2014-05-15T13:53:01-05:00 2013-06-30 861065772 DELOITTE TAX LLP 250 EAST FIFTH STREET STE 1900 CINCINNATI OH 45202 990 2012-07-01 200468031 CMC FOUNDATION OF CENTRAL TEXAS CMCF 5123241000 1345 PHILOMENA STREET AUSTIN TX 78723 KENNETH L GLADISH 5123241000 2014-05-15 1 ALICIA JANISCH P00741382 5137847100 2012 2015-11-30 17:44:51Z CHILDREN'S MEDICAL CENTER FOUNDATION OF CENTRAL TEXAS KENNETH L GLADISH 1345 PHILOMENA STREET AUSTIN TX 78723 11103320 0 0928 X WWW.SETON.NET X 2003 TX PROVISION OF HEALTHCARE SERVICES WITH A SPECIAL CONCERN FOR THE POOR AND VULNERABLE. 21 21 0 1425 0 0 12754975 10492476 0 0 379086 503530 -3728 -402967 13130333 10593039 10970523 11167285 0 0 1401641 1326932 0 0 2243471 3471733 916539 15843897 13410756 -2713564 -2817717 24971903 25704125 23039104 25734032 1932799 -29907 X OUR MISSION INSPIRES US TO CARE FOR AND IMPROVE THE HEALTH OF THOSE WE SERVE WITH SPECIAL CONCERN FOR THE POOR AND THE VULNERABLE. WE ARE CALLED TO BE A SIGN OF GOD'S UNCONDITIONAL LOVE FOR ALL AND BELIEVE THAT ALL PERSONS BY THEIR CREATION ARE ENDOWED WITH DIGNITY. SETON CONTINUES THE CATHOLIC TRADITION OF SERVICE ESTABLISHED BY 0UR FOUNDERS: VINCENT DE PAUL, LOUISE DE MARILLAC, AND ELIZABETH ANN SETON. 0 0 11167285 11167285 CHILDREN'S MEDICAL CENTER FOUNDATION OF CENTRAL TEXAS RAISES PHILANTHROPIC FUNDS TO SUPPORT DELL CHILDREN'S MEDICAL CENTER OF CENTRAL TEXAS, A MEMBER OF THE SETON FAMILY OF HOSPITALS. DELL CHILDREN'S SERVES A 46-COUNTY REGION IN CENTRAL TEXAS. THROUGH ITS FUNDRAISING INITIATIVES, THE CHILDREN'S MEDICAL CENTER FOUNDATION CONTRIBUTES TO HEALTH CARE EXCELLENCE AND THE DAUGHTERS OF CHARITY HEALTH CARE MINISTRY IN CENTRAL TEXAS TO SERVE THE POOR AND VULNERABLE. THROUGH ITS PARTNERSHIPS WITH GENEROUS DONORS, COMMUNITY VOLUNTEERS AND SUPPORT GROUPS, THE CHILDREN'S MEDICAL CENTER FOUNDATION HELPS BUILD AND STRENGTHEN SUSTAINABLE COLLABORATIVE EFFORTS THAT BENEFIT THE HEALTH AND WELL-BEING OF THE LOCAL COMMUNITY. THE CHILDREN'S MEDICAL CENTER FOUNDATION BOARD OF TRUSTEES INCLUDES COMMUNITY, CORPORATE AND CIVIC LEADERS, DAUGHTERS OF CHARITY AND PHYSICIANS. SOURCES OF PHILANTHROPIC SUPPORT INCLUDE DONATIONS FROM INDIVIDUALS, FOUNDATIONS, CORPORATIONS AND CIVIC ORGANIZATIONS; THE CHILDREN'S MIRACLE NETWORK; SPECIAL EVENTS AND VOLUNTEER SUPPORT GROUPS INCLUDING THE CIRCLE OF FRIENDS CHAPTERS, CHILDREN'S COUNCIL, CHILDREN'S TRUST, WOMEN'S TRUST AND GRANDPARENT'S CLUB. SPECIAL EVENTS SUCH AS THE ANNUAL CHILDREN'S COUNCIL GALA, CIRCLE OF FRIENDS FUNDRAISERS AND RADIOTHON RAISE FUNDS AND ALSO AWARENESS OF DELL CHILDREN'S MISSION TO SERVE THE HEALTH CARE NEEDS OF CENTRAL