2026-05-12T19:22:29+00:00 2025-06-30 861065772 DELOITTE TAX LLP 1001 Woodward Ave Detroit MI 48226 990 2024-07-01 741109643 ASCENSION SETON ASCE 3147338000 C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 Jennifer Richter Associate Vice President, Tax 2026-05-13 true Kristyn Forster P01704059 3133963000 2026-05-13 2024 2025-03-06 01:10:19Z SEE SCHEDULE O JAMIE YOUSSEF C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 3322263882 false 0928 X N/A X 1900 TX To improve the health and well-being of all people in the communities we serve. 13 12 16711 1438 780020 48883 27005286 41811753 3255607207 3234940217 37771 -2029354 26890305 45370248 3309540569 3320092864 9603860 8053118 0 0 1030850538 1060180842 0 0 0 1943978845 1903820465 2984433243 2972054425 325107326 348038439 3170376623 3388055515 1455436292 1403252611 1714940331 1984802904 Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually-centered, holistic care which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words. false false 2462818395 8053118 3261345320 THE FILING ORGANIZATION IS A PART OF THE ASCENSION CATHOLIC HEALTH MINISTRY. ASCENSION IS A FAITH-BASED HEALTHCARE ORGANIZATION THAT DELIVERS PERSONALIZED, COMPASSIONATE CARE TO ALL, ESPECIALLY TO THOSE WHO NEED IT THE MOST. As the leading provider of health services in Central Texas (an 11-county region), Ascension Seton (Seton) also provides a number of distinctive services to the community: the only Level I trauma facilities; the only free-standing children's hospital; the only free-standing inpatient behavioral health hospital; the only heart transplant center; and the only University of Texas medical residency programs. Seton contributes to the positive health status of the communities it serves and continues to build and strengthen sustainable collaborative efforts to benefit the health of individuals, families and society as a whole. Seton has a mission to care for the community it serves with a special concern for the poor and the vulnerable. Ascension Seton is a 1,653-bed hospital system providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2025, Ascension Seton treated 69,198 adults and children for a total of 392,933 patient days of service. The hospital also provided services for 836,605 outpatient visits, which included 35,408 outpatient surgeries and 347,614 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. 2462818395 true true false true false false false false false true true false false true true true false true false false false false false false false false true true true true true false false false false false false false false false false false false false false true true true true true false true 776 0 true 16711 true true true false false false false false false false false false true false X 13 12 false false true true true true true true true false false false false true true true true true false false true true X John Winstel 3147338000 4600 EDMUNDSON ROAD ST LOUIS MO 631343806 ASHLEY MARIE DICKINSON INTERIM CEO (START 4/2025 - END 6/2025)/COO 0.0 50.0 X X 0 1078716 54203 ERIK PRONSKE MD CHAIR (END 8/2024) 1.0 1.0 X X 0 0 0 JAMIE YOUSSEF EX-OFFICIO/CEO, MINISTRY MARKET (START 6/2025) 0.0 50.0 X X 0 0 0 JOHNETTE MCKOWN EDD TREASURER (END 8/2024) 1.0 1.0 X X 0 0 0 JOSE MONTEMAYOR TREASURER & SECRETARY 1.0 2.0 X X 0 0 0 KRISTEN NIETO MD CHAIR 1.0 2.0 X X 0 0 0 NESTER HO VICE CHAIR 1.0 2.0 X X 0 0 0 PAT ATKINS SECRETARY (END 8/2024) 1.0 1.0 X X 0 0 0 WILLIAM A DAVIS EX-OFFICIO/CEO, MINISTRY MARKET (END 5/2025) 0.0 50.0 X X 0 2389914 64496 ALI KHATAW PE DIRECTOR 1.0 2.0 X 0 0 0 ALICE GLASCO DIRECTOR 1.0 2.0 X 0 0 0 CHAD DIETERICHS MD DIRECTOR 1.0 2.0 X 0 0 0 CHRIS WHEELER DIRECTOR (END 8/2024) 1.0 1.0 X 0 0 0 DAVE CLARKE MD DIRECTOR 1.0 2.0 X 0 0 0 DOUGLAS SCHMITT DIRECTOR 1.0 2.0 X 0 0 0 JEFFREY MANNING MD DIRECTOR (END 8/2024) 1.0 1.0 X 0 0 0 JON HOCKENYOS DIRECTOR 1.0 2.0 X 0 0 0 KAREN KENNARD DIRECTOR 1.0 2.0 X 0 0 0 MONTSERRAT F FUENTES DIRECTOR 1.0 2.0 X 0 0 0 ROSEMARY HOFFMAN DIRECTOR 1.0 2.0 X 0 0 0 ANDREW LANE CFO, MINISTRY MARKET (START 2/2025) 0.0 50.0 X 0 592426 42170 DANIEL W HUFFINE ASSISTANT TREASURER/CFO, MINISTRY MARKET (END 1/2025) 0.0 50.0 X 0 928981 39144 ADAM MESSER PRESIDENT, DELL CHILDREN'S MEDICAL CENTER 50.0 0 X 878732 0 45077 ANDREW JOHN GNANN PRESIDENT, ASCENSION SETON WILLIAMSON 50.0 0 X 631552 0 38668 JOAN K ROSS PRESIDENT, ASCENSION SETON HAYS/BASTROP 50.0 0 X 593918 0 34158 LAURA M FOHN INTERIM PRES (START 1/2025 - END 4/2025)/PRESIDENT (START 4/2025), DSMC @ UT 50.0 0 X 354780 0 52616 MICHAEL WIGGINS PRESIDENT, DELL CHILDREN'S MEDICAL CENTER (END 6/2024) 50.0 0.0 X 1066008 0 30533 STEVEN J BROCKMAN-WEBER RN PRESIDENT, RURAL HOSPITALS 50.0 0 X 728062 0 55202 WESLEY J TIDWELL PRESIDENT, ASCENSION SETON MEDICAL CENTER AUSTIN (END 11/2024) 50.0 0 X 776659 0 43458 EERIC TRUUMEES MD PHYSICIAN 50.0 0.0 X 1500029 0 51023 JOHN K STOKES MD PHYSICIAN 50.0 0 X 2050404 0 69715 MATTHEW GECK MD PHYSICIAN 50.0 0 X 1884089 0 70263 S TYLER HOLLMIG MD PHYSICIAN 50.0 0 X 2208699 0 75027 SACHIN MEHTA MD PHYSICIAN 50.0 0 X 1722909 0 68590 KATHERINE C HENDERSON FORMER KEY EMPLOYEE (END 1/2023) 0.0 0 X 323312 0 2845 SCOTT HERNDON FORMER OFFICER (END 8/2022) 0.0 50.0 X 0 1785152 60464 14719153 6775189 897652 2956 true true false HCBECK LTD 1601 ELM ST STE 2800 DALLAS TX 752017235 PROPERTY DEVELOPMENT SERVICES 126859844 HOAR CONSTRUCTION LLC 2 METROPLEX DR STE 400 BIRMINGHAM AL 352096877 CONSTRUCTION SERVICES 73538418 US ANESTHESIA PARTNERS OF TEXAS PA PO BOX 841069 DALLAS TX 752841069 MEDICAL SERVICES 40869370 CHAPMAN MCDONALD CONSTRUCTORS LLC 2620 BRUSHY CREEK LOOP STE A CEDAR PARK TX 78613 CONSTRUCTION SERVICES 13410267 WE ARE BLOOD 4300 N LAMAR BLVD AUSTIN TX 78756 MEDICAL SERVICES 12370088 89 0 0 0 31781974 10029779 0 41811753 Net Patient Service Revenue 621990 3180228233 3180228233 Pharmacy Revenue 446110 31085826 31085826 Contracted Services Revenue 900099 10253982 10253982 Rental Income from Affiliates 531120 5625219 5625219 Income from Joint Ventures 621990 4153836 4221643 -67807 3593121 3255379 337742 0 3234940217 683 683 0 0 0 0 2824712 0 0 0 2824712 0 2824712 2824712 0 140931 0 2170968 0 -2030037 -2030037 -2030037 0 0 0 0 0 0 0 0 0 23230 50 23180 23180 Insurance Proceeds 900099 16467924 16467924 Cafeteria/Vending Revenue 722514 8932527 8932527 Research Revenues 541700 4555513 4555513 12566392 5381666 510085 6674641 42522356 3320092864 3261075385 780020 16425706 X 7663118 7663118 390000 390000 5329423 5329423 880757216 788077755 92679461 34403870 30783653 3620217 76300801 68271895 8028906 63389532 56397175 6992357 470952 50996 419956 28750 28750 17307 17307 37878 37878 135686212 127717048 7969164 0 2898983 1626349 1272634 7039137 2857698 4181439 4361556 2649963 1711593 40643000 36159762 4483238 5131711 4294648 837063 1961326 1431774 529552 5329695 5329695 124223872 110521015 13702857 19343034 80 19342954 Medical Supplies 455196935 457790089 -2593154 Purchased Services 401255926 190024603 211231323 Medical Fees to Affiliates 295753138 295753138 UBI Tax Expense -149178 -149178 404590231 280357636 124232595 0 2972054425 2462818395 509236030 0 76001 69867 14786327 13053809 5009184 6542641 755355176 611118157 0 0 0 0 1188328 1107546 51365578 51660607 1830678 1558027 3155573736 1167376246 1746269448 1988197490 0 0 0 5914497 6873384 20300780 19919171 568280626 687954816 3170376623 3388055515 166871767 150542598 0 0 3381743 3034299 0 0 0 0 0 0 0 0 0 0 1285182782 1249675714 1455436292 1403252611 X 1714925281 1984787854 15050 15050 1714940331 1984802904 3170376623 3388055515 X 348038439 376 -78176242 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 37878 37878 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. ANY OTHER LOBBYING UNDERTAKEN IN FURTHERANCE OF THE HEALTHCARE MISSION OF THE FILING ORGANIZATION THAT IS CONDUCTED BY A RELATED ORGANIZATION IS PROPERLY REPORTED ON THAT RELATED ORGANIZATION'S SCHEDULE C, PART II-B. The filing organization does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. 147838825 7374979 14492414 0 5328810 0 164377408 129390802 2479573 20931142 0 4962692 0 147838825 122868322 9828812 1127168 0 4433500 0 129390802 132456848 1295278 -6493671 0 4390133 0 122868322 101639148 643298 34624116 0 4449714 0 132456848 0.123 0.465 0.412 false true true 0 143633221 143633221 0 1776849916 598499890 1178350026 0 13939371 12485399 1453972 0 732562103 528340366 204221737 0 488589125 28050591 460538534 1988197490 Due from Affiliates 496636492 Other Receivables 5531355 Physician Guarantee Asset Security Deposit 26585 Estimated 3rd Party Payor Settlements 71801250 Net Deferred Tax Asset 159649 Right of Use Operating Lease Asset 46656488 Provider Tax Asset 67125474 Interest in Investments Held by Ascension Health Alliance 17523 687954816 0 Federal Income Taxes 0 Due to Affiliates 677782050 Estimated 3rd Party Payor Settlement 103628340 Physician Guarantee Liability Recovery Tail Liability 27287197 Debt with Ascension Health Alliance 306230475 Asset Retirement Obligations 29721 Other Liabilities 287744 Lease Liability 127211466 Valuation Allowance 7096130 Accrued Real Estate Tax Liability 122591 Medicare Advanced Payments Insurance Advanced Payments 1249675714 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part V, Line 4 Intended uses of endowment funds FOR ALMOST 400 YEARS, THE DAUGHTERS OF CHARITY HAVE LIVED IN SERVICE TO HELP THE SICK AND THE POOR. IN PARTNERSHIP WITH OTHERS, THEY HAVE MET THE CHALLENGES AND NEEDS OF OUR GROWING COMMUNITY SINCE THE SETON INFIRMARY OPENED ITS DOORS IN 1902. TO CONTINUE TO SUSTAIN THIS LEGACY, ASCENSION SETON FOUNDATION, ASCENSION SETON HAYS FOUNDATION, ASCENSION SETON WILLIAMSON FOUNDATION AND DELL CHILDREN'S FOUNDATION CREATED ENDOWMENT FUNDS TO SUPPORT THE HEALTHCARE MINISTRY OF ASCENSION SETON. THE PRINCIPAL OF AN ENDOWMENT IS NEVER TOUCHED. THE DISTRIBUTIONS FROM AN ENDOWMENT PROVIDE A DEPENDABLE SOURCE OF INCOME EACH YEAR TO HELP SETON TO CONTINUE TO MEET THE COMMUNITY'S HEALTHCARE NEEDS. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2025. true true X true X 250 true X 322654788 105314365 217340423 0.07313 597925224 659668138 0 0.0 0 0 0 0.0 0 0 920580012 764982503 217340423 0.07313 24047639 745574 23302065 0.00784 67902189 26035047 41867142 0.01409 14235700 5389401 8846299 0.00298 1955425 181834 1773591 0.00060 1347935 0 1347935 0.00045 0 0 109488888 32351856 77137032 0.02595 0 0 1030068900 797334359 294477455 0.09908 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0 0 0.0 false 45972875 0 294566579 307763461 -13196882 X true true Hays Surgery Center LLC Surgery Center 0.35 0 0.24 Stonegate Surgery Center LP Surgery Center 0.3536 0 0.1696 Cedar Park Surgery Center LLC Surgery Center 0.1999 0 0.1121 Austin Center for Outpatient Surgery LP Surgical Hospital 0.51 0 0.27 14 1 Dell Children's Medical Center 4900 Mueller Blvd AUSTIN TX 78723 https://healthcare.ascension.org/locations/texas/txaus/austin-dell-childrens-medical-center 008520 X X X X X X A 2 Ascension Seton Medical Center Austin 1201 West 38th Street AUSTIN TX 78705 https://healthcare.ascension.org/Locations/Texas/TXAUS/Austin-Ascension-Seton-Medical-Center-Austin 000497 X X X X X A 3 Dell Seton Medical Center at The University of Texas 1500 Red River Street AUSTIN TX 78701 https://healthcare.ascension.org/Locations/Texas/TXAUS/Austin-Dell-Seton-Medical-Center-at-The-Unive 000335 X X X X X A 4 Ascension Seton Williamson 201 Seton Parkway ROUND ROCK TX 78665 https://healthcare.ascension.org/Locations/Texas/TXAUS/Round-Rock-Ascension-Seton-Williamson 008617 X X X X X A 5 Ascension Seton Hays 6001 Kyle Parkway KYLE TX 78640 https://healthcare.ascension.org/Locations/Texas/TXAUS/Kyle-Ascension-Seton-Hays 100029 X X X X X A 6 Ascension Seton Northwest 11113 Research Blvd AUSTIN TX 78759 https://healthcare.ascension.org/Locations/Texas/TXAUS/Austin-Ascension-Seton-Northwest 007976 X X X X X A 7 Ascension Seton Highland Lakes 3201 S Water Street BURNET TX 78611 https://healthcare.ascension.org/Locations/Texas/TXAUS/Burnet-Ascension-Seton-Highland-Lakes 000559 X X X X X A 8 Ascension Seton Southwest 7900 Ranch to Market Road 1826 AUSTIN TX 78737 https://healthcare.ascension.org/Locations/Texas/TXAUS/Austin-Ascension-Seton-Southwest 007975 X X X X X A 9 Ascension Seton Edgar B Davis 130 Hays Street LULING TX 78648 https://healthcare.ascension.org/Locations/Texas/TXAUS/Luling-Ascension-Seton-Edgar-B-Davis 000597 X X X X A 10 Ascension Seton Smithville 1201 Hill Road SMITHVILLE TX 78957 https://healthcare.ascension.org/Locations/Texas/TXAUS/Smithville-Ascension-Seton-Smithville 100103 X X X A 13 Ascension Seton Shoal Creek 3501 Mills Avenue AUSTIN TX 78731 https://healthcare.ascension.org/Locations/Texas/TXAUS/Austin-Ascension-Seton-Shoal-Creek 000770 X X X X X B 14 Ascension Seton Bastrop 630 SH 71 Service Road Bastrop TX 78602 https://healthcare.ascension.org/Locations/Texas/TXAUS/Bastrop-Ascension-Seton-Bastrop 100497 X X X B 11 PAM REHABILITATION HOSPITAL OF ROUND ROCK 351 SETON PARKWAY ROUND ROCK TX 78665 https://pamhealth.com/hospitals/pam-health-rehabilitation-hospital-of-round-rock/ 100451 X A 12 Northwest Hills Surgical Hospital 6818 Austin Center Blvd Suite 100 Austin TX 78731 https://northwesthillssurgical.com/ 000794 X X A A 12 false false true X X X X X X X X X 24 true true false true X https://healthcare.ascension.org/CHNA X true 24 true https://healthcare.ascension.org/CHNA false true X 250.0 400.0 X X X X true true X X X true X SEE PT VI X SEE PT VI X SEE PT VI X X X X X X true X false X X X X true X false false B 2 false false false false true X 250.0 400.0 X X X X true true X X X true X SEE PT VI X SEE PT VI X SEE PT VI X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E TO BETTER ALIGN COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING EVIDENCE-BASED PRACTICES, PROGRAMS AND RESOURCES; ADDRESSING DIFFERENCES OF SUBGROUPS AND ENABLING MORE ACCESS TO HEALTHCARE; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - FACILITY GROUP A - ASCENSION SETON HOSPITALS. The Ascension Seton CHNA represents the following Ascension Seton hospitals and Joint Venture Hospitals including: - A,1 - Dell Children's Medical Center - A,2 - Ascension Seton Medical Center Austin - A,3 - Dell Seton Medical Center at the University of Texas - A,4 - Ascension Seton Williamson - A,5 - Ascension Seton Hays - A,6 - Ascension Seton Northwest - A,7 - Ascension Seton Highland Lakes - A,8 - Ascension Seton Southwest - A,9 - Ascension Seton Edgar B. Davis - A,10 - Ascension Seton Smithville - A,13 - PAM Rehabilitation Hospital of Round Rock (JV) - A,14 - Northwest Hills Surgical Hospital (JV) Community input is an integral part of a CHNA and is meant to reflect the voice of the community. This input is invaluable for efforts to accurately assess a community's health needs. A concerted effort was made to ensure that the individuals and organizations represented the needs and perspectives of 1) public health practice and research; 2) individuals who are medically underserved, low-income, or considered among the underrepresented populations served by the hospital; and 3) the community at large and those who represent the broad interests and needs of the community served. Ascension Seton, in collaboration with hospital partners at St. David's Foundation and Baylor Scott and White Health, and public health leaders for Williamson County solicited input from a range of public health and social service providers and community residents that represent the broad interest of the Ascension Seton service area. Each entity engaged with the community to understand health needs through their own methods, and shared themes with the collaborative. Overall, many methods were utilized including key stakeholder interviews, key stakeholder and community focus groups and community surveys. Ascension Seton conducted a series of 19 focus groups facilitated by Alpinista Consulting to gather feedback