ASCENSION SETON: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: ASCENSION SETON (EIN 74-1109643)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-15
IRS object ID: 201411359349302271
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-15T08:57:19-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	861065772	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Deloitte Tax LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	250 East Fifth Suite 1900	AddressLine1
City	Cincinnati	City
State	OH	State
ZIP Code	45202	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	741109643	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Seton Family of Hospitals	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SETO	NameControl
Phone	5123241000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1345 Philomena Street	AddressLine1
City	Austin	City
State	TX	State
ZIP Code	78723	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Paula Campbell	Name
Title	CFO	Title
Phone	5123241000	Phone
Date Signed	2014-05-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Rebecca Lyons	Name
PTIN	P01487105	PTIN
Phone	5137847100	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	Seton Healthcare Network	BusinessNameLine1
Business Name Line2	Seton Healthcare Associates	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Paula Campbell	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1345 Philomena Street	AddressLine1
City	Austin	City
State	TX	State
ZIP Code	78723	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1757576210	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	http://www.seton.net	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1900	YearFormation
State Legal Domicile	TX	StateLegalDomicile
Activity Or Mission Description	Provision of healthcare services with a special concern for the poor and vulnerable.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	12987	TotalNbrEmployees
Total Nbr Volunteers	1601	TotalNbrVolunteers
Total Gross UBI	1704471	TotalGrossUBI
Net Unrelated Business Txbl Income	151603	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	27051033	ContributionsGrantsPriorYear
Contributions Grants Current Year	28698965	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1869107649	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1616054240	ProgramServiceRevenueCY
Investment Income Prior Year	617339	InvestmentIncomePriorYear
Investment Income Current Year	42672646	InvestmentIncomeCurrentYear
Other Revenue Prior Year	20198973	OtherRevenuePriorYear
Other Revenue Current Year	62286433	OtherRevenueCurrentYear
Total Revenue Prior Year	1916974994	TotalRevenuePriorYear
Total Revenue Current Year	1749712284	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	2446344	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	13031736	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	744936342	SalariesEtcPriorYear
Salaries Etc Current Year	710028318	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	884598914	OtherExpensePriorYear
Other Expenses Current Year	748439786	OtherExpensesCurrentYear
Total Expenses Prior Year	1631981600	TotalExpensesPriorYear
Total Expenses Current Year	1471499840	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	284993394	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	278212444	RevenuesLessExpensesCY
Total Assets BOY	2379095600	TotalAssetsBOY
Total Assets EOY	2681384363	TotalAssetsEOY
Total Liabilities BOY	740881266	TotalLiabilitiesBOY
Total Liabilities EOY	767791950	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1638214334	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1913592413	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	Our mission inspires us to care for and improve the health of those we serve with a special concern for the sick and the poor. 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 our founders: Vincent de Paul, Louise de Marillac, and Elizabeth Ann Seton.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	1378559777	Expense
Grants	13031736	Grants
Revenue	1666260255	Revenue
Description	As the leading provider of health services in Central Texas (an 11-county region), Seton also provides a number of distinctive services to the community: the only Level I trauma facilities, the only free-standing children's hospital, the only free-standing inpatient psychiatric hospital, the only heart transplant center and the only University of Texas medical residency programs. See Schedule O for additional information.	Description
Total Program Service Expense	1378559777	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	1599	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	12987	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Paula Campbell	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	5123241000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1345 Philomena Street	AddressLine1
City	Austin	City
State	TX	State
ZIP Code	78723	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Tom McHorse
Chairman	1.00	0.00	X	X	0	0	0
Chris Ziebell MD
Vice-Chairman	1.00	0.00	X	X	0	0	0
Robert Bonar Jr MD
President & CEO - SFH/Dell	45.00	5.00	X	X	1290176	0	34173
Leo Dunn
Secretary	1.00	0.00	X	X	0	0	0
Charles J Barnett
Board Member	45.00	0.00	X		3123025	0	62646
Joyce Batcheller
Board Member	1.00	0.00	X		717251	0	52060
Sr Helen Brewer DC
Board Member	1.00	0.00	X		0	0	0
Dr Chad Dieterichs
Board Member	1.00	0.00	X		0	0	0
Ed Dorn
Board Member	1.00	0.00	X		0	0	0
Thomas Gallagher
Bd Mmbr/EVP Admin SHF	5.00	45.00	X		1348253	0	70036
Jesus Garza
Bd Mmbr/Pres & CEO SHF	45.00	5.00	X		2211808	0	42463
Timothy George MD
Board Member	5.00	45.00	X		0	1695354	25397
James O Lindsey MD
Bd Mmbr/VP Med Affairs	45.00	5.00	X		863003	0	74664
Ian Turpin
Board Member	1.00	0.00	X		0	0	0
Sr Joanne Vasa
Board Member	1.00	0.00	X		0	0	0
Douglas D Waite
Sr. VP/CFO	45.00	5.00		X	1042770	0	60714
John Brindley
Pres. & CEO SMCA & SSC	45.00	0.00			1038578	0	55165	X
Gregory Hartman
Pres. & CEO UMB/CEC/CAMP	45.00	0.00			986571	0	27838	X
Kenneth Gladish
President/CEO Seton Foundations	45.00	5.00			0	720812	19680		X
Teresa Burroff
Sr. VP Legal Affairs	45.00	0.00			693928	0	20548		X
Christopher Hartle
Sr. VP Managed Care	45.00	0.00			830263	0	41900		X
Mark Hazelwood
Pres. & CEO North Market/Facilities	45.00	0.00			1215271	0	31017		X
Trennis Jones
Sr. VP/Chief Admin. Officer	45.00	0.00			886227	0	19051		X
Gerald Hill
Former Sr. VP Advocacy	0.00	0.00			0	561099	33875			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	16247124	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2977265	TotalReportableCompFrmRltdOrgs
Total Other Compensation	671227	TotalOtherCompensation
Number Individuals GT100 K	492	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
BCEP PA
720 W 34th Street	Austin	TX	78705	Emergency Physicians	18099306
Capital Anesthesiology Assoc
3705 Medical Parkway Suite 570	Austin	TX	78705	Anesthesiologists	16784166
Austin Cyberknife LLC
40 Burton Hills Blvd Suite 220	Nashville	TN	37215	Physician Services	6995400
TRT 1345 Philomena Street
518 17th Street Suite 1700	Denver	CO	80202	Physician Services	4458117
Austin Skeletal Trauma Special
1313 Red River Suite 200	Austin	TX	78701	Physician Services	3859115

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	135	NumberOfContractorsGT100K
Related Organizations	21151714	RelatedOrganizations
Government Grants	6299469	GovernmentGrants
All Other Contributions	1247782	AllOtherContributions
Total Contributions	28698965	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Net Patient Revenue	621400	1613325864	1611738511	1587353
Lab Services Rev.	900099	1567897	1567897
Service Fees Contractu	900099	853925	853925
I/C Management Fees	900099	225820	225820
Program Revenue	900099	80734	80734

Field	Value	IRS element (for citing)
Total Program Service Revenue	1616054240	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	41621434	TotalRevenueColumn
Exclusion	$41,621,434	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	4128370	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	4128370	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	4128370	TotalRevenueColumn
Unrelated Business Revenue	117118	UnrelatedBusinessRevenue
Exclusion	$4,011,252	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	40988	Securities
Other	1010224	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	40988	Securities
Other	1010224	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1051212	TotalRevenueColumn
Exclusion	$1,051,212	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	0	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	7863926	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-7863926	TotalRevenueColumn
Exclusion	-$7,863,926	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	2814123	GrossSalesOfInventory
Cost Of Goods Sold	0	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2814123	TotalRevenueColumn
Exclusion	$2,814,123	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Cafeteria Revenue	611430	4698207	$4,698,207
Ancillary Revenue	900099	4241623	$4,241,623
Late Penalty Fees	900099	1238115	$1,238,115

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	53029921	TotalRevenueColumn
Related Or Exempt Function Income	51793368	RelatedOrExemptFunctionIncome
Exclusion	$1,236,553	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	63207866	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1749712284	TotalRevenueColumn
Related Or Exempt Function Income	1666260255	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1704471	UnrelatedBusinessRevenue
Exclusion	$53,048,593	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	12753475	Total
Program Services	12753475	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	278261	Total
Program Services	278261	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	13101194	Total
Program Services	13101194	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	549656399	Total
Program Services	507042562	ProgramServices
Management And General	42613837	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	106242131	Total
Program Services	102576607	ProgramServices
Management And General	3665524	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	41028594	Total
Program Services	38435226	ProgramServices
Management And General	2593368	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1744489	Total
Program Services	11606	ProgramServices
Management And General	1732883	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	2384912	Total
Program Services	2384912	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	202440527	Total
Program Services	178204867	ProgramServices
Management And General	24235660	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2966204	Total
Program Services	688017	ProgramServices
Management And General	2278187	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3968405	Total
Program Services	3968405	ProgramServices

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	187228	Total
Program Services	187228	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	31255788	Total
Program Services	31255788	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	1520956	Total
Program Services	1017556	ProgramServices
Management And General	503400	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	931171	Total
Program Services	931171	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	13887659	Total
Program Services	13887659	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	12927652	Total
Program Services	12927652	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	69837198	Total
Program Services	69837198	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	602418	Total
Program Services	602418	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Medical Supplies	211524021	211524021
Supplies	98391352	98391352
Maintenance	33894905	33894905
Restructuring	9919053		9919053

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	50055848	Total
Program Services	44657697	ProgramServices
Management And General	5398151	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1471499840	Total
Program Services	1378559777	ProgramServices
Management And General	92940063	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
EOY	1563484	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	46949322	BOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	215503567	BOY
EOY	216311016	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	22165779	BOY
EOY	22040772	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
EOY	4614505	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1429516335	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	618387566	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	761645551	BOY
EOY	811128769	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	11769096	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	353438905	BOY
EOY	23746997	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	979392476	BOY
EOY	1590209724	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2379095600	BOY
EOY	2681384363	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	193651749	BOY
EOY	211284981	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
EOY	470765	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
EOY	5528995	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	547229517	BOY
EOY	550507209	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	740881266	BOY
EOY	767791950	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1630158803	BOY
EOY	1901823317	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	8055531	BOY
EOY	11769096	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1638214334	BOY
EOY	1913592413	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2379095600	BOY
EOY	2681384363	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	278212444	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	31372800	ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment	75770	ReconcilationPriorAdjustment
Reconcilation Other Changes	-34282935	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	1	MailingsMembers
Mailings Members	$18,545	MailingsMembersAmount
Publications Or Broadcast	1	PublicationsOrBroadcast
Publications Or Broadcast	$14,836	PublicationsOrBroadcastAmount
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$127,151	GrantsOtherOrganizationsAmount
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$247,091	DirectContactLegislatorsAmount
Rallies Demonstrations	1	RalliesDemonstrations
Rallies Demonstrations	$3,709	RalliesDemonstrationsAmount
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	411332	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1:	ReturnReference
Explanation	Seton Family of Hospitals may, to an insubstantial degree, make comments or statements concerning legislation which may affect the health care industry. Seton has not intervened in any political campaign. Expenses incurred in lobbying activities were primarily composed of staff salary, some limited travel, and conference expenses. There were contacts with federal representatives and their staff regarding health care issues and various proposals. The contacts were made by mail, telephone and in person. All contacts attempted to demonstrate how the proposals would impact residents and providers in Central Texas. These lobbying expenses amounted to $284,181 for FY13. Additional lobbying expenses in the amount of $127,151 represent the portion of dues paid to national and state hospital associations that are specifically allocable to lobbying.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	70910105	BeginningOfYearBalance
Contributions	2638419	Contributions
Investment Earnings Or Losses	8546076	InvestmentEarningsOrLosses
Other Expenditures	281396	OtherExpenditures
End Of Year Balance	81813204	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	69160318	BeginningOfYearBalance
Contributions	3299465	Contributions
Investment Earnings Or Losses	122465	InvestmentEarningsOrLosses
Other Expenditures	1672143	OtherExpenditures
End Of Year Balance	70910105	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	59338696	BeginningOfYearBalance
Contributions	3198570	Contributions
Investment Earnings Or Losses	9485599	InvestmentEarningsOrLosses
Other Expenditures	2862548	OtherExpenditures
End Of Year Balance	69160317	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	53503307	BeginningOfYearBalance
Contributions	1773005	Contributions
Investment Earnings Or Losses	6092747	InvestmentEarningsOrLosses
Other Expenditures	2030363	OtherExpenditures
End Of Year Balance	59338696	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	63242380	BeginningOfYearBalance
Contributions	1995097	Contributions
Investment Earnings Or Losses	-8552003	InvestmentEarningsOrLosses
Other Expenditures	3182167	OtherExpenditures
End Of Year Balance	53503307	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.11820	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.88180	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	49096312	OtherCostOrOtherBasis
Book Value	49096312	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	880533603	OtherCostOrOtherBasis
Depreciation	307363467	Depreciation
Book Value	573170136	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	38335122	OtherCostOrOtherBasis
Depreciation	18483081	Depreciation
Book Value	19852041	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	423428325	OtherCostOrOtherBasis
Depreciation	292541018	Depreciation
Book Value	130887307	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	38122973	OtherCostOrOtherBasis
Book Value	38122973	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	811128769	TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescription	Book ValueBookValue
Advances to Affliliates	421003138
Other Receivables	82210151
Investments in UnConsol Entities	63313317
AH Deferred Compensation Asset	17944395
Investments in Consolidated Entities	13433859
Other	5113105
Physician Asset Guarantee	1899007
Interest in Investments Held by Ascension Health Alliance's Alpha Fund	985292752

Field	Value	IRS element (for citing)
Total Book Value Other Assets	1590209724	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
Intercompany Debt with Ascension Health Alliance	$363,961,753
Other Liabilities	$182,267,072
A/R Credit Balance	$4,278,384

Field	Value	IRS element (for citing)
Total Of Amounts	550507209	TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Intended Use of Endowment Funds:	Part V, Line 4:	For almost four hundred years, the Daughters of Charity have lived in service to help the sick and the poor. In partnership with others, they have met the challenges and needs of our growing community since the Seton Infirmary opened its doors in 1902. To continue to sustain this legacy, the Seton Fund and the Children's Medical Center 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 continue to meet the community's healthcare needs. Permanent and board-designated endowments are strategic fundraising tools to help maximize endowment growth and financial returns to benefit Seton's healthcare ministry for the long-term.
		Part X, Line 2: This organization is included in the consolidated financial statements prepared for Seton Healthcare Family for the fiscal year ending June 30, 2013. The following ASC 740 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. No liability for uncertain tax positions was reported for this organization.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	375.000000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	179752990	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16280813	DirectOffsettingRevenue
Net Community Benefit Expense	163472177	NetCommunityBenefitExpense
Percent Of Total Expense	0.11110	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	331453678	TotalCommunityBenefitExpense
Direct Offsetting Revenue	297054239	DirectOffsettingRevenue
Net Community Benefit Expense	34399439	NetCommunityBenefitExpense
Percent Of Total Expense	0.02340	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1174861	TotalCommunityBenefitExpense
Direct Offsetting Revenue	630694	DirectOffsettingRevenue
Net Community Benefit Expense	544167	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	512381529	TotalCommunityBenefitExpense
Direct Offsetting Revenue	313965746	DirectOffsettingRevenue
Net Community Benefit Expense	198415783	NetCommunityBenefitExpense
Percent Of Total Expense	0.13490	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3045401	TotalCommunityBenefitExpense
Direct Offsetting Revenue	277395	DirectOffsettingRevenue
Net Community Benefit Expense	2768006	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9503175	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5074391	DirectOffsettingRevenue
Net Community Benefit Expense	4428784	NetCommunityBenefitExpense
Percent Of Total Expense	0.00300	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	127329652	TotalCommunityBenefitExpense
Direct Offsetting Revenue	91577141	DirectOffsettingRevenue
Net Community Benefit Expense	35752511	NetCommunityBenefitExpense
Percent Of Total Expense	0.02430	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8188296	TotalCommunityBenefitExpense
Net Community Benefit Expense	8188296	NetCommunityBenefitExpense
Percent Of Total Expense	0.00560	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	148066524	TotalCommunityBenefitExpense
Direct Offsetting Revenue	96928927	DirectOffsettingRevenue
Net Community Benefit Expense	51137597	NetCommunityBenefitExpense
Percent Of Total Expense	0.03480	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	660448053	TotalCommunityBenefitExpense
Direct Offsetting Revenue	410894673	DirectOffsettingRevenue
Net Community Benefit Expense	249553380	NetCommunityBenefitExpense
Percent Of Total Expense	0.16970	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	8000	TotalCommunityBuildingExpense
Net Community Building Expense	8000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	66950	TotalCommunityBuildingExpense
Net Community Building Expense	66950	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	141484	TotalCommunityBuildingExpense
Net Community Building Expense	141484	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Total Community Building Expense	4150	TotalCommunityBuildingExpense
Net Community Building Expense	4150	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	34606	TotalCommunityBuildingExpense
Net Community Building Expense	34606	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	135005	TotalCommunityBuildingExpense
Net Community Building Expense	135005	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	23193	TotalCommunityBuildingExpense
Net Community Building Expense	23193	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	116450	TotalCommunityBuildingExpense
Net Community Building Expense	116450	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	529838	TotalCommunityBuildingExpense
Net Community Building Expense	529838	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$288,484,689	BadDebtExpenseAmount
Amount Attributable To	39927923	AmountAttributableTo
Amount Reimbursed By Medicare	174851854	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	263775226	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-88923372	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (5 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 Cedar Park Surgery Center LLP
Freestanding, separately licensed outpatient surgery center	0.25100	0.41330
2 Strictly Pediatrics Surgery Center of Central Texas LLC
Pediatric ambulatory surgery center	0.26090	0.61600
3 Northwest Surgery Center LLP
Freestanding, separately licensed outpatient surgery center	0.26880	0.40000
4 Medical Park Tower Surgery Center LLC
Freestanding, separately licensed outpatient surgery center	0.25000	0.41500
5 The Surgery Center at Williamson LLC
Freestanding, separately licensed outpatient surgery center	0.25000	0.46000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	14	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (14 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Website AddressWebsiteAddress	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Research FacilityResearchFacility	Er24 HoursEr24Hours	Facility Reporting GroupFacilityReportingGroup	Teaching HospitalTeachingHospital	Childrens HospitalChildrensHospital	Critical Access HospitalCriticalAccessHospital
Seton Medical Center Austin
1	1201 West 38th Street	Austin	TX	78705	www.seton.net	X	X	X	X	A
University Medical Ctr Brackenridge
2	601 East 15th Street	Austin	TX	78701	www.seton.net	X	X	X	X	A	X
Dell Children's Med Ctr of Central TX
3	4900 Mueller Blvd	Austin	TX	78723	www.seton.net	X	X	X	X	A	X	X
Seton Edgar B Davis Hospital
4	130 Hays Street	Luling	TX	78648	www.seton.net	X	X		X	B			X
Seton Highland Lakes Hospital
5	3201 S Water Street	Burnet	TX	78611	www.seton.net	X	X		X	B			X
Seton Northwest Hospital
6	11113 Research Blvd	Austin	TX	78759	www.seton.net	X	X	X	X	A
Seton Southwest Hospital
7	7900 FM 1826	Austin	TX	78737	www.seton.net	X	X	X	X	A
Seton Shoal Creek Hospital
8	3501 Mills Avenue	Austin	TX	78731	www.seton.net	X	X	X	X		X
Seton Medical Center Williamson
9	201 Seton Parkway	Round Rock	TX	78665	www.seton.net	X	X	X	X	A
Seton Medical Center Hays
10	6001 Kyle Parkway	Kyle	TX	78640	www.seton.net	X	X	X	X	A
Cedar Park Regional Medical Center
11	1490 E Whitestone Blvd	Cedar Park	TX	78613	www.seton.net	X	X		X	A
Central Texas Rehabilitation Hospital
12	1201 West 38th Street	Austin	TX	78705	www.seton.net	X	X		X	A
Seton Medical Center Harker Heights
13	850 W Central Expressway	Harker Heights	TX	76548	www.seton.net	X	X		X	B
Seton Smithville Regional Hospital
14	800 East Highway 71	Smithville	TX	78957	www.seton.net	X	X		X	B

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Community DefinitionCommunityDefinition	Community DemographicsCommunityDemographics	Existing ResourcesExistingResources	How Data ObtainedHowDataObtained	Community Health NeedsCommunityHealthNeeds	Other Health IssuesOtherHealthIssues	Identifying ProcessIdentifyingProcess	Consulting ProcessConsultingProcess	Information GapsInformationGaps	Needs Assessment ConductedNeedsAssessmentConducted	Take Into AccountTakeIntoAccount	Other FacilitiesOtherFacilities	CHNA Widely AvailableCHNAWidelyAvailable	Own WebsiteOwnWebsite	On RequestOnRequest	Other MethodOtherMethod	Adopt Implement StrategyAdoptImplementStrategy	Execute Implement StrategyExecuteImplementStrategy	Develop Community PlanDevelopCommunityPlan	Include Operational PlansIncludeOperationalPlans	Adopt BudgetAdoptBudget	Prioritize Health NeedsPrioritizeHealthNeeds	Prioritize ServicesPrioritizeServices	All Needs AddressedAllNeedsAddressed	Organization Incur Excise TaxOrganizationIncurExciseTax	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
Seton Shoal Creek Hospital
8	1	X	X	X	X	X	X	X	X	X	12	1	1	1	X	X	X	X	X	X	X	X	X	X	0	0	1	1	100.000000000000	1	375.000000000000	1	X	X	1	1	X	1	0	1	X	0	0
Facility Reporting Group - A
	1	X	X	X	X	X	X	X	X	X	12	1	1	1	X	X	X	X	X	X	X	X	X	X	1	0	1	1	100.000000000000	1	375.000000000000	1	X	X	1	1	X	1	0	1	X	0	0
Facility Reporting Group - B
	1	X	X	X	X	X	X	X	X	X	12	1	0	1	X	X	X	X	X	X	X	X	X	X	1	0	1	1	100.000000000000	1	375.000000000000	1	X	X	1	1	X	1	0	1	X	0	0

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	7	NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Northwest Surgery Center LLP
11111 Research Blvd Suite LL3	Austin	TX	78759	Outpatient Surgery Center
Medical Park Tower Surgery Center LLC
1301 West 38th St	Austin	TX	78705	Outpatient Surgery Center
The Surgery Center at Williamson LLC
301 Seton Parkway	Round Rock	TX	78665	Outpatient Surgery Center
Seton McCarthy Community Health Ctr
2811 East Second Street	Austin	TX	78702	Outpatient Clinic
Seton Kozmetsky Community Health Ctr
3706 S First Street	Austin	TX	78704	Outpatient Clinic
Seton Topfer Community Health Center
8913 Collinfield Road	Austin	TX	78758	Outpatient Clinic
Towers Nursing Home
907 Garwood Street	Smithville	TX	78957	Skilled Nursing Center