TEXAS CHILDREN, INCLUDING THE POOR AND VULNERABLE. IN FISCAL YEAR 2013, THE CHILDREN'S MEDICAL FOUNDATION RAISED MORE THAN $9.4 MILLION (PLEDGES AND CASH) FROM GENEROUS DONORS TO SUPPORT SETON PROGRAMS, EQUIPMENT AND BUILDING NEEDS AND ENDOWMENT FOR THE BENEFIT OF DELL CHILDREN'S MEDICAL CENTER. CONTRIBUTIONS SUPPORTED A VARIETY OF NEEDS INCLUDING:>MEDICAL EQUIPMENT, RENOVATION, EXPANSION AND NEW CONSTRUCTION.>PROGRAMS, OPERATING SUPPORT AND ENDOWMENT FOR THE TEXAS CHILD STUDY CENTER SERVING CHILDREN'S MENTAL HEALTH NEEDS.>PROGRAMMATIC SUPPORT FOR PEDIATRIC OBESITY, TRAUMA, NEUROSCIENCES, BLOOD AND CANCER DISORDERS AND CHILD LIFE. >OPERATING SUPPORT FOR THE CHILDRENS HEALTH EXPRESS SERVING THE HEALTH CARE NEEDS OF LOW-INCOME CHILDREN IN THE AUSTIN AREA VIA A MOBILE HEALTH VAN. 11167285 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 21 21 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X PAULA CAMPBELL 5123241000 1345 PHILOMENA STREET AUSTIN TX 78723 TIM CROWLEY 1.00 X X 0 0 0 JAN LINDELOW 1.00 X X 0 0 0 S MARK POWELL 1.00 X X 0 0 0 MARCI HENNA 1.00 X X 0 0 0 LORI BARR 1.00 X 0 0 0 JOHN BERRA 1.00 X 0 0 0 TRACEY BURY 1.00 X 0 0 0 BOB COLE 1.00 X 0 0 0 NICOLE NUGENT COVERT 1.00 X 0 0 0 SISTER PAT ELDER DC 1.00 X 0 0 0 EDWARD FURST 1.00 X 0 0 0 RICHARD GARDNER 1.00 X 0 0 0 MORRIS GOTTESMAN 1.00 X 0 0 0 TOM KITE JR 1.00 X 0 0 0 JIM KOZLOWSKI 1.00 X 0 0 0 JIM KOZMETSKY 1.00 X 0 0 0 T NYLE MAXWELL JR 1.00 X 0 0 0 PAT ROBERTSON 1.00 X 0 0 0 ALEX SMITH 1.00 X 0 0 0 ALAN TOPFER 1.00 X 0 0 0 EVELYN WIEDEMAN 1.00 X 0 0 0 JESUS GARZA 5.00 45.00 X 0 2211808 42463 DOUGLAS WAITE 5.00 45.00 X 0 1042770 60714 KENNETH GLADISH 5.00 45.00 X 0 720815 19680 CYNDY PERKINS 40.00 X 132923 0 39205 MAUREEN WOOD 40.00 X 317451 0 52355 KRISTI GORDY 40.00 X 113758 0 23105 ARMANDO ZAMBRANO 40.00 X 105039 0 8543 CHARLES BARNETT 0.00 45.00 X 0 3123025 62646 GERALD HILL 0.00 45.00 X 0 561099 33875 KAREN KAHAN 0.00 45.00 X 0 317751 50318 669171 7977268 392904 4 1 1 0 0 1005304 64080 9423092 375435 10492476 503530 503530 107314 1005304 510281 -402967 -402967 10593039 0 0 100563 11167285 11167285 1078866 1078866 176591 176591 71475 71475 706842 706842 40979 40979 44963 44963 16078 16078 1535 1535 240312 240312 3970 3970 493 493 OTHER EXPENSE 327368 327368 MEDICAL SUPPLIES 44280 44280 LESS FUNDRAISING EXP SH -510281 -510281 13410756 11167285 0 2243471 1096810 1791810 45107 21950 27126 23157 10358294 13247388 13489673 10641770 24971903 25704125 23039104 25734032 23039104 25734032 X -21411829 -23043144 15022759 14440709 8321869 8572528 1932799 -29907 24971903 25704125 -2817717 855011 0 X 0 