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St David's Foundation

1303 San Antonio St 500
Austin, TX 78701
EIN: 741356589
The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more
Individual Facility Details: North Austin Medical Center
12221 North Mopac Expressway
Austin, TX 78758
6 hospitals in organization:
(click a facility name to update Individual Facility Details panel)
Bed count441Medicare provider number450809Member of the Council of Teaching HospitalsYESChildren's hospitalNO

St David's FoundationDisplay data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
140.88%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

Community Benefit Expenditures: 2021

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 100,596,421
      Total amount spent on community benefits
      as % of operating expenses
      		$ 141,720,501
      140.88 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        		$ 47,751,568
        47.47 %
        Medicaid
        as % of operating expenses
        		$ 0
        0 %
        Costs of other means-tested government programs
        as % of operating expenses
        		$ 0
        0 %
        Health professions education
        as % of operating expenses
        		$ 434,633
        0.43 %
        Subsidized health services
        as % of operating expenses
        		$ 0
        0 %
        Research
        as % of operating expenses
        		$ 256,458
        0.25 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        		$ 10,929,677
        10.86 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        		$ 82,348,165
        81.86 %
        Community building*
        as % of operating expenses        		$ 0
        0 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?Not available
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses          		$ 0
          0 %
          Physical improvements and housing
          as % of community building expenses
          		$ 0
          Economic development
          as % of community building expenses
          		$ 0
          Community support
          as % of community building expenses
          		$ 0
          Environmental improvements
          as % of community building expenses
          		$ 0
          Leadership development and training for community members
          as % of community building expenses
          		$ 0
          Coalition building
          as % of community building expenses
          		$ 0
          Community health improvement advocacy
          as % of community building expenses
          		$ 0
          Workforce development
          as % of community building expenses
          		$ 0
          Other
          as % of community building expenses
          		$ 0
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2021

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses        		$ 4,134,604
        4.11 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses        		$ 0
        0 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available

