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        <Explanation>SETON FAMILY OF HOSPITALS MAY, TO AN INSUBSTANTIAL DEGREE, MAKE COMMENTS OR STATEMENTS CONCERNING LEGISLATION WHICH MAY AFFECT THE HEALTH CARE INDUSTRY. SETON HAS NOT INTERVENED IN ANY POLITICAL CAMPAIGN. EXPENSES INCURRED IN LOBBYING ACTIVITIES WERE PRIMARILY COMPOSED OF STAFF SALARY, SOME LIMITED TRAVEL, AND CONFERENCE EXPENSES. THERE WERE CONTACTS WITH FEDERAL REPRESENTATIVES AND THEIR STAFF REGARDING HEALTH CARE ISSUES AND VARIOUS PROPOSALS. THE CONTACTS WERE MADE BY MAIL, TELEPHONE AND IN PERSON. ALL CONTACTS ATTEMPTED TO DEMONSTRATE HOW THE PROPOSALS WOULD IMPACT RESIDENTS AND PROVIDERS IN CENTRAL TEXAS. THESE LOBBYING EXPENSES AMOUNTED TO $317,222 FOR FY12. ADDITIONAL LOBBYING EXPENSES IN THE AMOUNT OF $106,573 REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING.</Explanation>
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      <TermEndowmentEOYBalance>0.55370</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>1</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>1</AreRelatedOrgsListedScheduleR>
      <Land>
        <OtherCostOrOtherBasis>86065462</OtherCostOrOtherBasis>
        <BookValue>86065462</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>750807613</OtherCostOrOtherBasis>
        <Depreciation>558965134</Depreciation>
        <BookValue>191842479</BookValue>
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      <Equipment>
        <OtherCostOrOtherBasis>483737610</OtherCostOrOtherBasis>
        <BookValue>483737610</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>761645551</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>OTHER ASSETS</Description>
        <BookValue>21371418</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>INVESTMENT IN/ADVANCES TO AFFILIATES</Description>
        <BookValue>64999343</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>INTEREST IN INVESTMENTS HELD BY ASCENSION HEALTH ALLIANCE'S ALPHA FUND</Description>
        <BookValue>893021715</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>979392476</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>DUE TO THIRD PARTY PAYORS</Description>
        <Amount>37953097</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER LIABILITIES</Description>
        <Amount>140149169</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>INTERCOMPANY DEBT WITH ASCENSION HEALTH ALLIANCE</Description>
        <Amount>369127251</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>547229517</TotalOfAmounts>
      <TotalRevenue>1916974994</TotalRevenue>
      <TotalExpenses>1631981600</TotalExpenses>
      <ExcessOrDeficitForYear>284993394</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-187971</NetUnrealizedGLOnInvestments>
      <PriorPeriodAdjustments>164426521</PriorPeriodAdjustments>
      <OtherAmount>-44414921</OtherAmount>
      <TotalAdjustments>119823629</TotalAdjustments>
      <ExcessOrDeficitPerFS>404817023</ExcessOrDeficitPerFS>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
        <Explanation>FOR ALMOST FOUR HUNDRED YEARS, THE DAUGHTERS OF CHARITY HAVE LIVED IN SERVICE TO HELP THE SICK AND THE POOR. IN PARTNERSHIP WITH OTHERS, THEY HAVE MET THE CHALLENGES AND NEEDS OF OUR GROWING COMMUNITY SINCE THE SETON INFIRMARY OPENED ITS DOORS IN 1902. TO CONTINUE TO SUSTAIN THIS LEGACY, THE SETON FUND AND THE CHILDREN'S MEDICAL CENTER FOUNDATION OF CENTRAL TEXAS CREATED ENDOWMENT FUNDS TO SUPPORT THE HEALTHCARE MINISTRY OF THE SETON FAMILY OF HOSPITALS. THE PRINCIPAL OF AN EDOWMENT IS NEVER TOUCHED. THE DISTRIBUTIONS FROM AN ENDOWMENT PROVIDE A DEPENDABLE SOURCE OF INCOME EACH YEAR TO HELP SETON CONTINUE TO MEET THE COMMUNITY'S HEALTHCARE NEEDS. PERMANENT AND BOARD-DESIGNATED ENDOWMENTS ARE STRATEGIC FUNDRAISING TOOLS TO HELP MAXIMIZE ENDOWMENT GROWTH AND FINANCIAL RETURNS TO BENEFIT SETON'S HEALTHCARE MINISTRY FOR THE LONG-TERM.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XI, LINE 8 - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>EQUITY TRANSFERS -23,115,441. BOOK/TAX INCOME DIFFERENCES 4,340,559. DEFERRED PENSION COSTS -25,639,849. OTHER CHANGES IN NET ASSETS -190. TOTAL TO SCHEDULE D, PART XI, LINE 8: -44,414,921.</Explanation>
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    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
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      <WrittenPolicy>1</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <Pcent100>X</Pcent100>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <DiscountedOther>
        <Other>X</Other>
        <DiscountedOtherPercentage>375.000000000000</DiscountedOtherPercentage>
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      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
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      <UnableToProvideCare>0</UnableToProvideCare>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>182762094</TotalCommunityBenefitExpense>
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        <NetCommunityBenefitExpense>165523146</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.10140</PercentOfTotalExpense>
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        <TotalCommunityBenefitExpense>305999883</TotalCommunityBenefitExpense>
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        <PercentOfTotalExpense>0.04880</PercentOfTotalExpense>
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      <TotalCommunityBenefits>
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        <NetCommunityBuildingExpense>17500</NetCommunityBuildingExpense>
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        <NetCommunityBuildingExpense>25246</NetCommunityBuildingExpense>
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        <NetCommunityBuildingExpense>5650</NetCommunityBuildingExpense>
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        <TotalCommunityBuildingExpense>220413</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>220413</NetCommunityBuildingExpense>
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      <BadDebtExpenseAmount>60928722</BadDebtExpenseAmount>
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      <CostOfCareReimbursedByMedicare>269239294</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-73075647</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
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          <BusinessNameLine1>1 CEDAR PARK SURGERY CENTER LLP</BusinessNameLine1>
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        </NameOfEntity>
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        </NameOfEntity>
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          <State>TX</State>
          <ZIPCode>78705</ZIPCode>
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        <Name>
          <BusinessNameLine1>UNIVERSITY MEDICAL CTR BRACKENRIDGE</BusinessNameLine1>
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        <Address>
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          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78701</ZIPCode>
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          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78723</ZIPCode>
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        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
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        <Name>
          <BusinessNameLine1>SETON EDGAR B DAVIS HOSPITAL</BusinessNameLine1>
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          <City>LULING</City>
          <State>TX</State>
          <ZIPCode>78648</ZIPCode>
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        <CriticalAccessHospital>X</CriticalAccessHospital>
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      <Form990ScheduleHPartVSectionA>
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          <City>BURNET</City>
          <State>TX</State>
          <ZIPCode>78611</ZIPCode>
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          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78759</ZIPCode>
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        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <ResearchFacility>X</ResearchFacility>
        <Er24Hours>X</Er24Hours>
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        <FacilityNumber>7</FacilityNumber>
        <Name>
          <BusinessNameLine1>SETON SOUTHWEST HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>7900 FM 1826</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78737</ZIPCode>
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        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <ResearchFacility>X</ResearchFacility>
        <Er24Hours>X</Er24Hours>
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      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>8</FacilityNumber>
        <Name>
          <BusinessNameLine1>SETON SHOAL CREEK HOSPITAL</BusinessNameLine1>
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        <Address>
          <AddressLine1>3501 MILLS AVENUE</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78731</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
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        <ResearchFacility>X</ResearchFacility>
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      <Form990ScheduleHPartVSectionA>
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        <Name>
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        <Address>
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          <City>ROUND ROCK</City>
          <State>TX</State>
          <ZIPCode>78665</ZIPCode>
        </Address>
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        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
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      <Form990ScheduleHPartVSectionA>
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        <Name>
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          <State>TX</State>
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      <Form990ScheduleHPartVSectionA>
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          <State>TX</State>
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      <Form990ScheduleHPartVSectionB>
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        <HospitalFacilityNumber>3</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>100.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>375.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>SETON EDGAR B DAVIS HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>4</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>100.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>375.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>SETON HIGHLAND LAKES HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>5</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>100.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>375.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>SETON NORTHWEST HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>6</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>100.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>375.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>SETON SOUTHWEST HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>7</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>100.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>375.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>SETON SHOAL CREEK HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>8</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>100.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>375.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>SETON MEDICAL CENTER WILLIAMSON</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>9</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>100.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>375.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>SETON MEDICAL CENTER HAYS</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>10</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>100.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>375.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>CEDAR PARK REGIONAL MEDICAL CENTER</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>11</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>100.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>375.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>CENTRAL TEXAS REHABILITATION HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>12</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>100.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>375.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>SETON MEDICAL CENTER HARKER HEIGHTS</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>13</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>100.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>375.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>SETON SMITHWILLE REGIONAL HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>14</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>100.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>375.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>7</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>NORTHWEST SURGERY CENTER LLP</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>11111 RESEARCH BLVD SUITE LL3</AddressLine1>
            <City>AUSTIN</City>
            <State>TX</State>
            <ZIPCode>78759</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT SURGERY CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>MEDICAL PARK TOWER SURGERY CENTER LLC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1301 WEST 38TH ST</AddressLine1>
            <City>AUSTIN</City>
            <State>TX</State>
            <ZIPCode>78705</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT SURGERY CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>THE SURGERY CENTER AT WILLIAMSON LLC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>301 SETON PARKWAY</AddressLine1>
            <City>ROUND ROCK</City>
            <State>TX</State>
            <ZIPCode>78665</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT SURGERY CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SETON MCCARTHY COMMUNITY HEALTH CTR</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2811 EAST SECOND STREET</AddressLine1>
            <City>AUSTIN</City>
            <State>TX</State>
            <ZIPCode>78702</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SETON KOZMETSKY COMMUNITY HEALTH CTR</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>3706 S FIRST STREET</AddressLine1>
            <City>AUSTIN</City>
            <State>TX</State>
            <ZIPCode>78704</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SETON TOPFER COMMUNITY HEALTH CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>8913 COLLINFIELD ROAD</AddressLine1>
            <City>AUSTIN</City>
            <State>TX</State>
            <ZIPCode>78758</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>TOWERS NURSING HOME</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>907 GARWOOD STREET</AddressLine1>
            <City>SMITHVILLE</City>
            <State>TX</State>
            <ZIPCode>78957</ZIPCode>
          </Address>
          <FacilityType>SKILLED NURSING CENTER</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 6A: THE ORGANIZATION PREPARES AND FILES THE ANNUAL STATEMENT OF COMMUNITY BENEFIT STANDARDS REPORT WITH THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES. THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES REPORT UTILIZES DIFFERENT REPORTING RULES, WHICH MAY RESULT IN DIFFERING AMOUNTS OF COMMUNITY BENEFIT COMPARED TO THIS REPORT. IN ADDITION, THE ORGANIZATION PROVIDES A COMMUNITY BENEFIT REPORT ON A MONTHLY AND ANNUAL BASIS TO ASCENSION HEALTH, A RELATED ORGANIZATION.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7: THE COST OF PROVIDING CHARITY CARE, MEANS TESTED GOVERNMENT PROGRAMS, AND COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA, AND IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION ("CHA") GUIDELINES. THE ORGANIZATION USES A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS (FOR EXAMPLE, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, OR SELF PAY). THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. FOR CERTAIN CATEGORIES IN THE TABLE, THIS WAS A COST ACCOUNTING SYSTEM; IN OTHER CATEGORIES, A SPECIFIC COST-TO-CHARGE RATIO WAS APPLIED.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7G: THE ORGANIZATION CONTRACTS WITH PHYSICIANS WHO PROVIDE SERVICES AT THE COMMUNITY AND RURAL CLINICS. THE ASSOCIATED COSTS AND CHARGES RELATING TO PHYSICIAN SERVICES ARE INCLUDED IN ALL RELEVANT CATEGORIES IN PART I.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, L7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX, LINE 25, COLUMN A, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN PART I, LINE 7, COLUMN F IS $242,855,151.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART II: COMMUNITY BENEFIT/OBJECTIVE: IMPROVE THE QUALITY OF LIFE FOR THE MOST VULNERABLE AMONG US, AND HELP BREAK THE CYCLE OF POVERTY THAT EXISTS IN DISADVANTAGED FAMILIES.VULNERABLE POPULATION: THE NUMBER OF VULNERABLE MEMBERS OF CENTRAL TEXAS' POPULATION - CHILDREN, THE AGED, AND HOUSEHOLDS THAT CANNOT AFFORD QUALITY HEALTH CARE OR ARE UNINSURED - IS INCREASING. FOR EXAMPLE, IN 2010, PERSONS AGE 65 YEARS AND OLDER CONSTITUTED 8.6% OF THE POPULATION, BUT BY 2020 THAT PERCENTAGE IS EXPECTED TO GROW TO 11.8%, WITH THE RURAL AREAS OF THE REGION TENDING TO HAVE OLDER POPULATIONS THAN THE URBAN/SUBURBAN CORE. IN ADDITION, MORE THAN 22% OF THOSE UNDER AGE 65 IN CENTRAL TEXAS ARE UNINSURED, CREATING SIGNIFICANT BARRIERS TO HEALTH CARE. IN 2007, 22% OF ALL TEXAS CHILDREN WERE UNINSURED, COMPARED TO 11% NATIONALLY. IN TEXAS, 60.4% OF HISPANICS/LATINOS WERE UNINSURED, COMPARED TO 29.25% OF WHITES. THIS FIGURE IS IMPORTANT TO THE AUSTIN REGION; HISPANICS ARE CURRENTLY 31% OF THE POPULATION AND ARE EXPECTED TO BE MORE THAN ONE-THIRD OF THE POPULATION BY 2020.RELATED GRANTEES:SETON HAS PROVIDED FUNDING FOR THE FOLLOWING INITIATIVES RELATED TO THE COMMUNITY BENEFIT OBJECTIVE DESCRIBED ABOVE. SETON DID NOT AWARD THESE FUNDS FOR MARKETING PURPOSES, TO INCREASE THE REFERRAL OF PATIENTS WITH THIRD-PARTY INSURANCE COVERAGE, IN FULFILLMENT OF REGULATORY REQUIREMENTS OR CURRENT STANDARD OF CARE OR TO BENEFIT PERSONS ASSOCIATED WITH THE ORGANIZATION.-CARITAS OF AUSTIN: CARITAS PROVIDES A SERVICE CONTINUUM FOR THOSE EXPERIENCING POVERTY THAT BEGINS WITH A SAFETY NET AND LINKS CLIENTS TO RESOURCES TO ACHIEVE SELF-SUFFICIENCY. THIS CONTINUUM INCLUDES HOUSING, FOOD, EDUCATION AND EMPLOYMENT SERVICES FOR INDIVIDUAL WHO ARE HOMELESS, WORKING AND EARNING A LOW WAGE, AND DOCUMENTED REFUGEES. SETON SPONSORED THE ORGANIZATION'S ANNUAL FUNDRAISING DINNER.-CHILDREN'S HOSPITAL MEDICAL CENTER: CHILDREN'S HOSPITAL PROVIDES GUIDANCE ON DEVELOPMENT OF A PROFESSIONAL INTERNSHIP FOR ADULTS WITH INTELLECTUAL DISABILITIES. SINCE 2007, SETON HAS TRAINED AND PLACED 49 INTERNS INTO ROTATIONS AT DELL CHILDREN'S OR SETON AUSTIN. OF THESE, 22 GRADUATES HAVE BEEN EMPLOYED AT SETON FACILITIES AND 14 HAVE SECURED OTHER LOCAL EMPLOYMENT. SETON SPONSORED THE PROJECT SEARCH INTERNATIONAL CONFERENCE IN AUSTIN.-COMMUNICARE HEALTH CENTERS (CCHC): COMMUNICARE, A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), PROVIDES ACCESS TO CARE, OFTEN TO THOSE WHO WOULD OTHERWISE FREQUENT THE EMERGENCY ROOM FOR PRIMARY CARE NEEDS. COMMUNICARE HAS TWO CLINICS IN HAYS COUNTY OPERATING AS BARRIO COMPREHENSIVE FAMILY. HAYS COUNTY IS A HIGH-POVERTY COUNTY AND IS AMONG THE 200 POOREST COUNTIES IN THE U.S. COMMUNICARE BARRIOS COMPREHENSIVE RELIEVES SOME OF THE STRAIN OF THE LOCAL EMERGENCY HEALTH CARE SYSTEM. SETON CONTRIBUTED $300,000 TO BARRIOS COMPREHENSIVE IN FY12.- MARCH OF DIMES: THE MARCH OF DIMES AIMS TO IMPROVE THE HEALTH OF BABIES BY PREVENTING BIRTH DEFECTS, PREMATURE BIRTH AND INFANT MORTALITY. IN AN EFFORT TO SAVE BABIES' LIVES MOD PROVIDES COMMUNITY SERVICES, EDUCATION, ADVOCACY AND ALSO CONDUCTS RESEARCH. SETON SPONSORED MARCH OF DIMES NEONATAL INTENSIVE CARE FAMILY SUPPORT.- SUSAN G. KOMEN FOR THE CURE AUSTIN: THE AUSTIN AFFILIATE WORKS TO RAISE MONEY TO PROVIDE BREAST CANCER SCREENINGS, EDUCATION AND MEDICAL SERVICES TO CENTRAL TEXAS WOMEN. IN ADDITION, THEY PROVIDE FINANCIAL AND EMOTIONAL SUPPORT FOR WOMEN WHO HAVE HAD OR ARE CURRENTLY EXPERIENCING BREAST CANCER WITH THE GOAL OF SAVING LIVES AND ENDING BREAST CANCER FOREVER. SETON SPONSORED THE 2011 AUSTIN RACE FOR THE CURE.COMMUNITY BUILDING ACTIVITIESCOMMUNITY BUILDING OBJECTIVE: SETON HAS PROVIDED FUNDING FOR THE FOLLOWING INITIATIVES RELATED TO THE COMMUNITY BENEFIT OBJECTIVE DESCRIBED ABOVE. SETON DID NOT AWARD THESE FUNDS FOR MARKETING PURPOSES, TO INCREASE THE REFERRAL OF PATIENTS WITH THIRD-PARTY INSURANCE COVERAGE, IN FULFILLMENT OF REGULATORY REQUIREMENTS OR CURRENT STANDARD OF CARE OR TO BENEFIT PERSONS ASSOCIATED WITH THE ORGANIZATION.PHYSICAL IMPROVEMENTS AND HOUSINGNEED: THE MEDIAN INCOME IN THE AUSTIN MSA IS $56,783, AND ONE IN FIVE HOUSEHOLDS MAKE LESS THAN $25,000 PER YEAR. BECAUSE OF THE ATTRACTIVENESS OF THE AUSTIN AREA, HOUSING COSTS IN THE COMMUNITY HAVE SOARED. IN THE PAST TEN YEARS, THE MEDIAN PRICE VALUE OF A SINGLE-FAMILY HOME HAS MORE THAN DOUBLED FROM $94,000 IN 2003 TO $198,250 IN MID-2012. APARTMENT RENTALS ARE MORE AFFORDABLE BUT HAVE ALSO INCREASED BY 32% OVER THE LAST 10 YEARS AND ARE NOW 95% OCCUPIED, SO THAT RENTERS HAVE FEW OPTIONS IF LIVING CONDITIONS ARE POOR. THESE CIRCUMSTANCES HAVE RESULTED IN FAMILIES LIVING IN OVERCROWDED, DETERIORATING APARTMENTS IN CRIME-RIDDEN NEIGHBORHOODS. REQUIRED TO SPEND THE MAJORITY OF THEIR INCOME ON HOUSING, THEY HAVE LITTLE MONEY REMAINING TO PAY FOR OTHER BASIC NECESSITIES, SUCH AS FOOD, HEALTHCARE, AND CLOTHING. LOSS OF A JOB OR ANY UNEXPECTED EXPENSES, SUCH AS A HIGH MEDICAL BILL, COULD MEAN AN INABILITY TO MAKE RENT, FORCING FAMILIES TO LIVE IN UNSTABLE TRANSITIONAL HOUSING OR, WORSE, ON THE STREETS.IN ADDITION, THE HOMES THAT LOW-INCOME HOMEOWNERS WERE ABLE TO AFFORD 10 OR 20 YEARS AGO ARE BECOMING INCREASINGLY DIFFICULT TO MAINTAIN. AS MANY AS 21% OF TEXAS HOMEOWNERS ARE LOW-INCOME RESIDENTS WITH DISPROPORTIONATELY HIGH HOUSING COSTS. A THIRD OF LOW-INCOME HOMEOWNERS HAVE PAID OFF THEIR MORTGAGES, BUT STILL PAY MORE THAN 35% OF THEIR INCOME ON PROPERTY TAXES ALONE. THIS LEAVES LITTLE MONEY FOR OTHER BASIC NECESSITIES AND MOST OFTEN NO MONEY AT ALL FOR HOME REPAIRS. YEARS OF DEFERRED MAINTENANCE CAUSE COMMUNITIES TO DETERIORATE INTO SQUALOR.RELATED SETON GRANTEE(S): -SMITHVILLE COMMUNITY CLINIC: SETON PROVIDED $10,000 START-UP FUNDS.-VINCARE SERVICES: PROVIDES AFFORDABLE HOUSING TO MOTHERS AND CHILDREN WHO MAY OTHERWISE BE HOMELESS. SETON FUNDS WERE USED TO SUPPORT ST. LOUISE HOUSE.COMMUNITY SUPPORTRELATED SETON GRANTEE(S): -AUSTIN AREA HERITAGE COUNCIL MLK CELEBRATION YOUTH SCHOLARSHIP AWARDS: THE COUNCIL PLANS AUSTIN'S ANNUAL MARTIN LUTHER KING DAY CELEBRATIONS. THE MLK YOUTH SCHOLARSHIP AWARDS WERE CREATED TO RECOGNIZE YOUTH IN THE AUSTIN COMMUNITY FOR THEIR OUTSTANDING COMMITMENT AND ACHIEVEMENT, AS WELL AS INSPIRE THE NEXT GENERATION. THE AWARD RECIPIENTS RECEIVED A $1,000 SCHOLARSHIP COURTESY OF THE APPLIED MATERIALS FOUNDATION AND THE SETON FAMILY OF HOSPITALS.-AUSTIN COMMUNITY FOUNDATION: THE AUSTIN COMMUNITY FOUNDATION PROMOTES PHILANTHROPY IN CENTRAL TEXAS TO IMPROVE THE QUALITY OF LIFE FOR ALL, FOR TODAY AND FOR THE FUTURE. FUNDS ARE DISTRIBUTED FOR SUCH PROJECTS AS WILD FIRE RECOVERY TO THE AUSTIN CHILDREN'S SHELTER.-BOYS &amp; GIRLS CLUB OF THE HIGHLAND LAKES: THE BOYS &amp; GIRLS CLUBS OF HIGHLAND LAKES HAVE SEVERAL EDUCATIONALLY-STRUCTURED PROGRAMS THAT REINFORCE WHAT CHILDREN AND YOUTH LEARN AT SCHOOL. PROGRAMS ARE OUTCOME DRIVEN AND FOCUS ON THREE AREAS OF IMPACT: ACADEMIC SUCCESS, GOOD CHARACTER AND CITIZENSHIP AND HEALTHY LIFESTYLES.-HAYS CONSOLIDATED INDEPENDENT SCHOOL DISTRICT EDUCATION FOUNDATION: THE HAYS CISD EDUCATION FOUNDATION GENERATES AND DISTRIBUTES RESOURCES TO THE HAYS CONSOLIDATED INDEPENDENT SCHOOL DISTRICT TO ENRICH, MAINTAIN AND EXPAND PROGRAMS NEEDED TO MEET THE DISTRICTS STATED MISSION AND PROMOTE EXCELLENCE IN EDUCATION. - THE JUNIOR LEAGUE OF AUSTIN: THE JUNIOR LEAGUE IS A NONPROFIT ORGANIZATION FORMED IN 1934 COMMITTED TO PROMOTING VOLUNTARISM, DEVELOPING THE POTENTIAL OF WOMEN AND IMPROVING THE COMMUNITY THROUGH THE EFFECTIVE ACTION AND LEADERSHIP OF TRAINED VOLUNTEERS. ITS PURPOSE IS EXCLUSIVELY EDUCATIONAL AND CHARITABLE. SETON SPONSORED THE 2011 A CHRISTMAS AFFAIR, THE NATION'S LARGEST JUNIOR LEAGUE HOLIDAY MARKET.-LITERACY COALITION OF CENTRAL TEXAS: THIS LOCAL NONPROFIT STRENGTHENS CENTRAL TEXAS LITERACY EDUCATION PROVIDERS THROUGH ADVOCACY, RESEARCH, TRAINING AND RESOURCE DEVELOPMENT. SETON SPONSORED LITERACY ILLUMINATES CAMPAIGN 2012.-GENAUSTIN: THIS ORGANIZATION, KNOWN AS THE GIRLS EMPOWERMENT NETWORK, HOSTS AN ANNUAL "WE ARE GIRLS" CONFERENCE; SETON SPONSORED THE PART OF THE CONFERENCE DEVOTED TO ISSUES OF ADOLESCENT HEALTH.-R.O.C.K, RIDE ON CENTER FOR KIDS: R.O.C.K PROVIDES THERAPEUTIC RIDING AND HIPPOTHERAPY FOR INDIVIDUALS WITH COGNITIVE AND PHYSICAL CHALLENGES. IT ALSO PROVIDES THERAPY TO INJURED MEMBERS OF THE ARMED FORCES. -SAN JUAN DIEGO CATHOLIC HIGH SCHOOL: AT THIS LOCAL CATHOLIC HIGH SCHOOL, WHERE MOST STUDENTS COME FROM LOW-INCOME HOUSEHOLDS, STUDENTS WORK IN ENTRY-LEVEL POSITIONS IN THE CORPORATE WORLD TO EARN PART OF THEIR TUITION. SETON'S DONATION TO THE SCHOOL WAS MADE TO HONOR THE FEAST OF SAINT ELIZABETH ANN SETON.-ST. JAMES BAPTIST CHURCH OF AUSTIN: THIS LOCAL CHURCH HOLDS 5K AND 10K RUN/WALK EVENTS; SETON SUPPORTED THE 4TH ANNUAL EVENT AND PROVIDED PUBLIC HEALTH EDUCATION HANDOUTS AT THE RUN/WALK. -THE SHALOM FOUNDATION/AUSTIN: THE FOUNDATION PROVIDES FINANCIAL (CONT.)</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>PART II CONTINUED</ReturnReference>
