2011-11-15T16:12:28-06:00 2010-12-31 DURBIN & COMPANY LLP 2950 50TH STREET LUBBOCK TX 79413 990 2010-01-01 742427148 GEORGETOWN HEALTHCARE SYSTEM GEOR 5129312221 2120 SCENIC DRIVE GEORGETOWN TX 78626 SCOTT ALARCON 5129312221 2011-11-15 1 MICHELLE LEWIS 8067911591 2010 2016-03-07 17:11:31Z SCOTT ALARCON 2120 SCENIC DRIVE GEORGETOWN TX 78626 3439876 0 X WWW.GTHF.ORG X 1985 TX THE ORGANIZATION IS A NOT-FOR-PROFIT ORGANIZATION, DEDICATED TO THE PROMOTION OF QUALITY, ACCESSIBLE HEALTH CARE FOR ALL PERSONS IN THE GEORGETOWN AND THE SURROUNDING AREA. AS A PARTNER IN ST. DAVID'S HEALTH CARE PARTNERSHIP, WE PROVIDE HEALTHCARE TO THE PUBLIC THROUGH THE OPERATION OF SIX HOSPITALS IN THE CENTRAL TEXAS AREA. ADDITIONALLY, IN THE GEORGETOWN AREA, WE SERVE AS A CATALYST TO FACILITATE THE EXPANSION AND ENHANCEMENT OF HEALTH AND WELLNESS TO A DIVERSE AND GROWING POPULATION THROUGH EFFECTIVE COLLABORATION AND APPROPRIATE FINANCIAL SUPPORT FOR COMMUNITY PARTNERS WHO EXIST TO MEET THESE NEEDS. 11 11 0 205 0 0 986138 313358 2874654 2532336 -255203 410595 203025 183587 3808614 3439876 1590188 785930 0 0 1491829 1555903 0 0 0 758918 601641 3840935 2943474 -32321 496402 36386527 37912594 633854 1699839 35752673 36212755 TO PROMOTE AND FACILITATE THE ADVANCEMENT OF AFFORDABLE HEALTH CARE TO THE COMMUNITY OF GEORGETOWN AND THE SURROUNDING AREA. 0 0 921692 1028740 THE REPORTING ORGANIZATION OPERATES A HOME HEALTH AGENCY WHICH PROVIDED 5,530 PATIENT VISITS TO OVER 284 PATIENTS IN AND AROUND THE GEORGETOWN, TEXAS AREA IN THIS REPORTING PERIOD. THE PRIMARY PAYOR TYPE FOR THE AGENCY IS MEDICAID. 877365 785930 THE REPORTING ORGANIZATION PROVIDES GRANTS TO COMMUNITY ORGANIZATIONS THAT PROMOTE IMPROVED ACCESS TO, OR DIRECTLY PROVIDE HEALTHCARE TO THE CITIZENS OF THE GEORGETOWN, TEXAS AREA REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES. 1503596 THE REPORTING ORGANIZATION IS A PARTNER IN THE ST. DAVID'S HEALTHCARE PARTNERSHIP, LP, LLP. THE PARTNERSHIP OPERATES SIX ACUTE CARE HOSPITALS AND ONE REHABILITATION HOSPITAL SERVING THE CENTRAL TEXAS AREA. IN 2010, 56,546 PATIENTS WERE ADMITTED AND THERE WERE 253,871 EMERGENCY ROOM VISITS. THE PARTNERSHIP IS COMMITTED TO SERVING THE CENTRAL TEXAS AREA UNDER THE COMMUNITY BENEFIT STANDARD. 1799057 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X THE ORGANIZATION 5129312221 2120 SCENIC DRIVE GEORGETOWN TX 78626 STEPHEN SHAEFER 2.00 X 0 0 0 BARBARA BRIGHTWELL 1.50 X 0 0 0 DOUGLAS BENOLD 1.50 X 0 0 0 DOAK FLING 1.50 X 0 0 0 LARRY HEMENES 1.50 X 0 0 0 ALMA GUZMAN 1.00 X 0 0 0 JACK HUNNICUTT 1.00 X 0 0 0 JOANNE ALLEN 1.00 X 0 0 0 DALE ILLIG 1.00 X 0 0 0 DARRICK MCGILL 1.00 X 0 0 0 JACK SCHRUM 1.00 X 0 0 