 NINE INTERVIEWS, 13 ONLINE SURVEYS AND ONE FOCUS GROUP WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED OVER 20 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE BASTROP COUNTY INDIGENT HEALTH CARE, FAMILY CRISIS CENTER, BASTROP ISD, AND DSHS-BASTROP COUNTY HEALTH DEPARTMENT.IN PREPARATION OF THE CHNA FOR HAYS COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ST. DAVID'S FOUNDATION, SETON AND CENTRAL HEALTH. THROUGH THE COLLECTIVE EFFORT, A FOCUS GROUP, INTERVIEWS AND ONLINE SURVEYS WERE CONDUCTED FROM OCTOBER 2015 - FEBRUARY 2016 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 COLLABORATING AGENCIES MADE UP A STEERING COMMITTEE, WHICH WAS RESPONSIBLE FOR DESIGNING THE ASSESSMENT. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 69 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 TEN INTERVIEWS, 17 ONLINE SURVEYS AND ONE FOCUS GROUP WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED OVER 20 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE HAYS CISD, COMMUNICARE HEALTH CENTERS, METHODIST HEALTHCARE MINISTRIES, AND HAYS COUNTY FOOD BANK.IN PREPARATION OF THE CHNA FOR WILLIAMSON COUNTY, MEMBERS OF THE REPORTING ORGANIZATION'S BOARD OF DIRECTORS AND STAFF COLLABORATED WITH ST. DAVID'S FOUNDATION, THE WILLIAMSON COUNTY AND CITIES HEALTH DISTRICT, THE WILCO WELLNESS ALLIANCE, BAYLOR SCOTT & WHITE HEALTH,OPPORTUNITIES FOR WILLIAMSON AND BURNET COUNTIES, AND THE SETON HEALTHCARE FAMILY, COLLECTIVELY REFERRED TO AS THE CHA TEAM. THE CHA 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 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, AND FOCUS GROUPS WITH RESIDENTS AND STAKEHOLDERS. TRAINED FACILITATORS CONDUCTED 12 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 100 INDIVIDUAL COMMUNITY MEMBERS. GROUP A-FACILITY 4 -- ST. DAVID'S ROUND ROCK MEDICAL CENTER PART V, SECTION B, LINE 6B: CENTRAL HEALTH DISTRICT 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 GROUP A-FACILITY 4 -- ST. DAVID'S ROUND ROCK MEDICAL CENTER PART V, SECTION B, LINE 11: THE REPORTING ORGANIZATION 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 IN CONJUNCTION WITH ST. DAVID'S FOUNDATION. THE ST. DAVID'S HEALTHCARE PARTNERSHIP 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 THAT MERIT ATTENTION. 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. THESE NEEDS INFORMED THE PRIORITIES, GOALS, OBJECTIVES, AND STRATEGIES OF THE ST. DAVID'S MEDICAL CENTER STRATEGIC IMPLEMENTATION PLAN.NEEDS AREAS:1. IMPROVED HEALTHCARE ACCESS, QUALITY AND INSURANCE COVERAGE2. IMPROVED SOCIOECONOMIC FACTORS THAT CONTRIBUTE TO HEALTH3. IMPROVED HEALTH AND WELL-BEING OF CHILDREN4. IMPROVED HEALTH AND WELL-BEING OF WOMEN5. IMPROVED HEALTH AND WELL-BEING OF SENIORS6. IMPROVED HEALTH AND WELL-BEING IN RURAL COMMUNITIESTHESE MAJOR FINDINGS FROM THE CHNAS ALIGN WELL WITH THE SIX ESTABLISHED PRIORITY AREAS OF ST. DAVID'S HEALTHCARE PARTNERSHIP AS DESCRIBED IN THE DETAILED STRATEGIC IMPLEMENTATION PLAN, ATTACHED AS PART OF EXHIBIT H-1. ALL AREAS HIGHLIGHTED BY THE CHNAS ARE BEING ADDRESSED BY THE 2016-2018 