        <Explanation>SUPPORT AND PHYSICAL ASSISTANCE TO UNDER-PRIVILEGED CHILDREN AND THEIR FAMILIES. IT PROVIDES EDUCATIONAL OPPORTUNITIES FOR CHILDREN AND ADULTS, ESSENTIAL FOOD AND CLEAN WATER FOR THE MALNOURISHED, COMMUNITY OUTREACH AND MEDICAL ASSISTANCE FOR BASIC HEALTHCARE AND CRITICAL CARE NEEDS. SETON SPONSORED A MISSION TO THE MOORE PEDIATRIC SURGERY CENTER IN GUATEMALA.-CITY OF SMITHVILLE: GRANT FOR A MEMORIAL STATUE IN THE SMITHVILLE VETERANS MEMORIAL PARK.ENVIRONMENTAL IMPROVEMENTSNEED. AS NOTED IN THE 2009 CENTRAL TEXAS SUSTAINABILITY INDICATORS PROJECT, THE COMMUNITY'S ENVIRONMENT HAS A SIGNIFICANT IMPACT ON PUBLIC HEALTH. FOR EXAMPLE:- AIR AND WATER QUALITY ARE OFTEN PUBLIC HEALTH CONCERNS AND HAVE BEEN SHOWN TO IMPACT HEALTH CARE COSTS.- ECONOMIC HEALTH AND EDUCATIONAL ATTAINMENT HAVE BEEN SHOWN TO HAVE STRONG CORRELATION TO INDIVIDUAL HEALTH STATUS.- A SAFE ENVIRONMENT CONTRIBUTES NOT ONLY TO REDUCED ACCIDENTS BUT TO THE MENTAL WELL-BEING OF THE COMMUNITY.- AVAILABILITY OF RECREATIONAL SPACES AND COMMUNITY WALKABILITY DESIGN CAN ENCOURAGE MORE ACTIVE HEALTHY LIFESTYLES.THE SUSTAINABILITY PROJECT NOTED THAT CENTRAL TEXAS NEEDED TO MONITOR OR TAKE ACTIONS ON ISSUES RELATED TO SAFE FAMILIES, QUALITY OF AND ACCESS TO CHILD CARE, EQUITY AMONG SCHOOLS,WATER CONSUMPTION AND QUALITY, AIR QUALITY, MENTAL HEALTH, VEHICLE MILES TRAVELED, RURAL LAND, COST OF LIVING, HOME LOANS, AND RACE RELATIONS.RELATED SETON GRANTEE:-CHILDREN'S OPTIMAL HEALTH (COH) GIVES AGENCIES AND COMMUNITIES ACCESS TO PROPRIETARY DATA BY USING GIS MAPPING TO ILLUMINATE ISSUES INVOLVING CENTRAL TEXAS CHILDREN. BY LAYERING DATA FROM MANY SOURCES, COH CAN HELP COMMUNITIES VISUALIZE THE HEALTH OF THEIR NEIGHBORHOODS, IDENTIFY ASSETS AND NEEDS, AND UNEARTH OPPORTUNITIES FOR COLLABORATIVE CHANGE.LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERSRELATED SETON GRANTEES-GREATER AUSTIN HISPANIC CHAMBER OF COMMERCE: THE GREATER AUSTIN HISPANIC CHAMBER OF COMMERCE'S (GAHCC) PRIMARY GOAL IS TO CONTINUE THE ADVANCEMENT AND PROGRESSION OF A STRONG AND STABLE ECONOMIC CULTURE FOR HISPANIC BUSINESSES. THIS GOAL IS REACHED BY DEVELOPING THE COMMUNITY'S BUSINESS AND MANAGEMENT SKILLS; BRIDGING ACCESS TO FINANCIAL CAPITAL; AND MAINTAINING THE COMMUNITY'S CULTURAL VALUES AND INTEGRITY. SETON SPONSORED THE GAHCC ANNUAL MEETING AND HEALTH-RELATED EVENTS.-NATIONAL FORUM FOR BLACK PUBLIC ADMINISTRATORS LEADERSHIP SUMMIT 2011 OBJECTIVE IS TO STRENGTHEN THE POSITION OF BLACKS WITHIN THE FIELD OF PUBLIC ADMINISTRATION BY INCREASING THE NUMBER OF BLACKS APPOINTED TO EXECUTIVE POSITIONS IN PUBLIC SERVICE ORGANIZATIONS AND TO GROOM AND PREPARE YOUNGER, ASPIRING ADMINISTRATORS FOR SENIOR PUBLIC MANAGEMENT POSTS IN THE YEARS AHEAD.COALITION BUILDING-AUSTIN INTERFAITH: AUSTIN INTERFAITH IS A NON-PARTISAN, MULTI-ETHNIC, MULTI-ISSUE ORGANIZATION OF 30+ CONGREGATIONS, PUBLIC SCHOOLS, AND UNIONS WHO WORK TOGETHER TO ADDRESS PUBLIC ISSUES THAT AFFECT THE WELL BEING OF FAMILIES AND NEIGHBORHOODS IN OUR COMMUNITY. FUNDS WERE USED FOR HEALTH CARE ORGANIZING.-INTEGRATED CARE COLLABORATIVE: THE INTEGRATED CARE COLLABORATIVE, OR ICC, WORKS TOGETHER TO INCREASE ACCESS TO CARE, IMPROVE QUALITY AND FIND CREATIVE FINANCING SOLUTIONS FOR THE PROVISION OF HEALTH CARE FOR THE REGION'S UNINSURED. TODAY, MEMBERS OF THE ICC INCLUDE VIRTUALLY ALL SAFETY NET PROVIDERS WITHIN WILLIAMSON, TRAVIS AND HAYS COUNTIES. SETON HELPED SECURE THE ORGANIZATION'S FIRST GRANT AND PROVIDED STAFF TO DEVELOP AND LAUNCH THE COLLABORATION. THE ICC HAS SINCE BECOME ONE OF THE MOST RESPECTED AND INNOVATIVE ORGANIZATIONS OF ITS KIND IN THE NATION. SUPPORTED BY GRANTS FROM FEDERAL AND PRIVATE CHARITY ORGANIZATIONS, AS WELL AS CONTINUED SUPPORT FROM THE SETON FAMILY OF HOSPITALS AND OTHER ICC MEMBERS, THIS UNIQUE COLLABORATION STIMULATES CREATIVE THINKING FOR MANAGING HEALTH CARE FOR UNINSURED CENTRAL TEXANS THROUGH SHARED DATA, MEDICAL RECORDS AND ENROLLMENT CRITERIA. COMMUNITY HEALTH IMPROVEMENT ADVOCACYNEED: CANCER AND CARDIAC DISEASE ARE RESPONSIBLE FOR THREE OUT OF FIVE DEATHS IN CENTRAL TEXAS, WITH ACCIDENTS, STROKES AND RESPIRATORY DISEASE ACCOUNTING FOR THE NEXT HIGHEST GROUP OF DEATHS. AN INCREASINGLY IMPORTANT CONTRIBUTING FACTOR TO THE QUALITY OF PUBLIC HEALTH IS OBESITY, WHICH HAS BEEN TIED TO NUMEROUS HEALTH CONDITIONS, INCLUDING DIABETES AND HEART DISEASE. THE NUMBER OF CENTRAL TEXANS WHO SELF-REPORT AS OBESE OR OVERWEIGHT CONTINUES TO INCREASE; IN 2008, MORE THAN 60% SELF-REPORTED THEMSELVES AS OBESE OR OVERWEIGHT. OTHER LIFESTYLE INDICATORS IMPORTANT TO THE PUBLIC HEALTH ARE ALCOHOL CONSUMPTION AND TOBACCO USE. IN CENTRAL TEXAS THE INCIDENCE OF BINGE DRINKING HAS INCREASED, WHILE THE NUMBER OF RESIDENTS WHO SMOKE HAS DECREASED SLIGHTLY. WHILE THE RATES OF SEVERAL COMMUNICABLE DISEASES, INCLUDING HIV/AIDS AND TUBERCULOSIS HAVE BEEN DECREASING IN THE AREA, THE NUMBER OF PUBLIC SCHOOL STUDENTS WHO HAVE REFUSED IMMUNIZATIONS FOR DISEASES SUCH AS MEASLES, MUMPS, WHOOPING COUGH, DIPHTHERIA, POLIO AND RUBELLA FOR "REASON OF CONSCIENCE" HAS INCREASED DRAMATICALLY.-AMERICAN DIABETES ASSOCIATION: THE AMERICAN DIABETES ASSOCIATION LEADS THE FIGHT AGAINST THE DEADLY CONSEQUENCES OF DIABETES AND ADVOCATES FOR THOSE AFFECTED. THE ADA FUNDS RESEARCH TO PREVENT AND CURE DIABETES, DELIVER SERVICES TO THE COMMUNITY, DISSEMINATE INFORMATION, AND GIVE A VOICE TO THOSE DENIED THEIR RIGHTS BECAUSE OF DIABETES. SETON SPONSORED ADA'S 2012 TOUR DE CURE.-AMERICAN HEART ASSOCIATION: THE AMERICAN HEART ASSOCIATION WORKS TO KEEP MEMBERS OF CENTRAL TEXAS SAFE FROM HEART DISEASE AND STROKE. THEY BUILD HEALTHIER LIVES AND MAKE OUR COMMUNITY HEALTHIER THROUGH EDUCATION, SUPPORT, RESEARCH, AND ADVOCACY. SETON CONTRIBUTED TO AHA'S HERITAGE WALK, POWER TO END STROKE AND HEART BALL.WORKFORCE DEVELOPMENTNEED: THE REGION WAS NOT IMMUNE FROM THE RECESSION AND ITS EFFECTS ARE MOST READILY APPARENT IN STATISTICS CONCERNING MEDIAN HOUSEHOLD INCOME. ADJUSTED FOR INFLATION, MEDIAN HOUSEHOLD INCOME IN THE AUSTIN METRO REGION DROPPED FROM $63,000 TO $57,000 DURING THE SECOND HALF OF THE LAST DECADE.RELATED SETON GRANTEE: -AUSTIN AREA URBAN LEAGUE: THE LEAGUE ASSISTS AFRICAN AMERICANS AND ALL OTHER UNDER-SERVED AUSTIN AREA RESIDENTS IN THE ACHIEVEMENT OF SOCIETAL AND ECONOMIC EQUALITY BY FOCUSING ON EDUCATIONAL IMPROVEMENT, EMPLOYMENT READINESS, HEALTH AND WELLNESS, AND THE PRESERVATION OF AFFORDABLE HOUSING. SETON SPONSORED THE LEAGUE'S WORKFORCE DEVELOPMENT ESSENTIAL OFFICE SKILLS PROGRAM.NEED: DEMAND FOR NURSES IN TEXAS EXCEEDS SUPPLY AND, ACCORDING TO PROJECTIONS BY THE TEXAS HOSPITAL ASSOCIATION, THE SHORTAGE IS EXPECTED TO WORSEN. THE NURSING EDUCATION PIPELINE NEEDS SUPPORT TO PROVIDE ROOM FOR THOSE INTERESTED IN BECOMING REGISTERED NURSES. RELATED SETON GRANTEE: TEXAS A&amp;M HEALTH SCIENCE CENTER - THE TEXAS A&amp;M HEALTH SCIENCE CENTER COLLEGE OF MEDICINE IS A COMMUNITY-BASED MEDICAL SCHOOL PROVIDING THIRD- AND FOURTH-YEAR CLINICAL TRAINING AT REGIONAL CLINICAL CAMPUSES AROUND THE STATE THROUGH AFFILIATIONS THROUGH LOCAL PHYSICIANS, CLINICS AND HOSPITALS. SETON PROVIDED A ONE-YEAR GRANT OF $300,000 TO HELP SUSTAIN AND EXPAND NURSING EDUCATION AT TEXAS A&amp;M COLLEGE OF NURSING AT THE ROUND ROCK CAMPUS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 4: THE ORGANIZATION IS PART OF THE SETON HEALTHCARE FAMILY CONSOLIDATED AUDIT. THE FOOTNOTE THAT REFERENCES BAD DEBT EXPENSE IN THE JUNE 30, 2012 CONSOLIDATED AUDIT IS AS FOLLOWS: THE PROVISION FOR BAD DEBT EXPENSE IS BASED UPON MANAGEMENTS ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING ECONOMIC CONDITIONS, HISTORICAL EXPERIENCE, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY, INCLUDING THOSE AMOUNTS NOT COVERED BY INSURANCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBT EXPENSE TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, SETON FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY ASCENSION HEALTH. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH SETON'S POLICIES. THE ORGANIZATION'S SHARE OF BAD DEBT EXPENSE REPORTED ON LINE 2 FOR THE FISCAL YEAR ENDED JUNE 30, 2012 WAS $242,855,151 AT CHARGES ($60,928,722 AT COST) AND THE SHARE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY REPORTED ON LINE 3 FOR THE PERIOD WAS ESTIMATED AS $143,346,912 AT CHARGES ($35,963,594 AT COST). COST IS DETERMINED BASED ON THE USE OF A COST TO CHARGE RATIO COMPUTED USING WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 8: SETON FAMILY OF HOSPITALS FOLLOWS THE CATHOLIC HEALTH ASSOCIATION ("CHA") GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT MEDICARE SHORTFALL IS NOT TREATED AS COMMUNITY BENEFIT. AMOUNTS REPORTED ON LINE 6 WERE DETERMINED BASED ON THE MEDICARE COST REPORT, WHICH USES A COMBINATION OF PER DIEM AND COST TO CHARGE RATIO TO DETERMINE COSTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 9B: THE ORGANIZATION HAS A WRITTEN DEBT COLLECTION POLICY THAT ALSO INCLUDES A PROVISION ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. IF A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE CERTAIN COLLECTION PRACTICES DO NOT APPLY. A PATIENT'S ELIGIBILITY FOR CHARITY CARE/FINANCIAL ASSISTANCE MAY BE DETERMINED AT ANY POINT IN THE COLLECTION CYCLE. COLLECTION AGENCY AGREEMENTS INCLUDE LANGUAGE THAT REQUIRES ADHERENCE TO SETON'S/ASCENSION'S BILLING AND COLLECTION POLICIES, AND SUPPORT THE PROCESS BY ADVISING PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE/CHARITY CARE, PROVIDING PATIENTS WITH THE APPLICATION, AND/OR ASSISTING WITH THE COMPLETION PROCESS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SETON MEDICAL CENTER AUSTIN</Identifier>
        <Explanation>PART V, SECTION B, LINE 13G: A SUMMARY OF THE CHARITY CARE POLICY (IN BOTH ENGLISH AND SPANISH) AND FINANCIAL ASSISTANCE CONTACT INFORMATION ARE POSTED IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. - BROCHURES (ENGLISH AND SPANISH) EXPLAINING THE AVAILABILITY, CRITERIA AND PROCESS FOR APPLYING FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN PATIENT REGISTRATION AREAS AND IN PATIENT FINANCIAL SERVICES RECEPTION AREA. - SETON ASSOCIATES INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND OTHER POTENTIAL FEDERAL, STATE, AND/OR LOCAL GOVERNMENTAL FUNDING PROGRAMS (I.E., MEDICAID, CHIP, SSI, CRIME VICTIMS, COBRA, COUNTY INDIGENT, VETERANS BENEFITS, THIRD PARTY LIABILITY, ETC.) AS PART OF THE INTAKE PROCESS PRIOR TO, DURING, AND/OR AFTER SERVICE AS CLINICALLY APPROPRIATE FOR THE CARE SETTING. - UNINSURED AND UNDERINSURED PATIENTS ARE ASSISTED AND SUPPORTED AS NEEDED THROUGH THE ENTIRE ELIGIBILITY AND APPLICATION PROCESS (COMPLETION OF THE APPLICATION, COLLECTION AND COPYING OF SUPPORTING DOCUMENTATION, TRANSPORTATION TO APPOINTMENTS, ETC.) THROUGH THE COLLABORATIVE EFFORTS OF PATIENT ACCESS (ADMITTING/REGISTRATION), SETON'S INSURE-A-KID EMPLOYEES, CASE MANAGEMENT, ON-SITE HHSC CASEWORKERS, AND SETON'S CONTRACTED ELIGIBILITY VENDOR.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>UNIVERSITY MEDICAL CTR BRACKENRIDGE</Identifier>
        <Explanation>PART V, SECTION B, LINE 13G: A SUMMARY OF THE CHARITY CARE POLICY (IN BOTH ENGLISH AND SPANISH) AND FINANCIAL ASSISTANCE CONTACT INFORMATION ARE POSTED IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. - BROCHURES (ENGLISH AND SPANISH) EXPLAINING THE AVAILABILITY, CRITERIA AND PROCESS FOR APPLYING FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN PATIENT REGISTRATION AREAS AND IN PATIENT FINANCIAL SERVICES RECEPTION AREA. - SETON ASSOCIATES INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND OTHER POTENTIAL FEDERAL, STATE, AND/OR LOCAL GOVERNMENTAL FUNDING PROGRAMS (I.E., MEDICAID, CHIP, SSI, CRIME VICTIMS, COBRA, COUNTY INDIGENT, VETERANS BENEFITS, THIRD PARTY LIABILITY, ETC.) AS PART OF THE INTAKE PROCESS PRIOR TO, DURING, AND/OR AFTER SERVICE AS CLINICALLY APPROPRIATE FOR THE CARE SETTING. - UNINSURED AND UNDERINSURED PATIENTS ARE ASSISTED AND SUPPORTED AS NEEDED THROUGH THE ENTIRE ELIGIBILITY AND APPLICATION PROCESS (COMPLETION OF THE APPLICATION, COLLECTION AND COPYING OF SUPPORTING DOCUMENTATION, TRANSPORTATION TO APPOINTMENTS, ETC.) THROUGH THE COLLABORATIVE EFFORTS OF PATIENT ACCESS (ADMITTING/REGISTRATION), SETON'S INSURE-A-KID EMPLOYEES, CASE MANAGEMENT, ON-SITE HHSC CASEWORKERS, AND SETON'S CONTRACTED ELIGIBILITY VENDOR.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>DELL CHILDREN'S MEDICAL CENTER</Identifier>
        <Explanation>PART V, SECTION B, LINE 13G: A SUMMARY OF THE CHARITY CARE POLICY (IN BOTH ENGLISH AND SPANISH) AND FINANCIAL ASSISTANCE CONTACT INFORMATION ARE POSTED IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. - BROCHURES (ENGLISH AND SPANISH) EXPLAINING THE AVAILABILITY, CRITERIA AND PROCESS FOR APPLYING FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN PATIENT REGISTRATION AREAS AND IN PATIENT FINANCIAL SERVICES RECEPTION AREA. - SETON ASSOCIATES INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND OTHER POTENTIAL FEDERAL, STATE, AND/OR LOCAL GOVERNMENTAL FUNDING PROGRAMS (I.E., MEDICAID, CHIP, SSI, CRIME VICTIMS, COBRA, COUNTY INDIGENT, VETERANS BENEFITS, THIRD PARTY LIABILITY, ETC.) AS PART OF THE INTAKE PROCESS PRIOR TO, DURING, AND/OR AFTER SERVICE AS CLINICALLY APPROPRIATE FOR THE CARE SETTING. - UNINSURED AND UNDERINSURED PATIENTS ARE ASSISTED AND SUPPORTED AS NEEDED THROUGH THE ENTIRE ELIGIBILITY AND APPLICATION PROCESS (COMPLETION OF THE APPLICATION, COLLECTION AND COPYING OF SUPPORTING DOCUMENTATION, TRANSPORTATION TO APPOINTMENTS, ETC.) THROUGH THE COLLABORATIVE EFFORTS OF PATIENT ACCESS (ADMITTING/REGISTRATION), SETON'S INSURE-A-KID EMPLOYEES, CASE MANAGEMENT, ON-SITE HHSC CASEWORKERS, AND SETON'S CONTRACTED ELIGIBILITY VENDOR.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SETON EDGAR B. DAVIS HOSPITAL</Identifier>
        <Explanation>PART V, SECTION B, LINE 13G: A SUMMARY OF THE CHARITY CARE POLICY (IN BOTH ENGLISH AND SPANISH) AND FINANCIAL ASSISTANCE CONTACT INFORMATION ARE POSTED IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. - BROCHURES (ENGLISH AND SPANISH) EXPLAINING THE AVAILABILITY, CRITERIA AND PROCESS FOR APPLYING FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN PATIENT REGISTRATION AREAS AND IN PATIENT FINANCIAL SERVICES RECEPTION AREA. - SETON ASSOCIATES INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND OTHER POTENTIAL FEDERAL, STATE, AND/OR LOCAL GOVERNMENTAL FUNDING PROGRAMS (I.E., MEDICAID, CHIP, SSI, CRIME VICTIMS, COBRA, COUNTY INDIGENT, VETERANS BENEFITS, THIRD PARTY LIABILITY, ETC.) AS PART OF THE INTAKE PROCESS PRIOR TO, DURING, AND/OR AFTER SERVICE AS CLINICALLY APPROPRIATE FOR THE CARE SETTING. - UNINSURED AND UNDERINSURED PATIENTS ARE ASSISTED AND SUPPORTED AS NEEDED THROUGH THE ENTIRE ELIGIBILITY AND APPLICATION PROCESS (COMPLETION OF THE APPLICATION, COLLECTION AND COPYING OF SUPPORTING DOCUMENTATION, TRANSPORTATION TO APPOINTMENTS, ETC.) THROUGH THE COLLABORATIVE EFFORTS OF PATIENT ACCESS (ADMITTING/REGISTRATION), SETON'S INSURE-A-KID EMPLOYEES, CASE MANAGEMENT, ON-SITE HHSC CASEWORKERS, AND SETON'S CONTRACTED ELIGIBILITY VENDOR.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SETON HIGHLAND LAKES HOSPITAL</Identifier>
        <Explanation>PART V, SECTION B, LINE 13G: A SUMMARY OF THE CHARITY CARE POLICY (IN BOTH ENGLISH AND SPANISH) AND FINANCIAL ASSISTANCE CONTACT INFORMATION ARE POSTED IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. - BROCHURES (ENGLISH AND SPANISH) EXPLAINING THE AVAILABILITY, CRITERIA AND PROCESS FOR APPLYING FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN PATIENT REGISTRATION AREAS AND IN PATIENT FINANCIAL SERVICES RECEPTION AREA. - SETON ASSOCIATES INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND OTHER POTENTIAL FEDERAL, STATE, AND/OR LOCAL GOVERNMENTAL FUNDING PROGRAMS (I.E., MEDICAID, CHIP, SSI, CRIME VICTIMS, COBRA, COUNTY INDIGENT, VETERANS BENEFITS, THIRD PARTY LIABILITY, ETC.) AS PART OF THE INTAKE PROCESS PRIOR TO, DURING, AND/OR AFTER SERVICE AS CLINICALLY APPROPRIATE FOR THE CARE SETTING. - UNINSURED AND UNDERINSURED PATIENTS ARE ASSISTED AND SUPPORTED AS NEEDED THROUGH THE ENTIRE ELIGIBILITY AND APPLICATION PROCESS (COMPLETION OF THE APPLICATION, COLLECTION AND COPYING OF SUPPORTING DOCUMENTATION, TRANSPORTATION TO APPOINTMENTS, ETC.) THROUGH THE COLLABORATIVE EFFORTS OF PATIENT ACCESS (ADMITTING/REGISTRATION), SETON'S INSURE-A-KID EMPLOYEES, CASE MANAGEMENT, ON-SITE HHSC CASEWORKERS, AND SETON'S CONTRACTED ELIGIBILITY VENDOR.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SETON NORTHWEST HOSPITAL</Identifier>
        <Explanation>PART V, SECTION B, LINE 13G: A SUMMARY OF THE CHARITY CARE POLICY (IN BOTH ENGLISH AND SPANISH) AND FINANCIAL ASSISTANCE CONTACT INFORMATION ARE POSTED IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. - BROCHURES (ENGLISH AND SPANISH) EXPLAINING THE AVAILABILITY, CRITERIA AND PROCESS FOR APPLYING FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN PATIENT REGISTRATION AREAS AND IN PATIENT FINANCIAL SERVICES RECEPTION AREA. - SETON ASSOCIATES INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND OTHER POTENTIAL FEDERAL, STATE, AND/OR LOCAL GOVERNMENTAL FUNDING PROGRAMS (I.E., MEDICAID, CHIP, SSI, CRIME VICTIMS, COBRA, COUNTY INDIGENT, VETERANS BENEFITS, THIRD PARTY LIABILITY, ETC.) AS PART OF THE INTAKE PROCESS PRIOR TO, DURING, AND/OR AFTER SERVICE AS CLINICALLY APPROPRIATE FOR THE CARE SETTING. - UNINSURED AND UNDERINSURED PATIENTS ARE ASSISTED AND SUPPORTED AS NEEDED THROUGH THE ENTIRE ELIGIBILITY AND APPLICATION PROCESS (COMPLETION OF THE APPLICATION, COLLECTION AND COPYING OF SUPPORTING DOCUMENTATION, TRANSPORTATION TO APPOINTMENTS, ETC.) THROUGH THE COLLABORATIVE EFFORTS OF PATIENT ACCESS (ADMITTING/REGISTRATION), SETON'S INSURE-A-KID EMPLOYEES, CASE MANAGEMENT, ON-SITE HHSC CASEWORKERS, AND SETON'S CONTRACTED ELIGIBILITY VENDOR.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SETON SOUTHWEST HOSPITAL</Identifier>
        <Explanation>PART V, SECTION B, LINE 13G: A SUMMARY OF THE CHARITY CARE POLICY (IN BOTH ENGLISH AND SPANISH) AND FINANCIAL ASSISTANCE CONTACT INFORMATION ARE POSTED IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. - BROCHURES (ENGLISH AND SPANISH) EXPLAINING THE AVAILABILITY, CRITERIA AND PROCESS FOR APPLYING FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN PATIENT REGISTRATION AREAS AND IN PATIENT FINANCIAL SERVICES RECEPTION AREA. - SETON ASSOCIATES INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND OTHER POTENTIAL FEDERAL, STATE, AND/OR LOCAL GOVERNMENTAL FUNDING PROGRAMS (I.E., MEDICAID, CHIP, SSI, CRIME VICTIMS, COBRA, COUNTY INDIGENT, VETERANS BENEFITS, THIRD PARTY LIABILITY, ETC.) AS PART OF THE INTAKE PROCESS PRIOR TO, DURING, AND/OR AFTER SERVICE AS CLINICALLY APPROPRIATE FOR THE CARE SETTING. - UNINSURED AND UNDERINSURED PATIENTS ARE ASSISTED AND SUPPORTED AS NEEDED THROUGH THE ENTIRE ELIGIBILITY AND APPLICATION PROCESS (COMPLETION OF THE APPLICATION, COLLECTION AND COPYING OF SUPPORTING DOCUMENTATION, TRANSPORTATION TO APPOINTMENTS, ETC.) THROUGH THE COLLABORATIVE EFFORTS OF PATIENT ACCESS (ADMITTING/REGISTRATION), SETON'S INSURE-A-KID EMPLOYEES, CASE MANAGEMENT, ON-SITE HHSC CASEWORKERS, AND SETON'S CONTRACTED ELIGIBILITY VENDOR.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SETON SHOAL CREEK HOSPITAL</Identifier>
        <Explanation>PART V, SECTION B, LINE 13G: A SUMMARY OF THE CHARITY CARE POLICY (IN BOTH ENGLISH AND SPANISH) AND FINANCIAL ASSISTANCE CONTACT INFORMATION ARE POSTED IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. - BROCHURES (ENGLISH AND SPANISH) EXPLAINING THE AVAILABILITY, CRITERIA AND PROCESS FOR APPLYING FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN PATIENT REGISTRATION AREAS AND IN PATIENT FINANCIAL SERVICES RECEPTION AREA. - SETON ASSOCIATES INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND OTHER POTENTIAL FEDERAL, STATE, AND/OR LOCAL GOVERNMENTAL FUNDING PROGRAMS (I.E., MEDICAID, CHIP, SSI, CRIME VICTIMS, COBRA, COUNTY INDIGENT, VETERANS BENEFITS, THIRD PARTY LIABILITY, ETC.) AS PART OF THE INTAKE PROCESS PRIOR TO, DURING, AND/OR AFTER SERVICE AS CLINICALLY APPROPRIATE FOR THE CARE SETTING. - UNINSURED AND UNDERINSURED PATIENTS ARE ASSISTED AND SUPPORTED AS NEEDED THROUGH THE ENTIRE ELIGIBILITY AND APPLICATION PROCESS (COMPLETION OF THE APPLICATION, COLLECTION AND COPYING OF SUPPORTING DOCUMENTATION, TRANSPORTATION TO APPOINTMENTS, ETC.) THROUGH THE COLLABORATIVE EFFORTS OF PATIENT ACCESS (ADMITTING/REGISTRATION), SETON'S INSURE-A-KID EMPLOYEES, CASE MANAGEMENT, ON-SITE HHSC CASEWORKERS, AND SETON'S CONTRACTED ELIGIBILITY VENDOR.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SETON MEDICAL CENTER WILLIAMSON</Identifier>
        <Explanation>PART V, SECTION B, LINE 13G: A SUMMARY OF THE CHARITY CARE POLICY (IN BOTH ENGLISH AND SPANISH) AND FINANCIAL ASSISTANCE CONTACT INFORMATION ARE POSTED IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. - BROCHURES (ENGLISH AND SPANISH) EXPLAINING THE AVAILABILITY, CRITERIA AND PROCESS FOR APPLYING FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN PATIENT REGISTRATION AREAS AND IN PATIENT FINANCIAL SERVICES RECEPTION AREA. - SETON ASSOCIATES INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND OTHER POTENTIAL FEDERAL, STATE, AND/OR LOCAL GOVERNMENTAL FUNDING PROGRAMS (I.E., MEDICAID, CHIP, SSI, CRIME VICTIMS, COBRA, COUNTY INDIGENT, VETERANS BENEFITS, THIRD PARTY LIABILITY, ETC.) AS PART OF THE INTAKE PROCESS PRIOR TO, DURING, AND/OR AFTER SERVICE AS CLINICALLY APPROPRIATE FOR THE CARE SETTING. - UNINSURED AND UNDERINSURED PATIENTS ARE ASSISTED AND SUPPORTED AS NEEDED THROUGH THE ENTIRE ELIGIBILITY AND APPLICATION PROCESS (COMPLETION OF THE APPLICATION, COLLECTION AND COPYING OF SUPPORTING DOCUMENTATION, TRANSPORTATION TO APPOINTMENTS, ETC.) THROUGH THE COLLABORATIVE EFFORTS OF PATIENT ACCESS (ADMITTING/REGISTRATION), SETON'S INSURE-A-KID EMPLOYEES, CASE MANAGEMENT, ON-SITE HHSC CASEWORKERS, AND SETON'S CONTRACTED ELIGIBILITY VENDOR.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SETON MEDICAL CENTER HAYS</Identifier>
        <Explanation>PART V, SECTION B, LINE 13G: A SUMMARY OF THE CHARITY CARE POLICY (IN BOTH ENGLISH AND SPANISH) AND FINANCIAL ASSISTANCE CONTACT INFORMATION ARE POSTED IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. - BROCHURES (ENGLISH AND SPANISH) EXPLAINING THE AVAILABILITY, CRITERIA AND PROCESS FOR APPLYING FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN PATIENT REGISTRATION AREAS AND IN PATIENT FINANCIAL SERVICES RECEPTION AREA. - SETON ASSOCIATES INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND OTHER POTENTIAL FEDERAL, STATE, AND/OR LOCAL GOVERNMENTAL FUNDING PROGRAMS (I.E., MEDICAID, CHIP, SSI, CRIME VICTIMS, COBRA, COUNTY INDIGENT, VETERANS BENEFITS, THIRD PARTY LIABILITY, ETC.) AS PART OF THE INTAKE PROCESS PRIOR TO, DURING, AND/OR AFTER SERVICE AS CLINICALLY APPROPRIATE FOR THE CARE SETTING. - UNINSURED AND UNDERINSURED PATIENTS ARE ASSISTED AND SUPPORTED AS NEEDED THROUGH THE ENTIRE ELIGIBILITY AND APPLICATION PROCESS (COMPLETION OF THE APPLICATION, COLLECTION AND COPYING OF SUPPORTING DOCUMENTATION, TRANSPORTATION TO APPOINTMENTS, ETC.) THROUGH THE COLLABORATIVE EFFORTS OF PATIENT ACCESS (ADMITTING/REGISTRATION), SETON'S INSURE-A-KID EMPLOYEES, CASE MANAGEMENT, ON-SITE HHSC CASEWORKERS, AND SETON'S CONTRACTED ELIGIBILITY VENDOR.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>CEDAR PARK REGIONAL MEDICAL CENTER</Identifier>
        <Explanation>PART V, SECTION B, LINE 13G: A SUMMARY OF THE CHARITY CARE POLICY (IN BOTH ENGLISH AND SPANISH) AND FINANCIAL ASSISTANCE CONTACT INFORMATION ARE POSTED IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. - BROCHURES (ENGLISH AND SPANISH) EXPLAINING THE AVAILABILITY, CRITERIA AND PROCESS FOR APPLYING FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN PATIENT REGISTRATION AREAS AND IN PATIENT FINANCIAL SERVICES RECEPTION AREA. - SETON ASSOCIATES INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND OTHER POTENTIAL FEDERAL, STATE, AND/OR LOCAL GOVERNMENTAL FUNDING PROGRAMS (I.E., MEDICAID, CHIP, SSI, CRIME VICTIMS, COBRA, COUNTY INDIGENT, VETERANS BENEFITS, THIRD PARTY LIABILITY, ETC.) AS PART OF THE INTAKE PROCESS PRIOR TO, DURING, AND/OR AFTER SERVICE AS CLINICALLY APPROPRIATE FOR THE CARE SETTING. - UNINSURED AND UNDERINSURED PATIENTS ARE ASSISTED AND SUPPORTED AS NEEDED THROUGH THE ENTIRE ELIGIBILITY AND APPLICATION PROCESS (COMPLETION OF THE APPLICATION, COLLECTION AND COPYING OF SUPPORTING DOCUMENTATION, TRANSPORTATION TO APPOINTMENTS, ETC.) THROUGH THE COLLABORATIVE EFFORTS OF PATIENT ACCESS (ADMITTING/REGISTRATION), SETON'S INSURE-A-KID EMPLOYEES, CASE MANAGEMENT, ON-SITE HHSC CASEWORKERS, AND SETON'S CONTRACTED ELIGIBILITY VENDOR.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>CENTRAL TEXAS REHABILITATION HOSPITAL</Identifier>
        <Explanation>PART V, SECTION B, LINE 13G: A SUMMARY OF THE CHARITY CARE POLICY (IN BOTH ENGLISH AND SPANISH) AND FINANCIAL ASSISTANCE CONTACT INFORMATION ARE POSTED IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. - BROCHURES (ENGLISH AND SPANISH) EXPLAINING THE AVAILABILITY, CRITERIA AND PROCESS FOR APPLYING FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN PATIENT REGISTRATION AREAS AND IN PATIENT FINANCIAL SERVICES RECEPTION AREA. - SETON ASSOCIATES INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND OTHER POTENTIAL FEDERAL, STATE, AND/OR LOCAL GOVERNMENTAL FUNDING PROGRAMS (I.E., MEDICAID, CHIP, SSI, CRIME VICTIMS, COBRA, COUNTY INDIGENT, VETERANS BENEFITS, THIRD PARTY LIABILITY, ETC.) AS PART OF THE INTAKE PROCESS PRIOR TO, DURING, AND/OR AFTER SERVICE AS CLINICALLY APPROPRIATE FOR THE CARE SETTING. - UNINSURED AND UNDERINSURED PATIENTS ARE ASSISTED AND SUPPORTED AS NEEDED THROUGH THE ENTIRE ELIGIBILITY AND APPLICATION PROCESS (COMPLETION OF THE APPLICATION, COLLECTION AND COPYING OF SUPPORTING DOCUMENTATION, TRANSPORTATION TO APPOINTMENTS, ETC.) THROUGH THE COLLABORATIVE EFFORTS OF PATIENT ACCESS (ADMITTING/REGISTRATION), SETON'S INSURE-A-KID EMPLOYEES, CASE MANAGEMENT, ON-SITE HHSC CASEWORKERS, AND SETON'S CONTRACTED ELIGIBILITY VENDOR.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SETON MEDICAL CENTER HARKER HEIGHTS</Identifier>
        <Explanation>PART V, SECTION B, LINE 13G: A SUMMARY OF THE CHARITY CARE POLICY (IN BOTH ENGLISH AND SPANISH) AND FINANCIAL ASSISTANCE CONTACT INFORMATION ARE POSTED IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. - BROCHURES (ENGLISH AND SPANISH) EXPLAINING THE AVAILABILITY, CRITERIA AND PROCESS FOR APPLYING FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN PATIENT REGISTRATION AREAS AND IN PATIENT FINANCIAL SERVICES RECEPTION AREA. - SETON ASSOCIATES INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND OTHER POTENTIAL FEDERAL, STATE, AND/OR LOCAL GOVERNMENTAL FUNDING PROGRAMS (I.E., MEDICAID, CHIP, SSI, CRIME VICTIMS, COBRA, COUNTY INDIGENT, VETERANS BENEFITS, THIRD PARTY LIABILITY, ETC.) AS PART OF THE INTAKE PROCESS PRIOR TO, DURING, AND/OR AFTER SERVICE AS CLINICALLY APPROPRIATE FOR THE CARE SETTING. - UNINSURED AND UNDERINSURED PATIENTS ARE ASSISTED AND SUPPORTED AS NEEDED THROUGH THE ENTIRE ELIGIBILITY AND APPLICATION PROCESS (COMPLETION OF THE APPLICATION, COLLECTION AND COPYING OF SUPPORTING DOCUMENTATION, TRANSPORTATION TO APPOINTMENTS, ETC.) THROUGH THE COLLABORATIVE EFFORTS OF PATIENT ACCESS (ADMITTING/REGISTRATION), SETON'S INSURE-A-KID EMPLOYEES, CASE MANAGEMENT, ON-SITE HHSC CASEWORKERS, AND SETON'S CONTRACTED ELIGIBILITY VENDOR.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SETON SMITHWILLE REGIONAL HOSPITAL</Identifier>
