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ST DAVIDS FOUNDATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ST DAVIDS FOUNDATION (EIN 74-1356589)
Tax period
2016-01-01 to 2016-12-31
Filed
2018-01-31
IRS object ID
201810319349301591
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-01-31T16:40:16-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN742939657PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Flieller Kruger & Skelton PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1221 West Sixth Street Suite 1200AddressLine1Txt
CityAustinCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78701ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN741356589EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St David's FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTDABusinessNameControlTxt
Phone5128796600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11303 San Antonio St No 500AddressLine1Txt
CityAustinCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78701ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAmy VaughanPersonNm
Person TitleCFOPersonTitleTxt
Phone5128796600PhoneNum
Signature2018-01-31SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPaula WendlingPreparerPersonNm
PTINP00536805PTIN
Phone5124796000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address50.58.25.226IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-01-31IPDt
IP Tm16:35:44IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id79181C9B7E297AD45631E944885D493584CECAE6AtSubmissionCreationDeviceId
At Submission Filing Device Id79181C9B7E297AD45631E944885D493584CECAE6AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerEarl MaxwellPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11303 San Antonio St Suite 500AddressLine1Txt
CityAustinCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78701ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$118,354,871GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.stdavidsfoundation.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1924FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionTo improve health and healthcare for all Central Texans.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee90TotalEmployeeCnt
Total Volunteers65TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$423,654NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$119,779PYContributionsGrantsAmt
CY Contributions Grants$133,020CYContributionsGrantsAmt
PY Program Service Revenue$115,854,861PYProgramServiceRevenueAmt
CY Program Service Revenue$117,868,782CYProgramServiceRevenueAmt
PY Investment Income$284,442PYInvestmentIncomeAmt
CY Investment Income$351,315CYInvestmentIncomeAmt
PY Other Revenue$3,323PYOtherRevenueAmt
CY Other Revenue$1,754CYOtherRevenueAmt
PY Total Revenue$116,262,405PYTotalRevenueAmt
CY Total Revenue$118,354,871CYTotalRevenueAmt
PY Grants And Similar Paid$50,061,529PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$51,213,260CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,905,617PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,641,429CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,016,870PYOtherExpensesAmt
CY Other Expenses$6,875,841CYOtherExpensesAmt
PY Total Expenses$61,984,016PYTotalExpensesAmt
CY Total Expenses$66,730,530CYTotalExpensesAmt
PY Revenues Less Expenses$54,278,389PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$51,624,341CYRevenuesLessExpensesAmt
Total Assets BOY$777,786,499TotalAssetsBOYAmt
Total Assets EOY$862,537,751TotalAssetsEOYAmt
Total Liabilities BOY$37,537,068TotalLiabilitiesBOYAmt
Total Liabilities EOY$40,357,128TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$740,249,431NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$822,180,623NetAssetsOrFundBalancesEOYAmt
MissionTo improve health and healthcare for all Central Texans.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$53,665,466ExpenseAmt
Grant$51,213,260GrantAmt
DescThe reporting organization provides grants and corresponding program services to community organizations and indigent adults with the purpose of improving access to health care in Central Texas.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$7,022,953ExpenseAmt
DescThe reporting organization provides free dental care for low income children through Title 1 schools and for indigent adults in Central Texas who have no other access to services. This service is provided with fully equipped mobile dental clinics that are taken to the schools and safety-net agencies where the adults are located. Each clinic is staffed with full time dentists and support personnel.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Revenue$117,868,531RevenueAmt
DescThe reporting organization controls hospitals dedicated to serving Central Texas under the community benefit standard and The Affordable Care Act. St. David's Healthcare Partnership includes hospitals, free-standing emergency rooms, ambulatory care centers, and urgent care centers.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$60,688,419TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document99IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee90EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5128796600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11303 San Antonio Street Suite 500AddressLine1Txt
CityAustinCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78701ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Jerry Turner
Board Chair10.005.00Yes (X)$0$0$0
Marc Winkelman
Trustee1.00Yes (X)$0$0$0
Karen Cole
Trustee1.00Yes (X)$0$0$0
Lynn Sherman
Trustee1.00Yes (X)$0$0$0
Charles Chaffin
Trustee5.00Yes (X)$0$0$0
Ray Bonilla
Vice Chair5.000.10Yes (X)$0$0$0
John Murray
Trustee1.005.00Yes (X)$0$0$0
Peter Pincoffs
Secretary and Vice Chair5.005.00Yes (X)$0$0$0
H David Hughes
Past Chair & Board of Governors5.0010.00Yes (X)$0$0$0
Ray Benson
Trustee1.00Yes (X)$0$0$0
CW Hetherly
Past Chair & Board of Governors5.005.00Yes (X)$0$0$0
Shannon Ratliff
Secretary10.00Yes (X)$0$0$0
Jim Prentice
Trustee1.00Yes (X)$0$0$0
Betsy Abell
Trustee1.00Yes (X)$0$0$0
Craig Hester
Trustee5.00Yes (X)$0$0$0
Darrick McGill
Trustee1.00Yes (X)$0$0$0
Harriet O'Neill
Trustee1.00Yes (X)$0$0$0
Chuck Treadwell
Trustee1.00Yes (X)$0$0$0
R Earl Maxwell
CEO43.501.50$367,752$0$18,398Yes (X)
Bobbie Barker
Executive Vice President39.500.50$233,473$0$17,031Yes (X)
Amy Vaughan
CFO39.500.50$135,080$0$19,635Yes (X)
Dave Thomsen
Executive Vice President39.001.00$141,269$0$11,369Yes (X)
Cathy Iberg
Vice President40.00$198,836$0$0Yes (X)
William Buster
Vice President39.500.50$124,416$0$9,399Yes (X)
Blake Holman
Chief Information Officer40.00$202,170$0$10,990Yes (X)
Shailee Gupta
Clinical Director40.00$158,769$0$20,648Yes (X)
Caesar Collazo
Staff Dentist40.00$138,523$0$20,142Yes (X)
Ensy Atarod
Lead Dentist40.00$155,127$0$20,390Yes (X)
Mamatha Pasala
Lead Dentist40.00$138,906$0$20,061Yes (X)
Yana Kushner
Lead Dentist40.00$124,996$0$13,112Yes (X)
Stephen Collard
Staff Dentist40.00$148,559$0$10,431Yes (X)
James J Ries
Former CFO39.500.50$157,068$0$9,470Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,424,944TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$201,076TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K14IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Carol Clark
3205 Dancy StreetAustinTX78722Attorney's fees$242,400