from the community on the health needs and assets of Ascension Seton. Fourteen focus groups were organized by county, and five focus groups focused on specific populations: maternal health (2) and child health (3). Eighty individuals participated in focus groups, held between July and August of 2024. Ascension Seton conducted eight one-on-one interviews to gather feedback from key stakeholders on the health needs and assets of the region. Additional focus groups, community conversations and interviews were conducted by St. David's Foundation, Baylor Scott and White and Williamson County. A survey was conducted by Baylor Scott and White Health to gather the self-reported health status and concerns of the Ascension Seton region. One hundred ninety-nine individuals participated in the survey, held between January and June of 2024. The survey was distributed to community residents with an emphasis on underserved populations through email and QR code access, printed copies and in person distribution via community organizations. The survey data was used in combination with Ascension Seton community input to further illustrate and add emphasis to community health needs. The organizations represented during focus groups conducted in 2024 included: - Any Baby Can - Austin Child Guidance Center - ECHO - Austin Public Health - Avance Austin - Bastrop Public Health Department - Belton ISD - Bluebonnet Trails Community Services - Blanco County EMS - Blanco ISD - Burnet County - Catholic Charities - Central Texas Food Bank - Colin's Hope - Community Doulas of Waco - Community Action Inc - Dell Children's Injury Prevention - Dell Medical School at The University of Texas - El Buen Samaritano - Foundation Communities Prosper Health Program - Georgetown Health Foundation - Greater Killeen Free Clinic - Hays County Food Bank - Integral Care - Jarrell ISD - Lirios Pediatrics - Lone Star Circle of Care - Lone Star Circle of Care Bastrop - Mission Accomplished - NAMI Central Texas - Opportunities for Williamson & Burnet Counties - Pathways Community Hub - Revolution Youth & Family Recovery - The Rosedale Foundation - Todos Juntos Learning Center - The United Way - VELA - Waco Family Medicine - WIC Hays County - Williamson County and Cities Health District The organizations represented during key stakeholder interviews conducted in 2024 included: - American Gateways - Ascension Seton Case Management, Rehabilitation, & Rural Health Administration - Ascension Providence Labor and Delivery - Bastrop County Health Department - City of Austin Parks and Recreation Department - Hays County Health Department - McLennan County Health Services Department - Waco-McLennan County Public Health District The medically underserved, low-income and underrepresented populations represented through these methods and/or organizations include: - Mothers and infants - Rural individuals - Individuals experiencing homelessness - Families experiencing food insecurity - Individuals with barriers to accessing healthcare services - Individuals in need of mental and behavioral health services Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - FACILITY GROUP A. The Ascension Seton CHNA represents the following list of 12 hospital facilities - A,1 - Dell Children's Medical Center - A,2 - Ascension Seton Medical Center Austin - A,3 - Dell Seton Medical Center at the University of Texas - A,4 - Ascension Seton Williamson - A,5 - Ascension Seton Hays - A,6 - Ascension Seton Northwest - A,7 - Ascension Seton Highland Lakes - A,8 - Ascension Seton Southwest - A,9 - Ascension Seton Edgar B. Davis - A,10 - Ascension Seton Smithville - A,13 - PAM Rehabilitation Hospital of Round Rock (JV) - A,14 - Northwest Hills Surgical Hospital (JV) The other Ascension hospital facilities with which the reporting hospitals conducted the CHNA include: - Cedar Park Regional Medical Center (JV) - PAM Health Rehabilitation Hospital of Kyle (JV) - Central Texas Rehabilitation Hospital (JV) The Ascension Seton CHNA was completed in partnership with two other hospital organizations listed below: - St. David's Foundation, which represents various hospital facilities that serve Travis, Williamson, Hays, Bastrop and Caldwell counties within the Ascension Seton service area - Baylor Scott & White Health, which represent various hospital facilities serving Travis, Williamson, Hays, Llano, Burnet, and Blanco counties within the Ascension Seton service area Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - ALL ASCENSION SETON FACILITIES - PART 1. PART 1: DURING THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS, WHICH INCLUDED BOTH QUANTITATIVE AND QUALITATIVE ANALYSIS, ASCENSION SETON IDENTIFIED AND PRIORITIZED FOUR MAIN NEEDS FOR THE 11 COUNTY SERVICE AREA INCLUDING BASTROP, BLANCO, BURNET, CALDWELL, FAYETTE, GONZALES, HAYS, LEE, LLANO, TRAVIS AND WILLIAMSON COUNTIES WHICH INCLUDE: (1) ACCESS TO CARE (2) MENTAL AND BEHAVIORAL HEALTH (3) SOCIAL DETERMINANTS OF HEALTH (4) HEALTH EQUITY TO ADDRESS THE NEEDS IDENTIFIED IN THE 2021 CHNA, AN IMPLEMENTATION STRATEGY (IS) FOR EACH ASCENSION SETON FACILITY WAS ADOPTED IN AUGUST OF 2022. EACH PLAN IDENTIFIES THE ACTION THE HOSPITAL, WITH THE SUPPORT OF THE ASCENSION SETON NETWORK, PLANS TO TAKE TO ADDRESS THE PRIORITIZED NEEDS. SINCE ASCENSION SETON HAS MULTIPLE SITES THROUGHOUT TRAVIS COUNTY AND THE BROADER CENTRAL TEXAS REGION, BOTH INPATIENT AND OUTPATIENT, SOME ACTIONS DESCRIBED IN THE IMPLEMENTATION STRATEGIES ARE NOT STRICTLY OPERATED BY ANY ONE FACILITY. THE VARIOUS ACTIONS INCLUDED IN THE IMPLEMENTATION STRATEGY ARE NOT INTENDED TO BE EXHAUSTIVE OR INCLUSIVE OF EVERY SINGLE ASCENSION SETON STRATEGY, INITIATIVE OR PROGRAM. INSTEAD, THE PLAN HIGHLIGHTS THE MOST SIGNIFICANT ACTIONS THAT EACH HOSPITAL HAS UNDERTAKEN TO ADDRESS THE HEALTH NEEDS PRIORITIZED IN THE CHNA INCLUDING THOSE STRATEGIES THAT ARE EXPECTED TO MAKE THE MOST SIGNIFICANT IMPACT ON THE DELIVERY OF HEALTHCARE IN THE REGION FOR THE POOR AND VULNERABLE. AS REQUIRED BY IRS GUIDELINES, FOR EACH NEED, EACH ASCENSION SETON FACILITY HAS IDENTIFIED KEY ACTIONS TO ADDRESS THE NEED: -THE ANTICIPATED IMPACT OF THESE ACTIONS -AVAILABLE RESOURCES TO ADDRESS THE NEED -POTENTIAL COLLABORATIONS THESE ITEMS ARE ADDRESSED BY EACH OF THE FOLLOWING ASCENSION SETON FACILITIES: - A,1 - DELL CHILDREN'S MEDICAL CENTER - A,2 - ASCENSION SETON MEDICAL CENTER AUSTIN - A,3 - DELL SETON MEDICAL CENTER AT THE UNIVERSITY OF TEXAS - A,4 - ASCENSION SETON WILLIAMSON - A,5 - ASCENSION SETON HAYS - A,6 - ASCENSION SETON NORTHWEST - A,7 - ASCENSION SETON HIGHLAND LAKES - A,8 - ASCENSION SETON SOUTHWEST - A,9 - ASCENSION SETON EDGAR B. DAVIS - A,10 - ASCENSION SETON SMITHVILLE - B,11 - ASCENSION SETON SHOAL CREEK - B,12 - ASCENSION SETON BASTROP - A,13 - PAM REHABILITATION HOSPITAL OF ROUND ROCK (JV) - A,14 - NORTHWEST HILLS SURGICAL HOSPITAL (JV) A,1 - DELL CHILDREN'S MEDICAL CENTER THE IMPLEMENTATION STRATEGY FOR DELL CHILDREN'S MEDICAL CENTER (DCMC) ADDRESSES ALL FOUR NEEDS IDENTIFIED IN THE 2021 ASCENSION SETON REGIONAL CHNA. EXAMPLES OF HOW DCMC ADDRESSED EACH OF THE IDENTIFIED NEEDS ARE LISTED BELOW. ACCESS TO CARE - COMMUNITY EDUCATION ON INJURY PREVENTION, HOW TO MODIFY ACTIVITIES APPROPRIATELY FOR CHILDREN WITH DISABILITIES, HEAT SAFETY, AND OTHERS - COMMUNITY-BASED SERVICES SUCH AS SPORTS PHYSICALS AND CAR SEAT SAFETY CHECKS, AMONG OTHERS - DISCHARGE PLANNING THAT INCLUDES PROVIDING ACCESS TO SUPPLIES AND SERVICES NEEDED TO MAINTAIN HEALTH SUCH AS MEDICATIONS AND MEDICAL EQUIPMENT - SUPPORT WITH OBTAINING ONGOING MEDICATION ACCESS FOR ELIGIBLE PATIENTS - DELL CHILDREN'S MEDICAL CENTER IS THE ONLY CHILDREN'S LEVEL I TRAUMA CENTER IN CENTRAL TEXAS, PROVIDING THE HIGHEST LEVEL OF CARE TO CRITICALLY INJURED PATIENTS IN AUSTIN AND SURROUNDING AREAS. - DELL CHILDREN'S MEDICAL CENTER PROVIDES ACCESS TO CARE THROUGHOUT THE REGION THROUGH OUTPATIENT PEDIATRIC SPECIALTY CARE SERVICES MENTAL AND BEHAVIORAL HEALTH - DELL CHILDREN'S MEDICAL CENTER COLLABORATES WITH THE UNIVERSITY OF TEXAS DELL MEDICAL SCHOOL TO PROVIDE SPACE AND PROVIDERS FOR THE CHILD PSYCHIATRY ACCESS NETWORK (CPAN), A STATE OF TEXAS PROGRAM THAT INCREASES ACCESS TO BEHAVIORAL HEALTH CONSULTATION SERVICES IN PRIMARY CARE SETTINGS, AND TEXAS CHILD HEALTH ACCESS THROUGH TELEMEDICINE (TCHATT), A SIMILAR PROGRAM AIMED AT INCREASING ACCESS TO BEHAVIORAL HEALTH CONSULTATION SERVICES IN SCHOOL SETTINGS. - DELL CHILDREN'S MEDICAL CENTER OFFERS THE ONLY INPATIENT PEDIATRIC MENTAL HEALTH UNIT IN CENTRAL TEXAS THAT IS CONNECTED TO A HOSPITAL, OFFERING CRITICAL ACCESS TO PEDIATRIC MENTAL HEALTH CARE. - DELL CHILDREN'S MEDICAL CENTER OFFERS THE ONLY MULTISPECIALTY PEDIATRIC OUTPATIENT MENTAL HEALTH CLINIC, THE TEXAS CHILD STUDY CENTER, IN THE REGION. MENTAL HEALTH SPECIALTIES OFFERED INCLUDE TRAUMA, ANXIETY, DEPRESSION, AGGRESSION, AUTISM, PHOBIAS AND OBSESSIVE-COMPULSIVE DISORDERS. SOCIAL DETERMINANTS OF HEALTH - NEIGHBORHOOD RESOURCE, AN ONLINE PLATFORM FOR SOCIAL-CARE REFERRALS, WAS IMPLEMENTED AT ALL ASCENSION SETON HOSPITALS. ONGOING PROJECTS TO IMPROVE THE USABILITY OF THE PLATFORM FOR PROVIDERS AND THE QUALITY OF REFERRALS FOR PATIENTS ARE UNDERWAY. - THIS YEAR DELL CHILDREN'S MEDICAL CENTER ENGAGED WITH THE CENTRAL TEXAS FOOD BANK AS A COMMUNITY PARTNER TO DEVELOP A FOOD ACCESS CENTER FOR PATIENT FAMILIES. - ASCENSION SETON, INCLUDING DCMC, IS DEDICATED TO ENSURING PATIENT SAFETY, BOTH WITHIN ITS FACILITIES AND THROUGHOUT THE COMMUNITY. THIS COMMITMENT IS SUPPORTED BY COMPREHENSIVE ASSOCIATE TRAINING FOCUSED ON IDENTIFYING INDIVIDUALS AT RISK FOR HUMAN TRAFFICKING, AS WELL AS ROBUST SUPPORT SERVICES AND STRONG COMMUNITY PARTNERSHIPS. - DELL CHILDREN'S MEDICAL CENTER HAS A PARTNERSHIP WITH COMMUNITY HEALTH WORKERS AT THE MICHAEL AND SUSAN DELL FOUNDATION TO ASSIST PATIENTS WITH CONNECTING WITH COMMUNITY-BASED SOCIAL SERVICES AND PRIMARY CARE. HEALTH EQUITY - DELL CHILDREN'S MEDICAL CENTER ASSOCIATES LEAD THE CENTER FOR RESILIENCY, OPEN TO ALL ASCENSION ASSOCIATES, WHICH INCLUDES A BOOK CLUB THAT MEETS MONTHLY AND CAN BE USED FOR A CONTINUING EDUCATION CREDIT. THE CENTER FOR RESILIENCY ALSO INCLUDES SAFE SPACES FOR CONVERSATIONS AND TRAINING FOR HEALTHCARE PROVIDERS RELATED TO CURRENT CHALLENGES. - DELL CHILDREN'S MEDICAL CENTER AND THE ASCENSION SETON SYSTEM ARE ENGAGED IN PARTNERSHIPS WITH VARIOUS COMMUNITY ORGANIZATIONS WITH SPECIAL ATTENTION TO UNDERSERVED POPULATIONS INCLUDING: ASSISTANCE FOR ORGANIZATIONS WHO HELP LOW-INCOME INDIVIDUALS OBTAIN AND NAVIGATE HEALTH INSURANCE, ORGANIZATIONS WHO ASSIST FAMILIES, REGIONAL FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), ORGANIZATIONS WHO PROVIDE MENTAL HEALTH EDUCATION AND LOW-COST COUNSELING SERVICES, THE SOCIETY OF ST. VINCENT DEPAUL FOOD PANTRY AND PHARMACY ASSISTANCE PROGRAMS, AND CHILDHOOD STEM EDUCATION, AMONG OTHERS. - INTRODUCED MANDATORY TRAINING FOR ALL NEW ASSOCIATES ON BUILDING ENGAGEMENT AND RELATIONSHIPS THROUGH CULTURAL HUMILITY A,2 - ASCENSION SETON MEDICAL CENTER AUSTIN THE IMPLEMENTATION STRATEGY FOR ASCENSION SETON MEDICAL CENTER AUSTIN (ASMCA) ADDRESSES ALL FOUR NEEDS IDENTIFIED IN THE 2021 ASCENSION SETON REGIONAL CHNA. EXAMPLES OF HOW ASCMA ADDRESSED EACH OF THE IDENTIFIED NEEDS ARE LISTED BELOW. ACCESS TO CARE - DISCHARGE PLANNING THAT INCLUDES PROVIDING ACCESS TO SUPPLIES AND SERVICES NEEDED TO MAINTAIN HEALTH SUCH AS MEDICATIONS AND MEDICAL EQUIPMENT - SUPPORT WITH OBTAINING ONGOING MEDICATION ACCESS FOR ELIGIBLE PATIENTS - COMMUNITY EDUCATION ON CANCER PREVENTION - COMMUNITY EDUCATION IN COMMUNITIES SURROUNDING ASMCA ON CPR, NARCAN, AND EMERGENCY PREPAREDNESS - POPULATION FOCUS: OUTREACH TO COMMUNITIES EXPERIENCING HOMELESSNESS TO PROVIDE WOUND CARE EDUCATION AND HYGIENE KITS MENTAL AND BEHAVIORAL HEALTH - ASCENSION SETON MEDICAL CENTER AUSTIN PROVIDES ACCESS TO PSYCHIATRIC EVALUATIONS BOTH IN THE ED AND INPATIENT UNITS THROUGH A COMBINATION OF IN-PERSON AND VIRTUAL OPTIONS TO ENSURE THAT THE RIGHT LEVEL OF CARE CAN BE IDENTIFIED AND PROVIDED EITHER IN THE HOSPITAL OR WITHIN THE COMMUNITY SETTING. SOCIAL DETERMINANTS OF HEALTH - NEIGHBORHOOD RESOURCE, AN ONLINE PLATFORM FOR SOCIAL-CARE REFERRALS, WAS IMPLEMENTED AT ALL ASCENSION SETON HOSPITALS. ONGOING PROJECTS TO IMPROVE THE USABILITY OF THE PLATFORM FOR PROVIDERS AND THE QUALITY OF REFERRALS FOR PATIENTS ARE UNDERWAY. - FOOD IS THE BEST MEDICINE IS A FOOD ACCESS PROGRAM AVAILABLE TO WOMEN DELIVERING AT ASCENSION SETON MEDICAL CENTER AUSTIN WHO ARE EXPERIENCING FOOD INSECURITY THAT PROVIDES EIGHT WEEKS OF HEALTHY PRODUCE AND MEALS POST-PARTUM FOR ELIGIBLE PATIENTS - ASCENSION SETON, INCLUDING ASMCA, IS DEDICATED TO ENSURING PATIENT SAFETY, BOTH WITHIN ITS FACILITIES AND THROUGHOUT THE COMMUNITY. THIS COMMITMENT IS SUPPORTED BY COMPREHENSIVE ASSOCIATE TRAINING FOCUSED ON IDENTIFYING INDIVIDUALS AT RISK FOR HUMAN TRAFFICKING, AS WELL AS ROBUST SUPPORT SERVICES AND STRONG COMMUNITY PARTNERSHIPS. (CONTINUED) Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - ALL ASCENSION SETON FACILITIES - PART 2. PART 2: HEALTH EQUITY - ASCENSION SETON MEDICAL CENTER AUSTIN PROVIDES TRAINING ON HEALTH TO ALL PERINATAL NURSING RESIDENTS AND HAS HOSTED DOULA PANELS TO PROVIDE AN OPPORTUNITY FOR HOSPITAL PROVIDERS TO ASK QUESTIONS AND LEARN ABOUT THE IMPACT THAT DOULAS CAN HAVE ON IMPROVING HEALTHY BIRTHING OUTCOMES. - ASCENSION SETON AND ASCENSION SETON NETWORK LEADERS PARTICIPATE REGULARLY IN COMMUNITY GROUPS FOCUSED ON IMPROVING MATERNAL HEALTH AND REDUCING DIFFERENCES IN MATERNAL HEALTH OUTCOMES IN THE COMMUNITY. - ASCENSION SETON MEDICAL CENTER AUSTIN AND THE ASCENSION SETON SYSTEM ARE ENGAGED IN PARTNERSHIPS WITH VARIOUS COMMUNITY ORGANIZATIONS WITH SPECIAL ATTENTION TO UNDERSERVED POPULATIONS INCLUDING: ASSISTANCE FOR ORGANIZATIONS WHO HELP LOW-INCOME INDIVIDUALS OBTAIN AND NAVIGATE HEALTH INSURANCE, ORGANIZATIONS WHO ASSIST FAMILIES, REGIONAL FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), ORGANIZATIONS WHO PROVIDE MENTAL HEALTH EDUCATION AND LOW-COST COUNSELING SERVICES, THE SOCIETY OF ST. VINCENT DEPAUL FOOD PANTRY AND PHARMACY ASSISTANCE PROGRAMS, AND CHILDHOOD STEM EDUCATION, AMONG OTHERS. - INTRODUCED MANDATORY TRAINING FOR ALL NEW ASSOCIATES ON BUILDING ENGAGEMENT AND RELATIONSHIPS THROUGH CULTURAL HUMILITY A,3 - DELL SETON MEDICAL CENTER AT THE UNIVERSITY OF TEXAS THE IMPLEMENTATION STRATEGY FOR DELL SETON MEDICAL CENTER AT THE UNIVERSITY OF TEXAS (DSMCUT) ADDRESSES ALL FOUR NEEDS IDENTIFIED IN THE 2021 ASCENSION SETON REGIONAL CHNA. EXAMPLES OF HOW DSMCUT ADDRESSED EACH OF THE IDENTIFIED NEEDS ARE LISTED BELOW. ACCESS TO CARE - DISCHARGE PLANNING THAT INCLUDES PROVIDING ACCESS TO SUPPLIES AND SERVICES NEEDED TO MAINTAIN HEALTH SUCH AS MEDICATIONS AND MEDICAL EQUIPMENT - SUPPORT WITH OBTAINING ONGOING MEDICATION ACCESS FOR ELIGIBLE PATIENTS - COMMUNITY EDUCATION IN COMMUNITIES SURROUNDING DSMCUT ON CPR, NARCAN, AND EMERGENCY PREPAREDNESS - POPULATION FOCUS: OUTREACH TO COMMUNITIES EXPERIENCING HOMELESSNESS TO PROVIDE WOUND CARE EDUCATION AND HYGIENE KITS - DELL SETON MEDICAL CENTER AT THE UNIVERSITY OF TEXAS IS THE ONLY ADULT LEVEL I TRAUMA CENTER IN AUSTIN, PROVIDING THE HIGHEST LEVEL OF CARE TO CRITICALLY INJURED PATIENTS IN AUSTIN AND SURROUNDING AREAS. MENTAL AND BEHAVIORAL HEALTH - THE ED HAS PSYCH SAFE ROOMS WITH PSYCH TRAINED TEAM MEMBERS WITHIN DELL SETON MEDICAL CENTER AT THE UNIVERSITY OF TEXAS EMERGENCY ROOM TO PROVIDE CRITICAL ACCESS TO HIGH ACUITY MENTAL HEALTH CARE FOR THE COMMUNITY, PARTICULARLY IN CIRCUMSTANCES THAT ALSO REQUIRE MEDICAL ATTENTION. - DELL SETON MEDICAL CENTER AT THE UNIVERSITY OF TEXAS PROVIDES ACCESS TO PSYCHIATRIC EVALUATION BOTH IN THE ED AND INPATIENT UNITS THROUGH A COMBINATION OF IN-PERSON AND VIRTUAL OPTIONS TO ENSURE THAT THE RIGHT LEVEL OF CARE CAN BE IDENTIFIED AND PROVIDED EITHER IN THE HOSPITAL OR WITHIN THE COMMUNITY SETTING SOCIAL DETERMINANTS OF HEALTH - NEIGHBORHOOD RESOURCE, AN ONLINE PLATFORM FOR