        <Explanation>PART V, SECTION B, LINE 13G: A SUMMARY OF THE CHARITY CARE POLICY (IN BOTH ENGLISH AND SPANISH) AND FINANCIAL ASSISTANCE CONTACT INFORMATION ARE POSTED IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. - BROCHURES (ENGLISH AND SPANISH) EXPLAINING THE AVAILABILITY, CRITERIA AND PROCESS FOR APPLYING FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN PATIENT REGISTRATION AREAS AND IN PATIENT FINANCIAL SERVICES RECEPTION AREA. - SETON ASSOCIATES INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND OTHER POTENTIAL FEDERAL, STATE, AND/OR LOCAL GOVERNMENTAL FUNDING PROGRAMS (I.E., MEDICAID, CHIP, SSI, CRIME VICTIMS, COBRA, COUNTY INDIGENT, VETERANS BENEFITS, THIRD PARTY LIABILITY, ETC.) AS PART OF THE INTAKE PROCESS PRIOR TO, DURING, AND/OR AFTER SERVICE AS CLINICALLY APPROPRIATE FOR THE CARE SETTING. - UNINSURED AND UNDERINSURED PATIENTS ARE ASSISTED AND SUPPORTED AS NEEDED THROUGH THE ENTIRE ELIGIBILITY AND APPLICATION PROCESS (COMPLETION OF THE APPLICATION, COLLECTION AND COPYING OF SUPPORTING DOCUMENTATION, TRANSPORTATION TO APPOINTMENTS, ETC.) THROUGH THE COLLABORATIVE EFFORTS OF PATIENT ACCESS (ADMITTING/REGISTRATION), SETON'S INSURE-A-KID EMPLOYEES, CASE MANAGEMENT, ON-SITE HHSC CASEWORKERS, AND SETON'S CONTRACTED ELIGIBILITY VENDOR.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SETON MEDICAL CENTER AUSTIN</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME LEVELS UP TO 250% OF THE FPIL WILL BE ASKED TO PAY A CO-PAYMENT FOR SERVICES RECEIVED. PATIENTS WITH INCOME LEVELS ABOVE 250% AND BELOW 375% OF THE FPIL WILL BE ASKED TO PAY A SLIDING FEE SCALE DEDUCTIBLE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>UNIVERSITY MEDICAL CTR BRACKENRIDGE</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME LEVELS UP TO 250% OF THE FPIL WILL BE ASKED TO PAY A CO-PAYMENT FOR SERVICES RECEIVED. PATIENTS WITH INCOME LEVELS ABOVE 250% AND BELOW 375% OF THE FPIL WILL BE ASKED TO PAY A SLIDING FEE SCALE DEDUCTIBLE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>DELL CHILDREN'S MEDICAL CENTER</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME LEVELS UP TO 250% OF THE FPIL WILL BE ASKED TO PAY A CO-PAYMENT FOR SERVICES RECEIVED. PATIENTS WITH INCOME LEVELS ABOVE 250% AND BELOW 375% OF THE FPIL WILL BE ASKED TO PAY A SLIDING FEE SCALE DEDUCTIBLE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SETON EDGAR B. DAVIS HOSPITAL</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME LEVELS UP TO 250% OF THE FPIL WILL BE ASKED TO PAY A CO-PAYMENT FOR SERVICES RECEIVED. PATIENTS WITH INCOME LEVELS ABOVE 250% AND BELOW 375% OF THE FPIL WILL BE ASKED TO PAY A SLIDING FEE SCALE DEDUCTIBLE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SETON HIGHLAND LAKES HOSPITAL</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME LEVELS UP TO 250% OF THE FPIL WILL BE ASKED TO PAY A CO-PAYMENT FOR SERVICES RECEIVED. PATIENTS WITH INCOME LEVELS ABOVE 250% AND BELOW 375% OF THE FPIL WILL BE ASKED TO PAY A SLIDING FEE SCALE DEDUCTIBLE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SETON NORTHWEST HOSPITAL</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME LEVELS UP TO 250% OF THE FPIL WILL BE ASKED TO PAY A CO-PAYMENT FOR SERVICES RECEIVED. PATIENTS WITH INCOME LEVELS ABOVE 250% AND BELOW 375% OF THE FPIL WILL BE ASKED TO PAY A SLIDING FEE SCALE DEDUCTIBLE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SETON SOUTHWEST HOSPITAL</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME LEVELS UP TO 250% OF THE FPIL WILL BE ASKED TO PAY A CO-PAYMENT FOR SERVICES RECEIVED. PATIENTS WITH INCOME LEVELS ABOVE 250% AND BELOW 375% OF THE FPIL WILL BE ASKED TO PAY A SLIDING FEE SCALE DEDUCTIBLE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SETON SHOAL CREEK HOSPITAL</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME LEVELS UP TO 250% OF THE FPIL WILL BE ASKED TO PAY A CO-PAYMENT FOR SERVICES RECEIVED. PATIENTS WITH INCOME LEVELS ABOVE 250% AND BELOW 375% OF THE FPIL WILL BE ASKED TO PAY A SLIDING FEE SCALE DEDUCTIBLE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SETON MEDICAL CENTER WILLIAMSON</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME LEVELS UP TO 250% OF THE FPIL WILL BE ASKED TO PAY A CO-PAYMENT FOR SERVICES RECEIVED. PATIENTS WITH INCOME LEVELS ABOVE 250% AND BELOW 375% OF THE FPIL WILL BE ASKED TO PAY A SLIDING FEE SCALE DEDUCTIBLE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SETON MEDICAL CENTER HAYS</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME LEVELS UP TO 250% OF THE FPIL WILL BE ASKED TO PAY A CO-PAYMENT FOR SERVICES RECEIVED. PATIENTS WITH INCOME LEVELS ABOVE 250% AND BELOW 375% OF THE FPIL WILL BE ASKED TO PAY A SLIDING FEE SCALE DEDUCTIBLE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>CEDAR PARK REGIONAL MEDICAL CENTER</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME LEVELS UP TO 250% OF THE FPIL WILL BE ASKED TO PAY A CO-PAYMENT FOR SERVICES RECEIVED. PATIENTS WITH INCOME LEVELS ABOVE 250% AND BELOW 375% OF THE FPIL WILL BE ASKED TO PAY A SLIDING FEE SCALE DEDUCTIBLE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>CENTRAL TEXAS REHABILITATION HOSPITAL</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME LEVELS UP TO 250% OF THE FPIL WILL BE ASKED TO PAY A CO-PAYMENT FOR SERVICES RECEIVED. PATIENTS WITH INCOME LEVELS ABOVE 250% AND BELOW 375% OF THE FPIL WILL BE ASKED TO PAY A SLIDING FEE SCALE DEDUCTIBLE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SETON MEDICAL CENTER HARKER HEIGHTS</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME LEVELS UP TO 250% OF THE FPIL WILL BE ASKED TO PAY A CO-PAYMENT FOR SERVICES RECEIVED. PATIENTS WITH INCOME LEVELS ABOVE 250% AND BELOW 375% OF THE FPIL WILL BE ASKED TO PAY A SLIDING FEE SCALE DEDUCTIBLE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SETON SMITHWILLE REGIONAL HOSPITAL</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME LEVELS UP TO 250% OF THE FPIL WILL BE ASKED TO PAY A CO-PAYMENT FOR SERVICES RECEIVED. PATIENTS WITH INCOME LEVELS ABOVE 250% AND BELOW 375% OF THE FPIL WILL BE ASKED TO PAY A SLIDING FEE SCALE DEDUCTIBLE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 2: NEEDS ASSESSMENT PROCESSSETON HEALTHCARE (SETON) CONDUCTS A COMMUNITY HEALTH CARE NEEDS ASSESSMENT ONCE EVERY THREE YEARS, WITH UPDATES MADE ANNUALLY FOR SETON'S INTEGRATED STRATEGIC OPERATION FINANCIAL PLAN. THE ORGANIZATION'S COMMUNITY BENEFIT STEERING COMMITTEE IS THE ASSESSMENT'S SPONSORING ENTITY. THE ASSESSMENT IS CONDUCTED BY SETON'S IN-HOUSE PLANNING STAFF, USING A VARIETY OF RESOURCES, INCLUDING THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES, THE U.S. CENSUS BUREAU AND OTHER REFERENCE MATERIAL. A COMPREHENSIVE OVERVIEW OF THE ASSESSMENT IS MADE TO THE BOARD OF TRUSTEES, THE KEY AUDIENCE FOR THE REPORT.HIGHLIGHTS FROM SETONS COMMUNITY HEALTH NEEDS ASSESSMENTMORTALITY RATES FOR CENTRAL TEXAS: WHILE MORTALITY RATES FOR THE COMMUNITY AS A WHOLE CONTINUE TO DECLINE (MORTALITY RATE FOR POPULATION AS A WHOLE), PREVENTION OPPORTUNITIES ARE STILL PRESENT FOR DEATHS FROM ACCIDENTS, SUICIDE, CANCER AND CARDIO-VASCULAR AND CEREBRAL-VASCULAR DISEASES. PREMATURE MORTALITY RATES ARE HIGHER IN THE MORE RURAL EAST AND WESTERN REGIONS OF CENTRAL TEXAS. IN ADDITION:-CANCER AND CARDIAC DISEASE ACCOUNT FOR NEARLY HALF OF THE DEATHS IN CENTRAL TEXAS.-ACCIDENTS, STROKE AND CHRONIC LOWER RESPIRATORY DISEASES TOGETHER CAUSE ANOTHER 20 PERCENT OF THE DEATHS.-DOWNWARD TRENDS ARE EVIDENT IN MORTALITY RATES IN CANCER AND DISEASES OF THE HEART.-ACCIDENTS ARE THE FOURTH HIGHEST CAUSE OF DEATH IN CENTRAL TEXAS, TRADING PLACES WITH CEREBROVASCULAR DISEASES. COMMUNICABLE DISEASES: SEVERAL KEY INDICATORS ARE WORTH NOTING:-DROPPING AIDS INCIDENCE RATES TIED WITH INCREASING HIV PREVALENCE SUGGESTS THAT MEDICATION AND EDUCATION ARE MAKING HIV/AIDS MORE OF A CHRONIC DISEASE AFFECTING FEWER NEW PEOPLE EACH YEAR.-SYPHILIS INCIDENCE RATES ARE INCREASING.-TB INCIDENCE RATES ARE INCREASING.TEEN PREGNANCY: RATES ARE RELATIVELY STABLE AT LESS THAN 35 PER 1,000 TEENAGED FEMALES, AND BELOW NATIONAL AVERAGES. LIFESTYLE HEATH INDICATORS: THESE INCLUDE:-THE PERCENTAGE OF CENTRAL TEXANS REPORTING THAT THEY ARE OVERWEIGHT OR OBESE IS INCREASING.-SLIGHTLY FEWER CENTRAL TEXANS REPORT THAT THEY SMOKE.-DIABETES IS INCREASING THROUGHOUT THE REGION.ACCESS TO PHYSICIANS-THE REGION IS FACING A SHORTAGE OF ALMOST 200 PHYSICIANS IN 2012. THIS SHORTAGE COULD GROW TO ALMOST 900 PHYSICIANS BY 2016. THIS SHORTAGE CONSIDERS THE SERVICE PROVIDED BY MID-LEVEL PROVIDERS SUCH AS ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS. THE SHORTAGE IS DRIVEN BY SEVERAL FACTORS: INCREASING DEMAND DUE TO AGING OF THE POPULATION, POPULATION GROWTH, COMBINED WITH THE AGING AND EXPECTED RETIREMENT OF THE CURRENT PHYSICIAN SUPPLY. -A PROVIDER SHORTAGE IS FELT NOT ONLY IN THE POPULATION AT LARGE, BUT AMONG THE OLDER RESIDENTS OF THE AREA AS WELL. PROVIDERS ACCEPTING MEDICARE CONTINUE TO DECLINE.-SETON IS CLOSELY MONITORING THE PHYSICIAN SHORTAGE AND THE NEED FOR PHYSICIANS DETERMINED BY EACH HOSPITAL'S PROJECTED VOLUMES. SETON IS FOCUSING ON STRATEGIES TO INCREASE THE SUPPLY THROUGH MEDICAL EDUCATION, INCREASING THE NUMBER OF EMPLOYED PHYSICIANS, AND ACTIVE RECRUITING OF PRIVATE PHYSICIANS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 3: THE FOLLOWING DESCRIBES HOW THE ORGANIZATION INFORMS AND EDUCATES THE PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S CHARITY CARE PROGRAM: - ELIGIBILITY FOR CHARITY CARE MAY BE DETERMINED AT ANY POINT IN THE REVENUE CYCLE. - POST A SUMMARY OF THE CHARITY CARE POLICY (IN BOTH ENGLISH AND SPANISH) AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ADMISSIONS AREAS, EMERGENCY DEPARTMENTS AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. - BROCHURES (ENGLISH AND SPANISH) EXPLAINING THE AVAILABILITY, CRITERIA AND PROCESS FOR APPLYING FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN PATIENT REGISTRATION AREAS AND IN PATIENT FINANCIAL SERVICES RECEPTION AREA. - SETON ASSOCIATES INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND OTHER POTENTIAL FEDERAL, STATE, AND/OR LOCAL GOVERNMENTAL FUNDING PROGRAMS (I.E., MEDICAID, CHIP, SSI, CRIME VICTIMS, COBRA, COUNTY INDIGENT, VETERANS BENEFITS, THIRD PARTY LIABILITY, ETC.) AS PART OF THE INTAKE PROCESS PRIOR TO, DURING, AND/OR AFTER SERVICE AS CLINICALLY APPROPRIATE FOR THE CARE SETTING. - UNINSURED AND UNDERINSURED PATIENTS ARE ASSISTED AND SUPPORTED AS NEEDED THROUGH THE ENTIRE ELIGIBILITY AND APPLICATION PROCESS (COMPLETION OF THE APPLICATION, COLLECTION AND COPYING OF SUPPORTING DOCUMENTATION, TRANSPORTATION TO APPOINTMENTS, ETC.) THROUGH THE COLLABORATIVE EFFORTS OF PATIENT ACCESS (ADMITTING/REGISTRATION), SETON'S INSURE-A-KID EMPLOYEES, CASE MANAGEMENT, ON-SITE HHSC CASEWORKERS, AND SETON'S CONTRACTED ELIGIBILITY VENDOR. - A SIGNIFICANT PERCENTAGE OF OUR PATIENT ACCESS AND PATIENT FINANCIAL SERVICE CUSTOMER SERVICE REPRESENTATIVES ARE FLUENT IN BOTH ENGLISH AND SPANISH. - PATIENT ACCESS EMPLOYEES AND PATIENT FINANCIAL SERVICE CUSTOMER SERVICE REPRESENTATIVES ARE TRAINED (INCLUDING AT LEAST ANNUAL UPDATES) ON ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE AND VARIOUS POTENTIAL FEDERAL, STATE, AND/OR LOCAL GOVERNMENTAL FUNDING PROGRAMS, INCLUDING BUT NOT LIMITED TO MEDICAID, CHIP, SSI, COUNTY INDIGENT, CRIME VICTIMS, COBRA, VETERANS BENEFITS, THIRD PARTY LIABILITY, ETC. - SETON UTILIZES THE PATIENT ACCOUNT RANK ORDER (PARO) SCORE TO IDENTIFY PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE WHO DID NOT APPLY THROUGH THE AVENUES OUTLINED ABOVE. (THE PARO SCORE IS A PRESUMPTIVE FINANCIAL MEANS SCORE THAT UTILIZES AND ANALYZES DEMOGRAPHIC AND PUBLIC FINANCIAL DATABASES TO EVALUATE AND QUANTIFY THE PATIENT'S ABILITY TO PAY A MEDICAL BILL.). - IN ADDITION TO ASSISTANCE WITH POTENTIAL FUNDING SOURCES/GOVERNMENTAL PROGRAMS AND CHARITY CARE/FINANCIAL ASSISTANCE, EFFORTS ARE MADE TO ENROLL AND LINK PATIENTS WITH PRIMARY CARE HOMES. - INCLUDE A SUMMARY OF THE CHARITY CARE POLICY, APPLICATION FORM, AND FINANCIAL ASSISTANCE CONTACT INFORMATION (IN EITHER ENGLISH OR SPANISH) WITH OTHER DISCHARGE MATERIALS PROVIDED TO PATIENTS - FINANCIAL ASSISTANCE CONTACT INFORMATION IS INCLUDED ON PATIENT STATEMENTS. - ALL REVENUE CYCLE BUSINESS PARTNERS (PRIMARY AND SECONDARY COLLECTION AGENCIES, ELIGIBILITY VENDOR, ETC.) ARE CONTRACTUALLY REQUIRED TO FOLLOW SETON'S AND ASCENSION'S BILLING AND COLLECTION POLICIES, INCLUDING NOTIFICATION OF THE AVAILABILITY OF FINANCIAL ASSISTANCE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 4: GEOGRAPHIC AREA: THE SETON FAMILY OF HOSPITALS (SETON) SERVES AN 11-COUNTY AREA, COVERING 9,645 SQUARE MILES IN CENTRAL TEXAS AND DIVIDED INTO REGIONS:- WEST REGION- BURNET, LLANO AND BLANCO COUNTIES- NORTH REGION- WILLIAMSON COUNTY- CENTRAL REGION- TRAVIS COUNTY (HOME TO TEXAS' STATE CAPITAL, AUSTIN)- SOUTH REGION- HAYS AND CALDWELL COUNTIES- EAST REGION- LEE, BASTROP, FAYETTE AND GONZALES COUNTIESIN 2012, THERE WERE 1.94 MILLION PEOPLE LIVING IN THE REGION; THIS NUMBER IS EXPECTED TO GROW TO 2.36 MILLION BY 2020. SETON'S SERVICE AREA INCLUDES THE RAPIDLY GROWING URBAN AUSTIN-ROUND ROCK METROPOLITAN AREA (FIVE COUNTIES), AS WELL AS SPARSELY-POPULATED RURAL AREAS WITH LESS CONVENIENT ACCESS TO HEALTH CARE. MORE THAN 90 PER CENT OF THE PERSONS RECEIVING INPATIENT CARE FROM SETON RESIDE IN THIS 11-COUNTY SERVICE AREA. SETON MANAGES HOSPITALS IN SIX OF THE 11 COUNTIES; PATIENTS FROM THE OTHER SIX COUNTIES TRAVEL TO ACCESS CARE IN SETON FACILITIES.SERVICE PROVIDED/OTHER HEALTH CARE PROVIDERSSETON IS A NOT-FOR-PROFIT HEALTH CARE SYSTEM THAT SERVES THE COMMUNITY VIA 11 HOSPITALS: SIX GENERAL MEDICAL-SURGICAL HOSPITALS, A CHILDREN'S HOSPITAL, THREE HOSPITALS IN RURAL AREAS AND A PSYCHIATRIC HOSPITAL. SETON PROVIDES 41% OF THE INPATIENT CARE IN THE AREA (DATA EXCLUDES PSYCHIATRIC HOSPITALS).SETON PROVIDES A NUMBER OF DISTINCTIVE SERVICES IN THE REGION: THE ONLY LEVEL I TRAUMA FACILITIES, THE ONLY FREE-STANDING CHILDREN'S HOSPITAL, THE ONLY FREE-STANDING PSYCHIATRIC HOSPITAL, AND THE ONLY HEART TRANSPLANT CENTER.THREE OF THE SYSTEM'S HOSPITALS ARE TERTIARY CARE FACILITIES THAT SERVE THE ENTIRE 11-COUNTY AREA WITH A BROAD ARRAY OF SERVICES THAT CAN ADDRESS THE MOST COMPLEX HEALTH CARE NEEDS: SETON MEDICAL CENTER AUSTIN, UNIVERSITY MEDICAL CENTER BRACKENRIDGE, AND DELL CHILDREN'S MEDICAL CENTER. SETON EDGAR B. DAVIS HOSPITAL AND SETON HIGHLAND LAKES HOSPITAL ARE DESIGNATED CRITICAL ACCESS HOSPITALS AND, AS SUCH, ARE THE SOLE HOSPITALS IN THEIR RESPECTIVE RURAL COMMUNITIES, CALDWELL AND BURNET COUNTIES. SETON ALSO PROVIDES HOME HEALTH CARE AND HOSPICE CARE IN RURAL BURNET/HIGHLAND LAKES, AS WELL AS HOME HEALTH AND NURSING HOME CARE IN SMITHVILLE (BASTROP COUNTY).THE REMAINING GENERAL MEDICAL-SURGICAL HOSPITALS (SETON NORTHWEST, SETON SOUTHWEST, SETON WILLIAMSON, AND SETON HAYS) SERVE RESIDENTS FROM A SMALLER AREA SURROUNDING EACH FACILITY. HOWEVER, WILLIAMSON AND HAYS HAVE THE TECHNOLOGY AND CLINICAL CAPABILITY TO SERVE A WIDER AREA AS THE DEMANDS OF THE REGION INCREASE DUE TO POPULATION GROWTH AND AGING OF THE POPULATION.SETON PROVIDES AMBULATORY CARE VIA THREE SAFETY NET COMMUNITY CLINICS IN AUSTIN AND A NETWORK OF RURAL HEALTH CLINICS IN BOTH THE EAST AND WEST PARTS OF THE SERVICE AREA. SETON IS DEVELOPING A SYSTEM OF PHYSICIAN PRACTICES WITH BOTH PRIMARY CARE PHYSICIANS AND SUB-SPECIALISTS. SETON HAS 474 EMPLOYED PROVIDERS (PHYSICIANS, NURSE PRACTITIONERS, AND PHYSICIAN ASSISTANTS) IN ADDITION TO ABOUT 200 MEDICAL RESIDENTS AND APPROXIMATELY 2,600 NON-EMPLOYED PHYSICIANS WHO ARE CREDENTIALED TO PRACTICE IN SETON HOSPITALS.THE OTHER MAJOR HOSPITAL PROVIDER IN THE AREA IS HCA/ST. DAVID'S HEALTHCARE SYSTEM, A FOR-PROFIT SYSTEM WITH FIVE HOSPITALS AND 35% MARKET SHARE. SCOTT &amp; WHITE HEALTHCARE SYSTEM, A MULTI-HOSPITAL SYSTEM BASED IN TEMPLE, HAS A HOSPITAL WITHIN SETON'S SERVICE AREA. THERE ARE SIX OTHER HOSPITALS IN THE AREA; THESE ARE A MIX OF FOR-PROFIT, PUBLIC, AND NOT-FOR-PROFIT. SEVERAL OF THESE HOSPITALS HAVE AFFILIATION AGREEMENTS WITH ONE OF THE LARGER SYSTEMS OR ARE IN NEGOTIATIONS FOR AFFILIATION, MERGER OR ACQUISITION.POPULATION CHARACTERISTICS:THE CENTRAL TEXAS REGION IS COMPARATIVELY YOUNG, BUT GROWING OLDER. IN 2010, THE LARGEST PERCENTAGE OF THE POPULATION - 47.3% - WERE AGED 15 TO 44 YEARS; THAT PERCENTAGE IS EXPECTED TO DROP TO 43.9% IN 2020. IN 2010, PERSONS 65 YEARS AND OLDER CONSTITUTED 8.6% OF THE POPULATION; BY 2020 THAT DEMOGRAPHIC WILL GROW TO 11.8%. YOUNG PEOPLE FROM INFANT TO 14 YEARS REPRESENT 19.5% OF THE REGION'S POPULATION IN 2010; THEIR SHARE OF THE POPULATION WILL DECREASE TO 17.5% IN 2020. IN 2010, PERSONS AGED 45 TO 64 WERE 24.5% OF THE REGION'S POPULATION; BY 2020, THEY WILL REPRESENT 26.8% OF THE REGION'S POPULATION.THE RURAL AREAS OF THE REGION TEND TO HAVE OLDER POPULATIONS THAN THE URBAN/SUBURBAN CORE. IN THE YEARS AHEAD, THE GROWTH OF OLDER POPULATIONS IN THE REGION WILL PRESENT A MULTITUDE OF CHALLENGES, INCLUDING AN EXPECTED INCREASE IN DEMAND FOR HEALTH CARE SERVICES. THE DIVERSITY OF THE REGION IS INCREASING. NON-HISPANIC ANGLOS ARE 56% OF THE POPULATION IN 2010 AND ARE EXPECTED TO BE LESS THAN HALF OF THE POPULATION WITHIN 10 YEARS. HISPANICS ARE 31% OF THE POPULATION, AND EXPECTED TO BE MORE THAN ONE-THIRD OF THE POPULATION BY 2020. ASIANS ARE THE REGION'S FASTEST GROWING RACIAL/ETHNIC GROUP.THE REGION IS REMARKABLY WELL EDUCATED. CENTRAL TEXAS RESIDENTS POSSESS HIGHER LEVELS OF EDUCATIONAL ATTAINMENT THAN EITHER TEXAS OR THE UNITED STATES. TODAY, MORE THAN 84 PERCENT OF ALL ADULT RESIDENTS ARE HIGH SCHOOL GRADUATES. MORE THAN 37 PERCENT OF ADULTS POSSESS A BACHELOR DEGREE AND CLOSE TO 12% HOLD A PROFESSIONAL DEGREE.ALTHOUGH THE REGION HAS NOT BEEN ENTIRELY IMMUNE TO THE RECENT ECONOMIC DOWNTURN, THE REGIONAL ECONOMY CONTINUES TO OUTPERFORM MOST OTHER USCOMMUNITIES. MOST DETRIMENTAL ECONOMIC EFFECTS ARE READILY APPARENT IN STATISTICS CONCERNING MEDIAN HOUSEHOLD INCOME. ADJUSTED FOR INFLATION, MEDIAN HOUSEHOLD INCOME IN THE AUSTIN METROPOLITAN REGION DROPPED FROM $63,000 TO $57,000 DURING THE SECOND HALF OF THE DECADE. WHILE TEXAS AND THE U.S. ALSO EXPERIENCED DECLINES IN MEDIAN HOUSEHOLD INCOME, NEITHER WAS AS SEVERE AS THE AUSTIN REGION. YET MEDIAN HOUSEHOLD INCOME IN THE AUSTIN METROPOLITAN REGION REMAINS MORE THAN 16% HIGHER THAN THE NATIONAL FIGURE AND MORE THAN 22% HIGHER THAN THE TEXAS FIGURE.THE PERCENTAGE OF HOUSEHOLDS IN THE REGION WHO ARE LIVING BELOW THE U.S. POVERTY LEVEL IS 8.4%. IN ADDITION, MORE THAN 22% OF THOSE UNDER AGE 65 IN CENTRAL TEXAS ARE UNINSURED, CREATING SIGNIFICANT BARRIERS TO ACCESS TO HEALTH CARE. IN 2007, 22% OF ALL TEXAS CHILDREN WERE UNINSURED, COMPARED TO 11% PERCENT NATIONALLY. MORE THAN HALF OF UNINSURED CHILDREN ARE ELIGIBLE FOR PUBLIC PROGRAMS, BUT ARE NOT ENROLLED.DATA REGARDING INPATIENT DISCHARGES IN THE REGION ILLUSTRATES THE IMPACT THESE INSURANCE COVERAGE RATES HAVE ON SETON'S OPERATIONS. SETON SERVES A DISPROPORTIONATE MARKET SHARE OF MEDICAID AND SELF-PAY PATIENTS. WHILE THE HOSPITAL SYSTEM SERVES 41.4% OF THE TOTAL INPATIENT NEEDS OF THE COMMUNITY, IT ALSO SUPPORTS 45.9% OF MEDICAID PATIENTS AND 56.8% OF SELF-PAY PATIENTS. SPECIFICALLY:- MEDICARE REIMBURSES FOR 38% OF INPATIENT DISCHARGES IN CENTRAL TEXAS. WITH AN AGING POPULATION, THE PERCENTAGE OF PATIENTS COVERED BY MEDICARE WILL CONTINUE TO INCREASE.- MEDICAID REIMBURSES FOR 15.5% OF INPATIENT DISCHARGES IN THE REGION, WHILE COMMERCIAL INSURANCE COVERS 33.4% OF DISCHARGES. EMPLOYER-SPONSORED INSURANCE HAD BEEN DECLINING OVER THE LAST 10 YEARS.- SELF-PAY AND "OTHER" ACCOUNTS FOR 13.3% OF CENTRAL TEXAS RESIDENT DISCHARGES. WHILE 22% OF CENTRAL TEXAS' UNDER-65 POPULATION IS UNINSURED, MANY MORE ARE UNDER-INSURED IN PROGRAMS THAT DO NOT COVER THE COSTS OF CARE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 5: COMPOSITION OF GOVERNING BODY - A MAJORITY OF THE MEMBERS OF SETON FAMILY OF HOSPITAL'S GOVERNING BOARD RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA. MEDICAL STAFF PRIVILEGES - STAFF PRIVILEGES AT SETON FACILITIES ARE OPEN TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY, SUBJECT TO COMPLETING A SETON-SPECIFIC CREDENTIALING PROCESS TO ENSURE THAT THE PHYSICIAN MEETS ALL REQUIRED LICENSING AND EXPERIENCE REQUIREMENTS FOR THE POSITION. USE OF SURPLUS FUNDS - ANY SURPLUS FUNDS GENERATED FROM SETON'S OPERATIONS ARE REINVESTED IN THE ORGANIZATION'S ACTIVITIES, INCLUDING PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH. DETAILED DESCRIPTIONS OF THESE PROGRAMS AND ACTIVITIES CAN BE FOUND IN THE NARRATIVES ADDRESSING PART II, COMMUNITY BUILDING ACTIVITIES, AS WELL AS QUESTIONS 2 THROUGH 4 OF SCHEDULE H, PART VI.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 6: SETON MEDICAL GROUPPURPOSES AND ACTIVITIESSETON MEDICAL GROUP (SMG) IS A PHYSICIAN PRACTICE ORGANIZATION THAT PROVIDES MEDICAL STAFFING FOR A RELATED TAX EXEMPT ORGANIZATION, SETON FAMILY OF HOSPITALS (SETON). PHYSICIANS WITH SMG WORK WITH PATIENTS AT THE SETON'S URBAN AND RURAL COMMUNITY HEALTH CENTERS AND CLINICS TO ADDRESS A VARIETY OF HEALTHCARE NEEDS. SLIDING-FEE SCALES MAKE THE CENTERS' SERVICES AFFORDABLE IN AN EFFORT TO PROVIDE ACCESS FOR FAMILIES WHO WOULD OTHERWISE NOT BE ABLE TO AFFORD MEDICAL CARE. FACILITIES INCLUDE:-SETON BURNET HEALTHCARE CENTER, SETON MARBLE FALLS HEALTHCARE CENTER, SETON BERTRAM HEALTHCARE CENTER, SETON PEDI CARE-A-VAN -SETON LOCKHART CENTER FOR HEALTHCARE-SETON COMMUNITY HEALTH CENTERS (MCCARTHY, KOZMETSKY, TOPFER)SMG PROVIDES THE FOLLOWING IN-PATIENT AND OUT-PATIENT MEDICAL SERVICES TO THE COMMUNITY:-ASTHMA EDUCATION /SPIROMETRY -DIABETES SPECIALTY CLINIC AND FOOT CLINIC-CLINIC FOR CHILDREN AT RISK FOR DIABETES AND CARDIOVASCULAR DISEASE -FAMILY PRACTICE-FAMILY THERAPY-GENERAL SURGERY-INTERNAL MEDICINE-LABORATORY SERVICES-NEPHROLOGY -NEUROLOGY -ORTHOPEDICS -PATIENT EDUCATION -PEDIATRICS -OBESITY EDUCATION FOR AT-RISK CHILDREN-PULMONOLOGY -SOCIAL WORKER AT EACH SITE-PHARMACY ASSISTANCE PROGRAM-UROGYNECOLOGYMANY OF THE SERVICES LISTED ABOVE CHARGE PATIENTS A CO-PAY ON A SLIDING SCALE OR WITHOUT CONSIDERATION OF A PATIENT'S ABILITY TO PAY IN ORDER TO ENSURE THAT ALL SERVICES ARE AVAILABLE TO MEET COMMUNITY HEALTH CARE NEEDS. IN ADDITION TO PROVIDING HEALTH CARE SERVICES TO ALL INDIVIDUALS WHO REQUIRE MEDICAL ATTENTION, SMG SPONSORS SEVERAL PROGRAMS TO HELP PROVIDE EDUCATION:SMG PROVIDES CONTINUING MEDICAL EDUCATION FOR ITS MEMBERS IN ORDER TO PROVIDE THE BEST HEALTH CARE TO THE COMMUNITY. PARTICIPATING PHYSICIANS HAVE ACCESS TO SETON-SPONSORED CONTINUING MEDICAL EDUCATION ACTIVITIES, WHICH INCLUDED:ADULT CANCER MANAGEMENT BRAIN &amp; SPINE CLINICAL ROUNDSBREAST PRE-TREATMENT PLANNING CHEST CONFERENCECOMMUNICATION OF ELECTRONIC FETAL MONITORINGGYN CANCER CONFERENCEHEART TRANSPLANT BOARD MEETINGSINTERNAL MEDICINE GRAND ROUNDSINVASIVE CARDIOLOGY MORBIDITY &amp; MORTALITYNEONATAL GRAND ROUNDSOB/GYN GRAND ROUNDSPEDIATRIC CANCER MANAGEMENT CONFERENCEPEDIATRIC CARDIOLOGY/CARDIOVASCULAR SURGERY CONFERENCEPEDIATRIC GRAND ROUNDSPERINATAL OUTREACHSEARCHING FOR EVIDENCE: USING PUBMED &amp; OTHER ONLINE RESOURCESSETON MEDICAL CENTER GRAND ROUNDSSTROKE CASE CONFERENCETRAUMA ROUNDSPEDIATRIC CRITICAL CARE ASSOCIATESPURPOSES AND ACTIVITIES:PEDIATRIC CRITICAL CARE ASSOCIATES (PCCA) IS A TAX-EXEMPT CORPORATION DEDICATED TO PROVIDING QUALITY PATIENT CARE TO THE CRITICALLY ILL CHILDREN OF CENTRAL TEXAS THAT PRESENT TO THE DELL CHILDREN'S MEDICAL CENTER OF CENTRAL TEXAS (DCMCCT), WHICH SERVES A 46-COUNTY AREA IN CENTRAL TEXAS. DCMCCT IS THE ONLY CERTIFIED CHILDREN'S HOSPITAL IN THE REGION AND IS OPERATED BY SETON FAMILY OF HOSPITALS. THE PHYSICIANS EMPLOYED BY PEDIATRIC CRITICAL CARE ASSOCIATES ARE ALL BOARD CERTIFIED PEDIATRIC INTENSIVISTS. PHYSICIANS CONDUCT NATIONAL INSTITUTE OF HEALTH SPONSORED MULTI-CENTER CLINICAL RESEARCH AS WELL AS SERVE AS AN INTEGRAL COMPONENT OF THE PEDIATRIC TRAUMA TEAM. THEY ALSO SERVE AS TEACHING FACULTY FOR PEDIATRIC RESIDENTS, NURSING STUDENTS, RESPIRATORY THERAPISTS, AND PRE-HOSPITAL EMERGENCY PERSONNEL. ACCOMPLISHMENTS INCLUDE:1.HELPED TO ESTABLISH PEDIATRIC PALLIATIVE CARE PROGRAM. CONDUCTS ONGOING RESEARCH STUDIES WITH NEW PROGRAM MEMBERS.2.EXPANDED AND CONTINUES TO PROVIDE MEDICAL DIRECTORSHIP FOR THE PEDIATRIC TRANSPORT TEAM AND IS NOW PERFORMING OVER 1000 PATIENT TRANSPORTS PER YEAR, WHICH BENEFITS LOCAL CHILDREN AND THOSE OUTSIDE THE AUSTIN METRO AREA.3.ESTABLISHED PEDIATRIC INTERMEDIATE CARE UNIT (IMC) AND CONTINUES TO PROVIDE MEDICAL DIRECTORSHIP.4.RECOGNIZED FOR TEACHING EXCELLENCE IN SUPPORT OF PEDIATRIC RESIDENT EDUCATION.PHYSICIANS WITH PCCA PARTICIPATE IN A VARIETY OF COMMUNITY OUTREACH ACTIVITIES.PCCA CONDUCTS BUSINESS UNDER THE FOLLOWING DBAS:-SETON FAMILY OF DOCTORS-SETON FAMILY OF PHYSICIANSSETON/UT SOUTHWESTERN UNIVERSITY PHYSICIANS GROUPPURPOSES AND ACTIVITIES:SETON/UT (UNIVERSITY OF TEXAS) SOUTHWESTERN UNIVERSITY PHYSICIANS GROUP. (SUUPG) WAS ORGANIZED TO PROVIDE GRADUATE AND UNDERGRADUATE TRAINING PROGRAMS IN AUSTIN, UNDER THE LEADERSHIP OF THE PRACTICING MEDICAL COMMUNITY AND FULL-TIME FACULTY FROM THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER. COMBINING REAL WORLD CLINICAL EXPERIENCE WITH QUALITY, PERSONALIZED INSTRUCTION, MEDICAL RESIDENTS ARE GAINING THE SKILLS THEY NEED TO BUILD SUCCESSFUL CAREERS IN MEDICINE. IN TURN, THOSE RESIDENTS ALONG WITH MEDICAL STUDENTS AND FACULTY MEMBERS PROVIDE COVERAGE AT MULTIPLE LOCAL HOSPITALS AND CLINICS THROUGHOUT THE CENTRAL TEXAS REGION. SOME OF THE FACILITIES BENEFITING FROM SUUPG INCLUDE THOSE OPERATED BY HEALTH CARE ORGANIZATIONS; THE HEALTH CARE DISTRICT, VETERANS ADMINISTRATION; AND CITY, COUNTY AND STATE MENTAL HEALTH ORGANIZATIONS. SUUPG CONTINUES TO BUILD AND STRENGTHEN SUSTAINABLE COLLABORATIVE EFFORTS THAT BENEFIT THE HEALTH OF INDIVIDUALS, FAMILIES AND SOCIETY AS A WHOLE. SUUPG IS HOME TO AUSTIN'S GRADUATE MEDICAL EDUCATION PROGRAM. SETON HAS ENTERED INTO A LONG-TERM AFFILIATION WITH THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER TO PROVIDE GRADUATE AND UNDERGRADUATE TRAINING PROGRAMS IN AUSTIN. SUUPG FURTHERS THIS GOAL THROUGH DELIVERY OF DIRECT PATIENT CARE SERVICES, INCLUDING CARE TO THE ELDERLY AND INDIGENT, AS WELL AS PATIENT EDUCATION AND HEALTH AWARENESS PROGRAMS FOR THE COMMUNITY. AVAILABLE SERVICES ARE PROVIDED TO PEOPLE IN THE COMMUNITY WITHOUT REGARD TO THE PATIENT'S RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. THE FOLLOWING IN-PATIENT AND OUT-PATIENT MEDICAL SERVICES ARE PROVIDED TO THE COMMUNITY:-FAMILY MEDICINE-INTERNAL MEDICINE-GASTROENTEROLOGY-ENDOCRINOLOGY-INFECTIOUS DISEASE-NEUROLOGY-DERMATOLOGY-PEDIATRICS-ADULT/CHILD/GERIATRIC PSYCHIATRY-OBSTETRICS/GYNECOLOGY-WOMEN'S HEALTH (UROGYN/GYNONCOLOGY)-SURGERY-RHEUMATOLOGY (INPATIENT)SOME OF THE SERVICES LISTED ABOVE CHARGE PATIENTS ON A SLIDING SCALE OR WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY IN ORDER TO ENSURE THAT ALL SERVICES ARE AVAILABLE TO MEET COMMUNITY HEALTH CARE NEEDS. AS A PHYSICIAN PRACTICE, SUUPG PROVIDES A SUBSTANTIAL PORTION OF ITS SERVICES TO THE ELDERLY AND POOR. SUUPG SEEKS TO IMPROVE THE HEALTH STATUS OF ITS SURROUNDING COMMUNITY BY PROVIDING INPATIENT AND OUTPATIENT MEDICAL AND PSYCHIATRIC SERVICES IN MULTIPLE LOCATIONS THROUGHOUT THE REGION. SERVICES ARE EXTENDED NOT ONLY TO ITS TAX EXEMPT CORPORATE MEMBER, SETON, BUT TO OTHER TAX EXEMPT ENTITIES THROUGHOUT THE COMMUNITY, SOME OF WHICH INCLUDE:-AUSTIN INDEPENDENT SCHOOL DISTRICT -AUSTIN STATE HOSPITAL-AUSTIN/TRAVIS COUNTY MENTAL HEALTH MENTAL RETARDATION (MHMR)-AUSTIN/TRAVIS COUNTY MHMR CHILD &amp; ADOLESCENT CLINIC-BLACKSTOCK FAMILY HEALTH CLINIC-BRACKENRIDGE HOSPITAL-CHILDREN'S HOSPITAL OF AUSTIN (A DEPARTMENT OF BRACKENRIDGE HOSPITAL)-CHILDREN'S SHELTER-THE TRAVIS COUNTY CLINICS-CITY OF AUSTIN FEDERALLY QUALIFIED HEALTH CLINICS-FORENSIC/FEDERAL CORRECTIONAL INSTITUTION BASTROP (OUTPATIENT)-PEOPLES CLINIC-POST TRAUMATIC STRESS DISORDER CLINIC AT VETERANS ADMINISTRATION-ST. DAVID'S MEDICAL CENTER [THE PARTNERSHIP IS NOT AN EXEMPT ORGANIZATION]-SETON MEDICAL CENTER-SETON SHOAL CREEK (PSYCHIATRIC HOSPITAL)-SETON SOUTHWEST HEALTH CENTER-UNIVERSITY OF TEXAS COUNSELING CENTER-VETERAN'S ADMINISTRATION CLINICS-VETERAN'S ADMINISTRATION POST TRAUMATIC STRESS DISORDER CLINICSUUPG TOGETHER WITH THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER (UTSW) PROVIDE AN EXTENSIVE LIST OF CLASSES, SEMINARS AND MATERIALS TO MEDICAL RESIDENTS AND STAFF RELATED TO EACH SPECIALTY. ALL CORE AND ELECTIVE REQUIREMENTS FOR GRADUATE MEDICAL EDUCATION AND UNDERGRADUATE MEDICAL STUDENTS ARE OFFERED AS SPECIFIED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION. (THE COUNCIL IS RESPONSIBLE FOR THE ACCREDITATION OF POST-MD MEDICAL TRAINING PROGRAMS WITHIN THE UNITED STATES.) IN ADDITION, SUUPG TRAINS AND RECRUITS HEALTHCARE PROFESSIONALS WHO ARE LIKELY TO REMAIN IN THE REGION TO MEET UNMET NEEDS FOR PHYSICIAN SERVICES IN BOTH THE URBAN AND RURAL SETTING, AND IN SO DOING, PROVIDES DIRECT PHYSICIAN SERVICES TO THE PUBLIC, INCLUDING A SIGNIFICANT NUMBER OF THE PERSONS WHO ARE ELDERLY OR POOR. DEVELOPMENT OF NEW PHYSICIANS IS AN INTEGRAL PART OF IMPROVING COMMUNITY HEALTH STATUS IN THE FUTURE.</Explanation>
