2020-11-16T14:30:12-06:00 2019-12-31 742900215 MAXWELL LOCKE & RITTER LLP 401 CONGRESS AVENUE SUITE 1100 AUSTIN TX 787019682 990 2019-01-01 742427148 GEORGETOWN HEALTHCARE SYSTEM INC GEOR 5129312221 2425 WILLIAMS DRIVE NO 101 GEORGETOWN TX 786283206 SCOTT ALARCON CEO 5129312221 2020-11-15 1 SEAN HOLCOMB P01249221 5123703200 2020-11-15 168.215.174.114 2020-11-15 16:56:40 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D2E54320406E88E44B1087A31322C69934823994 2019 2021-01-29 14:40:06Z GEORGETOWN HEALTH FOUNDATION SCOTT ALARCON 2425 WILLIAMS DRIVE NO 101 GEORGETOWN TX 786283206 5142941 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. 13 13 7 166 -89061 -48412 390679 600000 3137774 2680016 854794 688381 31614 -91395 4414861 3877002 2635551 2457960 0 0 1090000 1157483 0 0 0 541423 477404 4266974 4092847 147887 -215845 45047615 46689738 3164627 2751891 41882988 43937847 TO PROMOTE AND FACILITATE THE ADVANCEMENT OF AFFORDABLE HEALTH CARE TO THE COMMUNITY OF GEORGETOWN AND THE SURROUNDING AREA. 0 0 3322640 2457960 89136 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. 2588546 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. 3322640 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 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 33 0 1 7 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 13 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 SOFIA NELSON BOARD MEMBER 1.00 X 0 0 0 BRADLEY SMITH 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 318573 0 25341 RICHARD SCHULTZ CFO 40.00 X 265104 0 27848 MARY S PUKYS VP-STRATEGIC PHILANTHROPY 40.00 X 154899 0 13874 738576 0 67063 3 0 1 0 0 600000 600000 ST. DAVID'S HEALTHCARE 621990 2588546 2588546 FACILITY RENTALS 900099 91470 91470 2680016 628552 628552 384330 531426 -147096 -147096 -58035 -89061 743870 684041 59829 59829 59829 57831 50472 7359 7359 OTHER INCOME 900099 46145 46145 AUXILIARY 900099 2197 2197 48342 3877002 2677682 -89061 688381 X 2457960 2457960 636866 245195 391671 415815 340253 75562 18276 14227 4049 23568 21326 2242 62958 36545 26413 6767 2977 3790 18332 8066 10266 73370 31865 41505 120922 61755 59167 7767 6053 1714 46194 25380 20814 534 235 299 89488 19563 69925 14563 7429 7134 14422 14422 9557 9557 16082 7076 9006 MISCELLANEOUS EXPENSES 33919 15211 18708 DUES & SUBSCRIPTIONS 14701 7102 7599 FEDERAL INCOME TAX 10786 10786 4092847 3322640 770207 0 647248 239168 1605 42775 251908 134257 41862 27263 6271 16349 5468236 920107 4705749 4548129 18922175 21543337 12872110 12872110 7598687 7266350 45047615 46689738 546633 319326 2486066 2262565 131928 170000 3164627 2751891 X 41882988 43937847 41882988 43937847 45047615 46689738 -215845 2270704 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 1 866 866 0 PART II-B, LINE 1: THE SCHEDULE K-1 FROM ST. DAVID'S HEALTHCARE PARTNERSHIP, LP (THE "PARTNERSHIP") INCLUDED $866 OF LOBBYING EXPENDITURES WHICH CONSTITUTED THE PORTION OF THE ORGANIZATION'S ANNUAL ASSOCIATION DUES DEDICATED TO LOBBYING ACTIVITIES. 