SOCIAL-CARE REFERRALS, WAS IMPLEMENTED AT ALL ASCENSION SETON HOSPITALS. ONGOING PROJECTS TO IMPROVE THE USABILITY OF THE PLATFORM FOR PROVIDERS AND THE QUALITY OF REFERRALS FOR PATIENTS ARE UNDERWAY. - DELL SETON MEDICAL CENTER AT THE UNIVERSITY OF TEXAS WORKS CLOSELY WITH COMMUNITY PARTNERS TO CONNECT QUALIFYING PATIENTS WITH ON-SITE INITIATION OF MAP AND MAP BASIC APPLICATIONS. - ASCENSION SETON, INCLUDING DSMCUT, IS DEDICATED TO ENSURING PATIENT SAFETY, BOTH WITHIN ITS FACILITIES AND THROUGHOUT THE COMMUNITY. THIS COMMITMENT IS SUPPORTED BY COMPREHENSIVE ASSOCIATE TRAINING FOCUSED ON IDENTIFYING INDIVIDUALS AT RISK FOR HUMAN TRAFFICKING, AS WELL AS ROBUST SUPPORT SERVICES AND STRONG COMMUNITY PARTNERSHIPS. - DSMCUT IN PARTNERSHIP WITH THE TRAVIS COUNTY DISTRICT ATTORNEY'S OFFICE LAUNCHED A HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAM (HPIV) WITH A DEDICATED SPECIALIST WHO MEETS WITH PATIENTS. THIS SPECIALIST MEETS WITH THOSE WHO HAVE EXPERIENCED VIOLENCE TO CONNECT VICTIMS WITH SERVICES LIKE MENTAL HEALTH, LEGAL, EMPLOYMENT, AND EDUCATION SERVICES AFTER THEY LEAVE THE EMERGENCY DEPARTMENT. HEALTH EQUITY - DELL SETON MEDICAL CENTER AT THE UNIVERSITY OF TEXAS IS DEEPLY ENGAGED IN THE CARE OF INDIVIDUALS WHO ARE OFTEN MARGINALIZED BY SOCIETY INCLUDING INDIVIDUALS WITH VERY LOW INCOME AND PEOPLE EXPERIENCING HOMELESSNESS. CARE TEAMS AT THE HOSPITAL AND NETWORK TEAMS WORK EXTENSIVELY WITH COMMUNITY PARTNERS TO ENSURE SAFE DISCHARGE AND COMMUNITY SUPPORT FOR THESE INDIVIDUALS. - DELL SETON MEDICAL CENTER AT THE UNIVERSITY OF TEXAS AND THE ASCENSION SETON SYSTEM ARE ENGAGED IN PARTNERSHIPS WITH VARIOUS COMMUNITY ORGANIZATIONS WITH SPECIAL ATTENTION TO UNDERSERVED POPULATIONS INCLUDING: ASSISTANCE FOR ORGANIZATIONS WHO HELP LOW-INCOME INDIVIDUALS OBTAIN AND NAVIGATE HEALTH INSURANCE, ORGANIZATIONS WHO ASSIST FAMILIES, REGIONAL FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), ORGANIZATIONS WHO PROVIDE MENTAL HEALTH EDUCATION AND LOW-COST COUNSELING SERVICES, THE SOCIETY OF ST. VINCENT DEPAUL FOOD PANTRY AND PHARMACY ASSISTANCE PROGRAMS, AND CHILDHOOD STEM EDUCATION, AMONG OTHERS. - INTRODUCED MANDATORY TRAINING FOR ALL NEW ASSOCIATES ON BUILDING ENGAGEMENT AND RELATIONSHIPS THROUGH CULTURAL HUMILITY A,4 - ASCENSION SETON WILLIAMSON THE IMPLEMENTATION STRATEGY FOR ASCENSION SETON WILLIAMSON ADDRESSED ALL FOUR NEEDS IDENTIFIED IN THE 2021 ASCENSION SETON REGIONAL CHNA. EXAMPLES OF HOW ASCENSION SETON WILLIAMSON ADDRESSED EACH OF THE IDENTIFIED NEEDS ARE LISTED BELOW. ACCESS TO CARE - DISCHARGE PLANNING THAT INCLUDES PROVIDING ACCESS TO SUPPLIES AND SERVICES NEEDED TO MAINTAIN HEALTH SUCH AS MEDICATIONS AND MEDICAL EQUIPMENT - SUPPORT WITH OBTAINING ONGOING MEDICATION ACCESS FOR ELIGIBLE PATIENTS - COMMUNITY EDUCATION IN COMMUNITIES SURROUNDING ASCENSION SETON WILLIAMSON ON CPR AND OTHER LIFESAVING INTERVENTIONS, NARCAN, AND EMERGENCY PREPAREDNESS MENTAL AND BEHAVIORAL HEALTH - ASCENSION SETON WILLIAMSON PROVIDES ACCESS TO PSYCHIATRIC EVALUATION BOTH IN THE ED AND INPATIENT UNITS THROUGH A VIRTUAL VENDOR TO ENSURE THAT THE RIGHT LEVEL OF CARE CAN BE IDENTIFIED AND PROVIDED EITHER IN THE HOSPITAL OR WITHIN THE COMMUNITY SETTING SOCIAL DETERMINANTS OF HEALTH - NEIGHBORHOOD RESOURCE, AN ONLINE PLATFORM FOR SOCIAL-CARE REFERRALS, WAS IMPLEMENTED AT ALL ASCENSION SETON HOSPITALS. ONGOING PROJECTS TO IMPROVE THE USABILITY OF THE PLATFORM FOR PROVIDERS AND THE QUALITY OF REFERRALS FOR PATIENTS ARE UNDERWAY. HEALTH EQUITY - ASCENSION SETON WILLIAMSON AND THE ASCENSION SETON SYSTEM ARE ENGAGED IN PARTNERSHIPS WITH VARIOUS COMMUNITY ORGANIZATIONS WITH SPECIAL ATTENTION TO UNDERSERVED POPULATIONS INCLUDING: ORGANIZATIONS WHO ASSIST FAMILIES, ORGANIZATIONS WHO PROVIDE MENTAL HEALTH EDUCATION AND LOW-COST COUNSELING SERVICES AND REGIONAL FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS). - INTRODUCED MANDATORY TRAINING FOR ALL NEW ASSOCIATES ON BUILDING ENGAGEMENT AND RELATIONSHIPS THROUGH CULTURAL HUMILITY A,5 - ASCENSION SETON HAYS THE IMPLEMENTATION STRATEGY FOR ASCENSION SETON HAYS ADDRESSES ALL FOUR NEEDS IDENTIFIED IN THE 2021 ASCENSION SETON REGIONAL CHNA. EXAMPLES OF HOW ASCENSION SETON HAYS ADDRESSED EACH OF THE IDENTIFIED NEEDS ARE LISTED BELOW. ACCESS TO CARE - DISCHARGE PLANNING THAT INCLUDES PROVIDING ACCESS TO SUPPLIES AND SERVICES NEEDED TO MAINTAIN HEALTH SUCH AS MEDICATIONS AND MEDICAL EQUIPMENT - SUPPORT WITH OBTAINING ONGOING MEDICATION ACCESS FOR ELIGIBLE PATIENTS - COMMUNITY EDUCATION IN COMMUNITIES SURROUNDING ASCENSION SETON HAYS INCLUDING NARCAN AND STOP THE BLEED TRAININGS MENTAL AND BEHAVIORAL HEALTH - ASCENSION SETON HAYS PROVIDES ACCESS TO PSYCHIATRIC EVALUATIONS BOTH IN THE ED AND INPATIENT UNITS THROUGH VIRTUAL VENDOR OPTIONS TO ENSURE THAT THE RIGHT LEVEL OF CARE CAN BE IDENTIFIED AND PROVIDED EITHER IN THE HOSPITAL OR WITHIN THE COMMUNITY SETTING SOCIAL DETERMINANTS OF HEALTH - NEIGHBORHOOD RESOURCE, AN ONLINE PLATFORM FOR SOCIAL-CARE REFERRALS, WAS IMPLEMENTED AT ALL ASCENSION SETON HOSPITALS. ONGOING PROJECTS TO IMPROVE THE USABILITY OF THE PLATFORM FOR PROVIDERS AND THE QUALITY OF REFERRALS FOR PATIENTS ARE UNDERWAY. - ASCENSION SETON, INCLUDING ASCENSION SETON HAYS, IS DEDICATED TO ENSURING PATIENT SAFETY, BOTH WITHIN ITS FACILITIES AND THROUGHOUT THE COMMUNITY. THIS COMMITMENT IS SUPPORTED BY COMPREHENSIVE ASSOCIATE TRAINING FOCUSED ON IDENTIFYING INDIVIDUALS AT RISK FOR HUMAN TRAFFICKING, AS WELL AS ROBUST SUPPORT SERVICES AND STRONG COMMUNITY PARTNERSHIPS. (CONTINUED) Schedule H, Part V, Section B, Line 11 Facility A, 3 Facility A, 3 - ALL ASCENSION SETON FACILITIES - PART 3. PART 3: HEALTH EQUITY - ASCENSION SETON HAYS AND THE ASCENSION SETON SYSTEM ARE ENGAGED IN PARTNERSHIPS WITH VARIOUS COMMUNITY ORGANIZATIONS WITH SPECIAL ATTENTION TO UNDERSERVED POPULATIONS INCLUDING: ORGANIZATIONS WHO ASSIST FAMILIES AND ORGANIZATIONS WHO PROVIDE MENTAL HEALTH EDUCATION AND LOW-COST COUNSELING SERVICES. - INTRODUCED MANDATORY TRAINING FOR ALL NEW ASSOCIATES ON BUILDING ENGAGEMENT AND RELATIONSHIPS THROUGH CULTURAL HUMILITY A,6 - ASCENSION SETON NORTHWEST THE IMPLEMENTATION STRATEGY FOR ASCENSION SETON NORTHWEST ADDRESSES ALL FOUR NEEDS IDENTIFIED IN THE 2021 ASCENSION SETON REGIONAL CHNA. EXAMPLES OF HOW ASCENSION SETON NORTHWEST ADDRESSED EACH OF THE IDENTIFIED NEEDS ARE LISTED BELOW. ACCESS TO CARE - DISCHARGE PLANNING THAT INCLUDES PROVIDING ACCESS TO SUPPLIES AND SERVICES NEEDED TO MAINTAIN HEALTH SUCH AS MEDICATIONS AND MEDICAL EQUIPMENT - SUPPORT WITH OBTAINING ONGOING MEDICATION ACCESS FOR ELIGIBLE PATIENTS - COMMUNITY EDUCATION IN COMMUNITIES SURROUNDING ASCENSION SETON NORTHWEST ON CPR AND OTHER LIFESAVING INTERVENTIONS, NARCAN, AND EMERGENCY PREPAREDNESS MENTAL AND BEHAVIORAL HEALTH - ASCENSION SETON NORTHWEST PROVIDES ACCESS TO PSYCHIATRIC EVALUATIONS BOTH IN THE ED AND INPATIENT UNITS THROUGH A VIRTUAL VENDOR TO ENSURE THAT THE RIGHT LEVEL OF CARE CAN BE IDENTIFIED AND PROVIDED EITHER IN THE HOSPITAL OR WITHIN THE COMMUNITY SETTING SOCIAL DETERMINANTS OF HEALTH - NEIGHBORHOOD RESOURCE, AN ONLINE PLATFORM FOR SOCIAL-CARE REFERRALS, WAS IMPLEMENTED AT ALL ASCENSION SETON HOSPITALS. ONGOING PROJECTS TO IMPROVE THE USABILITY OF THE PLATFORM FOR PROVIDERS AND THE QUALITY OF REFERRALS FOR PATIENTS ARE UNDERWAY. - ASCENSION SETON, INCLUDING ASCENSION SETON NORTHWEST, IS DEDICATED TO ENSURING PATIENT SAFETY, BOTH WITHIN ITS FACILITIES AND THROUGHOUT THE COMMUNITY. THIS COMMITMENT IS SUPPORTED BY COMPREHENSIVE ASSOCIATE TRAINING FOCUSED ON IDENTIFYING INDIVIDUALS AT RISK FOR HUMAN TRAFFICKING, AS WELL AS ROBUST SUPPORT SERVICES AND STRONG COMMUNITY PARTNERSHIPS. HEALTH EQUITY - ASCENSION SETON NORTHWEST AND THE ASCENSION SETON SYSTEM ARE ENGAGED IN PARTNERSHIPS WITH VARIOUS COMMUNITY ORGANIZATIONS WITH SPECIAL ATTENTION TO UNDERSERVED POPULATIONS INCLUDING: ASSISTANCE FOR ORGANIZATIONS WHO HELP LOW-INCOME INDIVIDUALS OBTAIN AND NAVIGATE HEALTH INSURANCE, ORGANIZATIONS WHO ASSIST FAMILIES, REGIONAL FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), ORGANIZATIONS WHO PROVIDE MENTAL HEALTH EDUCATION AND LOW-COST COUNSELING SERVICES, THE SOCIETY OF ST. VINCENT DEPAUL FOOD PANTRY AND PHARMACY ASSISTANCE PROGRAMS, AND CHILDHOOD STEM EDUCATION, AMONG OTHERS. - INTRODUCED MANDATORY TRAINING FOR ALL NEW ASSOCIATES ON BUILDING ENGAGEMENT AND RELATIONSHIPS THROUGH CULTURAL HUMILITY A,7 - ASCENSION SETON HIGHLAND LAKES THE IMPLEMENTATION STRATEGY FOR ASCENSION SETON HIGHLAND LAKES ADDRESSES ALL FOUR NEEDS IDENTIFIED IN THE 2021 ASCENSION SETON REGIONAL CHNA. EXAMPLES OF HOW ASCENSION SETON HIGHLAND LAKES ADDRESSED EACH OF THE IDENTIFIED NEEDS ARE LISTED BELOW. ACCESS TO CARE - CRITICAL ACCESS TO PRIMARY AND SPECIALTY CARE THROUGH FOUR FEDERALLY DESIGNATED RURAL HEALTH CLINICS - OUTREACH HEALTH SERVICES THROUGH THE CHILDREN'S CARE-A-VAN MOBILE CLINIC PROVIDING PHYSICALS, VACCINES AND OTHER WELL-VISIT SERVICES - DISCHARGE PLANNING THAT INCLUDES PROVIDING ACCESS TO SUPPLIES AND SERVICES NEEDED TO MAINTAIN HEALTH SUCH AS MEDICATIONS AND MEDICAL EQUIPMENT - SUPPORT WITH OBTAINING ONGOING MEDICATION ACCESS FOR ELIGIBLE PATIENTS - COMMUNITY HEALTH EDUCATION AT HEALTH FAIRS AND OTHER EVENTS - COMMUNITY SUPPORT GROUPS AND EDUCATION FOR PARKINSON'S DISEASE PATIENTS MENTAL AND BEHAVIORAL HEALTH - ASCENSION SETON HIGHLAND LAKES PROVIDES ACCESS TO PSYCHIATRIC EVALUATIONS BOTH IN THE ED AND INPATIENT UNITS THROUGH A RELATIONSHIP WITH THE LOCAL MENTAL HEALTH AUTHORITY IN ADDITION TO A VIRTUAL VENDOR TO ENSURE THAT THE RIGHT LEVEL OF CARE CAN BE IDENTIFIED AND PROVIDED EITHER IN THE HOSPITAL OR WITHIN THE COMMUNITY SETTING SOCIAL DETERMINANTS OF HEALTH - ASCENSION SETON HIGHLAND LAKES IMPLEMENTED A UNIQUE PROGRAM TO SUPPORT PATIENTS FACING FOOD INSECURITY. ASCENSION SETON HIGHLAND LAKES ONSITE KITCHEN PACKAGES AND FREEZES LEFTOVERS INTO TO-GO FROZEN MEALS THAT ARE PROVIDED TO PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY. IN ADDITION TO PROVIDING FROZEN MEALS AT DISCHARGE, ASSOCIATES REFER PATIENTS TO MEALS ON WHEELS AND PROVIDE OTHER LOCAL RESOURCES TO SUPPORT THEM IN THE COMMUNITY. - NEIGHBORHOOD RESOURCE, AN ONLINE PLATFORM FOR SOCIAL-CARE REFERRALS, WAS IMPLEMENTED AT ALL ASCENSION SETON HOSPITALS. ONGOING PROJECTS TO IMPROVE THE USABILITY OF THE PLATFORM FOR PROVIDERS AND THE QUALITY OF REFERRALS FOR PATIENTS ARE UNDERWAY. HEALTH EQUITY - INTRODUCED MANDATORY TRAINING FOR ALL NEW ASSOCIATES ON BUILDING ENGAGEMENT AND RELATIONSHIPS THROUGH CULTURAL HUMILITY A,8 - ASCENSION SETON SOUTHWEST THE IMPLEMENTATION STRATEGY FOR ASCENSION SETON SOUTHWEST ADDRESSES ALL FOUR NEEDS IDENTIFIED IN THE 2021 ASCENSION SETON REGIONAL CHNA. EXAMPLES OF HOW ASCENSION SETON SOUTHWEST ADDRESSED EACH OF THE IDENTIFIED NEEDS ARE LISTED BELOW. ACCESS TO CARE - DISCHARGE PLANNING THAT INCLUDES PROVIDING ACCESS TO SUPPLIES AND SERVICES NEEDED TO MAINTAIN HEALTH SUCH AS MEDICATIONS AND MEDICAL EQUIPMENT - SUPPORT WITH OBTAINING ONGOING MEDICATION ACCESS FOR ELIGIBLE PATIENTS - COMMUNITY EDUCATION IN COMMUNITIES SURROUNDING ASCENSION SETON SOUTHWEST ON EMERGENCY PREPAREDNESS MENTAL AND BEHAVIORAL HEALTH - ASCENSION SETON SOUTHWEST PROVIDES ACCESS TO PSYCHIATRIC EVALUATIONS BOTH IN THE ED AND INPATIENT UNITS THROUGH A VIRTUAL VENDOR TO ENSURE THAT THE RIGHT LEVEL OF CARE CAN BE IDENTIFIED AND PROVIDED EITHER IN THE HOSPITAL OR WITHIN THE COMMUNITY SETTING SOCIAL DETERMINANTS OF HEALTH - NEIGHBORHOOD RESOURCE, AN ONLINE PLATFORM FOR SOCIAL-CARE REFERRALS, WAS IMPLEMENTED AT ALL ASCENSION SETON HOSPITALS. ONGOING PROJECTS TO IMPROVE THE USABILITY OF THE PLATFORM FOR PROVIDERS AND THE QUALITY OF REFERRALS FOR PATIENTS ARE UNDERWAY. HEALTH EQUITY - ASCENSION SETON SOUTHWEST AND THE ASCENSION SETON SYSTEM ARE ENGAGED IN PARTNERSHIPS WITH VARIOUS COMMUNITY ORGANIZATIONS WITH SPECIAL ATTENTION TO UNDERSERVED POPULATIONS INCLUDING: ASSISTANCE FOR ORGANIZATIONS WHO HELP LOW-INCOME INDIVIDUALS OBTAIN AND NAVIGATE HEALTH INSURANCE, ORGANIZATIONS WHO ASSIST FAMILIES, REGIONAL FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), ORGANIZATIONS WHO PROVIDE MENTAL HEALTH EDUCATION AND LOW-COST COUNSELING SERVICES, THE SOCIETY OF ST. VINCENT DEPAUL FOOD PANTRY AND PHARMACY ASSISTANCE PROGRAMS, AND CHILDHOOD STEM EDUCATION, AMONG OTHERS. - INTRODUCED MANDATORY TRAINING FOR ALL NEW ASSOCIATES ON BUILDING ENGAGEMENT AND RELATIONSHIPS THROUGH CULTURAL HUMILITY A,9 - ASCENSION SETON EDGAR B. DAVIS THE IMPLEMENTATION STRATEGY FOR ASCENSION SETON EDGAR B. DAVIS (ASEBD) ADDRESSES ALL FOUR NEEDS IDENTIFIED IN THE 2021 ASCENSION SETON REGIONAL CHNA. EXAMPLES OF HOW ASEBD ADDRESSED EACH OF THE IDENTIFIED NEEDS ARE LISTED BELOW. ACCESS TO CARE - CRITICAL ACCESS TO PRIMARY AND SPECIALTY CARE THROUGH FIVE FEDERALLY DESIGNATED RURAL HEALTH CLINICS - OUTREACH HEALTH SERVICES THROUGH A MOBILE CLINIC PROVIDING PHYSICALS, VACCINES AND OTHER WELL-VISIT SERVICES - DISCHARGE PLANNING THAT INCLUDES PROVIDING ACCESS TO SUPPLIES AND SERVICES NEEDED TO MAINTAIN HEALTH SUCH AS MEDICATIONS AND MEDICAL EQUIPMENT - SUPPORT WITH OBTAINING ONGOING MEDICATION ACCESS FOR ELIGIBLE PATIENTS - COMMUNITY HEALTH EDUCATION AND HEALTH SCREENINGS AT HEALTH FAIRS AND OTHER EVENTS IN PARTNERSHIP WITH LOCAL ORGANIZATIONS MENTAL AND BEHAVIORAL HEALTH - ASCENSION SETON EDGAR B. DAVIS PROVIDES ACCESS TO PSYCHIATRIC EVALUATIONS BOTH IN THE ED AND INPATIENT UNITS THROUGH A VIRTUAL VENDOR TO ENSURE THAT THE RIGHT LEVEL OF CARE CAN BE IDENTIFIED AND PROVIDED EITHER IN THE HOSPITAL OR WITHIN THE COMMUNITY SETTING - THE HERITAGE PROGRAM AT ASEBD IS A PROGRAM PROVIDED FOR SENIOR ADULT PATIENTS SUFFERING FROM DEPRESSION, LONELINESS AND ANXIETY. THIS IS A CRITICAL PROGRAM IN THE RURAL COMMUNITY HELPING RESIDENTS COPE WITH PROBLEMS COMMONLY ASSOCIATED WITH AGING. SOCIAL DETERMINANTS OF HEALTH - NEIGHBORHOOD RESOURCE, AN ONLINE PLATFORM FOR SOCIAL-CARE REFERRALS, WAS IMPLEMENTED AT ALL ASCENSION SETON HOSPITALS. ONGOING PROJECTS TO IMPROVE THE USABILITY OF THE PLATFORM FOR PROVIDERS AND THE QUALITY OF REFERRALS FOR PATIENTS ARE UNDERWAY. HEALTH EQUITY - INTRODUCED MANDATORY TRAINING FOR ALL NEW ASSOCIATES ON BUILDING ENGAGEMENT AND RELATIONSHIPS THROUGH CULTURAL HUMILITY (CONTINUED) Schedule H, Part V, Section B, Line 11 Facility A, 4 Facility A, 4 - ALL ASCENSION SETON FACILITIES - PART 4. PART 4: A,10 - ASCENSION SETON SMITHVILLE THE IMPLEMENTATION STRATEGY FOR ASCENSION SETON SMITHVILLE ADDRESSES ALL FOUR NEEDS IDENTIFIED IN THE 2021 ASCENSION SETON REGIONAL CHNA. EXAMPLES OF HOW ASCENSION SETON SMITHVILLE ADDRESSED EACH OF THE IDENTIFIED NEEDS ARE LISTED BELOW. ACCESS TO CARE - CRITICAL ACCESS TO PRIMARY AND SPECIALTY CARE THROUGH TWO FEDERALLY DESIGNATED RURAL HEALTH CLINICS - OUTREACH HEALTH SERVICES THROUGH A MOBILE CLINIC PROVIDING PHYSICALS, VACCINES AND OTHER WELL-VISIT SERVICES - DISCHARGE PLANNING THAT INCLUDES PROVIDING ACCESS TO SUPPLIES AND SERVICES NEEDED TO MAINTAIN HEALTH SUCH AS MEDICATIONS AND MEDICAL EQUIPMENT - SUPPORT WITH OBTAINING ONGOING MEDICATION ACCESS FOR ELIGIBLE PATIENTS - COMMUNITY HEALTH EDUCATION AND HEALTH SCREENINGS AT HEALTH FAIRS AND OTHER EVENTS IN PARTNERSHIP WITH LOCAL ORGANIZATIONS MENTAL AND BEHAVIORAL HEALTH - ASCENSION SETON SMITHVILLE PROVIDES ACCESS TO PSYCHIATRIC EVALUATIONS BOTH IN THE ED AND INPATIENT UNITS THROUGH A RELATIONSHIP WITH THE LOCAL MENTAL HEALTH AUTHORITY IN ADDITION TO A VIRTUAL VENDOR TO ENSURE THAT THE RIGHT LEVEL OF CARE CAN BE IDENTIFIED AND PROVIDED EITHER IN THE HOSPITAL OR WITHIN THE COMMUNITY SETTING SOCIAL DETERMINANTS OF HEALTH - NEIGHBORHOOD RESOURCE, AN ONLINE PLATFORM FOR SOCIAL-CARE REFERRALS, WAS IMPLEMENTED AT ALL ASCENSION SETON HOSPITALS. ONGOING PROJECTS TO IMPROVE THE USABILITY OF THE PLATFORM FOR PROVIDERS AND THE QUALITY OF REFERRALS FOR PATIENTS ARE UNDERWAY. HEALTH EQUITY - ASCENSION SETON SMITHVILLE IS ENGAGED WITH COMMUNITY PARTNERS AND PLANNING EFFORTS RELATED TO SERVING THOSE MOST IN NEED IN THE COMMUNITY. - INTRODUCED MANDATORY TRAINING