STRATEGIC IMPLEMENTATION PLAN. THIS PLAN IS MEANT TO BE REVIEWED ANNUALLY AND ADJUSTED TO ACCOMMODATE REVISIONS THAT MERIT ATTENTION. THE REPORTING ORGANIZATION'S BOARD OF DIRECTORS REVIEWED AND APPROVED THE CURRENT STRATEGIC IMPLEMENTATION PLAN FOR THE ST. DAVID'S HEALTHCARE PARTNERSHIP IN 2017. GROUP A-FACILITY 4 -- ST. DAVID'S ROUND ROCK MEDICAL CENTER PART V, SECTION B, LINE 13H: THE FOLLOWING IS A SUMMARY OF THE CHARITY CARE POLICY ADOPTED BY ST. DAVID'S ROUND ROCK MEDICAL CENTER:THE FACILITY PROVIDES APPLICATIONS TO PATIENTS AND PROVIDES HELP, IF NEEDED TO FILL OUT THE APPLICATION FOR CHARITY CARE. THE PATIENT IS ASKED TO VERIFY THE INCOME OF FAMILY MEMBERS. ADULT PATIENTS MUST PROVIDE THE INCOME FOR SPOUSES AND ANY DEPENDENTS. DEPENDENT PATIENTS MUST PROVIDE THE INCOME FOR PARENTS AND OTHER DEPENDENTS.THE FACILITY SEEKS DOCUMENTATION OF INCOME FROM THE PATIENT INCLUDING W-2 AND PAYCHECK STUBS. QUALIFICATION FOR A PUBLIC BENEFIT PROGRAM ALSO QUALIFIES PATIENTS FOR CHARITY CARE. THE FACILITY WORKS WITH PATIENTS WHO DO NOT HAVE DOCUMENTATION TO FIND OTHER WAYS TO PROVE THE PATIENT'S STATUS.THE FACILITY PROVIDES CHARITY CARE FOR PATIENTS WHO HAVE AN INCOME OF LESS THAN 200% OF FEDERAL POVERTY GUIDELINES. THE FACILITY DETERMINES CHARITY ELIGIBILITY FOR PATIENTS WHO HAVE AN INCOME IN EXCESS OF 200% OF FEDERAL POVERTY GUIDELINES. FOR THESE FINANCIALLY INDIGENT PATIENTS, A SLIDING SCALE DISCOUNT IS APPLIED TO ACCOUNTS FOR PATIENTS WHOSE INCOME IS BETWEEN 200% AND 500% OF FPG. IF THE PATIENT'S DISCOUNTED ACCOUNT BALANCE, AFTER ANY THIRD-PARTY PAYMENTS, EXCEEDS 10% OF THE PATIENT'S ANNUAL INCOME, THE EXCESS IS FORGIVEN. 6 1 - BAILEY SQUARE SURGERY CENTER 1111 W 34TH ST 400 AUSTIN TX 78705 AMBULATORY SURGERY CENTER 2 - SOUTH AUSTIN SURGERY CENTER 4207 JAMES CASEY ST 203 AUSTIN TX 78745 AMBULATORY SURGERY CENTER 3 - CARENOW - SOUTHWEST AUSTIN 5033 W HWY 290 BUILDING E AUSTIN TX 78735 URGENT CARE CLINIC 4 - CARENOW - TECH RIDGE 12415 N INTERSTATE 35 AUSTIN TX 78753 URGENT CARE CLINIC 5 - CARENOW - CEDAR PARK 4810 GATTIS SCHOOL RD SUITE 100 HUTTO TX 78634 URGENT CARE CLINIC 6 - CARENOW - ROUND ROCK EAST 5001 TX 183A TOLL RD CEDAR PARK TX 78613 URGENT CARE CLINIC 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 2017, 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:ST. DAVID'S HEALTHCARE PARTNERSHIP, LP, LLP 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, LINE 7 COLUMN (F): BAD DEBTS ARE EXCLUDED FROM THE CALCULATION OF TOTAL EXPENSES.PART I, LINE 7B, COLUMN (F): IN ACCORDANCE WITH FORM 990 INSTRUCTIONS, THE PERCENT OF TOTAL EXPENSE FOR LINE 7B, UNREIMBURSED MEDICAID, IS REPORTED AS ZERO. THE ACTUAL AMOUNT OF LINE 7B, COLUMN (E) IS -$106,665 AND THE ACTUAL AMOUNT OF LINE 7B, COLUMN (F) IS -0.62%. LINES 7D AND 7K, COLUMN (F), WOULD BE 3.90% AND 14.57%, RESPECTIVELY.PART II, COMMUNITY BUILDING ACTIVITIES:ALL OF THE HOSPITALS ARE ACTIVE IN THE COMMUNITY PROMOTING THE HEALTH OF CENTRAL TEXANS. THE ORGANIZATION ALSO PROVIDES GRANTS TO LOCAL AGENCIES AND LOCAL SAFETY NET CLINICS. THE ORGANIZATION PROVIDES A BUILDING WITH OFFICE SPACE TO MISSION ALIGNED LOCAL CHARITIES AT A SUBSTANTIALLY DISCOUNTED RATE. THE GOAL IS TO PROMOTE COLLABORATION AMONG THE TENANT AGENCIES IN PROVIDING SERVICES TO THE LOCAL COMMUNITY.PART III, LINE 1:THE HOSPITALS OF THE ST. DAVID'S HEALTHCARE PARTNERSHIP 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 ALWAYS INVOLVES JUDGEMENT. 