1 X 1 0 X X X 0 0 0 SETON FAMILY OF HOSPITALS 741109643 HOSPITAL 1 1 1 10977574 1 10977574 SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE A, PART IV: CMC FOUNDATION OF CENTRAL TEXAS ALSO PROVIDED $189,711 OF NONCASH ASSISTANCE TO SETON FAMILY OF HOSPITALS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14597832 728624 1348305 282580 -33350 16425531 1856628 -740029 393506 -13874739 14597832 0.05000 0.50000 0.45000 0 1 1 5410 5410 0 39697 16540 23157 23157 ALTERNATIVE INVESTMENTS 3510885 F OTHER INVESTMENTS 7130885 F 10641770 DUE TO NETWORK 25731357 OTHER MISCELLANEOUS LIABILITIES 2675 25734032 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: FOR ALMOST 400 YEARS, THE DAUGHTERS OF CHARITY HAVE LIVED IN SERVICE TO HELP THE SICK AND THE POOR. IN PARTNERSHIP WITH OTHERS, THEY HAVE MET THE CHALLENGES AND NEEDS OF OUR GROWING COMMUNITY SINCE THE SETON INFIRMARY OPENED ITS DOORS IN 1902. TO CONTINUE TO SUSTAIN THIS LEGACACY,THE CMC FOUNDATION OF CENTRAL TEXAS CREATED ENDOWMENT FUNDS TO SUPPORT THE HEALTHCARE MINISTRY OF THE SETON FAMILY OF HOSPITALS. THE PRINCIPAL OF AN ENDOWMENT IS NEVER TOUCHED. THE DISTRIBUTIONS FROM AN ENDOWMENT PROVIDE A DEPENDABLE SOURCE OF INCOME EACH YEAR TO HELP SETON TO CONTINUE TO MEET THE COMMUNITY'S HEALTHCARE NEEDS. PART X, LINE 2: THE FOLLOWING FIN 48 DISCLOSURE IS INCLUDED IN THE AUDITED FINANCIAL STATEMENTS: THE MEMBER HEALTH CARE ENTITIES OF SETON ARE PRIMARILY EXEMPT ORGANIZATIONS UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) OR 501(C)(2) AND THEIR RELATED INCOME IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A). SETON ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THIS ENTITY IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS PREPARED FOR SETON HEALTHCARE FAMILY FOR THE FISCAL YEAR ENDING JUNE 30, 2013. NO LIABILITY FOR UNCERTAIN TAX POSITIONS WAS REPORTED FOR THIS ORGANIZATION. CMCF COUNCIL GALA 2013 740743 618113 122630 32842 97757 260205 CMCF KIDS CLASSIC 2013 118170 127508 -9338 14966 6681 16397 10 253705 259683 -5978 25732 17726 37975 1112618 1005304 107314 73540 122164 314577 510281 -402967 0 SETON FAMILY OF HOSPITALS 1345 PHILOMENA STREET AUSTIN TX 78723 741109643 501(C)3 10977574 189711 VARIOUS CONTRIBUTIONS FROM DONORS SENT TO NETWORK UNTIL RELEASED 1 0 0 1 0 0 0 0 0 0 0 JESUS GARZA 0 781215 0 1262466 0 168127 0 24378 0 18085 0 2254271 0 146987 DOUGLAS WAITE 0 503122 0 434317 0 105331 0 45017 0 15698 0 1103485 0 88142 KENNETH GLADISH 0 356675 0 284223 0 79917 0 11250 0 8430 0 740495 0 67484 CYNDY PERKINS 90749 0 23983 0 18191 0 31854 0 7352 0 172129 0 0 0 MAUREEN WOOD 184032 0 111872 