0 SCOTT ALARCON 40.00 X 212034 0 22387 RICHARD G SCHULTZ 40.00 X 142415 0 20377 354449 0 42764 2 0 1 0 ALLIED EMPLOYER GROUP 4400 BUFFALO GAP ROAD ABILENE TX 79606 PROFESSIONAL EMPLOYER ORGANIZATION 1314466 IE2 CONSTRUCTION 11002 B METRIC ROAD AUSTIN TX 78758 CONSTRUCTION 405463 2 313358 313358 HEALTHCARE AND HOSPITA 621990 1503596 1503596 HEALTHCARE AND HOSPITA 621610 1028740 1028740 2532336 350578 53 350525 60017 60017 60017 60017 OTHER INCOME 900099 130525 130525 LEASE 900099 53062 53062 183587 3439876 2775993 0 350525 785930 785930 354449 354449 893041 587360 305681 110622 44348 66274 98229 70263 27966 99562 49039 50523 45970 45970 10171 10171 79462 79462 18687 18687 8510 4612 3898 3833 3833 29807 3398 26409 75925 31200 44725 64272 53112 11160 1775 1775 42325 42325 ADMINISTATIVE EXPENSES 73556 73556 OTHER PAYROLL FEES 27177 12820 14357 PROPERTY TAXES 25725 25725 TELEPHONE 17245 17245 SUPPLIES 15152 12375 2777 62049 38843 23206 2943474 1799057 1144417 0 -1 1 289280 153606 177810 111268 19605 19352 17502 16481 3106494 612547 2099116 2493947 9459285 10362853 13923847 14332920 10400083 10422166 36386527 37912594 63724 64670 1153169 570130 482000 633854 1699839 X 35752673 36212755 35752673 36212755 36386527 37912594 X 496402 -36320 X X 0 1 1 X 0 X 0 0 0 0 0 0 0 0 1 651 651 0 ORGANIZATIONS DIRECT AND INDIRECT POLITICAL CAMPAIGN ACTIVITIES: PART I-A, LINE 1: INDIRECT FROM PASS THROUGH ORGANIZATION EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: THE SCHEDULE K-1 FROM ST DAVIDS HEALTHCARE PARTNERSHIP LP INCLUDED $651 OF LOBBYING EXPENDITURES WHICH CONSTITUTED THE PORTION OF THE ORGANIZATIONS ANNUAL ASSOCIATION DUES DEDICATED TO LOBBYING ACTIVITIES. 1662191 1662191 1388458 571414 817044 55845 41133 14712 2493947 ST DAVIDS PARTNERSHIP LP 14332920 C 14332920 DEFERRED EMPLOYEE BENEFIT - FROM FROZEN 403B PLAN 268256 RELATED PARTY RECEIVABLE - GEORGETOWN HEALTHCARE COMMUNITY SERVICES 10151401 OTHER RECEIVABLE 2509 10422166 WAGES PAYABLE 146443 OTHER CURRENT LIABILITIES 67301 DEFERRED EMPLOYEE BENEFIT - FOR FROZEN 403 B PLAN 268256 482000 1 1 X 1 X 1 X 500.000000000000 1 1 1 0 1 1 494674 18050 476624 0.05080 825434 1556673 -731239 0.00000 1320108 1574723 -254615 0.05080 216961 216961 0.02000 42266 42266 0.00450 794758 794758 0.08470 1053985 1053985 0.10920 2374093 1574723 799370 0.16000 3236 3236 0.00010 109254 6481 102773 0.03490 112490 6481 106009 0.03500 0 120672 2869108 2802299 66809 X 1 1 1 ST DAVID'S HEALTHCARE THE ORGANIZATION OWNS A 0.01000 2 PARTNERSHIP 1% PARTNERSHIP 3 LP LLP INTEREST IN ST DAVID'S 4 HEALTHCARE PARTNERSHIP WHICH 5 OPERATES SIX ACUTE CARE 6 HOSPITALS IN CENTRAL TEXAS. 9 1 ST DAVID'S MEDICAL CENTER

