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ST DAVIDS FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ST DAVIDS FOUNDATION (EIN 74-1356589)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201213199349301471
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-14T09:14:05-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN742939657EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Flieller Kruger Skelton & Plyler PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1221 West Sixth Street Suite 1200AddressLine1
CityAustinCity
StateTXState
ZIP Code78701ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN741356589EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St David's FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTDANameControl
Phone5128796600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1811 Barton Springs Rd No 600AddressLine1
CityAustinCity
StateTXState
ZIP Code78704ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJim RiesName
TitleChief Financial OfficerTitle
Phone5128796600Phone
Date Signed2012-11-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGreg D SkeltonName
PTINP00104853PTIN
Phone5124796000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonEarl MaxwellNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1811 Barton Springs RdAddressLine1
CityAustinCity
StateTXState
ZIP Code78704ZIPCode
FieldValueIRS element (for citing)
Gross Receipts84420606GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.stdavidsfoundation.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1924YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionTo improve health and health care for all Central Texans.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees58TotalNbrEmployees
Total Nbr Volunteers35TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income-46135NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year92537ContributionsGrantsPriorYear
Contributions Grants Current Year383020ContributionsGrantsCurrentYear
Program Service Revenue Prior Year73399491ProgramServiceRevenuePriorYear
Program Service Revenue CY77288808ProgramServiceRevenueCY
Investment Income Prior Year2746074InvestmentIncomePriorYear
Investment Income Current Year6738025InvestmentIncomeCurrentYear
Other Revenue Prior Year3200OtherRevenuePriorYear
Other Revenue Current Year10753OtherRevenueCurrentYear
Total Revenue Prior Year76241302TotalRevenuePriorYear
Total Revenue Current Year84420606TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year20346273GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY24374015GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4315166SalariesEtcPriorYear
Salaries Etc Current Year4845398SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2344182OtherExpensePriorYear
Other Expenses Current Year2596870OtherExpensesCurrentYear
Total Expenses Prior Year27005621TotalExpensesPriorYear
Total Expenses Current Year31816283TotalExpensesCurrentYear
Revenues Less Expenses Prior Year49235681RevenuesLessExpensesPriorYear
Revenues Less Expenses CY52604323RevenuesLessExpensesCY
Total Assets BOY450232526TotalAssetsBOY
Total Assets EOY486760623TotalAssetsEOY
Total Liabilities BOY8796291TotalLiabilitiesBOY
Total Liabilities EOY6538634TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY441436235NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY480221989NetAssetsOrFundBalancesEOY
Mission DescriptionSt. David's Foundation is committed to positively impacting the health of the community. It controls hospitals dedicated to serving Central Texas under the community benefit standard,and it provides grants to programs focused on improving health and healthcare in Central Texas.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense25600350Expense
Grants24374015Grants
DescriptionThe reporting organization provides grants and corresponding program services to community organizations with the purpose of improving access to health care in Central Texas.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3510492Expense
DescriptionThe reporting organization provides free comprehensive dental care for low income children through Title 1 schools and for indigent adults in Central Texas who have no other access to services. This service is provided with fully equipped mobile dental clinics that are taken to the schools and safety-net agencies where the adults are located. Each clinic is staffed with full time dentists and support personnel. In 2011, the mobile clinics served 39 Title 1 elementary schools in 6 independent school districts. At these schools we screened 16,131 children for decay, 21,382 teeth were sealed and patient encounters totaled 6,533 for acute and restorative treatment.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Revenue77288808Revenue
DescriptionThe reporting organization controls hospitals dedicated to serving Central Texas under the community benefit standard. St. David's Healthcare Partnership includes six acute care hospitals and one rehabilitation hospital. In 2011, 61,920 patients were admitted and there were 271,826 emergency room visits.Description
FieldValueIRS element (for citing)
Total Program Service Expense29110842TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109622NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees58NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Jim RiesBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5128796603TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1811 Barton Springs Rd Suite 600AddressLine1
CityAustinCity
StateTXState
ZIP Code78704ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
H David Hughes
Board Chair15.00X000
Jack T Brown
Emeritus Director0.50X000
Ed Auler
Emeritus Director0.50X000
Charles M Christensen
Emeritus Director0.50X000
Diane Grant
Emeritus Director0.50X000
Jose Guerra
Emeritus Director0.50X000
Robena Jackson
Director5.00X000
Scott Thomas
Director0.50X000
Marc Winkelman
Director0.50X000
Barbara H Brightwell
Director0.50X000
Lynn Sherman
Director0.50X000
Charles Chaffin
Director5.00X000
Rev David Boyd
Ex-Officio Director0.50X000
Jerry Turner
Vice-Chair5.00X000
Bob Present
Emeritus Director0.50X000
John Murray
Director5.00X000
Kathleen Angel
Director0.50X000
Ray Bonilla
Director, Secretary5.00X000
Jo Anne Christian
Director0.50X000
Susie Jastrow
Director5.00X000
Mary Scott Nabers
Director5.00X000
Ray Benson
Director0.50X000
Albert Hawkins
Director0.50X000
Landy Warren
Director0.50X000
CW Hetherly
Director15.00X000
R Earl Maxwell
CEO40.00259992020565X
James J Ries
CFO40.00177035013209X
Bobbie Barker
Vice President40.00206137013843X
Carol Clark
General Counsel35.00240792013215X
Patrice Coons
Clinical Director40.00149148012139X
Monica Anderson
Dentist40.00128993013657X
Caesar Collazo
Lead Dentist40.00127558016876X
Roberto Rodriguez MD
Senior Program Officer40.00156359015553X
Ensy Atarod
Lead Dentist40.00120207016689X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1566221TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation135746TotalOtherCompensation
Number Individuals GT100 K15NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions383020AllOtherContributions
Total Contributions383020TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
St. David's HealthCare6219907724678277246782
Medicare Reimbursement6219904202642026
FieldValueIRS element (for citing)
Total Program Service Revenue77288808TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6738025TotalRevenueColumn
Exclusion$6,738,025ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column10753TotalRevenueColumn
Exclusion$10,753ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column84420606TotalRevenueColumn
Related Or Exempt Function Income77288808RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$6,748,778ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total24374015Total
Program Services24374015ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total925745Total
Program Services213742ProgramServices
Management And General712003ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3066568Total
Program Services2545943ProgramServices
Management And General520625ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total95482Total
Program Services67425ProgramServices
Management And General28057ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total512481Total
Program Services399191ProgramServices
Management And General113290ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total245122Total
Program Services185039ProgramServices
Management And General60083ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total59774Total
Management And General59774ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total73076Total
Management And General73076ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total381822Total
Management And General381822ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total265586Total
Program Services233830ProgramServices
Management And General31756ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total281751Total
Management And General281751ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total127690Total
Program Services38915ProgramServices
Management And General88775ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total136274Total
Program Services93489ProgramServices