0 21547 0 47064 0 5291 0 369806 0 14717 0 CHARLES BARNETT 0 928442 0 1758194 0 436389 0 44463 0 18183 0 3185671 0 392474 GERALD HILL 0 223530 0 232429 0 105140 0 21831 0 12044 0 594974 0 89530 KAREN KAHAN 0 186208 0 114299 0 17244 0 43177 0 7141 0 368069 0 13927 PART I, LINE 3 SETON HEALTHCARE FAMILY USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -WRITTEN EMPLOYMENT CONTRACT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. THE ORGANIZATION MADE PAYMENTS FROM AND CONTRIBUTIONS TO THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN AMOUNTS NOTED RESPECTIVELY: CHARLES BARNETT: $392474.10; $39462.64 DOUGLAS WAITE: $88142.07; $40016.64 JESUS GARZA: $146987.20; $19378.26 KAREN KAHAN: $13927.06; $39071.26 GERALD HILL: $89529.66; $16895.69 X 22 6150 COST/SELLING PRICE X 7 176847 COST/SELLING PRICE X 1 6000 COST/SELLING PRICE X 1 86951 COST/SELLING PRICE X TOYS 1 81187 COST/SELLING PRICE X AUSTIN CITY LIMITS EVENT PASSES 2 800 COST/SELLING PRICE X AIRLINE CARDS 2 1000 COST/SELLING PRICE X LONGHORN STEERS 2 6000 COST/SELLING PRICE X KENTUCKY DERBY PACKAGE 1 4800 COST/SELLING PRICE X GIFT CARDS 1 5700 COST/SELLING PRICE 0 0 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTIONS: PART I, COLUMN (B): ACTUAL NUMBER OF ITEMS WHEN KNOWN; FOR STOCK IT IS THE NUMBER OF INSTANCES STOCK WAS DONATED INSTEAD OF NUMBER OF ITEMS FORM 990, PART VI, SECTION A, LINE 6 CMC FOUNDATION OF CENTRAL TEXAS HAS A SINGLE CORPORATE MEMBER, SETON HEALTHCARE FAMILY. FORM 990, PART VI, SECTION A, LINE 7A CMC FOUNDATION OF CENTRAL TEXAS HAS A SINGLE CORPORATE MEMBER, SETON HEALTHCARE FAMILY, WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF CMC FOUNDATION OF CENTRAL TEXAS. FORM 990, PART VI, SECTION A, LINE 7B POWERS SUBJECT TO APPROVAL BY OUR SINGLE CORPORATE MEMBER, SETON HEALTHCARE FAMILY, INCLUDE: 1) THE FORMATION OR ACQUISITION OF LEGAL ENTITIES FOR WHICH SETON HEALTHCARE FAMILY WILL SERVE AS THE SOLE OR CONTROLLING ENTITY, AND SUBJECT TO CANONICAL REQUIREMENTS, APPROVE THE SALE, TRANSFER OR SUBSTANTIAL CHANGE IN USE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR THE DIVESTURE, DISSOLUTION, CLOSURE, MERGER, CONSOLIDATION, CHANGE IN CORPORATE MEMBERSHIP OR CORPORATE REORGANIZATION OF THE CORPORATION, 2) CHANGES TO THE GOVERNING DOCUMENTS, IF CHANGES ARE INCONSISTENT WITH THE SYSTEM REQUIREMENTS FOR GOVERNING DOCUMENTS, 3) APPOINT, UPON RECOMMENDATION OF THE BOARD OF THE CORPORATION, OR REMOVE, WITH OR WITHOUT CAUSE, THE MEMBERS OF THE BOARD OF TRUSTEES OF THE CORPORATION, 4) THE TRANSFER OF ASSETS AND THE REALLOCATION OF DEBT AMONG THE CORPORATION AND OTHER HEALTH