Kristy Ozmun
PO Box 300848AustinTX78703Marketing services and consulting$120,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$133,020AllOtherContributionsAmt
Total Contributions$133,020TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
St. David's HealthCare Partnershi621990$117,868,531$117,868,531
Medicare Reimbursement621990$251$251
FieldValueIRS element (for citing)
Total Program Service Revenue$117,868,782TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$351,315TotalRevenueColumnAmt
Exclusion$351,315ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,754TotalRevenueColumnAmt
Exclusion$1,754ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$118,354,871TotalRevenueColumnAmt
Related Or Exempt Func Income$117,868,782RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$353,069ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$49,849,110TotalAmt
Program Services$49,849,110ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$1,364,150TotalAmt
Program Services$1,364,150ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,489,819TotalAmt
Program Services$250,503ProgramServicesAmt
Management And General$1,239,316ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,481,178TotalAmt
Program Services$4,415,681ProgramServicesAmt
Management And General$1,065,497ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$292,281TotalAmt
Program Services$210,696ProgramServicesAmt
Management And General$81,585ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$928,091TotalAmt
Program Services$757,835ProgramServicesAmt
Management And General$170,256ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$450,060TotalAmt
Program Services$318,126ProgramServicesAmt
Management And General$131,934ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$354,248TotalAmt
Management And General$354,248ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$88,098TotalAmt
Management And General$88,098ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$970,050TotalAmt
Management And General$970,050ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$586,989TotalAmt
Program Services$384,567ProgramServicesAmt
Management And General$202,422ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$548,701TotalAmt
Program Services$44,006ProgramServicesAmt
Management And General$504,695ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$731,683TotalAmt
Program Services$224,440ProgramServicesAmt
Management And General$507,243ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$317,182TotalAmt
Program Services$80,362ProgramServicesAmt
Management And General$236,820ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,107,293TotalAmt
Program Services$781,463ProgramServicesAmt
Management And General$325,830ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$146,693TotalAmt
Program Services$120,906ProgramServicesAmt
Management And General$25,787ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$151,483TotalAmt
Program Services$89,701ProgramServicesAmt
Management And General$61,782ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$645,097TotalAmt
Program Services$508,275ProgramServicesAmt
Management And General$136,822ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$293,066TotalAmt
Program Services$124,730ProgramServicesAmt
Management And General$168,336ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Dental Program Supplies$540,006$540,006
Complex Dental Care Sub$367,972$367,972
Repairs and Maintenance$250,763$250,763
Leased Equipment$25,560$25,560

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$249,043TotalAmt
Program Services$5,127ProgramServicesAmt
Management And General-$254,170ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$66,730,530TotalAmt
Program Services$60,688,419ProgramServicesAmt
Management And General$6,042,111ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$68BOYAmt
EOY$95EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,466,695BOYAmt
EOY$639,077EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$6,395,182BOYAmt
EOY$5,146,933EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$179,923BOYAmt
EOY$289,292EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,281,570LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,875,144LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,709,948BOYAmt
EOY$2,406,426EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$474,302,907BOYAmt
EOY$503,627,724EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$290,731,776BOYAmt
EOY$350,428,204EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$777,786,499BOYAmt
EOY$862,537,751EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,551,591BOYAmt
EOY$6,663,216EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$34,878,641BOYAmt
EOY$33,735,923EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,106,836BOYAmt
EOY-$42,011EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$37,537,068BOYAmt
EOY$40,357,128EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$737,630,162BOYAmt
EOY$819,560,070EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,619,269BOYAmt
EOY$2,620,553EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$740,249,431BOYAmt
EOY$822,180,623EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$777,786,499BOYAmt
EOY$862,537,751EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$51,624,341ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$30,306,851NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$686DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$20,540OtherActivitiesAmt
Total Lobbying Expenditures$21,226TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationThe Schedule K-1 from St. David's Healthcare Partnership, LP (the "Partnership") included $20,540 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, the Partnership participated in direct contact with local legislators. David Huffstutler, CEO of the Partnership, spent 1.5 hours on lobbying activities during 2016. 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.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,619,269BeginningYearBalanceAmt
Investment Earnings Or Losses$1,284InvestmentEarningsOrLossesAmt
End Year Balance$2,620,553EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,623,782BeginningYearBalanceAmt
Investment Earnings Or Losses-$4,513InvestmentEarningsOrLossesAmt
End Year Balance$2,619,269EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,621,161BeginningYearBalanceAmt
Investment Earnings Or Losses$2,621InvestmentEarningsOrLossesAmt
End Year Balance$2,623,782EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,584,920BeginningYearBalanceAmt
Investment Earnings Or Losses$36,241InvestmentEarningsOrLossesAmt
End Year Balance$2,621,161EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,549,231BeginningYearBalanceAmt
Investment Earnings Or Losses$35,689InvestmentEarningsOrLossesAmt
End Year Balance$2,584,920EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,281,570OtherCostOrOtherBasisAmt
Depreciation$1,875,144DepreciationAmt
Book Value$2,406,426BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,406,426TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (25 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Wells Fargo Investments$40,198,582F
TIFF Private Equity Partners 2007$2,775,948F
TIFF Private Equity Partners 2008$4,727,749F
TIFF Private Equity Partners 2009$1,328,158F