    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?NO

    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?YES

    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?YES

    Community Health Needs Assessment Activities: 2021

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2021

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
      • 4A (Expenses $ 86332376 including grants of $ 81988450) (Revenue $ 0)
THE REPORTING ORGANIZATION PROVIDES GRANTS AND CORRESPONDING PROGRAM SERVICES TO COMMUNITY ORGANIZATIONS AND INDIGENT ADULTS WITH THE PURPOSE OF IMPROVING ACCESS TO HEALTH CARE IN CENTRAL TEXAS.
      4B (Expenses $ 7894078 including grants of $ 0) (Revenue $ 0)
THE REPORTING ORGANIZATION PROVIDES FREE DENTAL CARE FOR LOW INCOME CHILDREN THROUGH TITLE 1 SCHOOLS AND FOR INDIGENT ADULTS IN CENTRAL TEXAS WHO HAVE NO OTHER ACCESS TO SERVICES. THIS SERVICE IS PROVIDED WITH FULLY EQUIPPED MOBILE DENTAL CLINICS THAT ARE TAKEN TO THE SCHOOLS AND SAFETY-NET AGENCIES WHERE THE ADULTS ARE LOCATED. EACH CLINIC IS STAFFED WITH FULL TIME DENTISTS AND SUPPORT PERSONNEL.
      4C (Expenses $ 0 including grants of $ 0) (Revenue $ 174084000)
THE REPORTING ORGANIZATION CONTROLS HOSPITALS DEDICATED TO SERVING CENTRAL TEXAS UNDER THE COMMUNITY BENEFIT STANDARD AND THE AFFORDABLE CARE ACT. ST. DAVID'S HEALTHCARE PARTNERSHIP INCLUDES HOSPITALS, FREE-STANDING EMERGENCY ROOMS, AMBULATORY CARE CENTERS, AND URGENT CARE CENTERS.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      PART V, SECTION B
FACILITY REPORTING GROUP A
      FACILITY REPORTING GROUP A CONSISTS OF:
- FACILITY 1: ST. DAVID'S MEDICAL CENTER, - FACILITY 2: ST. DAVID'S NORTH AUSTIN MEDICAL CENTER, - FACILITY 3: ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER, - FACILITY 4: ST. DAVID'S ROUND ROCK MEDICAL CENTER
      GROUP A-FACILITY 1 -- ST. DAVID'S MEDICAL CENTER PART V, SECTION B, LINE 5:
IN PREPARATION OF THE CHNA FOR AUSTIN / TRAVIS COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ASCENSION SETON, AUSTIN PUBLIC HEALTH, GEORGETOWN HEALTH FOUNDATION, AND BAYLOR SCOTT AND WHITE. THROUGH THE COLLECTIVE EFFORT, A FOCUS GROUP, INTERVIEWS AND ONLINE SURVEYS WERE CONDUCTED FROM JULY 2018 TO AUGUST 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 40 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF TRAVIS COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF FIVE INTERVIEWS, 504 UNIQUE DOOR-TO-DOOR INTERVIEWS SURVEYS AND SIX FOCUS GROUPS WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED OVER 550 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE TEXAS DEPARTMENT OF STATE HEALTH SERVICES HSR 7, CENTRAL TEXAS FOOD BANK, LAKE TRAVIS ISD, CENTRAL TEXAS CATHOLIC CHARITIES, ST. JOHN EPISCOPAL CHURCH, PLEASANT HILL BRANCH PUBLIC LIBRARY, WILLIAM CANNON APARTMENT HOMES, BOOKER T. WASHINGTON TERRACES PUBLIC HOUSING COMPLEX, NORTH AUSTIN YMCA, PFLUGERVILLE LIBRARY, AND EAST AUSTIN STAKEHOLDER FOCUS GROUP. IN PREPARATION OF THE CHNA FOR BASTROP COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ASCENSION SETON, GEORGETOWN HEALTH FOUNDATION, AND BASTROP COUNTY CARES. THROUGH THE COLLECTIVE EFFORT, KEY INFORMANT INTERVIEWS WERE CONDUCTED IN AUGUST OF 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 34 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF BASTROP COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF SIX COMMUNITY INPUT SESSIONS AND NINE KEY INFORMANT INTERVIEWS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED 39 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE SMITHVILLE HOSPITAL, COMBINED COMMUNITY ACTION, TEXAS A&M AGRILIFE EXTENSION SERVICES, VETERANS AFFAIRS, TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS, SMITHVILLE SCHOOL DISTRICT, BLUEBONNET TRAILS, BASTROP ISD, ASCENSION CATHOLIC CHURCH, AND LONE STAR CIRCLE OF CARE. IN PREPARATION OF THE CHNA FOR HAYS COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ASCENSION SETON, GEORGETOWN HEALTH FOUNDATION AND BAYLOR SCOTT AND WHITE. THROUGH THE COLLECTIVE EFFORT, TWO COMMUNITY INPUT SESSIONS AND NINE INTERVIEWS WERE CONDUCTED IN AUGUST OF 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 15 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF HAYS COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF NINE KEY INFORMANT INTERVIEWS AND TWO FOCUS GROUPS WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED 24 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE HAYS CISD, SAN MARCOS PUBLIC LIBRARY, CITY OF BUDA, TEXAS DEPARTMENT OF STATE HEALTH SERVICES HSR 7, CENTRAL TEXAS CATHOLIC CHARITIES, CENTRAL TEXAS FOOD BANK AND HAYS COUNTY FOOD BANK.IN PREPARATION OF THE CHNA FOR WILLIAMSON COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH THE WILLIAMSON COUNTY AND CITIES HEALTH DISTRICT, THE WILCO WELLNESS ALLIANCE, ASCENSION SETON, BAYLOR SCOTT & WHITE HEALTH, BLUEBONNET TRAILS COMMUNITY