1256622 1256622 4140020 885157 3254863 71594 34950 36644 4548129 ST DAVIDS PARTNERSHIP LP 12872110 C 12872110 INVESTMENTS HELD FOR DEFERRED EMPLOYEE BENEFITS 170000 DUE FROM AFFILIATED ENTITIES (NET) 6778870 OTHER LONG TERM ASSETS - CSV 317480 7266350 DEFERRED EMPLOYEE BENEFITS 170000 170000 X PART X, LINE 2: GEORGETOWN HEALTHCARE SYSTEM, INC. ("GHS") AND GEORGETOWN HEALTHCARE COMMUNITY SERVICES ("GHCS") ARE NONPROFIT ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT TO THE EXTENT OF ANY UNRELATED BUSINESS INCOME. NO EXPENSE HAS BEEN PROVIDED FOR INCOME TAXES IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS; HOWEVER, THERE MAY BE IMMATERIAL TAXES DUE TO DEBT FINANCED PRIVATE PURPOSE ACTIVITIES, THAT MANAGEMENT HAS ELECTED NOT TO RECORD AS A LIABILITY. GHS AND GHCS DID NOT INCUR ANY SIGNIFICANT TAX LIABILITIES DUE TO UNRELATED BUSINESS INCOME DURING THE YEARS ENDED DECEMBER 31, 2019 OR 2018. GHS AND GHCS FILE FORM 990 TAX RETURNS IN THE U.S. FEDERAL JURISDICTION, AND ARE SUBJECT TO ROUTINE EXAMINATIONS OF THEIR RETURNS. 1 1 X 1 X 1 X 500.000000000000 1 1 1 0 1 1 1177874 7730 1170144 0.06070 1245131 1687778 0 0.00000 2423005 1695508 1170144 0.06070 361067 361067 0.01870 53676 53676 0.00280 13092 1736 11356 0.00060 2034082 2034082 0.10550 2461917 1736 2460181 0.12760 4884922 1697244 3630325 0.18830 91470 36420 55050 0.01350 91470 36420 55050 0.01350 0 134729 4301021 4006108 294913 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 WWW.GTHF.ORG X X 1 17 1 WWW.GTHF.ORG 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 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 2016 (2016 CHNAS). THESE NEEDS INFORMED THE PRIORITIES, GOALS, OBJECTIVES, AND STRATEGIES OF THE ST. DAVID'S MEDICAL CENTER STRATEGIC IMPLEMENTATION PLAN THAT WAS ADOPTED IN APRIL, 2017 (2017 STRATEGIC IMPLEMENTATION PLAN).NEED AREAS:1. IMPROVED HEALTHCARE ACCESS, QUALITY AND INSURANCE COVERAGE2. IMPROVED HEALTH AND WELL-BEING OF CHILDREN3. IMPROVED HEALTH AND WELL-BEING OF WOMEN4. IMPROVED HEALTH AND WELL-BEING OF SENIORS5. IMPROVED SOCIOECONOMIC FACTORS THAT CONTRIBUTE TO HEALTH6. IMPROVED HEALTH AND WELL-BEING IN RURAL COMMUNITIESTHESE MAJOR FINDINGS FROM THE 2016 CHNAS ALIGN WELL WITH THE SIX ESTABLISHED PRIORITY AREAS DESCRIBED IN THE 2017 STRATEGIC IMPLEMENTATION PLAN. DURING 2019, ALL ENUMERATED AREAS HIGHLIGHTED BY THE 2016 CHNAS CONTINUED TO BE ADDRESSED BY THE 2017 STRATEGIC IMPLEMENTATION PLAN. IN ADDITION TO CARRYING OUT THE 2017 STRATEGIC IMPLEMENTATION PLAN DURING 2019, THE REPORTING ORGANIZATION ALSO CONDUCTED NEW CHNAS DURING THE YEAR (2019 CHNAS). THE STRATEGIC IMPLEMENTATION PLAN RELATED TO THE 2019 CHNAS WAS FORMALLY ADOPTED IN 2020 (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. 