Management And General42785ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total223740Total
Program Services111870ProgramServices
Management And General111870ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total66233Total
Program Services51720ProgramServices
Management And General14513ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total83403Total
Program Services58476ProgramServices
Management And General24927ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total67954Total
Program Services33977ProgramServices
Management And General33977ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total225445Total
Program Services41002ProgramServices
Management And General184443ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Supplies288968288968
Leased Equipment21234520000412341
Employee expenses11693015589101341
Repairs and Maintenance9774097740

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total-111861Total
Program Services59907ProgramServices
Management And General-171768ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total31816283Total
Program Services29110842ProgramServices
Management And General2705441ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY459EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2443931BOY
EOY8233573EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1578384BOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY6507849BOY
EOY5926208EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY138903BOY
EOY57814EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis551621LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec186550LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY259133BOY
EOY365071EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY165536495BOY
EOY191730484EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY273767831BOY
EOY280447014EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY450232526BOY
EOY486760623EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY305015BOY
EOY726444EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY6969095BOY
EOY4613855EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1522181BOY
EOY1198335EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8796291BOY
EOY6538634EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY438204928BOY
EOY477054114EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY637990BOY
EOY618644EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2593317BOY
EOY2549231EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY441436235BOY
EOY480221989EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY450232526BOY
EOY486760623EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses52604323ReconcilationRevenueExpenses
Reconcilation Other Changes-13818569ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$290DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$53,127OtherActivitiesAmount
Total Lobbying Expenditures IIB53417TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationThe Schedule K-1 from St. David's Healthcare Partnership, LP (the "Partnership") included $53,127 of lobbying expenditures, which constituted the portion of the organization's annual association dues dedicated to lobbying activities. In addition to amounts reported on the above-mentioned Schedule K-1, the reporting organization participated in direct contact with local legislators. David Huffstutler, CEO of the Partnership, spent 1 hour on lobbying activities during 2011. The amount reported on Line 1g above reflects the costs of these activities based upon hourly rates of compensation and allocable overhead for the officer involved.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2593317BeginningOfYearBalance
Investment Earnings Or Losses-44086InvestmentEarningsOrLosses
End Of Year Balance2549231EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2559582BeginningOfYearBalance
Investment Earnings Or Losses33735InvestmentEarningsOrLosses
End Of Year Balance2593317EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2500000BeginningOfYearBalance
Investment Earnings Or Losses59582InvestmentEarningsOrLosses
End Of Year Balance2559582EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Contributions2500000Contributions
End Of Year Balance2500000EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis551621OtherCostOrOtherBasis
Depreciation186550Depreciation
Book Value365071BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings365071TotalOfBookValueLandBuildings

Other Securities OtherSecurities (11 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
TIFF Absolute Return Pool II6549220F
TIFF Multi Asset Fund106360086F
TIFF Private Equity Partners 20073260630F
TIFF Private Equity Partners 20082561758F
TIFF Private Equity Partners 2009834859F
TIFF Realty & Resources III2142947F
TIFF Realty & Resources 20081310852F
TIFF Realty & Resources 2009697052F
TIFF Short Term22088642F
Vanguard Total Stock Index Fund22301271F
Vanguard International Stock Index Fund23623167F
FieldValueIRS element (for citing)
Total Of Book Value Securities191730484TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
DescriptionSt. David's Healthcare Partnership, LP, LLPDescription
Book Value280447014BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Program Related280447014TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to St. David's Community Health Foundation HoldingsDescription
Amount$1,198,335Amount
FieldValueIRS element (for citing)
Total Of Amounts1198335TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Intended Use of Endowment Funds:Part V, Line 4:The Executive Staff is developing recommendations to the Board of Trustees regarding the use of the earnings generated by the Key Endowment.
Description of Uncertain Tax Positions Under FIN 48:Part X:The Foundation is a public, nonprofit 501(C)(3) organization exempt from federal income taxes under Section 501(C)(3) of the Internal Revenue Code, except to the extent it has unrelated business activities. As such, no provision for federal income taxes has been made in the financial statements. The Foundation's policy is to record interest and penalty expense related to income taxes as interest and other expense, respectively. At December 31, 2011 and 2010, no interest or penalties have been or are required to be accrued. The Foundation, generally, is no longer subject to income tax examination by federal authorities for years prior to December 31, 2008.
THE FOUNDATION IS A PUBLIC, NONPROFIT 501(C)(3) ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 510(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT TO THE EXTENT IT HAS UNRELATED BUSINESS ACTIVITIES. AS SUCH, NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN MADE IN THE FINANCIAL STATEMENTS. THE FOUNDATION'S POLICY IS TO RECORD INTEREST AND PENALTY EXPENSE RELATED TO INCOME TAXES AS INTEREST AND OTHER EXPENSE, RESPECTIVELY. AT DECEMBER 31, 2011 AND 2010, NO INTEREST OR PENALTIES HAVE BEEN OR ARE REQUIRED TO BE ACCRUED. THE FOUNDATION, GENERALLY, IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION BY FEDERAL AUTHORITIES FOR YEARS PRIOR TO DECEMBER 31, 2008.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage500.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense25187282TotalCommunityBenefitExpense
Direct Offsetting Revenue533593DirectOffsettingRevenue
Net Community Benefit Expense24653689NetCommunityBenefitExpense
Percent Of Total Expense0.05370PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense38757456TotalCommunityBenefitExpense
Direct Offsetting Revenue56776640DirectOffsettingRevenue
Net Community Benefit Expense-18019184NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense63944738TotalCommunityBenefitExpense
Direct Offsetting Revenue57310233DirectOffsettingRevenue
Net Community Benefit Expense6634505NetCommunityBenefitExpense
Percent Of Total Expense0.01450PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense6891435TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense6891435NetCommunityBenefitExpense
Percent Of Total Expense0.01500PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense1242427TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1242427NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense25787580TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense25787580NetCommunityBenefitExpense
Percent Of Total Expense0.05620PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense33921442TotalCommunityBenefitExpense
Net Community Benefit Expense33921442NetCommunityBenefitExpense
Percent Of Total Expense0.07390PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense97866180TotalCommunityBenefitExpense
Direct Offsetting Revenue57310233DirectOffsettingRevenue
Net Community Benefit Expense40555947NetCommunityBenefitExpense
Percent Of Total Expense0.08840PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$4,260,301BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare131184504AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare127046627CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall4137877MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnership
1 St David's HealthCare Partnership LP LLP
The Foundation owns a controlling interest in St. David's0.40590
2
HealthCare Partnership, which operated six acute care hospitals in
3
Central Texas.