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 ORGANIZATION 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. THE HOSPITALS OF THE ST. DAVID'S HEALTHCARE PARTNERSHIP 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 ORGANIZATION'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 SDHP [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 SDHP [ST. DAVID'S HEALTHCARE PARTNERSHIP, LP, LLP]. THE HOSPITALS OPERATED BY SDHP MAY HAVE COST REPORT YEAR ENDS OTHER THAN DECEMBER 31, 2017. 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 2017 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 HOSPITAL FACILITIES DO NOT TAKE ANY ACTIONS LISTED IN SCHEDULE H, PART V, SECTION B, LINES 18 AND 19. THE FACILITIES WRITE OFF ALL CHARITY CARE AND IN COMPLIANCE WITH IRC SECTION 501(R), DO NOT PURSUE COLLECTION ON PATIENTS WHO QUALIFY FOR CHARITY CARE. PART VI, LINE 2: 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 INSPIRED THE ORGANIZATION TO FOCUS GREATER ATTENTION ON LOW-INCOME RESIDENTS IN GEORGETOWN, TX IN AN EFFORT TO BETTER UNDERSTAND THE BARRIERS TO ACCESSINGHEALTH AND HUMAN SERVICES, THE EXPERIENCE OF RESIDENTS WHEN ACCESSING SUCHSERVICES, AND THE IMPACT THESE SERVICES HAD ON RESIDENTS' QUALITY OF LIFE. THE ORGANIZATION SELECTED THE INSTITUTE FOR URBAN POLICY RESEARCH ANDANALYSIS (IUPRA) AT THE UNIVERSITY OF TEXAS AT AUSTIN FROM AN RFP PROCESSIN FEBRUARY 2015 TO CONDUCT A COMMUNITY NEEDS ASSESSMENT SPECIFICALLY INTHE SOUTHEAST QUADRANT OF THE COMMUNITY WHERE THE HIGHEST PERCENTAGE OFLOW-INCOME RESIDENTS RESIDED.BETWEEN APRIL AND SEPTEMBER 2015, IUPRA IMPLEMENTED A MIXED METHODS STUDYGROUNDED IN THE SOCIAL DETERMINANTS OF HEALTH THAT COMBINED QUALITATIVEDATA (COLLECTED THROUGH INTERVIEWS AND FOCUS GROUPS) WITH QUANTITATIVEDATA (COLLECTED THROUGH A SURVEY AND SUPPLEMENTED WITH CENSUS DATA).INTERVIEWS WERE CONDUCTED WITH 19 KEY INFORMANTS AND STAKEHOLDERS, FOCUSGROUPS WERE CONDUCTED WITH 94 COMMUNITY MEMBERS, WRITTEN SURVEYS WERECOLLECTED FROM 157 RESPONDENTS, AND DATA WAS ACCESSED FROM THE U.S. CENSUSAMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES FOR YEARS 2009-2015. ALL DATAWERE ANALYZED THEN COMPILED INTO AN 88-PAGE REPORT AND RELEASED TO THEORGANIZATION.THE REPORT FEATURED 10 FINDINGS PLUS SOCIO-DEMOGRAPHIC PROFILES OF THESOUTHEAST QUADRANT OF THE COMMUNITY PRESENTED IN GRAPHIC, NARRATIVE, ANDGEOSPATIAL FORMATS. THE 10 STUDY FINDINGS WERE:1. BETTER PUBLIC TRANSPORTATION OPTIONS.2. AFFORDABILITY AND AVAILABILITY OF QUALITY HOUSING. 