TIFF Realty & Resources III$800,124F
TIFF Realty & Resources IV$1,831,835F
TIFF Realty & Resources 2008$762,012F
TIFF Realty & Resources 2009$1,016,528F
TIFF Short Term Fund II$913,968F
Vanguard Total Stock Index Fund$20,018,587F
Vanguard International Stock Index Fund$17,719,380F
TIFF Keystone Fund$49,702,893F
TIFF Special Opportunities Fund$3,652,312F
TIFF Private Equity Partners 2012$3,818,790F
TIFF Private Equity Partners 2013$5,028,600F
TIFF Private Equity Partners 2014$4,623,943F
TIFF Private Equity Partners 2015$4,330,923F
TIFF Private Equity Partners 2016$463,707F
State Street - Treasury Fund$4,623,999F
Summit Rock - Hedged Equity Portfolio$68,209,054F
Summit Rock - Select Equity Portfolio$107,516,758F
Summit Rock - Benchmark Equity Portfolio - Aperio$69,831,483F
Summit Rock - Reserve Fixed Income Portfolio$26,540,207F
Summit Rock - Strategic Fixed Income Portfolio$31,363,426F
Summit Rock - Diversified Strategies Portfolio$31,828,758F
FieldValueIRS element (for citing)
Total Book Value Securities$503,627,724TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescSt. David's Healthcare Partnership, LP, LLPDesc
Book Value$350,428,204BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$350,428,204TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Due to St. David's Community Health Foundation Holdings$14,674
Due from St. David's Foundation Community Fund-$36,731
Due from St. David's Community Health Foundation Initiatives-$19,954
FieldValueIRS element (for citing)
Total Liability-$42,011TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The Key Endowment funds will be used for nursing scholarships at Texas State University.
Part X, Line 2:The Foundation, Holdings, Community Fund, and Initiatives are public, nonprofit 501(C)(3) organizations exempt from federal income taxes under Section 501(C)(3) of the Internal Revenue Code, except to the extent they have unrelated business activities. As such, no provision for federal income taxes has been made in the accompanying consolidated financial statements related to these four entities. The Foundation's policy is to record interest and penalty expense related to income taxes as interest and other expense, respectively. At December 31, 2016 and 2015, no interest or penalties have been or are required to be accrued. The Foundation, generally, is no longer subject to income tax examination by federal authorities for years prior to December 31, 2013.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,927,180TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$229,077DirectOffsettingRevenueAmt
Net Community Benefit Expns$37,698,103NetCommunityBenefitExpnsAmt
Total Expense0.05970TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$50,532,337TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$55,111,771DirectOffsettingRevenueAmt
Net Community Benefit Expns-$4,579,434NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$88,459,517TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$55,340,848DirectOffsettingRevenueAmt
Net Community Benefit Expns$33,118,669NetCommunityBenefitExpnsAmt
Total Expense0.05970TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,003,016TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,003,016NetCommunityBenefitExpnsAmt
Total Expense0.00630TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,981,118TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,981,118NetCommunityBenefitExpnsAmt
Total Expense0.00310TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$54,144,326TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$54,144,326NetCommunityBenefitExpnsAmt
Total Expense0.08580TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$60,128,460TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$60,128,460NetCommunityBenefitExpnsAmt
Total Expense0.09520TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$148,587,977TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$55,340,848DirectOffsettingRevenueAmt
Net Community Benefit Expns$93,247,129NetCommunityBenefitExpnsAmt
Total Expense0.15490TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$4,892,781BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$159,823,666ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$147,347,394CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$12,476,272MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 St David's HealthCare Partnership LP LLP
The Foundation owns a controlling interest in St. David's HealthCare0.405900.000000.00000
2
Partnership, which operated four hospitals in Central Texas.
FieldValueIRS element (for citing)
Hospital Facilities4HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdChildrens HospitalChildrensHospitalInd
St David's Medical Center
1919 E 32nd StreetAustinTX78705www.stdavids.com000035Yes (X)Yes (X)Yes (X)A
St David's North Austin Medical Center
212221 N Mopac ExpwyAustinTX78758www.stdavids.com008299Yes (X)Yes (X)Yes (X)AYes (X)
St David's South Austin Medical Center
3901 W Ben White BlvdAustinTX78704www.stdavids.com000602Yes (X)Yes (X)Yes (X)A
St David's Round Rock Medical Center
42400 Round Rock AveRound RockTX78681www.stdavids.com000608Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Facility Reporting Group ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.stdavidsfoundation.org/about-us/community-health-needs-assessmentOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLwww.stdavidsfoundation.org/about-us/community-health-needs-assessmentStrategyWebsiteURLTxt
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.stdavids.com/patients-visitors/charity-discount-policyFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.stdavids.com/patients-visitors/charity-discount-policyFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.stdavids.com/patients-visitors/charity-discount-policyFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (22 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Section BFacility 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 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 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 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, the reporting organization collaborated with 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 St. David's Foundation embraced the Affordable Care Act requirements to conduct community health needs assessments in the geographies of its medical facilities and create strategic implementation plans for each facility. St. David's augmented its area-based, collaborative, comprehensive community health planning efforts in Travis and Williamson Counties by leading similar assessments for Bastrop and Hays Counties and consolidating an assessment of community health needs across all communities in the medical facilities' geographies. The community health needs assessment (CHNA) process was data-led, evidence-based and reflective of key community partnerships.Several overarching themes emerged from synthesizing the quantitative and qualitative data of the CHNAs. These needs informed the priorities, goals, objectives, and strategies of the St. David's Medical Center Strategic Implementation Plan.Need 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 Foundation as described in the detailed Strategic Implementation Plan, attached as 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.