919 E 32ND STREET AUSTIN TX 78705

X X X 2 GEORGETOWN HOSPITAL

2000 SCENIC DRIVE AUSTIN TX 78626

X X X 3 SOUTH AUSTIN HOSPITAL

901 W BEN WHITE BLVD AUSTIN TX 78704

X X X 4 NORTH AUSTIN MEDICAL CENTER

12221 N MOPAC EXPWY AUSTIN TX 78758

X X X 5 ROUND ROCK MEDICAL CENTER

2400 ROUND ROCK AVE ROUND ROCK TX 78681

X X X 6 ST DAVID'S REHABILITATION HOSPITAL

1005 E 32ND ST AUSTIN TX 78705

X 7 BAILEY SQUARE SURGERY CENTER

1111 W 34TH ST 400 AUSTIN TX 78705

AMBULATORY SURGERY CENTER 8 SOUTH AUSTIN SURGERY CENTER

4207 JAMES CASEY ST 203 AUSTIN TX 78745

AMBULATORY SURGERY CENTER 9 HEART HOSPITAL OF AUSTIN

3801 NORTH LAMAR BLVD AUSTIN TX 78756

X X X NA FOR 2010 1 0 0 0 0 0 0 0 0 0 0 0 1 GEORGETOWN HOME HEALTH

2120 SCENIC DRIVE GEORGETOWN TX 78626

HOME HEALTH CARE AGENCY PART I, LINE 3C: THE HOSPITALS PROVIDE 100% FINANCIAL ASSISTANCE (CHARITY CARE) FOR ELIGIBLE PATIENTS WITH INCOME EQUAL TO OR LESS THAN 200% OF THE FEDERAL POVERTY GUIDELINES (FPG). FOR ELIGIBLE PATIENTS WITH INCOME OVER 200% FPG AND EQUAL TO 500% OR LESS THAN FPG, DISCOUNTS ARE PROVIDED ON A SLIDING SCALE. ELIGIBILITY IS DETERMINED USING VARIOUS SOURCES OF DOCUMENTATION AND INCOME VERIFICATION. 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 THEY ARE CLASSIFIED AS CHARITY CARE. PART I, LINE 7: THE INFORMATION CONTAINED IN THIS SECTION IS THE AGGREGATE OF THE REPORTING ORGANIZATION'S PROPORTIONATE SHARE OF ITS OWNERSHIP INTEREST IN ST. DAVID'S HEALTHCARE PARTNERSHIP, LP, LLP. AND ITS DIRECT COMMUNITY BENEFIT ACTIVITIES. THE INFORMATION UTILIZES THE COST TO CHARGE RATIO FROM THE AUDITED FINANCIAL STATEMENTS OF BOTH ENTITIES.PART I, LINE 7 COLUMN (F)BAD DEBTS ARE EXCLUDED FROM THE CALCULATION OF TOTAL EXPENSES.PART 1, LINE 7F: IN ADDITION TO ITS PROPORTIONATE SHARE OF THE ACTIVITIES OF THE ST. DAVID'S HEALTHCARE PARTNERSHIP, THE REPORTING ORGANIZATION PROVIDED DIRECT FINANCIAL SUPPORT OF $22,500 TOWARD HEALTH PROFESSIONS EDUCATION BY WAY OF SCHOLARSHIPS TO MEMBERS OF THE COMMUNITY SEEKING A DEGREE IN A HEALTH RELATED FIELD.PART I, LINE 7I:IN ADDITION TO THE ACTIVITIES UNDERTAKEN BY ST. DAVID'S HEALTHCARE PARTNERSHIP, THE REPORTING ORGANIZATION ACTIVELY COLLABORATES WITH AND PROVIDES FINANCIAL SUPPORT FOR OTHER TAX EXEMPT ORGANIZATIONS WHOSE MISSION EXPANDS THE ACCESS TO HEALTH AND HUMAN SERVICES PROGRAMS TO THE CITIZENS OF GEORGETOWN, TX AND THE SURROUNDING AREA. IN THE REPORTING YEAR, THE ORGANIZATION PROVIDED IN EXCESS OF $785,930 IN GRANTS AND FINANCIAL ASSISTANCE TO AREA PROVIDERS. PART II: ALL OF THE HOSPITALS IN THE PARTHERSHIP ACTIVELY PROMOTE AND SPONSOR HEALTH EDUCATION AND HEALTH CHOICES TO THE CITIZENS OF CENTRAL TEXAS. THE REPORTING ORGANIZATION ALSO WORKS WITH AREA SCHOOLS TO DEVELOP AND PROMOTE PROGRAMS FOCUSED ON HEALTHY CHOICES AND INDIVIDUAL HEALTH AWARENESS INITIATIVES. PART III, LINE 4: THE ORGANIZATION'S PROPORTIONATE SHARE OF BAD DEBT EXPENSE FROM ITS OWNERSHIP INTEREST IN ST. DAVID'S HEALTHCARE PARTNERSHIP, LP, LLP (THE "PARTNERSHIP) IS REPORTED ON SCHEDULE H, PART III, LINE 2. THE 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 COLLECTIBLITY 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.THE PARTNERSHIP MULTIPLIES GROSS CHARGES BY THE COST-TO-CHARGE RATIO TO DETERMINE BAD DEBT. THE PORTION