2021-11-15T11:54:39-06:00 2020-12-31 742900215 MAXWELL LOCKE & RITTER LLP 401 CONGRESS AVENUE SUITE 1100 AUSTIN TX 787019682 990 2020-01-01 742427148 GEORGETOWN HEALTHCARE SYSTEM INC GEOR 5129312221 2425 WILLIAMS DRIVE NO 101 GEORGETOWN TX 786283206 SCOTT ALARCON CEO 5129312221 2021-11-12 1 SCOTT ALARCON 999009999 SEAN HOLCOMB P01249221 5123703200 2021-11-12 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z GEORGETOWN HEALTH FOUNDATION SCOTT ALARCON 2425 WILLIAMS DRIVE NO 101 GEORGETOWN TX 786283206 10276030 0 X WWW.GTHF.ORG X 1985 TX THE ORGANIZATION IS DEDICATED TO THE PROMOTION OF QUALITY, ACCESSIBLE HEALTHCARE FOR ALL PERSONS LIVING IN THE GEORGETOWN, TX COMMUNITY AND SURROUNDING AREA. AS A PARTNER IN THE ST. DAVID'S HEALTHCARE PARTNERSHIP, WE PROVIDE HEALTHCARE TO THE PUBLIC THROUGH THE OPERATION OF FOUR HOSPITALS IN THE CENTRAL TEXAS AREA WHICH OPERATE UNDER THE COMMUNITY BENEFIT STANDARD. LOCALLY, WE INVEST IN AND PARTNER WITH OTHER NON-PROFIT ORGANIZATIONS WHO, LIKE US, ARE COMMITTED TO IMPROVING THE SOCIAL DETERMINANTS OF HEALTH IN OUR COMMUNITY WITH A GOAL OF BUILDING AND SUSTAINING HEALTHY, PRODUCTIVE LIVES FOR GEORGETOWN RESIDENTS. 17 17 7 62 43675 26517 600000 900000 2680016 3638546 688381 341066 -91395 146213 3877002 5025825 2457960 2471201 0 0 1157483 1208342 0 0 0 477404 343230 4092847 4022773 -215845 1003052 46689738 48632540 2751891 2698557 43937847 45933983 TO PROMOTE AND FACILITATE THE ADVANCEMENT OF AFFORDABLE HEALTH CARE TO THE COMMUNITY OF GEORGETOWN AND THE SURROUNDING AREA. 0 0 3416032 2471201 102538 THE REPORTING ORGANIZATION PROVIDES GRANTS TO COMMUNITY ORGANIZATIONS THAT PROMOTE IMPROVED ACCESS TO, OR DIRECTLY PROVIDE HEALTHCARE TO THE CITIZENS OF THE GEORGETOWN, TEXAS AREA REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES. 3638546 THE REPORTING ORGANIZATION IS A PARTNER IN THE ST. DAVID'S HEALTHCARE PARTNERSHIP, LP, LLP. THE HOSPITALS IN THE PARTNERSHIP ARE DEDICATED TO SERVING CENTRAL TEXAS UNDER THE COMMUNITY BENEFIT STANDARD AND THE AFFORDABLE CARE ACT. ST. DAVID'S HEALTHCARE PARTNERSHIP INCLUDES HOSPITALS, FREE-STANDING EMERGENCY ROOMS, AMBULATORY CARE CENTERS, AND URGENT CARE CENTERS. 3416032 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 19 0 1 7 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X SAM SCHULTZ CFO 5129312221 2425 WILLIAMS DRIVE NO 101 GEORGETOWN TX 786283206 ALMA MOLLEUR CHAIR 2.00 X 0 0 0 JIM DONOVAN MD CHAIR-ELECT 1.50 X 0 0 0 DARRICK MCGILL PAST CHAIR 1.50 X 0 0 0 D SCOTT MATTHEW SECRETARY 1.50 X 0 0 0 ASHLIE KOENIG BOARD MEMBER 1.50 X 0 0 0 J BRAD CURLEE BOARD MEMBER 1.00 X 0 0 0 TIM HARRIS BOARD MEMBER 1.00 X 0 0 0 CINDY LOCKE BOARD MEMBER 1.00 X 0 0 0 STACEY MATHEWS BOARD MEMBER 1.00 X 0 0 0 LINDA MIEGS BOARD MEMBER 1.00 X 0 0 0 RODNEY MORALES BOARD MEMBER 1.00 X 0 0 0 SOFIA NELSON BOARD MEMBER 1.00 X 0 0 0 BRADLEY SMITH BOARD MEMBER 1.00 X 0 0 0 MATT SMITH BOARD MEMBER 1.00 X 0 0 0 ROBERT STERN MD BOARD MEMBER 1.00 X 0 0 0 JOHN STOCK BOARD MEMBER 1.00 X 0 0 0 STEVE WEST BOARD MEMBER 1.00 X 0 0 0 M SCOTT ALARCON CEO 40.00 X 337210 0 46232 RICHARD SCHULTZ CFO 40.00 X 272505 0 15021 MARY S PUKYS VP-STRATEGIC PHILANTHROPY 40.00 X 180744 0 16959 790459 0 78212 3 0 1 0 0 900000 900000 ST. DAVID'S HEALTHCARE 621990 3638546 3638546 3638546 387016 387016 571584 470710 100874 100874 57199 43675 4724800 4770750 -45950 -45950 -45950 11755 8745 3010 3010 OTHER INCOME 900099 42329 42329 42329 5025825 3741084 43675 341066 X 2471201 2471201 868671 461305 407366 256714 238318 18396 13419 11351 2068 12509 10912 1597 57029 36352 20677 4505 2343 2162 23848 12401 11447 67408 34519 32889 38579 23957 14622 3344 1739 1605 33132 21805 11327 7284 3788 3496 88473 46006 42467 11902 8224 3678 9741 5373 4368 9877 9877 16048 8345 7703 MISCELLANEOUS EXPENSES 19412 10199 9213 DUES & SUBSCRIPTIONS 14816 7894 6922 FEDERAL INCOME TAX -5139 -5139 4022773 3416032 606741 0 239168 736105 42775 38253 134257 10587 27263 24594 16349 11086 5482252 1083447 4548129 4398805 21543337 21173130 12872110 12872110 7266350 9367870 46689738 48632540 319326 375834 2262565 2029475 71871 170000 221377 2751891 2698557 X 43937847 45933983 43937847 45933983 46689738 48632540 1003052 993084 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 813 813 0 PART II-B, LINE 1: THE SCHEDULE K-1 FROM ST. DAVID'S HEALTHCARE PARTNERSHIP, LP (THE "PARTNERSHIP") INCLUDED $813 OF LOBBYING EXPENDITURES WHICH CONSTITUTED THE PORTION OF THE ORGANIZATION'S ANNUAL ASSOCIATION DUES DEDICATED TO LOBBYING ACTIVITIES. 1256622 1256622 4154036 1038621 3115415 65964 40041 25923 5630 4785 845 4398805 ST DAVIDS PARTNERSHIP LP 12872110 C 12872110 INVESTMENTS HELD FOR DEFERRED EMPLOYEE BENEFITS 221377 DUE FROM AFFILIATED ENTITIES (NET) 8793870 OTHER LONG TERM ASSETS - CSV 352623 9367870 DEFERRED EMPLOYEE BENEFITS 221377 221377 1 1 X 1 X 1 X 500.000000000000 1 1 1 0 1 1 1154237 14197 1140040 0.05850 1270728 1903512 0 0.00000 2424965 1917709 1140040 0.05850 498283 498283 0.02560 62247 62247 0.00320 11443 7193 4250 0.00020 2169080 2169080 0.11120 2741053 7193 2733860 0.14020 5166018 1924902 3873900 0.19870 93716 43755 49961 0.01240 93716 43755 49961 0.01240 0 36419 4040195 3837951 202244 X 1 1 1 ST DAVID'S HEALTHCARE PARTNERSHIP LP LLP OWNS 1% INTEREST IN ST DAVID'S HEALTHCARE PARTNERSHIP WHICH OPERATES 4 0.01000 0.00000 0.00000 2 HOSPITALS IN CENTRAL TEXAS 4 1 ST DAVID'S MEDICAL CENTER 919 E 32ND STREET AUSTIN TX 78705 WWW.STDAVIDS.COM X X X A 2 ST DAVID'S NORTH AUSTIN MEDICAL CENTER 12221 N MOPAC EXPRESSWAY NORTH AUSTIN TX 78758 WWW.STDAVIDS.COM X X X X A 3 ST DAVID'S SOUTH AUSTIN MEDICAL CENTER 901 W BEN WHITE BLVD AUSTIN TX 78704 WWW.STDAVIDS.COM X X X A 4 ST DAVID'S ROUND ROCK MEDICAL CENTER 2400 ROUND ROCK AVE ROUND ROCK TX 78681 WWW.STDAVIDS.COM X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 19 1 1 1 1 X SEE PART V, PAGE 8 X WWW.GTHF.ORG X X 1 20 1 SEE PART V, PAGE 8 0 1 X 200.000000000000 500.000000000000 X X X X X 1 1 X X X 1 X WWW.STDAVIDS.COM/PATIENTS-VISITORS/CHARITY-DISCOUNT-POLICY.DOT X WWW.STDAVIDS.COM/PATIENTS-VISITORS/CHARITY-DISCOUNT-POLICY.DOT X WWW.STDAVIDS.COM/PATIENTS-VISITORS/CHARITY-DISCOUNT-POLICY.DOT X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: ST. DAVID'S MEDICAL CENTER, - FACILITY 2: ST. DAVID'S NORTH AUSTIN MEDICAL CENTER, - FACILITY 3: ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER, - FACILITY 4: ST. DAVID'S ROUND ROCK MEDICAL CENTER GROUP A-FACILITY 1 -- ST. DAVID'S MEDICAL CENTER PART V, SECTION B, LINE 5: IN PREPARATION OF THE CHNA FOR AUSTIN / TRAVIS COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ST. DAVID'S FOUNDATION, ASCENSION SETON, AUSTIN PUBLIC HEALTH, AND BAYLOR SCOTT & WHITE. THROUGH THE COLLECTIVE EFFORT, A FOCUS GROUP, INTERVIEWS AND ONLINE SURVEYS WERE CONDUCTED FROM JULY, 2018 AUGUST, 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO), MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP), PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 40 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF TRAVIS COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF FIVE INTERVIEWS, 504 UNIQUE DOOR-TO-DOOR INTERVIEWS SURVEYS AND SIX FOCUS GROUPS WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED OVER 550 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE TEXAS DEPARTMENT OF STATE HEALTH SERVICES HSR 7, CENTRAL TEXAS FOOD BANK, LAKE TRAVIS ISD, CENTRAL TEXAS CATHOLIC CHARITIES, ST. JOHN EPISCOPAL CHURCH, PLEASANT HILL BRANCH PUBLIC LIBRARY, WILLIAM CANNON APARTMENT HOMES, BOOKER T. WASHINGTON TERRACES PUBLIC HOUSING COMPLEX, NORTH AUSTIN YMCA, PFLUGERVILLE LIBRARY, AND EAST AUSTIN STAKEHOLDER FOCUS GROUP. IN PREPARATION OF THE CHNA FOR BASTROP COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ST. DAVID'S FOUNDATION, ASCENSION SETON, AND BASTROP COUNTY CARES. THROUGH THE COLLECTIVE EFFORT, KEY INFORMANT INTERVIEWS WERE CONDUCTED IN AUGUST OF 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 34 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF BASTROP COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF SIX COMMUNITY INPUT SESSIONS AND NINE KEY INFORMANT INTERVIEWS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED 39 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE SMITHVILLE HOSPITAL, COMBINED COMMUNITY ACTION, TEXAS A&M AGRILIFE EXTENSION SERVICES, VETERANS AFFAIRS, TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS, SMITHVILLE SCHOOL DISTRICT, BLUEBONNET TRAILS, BASTROP ISD, ASCENSION CATHOLIC CHURCH, AND LONE STAR CIRCLE OF CARE. IN PREPARATION OF THE CHNA FOR HAYS COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ST. DAVID'S FOUNDATION, ASCENSION SETON, AND BAYLOR SCOTT & WHITE. THROUGH THE COLLECTIVE EFFORT, TWO COMMUNITY INPUT SESSIONS AND NINE INTERVIEWS WERE CONDUCTED IN AUGUST OF 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 15 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF HAYS COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF NINE KEY INFORMANT INTERVIEWS AND TWO FOCUS GROUPS WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED 24 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE HAYS CISD, SAN MARCOS PUBLIC LIBRARY, CITY OF BUDA, TEXAS DEPARTMENT OF STATE HEALTH SERVICES HSR 7, CENTRAL TEXAS CATHOLIC CHARITIES, CENTRAL TEXAS FOOD BANK AND HAYS COUNTY FOOD BANK. IN PREPARATION OF THE CHNA FOR WILLIAMSON COUNTY, MEMBERS OF THE REPORTING ORGANIZATION'S STAFF DIRECTLY PARTICIPATED IN THE COLLABORATION WITH THE WILLIAMSON COUNTY AND CITIES HEALTH DISTRICT, THE WILCO WELLNESS ALLIANCE, ST. DAVID'S FOUNDATION, ASCENSION SETON, BAYLOR SCOTT & WHITE HEALTH, BLUEBONNET TRAILS COMMUNITY SERVICES, AND OPPORTUNITIES FOR WILLIAMSON AND BURNET COUNTIES; COLLECTIVELY REFERRED TO AS THE CHA TEAM. THE CHA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE ASSESSMENT PROCESS INCLUDED BOTH PRIMARY DATA GENERATED BY THE PARTNERS AND SECONDARY DATA FROM EXTERNAL ORGANIZATIONS. THE TEAM ALSO GATHERED QUALITATIVE DATA THROUGH FACILITATED DISCUSSIONS, KEY INFORMANT INTERVIEWS, PAPER AND ELECTRONIC SURVEYS, AND FOCUS GROUPS WITH RESIDENTS AND STAKEHOLDERS. TRAINED FACILITATORS CONDUCTED EIGHT FOCUS GROUPS WITH COMMUNITY MEMBERS FROM A VARIETY OF GROUPS INCLUDING YOUTH, NON-ENGLISH SPEAKERS, OLDER ADULTS, HEALTHCARE SYSTEMS STAFF, NON-PROFIT ORGANIZATIONS, EDUCATIONAL ENTITIES, AND LOCAL GOVERNMENTS. IN ALL, THE CHA PROCESS ENGAGED MORE THAN 2,200 INDIVIDUAL COMMUNITY MEMBERS. GROUP A-FACILITY 1 -- ST. DAVID'S MEDICAL CENTER PART V, SECTION B, LINE 6A: SEE RESPONSE TO LINE 5 ABOVE. GROUP A-FACILITY 1 -- ST. DAVID'S MEDICAL CENTER PART V, SECTION B, LINE 6B: SEE RESPONSE TO LINE 5 ABOVE. GROUP A-FACILITY 1 -- ST. DAVID'S MEDICAL CENTER PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENTS ARE MADE AVAILABLE ON THE FACILITY'S WEB PAGE, WWW.STDAVIDS.COM/LOCATIONS/ST-DAVIDS-MEDICAL-CENTER/ABOUT/ GROUP A-FACILITY 1 -- ST. DAVID'S MEDICAL CENTER PART V, SECTION B, LINE 11: THE REPORTING ORGANIZATION EMBRACED THE AFFORDABLE CARE ACT REQUIREMENTS TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS IN THE GEOGRAPHIES OF ITS MEDICAL FACILITIES AND CREATED A STRATEGIC IMPLEMENTATION PLAN FOR EACH FACILITY. THE PLANS AUGMENTED AREA-BASED, COLLABORATIVE, COMPREHENSIVE COMMUNITY HEALTH PLANNING EFFORTS IN TRAVIS AND WILLIAMSON COUNTIES BY LEADING SIMILAR ASSESSMENTS FOR BASTROP AND HAYS COUNTIES AND CONSOLIDATING AN ASSESSMENT OF COMMUNITY HEALTH NEEDS ACROSS ALL COMMUNITIES IN THE MEDICAL FACILITIES' GEOGRAPHIES. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS WAS DATA-LED, EVIDENCE-BASED AND REFLECTIVE OF KEY COMMUNITY PARTNERSHIPS. SEVERAL OVERARCHING THEMES EMERGED FROM SYNTHESIZING THE QUANTITATIVE AND QUALITATIVE DATA OF THE CHNAS CONDUCTED IN 2019. THESE NEEDS INFORMED THE PRIORITIES, GOALS, OBJECTIVES, AND STRATEGIES OF THE ST. DAVID'S MEDICAL CENTER STRATEGIC IMPLEMENTATION PLAN.NEED AREAS:1. IMPROVED HEALTH AND WELL-BEING OF CHILDREN2. IMPROVED HEALTH AND WELL-BEING OF WOMEN3. IMPROVED HEALTH AND WELL-BEING OF OLDER ADULTS4. IMPROVED HEALTH AND WELL-BEING IN RURAL COMMUNITIES5. HEALTH CLINICS TO BECOME COMMUNITY HUBS FOR HEALTHTHESE MAJOR FINDINGS FROM THE CHNAS ALIGN WELL WITH THE FIVE ESTABLISHED PRIORITY AREAS DESCRIBED IN THE DETAILED STRATEGIC IMPLEMENTATION PLAN. ALL AREAS HIGHLIGHTED BY THE CHNAS ARE BEING ADDRESSED BY THE 2020 STRATEGIC IMPLEMENTATION PLAN. THIS PLAN IS MEANT TO BE REVIEWED ANNUALLY AND ADJUSTED TO ACCOMMODATE REVISIONS THAT MERIT ATTENTION. GROUP A-FACILITY 2 -- ST. DAVID'S NORTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 5: IN PREPARATION OF THE CHNA FOR AUSTIN / TRAVIS COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ST. DAVID'S FOUNDATION, ASCENSION SETON, AUSTIN PUBLIC HEALTH, AND BAYLOR SCOTT & WHITE. THROUGH THE COLLECTIVE EFFORT, A FOCUS GROUP, INTERVIEWS AND ONLINE SURVEYS WERE CONDUCTED FROM JULY, 2018 AUGUST, 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO), MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP), PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 40 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF TRAVIS COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF FIVE INTERVIEWS, 504 UNIQUE DOOR-TO-DOOR INTERVIEWS SURVEYS AND SIX FOCUS GROUPS WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED OVER 550 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE TEXAS DEPARTMENT OF STATE HEALTH SERVICES HSR 7, CENTRAL TEXAS FOOD BANK, LAKE TRAVIS ISD, CENTRAL TEXAS CATHOLIC CHARITIES, ST. JOHN EPISCOPAL CHURCH, PLEASANT HILL BRANCH PUBLIC LIBRARY, WILLIAM CANNON APARTMENT HOMES, BOOKER T. WASHINGTON TERRACES PUBLIC HOUSING COMPLEX, NORTH AUSTIN YMCA, PFLUGERVILLE LIBRARY, AND EAST AUSTIN STAKEHOLDER FOCUS GROUP. IN PREPARATION OF THE CHNA FOR BASTROP COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ST. DAVID'S FOUNDATION, ASCENSION SETON, AND BASTROP COUNTY CARES. THROUGH THE COLLECTIVE EFFORT, KEY INFORMANT INTERVIEWS WERE CONDUCTED IN AUGUST OF 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 34 