3. ACCESS TO COLLEGE READINESS PROGRAMS.4. ACCESSIBILITY OF DAYCARE, AFTERSCHOOL PROGRAMS, AND PLAY FOR CHILDREN.5. EQUITABLE ACCESS TO HEALTHY FOODS AND NUTRITION EDUCATION.6. GREATER ECONOMIC SECURITY.7. TREATMENT AT GEORGETOWN HEALTH CARE FACILITIES AND AFFORDABILITY AND ACCESS TO DENTAL CARE.8. AVAILABILITY AND ACCESSIBILITY OF QUALITY MENTAL HEALTH SERVICES.9. ACKNOWLEDGE AND REFRAME POWER DIFFERENTIALS IN SYSTEMS.10. LEADERS TO CONNECT WITH SOUTHEAST GEORGETOWN COMMUNITY. IN NOVEMBER 2015, IUPRA PRESENTED THE STUDY FINDINGS TO OVER 200 COMMUNITYMEMBERS FROM GOVERNMENT, BUSINESS, NONPROFIT, FAITH, AND EDUCATIONSEGMENTS. ATTENDEES INCLUDED A CITY COUNCIL MEMBER, SCHOOL BOARDTRUSTEES, JUVENILE JUSTICE PERSONNEL, THE CHIEF OF POLICE, CHAMBER OFCOMMERCE MEMBERS, MINISTERS AND CLERGY, AND RESIDENTS OF THE SOUTHEASTQUADRANT. THE ORGANIZATION CONTINUES TO USE THE STUDY AND ITS FINDINGS TO INFORM ITSSTRATEGIC EFFORTS AT IMPACTFULLY BOLSTERING THE HEALTH OF THE GEORGETOWNCOMMUNITY. 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. PART VI, LINE 5: THE HOSPITALS OPERATE AS EXEMPT HOSPITALS; THEY HAVE OPEN EMERGENCY ROOMS AND MEDICAL STAFF. THE REPORTING ORGANIZATION INVESTS ITS SHARE OF EARNINGS FROM THE HOSPITALS INTO PROGRAMS IN CENTRAL TEXAS THAT INCREASE ACCESS TO HEALTHCARE. PART VI, LINE 6: THE REPORTING ORGANIZATION IS A PARTNER IN THE ST. DAVID'S HEALTHCAREPARTNERSHIP, A HOSPITAL SYSTEM THAT MEETS THE COMMUNITY BENEFIT STANDARDAND THE REQUIREMENTS OF THE AFFORDABLE CARE ACT IN DELIVERING HOSPITALCARE TO CENTRAL TEXAS. IN ADDITION, THE REPORTING ORGANIZATION HAS ASSESSED THE UNMET HEALTHCARE NEEDS OF GEORGETOWN, TEXAS AND THESURROUNDING COMMUNITIES AND USES ITS FUNDS TO AWARD GRANTS TO SAFETY NETPROVIDERS AS WELL AS COLLABORATE WITH SEVERAL TAX EXEMPT ORGANIZATIONS TOINCREASE ACCESS TO CARE FOR THE INDIGENT. PART VI, LINE 7, REPORTS FILED WITH STATES TX 1 LONE STAR CIRCLE OF CARE 205 E UNIVERSITY GEORGETOWN TX 78626 743001674 501(C)(3) 524000 PROVIDE FUNDING FOR INDIGENT CARE AND INCREASING HEALTHCARE ACCESS CITY OF GEORGETOWN 113 E 8TH STREET GEORGETOWN TX 78627 746000974 170 200000 ASSIST WITH IMPLEMENTATION OF PUBLIC TRANSPORTATION GEORGETOWN INDEPENDENT SCHOOL DISTRICT (GISD) 603 LAKEWAY DRIVE GEORGETOWN TX 78628 746000975 170 176500 PROVIDE MENTAL HEALTH AND BEHAVIORAL COUNSELING SERVICES BOYS & GIRLS CLUB OF GEORGETOWN 210 W 18TH STREET BLDG B GEORGETOWN TX 78626 262916822 501(C)(3) 125000 SUPPORT AFTER SCHOOL AND SUMMER PROGRAMS SOUTHEAST GEORGETOWN COMMUNITY COUNCIL 4159 E UNIVERSITY AVE SUITE C GEORGETOWN TX 78626 820860142 501(C)(3) 100000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION THE CARING PLACE PO BOX 1215 GEORGETOWN TX 78627 742386902 501(C)(3) 75250 SUPPORT MEDICAL PROGRAM FOR CLIENTS AT OR BELOW POVERTY LEVEL THE GEORGETOWN PROJECT PO BOX 957 GEORGETOWN TX 78627 742807713 501(C)(3) 70000 13620 FMV LEASE ASSISTANCE PROVIDES CONVENING AND LEADERSHIP SUPPORT TO ALL GEORGETOWN YOUTH ORGANIZATIONS STARRY INC 1300 N MAYS STREET ROUND ROCK TX 78664 043589689 501(C)(3) 60000 PROVIDE EMERGENCY SHELTER AND CRISIS COUNSELING TO GEORGETOWN CHILDREN, YOUTH, AND FAMILIES BRIARWOOD - BROOKWOOD INC DBA THE BROOKWOOD COMMUNITY - BROOKWOOD IN GEOR 1752 FM 1489 BROOKSHIRE TX 77423 