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 2016 (2016 CHNAS). THESE NEEDS INFORMED THE PRIORITIES, GOALS, OBJECTIVES, AND STRATEGIES OF THE ST. DAVID'S NORTH AUSTIN MEDICAL CENTER STRATEGIC IMPLEMENTATION PLAN THAT WAS ADOPTED IN APRIL, 2017 (2017 STRATEGIC IMPLEMENTATION PLAN).NEED AREAS:1. IMPROVED HEALTHCARE ACCESS, QUALITY AND INSURANCE COVERAGE2. IMPROVED HEALTH AND WELL-BEING OF CHILDREN3. IMPROVED HEALTH AND WELL-BEING OF WOMEN4. IMPROVED HEALTH AND WELL-BEING OF SENIORS5. IMPROVED SOCIOECONOMIC FACTORS THAT CONTRIBUTE TO HEALTH6. IMPROVED HEALTH AND WELL-BEING IN RURAL COMMUNITIESTHESE MAJOR FINDINGS FROM THE 2016 CHNAS ALIGN WELL WITH THE SIX ESTABLISHED PRIORITY AREAS DESCRIBED IN THE 2017 STRATEGIC IMPLEMENTATION PLAN. DURING 2019, ALL ENUMERATED AREAS HIGHLIGHTED BY THE 2016 CHNAS CONTINUED TO BE ADDRESSED BY THE 2017 STRATEGIC IMPLEMENTATION PLAN. IN ADDITION TO CARRYING OUT THE 2017 STRATEGIC IMPLEMENTATION PLAN DURING 2019, THE REPORTING ORGANIZATION ALSO CONDUCTED NEW CHNAS DURING THE YEAR (2019 CHNAS). THE STRATEGIC IMPLEMENTATION PLAN RELATED TO THE 2019 CHNAS WAS FORMALLY ADOPTED IN 2020 (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 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 2016 (2016 CHNAS). THESE NEEDS INFORMED THE PRIORITIES, GOALS, OBJECTIVES, AND STRATEGIES OF THE ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER STRATEGIC IMPLEMENTATION PLAN THAT WAS ADOPTED IN APRIL, 2017 (2017 STRATEGIC IMPLEMENTATION PLAN).NEED AREAS:1. IMPROVED HEALTHCARE ACCESS, QUALITY AND INSURANCE COVERAGE2. IMPROVED HEALTH AND WELL-BEING OF CHILDREN3. IMPROVED HEALTH AND WELL-BEING OF WOMEN4. IMPROVED HEALTH AND WELL-BEING OF SENIORS5. IMPROVED SOCIOECONOMIC FACTORS THAT CONTRIBUTE TO HEALTH6. IMPROVED HEALTH AND WELL-BEING IN RURAL COMMUNITIESTHESE MAJOR FINDINGS FROM THE 2016 CHNAS ALIGN WELL WITH THE SIX ESTABLISHED PRIORITY AREAS DESCRIBED IN THE 2017 STRATEGIC IMPLEMENTATION PLAN. DURING 2019, ALL ENUMERATED AREAS HIGHLIGHTED BY THE 2016 CHNAS CONTINUED TO BE ADDRESSED BY THE 2017 STRATEGIC IMPLEMENTATION PLAN. IN ADDITION TO CARRYING OUT THE 2017 STRATEGIC IMPLEMENTATION PLAN DURING 2019, THE REPORTING ORGANIZATION ALSO CONDUCTED NEW CHNAS DURING THE YEAR (2019 CHNAS). THE STRATEGIC IMPLEMENTATION PLAN RELATED TO THE 2019 CHNAS WAS FORMALLY ADOPTED IN 2020 (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 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 2016 (2016 CHNAS). THESE NEEDS INFORMED THE PRIORITIES, GOALS, OBJECTIVES, AND STRATEGIES OF THE ST. DAVID'S ROUND ROCK MEDICAL CENTER STRATEGIC IMPLEMENTATION PLAN THAT WAS ADOPTED IN APRIL, 2017 (2017 STRATEGIC IMPLEMENTATION PLAN).NEED AREAS:1. IMPROVED HEALTHCARE ACCESS, QUALITY AND INSURANCE COVERAGE2. IMPROVED HEALTH AND WELL-BEING OF CHILDREN3. IMPROVED HEALTH AND WELL-BEING OF WOMEN4. IMPROVED HEALTH AND WELL-BEING OF SENIORS5. IMPROVED SOCIOECONOMIC FACTORS THAT CONTRIBUTE TO HEALTH6. IMPROVED HEALTH AND WELL-BEING IN RURAL COMMUNITIESTHESE