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF BASTROP COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF SIX COMMUNITY INPUT SESSIONS AND NINE KEY INFORMANT INTERVIEWS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED 39 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE SMITHVILLE HOSPITAL, COMBINED COMMUNITY ACTION, TEXAS A&M AGRILIFE EXTENSION SERVICES, VETERANS AFFAIRS, TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS, SMITHVILLE SCHOOL DISTRICT, BLUEBONNET TRAILS, BASTROP ISD, ASCENSION CATHOLIC CHURCH, AND LONE STAR CIRCLE OF CARE. IN PREPARATION OF THE CHNA FOR HAYS COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ST. DAVID'S FOUNDATION, ASCENSION SETON, AND BAYLOR SCOTT & WHITE. THROUGH THE COLLECTIVE EFFORT, TWO COMMUNITY INPUT SESSIONS AND NINE INTERVIEWS WERE CONDUCTED IN AUGUST OF 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 15 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF HAYS COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF NINE KEY INFORMANT INTERVIEWS AND TWO FOCUS GROUPS WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED 24 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE HAYS CISD, SAN MARCOS PUBLIC LIBRARY, CITY OF BUDA, TEXAS DEPARTMENT OF STATE HEALTH SERVICES HSR 7, CENTRAL TEXAS CATHOLIC CHARITIES, CENTRAL TEXAS FOOD BANK AND HAYS COUNTY FOOD BANK. IN PREPARATION OF THE CHNA FOR WILLIAMSON COUNTY, MEMBERS OF THE REPORTING ORGANIZATION'S STAFF DIRECTLY PARTICIPATED IN THE COLLABORATION WITH THE WILLIAMSON COUNTY AND CITIES HEALTH DISTRICT, THE WILCO WELLNESS ALLIANCE, ST. DAVID'S FOUNDATION, ASCENSION SETON, BAYLOR SCOTT & WHITE HEALTH, BLUEBONNET TRAILS COMMUNITY SERVICES, AND OPPORTUNITIES FOR WILLIAMSON AND BURNET COUNTIES; COLLECTIVELY REFERRED TO AS THE CHA TEAM. THE CHA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE ASSESSMENT PROCESS INCLUDED BOTH PRIMARY DATA GENERATED BY THE PARTNERS AND SECONDARY DATA FROM EXTERNAL ORGANIZATIONS. THE TEAM ALSO GATHERED QUALITATIVE DATA THROUGH FACILITATED DISCUSSIONS, KEY INFORMANT INTERVIEWS, PAPER AND ELECTRONIC SURVEYS, AND FOCUS GROUPS WITH RESIDENTS AND STAKEHOLDERS. TRAINED FACILITATORS CONDUCTED EIGHT FOCUS GROUPS WITH COMMUNITY MEMBERS FROM A VARIETY OF GROUPS INCLUDING YOUTH, NON-ENGLISH SPEAKERS, OLDER ADULTS, HEALTHCARE SYSTEMS STAFF, NON-PROFIT ORGANIZATIONS, EDUCATIONAL ENTITIES, AND LOCAL GOVERNMENTS. IN ALL, THE CHA PROCESS ENGAGED MORE THAN 2,200 INDIVIDUAL COMMUNITY MEMBERS. GROUP A-FACILITY 2 -- ST. DAVID'S NORTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 6A: SEE RESPONSE TO LINE 5 ABOVE. GROUP A-FACILITY 2 -- ST. DAVID'S NORTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 6B: SEE RESPONSE TO LINE 5 ABOVE. GROUP A-FACILITY 2 -- ST. DAVID'S NORTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENTS ARE MADE AVAILABLE ON THE FACILITY'S WEB PAGE, WWW.STDAVIDS.COM/LOCATIONS/ST-DAVIDS-NORTH-AUSTIN-MEDICAL-CENTER/ABOUT/ GROUP A-FACILITY 2 -- ST. DAVID'S NORTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 11: THE REPORTING ORGANIZATION EMBRACED THE AFFORDABLE CARE ACT REQUIREMENTS TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS IN THE GEOGRAPHIES OF ITS MEDICAL FACILITIES AND CREATED A STRATEGIC IMPLEMENTATION PLAN FOR EACH FACILITY. THE PLANS AUGMENTED AREA-BASED, COLLABORATIVE, COMPREHENSIVE COMMUNITY HEALTH PLANNING EFFORTS IN TRAVIS AND WILLIAMSON COUNTIES BY LEADING SIMILAR ASSESSMENTS FOR BASTROP AND HAYS COUNTIES AND CONSOLIDATING AN ASSESSMENT OF COMMUNITY HEALTH NEEDS ACROSS ALL COMMUNITIES IN THE MEDICAL FACILITIES' GEOGRAPHIES. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS WAS DATA-LED, EVIDENCE-BASED AND REFLECTIVE OF KEY COMMUNITY PARTNERSHIPS. SEVERAL OVERARCHING THEMES EMERGED FROM SYNTHESIZING THE QUANTITATIVE AND QUALITATIVE DATA OF THE CHNAS CONDUCTED IN 2019. THESE NEEDS INFORMED THE PRIORITIES, GOALS, OBJECTIVES, AND STRATEGIES OF THE ST. DAVID'S NORTH AUSTIN MEDICAL CENTER STRATEGIC IMPLEMENTATION PLAN.NEED AREAS:1. IMPROVED HEALTH AND WELL-BEING OF CHILDREN2. IMPROVED HEALTH AND WELL-BEING OF WOMEN3. IMPROVED HEALTH AND WELL-BEING OF OLDER ADULTS4. IMPROVED HEALTH AND WELL-BEING IN RURAL COMMUNITIES5. HEALTH CLINICS TO BECOME COMMUNITY HUBS FOR HEALTHTHESE MAJOR FINDINGS FROM THE CHNAS ALIGN WELL WITH THE FIVE ESTABLISHED PRIORITY AREAS DESCRIBED IN THE DETAILED STRATEGIC IMPLEMENTATION PLAN. ALL AREAS HIGHLIGHTED BY THE CHNAS ARE BEING ADDRESSED BY THE 2020 STRATEGIC IMPLEMENTATION PLAN. THIS PLAN IS MEANT TO BE REVIEWED ANNUALLY AND ADJUSTED TO ACCOMMODATE REVISIONS THAT MERIT ATTENTION. GROUP A-FACILITY 3 -- ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 5: IN PREPARATION OF THE CHNA FOR AUSTIN / TRAVIS COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ST. DAVID'S FOUNDATION, ASCENSION SETON, AUSTIN PUBLIC HEALTH, AND BAYLOR SCOTT & WHITE. THROUGH THE COLLECTIVE EFFORT, A FOCUS GROUP, INTERVIEWS AND ONLINE SURVEYS WERE CONDUCTED FROM JULY, 2018 AUGUST, 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO), MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP), PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 40 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF TRAVIS COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF FIVE INTERVIEWS, 504 UNIQUE DOOR-TO-DOOR INTERVIEWS SURVEYS AND SIX FOCUS GROUPS WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED OVER 550 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE TEXAS DEPARTMENT OF STATE HEALTH SERVICES HSR 7, CENTRAL TEXAS FOOD BANK, LAKE TRAVIS ISD, CENTRAL TEXAS CATHOLIC CHARITIES, ST. JOHN EPISCOPAL CHURCH, PLEASANT HILL BRANCH PUBLIC LIBRARY, WILLIAM CANNON APARTMENT HOMES, BOOKER T. WASHINGTON TERRACES PUBLIC HOUSING COMPLEX, NORTH AUSTIN YMCA, PFLUGERVILLE LIBRARY, AND EAST AUSTIN STAKEHOLDER FOCUS GROUP. IN PREPARATION OF THE CHNA FOR BASTROP COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ST. DAVID'S FOUNDATION, ASCENSION SETON, AND BASTROP COUNTY CARES. THROUGH THE COLLECTIVE EFFORT, KEY INFORMANT INTERVIEWS WERE CONDUCTED IN AUGUST OF 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 34 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF BASTROP COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF SIX COMMUNITY INPUT SESSIONS AND NINE KEY INFORMANT INTERVIEWS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED 39 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE SMITHVILLE HOSPITAL, COMBINED COMMUNITY ACTION, TEXAS A&M AGRILIFE EXTENSION SERVICES, VETERANS AFFAIRS, TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS, SMITHVILLE SCHOOL DISTRICT, BLUEBONNET TRAILS, BASTROP ISD, ASCENSION CATHOLIC CHURCH, AND LONE STAR CIRCLE OF CARE. IN PREPARATION OF THE CHNA FOR HAYS COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ST. DAVID'S FOUNDATION, ASCENSION SETON, AND BAYLOR SCOTT & WHITE. THROUGH THE COLLECTIVE EFFORT, TWO COMMUNITY INPUT SESSIONS AND NINE INTERVIEWS WERE CONDUCTED IN AUGUST OF 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 15 