MINISTRIES IN ACCORDANCE WITH SYSTEM POLICIES, IN CONSULTATION WITH THE CORPORATE BOARD, AND 5) APPROVE THE INCURRENCE OF DEBT OF THE CORPORATION IN ACCORDANCE WITH SYSTEM POLICIES. FORM 990, PART VI, SECTION B, LINE 11 MANAGEMENT, INCLUDING CERTAIN OFFICERS, WORKS DILIGENTLY TO COMPLETE THE FORM 990 AND ATTACHED SCHEDULES IN A THOROUGH MANNER. MANAGEMENT PRESENTS THE FORM TO THE BOARD, OR A DESIGNATED COMMITTEE, TO REVIEW AND ANSWER ANY QUESTIONS. PRIOR TO FILING THE RETURN, ALL BOARD MEMBERS ARE PROVIDED THE FORM 990 AND MANAGEMENT TEAM MEMBERS ARE AVAILABLE TO ANSWER ANY BOARD MEMBERS' QUESTIONS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS ADOPTED THE CONFLICT OF INTEREST POLICY OF SETON HEALTHCARE FAMILY. THE CORPORATE RESPONSIBILITY OFFICER'S (CRO) DELEGATE WILL PREPARE A SUMMARY OF THE CONFLICT OF INTEREST DISCLOSURE STATEMENTS AND SUBMIT IT TO THE CRO FOR REVIEW. THE CRO WILL SUBMIT A WRITTEN REPORT TO THE APPLICABLE BOARD OR BOARD COMMITTEE ON THE RESULTS. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST. (1) AN INDIVIDUAL WITH A CONFLICT OF INTEREST MAY MAKE A PRESENTATION AT THE MEETING OF THE BOARD OF TRUSTEES OR COMMITTEE OF THE BOARD, BUT AFTER SUCH PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. (2) IF DEEMED APPROPRIATE OR ADVISABLE, THE CHAIR OF THE BOARD OR COMMITTEE OF THE BOARD, AS THE CASE MAY BE, MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. (3) AFTER EXERCISING DUE DILIGENCE, THE BOARD OF TRUSTEES OR COMMITTEE OF THE BOARD SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. (4) IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OF TRUSTEES OR COMMITTEE OF THE BOARD SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS OR MEMBERS, AS THE CASE MAY BE, WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT, AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION; AND THEREAFTER, THE BOARD OF TRUSTEES OR COMMITTEE OF THE BOARD SHALL DECIDE WHETHER TO ENTER INTO THE PROPOSED TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATIONS. FORM 990, PART VI, SECTION B, LINE 15 IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S CEO, THE PROCESS PERFORMED BY A RELATED ORGANIZATION INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF COMPENSATION, THE CEO, EXECUTIVE DIRECTOR, AND TOP MANAGEMENT WERE COMPARED TO INDIVIDUALS IN OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. IN DETERMINING COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION WERE COMPARED TO INDIVIDUALS IN OTHER ORGANIZATION IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST. ASCENSION HEALTH P O BOX 45998 ST LOUIS