MAJOR FINDINGS FROM THE 2016 CHNAS ALIGN WELL WITH THE SIX ESTABLISHED PRIORITY AREAS DESCRIBED IN THE 2017 STRATEGIC IMPLEMENTATION PLAN. DURING 2019, ALL ENUMERATED AREAS HIGHLIGHTED BY THE 2016 CHNAS CONTINUED TO BE ADDRESSED BY THE 2017 STRATEGIC IMPLEMENTATION PLAN. IN ADDITION TO CARRYING OUT THE 2017 STRATEGIC IMPLEMENTATION PLAN DURING 2019, THE REPORTING ORGANIZATION ALSO CONDUCTED NEW CHNAS DURING THE YEAR (2019 CHNAS). THE STRATEGIC IMPLEMENTATION PLAN RELATED TO THE 2019 CHNAS WAS FORMALLY ADOPTED IN 2020 (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 2018, 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 -$442,647 AND THE ACTUAL AMOUNT OF LINE 7B, COLUMN (F) IS -2.30%. LINES 7D AND 7K, COLUMN (F), WOULD BE 3.77% AND 16.53%, 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, 2019. 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 2019 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. TRANSPORTATION OPTIONS.2. AFFORDABLE HOUSING AND HOUSING FOR INDIVIDUALS EXPERIENCING HOMELESSNESS.3. AFFORDABLE, ACCESSIBLE HEALTHCARE.4. FOOD INSECURITY AND HEALTHY FOOD ACCESS.5. WORKFORCE, INCLUDING JOB OPPORTUNITIES AND INCREASED WAGES.6. QUALITY OF K-12 PUBLIC EDUCATION.7. RACIAL BIAS AND DISCRIMINATION.8. OPPORTUNITIES FOR YOUTH.9. QUALITY OF COMMUNITY LEADERSHIP.10. SUPPORT FOR IMMIGRANT AND UNDOCUMENTED POPULATION.SIMILARLY, THE 2015 REPORT FEATURED 10 FINDINGS PLUS SOCIO-DEMOGRAPHIC PROFILES OF THE SOUTHEAST QUADRANT OF THE COMMUNITY PRESENTED IN GRAPHIC, NARRATIVE, AND GEOSPATIAL FORMATS. THE 10 STUDY FINDINGS WERE:1. BETTER PUBLIC TRANSPORTATION OPTIONS.2. AFFORDABILITY AND AVAILABILITY OF QUALITY HOUSING. 3. ACCESS TO COLLEGE READINESS PROGRAMS.4. ACCESSIBILITY OF DAYCARE, AFTERSCHOOL PROGRAMS, AND PLAY FOR CHILDREN.5. EQUITABLE ACCESS TO HEALTHY FOODS AND NUTRITION EDUCATION.6. GREATER ECONOMIC SECURITY.7. TREATMENT AT GEORGETOWN HEALTH CARE FACILITIES AND AFFORDABILITY AND ACCESS TO DENTAL CARE.8. AVAILABILITY AND ACCESSIBILITY OF QUALITY MENTAL HEALTH SERVICES.9. ACKNOWLEDGE AND REFRAME POWER DIFFERENTIALS IN SYSTEMS.10. LEADERS TO CONNECT WITH SOUTHEAST GEORGETOWN COMMUNITY. THE ORGANIZATION CONTINUES TO USE THE STUDY AND ITS FINDINGS TO INFORM ITS STRATEGIC EFFORTS AT IMPACTFULLY BOLSTERING THE HEALTH OF THE GEORGETOWN COMMUNITY. 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 CITY OF GEORGETOWN 113 E 8TH STREET GEORGETOWN TX 78627 746000974 170 350000 ASSIST WITH IMPLEMENTATION OF PUBLIC TRANSPORTATION GOODWILL INDUSTRIES OF CENTRAL TEXAS 1015 NORWOOD PARK BLVD AUSTIN TX 78753 741322808 501(C)(3) 230730 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION THE CARING PLACE PO BOX 1215 GEORGETOWN TX 78627 742386902 501(C)(3) 150000 SUPPORT MEDICAL PROGRAM FOR CLIENTS AT OR BELOW POVERTY LEVEL GEORGETOWN INDEPENDENT SCHOOL DISTRICT (GISD) 507 E UNIVERSITY AVENUE GEORGETOWN TX 78626 746000975 170 126500 PROVIDE