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF HAYS COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF NINE KEY INFORMANT INTERVIEWS AND TWO FOCUS GROUPS WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED 24 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE HAYS CISD, SAN MARCOS PUBLIC LIBRARY, CITY OF BUDA, TEXAS DEPARTMENT OF STATE HEALTH SERVICES HSR 7, CENTRAL TEXAS CATHOLIC CHARITIES, CENTRAL TEXAS FOOD BANK AND HAYS COUNTY FOOD BANK. IN PREPARATION OF THE CHNA FOR WILLIAMSON COUNTY, MEMBERS OF THE REPORTING ORGANIZATION'S STAFF DIRECTLY PARTICIPATED IN THE COLLABORATION WITH THE WILLIAMSON COUNTY AND CITIES HEALTH DISTRICT, THE WILCO WELLNESS ALLIANCE, ST. DAVID'S FOUNDATION, ASCENSION SETON, BAYLOR SCOTT & WHITE HEALTH, BLUEBONNET TRAILS COMMUNITY SERVICES, AND OPPORTUNITIES FOR WILLIAMSON AND BURNET COUNTIES; COLLECTIVELY REFERRED TO AS THE CHA TEAM. THE CHA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE ASSESSMENT PROCESS INCLUDED BOTH PRIMARY DATA GENERATED BY THE PARTNERS AND SECONDARY DATA FROM EXTERNAL ORGANIZATIONS. THE TEAM ALSO GATHERED QUALITATIVE DATA THROUGH FACILITATED DISCUSSIONS, KEY INFORMANT INTERVIEWS, PAPER AND ELECTRONIC SURVEYS, AND FOCUS GROUPS WITH RESIDENTS AND STAKEHOLDERS. TRAINED FACILITATORS CONDUCTED EIGHT FOCUS GROUPS WITH COMMUNITY MEMBERS FROM A VARIETY OF GROUPS INCLUDING YOUTH, NON-ENGLISH SPEAKERS, OLDER ADULTS, HEALTHCARE SYSTEMS STAFF, NON-PROFIT ORGANIZATIONS, EDUCATIONAL ENTITIES, AND LOCAL GOVERNMENTS. IN ALL, THE CHA PROCESS ENGAGED MORE THAN 2,200 INDIVIDUAL COMMUNITY MEMBERS. GROUP A-FACILITY 3 -- ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 6A: SEE RESPONSE TO LINE 5 ABOVE. GROUP A-FACILITY 3 -- ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 6B: SEE RESPONSE TO LINE 5 ABOVE. GROUP A-FACILITY 3 -- ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENTS ARE MADE AVAILABLE ON THE FACILITY'S WEB PAGE, WWW.STDAVIDS.COM/LOCATIONS/ST-DAVIDS-SOUTH-AUSTIN-MEDICAL-CENTER/ABOUT/ GROUP A-FACILITY 3 -- ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 11: THE REPORTING ORGANIZATION EMBRACED THE AFFORDABLE CARE ACT REQUIREMENTS TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS IN THE GEOGRAPHIES OF ITS MEDICAL FACILITIES AND CREATED A STRATEGIC IMPLEMENTATION PLAN FOR EACH FACILITY. THE PLANS AUGMENTED AREA-BASED, COLLABORATIVE, COMPREHENSIVE COMMUNITY HEALTH PLANNING EFFORTS IN TRAVIS AND WILLIAMSON COUNTIES BY LEADING SIMILAR ASSESSMENTS FOR BASTROP AND HAYS COUNTIES AND CONSOLIDATING AN ASSESSMENT OF COMMUNITY HEALTH NEEDS ACROSS ALL COMMUNITIES IN THE MEDICAL FACILITIES' GEOGRAPHIES. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS WAS DATA-LED, EVIDENCE-BASED AND REFLECTIVE OF KEY COMMUNITY PARTNERSHIPS. SEVERAL OVERARCHING THEMES EMERGED FROM SYNTHESIZING THE QUANTITATIVE AND QUALITATIVE DATA OF THE CHNAS CONDUCTED IN 2019. THESE NEEDS INFORMED THE PRIORITIES, GOALS, OBJECTIVES, AND STRATEGIES OF THE ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER STRATEGIC IMPLEMENTATION PLAN.NEED AREAS:1. IMPROVED HEALTH AND WELL-BEING OF CHILDREN2. IMPROVED HEALTH AND WELL-BEING OF WOMEN3. IMPROVED HEALTH AND WELL-BEING OF OLDER ADULTS4. IMPROVED HEALTH AND WELL-BEING IN RURAL COMMUNITIES5. HEALTH CLINICS TO BECOME COMMUNITY HUBS FOR HEALTHTHESE MAJOR FINDINGS FROM THE CHNAS ALIGN WELL WITH THE FIVE ESTABLISHED PRIORITY AREAS DESCRIBED IN THE DETAILED STRATEGIC IMPLEMENTATION PLAN. ALL AREAS HIGHLIGHTED BY THE CHNAS ARE BEING ADDRESSED BY THE 2020 STRATEGIC IMPLEMENTATION PLAN. THIS PLAN IS MEANT TO BE REVIEWED ANNUALLY AND ADJUSTED TO ACCOMMODATE REVISIONS THAT MERIT ATTENTION. GROUP A-FACILITY 4 -- ST. DAVID'S ROUND ROCK MEDICAL CENTER PART V, SECTION B, LINE 5: IN PREPARATION OF THE CHNA FOR AUSTIN / TRAVIS COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ST. DAVID'S FOUNDATION, ASCENSION SETON, AUSTIN PUBLIC HEALTH, AND BAYLOR SCOTT & WHITE. THROUGH THE COLLECTIVE EFFORT, A FOCUS GROUP, INTERVIEWS AND ONLINE SURVEYS WERE CONDUCTED FROM JULY, 2018 AUGUST, 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO), MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP), PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 40 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF TRAVIS COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF FIVE INTERVIEWS, 504 UNIQUE DOOR-TO-DOOR INTERVIEWS SURVEYS AND SIX FOCUS GROUPS WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED OVER 550 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE TEXAS DEPARTMENT OF STATE HEALTH SERVICES HSR 7, CENTRAL TEXAS FOOD BANK, LAKE TRAVIS ISD, CENTRAL TEXAS CATHOLIC CHARITIES, ST. JOHN EPISCOPAL CHURCH, PLEASANT HILL BRANCH PUBLIC LIBRARY, WILLIAM CANNON APARTMENT HOMES, BOOKER T. WASHINGTON TERRACES PUBLIC HOUSING COMPLEX, NORTH AUSTIN YMCA, PFLUGERVILLE LIBRARY, AND EAST AUSTIN STAKEHOLDER FOCUS GROUP. IN PREPARATION OF THE CHNA FOR BASTROP COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ST. DAVID'S FOUNDATION, ASCENSION SETON, AND BASTROP COUNTY CARES. THROUGH THE COLLECTIVE EFFORT, KEY INFORMANT INTERVIEWS WERE CONDUCTED IN AUGUST OF 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 34 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF BASTROP COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF SIX COMMUNITY INPUT SESSIONS AND NINE KEY INFORMANT INTERVIEWS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED 39 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE SMITHVILLE HOSPITAL, COMBINED COMMUNITY ACTION, TEXAS A&M AGRILIFE EXTENSION SERVICES, VETERANS AFFAIRS, TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS, SMITHVILLE SCHOOL DISTRICT, BLUEBONNET TRAILS, BASTROP ISD, ASCENSION CATHOLIC CHURCH, AND LONE STAR CIRCLE OF CARE. IN PREPARATION OF THE CHNA FOR HAYS COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ST. DAVID'S FOUNDATION, ASCENSION SETON, AND BAYLOR SCOTT & WHITE. THROUGH THE COLLECTIVE EFFORT, TWO COMMUNITY INPUT SESSIONS AND NINE INTERVIEWS WERE CONDUCTED IN AUGUST OF 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 15 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF HAYS COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF NINE KEY INFORMANT INTERVIEWS AND TWO FOCUS GROUPS WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED 24 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE HAYS CISD, SAN MARCOS PUBLIC LIBRARY, CITY OF BUDA, TEXAS DEPARTMENT OF STATE HEALTH SERVICES HSR 7, CENTRAL TEXAS CATHOLIC CHARITIES, CENTRAL TEXAS FOOD BANK AND HAYS COUNTY FOOD BANK. IN PREPARATION OF THE CHNA FOR WILLIAMSON COUNTY, MEMBERS OF THE REPORTING ORGANIZATION'S STAFF DIRECTLY PARTICIPATED IN THE COLLABORATION WITH THE WILLIAMSON COUNTY AND CITIES HEALTH DISTRICT, THE WILCO WELLNESS ALLIANCE, ST. DAVID'S FOUNDATION, ASCENSION SETON, BAYLOR SCOTT & WHITE HEALTH, BLUEBONNET TRAILS COMMUNITY SERVICES, AND OPPORTUNITIES FOR WILLIAMSON AND BURNET COUNTIES; COLLECTIVELY REFERRED TO AS THE CHA TEAM. THE CHA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE ASSESSMENT PROCESS INCLUDED BOTH PRIMARY DATA GENERATED BY THE PARTNERS AND SECONDARY DATA FROM EXTERNAL ORGANIZATIONS. THE TEAM ALSO GATHERED QUALITATIVE DATA THROUGH FACILITATED DISCUSSIONS, KEY INFORMANT INTERVIEWS, PAPER AND ELECTRONIC SURVEYS, AND FOCUS GROUPS WITH RESIDENTS AND STAKEHOLDERS. TRAINED FACILITATORS CONDUCTED EIGHT FOCUS GROUPS WITH COMMUNITY MEMBERS FROM A VARIETY OF GROUPS INCLUDING YOUTH, NON-ENGLISH SPEAKERS, OLDER ADULTS, HEALTHCARE SYSTEMS STAFF, NON-PROFIT ORGANIZATIONS, EDUCATIONAL ENTITIES, AND LOCAL GOVERNMENTS. IN ALL, THE CHA PROCESS ENGAGED MORE THAN 2,200 INDIVIDUAL COMMUNITY MEMBERS. GROUP A-FACILITY 4 -- ST. DAVID'S ROUND ROCK MEDICAL CENTER PART V, SECTION B, LINE 6A: SEE RESPONSE TO LINE 5 ABOVE. GROUP A-FACILITY 4 -- ST. DAVID'S ROUND ROCK MEDICAL CENTER PART V, SECTION B, LINE 6B: SEE RESPONSE TO LINE 5 ABOVE. GROUP A-FACILITY 4 -- ST. DAVID'S ROUND ROCK MEDICAL CENTER PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENTS ARE MADE AVAILABLE ON THE FACILITY'S WEB PAGE, WWW.STDAVIDS.COM/LOCATIONS/ST-DAVIDS-ROUND-ROCK-MEDICAL-CENTER/ABOUT/ GROUP A-FACILITY 4 -- ST. DAVID'S ROUND ROCK MEDICAL CENTER PART V, SECTION B, LINE 11: THE REPORTING ORGANIZATION EMBRACED THE AFFORDABLE CARE ACT REQUIREMENTS TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS IN THE GEOGRAPHIES OF ITS MEDICAL FACILITIES AND CREATED A STRATEGIC IMPLEMENTATION PLAN FOR EACH FACILITY. THE PLANS AUGMENTED AREA-BASED, COLLABORATIVE, COMPREHENSIVE COMMUNITY HEALTH PLANNING EFFORTS IN TRAVIS AND WILLIAMSON COUNTIES BY LEADING SIMILAR ASSESSMENTS FOR BASTROP AND HAYS COUNTIES AND CONSOLIDATING AN ASSESSMENT OF COMMUNITY HEALTH NEEDS ACROSS ALL COMMUNITIES IN THE MEDICAL FACILITIES' GEOGRAPHIES. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS WAS DATA-LED, EVIDENCE-BASED AND REFLECTIVE OF KEY COMMUNITY PARTNERSHIPS. SEVERAL OVERARCHING THEMES EMERGED FROM SYNTHESIZING THE QUANTITATIVE AND QUALITATIVE DATA OF THE CHNAS CONDUCTED IN 2019. THESE NEEDS INFORMED THE PRIORITIES, GOALS, OBJECTIVES, AND STRATEGIES OF THE ST. DAVID'S ROUND ROCK MEDICAL CENTER STRATEGIC IMPLEMENTATION PLAN.NEED AREAS:1. IMPROVED HEALTH AND WELL-BEING OF CHILDREN2. IMPROVED HEALTH AND WELL-BEING OF WOMEN3. IMPROVED HEALTH AND WELL-BEING OF OLDER ADULTS4. IMPROVED HEALTH AND WELL-BEING IN RURAL COMMUNITIES5. HEALTH CLINICS TO BECOME COMMUNITY HUBS FOR HEALTHTHESE MAJOR FINDINGS FROM THE CHNAS ALIGN WELL WITH THE FIVE ESTABLISHED PRIORITY AREAS DESCRIBED IN THE DETAILED STRATEGIC IMPLEMENTATION PLAN. ALL AREAS HIGHLIGHTED BY THE CHNAS ARE BEING ADDRESSED BY THE 2020 STRATEGIC IMPLEMENTATION PLAN. THIS PLAN IS MEANT TO BE REVIEWED ANNUALLY AND ADJUSTED TO ACCOMMODATE REVISIONS THAT MERIT ATTENTION. 2 1 - BAILEY SQUARE SURGERY CENTER 1111 W 34TH ST 400 AUSTIN TX 78705 AMBULATORY SURGERY CENTER 2 - SOUTH AUSTIN SURGERY CENTER 4207 JAMES CASEY ST 203 AUSTIN TX 78745 AMBULATORY SURGERY CENTER PART I, LINE 3C: IN COMPLIANCE WITH IRC SECTION 501(R), THE HOSPITALS PROVIDE 100% FINANCIAL ASSISTANCE (CHARITY CARE) FOR ELIGIBLE PATIENTS WITH INCOME EQUAL TO OR LESS THAN 200% OF THE FEDERAL POVERTY GUIDELINES (FPG). FOR ELIGIBLE PATIENTS WITH INCOME OVER 200% FPG AND EQUAL TO 500% OR LESS THAN FPG, DISCOUNTS ARE PROVIDED ON A SLIDING SCALE. ELIGIBILITY IS DETERMINED USING VARIOUS SOURCES OF DOCUMENTATION AND INCOME VERIFICATION. THROUGHOUT 2019, THE ACCOUNTS FOR INDIVIDUALS WITHOUT ANY HEALTH INSURANCE WHO LIVE IN LOW INCOME ZIP CODES AND WHO FAILED TO RESPOND TO COLLECTION EFFORTS WERE REMOVED FROM ACCOUNTS RECEIVABLE AND TREATED AS CHARITY CARE.PART I, LINES 6A AND 6B:ST. DAVID'S HEALTHCARE PARTNERSHIP, LP, LLP FILES ANNUAL STATEMENTS OF COMMUNITY BENEFITS AS REQUIRED BY THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES. PART I, LINE 7: THE HOSPITALS UTILIZE THE COST TO CHARGE RATIO FROM THE AUDITED FINANCIAL STATEMENTS.PART I, LINE 7 COLUMN (F): BAD DEBTS ARE EXCLUDED FROM THE CALCULATION OF TOTAL EXPENSES.PART I, LINE 7B, COLUMN (F): IN ACCORDANCE WITH FORM 990 INSTRUCTIONS, THE PERCENT OF TOTAL EXPENSE FOR LINE 7B, UNREIMBURSED MEDICAID, IS REPORTED AS ZERO. THE ACTUAL AMOUNT OF LINE 7B, COLUMN (E) IS -$632,784 AND THE ACTUAL AMOUNT OF LINE 7B, COLUMN (F) IS -3.25%. LINES 7D AND 7K, COLUMN (F), WOULD BE 2.60% AND 16.62%, RESPECTIVELY.PART II, COMMUNITY BUILDING ACTIVITIES:ALL OF THE HOSPITALS ARE ACTIVE IN THE COMMUNITY PROMOTING THE HEALTH OF CENTRAL TEXANS. THE ORGANIZATION ALSO PROVIDES GRANTS TO LOCAL AGENCIES AND LOCAL SAFETY NET CLINICS. THE ORGANIZATION PROVIDES A BUILDING WITH OFFICE SPACE TO MISSION ALIGNED LOCAL CHARITIES AT A SUBSTANTIALLY DISCOUNTED RATE. THE GOAL IS TO PROMOTE COLLABORATION AMONG THE TENANT AGENCIES IN PROVIDING SERVICES TO THE LOCAL COMMUNITY.PART III, LINE 1:THE HOSPITALS OF THE ST. DAVID'S HEALTHCARE PARTNERSHIP DETERMINE BAD DEBT AND CHARITY CARE IN ACCORDANCE WITH GAAP AND WITH IRC SECTION 501(R). WHETHER BAD DEBT IS DETERMINED IN ACCORDANCE WITH STATEMENT 15 REQUIREMENTS IS A MORE DIFFICULT ISSUE. STATEMENT 15 REQUIRES HOSPITALS TO RECOGNIZE REVENUE ONLY WHEN COLLECTIONS ARE REASONABLY ASSURED AND FOR AN AMOUNT THAT IS DETERMINABLE. MOST HOSPITALS, INCLUDING THOSE CONTROLLED BY THE FOUNDATION, USE MATHEMATICAL MODELS BASED ON PRIOR HISTORY TO DETERMINE THE PERCENTAGE OF PATIENT BILLINGS THAT IS LIKELY TO RESULT IN BAD DEBT.FOR THIS REASON, AND OUT OF AN ABUNDANCE OF CAUTION, THE ORGANIZATION HAS ANSWERED "NO" TO WHETHER STATEMENT 15 IS FOLLOWED. DESPITE THE BEST EFFORTS OF HMFA TO ASSIST HOSPITALS IN DETERMINING THE DIFFERENCE BETWEEN PATIENTS WHO HAVE THE CAPACITY TO PAY FOR THEIR CARE BUT WON'T PAY AND PATIENTS WHO LACK THE CAPACITY TO PAY, THE DETERMINATION ALWAYS INVOLVES JUDGMENT. HOWEVER, THE HOSPITALS OF THE ST. DAVID'S HEALTHCARE PARTNERSHIP DETERMINE CHARITY CARE ON THE CORE PRINCIPLES SET FORTH IN STATEMENT 15, INCLUDING SPECIFIC CRITERIA FOR CHARITY CARE, A SPECIFIC TIME OF DETERMINATION, RECORD KEEPING, DISCLOSURE OF THE CHARITY CARE POLICY AND VALUATION OF CHARITY CARE AT COST. PART III, LINE 4: THE ORGANIZATION'S PROPORTIONATE SHARE OF BAD DEBT EXPENSE FROM ITS OWNERSHIP INTEREST IN ST. DAVID'S HEALTHCARE PARTNERSHIP, LP, LLP (THE "PARTNERSHIP") IS REPORTED ON SCHEDULE H, PART III, LINE 2. FOLLOWING IS THE FOOTNOTE TO THE PARTNERSHIP'S AUDITED FINANCIAL STATEMENTS WHICH DESCRIBES BAD DEBT EXPENSE:"THE SDHP [THE PARTNERSHIP] RECORDS A PROVISION FOR DOUBTFUL ACCOUNTS (BASED PRIMARILY ON HISTORICAL COLLECTION EXPERIENCE) RELATED TO UNINSURED ACCOUNTS AT THE ESTIMATED NET SELF-PAY REVENUES THE PARTNERSHIP EXPECTS TO COLLECT. ADVERSE CHANGES IN GENERAL ECONOMIC CONDITIONS, BUSINESS OFFICE OPERATIONS, PAYOR MIX, OR TRENDS IN FEDERAL OR STATE GOVERNMENTAL HEALTH COVERAGE COULD AFFECT THE PARTNERSHIP'S COLLECTION OF ACCOUNTS RECEIVABLE, CASH FLOWS, AND RESULTS OF OPERATIONS." PART III, LINE 8: THE AMOUNTS REPORTED ON PART III, LINES 5-7 HAVE BEEN DETERMINED BY AGGREGATING THE INFORMATION FROM THE INDIVIDUAL FACILITY COST REPORT(S) FOR