FOR ALL NEW ASSOCIATES ON BUILDING ENGAGEMENT AND RELATIONSHIPS THROUGH CULTURAL HUMILITY B,11 - ASCENSION SETON SHOAL CREEK AS OF MAY 2025, ASCENSION SETON SHOAL CREEK CLOSED. THIS REPORT REFLECTS THE ACTIVITIES WITH WHICH THE FACILITY ENGAGED UNTIL CLOSURE. IN ORDER TO INCLUDE A FINAL REPORTING FOR ACTIONS TAKEN UNDER THE 2021 CHNA, THE DISCLOSURE IS BEING INCLUDED WITH FACILITY REPORTING GROUP A. THE IMPLEMENTATION STRATEGY FOR ASCENSION SETON SHOAL CREEK ADDRESSES ALL FOUR NEEDS IDENTIFIED IN THE 2021 ASCENSION SETON REGIONAL CHNA. EXAMPLES OF HOW ASCENSION SETON SHOAL CREEK ADDRESSED EACH OF THE IDENTIFIED NEEDS ARE LISTED BELOW. ACCESS TO CARE - PROVIDED SPACE FOR COMMUNITY GROUPS TO LEAD SUPPORT GROUPS RELATED TO MENTAL AND BEHAVIORAL HEALTH SUCH AS ALCOHOLICS ANONYMOUS AND OTHERS - DISCHARGE PLANNING THAT INCLUDES PROVIDING ACCESS TO SUPPLIES AND SERVICES NEEDED TO MAINTAIN HEALTH SUCH AS MEDICATIONS AND MEDICAL EQUIPMENT - SUPPORT WITH OBTAINING ONGOING MEDICATION ACCESS FOR ELIGIBLE PATIENTS MENTAL AND BEHAVIORAL HEALTH - ASCENSION SETON SHOAL CREEK PROVIDED BEHAVIORAL HEALTH ASSESSMENTS FOR PATIENTS TO IDENTIFY THE APPROPRIATE LEVEL OF CARE FOR COMMUNITY-BASED SERVICES. - ASCENSION SETON SHOAL CREEK OPERATED A BEHAVIORAL HEALTH NAVIGATION SERVICE TO NAVIGATE PATIENTS AND COMMUNITY MEMBERS TO APPROPRIATE COMMUNITY-BASED MENTAL HEALTH RESOURCES SOCIAL DETERMINANTS OF HEALTH - NEIGHBORHOOD RESOURCE, AN ONLINE PLATFORM FOR SOCIAL-CARE REFERRALS, WAS IMPLEMENTED AT ALL ASCENSION SETON HOSPITALS. ONGOING PROJECTS TO IMPROVE THE USABILITY OF THE PLATFORM FOR PROVIDERS AND THE QUALITY OF REFERRALS FOR PATIENTS ARE UNDERWAY. HEALTH EQUITY - AS A BEHAVIORAL HEALTH HOSPITAL, ASCENSION SETON SHOAL CREEK IS DEEPLY ENGAGED IN THE CARE OF INDIVIDUALS WHO EXPERIENCE SOCIETAL MARGINALIZATION. AS SUCH, SITE LEADERS AND ASSOCIATES ARE TRAINED ON HEALTH EQUITY TOPICS RELATED TO INDIVIDUALS EXPERIENCING MENTAL HEALTH CONCERNS AS WELL AS OTHER MARGINALIZED GROUPS TO ENSURE THE DIGNITY OF ALL INDIVIDUALS AND SAFE TREATMENT ENVIRONMENTS. - INTRODUCED MANDATORY TRAINING FOR ALL NEW ASSOCIATES ON BUILDING ENGAGEMENT AND RELATIONSHIPS THROUGH CULTURAL HUMILITY B,12 - ASCENSION SETON BASTROP AS OF OCTOBER 2024, ASCENSION SETON BASTROP IS NO LONGER AN INDEPENDENTLY LICENSED HOSPITAL FACILITY. THIS REPORT REFLECTS THE ACTIVITIES WITH WHICH THE FACILITY ENGAGED UNTIL IT WAS NO LONGER A LICENSED HOSPITAL. IN ORDER TO INCLUDE A FINAL REPORTING FOR ACTIONS TAKEN UNDER THE 2021 CHNA, THE DISCLOSURE IS BEING INCLUDED WITH FACILITY REPORTING GROUP A. THE IMPLEMENTATION STRATEGY FOR ASCENSION SETON BASTROP ADDRESSES ALL FOUR NEEDS IDENTIFIED IN THE 2021 ASCENSION SETON REGIONAL CHNA. EXAMPLES OF HOW ASCENSION SETON BASTROP ADDRESSED EACH OF THE IDENTIFIED NEEDS ARE LISTED BELOW. ACCESS TO CARE - DISCHARGE PLANNING THAT INCLUDES PROVIDING ACCESS TO SUPPLIES AND SERVICES NEEDED TO MAINTAIN HEALTH SUCH AS MEDICATIONS AND MEDICAL EQUIPMENT - SUPPORT WITH OBTAINING ONGOING MEDICATION ACCESS FOR ELIGIBLE PATIENTS - COMMUNITY HEALTH EDUCATION AND HEALTH SCREENINGS AT HEALTH FAIRS AND OTHER EVENTS IN PARTNERSHIP WITH LOCAL ORGANIZATIONS MENTAL AND BEHAVIORAL HEALTH - ASCENSION SETON BASTROP PROVIDES ACCESS TO PSYCHIATRIC EVALUATIONS BOTH IN THE ED AND INPATIENT UNITS THROUGH A RELATIONSHIP WITH THE LOCAL MENTAL HEALTH AUTHORITY IN ADDITION TO A VIRTUAL VENDOR TO ENSURE THAT THE RIGHT LEVEL OF CARE CAN BE IDENTIFIED AND PROVIDED EITHER IN THE HOSPITAL OR WITHIN THE COMMUNITY SETTING SOCIAL DETERMINANTS OF HEALTH - NEIGHBORHOOD RESOURCE, AN ONLINE PLATFORM FOR SOCIAL-CARE REFERRALS, WAS IMPLEMENTED AT ALL ASCENSION SETON HOSPITALS. ONGOING PROJECTS TO IMPROVE THE USABILITY OF THE PLATFORM FOR PROVIDERS AND THE QUALITY OF REFERRALS FOR PATIENTS ARE UNDERWAY. HEALTH EQUITY - ASCENSION SETON BASTROP IS ENGAGED WITH COMMUNITY PLANNING EFFORTS INCLUDING BASTROP COUNTY CARES, A LOCAL NONPROFIT ELEVATING VOICES AND PROGRAMMING FOR INDIVIDUALS EXPERIENCING HARDSHIP. - INTRODUCED MANDATORY TRAINING FOR ALL NEW ASSOCIATES ON BUILDING ENGAGEMENT AND RELATIONSHIPS THROUGH CULTURAL HUMILITY A,13 - PAM REHABILITATION HOSPITAL OF ROUND ROCK (JV) PAM HEALTH REHABILITATION HOSPITAL OF ROUND ROCK ADDRESSED ACCESS TO CARE, IDENTIFIED IN THE 2021 ASCENSION SETON CHNA. PAM HEALTH REHABILITATION HOSPITAL OF ROUND ROCK DID NOT ADDRESS MENTAL AND BEHAVIORAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, OR HEALTH IN THIS IMPLEMENTATION STRATEGY. MENTAL AND BEHAVIORAL HEALTH, SOCIAL DETERMINANTS OF HEALTH AND HEALTH WERE ADDRESSED BY ASCENSION SETON WILLIAMSON, WHICH IS ALSO IN WILLIAMSON COUNTY. EXAMPLES OF HOW PAM HEALTH REHABILITATION HOSPITAL OF ROUND ROCK ADDRESSED EACH OF THE IDENTIFIED NEEDS ARE LISTED BELOW. ACCESS TO CARE - PAM HEALTH REHABILITATION HOSPITAL OF ROUND ROCK SUPPORTS THE COMMUNITY BY OFFERING FREE TRANSPORTATION FOR ESTABLISHED OUT-PATIENTS WHO LOSE TRANSPORTATION SUPPORT. PAM HEALTH REHABILITATION HOSPITAL OF ROUND ROCK IS CURRENTLY WORKING WITH COMMUNITY PARTNERS ASCENSION SETON AND OTHER INPATIENT REHAB FACILITIES TO CREATE SUPPORT GROUPS FOR SPECIALTY GROUPS IN THE AREA. A,14 - NORTHWEST HILLS SURGICAL HOSPITAL (JV) NORTHWEST HILLS SURGICAL HOSPITAL ADDRESSED ACCESS TO CARE, IDENTIFIED IN THE 2021 ASCENSION SETON CHNA. NORTHWEST HILLS SURGICAL HOSPITAL DID NOT ADDRESS MENTAL AND BEHAVIORAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, OR HEALTH IN THIS IMPLEMENTATION STRATEGY. MENTAL AND BEHAVIORAL HEALTH, SOCIAL DETERMINANTS OF HEALTH AND HEALTH WERE ADDRESSED BY SEVERAL OTHER ASCENSION SETON HOSPITALS WHICH ARE LOCATED IN THE SAME COUNTY. EXAMPLES OF HOW NORTHWEST HILLS SURGICAL HOSPITAL ADDRESSED EACH OF THE IDENTIFIED NEEDS ARE LISTED BELOW. ACCESS TO CARE - NORTHWEST HILLS SURGICAL HOSPITAL OFFERED SCREENINGS AND EDUCATION FOR COMMUNITY MEMBERS TO BE AWARE OF THEIR HEALTH AND THE RESOURCES AVAILABLE TO THEM AND PROVIDED SPACE FOR SUPPORT GROUPS AND CARE ORGANIZATION MEETINGS. (CONTINUED) Schedule H, Part V, Section B, Line 11 Facility A, 5 Facility A, 5 - ALL ASCENSION SETON FACILITIES - PART 5. PART 5: 2024 COMMUNITY HEALTH NEEDS: PUBLISHED IN 2024 ASCENSION SETON COMMUNITY HEALTH ASSESSMENT, JUNE 2025 HEALTH NEEDS AND ASSETS FOR THE 11-COUNTY SERVICE REGION WERE DETERMINED USING A MIXED-METHODS APPROACH WHICH INCLUDED A COMBINATION OF DATA COLLECTION AND ANALYSIS FOR BOTH SECONDARY AND PRIMARY DATA, AS WELL AS COMMUNITY INPUT ON THE IDENTIFIED AND SIGNIFICANT NEEDS FOR ADULTS AND CHILDREN. THE SIGNIFICANT NEEDS IDENTIFIED THROUGH THIS PROCESS ARE BROAD AND INCLUDE OVERLAPPING THEMES. BASED ON THE SYNTHESIS AND ANALYSIS OF THE DATA, THE SIGNIFICANT NEEDS FOR THE 2024 CHNA ARE AS FOLLOWS: - HEALTHCARE ACCESS AND QUALITY - MENTAL AND BEHAVIORAL HEALTH - SOCIAL DETERMINANTS OF HEALTH - MATERNAL AND CHILD HEALTH - HEALTH PROMOTION AND DISEASE PREVENTION TO ARRIVE AT THE FINAL PRIORITIZED NEEDS FOR ASCENSION SETON, CAREFUL CONSIDERATION WAS GIVEN TO AVAILABLE QUANTITATIVE DATA, AS WELL AS ALL INPUT PROVIDED BY FOCUS GROUPS, KEY INFORMANT INTERVIEWS, DISCUSSIONS WITH HOSPITAL LEADERSHIP, AND STEERING COMMITTEE FEEDBACK. FROM THE SIGNIFICANT NEEDS OUTLINED, "HEALTH PROMOTION AND DISEASE PREVENTION" WAS NOT PRIORITIZED BECAUSE IT WAS IDENTIFIED AS A CROSS-CUTTING THEME. INSTEAD, IT WILL BE APPLIED AS A LENS TO APPROACH EACH OF THE PRIORITIZED NEEDS. THE PRIORITIZED NEEDS SELECTED BY ASCENSION SETON ARE OUTLINED BELOW FOR ITS 2024 CHNA IMPLEMENTATION STRATEGY: - HEALTHCARE ACCESS AND QUALITY - MENTAL AND BEHAVIORAL HEALTH - SOCIAL DETERMINANTS OF HEALTH - MATERNAL AND CHILD HEALTH ASCENSION FULLY OWNED HOSPITALS SELECTED THE STRATEGIES LISTED BELOW TO ADDRESS CHNA NEEDS. EACH HOSPITAL IS ADDRESSING ALL FOUR OF THE PRIORITIZED NEEDS WITH AT LEAST ONE STRATEGY. BECAUSE THE CHNA WAS ADOPTED TOWARD THE END OF THE CURRENT TAX YEAR, NO ACTIONS WERE TAKEN DURING THE YEAR. HEALTHCARE ACCESS AND QUALITY STRATEGY 1: OFFER HOSPITAL AND COMMUNITY-BASED HEALTH EDUCATION TO IMPROVE HEALTH LITERACY AND PREVENT DISEASE - DELL CHILDREN'S MEDICAL CENTER - ASCENSION SETON MEDICAL CENTER AUSTIN - DELL SETON MEDICAL CENTER AT THE UNIVERSITY OF TEXAS - ASCENSION SETON WILLIAMSON - ASCENSION SETON HAYS - ASCENSION SETON NORTHWEST - ASCENSION SETON SOUTHWEST - ASCENSION SETON HIGHLAND LAKES - ASCENSION SETON EDGAR B. DAVIS - ASCENSION SETON SMITHVILLE STRATEGY 2: IMPROVE ACCESS TO HIGH QUALITY HEALTH SERVICES IN THE COMMUNITY WITH A FOCUS ON COMMUNITY MEMBERS WHO EXPERIENCE HIGH BARRIERS TO CARE - DELL CHILDREN'S MEDICAL CENTER - ASCENSION SETON MEDICAL CENTER AUSTIN - DELL SETON MEDICAL CENTER AT THE UNIVERSITY OF TEXAS - ASCENSION SETON WILLIAMSON - ASCENSION SETON HAYS - ASCENSION SETON HIGHLAND LAKES - ASCENSION SETON EDGAR B. DAVIS - ASCENSION SETON SMITHVILLE STRATEGY 3: IMPROVE ACCESS TO MEDICATIONS FOR PATIENTS WHO EXPERIENCE FINANCIAL BARRIERS - DELL CHILDREN'S MEDICAL CENTER - ASCENSION SETON MEDICAL CENTER AUSTIN - DELL SETON MEDICAL CENTER AT THE UNIVERSITY OF TEXAS - ASCENSION SETON WILLIAMSON - ASCENSION SETON HAYS - ASCENSION SETON NORTHWEST - ASCENSION SETON SOUTHWEST - ASCENSION SETON HIGHLAND LAKES - ASCENSION SETON EDGAR B. DAVIS - ASCENSION SETON SMITHVILLE MENTAL AND BEHAVIORAL HEALTH STRATEGY 1: PROMOTE MENTAL WELLBEING AND SUPPORT THE NETWORK OF CARE FOR MENTAL AND BEHAVIORAL HEALTH WITH A FOCUS ON UNDERSERVED POPULATIONS - DELL CHILDREN'S MEDICAL CENTER - ASCENSION SETON MEDICAL CENTER AUSTIN - DELL SETON MEDICAL CENTER AT THE UNIVERSITY OF TEXAS - ASCENSION SETON WILLIAMSON - ASCENSION SETON HAYS - ASCENSION SETON NORTHWEST - ASCENSION SETON SOUTHWEST - ASCENSION SETON HIGHLAND LAKES - ASCENSION SETON EDGAR B. DAVIS - ASCENSION SETON SMITHVILLE SOCIAL DETERMINANTS OF HEALTH STRATEGY 1: SUPPORT IMPROVED HEALTH OUTCOMES THAT ARE CAUSED OR INFLUENCED BY NON-MEDICAL FACTORS IN THE COMMUNITY - DELL CHILDREN'S MEDICAL CENTER - ASCENSION SETON MEDICAL CENTER AUSTIN - DELL SETON MEDICAL CENTER AT THE UNIVERSITY OF TEXAS - ASCENSION SETON WILLIAMSON - ASCENSION SETON HAYS - ASCENSION SETON NORTHWEST - ASCENSION SETON SOUTHWEST - ASCENSION SETON HIGHLAND LAKES - ASCENSION SETON EDGAR B. DAVIS - ASCENSION SETON SMITHVILLE STRATEGY 2: SUPPORT INITIATIVES THAT STRENGTHEN ACCESS TO HEALTHY FOOD FOR PATIENTS AND FOR THE COMMUNITY - DELL CHILDREN'S MEDICAL CENTER - ASCENSION SETON MEDICAL CENTER AUSTIN - ASCENSION SETON HAYS - ASCENSION SETON HIGHLAND LAKES MATERNAL AND CHILD HEALTH STRATEGY 1: SUPPORT MOTHERS AND FAMILIES THROUGH PREGNANCY, DELIVERY AND POSTPARTUM WITH HIGH QUALITY CLINICAL SERVICES, COMMUNITY OUTREACH AND SOCIAL SERVICE CONNECTIONS AND A FOCUS ON ENSURING THE BEST OUTCOMES FOR ALL MOTHERS, BABIES AND FAMILIES - ASCENSION SETON MEDICAL CENTER AUSTIN - ASCENSION SETON WILLIAMSON - ASCENSION SETON HAYS - ASCENSION SETON NORTHWEST STRATEGY 2: SUPPORT CHILDREN'S HEALTH FROM INFANCY THROUGH ADOLESCENCE WITH A FOCUS ON PREVENTING INJURY AND ILLNESS - DELL CHILDREN'S MEDICAL CENTER STRATEGY 3: SUPPORT FAMILIES THROUGH THE PERINATAL PERIOD WITH A FOCUS ON POSITIVE HEALTH OUTCOMES FOR ALL MOTHERS, BABIES AND FAMILIES. - ASCENSION SETON HIGHLAND LAKES - ASCENSION SETON EDGAR B. DAVIS - ASCENSION SETON SMITHVILLE PAM REHABILITATION HOSPITAL OF ROUND ROCK (JV) PAM REHABILITATION HOSPITAL OF ROUND ROCK WILL ADDRESS HEALTHCARE ACCESS AND QUALITY AND SOCIAL DETERMINANTS OF HEALTH AS IDENTIFIED IN THE 2024 CHNA THROUGH THE STRATEGIES LISTED BELOW. PAM HEALTH REHABILITATION HOSPITAL OF ROUND ROCK WILL NOT ADDRESS MENTAL AND BEHAVIORAL HEALTH OR MATERNAL AND CHILD HEALTH AS THESE GROUPS ARE NOT THE PRIMARY POPULATIONS SERVED BY THE HOSPITAL. HEALTHCARE ACCESS AND QUALITY - OFFER HOSPITAL AND COMMUNITY-BASED HEALTH EDUCATION TO IMPROVE HEALTH LITERACY AND PREVENT DISEASE SOCIAL DETERMINANTS OF HEALTH - SUPPORT IMPROVED HEALTH OUTCOMES THAT ARE CAUSED OR INFLUENCED BY NON-MEDICAL FACTORS IN THE COMMUNITY BY PROVIDING TRANSPORTATION - COMMUNITY RESOURCES RELATED TO TRANSPORTATION FOR PATIENTS NORTHWEST HILLS SURGICAL HOSPITAL (JV) NORTHWEST HILLS SURGICAL HOSPITAL WILL ADDRESS HEALTHCARE ACCESS AND QUALITY AS IDENTIFIED IN THE 2024 CHNA THROUGH THE STRATEGIES LISTED BELOW. NORTHWEST HILLS SURGICAL HOSPITAL WILL NOT ADDRESS MENTAL AND BEHAVIORAL HEALTH, SOCIAL DETERMINANTS OF HEALTH OR MATERNAL AND CHILD HEALTH AS THESE GROUPS ARE NOT THE PRIMARY POPULATIONS SERVED BY THE HOSPITAL. HEALTHCARE ACCESS AND QUALITY - OFFER HOSPITAL RESOURCES AND TIME TO PROVIDE HEALTH SCREENING SERVICES AND EDUCATIONAL MATERIALS FOR COMMUNITY MEMBERS TO BE AWARE OF THEIR HEALTH AND RESOURCES AVAILABLE TO THEM. - PROVIDE CONSISTENT, SAFE MEETING SPACES FOR SUPPORT GROUPS AND CARE ORGANIZATIONS. 1 SETON MCCARTHY COMMUNITY HEALTH CENTER 2811 East Second Street AUSTIN TX 78702 Outpatient Clinic Schedule H, Part V, Section B, Line 16 WEB SITES FOR FINANCIAL ASSISTANCE THE FAP, FAP APPLICATION FORM AND PLAIN LANGUAGE SUMMARY CAN BE LOCATED AT: FOR ALL ENTITIES NOT LISTED SEPARATELY BELOW: https://healthcare.ascension.org/financial-assistance NORTHWEST HILLS SURGICAL HOSPITAL: https://northwesthillssurgical.com/contact/finassist.html PAM REHABILITATION HOSPITAL OF ROUND ROCK: https://pamhealth.com/facilities/find-facility/rehabilitation-hospitals/pam-rehabilitation-hospital-round-rock/financial-assistance-policy Ascension Seton Bastrop and Ascension Shoal Creek were covered under the financial assistance policies during the period covered by this return. However, they are not currently listed on the policies because they are no longer separately licensed hospitals. Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG IN ADDITION TO FPG, THE ORGANIZATION USES MEDICAL INDIGENCY, ASSET TEST, INSURANCE STATUS AND RESIDENCY AS OTHER FACTORS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. A PATIENT MAY NOT BE ELIGIBLE FOR THE FINANCIAL ASSISTANCE IF SUCH PATIENT IS DEEMED TO HAVE SUFFICIENT ASSETS TO PAY PURSUANT TO AN "ASSET TEST." THE ASSET TEST INVOLVES A SUBSTANTIVE ASSESSMENT OF A PATIENT'S ABILITY TO PAY BASED ON THE CATEGORIES OF ASSETS MEASURED IN THE FAP APPLICATION. A PATIENT WITH SUCH ASSETS THAT EXCEED 250% OF SUCH PATIENT'S FPL AMOUNT MAY NOT BE ELIGIBLE FOR FINANCIAL ASSISTANCE. AN ASSET TEST APPLIES IF A PATIENT HAS ELIGIBLE LIQUID ASSETS THAT EXCEED 250% OF THE PATIENT'S FPG LEVEL FOR CONSIDERATION OF FINANCIAL ASSISTANCE ELIGIBILITY. LIQUID ASSETS INCLUDE ASSETS THAT CAN BE CONVERTED TO CASH WITHIN 1 YEAR. THESE INCLUDE ITEMS SUCH AS CHECKING ACCOUNTS, SAVINGS ACCOUNTS, TRUST FUNDS AND LUXURY ITEMS SUCH AS RECREATIONAL VEHICLES, BOATS, A SECOND HOME, ETC. Schedule H, Part I, Line 5a BUDGET AMOUNTS FOR FREE OR DISCOUNTED CARE THE ORGANIZATION ADMINISTERS ITS FINANCIAL ASSISTANCE POLICY IN ACCORDANCE WITH THE TERMS OF THE POLICY. Schedule H, Part V, Section B, Line 3 CHNA - ASCENSION SETON SHOAL CREEK & ASCENSION SETON BASTROP No CHNA was conducted for Ascension Seton Shoal Creek because no services were provided by this facility after May 31, 2025. No CHNA was conducted for Ascension Seton Bastrop because this facility became a department of Ascension Seton Hays effective October 1, 2024. Schedule H, Part I, Line 7g Subsidized Health Services NONE OF THE SUBSIDIZED SERVICES COSTS ARE ATTRIBUTABLE TO A PHYSICIAN CLINIC. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST OF PROVIDING CHARITY CARE, MEANS-TESTED GOVERNMENT PROGRAMS, AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED USING INTERNAL COST DATA, AND IS CALCULATED IN COMPLIANCE WITH CATHOLIC HEALTH ASSOCIATION ("CHA") GUIDELINES. THE ORGANIZATION USES A COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS (FOR EXAMPLE, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED, OR SELF PAY). THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. FOR THE INFORMATION IN THE TABLE, A COST-TO-CHARGE RATIO WAS CALCULATED AND APPLIED. Schedule H, Part II Community Building Activities ASCENSION SETON DID NOT CONTRIBUTE COMMUNITY BUILDING DOLLARS IN FY25. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY ASCENSION HEALTH. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S AND MEDICARE POLICIES. Schedule H, Part III, Line 3 Bad Debt Expense Methodology BASED ON THE ORGANIZATION'S ADMINISTRATION OF ITS FINANCIAL ASSISTANCE PROGRAM, NO ESTIMATE FOR BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS IS DEEMED APPLICABLE TO HOSPITAL OPERATIONS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE ORGANIZATION IS PART OFASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSESBAD DEBT (IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGES 18-20, OF THE AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs A COST TO CHARGE RATIO IS APPLIED TO THE ORGANIZATION'S MEDICARE GROSS CHARGES TO CALCULATE MEDICARE COSTS, WHICH ARE THEN COMPARED TO MEDICARE PAYMENTS RECEIVED, TO DETERMINE A MEDICARE GAIN OR LOSS. ASCENSION HEALTH AND ITS RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT A MEDICARE SHORTFALL (LOSS) IS NOT TREATED AS COMMUNITY BENEFIT, EVEN THOUGH THE HOSPITAL HAS INCURRED LOSSES IN PROVIDING CARE TO MEDICARE PATIENTS. THEREFORE, NONE OF THE AMOUNT ON LINE 7 IS TREATED AS COMMUNITY BENEFIT FOR TAX PURPOSES, BUT IS REPORTED AS SUCH ON OUR AUDITED FINANCIAL STATEMENTS. THE AMOUNTS REPORTED ON SCHEDULE H, PART III INCLUDE ONLY TRADITIONAL MEDICARE AS REFLECTED IN OUR 6/30/25 COST REPORT. IN ADDITION TO TRADITIONAL MEDICARE, OTHER SERVICES ARE PROVIDED TO THE MEDICARE POPULATION AT A LOSS, INCLUDING BUT NOT LIMITED TO MEDICARE ADVANTAGE, OUTPATIENT LAB AND REHABILITATION SERVICES, AND OUTPATIENT MAMMOGRAPHY. THE TOTAL MEDICARE SHORTFALL/SURPLUS FOR THIS TAX YEAR INCLUDING ALL MEDICARE SERVICES IS ($133,821,528). Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance ASCENSION SETON FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED IF ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. QUALIFYING PATIENT ACCOUNTS THAT ARE STILL OPEN AND BEING PURSUED AS WELL AS ANY NEW BALANCES FOR THE NEXT SIX (6) MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT SUBMITS AN APPLICATION AND IS PENDING A DECISION AND / OR QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED FOR THE AMOUNTS FOR WHICH THE PATIENT QUALIFIES OR UNTIL THEIR APPLICATION IS DENIED IF THEY WERE DEEMED INELIGIBLE. Schedule H, Part V, Section B, Line 16a FAP website A - Ascension Seton Medical Center Austin: Line 16a URL: SEE PT VI; B - Ascension Seton Bastrop: Line 16a URL: SEE PT VI; Schedule H, Part V, Section B, Line 16b FAP Application website A - Ascension Seton Medical Center Austin: Line 16b URL: SEE PT VI; B - Ascension Seton Bastrop: Line 16b URL: SEE PT VI; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - Ascension Seton Medical Center Austin: Line 16c URL: SEE PT VI; B - Ascension Seton Bastrop: Line 16c URL: SEE PT VI; Schedule H, Part VI, Line 2 Needs assessment ASCENSION SETON USES INTERNAL AND EXTERNAL DATA AND REPORTS FROM THIRD PARTIES, INCLUDING GOVERNMENT SOURCES, TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITIES WE SERVE. THESE REPORTS PROVIDE KEY INFORMATION ABOUT HEALTH AND OTHER COMMUNITY FACTORS THAT IDENTIFY AREAS OF NEED AND INFORM OUR STRATEGIES THAT HELP TO MEET THOSE NEEDS OF OUR COMMUNITY. THESE REPORTS INCLUDE, BUT ARE NOT LIMITED TO: 1. LOCAL AND STATE DEPARTMENT OF HEALTH REPORTS 2. LOCAL GOVERNMENT PLANNING DEPARTMENTS 3. US CENSUS BUREAU 4. ECONOMIC IMPACT STUDIES 5. SG2 HEALTHCARE INTELLIGENCE 6. HEALTHCARE CLAIMS DATASETS 7. STATE DATASETS 8. CMS 9. CDC 10.INTERNAL DATA SETS. ASCENSION SETON UTILIZES INFORMATION FROM THESE SECONDARY SOURCES TO DEVELOP PROGRAMS AND PROVIDE APPROPRIATE SERVICES NEEDED THROUGHOUT THE REGION. IN ADDITION, ASCENSION SETON CONSIDERS THE HEALTH CARE NEEDS OF THE OVERALL COMMUNITY WHEN EVALUATING INTERNAL FINANCIAL AND OPERATIONAL DECISIONS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance ASCENSION SETON IS COMMITTED TO DELIVERING EFFECTIVE, SAFE, PERSON-CENTRIC, HEALTH CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT HOSPITAL, IT IS OUR MISSION AND PRIVILEGE TO PLAY THIS IMPORTANT ROLE IN OUR COMMUNITY. STAFF SCREEN UNINSURED PATIENTS AND IF FOUND POTENTIALLY ELIGIBLE FOR A GOVERNMENT FUNDING SOURCE, PROVIDE ASSISTANCE AND/OR RESOURCES TO THE PATIENT AND THEIR FAMILY. IF A PATIENT IS NOT ELIGIBLE FOR A PAYMENT SOURCE, ASCENSION SETON'S FINANCIAL ASSISTANCE POLICY COVERS PATIENTS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR ALL OR PART OF THEIR BILLS. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON THE ANNUAL FEDERAL POVERTY GUIDELINES; ASCENSION SETON PROVIDES FULL FINANCIAL ASSISTANCE FOR THOSE WHO EARN UP TO 250% OF THE FEDERAL POVERTY LEVEL AND SLIDING SCALE ASSISTANCE AS NOTED IN SCHEDULE H. ASCENSION SETON WIDELY PUBLICIZES ITS: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY VIA THE HOSPITAL FACILITY'S WEBSITE- HTTPS://HEALTHCARE.ASCENSION.ORG/FINANCIAL-ASSISTANCE/TEXAS ASCENSION SETON MAKES PAPER COPIES OF THE: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY - AMOUNT GENERALLY BILLED CALCULATION. THE PAPER COPIES ARE MADE READILY AVAILABLE AS PART OF THE INTAKE, DISCHARGE AND CUSTOMER SERVICE PROCESSES. UPON REQUEST, PAPER COPIES CAN ALSO BE OBTAINED BY MAIL. ASCENSION SETON INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA A NOTICE ON PATIENT BILLING STATEMENTS, INCLUDING THE PHONE NUMBER AND WEB ADDRESS WHERE MORE INFORMATION MAY BE FOUND. ASCENSION SETON INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA SIGNAGE DISPLAYED IN THE EMERGENCY ROOM AND ADMISSIONS AREAS, OFFERING COPIES OF THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AT REGISTRATION AND INCLUDED INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW TO APPLY ON ALL PATIENT BILLING STATEMENTS. Schedule H, Part VI, Line 4 Community information ASCENSION SETON SERVES A 10-COUNTY (BASTROP, BURNET, CALDWELL, FAYETTE, HAYS, LAMPASAS, LEE, LLANO, TRAVIS, WILLIAMSON) PRIMARY SERVICE AREA. THE TOTAL POPULATION OF THE 10-COUNTY PRIMARY SERVICE AREA IS ESTIMATED TO BE 2,756,990 RESIDENTS IN CALENDAR YEAR 2025 AND IS EXPECTED TO INCREASE BY APPROXIMATELY 10.0% TO 3,040,591 RESIDENTS IN FIVE YEARS. THE MEDIAN HOUSEHOLD INCOME OF THE 10-COUNTY PRIMARY SERVICE AREA IS $102,576 BASED ON 2025 ESRI DEMOGRAPHICS DATA. APPROXIMATELY 9.3% OF THE SERVICE AREA RESIDENTS LIVE BELOW THE POVERTY LINE, WITH 19.6% WITHOUT ANY FORM OF INSURANCE OR ENROLLED IN MEDICAID. WITHIN THE 10-COUNTY PRIMARY SERVICE AREA, THERE ARE FOUR COUNTIES FEDERALLY DESIGNATED AS MEDICALLY UNDERSERVED AND TWO COUNTIES DESIGNATED AS PARTIALLY MEDICALLY UNDERSERVED. THERE ARE 16 OTHER ACUTE CARE HOSPITALS LOCATED WITHIN THE PRIMARY SERVICE AREA. Schedule H, Part VI, Line 5 Promotion of community health ASCENSION SETON'S GOVERNING BODY IS COMPRISED OF PERSONS REPRESENTING DIFFERENT ASPECTS AND INTERESTS OF THE COMMUNITY. MANY MEMBERS OF ASCENSION SETON'S GOVERNING BODY RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. APPLICATIONS FOR MEDICAL STAFF PRIVILEGES AT ASCENSION SETON HOSPITAL FACILITIES ARE OPEN TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY, SUBJECT TO COMPLETING AN ASCENSION SETON APPLICATION AND HOSPITAL PRIVILEGING PROCESS TO ENSURE THAT THE APPLICANT PHYSICIAN MEETS THE REQUIREMENTS FOR THE PRIVILEGES REQUESTED BY THE APPLICANT PHYSICIAN. ASCENSION SETON IS CONTINUOUSLY IMPROVING ITS PATIENT CARE SERVICES TO ADDRESS THE NEEDS OF THE COMMUNITY WE SERVE. SURPLUS FUNDS GENERATED FROM ASCENSION SETON'S OPERATIONS ARE REINVESTED IN THE ORGANIZATION'S ACTIVITIES, INCLUDING PATIENT CARE. THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY INFORMATION REPORTED HEREIN RELATE TO THE TAX YEAR ENDED JUNE 30, 2025. Schedule H, Part VI, Line 6 Affiliated health care system ASCENSION SETON IS A MEMBER OF ASCENSION. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES, OR HEALTH MINISTRIES. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. ASCENSION SETON OPERATES HOSPITAL FACILITIES IN TRAVIS, HAYS, WILLIAMSON, BURNET, CALDWELL AND BASTROP COUNTIES AND IS PART OF ASCENSION TEXAS, WHICH OWNS AND OPERATES, DIRECTLY AND INDIRECTLY THROUGH JOINT VENTURES, HEALTH CARE RELATED ENTITIES, INCLUDING ASCENSION SETON MEDICAL CENTER AUSTIN, DELL CHILDREN'S MEDICAL CENTER, DELL SETON MEDICAL CENTER AT THE UNIVERSITY OF TEXAS, ASCENSION SETON HAYS, ASCENSION SETON WILLIAMSON, ASCENSION SETON NORTHWEST, ASCENSION SETON HIGHLAND LAKES, ASCENSION SETON SOUTHWEST, ASCENSION SETON EDGAR B. DAVIS, ASCENSION SETON SMITHVILLE, ASCENSION SETON BASTROP, PAM REHABILITATION HOSPITAL OF ROUND ROCK, NORTHWEST HILLS SURGICAL HOSPITAL, CEDAR PARK REGIONAL MEDICAL CENTER, SETON MEDICAL CENTER HARKER HEIGHTS, PAM HEALTH REHABILITATION HOSPITAL OF KYLE, CENTRAL TEXAS REHABILITATION HOSPITAL AND ASCENSION PROVIDENCE. THE HEALTH SYSTEM PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF CENTRAL TEXAS AND BEYOND. Schedule H, Part VI, Line 7 State filing of community benefit report TX true AMERICAN GATEWAYS 314 EAST HIGHLAND MALL BLVD STE 501 AUSTIN TX 787523733 742578266 501(c)(3) 75000 Donation in support of Leadership Round Rock 2024 AMERICAN HEART ASSOCIATION INC 12345 N LAMAR BLVD STE 200 AUSTIN TX 787531306 135613797 501(c)(3) 78500 Donation in support of American Gateways for Legal Services for Central Texas Immigrants and BIPOC Outreach Support ANN RICHARDS SCHOOL FOUNDATION 2309 PANTHER TRAIL AUSTIN TX 78704 264231160 501(c)(3) 9180 Donation in support of expansion campaign AUSTIN AREA RESEARCH ORGANIZATION INC 114 W 7TH ST STE 800 AUSTIN TX 787013040 742148447 501(c)(3) 19360 Donation in support of Texas Cultural Trust for 2025 The Texas Medal for the Arts Awards and Trail of Lights Exclusive Sponsor of Santa's House; donation for the September Membership Meeting; and donation to support Central Texas Catalyst Summit AUSTIN CHILDRENS MUSEUM INC 1830 SIMOND AVENUE AUSTIN TX 787234603 742288789 501(c)(3) 10000 Donation in support of Ronald McDonald House Charities of Central Texas for Bandana Ball AUSTIN PBS 6101 Highland Drive Bldg 3000 LL AUSTIN TX 78752 757126012 501(c)(3) 30000 Donation in support of educational programming AUSTIN PUBLIC EDUCATION FOUNDATION 4000 S IH 35 FRONTAGE RD AUSTIN TX 78704 742654168 501(c)(3) 14624 Donation in support of Opportunity Austin for 2024 A-List Awards CAPITAL IDEA PO BOX 1784 AUSTIN TX 787671784 742893041 501(c)(3) 80000 Donation in support of the Diocese of Austin Catholic Schools Event & DCYC Event CENTER FOR CHILD PROTECTION 8509 FM 969 RD BLDG 2 AUSTIN TX 787245707 742562585 501(c)(3) 11047 Donation in support of Integrated Care Collaboration CENTRAL TEXAS COMMUNITY FOUNDATION 200 W 6TH ST STE 1750 AUSTIN TX 787010097 432043188 501(c)(3) 24250 Donation in suport of the Capital IDEA Students in designated healthcare professions and Health Alliance for Austin Musicians for Access to Care CENTRAL TEXAS QUALITY OF LIFE FOUNDATION 200 W 6TH ST STE 1750 AUSTIN TX 78701 932375883 501(c)(3) 9000 Print Sponsorship in support of Center for Child Protection's 2024 Play Bingo Ladies Luncheon; Salsa Sponsorship in support of Center for Child Protection's 2024 Dancing with the Stars Austin; Donation in support of Opportunity Austin for 2024 A-List Awards CHAMPIONS OFF THE FIELD PO BOX 13165 AUSTIN TX 787113165 462614625 501(c)(3) 65289 Donation in support of the Austin Ed Fund Recognition as a Platinum - Annual Sponsorship 2024 CITY OF DRIPPING SPRINGS PO BOX 384 DRIPPING SPRINGS TX 78620 742340036 170(B)(1)(A)(V) 7265 Donation in support of the Touch-A-Truck Event CONGRESSIONAL HISPANIC CAUCUS INSTITUTE 1128 16TH ST NW WASHINGTON DC 200364802 521114225 501(c)(3) 23580 General Support EASTSIDE SOCIAL GOOD COMPANY 3913 VAUGHAN ST AUSTIN TX 787232308 333419768 501(c)(3) 7500 General Support HEALTH ALLIANCE FOR AUSTIN MUSICIANS 3036 S 1ST ST AUSTIN TX 787046352 800147620 501(c)(3) 250000 Pharmacy Grant INTEGRATED CARE COLLABORATION 1401 LAVACA ST PMB 40115 AUSTIN TX 787011634 311624871 501(c)(3) 250000 Donation in support of St Edward's UniversIty for Nursing Scholarship BREAKTHROUGH T1D (fka JDRF INTERNATIONAL) PO BOX 5079 HAGERSTOWN MD 217415079 231907729 501(c)(3) 5160 Donation in support of the Central Texas African American Family Support Conference L4 CARES 136 PARKER CT LIBERTY HILL TX 786423543 814942392 501(c)(3) 10000 Donation in support of the 2024 Vestido Rojo, 2025 Go Red for Women and CPR Media Campaign NAMI CENTRAL TEXAS PO BOX 302398 AUSTIN TX 78703 742374858 501(c)(3) 15000 Charitable Funds Portion - 2024 Partnership Agreement ROCK RIDE ON CTR FOR KIDS PO BOX 2422 GEORGETOWN TX 78627 742917659 501(c)(3) 9150 Donation in support of Austin Children's Museum (dba Thinkery) for 6 Family Workshops at DCMC bw 1.1-9.30.25 ROMAN CATHOLIC DIOCESE OF AUSTIN 6225 E HIGHWAY 290 AUSTIN TX 787231025 741542827 501(c)(3) 74350 Donation in support of Eastside Social Good Company for 2025 Texas MS150 Bike Ride Aprl 26 & 27/Nat'l Multiple Sclerosis Society RONALD MCDONALD HOUSE CHARITIES OF CENTR 1315 BARBARA JORDAN BLVD AUSTIN TX 78723 742277664 501(c)(3) 123500 SW HW F24 AUSTIN TX - Heart Walk and FORE Kids ATX 2024 Silver Sponsorship ROUND ROCK BASEBALL CLUB LP 3400 E PALM VALLEY BLVD ROUND ROCK TX 786653906 770646382 25000 Donation in support of Wonders & Worries Envision 2025 Gala ROUND ROCK ISD PARTNERS IN EDUCATION FOUNDATION 595 ROUND ROCK WEST DR STE 404 ROUND ROCK TX 78681 742488709 501(c)(3) 8800 Donation in support of Travis County Parks Foundation for the 2025 For the Love of Parks event, Parks Champion Sponsorship SAN JUAN DIEGO CATHOLIC HIGH SCHOOL 2512 S 1ST ST AUSTIN TX 78704 710866044 501(c)(3) 125000 Founders Day Dripping Springs Festival 2025 Main Stage Sponsorship (50% share w/Legacy Bone & Joint) SOCIETY OF ST VINCENT DE PAUL CHARITABLE PHARMACY OF NORTH TEXAS 3826 GILBERT AVE DALLAS TX 75219 263273175 501(c)(3) 30000 Sponsorship of ROCK Barn Dance ST EDWARDS UNIVERSITY INC PO BOX 2147 SAN ANTONIO TX 782972147 741109641 501(c)(3) 25000 Donation in support of the Ann Richards School Foundation for Reach for the Stars on April 4, 2025 ST JOHN PAUL II LIFE CENTER 4201 MARATHON BLVD STE 301 AUSTIN TX 787563410 208785471 501(c)(3) 150000 Donation in support of the JPII Life Center for Community Service and Care TEXAS CULTURAL TRUST COUNCIL 901 S MOPAC EXPY BARTON OAKS PLAZA AUSTIN TX 78746 742778878 501(c)(3) 22350 Donation in support of Breakthrough T1D for Austin One Party THE SERGIO AND ANGELA GARCIA FOUNDATION PO BOX 11680 AUSTIN TX 787111680 920988449 501(c)(3) 21464 APIE'S GALA OF GRATITUDE SEED SPONSORSHIP TRAIL OF LIGHTS FOUNDATION 6850 AUSTIN CENTER BLVD STE 100 AUSTIN TX 787313184 463158287 501(c)(3) 121500 2025 GALA PLATINUM SPONSORSHIP WEST AUSTIN YOUTH ASSOCIATION 1314 EXPOSITION BLVD AUSTIN TX 78703 742108180 501(c)(3) 22950 WAYA'S 2025 FAMILY DAY SPONSORSHIP BENEFIT & ESTIMATED VALUE AISD 4000 S I-35 Frontage Rd AUSTIN TX 78704 746000064 government 39984 FMV Medical Supplies Donation of supplies inventory Medical Bridges Inc 2706 Magnet Street HOUSTON TX 77054 760548161 501(c)(3) 286937 FMV Medical Supplies Donation of supplies inventory for redistribution ASCENSION SETON FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455598 742212968 501(C)(3) 1597472 GENERAL OPERATIONAL SUPPORT DELL CHILDREN'S FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455598 200468031 501(C)(3) 2962768 GENERAL OPERATIONAL SUPPORT ASCENSION SETON WILLIAMSON FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455598 205330986 501(C)(3) 696220 GENERAL OPERATIONAL SUPPORT ASCENSION SETON HAYS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455598 262842608 501(C)(3) 316184 GENERAL OPERATIONAL SUPPORT 38 1 Nurse Scholarships 64 390000 Schedule I, Part III, Column (b) Estimated Number Of Recipients Nurse Scholarships : ACTUAL Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds The Seton Community Investment Council is responsible for the administration of grant funds. The Committee