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        <Explanation>PEDIATRIC SURGICAL SUBSPECIALISTS PURPOSES AND ACTIVITIES:PEDIATRIC SURGICAL SUBSPECIALISTS (PSS) D/B/A PEDIATRIC SPECIALTY SERVICES, IS ORGANIZED AS A TEXAS NON-PROFIT HEALTH ORGANIZATION PURSUANT TO TEXAS LAWS AND THE TEXAS MEDICAL BOARD'S RULES AND REGULATIONS GOVERNING NON-PROFIT HEALTH CORPORATIONS. PSS ACTIVITIES INCLUDE PROVIDING PEDIATRIC SUBSPECIALTY MEDICAL CARE TO CHILDREN OF THE CENTRAL TEXAS REGION; SUPPORTING MEDICAL EDUCATION AND DEVELOPING THE CAPABILITIES OF INDIVIDUALS AND INSTITUTIONS IN THE TEACHING AND PRACTICING OF MEDICINE, ESPECIALLY THE FIELD OF PEDIATRIC MEDICINE; ENGAGING IN THE INSTRUCTION OF THE GENERAL PUBLIC IN THE AREA OF PEDIATRIC MEDICAL CARE, PUBLIC HEALTH, HYGIENE AND RELATED INSTRUCTION USEFUL TO THE INDIVIDUAL AND BENEFICIAL TO THE COMMUNITY; DEVELOPING A SINGLE UNIFIED INTEGRATED DELIVERY SYSTEM TO PROVIDE HIGH-QUALITY, COST EFFECTIVE, TERTIARY HEALTH CARE SERVICES TO INFANTS, CHILDREN AND ADOLESCENTS WITHIN THE PSS SERVICE AREA; PROVIDING AND ARRANGING FOR THE MEDICAL CARE OF ALL SOCIOECONOMIC SEGMENTS OF THE COMMUNITY SERVED AND TO NEGOTIATE MANAGED CARE CONTRACTS WITH THIRD-PARTY PAYERS; AND PERFORMING CLINICAL AND TRANSLATIONAL RESEARCH.AUSTIN CHILDREN'S CHEST ASSOCIATES IIPURPOSES AND ACTIVITIES:AUSTIN CHILDREN'S CHEST ASSOCIATES II (ACCA) IS ORGANIZED AS A TEXAS NON-PROFIT HEALTH ORGANIZATION PURSUANT TO TEXAS LAWS AND THE TEXAS MEDICAL BOARD'S RULES AND REGULATIONS GOVERNING NON-PROFIT HEALTH CORPORATIONS. ACCA'S ACTIVITIES INCLUDE PROVIDING PEDIATRIC PULMONARY AND SLEEP MEDICAL CARE SERVICES TO CHILDREN OF THE CENTRAL TEXAS REGION; SUPPORTING MEDICAL EDUCATION AND DEVELOPING OF THE CAPABILITIES OF INDIVIDUALS AND INSTITUTIONS IN THE TEACHING AND PRACTICING OF MEDICINE, ESPECIALLY THE FIELD OF PEDIATRIC MEDICINE; ENGAGING IN THE INSTRUCTION OF THE GENERAL PUBLIC IN THE AREA OF PEDIATRIC MEDICAL CARE, PUBLIC HEALTH, HYGIENE AND RELATED INSTRUCTION USEFUL TO THE INDIVIDUAL AND BENEFICIAL TO THE COMMUNITY; DEVELOPING A SINGLE UNIFIED INTEGRATED DELIVERY SYSTEM TO PROVIDE HIGH QUALITY, COST EFFECTIVE, TERTIARY HEALTH CARE SERVICES TO INFANTS, CHILDREN AND ADOLESCENTS WITHIN ACCA'S SERVICE AREA; PROVIDING AND ARRANGING FOR THE MEDICAL CARE OF ALL SOCIOECONOMIC SEGMENTS OF THE COMMUNITY SERVED AND TO NEGOTIATE MANAGED CARE CONTRACTS WITH THIRD PARTY PAYORS; AND PERFORMING CLINICAL AND TRANSLATIONAL RESEARCH.SETON INSTITUTE OF RECONSTRUCTIVE PLASTIC SURGERYTHE INSTITUTE OF RECONSTRUCTIVE PLASTIC SURGERY OF CENTRAL TEXAS, DBA SETON INSTITUTE OF RECONSTRUCTIVE PLASTIC SURGERY (SIRPS), IS A SUB-SPECIALTY 501(C)(3) CHARITABLE ORGANIZATION PROVIDING PATIENT CARE, OFFERING EDUCATIONAL PROGRAMS, AND ORGANIZING AND DIRECTING CLINICAL AND BASIC SCIENCE RESEARCH PROGRAMS. SIRPS SERVES THE PATIENT POPULATIONS OF UNIVERSITY MEDICAL CENTER BRACKENRIDGE, SETON MEDICAL CENTER WILLIAMSON AND OTHER REGIONAL HOSPITALS. UMC BRACKENRIDGE AND SETON MEDICAL CENTER WILLIAMSON ARE OPERATED BY A RELATED TAX-EXEMPT ORGANIZATION, SETON FAMILY OF HOSPITALS. SIRPS FACULTY REPRESENTS A VARIETY OF SUBSPECIALTIES, INCLUDING WOUND CARE, HAND, BREAST, CRANIOFACIAL AND RECONSTRUCTIVE PLASTIC SURGERY. GROUP INVOLVEMENTS-FACULTY PROVIDED CARE IN MORE THAN 7,200 VISITS IN FY12. APPROXIMATELY 33 PERCENT OF PATIENTS WERE COVERED BY GOVERNMENT INSURANCE PROGRAMS, INCLUDING MEDICARE, MEDICAID AND MANAGED MEDICAID, OR WERE SELF-PAY OR CHARITY.-FACULTY MEMBERS HOLD LEADERSHIP POSITIONS IN A VARIETY OF LOCAL, REGIONAL AND NATIONAL PROFESSIONAL ORGANIZATIONS.-SIRPS PHYSICIANS WERE ACTIVELY INVOLVED IN RESIDENT, MEDICAL STUDENT AND ALLIED HEALTH EDUCATION.-SIRPS PHYSICIANS WERE/ARE AN INTEGRAL PART OF UMC BRACKENRIDGE ACQUIRING AND MAINTAINING LEVEL I TRAUMA CENTER STATUS.-SIRPS PHYSICIANS WERE/ARE AN INTEGRAL PART OF SETON MEDICAL CENTER WILLIAMSON ACQUIRING AND MAINTAINING LEVEL II TRAUMA CENTER STATUS.GROUP ACCOMPLISHMENTS-PROVIDED LEADERSHIP AND DIRECTION FOR DEVELOPMENT OF THE FOLLOWING MULTI-DISCIPLINARY PROGRAMS AT UMC BRACKENRIDGE: HAND CENTER, BREAST CENTER, CRANIOFACIAL CENTER, WOUND CARE AND PLASTIC SURGERY. -CREATED AN OUTPATIENT HAND THERAPY CENTER TO PROVIDE CONTINUITY OF CARE TO OUR PATIENTS.- INSTITUTED OUTPATIENT IMAGING SERVICES FOR QUICK, SAME-DAY IMAGING WITH OUTPATIENT PRICING-DEVELOPED A CLINIC AT THE TRAVIS COUNTY JAIL TO REDUCE TRANSPORT COSTS, DECREASE ER VISITS AND IMPROVE SAFETY.-SIRPS FACULTY SEES ALL PATIENTS, REGARDLESS OF ABILITY TO PAY.COMMUNITY OUTREACH ACTIVITIESPHYSICIANS WITH SIRPS PARTICIPATE IN A VARIETY OF COMMUNITY OUTREACH ACTIVITIES INCLUDING: GIVE LECTURES TO COMMUNITY PHYSICIANS AND ALLIED HEALTH PERSONNEL TO CONTINUE EDUCATION AND IMPROVE QUALITY OF CARE PARTICIPATE IN COMMUNITY HEALTH FAIRS, EDUCATING THE GENERAL POPULATION, E.G., SUCH AS THE MOCK SURGERY FAIR MENTOR UNDERGRADUATE STUDENTS AND WORK WITH STUDENT OBSERVERS INTERESTED IN PURSUING CAREERS IN HEALTHCARE. PROVIDING LEADERSHIP AND DIRECTION FOR THE SPECIALTY OF PLASTIC SURGERY AS IT DEVELOPS IN AUSTIN AND THE SURROUNDING COUNTIES UPDATING THE PUBLIC VIA NUMEROUS MEDIA OUTLETS (RADIO, TELEVISION, INTERNET) ON PLASTIC SURGERY RELATED HEALTH CONCERNS, SUCH AS SKIN CANCER AND BREAST CANCER AWARENESS, HAND INJURIES AND COSMETIC TREATMENTS OF THE BREAST, BODY AND FACE.TRI-COUNTY PRACTICE ASSOCIATIONPURPOSES AND ACTIVITIES:TRI-COUNTY PRACTICE ASSOCIATION (TCPA) DBA SETON BRAIN &amp; SPINE INSTITUTE (SBSI), IS A NON-PROFIT CORPORATION THAT HAS ASSEMBLED AN EXPERT, MULTIDISCIPLINARY TEAM OF PHYSICIANS AND OTHER MEDICAL PROFESSIONALS TO COVER THE ENTIRE SPECTRUM OF BRAIN AND SPINE CARE. SBSI RESEARCH AND CLINICAL TRIALS ARE AT THE FOREFRONT OF A PROGRAM DEDICATED TO IMPROVING NEUROSCIENCES CARE FOR ALL CENTRAL TEXANS. SBSI EMPLOYS MORE THAN 30 BOARD-CERTIFIED PHYSICIANS SPECIALIZING IN NEUROSURGERY, ORTHOPEDIC SURGERY, NEUROLOGY AND PHYSICAL MEDICINE AND REHABILITATION. SBSI IS OPERATED BY A RELATED TAX-EXEMPT ORGANIZATION, SETON FAMILY OF HOSPITALS.INPATIENT AND OUTPATIENT TREATMENT IS PROVIDED TO THE COMMUNITY FOR THE FOLLOWING:-BRAIN AND SPINE TUMORS-EPILEPSY-SCOLIOSIS DEGENERATIVE DISC DISEASE-PAINFUL SPINE CONDITIONS-STROKE-SPINAL CORD INJURY-MEMORY DISORDERS-MOVEMENT DISORDERS-TRAUMATIC BRAIN INJURY-CONCUSSIONSMEDICAL SERVICES INCLUDE:-NEUROLOGY-NEUROSURGERY-ORTHOPEDIC SPINE-PHYSICAL MEDICINE AND REHABILITATIONSOME OF THE SERVICES LISTED ABOVE OPERATE AT A LOSS IN ORDER TO ENSURE THAT ALL SERVICES ARE AVAILABLE TO MEET COMMUNITY HEALTH CARE NEEDS.SBSI FURTHERS ITS CHARITABLE PURPOSES BY PROVIDING A BROAD ARRAY OF SERVICES TO THE COMMUNITY. ITS INVESTMENT IN RESEARCH ALSO PROVIDES ACCESS TO STATE-OF-THE-ART TECHNOLOGY, MEDICATIONS AND TREATMENT PROTOCOLS. THIS ALLOWS OUR HEALTHCARE PRACTITIONERS TO EXPERIENCE AND SHARE NEW AND UPCOMING TREATMENT OPTIONS ON THE LEADING EDGE OF SCIENCE. THIS RELATIONSHIP BETWEEN RESEARCH AND PRACTICE, COMBINED WITH OUR COLLABORATIVE AND INTERDISCIPLINARY CARE MODEL, LEADS TO MORE ADVANCES AND EXCEPTIONAL OUTCOMES FOR OUR PATIENTS.SETON FAMILY OF PEDIATRICIANSPURPOSES AND ACTIVITIES:SETON FAMILY OF PEDIATRICIANS (SFP) IS ORGANIZED AS A TEXAS NON-PROFIT HEALTH ORGANIZATION PURSUANT TO TEXAS LAWS AND THE TEXAS MEDICAL BOARD'S RULES AND REGULATIONS GOVERNING NON-PROFIT HEALTH CORPORATIONS. SFP ACTIVITIES INCLUDE COLLABORATING WITH THE LONE STAR CIRCLE OF CARE PHYSICIANS TO PROVIDE PRN (ON-CALL/AS NEEDED) PHYSICIAN SUPPORT TO SETON FACILITIES, THUS IMPROVING THE ACCESSIBILITY OF TIMELY PEDIATRIC CARE TO THE RESIDENTS OF THE CENTRAL TEXAS REGION; SUPPORTING MEDICAL EDUCATION AND DEVELOPING OF THE CAPABILITIES OF INDIVIDUALS AND INSTITUTIONS IN THE TEACHING AND PRACTICING OF MEDICINE, ESPECIALLY THE FIELD OF PEDIATRIC MEDICINE; ENGAGING IN THE INSTRUCTION OF THE GENERAL PUBLIC IN THE AREA OF PEDIATRIC MEDICAL CARE, PUBLIC HEALTH, HYGIENE AND RELATED INSTRUCTION USEFUL TO THE INDIVIDUAL AND BENEFICIAL TO THE COMMUNITY; DEVELOPING A SINGLE UNIFIED INTEGRATED DELIVERY SYSTEM TO PROVIDE HIGH-QUALITY, COST EFFECTIVE, TERTIARY HEALTH CARE SERVICES TO INFANTS, CHILDREN AND ADOLESCENTS WITHIN THE SFP SERVICE AREA; PROVIDING AND ARRANGING FOR THE MEDICAL CARE OF ALL SOCIOECONOMIC SEGMENTS OF THE COMMUNITY SERVED AND TO NEGOTIATE MANAGED CARE CONTRACTS WITH THIRD-PARTY PAYERS; AND PERFORMING CLINICAL AND TRANSLATIONAL RESEARCH.TO DATE, SFP HAS CONDUCTED A MINIMAL AMOUNT OF ACTIVITY.</Explanation>
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        <Explanation>SETON FAMILY OF PEDIATRIC SURGEONSPURPOSES AND ACTIVITIES:SETON FAMILY OF PEDIATRIC SURGEONS (SFPS) IS ORGANIZED AS A TEXAS NON-PROFIT HEALTH ORGANIZATION PURSUANT TO TEXAS LAWS AND THE TEXAS MEDICAL BOARD'S RULES AND REGULATIONS GOVERNING NON-PROFIT HEALTH CORPORATIONS. SFPS ACTIVITIES INCLUDE PROVIDING PEDIATRIC GENERAL AND TRAUMA SURGERY; SUPPORTING MEDICAL EDUCATION AND DEVELOPING THE CAPABILITIES OF INDIVIDUALS AND INSTITUTIONS IN TEACHING AND PRACTICING MEDICINE, ESPECIALLY THE FIELD OF PEDIATRIC MEDICINE; ENGAGING IN THE INSTRUCTION OF THE GENERAL PUBLIC IN THE AREA OF PEDIATRIC MEDICAL CARE, PUBLIC HEALTH, HYGIENE AND RELATED INSTRUCTION USEFUL TO THE INDIVIDUAL AND BENEFICIAL TO THE COMMUNITY; DEVELOPING A SINGLE UNIFIED INTEGRATED DELIVERY SYSTEM TO PROVIDE HIGH-QUALITY, COST EFFECTIVE, TERTIARY HEALTH CARE SERVICES TO INFANTS, CHILDREN AND ADOLESCENTS WITHIN THE SFPS SERVICE AREA; PROVIDING AND ARRANGING FOR THE MEDICAL CARE OF ALL SOCIOECONOMIC SEGMENTS OF THE COMMUNITY SERVED AND TO NEGOTIATE MANAGED CARE CONTRACTS WITH THIRD-PARTY PAYERS; AND PERFORMING CLINICAL AND TRANSLATIONAL RESEARCH.TRI-COUNTY CLINICALPURPOSES AND ACTIVITIES:TRI-COUNTY CLINICAL (TCC), DBA SETON FAMILY OF DOCTORS, SETON HEART INSTITUTE AND RIVERBEND MEDICAL GROUP IS A TAX-EXEMPT 501(C)(3) NON-PROFIT CORPORATION DEDICATED TO PROVIDING QUALITY PRIMARY AND SPECIALIST CARE TO PATIENTS, EXTENDING THE CONTINUUM OF CARE FROM THE SETON FAMILY OF HOSPITALS TO OUTPATIENT CLINICS. AS THE LEADING PROVIDER OF COMPREHENSIVE HEALTH CARE SERVICES IN CENTRAL TEXAS FOR MORE THAN A CENTURY, SETON CONTINUES TO DRIVE THE LEVEL OF CARE AVAILABLE IN OUR COMMUNITY. TCC IS A PREMIER GROUP OF PRACTICES WITH MORE THAN 45 DOCTORS AND RESEARCHERS OFFERING SERVICES IN SPECIALTIES FROM PRIMARY CARE TO CARDIOLOGY. TCC ALSO HAS WORKED TO IMPROVE ACCESS TO HEALTHCARE IN THE REGION THROUGH ITS FACILITIES IN UNDERSERVED AND RURAL COMMUNITIES IN CENTRAL TEXAS. TCC FORMALLY BEGAN OPERATIONS DURING THE FISCAL YEAR ENDED JUNE 30, 2011. SETON ENTPURPOSES AND ACTIVITIES:SETON ENT (SENT) IS ORGANIZED AS A TEXAS NON-PROFIT HEALTH ORGANIZATION PURSUANT TO TEXAS LAWS AND THE TEXAS MEDICAL BOARD'S RULES AND REGULATIONS GOVERNING NON-PROFIT HEALTH CORPORATIONS. SENT ACTIVITIES INCLUDE A FOCUS ON PROVIDING SPECIALIZED CARE FOR BABIES, CHILDREN AND ADOLESCENTS WITH EAR, NOSE AND THROAT CONDITIONS; SUPPORTING MEDICAL EDUCATION AND DEVELOPING OF THE CAPABILITIES OF INDIVIDUALS AND INSTITUTIONS IN THE TEACHING AND PRACTICING OF MEDICINE, ESPECIALLY THE FIELD OF PEDIATRIC MEDICINE; ENGAGING IN THE INSTRUCTION OF THE GENERAL PUBLIC IN THE AREA OF PEDIATRIC MEDICAL CARE, PUBLIC HEALTH, HYGIENE AND RELATED INSTRUCTION USEFUL TO THE INDIVIDUAL AND BENEFICIAL TO THE COMMUNITY; DEVELOPING A SINGLE UNIFIED INTEGRATED DELIVERY SYSTEM TO PROVIDE HIGH-QUALITY, COST EFFECTIVE, TERTIARY HEALTH CARE SERVICES TO INFANTS, CHILDREN AND ADOLESCENTS WITHIN THE SENT SERVICE AREA; PROVIDING AND ARRANGING FOR THE MEDICAL CARE OF ALL SOCIOECONOMIC SEGMENTS OF THE COMMUNITY SERVED AND TO NEGOTIATE MANAGED CARE CONTRACTS WITH THIRD-PARTY PAYERS; AND PERFORMING CLINICAL AND TRANSLATIONAL RESEARCH.CHILDREN'S BONE JOINT AND SPINE CENTERPURPOSES AND ACTIVITIES:CHILDREN'S BONE JOINT AND SPINE CENTER (CBJSC) IS ORGANIZED AS A TEXAS NON-PROFIT HEALTH ORGANIZATION PURSUANT TO TEXAS LAWS AND THE TEXAS MEDICAL BOARD'S RULES AND REGULATIONS GOVERNING NON-PROFIT HEALTH CORPORATIONS. CBJSC ACTIVITIES INCLUDE PROVIDING PEDIATRIC ORTHOPEDIC CARE TO CHILDREN OF THE CENTRAL TEXAS REGION; SUPPORTING MEDICAL EDUCATION AND DEVELOPING OF THE CAPABILITIES OF INDIVIDUALS AND INSTITUTIONS IN THE TEACHING AND PRACTICING OF MEDICINE, ESPECIALLY THE FIELD OF PEDIATRIC MEDICINE; ENGAGING IN THE INSTRUCTION OF THE GENERAL PUBLIC IN THE AREA OF PEDIATRIC MEDICAL CARE, PUBLIC HEALTH, HYGIENE AND RELATED INSTRUCTION USEFUL TO THE INDIVIDUAL AND BENEFICIAL TO THE COMMUNITY; DEVELOPING A SINGLE UNIFIED INTEGRATED DELIVERY SYSTEM TO PROVIDE HIGH QUALITY, COST EFFECTIVE, TERTIARY HEALTH CARE SERVICES TO INFANTS, CHILDREN AND ADOLESCENTS WITHIN CBJSC'S SERVICE AREA; PROVIDING AND ARRANGING FOR THE MEDICAL CARE OF ALL SOCIOECONOMIC SEGMENTS OF THE COMMUNITY SERVED AND TO NEGOTIATE MANAGED CARE CONTRACTS WITH THIRD PARTY PAYERS; AND PERFORMING CLINICAL AND TRANSLATIONAL RESEARCH.IT IS ANTICIPATED THAT CBJSC WILL BEGIN CONDUCTING ACTIVITIES DURING THE LATER PART OF FISCAL 2013. ADULT INPATIENT MEDICAL SERVICESPURPOSES AND ACTIVITIES:ADULT INPATIENT MEDICAL SERVICES (AIMS) IS ORGANIZED AS A TEXAS NON-PROFIT HEALTH ORGANIZATION PURSUANT TO TEXAS LAWS AND THE TEXAS MEDICAL BOARD'S RULES AND REGULATIONS GOVERNING NON-PROFIT HEALTH CORPORATIONS. AIMS ACTIVITIES INCLUDE PARTNERING WITH AUSTIN REGIONAL CLINIC TO ASSIST IN PROVIDING HOSPITALIST SERVICES TO THE SETON FAMILY OF HOSPITALS. AIMS AND SETON ARE DEDICATED TO DEVELOPING A SINGLE UNIFIED INTEGRATED DELIVERY SYSTEM FOR THE PURPOSE OF PROVIDING HIGH-QUALITY, COST-EFFECTIVE TERTIARY HEALTH CARE SERVICES TO ADULTS WITHIN THE AIMS SERVICE AREA. ADDITIONALLY, AIMS ASSISTS IN PROVIDING AND ARRANGING FOR THE MEDICAL CARE OF ALL SOCIOECONOMIC SEGMENTS OF THE COMMUNITY. AIMS WILL NEGOTIATE MANAGED CARE CONTRACTS WITH THIRD-PARTY PAYERS. THE PROGRAM WILL PURSUE CLINICAL AND TRANSLATIONAL RESEARCH AS IT MATURES.AIMS BEGAN OPERATING JAN. 1, 2012 UNDER THE DBA SETON ADULT INPATIENT MEDICAL SERVICES.PRIMARIA HEALTHPURPOSES AND ACTIVITIES:PRIMARIA HEALTH (PH) IS ORGANIZED AS A TEXAS NON-PROFIT HEALTH ORGANIZATION PURSUANT TO TEXAS LAWS AND THE TEXAS MEDICAL BOARD'S RULES AND REGULATIONS GOVERNING NON-PROFIT HEALTH CORPORATIONS. PH ACTIVITIES INCLUDE COLLABORATING WITH AUSTIN REGIONAL CLINICS TO ESTABLISH PRIMARY CARE CLINICS THROUGHOUT THE CENTRAL TEXAS REGION, THUS INCREASING ACCESS TO MEDICAL CARE FOR THE RESIDENTS OF CENTRAL TEXAS; SUPPORTING MEDICAL EDUCATION AND DEVELOPING OF THE CAPABILITIES OF INDIVIDUALS AND INSTITUTIONS IN THE TEACHING AND PRACTICING OF MEDICINE, ESPECIALLY THE FIELD OF PEDIATRIC MEDICINE; ENGAGING IN THE INSTRUCTION OF THE GENERAL PUBLIC IN THE AREA OF PEDIATRIC MEDICAL CARE, PUBLIC HEALTH, HYGIENE AND RELATED INSTRUCTION USEFUL TO THE INDIVIDUAL AND BENEFICIAL TO THE COMMUNITY; DEVELOPING A SINGLE UNIFIED INTEGRATED DELIVERY SYSTEM TO PROVIDE HIGH QUALITY, COST EFFECTIVE, TERTIARY HEALTH CARE SERVICES TO ADULTS WITHIN THE PH SERVICE AREA; PROVIDING AND ARRANGING FOR THE MEDICAL CARE OF ALL SOCIOECONOMIC SEGMENTS OF THE COMMUNITY SERVED AND TO NEGOTIATE MANAGED CARE CONTRACTS WITH THIRD-PARTY PAYERS; AND PERFORMING CLINICAL AND TRANSLATIONAL RESEARCH.'SPECIALLY FOR CHILDREN CHILDREN'S HOSPITAL SUBSPECIALISTS OF CENTRAL TEXASPURPOSES AND ACTIVITIES'SPECIALLY FOR CHILDREN CHILDREN'S HOSPITAL SUBSPECIALISTS OF CENTRAL TEXAS (SFC) IS A NON-PROFIT PEDIATRIC SUB-SPECIALTY PHYSICIAN ORGANIZATION THAT PROVIDES SPECIALIZED CARE FOR HOSPITALIZED PATIENTS AND OUTPATIENTS OF THE DELL CHILDREN'S MEDICAL CENTER OF CENTRAL TEXAS (DCMCCT), WHICH SERVES A 46-COUNTY AREA IN CENTRAL TEXAS. DCMCCT IS THE ONLY DEDICATED PEDIATRIC FACILITY IN THE REGION AND IS OPERATED BY A RELATED TAX-EXEMPT ORGANIZATION, SETON FAMILY OF HOSPITALS. THE MISSION OF SFC IS TO PROVIDE COMPREHENSIVE PEDIATRIC SUBSPECIALTY HEALTHCARE SERVICES THAT MEET THE NEEDS OF ALL CHILDREN WITHIN THE COMMUNITIES SERVED.SFC IS WIDELY RECOGNIZED IN CENTRAL TEXAS AS A LEADER IN THE EVALUATION AND TREATMENT OF CHILDREN AND ADOLESCENTS WITH SPECIAL NEEDS AND COMPLEX MEDICAL CONDITIONS. IT IS THE ONLY GROUP OF ITS KIND IN THE REGION, PLAYING AN INTEGRAL ROLE IN THE DEVELOPMENT OF A COMPREHENSIVE, PEDIATRIC MULTI-DISCIPLINARY TEAM APPROACH TO CARING FOR CHILDREN. FURTHER, EACH OF THE GROUP'S PEDIATRIC SPECIALISTS HAS ADVANCED TRAINING IN A MEDICAL SUBSPECIALTY AND HAS SPECIFICALLY CHOSEN TO WORK WITH CHILDREN. THE PHYSICIAN SPECIALISTS EMPLOYED BY SFC ARE EXPERTS IN MANY DIFFERENT AREAS OF PEDIATRIC MEDICINE AND PROVIDE COMPREHENSIVE, HIGH QUALITY CLINICAL CARE FOR CHILDREN AND ADOLESCENTS FROM BIRTH THROUGH EIGHTEEN YEARS OF AGE. THE GROUP, ORIGINALLY FORMED IN 1996 WITH SIX PEDIATRIC SUBSPECIALISTS, HAS EXPANDED TO BETTER SERVE THE NEEDS OF CENTRAL TEXAS AND TODAY, CONSISTS OF MORE THAN 37 PEDIATRIC SUBSPECIALISTS IN THE AREA INCLUDING: -PEDIATRIC ALLERGY, ASTHMA &amp; IMMUNOLOGY-PEDIATRIC DERMATOLOGY-PEDIATRIC ENDOCRINOLOGY AND DIABETES CARE-PEDIATRIC GASTROENTEROLOGY AND NUTRITION-PEDIATRIC HEMATOLOGY AND ONCOLOGY -PEDIATRIC INFECTIOUS DISEASES/ADOPTION AND TRAVEL CLINIC -PEDIATRIC NEPHROLOGY AND DIALYSIS SERVICES-PALLIATIVE CARE -PEDIATRIC RHEUMATOLOGY -CLINICAL GENETICS-COMPREHENSIVE COMPLEX CARE CLINIC A MEDICAL HOME FOR CHILDREN WITH COMPLEX CHRONIC MEDICAL CONDITIONS</Explanation>
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        <Explanation>SFC PARTICIPATES IN A VARIETY OF COMMUNITY OUTREACH ACTIVITIES INCLUDING:-PROJECT ACCESS TRAVIS COUNTY MEDICAL SOCIETY PROGRAM TO PROVIDE FREE CARE TO UNINSURED IN THE COMMUNITY IN COLLABORATION WITH HOSPITAL AND PRIMARY CARE SERVICE PROVIDERS:-CAMP BLUEBONNET: PEDIATRIC HEMATOLOGY/ONCOLOGY - PROGRAM PARTICIPATES IN THIS CAMP FOR CANCER AND BLOOD DISORDER PATIENTS AND THEIR FAMILIES-HEARTGIFT PROGRAM PHYSICIANS PROVIDE MEDICAL SERVICES FOR PEDIATRIC CARDIAC PATIENTS FROM FOREIGN COUNTRIES WHO TRAVEL TO AUSTIN FOR CARE-DEDICATED SOCIAL WORKERS COUNSELS PATIENTS WHO NEED ASSISTANCE IN CONNECTING WITH OTHER COMMUNITY RESOURCES, INCLUDING ANY BABY CAN, TEXAS NEURO REHAB, LIFEWORKS, CAPITAL AREA ARC AND HALO. ASSISTANCE ALSO IS PROVIDED TO ASSIST PATIENTS WHO QUALIFY FOR MEDICAID, THE AUSTIN/TRAVIS COUNTY MEDICAL ASSISTANCE PROGRAM AND THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP).-CAMP OKAWEHNA NEPHROLOGY PARTICIPATES IN THIS CAMP FOR KIDS ON DIALYSIS OR KIDS THAT HAVE HAD KIDNEY TRANSPLANTS.-CAMP BLUEBONNET: ENDOCRINOLOGY PROGRAM PARTICIPATES IN THIS CAMP FOR KIDS WITH DIABETES. THE PHYSICIANS OF SFC PROVIDE STATE-OF-THE-ART DIAGNOSIS, TREATMENT AND CLINICAL MANAGEMENT OF CHILDREN AND ADOLESCENTS TO MEET THE HEALTHCARE NEEDS OF PATIENTS AND ORGANIZATIONS IN THE COMMUNITY. THE AVAILABILITY OF THESE ESSENTIAL MEDICAL SERVICES HELPS TO IMPROVE THE OVERALL HEALTH STATUS OF THE REGION AND OFFERS YOUNG PATIENTS PERSONALIZED CARE IN A CHILD FRIENDLY ENVIRONMENT.HEALTHCARE COLLABORATIVEPURPOSES AND ACTIVITIES:HEALTHCARE COLLABORATIVE (HC) IS ORGANIZED AS A TEXAS NON-PROFIT HEALTH ORGANIZATION PURSUANT TO TEXAS LAWS AND THE TEXAS MEDICAL BOARD'S RULES AND REGULATIONS GOVERNING NON-PROFIT HEALTH CORPORATIONS. HC ACTIVITIES INCLUDE PROVIDING SPECIALIZED MEDICAL SERVICES TO INDIVIDUALS OF THE CENTRAL TEXAS REGION; COLLABORATING WITH OTHER SERVICE PROVIDERS IN THE CENTRAL TEXAS REGION TO STREAMLINE THE DELIVERY OF HEALTHCARE SERVICES TO PATIENTS IN THE REGION; SUPPORTING MEDICAL EDUCATION AND DEVELOPING OF THE CAPABILITIES OF INDIVIDUALS AND INSTITUTIONS IN THE TEACHING AND PRACTICING OF MEDICINE, ESPECIALLY THE FIELD OF PEDIATRIC MEDICINE; ENGAGING IN THE INSTRUCTION OF THE GENERAL PUBLIC IN THE AREA OF PEDIATRIC MEDICAL CARE, PUBLIC HEALTH, HYGIENE AND RELATED INSTRUCTION USEFUL TO THE INDIVIDUAL AND BENEFICIAL TO THE COMMUNITY; DEVELOPING A SINGLE UNIFIED INTEGRATED DELIVERY SYSTEM TO PROVIDE HIGH-QUALITY, COST EFFECTIVE, TERTIARY HEALTH CARE SERVICES TO PATIENTS WITHIN THE HC SERVICE AREA; PROVIDING AND ARRANGING FOR THE MEDICAL CARE OF ALL SOCIOECONOMIC SEGMENTS OF THE COMMUNITY SERVED AND TO NEGOTIATE MANAGED CARE CONTRACTS WITH THIRD-PARTY PAYERS; AND PERFORMING CLINICAL AND TRANSLATIONAL RESEARCH.SETON FUND OF THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, INC.: THE SETON FUND OF THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL RAISES PHILANTHROPIC FUNDS TO SUPPORT THE SETON HEALTHCARE FAMILY, INCLUDING SETON MEDICAL CENTER AUSTIN, UNIVERSITY MEDICAL CENTER BRACKENRIDGE, SETON HIGHLAND LAKE HOSPITAL, SETON SOUTHWEST HOSPITAL, SETON SHOAL CREEK HOSPITAL AND THE SETON KOZMETSKY, SETON MCCARTHY AND SETON TOPFER COMMUNITY HEALTH CENTERS. THROUGH ITS FUNDRAISING INITIATIVES, THE SETON FUND CONTRIBUTES TO SETON'S COMMITMENT TO HEALTHCARE EXCELLENCE AND THE DAUGHTERS OF CHARITY MINISTRY IN CENTRAL TEXAS TO SERVE THE POOR AND VULNERABLE. THROUGH ITS PARTNERSHIPS WITH GENEROUS DONORS, COMMUNITY VOLUNTEERS AND SUPPORT GROUPS, THE SETON FUND HELPS BUILD AND STRENGTHEN SUSTAINABLE COLLABORATIVE EFFORTS THAT BENEFIT THE HEALTH AND WELL-BEING OF OUR COMMUNITY. THE SETON FUND BOARD OF TRUSTEES INCLUDES COMMUNITY, CORPORATE AND CIVIC LEADERS, DAUGHTERS OF CHARITY AND PHYSICIANS. SOURCES OF PHILANTHROPIC SUPPORT INCLUDE DONATIONS FROM INDIVIDUALS, FOUNDATIONS, CORPORATIONS AND CIVIC ORGANIZATIONS; SPECIAL EVENTS AND VOLUNTEER SUPPORT GROUPS, INCLUDING THE SETON DEVELOPMENT BOARD AND ITS ASSOCIATE GROUPS ACROSS CENTRAL TEXAS, ELIZABETH ANN SETON BOARD, UNIVERSITY MEDICAL CENTER BRACKENRIDGE DEVELOPMENT COUNCIL, SETON FORUM AND LEAGUE HOUSE BOARD. SPECIAL EVENTS HELP RAISE FUNDS AND ALSO AWARENESS OF SETON'S MISSION TO SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITY, INCLUDING THE POOR AND VULNERABLE. IN FISCAL YEAR 2012, THE SETON FUND RAISED MORE THAN $9.9 MILLION FROM GENEROUS DONORS TO SUPPORT SETON'S PROGRAMS, EQUIPMENT AND BUILDING NEEDS AND ENDOWMENT. CONTRIBUTIONS SUPPORTED A VARIETY OF NEEDS, INCLUDING:-RESEARCH EFFORTS AT UNIVERSITY MEDICAL CENTER BRACKENRIDGE -MEDICAL EQUIPMENT, RENOVATION AND EXPANSION AT SETON MEDICAL CENTER AUSTIN -OPERATING SUPPORT FOR THE SETON CARE-A-VAN SERVING THE HEALTH CARE NEEDS OF LOW-INCOME, RURAL SCHOOL CHILDREN IN THE HIGHLAND LAKES VIA A MOBILE VAN -BREAST CANCER INITIATIVES, INCLUDING EMERGENCY ASSISTANCE FOR LOW-INCOME WOMEN -SETON NURSE SCHOLARSHIP ENDOWMENT SUPPORTING ASSOCIATES CURRENTLY IN, OR ENTERING, THE NURSING PROFESSION -PROGRAMS, OPERATING SUPPORT AND ENDOWMENT FOR THE SETON KOZMETSKY, SETON MCCARTHY AND SETON TOPER COMMUNITY HEALTH CENTERS SERVING LOW-INCOME FAMILIES SUMMARY:THROUGH ITS FUNDRAISING EFFORTS, THE SETON FUND SUPPORTS THE SETON HEALTHCARE FAMILY AND HELPS FURTHER ITS CHARITABLE PURPOSES OF PROVIDING A BROAD ARRAY OF SERVICES TO MEET THE HEALTHCARE NEEDS OF OUR COMMUNITY. THROUGH THE ONGOING SUPPORT OF THE SETON FUND, SETON IS ABLE TO PROVIDE ESSENTIAL SERVICES TO THE COMMUNITY, PROVIDE CHARITY CARE TO THOSE WHO ARE NOT ABLE TO PAY, PROVIDE SERVICES TO OTHER ORGANIZATIONS THAT ALLOW THEM TO PROVIDE QUALITY SERVICES TO THEIR CONSTITUENTS, AND COMMUNITY ACTIVITIES TO IMPROVE OVERALL HEALTH STATUS.CHILDREN'S MEDICAL CENTER FOUNDATION OF CENTRAL TEXAS CHILDREN'S MEDICAL CENTER FOUNDATION OF CENTRAL TEXAS RAISES PHILANTHROPIC FUNDS TO SUPPORT DELL CHILDREN'S MEDICAL CENTER OF CENTRAL TEXAS, A MEMBER OF THE SETON FAMILY OF HOSPITALS. DELL CHILDREN'S MEDICAL CENTER OF CENTRAL TEXAS SERVES A 46-COUNTY REGION IN CENTRAL TEXAS. THROUGH ITS FUNDRAISING INITIATIVES, THE CHILDREN'S MEDICAL CENTER FOUNDATION CONTRIBUTES TO HEALTHCARE EXCELLENCE AND THE DAUGHTERS OF CHARITY HEALTHCARE MINISTRY IN CENTRAL TEXAS TO SERVE THE POOR AND VULNERABLE. THROUGH ITS PARTNERSHIPS WITH GENEROUS DONORS, COMMUNITY VOLUNTEERS AND SUPPORT GROUPS, THE CHILDREN'S MEDICAL CENTER FOUNDATION HELPS BUILD AND STRENGTHEN SUSTAINABLE COLLABORATIVE EFFORTS THAT BENEFIT THE HEALTH AND WELLBEING OF OUR COMMUNITY. THE CHILDREN'S MEDICAL CENTER FOUNDATION BOARD OF TRUSTEES INCLUDES COMMUNITY, CORPORATE AND CIVIC LEADERS, DAUGHTERS OF CHARITY AND PHYSICIANS. SOURCES OF PHILANTHROPIC SUPPORT INCLUDE DONATIONS FROM INDIVIDUALS, FOUNDATIONS, CORPORATIONS AND CIVIC ORGANIZATIONS; THE CHILDREN'S MIRACLE NETWORK; SPECIAL EVENTS AND VOLUNTEER SUPPORT GROUPS, INCLUDING THE CIRCLE OF FRIENDS CHAPTERS, CHILDREN'S COUNCIL, CHILDREN'S TRUST, WOMEN'S TRUST AND GRANDPARENTS CLUB. SPECIAL EVENTS, SUCH AS THE ANNUAL CHILDREN'S COUNCIL GALA, CIRCLE OF FRIENDS FUNDRAISERS AND RADIOTHON, RAISE FUNDS AND ALSO AWARENESS OF DELL CHILDREN'S MISSION TO SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITY'S CHILDREN, INCLUDING THE POOR AND VULNERABLE. IN FISCAL YEAR 2012, CHILDREN'S MEDICAL CENTER FOUNDATION RAISED MORE THAN $13.2 MILLION FROM GENEROUS DONORS TO SUPPORT PROGRAMS, EQUIPMENT, BUILDING NEEDS AND ENDOWMENT FOR THE BENEFIT OF DELL CHILDREN'S MEDICAL CENTER. CONTRIBUTIONS SUPPORTED A VARIETY OF NEEDS, INCLUDING: -MEDICAL EQUIPMENT-PROGRAMS, OPERATING SUPPORT AND ENDOWMENT FOR THE TEXAS CHILD STUDY CENTER SERVING CHILDREN'S MENTAL HEALTH NEEDS -PROGRAMMATIC SUPPORT FOR PEDIATRIC OBESITY, TRAUMA, NEUROSCIENCES, BLOOD &amp; CANCER DISORDERS AND CHILD LIFE -OPERATING SUPPORT FOR THE CHILDREN'S HEALTH EXPRESS SERVING HEALTH CARE NEEDS OF LOW-INCOME CHILDREN IN THE AUSTIN AREA VIA A MOBILE VAN SUMMARYTHROUGH ITS FUNDRAISING EFFORTS, CHILDREN'S MEDICAL CENTER FOUNDATION OF CENTRAL TEXAS SUPPORTS DELL CHILDREN'S MEDICAL CENTER OF CENTRAL TEXAS AND HELPS THE MEDICAL CENTER FURTHER ITS CHARITABLE PURPOSES OF PROVIDING A BROAD ARRAY OF SERVICES TO MEET THE HEALTHCARENEEDS OF OUR COMMUNITY. THROUGH THE ONGOING SUPPORT OF CHILDREN'S MEDICAL CENTER FOUNDATION OF CENTRAL TEXAS, DELL CHILDREN'S MEDICAL CENTER IS ABLE TO PROVIDE ESSENTIAL SERVICES TO THE COMMUNITY, PROVIDE CHARITY CARE TO THOSE WHO ARE NOT ABLE TO PAY, PROVIDE SERVICES TO OTHER ORGANIZATIONS THAT ALLOW THEM TO PROVIDE QUALITY SERVICES TO THEIR CONSTITUENTS, AND COMMUNITY ACTIVITIES TO IMPROVE OVERALL HEALTH STATUS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>SETON WILLIAMSON FOUNDATION: THE SETON WILLIAMSON FOUNDATION RAISES PHILANTHROPIC FUNDS TO SUPPORT SETON MEDICAL CENTER WILLIAMSON, A MEMBER OF THE SETON HEALTHCARE FAMILY. THROUGH ITS FUNDRAISING INITIATIVES, THE SETON WILLIAMSON FOUNDATION CONTRIBUTES TO HEALTHCARE EXCELLENCE AND THE DAUGHTERS OF CHARITY HEALTHCARE MINISTRY IN CENTRAL TEXAS TO SERVE THE POOR AND VULNERABLE. THROUGH ITS PARTNERSHIPS WITH GENEROUS DONORS, COMMUNITY VOLUNTEERS AND SUPPORT GROUPS, THE SETON WILLIAMSON FOUNDATION HELPS BUILD AND STRENGTHEN SUSTAINABLE COLLABORATIVE EFFORTS THAT BENEFIT THE HEALTH AND WELL-BEING OF OUR COMMUNITY. THE SETON WILLIAMSON FOUNDATION BOARD OF TRUSTEES INCLUDES COMMUNITY, CORPORATE AND CIVIC LEADERS, PHYSICIANS AND DAUGHTERS OF CHARITY. SOURCES OF PHILANTHROPIC SUPPORT INCLUDE DONATIONS FROM INDIVIDUALS, FOUNDATIONS, CORPORATIONS AND CIVIC ORGANIZATIONS. SPECIAL EVENTS RAISE FUNDS AND ALSO AWARENESS OF SETON'S MISSION TO SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITY, INCLUDING THE POOR AND VULNERABLE. IN FISCAL YEAR 2012, THE SETON WILLIAMSON FOUNDATION RAISED MORE THAN $583,000 FROM GENEROUS DONORS TO SUPPORT PROGRAMS, EQUIPMENT AND BUILDING NEEDS FOR THE BENEFIT OF SETON MEDICAL CENTER WILLIAMSON. CONTRIBUTIONS SUPPORTED A VARIETY OF NEEDS, INCLUDING: -MEDICAL EQUIPMENT -BUILDING AND EQUIPMENT AT SETON MEDICAL CENTER WILLIAMSON -SETON NURSE SCHOLARSHIP FUND SUPPORTING ASSOCIATES CURRENTLY IN, OR ENTERING, THE NURSING PROFESSION SUMMARYTHROUGH ITS FUNDRAISING EFFORTS, THE SETON WILLIAMSON FOUNDATION SUPPORTS THE SETON HEALTHCARE FAMILY AND HELPS FURTHER ITS CHARITABLE PURPOSES OF PROVIDING A BROAD ARRAY OF SERVICES TO MEET THE HEALTHCARE NEEDS OF OUR COMMUNITY. THROUGH THE ONGOING SUPPORT OF THE SETON WILLIAMSON FOUNDATION, SETON IS ABLE TO PROVIDE ESSENTIAL SERVICES TO