MENTAL HEALTH AND BEHAVIORAL COUNSELING SERVICES THE GEORGETOWN PROJECT PO BOX 957 GEORGETOWN TX 78627 742807713 501(C)(3) 116100 PROVIDES CONVENING AND LEADERSHIP SUPPORT TO ALL GEORGETOWN YOUTH ORGANIZATIONS SOUTHEAST GEORGETOWN COMMUNITY COUNCIL 805 W UNIVERSITY AVE GEORGETOWN TX 78626 820860142 501(C)(3) 110530 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION BOYS & GIRLS CLUB OF GEORGETOWN 210 W 18TH STREET BLDG B GEORGETOWN TX 78626 262916822 501(C)(3) 106250 SUPPORT AFTER SCHOOL AND SUMMER PROGRAMS STARRY INC 1300 N MAYS STREET ROUND ROCK TX 78664 043589689 501(C)(3) 100000 PROVIDE EMERGENCY SHELTER AND CRISIS COUNSELING TO GEORGETOWN CHILDREN, YOUTH, AND FAMILIES WILLIAMSON COUNTY CRISIS CENTER DBA HOPE ALLIANCE 1011 GATTIS SCHOOL RD STE 106 ROUND ROCK TX 78664 742277114 501(C)(3) 75000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION TO ASSIST THOSE AFFECTED BY FAMILY AND SEXUAL VIOLENCE 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 COURT APPOINTED SPECIAL ADVOCATES (CASA) OF WILLIAMSON COUNTY TX 2100 SCENIC DR SUITE 110 GEORGETOWN TX 78626 264371605 501(C)(3) 50000 SUPPORT FOR CASE SUPERVISORS OF CASA VOLUNTEERS 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 LONE STAR JUSTICE 1411 WEST AVE SUITE 200 AUSTIN TX 78701 822345921 501(C)(3) 50000 IMPROVING THE LIVES OF YOUTH AND EMERGING ADULTS IN THE JUSTICE SYSTEM 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 HABITAT FOR HUMANITY OF WILLIAMSON COUNTY 2108 N AUSTIN AVENUE GEORGETOWN TX 78626 742907371 501(C)(3) 45000 SUPPORT VOLUNTEER AND EDUCATIONAL PROGRAMS OPPORTUNITIES FOR WILLIAMSON & BURNET COUNTIES 604 HIGH TECH DRIVE GEORGETOWN TX 78626 746075213 501(C)(3) 40000 SUPPORT FOR HEAD START AND MEALS ON WHEELS ST DAVID'S COMMUNITY HEALTH FOUNDATION LEADERSHIP 1303 SAN ANTONIO STREET STE 500 AUSTIN TX 78701 742898888 501(C)(3) 35500 SCHOLARSHIPS FOR PEOPLE PURSUING HEALTH RELATED SERVICE DEGREES CHISHOLM TRAIL COMMUNITIES FOUNDATION 116 WEST 8TH STREET SECOND FLOOR GEORGETOWN TX 78626 742786718 501(C)(3) 32120 SUPPORT PROGRAM SERVING STUDENTS IN NEED AND PURSUING SERVICE-LEARNING OPPORTUNITIES LITERACY COUNCIL OF WILLIAMSON COUNTY 805 W UNIVERSITY AVE GEORGETOWN TX 78626 742392855 501(C)(3) 29420 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION 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 SALVATION ARMY - AUSTIN AREA COMMAND 10711 BURNET ROAD SUITE 231 AUSTIN TX 78758 580660607 501(C)(3) 25000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION TEXAS BAPTIST CHILDREN'S HOME INC 1101 NORTH MAYS ROUND ROCK TX 78664 743021647 501(C)(3) 25000 PROVIDE ASSISTANCE FOR SUMMER CAMPS FOR CHILDREN YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER WILLIAMSON COUNTY PO BOX 819 ROUND ROCK TX 78680 742206558 501(C)(3) 25000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION ANY BABY CAN OF AUSTIN INC 6207 SHERIDAN AVENUE AUSTIN TX 78723 742684335 501(C)(3) 