includes employees as well as executives and is charged with reviewing requests from other organizations and determining whether they meet the Network's charitable request guidelines. The requesting organizations submit letters specifying the amount of contribution requested and details of its program. Each entity must provide its IRS 501(c)(3) determination letter (as evidence of tax-exempt status), a history of its use of funds, a list of other funding sources and a list of Board of Directors. Requestors also are asked to identify the Organization's purpose, the activities that reflect consistency with its stated purpose and provide a description as to how funds will be used. Generally, a successful requesting organization will spend at least 60 percent of its annual expenses on program activities, ensure that fundraising expenses are reasonable over time and will not have a persistent deficit in net current assets. In awarding funds, the Grants Committee looks for organizations that: - Have a mission aligned with Seton's mission, vision and values (e.g.: improving the health of those we serve, particularly the poor and vulnerable); - Can demonstrate that the event or activity will enhance access to health-related services and human service needs; improve health outcomes; provide health-related education, information and support; and/or offer sustainable impact; - Provide outreach in Seton's service area; Support a diverse population; support workforce development and/or help sustain a relationship with a potential or existing Seton stakeholder. Generally, the committee, pursuant to its policies and procedures, confirms prior to any award that grantees are organizations whose headquarters and work are based in Central Texas, or the work for which we granted them a sponsorship is in Central Texas, and post-award we generally receive confirmation of how the funds were used. X true true true true false false false false false false false WILLIAM A DAVIS EX-OFFICIO/CEO, MINISTRY MARKET (END 5/2025) 0 781859 0 1440000 0 168055 0 21318 0 43178 0 2454410 0 0 ASHLEY MARIE DICKINSON INTERIM CEO (START 4/2025 - END 6/2025)/COO 0 566339 0 361338 0 151039 0 13900 0 40303 0 1132919 0 0 SCOTT HERNDON FORMER OFFICER (END 8/2022) 0 580587 0 1080000 0 124565 0 18975 0 41489 0 1845616 0 0 DANIEL W HUFFINE ASSISTANT TREASURER/CFO, MINISTRY MARKET (END 1/2025) 0 491988 0 356096 0 80897 0 18975 0 20169 0 968125 0 0 ANDREW LANE CFO, MINISTRY MARKET (START 2/2025) 0 352557 0 111545 0 128324 0 8616 0 33554 0 634596 0 0 KATHERINE C HENDERSON FORMER KEY EMPLOYEE (END 1/2023) 0 0 0 0 323312 0 0 0 2845 0 326157 0 0 0 ANDREW JOHN GNANN PRESIDENT, ASCENSION SETON WILLIAMSON 411091 0 180000 0 40461 0 22425 0 16243 0 670220 0 0 0 LAURA M FOHN INTERIM PRES (START 1/2025 - END 4/2025)/PRESIDENT (START 4/2025), DSMC @ UT 273186 0 81000 0 594 0 21982 0 30634 0 407396 0 0 0 WESLEY J TIDWELL PRESIDENT, ASCENSION SETON MEDICAL CENTER AUSTIN (END 11/2024) 404968 0 249375 0 122316 0 8315 0 35143 0 820117 0 0 0 STEVEN J BROCKMAN-WEBER RN PRESIDENT, RURAL HOSPITALS 451416 0 207000 0 69646 0 18975 0 36227 0 783264 0 0 0 JOAN K ROSS PRESIDENT, ASCENSION SETON HAYS/BASTROP 376522 0 168750 0 48646 0 18975 0 15183 0 628076 0 0 0 ADAM MESSER PRESIDENT, DELL CHILDREN'S MEDICAL CENTER 554758 0 259000 0 64974 0 17250 0 27827 0 923809 0 0 0 MICHAEL WIGGINS PRESIDENT, DELL CHILDREN'S MEDICAL CENTER (END 6/2024) 304733 0 374797 0 386478 0 7863 0 22670 0 1096541 0 0 0 EERIC TRUUMEES MD PHYSICIAN 1131131 0 351321 0 17577 0 18605 0 32418 0 1551052 0 0 0 MATTHEW GECK MD PHYSICIAN 1868792 0 0 0 15297 0 22215 0 48048 0 1954352 0 0 0 JOHN K STOKES MD PHYSICIAN 1967692 0 75000 0 7712 0 21071 0 48644 0 2120119 0 0 0 SACHIN MEHTA MD PHYSICIAN 1573108 0 145281 0 4520 0 20700 0 47890 0 1791499 0 0 0 S TYLER HOLLMIG MD PHYSICIAN 1199798 0 1004951 0 3950 0 18975 0 56052 0 2283726 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments MICHAEL WIGGINS, KATHERINE C HENDERSON, AND WESLEY J TIDWELL RECEIVED GROSS-UP PAYMENTS THAT WERE TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUAL. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation A RELATED ORGANIZATION OF THE FILING ORGANIZATION USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED. Schedule J, Part I, Line 4a Severance or change-of-control payment THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING CALENDAR YEAR 2024: KATHERINE C HENDERSON - $317,477 MICHAEL WIGGINS - $312,081 WESLEY J TIDWELL - $60,800 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS. Form 990, Part IV, Line 20b AUDITED FINANCIAL STATEMENTS THE ACTIVITY OF THE FILING ORGANIZATION IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF THE FILING ORGANIZATION IS COMPLETED. THEREFORE, THE ATTACHED AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF THE FILING ORGANIZATION. Form 990, Part IV, Line 24a TAX EXEMPT BONDS THE ORGANIZATION IS PART OF ASCENSION HEALTH SYSTEM. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION, IS A MISSOURI NONPROFIT CORPORATION. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH. ASCENSION HEALTH ALLIANCE IS EITHER THE BORROWER FOR, OR SECURES, TAX EXEMPT HOSPITAL REVENUE BONDS. THE ORGANIZATION MAY HOLD AN INTERCOMPANY NOTE PAYABLE WITH ASCENSION HEALTH ALLIANCE, AND THIS INFORMATION IS REPORTED ON THE BALANCE SHEET. Form 990, Part VI, Line 15a & 15b - PROCESS FOR DETERMINING COMPENSATION THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, AS WELL AS THAT OF ANY OTHER OFFICERS OR SENIOR EXECUTIVES (IF ANY), IS DIRECTED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION'S BOARD COMMITTEE RESPONSIBLE FOR COMPENSATION OVERSEES THE PROCESS, UTILIZING INDEPENDENT DELEGEES WITHIN THE ORGANIZATION AS APPROPRIATE, DEPENDING ON THE ROLE. IN SOME CASES, THE PROCESS MAY UTILIZE COMPARABILITY DATA AND ANALYSIS FROM A NATIONAL THIRD-PARTY COMPENSATION FIRM; OR, IF MORE APPROPRIATE FOR THE ROLE, IT MAY INSTEAD UTILIZE OTHER APPLICABLE SOURCES OF MARKET COMPARABILITY DATA AS NEEDED TO VERIFY REASONABLENESS. THE PROCESS ALSO INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE ANALYSIS AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. COMPENSATION IS REVIEWED AT LEAST ANNUALLY AND THE PROCESS IS ADMINISTERED TO ASSURE INDEPENDENCE, AVOID CONFLICTS OF INTEREST, ENSURE REASONABLENESS AND MARKET COMPARABILITY OF TOTAL COMPENSATION, AND TO OTHERWISE ABIDE BY PERTINENT LAWS AND REGULATIONS. Form 990, Part VI, Line 4 Significant changes to organizational documents THE FILING ORGANIZATION ADJUSTED THE NUMBER OF BOARD MEMBERS AND REMOVED THE TERM LIMITS. Form 990, Part VI, Line 5 Diversion of organization assets During the year ending June 30, 2025 employee expense fraud in the amount of $572,333 was discovered. This is currently being investigated by local law enforcement. Form 990, Part VI, Line 6 Classes of members or stockholders Ascension Seton has a single corporate member, Ascension Texas. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Ascension Seton has a single corporate member, Ascension Texas, who has the ability to elect members to the governing body of Ascension Seton. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to Ascension Seton's financial information or corporation as a whole are subject to approval by its sole corporate member, Ascension Texas. Form 990, Part VI, Line 11b Review of form 990 by governing body DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS WHICH MAY INCLUDE, AS NEEDED, FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO DESIGNATED MANAGEMENT TEAM MEMBERS WITH EXPERIENCE IN TAX IN LIEU OF THE FULL BOARD. Form 990, Part VI, Line 12c Conflict of interest policy The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. Form 990, Part VI, Line 19 Required documents available to the public The Organization will provide any documents open to public inspection upon request. Form 990, Part VII, Section A Related Entities The organization utilizes an affiliate as the common pay agent. Employees reported in Part VII may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting. Form 990, Part VIII, Line 2f Other Program Service Revenue Interest Income from Patient Accounts - Total Revenue: 1853286, Related or Exempt Function Revenue: 1853286, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Lab Services - Total Revenue: 337742, Related or Exempt Function Revenue: 0, Unrelated Business Revenue: 337742, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Management Fees - Total Revenue: 35166, Related or Exempt Function Revenue: 35166, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Program Revenue - Total Revenue: -1976148, Related or Exempt Function Revenue: -1976148, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Services to Affiliates - Total Revenue: 880427, Related or Exempt Function Revenue: 880427, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Sports Medicine Revenue - Total Revenue: 4172, Related or Exempt Function Revenue: 4172, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Value Based Revenue - Total Revenue: 288624, Related or Exempt Function Revenue: 288624, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Miscellaneous Revenue - Total Revenue: 2169852, Related or Exempt Function Revenue: 2169852, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Escheatment Revenue - Total Revenue: 2020481, Related or Exempt Function Revenue: 2020481, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Parking Revenue - Total Revenue: 1809829, Related or Exempt Function Revenue: , Unrelated Business Revenue: 510085, Revenue Excluded from Tax Under Sections 512, 513, or 514: 1299744; Education Revenue - Total Revenue: 170905, Related or Exempt Function Revenue: 170905, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Medical Records Fees - Total Revenue: 37226, Related or Exempt Function Revenue: 37226, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Fitness Club Revenue - Total Revenue: 9738, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 9738; Late Penalty Fees - Total Revenue: 4450, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 4450; Other Miscellaneous Revenue - Total Revenue: 8513763, Related or Exempt Function Revenue: 3153054, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 5360709; Form 990, Part IX, Line 11g Other Expenses Provider Tax - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; Management Fee to Affiliate - Total Expense: XXX-XX-XXXX, Program Service Expense: , Management and General Expenses: XXX-XX-XXXX, Fundraising Expenses: ; Equipment Lease - Total Expense: 12622205, Program Service Expense: 11001515, Management and General Expenses: 1620690, Fundraising Expenses: ; Physician Fees to Affiliate - Total Expense: 11215860, Program Service Expense: 7214712, Management and General Expenses: 4001148, Fundraising Expenses: ; Other Non Medical Supplies - Total Expense: -10523743, Program Service Expense: 4486014, Management and General Expenses: -15009757, Fundraising Expenses: ; Minor Equipment - Total Expense: 7218207, Program Service Expense: 6211218, Management and General Expenses: 1006989, Fundraising Expenses: ; Maintenance & Repairs - Total Expense: 6818848, Program Service Expense: 3666060, Management and General Expenses: 3152788, Fundraising Expenses: ; Ambulance & Patient Transport Expense - Total Expense: 5497791, Program Service Expense: 5470923, Management and General Expenses: 26868, Fundraising Expenses: ; Dues - Total Expense: 2964253, Program Service Expense: 776183, Management and General Expenses: 2188070, Fundraising Expenses: ; System Office Allocations - Total Expense: 2587008, Program Service Expense: , Management and General Expenses: 2587008, Fundraising Expenses: ; Licenses & Permits - Total Expense: 1508450, Program Service Expense: 601551, Management and General Expenses: 906899, Fundraising Expenses: ; Record Retention Expenses - Total Expense: 664446, Program Service Expense: 91635, Management and General Expenses: 572811, Fundraising Expenses: ; Books & Subscriptions - Total Expense: 461383, Program Service Expense: 401692, Management and General Expenses: 59691, Fundraising Expenses: ; State Income Tax Expense - Total Expense: 400000, Program Service Expense: , Management and General Expenses: 400000, Fundraising Expenses: ; Residency Expenses - Total Expense: 0, Program Service Expense: 22693583, Management and General Expenses: -22693583, Fundraising Expenses: ; Other Miscellaneous Expenses - Total Expense: 14795609, Program Service Expense: 6787173, Management and General Expenses: 8008436, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Change in Net Assets of Unconsolidated Subsidiaries - XXX-XX-XXXX; Transfers with Affiliates - -XXX-XX-XXXX; Change in Share of Investees Net Assets - 130841; Contribution of Capital from JV Partner - -1526498; FAS 158 Pension Adjustment - 6224170; Total - -78176242; Form 990, Part XII, Line 2c AUDIT COMMITTEE THE FILING ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. THE FINANCE AND AUDIT COMMITTEE OF ASCENSION HEALTH ALLIANCE'S BOARD ASSUMES RESPONSIBILITY FOR THE CONSOLIDATED ORGANIZATION AS A WHOLE. FORM 990, PAGE 1 - BOX C DOING BUSINESS AS * Ascension Rx * Ascension Seton * Ascension Seton Bastrop * Ascension Seton Bastrop a Department of Ascension Seton Hays * Ascension Seton Bastrop Cardiac and Pulmonary Rehabilitation Services a Department of Ascension Seton Hays * Ascension Seton Bastrop Health Center * Ascension Seton Bastrop Imaging a Department of Ascension Seton Hays * Ascension Seton Bastrop Women's Imaging a Department of Ascension Seton Hays * Ascension Seton Behavioral Health * Ascension Seton Bertram Health Center * Ascension Seton Buda Health Center * Ascension Seton Burnet Health Center * Ascension Seton Cancer Care Collaborative * Ascension Seton Cardiac Rehabilitation Services * Ascension Seton Cardio-Pulmonary Rehabilitation Services * Ascension Seton Central Outpatient Pharmacy * Ascension Seton Clinical Education Center * Ascension Seton Diagnostic Center * Ascension Seton Dripping Springs Health Center * Ascension Seton Edgar B Davis * Ascension Seton Edgar B Davis Specialty Clinic * Ascension Seton Elgin Health Center * Ascension Seton Hays * Ascension Seton health Center * Ascension Seton Heart Specialty Care and Transplant Center * Ascension Seton Highland Lakes * Ascension Seton Highland Lakes Diagnostic Center * Ascension Seton Highland Lakes Specialty Clinic * Ascension Seton Infusion Center * Ascension Seton Kingsland Health Center * Ascension Seton Lampasas Health Center * Ascension Seton Lockhart Health Center at Church * Ascension Seton Lockhart Health Center at Church Street * Ascension Seton Lockhart Health Center at Colorado * Ascension Seton Lockhart Health Center Colorado * Ascension Seton Lockhart Health Center at Commerce * Ascension Seton Lockhart Health Center Commerce * Ascension Seton Luling Health Center * Ascension Seton Marble Falls Health Center * Ascension Seton McCarthy Community Health Center * Ascension Seton Medical Center * Ascension Seton Medical Center Austin * Ascension Seton Northwest * Ascension Seton Occupational Health * Ascension Seton Outpatient Lab * Ascension Seton Outpatient Rehabilitation * Ascension Seton Physicial Therapy & Fitness Center * Ascension Seton Shoal Creek * Ascension Seton Smithville * Ascension Seton Smithville Health Center * Ascension Seton Smithville Specialty Clinic * Ascension Seton Southwest * Ascension Seton Specialty Care Center * Ascension Seton Sports Performance * Ascension Seton Williamson * Ascension Seton Women's Hospital * Ascension Seton Women's Imaging * Ascension Texas Medical Response Unit * Brackenridge Hospital * Brackenridge Professional Building * Brain and Spine Center at Brackenridge Hospitals * Childhood Cancer & Blood Disorders Centers * Children's Care-A-Van * Children's Health Express * Comprehensive Fetal Care Center at