THE COMMUNITY, PROVIDE CHARITY CARE TO THOSE WHO ARE NOT ABLE TO PAY, PROVIDE SERVICES TO OTHER ORGANIZATIONS THAT ALLOW THEM TO PROVIDE QUALITY SERVICES TO THEIR CONSTITUENTS, AND COMMUNITY ACTIVITIES TO IMPROVE OVERALL HEALTH STATUS. SETON HAYS FOUNDATION THE SETON HAYS FOUNDATION RAISES PHILANTHROPIC FUNDS TO SUPPORT SETON MEDICAL CENTER HAYS AND SETON EDGAR B. DAVIS HOSPITAL, MEMBERS OF THE SETON HEALTHCARE FAMILY. THROUGH ITS FUNDRAISING INITIATIVES, THE SETON HAYS FOUNDATION CONTRIBUTES TO HEALTHCARE EXCELLENCE AND THE DAUGHTERS OF CHARITY HEALTHCARE MINISTRY IN CENTRAL TEXAS TO SERVE THE POOR AND VULNERABLE. THROUGH ITS PARTNERSHIPS WITH GENEROUS DONORS, COMMUNITY VOLUNTEERS AND SUPPORT GROUPS, THE SETON HAYS FOUNDATION HELPS BUILD AND STRENGTHEN SUSTAINABLE COLLABORATIVE EFFORTS THAT BENEFIT THE HEALTH AND WELL-BEING OF OUR COMMUNITY. THE SETON HAYS FOUNDATION BOARD OF TRUSTEES INCLUDES COMMUNITY, CORPORATE AND CIVIC LEADERS, PHYSICIANS AND DAUGHTERS OF CHARITY. SOURCES OF PHILANTHROPIC SUPPORT INCLUDE DONATIONS FROM INDIVIDUALS, FOUNDATIONS, CORPORATIONS AND CIVIC ORGANIZATIONS. SPECIAL EVENTS RAISE FUNDS AND ALSO AWARENESS OF SETON'S MISSION TO SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITY, INCLUDING THE POOR AND VULNERABLE. IN FISCAL YEAR 2012, THE SETON HAYS FOUNDATION RAISED MORE THAN $790,000 FROM GENEROUS DONORS TO SUPPORT PROGRAMS, EQUIPMENT AND BUILDING NEEDS FOR THE BENEFIT OF SETON MEDICAL CENTER HAYS AND SETON EDGAR B. DAVIS HOSPITAL. CONTRIBUTIONS SUPPORTED A VARIETY OF NEEDS, INCLUDING:-OPERATING SUPPORT FOR THE SETON CARE-A-VAN SERVING HEALTH CARE NEEDS OF LOW-INCOME, RURAL SCHOOL CHILDREN VIA A MOBILE VAN-BUILDING AND EQUIPMENT AT SETON MEDICAL CENTER HAYS -OPERATING SUPPORT FOR SETON EDGAR B. DAVIS HOSPITAL SUMMARY THROUGH ITS FUNDRAISING EFFORTS, THE SETON HAYS FOUNDATION SUPPORTS THE SETON FAMILY OF HOSPITALS AND HELPS FURTHER ITS CHARITABLE PURPOSES OF PROVIDING A BROAD ARRAY OF SERVICES TO MEET THE HEALTHCARE NEEDS OF OUR COMMUNITY. THROUGH THE ONGOING SUPPORT OF THE SETON HAYS FOUNDATION, SETON IS ABLE TO PROVIDE ESSENTIAL SERVICES TO THE COMMUNITY, PROVIDE CHARITY CARE TO THOSE WHO ARE NOT ABLE TO PAY, PROVIDE SERVICES TO OTHER ORGANIZATIONS THAT ALLOW THEM TO PROVIDE QUALITY SERVICES TO THEIR CONSTITUENTS, AND COMMUNITY ACTIVITIES TO IMPROVE OVERALL HEALTH STATUS.SETON COVETHE SETON COVE IS A NON-PROFIT INTERFAITH CENTER FOR SPIRITUALITY WITH A MISSION OF PROVIDING A WELCOMING PLACE OF SOLACE AND HOSPITALITY WHERE PEOPLE OF ANY FAITH MAY NOURISH THEIR SPIRITUAL GROWTH AND JOURNEY TOWARD WHOLENESS. THE CENTER OFFERS A HOLISTIC APPROACH TO LIFE THAT INTEGRATES SPIRITUAL AND HUMAN DEVELOPMENT THROUGH PROGRAMS DESIGNED TO HONOR THE DIGNITY OF EVERY PERSON AND TO REFLECT THE CONNECTIONS BETWEEN SPIRITUALITY AND THE HUMAN EXPERIENCE. ACTIVITIES INCLUDE PROGRAMS TO PROMOTE MENTAL HEALTH AND SPIRITUAL GROWTH THROUGH WORKSHOPS AND PRESENTATIONS. SETON COVE IS OPERATED BY A RELATED TAX-EXEMPT ORGANIZATION, SETON FAMILY OF HOSPITALS. MAJOR ACCOMPLISHMENTS -2012 LEADERSHIP PILGRIMAGE PROGRAM CONCLUDED WITH 25 GRADUATES. -CONTEMPLATIVE LEADERSHIP PROGRAM: 25 PARTICIPANTS. THIS IS A YEAR-LONG PROGRAM OF SIX ONE-DAY RETREATS OFFERING CONTINUED PRACTICE FOR PARTICIPANTS THAT HAVE COMPLETED THE LEADERSHIP PROGRAM-10 PARTICIPANTS IN THE TAOS CONTEMPLATIVE LEADERSHIP INTENSIVE-ELEVENTH ANNUAL SR. MARY ROSE MCPHEE LECTURE SERIES ON LEADERSHIP AND SPIRITUALITY WITH MARGARET BENEFIEL, CEO OF EXECUTIVESOUL.COM -CONTEMPLATIVE RETREAT IN TUCSON, ARIZONA, THE ROOT OF PATIENCE: HEALING THE FOUR SPLITS-INTRODUCTION OF SOULCOLLAGE PROGRAM. SERVICES PROVIDED TO THE COMMUNITY SETON COVE PROVIDED 18,000 HOURS OF MINISTRY TO APPROXIMATELY 10,917 PARTICIPANTS IN FY12 AT A COST OF MORE THAN $482,589. SERVICES INCLUDE:-SPIRITUAL DIRECTION-COMMUNITY WORKSHOPS/PRESENTATIONS-CORE CURRICULUM OF SPIRITUAL FORMATION-LEADERSHIP AND SPIRIT PROGRAMS-SETON FAMILY OF HOSPITALS WORKSHOPS AND PRESENTATIONSCOMMUNITY OUTREACH ACTIVITIES MORE THAN THREE-FOURTHS OF THE SETON COVE'S COMMUNITY SERVICES ARE PROVIDED TO THE SETON COVES TAX-EXEMPT CORPORATE MEMBER, SETON HEALTHCARE FAMILY. AMONG THE SERVICES OFFERED:-TRANQUILITY PLACE MONTHLY LUNCHEONS AT UNIVERSITY MEDICAL CENTER BRACKENRIDGE, SETON MEDICAL CENTER AUSTIN, SETON NORTHWEST HOSPITAL, SETON SHOAL CREEK HOSPITAL, DELL CHILDREN'S MEDICAL CENTER OF CENTRAL TEXAS, SETON MEDICAL CENTER WILLIAMSON, SETON SOUTHWEST HOSPITAL, SETON MEDICAL CENTER HAYS AND SETON ADMINISTRATIVE SERVICES-WORKLIFE COMMUNITY DEPARTMENTAL MEETINGS THROUGHOUT SETON -IN-SERVICES FOR SETON PREMIER STAFFING, SETON MEDICAL CENTER WILLIAMSON PATIENT ACCESS, DELL CHILDREN'S CHILDLIFE, AND FINANCE DEPARTMENTS, AS WELL AS UMC BRACKENRIDGE VOLUNTEERS-CLASS FOR DIABETES PATIENTS AND THEIR CAREGIVERS ON HOW TO WORK WITH THE POWERFUL EMOTIONS THAT ARISE WHEN DIAGNOSED WITH A CHRONIC ILLNESS.-A KEY ROLE IN SETON ONGOING EXECUTIVE FORMATION AS WELL AS IN ASCENSION MANAGEMENT FORMATION. A SAMPLING OF NON-SETON NETWORK/COMMUNITY OUTREACH ACTIVITIES AND PROGRAMS SPONSORED BY THE SETON COVE INCLUDED:-WEEKLY SPIRITUAL DIRECTION FOR STUDENTS AT AUSTIN PRESBYTERIAN SEMINARY-TUESDAY EVENING MEDITATION GROUP-FRIDAY MORNING CONTEMPLATIVE PRAYER GROUP-TWO WEDNESDAY MORNING MEDITATION GROUPS-WEDNESDAY EVENING MEDITATION GROUPEXPANDING AWARENESS, EDUCATION AND HEALTH PROMOTIONTHE SETON COVE OFFERS ACCESS TO A VARIETY OF CLASSES, PRESENTATIONS AND PROGRAMS DESIGNED TO HELP EDUCATE THE COMMUNITY. CLASSES ARE LISTED ON THE SETON COVE WEBSITE: WWW.SETONCOVE.ORG. IN ADDITION, THE SITE INCLUDES INFORMATION ON SPIRITUAL DIRECTION, JOURNALING, LABYRINTHS, RETREATS AND WORKSHOPS. EXAMPLES OF SETON COVE CLASSES AND ACTIVITIES INCLUDE:-HOLISTIC TOUCH BY APPOINTMENT -SPIRITUAL DIRECTION-GROUP SPIRITUAL DIRECTION-TABLE MASSAGE OFFERED AT SETON COVE -CHAIR MASSAGE OFFERED BI-WEEKLY AT SETON MEDICAL CENTER AUSTIN-CHAIR MASSAGE OFFERED MONTHLY AT SETON NORTHWEST HOSPITAL, SETON SHOAL CREEK HOSPITAL, UMC BRACKENRIDGE, DELL CHILDREN'S MEDICAL CENTER AND SETON MEDICAL CENTER WILLIAMSON -CHAIR MASSAGE PROVIDED FOR DEPARTMENTS IN THE DIFFERENT LOCATIONS OF THE SETON FAMILY OF HOSPITALS-SETON SOUTHWEST NEW MOTHER MASSAGE PROGRAM-MEDITATION</Explanation>
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        <ReturnReference>PART VI, LINE 7</ReturnReference>
        <Explanation>TX</Explanation>
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        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>TO PROVIDE ASSISTANCE TOWARD TUITION FOR THE FAMILIES FO SAN JUAN DIEGO CATHOLIC SCHOOLS</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>YMCA OF GREATER WILLIAMSON COUNTY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 819</AddressLine1>
          <City>ROUND ROCK</City>
          <State>TX</State>
          <ZIPCode>78680</ZIPCode>
        </AddressUS>
        <EINOfRecipient>742206558</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>16250</AmountOfCashGrant>
        <PurposeOfGrant>TO PROVIDE SCHOLARSHIPS TO NEEDY CHILDREN AND FAMILIES IN WILLIAMSON AND NORTHERN TRAVIS COUNTIES</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CHILDREN'S HOSPITAL MEDICAL CENTER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3334 BURNET AVENUE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45229</ZIPCode>
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        <EINOfRecipient>310833986</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
        <PurposeOfGrant>TO PROVIDE ASSISTANCE FOR THE 2012 PROJECT SEARCH INTERNATION CONFERENCE IN AUSTIN, TX</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ROCK RIDE ON CENTER FOR KIDS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 2422</AddressLine1>
          <City>GEORGETOWN</City>
          <State>TX</State>
          <ZIPCode>78627</ZIPCode>
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        <EINOfRecipient>742917659</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
        <PurposeOfGrant>TO ASSIST IN IMPROVING INDEPENDENCE AND LIFE SKILLS</PurposeOfGrant>
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      <RecipientTable>
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          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78704</ZIPCode>
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        <EINOfRecipient>200192975</EINOfRecipient>
        <IRCSection>501(C)(6)</IRCSection>
        <AmountOfCashGrant>13045</AmountOfCashGrant>
        <PurposeOfGrant>PROVIDE EDUCATIONAL ASSISTANCE.</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>GREATER AUSTIN HISPANIC CHAMBER OF COMMERCE</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2800 SOUTH IH-35 SUITE 260</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78704</ZIPCode>
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        <EINOfRecipient>742452195</EINOfRecipient>
        <IRCSection>501(C)(6)</IRCSection>
        <AmountOfCashGrant>13000</AmountOfCashGrant>
        <PurposeOfGrant>FOR THE PURPOSES OF PROVIDING SCHOLARSHIPS TO FULL TIME STUDENTS ATTENDING JOHNSTON HIGH SCHOOL IN AUSTIN</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1>VINCARE SERVICES</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2026 GUADALUPE</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78705</ZIPCode>
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        <EINOfRecipient>742968167</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>10400</AmountOfCashGrant>
        <PurposeOfGrant>TO EMPOWER WOMEN WITH CHILDREN TO OVERCOME HOMELESSNESS IN CENTRAL TEXAS.</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>A CATHOLIC HIGH SCHOOL FOR</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>3000 BARTON CREEK BLVD</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78735</ZIPCode>
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        <EINOfRecipient>742266181</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>IN SUPPORT OF ST. MICHAEL'S CATHOLIC ACADEMY</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>NATIONAL CATHOLIC BIOETHICS CENTER</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>6399 DREXEL ROAD</AddressLine1>
          <City>PHILADELPHIA</City>
          <State>PA</State>
          <ZIPCode>19151</ZIPCode>
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        <EINOfRecipient>042871526</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>SPECIAL RESEARCH PROJECTS</PurposeOfGrant>
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          <BusinessNameLine1>SMITHVILLE COMMUNITY CLINIC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>300 LYNCH STREET</AddressLine1>
          <City>SMITHVILLE</City>
          <State>TX</State>
          <ZIPCode>78957</ZIPCode>
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        <EINOfRecipient>204515999</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
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        <PurposeOfGrant>TO ASSIST WITH START - UP AND OPERATIONAL COSTS FOR THE SMITHVILLLE COMMUNITY CLINIC WHICH WILL CARE FOR THE POOR AND THE VULNERABLE</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>AMERICAN DIABETES ASSOCIATION</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>9430 RESEARCH BLVD BLDG 2 150</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78759</ZIPCode>
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        <EINOfRecipient>131623888</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>7500</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP FOR THE 2012 CENTRAL TEXAS TOUR DE CURE</PurposeOfGrant>
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          <BusinessNameLine1>BOYS &amp; GIRLS CLUB OF THE HIGHLAND LAKES</BusinessNameLine1>
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          <AddressLine1>PO BOX 190</AddressLine1>
          <City>MARBLE FALLS</City>
          <State>TX</State>
          <ZIPCode>78654</ZIPCode>
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        <EINOfRecipient>742907284</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
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        <PurposeOfGrant>TO CELEBRATE BURNET TX BOYS AND GIRLS CLUB</PurposeOfGrant>
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          <BusinessNameLine1>CAPITAL CITY AFRICAN AMERICAN CHAMBER OF COMMERCE</BusinessNameLine1>
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          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78723</ZIPCode>
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        <PurposeOfGrant>TO SUPPORT THE MINORITY CANCER AWARENESS WEEK EVENT</PurposeOfGrant>
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          <BusinessNameLine1>GREATER AUSTIN CHAMBER OF COMMERCE</BusinessNameLine1>
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          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78704</ZIPCode>
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        <PurposeOfGrant>SPONSORSHIP FOR THE 2011 DC FEDERAL ADVOCACY INTER-CITY VISIT TO CHARLOTTE</PurposeOfGrant>
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          <AddressLine2>807</AddressLine2>
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          <State>DC</State>
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        <AmountOfCashGrant>7000</AmountOfCashGrant>
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          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78701</ZIPCode>
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        <EINOfRecipient>742148447</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>6865</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP FOR EDUCATION AND RESEARCH OF PUBLIC POLICY</PurposeOfGrant>
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          <BusinessNameLine1>KYLE AREA CHAMBER OF COMMERCE</BusinessNameLine1>
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          <City>KYLE</City>
          <State>TX</State>
          <ZIPCode>78640</ZIPCode>
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        <IRCSection>501(C)(6)</IRCSection>
        <AmountOfCashGrant>6700</AmountOfCashGrant>
        <PurposeOfGrant>TO SUPPORT SPONSORED EVENTS</PurposeOfGrant>
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          <BusinessNameLine1>THE EMILY ANN THEATRE</BusinessNameLine1>
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        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: THE SETON HEALTHY COMMUNITIES FUND COMMITTEE IS RESPONSIBLE FOR THE ADMINISTRATION OF GRANT FUNDS. THE COMMITTEE INCLUDES EMPLOYEES AS WELL AS EXECUTIVES AND IS CHARGED WITH REVIEWING REQUESTS FROM OTHER ORGANIZATIONS AND DETERMINING WHETHER THEY MEET THE NETWORK'S CHARITABLE REQUEST GUIDELINES. THE REQUESTING ORGANIZATIONS SUBMIT LETTERS SPECIFYING THE AMOUNT OF CONTRIBUTION REQUESTED AND DETAILS OF ITS PROGRAM. EACH ENTITY MUST PROVIDE ITS IRS 501(C) (3) DETERMINATION LETTER (AS EVIDENCE OF TAX-EXEMPT STATUS), A HISTORY OF ITS USE OF FUNDS, A LIST OF OTHER FUNDING SOURCES AND A LIST OF BOARD OF DIRECTORS. REQUESTORS ALSO ARE ASKED TO IDENTIFY THE ORGANIZATION'S PURPOSE, THE ACTIVITIES THAT REFLECT CONSISTENCY WITH ITS STATED PURPOSE AND PROVIDE A DESCRIPTION AS TO HOW FUNDS WILL BE USED. GENERALLY, A SUCCESSFUL REQUESTING ORGANIZATION WILL SPEND AT LEAST 60 PERCENT OF ITS ANNUAL EXPENSES ON PROGRAM ACTIVITIES, ENSURE THAT FUND-RAISING EXPENSES ARE REASONABLE OVER TIME AND WILL NOT HAVE A PERSISTENT DEFICIT IN NET CURRENT ASSETS. IN AWARDING FUNDS, THE GRANTS COMMITTEE LOOKS FOR ORGANIZATIONS THAT: HAVE A MISSION ALIGNED WITH SETON'S MISSION, VISION AND VALUES (E.G., IMPROVING THE HEALTH OF THOSE WE SERVE, PARTICULARLY THE POOR AND VULNERABLE); CAN DEMONSTRATE THAT THE EVENT OR ACTIVITY WILL ENHANCE ACCESS TO HEALTH-RELATED SERVICES AND HUMAN SERVICE NEEDS; IMPROVE HEALTH OUTCOMES; PROVIDE HEALTH-RELATED EDUCATION, INFORMATION AND SUPPORT; AND OR OFFER SUSTAINABLE IMPACT; PROVIDES OUTREACH IN SETON'S SERVICE AREA; SUPPORTS A DIVERSE POPULATION; SUPPORTS WORKFORCE DEVELOPMENT AND/OR HELPS SUSTAIN A RELATIONSHIP WITH A POTENTIAL OR EXISTING SETON STAKEHOLDER. GENERALLY, THE COMMITTEE, PURSUANT TO ITS POLICIES AND PROCEDURES, CONFIRMS PRIOR TO ANY AWARD THAT GRANTEES ARE ORGANIZATIONS WHOSE HEADQUARTERS AND WORK ARE BASED IN CENTRAL TEXAS, OR THE WORK FOR WHICH WE GRANTED THEM A SPONSORSHIP IS IN CENTRAL TEXAS, AND POST-AWARD WE GENERALLY RECEIVE CONFIRMATION OF HOW THE FUNDS WERE USED.</Explanation>
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        <NamePerson>DOUGLAS WAITE</NamePerson>
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        <NamePerson>JOHN BRINDLEY</NamePerson>
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        <NamePerson>MARK HAZELWOOD</NamePerson>
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        <NamePerson>GREGORY HARTMAN</NamePerson>
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        <NamePerson>CHRISTOPHER HARTLE</NamePerson>
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        <NamePerson>TRENNIS JONES</NamePerson>
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        <NamePerson>THOMAS TINSTMAN</NamePerson>
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        <NamePerson>GERALD HILL</NamePerson>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>TRAVEL EXPENSE REIMBURSEMENTS ARE MADE FOR BUSINESS TRAVEL ACCORDING TO OUR ACCOUNTABLE PLAN. IF TRAVEL EXPENSE REIMBURSEMENTS ARE REQUESTED BY SENIOR LEADERSHIP FOR COMPANIONS WHO TRAVEL AS REQUIRED FOR BUSINESS, THESE AMOUNTS ARE ADDED AS COMPENSATION TO THE EMPLOYEE'S W-2.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. THE ORGANIZATION MADE PAYMENTS FROM AND CONTRIBUTIONS TO THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN AMOUNTS NOTED RESPECTIVELY: CHARLES BARNETT: $2,116,399; $38,787 TIMOTHY GEORGE: $0; $7,350 GERALD HILL: $70,232; $16,891 JOYCE BATCHELLER: $58,720; $36,774 ROBERT BONAR: $101,551; $19,855 JESUS GARZA: $146,488; $17,915 THOMAS GALLAGHER: $ 79,764; $58,157 JAMES LINDSEY: $359,276; $55,501 TERESA BURROFF: $57,726; $7,350 DOUGLAS WAITE: $92,458; $39,353 JOHN BRINDLEY: $82,138; 35,798 MARK HAZELWOOD: $83,439; $18,919 GREGORY HARTMAN: $89,050; $13,379 CHRISTOPHER HARTLE: $56,355; $20,911 TRENNIS JONES: $78,851; $7,350 THOMAS TINTSMAN: $48,742; $6,125 GERALD HILL: $70,232; $16,891</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <ReturnReference>PART III</ReturnReference>
        <Explanation>PART II: CHARLES BARNETT, TOP MANAGEMENT OFFICIAL AND PRESIDENT AND CHIEF EXECUTIVE OFFICER OF SETON FAMILY OF HOSPITALS, IS ALSO ACTING AS MINISTRY MARKET LEADER FOR TEXAS AND MISSOURI FOR ASCENSION HEALTH AND IS DIRECTLY INVOLVED IN THE MANAGEMENT OF OTHER ASCENSION HEALTH MINISTRIES. COMPENSATION FOR CHARLES BARNETT IS DETERMINED BY ASCENSION HEALTH AND INCLUDES AMOUNTS RELATED TO SERVICES PROVIDED FOR SETON FAMILY OF HOSPITALS, AS WELL AS OTHER ASCENSION HEALTH MINISTRIES LOCATED IN TEXAS AND MISSOURI.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>EMERGENCY SERVICES PARTNER</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>&gt;35% ENTITY OWNED BY CHRIS ZIEBELL, DIRECTOR</Relationship>
        <AmountOfTransaction>6036656</AmountOfTransaction>
        <DescriptionOfTransaction>SEE PART V BELOW</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>AARON BONAR</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF ROBERT BONAR, KEY EMPLOYEE</Relationship>
        <AmountOfTransaction>15602</AmountOfTransaction>
        <DescriptionOfTransaction>SEE PART V BELOW</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>CLAYTON BARNETT</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF CHARLES BARNETT, CEO</Relationship>
        <AmountOfTransaction>62070</AmountOfTransaction>
        <DescriptionOfTransaction>SEE PART V BELOW</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MOLLY TREXLER</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF JOHN MOONEY, FORMER DIRECTOR</Relationship>
        <AmountOfTransaction>65519</AmountOfTransaction>
        <DescriptionOfTransaction>SEE PART V BELOW</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>CAITLIN BATCHELLER</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF JOYCE BATCHELLER, DIRECTOR</Relationship>
        <AmountOfTransaction>10853</AmountOfTransaction>
        <DescriptionOfTransaction>SEE PART V BELOW</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>SCH L, PART IV</Identifier>
        <ReturnReference>BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS</ReturnReference>
        <Explanation>(A) NAME OF INTERESTED PERSON: EMERGENCY SERVICES PARTNERS, LP(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: ENTITY OWNED MORE THAN 35% BY CHRIS ZIEBELL, DIRECTOR(D) DESCRIPTION OF TRANSACTION: PAYMENTS - CONTRACT SERVICES PROVIDED TO SETON FAMILY OF HOSPITALS(A) NAME OF INTERESTED PERSON: AARON BONAR(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF ROBERT BONAR, OFFICER AND DIRECTOR(D) DESCRIPTION OF TRANSACTION: COMPENSATION/BENEFITS - FAMILY MEMBER IS EMPLOYED AT SETON FAMILY OF HOSPITALS AND RECEIVES COMPENSATION(A) NAME OF INTERESTED PERSON: CLAYTON BARNETT(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF CHARLES BARNETT, DIRECTOR(D) DESCRIPTION OF TRANSACTION: COMPENSATION/BENEFITS: FAMILY MEMBER IS EMPLOYED BY SETON FAMILY OF HOSPITALS AND RECEIVES COMPENSATION(A) NAME OF INTERESTED PERSON: MOLLY TREXLER(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JOHN MOONEY, FORMER DIRECTOR(D) DESCRIPTION OF TRANSACTION: COMPENSATION/BENEFITS - FAMILY MEMBER IS EMPLOYED BY SETON FAMILY OF HOSPITALS AND RECEIVES COMPENSATION(A) NAME OF INTERESTED PERSON: CAITLIN BATCHELLER(B) RELATIONSHIP BETWEEN INTERESTED PESON AND ORGANIZATION: FAMILY MEMBER OF JOYCE BATCHELLER, DIRECTOR(D) DESCRIPTION OF TRANSACTION: COMPENSATION/BENEFITS - FAMILY MEMBER IS EMPLOYED SETON FAMILY OF HOSPITALS AND RECEIVES COMPENSATION</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>DOING BUSINESS AS</Identifier>
        <ReturnReference>FORM 990, PART I, ITEM C</ReturnReference>
        <Explanation>DBA: SETON HEALTHCARE NETWORK SETON HEALTHCARE ASSOCIATES. DBA: BRACKENRIDGE HOSPITAL VOLUNTEERS BRACKENRIDGE HOSPITAL. DBA: BRACKENRIDGE PROFESSIONAL BUILDING BRAIN AND SPINE CENTER AT BRACKENRIDGE HOSPITAL. DBA: CALDWELL COUNTY PHYSICIAN ASSOCIATES CHILDHOOD CANCER &amp; BLOOD DISORDERS CENTER. DBA: CHILDREN'S HEALTH EXPRESS CHILDREN'S HOSPITAL OF AUSTIN AUXILIARY. DBA: CHILDREN'S THERAPY GYM DELL CHILDREN'S CRANIOFACIAL AND RECONSTRUCTIVE SURGERY CENTER. DBA: DELL CHILDREN'S IMAGING CENTER DELL CHILDREN'S MEDICAL CENTER OF CENTRAL TEXAS. DBA: DELL CHILDREN'S MEDICAL CENTER EMERGENCY MEDICAL GROUP. DBA: FRIENDS AUXILIARY OF SETON HIGHLAND LAKES GOOD HEALTH COMMONS. DBA: IGNITE WOMEN'S HEALTH INSURE A KID. DBA: LULING CRNA GROUP SEBD CHILDREN'S CARE-A-VAN. DBA: SEBD PROFESSIONAL SUPPORT SERVICES SETON BASTROP HEALTH PLAZA. DBA: SETON BERTRAM HEALTHCARE CENTER SETON BASTROP PHYSICAL THERAPY AND FITNESS CENTER. DBA: SETON BURNET HEALTHCARE CENTER SETON CANCER SCREENING. DBA: SETON CARDIOVASCULAR IMAGING CENTER SETON CENTRAL OUTPATIENT PHARMACY. DBA: SETON COMMUNITY HEALTH CENTERS SETON DIAGNOSTIC CENTER. DBA: SETON EDGAR B. DAVIS HOSPITAL VOLUNTEER SERVICES SETON EDGAR B. DAVIS HOSPITAL. DBA: SETON FAMILY OF DOCTORS SETON FAMILY OF PHYSICIANS. DBA: SETON HEALTH PLAZA SETON HEART SPECIALTY CARE AND TRANSPLANT CENTER. DBA: SETON HIGHLAND LAKES SETON HIGHLAND LAKES HOME HEALTH. DBA: SETON HIGHLAND LAKES HOSPICE SETON HIGHLAND LAKES HOSPITAL AND HEALTH CENTERS. DBA: SETON HIGHLAND LAKES HOSPITAL SETON HIGHLAND LAKES MEDICAL GROUP. DBA: SETON HIGHLAND LAKES REHABILITATION SERVICES BURNET SETON HIGHLAND LAKES REHABILITATION SERVICES MARBLE FALLS. DBA: SETON HOSPITAL AUXILIARY SETON KOZMETSKY COMMUNITY HEALTH CENTER. DBA: SETON LAMPASAS HEALTHCARE CENTER SETON LEAGUE HOUSE. DBA: SETON LOCKHART FAMILY HEALTH CENTER SETON LULING FAMILY MEDICINE CLINIC. DBA: SETON MARBLE FALLS DIAGNOSTIC CENTER SETON MARBLE FALLS HEALTHCARE CENTER. DBA: SETON MCCARTHY COMMUNITY HEALTH CENTER SETON MEDICAL CENTER AUSTIN. DBA: SETON MEDICAL CENTER HAYS SETON MEDICAL CENTER OUTPATIENT REHABILITATION. DBA: SETON MEDICAL CENTER WILLIAMSON OUTPATIENT REHABILITATION SERVICES SETON MEDICAL CENTER WILLIAMSON COMMUNITY CARE VAN. DBA: SETON MEDICAL CENTER WILLIAMSON PEDIATRIC REHABILITATION SERVICES SETON MEDICAL CENTER WILLIAMSON VOLUNTEERS. DBA: SETON MEDICAL CENTER WILLIAMSON WOMEN'S IMAGING SETON MEDICAL CENTER WILLIAMSON . DBA: SETON MEDICAL CENTER SETON NORTHWEST AQUATIC THERAPY. DBA: SETON NORTHWEST HOSPITAL SETON NORTHWEST SLEEP LAB. DBA: SETON NORTHWEST SPORTS MEDICINE AND HAND THERAPY CENTER SETON NORTHWEST VOLUNTEERS. DBA: SETON NORTHWEST SETON OCCUPATIONAL HEALTH CLINIC. DBA: SETON PFLUGERVILLE HEALTHCARE CENTER SETON PFLUGERVILLE. DBA: SETON PHYSICAL THERAPY &amp; FITNESS CENTER SETON PREMIER STAFFING. DBA: SETON RIVERBEND HOME HEALTH SETON SHOAL CREEK HOSPITAL. DBA: SETON SMITHVILLE REGIONAL HOSPITAL SETON SOUTHWEST HOSPITAL. DBA: SETON SOUTHWEST REHAB AND SPORTS MEDICINE SERVICES SETON SOUTHWEST VOLUNTEERS. DBA: SETON TOPFER COMMUNITY HEALTH CENTER SETON TOWERS NURSING HOME. DBA: SETON WILLIAMSON CHILDREN'S THERAPY GYM AT CEDAR PARK SETON. DBA: SHIVERS CENTER SHL CARE-A-VAN. DBA: SHL CRNA GROUP SHL PROFESSIONAL SUPPORT SERVICES. DBA: SMCA SPORTS AND NEURO REHAB ST. VINCENT HEALTHCARE VENTURES. DBA: TEXAS CHILD STUDY CENTER THE BIG PINK BUS. DBA: THE CHILDREN'S BLOOD AND CANCER CENTER THE CLINICAL EDUCATION CENTER AT BRACKENRIDGE. DBA: TOWERS NURSING HOME TRAUMA MEDICAL GROUP. DBA: UNIVERSITY MEDICAL CENTER AT BRACKENRIDGE UNIVERSITY MEDICAL CENTER BRACKENRIDGE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICE STATEMENT</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4A</ReturnReference>