FieldValueIRS element (for citing)
Number Of Hospital Facilities7NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (7 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24Hours
St David's Medical Center
1919 E 32nd StreetAustinTX78705XXX
St David's North Austin Medical Center
212221 N Mopac ExpwyAustinTX78758XXX
St David's South Austin Medical Center
3901 W Ben White BlvdAustinTX78704XXX
Heart Hospital of Austin
43801 North Lamar BlvdAustinTX78756XXX
St David's Round Rock Medical Center
52400 Round Rock AveRound RockTX78681XXX
St David's Rehabilitation Hospital
61005 E 32nd StAustinTX78705X
St David's Georgetown Hospital
72000 Scenic DrGeorgetownTX78626XXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (7 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareState RegulationStateRegulationOther FactorsOtherFactorsExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsitePosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeProvided On AdmissionProvidedOnAdmissionAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossChargesOther ReasonOtherReason
St David's Medical Center
111200.0000000000001500.0000000000001XXXXXXXX11XXXXX101X00
St David's North Austin Medical Center
211200.0000000000001500.0000000000001XXXXXXXX11XXXXX101X00
St David's South Austin Medical Center
311200.0000000000001500.0000000000001XXXXXXXX11XXXXX101X00
Heart Hospital of Austin
411200.0000000000001500.0000000000001XXXXXXXX11XXXXX101X00
St David's Round Rock Medical Center
511200.0000000000001500.0000000000001XXXXXXXX11XXXXX101X00
St David's Rehabilitation Hospital
611200.0000000000001500.0000000000001XXXXXXXX11XXXXX100X00X
St David's Georgetown Hospital
711200.0000000000001500.0000000000001XXXXXXXX11XXXXX101X00

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Bailey Square Surgery Center
1111 W 34th St 400AustinTX78705Ambulatory Surgery Center
South Austin Surgery Center
4207 James Casey St 203AustinTX78745Ambulatory Surgery Center

Form990 Schedule H Part VI Form990ScheduleHPartVI (30 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
Part I, Line 3c: The hospitals provide 100% financial assistance(Charity Care) for eligible patients with income equal to or less 200% of the the Federal Poverty Guidelines(FPG). For eligible patients with income over 200% FPG and equal to 500% or less than FPG, discounts are provided on a sliding scale. Eligibility is determined using various sources of documentation and income verification. The accounts for individuals without any health insurance who live in low income zip codes and who fail to respond to collection efforts are removed from accounts receivable and treated as charity care. All collections efforts cease on these accounts once classified as charity care.
Part I, Line 7: The hospitals utilize the cost to charge ratio from the audited financial statements.
Part I, L7 Col(f): Bad debts are excluded from the calculation of total expenses.
Part II: All of the hospitals are active in the community promoting health of Central Texans. The Foundation provides significant grants each year to numerous agencies and local safety net clinics. The foundation focuses its funding to six key areas that will improve the health and health care of all Central Texans.
Part III, Line 4: St. David's Foundation's proportionate share of bad debt expense from its ownership interest in St. David's Healthcare Partnership, LP, LLP (the "Partnership") is reported on Schedule H, Part III, Line 2. Following is the footnote to the Partnership's audited financial statements which describes bad debt expense:"Estimated provisions for doubtful accounts are recorded to the extent it is probable that a portion or all of a particular account will not be collected. The Partnership considers a number of factors in evaluating the collectibility of accounts receivable including the age of the accounts, changes in collection patterns and other current conditions, and the composition of patient accounts by payor type."
Part III, Line 8: The Foundation has used the hositals' proportionate share of the shortfall on Medicare using the Medicare Cost Reports.
Part III, Line 9b: The organization writes off all charity care and does not pursue collection on those that qualify for charity care.
Part V, Section B, Line 9: The hospitals provide 100% financial assistance(Charity Care) for eligible patients with income equal to or less 200% of the the Federal Poverty Guidelines(FPG). Eligiblity is determined using various sources of documentation and income verification. The accounts for individuals without any health insurance who live in low income zip codes and who fail to respond to collection efforts are removed from accounts receivable and treated as charity care. All collections efforts cease on these accounts once classified as charity care.St. David's Medical Center
Part V, Section B, Line 10: For eligible patients with income over 200% FPG and equal to 500% or less than FPG, discounts are provided on a sliding scale. Eligiblity is determined using various sources of documentation and income verification.St. David's Medical Center
Part V, Section B, Line 11h: The following is a summary of the Charity Care Policy adopted by St. David's Medical Center:St. David's Medical Center actively seeks completion of an application, which facilitates collection of appropriate information, including:* Verification of family members in the household - For adult patients, patient spouse and any dependents; for minors, mother and father, and dependents of both.* Income calculation - For adults, sum of the total yearly gross income of the patient and the patient's spouse; for minors, total yearly gross income of the patient, and the patient's mother and father.* Documentation - various official income reporting documentation is sought (e.g. W-2, Wage and Tax Statement, Pay Check Remittance and others). Documentation associated with the participation in a Public Benefit Program can be provided in lieu of income documentation (proof of participation indicates the patient has been deemed financially indigent and therefore is not required to provide income information). There is also a verification process in place for patients that do not have appropriate documentation. * Charity Eligibility Classifications - For financially indigent patients, the amount owed by the patient after payment by all third-party payors must exceed ten percent of the patient's yearly income and the patient must be unable to pay the remaining bill. Acceptance by St. David's Medical Center is based on meeting one of of two criteria. Yearly income must be greater than 200%, but less than or equal to 500% of the Federal Poverty Guidelines.St. David's Medical Center