EACH OF THE HOSPITALS OPERATED BY SDHP [ST. DAVID'S HEALTHCARE PARTNERSHIP, LP, LLP]. THE HOSPITALS OPERATED BY SDHP MAY HAVE COST REPORT YEAR ENDS OTHER THAN DECEMBER 31, 2020. ACCORDINGLY, FOR A FACILITY WITH A NON-CALENDAR COST REPORT YEAR END, THE COST REPORT THAT WAS FILED FOR THE COST REPORT YEAR END THAT ENDED DURING 2020 WAS UTILIZED. IT IS IMPORTANT TO NOTE THAT AMOUNTS INCLUDED IN LINES 5-7 DO NOT INCLUDE MEDICARE REVENUE AND RELATED COST FOR FREESTANDING AMBULATORY SURGERY SERVICES AND FOR PHYSICIAN SERVICES. PART III, LINE 9B: THE HOSPITAL FACILITIES DO NOT TAKE ANY ACTIONS LISTED IN SCHEDULE H, PART V, SECTION B, LINES 18 AND 19. THE FACILITIES WRITE OFF ALL CHARITY CARE AND IN COMPLIANCE WITH IRC SECTION 501(R), DO NOT PURSUE COLLECTION ON PATIENTS WHO QUALIFY FOR CHARITY CARE. PART VI, LINE 2: THE PARTNERSHIP STRATEGIC PLANNING PROCESS CONTINUALLY ASSESSES AND ADDRESSES THE NEEDS OF THE COMMUNITY. THE ISSUES HIGHLIGHTED IN THE WILLIAMSON COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT INSPIRED THE ORGANIZATION TO FOCUS GREATER ATTENTION ON LOW-INCOME RESIDENTS IN GEORGETOWN, TX IN AN EFFORT TO BETTER UNDERSTAND THE BARRIERS TO ACCESSING HEALTH AND HUMAN SERVICES, THE EXPERIENCE OF RESIDENTS WHEN ACCESSING SUCH SERVICES, AND THE IMPACT THESE SERVICES HAD ON RESIDENTS' QUALITY OF LIFE. THE ORGANIZATION SELECTED THE INSTITUTE FOR URBAN POLICY RESEARCH AND ANALYSIS (IUPRA) AT THE UNIVERSITY OF TEXAS AT AUSTIN FROM AN RFP PROCESS IN 2015 AND 2019 TO CONDUCT A COMMUNITY NEEDS ASSESSMENT (2015) AND COMPLIMENTARY UPDATE (2019) SPECIFICALLY IN THE SOUTHEAST QUADRANT OF THE COMMUNITY WHERE THE HIGHEST PERCENTAGE OF LOW-INCOME RESIDENTS RESIDED.BETWEEN MARCH AND NOVEMBER 2019, IUPRA IMPLEMENTED A MIXED METHODS, COMMUNITY-BASED PARTICIPATORY STUDY GROUNDED IN THE SOCIAL DETERMINANTS OF HEALTH THAT COMBINED QUALITATIVE DATA (COLLECTED THROUGH INTERVIEWS, FOCUS GROUPS, AND A COMMUNITY ADVISORY BOARD) WITH QUANTITATIVE DATA (DEVELOPED THROUGH ANALYSES OF THE WILLIAMSON COUNTY AND CITIES HEALTH DISTRICT 2019 COMMUNITY NEEDS HEALTH ASSESSMENT AND RESEARCH COMMISSIONED TO UPDATE THE CITY OF GEORGETOWN'S 2030 COMPREHENSIVE PLAN). THE 2019 REPORT REINFORCED THE INITIAL FINDINGS CITED IN 2015 AND WERE PRESENTED IN GRAPHIC, NARRATIVE, AND PHOTOVOICE FORMATS. THE UPDATED REPORT HIGHLIGHTED THE FOLLOWING AREAS OF NEED:1. PUBLIC TRANSPORTATION2. AFFORDABLE HOUSING3. REDUCTION OF FOOD INSECURITY AND GREATER ACCESS TO HEALTHY FOOD4. IMPROVED JOB OPPORTUNITIES, INCREASED WAGES, AND ACCESS TO JOB TRAINING AND POST-SECONDARY EDUCATION5. ACCESS TO AFFORDABLE DAYCARE AND OUT-OF-SCHOOL PROGRAMS FOR CHILDREN AND YOUTH6. INCREASED ACCESS TO MENTAL/BEHAVIORAL HEALTH SUPPORTS7. IMPROVING EQUITY, E.G., LOCAL LEADERS LACK OF UNDERSTANDING OF RESIDENTS EXPERIENCE AND CONCERNS; TREATMENT AT LOCAL HEALTHCARE AND SOCIAL SERVICE AGENCIES THE ORGANIZATION CONTINUES TO USE THE STUDY AND ITS FINDINGS TO INFORM ITS STRATEGIC EFFORTS AT IMPACTFULLY BOLSTERING THE HEALTH OF THE GEORGETOWN COMMUNITY. IT ALSO EMPLOYS THE CHNA FOR KNOWLEDGE OF CENTRAL TEXAS AND COUNTY-WIDE HEALTH CARE AND SOCIALLY-DETERMINED HEALTH NEEDS. PART VI, LINE 3: EACH HOSPITAL POSTS A SUMMARY OF ITS CHARITY CARE POLICY IN ADMISSION AREAS, EMERGENCY ROOMS, AND OTHER AREAS WHERE ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. THE HOSPITALS' CONDITION OF ADMISSION CONSENT INFORMS THE PATIENTS THAT THEY MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE OR CHARITY CARE AND THEY MAY REQUEST INFORMATION ABOUT THESE PROGRAMS. A SUMMARY OF THE FINANCIAL ASSISTANCE PROGRAM IS PROVIDED TO THE PATIENT DURING THE INTAKE AND DISCHARGE PROCESSES. PATIENTS ARE INFORMED OF AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID, AND RECEIVE ASSISTANCE WITH THE QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. PART VI, LINE 4: THE HOSPITALS ARE LOCATED IN TRAVIS AND WILLIAMSON COUNTIES. THE PATIENTS ARE PREDOMINATELY FROM TRAVIS, WILLIAMSON AND HAYS COUNTIES. THE ORGANIZATION'S GRANT PROGRAM RECIPIENTS CLOSELY ALIGN WITH PATIENT DEMOGRAPHICS SERVED AT THE HOSPITALS. PART VI, LINE 5: THE HOSPITALS OPERATE AS EXEMPT HOSPITALS; THEY HAVE OPEN EMERGENCY ROOMS AND MEDICAL STAFF. THE REPORTING ORGANIZATION INVESTS ITS SHARE OF EARNINGS FROM THE HOSPITALS INTO PROGRAMS IN CENTRAL TEXAS THAT INCREASE ACCESS TO HEALTHCARE. PART VI, LINE 6: THE REPORTING ORGANIZATION IS A PARTNER IN THE ST. DAVID'S HEALTHCARE PARTNERSHIP, A HOSPITAL SYSTEM THAT MEETS THE COMMUNITY BENEFIT STANDARD AND THE REQUIREMENTS OF THE AFFORDABLE CARE ACT IN DELIVERING HOSPITAL CARE TO CENTRAL TEXAS. IN ADDITION, THE REPORTING ORGANIZATION HAS ASSESSED THE UNMET HEALTHCARE NEEDS OF GEORGETOWN, TEXAS AND THE SURROUNDING COMMUNITIES AND USES ITS FUNDS TO AWARD GRANTS TO SAFETY NET PROVIDERS AS WELL AS COLLABORATE WITH SEVERAL TAX EXEMPT ORGANIZATIONS TO INCREASE ACCESS TO CARE FOR THE INDIGENT. PART VI, LINE 7, REPORTS FILED WITH STATES TX 1 LONE STAR CIRCLE OF CARE 205 E UNIVERSITY GEORGETOWN TX 78626 743001674 501(C)(3) 524000 PROVIDE FUNDING FOR INDIGENT CARE AND INCREASING HEALTHCARE ACCESS THE CARING PLACE PO BOX 1215 GEORGETOWN TX 78627 742386902 501(C)(3) 200000 SUPPORT MEDICAL PROGRAM FOR CLIENTS AT OR BELOW POVERTY LEVEL SOUTHEAST GEORGETOWN COMMUNITY COUNCIL 805 W UNIVERSITY AVE GEORGETOWN TX 78626 820860142 501(C)(3) 139910 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION GOODWILL INDUSTRIES OF CENTRAL TEXAS 1015 NORWOOD PARK BLVD AUSTIN TX 78753 741322808 501(C)(3) 127768 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION THE GEORGETOWN PROJECT PO BOX 957 GEORGETOWN TX 78627 742807713 501(C)(3) 121620 PROVIDES CONVENING AND LEADERSHIP SUPPORT TO ALL GEORGETOWN YOUTH ORGANIZATIONS HABITAT FOR HUMANITY OF WILLIAMSON COUNTY 2108 N AUSTIN AVENUE GEORGETOWN TX 78626 742907371 501(C)(3) 117000 SUPPORT VOLUNTEER AND EDUCATIONAL PROGRAMS BOYS & GIRLS CLUB OF GEORGETOWN 210 W 18TH STREET BLDG B GEORGETOWN TX 78626 262916822 501(C)(3) 103050 SUPPORT AFTER SCHOOL AND SUMMER PROGRAMS WILLIAMSON COUNTY CRISIS CENTER DBA HOPE ALLIANCE 1011 GATTIS SCHOOL RD STE 106 ROUND ROCK TX 78664 742277114 501(C)(3) 100000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION TO ASSIST THOSE AFFECTED BY FAMILY AND SEXUAL VIOLENCE GEORGETOWN INDEPENDENT SCHOOL DISTRICT (GISD) 507 E UNIVERSITY AVENUE GEORGETOWN TX 78626 746000975 170 80000 PROVIDE MENTAL HEALTH AND BEHAVIORAL COUNSELING SERVICES OPPORTUNITIES FOR WILLIAMSON & BURNET COUNTIES 604 HIGH TECH DRIVE GEORGETOWN TX 78626 746075213 501(C)(3) 65318 SUPPORT FOR HEAD START AND MEALS ON WHEELS GEORGETOWN BACKPACK BUDIES PO BOX 2104 GEORGETOWN TX 78627 471439664 501(C)(3) 59000 PROVIDE FOOD SECURITY FOR CHILDREN IN SCHOOL SYSTEM RIDE ON CENTER FOR KIDS (ROCK) PO BOX 2422 GEORGETOWN TX 78627 742917659 501(C)(3) 50000 ASSIST CLIENTS WITH MENTAL AND PHYSICAL DISABILITIES THROUGH EQUINE-ASSISTED THERAPIES STARRY INC 1300 N MAYS STREET ROUND ROCK TX 78664 043589689 501(C)(3) 50000 PROVIDE EMERGENCY SHELTER AND CRISIS COUNSELING