741587672 501(C)(3) 50000 SUPPORT PROGRAMS FOR ADULTS WITH DISABILITIES CAPITAL INVESTING IN DEVELOPMENT AND EMPLOYMENT OF ADULTS INC 835 N PLEASANT VALLEY ROAD AUSTIN TX 78702 742893041 501(C)(3) 50000 SCHOLARSHIPS FOR LOW-INCOME ADULTS PURSUING COLLEGE DEGREES HABITAT FOR HUMANITY 2108 N AUSTIN AVENUE GEORGETOWN TX 78626 742907371 501(C)(3) 50000 SUPPORT VOLUNTEER AND EDUCATIONAL PROGRAMS RIDE ON CENTER FOR KIDS (ROCK) PO BOX 2422 GEORGETOWN TX 78627 742917659 501(C)(3) 50000 ASSIST CLIENTS WITH MENTAL AND PHYSICAL DISABILITIES THROUGH EQUINE-ASSISTED THERAPIES WILLIAMSON COUNTY CHILDREN'S ADVOCACY CENTER 1811 SE INNER LOOP GEORGETOWN TX 78626 742834639 501(C)(3) 50000 PROVIDE CRISIS COUNSELING FOR CHILDREN SAMARITAN CENTER COUNSELING AND PASTORAL 8956 RESEARCH BLVD BLDG 2 AUSTIN TX 78758 741832864 501(C)(3) 50000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION FOR MENTAL AND PHYSICAL HEALTH GIRLSTART 1400 W ANDERSON LANE AUSTIN TX 78757 311595414 501(C)(3) 30000 AFTERSCHOOL STEM EDUCATION IN THE GEORGETOWN COMMUNITY COURT APPOINTED SPECIAL ADVOCATES (CASA) OF WILLIAMSON COUNTY TX 805 W UNIVERSITY AVE STE 111 GEORGETOWN TX 78626 264371605 501(C)(3) 30000 33600 FMV LEASE ASSISTANCE SUPPORT FOR CASE SUPERVISORS OF CASA VOLUNTEERS THE CHRISTI CENTER INC 2306 HANCOCK DR AUSTIN TX 78756 742463672 501(C)(3) 30000 6420 FMV LEASE ASSISTANCE PROVIDE GRIEF/ BEREAVEMENT SERVICES TO GEORGETOWN COMMUNITY CHISHOLM TRAIL COMMUNITIES FOUNDATION 116 WEST 8TH STREET SECOND FLOOR GEORGETOWN TX 78626 742786718 501(C)(3) 27700 SUPPORT PROGRAM SERVING STUDENTS IN NEED AND PURSUING SERVICE-LEARNING OPPORTUNITIES ST DAVID'S COMMUNITY HEALTH FOUNDATION LEADERSHIP 1303 SAN ANTONIO STREET STE 500 AUSTIN TX 78701 742898888 501(C)(3) 25500 SCHOLARSHIPS FOR PEOPLE PURSUING HEALTH RELATED SERVICE DEGREES FAITH IN ACTION - GEORGETOWN PO BOX 743 GEORGETOWN TX 78627 203414707 501(C)(3) 25350 25920 FMV LEASE ASSISTANCE PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION HELPING SENIORS MAINTAIN INDEPENDENCE WILLIAMSON COUNTY AND CITIES HEALTH DISTRICT (WCCHD) 100 W 3RD STREET GEORGETOWN TX 78626 742896906 501(C)(3) 25000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION WILLIAMSON BURNET COUNTY OPPORTUNITIES INC (WBCO) 604 HIGH TECH DRIVE GEORGETOWN TX 78626 746075213 501(C)(3) 20000 SUPPORT FOR HEAD START AND MEALS ON WHEELS GOODWILL INDUSTRIES OF CENTRAL TEXAS 1015 NORWOOD PARK BLVD AUSTIN TX 78753 741322808 501(C)(3) 15000 6960 FMV LEASE ASSISTANCE PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION WILLIAMSON COUNTY CRISIS CENTER DBA HOPE ALLIANCE 1011 GATTIS SCHOOL RD STE 106 ROUND ROCK TX 78664 742277114 501(C)(3) 12200 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION TO ASSIST THOSE AFFECTED BY FAMILY AND SEXUAL VIOLENCE GEORGETOWN INDEPENDENT SCHOOL DISTRICT EDUCATION FOUNDATION 603 LAKEWAY DRIVE GEORGETOWN TX 78628 474577513 501(C)(3) 10250 PROVIDE ASSISTANCE FOR TEACHER GRANTS SUN CITY KIWANIS FOUNDATION 1530 SUN CITY BLVD GEORGETOWN TX 78633 061668445 501(C)(3) 7500 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION A GIFT OF TIME PO BOX 427 GEORGETOWN TX 78627 813155739 501(C)(3) 5000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION TO PROVIDE ADULT DAYCARE AUSTIN COMMUNITY FOUNDATION 4315 GUADALUPE SUITE 300 AUSTIN TX 78751 741934031 501(C)(3) 5000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION ROTARY CLUB OF GEORGETOWN PO BOX 921 GEORGETOWN TX 78627 746062434 501(C)(3) 5000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION AUSTIN GROUPS FOR THE ELDERLY 3710 CEDAR BOX 2 AUSTIN TX 78705 742431028 501(C)(3) 5000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION TO PROVIDE SERVICES TO OLDER ADULTS CENTRAL TEXAS FOOD BANK 6500 METROPOLIS DRIVE AUSTIN TX 78744 742217350 501(C)(3) 5000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION OF RELIEVING HUNGER FELLOWSHIP OF CHRISTIAN ATHLETES 104 HI STIRRUP HORSESHOE BAY TX 78657 440610626 501(C)(3) 5000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION CHASE THE CHIEF 4500 WILLIAMS DR STE 212-183 GEORGETOWN TX 78633 821194953 501(C)(3) 5000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION SACRED HEART COMMUNITY CLINIC 620 ROUND ROCK WEST DRIVE ROUND ROCK TX 78681 272901548 501(C)(3) 5000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION RONALD MCDONALD HOUSE CHARITIES 1315 BARBARA JORDAN BOULEVARD AUSTIN TX 78723 742277664 501(C)(3) 5000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION THE YOUNG JOURNEY FOUNDATION 4500 E PALM VALLEY BLVD 108-68 ROUND ROCK TX 78665 201046969 501(C)(3) 5000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION GEORGETOWN CULTURAL CITIZEN MEMORIAL ASSOCIATION PO BOX 2021 GEORGETOWN TX 78626 742939869 501(C)(3) 5000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION YOUNG MENS CHRISTIAN ASSOCIATION PO BOX 819 ROUND ROCK TX 78680 742206558 501(C)(3) 5000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION ANY BABY CAN 6207 SHERIDAN AVENUE AUSTIN TX 78723 742684335 501(C)(3) 1760 6100 FMV LEASE ASSISTANCE PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION COMMUNITY ACTION PO BOX 748 SAN MARCOS TX 78667 741541726 501(C)(3) 8880 FMV LEASE ASSISTANCE LEASE ASSISTANCE TO EXPAND HEALTH CARE SERVICE NETWORK IN COMMUNITY FAMILY ELDERCARE 1700 RUTHERFORD LANE AUSTIN TX 78754 742286387 501(C)(3) 8580 FMV LEASE ASSISTANCE LEASE ASSISTANCE TO EXPAND HEALTH CARE SERVICE NETWORK IN COMMUNITY WONDERS & WORRIES 9101 BURNET RD SUITE 107 AUSTIN TX 78758 743012982 501(C)(3) 7560 FMV LEASE ASSISTANCE LEASE ASSISTANCE TO EXPAND HEALTH CARE SERVICE NETWORK IN COMMUNITY 42 PART I, LINE 2: THE ORGANIZATION MONITORS THE USE OF GRANT FUNDS BY REQUIRING ANY GRANTEES RECEIVING IN EXCESS OF $10,000 TO PROVIDE QUARTERLY REPORTS, WITHIN 30 DAYS OF THE CLOSE OF THE CALENDAR QUARTER, WHICH IDENTIFY PROGRAM GOALS AND OUTCOME MEASUREMENTS, AND CLIENT SATISFACTION SURVEYS. GRANTEES RECEIVING IN EXCESS OF $10,000 ARE FURTHER REQUIRED TO SUBMIT ANNUAL REPORTS WITHIN 90 DAYS OF THE CLOSE OF THEIR FISCAL YEARS, WHICH PROVIDE AGGREGATED RESULTS OF THE MOST RECENT 4 QUARTERS OF DATA, ALONG WITH