Part V, Section B, Line 11h: The following is a summary of the Charity Care Policy adopted by St. David's North Austin Medical Center:St. David's North Austin Medical Center actively seeks completion of an application, which facilitates collection of appropriate information, including:* Verification of family members in the household - For adult patients, patient spouse and any dependents; for minors, mother and father, and dependents of both.* Income calculation - For adults, sum of the total yearly gross income of the patient and the patient's spouse; for minors, total yearly gross income of the patient, and the patient's mother and father.* Documentation - various official income reporting documentation is sought (e.g. W-2, Wage and Tax Statement, Pay Check Remittance and others). Documentation associated with the participation in a Public Benefit Program can be provided in lieu of income documentation (proof of participation indicates the patient has been deemed financially indigent and therefore is not required to provide income information). There is also a verification process in place for patients that do not have appropriate documentation. * Charity Eligibility Classifications - For financially indigent patients, the amount owed by the patient after payment by all third-party payors must exceed ten percent of the patient's yearly income and the patient must be unable to pay the remaining bill. Acceptance by St. David's North Austin Medical Center is based on meeting either of two criteria. Yearly income must be greater than 200%, but less than or equal to 500% of the Federal Poverty Guidelines.St. David's North Austin Medical Center
Part V, Section B, Line 11h: The following is a summary of the Charity Care Policy adopted by St. David's South Austin Medical Center:St. David's South Austin Medical Center actively seeks completion of an application, which facilitates collection of appropriate information, including:* Verification of family members in the household - For adult patients, patient spouse and any dependents; for minors, mother and father, and dependents of both.* Income calculation - For adults, sum of the total yearly gross income of the patient and the patient's spouse; for minors, total yearly gross income of the patient, and the patient's mother and father.* Documentation - various official income reporting documentation is sought (e.g. W-2, Wage and Tax Statement, Pay Check Remittance and others). Documentation associated with the participation in a Public Benefit Program can be provided in lieu of income documentation (proof of participation indicates the patient has been deemed financially indigent and therefore is not required to provide income information). There is also a verification process in place for patients that do not have appropriate documentation. * Charity Eligibility Classifications - For financially indigent patients, the amount owed by the patient after payment by all third-party payors must exceed ten percent of the patient's yearly income and the patient must be unable to pay the remaining bill. Acceptance by St. David's South Austin Medical Center is based on meeting either of two criteria. Yearly income must be greater than 200%, but less than or equal to 500% of the Federal Poverty Guidelines.St. David's South Austin Medical Center
Part V, Section B, Line 11h: The following is a summary of the Charity Care Policy adopted by the Heart Hospital of Austin:Heart Hospital of Austin actively seeks completion of an application, which facilitates collection of appropriate information, including:* Verification of family members in the household - For adult patients, patient spouse and any dependents; for minors, mother and father, and dependents of both.* Income calculation - For adults, sum of the total yearly gross income of the patient and the patient's spouse; for minors, total yearly gross income of the patient, and the patient's mother and father.* Documentation - various official income reporting documentation is sought (e.g. W-2, Wage and Tax Statement, Pay Check Remittance and others). Documentation associated with the participation in a Public Benefit Program can be provided in lieu of income documentation (proof of participation indicates the patient has been deemed financially indigent and therefore is not required to provide income information). There is also a verification process in place for patients that do not have appropriate documentation. * Charity Eligibility Classifications - For financially indigent patients, the amount owed by the patient after payment by all third-party payors must exceed ten percent of the patient's yearly income and the patient must be unable to pay the remaining bill. Acceptance by Heart Hospital of Austin is based on meeting either of two criteria. Yearly income must be greater than 200%, but less than or equal to 500% of the Federal Poverty Guidelines.Heart Hospital of Austin
Part V, Section B, Line 11h: The following is a summary of the Charity Care Policy adopted by St. David's Round Rock Medical Center:St. David's Round Rock Medical Center actively seeks completion of an application, which facilitates collection of appropriate information, including:* Verification of family members in the household - For adult patients, patient spouse and any dependents; for minors, mother and father, and dependents of both.* Income calculation - For adults, sum of the total yearly gross income of the patient and the patient's spouse; for minors, total yearly gross income of the patient, and the patient's mother and father.* Documentation - various official income reporting documentation is sought (e.g. W-2, Wage and Tax Statement, Pay Check Remittance and others). Documentation associated with the participation in a Public Benefit Program can be provided in lieu of income documentation (proof of participation indicates the patient has been deemed financially indigent and therefore is not required to provide income information). There is also a verification process in place for patients that do not have appropriate documentation. * Charity Eligibility Classifications - For financially indigent patients, the amount owed by the patient after payment by all third-party payors must exceed ten percent of the patient's yearly income and the patient must be unable to pay the remaining bill. Acceptance by St. David's Round Rock Medical Center is based on meeting either of two criteria. Yearly income must be greater than 200%, but less than or equal to 500% of the Federal Poverty Guidelines.St. David's Round Rock Medical Center
Part V, Section B, Line 11h: The following is a summary of the Charity Care Policy adopted by St. David's Rehabilitation Hospital:St. David's Rehabilitation Hospital actively seeks completion of an application, which facilitates collection of appropriate information, including:* Verification of family members in the household - For adult patients, patient spouse and any dependents; for minors, mother and father, and dependents of both.* Income calculation - For adults, sum of the total yearly gross income of the patient and the patient's spouse; for minors, total yearly gross income of the patient, and the patient's mother and father.* Documentation - various official income reporting documentation is sought (e.g. W-2, Wage and Tax Statement, Pay Check Remittance and others). Documentation associated with the participation in a Public Benefit Program can be provided in lieu of income documentation (proof of participation indicates the patient has been deemed financially indigent and therefore is not required to provide income information). There is also a verification process in place for patients that do not have appropriate documentation. * Charity Eligibility Classifications - For financially indigent patients, the amount owed by the patient after payment by all third-party payors must exceed ten percent of the patient's yearly income and the patient must be unable to pay the remaining bill. Acceptance by St. David's Rehabilitation Hospital is based on meeting either of two criteria. Yearly income must be greater than 200%, but less than or equal to 500% of the Federal Poverty Guidelines.St. David's Rehabilitation Hospital