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 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 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 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 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 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, the reporting organization collaborated with 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 St. David's Foundation embraced the Affordable Care Act requirements to conduct community health needs assessments in the geographies of its medical facilities and create strategic implementation plans for each facility. St. David's augmented its area-based, collaborative, comprehensive community health planning efforts in Travis and Williamson Counties by leading similar assessments for Bastrop and Hays Counties and consolidating an assessment of community health needs across all communities in the medical facilities' geographies. The community health needs assessment (CHNA) process was data-led, evidence-based, and reflective of key community partnerships.Several overarching themes emerged from synthesizing the quantitative and qualitative data of the CHNAs. These needs informed the priorities, goals, objectives, and strategies of the North Austin Medical Center Strategic Implementation Plan.Need 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 Foundation as described in the detailed Strategic Implementation Plan, attached as 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.
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 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 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 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, the reporting organization collaborated with 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 St. David's Foundation embraced the Affordable Care Act requirements to conduct community health needs assessments in the geographies of its medical facilities and create strategic implementation plans for each facility. St. David's augmented its area-based, collaborative, comprehensive community health planning efforts in Travis and Williamson Counties by leading similar assessments for Bastrop and Hays Counties and consolidating an assessment of community health needs across all communities in the medical facilities' geographies. The community health needs assessment (CHNA) process was data-led, evidence-based, and reflective of key community partnerships.Several overarching themes emerged from synthesizing the quantitative and qualitative data of the CHNAs. These needs informed the priorities, goals, objectives, and strategies of the South Austin Medical Center Strategic Implementation Plan.Need 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 Foundation as described in the detailed Strategic Implementation Plan, attached as 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.
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 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 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 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, the reporting organization collaborated with 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 St. David's Foundation embraced the Affordable Care Act requirements to conduct community health needs assessments in the geographies of its medical facilities and create strategic implementation plans for each facility. St. David's augmented its area-based, collaborative, comprehensive community health planning efforts in Travis and Williamson Counties by leading similar assessments for Bastrop and Hays Counties and consolidating an assessment of community health needs across all communities in the medical facilities' geographies. The community health needs assessment (CHNA) process was data-led, evidence-based, and reflective of key community partnerships.Several overarching themes emerged from synthesizing the quantitative and qualitative data of the CHNAs. These needs informed the priorities, goals, objectives, and strategies of the Round Rock Medical Center Strategic Implementation Plan.Need 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 Foundation as described in the detailed Strategic Implementation Plan, attached as 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.
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.
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Bailey Square Medical Center
1111 W 34th St 400AustinTX78705Ambulatory Surgery Center
2 - South Austin Surgery Center
4207 James Casey St 203AustinTX78745Ambulatory Surgery Center

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 2016, 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. The reporting organization, together with the hospitals, began the process of updating its charity care policy in compliance with Section 501(r) in 2014.
Part I, Line 7:The hospitals utilize the cost to charge ratio from the audited financial statements.
Part I, Ln 7 Col(f):Bad debts are excluded from the calculation of total expenses.
Part II, Community Building Activities:All of the hospitals are active in the community promoting health of Central Texans. The Foundation provides significant grants each year to numerous agencies and local safety net clinics. The Foundation focuses its funding on six key areas that will improve the health and health care of all Central Texans.
Part III, Line 4:St. David's 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 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, 2016. 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 2016 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 I, Line 7b: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 (f) is -0.73%. Lines 7d and 7k, Column (f), would be 5.24% and 14.76%, respectively.Part III, Line 1: Hospitals controlled by the Foundation determine bad debt and charity care in accordance with GAAP and with IRC Section 501(r). Whether bad debt is determined in accordance with Statement 15 requirements is a more difficult issue. Statement 15 requires hospitals to recognize revenue only when collections are reasonably assured and for an amount that is determinable. Most hospitals, including those controlled by the Foundation, use mathematical models based on prior history to determine the percentage of patient billings that is likely to result in bad debt.For this reason, and out of an abundance of caution, the Foundation has answered "no" to whether Statement 15 is followed. Despite the best efforts of HMFA to assist hospitals in determining the difference between patients who have the capacity to pay for their care but won't pay and patients who lack the capacity to pay, the determination always involves judgment. However, the hospitals controlled by the Foundation determine charity care on the core principles set forth in Statement 15, including specific criteria for charity care, a specific time of determination, record keeping, disclosure of the charity care policy and valuation of charity care at cost.
Part 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 VI, Line 2:The Partnership Strategic Planning Process continually assesses and addresses the needs of the community. The Foundation recently participated in a capacity study for the surrounding service area to assess the overall community needs. The Foundation's Grants Program addresses the needs of the service area.