THE ENTITY FINANCIAL STATEMENTS. X X X X X X 0 0 0 0 0 0 0 0 0 M SCOTT ALARCON CEO 284020 0 0 0 7800 0 13453 0 20599 0 325872 0 0 0 RICHARD SCHULTZ CFO 217902 0 0 0 1200 0 10233 0 15703 0 245038 0 0 0 FORM 990, PART I, LINE 5, NUMBER OF EMPLOYEES - USE OF PEO: THE ORGANIZATION'S EMPLOYEES ARE CONTRACTED THROUGH A PROFESSIONAL EMPLOYMENT ORGANIZATION (PEO). THERE ARE APPROXIMATELY 7 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. FORM 990, PART VI, SECTION B, LINE 11B 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, MANAGEMENT, AND A THIRD PARTY TAX CONSULTANT PRIOR TO FINALIZATION. AFTER ANY CHANGES RESULTING FROM REVIEW BY THE BOARD HAVE BEEN MADE, THE FINAL VERSION OF FORM 990 IS FILED AND A COPY OF THE FILED FORM IS DISTRIBUTED TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C 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. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S COMPENSATION COMMITTEE FOLLOWS AN EXECUTIVE COMPENSATION PLAN DEVELOPED AND RATIFIED BY THE BOARD OF DIRECTORS WHEN DETERMINING EXECUTIVE COMPENSATION. 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 BOARD CONTRACTED WITH SMITHPILOT IN 2017 TO ASSIST IN THE DEVELOPMENT OF FAIR MARKET VALUE EXECUTIVE COMPENSATION. SMITHPILOT IS A COMPANY THAT SPECIALIZES IN EXECUTIVE COMPENSATION ISSUES IN THE NON-PROFIT AREA. SMITHPILOT CREATED AN EXECUTIVE COMPENSATION GUIDELINE FOR THE CEO AND CFO USING COMPARATIVE DATA FROM MULTIPLE NATIONAL PUBLIC INFORMATION SECTORS. THOSE SOURCES INCLUDED: THE GUIDESTAR NONPROFIT COMPENSATION REPORT, PRM'S MANAGEMENT COMPENSATION REPORT FOR NOT-FOR-PROFITS ORGANIZATIONS, COUNCIL ON FOUNDATIONS, GRANTMAKERS SALARY AND BENEFITS SURVEY AND REPORT, INSIDENGO SALARY AND BENEFITS SURVEY AND TOWERS WATSON'S SURVEYS OF TOP MANAGEMENT COMPENSATION; OFFICE AND BUSINESS SUPPORT. MARKET SALARY AVERAGES (GEOGRAPHICALLY FACTORED) FOR BOTH THE CEO AND CFO WERE ESTABLISHED USING THIS DATA. THE COMPENSATION COMMITTEE'S RECOMMENDATIONS FOR THE CEO AND CFO WERE RATIFIED BY THE FULL BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE REPORTING ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, COLUMN (C) MANAGEMENT AND GENERAL EXPENSES: 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. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S OVERSIGHT PROCESS AND ITS PROCESS FOR SELECTION OF AN INDEPENDENT ACCOUNTANT DID NOT CHANGE DURING THE TAX YEAR. COMMUNITY BENEFIT REPORT 2017 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 THE 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 2017 IN MANY DIFFERENT WAYS. SOME OF THOSE WERE IN THE FORM OF: HOSPITAL ADMISSIONS - 75,086 EMERGENCY ROOM VISITS - 331,950 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. IN 2015, THE ORGANIZATION COMMISSIONED THE UNIVERSITY OF TEXAS AT AUSTIN TO CONDUCT A STUDY THAT IDENTIFIED THE NEEDS OF THE MOST MARGINALIZED COMMUNITY MEMBERS IN GEORGETOWN, TX. THE FINDINGS INCLUDED NEEDS IN TRANSPORTATION, MENTAL HEALTH, HOUSING, HEALTH, AND EDUCATION. THESE FINDINGS GUIDED THE STRATEGIC INITIATIVES IN 