Part V, Section B, Line 11h: The following is a summary of the Charity Care Policy adopted by St. David's Georgetown Hospital:St. David's Georgetown Hospital actively seeks completion of an application, which facilitates collection of appropriate information, including:* Verification of family members in the household - For adult patients, patient spouse and any dependents; for minors, mother and father, and dependents of both.* Income calculation - For adults, sum of the total yearly gross income of the patient and the patient's spouse; for minors, total yearly gross income of the patient, and the patient's mother and father.* Documentation - various official income reporting documentation is sought (e.g. W-2, Wage and Tax Statement, Pay Check Remittance and others). Documentation associated with the participation in a Public Benefit Program can be provided in lieu of income documentation (proof of participation indicates the patient has been deemed financially indigent and therefore is not required to provide income information). There is also a verification process in place for patients that do not have appropriate documentation. * Charity Eligibility Classifications - For financially indigent patients, the amount owed by the patient after payment by all third-party payors must exceed ten percent of the patient's yearly income and the patient must be unable to pay the remaining bill. Acceptance by St. David's Georgetown Hospital is based on meeting either of two criteria. Yearly income must be greater than 200%, but less than or equal to 500% of the Federal Poverty Guidelines.St. David's Georgetown Hospital
Part V, Section B, Line 18c: St. David's Rehabilitation Hospital does not have an emergency room facility.St. David's Rehabilitation Hospital
Part V, Section B, Line 19d: The hospital utilized a sliding fee scale for patients between 200% and 500% of Federal Poverty Guidelines that is lower than the average of the three lowest negotiated commercial insurance rates.St. David's Medical Center
Part V, Section B, Line 19d: The hospital utilized a sliding fee scale for patients between 200% and 500% of Federal Poverty Guidelines that is lower than the average of the three lowest negotiated commercial insurance rates.St. David's North Austin Medical Center
Part V, Section B, Line 19d: The hospital utilized a sliding fee scale for patients between 200% and 500% of Federal Poverty Guidelines that is lower than the average of the three lowest negotiated commercial insurance rates.St. David's South Austin Medical Center
Part V, Section B, Line 19d: The hospital utilized a sliding fee scale for patients between 200% and 500% of Federal Poverty Guidelines that is lower than the average of the three lowest negotiated commercial insurance rates.Heart Hospital of Austin
Part V, Section B, Line 19d: The hospital utilized a sliding fee scale for patients between 200% and 500% of Federal Poverty Guidelines that is lower than the average of the three lowest negotiated commercial insurance rates.St. David's Round Rock Medical Center
Part V, Section B, Line 19d: The hospital utilized a sliding fee scale for patients between 200% and 500% of Federal Poverty Guidelines that is lower than the average of the three lowest negotiated commercial insurance rates.St. David's Rehabilitation Hospital
Part V, Section B, Line 19d: The hospital utilized a sliding fee scale for patients between 200% and 500% of Federal Poverty Guidelines that is lower than the average of the three lowest negotiated commercial insurance rates.St. David's Georgetown Hospital
Part VI, Line 2: The Partnership Strategic Planning Process continually assesses and addresses the needs of the community. The Foundation recently participated in a capacity study for the surrounding service area to assess the overall community needs. The Foundation's Grants Program addresses the needs of the service area.
Part VI, Line 3: Each hospital posts a summary of its charity care policy in admission areas, emergency rooms, and other areas where eligible patients are likely to be present. The hospitals' Condition of Admission consent informs the patients that they may be eligible for financial assistance or charity care and they may request information about these programs. A summary of the financial assistance program is provided to the patient during the intake and discharge processes. Patients are informed of availability of various government benefits, such as Medicaid, and receive assistance with the qualification for such programs, where applicable.
Part VI, Line 4: The hospitals are located in Travis and Williamson counties. The patients are predominately from Travis, Williamson and Hays counties. The Foundation's grant program recipients closely align with patient demographics served at the hospitals.
Part VI, Line 5: The hospitals operate as exempt hospitals; they have open emergency rooms and medical staff. The Foundation invests its share of earnings from the hospitals into programs in Central Texas that increase access to healthcare.
Part VI, Line 6: The Foundation is a general partner in St. David's Healthcare, a hospital system that meets the Community Benefit Standard in delivering hospital care to Central Texas. In addition, the Foundation has assessed the unmet healthcare needs of Central Texas and uses the earnings from the hospitals to meet those needs in many ways. The Foundation makes grants to charities in Central Texas meeting the healthcare needs of the indigent. The Foundation also makes grants to educational institutions to support medical education. The Foundation's subsidiaries give needs based scholarships to students pursuing healthcare careers. In addition, through a subsidiary, the Foundation provides free dental care to the children in more than 50 low income schools and to the adult patients of safety net clinics in Central Texas.
TXReports Filed With StatesPart VI, Line 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (73 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Childrens Optimal Health
1345 Philomena St Ste 350AustinTX78723262559516501(c)(3)47800Health Access Grant
Any Baby Can
1121 E 7th StAustinTX78702742684335501(c)(3)285000Health Access Grant
YMCA of Austin
1402 Cesar ChavezaustinTX78702741193464501(c)(3)285764Health access grant
Lone Star Circle of Care
1500 W University AveGeorgetownTX78628743001674501(c)(3)3802187Health Access Grant
Easter Seals of Central Texas