Dell Children's Medical Center * Dell Children's at Home * Dell Children's Blood and Cancer Center * Dell Children's Craniofacial and Reconstructive Surgery Center * Dell Children's Emergency Care * Dell Children's Imaging Center * Dell Children's Lab Services * Dell Children's Medical Center * Dell Children's Medical Center of Central Texas * Dell Children's Medical Center North Campus * Dell Children's Outpatient Pharmacy - North Campus * Dell Children's Rehabilitation Center * Dell Children's Rehabilitation Center at Cedar Park * Dell Seton Medical Center at The University of Texas * Insure a Kid * McCoy Wellness and Rehabilitation Center * Paul Bass Clinic * SEBD Professional Support Services * Seton * Seton Bastrop Healthcare Center * Seton Family of Hospitals * Seton Healthcare Network * Seton Heart Center * Seton Infusion Center * Seton Lockhart Family Medicine * Seton Lockhart Internal Medicine * Seton League House * Seton Medical Center * Seton Medical Center at The University of Texas * Seton Premier Staffing * Seton Psychiatric Emergency Department * Seton Smithville Healthcare Center * Seton Total Health * Shivers Center * SHL Professional Support Services * Texas Center for Pediatric and Congenital Heart Disease * Texas Child Study Center * The Clinical Education Center at Brackenridge FORM 990, PAGE 1 PHYSICAL ADDRESS THE ADDRESS ON PAGE 1 IS FOR MAILING PURPOSES ONLY. Ascension Texas Accountable Care Organization LLC 1345 Philomena Street Suite 4102 Austin TX 78723 931370326 accountable care organization TX 0 0 Ascension Seton AFFINITY HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391568866 HEALTH SYSTEM IL 501(c)(3) Type II MINISTRY HEALTH CARE INC true ALABAMA PROVIDENCE HEALTHCARE SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 462847744 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 10 GULF COAST HEALTH SYSTEM true ALEXIAN BROTHERS AMBULATORY GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364336931 PHYSICIANS SERVICES IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364251848 BEHAVIORAL HEALTH HOSPITAL IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS BONAVENTURE HOUSE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363527899 HOUSING AND SUPPORTIVE CARE SERVICES FOR PERSONS WITH HIV/AIDS IL 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS CENTER FOR MENTAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363045007 OUTPATIENT COMMUNITY MENTAL HEALTH SERVICES IL 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS COMMUNITY SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364344423 PACE- COMPREHENSIVE & COORDINATED COMMUNITY BASED SERVICES IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363260495 SUPPORTS THE PROVISION OF HEALTHCARE FOR RELATED CORPORATIONS FOR WHICH IT IS A MEMBER IL 501(c)(3) Type III-FI ASCENSION HEALTH true ALEXIAN BROTHERS HOSPITAL NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363276552 SUPPORTS THE PROVISION OF HEALTHCARE FOR RELATED CORPORATIONS IL 501(c)(3) Type II Alexian Brothers Health System true ALEXIAN BROTHERS LANSDOWNE VILLAGE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431470362 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS MEDICAL CARE GROUP NFP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 471930457 PHYSICIANS SERVICES IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS MEDICAL CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362596381 ACUTE CARE HOSPITAL IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN BROTHERS MEDICAL GROUP SPECIALTY CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 811110738 SPECIALTY PHYSICIAN PRACTICE GROUP IL 501(c)(3) 3 ALEXIAN BROTHERS HEALTH SYSTEM true ALEXIAN BROTHERS OF SAN JOSE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 941530037 ACUTE CARE HOSPITAL (sold in 1998) TX 501(c)(3) Type I Alexian Brothers Health System true ALEXIAN BROTHERS SENIOR MINISTRIES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364484290 SUPPORTS THE PROVISION OF HEALTHCARE FOR RELATED CORPORATIONS IL 501(c)(3) Type II Alexian Brothers Health System true ALEXIAN BROTHERS SERVICES INC 3040 SALT CREEK LANE ARLINGTON HEIGHTS IL 60005 431295333 HUD HOUSING MO 501(c)(3) 10 Alexian Brothers Health System true ALEXIAN BROTHERS SHERBROOKE VILLAGE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431592502 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS SPECIALTY GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 800710751 SPECIALTY PHYSICIAN PRACTICE GROUP IL 501(c)(3) 3 Alexian Brothers Health System true ALEXIAN VILLAGE OF MILWAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391351584 CONTINUING CARE RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN VILLAGE OF TENNESSEE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621136742 CONTINUING CARE RETIREMENT COMMUNITY TN 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALVERNO PROVENA HOSPITAL LABORATORIES INC 2434 INTERSTATE PLAZA DRIVE HAMMOND IN 46234 203238867 HEALTH CARE IN 501(c)(3) 3 Presence Central & Suburban Hospitals Network AND PRESENCE CHICAGO HOSPITAL S NETWORK true AMERICAN SPORTS MEDICINE INSTITUTE INC 500 22ND STREET SOUTH SUITE 408 BIRMINGHAM AL 35233 630952490 SPORTS MEDICINE AL 501(c)(3) 7 ST VINCENT'S BIRMINGHAM true ARTHUR MERKLE - CLARA KNIPPRATH NURSING HOME C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362841358 RETIREMENT COMMUNITY IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true ASCENSION ALL SAINTS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391264986 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION ARIZONA C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 860455920 HOSPITAL AZ 501(c)(3) 3 ASCENSION HEALTH true ASCENSION BORGESS ALLEGAN FOUNDATION 615 N MICHIGAN ST SOUTH BEND IN 46601 382802463 FUNDRAISING MI 501(c)(3) Type I ASCENSION MICHIGAN true ASCENSION BORGESS ALLEGAN HOSPITAL 615 N MICHIGAN ST SOUTH BEND IN 46601 381359180 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BORGESS FOUNDATION 615 N MICHIGAN ST SOUTH BEND IN 46601 237222558 FUNDRAISING MI 501(c)(3) Type I ASCENSION BORGESS HOSPITAL true ASCENSION BORGESS HOSPITAL 615 N MICHIGAN ST SOUTH BEND IN 46601 381360526 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BORGESS LEE FOUNDATION 615 N MICHIGAN ST SOUTH BEND IN 46601 382860459 FUNDRAISING MI 501(c)(3) Type I ASCENSION BORGESS-LEE HOSPITAL true ASCENSION BORGESS-LEE HOSPITAL 615 N MICHIGAN ST SOUTH BEND IN 46601 381490190 HEALTHCARE SERVICES MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION BRIGHTON CENTER FOR RECOVERY One Ford Place-5F Detroit MI 48202 381576680 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION CALUMET HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390905385 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION CARE MANAGEMENT INSURANCE HOLDINGS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 461121862 HEALTH CARE MO 501(c)(3) Type I Ascension Care Management LLC true ASCENSION DEPAUL HOLDINGS OF EL PASO C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742734755 SUPPORTING ORGANIZATION TX 501(c)(3) Type I ASCENSION HEALTH true ASCENSION EASTWOOD BEHAVIORAL HEALTH One Ford Place-5F Detroit MI 48202 381958763 HEALTH CARE MI 501(c)(3) 7 ST JOHN PROVIDENCE true ASCENSION FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 862197504 FOUNDATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION GENESYS FOUNDATION One Ford Place-5F Detroit MI 48202 383591148 FOUNDATION MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true ASCENSION GENESYS HOSPITAL One Ford Place-5F Detroit MI 48202 382377821 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE false ASCENSION HEALTH - IS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 651257719 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA false ASCENSION HEALTH ALLIANCE PROFESSIONAL & GENERAL LIABILITY SELF-INSURANCE T RUST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 367046706 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH GLOBAL MISSION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 651205990 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION HEALTH SENIOR CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431227406 PARENT COMPANY MO 501(c)(3) Type II ASCENSION HEALTH true ASCENSION LIVING - LAKESHORE AT SIENA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 824710412 RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ASCENSION LIVING ST VINCENT PACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 872516723 PACE- COMPREHENSIVE & COORDINATED COMMUNITY BASED SERVICES IN 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ASCENSION MACOMB OAKLAND HOSPITAL One Ford Place-5F Detroit MI 48202 383322109 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION MEDICAL GROUP GENESYS One Ford Place-5F Detroit MI 48202 831617112 HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP MICHIGAN true ASCENSION MEDICAL GROUP MICHIGAN One Ford Place-5F Detroit MI 48202 383494637 HEALTH CARE MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP PROMED 615 N MICHIGAN ST SOUTH BEND IN 46601 383193801 HEALTHCARE SERVICES MI 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391127163 CLINICAL HEALTHCARE SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391791586 MEDICAL GROUP WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION MICHIGAN One Ford Place-5F Detroit MI 48202 382631907 SUPPORTING ORGANIZATION MI 501(c)(3) Type I ASCENSION HEALTH true ASCENSION MICHIGAN CMG One Ford Place-5F Detroit MI 48202 382601348 HEALTH CARE MI 501(c)(3) 10 ST JOHN PROVIDENCE true ASCENSION MICHIGAN HOME OFFICE (FKA BORGESS AMBULATORY CARE CORPORATION) C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382468823 PARENT COMPANY MI 501(c)(3) 3 BORGESS HEALTH ALLIANCE INC true ASCENSION MINISTRY AND MISSION FUND C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273174701 SUPPORTING ORGANIZATION MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE true ASCENSION NE WISCONSIN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390816818 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION PROVIDENCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 741109636 HEALTHCARE SERVICES TX 501(c)(3) 3 ASCENSION TEXAS true ASCENSION PROVIDENCE FOUNDATION One Ford Place-5F Detroit MI 48202 383526629 FUNDRAISING MI 501(c)(3) 7 ASCENSION PROVIDENCE HOSPITAL true ASCENSION PROVIDENCE FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742683112 SUPPORT CHARITABLE PURPOSE OF ASCENSION PROVIDENCE TX 501(c)(3) Type I ASCENSION PROVIDENCE true ASCENSION PROVIDENCE HOSPITAL One Ford Place-5F Detroit MI 48202 381358212 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION PROVIDENCE ROCHESTER FOUNDATION One Ford Place-5F Detroit MI 48202 382627336 SUPPORTING MI 501(c)(3) Type I ASCENSION PROVIDENCE ROCHESTER HOSPITAL true ASCENSION PROVIDENCE ROCHESTER HOSPITAL One Ford Place-5F Detroit MI 48202 381359247 GENERAL HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION RIVER DISTRICT HOSPITAL One Ford Place-5F Detroit MI 48202 383160564 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION SE WISCONSIN HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390816857 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION SETON FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742212968 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true ASCENSION SETON HAYS FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 262842608 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true ASCENSION SETON WILLIAMSON FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 205330986 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true ASCENSION SOUTHEAST MICHIGAN COMMUNITY HEALTH One Ford Place-5F Detroit MI 48202 382262856 HEALTH CARE MI 501(c)(3) 3 ST JOHN PROVIDENCE true ASCENSION ST CLARE'S HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 721531917 HOSPITAL WI 501(c)(3) 3 MINISTRY HEALTH CARE INC true ASCENSION ST FRANCIS HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390907740 HOSPITAL WI 501(c)(3) 3 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION ST JOHN FOUNDATION One Ford Place-5F Detroit MI 48202 202961579 FUNDRAISING MI 501(c)(3) 7 ASCENSION ST JOHN HOSPITAL true ASCENSION ST JOHN HOSPITAL One Ford Place-5F Detroit MI 48202 381359063 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST JOSEPH FOUNDATION 4000 WELLNESS DRIVE MIDLAND MI 48670 010790428 FUNDRAISING MI 501(c)(3) Type I ASCENSION ST JOSEPH HOSPITAL true ASCENSION ST JOSEPH HOSPITAL 4000 WELLNESS DRIVE MIDLAND MI 48670 381443395 HEALTH CARE MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION ST MARY'S FOUNDATION 4000 WELLNESS DRIVE MIDLAND MI 48670 382246366 FUNDRAISING MI 501(c)(3) Type I ASCENSION ST MARY'S HOSPITAL true ASCENSION ST MARY'S HOSPITAL 4000 WELLNESS DRIVE MIDLAND MI 48670 380997730 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION STANDISH HOSPITAL 4000 WELLNESS DRIVE MIDLAND MI 48670 381671120 HOSPITAL MI 501(c)(3) 3 ASCENSION MICHIGAN true ASCENSION TEXAS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364243 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION HEALTH true ASCENSION TEXAS CARDIOVASCULAR C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 273220767 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II SETON CLINICAL ENTERPRISE CORPORATION true ASCENSION VIA CHRISTI HEALTH PARTNERS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480958974 MANAGEMENT COMPANY KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HEALTH INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481172107 HEALTH SYSTEM PARENT KS 501(c)(3) Type I ASCENSION HEALTH true ASCENSION VIA CHRISTI HOSPITAL MANHATTAN INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481186704 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL PITTSBURG INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480543778 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITAL ST TERESA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 271965272 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI HOSPITALS WICHITA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481172106 HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HEALTH INC true ASCENSION VIA CHRISTI PROPERTY SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 480948571 PROPERTY MANAGEMENT KS 501(c)(4) ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION VIA CHRISTI REHABILITATION HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481158274 REHABILITATION HOSPITAL KS 501(c)(3) 3 ASCENSION VIA CHRISTI HOSPITALS WICHITA INC true ASCENSION WELFARE BENEFITS TRUST C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431601369 VEBA IL 501(c)(9) ASCENSION HEALTH ALLIANCE true ASCENSION WISCONSIN FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391494981 FOUNDATION WI 501(c)(3) 7 COLUMBIA ST MARY'S INC true ASCENSION WISCONSIN LABORATORIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391701402 LABORATORY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true ASCENSION WISCONSIN PHARMACY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391613624 PHARMACY WI 501(c)(3) 10 WHEATON FRANCISCAN HEALTHCARE-SOUTHEAST WISCONSIN INC true BAPTIST HEALTH CARE AFFILIATES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581509251 COMMUNITY HEALTH PROMOTION TN 501(c)(3) Type I SAINT THOMAS NETWORK true BAPTIST HOSPITAL FOUNDATION OF NASHVILLE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581861378 INACTIVE TN 501(c)(3) Type I SAINT THOMAS WEST HOSPITAL true BLUE LADIES MINERALS INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742971975 OWN OIL AND MINERAL RIGHTS, REAL ESTATE TX 501(c)(3) Type III-FI ASCENSION SETON FOUNDATION true BORGESS HEALTH ALLIANCE INC 615 N MICHIGAN ST SOUTH BEND IN 46601 382335286 HEALTH SYSTEM PARENT MI 501(c)(3) 10 ASCENSION MICHIGAN true BORGESS NURSING