Part VI, Line 3:Each hospital posts a summary of its charity care policy in admission areas, emergency rooms, and other areas where eligible patients are likely to be present. The hospitals' Condition of Admission consent informs the patients that they may be eligible for financial assistance or charity care and they may request information about these programs. A summary of the financial assistance program is provided to the patient during the intake and discharge processes. Patients are informed of availability of various government benefits, such as Medicaid, and receive assistance with the qualification for such programs, where applicable.
Part VI, Line 4:The hospitals are located in Travis and Williamson counties. The patients are predominately from Travis, Williamson and Hays counties. The Foundation's grant program recipients closely align with patient demographics served at the hospitals.
Part VI, Line 5:The hospitals operate as exempt hospitals; they have open emergency rooms and medical staff. The Foundation invests its share of earnings from the hospitals into programs in Central Texas that increase access to healthcare.
Part VI, Line 6:The Foundation is a general partner in 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 Foundation has assessed the unmet healthcare needs of Central Texas and uses the earnings from the hospitals to meet those needs in many ways. The Foundation makes grants to charities in Central Texas meeting the healthcare needs of the indigent. The Foundation also makes grants to educational institutions to support medical education. The Foundation's affiliates give needs-based scholarships to students pursuing healthcare careers. In addition, the Foundation provides free dental care to the children in more than 50 low income schools and to the adult patients of safety net clinics in Central Texas, and it pays for discounted eye exams and eyeglasses for low income Central Texans.
Part VI, Line 7, Reports Filed With StatesTX

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (82 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
AIDS Services of Austin
7215 Cameron RdAustinTX78752742440845501(c)(3)$659,797Health Access Grant
Any Baby Can
6207 Sheridan AvenueAustinTX78723742684335501(c)(3)$697,095Health Access Grant
Austin Child Guidance Center
810 W 45th StAustinTX78751741166783501(c)(3)$621,594Health Access Grant
Austin Children's Shelter
4800 Manor RdAustinTX78723742320657501(c)(3)$383,988Health Access Grant
Austin Clubhouse
PO Box 300568AustinTX78703900505527501(c)(3)$117,088Health Access Grant
Austin Community Foundation
4315 Guadalupe Suite 300AustinTX78751741934031501(c)(3)$80,000Health Access Grant
Austin Groups for the Elderly
3710 Cedar St Box 2AustinTX78705742431028501(c)(3)$677,905Health Access Grant
Austin Recovery
8402 Cross Park DrAustinTX78754741609108501(c)(3)$1,032,297Health Access Grant
Austin Speech Labs
7800 Shoal Creek Blvd Ste 240SAustinTX78757262137242501(c)(3)$66,618Health Access Grant
Austin Travis County Integral Care
PO Box 3548AustinTX78764741547909501(c)(3)$1,400,000Health Access Grant
Bastrop County Emergency Food Bank
806 Fayette StBastropTX78602742485884501(c)(3)$40,491Health Access Grant
Bastrop County Women's Shelter
431 Old Austin HwyBastropTX78602742304542501(c)(3)$55,000Health Access Grant
Boys and Girls Club of the Capital Area
303 W Johanna StAustinTX78704746087356501(c)(3)$584,859Health Access Grant
Breast Cancer Resource Center
PO Box 300040AustinTX78703742743333501(c)(3)$308,193Health Access Grant
Central Texas Food Bank
6500 Metropolis DriveAustinTX78744742217350501(c)(3)$1,154,550Health Access Grant
Capital Idea
PO Box 1784AustinTX78767742893041501(c)(3)$769,369Health Access Grant
Center for Child Protection
8509 FH 969 Bldg CAustinTX78724742562585501(c)(3)$263,923Health Access Grant
Central Texas Medical Center
501A BroadwaySan MarcosTX78666742575462501(c)(3)$20,000Health Access Grant
The Final Acts Project
14455 Santa RitaHelotesTX78023470996466501(c)(3)$25,000Health Access Grant
Communicare Barrio Comprehensive Family Care
3066 CommerceSan AntonioTX78220741724391501(c)(3)$1,399,266Health Access Grant
Communities in Schools
3000 S IH 35AustinTX78704742369020501(c)(3)$684,886Health Access Grant
Community Health Centers of Central Texas
228 St George StGonzalesTX78629741548089501(c)(3)$719,564Health Access Grant
Drive A Senior
PO Box 743GeorgetownTX78627203414707501(c)(3)$277,659Health Access Grant
Easter Seals of Central Texas
1611 Headway CircleAustinTX78754750808811501(c)(3)$102,249Health Access Grant
El Buen Samaritano
7000 WoodhueAustinTX78745742488682501(c)(3)$1,077,421Health Access Grant
Family Eldercare
2210 Hancock DrAustinTX78756742286387501(c)(3)$387,991Health Access Grant
Foundation Communities
3036 S First StAustinTX78704742563260501(c)(3)$3,341,924Health Access Grant
Hays-Caldwell Women's Center
PO Box 234San MarcosTX78667742020505501(c)(3)$347,291Health Access Grant
Health Alliance for Austin Musicians
PO Box 301496AustinTX78703741934031501(c)(3)$367,994Health Access Grant
Helping the Aging Needy and Disabled
1640B 2nd StAustinTX78702741888198501(c)(3)$143,538Health Access Grant
Hospice Austin
4107 Spicewood Springs BlvdAustinTX78759742200596501(c)(3)$369,611Health Access Grant
Immunization Partnership
3000 Richmond Ave Suite 200-BHoustonTX77098760695612501(c)(3)$180,000Health Access Grant
Interagency Support Council of Eastern Williamson County
400 Porter StTaylorTX76574841636308501(c)(3)$381,209Health Access Grant
Interfaith Care Alliance
314 E Highland Mall Blvd 495AustinTX78752742845698501(c)(3)$205,317Health Access Grant
LifeWorks
3700 S 1st StAustinTX78704742137189501(c)(3)$1,001,260Health Access Grant
Lone Star Circle of Care
1500 W University AveGeorgetownTX78628743001674501(c)(3)$7,742,429Health Access Grant
Manos de Cristo
4911 Harmon AveAustinTX78751742511974501(c)(3)$112,129Health Access Grant