1611 Headway CirAustinTX78754750808811501(c)(3)60000Health Access Grant
Combined Community Action
165 West AveGiddingsTX78942741548511501(c)(3)30000Health Access Grant
Indigent Care Collaborative
2101 IH 35 S 500AustinTX78741311624871501(c)(3)250000Health Access Grant
Family Eldercare
2210 Hancock DrAustinTX78756742286387501(c)(3)175000Health Access Grant
Texas Scottish Rite Hospial
2222 welborn stdallasTX75219750818178501(c)(3)25000Health access grant
People's Community Clinic
2909 N IH 35AustinTX78722237087608501(c)(3)3433981Health Access Grant
Communities in Schools
3000 S IH 35AustinTX78704742369020501(c)(3)465944Health Access Grant
Waterloo Counseling Center
3000 S IH 35AustinTX78704742291792501(c)(3)166225Health Access Grant
Austin Travis County mhmr
3001 S 1st St 2AAustinTX78704741547909501(c)(3)320000Health access grant
Boys and Girls Club of the Capital Area
303 W Johanna StAustinTX78704746087356501(c)(3)120335Health Access Grant
Meals on Wheels and More
3227 E 5th StAustinTX78702237202594501(c)(3)200000Health Access Grant
LifeWorks
3700 S 1st StAustinTX78704742137189501(c)(3)513719Health Access Grant
Cancer Connection
3710 Cedar St Box 11AustinTX78731731699037501(c)(3)50937Health Access Grant
Austin Group for the Elderly
3710 Cedar St Box 2AustinTX78705742431028501(c)(3)311830Health Access Grant
Interagency Support Council of Eastern Williamson County
400 Porter StTaylorTX76574841636308501(c)(3)186475Health Access Grant
Hospice Austin
4107 Spicewood Springs RdAustinTX78759742200596501(c)(3)202000Health Access Grant
Volunteer Healthcare Clinic
4215 Medical ParkwayAustinTX78756746082464501(c)(3)67250Health Access Grant
Manos de Cristo
4911 Harmon AveAustinTX78751742511974501(c)(3)330000Health Access Grant
El Buen Samaritano
7000 WoodhueAustinTX78745742488682501(c)(3)940038Health Access Grant
New Connections Westlake Hills Pres Church
7127 Bee Caves RdAustinTX78746236393377501(c)(3)47672Health Access Grant
Greenlights for NonProfit Success
7703 N LamarAustinTX78752742992877501(c)(3)42500Health Access Grant
Austin Child Guidance Center
810 W 45th StAustinTX78751741166783501(c)(3)262105Health Access Grant
Capital Area Food Bank
8201 S CongressAustinTX78746742217350501(c)(3)60000Health Access Grant
Austin Recovery
8402 Cross Park DrAustinTX78754741609108501(c)(3)349500Health Access Grant
Texas Health Institute
8501 n mopac ste 300austinTX78759742237789501(c)(3)20000Health access grant
Wonders and Worries
923 Westbank DrAustinTX78746743012982501(c)(3)20000Health Access Grant
Capital Idea
PO Box 1784austinTX78767742893041501(c)(3)400000Health access grant
Marathon Kids
PO Box 5501AustinTX78763061722171501(c)(3)209130Health access grant
YMCA of Greater Williamson County
PO Box 819round RockTX78680742206558501(c)(3)52112Health access grant
The Care Communities
PO Box 16529AustinTX78761742845698501(c)(3)66183Health Access Grant
SafePlace
PO Box 19454AustinTX78760741977853501(c)(3)868223Health Access Grant
SIMS Foundation
PO Box 2152AustinTX78768742766013501(c)(3)120000Health Access Grant
Hays-Caldwell Women's Center
PO Box 234San MarcosTX78667742020505501(c)(3)124042Health Access Grant
Breast Cancer Resource Center
PO Box 300040AustinTX78703742743333501(c)(3)202688Health Access Grant
Health Alliance for Austin Musicians
PO Box 301496AustinTX78703741934031501(c)(3)130000Health Access Grant
Round Rock Serving Center
PO Box 5006Round RockTX78683742454410501(c)(3)130000Health Access Grant
Family Crisis Center
PO Box 736BastropTX78602742304542501(c)(3)45000Health Access Grant
Williamson-Burnet County Opportunities
PO Box 740GeorgetownTX78627746075213501(c)(3)37500Health Access Grant
Faith in Action Caregivers
PO Box 743GeorgetownTX78627203414707501(c)(3)125000Health Access Grant
University of Texas at Austin School of Nursing
PO Box 7726AustinTX78713746000203501(c)(3)4191459Health Access Grant
Texas Ramp Project
PO Box 832065RichardsonTX78083331139484501(c)(3)55000Health Access Grant
Center for Child Protection
8509 FM 969 Bldg CAustinTX78724742562585501(c)(3)75000Health Access Grant
Williamson County Crisis Center
1011 Gattis School Rd Ste106Round RockTX78664742277114501(c)(3)37500Health Access Grant
YWCA of Greater Austin
2015 S I35 110AustinTX78741746053497501(c)(3)18376Health Access Grant
Austin Speach Labs
7800 Shoal Creek Blvd Ste 240SAustinTX78757262137242501(c)(3)41500Health Access Grant
Aids Services of Austin
7215 Cameron RdAustinTX78752742440845501(c)(3)229000Health Access Grant
AISD
111 W 6th St Ste D 350AustinTX78703501(c)(3)300000Health Access Grant
Austin Travis County Integral Care
PO Box 3548AustinTX78764741547909501(c)(3)320000Health Access Grant
Austin Community College Foundation
5930 Middle Fiskville RdAustinTX78752742639966501(c)(3)37074Health Access Grant
Austin District Dental Hygentist Society
4702 Hickory HollowAustinTX78731742726070501(c)(3)15000Health Access Grant
Austin Community Foundation
PO Box 5159AustinTX78763741934036501(c)(3)9000Health Access Grant
Austin Travis County EMS
15 Waller StAustinTX78702746000085501(c)(3)186523Health Access Grant
Blood Bank Center of Central Texas
4300 North LamarAustinTX78756741366292501(c)(3)247002Health Access Grant
Community Health Centers of Central Texas
228 St George StGonzalesTX78629741548089501(c)(3)1065086Health Access Grant
Immunization Partnership
3015 RichmondHoustonTX77098760695612501(c)(3)79000Health Access Grant
Planned Parenthood
201 East Ben WhiteAustinTX78704371515621501(c)(3)180750Health Access Grant
Ronald McDonald House
1315 Barbara JordonAustinTX78723742277664501(c)(3)150000Health Access Grant
Samaritan Health Ministries
PO Box 133Cedar ParkTX78630742570190501(c)(3)80000Health Access Grant
Green Doors
1503 S IH 35AustinTX78743742582369501(c)(3)50000Health Access Grant
Sustainable Food Center
1106 Clayton LaneAustinTX78723742441468501(c)(3)795000Health Access Grant
Ut Health
PO Box 203382HoustonTX77216741767613501(c)(3)50141Health Access Grant
Capital City Village
PO Box 300792austinTX78703270539952501(c)(3)55000Health Access Grant
Capital Area Counseling
2824 Real StaustinTX78722740146929501(c)(3)89250Health Access Grant
Connections Individual and Family Services
PO Box 311268New BraunfelsTX78131742179169501(c)(3)52630Health Access Grant
Hand to Hold
11021 Deep BrookAustinTX78726273802900501(c)(3)25000Health Access Grant
Samaritan Center
2425A BurnetAustinTX78756741832864501(c)(3)196000Health Access Grant
iACT
701 Tillery StAustinTX78728742845698501(c)(3)10000Health Access Grant
Capital Area Dental Foundation
4201 Bee CavesAustinTX78746260776533501(c)(3)25000Health Access Grant
PE3