Form990 Schedule H Part VI Form990ScheduleHPartVI (89 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
Part I, Line 6a: The organization prepares and files the annual statement of community benefit standards report with the Texas Department of State Health Services. The Texas Department of State Health Services Report utilizes different reporting rules, which may result in differing amounts of community benefit compared to this report. In addition, the organization provides a community benefit report on a monthly and annual basis to Ascension Health, a related organization.
Part I, Line 7: The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost accounting system that addresses all patient segments (for example: inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self-pay). The best available data was used to calculate the amounts reported in the table. For certain categories in the table, this was a cost accounting system; in other categories, a specific cost-to-charge ratio was applied.
Part I, Line 7g: The organization contracts with physicians who provide services at the community and rural clinics. The associated costs and charges relating to physician services are included in all relevant categories in Part I.
Part II: Community Benefit/ObjectiveImprove the quality of life for the most vulnerable among us, help break the cycle of poverty that exists in disadvantaged families, and positively impact community health needs identified by the Community Health Needs Assessment.Vulnerable PopulationThe number of vulnerable members of Central Texas' population - children, the aged, and households that cannot afford quality health care or are uninsured - is increasing. For example, in 2010, persons age 65 years and older constituted 8.6% of the population, but by 2020 that percentage is expected to grow to 11.8%, with the rural areas of the region tending to have older populations than the urban/suburban core. In addition, more than 22% of those under age 65 in Central Texas are uninsured, creating significant barriers to health care. In 2010, 17% of all Texas children were uninsured, compared to 10% nationally. In Texas, 50% of the uninsured are Hispanics/Latinos, a figure twice the number of uninsured whites. This statistic is important because Hispanics are currently 31% of the population and are expected to be more than one-third of the population by 2020. In addition, the Community Health Needs Assessments for Seton's 11 county area identified four distinct health needs impacting Central Texas: access to care, chronic disease, behavioral health, and obesity. Community Building ActivitiesSeton has provided funding for the following initiatives related to the community benefit objective described above. Seton did not award these funds for marketing purposes, to increase the referral of patients with third-party insurance coverage, in fulfillment of regulatory requirements or current standard of care, or to benefit persons associated with the organization.Physical Improvements and HousingSeton donated $6,000 to Caritas for its annual Harvey Penick Award Dinner which recognizes individuals who positively impact Austin. Caritas provides housing for the homeless in Austin. Last year, the organization prevented over 2,000 potential homelessness cases and found permanent housing for 150 if Austin's most chronically homeless. Additionally, a $500 annual pledge was made to HousingWorks Austin: an organization that advocates a wide range of housing options so that all community members can afford a home that is close to jobs, family, schools, recreation, and places of worship. Finally, Seton donated $1,500 to Plum Creek Homeowners Association for its Front Porch Days Marathon; an event aimed at encouraging physical activity. Economic DevelopmentSeton donated $66,950 to assist small businesses developments in neighborhoods with a vulnerable population. In addition, donations were made to organizations that are located in low income communities or provide employment in areas with high joblessness. A total of $56,500 of the $66,950 was donated to the organizations listed below.- Burnet Chamber of Commerce.- Capital City African American Chamber of Commerce.- Greater Austin Asian Chamber of Commerce- Greater Austin Asian Chamber of Commerce- Greater Austin Hispanic Chamber of Commerce- Kyle Area Chamber of Commerce & Visitor's Bureau- Round Rock Chamber of CommerceCommunity SupportSeton contributed $141,484 towards initiatives including but not limited to child care and mentoring programs for vulnerable populations, neighborhood support groups, violence prevention programs, disaster readiness and public health emergency activities. The organizations listed below received $106,855 of the total donations. - African American Youth Harvest Foundation- Any Baby Can- Austin Community Foundation- Central Texas Against Lawsuit Abuse- Committee for Austin' Children- Front Steps- Saint Mary Cathedral- San Marcos Sights & Sounds of Christmas- Texas CASA, Inc.- The John Paul II Life Center- The Links Foundation Inc.- The Seton Fund- Wildfire Relief- Wimberley Band BoostersEnvironmental ImprovementSeton contributed $4,150 towards initiatives including but not limited to activities that prevent environmental hazards that affects community health and safe removal of waste products. The organizations listed below received the total amount indicated above.- Guadalupe-Blanco River Authority- Hill Country Conservancy- Buda fine Arts Festival- Keep Bastrop County BeautifulLeadership Development and Training for Community MembersSeton contributed $34,606 towards initiatives including but not limited "training in conflict resolution; civic, cultural, or language skills; and medical interpreter skills for community residents". The organizations listed below received $31,150 of the total amount indicated above. - Arts From the Heart- Communities in Schools- GENaustin- Johnston Memorial- Lantino Leaders of America- Leadership Austin- NBMBAA- Washington University in St Louis School of MedicineCoalition BuildingSeton contributed $136,005 towards initiatives including but not limited "participation in community coalitions and other collaborative efforts with the community to address health and safety issues". The organizations listed below received $118,230 of the total amount indicated above. - Anti-Defamation League- Austin Area Heritage Council- Austin Area Research Organization- Austin Area Urban League, Inc.- Austin Community Foundation- Center for Public Policy Priorities- Diocese of Austin- Mexican American Legal Defense and Educational Fund- The Austin ProjectCommunity Health Improvement AdvocacyTexas Seton contributed $23,193 towards initiatives including but not limited "Efforts to support policies and programs to safeguard or improve public health, access to health care services, housing, the environment, and transportation". The organizations listed below received $22,193 of the total amount indicated above. - Ability Connection - Austin Smiles- Austin Speech Labs- City Of Austin- Helping the Aging, Needy and Disabled Inc.- Highland Lakes Family Crisis Center- Hospice Austin- Rock of Ages Foundation- Texans Standing Tall- The ARC of the Capital Area- The Food Allergy & Anaphylaxsis Network- Univision Receivables Co., LLCWorkforce DevelopmentSeton contributed $116,450 towards initiatives including but not limited to "recruitment of physicians and other health professionals to medical shortage areas or other areas designated as underserved, and collaboration with educational institutions to train and recruit health professionals needed in the community". The organizations listed below received $110,050 of the total amount indicated above. - Catholic High School- Austin Partners in Education- CTC International- Hays CISD Education Foundation- Hispanic Bar Association of Austin- Houston Tillotson University- National Forum for Black Public Administrators- National Society of Hispanic MBA's- San Juan Diego Work/Study Programs Inc.- Santa Cruz Catholic School
Part III, Line 4: The organization is part of the Seton Healthcare Family consolidated audit. The footnote that references bad debt expense in the June 30, 2013 consolidated audit is as follows:The provision for doubtful accounts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, Seton follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with Seton's policies. The organization's share of bad debt expense reported on Line 2 for the fiscal year ended June 30, 2013 was $288,484,689 at charges ($71,605,627 at cost) and the share of bad debt expense attributable to patients eligible under the organization's charity care policy reported on Line 3 for the period was estimated as $39,927,923 at charges ($9,910,626 at cost). Cost is determined based on the use of a cost to charge ratio computed using Worksheet 2, ratio of patient care cost-to-charges.
Part III, Line 8: Seton Family of Hospitals follows the Catholic Health Association ("CHA") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit. Amounts reported on line 6 were determined based on the Medicare cost report, which uses a combination of per diem and cost to charge ratio to determine costs.
Part III, Line 9b: The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance certain collection practices do not apply. A patient's eligibility for charity care/financial assistance may be determined at any point in the collection cycle. Collection agency agreements include language that requires adherence to Seton's/Ascension's billing and collection policies, and support the process by advising patients about the availability of financial assistance/charity care, providing patients with the application, and/or assisting with the completion process.
Part V, Section B, Line 3: From February May 2012, forums, focus groups, and interviews were conducted 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. Priority sectors and representative participants were identified based on: 1) a brainstorming session with members from the Core Coordinating and Steering Committees, 2) a survey completed by the Steering Committee nominating key informants, and 3) a survey completed by the Outreach and Engagement Subcommittee identifying focus group sectors and relevant community-based organizations. To this end, a total of 4 community forums, 14 focus groups, and 28 interviews with community stakeholders were conducted. Additionally, findings from 25 key informant interviews with senior leaders in multiple sectors including the business, education, and health fields previously conducted for the Central Health Connection's Leader Dialogue Series were included in the analysis. Ultimately, the qualitative research engaged over 300 individuals in discussion about the health issues they deemed critical in their community. Specifically, the qualitative data collection addressed the last two goals of the assessment: 1) to explore the current health priorities among Austin/Travis County residents within the social context of theircommunities and 2) to identify community strengths, resources, forces of change, and gaps in services to inform funding and programming priorities of Austin/Travis County. For this first goal which encompassed the community themes and strengths assessment, focus groups, interviews, and community precinct forums were completed. For the second goal of the forces of change assessment, focus groups and interviews discussed important external factors that have had and will have an impact on the community's health. More about these qualitative data collection methods can be found below: Community ForumsFour community forums were held in different areas of Austin/Travis County and engaged a total of 152 participants. During each forum an overview of ATCHHS and its partners' programs and services was given, local health indicators were presented, and attendees participated in a dialogue around health and their community. Facilitators guided discussions using a set of questions (see Community Health Needs Assessment Appendix A) and notetakers captured responses. In addition, each forum had bilingual staff available to simultaneously interpret presentations, facilitate, and take notes in Spanish. On average, each community forum lasted two hours, of which the community dialogue comprised one hour. Forums were advertised to a wide variety of community entities such as schools, churches, neighborhood associations, social services agencies, and local business. Free health screenings (e.g.: blood pressure, HIV, etc.) were offered before and after the forum. In addition, the first 50 participants received a $20 gift card to a local grocery store if they attended the duration of the event.Focus Groups and InterviewsIn total, 14 focus groups and 28 interviews were conducted with individuals from across Austin/Travis County. Focus groups were with the general public and with selected priority populations. For example, three focus groups were conducted with senior citizens, two groups with public housing residents, and two groups with refugees. A total of 101 individuals participated in the focus groups. Interviews were conducted with 31 individuals representing a range of sectors. These included government officials, educational leaders, social service providers, and health care providers. A full list of the different sectors engaged during the focus group and interview process can be found in Community Health Needs Assessment Appendix B.Focus group and interview discussions explored participants' perceptions of their communities, priority health concerns, perceptions of public health, prevention, and health care services, and suggestions for future programming and services to address these issues. A semi-structured moderator's guide was used across all discussions to ensure consistency in the topics covered (Community Health Needs Assessment Appendix C and D). Each focus group and interview was facilitated by a trained moderator, and detailed notes were taken during conversations. On average, focus groups lasted 90 minutes and included 6-12 participants, while interviews lasted approximately 30-60 minutes. Participants for the focus groups were recruited by community and social service organizations located throughout Travis County. As an incentive, focus group participants received a $30 gift card to a local grocery store.AnalysesThe collected qualitative information was coded using NVivo qualitative data analysis software and then analyzed thematically by data analysts for main categories and sub-themes. Analysts identified key themes that emerged across all groups and interviews as well as the unique issues that were noted for specific populations. Throughout the qualitative findings included in this report the term "participants" is used to refer to community forum, focus group, and key informant interview participants. Unique issues that emerged among a group of participants are specified as such (e.g.: community forum participants, Spanish-speaking focus group participants, etc.). Frequency and intensity of discussions on a specific topic were key indicators used for extracting main themes. While regional differences are noted where appropriate, analyses emphasized findings common across Austin/Travis County. Selected paraphrased quotes without personal identifying information are presented in the narrative of this report to further illustrate points within topic areas.LimitationsAs with all research efforts, there are several limitations related to the assessment's research methods that should be acknowledged. It should be noted that for the secondary data analyses, in several instances, city-level data were not available or could not be analyzed due to small sample sizes. In some cases, data was aggregated across multiple years to increase sample size (e.g. 2005-2009). Additionally, several sources did not provide current data stratified by race/ethnicity, gender, or age thus, these data could only be analyzed by total population. Due to the variety of sources used to conduct this assessment, it is also important to note that the term "Hispanic" could not be consistently defined throughout the report. For example, in demographic data presented, Hispanic refers to an ethnicity of any race; however, the qualitative data represents the perspectives of participants who may define the term Hispanic differently.Likewise, data based on self-reports should be interpreted with particular caution. In some instances, respondents may over- or underreport behaviors and illnesses based on fear of social stigma or misunderstanding the question being asked. In addition, respondents may be prone to recall bias that is, they may attempt to answer accurately but remember incorrectly. In some surveys, reporting and recall bias may differ according to a risk factor or health outcome of interest. Despite these limitations, most of the self-report surveys here benefit from large sample sizes and repeated administrations, enabling comparison over time. Additionally, public health surveillance data has its limitations regarding how data are collected and reported, who is included in public health datasets, and whether sample sizes for specific population groups is large enough for sub-group analyses.While the focus groups and interviews conducted for this study provide valuable insights, results are not statistically representative of a larger population due to non-random recruiting techniques and a small sample size. Recruitment for focus groups was conducted by community organizations, and participants were those individuals already involved in community programming. Because of this, it is possible that the responses received only provide one perspective on the issues discussed. In addition, organizations did not exclude participants if they did not live in the particular neighborhood, so participants in a specific community's focus group might not necessarily live in that area, although they did spend time there through the organization. Lastly, it is important to note that data were collected at one point in time, so findings, while directional and descriptive, should not be interpreted as definitive.	Seton Shoal Creek Hospital
Part V, Section B, Line 4: The CHNA was conducted with the following other organizations:- City of Austin- County of Travis- Central Health- St. David's Foundation- UT Health	Seton Shoal Creek Hospital
Part V, Section B, Line 5c: The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://austintexas.gov/sites/default/files/files/Health/CHA-CHIP/cha_report_Dec2012.pdf.	Seton Shoal Creek Hospital
Part V, Section B, Line 7: Description of Needs not Met:Given the behavioral health and substance abuse scope and mission of SSC, obesity and chronic disease treatment fall outside the realm of the hospitals direct service capabilities. While SSC does not have programs directly focused on these areas of need, SSC does participate in many collaborative efforts to provide behavioral health services as part of a multidisciplinary approach to obesity and chronic disease treatment including oncology.	Seton Shoal Creek Hospital
Part V, Section B, Line 14g: A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.	Seton Shoal Creek Hospital
Part V, Section B, Line 20d: Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.	Seton Shoal Creek Hospital
Part VI, Line 2: Needs Assessment ProcessSeton Healthcare ("Seton") conducts a Community Health Needs Assessment once every three years, with updates made annually for Seton's Integrated Strategic Operation Financial Plan. The organization's Community Benefit Steering Committee is the assessment's sponsoring entity. The assessment is conducted by Seton's in-house planning staff, using a variety of resources, including the Texas Department of State Health Services, the U.S. Census Bureau and other reference material. A comprehensive overview of the assessment is made to the Board of Trustees, the key audience for the report.For FY13, there were seven Community Health Needs Assessments ("CHNA") created for the communities served by the Seton Healthcare Family. The basis of the CHNA was a review an analysis of all primary healthcare data available for a twelve-county area. Seton's planning department distilled the information into a series of charts and graphs with an easy to read analysis of the primary data. In Williamson County, Seton participated in a community needs assessment process conducted by the Williamson County and Cities Healthcare District. As a result, the Williamson County Needs Assessment was conducted with other hospital facilities - Scott and White and St. David's Healthcare.Once the primary data collection was completed, Seton leveraged the local knowledge and expertise of the existing community collaborations created over the past 10 years to collect secondary data on the community's health needs. Community summits and community surveys were used to engage residents, public health officials, and other non-profit, government, and business stakeholders to provide insight on the identified health needs in the CHNA.For one of its hospitals, Seton Shoal Creek, Seton chose not to address all of the health needs identified in the CHNA. Seton Shoal Creek ("SSC") is a behavioral health hospital that offers a wide spectrum of mental health and substance abuse services. Given the behavioral health and substance abuse scope and mission of SSC, obesity and chronic disease treatment fall outside the realm of the hospitals direct service capabilities. While SSC does not have programs directly focused on these areas of need, SSC does participate in many collaborative efforts to provide behavioral health services as part of a multidisciplinary approach to obesity and chronic disease treatment including oncology. Highlights from Seton's Community Health Needs AssessmentMortality Rates for Central Texas: While mortality rates for the community as a whole continue to decline (mortality rate for population as a whole), prevention opportunities are still present for deaths from accidents, suicide, cancer and cardio-vascular and cerebral-vascular diseases. Premature mortality rates are higher in the more rural east and western regions of Central Texas. In addition:- Cancer and cardiac disease account for nearly half of the deaths in Central Texas.- Accidents, stroke and chronic lower respiratory diseases together cause another 20 percent of the deaths.- Downward trends are evident in mortality rates in Cancer and Diseases of the Heart.-Accidents are the fourth highest cause of death in Central Texas, trading places with cerebrovascular diseases. Communicable Diseases: Several key indicators are worth noting:- Dropping AIDS incidence rates tied with increasing HIV prevalence suggests that medication and education are making HIV/AIDS more of a chronic disease affecting fewer new people each year.- Syphilis incidence rates are increasing.- Tuberculosis incidence rates are increasing.Teen Pregnancy: - Rates are relatively stable at less than 35 per 1,000 teenaged females, and below national averages. Lifestyle Heath Indicators: These include:- The percentage of Central Texans reporting that they are overweight or obese is increasing.- Slightly fewer Central Texans report that they smoke.- Diabetes is increasing throughout the region.Access to Physicians:- The region is facing a shortage of almost 200 physicians in 2012. This shortage could grow to almost 900 physicians by 2016. This shortage considers the service provided by mid-level providers such as advanced practice nurses and physician assistants. The shortage is driven by several factors: - Increasing demand due to aging of the population, population growth, combined with the aging and expected retirement of the current physician supply. - A provider shortage is felt not only in the population at large, but among the older residents of the area as well. Providers accepting Medicare continue to decline.- Seton is closely monitoring the physician shortage and the need for physicians determined by each hospital's projected volumes. Seton is focusing on strategies to increase the supply through medical education, increasing the number of employed physicians, and active recruiting of private physicians.Identified Health Needs:All seven CHNAs identified three top health-related needs: chronic disease, behavioral health, and obesity. These three needs are often interrelated and community stakeholders often spoke about residents who have behavioral health issues that, when unresolved, affect obesity and chronic disease management. Chronic disease and obesity are both closely correlated to many of the top causes of death across the communities served by Seton.Another gap consistently identified across all the CHNA's was access to care. This overarching need includes a multitude of factors including lack of providers for the un/underinsured; the high cost of care; education on service navigation; limited specialty care or services; lack of insurance coverage, and transportation-related issues. Increasing and improving community collaboration to improve the health and well-being of individuals was also identified as a need across all communities. There were a few unique needs that surfaced in the individual CHNAs and they are addressed in each individual hospital Implementation Plan.Implementation Plan: Seton has developed fourteen Implementation Plans, one for each of its hospitals and joint venture hospitals. Each plan identifies the programs and activities the hospital, through the support of the Seton Healthcare Family and local partnerships, commits to provide in order to help address the needs identified in the CHNA of its service area. While similar needs were identified across all of the communities Seton serves, Seton recognizes that each community has its own unique set of needs, assets, and community partners. Therefore the strategies listed below may apply to all facilities or may only be relevant to one facility. For some facilities (i.e. Seton Shoal Creek and Central Texas Rehabilitation Hospital), certain community health needs fell outside of the scope of the direct services that the hospital provides. In these instances, the hospital still listed implementation strategies in those areas but they played a more supporting role in those strategies. These strategies represent a 3 year plan for addressing community health needs. However, given the dynamic nature of community health needs and the potential changes in Seton's strategy, these implementations may change over the 3 year period. If any changes are made, funding will be reallocated from the original pot of community benefit dollars.Currently, Seton Healthcare Family is waiting on guidance from the IRS regarding its reporting expectations for the Implementation Plans. Seton has developed internal metrics to measure each program identified in the Implementation Plan and hopes to share with the community the progress made in meeting those metrics.
Part VI, Line 3: The following describes how the organization informs and educates the patients and persons who may be billed for patient care about their eligibility for assistance under federal, state or local government programs or under the organization's charity care program: -Eligibility for charity care may be determined at any point in the revenue cycle. -Post a summary of the charity care policy (in both English and Spanish) and financial assistance contact information in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. -Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. -Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, crime victims, COBRA, county indigent, Veterans benefits, third party liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. -Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) Through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor. -A significant percentage of our patient access and patient financial service customer service representatives are fluent in both English and Spanish. -Patient access employees and patient financial service customer service representatives are trained (including at least annual updates) on eligibility criteria for financial assistance and various potential federal, state, and/or local governmental funding programs, including but not limited to Medicaid, CHIP, SSI, county indigent, crime victims, COBRA, Veterans benefits, third party liability, etc. -Seton utilizes the patient account rank order (PARO) score to identify patients who are eligible for financial assistance who did not apply through the avenues outlined above. (The PARO score is a presumptive financial means score that utilizes and analyzes demographic and public financial databases to evaluate and quantify the patient's ability to pay a medical bill.)-In addition to assistance with potential funding sources/governmental programs and charity care/financial assistance, efforts are made to enroll and link patients with primary care homes. -Include a summary of the charity care policy, application form, and financial assistance contact information (in either English or Spanish) with other discharge materials provided to patients -Financial assistance contact information is included on patient statements. -All revenue cycle business partners (primary and secondary collection agencies, eligibility vendor, etc.) are contractually required to follow Seton's and Ascension's billing and collection policies, including notification of the availability of financial assistance.
Part VI, Line 4: The Seton Family of Hospitals (Seton) serves an 11-county area, covering 9,645 square miles in central Texas and divided into regions:- West Region- Burnet, Llano and Blanco Counties- North Region- Williamson County- Central Region- Travis County (home to Texas' state capital, Austin)- South region- Hays and Caldwell Counties- East region- Lee, Bastrop, Fayette and Gonzales CountiesIn 2013, there were 2.0 million people living in the region; this number is expected to grow to 2.5 million by 2023. Seton's service area includes the rapidly growing urban Austin-Round Rock metropolitan area (five counties), as well as sparsely-populated rural areas with less convenient access to health care. More than 90% of the persons receiving inpatient care from Seton reside in this 11-county service area. Seton manages hospitals in six of the 11 counties; patients from the other five counties travel to access care in Seton facilities.Services Provided/Other Health Care Providers:Seton is a not-for-profit health care system that serves the community via 11 hospitals: six general medical-surgical hospitals, a children's hospital, three hospitals in rural areas and a psychiatric hospital. Seton provides 44% of the inpatient care in the area.Seton provides a number of distinctive services in the region: the only Level I trauma facilities, the only free-standing children's hospital, the only free-standing psychiatric hospital, and the only heart transplant center.Three of the System's hospitals are tertiary care facilities that serve the entire 11-county area with a broad array of services that can address the most complex health care needs: Seton Medical Center Austin, University Medical Center Brackenridge, and Dell Children's Medical Center. Seton Edgar B. Davis Hospital and Seton Highland Lakes Hospital are designated critical access hospitals and, as such, are the sole hospitals in their respective rural communities, Caldwell and Burnet counties. Seton also provides home health care and hospice care in rural Burnet/Highland Lakes, as well as home health and nursing home care in Smithville (Bastrop County).The remaining general medical-surgical hospitals (Seton Northwest, Seton Southwest, Seton Williamson, and Seton Hays) serve residents from a smaller area surrounding each facility. However, Williamson and Hays have the technology and clinical capability to serve a wider area as the demands of the region increase due to population growth and aging of the population.Seton provides ambulatory care via three safety net community clinics in Austin and a network of rural health clinics in both the east and west parts of the service area. Seton is developing a system of physician practices with both primary care physicians and sub-specialists. Seton has 539 employed providers (physicians, nurses, and physician assistants) in addition to about 245 medical residents. There are 2,689 physicians who are credentialed to practice in Seton hospitals with approximately 317 of that total being employed.The other major hospital provider in the area is HCA/St. David's Healthcare System, a for-profit system with five hospitals and 40% market share. Scott & White Healthcare system, a multi-hospital system based in Temple, has a hospital within Seton's service area. There are six other hospitals in the area; these are a mix of for-profit, public, and not-for-profit. Several of these hospitals have affiliation agreements with one of the larger systems or are in negotiations for affiliation, merger or acquisition.Population Characteristics:The Central Texas region is comparatively young, but growing older. In 2013, the largest percentage of the population - 45.2% - were aged 15 to 44 years; that percentage is expected to drop to 41.7% in 2023. In 2013, persons 65 years and older constituted 10.5% of the population; by 2023 that demographic will grow to 15.1%. Young people from infant to 14 years represent 20.9% of the region's population in 2013; their share of the population will decrease to 19.7% in 2023. In 2013, persons aged 45 to 64 were 23.5% of the region's population; by 2023, they will represent 23.4% of the region's population.The rural areas of the region tend to have older populations than the urban/suburban core. In the years ahead, the growth of older populations in the region will present a multitude of challenges, including an expected increase in demand for health care services. The diversity of the region is increasing. Non-Hispanic Anglos are 55% of the population in 2013 and are expected to be 51.2% of the population in 10 years. Hispanics are 32% of the population, and expected to be more than one-third of the population by 2023. Asians are the region's fastest growing racial/ethnic group.The region is remarkably well educated. Central Texas residents possess higher levels of educational attainment than either Texas or the United States. Today, more than 84% of all adult residents are high school graduates; more than 37% possess a bachelor degree; and close to 12% hold a professional degree.Although the region has not been entirely immune to the recent economic downturn, the regional economy continues to outperform most other US communities. At 5.8%, the region's June, 2013 unemployment rate was 2.4% below the national average. Most detrimental economic effects are readily apparent in statistics concerning median household income. Adjusted for inflation, median household income in the Austin metropolitan region dropped from $63,000 in the mid-2000's to $57,000 in 2013. While Texas and the US also experienced declines in median household income, neither was as severe as the Austin region. Yet median household income in the Austin metropolitan region remains more than 12% percent higher than the national figure and 22 percent higher than the Texas figure.The percentage of households in the region who are living below the US Poverty level is 8.4%. In addition, 25% of those aged 18-64 in central Texas are uninsured, creating significant barriers to access to health care. In 2010, 15% of central Texas children age 6-17 were uninsured. More than half of uninsured children are eligible for public programs, but are not enrolled.Data regarding inpatient discharges in the region illustrates the impact these insurance coverage rates have on Seton's operations. Seton serves a disproportionate market share of Medicaid and self-pay patients. While the Hospital System serves 44.4% of the total inpatient needs of the Community, it also supports 51.0% of Medicaid patients and 58.6% of self-pay patients. Specifically:- Medicare reimburses for 39.1% of inpatient discharges in central Texas. With an aging population, the percentage of patients covered by Medicare will continue to increase.- Medicaid reimburses for 15.2% of inpatient discharges in the region, while commercial insurance covers 32.2% of discharges. Employer-sponsored Insurance had been declining over the last 10 years.- Self-pay and "other" accounts for 13.4% of central Texas resident discharges. While 22% of central Texas' under-65 population is uninsured, many more are under-insured in programs that do not cover the costs of care.
TX	Reports Filed With States	Part VI, Line 7
Composition of Governing Body A majority of the members of Seton Family of Hospitals' governing board reside in the organization's primary service area.Medical Staff Privileges Staff privileges at Seton facilities are open to all qualified physicians in the community, subject to completing a Seton-specific credentialing process to ensure that the physician meets all required licensing and experience requirements for the position.Use of Surplus Funds Any surplus funds generated from Seton's operations are reinvested in the organization's activities, including patient care, medical education and research. Detailed descriptions of these programs and activities can be found in the narratives addressing Part II, Community Building Activities, as well as questions 2 through 4 of Schedule H, Part VI.Related Seton Grantees:-CommuniCare Health Centers (CCHC): CommuniCare, a federally qualified health center (FQHC), provides access to care, often to those who would otherwise frequent the emergency room for primary care needs. CommuniCare has two clinics in Hays County operating as Barrio Comprehensive Family. Hays County is a high-poverty county and is among the 200 poorest counties in the U.S. CommuniCare Barrios Comprehensive relieves some of the strain of the local emergency health care system. Seton contributed $253,000 to Barrios Comprehensive in FY13.-Integrated Care Collaborative: The Integrated Care Collaborative, or ICC, works together to increase access to care, improve quality and find creative financing solutions for the provision of health care for the region's uninsured. Today, members of the ICC include virtually all safety net providers within Williamson, Travis and Hays counties. Seton helped secure the organization's first grant and provided staff to develop and launch the collaboration. The ICC has since become one of the most respected and innovative organizations of its kind in the nation. Supported by grants from federal and private charity organizations, as well as continued support from the Seton Family of Hospitals and other ICC members, this unique collaboration stimulates creative thinking for managing health care for uninsured Central Texans through shared data, medical records and enrollment criteria. In FY13 Seton contributed $600,000 to the ICC. -Seton provided $25,000 to the John Paul II Life Center to support the Vitae Clinic. This clinic is a unique medical practice that provides women with state-of-the-art, holistic health care throughout their reproductive years and beyond. With a mission to provide excellence in women's healthcare while promoting a culture of life, the Clinic Vitae is in full compliance with the ethical and religious directives for Catholic healthcare services.-Building upon a successful ongoing relationship with Lone Star Circle of Care (LSCC), Seton contributed $5.7 million in FY13 to support LSCC's mission and an expansion of clinical sites. FY13 included the addition of a multiservice practice at Seton Northwest Hospital that provides family medicine, pediatrics, obstetrics and integrated behavioral health for the uninsured and underinsured. In addition, there are plans for another clinic to be built in Bastrop on land leased at a favorable rate by Seton to LSCC, to begin operating in FY14.-The Shalom Foundation/Austin: The Foundation provides financial support and physical assistance to under-privileged children and their families. It provides educational opportunities for children and adults, essential food and clean water for the malnourished, community outreach and medical assistance for basic healthcare and critical care needs. Seton sponsored a mission to the Moore Pediatric Surgery Center in Guatemala with a $10,000 donation in FY13.-Project C.U.R.E: Project C.U.R.E. is the largest provider of donated medical supplies and equipment to developing countries around the world Seton provided over $312,000 in donated overstock inventory to Project C.U.R.E in FY13.-Ronald McDonald House Charities: Ronald McDonald House Charities of Austin and Central Texas creates, finds and supports programs that directly improve the health and well-being of children and their families Seton provide the RMC with $13,000 in FY13.-TexHealth Central Texas, Inc: TexHealth is a community-based nonprofit created by and for Central Texas businesses offering a low-cost health benefits program in Travis, Burnet, Bastrop, Hays, and Williamson counties. Seton provided TexHealth a $100,000 donation to further the efforts of TexHealth's mission in providing assistance to low income individuals seeking health benefits. Need: Demand for nurses in Texas exceeds supply and, according to projections by the Texas Hospital Association, the shortage is expected to worsen. The nursing education pipeline needs support to provide room for those interested in becoming registered nurses. Related Seton Grantee: -Texas A&M Health Science Center - The Texas A&M Health Science Center College of Medicine is a community-based medical school providing third- and fourth-year clinical training at regional clinical campuses around the state through affiliations through local physicians, clinics and hospitals. Seton provided a FY13 grant of $200,000 to help sustain and expand nursing education at Texas A&M College of Nursing at the Round Rock Campus.Need: ObesityObesity was identified as a community health need across the seven community health needs assessments that Seton participated in. While each community was unique in how they felt obesity could be addressed, Seton has identified various implementation strategies to help combat the increasing obesity trend. In an effort to not duplicate efforts, Seton recognizes that many city municipalities, local school districts, and local non-profits are working to reduce the obesity rate in our community. Below includes a list of community partners Seton supported with donations of $5,000 or more to help address the obesity epidemic.Related Seton Grantees:-Revolution Soccer Club; Serving Round Rock, Pflugerville, Austin and surrounding communities, the Austin Texans SC is a division of the Dallas Texans Soccer Club. ATSC is an autonomous 501(c)(3) non-profit organization with its own management, board of directors, coaching staff, and operations and finances. The Austin Texans Soccer Club strives to develop the skills, knowledge, character, and love of the game for all players to their utmost potential. Seton provided $25,000 in support of the Revolution Soccer Club to help promote local physical activity options and to promote the health and well-being of area athletes.-The YMCA of Austin provides fitness and recreational activities for the disadvantaged residents of Austin. In addition, the Y also provides wrap around services that act as the "next layer of care" in many key clinical activities that Seton participates in. During FY13 Seton provided $5,000 to the YMCA of Austin.-The YMCA of Williamson County provides fitness and recreational activities for the disadvantaged residents of Austin. In addition, the Y also provides wrap around services that act as the "next layer of care" in many key clinical activities that Seton participates in. During FY13 Seton provided $170,500 to the YMCA of Williamson County to help further the Y's mission and to contribute to the Hutto Family YMCA project.Need: Chronic Disease and Disease ManagementAll of the Community Health Needs Assessments identified chronic disease and disease management as a priority health issue facing residents of their County. For the past six years the top three causes of death in Central Texas have been related to chronic disease. With many communities landing above national benchmarks for chronic disease - specifically diabetes, heart disease, and cancer - several opportunities exist for meeting this community health need. Below includes a list of community partners Seton supported with donations of $5,000 or more to help address this community health need.Related Seton Grantees:-American Cancer Society: The American Cancer Society is a nationwide, community-based voluntary health organization dedicated to eliminating cancer as a major health problem. In FY13 Seton provided sponsorships for the ACS annual Relay for Life event in addition to the Greater San Marcos Cattle Baron's Ball benefitting ACS. These donations totaled $6,100.-American Heart Association: The American Heart Association works to keep members of Central Texas safe from heart disease and stroke. They build healthier lives and make our community healthier through education, support, research, and advocacy. Seton contributed $33,000 in FY13 to AHA's Southwest Gala, Heart Walks, the Heart Ball, and various stroke events sponsored by AHA.		Schedule H, Part VI, Line 5
- March of Dimes: The March of Dimes aims to improve the health of babies by preventing birth defects, premature birth and infant mortality. In an effort to save babies' lives MOD provides community services, education, advocacy, and also conducts research. In FY13 Seton provided over $58,000 to support March of Dimes.-Texas Mamma Jamma Ride, Inc.: Texas Mamma Jamma Ride beneficiaries are all local and serve residents here in Central Texas, providing everything from diagnosis to counseling and medication for thousands living with breast cancer. Seton supported the 2012 Texas Ride with a $5,000 donation.-The Care Communities: The Care Communities help connect volunteer families to those in the community who may be battling HIV/AIDS or cancer alone. In FY13 Seton was a sponsor of the Care Communities annual gala and donated $7,500. Need: Behavioral HealthMental and behavioral health was one of the foremost health concerns raised by all of the communities represented in all of the Community Health Needs Assessments. This included substance abuse, an inadequate number of mental health providers and a lack of behavioral health resources. In an attempt to help communities meet this need, Seton supported the following organizations with donations of $5,000 or more:Related Seton Grantees:-R.O.C.K, Ride On Center for Kids: R.O.C.K provides therapeutic riding and Hippotherapy for individuals with cognitive and physical challenges. It also provides therapy to injured members of the armed forces. Seton provided $15,000 in FY13 to support the 2013 R.O.C.K Barn Dance.-Austin Clubhouse: Austin Clubhouse exists to provide acceptance and empowerment so adults living with mental health diagnoses can pursue personal goals and play a meaningful role as co-workers, colleagues, family members and friends. In FY13 Seton provided $5,000 in support of the Austin Clubhouse annual fundraising luncheon.Related Seton Grantees: -Caritas of Austin: Caritas provides a service continuum for those experiencing poverty that begins with a safety net and links clients to resources to achieve self-sufficiency. This continuum includes housing, food, education and employment services for individuals who are homeless, working and earning a low wage, and documented refugees. Seton sponsored the organization's 21st annual fundraising dinner.-Vincare Services: Provides affordable housing to mothers and children who may otherwise be homeless. Seton funds were used to support St. Louise House.-Housing Works Austin: Housing Works advocates a wide range of housing options so that all Austinites can afford a home that is close to jobs, family, schools, recreation, and places of worship. Seton pledges funds annually.Economic Development Related Seton Grantees: -Round Rock Chamber of Commerce: The Round Rock Chamber of Commerce serves as the accelerator for economic growth by creating synergy among its investors and the community to position Round Rock as the city of choice. In FY13 Seton provided support for the 2012 Annual Chamber Banquet and a donation for the Momentum Campaign.-Greater Austin Asian Chamber of Commerce: The Greater Austin Asian Chamber of Commerce is the leading partner for driving local economic growth for businesses with ties to Asia and Asian Americans. Seton was a Silver level sponsor of the Chamber in FY13.-Greater Austin Hispanic Chamber of Commerce: The Greater Austin Hispanic Chamber of Commerce's (GAHCC) primary goal is to continue the advancement and progression of a strong and stable economic culture for Hispanic Businesses. This goal is reached by developing the community's business and management skills; bridging access to financial capital; and maintaining the community's cultural values and integrity. Seton sponsored the GAHCC annual meeting and health-related events. In addition, the GAHCC fosters programs and initiatives to better the general welfare of the Hispanic community. In FY13 Seton sponsored the Celebrando Austin event, the 2012 GAHCC Civic Engagement Dialogue, and the Juan Garza reception.-Burnet Chamber of Commerce: The Burnet Chamber of Commerce works to strengthen, promote, and serve the businesses and business environment of Burnet. In FY13 Seton sponsored the Burnet Bluebonnet Festival hosted by the Chamber. -Capital City African American Chamber of Commerce: The Capital City African American Chamber of Commerce is an advocate for the creation, growth, and expansion of African American businesses within Central Texas and provides resources, technical assistance, and leadership on policy issues that enhance economic growth. Seton sponsored the Small Business Award, Black Elected Officials Award, and the CCAACC annual fundraiser.Community SupportRelated Seton Grantees: -Wildfire Relief: In response to the wildfires that consumed much of Bastrop and surrounding areas, Seton donated $70,855 to help with the relief effort. This contribution represented Seton's match of employee contributions made during the Seton Cares fundraising campaign.-Austin Community Foundation: The Austin Community Foundation promotes philanthropy in Central Texas to improve the quality of life for all, for today and for the future. Funds are distributed for such projects as wild fire recovery to the Austin Children's Shelter.- The Junior League of Austin: The Junior League is a nonprofit organization formed in 1934 committed to promoting voluntarism, developing the potential of women and improving the community through the effective action and leadership of trained volunteers. Its purpose is exclusively educational and charitable. Seton sponsored the Coats for Kids and Food for Tummies initiatives.Environmental ImprovementsNeed: As noted in the 2009 Central Texas Sustainability Indicators project, the community's environment has a significant impact on public health. For example:- Air and water quality are often public health concerns and have been shown to impact health care costs.- Economic health and educational attainment have been shown to have strong correlation to individual health status.- A safe environment contributes not only to reduced accidents but to the mental well-being of the community.- Availability of recreational spaces and community walkability design can encourage more active healthy lifestyles.The sustainability project noted that Central Texas needed to monitor or take actions on issues related to safe families, quality of and access to child care, equity among schools, water consumption and quality, air quality, mental health, vehicle miles traveled, rural land, cost of living, home loans, and race relations.Related Seton Grantees:-Children's Optimal Health (COH) gives agencies and communities' access to proprietary data by using GIS mapping to illuminate issues involving Central Texas children. By layering data from many sources, COH can help communities visualize the health of their neighborhoods, identify assets and needs, and unearth opportunities for collaborative change. In FY13 Seton continued to participate in the funding of COH as a Charter Board member of the organization.Leadership Development and Training for Community MembersRelated Seton Grantees:-GENAustin: This organization, known as the Girls Empowerment Network, hosts an annual "we are girls" conference; Seton sponsored the part of the conference devoted to issues of adolescent health.-Ann Richards School Foundation: The Ann Richards School Foundation secures resources to ensure the success of Ann Richards School students and builds a sustainable and effective public-private partnership that supports the school. Donations support the school's enhancement programs that provide opportunities and support for our students. In FY13 Seton sponsored the 2013 Launch party.-National Forum for Black Public Administrators: The mission of the NFBPA is embodied in the organization's commitment to strengthen the position of Blacks within the field of public administration; to increase the number of Blacks appointed to executive positions in public service organizations; and to groom and prepare younger, aspiring administrators for senior public management posts in the years ahead. Seton's contribution sponsored the Development Day and the October 2012 Conference Health Fair.Coalition BuildingRelated Seton Grantees:-Austin Interfaith: Austin Interfaith is a non-partisan, multi-ethnic, multi-issue organization of 30+ congregations, public schools, and unions who work together to address public issues that affect the well-being of families and neighborhoods in our community. Interfaith cultivates peace and respect through interfaith dialogue, service and celebration and exists to build healthy relationships between the faith communities of Central Texas. Funds were used for health care organizing.
-Anti-Defamation League: The Anti-Defamation League fights anti-Semitism and all forms of bigotry in the U.S. and abroad through information, education, legislation, and advocacy. ADL serves as a resource for government, media, law enforcement, educators and the public. Seton's donation was for the sponsorship for the Defenders of Rights award.Community Health Improvement AdvocacyNeed: Cancer and cardiac disease are responsible for three out of five deaths in Central Texas, with accidents, strokes and respiratory disease accounting for the next highest group of deaths. An increasingly important contributing factor to the quality of public health is obesity, which has been tied to numerous health conditions, including diabetes and heart disease. The number of Central Texans who self-report as obese or overweight continues to increase; in 2008, more than 60% self-reported themselves as obese or overweight. Other lifestyle indicators important to the public health are alcohol consumption and tobacco use. In Central Texas the incidence of binge drinking has increased, while the number of residents who smoke has decreased slightly. While the rates of several communicable diseases, including HIV/aids and tuberculosis have been decreasing in the area, the number of public school students who have refused immunizations for diseases such as measles, mumps, whooping cough, diphtheria, polio and rubella for "reason of conscience" has increased dramatically.Related Seton Grantees:-Hospice Austin: Hospice Austin is a nonprofit hospice organization who strives to use resources that benefit patients and their families while fulfilling their mission of providing patients with the very highest standards of care. In FY13 Seton provided support for the Friends of Hospice Dinner and Gala. -Helping the Aging, Needy, and Disabled (HAND): HAND strives for a community where all individuals are empowered and supported, with what they need, when they need it, to live with dignity and choice. Seton provided funding for HAND's annual fundraiser. -Texans Standing Tall: Texans Standing Tall is a statewide leader in evidence-based, environmental community change strategies. They do this by keeping communities updated on state level proposed policies and policy implementation, educate on the latest research and reports and teach how to implement evidence-based prevention strategies. In addition, Texans Standing Tall provides support to create community and state level change to protect youth.-The ARC of the Capital Area: The Arc of the Capital Area, a non-profit organization, is committed to promoting independence and choice by providing individualized services to adults and children with intellectual and developmental disabilities. Seton was a sponsor for the Building Bridges Art Celebration and Auction in FY13.-The Food Allergy & Anaphylaxis Network (FAAN): FAAN's mission is to ensure the safety and inclusion of individuals with food allergies while relentlessly seeking a cure. They do this through advocacy, education, awareness, and research. In FY13 Seton provided sponsorship for the annual FAAN Walk.Workforce DevelopmentNeed: The region was not immune from the recession and its effects are most readily apparent in statistics concerning median household income. Adjusted for inflation, median household income in the Austin metro region dropped from $63,000 to $57,000 during the second half of the last decade.Related Seton Grantees: -Hays Consolidated Independent School District Education Foundation: The Hays CISD Education Foundation generates and distributes resources to the Hays Consolidated Independent School District to enrich, maintain and expand programs needed to meet the District's stated mission and promote excellence in education. -Santa Cruz Catholic School: Santa Cruz Catholic School is the first Catholic Elementary School in Hays County and has the mission to educate students to be lifelong learners and the next generation of Catholic leaders, following Christ's message of Service, Compassion, Courage, and Spirit. Seton's donation was to support the Partner in Education program gala and Health Fair.-CTC International: CTC International prides itself on a holistic approach to community development through the initiatives focus on five areas that are all interrelated: education, environment, economy, health, and community. In FY13 Seton was a sponsor for the CTC outreach initiative.-Austin Partners in Education: Austin Partners in Education (APIE) creates and fosters effective community and school partnerships that provide all AISD students preparation for college and career. -Huston-Tillotson University: A historically black institution, Huston-Tillotson University's mission is to provide opportunities to a diverse population for academic achievement with an emphasis on academic excellence, spiritual and ethnical development, civic engagement, and leadership in a nurturing environment. Huston-Tillotson is the oldest institution of higher learning in Austin and is preparing to reach 1,000 students in the near future.-San Juan Diego Catholic High School: at this local Catholic high school, where most students come from low-income households, students work in entry-level positions in the corporate world to earn part of their tuition. Seton's donation to the school was made to honor the feast of Saint Elizabeth Ann Seton as well as sponsorship of the 2013 Rose Gala.
Seton Healthcare Family (Seton) is a member of Ascension Health. In December 2011, Ascension Health Alliance became the sole corporate member and parent organization of Ascension Health, a Catholic, national health system consisting primarily of nonprofit corporations that own and operate local health care facilities, or Health Ministries, located in 23 of the United States and the District of Columbia. In addition to serving as the sole corporate member of Ascension Health, Ascension Health Alliance serves as the member or shareholder of various other subsidiaries. Ascension Health Alliance, its subsidiaries, and the Health Ministries are referred to collectively from time to time hereafter as the System.Ascension Health Alliance is sponsored by Ascension Health Ministries, a Public Juridic Person. The Participating Entities of Ascension Health Ministries are the Daughters of Charity of St. Vincent de Paul in the United States, St. Louise Province, the Congregation of St. Joseph, theCongregation of the Sisters of St. Joseph of Carondelet, the Congregation of Alexian Brothers of the Immaculate Conception Province American Province and the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi US/Caribbean Province.Seton, located in Austin, Texas, is a nonprofit system that organizes, develops, coordinates, and delivers a complex, full continuum of health care services for residents of Austin and the surrounding area. Admitting physicians are primarily practitioners in the local area. Seton is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of Ascension Health are related to providing health care services.Mission:The System directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing, and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with the System's mission of service to those persons living in poverty and other vulnerable persons, each Health Ministry accepts patients regardless of their ability to pay. The System uses four categories to identify the resources utilized for the care of persons living in poverty and community benefit programs:1. Traditional charity care includes the cost of services provided to persons who cannot afford healthcare because of inadequate resources and/or who are uninsured or underinsured.2. Unpaid cost of public programs represents the unpaid cost of services provided to persons covered by public programs for the persons living in poverty and other vulnerable persons.3. Cost of other programs for the persons living in poverty and other vulnerable persons includes programs intentionally designed to serve the persons living in poverty and other vulnerable persons of the community including substance abusers, the homeless, victims of child abuse and persons with acquired immune deficiency syndrome.4. Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for persons living in poverty and other vulnerable persons, including health promotion and education, health clinics and screenings and medical research.Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care of persons living in poverty and community benefit programs. The cost of providing care to persons living in poverty and community benefit programs is estimated by reducing charges forgone by a factor derived from the ratio of each entity's total operating expenses to the entity's billed charges for patient care.Pediatric Surgical Subspecialists Purposes and ActivitiesPediatric Surgical Subspecialists (PSS) d/b/a Pediatric Specialty Services is organized as a Texas non-profit health organization pursuant to Texas laws and the Texas Medical Board's rules and regulations governing non-profit health corporations. PSS activities include: - Providing pediatric subspecialty medical care to Central Texas children; - Supporting medical education and developing the capabilities of individuals and institutions to teach and practice medicine, especially the field of pediatric medicine; - Engaging in the instruction of the general public in the area of pediatric medical care, public health, hygiene and related instruction useful to the individual and beneficial to the community; - Developing a single unified integrated delivery system to provide high-quality, cost effective, tertiary health care services to infants, children and adolescents within the PSS service area; - Providing and arranging for the medical care of all socioeconomic segments of the community served and to negotiate managed care contracts with third-party payers; and performing clinical and translational research.Austin Children's Chest Associates IIPurposes and ActivitiesAustin Children's Chest Associates II (ACCA) is organized as a Texas non-profit health organization pursuant to Texas laws and the Texas Medical Board's rules and regulations governing non-profit health corporations. ACCA's activities include:- Providing pediatric pulmonary and sleep medical care services to Central Texas children; - Supporting medical education and developing of the capabilities of individuals and institutions to teach and practice medicine, especially the field of pediatric medicine; - Engaging in the instruction of the general public in the area of pediatric medical care, public health, hygiene and related instruction useful to the individual and beneficial to the community; - Developing a single unified integrated delivery system to provide high quality, cost effective, tertiary health care services to infants, children and adolescents within ACCA's service area; - Providing and arranging for the medical care of all socioeconomic segments of the community served and to negotiate managed care contracts with third party payers; and performing clinical and translational research.Seton Institute of Reconstructive Plastic SurgeryPurposes and ActivitiesThe Institute of Reconstructive Plastic Surgery of Central Texas, dba Seton Institute of Reconstructive Plastic Surgery (SIRPS), is a sub-specialty 501(c)(3) charitable organization that provides patient care and educational programs and organizes and directs clinical and basic science research programs. SIRPS serves the patient populations of University Medical Center Brackenridge, Seton Medical Center Williamson and other regional hospitals. University Medical Center Brackenridge and Seton Medical Center Williamson are operated by a related tax-exempt organization, Seton Healthcare, Daughters of Charity Health Services of Austin, the Seton Family of Hospitals. SIRPS faculty represents a variety of subspecialties, including wound care, hand, breast, craniofacial and reconstructive plastic surgery. SIRPS InvolvementsIn FY13, SIRPS faculty provided care in more than 10,488 visits. Approximately 43 percent of patients were covered by government insurance programs, including Medicare, Medicaid and managed Medicaid or were self-pay or charity. Faculty members hold leadership positions in a variety of local, regional and national professional organizations. In addition SIRPS physicians were/are:- Actively involved in resident, medical student and allied health education.- An integral part of UMC Brackenridge acquiring and maintaining Level I Trauma Center status.- An integral part of Seton Medical Center Williamson acquiring and maintaining Level II Trauma Center status.SIRPS AccomplishmentsSIRPS faculty:- Provided leadership and direction for development of the following multi-disciplinary programs at UMC Brackenridge: Hand Center, Breast Center, Craniofacial Center, Wound Care and Plastic Surgery. - Created an outpatient Hand Therapy Center to provide continuity of care to our patients.- Instituted outpatient imaging services for quick, same-day imaging with outpatient pricing- Developed a clinic at the Travis County jail to reduce transport costs, decrease ER visits and improve safety.- Sees all patients, regardless of ability to pay.SIRPS Community Outreach ActivitiesPhysicians with SIRPS participate in a variety of community outreach activities including:- Giving lectures to community physicians and allied health personnel to continue education and improve quality of care.- Participating in community health fairs, educating the general population (e.g.: Mock Surgery Fair).- Mentoring undergraduate students and working with student observers interested in pursuing careers in healthcare.		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- Providing leadership and direction for the specialty of Plastic Surgery as it develops in Austin and the surrounding counties.- Updating the public via numerous media outlets (radio, television, Internet) on plastic surgery related health concerns, such as skin cancer and breast cancer awareness, hand injuries and cosmetic treatments of the breast, body and face.Tri-County Practice Association/Seton Brain & Spine InstitutePurposes and ActivitiesTri-County Practice Association (TCPA) dba Seton Brain & Spine Institute (SBSI), is a non-profit corporation that has assembled an expert, multidisciplinary team of physicians and other medical professionals to cover the entire spectrum of brain and spine care. SBSI research and clinical trials are at the forefront of a program dedicated to improving neurosciences care for all Central Texans. SBSI employs more than 30 board-certified physicians specializing in neurosurgery, orthopedic surgery, neurology and physical medicine and rehabilitation. SBSI is operated by a related tax-exempt organization, Seton Family of Hospitals.Inpatient and outpatient treatment is provided to the community for the following:- Brain and spine tumors- Epilepsy- Scoliosis degenerative disc disease- Painful spine conditions- Stroke- Spinal cord injury- Memory disorders- Movement disorders- Traumatic brain injury- ConcussionsMedical services include:- Neurology- Neurosurgery- Orthopedic spine- Physical medicine and rehabilitationSome of the services listed above operate at a loss in order to ensure that all services are available to meet community health care needs.SBSI furthers its charitable purposes by providing a broad array of services to the community. Its investment in research also provides access to state-of-the-art technology, medications and treatment protocols. This allows SBSI healthcare practitioners to experience and share new and upcoming treatment options on the leading edge of science. This relationship between research and practice, combined with SBSI's collaborative and interdisciplinary care model, leads to more advances and exceptional outcomes for Central Texas patients.Seton Family of PediatriciansPurposes and ActivitiesSeton Family of Pediatricians (SFP) is organized as a Texas non-profit health organization pursuant to Texas laws and the Texas Medical Board's rules and regulations governing non-profit health corporations. SFP activities include: - Collaborating with the Lone Star Circle of Care Physicians to provide PRN (on-call/as needed) physician support to Seton facilities, thus improving the accessibility of timely pediatric care to the Central Texas residents; - Supporting medical education and developing the capabilities of individuals and institutions to teach and practice of medicine, especially the field of pediatric medicine; - Engaging in the instruction of the general public in the area of pediatric medical care, public health, hygiene and related instruction useful to the individual and beneficial to the community; - Developing a single unified integrated delivery system to provide high-quality, cost effective, tertiary health care services to infants, children and adolescents within the SFP service area; - Providing and arranging for the medical care of all socioeconomic segments of the community served and to negotiate managed care contracts with third-party payers; and performing clinical and translational research. Seton Family of Pediatric SurgeonsPurposes and ActivitiesSeton Family of Pediatric Surgeons (SFPS) is organized as a Texas non-profit health organization pursuant to Texas laws and the Texas Medical Board's rules and regulations governing non-profit health corporations. SFPS activities include: - Providing pediatric general and trauma surgery; - Supporting medical education and developing the capabilities of individuals and institutions to teach and practice medicine, especially the field of pediatric medicine; - Engaging in the instruction of the general public in the area of pediatric medical care, public health, hygiene and related instruction useful to the individual and beneficial to the community; - Developing a single unified integrated delivery system to provide high-quality, cost effective, tertiary health care services to infants, children and adolescents within the SFPS service area; - Providing and arranging for the medical care of all socioeconomic segments of the community served and to negotiate managed care contracts with third-party payers; and performing clinical and translational research.Tri-County ClinicalPurposes and ActivitiesTri-County Clinical (TCC), dba Seton Family of Doctors, Seton Heart Institute and Riverbend Medical Group is a tax-exempt 501(c)(3) non-profit corporation dedicated to providing quality primary and specialist care to patients and extending the continuum of care from the Seton Family of Hospitals to outpatient clinics. As the leading provider of comprehensive health care services in Central Texas for more than a century, Seton continues to drive the level of care available in our community. TCC is a premier group of practices with more than 45 doctors and researchers offering services in specialties from primary care to cardiology. TCC also has worked to improve access to healthcare in the region through its facilities in underserved and rural communities in Central Texas. Seton Ear Nose and Throat Purposes and ActivitiesSeton Ear Nose and Throat (SENT) is organized as a Texas non-profit health organization pursuant to Texas laws and the Texas Medical Board's rules and regulations governing non-profit health corporations. SENT activities include:- A focus on providing specialized care for babies, children and adolescents with ear, nose and throat conditions; - Supporting medical education and developing of the capabilities of individuals and institutions to teach and practice medicine, especially the field of pediatric medicine; - Engaging in the instruction of the general public in the area of pediatric medical care, public health, hygiene and related instruction useful to the individual and beneficial to the community; - Developing a single unified integrated delivery system to provide high-quality, cost effective, tertiary health care services to infants, children and adolescents within the SENT service area; - Providing and arranging for the medical care of all socioeconomic segments of the community served and to negotiate managed care contracts with third-party payers; and performing clinical and translational researchChildren's Bone Joint and Spine CenterPurposes and ActivitiesChildren's Bone Joint and Spine Center (CBJSC) is organized as a Texas non-profit health organization pursuant to Texas laws and the Texas Medical Board's rules and regulations governing non-profit health corporations. CBJSC activities include: - Providing pediatric orthopedic care to Central Texas children; - Supporting medical education and developing of the capabilities of individuals and institutions to teach and practice of medicine, especially the field of pediatric medicine; - Engaging in the instruction of the general public in the area of pediatric medical care, public health, hygiene and related instruction useful to the individual and beneficial to the community; - Developing a single unified integrated delivery system to provide high quality, cost effective, tertiary health care services to infants, children and adolescents within CBJSC's service area; - Providing and arranging for the medical care of all socioeconomic segments of the community served and to negotiate managed care contracts with third party payers; and performing clinical and translational research.Adult Inpatient Medical ServicesPurposes and ActivitiesAdult Inpatient Medical Services (AIMS) is organized as a Texas non-profit health organization pursuant to Texas laws and the Texas Medical Board's rules and regulations governing non-profit health corporations. AIMS activities include partnering with Austin Regional Clinic to assist in providing hospitalist services to the Seton Family of Hospitals. AIMS and Seton are dedicated to developing a single unified integrated delivery system for the purpose of providing high-quality, cost-effective tertiary health care services to adults within the AIMS service area. Additionally, AIMS assists in providing and arranging for the medical care of all socioeconomic segments of the community. AIMS will negotiate managed care contracts with third-party payers. The program will pursue clinical and translational research as it matures.
Primaria HealthPurposes and ActivitiesPrimaria Health (PH) is organized as a Texas non-profit health organization pursuant to Texas laws and the Texas Medical Board's rules and regulations governing non-profit health corporations. PH activities include:- Collaborating with Austin Regional Clinics to establish primary care clinics throughout the Central Texas region, thus increasing access to medical care for the residents of Central Texas; - Supporting medical education and developing the capabilities of individuals and institutions to teach and practice medicine; - Engaging in the instruction of the general public in the area of pediatric medical care, public health, hygiene and related instruction useful to the individual and beneficial to the community; - Developing a single unified integrated delivery system to provide high quality, cost effective, tertiary health care services to adults within the PH service area; - Providing and arranging for the medical care of all socioeconomic segments of the community served and to negotiate managed care contracts with third-party payers; and performing clinical and translational research.'Specially for Children Children's Hospital Subspecialists of Central TexasPurposes and Activities'Specially For Children Children's Hospital Subspecialists of Central Texas (SFC) is a non-profit pediatric sub-specialty physician organization that provides specialized care for hospitalized patients and outpatients of the Dell Children's Medical Center of Central Texas (DCMCCT), which serves a 46-county area in Central Texas. DCMCCT is the only dedicated pediatric facility in the region and is operated by a related tax-exempt organization, Seton Family of Hospitals. The mission of SFC is to provide comprehensive pediatric subspecialty healthcare services that meet the needs of all children within the communities served.SFC is widely recognized in Central Texas as a leader in the evaluation and treatment of children and adolescents with special needs and complex medical conditions. It is the only group of its kind in the region, playing an integral role in the development of a comprehensive, pediatric multi-disciplinary team approach to caring for children. Further, each of the group's pediatric specialists has advanced training in a medical subspecialty and has specifically chosen to work with children. The physicians of SFC provide state-of-the-art diagnosis, treatment and clinical management of children and adolescents to meet the healthcare needs of patients and organizations in the community. The availability of these essential medical services helps to improve the overall health status of the region and offers young patients personalized care in a child friendly environment.The physician specialists employed by SFC are experts in many different areas of pediatric medicine and provide comprehensive, high quality clinical care for children and adolescents from birth through eighteen years of age. The group, originally formed in 1996 with six pediatric subspecialists, has expanded to better serve the needs of Central Texas and today, consists of more than 39 pediatric subspecialists in the area including: - Pediatric Allergy, Asthma & Immunology- Pediatric Dermatology- Pediatric Endocrinology and Diabetes Care- Pediatric Gastroenterology and Nutrition- Pediatric Hematology and Oncology - Pediatric Infectious Diseases/Adoption and Travel Clinic - Pediatric Nephrology and Dialysis Services- Palliative Care - Pediatric Rheumatology - Clinical Genetics- Comprehensive Complex Care Clinic A medical home for children with complex chronic medical conditions SFC participates in a variety of community outreach activities including:- Project Access Travis County Medical Society program to provide free care to uninsured in the community in collaboration with hospital and primary care service providers.- Camp Bluebonnet: Pediatric Hematology/Oncology Program participates in this camp for cancer and blood disorder patients and their families.- Heartgift Program: Physicians provide medical services for pediatric cardiac patients from foreign countries who travel to Austin for care.- Camp Okawehna Nephrology participates in this camp for kids on dialysis or kids that have had kidney transplants.- Camp Bluebonnet: Endocrinology Program participates in this camp for kids with diabetes. In addition, dedicated social workers counsel patients who need assistance connecting with other community resources, including Any Baby Can, Texas Neuro Rehab, LifeWorks, Capital Area ARC and Halo. Assistance also is provided to assist patients who qualify for Medicaid, the Austin/Travis County Medical Assistance Program and the Children's Health Insurance Program (CHIP).Healthcare CollaborativePurposes and ActivitiesHealthcare Collaborative (HC) is organized as a Texas non-profit health organization pursuant to Texas laws and the Texas Medical Board's rules and regulations governing non-profit health corporations. HC activities include:- Providing specialized medical services to individuals of the Central Texas region; - Collaborating with other service providers in the Central Texas region to streamline the delivery of healthcare services to patients in the region; - Supporting medical education and developing of the capabilities of individuals and institutions to teach and practice medicine; - Engaging in the instruction of the general public in the area of pediatric medical care, public health, hygiene and related instruction useful to the individual and beneficial to the community; - Developing a single unified integrated delivery system to provide high-quality, cost effective, tertiary health care services to patients within the HC service area; - Providing and arranging for the medical care of all socioeconomic segments of the community served and to negotiate managed care contracts with third-party payers; and performing clinical and translational research.Seton Medical GroupPurposes and ActivitiesSeton Medical Group (SMG) is a physician practice organization that provides medical staffing for a related tax exempt organization, Seton Healthcare Family (Seton). Physicians with SMG work with patients at the Seton's urban and rural community health centers and clinics to address a variety of healthcare needs. Sliding-fee scales make the centers' services affordable in an effort to provide access for families who would otherwise not be able to afford medical care. Facilities include:- Seton Burnet Healthcare Center- Seton Marble Falls Healthcare Center- Seton Bertram Healthcare Center- Seton Pedi Care-A-Van - Seton Lockhart Center for Healthcare- Seton Community Health Centers (McCarthy, Kozmetsky, Topfer)- Seton Luling Family Medical Clinic - Seton Children's Care-a-Van- Seton Total Health PartnersSMG provides the following in-patient and out-patient medical services to the community:- Asthma education/Spirometry - Diabetes specialty clinic and foot clinic- Clinic for children at risk for diabetes and cardiovascular disease - Family practice- Family therapy- General surgery- Internal medicine- Laboratory services- Nephrology - Neurology - Orthopedics- Pain Management - Patient education - Pediatrics - Obesity education for at-risk children- Pulmonology - Social worker at each site- Pharmacy Assistance Program- UrogynecologyMany of the services listed above charge patients a co-pay on a sliding scale or without consideration of a patient's ability to pay in order to ensure that all services are available to meet community health care needs. In addition to providing health care services to all individuals who require medical attention, SMG sponsors several programs to help provide patient education. SMG also provides continuing medical education for its members in order to provide the best health care to the community. Participating physicians have access to Seton-sponsored Continuing Medical Education activities, which included:- Adult Cancer Management - Brain & Spine Clinical Rounds- Breast Pre-Treatment Planning - Chest Conference- Communication of Electronic Fetal Monitoring- GYN Cancer Conference- Heart Transplant Board Meetings- Internal Medicine Grand Rounds- Invasive Cardiology Morbidity & Mortality- Neonatal Grand Rounds- OB/GYN Grand Rounds- Pediatric Cancer Management Conference- Pediatric Cardiology/Cardiovascular Surgery Conference- Pediatric Grand Rounds- Perinatal Outreach- Searching for Evidence: Using PubMed & Other Online Resources- Seton Medical Center Grand Rounds- Stroke Case Conference- Trauma Rounds