Marathon Kids
PO Box 5501AustinTX78763061722171501(c)(3)$301,839Health Access Grant
Meadows Mental Health Policy Foundation
3003 Swiss AveDallasTX75204756015322501(c)(3)$500,000Health Access Grant
Meals on Wheels and More
3227 E 5th StAustinTX78702237202594501(c)(3)$1,009,383Health Access Grant
People's Community Clinic
2909 N IH 35AustinTX78722237087608501(c)(3)$5,730,166Health Access Grant
Planned Parenthood
201 East Ben White BlvdAustinTX78704371515621501(c)(3)$299,436Health Access Grant
Round Rock Serving Center
PO Box 5006Round RockTX78683742454410501(c)(3)$153,506Health Access Grant
Safe Services Alliance dba The Lift Alliance
PO Box 19454AustinTX78760455384648501(c)(3)$410,000Health Access Grant
Sacred Heart Community Clinic
PO Box 5845Round RockTX78683272901548501(c)(3)$10,000Health Access Grant
SafePlace
PO Box 19454AustinTX78760741977853501(c)(3)$714,949Health Access Grant
Samaritan Center
2425A Burnet RdAustinTX78756741832864501(c)(3)$332,985Health Access Grant
Samaritan Health Ministries
PO Box 133Cedar ParkTX78630742570190501(c)(3)$86,814Health Access Grant
SIMS Foundation
PO Box 2152AustinTX78768742766013501(c)(3)$165,689Health Access Grant
Spirit Reins Inc
2055 CR 284Liberty HillTX78642061692909501(c)(3)$151,956Health Access Grant
Sustainable Food Center
1106 Clayton LaneAustinTX78723742441468501(c)(3)$351,638Health Access Grant
Texas Higher Education Coordinating Board
1200 E Anderson LaneAustinTX78752746016766State of Texas$1,696,310Health Access Grant
Texas Ramp Project
PO Box 832065RichardsonTX78083331139484501(c)(3)$85,369Health Access Grant
Texas Scottish Rite Hospital
2222 Welborn StDallasTX75219750818178501(c)(3)$100,000Health Access Grant
Texas State University
601 University DriveSan MarcosTX78666741946138501(c)(3)$3,507,819Health Access Grant
University of Texas at Austin
PO Box 7726AustinTX78713746000203State of Texas$750,223Health Access Grant
Capital Area Council of Governments
6800 Burleson Rd Building 310 SuiteAustinTX78744741689381501(c)(3)$99,752Health Access Grant165
Volunteer Healthcare Clinic
4215 Medical ParkwayAustinTX78756746082464501(c)(3)$112,727Health Access Grant
Waterloo Counseling Center
3000 S IH 35AustinTX78704742291792501(c)(3)$149,610Health Access Grant
Williamson County Crisis Center
1011 Gattis School Rd Ste 106Round RockTX78664742277114501(c)(3)$78,906Health Access Grant
Williamson-Burnet County Opportunities
PO Box 740GeorgetownTX78627746075213501(c)(3)$215,864Health Access Grant
YMCA of Austin
1402 Cesar ChavezAustinTX78702741193464501(c)(3)$331,975Health Access Grant
YMCA of Greater Williamson County
1812 N Mays StRound RockTX78664742206558501(c)(3)$58,854Health Access Grant
Council for At-Risk Youth
3710 Cedar St Ste 23AustinTX78705742921243501(c)(3)$175,000Health Access Grant
Texas A&M Foundation
401 George Bush DrCollege StationTX77840742245072501(c)(3)$131,250Health Access Grant
Book Boosters Inc
5212 Scottish Thistle DrAustinTX78739742652688501(c)(3)$25,000Health Access Grant
Austin Parks Foundation
507 Calles Street Suite 116AustinTX78702742648803501(c)(3)$61,113Health Access Grant
Huston-Tillotson University
900 Chicon StAustinTX78702741180151501(c)(3)$75,000Health Access Grant
CATCH Global Foundation
8000 Centre Park Dr Ste 350AustinTX78754465369024501(c)(3)$50,000Health Access Grant
NAMI Austin
PO Box 302398AustinTX78703742374858501(c)(3)$50,000Health Access Grant
Out Youth
909 E 49th 1/2 StAustinTX78751742732971501(c)(3)$50,000Health Access Grant
Goodwill Industries of Central Texas
1015 Norwood Park BlvdAustinTX78753741322808501(c)(3)$32,500Health Access Grant
Half Helen Foundation
6405 S IH 35AustinTX78744462808051501(c)(3)$50,000Health Access Grant
It's Time Texas Inc
911 W Anderson Ln Ste 202AustinTX78757432051509501(c)(3)$50,000Health Access Grant
Texas Network of Youth Services Inc
PO Box 26855AustinTX78755751791374501(c)(3)$50,000Health Access Grant
Westcave Outdoor Discovery Center
24814 Hamilton Pool RdRound MtnTX78663510204049501(c)(3)$25,000Health Access Grant
Blackland Community Development Corp
1902 E 22nd StAustinTX78722742279246501(c)(3)$50,000Health Access Grant
Mothers' Milk Bank at Austin
5925 Dillard CirAustinTX78752742883760501(c)(3)$200,000Health Access Grant
Mayor's Health and Fitness Council
750 Allison LnSan MarcosTX78666271876747501(c)(3)$25,000Health Access Grant
ECHO
100 N IH-35 1003AustinTX78701274449243501(c)(3)$25,000Health Access Grant
Young Invincibles
1411 K Street NWWashingtonDC20005462214021501(c)(3)$25,000Health Access Grant
St David's Community Health Foundation Holdings
1303 San Antonio St 500AustinTX78701742206098501(c)(3)$50,000Health Access Grant
FieldValueIRS element (for citing)
Total501c3 Org80Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeDiscounted eye exams and eyeglasses for needy Central Texans.GrantTypeTxt
Recipient11749RecipientCnt
Cash Grant$1,437,453CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 2:The Foundation monitors the use of grant funds through the following procedures: - Grantees submit quarterly reports to Program Officers 30 days after the close of each calendar quarter. Review of quarterly report information includes analysis of a) metric data for goal and outcome measures; b) demographic data; c) significant program activities, accomplishments and/or changes; and d) results of client satisfaction surveys. - Grantees submit year-end reports to Program Officers after the close of fourth quarter. Review of year-end reports includes analysis of aggregate data from quarterly reports and documentation of financial statements. - Program officers distribute summary reports to senior management and board members for analysis. - Program Officers attend grantees' board meetings at least one time per year. - Staff and board members review agency grant proposals in connection with site visits. - Staff conduct periodic site visits throughout funding year.