2414 ExpositionAustinTX78703300529636501(c)(3)60000Health Access Grant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants73TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: The Foundation monitors the use of grant funds through the following procedures: - Grantees submit quarterly reports to Program Officers 30 days after the close of each calendar quarter. Review of quarterly report information includes analysis of a) metric data for goal and outcome measures; b) demographic data; c) significant program activities, accomplishments and/or changes; and d) results of client satisfaction surveys. - Grantees submit year-end reports to Program Officers after the close of fourth quarter. Review of year-end reports includes analysis of aggregate data from quarterly reports and documentation of financial statements. - Program officers distribute summary reports to senior management and board members for analysis. - Program Officers attend grantees' board meetings at least one time per year. - Staff and board members review agency grant proposals in connection with site visits. - Staff conduct periodic site visits throughout funding year.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
R Earl Maxwell
2599920000073500132150280557000
James J Ries
177035000005457077520190244000
Bobbie Barker
206137000006238076050219980000
Carol Clark
2407920000000132150254007000
Patrice Coons
149148000004478076610161287000
Roberto Rodriguez MD
1563590000024420131110171912000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 1aReturnReference
ExplanationThe reporting organization pays for certain officers' membership at the UT Club for the convenience of the organization to use the club for business meetings. Bobbie Barker was a member of the club during 2011, and dues totaled $852 for that year.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonCW Hetherly Past ChairNamePerson
FieldValueIRS element (for citing)
RelationshipFamily relationship with St. David's Healthcare Partnership, LP, LLPRelationship
Amount Of Transaction169136AmountOfTransaction
Description Of TransactionC.W. Hetherly's son, Michael Hetherly, is the Director - Provider Sponsored Networks, CWT Division at St. David's Healthcare Partnership, LP, LLP, an entity related by ownership to the reporting organization, or one of its affiliates. The reported amount of the transaction includes Mr. Hetherly's salary & benefits.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 2Charles Christensen (Trustee), Diane Grant (Trustee) and Carol Clark (General Counsel) are limited partner investors in a real estate partnership in which C.W. Hetherly (Past Chair) is the general partner. The limited partnership units were offered in a private placement to qualified investors; all investors, a larger pool than these three investors, paid the same price per unit.
Form 990, Part VI, Section A, line 2David Hughes (Chairman) was an attorney with a private law firm that has clients among the Trustees. Mr. Hughes and his firm did not provide legal services to the reporting organization.
Form 990, Part VI, Section B, line 11The reporting organization's Tax and Audit Committee reviews a draft of the Form 990 in detail prior to it being finalized. The organization's Board then reviews a draft of the Form 990 in summary prior to finalization. A final version of Form 990 is sent to the Trustees for review prior to filing.
Form 990, Part VI, Section B, line 12cThe reporting organization annually verifies compliance with the conflicts of interest policy. The individuals covered by this policy include the officers, trustees, directors, board of governors representatives. The persons covered by this policy are required to annually disclose or update the Chairman of the Board of Trustees on a form provided by the organization their interests that could give rise to conflicts of interest. For each interest disclosed to the Chairman of the Board of Trustees of the foundation, the Chairman will determine whether to: (a) take no action; (b) assure full disclosure to the Board of Trustees of the Foundation and other individuals covered by this policy; (c) ask the person to recuse from participation in related discussions or decisions within the organization; or (d) ask the person to resign from his or her position in the Organization or, if the person refuses to resign, become subject to possible removal in accordance with the Organization's removal procedures. The organization's CEO will monitor proposed or ongoing transactions for conflicts of interest and disclose them to the Chairman of the Board of Trustees in order to deal with potential or actual conflicts.
Form 990, Part VI, Section B, line 15To establish the compensation of the organization's top management official, other officers, and key employees, the foundation hires an outside consultant to conduct an intermediate sanction review. Without participation of the officer, director or other top management official under consideration, the Executive Committee reviews and approves the consultant's report. This process was last undertaken for the following officers, directors, key employees as follows: Earl Maxwell, Chief Executive Officer, December 7, 2011 Jim Ries, Chief Financial Officer, December 7, 2011 Bobbie Barker, VP of Grants & Community Programs, December 7, 2011 Patrice Coons, Clinical Director, Dental Programs, December 7, 2011 Roberto Rodriguez, M.D., December 7, 2011 Caesar Collazo, Dentist, December 7, 2011 Kara Diemer, Dentist, December 7, 2011 Shailee Gupta, Dentist, December 7, 2011 Monica Anderson, Dentist, December 7, 2011 Ensy Atarod, Dentist, December 7, 2011 Falumi Patel,Dentist, December 7, 2011
Form 990, Part VI, Section C, line 19The reporting organization's governing documents, conflict of interest policy and financial statements are available to the public upon request. Please contact Jim Ries at 512-879-6603.
Form 990, Part XI, line 5:Net unrealized losses on investments: -13,818,569.Changes in Net Assets or Fund Balances:
Form 990, Part XII, Line 2b:The reporting organization's financials statements were audited by an independent accountant as part of consolidated financial statements. The consolidated financial statements included St. David's Foundation, St. David's Community Health Foundation Holdings, St. David's Foundation Community Fund, St. David's Community Health Foundation Initiatives, St. David's Foundation Impact Fund, LP, and St. David's Foundation Impact Fund, GP, LLC.
Form 990, Part VI, Section A, Line 1a:The Board of Trustees of the reporting organization (the "Foundation") established an Executive Committee (the "Committee") to assist the Board in fulfilling its oversight responsibility for the operations of the organization and its affiliates. The Committee has the power to conduct the business of the Foundation during the period between meetings of the Board, in accordance with the policies and expressed wishes of the Board and established protocol. The Committee is authorized to secure such resources as it reasonably needs to fulfill its responsibilities, including outside consultants, as appropriate. The Chief Executive Officer of the Foundation, or an appointed representative, serves as the Committee's staff liaison. The Committee also consists of two elected governing Board officers: Chair and Secretary, and the chairs of other governing Board sub-committees. All Committee members are governing board members, must be independent of management, and receive no compensation from the Foundation. The Board of Trustees has adopted a set of Central Governance Principles to provide a specific framework for the decision-making and governance activities of the Committee.