Pediatric Critical Care AssociatesPurpose and ActivitiesPediatric Critical Care Associates (PCCA) is a tax-exempt pediatric sub-specialty 501(a) nonprofit corporation dedicated to providing quality patient care to the critically ill children of Central Texas that present to the pediatric intensive care unit at Dell Children's Medical Center of Central Texas, which serves a 46-county area in Central Texas. Dell Children's is the only dedicated pediatric facility in the region and is operated by a related tax-exempt organization, Seton Healthcare, Daughters of Charity Health Services of Austin, the Seton Family of Hospitals. The physicians at Pediatric Critical Care Associates are all board certified Pediatric Intensivists. PCCA physicians are an integral component of the pediatric trauma team and participate in multiple hospital-wide quality improvement projects. PCCA InvolvementsPCCA physicians:- Continue to participate in NACHRI (National Association Children Hospital's and Related Institutions) and NACHRI's National CA-BSI Collaborative. This collaborative was initially made up of 30 Pediatric Intensive Care Units (PICUs) nationwide working together to eradicate Catheter-Associated Blood Stream Infections in the Intensive Care Unit (ICU). The program is designed to establish "best practice" and now PCCA along with the other original group members, are serving as facilitators to help "spread" to more than 300 PICU's nationwide.- Serve as leaders in NACHRI's PICU focus group which conducts multi-center research programs and establishes PICU best practices based on consensus. - Participate in PALISI (Pediatric Acute Lung Injury and Sepsis Investigation). We are conducting National Institute for Health (NIH), Centers for Disease Control (CDC) and corporately-sponsored multi-center clinical research. We are studying new therapies for acute hypoxemic respiratory failure and the courses of critical pertussis and influenza infections.- Serve as teaching faculty for pediatric residency program, emergency room residents and fellows, medical students, nursing students, respiratory therapists and pre-hospital emergency personnel.PCCA Accomplishments- Ongoing research studies through the Pediatric Palliative Care Program, established in 2006. Two peer reviewed articles have been published as a result of this research. - Expanded and continue to provide medical directorship for the pediatric transport team. Dell Children's Medical Center of Central Texas performs more than 1,000 patient transports per year. This benefits both local children and those outside the Austin Metro area.- Continue to provide medical directorship for the Pediatric Intermediate Care Unit (IMC), the Pediatric Intensive Care Unit (PICU), the Pediatric Transport Team and ECMO.- Recognized for teaching excellence in support of pediatric resident education.- Development and delivery of annual seminar for pediatric residents on communicating bad news to families.- Development of hospital wide protocol to standardize care of patients with complicated bacterial pneumonia.PCCA Community Outreach ActivitiesPhysicians with Pediatric Critical Care Associates participate in a variety of community outreach activities including:- Milagros: Family support group for patients with congenital heart disease.- Heartgift Program: PCCA physicians provide medical services for pediatric cardiac patients from foreign countries who travel to Austin for care.- Spine Hope: A non-profit organization that transforms the lives of children with spinal deformities worldwide through surgery, education and research.- Sammy's House: Daycare for medically fragile infants and children.- Children's Medical Center Foundation of Central Texas: Volunteer DJ for Radiothon; Physician liaison to Children's Miracle Hospital Medical Network Committee and guest speaker at many civic organizations on behalf of Children's Foundation.- PALS (Pediatric Advance Life Support): Medical Director of Dell Children's Medical Center of Central Texas and Austin Community College program. Train hundreds of nurses, physicians and EMS first responders in PALS annually. - Courageous Kids: Annual reunion for PICU survivors and their families.Seton/UT (University of Texas) Southwestern University Physicians Group.Purposes and ActivitiesSeton/UT (University of Texas) Southwestern University Physicians Group. (SUUPG) was organized to provide graduate and undergraduate training programs in Austin, under the leadership of the practicing medical community and full-time faculty from the University of Texas Southwestern Medical Center. Combining real world clinical experience with quality, personalized instruction, medical residents are gaining the skills they need to build successful careers in medicine. In turn, those residents along with medical students and faculty members provide coverage at multiple local hospitals and clinics throughout the Central Texas region. Some of the facilities benefiting from SUUPG include those operated by health care organizations; the Health Care District, Veterans Administration; and city, county and state mental health organizations. SUUPG continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families and society as a whole. SUUPG is home to Austin's graduate medical education program. Seton has entered into a long-term affiliation with the University of Texas Southwestern Medical Center to provide graduate and undergraduate training programs in Austin. SUUPG furthers this goal through delivery of direct patient care services, including care to the elderly and indigent, as well as patient education and health awareness programs for the community. Available services are provided to people in the community without regard to the patient's race, creed, national origin, economic status, or ability to pay. The following in-patient and out-patient medical services are provided to the community:- Family Medicine- Internal Medicine- Gastroenterology- Endocrinology- Infectious Disease- Dermatology- Pediatrics- Adult/Child/Geriatric Psychiatry- Obstetrics/Gynecology-Women's Health (UroGyn/GynOncology)- Surgery- Rheumatology (inpatient)Some of the services listed above charge patients on a sliding scale or without regard to the patient's ability to pay in order to ensure that all services are available to meet community health care needs. As a physician practice, SUUPG provides a substantial portion of its services to the elderly and poor. SUUPG seeks to improve the health status of its surrounding community by providing inpatient and outpatient medical and psychiatric services in multiple locations throughout the region. Services are extended not only to its tax exempt corporate member, Seton, but to other tax exempt entities throughout the community, some of which include:- Austin Independent School District - Austin State Hospital- Austin/Travis County Mental Health Mental Retardation (MHMR)- Austin/Travis County MHMR Child & Adolescent Clinic- Blackstock Family Health Clinic- Brackenridge Hospital- Children's Hospital of Austin (a department of Brackenridge Hospital)- Children's Shelter- The Travis County clinics- City of Austin Federally Qualified Health Clinics- Forensic/Federal Correctional Institution - Bastrop (outpatient)- Peoples Clinic- Post-Traumatic Stress Disorder Clinic at Veterans' Administration- St. David's Medical Center [The Partnership is not an exempt organization]- Seton Medical Center- Seton Shoal Creek (psychiatric hospital)- Seton Southwest Health Center- Texas Child Study Center (in Collaboration with Dell Children's Medical Center)- University Physician Group Trinity and 38th Street locations- Dermatologic Surgery Center (Mohs)- University of Texas Counseling Center- Veteran's Administration Clinics- Veteran's Administration Post Traumatic Stress Disorder ClinicSUUPG together with The University of Texas Southwestern Medical Center (UTSW) provide an extensive list of classes, seminars and materials to medical residents and staff related to each specialty. All core and elective requirements for graduate medical education and undergraduate medical students are offered as specified by the Accreditation Council for Graduate Medical Education, which is responsible for the Accreditation of post-MD medical training programs within the United States.
In addition, SUUPG trains and recruits healthcare professionals who are likely to remain in the region to meet unmet needs for physician services in both the urban and rural setting, and in so doing, provides direct physician services to the public, including a significant number of the persons who are elderly or poor. Development of new physicians is an integral part of improving community health status in the future.Seton Fund of the Daughters of Charity of St. Vincent de Paul, Inc.Purpose and ActivitiesThe Seton Fund of the Daughters of Charity of St. Vincent de Paul raises philanthropic funds to support the Seton Healthcare Family, including Seton Medical Center Austin, University Medical Center Brackenridge, Seton Highland Lakes Hospital, Seton Shoal Creek Hospital and the Seton Kozmetsky, Seton McCarthy and Seton Topfer Community Health Centers. Through its fundraising initiatives, the Seton Fund contributes to Seton's commitment to health care excellence and the Daughter of Charity ministry in Central Texas to serve the poor and vulnerable. Through its partnerships with generous donors, community volunteers and support groups, the Seton Fund helps build and strengthen sustainable collaborative efforts that benefit the health and well-being of the local community. The Seton Fund 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, special events and volunteer support groups, including the Seton Development Boards and its associate groups across Central Texas, Elizabeth Ann Seton Board, University Medical Center Brackenridge Development Council, Seton Forum, the Fifty and League House Board. Special events help raise funds and also awareness of Seton's mission to serve the healthcare needs of our community, including the poor and vulnerable. Seton Fund AccomplishmentsIn Fiscal Year 2013, the Seton Fund raised more than $11.5 million (pledges and cash) from generous donors to support Seton programs, equipment and building needs and endowment. Contributions supported a variety of needs including:- Research efforts, new construction, renovation and expansion at University Medical Center Brackenridge.- Medical equipment, renovation and expansion at Seton Medical Center Austin, including the new Breast Cancer Center.- Operating support for the Seton Care-a-Van serving the health care needs of low-income, rural school children in the Highland Lakes area via a mobile health van.- Breast cancer initiatives, including emergency assistance for low-income women.- Seton nurse scholarship endowment supporting Seton associates currently in or entering the nursing profession.- Programs, operating support and endowment for the Seton Kozmetsky, Seton McCarthy and Seton Topfer Community Health centers serving low-income families. Children's Medical Center Foundation of Central Texas Purpose and ActivitiesChildren'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. Children's Medical Center Foundation AccomplishmentsIn 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 Children's Health Express serving the health care needs of low-income children in the Austin area via a mobile health van. Seton Williamson FoundationPurpose and ActivitiesThe Seton Williamson Foundation raises philanthropic funds to support Seton Medical Center Williamson and Seton Northwest Hospital, members of the Seton Family of Hospitals. Through its fundraising initiatives, the Seton Williamson 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 Seton Williamson Foundation helps build and strengthen sustainable collaborative efforts that benefit the health and well-being of the local community. The Seton Williamson 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. Special events raise funds and also awareness of Seton's mission to serve the health care needs of Central Texas, including the poor and vulnerable.Seton Williamson Foundation AccomplishmentsIn Fiscal Year 2013, the Seton Williamson Foundation raised more than $823,000 (pledges and cash) from generous donors to support Seton programs, equipment and building needs and endowment for the benefit of Seton Medical Center Williamson and Seton Northwest Hospital Contributions supported a variety of needs including:- Building and equipment at Seton Northwest Hospital and Seton Medical Center Williamson.- Seton nurse scholarship fund supporting associates currently in or entering the nursing profession.- Program costs for Project Search at Seton Medical Center Williamson. Seton Hays FoundationThe Seton Hays Foundation raises philanthropic funds to support Seton Medical Center Hays, Seton Southwest Hospital, Smithville Regional Hospital and Seton Edgar B. Davis Hospital. Through its fundraising initiatives, the Seton Hays 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 Seton Hays Foundation helps build and strengthen sustainable collaborative efforts that benefit the health and well-being of the local community. The Seton Hays 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. Special events raise funds and also awareness of Setons's mission to serve the health care needs of Central Texas, including the poor and vulnerable.Seton Hays Foundation Accomplishments:In Fiscal Year 2013, the Seton Hays Foundation raised more than $1.0 million (pledges and cash) from generous donors to support Seton programs, equipment and building needs. Contributions supported a variety of needs including:- Operating support for the Children's Care-a-Van serving the health care needs of low-income, rural children in Caldwell County via a mobile health van.- Building and equipment at Seton Medical Center Hays, Seton Southwest Hospital and Seton Smithville Regional Hospital.- Operating Support for Seton Edgar B. Davis Hospital.
Seton CoveThe Seton Cove is a non-profit interfaith center for spirituality with a mission of providing a welcoming place of solace and hospitality where people of any faith may nourish their spiritual growth and journey toward wholeness. The center offers a holistic approach to life that integrates spiritual and human development through programs designed to honor the dignity of every person and to reflect the connections between spirituality and the human experience. Activities include programs to promote mental health and spiritual growth through workshops and presentations. Seton Cove is operated by a related tax-exempt organization, Seton Family of Hospitals. More than three-fourths of the Seton Cove's community services are provided to the Seton Cove's tax-exempt corporate member, Seton Healthcare Family. Seton Cove provided 20,921 hours of ministry to approximately 15,640 participants in FY13 at a cost of more than $481,183. The Seton Cove offers access to a variety of classes, presentations and programs designed to help educate the community. Classes are listed on the Seton Cove Website: www.setoncove.org. In addition, the site includes information on spiritual direction, journaling, labyrinths, retreats and workshops. Examples of Seton Cove classes and activities include:- Holistic Touch by appointment - Spiritual Direction- Group Spiritual Direction- Table Massage offered at Seton Cove - Chair Massage offered bi-weekly at Seton Medical Center Austin- Chair Massage offered monthly at Seton Northwest Hospital, Seton Shoal Creek Hospital, UMC Brackenridge, Dell Children's Medical Center and Seton Medical Center Williamson - Chair Massage provided for departments in the different locations of the Seton Family of Hospitals- Seton Southwest New Mother Massage Program- Meditation Community Services:Services offered at the Seton Family of Hospitals include:- Various workshops and presentations:- Tranquility Place monthly luncheons at University Medical Center Brackenridge, Seton Medical Center Austin, Seton Northwest Hospital, Seton Shoal Creek Hospital, Dell Children's Medical Center of Central Texas, Seton Medical Center Williamson, Seton Southwest Hospital, Seton Medical Center Hays and Seton Administrative Services.- Worklife Community departmental meetings throughout Seton. - In-services for Seton Premier Staffing, Seton Medical Center Williamson Patient Access, Dell Children's Child Life and Finance Departments, as well as UMC Brackenridge volunteers.- Class for diabetes patients and their caregivers on how to work with the powerful emotions that arise when diagnosed with a chronic illness.- A key role in Seton Ongoing Executive Formation as well as in Ascension Management Formation. Examples of outreach activities and programs offered to the general community in 2013 include:- Weekly spiritual direction for students at Austin Presbyterian Seminary- Tuesday evening meditation group- Friday morning Contemplative Prayer group- Two Wednesday morning meditation groups- Wednesday evening meditation groupSeton Cove Major Accomplishments - Led 2013 Leadership Pilgrimage program, which concluded with 25 graduates. - Led Contemplative Leadership program with 27 participants. This is a year-long program of six one-day retreats offering continued practice for participants that have completed the Leadership Program.- Sent 10 participants to the Taos Contemplative Leadership Intensive.- Facilitated Twelfth Annual Sr. Mary Rose McPhee Lecture series on Leadership and Spirituality with New York Times best-selling author and poet, Mark Nepo. - Facilitated Contemplative Retreat in Taos, New Mexico, Integrating Grace.- Offered and completed the first off-site Soul Collage retreat.- Offered and completed the first Day Camp for Teens at the Seton Cove. - Offered and completed first day and a half-long Summer Intensive for Leaders at the Seminary of the Southwest.
See below	Part V, Line 8 Facility Reporting Group A
From February May 2012, forums, focus groups, and interviews were conducted 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. Priority sectors and representative participants were identified based on: 1) a brainstorming session with members from the Core Coordinating and Steering Committees, 2) a survey completed by the Steering Committee nominating key informants, and 3) a survey completed by the Outreach and Engagement Subcommittee identifying focus group sectors and relevant community-based organizations. To this end, a total of 4 community forums, 14 focus groups, and 28 interviews with community stakeholders were conducted. Additionally, findings from 25 key informant interviews with senior leaders in multiple sectors including the business, education, and health fields previously conducted for the Central Health Connection's Leader Dialogue Series were included in the analysis. Ultimately, the qualitative research engaged over 300 individuals in discussion about the health issues they deemed critical in their community. Specifically, the qualitative data collection addressed the last two goals of the assessment: 1) to explore the current health priorities among Austin/Travis County residents within the social context of theircommunities and 2) to identify community strengths, resources, forces of change, and gaps in services to inform funding and programming priorities of Austin/Travis County. For this first goal which encompassed the community themes and strengths assessment, focus groups, interviews, and community precinct forums were completed. For the second goal of the forces of change assessment, focus groups and interviews discussed important external factors that have had and will have an impact on the community's health. More about these qualitative data collection methods can be found below: Community ForumsFour community forums were held in different areas of Austin/Travis County and engaged a total of 152 participants. During each forum an overview of ATCHHS and its partners' programs and services was given, local health indicators were presented, and attendees participated in a dialogue around health and their community. Facilitators guided discussions using a set of questions (see Community Health Needs Assessment Appendix A) and notetakers captured responses. In addition, each forum had bilingual staff available to simultaneously interpret presentations, facilitate, and take notes in Spanish. On average, each community forum lasted two hours, of which the community dialogue comprised one hour. Forums were advertised to a wide variety of community entities such as schools, churches, neighborhood associations, social services agencies, and local business. Free health screenings (e.g.: blood pressure, HIV, etc.) were offered before and after the forum. In addition, the first 50 participants received a $20 gift card to a local grocery store if they attended the duration of the event.Focus Groups and InterviewsIn total, 14 focus groups and 28 interviews were conducted with individuals from across Austin/Travis County. Focus groups were with the general public and with selected priority populations. For example, three focus groups were conducted with senior citizens, two groups with public housing residents, and two groups with refugees. A total of 101 individuals participated in the focus groups. Interviews were conducted with 31 individuals representing a range of sectors. These included government officials, educational leaders, social service providers, and health care providers. A full list of the different sectors engaged during the focus group and interview process can be found in Community Health Needs Assessment Appendix B.Focus group and interview discussions explored participants' perceptions of their communities, priority health concerns, perceptions of public health, prevention, and health care services, and suggestions for future programming and services to address these issues. A semi-structured moderator's guide was used across all discussions to ensure consistency in the topics covered (Community Health Needs Assessment Appendix C and D). Each focus group and interview was facilitated by a trained moderator, and detailed notes were taken during conversations. On average, focus groups lasted 90 minutes and included 6-12 participants, while interviews lasted approximately 30-60 minutes. Participants for the focus groups were recruited by community and social service organizations located throughout Travis County. As an incentive, focus group participants received a $30 gift card to a local grocery store.AnalysesThe collected qualitative information was coded using NVivo qualitative data analysis software and then analyzed thematically by data analysts for main categories and sub-themes. Analysts identified key themes that emerged across all groups and interviews as well as the unique issues that were noted for specific populations. Throughout the qualitative findings included in this report the term "participants" is used to refer to community forum, focus group, and key informant interview participants. Unique issues that emerged among a group of participants are specified as such (e.g.: community forum participants, Spanish-speaking focus group participants, etc.). Frequency and intensity of discussions on a specific topic were key indicators used for extracting main themes. While regional differences are noted where appropriate, analyses emphasized findings common across Austin/Travis County. Selected paraphrased quotes without personal identifying information are presented in the narrative of this report to further illustrate points within topic areas.LimitationsAs with all research efforts, there are several limitations related to the assessment's research methods that should be acknowledged. It should be noted that for the secondary data analyses, in several instances, city-level data were not available or could not be analyzed due to small sample sizes. In some cases, data was aggregated across multiple years to increase sample size (e.g. 2005-2009). Additionally, several sources did not provide current data stratified by race/ethnicity, gender, or age thus, these data could only be analyzed by total population. Due to the variety of sources used to conduct this assessment, it is also important to note that the term "Hispanic" could not be consistently defined throughout the report. For example, in demographic data presented, Hispanic refers to an ethnicity of any race; however, the qualitative data represents the perspectives of participants who may define the term Hispanic differently.Likewise, data based on self-reports should be interpreted with particular caution. In some instances, respondents may over- or underreport behaviors and illnesses based on fear of social stigma or misunderstanding the question being asked. In addition, respondents may be prone to recall bias that is, they may attempt to answer accurately but remember incorrectly. In some surveys, reporting and recall bias may differ according to a risk factor or health outcome of interest. Despite these limitations, most of the self-report surveys here benefit from large sample sizes and repeated administrations, enabling comparison over time. Additionally, public health surveillance data has its limitations regarding how data are collected and reported, who is included in public health datasets, and whether sample sizes for specific population groups is large enough for sub-group analyses.While the focus groups and interviews conducted for this study provide valuable insights, results are not statistically representative of a larger population due to non-random recruiting techniques and a small sample size. Recruitment for focus groups was conducted by community organizations, and participants were those individuals already involved in community programming. Because of this, it is possible that the responses received only provide one perspective on the issues discussed. In addition, organizations did not exclude participants if they did not live in the particular neighborhood, so participants in a specific community's focus group might not necessarily live in that area, although they did spend time there through the organization. Lastly, it is important to note that data were collected at one point in time, so findings, while directional and descriptive, should not be interpreted as definitive.	Facility 1 -- Seton Medical Center Austin	Part V, Section B, line 3:
The other hospital facilities with which the reporting hospital facility conducted its CHNA, include:- City of Austin- County of Travis- Central Health- St. David's Foundation- UT Health	Facility 1 -- Seton Medical Center Austin	Part V, Section B, line 4:
The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://austintexas.gov/sites/default/files/files/Health/CHA-CHIP/cha_report_Dec2012.pdf.	Facility 1 -- Seton Medical Center Austin	Part V, Section B, line 5c:
A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.	Facility 1 -- Seton Medical Center Austin	Part V, Section B, line 14g:
Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.	Facility 1 -- Seton Medical Center Austin	Part V, Section B, line 20d:
From February May 2012, forums, focus groups, and interviews were conducted 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. Priority sectors and representative participants were identified based on: 1) a brainstorming session with members from the Core Coordinating and Steering Committees, 2) a survey completed by the Steering Committee nominating key informants, and 3) a survey completed by the Outreach and Engagement Subcommittee identifying focus group sectors and relevant community-based organizations. To this end, a total of 4 community forums, 14 focus groups, and 28 interviews with community stakeholders were conducted. Additionally, findings from 25 key informant interviews with senior leaders in multiple sectors including the business, education, and health fields previously conducted for the Central Health Connection's Leader Dialogue Series were included in the analysis. Ultimately, the qualitative research engaged over 300 individuals in discussion about the health issues they deemed critical in their community. Specifically, the qualitative data collection addressed the last two goals of the assessment: 1) to explore the current health priorities among Austin/Travis County residents within the social context of theircommunities and 2) to identify community strengths, resources, forces of change, and gaps in services to inform funding and programming priorities of Austin/Travis County. For this first goal which encompassed the community themes and strengths assessment, focus groups, interviews, and community precinct forums were completed. For the second goal of the forces of change assessment, focus groups and interviews discussed important external factors that have had and will have an impact on the community's health. More about these qualitative data collection methods can be found below: Community ForumsFour community forums were held in different areas of Austin/Travis County and engaged a total of 152 participants. During each forum an overview of ATCHHS and its partners' programs and services was given, local health indicators were presented, and attendees participated in a dialogue around health and their community. Facilitators guided discussions using a set of questions (see Community Health Needs Assessment Appendix A) and notetakers captured responses. In addition, each forum had bilingual staff available to simultaneously interpret presentations, facilitate, and take notes in Spanish. On average, each community forum lasted two hours, of which the community dialogue comprised one hour. Forums were advertised to a wide variety of community entities such as schools, churches, neighborhood associations, social services agencies, and local business. Free health screenings (e.g.: blood pressure, HIV, etc.) were offered before and after the forum. In addition, the first 50 participants received a $20 gift card to a local grocery store if they attended the duration of the event.Focus Groups and InterviewsIn total, 14 focus groups and 28 interviews were conducted with individuals from across Austin/Travis County. Focus groups were with the general public and with selected priority populations. For example, three focus groups were conducted with senior citizens, two groups with public housing residents, and two groups with refugees. A total of 101 individuals participated in the focus groups. Interviews were conducted with 31 individuals representing a range of sectors. These included government officials, educational leaders, social service providers, and health care providers. A full list of the different sectors engaged during the focus group and interview process can be found in Community Health Needs Assessment Appendix B.Focus group and interview discussions explored participants' perceptions of their communities, priority health concerns, perceptions of public health, prevention, and health care services, and suggestions for future programming and services to address these issues. A semi-structured moderator's guide was used across all discussions to ensure consistency in the topics covered (Community Health Needs Assessment Appendix C and D). Each focus group and interview was facilitated by a trained moderator, and detailed notes were taken during conversations. On average, focus groups lasted 90 minutes and included 6-12 participants, while interviews lasted approximately 30-60 minutes. Participants for the focus groups were recruited by community and social service organizations located throughout Travis County. As an incentive, focus group participants received a $30 gift card to a local grocery store.AnalysesThe collected qualitative information was coded using NVivo qualitative data analysis software and then analyzed thematically by data analysts for main categories and sub-themes. Analysts identified key themes that emerged across all groups and interviews as well as the unique issues that were noted for specific populations. Throughout the qualitative findings included in this report the term "participants" is used to refer to community forum, focus group, and key informant interview participants. Unique issues that emerged among a group of participants are specified as such (e.g.: community forum participants, Spanish-speaking focus group participants, etc.). Frequency and intensity of discussions on a specific topic were key indicators used for extracting main themes. While regional differences are noted where appropriate, analyses emphasized findings common across Austin/Travis County. Selected paraphrased quotes without personal identifying information are presented in the narrative of this report to further illustrate points within topic areas.LimitationsAs with all research efforts, there are several limitations related to the assessment's research methods that should be acknowledged. It should be noted that for the secondary data analyses, in several instances, city-level data were not available or could not be analyzed due to small sample sizes. In some cases, data was aggregated across multiple years to increase sample size (e.g. 2005-2009). Additionally, several sources did not provide current data stratified by race/ethnicity, gender, or age thus, these data could only be analyzed by total population. Due to the variety of sources used to conduct this assessment, it is also important to note that the term "Hispanic" could not be consistently defined throughout the report. For example, in demographic data presented, Hispanic refers to an ethnicity of any race; however, the qualitative data represents the perspectives of participants who may define the term Hispanic differently.Likewise, data based on self-reports should be interpreted with particular caution. In some instances, respondents may over- or underreport behaviors and illnesses based on fear of social stigma or misunderstanding the question being asked. In addition, respondents may be prone to recall bias that is, they may attempt to answer accurately but remember incorrectly. In some surveys, reporting and recall bias may differ according to a risk factor or health outcome of interest. Despite these limitations, most of the self-report surveys here benefit from large sample sizes and repeated administrations, enabling comparison over time. Additionally, public health surveillance data has its limitations regarding how data are collected and reported, who is included in public health datasets, and whether sample sizes for specific population groups is large enough for sub-group analyses.While the focus groups and interviews conducted for this study provide valuable insights, results are not statistically representative of a larger population due to non-random recruiting techniques and a small sample size. Recruitment for focus groups was conducted by community organizations, and participants were those individuals already involved in community programming. Because of this, it is possible that the responses received only provide one perspective on the issues discussed. In addition, organizations did not exclude participants if they did not live in the particular neighborhood, so participants in a specific community's focus group might not necessarily live in that area, although they did spend time there through the organization. Lastly, it is important to note that data were collected at one point in time, so findings, while directional and descriptive, should not be interpreted as definitive.	Facility 2 -- University Medical Ctr Brackenridge	Part V, Section B, line 3:
The CHNA was conducted with the following other organizations:- City of Austin - County of Travis- Central Health- St. David's Foundation- UT Health	Facility 2 -- University Medical Ctr Brackenridge	Part V, Section B, line 4:
The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://austintexas.gov/sites/default/files/files/Health/CHA-CHIP/cha_report_Dec2012.pdf.	Facility 2 -- University Medical Ctr Brackenridge	Part V, Section B, line 5c:
A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.	Facility 2 -- University Medical Ctr Brackenridge	Part V, Section B, line 14g:
Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.	Facility 2 -- University Medical Ctr Brackenridge	Part V, Section B, line 20d:
From February May 2012, forums, focus groups, and interviews were conducted 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. Priority sectors and representative participants were identified based on: 1) a brainstorming session with members from the Core Coordinating and Steering Committees, 2) a survey completed by the Steering Committee nominating key informants, and 3) a survey completed by the Outreach and Engagement Subcommittee identifying focus group sectors and relevant community-based organizations. To this end, a total of 4 community forums, 14 focus groups, and 28 interviews with community stakeholders were conducted. Additionally, findings from 25 key informant interviews with senior leaders in multiple sectors including the business, education, and health fields previously conducted for the Central Health Connection's Leader Dialogue Series were included in the analysis. Ultimately, the qualitative research engaged over 300 individuals in discussion about the health issues they deemed critical in their community. Specifically, the qualitative data collection addressed the last two goals of the assessment: 1) to explore the current health priorities among Austin/Travis County residents within the social context of theircommunities and 2) to identify community strengths, resources, forces of change, and gaps in services to inform funding and programming priorities of Austin/Travis County. For this first goal which encompassed the community themes and strengths assessment, focus groups, interviews, and community precinct forums were completed. For the second goal of the forces of change assessment, focus groups and interviews discussed important external factors that have had and will have an impact on the community's health. More about these qualitative data collection methods can be found below: Community ForumsFour community forums were held in different areas of Austin/Travis County and engaged a total of 152 participants. During each forum an overview of ATCHHS and its partners' programs and services was given, local health indicators were presented, and attendees participated in a dialogue around health and their community. Facilitators guided discussions using a set of questions (see Community Health Needs Assessment Appendix A) and notetakers captured responses. In addition, each forum had bilingual staff available to simultaneously interpret presentations, facilitate, and take notes in Spanish. On average, each community forum lasted two hours, of which the community dialogue comprised one hour. Forums were advertised to a wide variety of community entities such as schools, churches, neighborhood associations, social services agencies, and local business. Free health screenings (e.g.: blood pressure, HIV, etc.) were offered before and after the forum. In addition, the first 50 participants received a $20 gift card to a local grocery store if they attended the duration of the event.Focus Groups and InterviewsIn total, 14 focus groups and 28 interviews were conducted with individuals from across Austin/Travis County. Focus groups were with the general public and with selected priority populations. For example, three focus groups were conducted with senior citizens, two groups with public housing residents, and two groups with refugees. A total of 101 individuals participated in the focus groups. Interviews were conducted with 31 individuals representing a range of sectors. These included government officials, educational leaders, social service providers, and health care providers. A full list of the different sectors engaged during the focus group and interview process can be found in Community Health Needs Assessment Appendix B.Focus group and interview discussions explored participants' perceptions of their communities, priority health concerns, perceptions of public health, prevention, and health care services, and suggestions for future programming and services to address these issues. A semi-structured moderator's guide was used across all discussions to ensure consistency in the topics covered (Community Health Needs Assessment Appendix C and D). Each focus group and interview was facilitated by a trained moderator, and detailed notes were taken during conversations. On average, focus groups lasted 90 minutes and included 6-12 participants, while interviews lasted approximately 30-60 minutes. Participants for the focus groups were recruited by community and social service organizations located throughout Travis County. As an incentive, focus group participants received a $30 gift card to a local grocery store.AnalysesThe collected qualitative information was coded using NVivo qualitative data analysis software and then analyzed thematically by data analysts for main categories and sub-themes. Analysts identified key themes that emerged across all groups and interviews as well as the unique issues that were noted for specific populations. Throughout the qualitative findings included in this report the term "participants" is used to refer to community forum, focus group, and key informant interview participants. Unique issues that emerged among a group of participants are specified as such (e.g.: community forum participants, Spanish-speaking focus group participants, etc.). Frequency and intensity of discussions on a specific topic were key indicators used for extracting main themes. While regional differences are noted where appropriate, analyses emphasized findings common across Austin/Travis County. Selected paraphrased quotes without personal identifying information are presented in the narrative of this report to further illustrate points within topic areas.LimitationsAs with all research efforts, there are several limitations related to the assessment's research methods that should be acknowledged. It should be noted that for the secondary data analyses, in several instances, city-level data were not available or could not be analyzed due to small sample sizes. In some cases, data was aggregated across multiple years to increase sample size (e.g. 2005-2009). Additionally, several sources did not provide current data stratified by race/ethnicity, gender, or age thus, these data could only be analyzed by total population. Due to the variety of sources used to conduct this assessment, it is also important to note that the term "Hispanic" could not be consistently defined throughout the report. For example, in demographic data presented, Hispanic refers to an ethnicity of any race; however, the qualitative data represents the perspectives of participants who may define the term Hispanic differently.Likewise, data based on self-reports should be interpreted with particular caution. In some instances, respondents may over- or underreport behaviors and illnesses based on fear of social stigma or misunderstanding the question being asked. In addition, respondents may be prone to recall bias that is, they may attempt to answer accurately but remember incorrectly. In some surveys, reporting and recall bias may differ according to a risk factor or health outcome of interest. Despite these limitations, most of the self-report surveys here benefit from large sample sizes and repeated administrations, enabling comparison over time. Additionally, public health surveillance data has its limitations regarding how data are collected and reported, who is included in public health datasets, and whether sample sizes for specific population groups is large enough for sub-group analyses.While the focus groups and interviews conducted for this study provide valuable insights, results are not statistically representative of a larger population due to non-random recruiting techniques and a small sample size. Recruitment for focus groups was conducted by community organizations, and participants were those individuals already involved in community programming. Because of this, it is possible that the responses received only provide one perspective on the issues discussed. In addition, organizations did not exclude participants if they did not live in the particular neighborhood, so participants in a specific community's focus group might not necessarily live in that area, although they did spend time there through the organization. Lastly, it is important to note that data were collected at one point in time, so findings, while directional and descriptive, should not be interpreted as definitive.	Facility 3 -- Dell Children's Medical Center	Part V, Section B, line 3:
The CHNA was conducted with the following other organizations:- City of Austin- County of Travis- Central Health- St. David's Foundation- UT Health	Facility 3 -- Dell Children's Medical Center	Part V, Section B, line 4:
The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://austintexas.gov/sites/default/files/files/Health/CHA-CHIP/cha_report_Dec2012.pdf.	Facility 3 -- Dell Children's Medical Center	Part V, Section B, line 5c:
A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.	Facility 3 -- Dell Children's Medical Center	Part V, Section B, line 14g:
Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.	Facility 3 -- Dell Children's Medical Center	Part V, Section B, line 20d:
From February May 2012, forums, focus groups, and interviews were conducted 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. Priority sectors and representative participants were identified based on: 1) a brainstorming session with members from the Core Coordinating and Steering Committees, 2) a survey completed by the Steering Committee nominating key informants, and 3) a survey completed by the Outreach and Engagement Subcommittee identifying focus group sectors and relevant community-based organizations. To this end, a total of 4 community forums, 14 focus groups, and 28 interviews with community stakeholders were conducted. Additionally, findings from 25 key informant interviews with senior leaders in multiple sectors including the business, education, and health fields previously conducted for the Central Health Connection's Leader Dialogue Series were included in the analysis. Ultimately, the qualitative research engaged over 300 individuals in discussion about the health issues they deemed critical in their community. Specifically, the qualitative data collection addressed the last two goals of the assessment: 1) to explore the current health priorities among Austin/Travis County residents within the social context of theircommunities and 2) to identify community strengths, resources, forces of change, and gaps in services to inform funding and programming priorities of Austin/Travis County. For this first goal which encompassed the community themes and strengths assessment, focus groups, interviews, and community precinct forums were completed. For the second goal of the forces of change assessment, focus groups and interviews discussed important external factors that have had and will have an impact on the community's health. More about these qualitative data collection methods can be found below: Community ForumsFour community forums were held in different areas of Austin/Travis County and engaged a total of 152 participants. During each forum an overview of ATCHHS and its partners' programs and services was given, local health indicators were presented, and attendees participated in a dialogue around health and their community. Facilitators guided discussions using a set of questions (see Community Health Needs Assessment Appendix A) and notetakers captured responses. In addition, each forum had bilingual staff available to simultaneously interpret presentations, facilitate, and take notes in Spanish. On average, each community forum lasted two hours, of which the community dialogue comprised one hour. Forums were advertised to a wide variety of community entities such as schools, churches, neighborhood associations, social services agencies, and local business. Free health screenings (e.g.: blood pressure, HIV, etc.) were offered before and after the forum. In addition, the first 50 participants received a $20 gift card to a local grocery store if they attended the duration of the event.Focus Groups and InterviewsIn total, 14 focus groups and 28 interviews were conducted with individuals from across Austin/Travis County. Focus groups were with the general public and with selected priority populations. For example, three focus groups were conducted with senior citizens, two groups with public housing residents, and two groups with refugees. A total of 101 individuals participated in the focus groups. Interviews were conducted with 31 individuals representing a range of sectors. These included government officials, educational leaders, social service providers, and health care providers. A full list of the different sectors engaged during the focus group and interview process can be found in Community Health Needs Assessment Appendix B.Focus group and interview discussions explored participants' perceptions of their communities, priority health concerns, perceptions of public health, prevention, and health care services, and suggestions for future programming and services to address these issues. A semi-structured moderator's guide was used across all discussions to ensure consistency in the topics covered (Community Health Needs Assessment Appendix C and D). Each focus group and interview was facilitated by a trained moderator, and detailed notes were taken during conversations. On average, focus groups lasted 90 minutes and included 6-12 participants, while interviews lasted approximately 30-60 minutes. Participants for the focus groups were recruited by community and social service organizations located throughout Travis County. As an incentive, focus group participants received a $30 gift card to a local grocery store.AnalysesThe collected qualitative information was coded using NVivo qualitative data analysis software and then analyzed thematically by data analysts for main categories and sub-themes. Analysts identified key themes that emerged across all groups and interviews as well as the unique issues that were noted for specific populations. Throughout the qualitative findings included in this report the term "participants" is used to refer to community forum, focus group, and key informant interview participants. Unique issues that emerged among a group of participants are specified as such (e.g.: community forum participants, Spanish-speaking focus group participants, etc.). Frequency and intensity of discussions on a specific topic were key indicators used for extracting main themes. While regional differences are noted where appropriate, analyses emphasized findings common across Austin/Travis County. Selected paraphrased quotes without personal identifying information are presented in the narrative of this report to further illustrate points within topic areas.LimitationsAs with all research efforts, there are several limitations related to the assessment's research methods that should be acknowledged. It should be noted that for the secondary data analyses, in several instances, city-level data were not available or could not be analyzed due to small sample sizes. In some cases, data was aggregated across multiple years to increase sample size (e.g. 2005-2009). Additionally, several sources did not provide current data stratified by race/ethnicity, gender, or age thus, these data could only be analyzed by total population. Due to the variety of sources used to conduct this assessment, it is also important to note that the term "Hispanic" could not be consistently defined throughout the report. For example, in demographic data presented, Hispanic refers to an ethnicity of any race; however, the qualitative data represents the perspectives of participants who may define the term Hispanic differently.Likewise, data based on self-reports should be interpreted with particular caution. In some instances, respondents may over- or underreport behaviors and illnesses based on fear of social stigma or misunderstanding the question being asked. In addition, respondents may be prone to recall bias that is, they may attempt to answer accurately but remember incorrectly. In some surveys, reporting and recall bias may differ according to a risk factor or health outcome of interest. Despite these limitations, most of the self-report surveys here benefit from large sample sizes and repeated administrations, enabling comparison over time. Additionally, public health surveillance data has its limitations regarding how data are collected and reported, who is included in public health datasets, and whether sample sizes for specific population groups is large enough for sub-group analyses.While the focus groups and interviews conducted for this study provide valuable insights, results are not statistically representative of a larger population due to non-random recruiting techniques and a small sample size. Recruitment for focus groups was conducted by community organizations, and participants were those individuals already involved in community programming. Because of this, it is possible that the responses received only provide one perspective on the issues discussed. In addition, organizations did not exclude participants if they did not live in the particular neighborhood, so participants in a specific community's focus group might not necessarily live in that area, although they did spend time there through the organization. Lastly, it is important to note that data were collected at one point in time, so findings, while directional and descriptive, should not be interpreted as definitive.	Facility 6 -- Seton Northwest Hospital	Part V, Section B, line 3:
The CHNA was conducted with the following other organizations:- City of Austin - County of Travis - Central Health- St. David's Foundation- UT Health	Facility 6 -- Seton Northwest Hospital	Part V, Section B, line 4:
The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://austintexas.gov/sites/default/files/files/Health/CHA-CHIP/cha_report_Dec2012.df	Facility 6 -- Seton Northwest Hospital	Part V, Section B, line 5c:
A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.	Facility 6 -- Seton Northwest Hospital	Part V, Section B, line 14g:
Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.	Facility 6 -- Seton Northwest Hospital	Part V, Section B, line 20d:
From February May 2012, forums, focus groups, and interviews were conducted 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. Priority sectors and representative participants were identified based on: 1) a brainstorming session with members from the Core Coordinating and Steering Committees, 2) a survey completed by the Steering Committee nominating key informants, and 3) a survey completed by the Outreach and Engagement Subcommittee identifying focus group sectors and relevant community-based organizations. To this end, a total of 4 community forums, 14 focus groups, and 28 interviews with community stakeholders were conducted. Additionally, findings from 25 key informant interviews with senior leaders in multiple sectors including the business, education, and health fields previously conducted for the Central Health Connection's Leader Dialogue Series were included in the analysis. Ultimately, the qualitative research engaged over 300 individuals in discussion about the health issues they deemed critical in their community. Specifically, the qualitative data collection addressed the last two goals of the assessment: 1) to explore the current health priorities among Austin/Travis County residents within the social context of theircommunities and 2) to identify community strengths, resources, forces of change, and gaps in services to inform funding and programming priorities of Austin/Travis County. For this first goal which encompassed the community themes and strengths assessment, focus groups, interviews, and community precinct forums were completed. For the second goal of the forces of change assessment, focus groups and interviews discussed important external factors that have had and will have an impact on the community's health. More about these qualitative data collection methods can be found below: Community ForumsFour community forums were held in different areas of Austin/Travis County and engaged a total of 152 participants. During each forum an overview of ATCHHS and its partners' programs and services was given, local health indicators were presented, and attendees participated in a dialogue around health and their community. Facilitators guided discussions using a set of questions (see Community Health Needs Assessment Appendix A) and notetakers captured responses. In addition, each forum had bilingual staff available to simultaneously interpret presentations, facilitate, and take notes in Spanish. On average, each community forum lasted two hours, of which the community dialogue comprised one hour. Forums were advertised to a wide variety of community entities such as schools, churches, neighborhood associations, social services agencies, and local business. Free health screenings (e.g.: blood pressure, HIV, etc.) were offered before and after the forum. In addition, the first 50 participants received a $20 gift card to a local grocery store if they attended the duration of the event.Focus Groups and InterviewsIn total, 14 focus groups and 28 interviews were conducted with individuals from across Austin/Travis County. Focus groups were with the general public and with selected priority populations. For example, three focus groups were conducted with senior citizens, two groups with public housing residents, and two groups with refugees. A total of 101 individuals participated in the focus groups. Interviews were conducted with 31 individuals representing a range of sectors. These included government officials, educational leaders, social service providers, and health care providers. A full list of the different sectors engaged during the focus group and interview process can be found in Community Health Needs Assessment Appendix B.Focus group and interview discussions explored participants' perceptions of their communities, priority health concerns, perceptions of public health, prevention, and health care services, and suggestions for future programming and services to address these issues. A semi-structured moderator's guide was used across all discussions to ensure consistency in the topics covered (Community Health Needs Assessment Appendix C and D). Each focus group and interview was facilitated by a trained moderator, and detailed notes were taken during conversations. On average, focus groups lasted 90 minutes and included 6-12 participants, while interviews lasted approximately 30-60 minutes. Participants for the focus groups were recruited by community and social service organizations located throughout Travis County. As an incentive, focus group participants received a $30 gift card to a local grocery store.AnalysesThe collected qualitative information was coded using NVivo qualitative data analysis software and then analyzed thematically by data analysts for main categories and sub-themes. Analysts identified key themes that emerged across all groups and interviews as well as the unique issues that were noted for specific populations. Throughout the qualitative findings included in this report the term "participants" is used to refer to community forum, focus group, and key informant interview participants. Unique issues that emerged among a group of participants are specified as such (e.g.: community forum participants, Spanish-speaking focus group participants, etc.). Frequency and intensity of discussions on a specific topic were key indicators used for extracting main themes. While regional differences are noted where appropriate, analyses emphasized findings common across Austin/Travis County. Selected paraphrased quotes without personal identifying information are presented in the narrative of this report to further illustrate points within topic areas.LimitationsAs with all research efforts, there are several limitations related to the assessment's research methods that should be acknowledged. It should be noted that for the secondary data analyses, in several instances, city-level data were not available or could not be analyzed due to small sample sizes. In some cases, data was aggregated across multiple years to increase sample size (e.g. 2005-2009). Additionally, several sources did not provide current data stratified by race/ethnicity, gender, or age thus, these data could only be analyzed by total population. Due to the variety of sources used to conduct this assessment, it is also important to note that the term "Hispanic" could not be consistently defined throughout the report. For example, in demographic data presented, Hispanic refers to an ethnicity of any race; however, the qualitative data represents the perspectives of participants who may define the term Hispanic differently.Likewise, data based on self-reports should be interpreted with particular caution. In some instances, respondents may over- or underreport behaviors and illnesses based on fear of social stigma or misunderstanding the question being asked. In addition, respondents may be prone to recall bias that is, they may attempt to answer accurately but remember incorrectly. In some surveys, reporting and recall bias may differ according to a risk factor or health outcome of interest. Despite these limitations, most of the self-report surveys here benefit from large sample sizes and repeated administrations, enabling comparison over time. Additionally, public health surveillance data has its limitations regarding how data are collected and reported, who is included in public health datasets, and whether sample sizes for specific population groups is large enough for sub-group analyses.While the focus groups and interviews conducted for this study provide valuable insights, results are not statistically representative of a larger population due to non-random recruiting techniques and a small sample size. Recruitment for focus groups was conducted by community organizations, and participants were those individuals already involved in community programming. Because of this, it is possible that the responses received only provide one perspective on the issues discussed. In addition, organizations did not exclude participants if they did not live in the particular neighborhood, so participants in a specific community's focus group might not necessarily live in that area, although they did spend time there through the organization. Lastly, it is important to note that data were collected at one point in time, so findings, while directional and descriptive, should not be interpreted as definitive.	Facility 7 -- Seton Southwest Hospital	Part V, Section B, line 3:
The CHNA was conducted with the following other organizations:- City of Austin - County of Travis - Central Health- St. David's Foundation- UT Health	Facility 7 -- Seton Southwest Hospital	Part V, Section B, line 4:
The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://austintexas.gov/sites/default/files/files/Health/CHA-CHIP/cha_report_Dec2012.df	Facility 7 -- Seton Southwest Hospital	Part V, Section B, line 5c:
A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.	Facility 7 -- Seton Southwest Hospital	Part V, Section B, line 14g:
Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.	Facility 7 -- Seton Southwest Hospital	Part V, Section B, line 20d:
The WilCo Wellness Alliance was formed as a result of Williamson County being designated an ACHIEVE (Action Communities for Health, Innovation, and EnVironmental changE) community in 2009. The mission of the Alliance is to empower the people of Williamson County to lead healthy lifestyles by promoting a safe environment through public and private initiatives.The Alliance, grassroots and volunteer organizations, civic groups, philanthropy and foundation, and other groups provide forums for community members and leaders to come together to discuss and plan action in communities. Alliance leadership identified the history of coalitions and other alliances as well as citizen and leadership support for health and quality of life measures as a major strength of Williamson County. Leadership also recognizes the county's interactive values for being helpful and resourceful, supportive, sharing and caring about each other, having intergenerational and close-knit communities, connectedness, being proactive and involved in issues, and having a common unity.	Facility 9 -- Seton Medical Center Williamson	Part V, Section B, line 3:
The CHNA was conducted with the following other organizations:- Scott and White Healthcare- St. David's Healthcare	Facility 9 -- Seton Medical Center Williamson	Part V, Section B, line 4:
The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.wcchd.org/data_and_stats/docs/CHA_Final_Approved_Draft_3_15_13.pdf.	Facility 9 -- Seton Medical Center Williamson	Part V, Section B, line 5c:
A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.	Facility 9 -- Seton Medical Center Williamson	Part V, Section B, line 14g:
Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.	Facility 9 -- Seton Medical Center Williamson	Part V, Section B, line 20d:
The Seton Healthcare Family, in collaboration with the CommuniCare Health Centers of Central Texas, hosted a Community Health Needs Summit for the Hays County. The Summit was designed as a way to update the community on progress that has been made since the last CHNA and to provide them with current data to engage in needs identification. The two goals for the summit were for the community to discuss current needs effecting Hays and then prioritize those needs in order of importance. The invitation to the Summit was sent out through local collaborations, partnership, and council list serves with targeted outreach to schools and other key community stakeholders. In attendance was representation from the public health department, hospitals, clinics, school district, and other service providers that serve the community. A complete list of Summit participants can be found in Appendix 1 of the Community Health Needs Assessment.In order to identify the community's needs, Seton Healthcare Family presented current health and demographic data to the Summit participants. Participants then engaged in table discussions regarding what the data revealed to them as well as what other they needs see in the community that did not show up in the data. This collaborative process created a list of needs that were shared with the larger group and categorized by theme. These themes served as the overarching needs that were identified with sub groups identified within each category. Participants then used a dot voting method to express their opinion as to which category was the highest priority need and which sub group was most important within that need. After tallying the results, the participants reviewed the results and further added any remaining thoughts. The following information is a summation of the data analysis coupled with the feedback from the community.	Facility 10 -- Seton Medical Center Hays	Part V, Section B, line 3:
The CHNA was conducted with the Communicare Health Centers of Central Texas.	Facility 10 -- Seton Medical Center Hays	Part V, Section B, line 4:
The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.seton.net/locations/seton_medical_center_hays/Hays%20Written%20Report%206-28-13.pdf.	Facility 10 -- Seton Medical Center Hays	Part V, Section B, line 5c:
A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.	Facility 10 -- Seton Medical Center Hays	Part V, Section B, line 14g:
Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.	Facility 10 -- Seton Medical Center Hays	Part V, Section B, line 20d:
The WilCo Wellness Alliance was formed as a result of Williamson County being designated an ACHIEVE (Action Communities for Health, Innovation, and EnVironmental changE) community in 2009. The mission of the Alliance is to empower the people of Williamson County to lead healthy lifestyles by promoting a safe environment through public and private initiatives.The Alliance, grassroots and volunteer organizations, civic groups, philanthropy and foundation, and other groups provide forums for community members and leaders to come together to discuss and plan action in communities. Alliance leadership identified the history of coalitions and other alliances as well as citizen and leadership support for health and quality of life measures as a major strength of Williamson County. Leadership also recognizes the county's interactive values for being helpful and resourceful, supportive, sharing and caring about each other, having intergenerational and close-knit communities, connectedness, being proactive and involved in issues, and having a common unity.	Facility 11 -- Cedar Park Regional Medical Center	Part V, Section B, line 3:
The CHNA was conducted with the following other organizations:- Scott and White Healthcare- St. David's Healthcare	Facility 11 -- Cedar Park Regional Medical Center	Part V, Section B, line 4:
The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.cedarparkregional.com/News/Documents/Williamson%20County%20CHNA%202013%20-%20Final.pdf.	Facility 11 -- Cedar Park Regional Medical Center	Part V, Section B, line 5c:
A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.	Facility 11 -- Cedar Park Regional Medical Center	Part V, Section B, line 14g:
Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.	Facility 11 -- Cedar Park Regional Medical Center	Part V, Section B, line 20d:
From February May 2012, forums, focus groups, and interviews were conducted 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. Priority sectors and representative participants were identified based on: 1) a brainstorming session with members from the Core Coordinating and Steering Committees, 2) a survey completed by the Steering Committee nominating key informants, and 3) a survey completed by the Outreach and Engagement Subcommittee identifying focus group sectors and relevant community-based organizations. To this end, a total of 4 community forums, 14 focus groups, and 28 interviews with community stakeholders were conducted. Additionally, findings from 25 key informant interviews with senior leaders in multiple sectors including the business, education, and health fields previously conducted for the Central Health Connection's Leader Dialogue Series were included in the analysis. Ultimately, the qualitative research engaged over 300 individuals in discussion about the health issues they deemed critical in their community. Specifically, the qualitative data collection addressed the last two goals of the assessment: 1) to explore the current health priorities among Austin/Travis County residents within the social context of theircommunities and 2) to identify community strengths, resources, forces of change, and gaps in services to inform funding and programming priorities of Austin/Travis County. For this first goal which encompassed the community themes and strengths assessment, focus groups, interviews, and community precinct forums were completed. For the second goal of the forces of change assessment, focus groups and interviews discussed important external factors that have had and will have an impact on the community's health. More about these qualitative data collection methods can be found below: Community ForumsFour community forums were held in different areas of Austin/Travis County and engaged a total of 152 participants. During each forum an overview of ATCHHS and its partners' programs and services was given, local health indicators were presented, and attendees participated in a dialogue around health and their community. Facilitators guided discussions using a set of questions (see Community Health Needs Assessment Appendix A) and notetakers captured responses. In addition, each forum had bilingual staff available to simultaneously interpret presentations, facilitate, and take notes in Spanish. On average, each community forum lasted two hours, of which the community dialogue comprised one hour. Forums were advertised to a wide variety of community entities such as schools, churches, neighborhood associations, social services agencies, and local business. Free health screenings (e.g.: blood pressure, HIV, etc.) were offered before and after the forum. In addition, the first 50 participants received a $20 gift card to a local grocery store if they attended the duration of the event.Focus Groups and InterviewsIn total, 14 focus groups and 28 interviews were conducted with individuals from across Austin/Travis County. Focus groups were with the general public and with selected priority populations. For example, three focus groups were conducted with senior citizens, two groups with public housing residents, and two groups with refugees. A total of 101 individuals participated in the focus groups. Interviews were conducted with 31 individuals representing a range of sectors. These included government officials, educational leaders, social service providers, and health care providers. A full list of the different sectors engaged during the focus group and interview process can be found in Community Health Needs Assessment Appendix B.Focus group and interview discussions explored participants' perceptions of their communities, priority health concerns, perceptions of public health, prevention, and health care services, and suggestions for future programming and services to address these issues. A semi-structured moderator's guide was used across all discussions to ensure consistency in the topics covered (Community Health Needs Assessment Appendix C and D). Each focus group and interview was facilitated by a trained moderator, and detailed notes were taken during conversations. On average, focus groups lasted 90 minutes and included 6-12 participants, while interviews lasted approximately 30-60 minutes. Participants for the focus groups were recruited by community and social service organizations located throughout Travis County. As an incentive, focus group participants received a $30 gift card to a local grocery store.AnalysesThe collected qualitative information was coded using NVivo qualitative data analysis software and then analyzed thematically by data analysts for main categories and sub-themes. Analysts identified key themes that emerged across all groups and interviews as well as the unique issues that were noted for specific populations. Throughout the qualitative findings included in this report the term "participants" is used to refer to community forum, focus group, and key informant interview participants. Unique issues that emerged among a group of participants are specified as such (e.g.: community forum participants, Spanish-speaking focus group participants, etc.). Frequency and intensity of discussions on a specific topic were key indicators used for extracting main themes. While regional differences are noted where appropriate, analyses emphasized findings common across Austin/Travis County. Selected paraphrased quotes without personal identifying information are presented in the narrative of this report to further illustrate points within topic areas.LimitationsAs with all research efforts, there are several limitations related to the assessment's research methods that should be acknowledged. It should be noted that for the secondary data analyses, in several instances, city-level data were not available or could not be analyzed due to small sample sizes. In some cases, data was aggregated across multiple years to increase sample size (e.g. 2005-2009). Additionally, several sources did not provide current data stratified by race/ethnicity, gender, or age thus, these data could only be analyzed by total population. Due to the variety of sources used to conduct this assessment, it is also important to note that the term "Hispanic" could not be consistently defined throughout the report. For example, in demographic data presented, Hispanic refers to an ethnicity of any race; however, the qualitative data represents the perspectives of participants who may define the term Hispanic differently.Likewise, data based on self-reports should be interpreted with particular caution. In some instances, respondents may over- or underreport behaviors and illnesses based on fear of social stigma or misunderstanding the question being asked. In addition, respondents may be prone to recall bias that is, they may attempt to answer accurately but remember incorrectly. In some surveys, reporting and recall bias may differ according to a risk factor or health outcome of interest. Despite these limitations, most of the self-report surveys here benefit from large sample sizes and repeated administrations, enabling comparison over time. Additionally, public health surveillance data has its limitations regarding how data are collected and reported, who is included in public health datasets, and whether sample sizes for specific population groups is large enough for sub-group analyses.While the focus groups and interviews conducted for this study provide valuable insights, results are not statistically representative of a larger population due to non-random recruiting techniques and a small sample size. Recruitment for focus groups was conducted by community organizations, and participants were those individuals already involved in community programming. Because of this, it is possible that the responses received only provide one perspective on the issues discussed. In addition, organizations did not exclude participants if they did not live in the particular neighborhood, so participants in a specific community's focus group might not necessarily live in that area, although they did spend time there through the organization. Lastly, it is important to note that data were collected at one point in time, so findings, while directional and descriptive, should not be interpreted as definitive.	Facility 12 -- Central Texas Rehabilitation Hospital	Part V, Section B, line 3:
The CHNA was conducted with the following other organizations:- City of Austin - County of Travis - Central Health- St. David's Foundation- UT Health	Facility 12 -- Central Texas Rehabilitation Hospital	Part V, Section B, line 4:
The written report will be posted on a website established and maintained by another entity. The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://austintexas.gov/sites/default/files/files/Health/CHA-CHIP/cha_report_Dec2012.pdf.	Facility 12 -- Central Texas Rehabilitation Hospital	Part V, Section B, line 5c:
A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.	Facility 12 -- Central Texas Rehabilitation Hospital	Part V, Section B, line 14g:
Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.	Facility 12 -- Central Texas Rehabilitation Hospital	Part V, Section B, line 20d:
See below	Part V, Line 8 Facility Reporting Group B
The Seton Healthcare Family, in collaboration with the Community Health Coalition of Caldwell County, hosted a Community Health Needs Summit for Caldwell and Gonzales counties. The Summit was designed as a way to update the community on progress that has been made since the last CHNA and to provide them with current data to engage in needs identification. The two goals for the summit were for the community to discuss current needs effecting Caldwell and Gonzales and then prioritize those needs in order of importance. The invitation to the Summit was sent out through local collaborations, partnership, and council list serves with targeted outreach to schools and other key community stakeholders. In attendance was representation from the public health department, hospitals, clinics, school district, and other service providers that serve the community. A complete list of Summit participants can be found in Appendix 1 of the Community Health Needs Assessment.In order to identify the community's needs, Seton Healthcare Family presented current health and demographic data to the Summit participants. Participants then engaged in table discussions regarding what the data revealed to them as well as what other they needs see in the community that did not show up in the data. This collaborative process created a list of needs that were shared with the larger group and categorized by theme. These themes served as the overarching needs that were identified with sub groups identified within each category. Participants then used a dot voting method to express their opinion as to which category was the highest priority need and which sub group was most important within that need. After tallying the results, the participants reviewed the results and further added any remaining thoughts. The following information is a summation of the data analysis coupled with the feedback from the community.	Facility 4 -- Seton Edgar B. Davis Hospital	Part V, Section B, line 3:
The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.seton.net/locations/edgar_davis/Caldwell%20Written%20Report%206-28-13.pdf.	Facility 4 -- Seton Edgar B. Davis Hospital	Part V, Section B, line 5c:
A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.	Facility 4 -- Seton Edgar B. Davis Hospital	Part V, Section B, line 14g:
Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.	Facility 4 -- Seton Edgar B. Davis Hospital	Part V, Section B, line 20d:
The Seton Healthcare Family, in collaboration with the Highland Lakes Health Partnership, conducted a virtual Community Health Needs Survey for Burnet County. The survey was designed as a way to gain insight into the progress that has been made since the last CHNA and to provide participants an avenue to identify current needs. The two goals for the survey were for the community to express current needs effecting Burnet County and then prioritize those needs in order of importance. The survey invitation was sent out through local collaborations, partnership, and council list serves with targeted outreach to schools and other key community stakeholders. In response, there was representation from the public health department, hospitals, clinics, school district, community members, and other service providers that serve the community. A complete list of survey participant's occupations can be found in Appendix 1 of the Community Health Needs Assessment.This collaborative process created a list of needs that were prioritized by survey respondents and categorized by theme. These themes served as the overarching needs that were identified with subgroups identified within each category. Participants used a Likert scale to express their opinion as to which category was the highest priority need and which sub group was most important within that need. The following information is a summation of the data analysis coupled with the feedback from the community.	Facility 5 -- Seton Highland Lakes Hospital	Part V, Section B, line 3:
The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.seton.net/locations/highland_lakes/Highland%20Lakes%20CHNA%20Written%20Report%206-28-13.pdf.	Facility 5 -- Seton Highland Lakes Hospital	Part V, Section B, line 5c:
A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.	Facility 5 -- Seton Highland Lakes Hospital	Part V, Section B, line 14g:
Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.	Facility 5 -- Seton Highland Lakes Hospital	Part V, Section B, line 20d:
The Seton Healthcare Family, in collaboration with Seton Medical Center Harker Heights, conducted a virtual Community Health Needs Survey for Bell County. The survey was designed as a way to gain insight into the progress that has been made since the last CHNA and to provide participants an avenue to identify current needs. The two goals for the survey were for the community to express current needs effecting Bell County and then prioritize those needs in order of importance. The survey invitation was sent out through local collaborations partnership, and council list serves with targeted outreach to community members, public health officials, and other key community stakeholders. In response, there was representation from the public health department, hospitals, clinics, school district, community members, and other service providers that serve the community. A complete list of survey participant's occupations can be found in Appendix 1 of the Community Health Needs Assessment in addition to the organizations those participants represent (only listed if participants choose to provide their organization).This collaborative process created a list of needs that were prioritized by survey respondents and categorized by theme. These themes served as the overarching needs that were identified with subgroups identified within each category. Participants used a Likert scale to express their opinion as to which category was the highest priority need and which sub group was most important within that need. The following information is a summation of the data analysis coupled with the feedback from the community.	Facility 13 -- Seton Medical Center Harker Heights	Part V, Section B, line 3:
The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://setonharkerheights.net/wp-content/uploads/2013/06/Final-Bell-County-CHNA-Written-Report-06_24_13.pdf.	Facility 13 -- Seton Medical Center Harker Heights	Part V, Section B, line 5c:
A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.	Facility 13 -- Seton Medical Center Harker Heights	Part V, Section B, line 14g:
Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.	Facility 13 -- Seton Medical Center Harker Heights	Part V, Section B, line 20d:
The Seton Healthcare Family, in collaboration with the Community Health Coalition of Caldwell County, hosted a Community Health Needs Summit for the Bastrop County. The Summit was designed as a way to update the community on progress that has been made since the last CHNA and to provide them with current data to engage in needs identification. The two goals for the summit were for the community to discuss current needs effecting Bastrop County andthen prioritize those needs in order of importance. The invitation to the Summit was sent out through local collaborations, partnerships, and council list serves with targeted outreach to schools and other key community stakeholders. In attendance was representation from the public health department, hospitals, clinics, school district, community residents and other service providers that serve the community. A complete list of Summit participants can be found in Appendix 1 of the Community Health Needs Assessment.In order to identify the community's needs, Seton Healthcare Family presented current health and demographic data to the Summit participants. Participants then engaged in table discussions regarding what the data revealed to them as well as what other they needs see in the community that did not show up in the data. This collaborative process created a list of needs that were shared with the larger group and categorized by theme. These themes served as the overarching needs that were identified with sub groups within each category. Participants then used a dot voting method to express their opinion as to which category was the highest priority need and which sub group was most important within that need. After tallying the results, the participants reviewed the results and further added any remaining thoughts. The following information is a summation of the data analysis coupled with the feedback from the community.	Facility 14 -- Seton Smithwille Regional Hospital	Part V, Section B, line 3:
The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.seton.net/locations/seton_smithville_regional_hospital/Bastrop%20CHNA%20Written%20Report%206-28-13.pdf.	Facility 14 -- Seton Smithwille Regional Hospital	Part V, Section B, line 5c:
A summary of the charity care policy (in both English and Spanish) and financial assistance contact information are posted in admissions areas, emergency departments and other areas of the organization's facilities in which eligible patients are likely to be present. - Brochures (English and Spanish) explaining the availability, criteria and process for applying for financial assistance are available in patient registration areas and in patient financial services reception area. - Seton associates inform patients of the availability of financial assistance and other potential federal, state, and/or local governmental funding programs (i.e.: Medicaid, CHIP, SSI, Crime Victims, COBRA, County Indigent, Veterans' Benefits, Third Party Liability, etc.) As part of the intake process prior to, during, and/or after service as clinically appropriate for the care setting. - Uninsured and underinsured patients are assisted and supported as needed through the entire eligibility and application process (completion of the application, collection and copying of supporting documentation, transportation to appointments, etc.) through the collaborative efforts of patient access (admitting/registration), Seton's insure-a-kid employees, case management, on-site HHSC caseworkers, and Seton's contracted eligibility vendor.	Facility 14 -- Seton Smithwille Regional Hospital	Part V, Section B, line 14g:
Patients with income levels up to 250% of the FPIL will be asked to pay a co-payment for services received. Patients with income levels above 250% and below 375% of the FPIL will be asked to pay a sliding fee scale deductible.	Facility 14 -- Seton Smithwille Regional Hospital	Part V, Section B, line 20d:

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (32 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Address Line2AddressUS/AddressLine2
Integrated Care Collaboration
8627 N Mopac Expressway Ste 140	Austin	TX	78759	311624871	501(c)(3)	600000	To increase access, improve quality and impact financing solutions to provide care to the region's medically indigent
Barrio Comprehensive Family
3066 E Commerce	San Antonio	TX	78220	741724391	501(c)(3)	250000	Monthly operational support of CommuniCare Health Centers- Kyle and San Marcos- January
Texas A&M Health Science Center
8441 St Hwy 47 ClinBldg 1Ste 3100	Bryan	TX	77807	311702109	Govt Entity	200000	To help sustain and expand nursing education at Texas A&M College of Nursing
Travis County Star Flight Fund
PO Box 1748	Austin	TX	78767	742675763	501(c)(3)	71286	Amortizaton discount Starflight payment (Lone Star Circle of Care 640K Annually).
The Diocese of Austin
6225 Hyw 290 East	Austin	TX	78723	741542827	501(c)(3)	60000	Sponsorship $25,000 for Celebrating Catholic Schools Event, $10,000 for Catholic Charities Spring Event, $5,000 for Pro-life Spring Gala and $20,000 for other needs as identified by Bishop Vasquez
March Of Dimes
11044 Research Blvd Suite A-210	Austin	TX	78759	131846366	501(c)(3)	50000	To assist with medical and family support
American Cancer Society
2433 Ridgeport Drive	Austin	TX	78754	131788491	501(c)(3)	5250	Cancer research and developments
American Heart Association
PO Box 4002903	Des Moines	IA	50340	135613797	501(c)(3)	25000	To educate the public with the concerns of heart conditons and strokes
Centex Systems Support Services
8627 N Mopac Expressway Ste 350	Austin	TX	78759	261594450	501(c)(3)	4300000	This grants purpose is to support CSSS work in connection with the continued development of a community health information exchange to promote more effective health care for the uninsured and underinsured residents of Central Texas.
San Juan Diego Catholic High School
800 Herndon Lane	Austin	TX	78704	710866044	501(c)(3)	21500	Pledge for 2013 Rose Gala as an Auction Paddle Underwriter
YMCA of Greater Williamson County
PO Box 819	Round Rock	TX	78680	742206558	501(c)(3)	160500	To provide scholarships to needy children and families in Williamson and Northern Travis Counties
John Paul II Life Center
1600 West 38th Street Suite 115	Austin	TX	78731	208785471	501(c)(3)	37500	General Support
ROCK Ride on Center for Kids
PO Box 2422	Georgetown	TX	78627	742917659	501(c)(3)	15000	To assist in improving independence and life skills
Keep Austin Healthy PAC
PO Box 301074	Austin	TX	78703	460814836	501(c)(6)	46000	Contribution to the keep Austin Healthy PAC
Greater Austin Hispanic Chamber of Commerce
2800 South IH-35 Suite 260	Austin	TX	78704	742452195	501(c)(6)	22500	Celebrando Austin 40th Anniversary sponsorship and Capital of Texas Awards Sponsor
Lone Star Circle of Care
1500 W University Ave Suite 103	Georgetown	TX	78628	743001674	501(c)(3)	5700000	The grant is for the purpose of providing medical services to the uninsured and underinsured residents of central Texas
A Catholic High School For
3000 Barton Creek Blvd	Austin	TX	78735	742266181	501(c)(3)	10000	In Support of St. Michael's Catholic Academy
Mayor's Better Austin Foundation
98 San Jacinto 1900	Austin	TX	78701	742966941	501(c)(3)	25000	Contribution for Mayor's Task Force on Aging
Project CURE
10377 E Geddes Ave Suite 200	Centennial	TX	80112	841568566	501(c)(3)	312033	General Support
Revolution Soccer Club dba Austin Texans Soccer Club
PO Box 1404	Pflugerville	TX	78691	830395956	501(c)(3)	25000	General Support
Capital City African American Chamber of Commerce
5700 N IH 35 Suite 304	Austin	TX	78723	742330169	501(c)(6)	5500	To support the Minority Cancer Awareness Week Event
Austin Community Foundation
4315 Guadalupe Suite 300	Austin	TX	78751	741934031	501(c)(3)	30925	Charity gift giving cards to be distributed to Board Members
National Forum for Black Public Administrators
777 North Capitol Street NE Suite	Washington	DC	20002	592364093	501(c)(3)	7000	Annual 2012 Sponsorship of Development Day, October Conference Health Fair	807
Austin Area Research Organization
101 W 6th Street Suite 806	Austin	TX	78701	742148447	501(c)(3)	5085	2013 AARO Membership Dues
Round Rock Chamber of Commerce
212 East Main Street	Round Rock	TX	78664	741983423	501(c)(6)	10000	Reclass donation to Round Rock Chamber of Commerce for 2012-2017 Momentum Campaign- Yrly Contribution
Seton Hays Foundation
6001 Kyle Parkway	Kyle	TX	78640	262842608	501(c)(3)	7500	SMCH sponsorship for Seton Social Event 2012 hosted by the Seton Hays Foundation
Seton Fund of the Daughters of Charity of St Vincent de Paul Inc
1345 Philomena Street	Austin	TX	78723	742212968	501(c)(3)	607396	Sweet Charity closing and making a cash donation to Seton Foundation
Caritas of Austin
611 Neches Street	Austin	TX	78767	741909670	501(c)(3)	6000	General Support
TexHealth Central Texas Inc
4315 Guadalupe Suite 303	Austin	TX	78751	264412420	501(c)(3)	100000	Donation to further efforts of TexHealth in providing assistance to low income individuals for health benefits.
The Care Communities
4315 Guadalupe Suite 303	Austin	TX	78751	742845698	501(c)(3)	7500	Platinum sponsorship for Byron E. Cox Gala
The Shalon Foundation
PO Box 1354	Franklin	TN	37065	954894733	501(c)(3)	10000	Facility fee for Moore Center in Guatemala City for Dec 2012 mission trip. The primary purpose of the organization is to educate the public and to assist with education, housing, health care and welfare for needy families
Washington University in St Louis School of Medicine
660 South Euclid Avenue Campus Box	St Louis	MO	63110	430653611	501(c)(3)	20000	General Support	8