TO GEORGETOWN CHILDREN, YOUTH, AND FAMILIES FAITH IN ACTION - GEORGETOWN 2995 DAWN DR STE 106 GEORGETOWN TX 78628 203414707 501(C)(3) 50000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION HELPING SENIORS MAINTAIN INDEPENDENCE WILLIAMSON COUNTY AND CITIES HEALTH DISTRICT (WCCHD) 100 W 3RD STREET GEORGETOWN TX 78626 742896906 501(C)(3) 50000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION SALVATION ARMY - AUSTIN AREA COMMAND 10711 BURNET ROAD SUITE 231 AUSTIN TX 78758 580660607 501(C)(3) 50000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION SAMARITAN CENTER COUNSELING AND PASTORAL 8956 RESEARCH BLVD BLDG 2 AUSTIN TX 78758 741832864 501(C)(3) 50000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION FOR MENTAL AND PHYSICAL HEALTH LITERACY COUNCIL OF WILLIAMSON COUNTY 805 W UNIVERSITY AVE GEORGETOWN TX 78626 742392855 501(C)(3) 49420 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION ANY BABY CAN OF AUSTIN INC 6207 SHERIDAN AVENUE AUSTIN TX 78723 742684335 501(C)(3) 45000 610 FMV LEASE ASSISTANCE PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION WILLIAMSON COUNTY CHILDREN'S ADVOCACY CENTER (WCCAC) 1811 SE INNER LOOP GEORGETOWN TX 78626 742834639 501(C)(3) 43000 SUPPORT PROGRAM SERVING VICTIMS OF CHILD ABUSE TEXAS BAPTIST CHILDREN'S HOME INC 1101 NORTH MAYS ROUND ROCK TX 78664 743021647 501(C)(3) 36000 PROVIDE ASSISTANCE FOR SUMMER CAMPS FOR CHILDREN FII-NATIONAL 663 13TH STREET SUITE 200 OAKLAND CA 94612 020784790 501(C)(3) 35000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION ST DAVID'S COMMUNITY HEALTH FOUNDATION LEADERSHIP 1303 SAN ANTONIO STREET STE 500 AUSTIN TX 78701 742898888 501(C)(3) 35000 SCHOLARSHIPS FOR PEOPLE PURSUING HEALTH RELATED SERVICE DEGREES YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER WILLIAMSON COUNTY PO BOX 819 ROUND ROCK TX 78680 742206558 501(C)(3) 35000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION AUSTIN GROUPS FOR THE ELDERLY 3710 CEDAR AUSTIN TX 78705 742431028 501(C)(3) 30000 PROVIDE SERVICES FOR OLDER ADULTS AND FAMILY CAREGIVERS THE CHRISTI CENTER INC 2306 HANCOCK DR AUSTIN TX 78756 742463672 501(C)(3) 28580 PROVIDE GRIEF / BEREAVEMENT SERVICES TO GEORGETOWN COMMUNITY BROOKWOOD IN GEORGETOWN VOCATIONAL INC 905 N CHURCH ST GEORGETOWN TX 78626 472152393 501(C)(3) 25000 SUPPORT PROGRAMS FOR ADULTS WITH DISABILITIES CATHOLIC CHARITIES OF CENTRAL TEXAS 1625 RUTHERFORD LANE AUSTIN TX 78754 742928450 501(C)(3) 25000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION MEALS ON WHEELS AND MORE INC 3227 E 5TH STREET AUSTIN TX 78702 237202594 501(C)(3) 25000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION FOSTERING HOPE AUSTIN 13300 POND SPRINGS ROAD AUSTIN TX 78729 474870101 501(C)(3) 15000 SUPPORT PROGRAMS FOR FOSTER AND ADOPTIVE FAMILIES GEORGETOWN CULTURAL CITIZEN MEMORIAL ASSOCIATION PO BOX 2021 GEORGETOWN TX 78627 742939869 501(C)(3) 10000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION WILLIAMSON COUNTY 710 SOUTH MAIN ST SUITE 301 GEORGETOWN TX 78626 746000978 170 10000 PROVIDE ASSISTANCE FOR COMMUNITY ORGANIZATIONS ACTIVE IN DISASTER COMMUNITY ACTION INC OF CENTRAL TEXAS PO BOX 748 SAN MARCOS TX 78667 741541726 501(C)(3) 8820 LEASE ASSISTANCE TO EXPAND HEALTH CARE SERVICE NETWORK IN COMMUNITY FAMILY ELDERCARE INC 1700 RUTHERFORD LANE AUSTIN TX 78754 742286387 501(C)(3) 8580 LEASE ASSISTANCE TO EXPAND HEALTH CARE SERVICE NETWORK IN COMMUNITY WONDERS & WORRIES 805 W UNIVERSITY AVE GEORGETOWN TX 78626 743012982 501(C)(3) 7560 LEASE ASSISTANCE TO EXPAND HEALTH CARE SERVICE NETWORK IN COMMUNITY CHILDREN AT HEART MINISTRIES 805 W UNIVERSITY AVE GEORGETOWN TX 78626 203901685 501(C)(3) 7500 LEASE ASSISTANCE TO EXPAND HEALTH CARE SERVICE NETWORK IN COMMUNITY HELPING HANDS OF GEORGETOWN INC 107 HALMAR COVE STE 232 GEORGETOWN TX 78628 812170786 501(C)(3) 5000 PROVIDE FOOD SECURITY AND SOCIAL SERVICES WHITE TOWER HOLDINGS DBA THE KEY2FREE 1500 W UNIVERSITY AVE SUITE 110 GEORGETOWN TX 78628 462730214 501(C)(3) 5000 PROVIDE SAFE TRANSITION HOUSING, EDUCATION, AND THERAPEUTIC CARE FOR HUMAN TRAFFICKING SURVIVORS GIRLSTART 1400 W ANDERSON LANE AUSTIN TX 78757 311595414 501(C)(3) 5000 AFTERSCHOOL STEM EDUCATION IN THE GEORGETOWN COMMUNITY ROTARY CLUB OF GEORGETOWN PO BOX 921 GEORGETOWN TX 78627 746062434 501(C)(3) 5000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION GEORGETOWN INDEPENDENT SCHOOL DISTRICT EDUCATION FOUNDATION 603 LAKEWAY DRIVE GEORGETOWN TX 78628 474577513 501(C)(3) 5000 PROVIDE ASSISTANCE FOR TEACHER GRANTS WILCO MONTESSORI PARTNERS INC 710 STADIUM DRIVE GEORGETOWN TX 78626 464523814 501(C)(3) 5000 PROVIDE ASSISTANCE FOR REMOTE LEARNING 42 PART I, LINE 2: THE ORGANIZATION MONITORS THE USE OF GRANT FUNDS BY REQUIRING ANY GRANTEES RECEIVING IN EXCESS OF $10,000 TO PROVIDE INTERIM AND FINAL REPORTS WITHIN THEIR GRANT PERIOD. GRANT PERIODS ARE TYPICALLY 1-2 YEARS IN DURATION. THE REPORTS MUST IDENTIFY PROGRAM GOALS AND OUTCOME MEASUREMENTS. GRANT APPLICANTS SEEKING FUNDS IN EXCESS OF $10,000 ARE REQUIRED TO SUBMIT FINANCIAL STATEMENTS AS PART OF THE APPLICATION PROCESS AND MUST SUBMIT CURRENT FINANCIAL STATEMENTS AS PART OF THEIR INTERIM AND FINAL REPORTS. X X X X X X 0 0 0 0 0 0 0 0 0 M SCOTT ALARCON CEO 329710 0 0 0 7500 0 16035 0 30197 0 383442 0 0 0 RICHARD SCHULTZ CFO 265305 0 0 0 7200 0 12299 0 2722 0 287526 0 0 0 MARY S PUKYS VP-STRATEGIC PHILANTHROPY 179544 0 0 0 1200 0 8449 0 8510 0 197703 0 0 0 FORM 990, PART I, LINE 5, NUMBER OF EMPLOYEES - USE OF PEO: THE ORGANIZATION'S EMPLOYEES ARE CONTRACTED THROUGH A PROFESSIONAL EMPLOYMENT ORGANIZATION (PEO). THE ORGANIZATION HAS 7 EMPLOYEES, INCLUDING OFFICERS LISTED IN PART VII, SECTION A AND SCHEDULE J, FOR WHICH THE PEO HANDLES THE PAYROLL DUTIES, INCLUDING THE REQUIRED FEDERAL AND STATE REPORTING AND WITHHOLDING OBLIGATIONS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S TAX RETURN IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. AN INITIAL DRAFT OF THE FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS, MANAGEMENT, AND A THIRD PARTY TAX CONSULTANT PRIOR TO FINALIZATION. AFTER ANY CHANGES RESULTING FROM REVIEW BY THE BOARD HAVE BEEN MADE, THE FINAL VERSION OF FORM 990 IS FILED AND A COPY OF THE FILED FORM IS DISTRIBUTED TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S BOARD OF DIRECTORS AND KEY EMPLOYEES REVIEW THE CONFLICT OF INTEREST POLICY ANNUALLY. EACH INDIVIDUAL IS REQUIRED TO COMPLETE AND SIGN A DOCUMENT PROVIDED BY THE ORGANIZATION DISCLOSING ANY INTEREST THEY MAY HAVE WHICH COULD GIVE RISE TO A CONFLICT OF INTEREST. THE ORGANIZATION COMPILES A LIST OF ALL DISCLOSURES AND REPORTS IT TO ALL MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S COMPENSATION COMMITTEE FOLLOWS AN EXECUTIVE COMPENSATION PLAN DEVELOPED AND RATIFIED BY THE BOARD OF DIRECTORS WHEN DETERMINING EXECUTIVE COMPENSATION. THIS PHILOSOPHY IS UTILIZED TO DETERMINE THE ANNUAL COMPENSATION OF THE CHIEF EXECUTIVE OFFICER (CEO) AND THE CHIEF FINANCIAL OFFICER (CFO). AS PART OF THIS PROCESS, THE BOARD CONTRACTED