        <Explanation>AS THE LEADING PROVIDER OF HEALTH SERVICES IN CENTRAL TEXAS (AN 11-COUNTY REGION), SETON ALSO PROVIDES A NUMBER OF DISTINCTIVE SERVICES TO THE COMMUNITY: THE ONLY LEVEL 1 TRAUMA FACILITIES, THE ONLY FREE-STANDING CHILDREN'S HOSPITAL, THE ONLY FREE-STANDING INPATIENT PSYCHIATRIC HOSPITAL, THE ONLY HEART TRANSPLANT CENTER AND THE ONLY UNIVERSITY OF TEXAS MEDICAL RESIDENCY PROGRAMS. SETON CONTRIBUTES TO THE POSITIVE HEALTH STATUS OF THE COMMUNITIES IT SERVES AND CONTINUES TO BUILD AND STRENGTHEN SUSTAINABLE COLLABORATIVE EFFORTS THAT BENEFIT THE HEALTH OF INDIVIDUALS, FAMILIES AND SOCIETY AS A WHOLE. THE GOAL OF SETON IS TO PERPETUATE THE HEALING MISSION OF THE CHURCH. SETON FURTHERS THIS GOAL THROUGH DELIVERY OF PATIENT SERVICES, CARE TO THE ELDERLY AND INDIGENT, PATIENT EDUCATION AND HEALTH AWARENESS PROGRAMS FOR THE COMMUNITY, AND MEDICAL TRAINING RESEARCH. OUR CONCERN FOR ALL HUMAN LIFE AND THE DIGNITY OF EACH PERSON LEADS THE ORGANIZATION TO PROVIDE MEDICAL SERVICES TO PEOPLE IN THE COMMUNITY WITHOUT REGARD TO A PATIENT'S RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS OR ABILITY TO PAY. IN ORDER TO PORTRAY THE FULL BREADTH OF OUR CONTRIBUTION, OUR COMMUNITY BENEFIT INFORMATION IS DESCRIBED IN DETAIL IN THIS RETURN. COMMITMENT TO PROVIDING COMMUNITY BENEFIT SETON IS A NETWORK OF SIX GENERAL MEDICAL-SURGICAL HOSPITALS, A PEDIATRIC HOSPITAL, THREE RURAL HOSPITALS, A MENTAL HEALTH HOSPITAL, SEVERAL STRATEGICALLY LOCATED OUTPATIENT SERVICE FACILITIES AND THREE PRIMARY COMMUNITY HEALTH CARE CLINICS TARGETED SPECIFICALLY FOR THE UNINSURED WITH JUST OVER 1,688 LICENSED BEDS. IN FY12, SETON ACQUIRED A HOME HEALTH AGENCY, HOSPICE AND NURSING HOME ASSOCIATED WITH ACQUISITION OF SETON SMITHVILLE REGIONAL HOSPITAL IN RURAL SMITHVILLE, TEXAS. SETON HAS BECOME THE LEADING PROVIDER OF HEALTHCARE SERVICES IN CENTRAL TEXAS, SERVING AN 11-COUNTY AREA OF 1.94 MILLION PEOPLE, AND SEEKS TO IMPROVE THE PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL HEALTH STATUS OF ITS SURROUNDING COMMUNITY. IN ADDITION TO PROVIDING HEALTH CARE SERVICES TO ALL INDIVIDUALS WHO REQUIRE MEDICAL ATTENTION, SETON HAS DEVELOPED AN ARRAY OF PROGRAMS TO HELP ACHIEVE ITS MISSION. SETON SERVES A DISPROPORTIONATE MARKET SHARE OF MEDICAID AND SELF-PAY PATIENTS. WHILE THE HOSPITAL SYSTEM SERVES 44.6% OF THE TOTAL INPATIENT NEEDS OF THE COMMUNITY, IT ALSO SUPPORTS 51.3% OF MEDICAID PATIENTS AND 57.2% OF SELF-PAY PATIENTS. SPECIFICALLY: -MEDICARE REIMBURSES FOR 37.5% OF INPATIENT DISCHARGES IN CENTRAL TEXAS. WITH AN AGING POPULATION, THE PERCENTAGE OF PATIENTS COVERED BY MEDICARE WILL CONTINUE TO INCREASE. -MEDICAID REIMBURSES FOR 16.6% OF INPATIENT DISCHARGES IN THE REGION, WHILE COMMERCIAL INSURANCE COVERS 33.2% OF DISCHARGES. EMPLOYER-SPONSORED INSURANCE HAD BEEN DECLINING OVER THE LAST 10 YEARS. -SELF-PAY AND OTHER IS THE PAYER FOR 12.8% OF CENTRAL TEXAS RESIDENT DISCHARGES. WHILE 22% OF CENTRAL TEXAS UNDER-65 POPULATION IS UNINSURED, MANY MORE ARE UNDER-INSURED IN PROGRAMS THAT DO NOT COVER THE COSTS OF CARE. EXPANDING AWARENESS: EDUCATION AND HEALTH PROMOTION RECOGNIZING THAT IT IS ESSENTIAL TO EDUCATE PEOPLE ABOUT THE TYPES OF BEHAVIOR THAT CAN IMPROVE THEIR CHANCES OF LIVING A HEALTHY LIFE, SETON HAS INVESTED SIGNIFICANTLY IN QUALITY HEALTH EDUCATION PROGRAMS AND MATERIALS. IN FY12, SETON DELIVERED CPR TRAINING TO 13,273 PERSONS IN CENTRAL TEXAS, INCLUDING SETON ASSOCIATES, PERSONNEL OF THE AUSTIN, EANES, HAYS, HUTTO, LOCKHART, PFLUGERVILLE, ROUND ROCK AND SMITHVILLE SCHOOL DISTRICTS, LOCAL EMS PERSONNEL AND MANY NON-CLINICAL CITIZENS AS WELL. SETON OFFERS HEALTH-CARE RELATED CLASSES TO LOCAL RESIDENTS DESIGNED TO SUPPORT PERSONS' PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL NEEDS. CLASSES ARE LISTED AT WWW.SETON.NET, WWW.GOODHEALTH.COM AND WWW.SETONBABYTALK.COM. CLASSES TARGETED TO SPECIFIC POPULATIONS ARE OFFERED AT SETON POINT-OF-SERVICE LOCATIONS THROUGHOUT THE REGION. MANY CLASSES ARE FREE OR AVAILABLE AT REDUCED RATES FOR SENIORS OR UNINSURED PATIENTS. THE WEB CLASS LISTING CURRENTLY FEATURES CLASSES OR SEMINARS IN CATEGORIES, INCLUDING: -ESSENTIALS OF CHILDBIRTH; PREPARED CHILDBIRTH; MATERNITY TOURS; REFRESHER LAMAZE; BABY CARE BASICS; BREASTFEEDING -BREAST CANCER SUPPORT GROUP; EDUCATIONAL BREAST CANCER SEMINAR; MAMMOGRAPHY SCREENING -CAR SEAT SAFETY -CHILDREN'S HEART SUPPORT GROUP -CHILDHOOD CANCER -COMMUNITY ASTHMA PROGRAM; SCHOOL ASTHMA PROGRAM; FAMILY ASTHMA CLASS -DIABETES EDUCATION AND SUPPORT GROUP -EDUCATIONAL BREAST CANCER SEMINAR -FIRST AID &amp; CPR -FITNESS -HEALTH &amp; SAFETY FAIR (FAMILY EXTRAVAGANZA; -HEART CARE PROVIDER CPR; HEART SAVER CPR; -MOVEMENT CLASSES -NATURAL COOKING -NUTRITION -OSTEOPOROSIS DIAGNOSIS AND TREATMENT -PREOPERATIVE HIP &amp; KNEE REPLACEMENT -PULMONARY REHABILITATION -SIBLING CLASS -SPIRITUAL HEALTH ONE OF SETON'S WEBSITES, GOODHEALTH.COM, PROVIDES WELLNESS INFORMATION SUCH AS FITNESS, NUTRITION AND MIND &amp; BODY TOPICS. THE SITE FEATURES HEALTHY RECIPES, INFORMATION FROM SETON DOCTORS, MEDICAL SERVICES AND LOCATIONS, A COMPREHENSIVE ON-LINE HEALTH LIBRARY, DAILY HEALTH NEWS AND INFORMATION ABOUT UPCOMING SETON EDUCATIONAL EVENTS. THERE IS ALSO AN OPPORTUNITY FOR VISITORS TO THE SITE TO ASK HEALTH-RELATED QUESTIONS. IN FY 2012, GOODHEALTH.COM RECEIVED 507,730 VISITORS, INCLUDING 469,069 UNIQUE VISITORS. SETONBABYTALK.COM IS FOCUSED ON PERINATAL AND PEDIATRIC TOPICS, WHERE VISITORS CAN FIND INFORMATION ABOUT SETON'S BIRTHING FACILITIES, RESOURCES FOR A HEALTHY PREGNANCY AND FIND A DOCTOR WHO DELIVERS AT SETON. IN FY12, SETONBABYTALK.COM RECEIVED 35,980 VISITORS AND 28,767 UNIQUE VISITORS. HEALTH EDUCATION SEMINARS AND HEALTH FAIRS THROUGHOUT THE YEAR, SETON SPONSORS A NUMBER OF HEALTH EDUCATION PRESENTATIONS AND HEALTH FAIRS FOR THE COMMUNITY. CANCER CARE AND EDUCATION IN FY12, EVENTS SUPPORTING CANCER CARE AND EDUCATION INCLUDED: -BREAST HEALTH AND CANCER AWARENESS SETON'S CANCER PREVENTION AND EARLY DETECTION PROGRAM PROVIDES REDUCED-COST MOBILE MAMMOGRAPHY SERVICES TO UNDERSERVED CENTRAL TEXAS WOMEN, SUPPLEMENTED BY GRANTS FROM THE SUSAN G. KOMEN FOUNDATION. IN FY12, THE PROGRAM PROVIDED MOBILE MAMMOGRAPHY SCREENINGS TO 1,919 UNDERSERVED WOMEN. -SKIN CANCER - CORPORATE AND EMPLOYEE SCREENING PROGRAMS AND PARTICIPATION IN COLLABORATIVE COMMUNITY EDUCATION EFFORTS, SUCH AS AN ANNUAL SKIN CANCER SCREENING, ALSO PROMOTE EARLY DETECTION. FOR EXAMPLE, IN FY12 THE 25TH ANNUAL CITY-WIDE SKIN CANCER SCREENING CONDUCTED BY SETON, PROVIDED SCREENINGS FOR 306 PERSONS. SETON ALSO PERFORMED TWO GRANT-FUNDED PROJECTS FOR PUBLIC SKIN CANCER OUTREACH. IN THESE TARGETED POPULATIONS, 180 ADDITIONAL PATIENTS WERE SCREENED AND OF THOSE WHO REQUIRED FOLLOW-UP CARE, ROUGHLY $4,000 WAS SPENT ON SERVICES TO THE UNINSURED. -CANCER CASE MANAGEMENT SERVICES: THE SETON CANCER CARE TEAM PROVIDES VITAL CASE MANAGEMENT SERVICES PLUS A VARIETY OF PHYSICAL, EMOTIONAL AND SPIRITUAL SUPPORT PROGRAMS TO ADULT CENTRAL TEXAS CANCER PATIENTS AND THEIR FAMILIES. EXAMPLES INCLUDE: -THE BREAST CANCER TRACKING TOOL WAS USED TO MONITOR, DIAGNOSIS AND TRACK OUTCOME RESULTS FOR 404 PATIENTS IN FY12. -NAVIGATION OF CANCER PATIENTS HAS BECOME MORE STANDARDIZED AT SETON AND OUR DEDICATED RN CASE MANAGER FOR THE NATIONAL CANCER INSTITUTE COMMUNITY CANCER CENTERS PROGRAM (NCCCP) NAVIGATED MORE THAN 299 UNIQUE PATIENTS, MAKING MORE THAN 9,132 TOTAL PATIENT CONTACTS. SUPPORT FOR OTHER HEALTH CONDITIONS SETON IS ALSO ACTIVE IN PROVIDING HEALTH EDUCATION IN A VARIETY OF OTHER CRITICAL AREAS, INCLUDING: -TOBACCO CESSATION - SETON IS AN ACTIVE PARTICIPANT IN COMMUNITY EFFORTS TO COMBAT TOBACCO USE, PROVIDING SMOKING CESSATION SERVICES TO TRAVIS, HAYS AND WILLIAMSON COUNTY RESIDENTS. THE CENTER ALSO PROVIDES COMMUNITY-WIDE TRAINING FOR PHYSICIANS AND LOCAL CLINICS BASED ON BEST PRACTICES FOR TREATING NICOTINE ADDICTION. IN FY12, 200 INDIVIDUALS GRADUATED FROM THE SIX-WEEK PROGRAM, CONCLUDING THE FISCAL YEAR WITH A 75% END-OF-PROGRAM QUIT RATE AND 73% 90- AND 180-DAY POST-PROGRAM QUIT RATES. THIS PROGRAM OFFSETS ANNUAL UNANTICIPATED COST INCURRED BY TREATING TOBACCO RELATED ILLNESSES. -ASTHMA EDUCATION - SETON PROVIDES HOME VISITS FOR ASTHMA EDUCATION TO NEARLY 1,000 UN- AND UNDERINSURED FAMILIES ANNUALLY. THIS SERVICE ALSO REDUCES UNNECESSARY EMERGENCY AND INPATIENT VISITS AND IMPROVES QUALITY OF LIFE. -DIABETES EDUCATION - IN FY12, SETON HELD FREE ASK THE EXPERT PROGRAMS FOR COMMUNITY MEMBERS; PROVIDED FREE BLOOD GLUCOSE TESTING AND RISK FACTOR COUNSELING AT 40 HEALTH FAIRS; DELIVERED FIVE PUBLIC DIABETES-PREVENTION SEMINARS FOR AT-RISK PERSONS (FOUR IN ENGLISH, ONE IN SPANISH); AND FREE DIABETES-RELATED TALKS AT 10 DIFFERENT VENUES (MAINLY CORPORATE). EDUCATORS ALSO SPOKE ON THREE RADIO TALK SHOWS AND ONE TELEVISION NEWS STATION, AND ORGANIZED A FUNDRAISING TEAM FOR THE LOCAL ANNUAL (CONT BELOW)</Explanation>
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        <Explanation>AMERICAN DIABETES ASSOCIATION WALK. -2012 TAKE A LOVE FOR A CHECK UP (AUSTIN TRAVIS COUNTY HEALTH AND HUMAN SERVICES PUBLIC HEALTH DEPARTMENT) -2012 NFBPA / CITY OF AUSTIN HEALTH FAIR -2012 FERIA PARA APRENDER -2012 AUSTIN VIETNAMESE AMERICAN MEDICAL PROFESSIONAL SOCIETYS VIETNAMESE HEALTH FAIR -2012 HERITAGE FESTIVAL HEALTH FAIR -DOVE SPRINGS WELLNESS COMMUNITY HEALTH FAIR (2.12.12) -2012 FITNESS FERIA -UNIVERSITY OF TEXAS PROJECT 2012 (DOVE SPRINGS) -2012 ST. JAMES BAPTIST CHURCH 5K RUN (3.12) CHILDREN'S SAFETY A SIGNIFICANT SETON EDUCATIONAL INITIATIVE CENTERED ON CHILDREN'S SAFETY IS SAFE KIDS AUSTIN. LED BY DELL CHILDREN'S MEDICAL CENTER OF CENTRAL TEXAS, SAFE KIDS AUSTIN IS ONE OF MORE THAN 450 GRASSROOTS SAFE KIDS WORLDWIDE COALITIONS IN 16 COUNTRIES THAT BRING TOGETHER HEALTH AND SAFETY EXPERTS, EDUCATORS, CORPORATIONS, FOUNDATIONS, GOVERNMENTS AND VOLUNTEERS TO PREVENT ACCIDENTAL INJURIES IN CHILDREN. THE MISSION OF SAFE KIDS AUSTIN IS TO REDUCE CHILDHOOD INJURY AND DEATH IN CHILDREN AGES 14 AND UNDER. MOST OF THOSE INJURIES AND DEATHS ARE DUE TO MOTOR VEHICLE CRASHES, PEDESTRIAN INJURIES, BIKE CRASHES, DROWNING, FIRES, BURNS, POISONING, CHOKING AND FALLS. IN FY12, SAFE KIDS AUSTIN SPONSORED NUMEROUS CAR SEAT CHECK-UP EVENTS, BICYCLE RODEOS, COMMUNITY CHILD SAFETY WORKSHOPS, HEALTH AND SAFETY FAIRS, CHILD PEDESTRIAN SAFETY EVENTS AND EDUCATIONAL PROGRAMS. FY12 HIGHLIGHTS: -INSPECTED 736 CAR SEATS AND PROVIDED 422 CAR SEATS TO AREA FAMILIES. RECIPIENTS OF FREE CAR SEATS WERE LOW-INCOME FAMILIES WITH CHILDREN RIDING UNRESTRAINED OR UNDER-RESTRAINED. -CONDUCTED A YOUTH SPORTS INJURY PREVENTION CLINIC WHERE 300 YOUTH FLAG AND TACKLE FOOTBALL COACHES RECEIVED EDUCATION ON PREVENTION OF ACUTE INJURIES, OVER-USE INJURIES AND CONCUSSION PREVENTION AND IDENTIFICATION. -DISTRIBUTED MORE THAN 1,950 BICYCLE HELMETS TO CENTRAL TEXAS CHILDREN AND HOSTED FOUR YOUTH INSTRUCTOR BIKE SKILLS COURSES, SERVING 42 PARTICIPANTS. -IN PARTNERSHIP WITH THE YMCA, HOSTED MORE THAN 1,500 CHILDREN IN THE 1ST GRADE SWIM PROGRAM, AN INTERACTIVE PROGRAM THAT PROVIDES SWIMMING LESSONS, WATER SAFETY EDUCATION AND PHYSICAL FITNESS TO CHILDREN AT IDENTIFIED SCHOOLS IN THE AUSTIN, HAYS AND PFLUGERVILLE SCHOOL DISTRICTS. IN CONCERT WITH THE WATER SAFETY PROGRAM, SAFE KIDS AUSTIN PROVIDES THE BOATING COMMUNITY WITH TWO LIFE JACKET LOANER BOARDS ON LAKE TRAVIS THAT HOLD BOTH CHILD AND ADULT LIFE JACKETS. EACH LOANER BOARD IS STOCKED WITH 24 JACKETS. THIS PROGRAM PRODUCED EARNED MEDIA, WHICH IF PURCHASED CONVENTIONALLY, WOULD HAVE TOTALED THE EQUIVALENT OF $723,000 IN ADVERTISING DOLLARS. THE PROGRAM FOCUSED ON MEDIA OUTREACH OPPORTUNITIES TO INCREASE AWARENESS OF INJURY RISK AREAS. COMMUNITY HEALTH CENTERS SETON OPERATES THREE COMMUNITY HEALTH CENTERS: SETON MCCARTHY, SETON TOPFER AND SETON KOZMETSKY. EACH OFFERS PRIMARY CARE, LABORATORY, CASE MANAGEMENT AND HEALTH EDUCATION SERVICES TO AUSTIN'S WORKING FAMILIES. FAMILY MEDICINE, INTERNAL MEDICINE AND PEDIATRIC PHYSICIANS AND NURSE PRACTITIONERS PROVIDE SICK CHILD CARE, WELL CHILD CHECK-UPS AND IMMUNIZATIONS. THE CENTERS ALSO PROVIDE SPECIALTY CARE IN ENDOCRINOLOGY, ORTHOPEDICS, PSYCHIATRY AND ACADEMY OF ORIENTAL MEDICINE OF AUSTIN. THE CENTERS PARTICIPATE IN THE PATIENT PHARMACY ASSISTANCE PROGRAM (PPAP) FOR PATIENTS AND USE A SLIDING-SCALE CO-PAY TO KEEP SERVICES WITHIN THE REACH OF WORKING FAMILIES WHO OTHERWISE WOULD NOT BE ABLE TO AFFORD MEDICAL CARE. COMPREHENSIVE SOCIAL SERVICES ALSO SUPPORT THE CENTERS' MEDICAL MISSION. DURING FY12, THE CENTERS PROVIDED: -28,750 OUTPATIENT MEDICAL VISITS, -18,152 SOCIAL SERVICE ENCOUNTERS, -13,866 PRESCRIPTIONS AND -6,367 IMMUNIZATIONS. IN FY12, THE CENTERS MANAGED CARE FOR 11,211 PATIENTS, 5,183 OF WHOM WERE UNFUNDED. PRIMARY &amp; SPECIALTY CARE CLINICS SETON OPERATES TWO PRIMARY CARE CLINICS FOR THE UNDER- AND UNINSURED: THE PAUL BASS CLINIC AT UMC BRACKENRIDGE AND THE BLACKSTOCK CLINIC. SETON ALSO OPERATES TWO SPECIALTY CARE CLINICS FOR THE UNINSURED: THE CLINIC AT UNIVERSITY MEDICAL CENTER BRACKENRIDGE AND THE SPECIALTY CLINIC FOR CHILDREN. BOTH PROVIDE ACCESS TO A VARIETY OF MEDICAL SPECIALISTS FOR PATIENTS WHOSE CONDITIONS REQUIRE SPECIALIZED TREATMENT. THE CLINICS ALSO PROVIDE SPECIALTY REFERRAL OPTIONS FOR THE AUSTIN/TRAVIS COUNTY CLINICS OPERATED BY CENTRAL HEALTH, THE HEALTH DISTRICT. MOBILE PRIMARY CARE VANS THREE MOBILE PRIMARY CARE TEAMS ADDRESS THE UNMET HEALTH NEEDS OF CHILDREN FROM LOW-INCOME FAMILIES IN TRAVIS, BURNET, CALDWELL AND LLANO COUNTIES, BY DRIVING TO LOCATIONS TO PROVIDE CARE AT AREA SCHOOLS. THE CHILDREN'S HEALTH EXPRESS VAN SERVES THE AUSTIN AREA AND PROVIDES SERVICES AT SPECIFIED AUSTIN PUBLIC SCHOOL SITES AND AT THE OFFICES OF THE LOCAL NONPROFIT ANY BABY CAN. THE PROGRAM INCLUDES A SPECIALIZED SERVICE TO ABOUT 106 PREGNANT AND PARENTING STUDENTS AND THEIR BABIES AT FOUR AUSTIN HIGH SCHOOLS. THE TEAM ALSO PROVIDES CARE TO MEDICALLY FRAGILE CHILDREN AT THE ANY BABY CAN SITE. DURING FY12, THE CHILDREN'S HEALTH EXPRESS VAN CONDUCTED 1,356 PRIMARY CARE VISITS. THE CHILDREN'S CARE-A-VAN SERVES CALDWELL COUNTY SCHOOLS AND THE SETON HIGHLAND LAKES CARE-A-VAN OPERATES IN BURNET AND LLANO COUNTY SCHOOLS. THE CARE-A-VANS RESPOND TO A NEED FOR AFFORDABLE AND ACCESSIBLE HEALTH CARE IN RURAL COUNTIES, WHERE PEDIATRIC CARE IS SCARCE AND THERE ARE NO OTHER PROVIDERS FOR UNINSURED CHILDREN OR CHILDREN ENROLLED IN THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP). THE CARE-A-VANS PROVIDED SERVICES TO 3,046 CHILDREN IN FY12. CHARITY CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS DURING FY12, SETON PROVIDED $2.45 MILLION TO 181 COMMUNITY ORGANIZATIONS AND NON-PROFIT PROVIDERS, OF WHICH ALMOST $165,000 WAS AWARDED BY SETON'S HEALTHY COMMUNITIES FUND COMMITTEE. THE COMMITTEE INCLUDES EMPLOYEES AS WELL AS EXECUTIVES AND IS CHARGED WITH REVIEWING REQUESTS FROM OTHER ORGANIZATIONS AND DETERMINING WHETHER THEY MEET SETON'S CHARITABLE REQUEST GUIDELINES. THE REQUESTING ORGANIZATIONS SUBMIT LETTERS SPECIFYING THE AMOUNT OF CONTRIBUTION REQUESTED AND DETAILS OF ITS PROGRAM. EACH ENTITY MUST PROVIDE ITS IRS DETERMINATION LETTER (AS EVIDENCE OF TAX-EXEMPT STATUS), A HISTORY OF ITS USE OF FUNDS, A LIST OF OTHER FUNDING SOURCES AND A LIST OF BOARD OF DIRECTORS. REQUESTORS ALSO ARE ASKED TO IDENTIFY THE ORGANIZATION'S PURPOSE, THE ACTIVITIES THAT REFLECT CONSISTENCY WITH ITS STATED PURPOSE AND PROVIDE A DESCRIPTION AS TO HOW FUNDS WILL BE USED. GENERALLY, A SUCCESSFUL REQUESTING ORGANIZATION WILL SPEND AT LEAST 60% OF ITS ANNUAL EXPENSES ON PROGRAM ACTIVITIES, INSURE THAT FUND-RAISING EXPENSES ARE REASONABLE OVER TIME AND WILL NOT HAVE A PERSISTENT DEFICIT IN NET CURRENT ASSETS. IN AWARDING FUNDS, THE GRANTS COMMITTEE LOOKS FOR ORGANIZATIONS THAT: -HAVE A MISSION ALIGNED WITH SETON'S MISSION, VISION AND VALUES (E.G., IMPROVING THE HEALTH OF THOSE WE SERVE, PARTICULARLY THE POOR AND VULNERABLE); -CAN DEMONSTRATE THAT THE EVENT OR ACTIVITY WILL ENHANCE ACCESS TO HEALTH-RELATED SERVICES AND HUMAN SERVICE NEEDS; IMPROVE HEALTH OUTCOMES; PROVIDE HEALTH-RELATED EDUCATION, INFORMATION AND SUPPORT; AND OR OFFER SUSTAINABLE IMPACT; -PROVIDES OUTREACH IN SETON'S SERVICE AREA; SUPPORTS A DIVERSE POPULATION; SUPPORTS WORKFORCE DEVELOPMENT AND/OR HELPS SUSTAIN A RELATIONSHIP WITH A POTENTIAL OR EXISTING SETON STAKEHOLDER. GRANTEES INCLUDED: CARITAS OF AUSTIN CARITAS PROVIDES A SERVICE CONTINUUM FOR THOSE EXPERIENCING POVERTY THAT BEGINS WITH A SAFETY NET AND LINKS THEM TO RESOURCES TO ACHIEVE SELF-SUFFICIENCY. THIS CONTINUUM INCLUDES HOUSING, FOOD, EDUCATION, AND EMPLOYMENT SERVICES FOR INDIVIDUALS WHO ARE HOMELESS, WORKING AND EARNING A LOW WAGE, AND DOCUMENTED REFUGEES. AMERICAN DIABETES ASSOCIATION THE AMERICAN DIABETES ASSOCIATION LEADS THE FIGHT AGAINST THE DEADLY CONSEQUENCES OF DIABETES AND FIGHTS FOR THOSE AFFECTED. THEY FUND RESEARCH TO PREVENT AND CURE DIABETES, DELIVER SERVICES TO THE COMMUNITY, DISSEMINATE INFORMATION, AND GIVE A VOICE TO THOSE DENIED THEIR RIGHTS BECAUSE OF DIABETES. AMERICAN HEART ASSOCIATION THE AMERICAN HEART ASSOCIATION WORKS TO KEEP MEMBERS OF THE CENTRAL TEXAS COMMUNITY SAFE FROM HEART DISEASE AND STROKE. THEY BUILD HEALTHIER LIVES AND MAKE OUR COMMUNITY HEALTHIER THROUGH EDUCATION, SUPPORT, RESEARCH, AND ADVOCACY. ANTI-DEFAMATION LEAGUE THE ANTI-DEFAMATION LEAGUE (ADL) FIGHTS ANTI-SEMITISM AND ALL FORMS OF BIGOTRY AND WORKS TO SECURE JUSTICE AND FAIR TREATMENT FOR ALL. THROUGH EDUCATION TO FIGHT BIGOTRY AND PREJUDICE, ADL CONVENES TO BUILD BRIDGES AND PROTECT THE CONSTITUTIONAL RIGHTS AND RELIGIOUS FREEDOMS FOR ALL PEOPLE. CHILDREN'S HOSPITAL MEDICAL CENTER SETON, FOLLOWING A MODEL DEVELOPED BY CHILDREN'S HOSPITAL MEDICAL CENTER, HAS PROVIDED A PROFESSIONAL INTERNSHIP PROGRAM FOR ADULTS WITH INTELLECTUAL DISABILITIES SINCE 2007. TO DATE, SETON HAS</Explanation>
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        <Explanation>PLACED 49 INTERNS INTO ROTATIONS AT DELL CHILDREN'S OR SETON AUSTIN. OF THESE, 22 GRADUATES HAVE BEEN EMPLOYED AT SETON FACILITIES AND 14 HAVE SECURED OTHER LOCAL EMPLOYMENT. SETON SPONSORED THE PROJECT SEARCH INTERNATIONAL CONFERENCE IN AUSTIN. GREATER AUSTIN HISPANIC CHAMBER OF COMMERCE THE GREATER AUSTIN HISPANIC CHAMBER OF COMMERCE'S (GAHCC) PRIMARY GOAL IS TO CONTINUE THE ADVANCEMENT AND PROGRESSION OF A STRONG AND STABLE ECONOMIC CULTURE FOR HISPANIC BUSINESSES. THE ORGANIZATION CONDUCTS ACTIVITIES TO DEVELOP BUSINESS AND MANAGEMENT SKILLS, BRIDGE ACCESS TO CAPITAL AND MAINTAIN CULTURAL VALUES AND INTEGRITY. HUSTON-TILLOTSON UNIVERSITY AN HISTORICALLY BLACK INSTITUTION, HUSTON-TILLOTSON UNIVERSITY'S MISSION IS TO PROVIDE OPPORTUNITIES TO A DIVERSE POPULATION FOR ACADEMIC ACHIEVEMENT WITH AN EMPHASIS ON ACADEMIC EXCELLENCE, SPIRITUAL AND ETHNICAL DEVELOPMENT, CIVIC ENGAGEMENT, AND LEADERSHIP IN A NURTURING ENVIRONMENT. HUSTON-TILLOTSON IS THE OLDEST INSTITUTION OF HIGHER LEARNING IN AUSTIN AND IS PREPARING TO REACH 1,000 STUDENTS IN THE NEAR FUTURE. MARCH OF DIMES THE MARCH OF DIMES AIMS TO IMPROVE THE HEALTH OF BABIES BY PREVENTING BIRTH DEFECTS, PREMATURE BIRTH AND INFANT MORTALITY. IN AN EFFORT TO SAVE BABIES' LIVES THE MARCH OF DIMES PROVIDES COMMUNITY SERVICES, EDUCATION, ADVOCACY AND ALSO CONDUCTS RESEARCH. NATIONAL FORUM FOR BLACK PUBLIC ADMINISTRATORS THE NATIONAL FORUM FOR BLACK PUBLIC ADMINISTRATORS (NFBPA) IS COMMITTED TO STRENGTHENING THE POSITION OF AFRICAN AMERICANS WITHIN THE FIELD OF PUBLIC ADMINISTRATION WHILE AT THE SAME TIME INCREASING THE NUMBER OF AFRICAN AMERICANS APPOINTED TO EXECUTIVE POSITIONS IN PUBLIC SERVICE ORGANIZATIONS. SAN JUAN DIEGO CATHOLIC HIGH SCHOOL THE SAN JUAN DIEGO CATHOLIC HIGH SCHOOL (SJDCHS) PROVIDES HIGHLY MOTIVATED STUDENTS THE OPPORTUNITY TO EARN A CATHOLIC, COLLEGE PREPARATORY EDUCATION ENRICHED BY PARTICIPATION IN A CORPORATE WORK STUDY PROGRAM. AS A COMMUNITY OF FAITH, SJDCHS BELIEVES THAT A CATHOLIC, COLLEGE PREPARATORY EDUCATION COMBINED WITH A CORPORATE WORK STUDY PROGRAM CREATES A SPIRITUAL, INTELLECTUAL, AND PROFESSIONAL GROWTH FOR THE STUDENTS THEY SERVE. BY PROVIDING A CATHOLIC EDUCATION THAT TRANSCENDS ECONOMIC BARRIERS AND IS ACCESSIBLE TO ALL, SJDCHS IS COMMITTED TO SHAPING THE YOUNG HEARTS AND MINDS OF FUTURE LEADERS. OTHER CHARITABLE AND PUBLIC BENEFIT PROGRAMS VOLUNTEER HEALTHCARE CLINIC LABORATORY AND HOSPITALIZATION SERVICES THE VOLUNTEER HEALTHCARE CLINIC HAS SERVED THE AUSTIN COMMUNITY FOR MORE THAN 45 YEARS. THE CLINIC IS A NON-EMERGENCY PRIMARY CARE FACILITY THAT SERVES LOW-INCOME AND UNINSURED RESIDENTS OF TRAVIS COUNTY. IT OPERATES THREE EVENING SESSIONS WEEKLY AND ACCOMMODATES 5,700 PATIENT VISITS A YEAR. SETON ASSISTS THE CLINIC BY PROVIDING GUIDANCE, LABORATORY SERVICES, LAB AND MEDICAL SUPPLIES, AFTER-HOURS MEDICAL CALL-CENTER SUPPORT AND BIO-HAZARD PICKUP. EL BUEN SAMARITANO FAMILY HEALTH CLINIC LABORATORY SERVICES SETON PROVIDES LABORATORY SERVICES FREE OF CHARGE TO PATIENTS SEEN AT THE EL BUEN SAMARITANO FAMILY HEALTH CLINIC, A CLINIC OPERATED BY EL BUEN SAMARITANO EPISCOPAL MISSION WHICH PROVIDES PRIMARY, MATERNITY AND PREVENTIVE HEALTHCARE SERVICES FOR INDIVIDUALS AND FAMILIES WHO ARE UNINSURED. IN FY12, SERVICES WERE VALUED AT $216,000. LONE STAR CIRCLE OF CARE, DELL CHILDREN'S CIRCLE OF CARE AND SETON'S CIRCLE OF CARE BUILDING UPON A SUCCESSFUL ONGOING RELATIONSHIP WITH LONE STAR CIRCLE OF CARE (LSCC), SETON CONTRIBUTED $3 MILLION IN FY12 TO SUPPORT LSCC'S MISSION AND AN EXPANSION OF CLINICAL SITES. PLANS INCLUDE A MULTISERVICE PRACTICE AT SETON NORTHWEST HOSPITAL THAT WILL PROVIDE FAMILY MEDICINE, PEDIATRICS, OBSTETRICS AND INTEGRATED BEHAVIORAL HEALTH FOR THE UNINSURED AND UNDERINSURED STARTING IN FY13, AS WELL AS ANOTHER TO BE BUILT IN BASTROP ON LAND LEASED AT A FAVORABLE RATE BY SETON TO LSCC, TO BEGIN OPERATING IN FY14. LEADING COLLABORATIVE EFFORTS IN THE COMMUNITY DESCRIBED BELOW ARE JUST A FEW EXAMPLES OF THE COMMUNITY PARTNERSHIPS AND COLLABORATIONS THE SETON FAMILY OF HOSPITALS HAS CHAMPIONED IN CENTRAL TEXAS. CHILDREN'S OPTIMAL HEALTH (COH) IN 2006, SETON INVITED COMMUNITY LEADERS TO DISCUSS HOW THEIR ORGANIZATIONS COULD WORK TOGETHER TO OPTIMIZE THE HEALTH AND WELL-BEING OF CHILDREN IN CENTRAL TEXAS. EIGHTY-FOUR AGENCIES CAME TOGETHER INFORMALLY AND IDENTIFIED FOUR AREAS OF FOCUS: LINKING AND LEVERAGING OUR EXISTING RESOURCES; COORDINATING COMMUNITY MESSAGING AND EDUCATION; USING TECHNOLOGY; AND EXAMINING RESEARCH AND BEST PRACTICES FOR IDEAS TO USE IN SOLVING COMMUNITY PROBLEMS. IN 2008, SETON AND FOUR OTHER CHARTER MEMBERS COMMITTED TO ANNUAL DUES OF $35,000 TO FUND THE INFRASTRUCTURE NEEDED TO RUN A NEW ORGANIZATION. THE DUES REMAINED UNCHANGED IN FY12. THROUGH A COMMITMENT TO SHARED DATA, COLLABORATION AND ONGOING COMMUNICATION, COH IS USING VISUAL IMAGES TO INFORM POLICY, IMPROVE OPERATIONS, PROMOTE RESEARCH AND MOBILIZE THE COMMUNITY TO BETTER THE LIVES OF OUR CHILDREN AND YOUTH. IN FY12 COH HOSTED THREE COMMUNITY SUMMITS TO CREATE AN OPPORTUNITY TO IDENTIFY NEW PROJECTS, SHARE ITS COMPLETED MAPS AND IDENTIFY ACTION STEPS FOR COMMUNITY CHANGE: -OCTOBER 2011: CENTRAL TEXAS AFTERSCHOOL NETWORK (CTAN MAP REPORT) BREAKFAST OF CHAMPIONS PRESENTATION AND YOUNG CHILDREN VOLUME II, UNITED WAY CAPITAL AREA SUCCESS BY 6 PARTNERSHIP COMMUNITY PRESENTATION. -MARCH 2012: TRANSPORTATION RELATED CHILD INJURY SUMMIT -MAY 2012: HAYS CISD CHILD OBESITY SUMMIT THE INTEGRATED CARE COLLABORATION (ICC) IN 1997, SETON LED THE FORMATION OF AN ALLIANCE OF COMMUNITY PROVIDERS FOR THE MEDICALLY INDIGENT, INCLUDING HEALTHCARE ORGANIZATIONS, GOVERNMENT ENTITIES AND VOLUNTEER CLINICS. KNOWN AS THE INTEGRATED CARE COLLABORATION OR ICC, THE GROUP'S GOAL WAS TO WORK TOGETHER TO INCREASE ACCESS, IMPROVE QUALITY AND FIND CREATIVE FINANCING SOLUTIONS FOR THE PROVISION OF HEALTH CARE FOR THE REGION'S UNINSURED. TODAY, MEMBERS OF THE ICC INCLUDE VIRTUALLY ALL SAFETY NET PROVIDERS WITHIN WILLIAMSON, TRAVIS AND HAYS COUNTIES. SETON HELPED SECURE THE ORGANIZATION'S FIRST GRANT AND PROVIDED STAFF TO DEVELOP AND LAUNCH THE COLLABORATION. THE ICC HAS SINCE BECOME ONE OF THE MOST RESPECTED AND INNOVATIVE ORGANIZATIONS OF ITS KIND IN THE NATION. SUPPORTED BY GRANTS FROM FEDERAL AND PRIVATE CHARITY ORGANIZATIONS, AS WELL AS CONTINUED SUPPORT FROM THE SETON FAMILY OF HOSPITALS AND OTHER ICC MEMBERS, THIS UNIQUE COLLABORATION STIMULATES CREATIVE THINKING FOR MANAGING HEALTH CARE FOR UNINSURED CENTRAL TEXANS THROUGH SHARED DATA, MEDICAL RECORDS AND ENROLLMENT CRITERIA. DURING FY12 THE ICC'S ICARE SYSTEM CAPTURED DATA ON 1,223,849 ENCOUNTERS WITH 321,019 UNIQUE UNINSURED OR UNDERINSURED INDIVIDUALS. WHILE THIS WAS AN 87.5% INCREASE IN THE NUMBER OF ENCOUNTERS FROM FY11, IT REPRESENTED A 20% DECREASE IN THE NUMBER OF PATIENTS SERVED BY ICC PARTICIPATING MEMBERS. SETON CONTRIBUTED $1.1 MILLION TO THE ICC IN FY12. PROJECT ACCESS: THE TRAVIS COUNTY MEDICAL SOCIETY, THE SETON FAMILY OF HOSPITALS AND OTHER MEMBERS OF THE ICC HAVE INITIATED A COORDINATED SYSTEM OF VOLUNTEER DOCTORS WHO WORK WITH OTHER LOCAL PROVIDERS TO PROVIDE MEDICAL, HOSPITAL, DIAGNOSTIC AND PHARMACY ASSISTANCE FOR THE UNINSURED IN TRAVIS COUNTY. SETON HELPED SECURE A GRANT TO CREATE THE PROGRAM. AS OF JUNE 2012, 1,050 VOLUNTEER PHYSICIANS WERE PARTICIPATING IN THE PROGRAM. PATIENT PRESCRIPTION ASSISTANCE PROGRAM: IMPROVING ACCESS TO MEDICATIONS FOR PATIENTS WAS KEY TO BOTH SETON AND THE ICC. AS A RESULT, SETON SELECTED A SOFTWARE PROGRAM THAT IS NOW SHARED BY ALL ICC PARTNERS AND HELPS TO QUALIFY UNINSURED PATIENTS TO RECEIVE FREE MEDICATIONS FROM PARTICIPATING PHARMACEUTICAL COMPANIES. THIS PROGRAM IS KNOWN AS THE PATIENT PRESCRIPTION ASSISTANCE PROGRAM OR PPAP. SETON ALSO PROVIDES ASSISTANCE TO UNINSURED PATIENTS WITH THE OFTEN TEDIOUS AND COMPLEX PAPERWORK REQUIRED BY THE DRUG COMPANIES TO RECEIVE THESE FREE MEDICATIONS. PATIENTS BENEFIT FROM REDUCED COSTS AND ULTIMATELY BETTER HEALTH. ICC PARTNERS ARE ABLE TO EXTEND CHARITY SERVICES FURTHER BECAUSE THEY NO LONGER HAVE TO COVER THE COSTS OF MEDICATIONS FOR THESE PATIENTS. IN FY12, MORE THAN $12 MILLION IN PRESCRIPTION DRUGS WAS DONATED THROUGH THE PPAP, A 58% INCREASE FROM FY11. NURSE TRIAGE CALL CENTER SETON'S NURSE TRIAGE CALL CENTER MAKES REGISTERED NURSES AVAILABLE AROUND THE CLOCK 24-HOURS A DAY, 7 DAYS A WEEK FREE OF CHARGE TO ASSIST CALLERS WITH URGENT CARE NEEDS AND SCHEDULE DOCTORS' APPOINTMENTS TO AVOID UNNEEDED EMERGENCY ROOM VISITS. THE CALL CENTER NURSES ARE ABLE TO SCHEDULE SAME AND NEXT-DAY APPOINTMENTS FOR CALLERS AT PARTICIPATING ICC CLINICS. THE CALL CENTER RECEIVED MORE THAN 82,000 CALLS DURING FY12. NURSES WERE ABLE TO REDIRECT 12.2% OF CALLERS TO HOME-BASED SELF-CARE AND 30.2% TO A PRIMARY CARE APPOINTMENT THE FOLLOWING DAY. IN ADDITION, MORE THAN 13% OF THE CALLERS WERE ABLE TO RECEIVE GENERAL</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>HEALTHCARE INFORMATION AS APPROPRIATE. HEALTH ALLIANCE FOR AUSTIN MUSICIANS THE CENTRAL TEXAS AREA HAS A THRIVING LIVE MUSIC SCENE, WHICH IS A SIGNIFICANT CONTRIBUTOR TO THE LOCAL ECONOMY. FOR SEVERAL YEARS, MUSICIAN ADVOCATES IN AUSTIN HAVE BEEN LOOKING FOR WAYS TO INCREASE ACCESS TO CARE FOR AREA MUSICIANS WHO CANNOT AFFORD TO PAY FOR HEALTH INSURANCE. SETON, THE SIMS FOUNDATION AND THE ST. DAVIDS FOUNDATION FORMED A UNIQUE COLLABORATION TO ADDRESS THIS NEED. THE RESULTING HEALTH ALLIANCE FOR AUSTIN MUSICIANS NOW PROVIDES ACCESS TO PRIMARY HEALTH CARE, DIAGNOSIS AND MEDICAL TREATMENT THROUGH SETON, DENTAL SERVICES THROUGH A COLLABORATION OF THE CAPITAL AREA DENTAL FOUNDATION AND ST. DAVID'S FOUNDATION AND MENTAL HEALTH SERVICES THROUGH SIMS. IN JUNE 2012, 1,542 LOCAL MUSICIANS WERE ENROLLED FOR SERVICES THROUGH SETON'S COMMUNITY HEALTH CENTERS AS PART OF THE HEALTH ALLIANCE FOR AUSTIN MUSICIANS, A 30% INCREASE FROM THE PRIOR YEAR. DELL CHILDREN'S MEDICAL CENTER OF CENTRAL TEXAS/AISD STUDENT HEALTH SERVICES THE DELL CHILDREN'S MEDICAL CENTER OF CENTRAL TEXAS, A MEMBER OF THE SETON FAMILY OF HOSPITALS, PROVIDES HEALTH SERVICES FOR APPROXIMATELY 87,000 PUBLIC SCHOOL STUDENTS IN 116 SCHOOLS THROUGH A GROUND-BREAKING PARTNERSHIP WITH THE AUSTIN INDEPENDENT SCHOOL DISTRICT (AISD). THE PROGRAM COVERS PREVENTION, WELLNESS SERVICES, STATE-MANDATED SCREENINGS, IN-SCHOOL MEDICATION, INJURED CHILD CARE AND MANAGEMENT OF CHRONIC HEALTH CONDITIONS. IT USES A UNIQUE SOFTWARE PROGRAM THAT FACILITATES COMMUNICATION AND COLLECTS DATA TO IMPROVE SERVICES. THE PROGRAM IDENTIFIES UNINSURED CHILDREN WHO NEED ADDITIONAL MEDICAL CARE AND CONNECTS THEM WITH CARE PROVIDERS. THE STUDENT HEALTH SERVICES PROGRAM WAS THE FIRST OF ITS KIND AND HAS BEEN REPLICATED IN SCHOOLS THROUGHOUT THE COUNTRY. THE ROBERT WOOD JOHNSON FOUNDATION GAVE THE PROGRAM SPECIAL NATIONAL RECOGNITION. DURING FY12, 6,706 CHILDREN WERE VACCINATED BY THE CHILDREN'S/AISD STUDENT HEALTH SERVICES IMMUNIZATION TEAM. SETON CARE PLUS SETON CARE PLUS CREATES A MANAGED CARE MODEL FOR UNINSURED PATIENTS WHO ARE NOT ELIGIBLE FOR MEDICAID, THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) OR THE AUSTIN/TRAVIS COUNTY MEDICAL ASSISTANCE PROGRAM (MAP). JUST AS WITH COMMERCIAL INSURANCE POPULATIONS, USE OF MEDICAL SERVICES BY PROGRAM PATIENTS ARE TRACKED AND MONITORED. FREQUENT USERS OF EMERGENCY OR HOSPITAL SERVICES CAN BE IDENTIFIED AND MANAGED TO ASSURE THEY GET THE CARE THEY NEED AND TO BETTER MANAGE THEIR CONDITIONS IN A LESS EXPENSIVE MANNER. ALTHOUGH THERE IS A COST TO THE SETON FAMILY OF HOSPITALS TO OPERATE THE PROGRAM, THE BENEFITS OF PREVENTING INAPPROPRIATE USE OF EMERGENCY OR HOSPITAL CARE ARE FAR GREATER. DIRECT PATIENT BENEFITS