St. David's Foundation (the "Foundation") owns a general partner interest in St. David's Healthcare Partnership, LP, LLP (the "Partnership"). The amounts below represent the Partnership's portion of compensation paid in 2011. Jon Foster, CEO 1/1/11-2/17/11 Salary $413,911 Employee Benefits $ 12,470 David Wilson, CFO Salary $377,216 Employee Benefits $ 19,607 C. David Huffstulter CEO 3/1/11-12/31/11 Salary $314,161 Employee Benefits $ 47,857Officer Compensation of Related Organizations:
Impact. Community. Health. With those three words as a guide, St. David's is dedicated to making a positive impact on the health of our community. St. David's Foundation includes controlling interests in six acute care hospitals and one rehabilitation hospital dedicated to serving Central Texas under the community benefit standard and a grant program focused on improving health and health care in Central Texas. IMPACT. St. David's HealthCare Partnership capital investment in the Community $850,000,000 Since inception in 1996, the St. David's hospitals have reinvested more than $750 million in spent or committed funds in capital improvements to the hospitals and other medical facilities. The Central Texas area is one of the fastest growing areas of the country, and the St. David's HealthCare Partnership is committed to offering Central Texas the highest level of health care by expanding and upgrading facilities, recruiting the best doctors and nurses, and offering advanced medical services and technology. St. David's Hospitals Scope of Service St. David's touches thousands of Central Texans each year. In 2011, that included: * Patients admitted 61,920 * Emergency room visits 271,826 COMMUNITY. Contributions for community benefits: $26,000,000 The Foundation invests its share of the earnings from St. David's HealthCare into programs in Central Texas that increase access to quality health care. The Foundation identifies areas of need, outlines goals for each area with an overall objective to make grants that will have a significant impact. The focus areas and goals include: Healthy Aging - Supporting programs that help maintain aging in place for older adults. $1.7 million in 2011 Healthy Futures - Providing funds for educational opportunities in health care research and health careers. $4.3 million in 2011 Healthy Living - Promoting health and wellness through healthy diet and exercise. $2.1 million in 2011 Healthy Minds - Supporting behavioral health programs in schools, health clinics and community non-profits. $5.1 million in 2011 $11.2 million in 2011 Healthy Smiles - Offering free dental services to underserved children in six school districts and families at safety net clinics. $3.5 million in 2011 With so many issues affecting the health and well-being of Central Texans, the Foundation's mission is to overcome these challenges so everyone has an opportunity to receive the best health care possible. We believe that by taking the initiative to understand these direct problems, we can wisely fund programs that are innovative and surpass the expectations of the people we serve. Covering more than five counties in Central Texas, in 2011 the Foundation helped more than 57 agencies. * St. David's Foundation Grants $27,307,235 * St. David's Foundation Grants Administration $1,023,019 St. David's Healthcare Partnership also provides community health improvement services and community benefit operations. The Foundation share was $7 million in 2011. With one of the largest fleets of mobile dental clinics in the country, St. David's Dental Program offers free dental care to children at Title I elementary schools in Central Texas, as well as to adults referred by area clinics and the Health Alliance for Austin Musicians (HAAM). Each of the six vans is equipped with two dental exam rooms, digital x-rays, and computer workstations. The vans are staffed by licensed dentists, hygienists, and dental assistants. In 2011, St. David's Dental Program treated 6,533 students free of charge at 39 schools throughout Central Texas. The schools eligible for the program have a Title I designation and more than half of the student population participates in free lunch programs. St. David's Dental Program employs two oral health educators who travel to schools to teach children about good dental health care and nutrition. HEALTH. St. David's Foundation Charity Care $25 million The health care system, St. David's HealthCare, is a partnership between St. David's Foundation (a general partner with a controlling governance interest) and HCA, and operates as an exempt hospital. The St. David's hospitals provide a substantial amount of charity care to the elderly, indigent, and economically disadvantaged in Central Texas. All patients are admitted to emergency rooms regardless of their ability to pay. If further acute inpatient care is required, patients from the emergency department are admitted to the hospital, also without regard to their ability to pay. The amount represents St. David's Foundation's proportionate share of the Partnership's charity care and charity care provided by the dental program. Health Professionals Education $1 millionSt. David's Foundation 2011 Community Benefit Report:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
St David's Community Health Foundation Holdings
811 Barton Springs Rd Suite 600AustinTX78704742206098Holds endowment funds used to assist the needy of Central TexasTX501(c)(3)Sec 170 (b)(1)(A)(viSt David's Foundation1
St David's Foundation Community Fund
811 Barton Springs Rd Suite 600AustinTX78704742898888Provides Scholarships to Needy Students in Central TexasTX501(c)(3)Sec 170 (b)(1)(A)(viSt David's Foundation1
St David's Community Health Foundation Initiatives
811 Barton Springs Rd Suite 600AustinTX78704270112979Supports St. David's Foundation Community FundTX501(c)(3)Sec 509(a)(3), ISt David's Foundation Community Fund1

Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
St David's Healthcare Partnership LP LLP
98 San Jacinto Ste 1800AustinTX78701742781812Owns & operates 6 acute care hospitals in Central TXTXN/ARelated70483320361823938010.40590
Bailey Square Ambulatory Surgical Center Ltd
98 San Jacinto Ste 1800AustinTX78701752467365Ambulatory surgery centerTXN/A
South Austin Surgery Center Ltd
98 San Jacinto Ste 1800AustinTX78701621775267Ambulatory surgery centerTXN/A
Leadership Healthcare Holdings II LP LLP
98 San Jacinto Ste 1800AustinTX78701341996283Owns an interest in a radiology centerTXN/A
Leadership Healthcare Holdings LP LLP
98 San Jacinto Ste 1800AustinTX78701203151012Owns majority interests in ambulatory surgery centersTXN/A
Oakwood Surgery Center Ltd
98 San Jacinto Ste 1800AustinTX78701621641024Ambulatory surgery centerTXN/A
North Austin Surgery Center LP
98 San Jacinto Ste 1800AustinTX78701200648730Ambulatory surgery centerTXN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
St David's Foundation Impact Fund LP
811 Barton Springs Rd Ste 600AustinTX78704341996279Owns indirect interest in a radiology center; makes research grantsTXN/AC
St David's Foundation Impact Fund GP LLC
811 Barton Springs Rd Ste 600AustinTX78704341996272Owns indirect interest in a radiology center; makes research grantsTXN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
St David's Foundation Community Fund
J200004FMV
St David's Foundation Community Fund
A102461FMV
St David's Foundation Impact Fund LP
A227671FMV