Part IIIThe reporting organization pays for discounted eye exams and eye glasses for Central Texans. Eye-care providers submit invoices for services provided to patients who submit vouchers for care. Vouchers are provided to financially indigent individuals whose income equals 200% or less of federal poverty guidelines (FPG). The reporting organization pays provider invoices directly upon receiving the vouchers.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
R Earl Maxwell
CEO$367,752$0$0$0$0$0$7,950$0$10,448$0$386,150$0$0$0
Bobbie Barker
Executive Vice President$233,473$0$0$0$0$0$6,876$0$10,155$0$250,504$0$0$0
Amy Vaughan
CFO$135,080$0$0$0$0$0$4,047$0$15,588$0$154,715$0$0$0
Dave Thomsen
Executive Vice President$141,269$0$0$0$0$0$0$0$11,369$0$152,638$0$0$0
Cathy Iberg
Vice President$198,836$0$0$0$0$0$0$0$0$0$198,836$0$0$0
Blake Holman
Chief Information Officer$202,170$0$0$0$0$0$1,395$0$9,595$0$213,160$0$0$0
Shailee Gupta
Clinical Director$158,769$0$0$0$0$0$4,917$0$15,731$0$179,417$0$0$0
Caesar Collazo
Staff Dentist$138,523$0$0$0$0$0$4,462$0$15,680$0$158,665$0$0$0
Ensy Atarod
Lead Dentist$155,127$0$0$0$0$0$4,697$0$15,693$0$175,517$0$0$0
Mamatha Pasala
Lead Dentist$138,906$0$0$0$0$0$4,390$0$15,671$0$158,967$0$0$0
Stephen Collard
Staff Dentist$148,559$0$0$0$0$0$1,038$0$9,393$0$158,990$0$0$0
James J Ries
Former CFO$157,068$0$0$0$0$0$4,734$0$4,736$0$166,538$0$0$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonCW Hetherly Past ChairPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFamily relationship with St. David's Healthcare Partnership, LP, LLPRelationshipDescriptionTxt
Transaction$117,705TransactionAmt
TransactionC.W. Hetherly's son, Michael Hetherly, is the Director - Provider Sponsored Networks, St. David's Healthcare Partnership, LP, LLP, an entity related by ownership to the reporting organization, or one of its affiliates. The reported amount of the transaction includes Michael Hetherly's salary & benefits.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 7bBoard Decision Matters are delegated by the Foundation Board as follows: Decisions on Capital Budget and Operating Budget transfers of amounts of 2.5% or less of the total grants budget are delegated to the Chief Executive Officer. Final authority for grants of between $1,000,000 and $2,000,000 is delegated to the Community Investment Committee; final authority for grants of less than $1,000,000 is delegated to the Executive Vice President of Community Investments; and final authority for grants of less than $250,000 is delegated to the Vice President of Community Investments. Decisions on contracts and expenditures of amounts of $250,000 or less are delegated to the Chief Executive Officer.
Form 990, Part VI, Section B, line 11bThe reporting organization's Tax and Audit Committee reviews a draft of the Form 990 in detail prior to it being finalized. A final version of Form 990 is sent to the Trustees prior to filing.
Form 990, Part VI, Section B, line 12cThe reporting organization annually verifies compliance with the conflicts of interest policy. The individuals covered by this policy include the officers and trustees. The persons covered by this policy are required to annually disclose or update the Chairman of the Board of Trustees on a form provided by the organization their interests that could give rise to conflicts of interest. For each interest disclosed to the Chairman of the Board of Trustees of the Foundation, the Chairman will determine whether to: (a) take no action; (b) assure full disclosure to the Board of Trustees of the Foundation and other individuals covered by this policy; (c) ask the person to recuse from participation in related discussions or decisions within the organization; or (d) ask the person to resign from his or her position in the Organization or, if the person refuses to resign, become subject to possible removal in accordance with the Organization's removal procedures. The organization's CEO will monitor proposed or ongoing transactions for conflicts of interest and disclose them to the Chairman of the Board of Trustees in order to deal with potential or actual conflicts.