OF THE SETON CARE PLUS PROGRAM INCLUDE PRIMARY CARE, SPECIALTY CARE, INPATIENT AND OUTPATIENT HOSPITAL CARE, DIAGNOSTIC SERVICES AND PRESCRIPTION BENEFITS. THE PRESCRIPTION BENEFIT IS A KEY FACTOR IN PREVENTING INAPPROPRIATE ER VISITS AND UNNECESSARY HOSPITALIZATIONS, AS PATIENTS WERE ASSISTED IN APPLYING FOR FREE OR REDUCED MEDICATIONS THROUGH THE PATIENT PHARMACY ASSISTANCE PROGRAM. SETON PROVIDED FUNDING FOR 7,006 PRESCRIPTIONS IN FY12 TOTALING $292,448 THROUGH ITS COMMUNITY HEALTHCARE CLINICS. THE FOLLOWING DATA COMPARE THE EXPERIENCE OF PARTICIPANTS IN SETON CARE PLUS WITH THE EXPERIENCE OF MEDICAID BENEFICIARIES ON CERTAIN KEY INDICATORS: UTILIZATION AND EXPENSE COMPARISON SETON CARE PLUS AND NATIONAL MEDICAID BENCHMARK SETON CARE PLUS -PATIENT HOSPITAL DAYS/1000: 153.8 -EMERGENCY VISITS/1000: 266.2 -ANNUAL COST PER MEMBER: $508 TEXAS STAR MEDICAID BENCHMARK -PATIENT HOSPITAL DAYS/1,000: 278.0 -EMERGENCY VISITS/1,000: 643.3 -ANNUAL COST PER MEMBERS: NA IN FY12, SETON CARE PLUS RECORDED A RATE OF 153.8 PATIENT HOSPITAL DAYS PER 1,000 COMPARED TO A TEXAS STAR MEDICAID BENCHMARK RATE OF 278.0 PATIENT HOSPITAL DAYS PER 1,000. SETON CARE PLUS RECORDED 266.2 EMERGENCY VISITS PER 1,000, COMPARED TO A TEXAS STAR MEDICAID BENCHMARK RATE OF 643.3 EMERGENCY VISITS PER 1,000. DISEASE MANAGEMENT FOR PATIENTS WITH CHRONIC CONDITIONS EIGHTY PERCENT OF THE SETON FAMILY OF HOSPITALS' CHARITY CARE DOLLARS ARE CONSUMED BY 20% OF THE CHARITY CARE PATIENTS SERVED BECAUSE THEY HAVE CONDITIONS THAT OFTEN MAKE THEM VERY SICK AND REQUIRE REPEATED ER VISITS, HOSPITALIZATION, SURGERY, DIALYSIS OR STAYS IN INTENSIVE CARE. RECOGNIZING THIS GROWING PROBLEM, SETON HAS INSTITUTED A SERIES OF PROGRAMS DESIGNED TO PROVIDE EXTRA CASE MANAGEMENT ASSISTANCE TO THESE PATIENTS SO THEY CAN BETTER MANAGE THEIR DISEASES. INSURE-A-KID IN 1999, THE MICHAEL AND SUSAN DELL FOUNDATION COLLABORATED WITH THE SETON FAMILY OF HOSPITALS TO CREATE INSURE-A-KID, AN OUTREACH PROGRAM TO PROMOTE AND ENROLL UNINSURED CHILDREN IN LOW-COST CHILDREN'S HEALTH INSURANCE PROGRAMS. TODAY, INSURE-A-KID IS FUNDED BY SETON AND OTHER MEMBERS OF THE ICC AND HAS EXPANDED ITS MISSION TO HELP LOW-INCOME INDIVIDUALS AND FAMILIES OBTAIN COVERAGE THROUGH GOVERNMENT INSURANCE PROGRAMS. USING INNOVATIVE WEB-BASED TECHNOLOGY TO SCREEN AND CASE-MANAGE INDIVIDUALS, IN FY12 INSURE-A-KID HELPED ENROLL MORE THAN 5,567 INDIVIDUALS IN CHIP OR MEDICAID COVERAGE. BY ENROLLING INDIVIDUALS ELIGIBLE FOR GOVERNMENT-SPONSORED HEALTH INSURANCE, CHARITY DOLLARS ARE USED MORE EFFICIENTLY FOR CHILDREN AND ADULTS WHO MAY HAVE NO OTHER OPTION FOR CARE. TRAUMA CARE TWO OF SETON'S FACILITIES ARE DESIGNATED LEVEL I TRAUMA CENTERS: UNIVERSITY MEDICAL CENTER BRACKENRIDGE FOR ADULT TRAUMA AND DELL CHILDREN'S MEDICAL CENTER FOR PEDIATRIC TRAUMA. THESE ARE THE ONLY LEVEL I TRAUMA CENTERS IN CENTRAL TEXAS. SETON MEDICAL CENTER WILLIAMSON IS A DESIGNATED LEVEL II TRAUMA CENTER. ALL CENTERS PROVIDE TRAUMA CARE TO THE CENTRAL TEXAS COMMUNITY, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. ADULT TRAUMA SERVICES UNIVERSITY MEDICAL CENTER TRAUMA SERVICES PROVIDED THE FOLLOWING EDUCATIONAL OPPORTUNITIES IN FY12 TO THE CENTRAL TEXAS TRAUMA COMMUNITY: CLINICAL CARE UNIVERSITY MEDICAL CENTER BRACKENRIDGE HAD 3,010 TRAUMA ADMISSIONS AND REPORTED A TOTAL OF 15,314 TRAUMA-RELATED VISITS DURING FY12. CLINICAL EDUCATION -ADVANCED TRAUMA LIFE SUPPORT (FOUR COURSES SERVING 16 PHYSICIANS PER COURSE) TRAUMA NURSING CORE COURSE (FIVE COURSES SERVING 20 NURSES PER COURSE) -TRAUMA NURSING CORE COURSE RECERTIFICATION COURSE (5 COURSES SERVING 10 NURSES PER COURSE) -PEDIATRIC CARE AFTER RESUSCITATION -CONTINUING MEDICAL EDUCATION/CONTINUING NURSING EDUCATION -TRAUMA ROUNDS (ONCE A MONTH SERVING 20 PHYSICIANS, 20 NURSES, AND 20 AFFILIATED CLINICAL STAFF) -TRAUMA PHYSICIAN PERFORMANCE IMPROVEMENT (TWICE A MONTH SERVING 30 PHYSICIANS AND PHYSICIAN EXTENDERS, RESIDENTS, AND INTERNS) -CONTINUING FIRST RESPONDER EDUCATION -COMMUNITY INJURY PREVENTION (CAR SEAT DISTRIBUTION PROGRAM, PRIMARY FOCUS LOW-INCOME SPANISH SPEAKING FAMILIES, THREE TIMES A MONTH SERVING FIVE FAMILIES PER COURSE) UNIVERSITY MEDICAL CENTER BRACKENRIDGE HOSTED THE 4TH ANNUAL TRAUMA AND CRITICAL CARE CONFERENCE AT THE AT&amp;T CONFERENCE CENTER. THIS REGIONAL EVENT FEATURED NATIONALLY-RECOGNIZED EXPERTS IN TRAUMA AND ACADEMIC MEDICINE, WHO PROVIDED PHYSICIANS, NURSES, ALLIED HEALTH PROFESSIONALS AND PRE-HOSPITAL PERSONNEL WITH CUTTING EDGE EVIDENCED-BASED KNOWLEDGE RELATED TO THE CARE OF CRITICALLY INJURED PATIENTS IN RURAL, URBAN AND SUBURBAN HOSPITALS. IN ADDITION, SETON WILLIAMSON PROVIDED THREE TRAUMA NURSING CORE COURSE (TNCC) PROVIDER CLASSES TO NURSES IN THE COMMUNITY. IT ALSO PROVIDED SAFETY INFORMATION AT 19 COMMUNITY EVENTS IN FY12. RESEARCH -THE TRAUMA PATIENT POPULATION IS A UNIQUE AREA TO FOCUS INQUIRY FOR RESEARCH ACTIVITIES. MANY EVIDENCE-BASED PRACTICES HAVE ORIGINATED FROM TRAUMA RELATED RESEARCH AND HAVE APPLICATIONS TO OTHER DISEASE PROCESSES AND OUTCOMES. MULTIDISCIPLINARY COLLABORATIVE EFFORTS THROUGH THE UMCB TRAUMA PROGRAM PRODUCED TIMELY CLINICAL KNOWLEDGE WITH APPLICATION FOR PRACTICING CLINICIANS. IN FY 2012, UMCB ENGAGED IN 12 INSTITUTIONAL REVIEW BOARD APPROVED STUDY PROTOCOLS AND PUBLISHED THE FOLLOWING TRAUMA-RELATED MANUSCRIPTS: BROWN CV, DAIGLE JB, FOULKROD KH, BROUILLETTE B, CZYSZ C, MARTINEZ M, COOPER H. "RISK FACTORS ASSOCIATED WITH EARLY RE-INTUBATION IN TRAUMA PATIENTS: A PROSPECTIVE OBSERVATIONAL STUDY". JOURNAL OF TRAUMA: INJURY, INFECTION, AND CRITICAL CARE. JULY 2011, VOLUME 71, NUMBER 1, PAGES 37-42. LAWSON KA, YUMA-GUERRERO P, VON STERNBERG K, DUZINSKI S, GARCIA N, BROWN CV, WAKEFIELD S, CRAWFORD N, VELASQUEZ M, MAXSON T. "UNDER THE INFLUENCE WITH A CHILD IN THE CAR: IMPLICATIONS FOR CHILD SAFETY AND CAREGIVER INTERVENTION". JOURNAL OF TRAUMA: INJURY, INFECTION, AND CRITICAL CARE. NOVEMBER 2011, VOLUME 72, NUMBER 5, PAGES S522 - S526. BROWN CV, HEJL K, BUI E, TIPS G, COOPWOOD B. "RISK FACTORS FOR RIDING AND CRASHING A MOTORCYCLE UNHELMETED. JOURNAL OF EMERGENCY MEDICINE. OCTOBER 2011, VOLUME 41, NUMBER 4, PAGES 441-446</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>LEY EJ, SINGER MB, CLOND MA, GANGI A, MIROCHA J, BUKUR M, BROWN CV, SALIM A. "ELEVATED SYSTOLIC BLOOD PRESSURE AFTER BLUNT TRAUMA PREDICTS DELAYED PNEUMONIA AND MORTALITY". JOURNAL OF TRAUMA: INJURY, INFECTION, AND CRITICAL CARE. DECEMBER 2011, VOLUME 71, NUMBER 6, PAGES 1689 - 1693. DUBOSE J, INABA K, DEMETRIADES D, SCALEA T, O'CONNOR J, MENAKER J, MORALES C, KONSTANTINIDIS A, SHIFLETT A, COOPWOOD B, THE AAST RETAINED HEMOTHORAX STUDY GROUP. "MANAGEMENT OF POST-TRAUMATIC RETAINED HEMOTHORAX: A PROSPECTIVE, OBSERVATIONAL, MULTICENTER AAST STUDY." JOURNAL OF TRAUMA AND ACUTE CARE SURGERY. JANUARY 2012, VOLUME 72, NUMBER 1, PAGES 11 - 24. BROWN CV, SOWREY L, CURRY E, VALADKA AB, GLOVER CS, GRABARKEWITZ, GREEN T, HAIL S, ADMIRE J. "RECOMBINANT FACTOR VIIA TO CORRECT COAGULOPATHY IN PATIENTS WITH TRAUMATIC BRAIN INJURY PRESENTING TO OUTLYING FACILITIES BEFORE TRANSFER TO THE REGIONAL TRAUMA CENTER". AMERICAN SURGEON. JANUARY 2012, VOLUME 78, NUMBER 1, PAGES 57 - 60. INABA K, LUSTENBERGER T, RECINOS G, GEORGIOU C, VELMAHOS GC, BROWN C, SALIM A, DEMETRIADES D, RHEE P. "DOES SIZE MATTER? A PROSPECTIVE ANALYSIS OF 2832 VERSUS 3640 FRENCH CHEST TUBE SIZE IN TRAUMA". JOURNAL OF TRAUMA AND ACUTE CARE SURGERY. FEBRUARY 2012, VOLUME 72, NUMBER 2, PAGES 422 - 427. NOTRICA DM, GARCIA-FILION P, MOORE FO, GOSLAR PW, COIMBRA R, VELMAHOS G, STEVENS LR, PETERSEN SR, BROWN CV, FOULKROD KH, COOPWOOD TB JR, LOTTENBERG L, PHELAN HA, BRUNS B, SHERCK JP, NORWOOD SH, BARNES SL, MATTHEWS MR, HOFF WS, DEMOYA MA, BANSAL V, HU CK, KARMY-JONES RC, VINCES F, HILL J, PEMBAUR K, HAAN JM. "MANAGEMENT OF PEDIATRIC OCCULT PNEUMOTHORAX IN BLUNT TRAUMA: A SUBGROUP ANALYSIS OF THE AMERICAN ASSOCIATION FOR THE SURGERY OF TRAUMA MULTICENTER PROSPECTIVE OBSERVATIONAL STUDY." JOURNAL OF PEDIATRIC SURGERY. MARCH 2012, VOLUME 47, NUMBER 3, PAGES 467 - 472. PEDIATRIC TRAUMA IN JULY 2009, DELL CHILDREN'S MEDICAL CENTER OF CENTRAL TEXAS (DCMC) BECAME THE ONLY LEVEL I PEDIATRIC TRAUMA CENTER IN CENTRAL TEXAS AND ONE OF 19 STAND-ALONE VERIFIED LEVEL I PEDIATRIC TRAUMA CENTERS IN THE COUNTRY. THIS SIGNIFICANT ACHIEVEMENT DEMONSTRATES THE ORGANIZATION'S COMMITMENT TO THE HIGHEST LEVEL OF CLINICAL CARE, PROVISION OF CLINICAL EDUCATION, RESEARCH, INJURY PREVENTION AND ADVOCACY. CLINICAL CARE TO MEET THE NEEDS OF INJURED CHILDREN, PEDIATRIC TRAUMA CENTERS MUST HAVE A FULL COMPLEMENT OF EXPERTISE AND EQUIPMENT STANDING READY TO DELIVER HIGH QUALITY, SAFE AND EFFICIENT CARE. AT DELL CHILDREN'S, THE CLINICAL CARE TEAM IS THE BACKBONE OF THE TRAUMA PROGRAM. THIS TEAM OF HIGHLY TRAINED EXPERTS ENSURES ALL INJURED PATIENTS ARE PROVIDED THE HIGHEST STANDARD OF CARE. IN FY12, THE TRAUMA SERVICE EVALUATED 1,489 PEDIATRIC TRAUMA PATIENTS AND 1,047 OF THESE PATIENTS WERE ADMITTED TO DELL CHILDREN'S. OF THESE, 45.5% WERE MEDICAID AND 12.4% WERE UNINSURED. CLINICAL EDUCATION DELL CHILDREN'S TRAUMA SERVICE PROVIDED THE FOLLOWING EDUCATIONAL OPPORTUNITIES TO THE CENTRAL TEXAS TRAUMA AND EMS COMMUNITY: -TRAUMA NURSING CORE COURSE (FIVE COURSES, SERVING 52 NURSES) -TRAUMA NURSING CORE COURSE, RECERTIFICATION COURSE (ONE COURSE, SERVING SIX NURSES) -CONTINUING MEDICAL/PROFESSIONAL EDUCATION (TWO TRAUMA GRAND ROUNDS, SERVING 95 PHYSICIANS, NURSES AND OTHER CLINICAL STAFF) -PRESENTATIONS AT THE STATE SCHOOL NURSES CONFERENCE -MULTIPLE PRESENTATIONS TO CARE PROVIDERS AT LOCAL, REGIONAL, STATE AND NATIONAL CONFERENCES. RESEARCH THE PEDIATRIC TRAUMA RESEARCH PROGRAM FOCUSES ON THE EPIDEMIOLOGIC, CLINICAL AND BEHAVIORAL STUDY OF CHILDHOOD INJURY, INJURY PREVENTION AND TRAUMA CLINICAL CARE, WITH THE ULTIMATE GOAL OF INFORMING AND GUIDING IMPROVED CLINICAL PRACTICES. THE TRAUMA RESEARCH PROGRAM INCLUDES FIVE TOPIC AREAS: -CHILD ABUSE PREVENTION, DETECTION AND TREATMENT -ALCOHOL MISUSE BY ADOLESCENTS AND THEIR CAREGIVERS -PSYCHOLOGICAL ASPECTS OF TRAUMA -EVALUATION OF INJURY PREVENTION PROGRAMS IN THE COMMUNITY -INVESTIGATION OF BEST-PRACTICE CLINICAL CARE FOR INJURED PATIENTS. IN FY 2012, THE GROUP ENGAGED IN 27 INSTITUTIONAL REVIEW BOARD APPROVED STUDY PROTOCOLS AND PUBLISHED THE FOLLOWING TRAUMA-RELATED MANUSCRIPTS: POOLE M, LAWSON KA, EDWARDS G, MEYER T, GARCIA N. DUODENAL TRANSECTION IN CHILD ABUSE. JOURNAL OF TRAUMA NURSING. 2011 OCT-DEC; 18(4):246-8. DUZINSKI SV, LAWSON KA, MAXSON TM, GARCIA NM, CALFA N, METZ K, MARROQUIN Y, ARORA P, NGUYEN KH, FUNK C, STARK K, THE ASSOCIATION BETWEEN POSITIVE SCREEN FOR FUTURE PERSISTENT POSTTRAUMATIC STRESS SYMPTOMS AND INJURY INCIDENT VARIABLES IN THE PEDIATRIC TRAUMA CARE SETTING. JOURNAL OF TRAUMA AND ACUTE CARE SURGERY.2012.JUN; 72(6):1640-6 KARLA LAWSON, PHD, MPH, SARAH V. DUZINSKI, MPH, TAREKA C. WHEELER, PAULA YUMA-GUERRERO, MPH, CHES, KELLY M.K. JOHNSON, MS, R. TODD MAXSON, MD, ROBERT SCHLECHTER, MD. TEACHING SAFETY AT A SUMMER CAMP: EVALUATION OF A WATER SAFETY CURRICULUM IN AN URBAN COMMUNITY SETTING. HEALTH PROMOTION PRACTICE, PUBLISHED ONLINE BEFORE PRINT DECEMBER 22, 2011. LAWSON KA, YUMA-GUERRERO PJ, VON STERNBERG K, DUZINSKI SV, GARCIA NM, BROWN CV, WAKEFIELD SM, CRAWFORD NM, VELASQUEZ MM, MAXSON RT, UNDER THE INFLUENCE WITH A CHILD IN THE CAR: IMPLICATIONS FOR CHILD SAFETY AND CAREGIVER INTERVENTION. THE JOURNAL OF TRAUMA, 2011; 71(5):S522-S526 YUMA-GUERRERO PJ, LAWSON KA, VELASQUEZ MM, VON STERNBERG K, MAXSON T, GARCIA N. SCREENING, BRIEF INTERVENTION, AND REFERRAL FOR ALCOHOL USE IN ADOLESCENTS: A SYSTEMATIC REVIEW. PEDIATRICS. 2012 JUL;130(1):115-22. RISHER WC, LEE MR, FOMITCHEVA IV, HESS DC, KIROV SA, DIBUCAINE MITIGATES SPREADING DEPOLARIZATION IN HUMAN NEOCORTICAL SLICES AND PREVENTS ACUTE DENDRITIC INJURY IN THE ISCHEMIC RODENT NEOCORTEX. PLOS ONE, 6(7):E22351. TORMENTI MJ, ADAMO MA, PRINCE JM, KANE TD, SPINKS TJ. SINGLE-INCISION LAPAROSCOPY TRANSUMBILICAL SHUNT PLACEMENT, J NEUROSURGERY PEDIATR, 2011; 8(4):390-393. HIGGERSON RA, LAWSON KA, CHRISTIE LM, BROWN A-M, MCARTHUR JA, TOTAPALLY BR, HANSON SJ. INCIDENCE AND RISK FACTORS ASSOCIATED WITH VENOUS THROMBOTIC EVENTS IN PEDIATRIC INTENSIVE CARE UNIT PATIENTS, PEDIATRIC CRITICAL CARE MEDICINE 2011, 12(6):628-634. HENRY SL, WEINFELD AB, SHARMA SK, GEORGE TM, KELLEY PK. THE RELIABILITY AND ADVANTAGES OF THE SENTINEL VEIN AS A MICROSURGICAL RECIPIENT VESSEL. J RECONSTR MICROSURG. 2012 JUN; 28(5):301-4. DOI: 10.1055/S-0032-1311686. EPUB 2012 APR 30. NOTRICA DM, BROWN D, GARCIA-FILION P. DEVELOPMENT OF A PEDIATRIC LEVEL 1 TRAUMA CENTER AT A FREESTANDING CHILDREN'S HOSPITAL: STAFF ATTITUDES AND PERCEPTIONS BEFORE AND AFTER TRAUMA DESIGNATION. J PEDIATR SURG. 2011SEP;46(9):1764-70. HANSON SJ, LAWSON KA, BROWN AM, CHRISTIE LM, MCARTHUR JA, TOTAPALLY B, HIGGERSON RA. CURRENT TREATMENT PRACTICES OF VENOUS THROMBOEMBOLISM IN CHILDREN ADMITTED TO PEDIATRIC INTENSIVE CARE UNITS. PAEDIATR ANAESTH. 2011 OCT; 21(10):1052-7. THE RESEARCH DEPARTMENT PROVIDES RESEARCH EDUCATION FOR SETON STAFF, PHYSICIANS, MEDICAL STUDENTS, RESIDENTS AND UNIVERSITY OF TEXAS STUDENTS. THE DEPARTMENT CURRENTLY LEADS TWO UT MEDICAL BRANCH CLASSES ON PEDIATRIC TRAUMA RESEARCH, A UT SCHOOL OF PUBLIC HEALTH PRACTICUM AND PROVIDES LOCAL EDUCATION TO MEMBERS OF THE SETON TEAM. INJURY PREVENTION PROGRAM DELL CHILDREN'S INJURY PREVENTION PROGRAM PROVIDES FOUR HIGH PRIORITY PREVENTION FOCUS AREAS: CHILD PASSENGER SAFETY, PEDESTRIAN SAFETY, WHEEL (BIKE/SCOOTER/SKATEBOARD) SAFETY AND NON-ACCIDENTAL TRAUMA. THE PROGRAM FOCUSES ON TWO ADDITIONAL PREVENTION RISK AREAS OF SAFE SLEEP AND WATER SAFETY. THE INJURY PREVENTION PROGRAM IS ALSO BECOMING A LEADER IN PROFESSIONAL INJURY PREVENTION EDUCATION. THE INJURY PREVENTION PROGRAM HAS PROVIDED THE FOLLOWING SERVICES TO THE CITIZENS OF CENTRAL TEXAS: -CHILD PASSENGER SAFETY. DELL CHILDREN'S INJURY PREVENTION PROGRAM PARTNERS WITH MANY LOCAL, REGIONAL, STATE AND NATIONAL COALITIONS TO EDUCATE CHILDREN AND THEIR FAMILIES REGARDING CHILD PASSENGER SAFETY. ALONG WITH COALITION AGENCIES, DELL CHILDREN'S ALSO FOLLOWED-UP THE SUCCESSFUL EFFORT TO EDUCATE STATE LAWMAKERS ABOUT THE SAFETY BENEFITS OF BOOSTER SEATS AND PASS LEGISLATION TO REQUIRE THEM, WITH THE PROVISION OF IN-DEPTH CHILD SAFETY EDUCATION AND RESOURCES TO THE CENTRAL TEXAS COMMUNITY IN FY12. IN DOING SO, DELL CHILDRENS CHECKED 869 CHILD PASSENGER DEVICES AND PROVIDED 499 CARSEATS AND BOOSTER SEATS FREE OF CHARGE TO FAMILIES IN NEED. -PROFESSIONAL INJURY PREVENTION EDUCATION. IN FY12, THE DELL CHILDREN'S INJURY PREVENTION DEPARTMENT AND ITS PARTNERS ORGANIZED THE 2ND INJURY AND VIOLENCE PREVENTION CONFERENCE. THE THREE-DAY EVENT BROUGHT 30 INJURY PREVENTION LEADERS TO AUSTIN FROM AROUND THE COUNTRY. THESE LEADERS PROVIDED EDUCATION ON INNOVATIVE AND EVIDENCE-BASED INJURY PREVENTION PROGRAMMING TO MORE THAN 120 ATTENDEES. THE 3RD INJURY AND VIOLENCE PREVENTION CONFERENCE WILL BE HELD IN 2014. -TEEN PARENT PROGRAM: THROUGH A PARTNERSHIP WITH THE AUSTIN INDEPENDENT</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>SCHOOL DISTRICT, THE TEEN PARENT PROGRAM NOW SERVES EIGHT AUSTIN-AREA HIGH SCHOOLS TO PREVENT CHILDHOOD INJURIES TO INFANTS OF YOUNG PARENTS WHO ARE THEMSELVES CHILDREN IN MANY CASES. IN FY12, THE PROGRAM SERVED 1,057 PREGNANT AND PARENTING TEENS. -ADVOCACY. INJURY PREVENTION PROGRAM STAFF SUPPORTS TRAUMA AND PREVENTION PROGRAMS THAT INCLUDE THE CAPITAL AREA TRAUMA REGIONAL ADVISORY COUNCIL EXECUTIVE BOARD AND INJURY PREVENTION COMMITTEE; THE GOVERNOR'S EMS AND TRAUMA ADVISORY COUNCIL INJURY PREVENTION COMMITTEE; AND AUSTIN AREA SAFE KIDS (LEAD AGENCY AND BOARD MEMBER). IN FY12, THE INJURY PREVENTION PROGRAM LED A SUMMIT TO ADDRESS TRANSPORTATION-RELATED CHILDHOOD INJURIES. THIS NEW INITIATIVE INCLUDED COMMUNITY PARTNERS SUCH AS THE AUSTIN POLICE DEPARTMENT, CHILDREN'S OPTIMAL HEALTH AND THE CITY OF AUSTIN. THE GROUP IS TARGETING AREAS OF AUSTIN THAT COULD BE MADE SAFER BY IMPLEMENTING ENVIRONMENTAL CHANGES ON STREETS AND SIDEWALKS, AS WELL AS THROUGH EDUCATION TO FAMILIES. SETON LEAGUE HOUSE LOCATED NEAR SETON MEDICAL CENTER, THE SETON LEAGUE HOUSE IS A BED-AND-BATH FACILITY THAT PROVIDES FAMILIES A NEARBY PLACE TO STAY WHILE LOVED ONES ARE HOSPITALIZED. THE SETON LEAGUE HOUSE OFFERS OVERNIGHT ACCOMMODATIONS AT REASONABLE RATES DESIGNED TO AVOID PLACING A HARDSHIP ON FAMILIES. DURING FY12, THE SETON LEAGUE HOUSE PROVIDED 1,783 VISITORS WITH 8,934 ROOM NIGHTS. PERINATAL OUTREACH EDUCATION THE PERINATAL OUTREACH EDUCATION PROGRAM COORDINATES THE NEONATAL TRANSPORT TEAM, WHICH SERVES A 19-COUNTY AREA IN CENTRAL TEXAS. THE PROGRAM PROVIDES EDUCATIONAL HANDS-ON CLASSES TO HOSPITALS WITHIN THAT AREA AND SERVES AS THE LIAISON BETWEEN SETON AND THE HOSPITALS THAT TRANSFER MOTHERS AND BABIES TO SETON FACILITIES. THE PERINATAL OUTREACH PROGRAM ALSO HOSTS AN ANNUAL PERINATAL OUTREACH SEMINAR. THE PERINATAL OUTREACH PROGRAM SUPPORTS PERINATAL SERVICES IN A 16-COUNTY REGION IN CENTRAL TEXAS. THE PROGRAM OFFERS OR FACILITATES THE FOLLOWING SERVICES: -BOTH THE NEONATAL SPECIALTY TRANSPORT TEAM AND THE MATERNAL HIGH RISK TRANSPORT TEAM OFFERED EMERGENCY MEDICAL TRANSPORT FOR REFERRING HOSPITALS WITHIN THE REGION; IN FY12 THERE WERE 255 NEONATAL TRANSPORTS AND 151 MATERNAL REFERRALS. -PHYSICIAN AND NURSE CONSULTATION SERVICES -CONTINUING EDUCATION FOR HEALTH CARE PROFESSIONALS AS REQUESTED; IN FY11, DELL CHILDREN'S OFFERED 10 COURSES IN STABLE AND THREE NRP COURSES. -ANNUAL TWO-DAY REGIONAL NURSING CONFERENCE -BIMONTHLY NEONATAL GRAND ROUNDS FOR PHYSICIANS AND OTHER MEDICAL PROFESSIONALS -CONSULTATION AND TECHNICAL ASSISTANCE ON EMERGING PERINATAL ISSUES -COORDINATION OF EDUCATION AND TRAINING FOR PERINATAL HEALTH CARE PERSONNEL WITHIN THE NETWORK. DELL CHILDREN'S PREOPERATIVE TOUR PROGRAM THE DELL CHILDREN'S PREOPERATIVE TOUR PROGRAM IS FREE, HANDS-ON TEACHING PROGRAMS FOR CHILDREN (AND THEIR FAMILIES) WHO ARE SCHEDULED FOR SURGERY OR PROCEDURES AT DELL CHILDRENS MEDICAL CENTER. ADMINISTERED BY THE CHILD LIFE DEPARTMENT, THE PROGRAM HELPS CHILDREN COPE WITH FEAR, ANXIETY AND SEPARATION FROM FAMILY AND FRIENDS. IN FY12, 448 PATIENTS AND FAMILY MEMBERS (125 PATIENTS, 79 SIBLINGS AND 244 ADULTS) PARTICIPATED. PATIENT MEMORIAL SERVICES MEMORIAL SERVICES ARE CONDUCTED SEVERAL TIMES A YEAR IN REMEMBRANCE AND HONOR OF ALL THE PATIENTS WHO DIED WHILE AT SETON'S FACILITIES. THE SERVICES PROVIDE CLOSURE FOR FAMILY MEMBERS, AS WELL AS FOR THE EMPLOYEES WHO CARED FOR THE PATIENTS. CLINICAL RESEARCH SETON ADHERES TO THE PRINCIPLE THAT PATIENTS HAVE A RIGHT TO RECEIVE CARE DERIVED FROM SCIENTIFIC PRINCIPLES AND DATA-BASED EVIDENCE. TO THAT END, WE FURTHER OUR MISSION BY CONTRIBUTING FUNDS AND PERSONNEL TO SUPPORT RESEARCH THAT HELPS ADVANCE HEALTH CARE. TO SUPPORT NURSING RESEARCH IN PARTICULAR, SETON'S NURSE EXECUTIVE COUNCIL CHARTERED A NURSING RESEARCH COUNCIL (NRC) IN 2005 AND HIRED A FULL-TIME DOCTORAL NURSE AS DIRECTOR OF NURSING RESEARCH IN 2007. SETON'S CENTER FOR NURSING RESEARCH (CNR) PROVIDES A DEFINED INFRASTRUCTURE TO SUPPORT NURSING RESEARCH, INFORM POLICY AND PROCEDURE DEVELOPMENT, PROMOTE NURSING PRACTICE CHANGE AND SUPPORT THE IMPLEMENTATION OF EVIDENCE-BASED PRACTICE. THE CNR, IN CONSULTATION WITH THE NRC, SUPPORTS NURSES IN IDENTIFYING AND INVESTIGATING NURSING PROBLEMS THROUGH SCIENTIFIC INQUIRY, ANALYSIS, SYNTHESIS, DISSEMINATION AND TRANSLATION OF RESEARCH FINDINGS IN AN EFFORT TO IMPROVE NURSING PRACTICE WITH EVIDENCE-BASED FINDINGS. THE CNR AND NRC ASSESS THE BARRIERS TO INITIATING, CONDUCTING AND PARTICIPATING IN RESEARCH. RESEARCH AND CLINICAL LEADERS ENGAGE STAFF NURSES IN DISCUSSION OF THE IMPORTANCE OF EVIDENCE-BASED PRACTICE AND RESEARCH. THE CNR REAFFIRMS ITS MISSION TO PROMOTE A CULTURE OF RESEARCH VIA TWO CHANNELS OF EDUCATION: 1) EXPOSING RNS WHO ARE OTHERWISE UNAWARE OF NURSING RESEARCH TO ITS IMPORTANCE AND METHODS; AND 2) MENTORING THOSE RNS WHO ARE MOTIVATED TO INITIATE AND/OR PARTICIPATE IN RESEARCH. 2012 NURSING RESEARCH ACTIVITIES PRESENTATIONS AMY BLUM, RN, BSN PRESENTED "FROM THE ER TO HOME: HOW PATIENT THROUGHPUT ISSUES IMPACT HOSPITAL PERFORMANCE, A FIELD RESEARCH REPORT" AT THE HEALTHCARE SYMPOSIUM: INNOVATION AND HEALTHCARE DELIVERY SYSTEMS IN AUSTIN, TX IN APRIL, 2012. KENN KIRKSEY, PHD, RN, SCNS-BC PRESENTED "FREEDOM TO ADHERE: THE COMPLEX RELATIONSHIP BETWEEN DEMOCRACY, WEALTH DISPARITY, SOCIAL CAPITAL AND HIV MEDICATION ADHERENCE IN ADULTS LIVING WITH HIV" AT THE XIX INTERNATIONAL AIDS CONFERENCE IN WASHINGTON DC IN JULY, 2012. DEBBIE VANCE, MSN, RNC-NIC AND SHARON DEMEL MSN, CNS, RNC- NIC PRESENTED "DELPHI SURVEY OF RISK FACTORS FOR NEONATAL SKIN BREAKDOWN" AT THE ACADEMY OF NEONATAL NURSES ANNUAL CONFERENCE IN CHICAGO, ILLINOIS IN OCTOBER, 2012. MARY VINEY, MSN, RN, CPHQ PRESENTED "BUILDING YOUR PLANE WHILE FLYING" AT THE 79TH ANNUAL IDAHO HOSPITAL ASSOCIATION CONFERENCE SUN VALLEY, IDAHO IN OCTOBER, 2012. BUFFY ALLEN, MSN, RN PRESENTED "SIMULATION SAVES LIVES: AN INTER-PROFESSIONAL APPROACH TO PEDIATRIC CODE TRAINING" AT THE 13TH INTERNATIONAL MEETING ON SIMULATION IN HEALTHCARE (IMSH) IN ORLANDO FLORIDA IN JANUARY, 2012. JANET C. ALEXANDER, MDIV, MSN, RN PRESENTED "WHAT'S A TWITTER: E PROFESSIONALISM AND NURSING" AT THE NATIONAL TEACHING INSTITUTE &amp; CRITICAL CARE EXPOSITION IN ORLANDO FLORIDA IN MAY, 2012. JONATHAN HECHT, MSN, RN, ACNS-BC, CCRN, CNRN "CONCEPTS OF BRAIN TISSUE OXYGEN MONITORING" AT THE 24TH ANNUAL TEXAS NURSE PRACTITIONERS CONFERENCE MARY VINEY, MSN, RN, CPHQ PATIENT EXPERIENCE - MD PERSPECTIVE AT THE INSTITUTE FOR HEALTHCARE IMPROVEMENT SEMINAR IN JULY, 2012 IN CAMBRIDGE, MASSACHUSETTS. JOYCE BATCHELLER, DNP, RN, NEA-BC, FAAN DELIVERED THE KEYNOTE ADDRESS, "LEADING CHANGE AND ADVANCING HEALTH: ACHIEVING THE FUTURE OF NURSING" TO THE TEXAS CLINICAL NURSE SPECIALISTS CONFERENCE IN AUSTIN IN JULY, 2012. GEORGE LANGAN, MSN, RN-BC, CNE, NETWORK EDUCATION MANAGER OF ORIENTATION PROGRAMS, WILL PRESENT "TAILORING EXTENDED SUPPORTIVE COMPONENTS FOR YOUR ORGANIZATION: HOW TO GET THAT CUSTOM FIT," AT THE EIGHTH ANNUAL VERSANT CLIENT CONFERENCE IN SAN ANTONIO. PUBLICATIONS SMITH, JUDY, IRWIN, G, VINEY, M, WATKINS, L, PINNO-MORRIS, S, KIRKSEY, K , AND BROWN, A. AUTHORED, "OPTIMAL DISINFECTION TIMES FOR NEEDLELESS INTRAVENOUS CONNECTORS," PUBLISHED IN THE JOURNAL OF ASSOCIATION FOR VASCULAR ACCESS IN FALL 2012. RUTH H. JOHNSON BSN, RN-BC AND CHRISTEN PUGLIA, MSN, RN AUTHORED "DESIGNING A NEEDS ASSESSMENT SURVEY FOR CLINICAL NURSE EDUCATORS," IN THE JOURNAL FOR NURSES IN STAFF DEVELOPMENT IN SEPTEMBER, 2012. KAREN BURKMAN MSN, RN, NEA-BC AUTHORED "AN INTEGRATED SYSTEM'S NURSING GOVERNANCE MODEL" IN THE JOURNAL OF NURSING ADMINISTRATION IN JULY, 2012. JOYCE BATCHELLER, DNP, RN, NEA-BC, FAAN AUTHORED "NURSES TAKING ACTION IN TEXAS: LIVING THE IOM REPORT" PUBLISHED IN TEXAS NURSING VOICE IN OCTOBER, 2012. JOYCE BATCHELLER, DNP, RN, NEA-BC, FAAN AUTHORED "LEARNING HOW TO DANCE: COURAGEOUS FOLLOWERSHIP, A CNO CASE STUDY," PUBLISHED IN NURSE LEADER MARY ANN WHICKER, MSN, RN-BC AND MAGGIE HUEBNER, MBA AUTHORED "ORIENTATION WITHOUT WALLS: OPENING OF AN ACUTE CARE HOSPITAL," PUBLISHED IN NURSES IN STAFF DEVELOPMENT IN MAY, 2012. DAVID CURK "SCOOTER" MCFALL, MSN, RN AUTHORED "USE OF THE VIDEOPHONE TO COLLECT QUALITY-OF-LIFE DATA FROM BURN PATIENTS," PUBLISHED IN THE INTERNATIONAL JOURNAL OF BURNS AND TRAUMA IN 2012. LEEANN CHRISTIE, MSN, RN, DELL CHILDREN'S PEDIATRIC CRITICAL CARE RESEARCH SCIENTIST, AND DR. RENEE HIGGERSON, PICU MEDICAL DIRECTOR, AND ASSOCIATES WITH PEDIATRIC ACUTE LUNG INJURY AND SEPSIS INVESTIGATORS, PUBLISHED "FLUID BALANCE IN CRITICALLY ILL CHILDREN WITH ACUTE LUNG INJURY" IN THE OCTOBER ISSUE OF CRITICAL CARE MEDICINE, VOL. 40, NO. 10. THE PALISI NETWORK IS A LARGE, MULTISITE COLLABORATIVE RESEARCH GROUP WITH MEMBERSHIP FROM MORE THAN</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>70 HOSPITALS ACROSS NORTH AMERICA AND COLLABORATORS IN CHILE, AUSTRALIA AND NEW ZEALAND. MEDICAL EDUCATION THE SETON FAMILY OF HOSPITALS BELIEVES THAT, IN ORDER TO PROVIDE THE BEST HEALTH CARE TO THE COMMUNITY, ITS CLINICAL PERSONNEL MUST RECEIVE ONGOING MEDICAL EDUCATION. IN FY12, SETON PROVIDED 77 DIRECTLY- AND JOINTLY-SPONSORED CONTINUING MEDICAL EDUCATION ACTIVITIES THAT INCLUDED 992 HOURS OF INSTRUCTION FOR 7,779 PHYSICIAN PARTICIPANTS AND 9,352 NON-PHYSICIAN PARTICIPANTS. SUBJECTS INCLUDED: 2012 AUSTIN OCULOPLASTICS CONFERENCE 2012 AUSTIN TRAUMA &amp; CRITICAL CARE CONFERENCE 5TH ANNUAL PEDIATRIC CONFERENCE ACCESS AYA CARE BEYOND CANCER SYMPOSIUM ADULT ECHO CASE CONFERENCE ANNUAL ETHICS CONFERENCE ANNUAL PEDIATRIC CARDIAC CARE CONFERENCE BRAIN &amp; SPINE CASE CONFERENCE BREAST MULTIDISCIPLINARY CANCER CONFERENCE CARDIOPULMONARY CHEST CONFERENCE CATH LAB CONFERENCE CEDAR PARK RMC ADULT CANCER MANAGEMENT CONFERENCE CLINICAL INDICATIONS OF CYBERKNIFE STEROTACTIC RADIOSURGERY COLLABORATING FOR CURES COMPLEX SPINE CASE CONFERENCE COMPUTERIZED PROVIDER ORDER ENTRY CRANIOFACIAL CASE CONFERENCE CYBERKNIFE SYSTEM CLINICAL TRAINING DCMC/APS SURGERY MORBIDITY AND MORTALITY CONFERENCE DERMATOLOGY CASE CONFERENCE EPILEPSY CONFERENCE ESSENTIALS OF CREDENTIALING FOR MEDICAL STAFF LEADERS GENERAL SURGERY GRAND ROUNDS GI MULTIDISCIPLINARY CANCER CONFERENCE GYN CANCER MANAGEMENT CONFERENCE HEART TRANSPLANT/PERFORMANCE IMPROVEMENT COMMITTEE MEETING HEPATO-BILLARY-PANCREATIC MULTIDISCIPLINARY CANCER CONFERENCE MALIGNANT HEMATOLOGY MULTIDISCIPLINARY CANCER CONFERENCE MEETING THE CHALLENGES OF ACCOUNTABLE HEALTHCARE NEONATAL GRAND ROUNDS NEURO MULTIDISCIPLINARY CANCER CONFERENCE NEUROLOGY GRAND ROUNDS NEURO-ONCOLOGY: REDEFINING WHAT IS POSSIBLE OB/GYN GRAND ROUNDS OUTPATIENT CLINICAL CASE CONFERENCE PEDIATRIC CANCER MANAGEMENT CONFERENCE PEDIATRIC CARDIAC CASE CONFERENCE PEDIATRIC ECHO JOURNAL REVIEW PEDIATRIC FRACTURE CASE CONFERENCE PEDIATRIC GRAND ROUNDS PEDIATRIC INTERDISCIPLINARY MEETING PEDIATRIC NEURO-ONCOLOGY CASE CONFERENCE PEDIATRIC SECTION MEETING PEDIATRIC SPINE CASE CONFERENCE PEDIATRIC TRAUMA GRAND ROUNDS PEDIATRIC TRAUMA PERFORMANCE IMPROVEMENT PEER REVIEW PROCESS, NON PROFIT HEALTHCARE ORGANIZATION PHYSICIAN LEADERSHIP SERIES PRESCRIBING OPIOIDS FOR CHRONIC PAIN: BALANCING SAFETY AND EFFICACY PSYCHIATRY FACULTY DEVELOPMENT PSYCHIATRY FACULTY JOURNAL CLUB PSYCHIATRY GRAND ROUNDS PSYCHIATRY OUTPATIENT CLINICAL CASE CONFERENCE SAFETY BEHAVIORS &amp; ERROR PREVENTION FOR MEDICAL STAFF - DCMC SAFETY BEHAVIORS &amp; ERROR PREVENTION FOR MEDICAL STAFF - HAYS SAFETY BEHAVIORS &amp; ERROR PREVENTION FOR MEDICAL STAFF - SHL SAFETY BEHAVIORS &amp; ERROR PREVENTION FOR MEDICAL STAFF - SMCA SAFETY BEHAVIORS &amp; ERROR PREVENTION FOR MEDICAL STAFF - SMCW SAFETY BEHAVIORS &amp; ERROR PREVENTION FOR MEDICAL STAFF - SNW SAFETY BEHAVIORS &amp; ERROR PREVENTION FOR MEDICAL STAFF - SSW SAFETY BEHAVIORS &amp; ERROR PREVENTION FOR MEDICAL STAFF - UMCB SMCH ADULT CANCER MANAGEMENT CONFERENCE SMCW ADULT CANCER MANAGEMENT CONFERENCE SMCW SPINE CONFERENCE SMCW TRAUMA PHYSICIANS PERFORMANCE IMPROVEMENT SNW ADULT CANCER MANAGEMENT CONFERENCE SPINE CASE CONFERENCE STROKE CASE CONFERENCE SURGICAL ENDOCRINE CONFERENCE SURGICAL GI CONFERENCE TEXAS HOSPITAL ASSOCIATION ANNUAL CONFERENCE AND EXPO THE TRANSFORMATION OF AMERICA'S HOSPITALS TPA CASE CONFERENCE TRAUMA PHYSICIANS PERFORMANCE IMPROVEMENT TRAUMA ROUNDS UMCB ADULT CANCER MANAGEMENT CONFERENCE UMCB BREAST PRE-TREATMENT CANCER MANAGEMENT CONFERENCE PATIENT SERVICES DURING FY12, SETON'S FACILITIES TREATED AND DISCHARGED 71,222 ADULTS AND CHILDREN IN THE COMMUNITY FOR A TOTAL OF 347,204 PATIENT DAYS. SETON ALSO PROVIDED 822,173 HOSPITAL-BASED OUTPATIENT VISITS, INCLUDING 24,376 OUTPATIENT SURGERY VISITS AND 282,686 EMERGENCY VISITS. SETON PROVIDED 13,754 HOME HEALTH VISITS FOR HOMEBOUND PATIENTS THROUGH THE SETON HIGHLAND LAKES HOSPITAL HOME CARE SERVICE AND SETON SMITHVILLE HOME CARE SERVICE. IN ADDITION, SETON'S PRIMARY CARE AND SPECIALTY CARE PHYSICIAN PRACTICES SERVED THE COMMUNITY BY PROVIDING 636,750 PATIENT VISITS. UNIQUE SERVICES SETON SUPPORTS UNIQUE SERVICES UNAVAILABLE ELSEWHERE IN THE REGION INCLUDING: -CENTRAL TEXAS' ONLY LEVEL I TRAUMA CENTERS: DELL CHILDREN'S MEDICAL CENTER (PEDIATRIC) AND UNIVERSITY MEDICAL CENTER BRACKENRIDGE (ADULT); -AN ADVANCED NEUROSCIENCES CENTER THAT HOUSES STATE-OF-THE-ART EQUIPMENT; -CENTRAL TEXAS' ONLY HEART TRANSPLANT CENTER (SETON MEDICAL CENTER AUSTIN) CERTIFIED BY MEDICARE AND NAMED A DESTINATION SITE FOR TECHNOLOGY TO HELP SUSTAIN PATIENTS WITH FAILING HEARTS, INCLUDING THE USE OF VENTRICULAR ASSIST DEVICES; -REGIONAL HIGH RISK MATERNITY AND NEONATAL CENTER PROVIDING CARE FOR HIGH-RISK MOMS AND BABIES, MICRO PREEMIES AND MULTIPLE BIRTHS; -A DEDICATED PEDIATRIC HOSPITAL - DELL CHILDREN'S MEDICAL CENTER OF CENTRAL TEXAS SERVING A 46-COUNTY AREA DEDICATED SOLELY TO COMPREHENSIVE MEDICAL AND SURGICAL CARE FOR CHILDREN; -A NATIONALLY-RECOGNIZED AND HIGHLY INNOVATIVE STUDENT HEALTH SERVICES PROGRAM OPERATED IN COLLABORATION WITH THE AUSTIN INDEPENDENT SCHOOL DISTRICT THAT SERVES MORE THAN 87,000 STUDENTS; -THE COMMUNITY'S ONLY PRIVATE INPATIENT MENTAL HEALTH HOSPITAL, SETON SHOAL CREEK THAT SERVES PATIENTS OF ALL AGES: CHILDREN, ADOLESCENTS, ADULTS AND SENIORS; -LIVESTRONG SURVIVORSHIP CENTER AT DELL CHILDREN'S PROVIDES SPECIALIZED CARE IN A CLINIC THAT FOCUSES ON THE NEEDS OF PEDIATRIC CANCER SURVIVORS. CHILDREN ARE AT RISK FOR PHYSICAL AND PSYCHOLOGICAL ISSUES RELATED TO CANCER AND ITS THERAPY. THE RADIATION, CHEMOTHERAPY AND SURGERY USED TO SUCCESSFULLY TREAT CHILDHOOD CANCERS MAY LEAD TO WHAT ARE CALLED, "LATE EFFECTS" SUCH AS HEART AND LUNG PROBLEMS, IMPAIRED GROWTH, ETC. COMPREHENSIVE HEALTHCARE SERVICES INPATIENT &amp; OUTPATIENT SETON PROVIDES THE FOLLOWING INPATIENT AND OUTPATIENT MEDICAL SERVICES TO THE COMMUNITY AT ONE OR MORE LOCATIONS: -MAJOR (LEVEL I) TRAUMA CENTERS VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS -URGENT AND 24-HOUR EMERGENCY CARE -CRITICAL CARE SERVICES -INTERMEDIATE CARE SERVICES -GENERAL AND SUBSPECIALTY INPATIENT/OUTPATIENT SURGICAL SERVICES INCLUDING THORACIC, CARDIOVASCULAR, OPEN HEART, UROLOGY, OBSTETRICS/GYNECOLOGY, PLASTICS, MAXILLO-FACIAL, OPHTHALMOLOGY, ENT, ORTHOPEDIC, SPINE, TRAUMA AND PEDIATRIC. -INTERNAL MEDICINE, FAMILY PRACTICE AND SUBSPECIALTIES -SPECIALTY OUTPATIENT CLINIC -CARDIOVASCULAR AND TELEMETRY SERVICES -MEDICAL/SURGICAL SERVICES -COMPREHENSIVE MATERNITY SERVICES, INCLUDING HIGH RISK OBSTETRICAL, LEVEL II AND LEVEL III (NEONATAL) NURSERIES -ADVANCED NEUROSCIENCES, INCLUDING CYBERKNIFE; -CERTIFIED STROKE CENTERS -CERTIFIED CHEST PAIN CENTERS -RESUSCITATION CENTER DESIGNATIONS -ORTHOPEDICS -ONCOLOGY -NEPHROLOGY -HEART FAILURE AND HEART TRANSPLANT SERVICES.; DESTINATION FACILITY FOR VENTRICULAR ASSIST DEVICE (VAD) TECHNOLOGY DIAGNOSTIC AND THERAPEUTIC SERVICES -PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY -EXTENSIVE REHABILITATION SERVICES -WOUND CARE CLINIC -INVASIVE AND NON-INVASIVE DIAGNOSTIC CARDIOLOGY / CATHETERIZATION LABORATORY -CARDIAC REHABILITATION -DIAGNOSTIC RADIOLOGY INCLUDING FLUOROSCOPY, X-RAY, CT SCAN, NUCLEAR MEDICINE, SPECIAL PROCEDURES AND MRI.