2017. IN 2017, THE ORGANIZATION AND ITS AFFILIATES INVESTED OVER $2,300,000 TO SUPPORT ORGANIZATIONS ADDRESSING UNMET NEEDS. THIS SUPPORT INCLUDED: - OVER $1,800,000 IN DIRECT GRANTS - OVER $370,000 IN NON-CASH CONTRIBUTIONS COMPORISED OF RENT SUBSIDIES AND FREE ACCESS TO MEETING SPACE OWNED BY THE ORGANIZATION'S AFFILIATE. - OVER $140,000 IN SPONSORSHIPS AND SMALL MINI-GRANTS SUPPORTING NOT-FOR-PROFIT EVENTS AND PROGRAMS. STRATEGIC PRIORITIES IDENTIFIED WITHIN THE ORGANIZATION'S ARE BASED UPON THE CHNA AND UNIVERSITY OF TEXAS AT AUSTIN'S FINDINGS AND WORK TO IMPROVE SOCIAL DETERMINANTS OF HEALTH AND ACCESS TO HEALTH AND HUMAN SERVICES FOR LOW-INCOME INDIVIDUALS EARNING NO MORE THAN 200% AT FEDERAL POVERTY GUIDELINES. SOCIAL DETERMINANTS OF HEALTH. OVER $1,150,000 OF THE ORGANIZATION'S TOTAL INVESTMENTS IN 2017 ADDRESSED SOCIAL DETERMINANTS OF HEALTH. THE PRIMARY AREAS OF FOCUS WERE: - EXPANDING PUBLIC TRANSPORTATION INFRASTRUCTURE. - STRENGTHENING OUT-OF-SCHOOL PROGRAMS FOR CHILDREN AND YOUTH. - SUPPORTING BASIC NEEDS AND EMERGENCY INTERVENTIONS FOR FAMILIES IN CRISIS. HEALTH & DENTAL CARE. OVER $650,000 OF THE ORGANIZATION'S TOTAL INVESTMENTS IN 2017 ADDRESSED THE AVAILABILITY AND ACCESSIBILITY OF AFFORDABLE, QUALITY HEALTH & DENTAL CARE. MENTAL HEALTH. OVER $500,000 OF THE ORGANIZATION'S TOTAL INVESTMENTS IN 2017 ADDRESSED THE AVAILABILITY AND ACCESSIBILITY OF AFFORDABLE, QUALITY MENTAL HEALTH CARE. GEORGETOWN COMMUNITY RESOURCE CENTER THE GEORGETOWN COMMUNITY RESOURCE CENTER WORKS WITH COMMUNITY MEMBERS TO IDENTIFY GAPS IN COMMUNITY PROGRAMS AND SERVICES AND ATTEMPTS TO RECRUIT NON-PROFIT AGENCIES INTO THE COMMUNITY TO FILL THIS VOID. THE ORGANIZATION PROVIDES A BUILDING WITH OFFICE SPACE TO THE COMMUNITY RESOURCE CENTER WHICH IN TURN IS PROVIDED TO AGENCIES SERVING THE COMMUNITY. THE NON-CASH ASSISTANCE REPRESENTS THE DIFFERENCE BETWEEN THE MARKET VALUE OF THE SPACE PROVIDED AND THE ACTUAL RENT CHARGED. VOLUNTEER SERVICES GHS MAINTAINS AN ACTIVE VOLUNTEER SERVICES PROGRAM AT ST. DAVID'S GEORGETOWN HOSPITAL. THE PROGRAM IS COMPRISED OF APPROXIMATELY 150 COMMUNITY MEMBERS THAT SERVE IN VARIOUS VOLUNTEER ROLES THROUGHOUT THE HOSPITAL. IN 2017, THE VOLUNTEER SERVICES PROGRAM PROVIDED 18,248 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 $220,000. THE REPORTING ORGANIZATION ALSO PROVIDES FREE MEETING SPACE TO LOCAL NON-PROFIT ORGANIZATIONS. DURING THE REPORTING YEAR THE ORGANIZATION PROVIDED THIS SPECIFICALLY DESIGNED COMMUNITY ROOM MEETING SPACE TO 54 DIFFERENT NON-PROFIT ORGANIZATIONS. THESE ORGANIZATIONS HELD OVER 591 MEETINGS OR OTHER EVENTS AND UTILIZED THE SPACE FOR NEARLY 2,000 HOURS. GEORGETOWN HEALTHCARE COMMUNITY SERVICES 2425 WILLIAMS DRIVE GEORGETOWN TX 78628 742865171 TO ASSIST GEORGETOWN HEALTHCARE SYSTEM. TX 501(C)(3) LINE 12A, I GEORGETOWN HEALTHCARE SYSTEM 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 1 0 0 0 1 ST DAVID'S HEALTHCARE PARTNERSHIP LP LLP 98 SAN JACINTO BLVD STE 1800 AUSTIN TX 78701 742781812 OPERATES HOSPITALS IN CENTRAL TEXAS. TX RELATED 0 2248423 12872110 0 0 0.01000