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	27	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	5	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrant	Amount Of Cash GrantAmountOfCashGrant	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
Nurse Scholarship	145878	Scholarship represent Seton's match of employee contributions during the Seton Cares FY12.
Clinical Professional Education Endowment	61528	Scholarship represent Seton's match of employee contributions during the Seton Cares FY12.
Wildlife Relief	70855	Scholarship represent Seton's match of employee contributions during the Seton Care FY12.

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule I, Part I, Line 2: The Seton Healthy Communities Fund Committee is responsible for the administration of grant funds. The Committee includes employees as well as executives and is charged with reviewing requests from other organizations and determining whether they meet the Network's charitable request guidelines. The requesting organizations submit letters specifying the amount of contribution requested and details of its program. Each entity must provide its IRS 501(c)(3) determination letter (as evidence of tax-exempt status), a history of its use of funds, a list of other funding sources and a list of board of directors. Requestors also are asked to identify the organization's purpose, the activities that reflect consistency with its stated purpose and provide a description as to how funds will be used. Generally, a successful requesting organization will spend at least 60 percent of its annual expenses on program activities, ensure that fund-raising expenses are reasonable over time and will not have a persistent deficit in net current assets. In awarding funds, the Grants Committee looks for organizations that: - Have a mission aligned with Seton's mission, vision and values (e.g.: improving the health of those we serve, particularly the poor and vulnerable); - Can demonstrate that the event or activity will enhance access to health-related services and human service needs; improve health outcomes; provide health-related education, information and support; and or offer sustainable impact; - Provides outreach in Seton's service area; supports a diverse population; supports workforce development and/or helps sustain a relationship with a potential or existing Seton stakeholder. Generally, the committee, pursuant to its policies and procedures, confirms prior to any award that grantees are organizations whose headquarters and work are based in Central Texas, or the work for which we granted them a sponsorship is in Central Texas, and post-award we generally receive confirmation of how the funds were used.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Robert Bonar Jr MD
President & CEO - SFH/Dell	569120	0	612380	0	108676	0	26296	0	7876	0	1324348	0	88876	0
Charles J Barnett
Board Member	928442	0	1758194	0	436389	0	44463	0	18183	0	3185671	0	392474	0
Joyce Batcheller
Board Member	344331	0	296055	0	76865	0	42536	0	9524	0	769311	0	68549	0
Thomas Gallagher
Bd Mmbr/EVP Admin SHF	597020	0	648814	0	102419	0	64389	0	5648	0	1418290	0	84137	0
Jesus Garza
Bd Mmbr/Pres & CEO SHF	781215	0	1262466	0	168127	0	24378	0	18085	0	2254271	0	146987	0
Timothy George MD
Board Member	0	1551607	0	140323	0	3424	0	7500	0	17897	0	1720751	0	0
James O Lindsey MD
Bd Mmbr/VP Med Affairs	411245	0	354582	0	97176	0	61420	0	13244	0	937667	0	71092	0
Douglas D Waite
Sr. VP/CFO	503122	0	434317	0	105331	0	45017	0	15698	0	1103485	0	88142	0
John Brindley
Pres. & CEO SMCA & SSC	459141	0	497412	0	82025	0	41512	0	13654	0	1093744	0	71295	0
Gregory Hartman
Pres. & CEO UMB/CEC/CAMP	441911	0	457278	0	87382	0	18521	0	9317	0	1014409	0	81139	0
Kenneth Gladish
President/CEO Seton Foundations	0	356672	0	284223	0	79917	0	11250	0	8430	0	740492	0	67484
Teresa Burroff
Sr. VP Legal Affairs	343202	0	294361	0	56365	0	12500	0	8048	0	714476	0	51305	0
Christopher Hartle
Sr. VP Managed Care	407336	0	352041	0	70886	0	26511	0	15389	0	872163	0	66621	0
Mark Hazelwood
Pres. & CEO North Market/Facilities	536492	0	580612	0	98167	0	24068	0	6949	0	1246288	0	81096	0
Trennis Jones
Sr. VP/Chief Admin. Officer	432576	0	370709	0	82942	0	12500	0	6551	0	905278	0	68121	0
Gerald Hill
Former Sr. VP Advocacy	0	223530	0	232429	0	105140	0	21831	0	12044	0	594974	0	89530