17000 7320 FMV LEASE ASSISTANCE PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION UNITED WAY FOR GREATER AUSTIN 2000 E MARTIN LUTHER KING JR B AUSTIN TX 78702 741193439 501(C)(3) 15000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION SPIRIT REINS INC PO BOX 368 LIBERTY HILL TX 78642 061692909 501(C)(3) 15000 ASSIST CLIENTS IN MENTAL HEALTH CRISIS THROUGH EQUINE-ASSISTED THERAPIES ROTARY CLUB OF GEORGETOWN PO BOX 921 GEORGETOWN TX 78627 746062434 501(C)(3) 10000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION GEORGETOWN INDEPENDENT SCHOOL DISTRICT EDUCATION FOUNDATION 603 LAKEWAY DRIVE GEORGETOWN TX 78628 474577513 501(C)(3) 10000 PROVIDE ASSISTANCE FOR TEACHER GRANTS 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 SIMPLE SPARROW 1601 COUNTY RD 107 HUTTO TX 78634 823616746 501(C)(3) 6000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION AS A CARE FARM WILLIAMSON COUNTY CHILDREN'S ADVOCACY CENTER (WCCAC) 1811 SE INNER LOOP GEORGETOWN TX 78626 742834639 501(C)(3) 6000 SUPPORT PROGRAM SERVING VICTIMS OF CHILD ABUSE FIRST UNITED METHODIST CHURCH 410 E UNIVERSITY AVE GEORGETOWN TX 78626 741662304 501(C)(3) 5000 SUPPORT HEALTHY LIVING AND EDUCATION OPPORTUNITIES PROGRAMS GRANTMAKERS IN AGING 2001 JEFFERSON DAVIS HIGHWAY SUITE 1011 ARLINGTON VA 22202 134014982 501(C)(3) 5000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION GIRLSTART 1400 W ANDERSON LANE AUSTIN TX 78757 311595414 501(C)(3) 5000 AFTERSCHOOL STEM EDUCATION IN THE GEORGETOWN COMMUNITY HEALTH START FOUNDATION 3710 CEDAR ST 227 AUSTIN TX 78705 271888642 501(C)(3) 5000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION FOR EARLY HEALTH EDUCATION WILLIAMSON COUNTY AND CITIES HEALTH DISTRICT (WCCHD) 100 W 3RD STREET GEORGETOWN TX 78626 742896906 501(C)(3) 5000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION CENTRAL TEXAS FOOD BANK INC 6500 METROPOLIS DRIVE AUSTIN TX 78744 742217350 501(C)(3) 5000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION OF RELIEVING HUNGER CHASE THE CHIEF 4500 WILLIAMS DR STE 212-183 GEORGETOWN TX 78633 821194953 501(C)(3) 5000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION SACRED HEART COMMUNITY CLINIC 620 ROUND ROCK WEST DRIVE BUILDING 8 ROUND ROCK TX 78681 272901548 501(C)(3) 5000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION UNITED WAY OF WILLIAMSON COUNTY 1111 N IH 35 STE 220 ROUND ROCK TX 78664 237396732 501(C)(3) 5000 PROVIDE ASSISTANCE TO ACHIEVE ORGANIZATION MISSION 44 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 311073 0 0 0 7500 0 15383 0 9958 0 343914 0 0 0 RICHARD SCHULTZ CFO 257904 0 0 0 7200 0 12079 0 15769 0 292952 0 0 0 MARY S PUKYS VP-STRATEGIC PHILANTHROPY 153699 0 0 0 1200 0 5885 0 7989 0 168773 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 2019: 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 2019 IN MANY DIFFERENT WAYS. SOME OF THOSE WERE IN THE FORM OF: HOSPITAL ADMISSIONS - 82,795 EMERGENCY ROOM VISITS - 339,889 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 INCLUDED NEEDS IN TRANSPORTATION, MENTAL HEALTH, HOUSING, OUT-OF-SCHOOL CARE, HEALTHCARE, AND EDUCATION. THESE FINDINGS GUIDED THE STRATEGIC INITIATIVES IN 2019. IN 2019, THE ORGANIZATION AND ITS AFFILIATES INVESTED OVER $2,800,000 TO SUPPORT ORGANIZATIONS ADDRESSING UNMET NEEDS. THIS SUPPORT INCLUDED: 1) OVER $2,100,000 IN DIRECT GRANTS. 2) OVER $522,000 IN CASH CONTRIBUTIONS TO PROVIDE RENT ASSISTANCE AND FREE ACCESS TO MEETING SPACE OWNED BY THE ORGANIZATION'S AFFILIATE. 3) OVER $193,000 IN SPONSORSHIPS AND SMALL MINI-GRANTS SUPPORTING NOT-FOR-PROFIT EVENTS AND PROGRAMS. STRATEGIC PRIORITIES IDENTIFIED WITHIN THE ORGANIZATIONS ARE BASED UPON THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND UNIVERSITY OF TEXAS AT AUSTIN'S FINDINGS AND WORK TO IMPROVE SOCIAL DETERMINANTS OF HEALTH AND ACCESS TO HEALTH AND HUMAN SERVICES FOR LOW-INCOME INDIVIDUALS EARNING NO MORE THAN 200% OF FEDERAL POVERTY GUIDELINES. SOCIAL DETERMINANTS OF HEALTH. OVER $1,600,000 OF THE ORGANIZATION'S TOTAL INVESTMENTS IN 2019 ADDRESSED SOCIAL DETERMINANTS OF HEALTH. THE PRIMARY AREAS OF FOCUS WERE: 1) EXPANDING PUBLIC TRANSPORTATION INFRASTRUCTURE. 2) STRENGTHENING OUT-OF-SCHOOL PROGRAMS FOR CHILDREN AND YOUTH. 3) SUPPORTING BASIC NEEDS AND EMERGENCY INTERVENTIONS FOR FAMILIES IN CRISIS. 4) SUPPORTING A PROGRAM THAT ASSISTS LOW-INCOME ADULTS TO AND THROUGH A POST-SECONDARY CREDENTIAL OR DEGREE AND INTO LIVABLE WAGE EMPLOYMENT 5) HEALTH & DENTAL CARE. NEARLY $600,000 OF THE ORGANIZATION'S TOTAL INVESTMENTS IN 2019 ADDRESSED THE AVAILABILITY AND ACCESSIBILITY OF AFFORDABLE, QUALITY HEALTH & DENTAL CARE. 6) MENTAL HEALTH. NEARLY $600,000 OF THE ORGANIZATION'S TOTAL INVESTMENTS IN 2019 ADDRESSED THE AVAILABILITY AND ACCESSIBILITY OF AFFORDABLE, QUALITY MENTAL HEALTH CARE. 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 GHS MAINTAINS AN ACTIVE VOLUNTEER SERVICES PROGRAM AT ST. DAVID'S GEORGETOWN HOSPITAL. THE PROGRAM IS COMPRISED OF APPROXIMATELY 166 COMMUNITY MEMBERS THAT SERVE IN VARIOUS VOLUNTEER ROLES THROUGHOUT THE HOSPITAL. IN 2019, THE VOLUNTEER SERVICES PROGRAM PROVIDED 18,780 HOURS OF VOLUNTEER SUPPORT TO THE HOSPITAL IN CAPACITIES RANGING FROM PATIENT AND FAMILY ASSISTANCE TO ADMINISTRATIVE/CLERICAL SUPPORT IN VARIOUS DEPARTMENTS OF THE HOSPITAL. A CONSERVATIVE ESTIMATED VALUE OF THIS SERVICE IS APPROXIMATELY $325,000. COMMUNITY MEETING SPACE THE REPORTING ORGANIZATION ALSO PROVIDES FREE MEETING SPACE TO LOCAL NON-PROFIT ORGANIZATIONS. DURING THE REPORTING YEAR THE ORGANIZATION PROVIDED THIS SPECIFICALLY-DESIGNED COMMUNITY ROOM MEETING SPACE TO 63 DIFFERENT NON-PROFIT ORGANIZATIONS. THESE ORGANIZATIONS HELD OVER 518 MEETINGS OR OTHER EVENTS AND UTILIZED THE SPACE FOR OVER 1,895 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 2588546 12872110 0 0 0.01000