ATTRIBUTABLE TO CHARITY CARE IS 0%." PART III, LINE 8: THE INFORMATION REPORTED ON LINES 5 AND 6 REPRESENT THE REPORTING ORGANIZATION'S PROPORTIONATE SHARE OF ITS OWNERSHIP INTEREST IN ST. DAVID'S HEALTHCARE PARTNERSHIP,LP,LLP. THE DATA ALSO INCLUDES INFORMATION FROM THE REPORTING ORGANIZATIONS HOME HEALTH OPERATIONS. THE SHORTFALL OF MEDICARE FUNDS IS BASED ON THE AGGREGATE INFORMATION OF ALL MEDICARE COST REPORTS. PART III, LINE 9B: THE ORGANIZATION HAS USED THE HOSPITALS' PROPORTIONATE SHARE OF THE CHARITY CARE WRITE OFF AND FOLLOWS THE HOSPITALS' GUIDELINES OF NOT PURSUING COLLECTION ON THOSE THAT QUALIFY FOR CHARITY CARE. PART VI, LINE 2: THE PARTNERSHIP STRATEGIC PLANNING PROCESS CONTINUALLY ASSESSES AND ADDRESSES THE NEEDS OF THE COMMUNITY. THE ORGANIZATION RECENTLY PARTICIPATED IN A CAPACITY STUDY FOR THE SURROUNDING SERVICE AREA TO ASSESS THE OVERALL COMMUNITY NEEDS. THE ORGANIZATION ITSELF ASSESSES THE NEEDS OF THE COMMUNITY OF GEORGETOWN AND THE SURROUNDING COMMUNITY MORE SPECFICALLY THROUGH ITS GRANT MAKING PROCESS. 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 FINANCIALS ASSISTANCE PROGRAM IS PROVIDED TO THE PATIENT DURING THE INTAKE AND DISCHARGE PROCESSES. PATIENTS ARE INFORMED, WHERE APPLICABLE, OF AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID, AND ASSISTS THE PATIENTS WITH THE QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. PART VI, LINE 4: THE HOSPITALS ARE LOCATED IN THE TRAVIS AND WILLIAMSON COUNTIES. THE PATIENTS ARE PREDOMINATELY FROM TRAVIS, WILLIAMSON AND HAYS COUNTIES. THE ORGANIZATION'S GRANT RECIPIENTS ALIGN WITH DEMOGRAPHICS SERVED AT THE HOSPITALS. PART VI, LINE 6: THE HOSPITAL'S IN ST. DAVID'S HEALTHCARE PARTNERSHIP OPERATE AS EXEMPT HOSPITALS. THEY EACH HAVE OPEN EMERGENCY ROOMS AND AN OPEN MEDICAL STAFF. THE REPORTING ORGANIZATION USES ITS SHARE OF EARNINGS FROM THE HOSPITALS FOR PROGRAMS IN THE LOCAL COMMUNITY THAT INCREASE ACESS TO HEALTHCARE. PART VI, LINE 7: THE REPORTING ORGANIZATION IS A PARTNER IN ST. DAVIDS HEALTHCARE PARTNERSHIP, LP, LLP; A HOSPITAL SYSTEM THAT MEETS THE COMMUNITY BENEFIT STANDARD IN DELIVERING HOSPITAL CARE TO CENTRAL TEXAS. IN ADDITION, THE REPORTING ORGANIZATION HAS ASSESSED THE UNMET HEALTHCARE NEEDS OF GEORGETOWN TEXAS AND THE SURROUNDING COMMUNITIES AND USES ITS FUNDS TO COLLABORATE WITH SEVERAL TAX EXEMPT ORGANIZATIONS TO INCREASE ACCESS TO CARE FOR THE INDIGENT POPULATION. REPORTS FILED WITH STATES PART VI, LINE 7 TX 1 LONE STAR CIRCLE OF CARE 1500 W UNIVERSITY GEORGETOWN TX 78628 743001674 501 C (3) 524000 PROVIDE FUNDING FOR INDIGENT CARE AND INCREASING HEALTHCARE ACCESS. BOYS & GIRLS CLUB OF GEORGETOWN 210 W 18TH STREET BLDG B GEORGETOWN TX 78626 262916822 501 C (3) 48000 TO BENEFIT THE CHILDREN OF GEORGETOWN. RIDE ON CENTER FOR KIDS BOX 2422 GEORGETOWN TX 78627 742917659 501 C (3) 25000 TO BENEFIT THE CHILDREN OF GEORGETOWN. WILLIAMSON COUNTY CHILDRENS ADVOCACY CENTER 406 W UNIVERSITY GEORGETOWN TX 78626 742834639 501 C (3) 29000 TO BENEFIT THE CHILDREN OF GEORGETOWN. THE GEORGETOWN PROJECT PO BOX 957 GEORGETOWN TX 78628 742807713 501 C (3) 20360 HEALTH INITIATIVES GRANT. GEORGETOWN COMMUNITY RESOURCE CENTER 805 W UNIVERSITY GEORGETOWN TX 78626 010717158 509 A (1) 109254 SUPPORT FOR HEALTH AND HUMAN