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>-OUTPATIENT SURGERY -PASTORAL CARE -SOCIAL WORK/DISCHARGE PLANNING/CASE MANAGEMENT -CARDIOPULMONARY SERVICES -LABORATORY SERVICES -PHARMACEUTICAL SERVICES PEDIATRIC SERVICES -CHILDREN'S EMERGENCY CENTER AND LEVEL I TRAUMA CENTER -CHILDREN'S REGIONAL HEART PROGRAM -CHILDREN'S SURGICAL SERVICES -CHILDREN'S THERAPY GYM -DELL CHILDREN'S IMAGING CENTER -JUVENILE DIABETES TEAM -NEONATAL INTENSIVE CARE UNIT -PEDIATRIC INTENSIVE CARE UNIT -PEDIATRIC CRITICAL CARE TRANSPORT TEAM -SPECIALTY CARE CENTER -CHILD LIFE DEPARTMENT -THE CHILDHOOD CANCER &amp; BLOOD DISORDERS CENTER -CHILDREN'S ASTHMA PROGRAM -PEDIATRIC DENTAL CARE WELLNESS/EDUCATION SERVICES -LACTATION EDUCATION -PARENT AND FAMILY EDUCATION FOR OBSTETRICS -DIABETIC EDUCATION -HIGH RISK OB EDUCATION -CANCER SCREENINGS/MAMMOGRAPHY -NURSE TRIAGE CALL CENTER -NUTRITION PRIMARY CARE SERVICES (COMMUNITY HEALTH CENTERS FOR UNINSURED) -PHYSICIAN AND NURSE PRACTITIONER VISITS -PHARMACY -SOCIAL SERVICES -HEALTH EDUCATION (INCLUDING DIABETES EDUCATION, NUTRITION AND COOKING CLASSES) INPATIENT PSYCHIATRIC HOSPITAL SERVICES -ACUTE INPATIENT ADULT PSYCHIATRIC SERVICES -ACUTE CHILDREN AND ADOLESCENT PSYCHIATRIC SERVICES -PSYCHIATRIC INTENSIVE CARE(LOCKED): INPATIENT DE-TOX AND PSYCHIATRIC STABILIZATION -ELECTRO-CONVULSIVE THERAPY -ADOLESCENT INTENSIVE OUTPATIENT (12 HOURS PER WEEK) PROGRAMS: PSYCHIATRIC AND SUBSTANCE ABUSE -ADULT INTENSIVE OUTPATIENT PROGRAMS: PSYCHIATRIC AND SUBSTANCE ABUSE LINKS TO ADDITIONAL COMMUNITY BENEFIT INFORMATION VISIT THE SETON FAMILY OF HOSPITALS' WEB SITE AT WWW.SETON.NET FOR ADDITIONAL INFORMATION ABOUT THE HEALTH-RELATED BENEFITS SETON PROVIDES THE CENTRAL TEXAS COMMUNITY. FINANCIAL INFORMATION SETON'S FINANCIAL INFORMATION IS CONTAINED IN THE APPROPRIATE FORMS FOR THE INTERNAL REVENUE SERVICE. FINANCIAL DATA THAT DEMONSTRATE SETON'S COMMITMENT TO ASSISTING THE MOST POOR AND VULNERABLE IN THE CENTRAL TEXAS COMMUNITY IS OUTLINED IN DETAIL IN SCHEDULE H. WE PREPARED THOSE DATA IN ACCORDANCE WITH THE CATHOLIC HEALTH ASSOCIATION'S (CHA) COMMUNITY BENEFIT REPORTING GUIDELINES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 2</ReturnReference>
        <Explanation>SISTER HELEN BREWER, CHARLES BARNETT, CHRISTOPHER ZIEBELL, JAMES LINDSEY AND DOUGLAS WAITE HAVE A BUSINESS RELATIONSHIP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 4</ReturnReference>
        <Explanation>THE CERTIFICATE OF FORMATION WAS RESTATED AND THE BYLAWS WERE AMENDED AND RESTATED TO REFLECT A CHANGE IN THE NAME OF THE SOLE CORPORATE MEMBER TO SETON HEALTHCARE FAMILY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>SETON HEALTHCARE HAS A SINGLE CORPORATE MEMBER, SETON HEALTHCARE FAMILY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>SETON FAMILY OF HOSPITALS HAS A SINGLE CORPORATE MEMBER, SETON HEALTHCARE FAMILY, WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF SETON FAMILY OF HOSPITALS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>ASCENSION HEALTH HAS DESIGNED A SYSTEM AUTHORITY MATRIX WHICH ASSIGNS AUTHORITY FOR KEY DECISIONS THAT ARE NECESSARY IN THE OPERATION OF THE SYSTEM. SPECIFIC AREAS THAT ARE IDENTIFIED IN THE AUTHORITY MATRIX ARE: NEW ORGANIZATIONS &amp; MAJOR TRANSACTIONS; GOVERNING DOCUMENTS; APPOINTMENTS/REMOVALS; EVALUATION; DEBT LIMITS; STRATEGIC &amp; FINANCIAL PLANS; ASSETS; SYSTEM POLICIES &amp; PROCEDURES. THESE AREAS ARE SUBJECT TO CERTAIN LEVELS OF APPROVAL BY ASCENSION PER THE SYSTEM AUTHORITY MATRIX.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE PROCESS THE ORGANIZATION USES TO REVIEW THE FORM 990: MANAGEMENT, INCLUDING CERTAIN OFFICER(S), WORKS DILIGENTLY TO COMPLETE THE FORM 990 AND ATTACHED SCHEDULES IN A THOROUGH MANNER. MANAGEMENT PRESENTS THE FORM TO THE BOARD, OR A DESIGNATED COMMITTEE, TO REVIEW AND ANSWER ANY QUESTIONS. PRIOR TO FILING THE RETURN, ALL BOARD MEMBERS ARE PROVIDED THE FORM 990 AND MANAGEMENT TEAM MEMBERS ARE AVAILABLE TO ANSWER ANY BOARD MEMBERS QUESTIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE CORPORATE RESPONSIBILITY OFFICER'S (CRO) DELEGATE WILL PREPARE A SUMMARY OF THE CONFLICT OF INTEREST DISCLOSURE STATEMENTS AND SUBMIT IT TO THE CRO FOR REVIEW. THE CRO WILL SUBMIT A WRITTEN REPORT TO THE APPLICABLE BOARD OR BOARD COMMITTEE ON THE RESULTS. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST: (1) AN INDIVIDUAL WITH A CONFLICT OF INTEREST MAY MAKE A PRESENTATION AT THE MEETING OF THE BOARD OF TRUSTEES OR COMMITTEE OF THE BOARD, BUT AFTER SUCH PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. (2) IF DEEMED APPROPRIATE OR ADVISABLE, THE CHAIR OF THE BOARD OR COMMITTEE OF THE BOARD, AS THE CASE MAY BE, MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR (3) AFTER EXERCISING DUE DILIGENCE, THE BOARD OF TRUSTEES OR COMMITTEE OF THE BOARD SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. (4) IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OF TRUSTEES OR COMMITTEE OF THE BOARD SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS OR MEMBERS, AS THE CASE MAY BE, WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT, AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION; AND THEREAFTER, THE BOARD OF TRUSTEES OR COMMITTEE OF THE BOARD SHALL DECIDE WHETHER TO ENTER INTO THE PROPOSED TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S CEO, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMIITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO WAS COMPARED INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. IN DETERMINING THE COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATIONS, THE OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>PART VII</ReturnReference>
        <Explanation>THE PERSON NOTED ON PART VII HAS COMPENSATION REPORTED FOR SERVICES PERFORMED FOR SETON FAMILY OF HOSPITALS OR A RELATED ORGANIZATION AND NOT FOR SERVICES PERFORMED AS A TRUSTEE OF SETON FAMILY OF HOSPITALS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED LOSSES ON INVESTMENTS: -187,971. PRIOR PERIOD ADJUSTMENTS: 164,426,521. EQUITY TRANSFERS -23,115,441. BOOK/TAX INCOME DIFFERENCES 4,340,559. DEFERRED PENSION COSTS -25,639,849. OTHER CHANGES IN NET ASSETS -190. TOTAL TO FORM 990, PART XI, LINE 5: 119,823,629.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FINANCIAL STATEMENTS AUDITED BY AN INDEPENDENT ACCOUNTANT</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 2B AND 2C</ReturnReference>
        <Explanation>THE FINANCIAL STATEMENTS OF SETON HEALTHCARE FAMILY AND ITS RELATED ORGANIZATIONS WERE AUDITED ON A CONSOLIDATED BASIS. AN AUDIT COMMITTEE HAS BEEN DELEGATED TO OVERSEE THE AUDITED FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANTS THAT AUDITED THE FINANCIAL STATEMENTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>THERE HAS BEEN NO CHANGE IN THE PROCESS FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ASCENSION HEALTH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>P O BOX 45998</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>631455998</ZIPCode>
        </AddressUS>
        <EIN>311662309</EIN>
        <PrimaryActivities>HEALTH CARE SYSTEM PARENT</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>SCH A, LINE 11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ASCENSION HEALTH ALLIANCE</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>AUSTIN CHILDREN'S CHEST ASSOCIATES II</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1345 PHILOMENA STREET</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78723</ZIPCode>
        </AddressUS>
        <EIN>260163261</EIN>
        <PrimaryActivities>DELIVERY OF HEALTH CARE SERVICES</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>SCH A, LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SETON CLINICAL ENTERPRISE CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BLUE LADIES MINERALS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1345 PHILOMENA STREET</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78723</ZIPCode>
        </AddressUS>
        <EIN>742971975</EIN>
        <PrimaryActivities>OWN OIL AND MINERAL RIGHTS, REAL ESTATE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>SCH A, LINE 11C</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CMC FOUNDATION OF CENTRAL TEXAS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1345 PHILOMENA STREET</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78723</ZIPCode>
        </AddressUS>
        <EIN>200468031</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>SCH A, LINE 11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SETON HEALTHCARE FAMILY</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SETONUT SOUTHWESTERN UNIVERSITY PHYSICIANS GROUP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1345 PHILOMENA STREET</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78723</ZIPCode>
        </AddressUS>
        <EIN>742869762</EIN>
        <PrimaryActivities>DELIVERY OF HEALTH CARE SERVICES</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>SCH A, LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SETON CLINICAL ENTERPRISE CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FICKETT HEALTH LEGACY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1345 PHILOMENA STREET</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78723</ZIPCode>
        </AddressUS>
        <EIN>272843709</EIN>
        <PrimaryActivities>TO HOLD TITLE TO REAL PROPERTY</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(25)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TWENTY-SIX DOORS INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>INSTITUTE OF RECONSTRUCTIVE PLASTIC SURGERY OF CENTRAL TEXAS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1345 PHILOMENA STREET</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78723</ZIPCode>
        </AddressUS>
        <EIN>262908163</EIN>
        <PrimaryActivities>DELIVERY OF HEALTH CARE SERVICES</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>SCH A, LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SETON CLINICAL ENTERPRISE CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PEDIATRIC CRITICAL CARE ASSOCIATES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1345 PHILOMENA STREET</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78723</ZIPCode>
        </AddressUS>
        <EIN>421670843</EIN>
        <PrimaryActivities>DELIVERY OF HEALTH CARE SERVICES</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>SCH A, LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SETON CLINICAL ENTERPRISE CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PEDIATRIC SURGICAL SUBSPECIALISTS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1345 PHILOMENA STREET</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78723</ZIPCode>
        </AddressUS>
        <EIN>208957311</EIN>
        <PrimaryActivities>DELIVERY OF HEALTH CARE SERVICES</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>SCH A, LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SETON CLINICAL ENTERPRISE CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SETON FAMILY OF PEDIATRIC SURGEONS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1345 PHILOMENA STREET</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78723</ZIPCode>
        </AddressUS>
        <EIN>271311790</EIN>
        <PrimaryActivities>DELIVERY OF HEALTH CARE SERVICES</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>SCH A, LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SETON CLINICAL ENTERPRISE CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SETON FAMILY OF PEDIATRICIANS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1345 PHILOMENA STREET</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78723</ZIPCode>
        </AddressUS>
        <EIN>271311909</EIN>
        <PrimaryActivities>DELIVERY OF HEALTH CARE SERVICES</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>SCH A, LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SETON CLINICAL ENTERPRISE CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SETON HAYS FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1345 PHILOMENA STREET</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78723</ZIPCode>
        </AddressUS>
        <EIN>262842608</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>SCH A, LINE 11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SETON HEALTHCARE FAMILY</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SETON MEDICAL GROUP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1345 PHILOMENA STREET</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78723</ZIPCode>
        </AddressUS>
        <EIN>742861106</EIN>
        <PrimaryActivities>DELIVERY OF HEALTH CARE SERVICES</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>SCH A, LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SETON CLINICAL ENTERPRISE CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SETON WILLIAMSON FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1345 PHILOMENA STREET</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78723</ZIPCode>
        </AddressUS>
        <EIN>205330986</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>SCH A, LINE 11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SETON HEALTHCARE FAMILY</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SPECIALLY FOR CHILDREN-CHILDREN'S HOSPITAL SUBSPECIALIST OF CENTRAL TEXAS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1345 PHILOMENA STREET</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78723</ZIPCode>
        </AddressUS>
        <EIN>742800601</EIN>
        <PrimaryActivities>DELIVERY OF HEALTH CARE SERVICES</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>SCH A, LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SETON CLINICAL ENTERPRISE CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE SETON COVE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1345 PHILOMENA STREET</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78723</ZIPCode>
        </AddressUS>
        <EIN>742727509</EIN>
        <PrimaryActivities>SPIRITUALITY CENTER</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>SCH A, LINE 11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SETON HEALTHCARE FAMILY</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1345 PHILOMENA STREET</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78723</ZIPCode>
        </AddressUS>
        <EIN>742212968</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>SCH A, LINE 11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SETON HEALTHCARE FAMILY</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TRI-COUNTY CLINICAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1345 PHILOMENA STREET</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78723</ZIPCode>
        </AddressUS>
        <EIN>264562712</EIN>
        <PrimaryActivities>DELIVERY OF HEALTH CARE SERVICES</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>SCH A, LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SETON CLINICAL ENTERPRISE CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TRI-COUNTY PRACTICE ASSOCIATES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1345 PHILOMENA STREET</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78723</ZIPCode>
        </AddressUS>
        <EIN>264562522</EIN>
        <PrimaryActivities>DELIVERY OF HEALTH CARE SERVICES</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>SCH A, LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SETON FAMILY OF HOSPITALS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TWENTY-SIX DOORS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1345 PHILOMENA STREET</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78723</ZIPCode>
        </AddressUS>
        <EIN>742855201</EIN>
        <PrimaryActivities>TO HOLD TITLE TO REAL PROPERTY</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(25)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ADULT INPATIENT MEDICAL SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1345 PHILOMENA STREET</AddressLine1>
          <City>AUSTIN</City>
          <State>TX</State>
          <ZIPCode>78723</ZIPCode>
        </AddressUS>
        <EIN>452498998</EIN>
        <PrimaryActivities>DELIVERY OF HEALTH CARE SERVICES</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>SCH A, LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SETON FAMILY OF HOSPITALS</BusinessNameLine1>
        </DirectControllingEntityName>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON FUND</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <MethodOfAmtDetermination>CASH TRANSFER</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON HAYS FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>1000</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON HAYS FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>941151</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT RECEIVED</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON HAYS FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>2482218</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON HAYS FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>108911</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON HAYS FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <MethodOfAmtDetermination>CASH TRANSFER</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON HEALTH PLAN INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>8939855</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON HEALTH PLAN INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>7648314</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON HEALTH PLAN INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <MethodOfAmtDetermination>CASH TRANSFER</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON HEALTH PLAN INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>6875048</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT RECEIVED</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON MEDICAL GROUP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>19970384</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON MEDICAL GROUP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>201606</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON MEDICAL GROUP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <MethodOfAmtDetermination>CASH TRANSFER</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON PHYSICIAN HOSPITAL NETWORK</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>37068</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON PHYSICIAN HOSPITAL NETWORK</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>839502</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON WILLIAMSON FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>626457</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT RECEIVED</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON WILLIAMSON FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>1793411</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON WILLIAMSON FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>142052</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON WILLIAMSON FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <MethodOfAmtDetermination>CASH TRANSFER</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SPECIALLY FOR CHILDREN</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>57048645</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SPECIALLY FOR CHILDREN</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>5392080</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SPECIALLY FOR CHILDREN</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <MethodOfAmtDetermination>CASH TRANSFER</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SPECIALLY FOR CHILDREN</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>1256842</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT RECEIVED</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SPECIALLY FOR CHILDREN</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <MethodOfAmtDetermination>LOAN AMOUNT</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>THE SETON COVE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <MethodOfAmtDetermination>CASH TRANSFER</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>THE SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>5263013</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>THE SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>1219433</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TOPFER BUILDING CONDOMINIUM ASSOCIATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>54676</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TRI-COUNTY PRACTICE ASSOCIATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>93135168</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TRI-COUNTY PRACTICE ASSOCIATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>3924877</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TRI-COUNTY PRACTICE ASSOCIATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <MethodOfAmtDetermination>CASH TRANSFER</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TRI-COUNTY PRACTICE ASSOCIATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>117277</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TRI-COUNTY PRACTICE ASSOCIATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>5905865</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT RECEIVED</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TRI-COUNTY CLINICAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>83416140</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TRI-COUNTY CLINICAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>10241537</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TRI-COUNTY CLINICAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <MethodOfAmtDetermination>CASH TRANSFER</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TRI-COUNTY CLINICAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>3123288</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT RECEIVED</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON ENT</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>314480</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT RECEIVED</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON ENT</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>8568422</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON ENT</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>1407681</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON ENT</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <MethodOfAmtDetermination>CASH TRANSFER</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON FAMILY OF PEDIATRIC SURGEONS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>1728500</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT RECEIVED</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON FAMILY OF PEDIATRIC SURGEONS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>6638242</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON FAMILY OF PEDIATRIC SURGEONS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <MethodOfAmtDetermination>CASH TRANSFER</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON FAMILY OF PEDIATRIC SURGEONS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>467505</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON FAMILY OF PEDIATRICIANS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>1286</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BLUE LADIES MINERALS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>41780</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TWENTY-SIX DOORS INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
        <AmountInvolved>104477</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT RECEIVED</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TWENTY-SIX DOORS INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>151387</AmountInvolved>
        <MethodOfAmtDetermination>ACTUAL AMOUNT PAID</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SETON HEALTH PLAN INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <MethodOfAmtDetermination>ACTUAL AMOUNT RECEIVED</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>