HOME INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382555589 SKILLED NURSING FACILITY MI 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true CARONDELET FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 860749574 FOUNDATION AZ 501(c)(3) Type I ASCENSION ARIZONA true CARONDELET HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431276738 HEALTH SYSTEM PARENT MO 501(c)(3) Type I ASCENSION HEALTH true CARONDELET LONG-TERM CARE FACILITIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742505427 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CARROLL MANOR C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 832068871 SKILLED NURSING FACILITY DC 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CATALPA HEALTH INC 4635 WEST COLLEGE AVENUE APPLETON WI 54914 454681563 BEHAVIORAL HEALTH SERVICES WI 501(c)(3) 3 AFFINITY HEALTH SYSTEM true CENTER FOR GERONTOLOGY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 382514708 ADULT DAY CARE MI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351869951 FREESTANDING OUTPATIENT CENTER IN 501(c)(3) Type III-FI ST VINCENT HEALTH INC true COLUMBIA COLLEGE OF NURSING Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391596986 COLLEGE WI 501(c)(3) 10 COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC true COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390806315 HOSPITAL WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true COLUMBIA ST MARY'S INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391834639 HEALTH SYSTEM WI 501(c)(3) Type I ASCENSION HEALTH true CORNERSTONE ASSISTED LIVING INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 481241079 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true DELL CHILDREN'S FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 200468031 FUNDRAISING TX 501(c)(3) Type II ASCENSION TEXAS true DELL CHILDREN'S MEDICAL GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742800601 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true FIELD NEUROSCIENCES INSTITUTE 4000 WELLNESS DRIVE MIDLAND MI 48670 382790703 SUPPORTING ORGANIZATION MI 501(c)(3) Type I ASCENSION ST MARY'S HOSPITAL true GENESYS AMBULATORY HEALTH SERVICES One Ford Place-5F Detroit MI 48202 382371754 HEALTH SRVCS/STAFFING/PROP MNGT MI 501(c)(3) Type II GENESYS HEALTH SYSTEM true GENESYS CONVALESCENT CENTER One Ford Place-5F Detroit MI 48202 382317364 CONVALESCENT CENTER MI 501(c)(3) Type I GENESYS AMBULATORY HEALTH SERVICES true GENESYS HEALTH SYSTEM One Ford Place-5F Detroit MI 48202 383339703 HEALTH SYSTEM PARENT MI 501(c)(3) Type II ASCENSION MICHIGAN true GULF COAST HEALTH SYSTEM C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630934712 HEALTH SYSTEM AL 501(c)(3) Type III-FI ST VINCENT'S HEALTH SYSTEM INC true HAVEN OF OUR LADY OF PEACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 593620346 NURSING HOME FL 501(c)(3) 10 SACRED HEART HEALTH SYSTEM INC true HUMPHREYS COUNTY COMMUNITY HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 261861676 HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC true JANE PHILLIPS MEMORIAL MEDICAL CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730606129 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true JANE PHILLIPS NOWATA HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731440267 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true LAVERNA TERRACE HOUSING CORPORATION 18927 HICKORY CREEK DRIVE SUITE 300 MOKENA IL 60448 363438977 LOW INCOME HOUSING FOR ELDERLY AND HANDICAPPED INDIVIDUALS IL 501(c)(3) 10 PRESENCE LIFE CONNECTIONS true LOURDES FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 911528577 FUNDRAISING WA 501(c)(3) Type I OUR LADY OF LOURDES HOSPITAL AT PASCO true MINISTRY HEALTH CARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 391490371 PARENT CORPORATION WI 501(c)(3) Type I ASCENSION HEALTH true OUR LADY OF LOURDES HOSPITAL AT PASCO C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 910349750 HEALTHCARE WA 501(c)(3) Type I ASCENSION HEALTH true OUR LADY OF PEACE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 161608735 SKILLED NURSING FACILITY NY 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true OWASSO MEDICAL FACILITY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 203700131 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true PRESENCE AMBULATORY SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364286236 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE BEHAVIORAL HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362709982 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CARE HOME C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460483587 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CARE TRANSFORMATION CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363366652 MGMT SUPPORT IL 501(c)(3) Type III-FI Alexian Brothers Health System true PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364195126 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE CHICAGO HOSPITALS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362235165 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE HEALTH PARTNERS SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 362644178 HEALTH CARE IL 501(c)(3) Type II Alexian Brothers Health System true PRESENCE HEALTHCARE SERVICES C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363330928 HEALTH CARE IL 501(c)(3) 3 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE HOME CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460483581 HEALTH CARE IL 501(c)(3) 10 PRESENCE CARE TRANSFORMATION CORPORATION true PRESENCE LIFE CONNECTIONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 371127787 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PRESENCE SENIOR SERVICES CHICAGOLAND C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237061646 RETIREMENT COMMUNITY IL 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true PROVIDENCE BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630914564 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(2) GULF COAST HEALTH SYSTEM true PROVIDENCE FOUNDATION 207 N CATHERINE STREET ROOM 205 MOBILE AL 36604 630915493 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) 7 GULF COAST HEALTH SYSTEM true PROVIDENCE HEALTH ALLIANCE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742696970 PHYSICIAN PRACTICES TX 501(c)(3) 3 ASCENSION PROVIDENCE true PROVIDENCE HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521275583 FUNDRAISING ORGANIZATION DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HEALTH SERVICES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521275587 PHYSICIAN PRACTICES DC 501(c)(3) Type I PROVIDENCE HOSPITAL true PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 530196636 HOSPITAL DC 501(c)(3) 3 ASCENSION HEALTH true PROVIDENCE HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630288861 HOSPITAL AL 501(c)(3) 3 GULF COAST HEALTH SYSTEM true PROVIDENCE PARK INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 611759304 SKILLED NURSING FACILITY TX 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true RAINBOW HOSPICE AND PALLIATIVE CARE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363296367 HEALTH CARE IL 501(c)(3) 7 PRESENCE CARE TRANSFORMATION CORPORATION true SACRED HEART FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 592436597 FOUNDATION FL 501(c)(3) 7 SACRED HEART HEALTH SYSTEM INC true SACRED HEART HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 590634434 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true SACRED HEART HEALTH VENTURES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 571183283 INVESTMENT FL 501(c)(3) Type I SACRED HEART HEALTH SYSTEM INC true SACRED HEART REHABILITATION INSTITUTE Inc C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 390902199 REHAB SERVICES WI 501(c)(3) 3 COLUMBIA ST MARY'S INC true SAINT THOMAS HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581716804 SYSTEM PARENT TN 501(c)(3) Type I ASCENSION HEALTH true SAINT THOMAS HEALTH FOUNDATIONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581663055 OPERATES FOUNDATION TN 501(c)(3) 7 SAINT THOMAS NETWORK true SAINT THOMAS HICKMAN HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 581737573 HOSPITAL TN 501(c)(3) 3 BAPTIST HEALTH CARE AFFILIATES INC true SAINT THOMAS HOME HEALTH C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621836937 HOME HEALTH CARE TN 501(c)(3) 10 SAINT THOMAS HICKMAN HOSPITAL true SAINT THOMAS MEDICAL PARTNERS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621529858 HEALTHCARE PROVIDER TN 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true SAINT THOMAS NETWORK C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621284994 HEALTH INVESTMENT ENTITY TN 501(c)(3) 10 SAINT THOMAS HEALTH true SAINT THOMAS REGIONAL HOSPITALS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 474063046 HOSPITALS TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS RUTHERFORD FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 621167917 FOUNDATION TN 501(c)(3) Type I SAINT THOMAS RUTHERFORD HOSPITAL true SAINT THOMAS RUTHERFORD HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 620475842 HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SAINT THOMAS WEST HOSPITAL C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 620347580 HOSPITAL TN 501(c)(3) 3 SAINT THOMAS HEALTH true SALINA REGIONAL HOME MEDICAL SERVICES LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431948057 MEDICAL EQUIPMENT KS 501(c)(3) 10 ASCENSION VIA CHRISTI HEALTH PARTNERS INC true SAVELLI PROPERTIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 363308965 OWNS OR LEASES PROPERTIES WHERE HEALTHCARE SERVICES ARE DELIVERED IL 501(c)(2) Alexian Brothers Health System true SETON CLINICAL ENTERPRISE CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364681 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II ASCENSION TEXAS true SETON FAMILY OF DOCTORS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 264562522 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON FAMILY OF PEDIATRIC SURGEONS C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 271311790 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN One Ford Place-5F Detroit MI 48202 382820107 SOCIAL WELFARE MI 501(c)(4) ST JOHN PROVIDENCE true SETON HOSPITALIST SERVICE C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 452498998 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type I ASCENSION SETON true SETON INSURANCE SERVICES CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 454364813 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) Type II ASCENSION TEXAS true SETON MANOR INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 232960726 SKILLED NURSING FACILITY PA 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true SETON MEDICAL GROUP INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 392064992 PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY MD 501(c)(3) 10 ASCENSION MEDICAL GROUP LLC true SETON MEDICAL MANAGEMENT INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 630937704 SUPPORT PROVIDENCE HOSPITAL AL 501(c)(3) Type II GULF COAST HEALTH SYSTEM true SETON ORAL & MAXILLOFACIAL SURGERY C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 421670843 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SETON PROPERTY CORPORATION OF NORTH ALABAMA 500 22ND STREET SOUTH SUITE 408 BIRMINGHAM AL 35233 237326976 REAL ESTATE AL 501(c)(2) ST VINCENT'S HEALTH SYSTEM true SETONUT AUSTIN DELL MEDICAL SCHOOL UNIVERSITY PHYSICIANS GROUP C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 742869762 DELIVERY OF HEALTH CARE SERVICES TX 501(c)(3) 10 SETON CLINICAL ENTERPRISE CORPORATION true SJRMC INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 820204264 HOSPITAL ID 501(c)(3) 3 ASCENSION HEALTH true ST AGNES FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521415083 FUNDRAISING MD 501(c)(3) Type I ST AGNES HEALTHCARE INC true ST AGNES HEALTHCARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 520591657 HOSPITAL MD 501(c)(3) 3 ASCENSION HEALTH true ST ALEXIUS MEDICAL CENTER C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 364251846 ACUTE CARE HOSPITAL IL 501(c)(3) 3 Alexian Brothers Health System true ST CATHERINE LABOURE MANOR INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 591878316 SKILLED NURSING FACILITY FL 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true ST JOHN AUXILIARY INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730999759 HEALTH CARE OK 501(c)(3) 10 ST JOHN HEALTH SYSTEM INC true ST JOHN BROKEN ARROW INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 383833117 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOHN BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 611659782 REAL ESTATE OK 501(c)(2) ST JOHN HEALTH SYSTEM INC true ST JOHN HEALTH SYSTEM FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731133139 FUNDRAISING OK 501(c)(3) Type I ST JOHN HEALTH SYSTEM INC true ST JOHN HEALTH SYSTEM INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 731215174 SYSTEM PARENT OK 501(c)(3) Type I ASCENSION HEALTH true ST JOHN MEDICAL CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730579286 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOHN PROVIDENCE One Ford Place-5F Detroit MI 48202 382244034 PARENT COMPANY MI 501(c)(3) Type II ASCENSION MICHIGAN true ST JOHN SAPULPA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 730662663 HEALTH CARE OK 501(c)(3) 3 ST JOHN HEALTH SYSTEM INC true ST JOSEPH FOUNDATION OF KOKOMO INDIANA INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237313206 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST JOSEPH HOSPITAL & HEALTH CENTER INC true ST JOSEPH HOSPITAL & HEALTH CENTER INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350992717 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST JOSEPH MEDICAL CENTER FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431388461 FUNDRAISING MO 501(c)(3) Type I CARONDELET HEALTH true ST JOSEPH'S MINISTRIES INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 521835288 SKILLED NURSING FACILITY MD 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ST LUKE'S-ST VINCENT'S HEALTHCARE INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 260479484 HOSPITAL FL 501(c)(3) 3 ST VINCENT'S HEALTH SYSTEM INC true ST MARY'S BUILDING CORPORATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237248362 REAL ESTATE HOLDING COMPANY IN 501(c)(2) ST MARY'S HEALTH INC true ST MARY'S HEALTH FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 237045370 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST MARY'S HEALTH INC true ST MARY'S HEALTH INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 350869065 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST MARY'S MEDICAL CENTER FOUNDATION C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 431918107 FUNDRAISING MO 501(c)(3) Type I CARONDELET HEALTH true ST MARY'S MEDICAL GROUP LLC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 261356310 PHYSICIAN PROFESSIONAL SERVICES IN 501(c)(3) 10 ST VINCENT MEDICAL GROUP INC true ST MARY'S WARRICK HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 351343019 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT ANDERSON REGIONAL HOSPITAL FOUNDATION INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352053693 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT ANDERSON REGIONAL HOSPITAL INC true ST VINCENT ANDERSON REGIONAL HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 460877261 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT CARMEL HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 743107055 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT CLAY HOSPITAL INC C/O TAX DEPARTMENT PO BOX 45998 ST LOUIS MO 631455998 352112529 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT DUNN 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