SERVICES ACCESS. GEORGETOWN CHAMBER OF COMMERCE PO BOX 346 GEORGETOWN TX 78627 740642691 501 C (6) 5360 SUPPORT FOR COMMUNITY HEALTH AWARENESS. THE CARING PLACE PO BOX 1215 GEORGETOWN TX 78627 742386902 501 C (3) 30000 EXPAND HEALTH SERVICES. CHISHOLM TRAIL COMMUNITIES FOUND DBA THE GEORGETOWN AREA COMMUNITY FOUND 116 WEST 8TH STREET GEORGETOWN TX 78626 742786718 170 (B) (1) (A) (VI) 5600 EXPAND HEALTH SERVICES. LUTHERAN SOCIAL SERVICES OF THE SOUTH INC PO BOX 140767 AUSTIN TX 787140767 741109745 170 (B) (1) (A) (VI) 5000 SCHOLARSHIPS FOR HEALTHCARE PROFESSIONALS. TEXAS DENTAL ASSOCIATION SMILES FOUNDATION 1946 SOUTH IH-35 SUITE 300 AUSTIN TX 78704 742897487 TYPE II 5000 SUPPORT FOR COMMUNITY HEALTH AWARENESS. GREATER ROUND ROCK COMMUNITY FOUNDATION 206 EAST MAIN ROUND ROCK TX 78664 432043188 509 A (2) 5000 COORDINATION OF MENTAL HEALTH SERVICES GEORGETOWN PARTNERS IN EDUCATION FOUNDATION 2211 NORTH AUSTIN AVE GEORGETOWN TX 78626 742843114 509 A (1) 20000 SUPPORT FOR COMMUNITY HEALTH AWARENESSSUPPORT FOR COMMUNITY HEALTH AWARENESS PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE SYSTEM MONITORS THE USE OF GRANT FUNDS BY REQUIRING ANY GRANTEES RECEIVING IN EXCESS OF $10,000 TO PROVIDE QUARTERLY REPORTS WITHIN 30 DAYS OF THE CLOSE OF THE CALENDAR QUARTER WHICH IDENTIFY PROGRAM GOALS AND OUTCOME MEASUREMENTS, AND CLIENT SATISFACTION SURVEYS. GRANTEES RECEIVING IN EXCESS OF $10,000 ARE FURTHER REQUIRED TO SUBMIT ANNUAL REPORTS WITHIN 90 DAYS OF THE CLOSE OF THEIR FISCAL YEARS WHICH PROVIDE AGGREGATED RESULTS OF THE MOST RECENT 4 QUARTERS OF DATA ALONG WITH THE ENTITY FINANCIAL STATEMENTS. X X X X X X 0 0 0 0 0 0 0 0 0 SCOTT ALARCON 212034 0 0 0 0 0 8481 0 13906 0 234421 0 0 0 RICHARD G SCHULTZ 142415 0 0 0 0 0 5611 0 14766 0 162792 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S TAX RETURN WAS REVIEWED AND DISCUSSED IN DRAFT FORM BY THE BOARD OF DIRECTORS. AFTER PREPARATION BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEW BY LEGAL COUNSEL, MANAGEMENT REVIEWED FINAL CHANGES TO COMPLY WITH THE BOARDS DISCUSSION BEFORE THE RETURNS WERE SUBMITTED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATIONS BOARD MEMBERS AND KEY EMPLOYEES REVIEW THE CONFLICT OF INTEREST POLICY ANNUALLY. EACH INDIVIDUAL IS REQUIRED TO COMPLETE AND SIGN A DOCUMENT PROVIDED BY THE ORGANIZATION DISCLOSING ANY INTEREST THEY MAY HAVE WHICH COULD GIVE RISE TO A CONFLICT OF INTEREST. THE ORGANIZATION COMPILES A LIST OF ALL DISCLOSURES AND REPORTS IT TO ALL MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 IN 2010, THE COMPENSATION COMMITTEE OF THE BOARD DRAFTED AN EXECUTIVE COMPENSATION PHILOSOPHY TO BE USED WHEN DETERMINING EXECUTIVE COMPENSATION FOR THE ORGANIZATION. THIS PHILOSOPHY WILL BE UTILIZED TO DETERMINE THE ANNUAL COMPENSATION OF THE CHIEF EXECUTIVE OFFICER (CEO) AND THE CHIEF FINANCIAL OFFICER (CFO). AS PART OF THIS PROCESS, THE COMPENSATION COMMITTEE CONTRACTED WITH RODEGHERO AND ASSOCIATES TO ASSIST IN THE DEVELOPMENT OF FAIR MARKET VALUE EXECUTIVE COMPENSATION. DR. JAMES RODEGHERO, A COMPENSATION AND BENEFIT EXPERT, CREATED AN EXECUTIVE COMPENSATION GUIDELINE FOR THE CEO AND CFO USING COMPARISON DATA FROM MULTIPLE PULBIC INFORMATION SECTORS. THOSE SOURCES INCLUDED: ERI: FOUNDATIONS (ASSETS) BASE, ERI: COMMUNITY FOUNDATIONS (FTES) BASE, ERI: COMMUNITY FOUNDATIONS (BUDGET) BASE, CHRONICLE OF PHILANTHROPY (REGRESSED TO THE ORGANIZATION ASSETS) BASE, CHRONICLE OF PHILANTHROPY (NORMS; ALL) (ASSETS) BASE; ERI PROPERTY MANAGEMENT (REVENUE) BASE, AS WELL AS PUBLICLY AVAILABLE 990'S FOR NONPROFIT ORGANIZATIONS OF A SIMILAR SIZE AND TYPE. MARKET SALARY AVERAGES FOR BOTH THE CEO AND CFO WERE ESTABLISHED USING THIS DATA. THE COMPENSATION COMMITTEE'S RECOMMENDATIONS FOR THE CEO WERE RATIFIED BY THE FULL BOARD. THE SALARY RANGE RECOMMENDED FOR THE CFO WAS ALSO ADOPTED BY THE ORGANIZATION. THE EXECUTIVE COMMITTEES RECOMMENDATION WAS RATIFIED BY THE FULL BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE REPORTING ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: PRIOR PERIOD ADJUSTMENTS: -36,320. FORM 990 PART XII, LINE 2C: THE REPORTING ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM AS PART OF CONSOLIDATED FINANCIAL STATEMENTS. THE CONSOLIDATED FINANCIAL STATEMENTS INCLUDED GEORGETOWN HEALTHCARE SYSTEM, GEORGETOWN HEALTHCARE COMMUNITY SERVICES, GEORGETOWN HEALTHCARE FOUNDATION, AND GEORGETOWN HEALTHCARE SPECIAL ASSET FOUNDATION. NUMBER OF EMPLOYEES - USE OF PEO FORM 990 PAGE 1 PART I, LINE 5 THE ORGANIZATION'S EMPLOYEES ARE CONTRACTED THROUGH A PROFESSIONAL EMPLOYMENT ORGANIZATION, ALLIED EMPLOYER GROUP. THERE ARE APPROXIMATELY 30 EMPLOYEES FOR WHICH ALLIED EMPLOYER GROUP HANDLES THE PAYROLL DUTIES, INCLUDING THE REQUIRED FEDERAL AND STATE REPORTING AND WITHHOLDING OBLIGATIONS, INCLUDING OFFICERS LISTED IN PART VII, SECTION A AND SCHEDULE J. COMMUNITY BENEFIT REPORT 2010 GEORGETOWN HEALTHCARE SYSTEM, THROUGH ITS GOVERNANCE AND PARTNERSHIP IN THE ST. DAVID'S HEALTHCARE PARTNERSHIP, WILL ENSURE THAT HOSPITAL AND HEALTHCARE SERVICES ARE AVAILABLE IN THE GEORGETOWN AREA, REGARDLESS OF THE ABILITY OF THE PATIENT TO PAY FOR SUCH SERVICES. ADDITIONALLY, GEORGETOWN HEALTHCARE SYSTEM'S CURRENT ACTIVITIES INCLUDE INVOLVEMENT WITH OTHER COMMUNITY NON-PROFIT ORGANIZATIONS THAT OPERATE COMMUNITY HEALTH CENTERS AND OTHER FACILITIES THAT BENEFIT THE PUBLIC, AND MEET THE HEALTH RELATED NEEDS OF THE GEORGETOWN TEXAS COMMUNITY AND THE RESIDENTS OF CENTRAL TEXAS. HOSPITAL SERVICES THE ST. DAVID'S HEALTHCARE PARTNERSHIP PROVIDES A SUBSTANTIAL AMOUNT OF CHARITY CARE TO THE ELDERLY, INDIGENT, AND ECONOMICALLY DISADVANTAGED IN CENTRAL TEXAS. ALL PATIENTS ARE ADMITTED TO EMERGENCY ROOMS REGARDLESS OF THEIR ABILITY TO PAY. IF FURTHER ACUTE INPATIENT CARE IS REQUIRED, PATIENTS FROM THE EMERGENCY DEPARTMENT ARE ADMITTED TO THE HOSPITAL, ALSO WITHOUT REGARD TO THEIR ABILITY TO PAY. THE PARTNERSHIP PROVIDED FOR THE CARE OF THOUSANDS OF CENTRAL TEXANS IN 2010 IN MANY DIFFERENT WAYS. SOME OF THOSE WERE IN THE FORM OF: HOSPITAL ADMISSIONS -56,546 EMERGENCY ROOM VISITS - 253,871 THE COMBINED COMMUNITY BENEFIT PROVIDED BY THIS PARTNERSHIP IS AS FOLLOWS: HOSPITAL CHARITY CARE AT COST -$30,020,150 THE REPORTING ORGANIZATION ALSO PROVIDES THE FOLLOWING DIRECT HEALTHCARE SERVICES: HOME HEALTH SERVICES GEORGETOWN HEALTHCARE SYSTEM (GHS) OPERATES GEORGETOWN HOME HEALTH (GHH), A LOCAL HOME HEALTH AGENCY. GEORGETOWN HOME HEALTH ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. DURING 2010, GHH PROVIDED 5,530 HOME HEALTH VISITS