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part I, Line 1a	Travel expense reimbursements are made for business travel according to our accountable plan. If travel expense reimbursements are requested by senior leadership for companions who travel as required for business, these amounts are added as compensation to the employee's W-2.
Part I, Line 3	Seton Healthcare Family uses the following methods to establish the compensation of the organization's CEO: - Compensation Committee - Independent Compensation Consultant - Form 990 of Other Compensation - Compensation Survey or Study - Approval by the Board or Compensation Committee
Part I, Line 4b	Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The organization that paid the salaries of the individuals listed in Schedule J, Part II, paid out of the supplemental nonqualified retirement plan in the amounts as noted: Kenneth Gladish - $67,484 Gerald Hill - $89,530 Robert Bonar - $88,876 Charles Barnett - $392,474 Joyce Batcheller - $68,549 Thomas Gallagher - $84,137 Jesus Garza - $146,987 James Lindsey - $71,092 Douglas Waite - $88,142 John Brindley - $71,295 Gregory Hartman - $81,139 Teresa Burroff - $51,305 Christopher Hartle - $66,621 Mark Hazelwood - $81,096 Trennis Jones - $68,121 The organization that paid the salaries of the individuals listed in Schedule J, Part II, contributed to the supplemental nonqualified retirement plan in the amounts as noted: Timothy George - $7,500 Kenneth Gladish - $6,250 Gerald Hill - $16,896
Part III	Part II: Charles Barnett, Top Management Official and President and Chief Executive Officer of Seton Family of Hospitals, is also acting as Ministry Market Leader for Texas and Missouri for Ascension Health and is directly involved in the management of other Ascension Health Ministries. Compensation for Charles Barnett is determined by Ascension Health and includes amounts related to services provided for Seton Family of Hospitals, as well as other Ascension Health Ministries located in Texas and Missouri.	Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Clayton Barnett
Family member of Director	41606	See Part V below	0
Emergency Service Partners
>35% entity owned by Chris Ziebell, Officer & Director		See Part V below	0