Form 990, Part VI, Section B, line 15To establish the compensation of the organization's top management officials, other officers, and key employees, the Foundation used the report of an independent compensation consultant. The report was prepared in 2014. Without participation of the officer, director or other top management official under consideration, the Compensation Committee determined and approved compensation based on the independent consultant's report. This process was undertaken for the following officers, directors, and key employees for 2016 compensation on December 14, 2015: R. Earl Maxwell, CEO Bobbie Barker, Vice President Shailee Gupta, Clinical Director This process was undertaken for Amy Vaughan, CFO, for 2016 compensation on January 19, 2016. No compensation was paid at the 2016 increased salaries prior to approval by the Compensation Committee.
Form 990, Part VI, Section C, line 19The reporting organization's governing documents, conflicts of interest policy and financial statements are available to the public upon request. Please contact the CFO at 512-879-6600.
Form 990, Part XII, Line 2b:The reporting organization's financial statements were audited by an independent accountant as part of consolidated financial statements. The consolidated financial statements included St. David's Foundation, St. David's Community Health Foundation Holdings, St. David's Foundation Community Fund, St. David's Community Health Foundation Initiatives, St. David's Foundation Impact Fund, LP, and St. David's Foundation Impact Fund, GP, LLC.
Form 990, Part VI, Section A, Line 1a:The Board of Trustees of the reporting organization (the "Foundation") established an Executive Committee (the "Committee") to assist the Board in fulfilling its oversight responsibility for the operations of the organization and its affiliates. The Committee has the power to conduct the business of the Foundation during the period between meetings of the Board, in accordance with the policies and expressed wishes of the Board and established protocol. The Committee is authorized to secure such resources as it reasonably needs to fulfill its responsibilities, including outside consultants, as appropriate. The Chief Executive Officer of the Foundation, or an appointed representative, serves as the Committee's staff liaison. The Committee also consists of three elected governing Board officers: Chair, Vice Chair and Secretary, the Past Chair of the Foundation, the Chair of the Board of Governors, and the chairs of other governing Board committees. All Committee members are governing board members, must be independent of management, and receive no compensation from the Foundation. The Board of Trustees has adopted a set of Central Governance Principles to provide a specific framework for the decision-making and governance activities of the Committee.
Officer Compensation of Related Organizations:St. David's Foundation (the "Foundation") owns a general partner interest in St. David's Healthcare Partnership, LP, LLP (the "Partnership"). The amounts below represent the compensation paid by the Partnership during 2016. Cindy Sightes, CFO Salary $ 246,082 Employee Benefits $ 47,275 C. David Huffstutler, CEO Salary $ 483,223 Employee Benefits $ 68,734

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
St David's Community Health Foundation Holdings
1303 San Antonio St 500AustinTX78701742206098Holds endowment funds used to assist the needy of Central TexasTX501(c)(3)Sec 170 (b)(1)(A)(viSt David's FoundationYes (1)
St David's Foundation Community Fund
1303 San Antonio St 500AustinTX78701742898888Provides needs-based scholarships to students in Central TexasTX501(c)(3)Sec 170 (b)(1)(A)(viSt David's FoundationYes (1)
St David's Community Health Foundation Initiatives
1303 San Antonio St 500AustinTX78701270112979Supports St. David's Foundation, Community Fund, and HoldingsTX501(c)(3)Sec 509(a)(3), ISt David's Foundation Community FundYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
St David's Healthcare Partnership LP LLP
98 San Jacinto Ste 1800AustinTX78701742781812Owns & operates four hospitals in Central TXTXN/ARelated$148,843,120$575,974,0920Yes (1)0.40590
Bailey Square Ambulatory Surgical Center Ltd
98 San Jacinto Ste 1800AustinTX78701752467365Ambulatory surgery centerTXN/A
South Austin Surgery Center Ltd
98 San Jacinto Ste 1800AustinTX78701621775267Ambulatory surgery centerTXN/A
Leadership Healthcare Holdings II LP LLP
98 San Jacinto Ste 1800AustinTX78701341996283Owns an interest in a radiology centerTXN/A
Leadership Healthcare Holdings LP LLP
98 San Jacinto Ste 1800AustinTX78701203151012Owns majority interests in ambulatory surgery centersTXN/A
Oakwood Surgery Center Ltd
98 San Jacinto Ste 1800AustinTX78701621641024Ambulatory surgery centerTXN/A
North Austin Surgery Center LP
98 San Jacinto Ste 1800AustinTX78701200648730Ambulatory surgery centerTXN/A
CP Surgery Center LLC
98 San Jacinto Ste 1800AustinTX78701800776412Ambulatory surgery centerTXN/A
MCA-CTMC Holdings LLC
98 San Jacinto Ste 1800AustinTX78701800899140Ambulatory surgery centerTXN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
St David's Foundation Impact Fund LP
1303 San Antonio St 500AustinTX78701341996279Owns indirect interest in a radiology center; makes research grantsTXN/AC0
St David's Foundation Impact Fund GP LLC
1303 San Antonio St 500AustinTX78701341996272Owns indirect interest in a radiology center; makes research grantsTXN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
St David's Foundation Impact Fund LP
A$183,615FMV
St David's Foundation Community Fund
A$143,847FMV
St David's Foundation Community Fund
D$3,443,648FMV
St David's Foundation Impact Fund LP
D$1,740,016FMV
St David's Community Health Foundation Initiatives
K$1,080,094FMV
St David's Community Health Foundation Holdings
B$50,000FMV