TO 284 PATIENTS IN AND AROUND THE GEORGETOWN, TX AREA. THE PRIMARY PATIENT TYPE FOR THE AGENCY IS MEDICARE. ALCOHOL AND DRUG REHABILITATION GHS THROUGH ITS AFFILIATE GEORGETOWN HEALTHCARE COMMUNITY SERVICES (GHCS), OPERATES AN INPATIENT SUBSTANCE ABUSE FACILITY IN COORDINATION WITH THE RUSK COUNTY TEXAS DEPARTMENT OF CRIMINAL JUSTICE. THE PROGRAM IS A DIVERSION PROGRAM FOR NON-VIOLENT SUBSTANCE ABUSERS REFERRED THROUGH THE CRIMINAL JUSTICE SYSTEM. IN THIS REPORTING PERIOD, THE CENTER PROVIDED IN EXCESS OF 23,822 PATIENT DAYS OF CARE. IT'S AVERAGE DAILY CENSUS WAS JUST OVER 65 PATIENTS PER DAY. COMMUNITY COLLABORATIONS GEORGETOWN HEALTHCARE SYSTEM (GHS) INVESTS ITS SHARE OF THE EARNINGS FROM THE ST. DAVID'S HEALTHCARE PARTNERSHIP INTO PROGRAMS AND SERVICES THAT PROVIDE A BENEFIT TO THE LOCAL COMMUNITY. DURING 2010, GHS PROVIDED DIRECT FINANCIAL SUPPORT OR IN-KIND DONATIONS TO THE FOLLOWING NOT-FOR-PROFIT ORGANIZATIONS AND/OR FUNCTIONS : LONE STAR CIRCLE OF CARE LONE STAR CIRCLE OF CARE (LSCC) IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) BASED IN GEORGETOWN, TX THAT PROVIDES HEALTHCARE SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN 2010, LSCC PROVIDED OVER 202,588 PATIENT VISITS TO 53,860 PATIENTS. IT PROVIDED OVER $12,500,000 IN UNCOMPENSATED CARE (STATED AT COST). GHS PROVIDED BOTH DIRECT AND INDIRECT FINANCIAL SUPPORT TO LSCC DURING THIS REPORTING PERIOD. DURING THIS REPORTING PERIOD, GHS CONTRIBUTED $524,000 TO HELP OFFSET LONE STAR'S UNCOMPENSATED CARE. GHS STAFF ALSO DONATED MANAGEMENT SERVICES ASSISTANCE TO LSCC TO FURTHER DEVELOP AND IMPLEMENT THEIR KEY INITIATIVES IN 2010. BOTH ORGANIZATIONS SHARE THE PURSUIT OF PROVIDING QUALITY, ACCESSIBLE AND SUSTAINABLE PRIMARY HEALTHCARE FOR WILLIAMSON COUNTY RESIDENTS, FOCUSING ON THE UNINSURED AND UNDERSERVED. RIDE ON CENTER FOR KIDS RIDE ON CENTER FOR KIDS (ROCK) IS THE LARGEST PROVIDER OF EQUINE ASSISTED ACTIVITIES AND THERAPY IN CENTRAL TEXAS. THEY ARE A PREMIER ACCREDITED NARHA CENTER THAT PROVIDES PHYSICAL THERAPY AND OCCUPATIONAL THERAPY. THE REPORTING ORGANIZATIONS SUPPORT ENABLED ROCK TO CONTINUE TO DEVELOP AND EXPAND PROGRAMS ASSOCIATED WITH THEIR STRATEGIC PLAN. GEORGETOWN PARTNERS IN EDUCATION (PIE) PIE IS A NON-PROFIT ORGANIZATION THAT SEEKS TO ENCOURAGE AND PREPARE GEORGETOWN'S STUDENTS FOR SUCCESS IN SCHOOL, IN THE WORKPLACE, IN THE COMMUNITY, AND IN THEIR PERSONAL LIVES. PIE IS A PARTNERSHIP BETWEEN GEORGETOWN INDEPENDENT SCHOOL DISTRICT, THE GEORGETOWN CHAMBER OF COMMERCE, SOUTHWESTERN UNIVERSITY, AND MOST IMPORTANTLY, THE GEORGETOWN COMMUNITY. SOME OF THE PROGRAMS AND SERVICES PROVIDED BY PIE ARE : PROJECT MENTOR, HELPING HAND TUTOR, BUSINESS LINK, SUN CITY PARTNERS IN EDUCATION, EDUCATION FOUNDATION, PARTNERSHIP CONTRIBUTIONS, AND TEACHER GRANTS. GHS PROVIDES FINANCIAL SUPPORT TO THIS ORGANIZATION AS WELL AS STAFF TIME TO SERVE THE GEORGETOWN EDUCATION FOUNDATION COMMITTEE OF GISD. GHS ALSO SUPPORTS GEORGETOWN INDEPENDENT SCHOOL DISTRICT'S HEALTH SCIENCE TECHNOLOGY PROGRAM. FOR MORE THAN 10 YEARS GHS HAS PROVIDED IN-KIND DONATIONS (BASIC MEDICAL SUPPLIES, TB SKIN TESTS, ETC.) FOR STUDENTS PARTICIPATING IN THE HEALTH SCIENCE TECHNOLOGY PROGRAM AT GEORGETOWN HIGH SCHOOL. ADDITIONALLY, GHS WORKS CLOSELY WITH ST. DAVID'S