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	Sch L, Part IV	Identifier
Return Reference	Business Transactions Involving Interested Persons	ReturnReference
Explanation	(a) Name of interested person: Emergency Services Partners, LP(b) Relationship between interested person and organization: Entity owned more than 35% by Chris Ziebell, Director(d) Description of transaction: Payments - Contract services provided to Seton Family of Hospitals(a) Name of interested person: Clayton Barnett(b) Relationship between interested person and organization: Family member of Director(d) Description of transaction: Compensation/benefits: family member is employed by Seton Family of Hospitals and receives compensation	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (20 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Doing Business As	Form 990, Part I, Item C	DBA: Seton Healthcare Network Seton Healthcare Associates. DBA: Brackenridge Hospital Volunteers Brackenridge Hospital. DBA: Brackenridge Professional Building Brain and Spine Center at Brackenridge Hospital. DBA: Caldwell County Physician Associates Childhood Cancer & Blood Disorders Center. DBA: Children's Health Express Children's Hospital of Austin Auxiliary. DBA: Children's Therapy Gym Dell Children's Craniofacial and Reconstructive Surgery Center. DBA: Dell Children's Imaging Center Dell Children's Medical Center of Central Texas. DBA: Dell Children's Medical Center Emergency Medical Group. DBA: Friends Auxiliary of Seton Highland Lakes Good Health Commons. DBA: Ignite Women's Health Insure a Kid. DBA: Luling CRNA Group SEBD Children's Care-A-Van. DBA: SEBD Professional Support Services Seton Bastrop Health Plaza. DBA: Seton Bertram Healthcare Center Seton Bastrop Physical Therapy and Fitness Center. DBA: Seton Burnet Healthcare Center Seton Cancer Screening. DBA: Seton Cardiovascular Imaging Center Seton Central Outpatient Pharmacy. DBA: Seton Community Health Centers Seton Diagnostic Center. DBA: Seton Edgar B. Davis Hospital Volunteer Services Seton Edgar B. Davis Hospital. DBA: Seton Family of Doctors Seton Family of Physicians. DBA: Seton Health Plaza Seton Heart Specialty Care and Transplant Center. DBA: Seton Highland Lakes Seton Highland Lakes Home Health. DBA: Seton Highland Lakes Hospice Seton Highland Lakes Hospital and Health Centers. DBA: Seton Highland Lakes Hospital Seton Highland Lakes Medical Group. DBA: Seton Highland Lakes Rehabilitation Services Burnet Seton Highland Lakes Rehabilitation Services Marble Falls. DBA: Seton Hospital Auxiliary Seton Kozmetsky Community Health Center. DBA: Seton Lampasas Healthcare Center Seton League House. DBA: Seton Lockhart Family Health Center Seton Luling Family Medicine Clinic. DBA: Seton Marble Falls Diagnostic Center Seton Marble Falls Healthcare Center. DBA: Seton McCarthy Community Health Center Seton Medical Center Austin. DBA: Seton Medical Center Hays Seton Medical Center Outpatient Rehabilitation. DBA: Seton Medical Center Williamson Outpatient Rehabilitation Services Seton Medical Center Williamson Community Care Van. DBA: Seton Medical Center Williamson Pediatric Rehabilitation Services Seton Medical Center Williamson Volunteers. DBA: Seton Medical Center Williamson Women's Imaging Seton Medical Center Williamson. DBA: Seton Medical Center Seton Northwest Aquatic Therapy. DBA: Seton Northwest Hospital Seton Northwest Sleep Lab. DBA: Seton Northwest Sports Medicine and Hand Therapy Center Seton Northwest Volunteers. DBA: Seton Northwest Seton Occupational Health Clinic. DBA: Seton Pflugerville Healthcare Center Seton Pflugerville. DBA: Seton Physical Therapy & Fitness Center Seton Premier Staffing. DBA: Seton RiverBend Home Health Seton Shoal Creek Hospital. DBA: Seton Smithville Regional Hospital Seton Southwest Hospital. DBA: Seton Southwest Rehab and Sports Medicine Services Seton Southwest Volunteers. DBA: Seton Topfer Community Health Center Seton Towers Nursing Home. DBA: Seton Williamson Children's Therapy Gym at Cedar Park Seton. DBA: Shivers Center SHL Care-A-Van. DBA: SHL CRNA Group SHL Professional Support Services. DBA: SMCA Sports and Neuro Rehab St. Vincent Healthcare Ventures. DBA: Texas Child Study Center The Big Pink Bus. DBA: The Children's Blood and Cancer Center The Clinical Education Center at Brackenridge. DBA: Towers Nursing Home Trauma Medical Group. DBA: University Medical Center at Brackenridge University Medical Center Brackenridge. DBA: Seton Kingsland Healthcare Center
Program Service Statement	Form 990, Part III, Line 4a:	Seton contributes to the positive health status of the communities it serves and continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families and society as a whole. The goal of Seton is to perpetuate the healing mission of the Church. Seton furthers this goal through delivery of patient services, care to the elderly and indigent, patient education and health awareness programs for the community and medical training research. Our concern for all human life and the dignity of each person leads the organization to provide medical services to people in the community without regard to a patient's race, creed, national origin, economic status or ability to pay. In order to portray the full breadth of our contribution, our community benefit information is described in detail in this return. Commitment to Providing Community Benefit Seton is a network of six general medical-surgical hospitals, a pediatric hospital, three rural hospitals, a mental health hospital, several strategically located outpatient service facilities and three primary community health care clinics targeted specifically for the uninsured with just over 1,775 licensed beds. In FY12, Seton acquired a home health agency, hospice and nursing home associated with acquisition of Seton Smithville Regional Hospital in rural Smithville, Texas. Seton has become the leading provider of healthcare services in Central Texas, serving an 11-county area of 1.95 million people, and seeks to improve the physical, mental, social and spiritual health status of its surrounding community. In addition to providing health care services to all individuals who require medical attention, Seton has developed an array of programs to help achieve its mission. Seton serves a disproportionate market share of Medicaid and self-pay patients. While the hospital system serves 44.4% of the total inpatient needs of the community, it also supports 51.0% of Medicaid patients and 58.6% of self-pay patients. Specifically: -Medicare reimburses for 39.1% of inpatient discharges in Central Texas. With an aging population, the percentage of patients covered by Medicare will continue to increase. -Medicaid reimburses for 15.2% of inpatient discharges in the region, while commercial insurance covers 32.2% of discharges. -Employer-sponsored insurance had been declining over the last 10 years. -Self-pay and "other" is the payer for 13.4% of Central Texas resident discharges. While 22% of Central Texas' under-65 population is uninsured, many more are under-insured in programs that do not cover the costs of care. Expanding Awareness: Education and Health Promotion Recognizing that it is essential to educate people about the types of behavior that can improve their chances of living a healthy life, Seton has invested significantly in quality health education programs and materials. In FY13, Seton delivered CPR training to 11,737 persons in Central Texas, including Seton associates, personnel of the Austin, Del Valle, Eanes, Hays, Hutto, Lockhart, Pflugerville, Round Rock and Smithville school districts, local EMS personnel and many non-clinical citizens as well. Seton offers health-care related classes to local residents designed to support persons' physical, mental, social and spiritual needs. Classes are listed at www.seton.net, www.goodhealth.com and www.setonbabytalk.com. Classes targeted to specific populations are offered at Seton point-of-service locations throughout the region. Many classes are free or available at reduced rates for seniors or uninsured patients. The Web class listing currently features classes or seminars in categories, including: -Essentials of childbirth; prepared childbirth; maternity tours; refresher Lamaze; baby care basics; breastfeeding -Breast cancer support group; educational breast cancer seminar; mammography screening -Car seat safety -Children's heart support group -Childhood cancer -Community asthma program; school asthma program; family asthma class -Diabetes education and support group -Educational breast cancer seminar -First aid & CPR -Fitness -Health & safety fair (Family Extravaganza) -Heart care provider CPR; heart saver CPR -Movement classes -Natural cooking -Nutrition -Osteoporosis diagnosis and treatment -Preoperative hip & knee replacement -Pulmonary rehabilitation -Sibling class -Spiritual health One of Seton's websites, goodhealth.com, provides wellness information such as fitness, nutrition and mind & body topics. The site features healthy recipes, information from Seton doctors, medical services and locations, a comprehensive on-line health library, daily health news and information about upcoming Seton educational events. There is also an opportunity for visitors to the site to ask health-related questions. In FY13, goodhealth.com received 553,425 visitors, including 509,284 unique visitors. SetonBabyTalk.com is focused on perinatal and pediatric topics, where visitors can find information about Seton's birthing facilities, resources for a healthy pregnancy and find a doctor who delivers at Seton. In FY13, SetonBabyTalk.com received 20,952 visitors and 16,892 unique visitors. Health Education, Seminars, and Health Fairs Throughout the year, Seton sponsors a number of health education presentations and health fairs for the community. Cancer Care and Education In FY13, events supporting cancer care and education included: -Breast Health and Cancer Awareness Seton's Cancer Prevention and Early Detection Program provides reduced-cost mobile mammography services to underserved Central Texas women, supplemented by grants from the Susan G. Komen Foundation. In FY13, the program provided mobile mammography screenings to 2,334 underserved women. -Skin Cancer - Corporate and employee screening programs and participation in collaborative community education efforts, such as an annual skin cancer screening, also promote early detection. For example, in FY13 the 26th Annual City-wide Skin Cancer Screening conducted by Seton, provided screenings for 279 persons. -Cancer Case Management Services: The Seton Cancer Care Team provides vital case management services plus a variety of physical, emotional and spiritual support programs to adult Central Texas cancer patients and their families. -Cancer Survivorship: The Cancer Survivorship team provided navigation to 133 patients during FY13. Of these patients 98% received a survivorship care plan and treatment summary within three months of enrolling in the program, 90% were established with a primary care provider within 12 months of enrolling in the program, and the Cancer Survivorship team began a social support group for adolescents and young adult cancer survivors that meets monthly. Examples include: -The Breast Cancer Tracking Tool was used to monitor, diagnose, and track outcome results for 434 patients in FY13. -Navigation of cancer patients has become more standardized at Seton and our dedicated Oncology Nurse Navigators navigated more than 505 unique patients. In total the Cancer Care team made more than 13,919 total patient contacts. Support for Other Health Conditions Seton is also active in providing health education in a variety of other critical areas, including: -Tobacco Cessation - Seton is an active participant in community efforts to combat tobacco use, providing smoking cessation services to all 11 county residents. The center also provides community-wide training for physicians and local clinics based on Best Practices for Treating Nicotine Addiction. In FY13, 99 individuals graduated from the six-week program, concluding the fiscal year with a 81% end-of-program quit rate and 65% 90- and 180-day post-program quit rates. This program offsets annual unanticipated cost incurred by treating tobacco related illnesses. -Asthma Education - Seton provides home visits and follow-up disease management for asthma and chronic obstructive pulmonary disease education to nearly 1,358 unique patients annually, with approximately 22% who are un/underinsured. This service also reduces unnecessary emergency and inpatient visits and improves quality of life.
		- Diabetes Education In FY13, Seton held seven, free, Ask the Expert programs for community members with diabetes, provided free blood glucose testing and risk factor counseling at 32 health fairs (listed below) and delivered 2 public diabetes-prevention seminars for at-risk persons. Educators also organized a fundraising team for the local annual American Diabetes Association "Step Out" walk. Presentations and education provided at: - Luminex - SAM, Inc. - 2013 Feria Para Aprender-Austin - Pflugerville ISD Health Fair - Art Institute of Austin - United Methodist Church ASTHMA presentation - WCCHD 11th Annual Children's Health Festival - City of Taylor Health Fair - United Methodist Church Diabetes/Nutrition Education - United Methodist Church Tobacco Presentation - United Methodist Church COPD Presentation - First Presbyterian Church Tobacco Health Fair in Georgetown - Goodwill Health Fair - 1st Annual "Home Away From Home" - Bazaarvoice Health Fair - OAG Wellness Fair - Univision Salud es Vida Festival - Hopefest 2013 Children's Safety A significant Seton educational initiative centered on children's safety is Safe Kids Austin. Led by Dell Children's Medical Center of Central Texas, Safe Kids Austin is one of more than 450 grassroots Safe Kids Worldwide coalitions in 16 countries that bring together health and safety experts, educators, corporations, foundations, governments and volunteers to prevent accidental injuries in children. The mission of Safe Kids Austin is to reduce childhood injury and death in children ages 14 and under. Most of those injuries and deaths are due to motor vehicle crashes, pedestrian injuries, bike crashes, drowning, fires, burns, poisoning, choking and falls. In FY13, Safe Kids Austin sponsored numerous car seat check-up events, bicycle rodeos, community child safety workshops, health and safety fairs, child pedestrian safety events and educational programs. FY13 Highlights: - Inspected 765 car seats and provided 372 car seats to area families during 30 car seat check events. Recipients of free car seats were low-income families with children riding unrestrained or under-restrained. - Distributed more than 250 bicycle helmets were distributed and properly fitted to Central Texas children. - In partnership with the YMCA, hosted more than 1,200 children in the 1st Grade Swim Program, an interactive program that provides swimming lessons, water safety education and physical fitness to children at identified schools in the Austin, Hays and Pflugerville school districts. In concert with the water safety program, Safe Kids Austin provides the boating community with two Life Jacket Loaner Boards on Lake Travis that hold both child and adult life jackets. A total of 64 life jackets on 2 loaner boards located on Lake Travis in areas where the public is permitted to swim. - 82 portable cribs provided to expectant families or parents and caregivers of children under 12 months through our partnership with the local EMS Infant Safety Education program. - 3 billboards (2 English, 1 Spanish) in 5 different locations of Austin for 20 weeks focused on "Safe Sleep for Infants". - Over 40 segments related to injury risks on our local Fox TV station morning show. Community Health Centers Seton operates three Community Health Centers: Seton McCarthy, Seton Topfer and Seton Kozmetsky. Each offers primary care, laboratory, case management and health education services to Austin's working families. Family medicine, internal medicine and pediatric physicians and nurse practitioners provide sick child care, well child check-ups and immunizations. The Centers also provide specialty care in endocrinology, orthopedics, psychiatry and Academy of Oriental Medicine of Austin. The Centers participate in the Patient Pharmacy Assistance Program (PPAP) for patients and use a sliding-scale co-pay to keep services within the reach of working families who otherwise would not be able to afford medical care. Comprehensive social services also support the Centers' medical mission. During FY13, the Centers provided: -29,068 outpatient medical visits, -16,782 social service encounters, -11,815 prescriptions and -7,535 immunizations. In FY13, the Centers managed care for 10,359 patients, 5,087 of whom were not funded. Primary & Specialty Care Clinics Seton operates two primary care clinics for the under- and uninsured: the Paul Bass Clinic at UMC Brackenridge and the Blackstock Clinic. Seton also operates two specialty care clinics for the uninsured: The Clinic at University Medical Center Brackenridge and the Specialty Clinic for Children. Both provide access to a variety of medical specialists for patients whose conditions require specialized treatment. The clinics also provide specialty referral options for the Austin/Travis County clinics operated by Central Health, the health district. Mobile Primary Care Vans Three mobile primary care teams address the unmet health needs of children from low-income families in Travis, Burnet, Caldwell and Llano Counties, by driving to locations to provide care at area schools. The Children's Health Express Van serves the Austin area and provides services at specified Austin public school sites and at the offices of the local nonprofit Any Baby Can. The program includes a specialized service to about 215 pregnant and parenting students and their babies at three Austin high schools. The team also provides care to medically fragile children at the Any Baby Can site. During FY13, the Children's Health Express van conducted 1,201 primary care visits. The Children's Care-A-Van serves Caldwell County schools and the Seton Highland Lakes Care-A-Van operates in Burnet and Llano County schools. The Care-A-Vans respond to a need for affordable and accessible health care in rural counties, where pediatric care is scarce and there are no other providers for uninsured children or children enrolled in the Children's Health Insurance Program (CHIP). The Care-A-Vans provided services to 3,110 children in FY13. Charity Contributions to Community Organizations During FY13, Seton provided $9.14 million to 193 community organizations and non-profit providers, of which almost $274,000 was awarded by Seton's Healthy Communities Fund Committee. The Committee includes employees as well as executives and is charged with reviewing requests from other organizations and determining whether they meet Seton's charitable request guidelines. The requesting organizations submit letters specifying the amount of contribution requested and details of its program. Each entity must provide its IRS determination letter (as evidence of tax-exempt status), a history of its use of funds, a list of other funding sources and a list of board of directors. Requestors also are asked to identify the organization's purpose, the activities that reflect consistency with its stated purpose and provide a description as to how funds will be used. Generally, a successful requesting organization will spend at least 60% of its annual expenses on program activities, insure that fund-raising expenses are reasonable over time and will not have a persistent deficit in net current assets. In awarding funds, the Grants Committee looks for organizations that: -Have a mission aligned with Seton's mission, vision and values (e.g., improving the health of those we serve, particularly the poor and vulnerable); -Can demonstrate that the event or activity will enhance access to health-related services and human service needs; improve health outcomes; provide health-related education, information and support; and or offer sustainable impact; -Provides outreach in Seton's service area; supports a diverse population; supports workforce development and/or helps sustain a relationship with a potential or existing Seton stakeholder. Grantees included: - Caritas of Austin- Caritas provides a service continuum for those experiencing poverty that begins with a safety net and links them to resources to achieve self-sufficiency. This continuum includes housing, food, education, and employment services for individuals who are homeless, working and earning a low wage, and documented refugees. - American Cancer Society- The American Cancer Society is the nationwide, community-based, voluntary health organization dedicated to eliminating cancer as a major health problem by preventing cancer, saving lives, and diminishing suffering from cancer, through research, education, advocacy, and service. - American Heart Association- American Heart Association works to keep members of the Central Texas community safe from heart disease and stroke. They build healthier lives and make our community healthier through education, support, research, and advocacy.
		- Austin Area Research Organization- Austin Area Research Organization (AARO) is a non-profit organization comprised of 100 business and community leaders from the Central Texas region of Caldwell, Bastrop, Hays, Travis, and Williamson counties. AARO works to advance the economic and social well-being of Central Texas by researching and addressing public policy issues in 5 priority areas: Energy & Water, Health Care, P-16 Education, Social Equity, and Transportation. - Children's Hospital Medical Center- Seton, following a model developed by Children's Hospital Medical Center, has provided a professional internship program for adults with intellectual disabilities since 2007. To date, Seton has placed 49 interns into rotations at Dell Children's or Seton Austin. Of these, 22 graduates have been employed at Seton facilities and 14 have secured other local employment. Seton sponsored the Project Search International Conference in Austin. - Greater Austin Hispanic Chamber of Commerce- Greater Austin Hispanic Chamber of Commerce's (GAHCC) primary goal is to continue the advancement and progression of a strong and stable economic culture for Hispanic Businesses. The organization conducts activities to develop business and management skills, bridge access to capital and maintain cultural values and integrity. - Huston-Tillotson University- A historically black institution, Huston-Tillotson University's mission is to provide opportunities to a diverse population for academic achievement with an emphasis on academic excellence, spiritual and ethnical development, civic engagement, and leadership in a nurturing environment. Huston-Tillotson is the oldest institution of higher learning in Austin and is preparing to reach 1,000 students in the near future. - March of Dimes- March of Dimes aims to improve the health of babies by preventing birth defects, premature birth and infant mortality. In an effort to save babies' lives the March of Dimes provides community services, education, advocacy, and also conducts research. - YMCA of Austin- YMCA of Austin (The Y) is dedicated to building programs for youth development, for healthy living and for social responsibility that promote strong families, character values, youth leadership, community development and international understanding. The Y makes accessible the support and opportunities that empower people and communities to learn, grow and thrive by providing supportive and inclusive environments that nurture the potential of every youth and teen, improves the nation's health and well-being and provides opportunities to give back and support neighbors. - San Juan Diego Catholic High School- San Juan Diego Catholic High School (SJDCHS) provides highly motivated students the opportunity to earn a Catholic, college preparatory education enriched by participation in a corporate work study program. As a community of faith, SJDCHS believes that a Catholic, college preparatory education combined with a corporate work study program creates a spiritual, intellectual, and professional growth for the students they serve. By providing a Catholic education that transcends economic barriers and is accessible to all, SJDCHS is committed to shaping the young hearts and minds of future leaders. Other Charitable and Benefit Programs Volunteer Healthcare Clinic Laboratory and Hospitalization Services The Volunteer Healthcare Clinic has served the Austin community for more than 45 years. The Clinic is a non-emergency primary care facility that serves low-income and uninsured residents of Travis County. It operates three evening sessions weekly and accommodates 5,700 patient visits a year. Seton assists the clinic by providing guidance, laboratory services, lab and medical supplies, and after-hours medical call-center support. Lone Star Circle of Care, Dell Children's Circle of Care and Seton's Circle of Care Building upon a successful ongoing relationship with Lone Star Circle of Care (LSCC), Seton contributed $5.7 million in FY13 to support LSCC's mission and an expansion of clinical sites. FY13 included the addition of a multiservice practice at Seton Northwest Hospital that provides family medicine, pediatrics, obstetrics and integrated behavioral health for the uninsured and underinsured. In addition, there are plans for another clinic to be built in Bastrop on land leased at a favorable rate by Seton to LSCC, to begin operating in FY14. Leading Collaborative Efforts in the Community Described below are just a few examples of the community partnerships and collaborations the Seton Family of Hospitals has championed in Central Texas. Children's Optimal Health (COH) In 2006, Seton invited community leaders to discuss how their organizations could work together to optimize the health and well-being of children in Central Texas. Eighty-four agencies came together informally and identified four areas of focus: linking and leveraging our existing resources; coordinating community messaging and education; using technology; and examining research and best practices for ideas to use in solving community problems. In 2008, Seton and four other charter members committed to annual dues of $35,000 to fund the infrastructure needed to run a new organization. The dues remained unchanged in FY13. Through a commitment to shared data, collaboration and ongoing communication, COH is using visual images to inform policy, improve operations, promote research and mobilize the community to better the lives of our children and youth. In FY 13, Children's Optimal Health acquired Birth Data from the state DSHS records at the census tract level. The mapping has already spawned interest from a number of organizations including the Social Medicine Group working with the new Dell Medical School. Mapping projects also completed include Manor ISD Obesity (summit held May 3, 2013), AISD Obesity Year 11-12, Child Mobility, Phase II of Behavioral Health, Affordable Housing Inventory, and Attendance Reasons (in partnership with E3 Alliance summit held June 11, 2013). Numerous presentations have been made including the Manor ISD School Board, the Social Medicine Committee, Travis County Commissioners, Children & Youth Mental Health Partnership, ESRI Education Conference, e-Bay, and others. The Integrated Care Collaboration (ICC) In 1997, Seton led the formation of an alliance of community providers for the medically indigent, including healthcare organizations, government entities and volunteer clinics. Known as the Integrated Care Collaboration or ICC, the group's goal was to work together to increase access, improve quality and find creative financing solutions for the provision of health care for the region's uninsured. Today, members of the ICC include virtually all safety net providers within Williamson, Travis and Hays counties. Seton helped secure the organization's first grant and provided staff to develop and launch the collaboration. The ICC has since become one of the most respected and innovative organizations of its kind in the nation. Supported by grants from federal and private charity organizations, as well as continued support from the Seton Family of Hospitals and other ICC members, this unique collaboration stimulates creative thinking for managing health care for uninsured Central Texans through shared data, medical records and enrollment criteria. During FY13 the ICC's ICARE system captured data on 1,700,980 encounters with 420,931 unique uninsured or underinsured individuals. While this was a 39.0% increase in the number of encounters from FY12, it only represented a 31.1% increase in the number of patients served by ICC participating members. Seton contributed $600,000 to the ICC in FY13. Patient Prescription Assistance Program: Improving access to medications for patients was key to both Seton and the ICC. As a result, Seton selected a software program that is now shared by all ICC partners and helps to qualify uninsured patients to receive free medications from participating pharmaceutical companies. This program is known as the Patient Prescription Assistance Program or PPAP. Seton also provides assistance to uninsured patients with the often tedious and complex paperwork required by the drug companies to receive these free medications. Patients benefit from reduced costs and ultimately better health. ICC partners are able to extend charity services further because they no longer have to cover the costs of medications for these patients. In FY13, more than $11 million in prescription drugs was donated through the PPAP.
		Nurse Triage Call Center Seton's Nurse Triage Call Center makes Registered Nurses available around the clock 24-hours a day, 7 days a week free of charge to assist callers with urgent care needs and schedule doctors' appointments to avoid unneeded emergency room visits. The Call Center nurses are able to schedule same and next-day appointments for callers at participating ICC clinics. The Call Center received more than 76,000 calls during FY13. Nurses were able to redirect 12.9% of callers to home-based self-care and 23.5% to a primary care appointment the following day. In addition, more than 14.7% of the callers were able to receive general healthcare information as appropriate. Health Alliance for Austin Musicians The Central Texas area has a thriving live music scene, which is a significant contributor to the local economy. For several years, musician advocates in Austin have been looking for ways to increase access to care for area musicians who cannot afford to pay for health insurance. Seton, the SIMS Foundation and the St. David's Foundation formed a unique collaboration to address this need. The resulting Health Alliance for Austin Musicians now provides access to primary health care, diagnosis and medical treatment through Seton, dental services through a collaboration of the Capital Area Dental Foundation and St. David's Foundation and mental health services through SIMS. In June 2013, 1,938 local musicians were enrolled for services through Seton's Community Health Centers as part of the Health Alliance for Austin Musicians, over a 25% increase from the prior year. Dell Children's Medical Center of Central Texas/AISD Student Health Services The Dell Children's Medical Center of Central Texas, a member of the Seton Family of Hospitals, provides health services for approximately 87,000 public school students in over 120 schools through a ground-breaking partnership with the Austin Independent School District (AISD). The program covers prevention, wellness services, state-mandated screenings, in-school medication, injured child care and management of chronic health conditions. It uses a unique software program that facilitates communication and collects data to improve services. The program identifies uninsured children who need additional medical care and connects them with care providers. The Student Health Services program was the first of its kind and has been replicated in schools throughout the country. The Robert Wood Johnson Foundation gave the program special national recognition. During FY13, 6,297 children were vaccinated by the Children's/AISD Student Health Services Immunization Team. Seton Care Plus Seton Care Plus creates a managed care model for uninsured patients who are not eligible for Medicaid, the Children's Health Insurance Program (CHIP) or the Austin/Travis County Medical Assistance Program (MAP). Just as with commercial insurance populations, use of medical services by program patients are tracked and monitored. Frequent users of emergency or hospital services can be identified and managed to assure they get the care they need and to better manage their conditions in a less expensive manner. Although there is a cost to the Seton Family of Hospitals to operate the program, the benefits of preventing inappropriate use of emergency or hospital care are far greater. Direct patient benefits of the Seton Care Plus program include primary care, specialty care, inpatient and outpatient hospital care, diagnostic services and prescription benefits. The prescription benefit is a key factor in preventing inappropriate ER visits and unnecessary hospitalizations, as patients were assisted in applying for free or reduced medications through the Patient Pharmacy Assistance Program. Seton provided funding for 6,576 prescriptions in FY13 totaling $272,704 through its Community Healthcare Clinics. The following data compare the experience of participants in Seton Care Plus with the experience of Medicaid beneficiaries on certain key indicators: Utilization and Expense Comparison Seton Care Plus and National Medicaid Benchmark Seton Care Plus -Patient hospital days/1,000: 126 -Emergency visits/1,000: 263 Texas Star Medicaid Benchmark -Patient hospital days/1,000: 278.0 -Emergency Visits/1,000: 643.3 In FY13, Seton Care Plus recorded a rate of 126 patient hospital days per 1,000 compared to a Texas Star Medicaid Benchmark rate of 278.0 patient hospital days per 1,000. Seton Care Plus recorded 263 emergency visits per 1,000, compared to a Texas Star Medicaid Benchmark rate of 643.3 emergency visits per 1,000. Disease Management for Patients with Chronic Conditions Eighty percent of the Seton Family of Hospitals' charity care dollars are consumed by 20% of the charity care patients served because they have conditions that often make them very sick and require repeated ER visits, hospitalization, surgery, dialysis or stays in intensive care. Recognizing this growing problem, Seton has instituted a series of programs designed to provide extra case management assistance to these patients so they can better manage their diseases. Insure-a-Kid In 1999, the Michael and Susan Dell Foundation collaborated with the Seton Family of Hospitals to create insure-a-kid, an outreach program to promote and enroll uninsured children in low-cost children's health insurance programs. Today, Insure-a-Kid is funded by Seton and other members of the ICC and has expanded its mission to help low-income individuals and families obtain coverage through government insurance programs. Using innovative web-based technology to screen and case-manage individuals, in FY13 insure-a-kid helped enroll more than 5,000 individuals in CHIP or Medicaid coverage. By enrolling individuals eligible for government-sponsored health insurance, charity dollars are used more efficiently for children and adults who may have no other option for care. Trauma Care Two of Seton's facilities are designated Level I trauma centers: University Medical Center Brackenridge (UMCB) for adult trauma and Dell Children's Medical Center for pediatric trauma. These are the only Level I trauma centers in Central Texas. Seton Medical Center Williamson is a designated Level II trauma center. All Centers provide trauma care to the Central Texas community, regardless of the patient's ability to pay. Adult Trauma Services University Medical Center Brackenridge had 3,320 trauma admissions and reported a total of 15,279 trauma-related visits during FY13. University Medical Center Trauma Services provided the following educational opportunities in FY13 to the Central Texas Trauma community: - Advanced Trauma Life Support (four courses serving 16 physicians per course) - Trauma Nursing Core Course (five courses serving 20 nurses per course) - Trauma Nursing Core Course recertification course (5 courses serving 10 nurses per course) - Continuing Medical Education/Continuing Nursing Education - Trauma Rounds (once a month serving 20 physicians, 20 nurses, and 20 affiliated clinical staff) - Trauma Physician Performance Improvement (twice a month serving 30 physicians and physician extenders, residents, and interns) - Continuing First Responder Education - Community Injury Prevention (Car Seat Distribution Program, primary focus low-income Spanish speaking families, three times a month serving five families per course) University Medical Center Brackenridge hosted the 5th Annual Trauma and Critical Care Conference at the AT&T Conference Center. This regional event featured nationally-recognized experts in trauma and academic medicine, who provided physicians, nurses, allied health professionals and pre-hospital personnel with cutting edge evidenced-based knowledge related to the care of critically injured patients in rural, urban and suburban hospitals. In addition, Seton Williamson provided five Trauma Nursing Core Course (TNCC) provider classes to nurses in the community and two Matter of Balance courses to help reduce falls in the senior population in the community. In addition, SMCW also provided safety information at 14 community events in FY13. Trauma Research The trauma patient population is a unique area to focus inquiry for research activities. Many evidence-based practices have originated from trauma related research and have applications to other disease processes and outcomes. Multidisciplinary collaborative efforts through the UMCB trauma program produced timely clinical knowledge with application for practicing clinicians. In FY 2013, UMCB engaged in 9 Institutional Review Board approved study protocols and published the following trauma-related manuscripts:
		- Dubose J, Inaba K, Okoye O, Demetriades D, Scalea T, O'Connor J, Menaker J, Morales C, Shiflett T, Brown C, Copwood B; the AAST Retained Hemothorax Study Group. "Development of posttraumatic empyema in patients with retained hemothorax: Results of a prospective, observational AAST study". Journal of Trauma and Acute Care Surgery. September 2012, Volume 73, Number 3, pages 752 757. - DuBose JJ, Scalea TM. Holcomb JB, Shrestha B, Okoye O, Inaba K, Bee TK, Fabian TC, Whelan J, Ivatury RR, AAST Open Abdomen Study Group. "Open abdominal management after damage-control laparotomy for trauma: A prospective observational American Association for the Surgery of Trauma multicenter study". Journal of Trauma and Acute Care Surgery. January 2013, Volume 74, Number 1, pages 113-122. Pediatric Trauma In July 2009, Dell Children's Medical Center of Central Texas (DCMC) became the only Level I Pediatric Trauma Center in Central Texas and one of 19 stand-alone verified Level I Pediatric Trauma Centers in the country. This significant achievement demonstrates the organization's commitment to the highest level of clinical care, provision of clinical education, research, injury prevention and advocacy. In May of 2012, the Center was re-verified at Level I status and continues their dedication to the best clinical care, research and prevention efforts. To meet the needs of injured children, pediatric trauma centers must have a full complement of expertise and equipment standing ready to deliver high quality, safe and efficient care. At Dell Children's, the clinical care team is the backbone of the trauma program. This team of highly trained experts ensures all injured patients are provided the highest standard of care. In FY13, the Trauma Service evaluated 1,457 pediatric trauma patients and 1,016 of these patients were admitted to Dell Children's. Of these, 41% were Medicaid and 13.5% were uninsured. Dell Children's Trauma Service provided the following educational opportunities to the Central Texas trauma and EMS community: - Trauma Nursing Core Course (one courses, serving 7 nurses) - Pediatric Care after Resuscitation (PCAR), one course serving 40 nurses. - Continuing Medical/Professional Education (two Trauma Grand Rounds, serving 95 physicians, nurses and other clinical staff) - Presentations at the state school nurses conference - Multiple presentations to care providers at local, regional, state and national conferences. Pediatric Trauma Research The pediatric Trauma Research Program focuses on the epidemiologic, clinical and behavioral study of childhood injury, injury prevention and trauma clinical care, with the ultimate goal of informing and guiding improved clinical practices. The Trauma Research Program includes five topic areas: - Child abuse prevention, detection and treatment - Alcohol misuse by adolescents and their caregivers - Psychological aspects of trauma - Evaluation of injury prevention programs in the community - Investigation of best-practice clinical care for injured patients. In FY 2013, the group engaged in 27 Institutional Review Board approved study protocols and published the following trauma-related manuscripts: - Sowrey L, Lawson KA, Garcia-Filion P, Notrica D, Tuggle D, Eubanks, JW, Maxson RT, Recicar J, Megison SM, Garcia NM. Duodenal Injuries in the Very Young Child Abuse?. Journal of Trauma, 2013, 74(1):136-142. - Johnson JJ, Tuggle DW, Garcia NM, Eubanks JW, Notrica DM, Brahmamdam P, Megison S, Maxson RT, Piper K, Lawson KA, Garcia-Filion P, Recicar J. The Utility of a Computer-Based Internal Education Program for Pediatric Trauma centers an ATOMAC Study. Accepted for publication in The American Surgeon, 2013. - Hymel KP, Wilson DF, Boos SC, Pullin DA, Homa K, Lorenz DJ, Herman BE, Graf JM, Isaac R, Arnijo-Garcia V, narang SK, for the Pediatric Brain Injury Research Network (PediBurn) Investigators. Pediatric Critical Care Medicine 2013, 14(2): 1-11. - Yuma-Guerrero PJ, Duzinski SV, Brown JM, Wheeler TC, Barczyk AN, Lawson KA. Perceptions of Injury and Prevention Practices among Pregnant and Parenting Teenagers. Journal of Trauma Nursing 2012, 20(1): 3-9. - Flacone RA, Haas L, King E, Moody S, Crow J, Moss A, Gaines B, Mckenna C, Gourlay DM, Werner C, Meagher DP, Schwing L, Garcia N, Brown D, Groner JI, haley K, DeRoss A, Cizmar L, Armola R. A multicenter Prospective Anamysis of Pediatric Traumna Activation Crietoa Routinely Used in Addition to the Six Criteria of the American College of Surgeons. Journal of Trauma and Acute Care Surgery, 2012, 73(2):377-384. - Duzinski SV, Lawson KA, Maxson TM, Garcia NM, Calfa N, Metz K, Marroquin Y, Arora P, Nguyen KH, Funk C, Stark K, The Association between Positive Screen for Future Persistent Posttraumatic Stress Symptoms and Injury Incident Variables in the Pediatric Trauma Care Setting. Journal of Trauma and Acute Care Surgery.2012.Jun; 72(6):1640-6 - Yuma-Guerrero PJ, Lawson KA, Velasquez MM, von Sternberg K, Maxson T, Garcia N. Screening, brief intervention, and referral for alcohol use in adolescents: a systematic review. Pediatrics. 2012 Jul;130(1):115-22. - Henry SL, Weinfeld AB, Sharma SK, George TM, Kelley PK. The reliability and advantages of the sentinel vein as a microsurgical recipient vessel. J Reconstr Microsurg. 2012 Jun; 28(5):301-4. doi: 10.1055/s-0032-1311686. Epub 2012 Apr 30. - Parker-Raley J, Mottet TP, Lawson KA, Duzinski SV, Cerroni A. Investigating Pediatric Trauma Team Communication Effectiveness Phase One: the Development of the Assessment of Pediatric Resuscitation Communication (APRC). Accepted for publication in Journal of Communication in Healthcare, 2012. - Parker-Raley J, Cerroni A, Mottet TP, Lawson KA, Duzinski SV. Investigating Pediatric Trauma Team Communication Effectiveness Phase Two: Achieving Inter-rater Reliability for the Assessment of Pediatric Resuscitation Communication Team Assessment (APRC-TA). Accepted for publication in Journal of Communication in Healthcare, 2012. - Valentine SL, Sapru A, Higgerson RA, Spinella PC, Flori HR, Graham DA, Brett M, Convery M, Christie LM, Karamessinis L, Randolph AG. Fluid balance in Critically Ill children with Acute Lung Injury. Critical Care Medicine (epub ahead of print) - Simpson VS, Bailey A, Higgerson RA, Christie LM. Ventilator-Associated Tracheobronchitis in a Mixed Medical/Surgical Pediatric Intensive Care Unit. Chest 2013, (epub ahead of print) Starting in FY12, The Research Department began coordinating a national multi-center research collaborative which brings 6 Level I Pediatric Trauma Centers together for research collaboration. The group has presented on the national arena and published 3 sentinel works in pediatric trauma care. The Research Department provides research education for Seton staff, physicians, medical students, residents and University of Texas students. The department currently leads two UT Medical Branch classes on pediatric trauma research, a UT School of Public Health practicum and thesis seminars and provides local education to members of the Seton team. Injury Prevention Program Dell Children's Injury Prevention Programs mission is to lessen the burden of pediatric injury by identifying and addressing injury risks that affect the lives of patients and families at Dell Children's and throughout our central Texas communities. The Dell Children's injury prevention program will accomplish this by strengthening individual knowledge and skills, providing community education and access to resources, educating providers, fostering coalitions and networks, influencing organizational practices, and advocating at all levels of policy and legislation that protect children from injury. The Safety Station- located in the Family Resource Center (FRC) at Dell Children's provides safety resources for patient families. These resources consist of convertible, combination and high-back booster seats, multi-sport and bicycle helmets, as well as sleep sacks for <1 year children for safe sleep environments. This service operates in collaboration with the FRC staff. In FY2013, the Safety Stations had 593 Customer interactions with an average of 50 visitors per month. A total of 351 safety devices were distributed, including 296 child safety seats, 34 bicycle helmets, 16 multi-sport helmets and five sleep sacks Community programs/services/coalitions offered by Dell Children's Injury Prevention program include: - Kohl's Booster Buddies: A community based program that promotes and provides booster seats for children age four and older who are less than 100 lbs. and 4'9" tall. This program distributes 1000-2000 booster seats each year depending on funding levels. In FY13, the program conducted 13 community events, seven held at AISD elementary schools, two at community health fairs and four at large community events. Overall, 17 elementary schools were included.
		A total of 1,100 booster seats were distributed and 6.6 million media impressions were obtained through English and Spanish PSAs on local radio. - Safe Baby University (SBU): A teen parent program that targets students in AISD high schools that are pregnant or parents. Students attend a one and a halfday learning event that incorporates multiple structured courses and hands on learning activities. SBU ends with a car seat check event open only to students. Students receive multiple safety devices (i.e. stair gates, home safety kits, car seats, sleep sacks). In FY13, 57 Students directly participated from seven AISD schools; 42% attended a follow up child safety seat check event; 18 car seats were distributed; 12 portable pack n' play cribs and 26 stair gates were distributed. - Childhood Injury Transportation Project: This project is a coalition of community organizations that identify and address injury risks related to specific geographic locations in Austin. The committee is segmented into multiple sub-committees (i.e.: Engineering and the Built Environment, Enforcement, Public Policy, Community Education and Interventions, Data Collection, Sharing, and Use). Austin Police Department crash data and DCMC trauma registry data is mapped to find clustering of child injury hotspots. Currently, a strategy is being developed to address these locations using a comprehensive public health approach rather than focusing on individual education. Multiple city resolutions have been passed as a result of this coalitions work. In FY2013, new data was obtained to update maps (anticipated in FY14) and the team participated in the City of Austin's Transportation Safety Regional Summit. Dell Children's Injury Prevention program also participates in various local, state and national organizations, including: - Capital Area Trauma Regional Advisory Council (CATRAC): Injury Prevention Manager chairs the Injury Prevention Committee - Governor's EMS and Trauma Advisory Council (GETAC)L Injury Prevention Manager serves on the Injury Prevention Committee - Safe States Alliance: Injury Prevention Manger serves on the National Executive Committee - Staff attended the annual meeting and presented during a breakout session. - Children's Hospital Association: Safety Station Feasibility Study - Safe Kids USA; Staff attended the annual conference. - Injury Free Coalition Conducting Groundbreaking Clinical Research Seton adheres to the principle that patients have a right to receive care derived from scientific principles and data-based evidence. To that end, Seton furthers its mission by contributing funds and personnel to support research that helps advance health care. Seton's Center for Nursing Research (CNR) provides a defined infrastructure to support nursing research, inform policy and procedure development, promote nursing practice change and support the implementation of evidence-based practice. The CNR supports nurses in identifying and investigating nursing problems through scientific inquiry, analysis, synthesis, dissemination and translation of research findings in an effort to improve nursing practice with evidence-based findings. The CNR and NRC assess the barriers to initiating, conducting and participating in research. Research and clinical leaders engage staff nurses in discussion of the importance of evidence-based practice and research. The CNR reaffirms its mission to promote a culture of research via two channels of education: 1) exposing RNs who are otherwise unaware of nursing research to its importance and methods; and 2) mentoring those RNs who are motivated to initiate and/or participate in research. 2013 Nursing Research Activities: Podium Presentations: - Jan Alexander, MDiv, MSN, RN, presented "What's a Twitter: eProfessionalism and Nursing" at the National Teaching Institute & Critical Care Exposition in Orlando, May 2012. - Jonathan Hecht, MSN, RN, ACNS-BC, CCRN, CNRN, presented "Concepts of Brain Tissue Oxygen Monitoring" at the 24th annual Texas Nurse Practitioners conference in Austin, September 2012. - Gwen Irwin, RN, CRNI, VA-BC, presented "Managing Vascular Access Work Flow in a Multi-Hospital System" at the Vascular Access 26th Annual Scientific meeting in San Antonio, October 2012. - George Langan, MSN, RN-BC, CNE, presented "Tailoring Extended Supportive Components for Your Organization: How to Get that Custom Fit" at the eighth annual Versant Client Conference in San Antonio, October 2012. - Judy Smith, MSN, RN, CRNI, presented "Predictors of Best Practice: Learning to Influence Behavior for the Prevention of CLABSI" at the Vascular Access 26th Annual Scientific meeting in San Antonio, October 2012. - Judy Smith, MSN, RN, CRNI, presented "Optimal Disinfection Times for Needleless Intravenous Connectors" at the Vascular Access 26th Annual Scientific meeting in San Antonio, October 2012. - Mary Viney, MSN, RN, CPHQ, presented "Building Your Plane While Flying" at the 79th annual convention of the Idaho Hospital Association in Sun Valley, October 2012. Poster Presentations: - Vicki Simpson, MSN, RN, CPHQ; Ann Bailey, MBA, BSN, RNC, CIC; Laurie Rogers, MSN, RN, CNS; LeeAnn Christie, MSN, RN; and Renee Higgerson, MD, presented "Identifying and Preventing Ventilator-Associated Tracheobronchitis in a Mixed Medical-Surgical PICU" at the Society of Critical Care Medicine's 41st Congress in Houston, February 2012. - Kenn Kirksey, PhD, MSN, RN, ACNS-BC, et al. presented nine posters at the XIX International AIDS Conference in Washington, D.C., July 2012. - Sharon Demel, MSN, CNS, RNC-NIC, and Debbi Vance, MSN, RNC-NIC, presented "Delphi Study of Risk Factors for Neonatal Skin Risk" at the Academy of Neonatal Nurses annual conference in Chicago, September 2012. - Judy Smith, MSN, RN, CRNI; Mary Viney, MSN, RN,NEA-BC, CPHQ; Gwen Irwin, RN, CRNI, VABC; Lynda Watkins, MPH, RN; Shonnie Pinno; Kenn Kirksey, PhD, MSN, RN, ACNS-BC; and Adama Brown, PhD, presented "Optimal Disinfection Times for Needleless Intravenous Connectors" at the Improvement Science Summit, July 2012; the Institute on Evidence- Based Quality Improvement Conference, summer 2012; and the Vascular Access 26th Annual Scientific meeting in San Antonio, October 2012. Publications: - Joyce Batcheller, DNP, RN, NEA-BC, FAAN; Kenn Kirksey, PhD, RN, ACNS-BC; Yvonne VanDyke, MSN, RN; and Myrna L. Armstrong, EdD, RN, FAAN, authored "Publish or Perish: Writing Clinical Manuscripts Suitable for Publication" in The Journal of Continuing Education in Nursing, Vol. 43, No. 1, pp. 44-48. - Joyce Batcheller, DNP, RN, NEA-BC, FAAN; and Pat Yoder-Wise, EdD, NEA-BC, ANEF, FAAN, authored "Creating Insight When the Literature Is Absent" in Nursing Administration Quarterly, Vol. 35, No. 4, pp. 338-343. - Curk "Scooter" McFall, MSN, RN, and Linda Yoder, PhD, MBA, RN, AOCN, FAAN, authored "Critical Access Health Care: A Concept Analysis" in Nursing Forum, Vol. 47, No. 1, pp. 9-17, January-March 2012. - Joell Verano, BSN, RN, CWON, and Mary Ellen Jackson, RRT, authored "Skin Preparation Process for the Prevention of Skin Breakdown in Patients who are Intubated and Treated with Rotoproning" in Respiratory Care, February 2012. - Toni Inglis, MSN, RN, CNS, FAAN, authored "When Lawmakers and Doctors Hold Nurses Back," in the American Journal of Nursing blog "Off the Charts," Feb. 13, 2012. - Joni Watson, MSN, MBA, RN, OCN, authored "The Rise of Blogs in Nursing Practice" in the Clinical Journal of Oncology Nursing, April 2012. - LeeAnn Christie, MSN, RN, and Renee Higgerson, MD, authored "Fluid Balance in Critically Ill Children with Acute Lung Injury" in Critical Care Medicine, Vol. 40, No.10, October 2012. - Joyce Batcheller, DNP, RN, NEA-BC, FAAN; Ann Hendrich, PhD, RN, FAAN; Darcy Ellison, MSN, RN; Angela Janik, MBA, MSN, RN; Nina Jeffords, MSHA, RN; Linda Miller, MS, RN, NEA-BC; Gwynn Perlich, MBA, MSN, RN; Gerri Staffileno, MBA, BSN, RN; Maria Strom, MSN, RN; and Cynthia Williams, DPN, MBA, RN, FACHE, authored "The Ascension Health Experience: Maximizing the Chief Nursing Officer Role in a Large, Multihospital System to Advance Patient Care Quality and Safety," in Nursing Administration Quarterly, Vol. 36, No. 4,pp. 277-288, October/December 2012. - Joyce Batcheller, DNP, RN NEA-BC, FAAN; Karen Burkman, MSN, RN; Cheryl Rowder, PhD, RN, CCRN; and Diana Sellers, MSN, RN, authored "An Integrated System's Nursing Shared Governance Model: A System Chief Nursing Officer's Synergistic Vehicle for Leading a Complex Health Care System," in Nursing Administration Quarterly, Vol. 36, No. 4, pp. 353-361, October/December 2012. - Joyce Batcheller, DNP, RN, NEA-BC, FAAN, and Cole Edmonson, DNP, RN, NEA-BC, FACHE, co-authored "Nurses Taking Action in Texas: Living the IOM Report," in Texas Nursing Voice, Vol. 6, No. 4, p. 3, October/November/December.
		- Curk "Scooter" McFall, MSN, RN, et al. authored "Use of the Videophone to Collect Quality-of-Life Data from Burn Patients" in the International Journal of Burns and Trauma, 2012;2(3):135-44, Epub, Dec. 5, 2012. - Judy Smith, MSN, RN, CRNI; Gwen Irwin, RN, CRNI, VABC; Mary Viney, MSN, RN,NEA-BC, CPHQ; Lynda Watkins, MPH, RN; Shonnie Pinno Morris; Kenn Kirksey, PhD, RN, ACNS-BC; and Adama Brown, PhD, authored "Optimal Disinfection Times for Needleless Intravenous Connectors" in the Journal of Association for Vascular Access, Vol. 17, No. 3, pp. 137-143, Fall 2012. Evidence-Based Practice RN V Projects: - Judy Smith, MSN, Venous Access, SHF RN V, Standardizing Competencies for all Clinicians who Place Peripherally Inserted Central Catheters in the Seton Healthcare Family. - Sandra Lopez, MSN, Pediatrics, Dell Children's, RN V, Development and Evaluation of Patient Satisfaction Measures for Usability in REDCap Software; Clinic Visit Wait Time Analysis; and Evaluation of Cell Phone Use by Clinic Patient Population. - Jan Alexander, MSN, MDiv. Pediatrics IMC, Dell Children's, RN V Evaluation of a Hospital Tracheostomy Education Program. - Julie Castro, MSN, Pediatrics RN V, Reducing Readmissions to Dell Children's Medical Center of Central Texas for Children with Asthma: Investigating Multiple Operational Strategies. - Debbie Vance, MSN, CNS, Perinatal, UMCB RN V, A Delphi Survey of Risk Factors for Neonatal Skin Breakdown. - Katy Starnes, RN, MSN, RN V, Patient Call-Back: Expansion of Analytics for Patient Cost Accounting. Trends and differences in readmissions (30, 60, 90, 180 days post- discharge). Clinical Care To meet the needs of injured children, pediatric trauma centers must have a full complement of expertise and equipment standing ready to deliver high quality, safe and efficient care. At Dell Children's, the clinical care team is the backbone of the trauma program. This team of highly trained experts ensures all injured patients are provided the highest standard of care. In FY13, the Trauma Service evaluated 1,457 pediatric trauma patients and 1,016 of these patients were admitted to Dell Children's. Of these, 41% were Medicaid and 13.5% were uninsured. Clinical Education Dell Children's Trauma Service provided the following educational opportunities to the Central Texas trauma and EMS community: -Trauma Nursing Core Course (one courses, serving 7 nurses) -Pediatric Care after Resuscitation (PCAR), one course serving 40 nurses. -Continuing Medical/Professional Education (two Trauma Grand Rounds, serving 95 physicians, nurses and other clinical staff) -Presentations at the state school nurses conference -Multiple presentations to care providers at local, regional, state and national conferences. Research The pediatric Trauma Research Program focuses on the epidemiologic, clinical and behavioral study of childhood injury, injury prevention and trauma clinical care, with the ultimate goal of informing and guiding improved clinical practices. The Trauma Research Program includes five topic areas: -Child abuse prevention, detection and treatment -Alcohol misuse by adolescents and their caregivers -Psychological aspects of trauma -Evaluation of injury prevention programs in the community -Investigation of best-practice clinical care for injured patients. In FY13, the group engaged in 27 Institutional Review Board approved study protocols and published the following trauma-related manuscripts: Sowrey L, Lawson KA, Garcia-Filion P, Notrica D, Tuggle D, Eubanks, JW, Maxson RT, Recicar J, Megison SM, Garcia NM. Duodenal Injuries in the Very Young Child Abuse?. Journal of Trauma, 2013, 74(1):136-142. Johnson JJ, Tuggle DW, Garcia NM, Eubanks JW, Notrica DM, Brahmamdam P, Megison S, Maxson RT, Piper K, Lawson KA, Garcia-Filion P, Recicar J. The Utility of a Computer-Based Internal Education Program for Pediatric Trauma centers an ATOMAC Study. Accepted for publication in The American Surgeon, 2013. Hymel KP, Wilson DF, Boos SC, Pullin DA, Homa K, Lorenz DJ, Herman BE, Graf JM, Isaac R, Arnijo-Garcia V, narang SK, for the Pediatric Brain Injury Research Network (PediBurn) Investigators. Pediatric Critical Care Medicine 2013, 14(2): 1-11. Yuma-Guerrero PJ, Duzinski SV, Brown JM, Wheeler TC, Barczyk AN, Lawson KA. Perceptions of Injury and Prevention Practices among Pregnant and Parenting Teenagers. Journal of Trauma Nursing 2012, 20(1): 3-9. Flacone RA, Haas L, King E, Moody S, Crow J, Moss A, Gaines B, Mckenna C, Gourlay DM, Werner C, Meagher DP, Schwing L, Garcia N, Brown D, Groner JI, haley K, DeRoss A, Cizmar L, Armola R. A multicenter Prospective Anamysis of Pediatric Traumna Activation Crietoa Routinely Used in Addition to the Six Criteria of the American College of Surgeons. Journal of Trauma and Acute Care Surgery, 2012, 73(2):377-384. Duzinski SV, Lawson KA, Maxson TM, Garcia NM, Calfa N, Metz K, Marroquin Y, Arora P, Nguyen KH, Funk C, Stark K, The Association between Positive Screen for Future Persistent Posttraumatic Stress Symptoms and Injury Incident Variables in the Pediatric Trauma Care Setting. Journal of Trauma and Acute Care Surgery.2012.Jun; 72(6):1640-6 Yuma-Guerrero PJ, Lawson KA, Velasquez MM, von Sternberg K, Maxson T, Garcia N. Screening, brief intervention, and referral for alcohol use in adolescents: a systematic review. Pediatrics. 2012 Jul; 130(1):115-22. Henry SL, Weinfeld AB, Sharma SK, George TM, Kelley PK. The reliability and advantages of the sentinel vein as a microsurgical recipient vessel. J Reconstr Microsurg. 2012 Jun; 28(5):301-4. doi: 10.1055/s-0032-1311686. Epub 2012 Apr 30. Parker-Raley J, Mottet TP, Lawson KA, Duzinski SV, Cerroni A. Investigating Pediatric Trauma Team Communication Effectiveness Phase One: the Development of the Assessment of Pediatric Resuscitation Communication (APRC). Accepted for publication in Journal of Communication in Healthcare, 2012. Parker-Raley J, Cerroni A, Mottet TP, Lawson KA, Duzinski SV. Investigating Pediatric Trauma Team Communication Effectiveness Phase Two: Achieving Inter-rater Reliability for the Assessment of Pediatric Resuscitation Communication Team Assessment (APRC-TA). Accepted for publication in Journal of Communication in Healthcare, 2012. Valentine SL, Sapru A, Higgerson RA, Spinella PC, Flori HR, Graham DA, Brett M, Convery M, Christie LM, Karamessinis L, Randolph AG. Fluid balance in Critically Ill children with Acute Lung Injury. Critical Care Medicine (epub ahead of print) Simpson VS, Bailey A, Higgerson RA, Christie LM. Ventilator-Associated Tracheobronchitis in a Mixed Medical/Surgical Pediatric Intensive Care Unit. Chest 2013, (epub ahead of print) Starting in FY12, The Research Department coordinates a national multi-center research collaborative which brings 6 level 1 Pediatric Trauma Centers together for research collaboration. The group has presented on the national arena and published 3 sentinel works in pediatric trauma care. The Research Department provides research education for Seton staff, physicians, medical students, residents and University of Texas students. The department currently leads two UT Medical Branch classes on pediatric trauma research, a UT School of Public Health practicum and thesis seminars and provides local education to members of the Seton team. Injury Prevention Program The Injury Prevention Programs mission is to lessen the burden of pediatric injury by identifying and addressing injury risks that affect the lives of patients and families at DCMC and throughout our central Texas communities. The DCMC injury prevention program will accomplish this by strengthening individual knowledge and skills, providing community education and access to resources, educating providers, fostering coalitions and networks, influencing organizational practices, and advocating at all levels of policy and legislation that protect children from injury. The Injury Prevention Program values, A multi-layered public health approach to injury prevention, being data driven and evidence-based, being family centered and community minded, the collaborative process, accountability to our stakeholders, and continuously improving quality and evaluation. DCMC/Network services available onsite at DCMC: The Safety Station- located in the Family Resource Center (FRC) at DCMC this program provides safety resources for patient families. These resources consist of convertible, combination, and high-back booster seats, multi-sport and bicycle helmets, as well as sleep sacks for <1 year children for safe sleep environments. This service operates in collaboration with the FRC staff. In FY2013: - 593 Customer interactions occurred, an average of 50 visitors per month - A total of 351 safety devices were distributed - 296 child safety seats - 34 bicycle helmets - 16 multi-sport helmets - 5 sleep sacks
		Community programs/services/coalitions that DCMC IP leads or offers: Kohl's Booster Buddies A community based program that promotes and provides booster seats for children age 4 and older who are less than 100 lbs. and 4'9" tall. This program distributes 1000-2000 booster seats each year depending on funding levels. In FY2013: Conducted 13 community events 7 were AISD elementary schools, 2 were community health fairs, 4 were large community events. Overall, 17 elementary schools were included. 1,100 booster seats were distributed. 6.6 million media impressions were obtained through English and Spanish PSAs on local radio. Safe Baby University (SBU) A teen parent program that targets students in AISD high schools that are pregnant or parents. Students attend a 1 day learning event that incorporates multiple structured courses and hands on learning activities. SBU ends with a car seat check event open only to students. Students receive multiple safety devices (i.e. stair gates, home safety kits, car seats, sleep sacks). In FY2013: 57 Students directly participated from 7 AISD schools 42% attended a follow up child safety seat check event 18 car seats were distributed 12 portable pack n' play cribs were distributed 26 stair gates were distributed Childhood Injury Transportation Project This project is a coalition of community organizations that identify and address injury risks related to specific geographic locations in Austin. The committee is segmented into multiple sub-committees (i.e., Engineering and the Built Environment, Enforcement, Public Policy, Community Education and Interventions, Data Collection, Sharing, and Use). Austin Police Department crash data and DCMC trauma registry data is mapped to find clustering of child injury hotspots. Currently, a strategy is being developed to address these locations using a comprehensive public health approach rather than focusing on individual education. Multiple city resolutions have been passed as a result of this coalitions work. In FY2013: -New data was obtained to update maps (anticipated in FY2014) -Participated in the City of Austin's Transportation Safety Regional Summit -Participation in Local/State/National Organizations- Advocacy & Education -Capital Area Trauma Regional Advisory Council (CATRAC) Injury Prevention Manager chairs the Injury Prevention Committee -Governor's EMS and Trauma Advisory Council (GETAC) Injury Prevention Manager serves on the Injury Prevention Committee -Safe States Alliance- Injury Prevention Manger serves on the National Executive Committee -Staff attended the annual meeting and presented during a breakout session. -Children's Hospital Association Safety Station Feasibility Study -Safe Kids USA -Staff attended the annual conference. -Injury Free Coalition Seton League House Located near Seton Medical Center, the Seton League House is a bed-and-bath facility that provides families a nearby place to stay while loved ones are hospitalized. The Seton League House offers overnight accommodations at reasonable rates designed to avoid placing a hardship on families. During FY13, the Seton League House provided 2,376 visitors with 7,964 room nights. Perinatal Outreach Education The Perinatal Outreach Education program coordinates the Neonatal Transport Team, which serves a 19-county area in Central Texas. The program provides educational hands-on classes to hospitals within that area and serves as the liaison between Seton and the referring hospitals that transfer mothers and babies into our facilities. In addition the Perinatal Outreach Program host an annual two-day Perinatal Conference. Additional services the Perinatal Outreach Programs offers or facilitates include: -Neonatal and Maternal High Risk Transport teams, which offer emergency medical transport for referring hospitals within the region; in FY13 there were 205 neonatal transports and 44 maternal transports -MFM, physician, and nurse consultation services -Continuing education for healthcare professional as requested; in FY13 10 STABLE and 2 NRP courses. -Annual two-day Perinatal Conference -Bimonthly Neonatal Grand Rounds for physicians and other medical professionals -Consultation and technical assistance on emerging perinatal issues -Coordination of education and training for perinatal healthcare personnel within the network Dell Children's Preoperative Tour Program The Dell Children's Preoperative Tour Program is free, hands-on teaching programs for children (and their families) who are scheduled for surgery or procedures at Dell Children's Medical Center. Administered by the Child Life department, the program helps children cope with fear, anxiety and separation from family and friends. In FY13, 106 patients and family members (31 patients, 17 siblings and 58 adults) participated. Patient Memorial Services Memorial services are conducted several times a year in remembrance and honor of all the patients who died while at Seton's facilities. The services provide closure for family members, as well as for the employees who cared for the patients. Expanding Medical Education The Seton Family of Hospitals believes that, in order to provide the best health care to the community, its clinical personnel must receive ongoing medical education. In FY13, Seton provided 94 directly- and jointly-sponsored Continuing Medical Education activities that included 1025 hours of instruction for 7,709 physician participants and 9,260 non-physician participants. Subjects included: - 2013 Annual Pediatric Conference - Keeping Central Texas Children Well - 2013 Austin Trauma & Critical Care Conference - Annual Ethics Conference - Cardiology Update for Primary Care - Central Texas Autism Conference - Differential Diagnosis and Management of Diabetes - Ductus Arteriosus Management Conference - Error Disclosure Training and Faculty Development - Exploring the Future of Neuro-Oncology- Redefining What is Possible - Genetics - New Treatments, New Research, New Dilemmas - Hip Pain, Femoroacetabular Impingement (FAI) and Hip Arthroscopy - Hospital Physician Executives February 13th Meeting - Hospital Physician Executives May 10th Meeting - Innovation: Focus on Epilepsy "Clinical and Business Issues" - Lung Cancer - The Most Lethal Cancer in America - Moving Palliative Care Upstream - A Strategic Imperative - NaPro Science and Women's Health - Orientation for Presidents of Hospital Medical Staffs - Pain Management - Pediatric Cardiac Care Conference VI - Pediatric Orthopedic Education - Practical Approach to Complicated Pain Patients Hospitalized for Acute Medical Conditions - Procedural Review and Update on the Care of the Post-Cardiac Cath Patient - Provider Conscience and Patient Autonomy - Stereotactic Radiosurgery for Arteriovenous Malformations - Stereotactic Radiosurgery of Benign and Malignant Tumors of the Brain - Stroke - Redefining What is Possible - The Donation Conversation - the Role of the Pediatric Intensivist - ACCESS AYA Survivorship Series - Adult Echo Case Conference - Austin Dermatological Society Patient Viewing - Brain & Spine Case Conference - Breast Multidisciplinary Cancer Conference - Cardiopulmonary Chest Conference - Cath Lab Conference - Cedar Park Regional Medical Center Adult Cancer Management Conference - Cerebrovascular Medicine Case Conference - Clinical & Teamwork Simulation - Complex Spine Case Conference - Computerized Provider Order Entry - Craniofacial Conference - DCMC/APS Surgery Morbidity and Mortality Conference - Dell Children's Pediatric Trauma Grand Rounds - ENT Conference - Epilepsy Case Conference - Ethics Case Series - Gastrointestinal Multidisciplinary Cancer Conference - General Surgery Grand Rounds - Hand/Upper Extremity Case Conference - Heart Transplant/Performance Improvement Committee Meeting - Hepato-Biliary Pancreatic Multidisciplinary Cancer Conference - Institute of Reconstructive Plastic Surgery M&M - Malignant Hematology Multidisciplinary Cancer Conference - Neonatal Grand Rounds - Neuro Tumor Multidisciplinary Conference - Neurology Grand Rounds - New Med Staff Provider Orientation - OB/Gyn Grand Rounds - Pediatric Cancer Management Conference - Pediatric Cardiology/Cardiac Case Conference - Pediatric Echo Journal Club - Pediatric Fracture M & M - Pediatric Grand Rounds - Pediatric Interdisciplinary Meeting - Pediatric Musculoskeletal Tumor Conference - Pediatric Neuro-Oncology Case Conference - Pediatric Neurosurgery Journal Club - Pediatric Neurosurgery M&M Meeting - Pediatric Section Meeting - Pediatric Spine M & M - Pediatric Surgery Morbidity and Mortality Conference - Pediatric Trauma Grand Rounds - Pediatric Trauma Performance Improvement - Physician Leadership Series - Psychiatry Faculty Development - Psychiatry Faculty Journal Club
		- Psychiatry Grand Rounds - Psychiatry Outpatient Clinical Case Conference - Safety Behaviors & Error Prevention for Medical Staff - SMCA Gynecology Cancer Management Conference - SMCH Adult Cancer Management Conference - SMCW Adult/Breast Cancer Management Conference - SMCW Spine Case Conference - SMCW Trauma Physician Performance Improvement - SNW Adult Cancer Management Conference - Spine Case Conference - Stroke Case Conference - Surgical Endocrine Conference - Surgical GI Conference - TPA Case Conference - Trauma Physician Performance Improvement - Trauma Rounds Case Presentations - UMCB Adult Cancer Management Conference - UMCB Breast Cancer Management Conference Providing Patient Services During FY13, Seton's facilities treated and discharged 70,074 adults and children in the community for a total of 343,691 patient days. Seton Provided 826,127 hospital-based outpatient visits, 23,734 outpatient surgery visits, and 282,516 emergency visits. Additionally, Seton provided 4076 home health visits in River Bend-Smithville and 7, 325 in Highland Lakes for homebound patients through the Seton Highland Lakes Hospital home care service and Seton Smithville home care service. In addition, Seton's primary care and specialty care physician practices served the community by providing 657,470 patient visits. Unique Services Seton supports unique services unavailable elsewhere in the region including: -Central Texas' only Level I trauma centers: Dell Children's Medical Center (pediatric) and University Medical Center Brackenridge (adult); -An advanced neurosciences center that houses state-of-the-art equipment; -Central Texas' only heart transplant center (Seton Medical Center Austin) certified by Medicare and named a destination site for technology to help sustain patients with failing hearts, including the use of Ventricular Assist Devices; -Regional High Risk Maternity and Neonatal Center providing care for high-risk moms and babies, micro preemies and multiple births; -A dedicated pediatric hospital - Dell Children's Medical Center of Central Texas serving a 46-county area dedicated solely to comprehensive medical and surgical care for children; -A nationally-recognized and highly innovative Student Health Services Program operated in collaboration with the Austin Independent School District that serves more than 87,000 students; -The community's only private inpatient mental health hospital, Seton Shoal Creek that serves patients of all ages: children, adolescents, adults and seniors; -LIVESTRONG Survivorship Center at Dell Children's provides specialized care in a clinic that focuses on the needs of pediatric cancer survivors. Children are at risk for physical and psychological issues related to cancer and its therapy. The radiation, chemotherapy and surgery used to successfully treat childhood cancers may lead to what are called, "late effects" such as heart and lung problems, impaired growth, etc. Comprehensive Healthcare Services Inpatient & Outpatient Seton provides the following inpatient and outpatient medical services to the community at one or more locations: -Major (Level I) Trauma Centers verified by the American College of Surgeons -Urgent and 24-hour emergency care -Critical care services -Intermediate care services -General and subspecialty inpatient/outpatient surgical services including: thoracic, cardiovascular, open heart, urology, obstetrics/gynecology, plastics, maxillo-facial, ophthalmology, ENT, orthopedic, spine, trauma and pediatric. -Internal medicine, family practice and subspecialties -Specialty outpatient clinic -Cardiovascular and telemetry services -Medical/Surgical services -Comprehensive Maternity Services, including high risk obstetrical, Level II and Level III (Neonatal) Nurseries -Advanced Neurosciences, including CyberKnife; -Certified Stroke Centers -Certified Chest Pain Centers -Resuscitation Center Designations -Orthopedics -Oncology -Nephrology -Heart failure and heart transplant services.; destination facility for Ventricular Assist Device (VAD) technology Diagnostic and Therapeutic Services -Physical, occupational and speech therapy -Extensive rehabilitation services -Wound Care clinic -Invasive and non-invasive diagnostic cardiology / catheterization laboratory -Cardiac Rehabilitation -Diagnostic radiology including: fluoroscopy, x-ray, CT Scan, nuclear medicine, special procedures and MRI. -Outpatient surgery -Pastoral care -Social work/discharge planning/case management -Cardiopulmonary services -Laboratory services -Pharmaceutical Services Pediatric Services -Children's Emergency Center and Level I Trauma Center -Children's Regional Heart Program -Children's Surgical Services -Children's Therapy Gym -Dell Children's Imaging Center -Juvenile Diabetes Team -Neonatal Intensive Care Unit -Pediatric Intensive Care Unit -Pediatric Critical Care Transport Team -Specialty Care Center -Child Life Department -The Childhood Cancer & Blood Disorders Center -Children's Asthma Program -Pediatric Dental Care Wellness/Education Services -Lactation education -Parent and family education for obstetrics -Diabetic education -High risk OB education -Cancer screenings/mammography -Nurse Triage Call Center -Nutrition Primary Care Services (Community Health Centers for Uninsured) -Physician and nurse practitioner visits -Pharmacy -Social Services -Health education (including Diabetes education, nutrition and cooking classes) Inpatient Psychiatric Hospital Services -Acute inpatient adult psychiatric services -Acute children and adolescent psychiatric services -Psychiatric Intensive Care (locked): Inpatient de-tox and psychiatric stabilization -Electro-Convulsive Therapy -Adolescent Intensive Outpatient (12 hours per week) Programs: psychiatric and substance abuse -Adult Intensive Outpatient Programs: psychiatric and substance abuse Links to Community Benefit Information Visit the Seton Family of Hospitals' Web site at www.seton.net for additional information about the health-related benefits Seton provides the Central Texas community. Financial Information Seton's financial information is contained in the appropriate forms for the Internal Revenue Service. Financial data that demonstrate Seton's commitment to assisting the most poor and vulnerable in the Central Texas community is outlined in detail in Schedule H. We prepared those data in accordance with the Catholic Health Association's (CHA) community benefit reporting guidelines.
	Form 990, Part VI, Section A, line 2	Sister Helen Brewer, Charles Barnett, Christopher Ziebell, James Lindsey and Douglas Waite have a business relationship.
	Form 990, Part VI, Section A, line 6	Seton Family of Hospitals has a single corporate member, Seton Healthcare Family.
	Form 990, Part VI, Section A, line 7a	Seton Family of Hospitals has a single corporate member, Seton Healthcare Family, who has the ability to elect members to the governing body of Seton Healthcare Family.
	Form 990, Part VI, Section A, line 7b	Powers subject to approval by 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, trasnfer or substantial change in use of all or substantially all of the assets of the corporation or the divesture, disssolution, 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 Officer(s), 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 Audit Committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals at other health systems 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. Individual was not present when his compensation was decided. In determining the compensation of other officers and key employees of the organization, 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 Audit 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 at other health systems 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 compensation was decided.
	Form 990, Part VI, Section C, line 19	The organization will provide any documents open to public inspection upon request.
Other Fees	Form 990, Part IX, line 11g	Physician Contracted Services: Program service expenses 72,684,228. Management and general expenses 10,343,093. Fundraising expenses 0. Total expenses 83,027,321. Consulting Fees: Program service expenses 26,874,464. Management and general expenses 3,824,283. Fundraising expenses 0. Total expenses 30,698,747. Medical Director: Program service expenses 23,977,918. Management and general expenses 3,412,100. Fundraising expenses 0. Total expenses 27,390,018. Physician Services On Call: Program service expenses 18,479,083. Management and general expenses 2,629,606. Fundraising expenses 0. Total expenses 21,108,689. Joint Commission: Program service expenses 178,215. Management and general expenses 25,360. Fundraising expenses 0. Total expenses 203,575. Other: Program service expenses 36,010,959. Management and general expenses 4,001,218. Fundraising expenses 0. Total expenses 40,012,177.
Changes in Net Assets or Fund Balances:	Form 990, Part XI, line 9:	Restricted Contributions Used for Property 10,591,367. Net Assets Released from Restriction -16,646,607. Transfers to Ascension Health -32,431,095. Deferred Pension Cost 4,203,400.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (25 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
Ascension Health
PO Box 45998	St Louis	MO	631455998	311662309	Health Care System Office	MO	Section 501(c)(3)	Schedule A, Line 11a	Ascension Health Alliance	0
Seton Healthcare Family
1345 Philomena Street	Austin	TX	78723	454364243	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 11a	Ascension Health	0
Austin Childrens Chest Associates II
1345 Philomena Street	Austin	TX	78723	260163261	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Clinical Enterprise Corporation	0
Blue Lady Minerals Inc
1345 Philomena Street	Austin	TX	78723	742971975	Own Oil and Mineral Rights, Real Estate	TX	Section 501(c)(3)	Schedule A, Line 11c	Seton Fund of the Daughters of Charity of St Vincent de Paul	0
CMC Foundation of Central Texas
1345 Philomena Street	Austin	TX	78723	200468031	Fundraising	TX	Section 501(c)(3)	Schedule A, Line 11a	Seton Healthcare Family	0
SetonUT Southwestern University Physicians Group
1345 Philomena Street	Austin	TX	78723	742869762	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Family of Hospitals	1
Institute of Reconstructive Plastic Surgery of Central Texas
1345 Philomena Street	Austin	TX	78723	262908163	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Clinical Enterprise Corporation	0
Pediatric Critical Care Associates
1345 Philomena Street	Austin	TX	78723	421670843	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Clinical Enterprise Corporation	0
Seton Family of Pediatric Surgeons
1345 Philomena Street	Austin	TX	78723	271311790	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Clinical Enterprise Corporation	0
Seton Hays Foundation
1345 Philomena Street	Austin	TX	78723	262842608	Fundraising	TX	Section 501(c)(3)	Schedule A, Line 11a	Seton Healthcare Family	0
Seton Medical Group
1345 Philomena Street	Austin	TX	78723	742861106	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Clinical Enterprise Corporation	0
Seton Williamson Foundation
1345 Philomena Street	Austin	TX	78723	205330986	Fundraising	TX	Section 501(c)(3)	Schedule A, Line 11a	Seton Healthcare Family	0
The Seton Cove Inc
1345 Philomena Street	Austin	TX	78723	742727509	Spirituality Center	TX	Section 501(c)(3)	Schedule A, Line 11a	Seton Healthcare Family	0
Seton Fund of the Daughters of Charity of St Vincent de Paul Inc
1345 Philomena Street	Austin	TX	78723	742212968	Fundraising	TX	Section 501(c)(3)	Schedule A, Line 11a	Seton Healthcare Family	0
Tri-County Clinical
1345 Philomena Street	Austin	TX	78723	264562712	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Clinical Enterprise Corporation	1
Tri-County Practice Association
1345 Philomena Street	Austin	TX	78723	264562522	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Family of Hospitals	1
Specially for Children- Children's Hospital
1345 Philomena Street	Austin	TX	78723	742800601	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Clinical Enterprise Corporation	0
Twenty-Six Doors Inc
1345 Philomena Street	Austin	TX	78723	742855201	To Hold Title to Real Property	TX	Section 501(c)(25)	N/A	Seton Fund of the Daughters of Charity of St Vincent de Paul	0
Pediatric Surgical Subspecialists
1345 Philomena Street	Austin	TX	78723	208957311	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Clinical Enterprise Corporation	0
Adult Inpatient Medical Services
1345 Philomena Street	Austin	TX	78723	452498998	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Family of Hospitals	1
Seton ENT
1345 Philomena Street	Austin	TX	78723	273220659	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Clinical Enterprise Corporation	0
Children's Bone Joint & Spine Center
1345 Philomena Street	Austin	TX	78723	452499113	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 9	Seton Clinical Enterprise Corporation	0
Healthcare Collaborative
1345 Philomena Street	Austin	TX	78723	273220767	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 11a	Seton Clinical Enterprise Corporation	0
Seton Clinical Enterprise Corporation
1345 Philomena Street	Austin	TX	78723	454360468	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 11a	Seton Healthcare Family	0
Seton Insurance Services Corporation
1345 Philomena Street	Austin	TX	78723	454364813	Delivery of Health Care Services	TX	Section 501(c)(3)	Schedule A, Line 11a	Seton Healthcare Family	0