MO 631455998 311662309 HEALTH CARE SYSTEM OFFICE MO 501(C)(3) SCH A, LINE 11A ASCENSION HEALTH ALLIANCE 0 AUSTIN CHILDREN'S CHEST ASSOCIATES II 1345 PHILOMENA STREET AUSTIN TX 78723 260163261 DELIVERY OF HEALTH CARE SERVICES TX 501(C)(3) SCH A, LINE 9 SETON CLINICAL ENTERPRISE CORPORATION 1 BLUE LADIES MINERALS INC 1345 PHILOMENA STREET AUSTIN TX 78723 742971975 OWN OIL AND MINERAL RIGHTS, REAL ESTATE TX 501(C)(3) SCH A, LINE 11C SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL 1 SETONUT SOUTHWESTERN UNIVERSITY PHYSICIANS GROUP FKA CTMF INC 1345 PHILOMENA STREET AUSTIN TX 78723 742869762 DELIVERY OF HEALTH CARE SERVICES TX 501(C)(3) SCH A, LINE 9 SETON CLINICAL ENTERPRISE CORPORATION 1 INSTITUTE OF RECONSTRUCTIVE PLASTIC SURGERY OF CENTRAL TEXAS 1345 PHILOMENA STREET AUSTIN TX 78723 262908163 DELIVERY OF HEALTH CARE SERVICES TX 501(C)(3) SCH A, LINE 9 SETON CLINICAL ENTERPRISE CORPORATION 1 PEDIATRIC CRITICAL CARE ASSOCIATES 1345 PHILOMENA STREET AUSTIN TX 78723 421670843 DELIVERY OF HEALTH CARE SERVICES TX 501(C)(3) SCH A, LINE 9 SETON CLINICAL ENTERPRISE CORPORATION 1 PEDIATRIC SURGICAL SUBSPECIALISTS 1345 PHILOMENA STREET AUSTIN TX 78723 208957311 DELIVERY OF HEALTH CARE SERVICES TX 501(C)(3) SCH A, LINE 9 SETON CLINICAL ENTERPRISE CORPORATION 1 SETON FAMILY OF PEDIATRIC SURGEONS 1345 PHILOMENA STREET AUSTIN TX 78723 271311790 DELIVERY OF HEALTH CARE SERVICES TX 501(C)(3) SCH A, LINE 9 SETON CLINICAL ENTERPRISE CORPORATION 1 SETON HAYS FOUNDATION 1345 PHILOMENA STREET AUSTIN TX 78723 262842608 FUNDRAISING TX 501(C)(3) SCH A, LINE 11A SETON HEALTHCARE FAMILY 1 SETON MEDICAL GROUP 1345 PHILOMENA STREET AUSTIN TX 78723 742861106 DELIVERY OF HEALTH CARE SERVICES TX 501(C)(3) SCH A, LINE 9 SETON CLINICAL ENTERPRISE CORPORATION 1 SETON WILLIAMSON FOUNDATION 1345 PHILOMENA STREET AUSTIN TX 78723 205330986 FUNDRAISING TX 501(C)(3) SCH A, LINE 11A SETON HEALTHCARE FAMILY 1 SPECIALLY FOR CHILDREN-CHILDREN'S HOSPITAL SUBSPECIALIST OF CENTRAL TEXAS 1345 PHILOMENA STREET AUSTIN TX 78723 742800601 DELIVERY OF HEALTH CARE SERVICES TX 501(C)(3) SCH A, LINE 9 SETON CLINICAL ENTERPRISE CORPORATION 1 THE SETON COVE INC 1345 PHILOMENA STREET AUSTIN TX 78723 742727509 SPIRITUALITY CENTER TX 501(C)(3) SCH A, LINE 11A SETON HEALTHCARE FAMILY 1 SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL INC 1345 PHILOMENA STREET AUSTIN TX 78723 742212968 FUNDRAISING TX 501(C)(3) SCH A, LINE 11A SETON HEALTHCARE FAMILY 1 TRI-COUNTY CLINICAL 1345 PHILOMENA STREET AUSTIN TX 78723 264562712 DELIVERY OF HEALTH CARE SERVICES TX 501(C)(3) SCH A, LINE 9 SETON CLINICAL ENTERPRISE CORPORATION 