GEORGETOWN HOSPITAL TO PROVIDE A PRIMARY CLINICAL ROTATION SITE FOR APPROXIMATELY 30 STUDENTS EACH YEAR. WILLIAMSON COUNTY CHILDREN'S ADVOCACY CENTER THE WILLIAMSON COUNTY CHILDREN'S ADVOCACY CENTER EXISTS AS A CHILD-FRIENDLY PLACE TO INTERVIEW ABUSED OR NEGLECTED CHILDREN AND TEENS, OR YOUTH WHO HAVE WITNESSED A VIOLENT CRIME. THE CENTER CONTAINS BOTH MEDICAL FORENSIC EXAMINATION ROOMS AND ROOMS FOR COUNSELING SERVICES. THE REPORTING ORGANIZATIONS SUPPORT ENABLED THE CENTER TO EXPAND THE COUNSELING SERVICES OFFERED AND TO PURCHASE EQUIPMENT ESSENTIAL TO ITS MISSION. THE GEORGETOWN PROJECT GHS PROVIDED DIRECT FINANCIAL SUPPORT AND ACTIVELY PARTICIPATED IN THE GEORGETOWN PROJECT (TGP) ACTIVITIES. TGP IS A LOCAL NON-PROFIT ORGANIZATION THAT DEVELOPS INITIATIVES DESIGNED TO IMPROVE THE LIVES OF GEORGETOWN'S CHILDREN, YOUTH, AND FAMILIES. THE ORGANIZATION SPEARHEADS OTHER PROGRAMS SUCH AS BRIDGES TO GROWTH, THE AFTER SCHOOL ACTION PROGRAM, STARS (A DRUG AND ALCOHOL PREVENTION PROGRAM FOR MIDDLE SCHOOL STUDENTS AND THEIR FAMILIES), KID CITY, AND THE COMMUNITY INTERACTION PARTNERSHIP. GEORGETOWN COMMUNITY RESOURCE CENTER THE GEORGETOWN COMMUNITY RESOURCE CENTER WORKS WITH COMMUNITY MEMBERS TO IDENTIFY GAPS IN COMMUNITY PROGRAMS AND SERVICES AND ATTEMPTS TO RECRUIT NON-PROFIT AGENCIES INTO THE COMMUNITY TO FILL THIS VOID. THE SUPPORTING ORGANIZATION PROVIDES A BUILDING WITH OFFICE SPACE TO THE COMMUNITY RESOURCE CENTER WHICH IN TURN IS PROVIDED TO AGENCIES SERVING THE COMMUNITY. THE NON-CASH ASSISTANCE REPRESENTS THE DIFFERENCE BETWEEN THE MARKET VALUE OF THE SPACE PROVIDED AND THE ACTUAL RENT CHARGED. VOLUNTEER SERVICES GHS MAINTAINS AN ACTIVE VOLUNTEER SERVICES PROGRAM AT ST. DAVID'S GEORGETOWN HOSPITAL. THE PROGRAM IS COMPRISED OF APPROXIMATELY 205 COMMUNITY MEMBERS THAT SERVE IN VARIOUS VOLUNTEER ROLES THROUGHOUT THE HOSPITAL. IN 2010, THE VOLUNTEER SERVICES PROGRAM PROVIDED 18,233 HOURS OF VOLUNTEER SUPPORT TO THE HOSPITAL IN CAPACITIES RANGING FROM PATIENT AND FAMILY ASSISTANCE TO ADMINISTRATIVE / CLERICAL SUPPORT IN VARIOUS DEPARTMENTS OF THE HOSPITAL. A CONSERVATIVE ESTIMATED VALUE OF THIS SERVICE IS APPROXIMATELY $218,796. VOLUNTEER CHAPLAINS GHS ALSO MAINTAINS AN ACTIVE VOLUNTEER CHAPLAINS PROGRAM AT ST. DAVID'S GEORGETOWN HOSPITAL. THE PROGRAM CONSISTED OF APPROXIMATELY 37 CHAPLAINS AND STEPHEN MINISTERS WHO ARE AVAILABLE 24 HOURS / DAY - 365 DAYS / YEAR. THESE VOLUNTEERS CONTRIBUTED MORE THAN 100 HOURS / MONTH BY VISITING PATIENTS AND FAMILIES DURING THEIR SCHEDULE "ON CALL" SHIFTS, ATTENDING ADMINISTRATIVE MEETINGS, AND SPENDING OTHER HOURS IN SERVICE DURING TIMES OF CRISIS. GEORGETOWN HEALTHCARE COMMUNITY SERVICES 742865171 TO ASSIST GEORGETOWN HEALTHCARE SYSTEM TX 501 (C) 3 509 (A)(2) GEORGETOWN HEALTHCARE SYSTEM 0 GEORGETOWN HEALTHCARE SPECIAL ASSET FOUNDATION 743023706 TO ASSIST GEORGETOWN HEALTHCARE SYSTEM TX 501 (C) 3 509 (A)(3) GEORGETOWN HEALTHCARE SYSTEM 0 GEORGETOWN HEALTHCARE FOUNDATION 742626552 TO ASSIST GEORGETOWN HEALTHCARE SYSTEM TX 501 (C) 3 170 (B) (1)(A)(VI) 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 GEORGETOWN HEALTHCARE COMMUNITY SERVICES C 312953 CASH ST DAVIDS PARTNERSHIP LP LLP 98 SAN JACINTO STE 1800 AUSTIN TX 78701 742781812 HEALTHCARE TX 0 9417330 0 0