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg
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
Advantage Management Services Organization
1345 Philomena Street	Austin	TX	78723	742677756	Health Services	TX	N/A	C	0
Primaria Health
1345 Philomena Street	Austin	TX	78723	454360468	Delivery of Health Care Services	TX	N/A	C	0
Seton Family of Pediatricians
1345 Philomena Street	Austin	TX	78723	271311909	Delivery of Health Care Services	TX	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (70 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Ascension Health
R	32431095	Cash Transfer
Adult Inpatient Medical Services
L	7029642	Actual Amount Paid
Austin Children's Chest Associates II
O	173015	Actual Amount Paid
Austin Children's Chest Associates II
L	519000	Actual Amount Paid
Austin Children's Chest Associates II
N	9672012	Actual Amount Paid
Austin Children's Chest Associates II
P	173015	Actual Amount Paid
Children's Medical Center Foundation of Central Texas
N	4329954	Actual Amount Paid
Children's Medical Center Foundation of Central Texas
C	10977574	Actual Amount Received
Children's Medical Center Foundation of Central Texas
O	118544	Actual Amount Paid
Children's Medical Center Foundation of Central Texas
P	118544	Actual Amount Paid
SetonUT Southwestern Unversity Physicians Medical Group
N	187821230	Actual Amount Paid
SetonUT Southwestern Unversity Physicians Medical Group
O	7601294	Actual Amount Paid
SetonUT Southwestern Unversity Physicians Medical Group
L	19876475	Actual Amount Paid
SetonUT Southwestern Unversity Physicians Medical Group
A	427702	Actual Amount Paid
SetonUT Southwestern Unversity Physicians Medical Group
P	7601294	Actual Amount Paid
SetonUT Southwestern Unversity Physicians Medical Group
K	148806	Actual Amount Paid
Institute of Reconstructive Plastic Surgery of Central Texas
N	22340373	Actual Amount Paid
Institute of Reconstructive Plastic Surgery of Central Texas
O	791583	Actual Amount Paid
Institute of Reconstructive Plastic Surgery of Central Texas
L	980468	Actual Amount Paid
Institute of Reconstructive Plastic Surgery of Central Texas
P	791583	Actual Amount Paid
Pediatric Critical Care Associates
O	57757	Actual Amount Paid
Pediatric Critical Care Associates
L	1794336	Actual Amount Paid
Pediatric Critical Care Associates
N	19874066	Actual Amount Paid
Pediatric Critical Care Associates
P	57757	Actual Amount Paid
Pediatric Surgical Subspecialists
O	1758370	Actual Amount Paid
Pediatric Surgical Subspecialists
N	66924986	Actual Amount Paid
Pediatric Surgical Subspecialists
L	1705743	Actual Amount Paid
Pediatric Surgical Subspecialists
P	1758370	Actual Amount Paid
Seton Fund
N	4699422	Actual Amount Paid
Seton Fund
C	8714990	Actual Amount Received
Seton Fund
O	233596	Actual Amount Paid
Seton Fund
P	233596	Actual Amount Paid
Seton Hays Foundation
C	714537	Actual Amount Received
Seton Hays Foundation
O	58164	Actual Amount Paid
Seton Hays Foundation
P	58164	Actual Amount Paid
Seton Hays Foundation
N	2836379	Actual Amount Paid
Seton Health Plan Inc
N	10743199	Actual Amount Paid
Seton Health Plan Inc
P	2134284	Actual Amount Paid
Seton Health Plan Inc
L	7049486	Actual Amount Paid
Seton Health Plan Inc
O	2134284	Actual Amount Paid
Seton Medical Group
N	18591835	Actual Amount Paid
Seton Medical Group
P	259658	Actual Amount Paid
Seton Medical Group
O	259658	Actual Amount Paid
Seton Physician Hospital Network
N	669626	Actual Amount Paid
Seton Williamson Foundation
C	744613	Actual Amount Received
Seton Williamson Foundation
N	1891576	Actual Amount Paid
Specially for Children
O	1383989	Actual Amount Paid
Specially for Children
P	1383989	Actual Amount Paid
Specially for Children
N	63588545	Actual Amount Paid
Specially for Children
L	2853312	Actual Amount Paid
Specially for Children
K	1800000	Actual Amount Paid
The Seton Cove
N	1440951	Actual Amount Paid
The Seton Cove
P	77335	Actual Amount Paid
The Seton Cove
O	77335	Actual Amount Paid
Tri-County Practice Association
O	1843856	Actual Amount Paid
Tri-County Practice Association
P	1843856	Actual Amount Paid
Tri-County Practice Association
N	95671198	Actual Amount Paid
Tri-County Clinical
O	8421071	Actual Amount Paid
Tri-County Clinical
P	8421071	Actual Amount Paid
Tri-County Clinical
N	92113855	Actual Amount Paid
Tri-County Clinical
L	1099987	Actual Amount Paid
Seton ENT
N	10129920	Actual Amount Paid
Seton ENT
O	212003	Actual Amount Paid
Seton ENT
P	212003	Actual Amount Paid
Seton Family of Pediatric Surgeons
N	7759213	Actual Amount Paid
Seton Family of Pediatric Surgeons
L	3464054	Actual Amount Paid
Twenty-six Doors Inc
J	104477	Actual Amount Paid
Seton Health Alliance
N	2124254	Actual Amount Paid
Seton Health Alliance
O	597214	Actual Amount Paid
Seton Health Alliance
P	597214	Actual Amount Paid