WITH SMITHPILOT IN 2019 TO ASSIST IN THE DEVELOPMENT OF FAIR MARKET VALUE EXECUTIVE COMPENSATION. SMITHPILOT IS A COMPANY THAT SPECIALIZES IN EXECUTIVE COMPENSATION ISSUES IN THE NON-PROFIT AREA. SMITHPILOT CREATED AN EXECUTIVE COMPENSATION GUIDELINE FOR THE CEO AND CFO USING COMPARATIVE DATA FROM MULTIPLE NATIONAL PUBLIC INFORMATION SECTORS. THOSE SOURCES INCLUDED: THE GUIDESTAR NONPROFIT COMPENSATION REPORT, PRM'S MANAGEMENT COMPENSATION REPORT FOR NOT-FOR-PROFITS ORGANIZATIONS, COUNCIL ON FOUNDATIONS, GRANTMAKERS SALARY AND BENEFITS SURVEY AND REPORT, INSIDENGO SALARY AND BENEFITS SURVEY AND TOWERS WATSON'S SURVEYS OF TOP MANAGEMENT COMPENSATION; OFFICE AND BUSINESS SUPPORT. MARKET SALARY AVERAGES (GEOGRAPHICALLY FACTORED) FOR BOTH THE CEO AND CFO WERE ESTABLISHED USING THIS DATA. THE COMPENSATION COMMITTEE'S RECOMMENDATIONS FOR THE CEO AND CFO WERE RATIFIED BY THE FULL BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE REPORTING ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, COLUMN (C) MANAGEMENT AND GENERAL EXPENSES: THE ORGANIZATION INCURS ALL OF THE MANAGEMENT AND GENERAL EXPENSES FOR ITS RELATED ORGANIZATIONS LISTED ON SCHEDULE R, PART II OF THIS FORM. AS A RESULT, ITS MANAGEMENT AND GENERAL EXPENSES, AS A PERCENTAGE OF TOTAL EXPENSES, ARE HIGHER THAN WOULD OTHERWISE BE THE CASE. THE REPORTING ORGANIZATIONS'S FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM AS PART OF CONSOLIDATED FINANCIAL STATEMENTS. THE CONSOLIDATED FINANCIAL STATEMENTS INCLUDED GEORGETOWN HEALTHCARE SYSTEM AND GEORGETOWN HEALTHCARE COMMUNITY SERVICES. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S OVERSIGHT PROCESS AND ITS PROCESS FOR SELECTION OF AN INDEPENDENT ACCOUNTANT DID NOT CHANGE DURING THE TAX YEAR. COMMUNITY BENEFIT REPORT 2020: GEORGETOWN HEALTHCARE SYSTEM, THROUGH ITS GOVERNANCE AND PARTICIPATION IN THE ST. DAVID'S HEALTHCARE PARTNERSHIP, WILL ENSURE THAT HOSPITAL AND HEALTHCARE SERVICES ARE AVAILABLE IN THE GEORGETOWN AREA, REGARDLESS OF THE ABILITY OF THE PATIENT TO PAY FOR SUCH SERVICES. ADDITIONALLY, GEORGETOWN HEALTHCARE SYSTEM'S CURRENT ACTIVITIES INCLUDE INVOLVEMENT WITH OTHER COMMUNITY NON-PROFIT ORGANIZATIONS THAT OPERATE COMMUNITY HEALTH CENTERS AND OTHER FACILITIES THAT BENEFIT THE PUBLIC, AND MEET THE HEALTH RELATED NEEDS OF THE GEORGETOWN TEXAS COMMUNITY AND THE RESIDENTS OF CENTRAL TEXAS. HOSPITAL SERVICES THE ST. DAVID'S HEALTHCARE PARTNERSHIP PROVIDES A SUBSTANTIAL AMOUNT OF CHARITY CARE TO THE ELDERLY, INDIGENT, AND ECONOMICALLY DISADVANTAGED IN CENTRAL TEXAS. ALL PATIENTS ARE ADMITTED TO EMERGENCY ROOMS REGARDLESS OF THEIR ABILITY TO PAY. IF FURTHER ACUTE INPATIENT CARE IS REQUIRED, PATIENTS FROM THE EMERGENCY DEPARTMENT ARE ADMITTED TO THE HOSPITAL, ALSO WITHOUT REGARD TO THEIR ABILITY TO PAY. THE PARTNERSHIP PROVIDED FOR THE CARE OF THOUSANDS OF CENTRAL TEXANS IN 2020 IN MANY DIFFERENT WAYS. SOME OF THOSE WERE IN THE FORM OF: HOSPITAL ADMISSIONS - 77,375 EMERGENCY ROOM VISITS - 259,305 COMMUNITY COLLABORATIONS THE ORGANIZATION INVESTS ITS SHARE OF THE EARNINGS FROM THE ST. DAVID'S HEALTHCARE PARTNERSHIP IN NOT-FOR-PROFIT ORGANIZATIONS AND PROGRAMS THAT ALIGN WITH GHS' KEY STRATEGIC INITIATIVES. IN 2015 AND 2019, THE ORGANIZATION COMMISSIONED THE UNIVERSITY OF TEXAS AT AUSTIN TO CONDUCT STUDIES THAT IDENTIFIED THE NEEDS OF THE MOST MARGINALIZED COMMUNITY MEMBERS IN GEORGETOWN, TX. THE FINDINGS UNDERSCORED NEEDS ACROSS ALL SOCIAL DETERMINANTS OF HEALTH, INCLUDING TRANSPORTATION, MENTAL HEALTH, OUT-OF-SCHOOL CARE, HEALTHCARE, AND EDUCATION. STRATEGIC PRIORITIES WERE ALSO IDENTIFIED THROUGH THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE ORGANIZATION ALSO PRIORITIZED BASIC NEEDS SUPPORT DUE TO THE IMPACT OF COVID-19 ON OUR TARGET POPULATION, E.G., LOW-INCOME INDIVIDUALS EARNING NO MORE THAN 200% OF FEDERAL POVERTY GUIDELINES. THUS, STRATEGIC FUNDING INITIATIVES IN 2020, INFLUENCED BY FINDINGS FROM 2019 NEEDS ASSESSMENTS AND THE PANDEMIC, FOCUSED ON BASIC NEEDS AND THE SOCIAL DETERMINANTS THAT SUPPORT SUCH NEEDS. IN 2020, THE ORGANIZATION AND ITS AFFILIATES INVESTED OVER $2,800,000 TO SUPPORT ORGANIZATIONS ADDRESSING UNMET NEEDS. THIS SUPPORT INCLUDED: 1) OVER $2,250,000 IN DIRECT GRANTS 2) $519,560 IN NON-CASH CONTRIBUTIONS COMPRISED OF RENT ASSISTANCE. 3) $80,180 IN SPONSORSHIPS AND SMALL MINI-GRANTS SUPPORTING NOT-FOR-PROFIT EVENTS AND PROGRAMS. SOCIAL DETERMINANTS OF HEALTH. OVER $1,000,000 OF THE ORGANIZATION'S TOTAL INVESTMENTS IN 2020 ADDRESSED SOCIAL DETERMINANTS OF HEALTH. THE PRIMARY AREAS OF FOCUS WERE: 1) STRENGTHENING OUT-OF-SCHOOL PROGRAMS FOR CHILDREN AND YOUTH. 2) SUPPORTING A PROGRAM THAT ASSISTS LOW-INCOME ADULTS TO AND THROUGH A POST-SECONDARY CREDENTIAL OR DEGREE AND INTO LIVABLE WAGE EMPLOYMENT. HEALTH & DENTAL CARE. $625,773 OF THE ORGANIZATION'S TOTAL INVESTMENTS IN 2020 ADDRESSED THE AVAILABILITY AND ACCESSIBILITY OF AFFORDABLE, QUALITY HEALTH & DENTAL CARE. MENTAL HEALTH/SUBSTANCE USE. $483,540 OF THE ORGANIZATION'S TOTAL INVESTMENTS IN 2020 ADDRESSED THE AVAILABILITY AND ACCESSIBILITY OF AFFORDABLE, QUALITY MENTAL HEALTH CARE AND SUBSTANCE USE TREATMENT. BASIC NEEDS. $701,646 OF THE ORGANIZATION'S TOTAL INVESTMENTS IN 2020 SUPPORTED FOOD INSECURITY, HOUSING, AND EMERGENCY SHELTER. GEORGETOWN COMMUNITY RESOURCE CENTER THE GEORGETOWN COMMUNITY RESOURCE CENTER WORKS WITH COMMUNITY MEMBERS TO IDENTIFY GAPS IN COMMUNITY PROGRAMS AND SERVICES AND ATTEMPTS TO RECRUIT NON-PROFIT AGENCIES INTO THE COMMUNITY TO FILL THIS VOID. THE ORGANIZATION PROVIDES A BUILDING CALLED THE COMMUNITY RESOURCE CENTER FROM WHICH THESE AGENCIES CAN OFFICE. THE ORGANIZATION PROVIDES GRANTS TO THESE ENTITIES TO REDUCE THEIR OVERALL RENT EXPENSE TO AN AMOUNT THAT IS SUBSTANTIALLY BELOW MARKET VALUE. VOLUNTEER SERVICES THE REPORTING ORGANIZATION MAINTAINS AN ACTIVE VOLUNTEER SERVICES PROGRAM AT ST. DAVID'S GEORGETOWN HOSPITAL. DUE TO THE COVID-19 PANDEMIC, SERVICES WERE DISCONTINUED IN EARLY MARCH, 2020. AS OF THE END OF 2020, ONLY 62 ACTIVE VOLUNTEERS REMAINED. DURING 2020, THE VOLUNTEER SERVICES PROGRAM PROVIDED 3,211 HOURS OF SUPPORT TO THE HOSPITAL IN CAPACITIES RANGING FROM PATIENT AND FAMILY ASSISTANCE TO ADMINISTRATIVE / CLERICAL SUPPORT ACROSS A BROAD SPECTRUM OF HOSPITAL DEPARTMENTS. A CONSERVATIVE ESTIMATE OF THE VALUE OF THIS SERVICE IS APPROXIMATELY $55,000. COMMUNITY MEETING SPACE DUE TO CONCERNS RELATED TO COVID-19, THE REPORTING ORGANIZATION CLOSED THEIR COMMUNITY MEETING SPACE ROOMS IN EARLY MARCH, 2020. PRIOR TO CLOSING 36 DIFFERENT NON-PROFIT ORGANIZATIONS HELD 118 MEETINGS OR OTHER EVENTS AND UTILIZED THE SPACE FOR APPROXIMATELY 475 HOURS. GEORGETOWN HEALTHCARE COMMUNITY SERVICES 2425 WILLIAMS DRIVE GEORGETOWN TX 78628 742865171 TO ASSIST GEORGETOWN HEALTHCARE SYSTEM. TX 501(C)(3) LINE 12A, I GEORGETOWN HEALTHCARE SYSTEM 0 0 0 1 0 0 0 1 0 0 0 0 1 0 1 1 0 0 0 1 ST DAVID'S HEALTHCARE PARTNERSHIP LP LLP 98 SAN JACINTO BLVD STE 1800 AUSTIN TX 78701 742781812 OPERATES HOSPITALS IN CENTRAL TEXAS. TX RELATED 0 3638546 12872110 0 0 0.01000