1 TRI-COUNTY PRACTICE ASSOCIATES 1345 PHILOMENA STREET AUSTIN TX 78723 264562522 DELIVERY OF HEALTH CARE SERVICES TX 501(C)(3) SCH A, LINE 9 SETON FAMILY OF HOSPITALS 1 TWENTY-SIX DOORS INC 1345 PHILOMENA STREET AUSTIN TX 78723 742855201 TO HOLD TITLE TO REAL PROPERTY TX 501(C)(25) N/A SETON FUND OF THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL 1 ADULT INPATIENT MEDICAL SERVICES 1345 PHILOMENA STREET AUSTIN TX 78723 452498998 DELIVERY OF HEALTH CARE SERVICES TX 501(C)(3) SCH A, LINE 9 SETON FAMILY OF HOSPITALS 1 SETON ENT 1345 PHILOMENA STREET AUSTIN TX 78723 273220659 DELIVERY OF HEALTH CARE SERVICES TX 501(C)(3) SCH A, LINE 9 SETON CLINICAL ENTERPRISE CORPORATION 1 CHILDRENS BONE JOINT & SPINE CENTER 1345 PHILOMENA STREET AUSTIN TX 78723 452499113 DELIVERY OF HEALTH CARE SERVICES TX 501(C)(3) SCH A, LINE 9 SETON CLINICAL ENTERPRISE CORPORATION 1 HEALTHCARE COLLABORATIVE 1345 PHILOMENA STREET AUSTIN TX 78723 273220767 DELIVERY OF HEALTH CARE SERVICES TX 501(C)(3) SCH A, LINE 9 SETON CLINICAL ENTERPRISE CORPORATION 1 SETON HEALTHCARE FAMILY 1345 PHILOMENA STREET AUSTIN TX 78723 454364243 DELIVERY OF HEALTH CARE SERVICES TX 501(C)(3) SCH A, LINE 3 ASCENSION HEALTH 1 SETON CLINICAL ENTERPRISE CORPORATION 1345 PHILOMENA STREET AUSTIN TX 78723 454360468 DELIVERY OF HEALTH CARE SERVICES TX 501(C)(3) SCH A, LINE 3 SETON HEALTHCARE FAMILY 1 SETON INSURANCE SERVICES CORPORATION 1345 PHILOMENA STREET AUSTIN TX 78723 454364813 DELIVERY OF HEALTH CARE SERVICES TX 501(C)(3) SCH A, LINE 3 SETON HEALTHCARE FAMILY 1 SETON PHYSICIAN HOSPITAL NETWORK 1345 PHILOMENA STREET AUSTIN TX 78723 742643825 HEALTH SERVICES TX N/A C 0 ADVANTAGE HEALTHCO INC 1345 PHILOMENA STREET AUSTIN TX 78723 742698151 HEALTH SERVICES TX N/A C 0 SETON HEALTH PLAN INC 1345 PHILOMENA STREET AUSTIN TX 78723 742725348 HMO TX N/A C 0 TOPFER BUILDING CONDOMINIUM ASSOCIATION 1345 PHILOMENA STREET AUSTIN TX 78723 743007869 COMMERCIAL BUILDING ASSOCIATION TX N/A C 0 SETON MSO INC 1345 PHILOMENA STREET AUSTIN TX 78723 742870455 HEALTH SERVICES TX N/A C 0 SETON HEALTH ALLIANCE INC 1345 PHILOMENA STREET AUSTIN TX 78723 742677756 HEALTH SERVICES TX N/A C 0 PRIMARIA HEALTH 1345 PHILOMENA STREET AUSTIN TX 78723 453047469 HEALTH SERVICES TX N/A C 0 SETON FAMILY OF PEDIATRICIANS 1345 PHILOMENA STREET AUSTIN TX 78723 271311909 HEALTH SERVICES TX N/A C 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 SETON FAMILY OF HOSPITALS O 4329954 ACTUAL AMOUNT PAID SETON FAMILY OF HOSPITALS Q 118544 ACTUAL AMOUNT PAID SETON FAMILY OF HOSPITALS C ACTUAL AMOUNT PAID SETON FAMILY OF HOSPITALS B 10977574 ACTUAL AMOUNT PAID