SERVICES, GEORGETOWN HEALTH FOUNDATION, AND OPPORTUNITIES FOR WILLIAMSON AND BURNET COUNTIES, COLLECTIVELY REFERRED TO AS THE CHA TEAM. THE CHA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE ASSESSMENT PROCESS INCLUDED BOTH PRIMARY DATA GENERATED BY THE PARTNERS AND SECONDARY DATA FROM EXTERNAL ORGANIZATIONS. THE TEAM ALSO GATHERED QUALITATIVE DATA THROUGH FACILITATED DISCUSSIONS, KEY INFORMANT INTERVIEWS, PAPER AND ELECTRONIC SURVEYS, AND FOCUS GROUPS WITH RESIDENTS AND STAKEHOLDERS. TRAINED FACILITATORS CONDUCTED EIGHT FOCUS GROUPS WITH COMMUNITY MEMBERS FROM A VARIETY OF GROUPS INCLUDING YOUTH, NON-ENGLISH SPEAKERS, OLDER ADULTS, HEALTHCARE SYSTEMS STAFF, NON-PROFIT ORGANIZATIONS, EDUCATIONAL ENTITIES, AND LOCAL GOVERNMENTS. IN ALL, THE CHA PROCESS ENGAGED MORE THAN 2,200 INDIVIDUAL COMMUNITY MEMBERS.IN PREPARATION OF THE CHNA FOR CALDWELL COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ASCENSION SETON. THROUGH THE COLLECTIVE EFFORT, KEY INFORMANT INTERVIEWS WERE CONDUCTED IN AUGUST OF 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. REPRESENTATIVES FROM THE COLLABORATING AGENCIES MADE UP A STEERING COMMITTEE, WHICH WAS RESPONSIBLE FOR DESIGNING THE ASSESSMENT. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR FIVE PEOPLE WHO REPRESENT THE BROAD INTERESTS OF BASTROP COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF TWO COMMUNITY INPUT SESSIONS AND FIVE KEY INFORMANT INTERVIEWS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED 25 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE TEXAS A&M UNIVERSITY EXTENSION SERVICES, TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, LOCKHART WIC PROGRAM CLINIC, LOCKHART CITY LIBRARY, AND CITY OF LULING.
      GROUP A-FACILITY 1 -- ST. DAVID'S MEDICAL CENTER PART V, SECTION B, LINE 6A:
SEE RESPONSE TO LINE 5 ABOVE.
      GROUP A-FACILITY 1 -- ST. DAVID'S MEDICAL CENTER PART V, SECTION B, LINE 6B:
SEE RESPONSE TO LINE 5 ABOVE.
      GROUP A-FACILITY 1 -- ST. DAVID'S MEDICAL CENTER PART V, SECTION B, LINE 7D:
THE COMMUNITY HEALTH NEEDS ASSESSMENTS ARE MADE AVAILABLE ON THE FACILITY'S WEB PAGE, WWW.STDAVIDS.COM/LOCATIONS/ST-DAVIDS-MEDICAL-CENTER/ABOUT
      GROUP A-FACILITY 1 -- ST. DAVID'S MEDICAL CENTER PART V, SECTION B, LINE 11:
THE ST. DAVID'S FOUNDATION EMBRACED THE AFFORDABLE CARE ACT REQUIREMENTS TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS IN THE GEOGRAPHIES OF ITS MEDICAL FACILITIES AND CREATE STRATEGIC IMPLEMENTATION PLANS FOR EACH FACILITY. ST. DAVID'S AUGMENTED ITS AREA-BASED, COLLABORATIVE, COMPREHENSIVE COMMUNITY HEALTH PLANNING EFFORTS IN TRAVIS AND WILLIAMSON COUNTIES BY LEADING SIMILAR ASSESSMENTS FOR BASTROP AND HAYS COUNTIES AND CONSOLIDATING AN ASSESSMENT OF COMMUNITY HEALTH NEEDS ACROSS ALL COMMUNITIES IN THE MEDICAL FACILITIES' GEOGRAPHIES. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS WAS DATA-LED, EVIDENCE-BASED AND REFLECTIVE OF KEY COMMUNITY PARTNERSHIPS.SEVERAL OVERARCHING THEMES EMERGED FROM SYNTHESIZING THE QUANTITATIVE AND QUALITATIVE DATA OF THE CHNAS CONDUCTED IN 2019. THESE NEEDS INFORMED THE PRIORITIES, GOALS, OBJECTIVES, AND STRATEGIES OF THE ST. DAVID'S MEDICAL CENTER STRATEGIC IMPLEMENTATION PLAN. NEED AREAS: 1. IMPROVED HEALTH AND WELL-BEING OF CHILDREN 2. IMPROVED HEALTH AND WELL-BEING OF WOMEN 3. IMPROVED HEALTH AND WELL-BEING OF OLDER ADULTS4. IMPROVED HEALTH AND WELL-BEING IN RURAL COMMUNITIES5. HEALTH CLINICS TO BECOME COMMUNITY HUBS FOR HEALTHTHESE MAJOR FINDINGS FROM THE CHNAS ALIGN WELL WITH THE FIVE ESTABLISHED PRIORITY AREAS OF ST. DAVID'S FOUNDATION AS DESCRIBED IN THE DETAILED STRATEGIC IMPLEMENTATION PLAN, WHICH CAN BE FOUND AT WWW.STDAVIDSFOUNDATION.ORG/COMMUNITY-NEEDS-ASSESSMENTS. ALL AREAS HIGHLIGHTED BY THE CHNAS ARE BEING ADDRESSED BY THE 2020 STRATEGIC IMPLEMENTATION PLAN. THIS PLAN IS MEANT TO BE REVIEWED ANNUALLY AND ADJUSTED TO ACCOMMODATE REVISIONS THAT MERIT ATTENTION.
      GROUP A-FACILITY 2 -- ST. DAVID'S NORTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 5:
IN PREPARATION OF THE CHNA FOR AUSTIN / TRAVIS COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ASCENSION SETON, AUSTIN PUBLIC HEALTH, GEORGETOWN HEALTH FOUNDATION, AND BAYLOR SCOTT AND WHITE. THROUGH THE COLLECTIVE EFFORT, A FOCUS GROUP, INTERVIEWS AND ONLINE SURVEYS WERE CONDUCTED FROM JULY 2018 TO AUGUST 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 40 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF TRAVIS COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF FIVE INTERVIEWS, 504 UNIQUE DOOR-TO-DOOR INTERVIEWS SURVEYS AND SIX FOCUS GROUPS WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED OVER 550 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE TEXAS DEPARTMENT OF STATE HEALTH SERVICES HSR 7, CENTRAL TEXAS FOOD BANK, LAKE TRAVIS ISD, CENTRAL TEXAS CATHOLIC CHARITIES, ST. JOHN EPISCOPAL CHURCH, PLEASANT HILL BRANCH PUBLIC LIBRARY, WILLIAM CANNON APARTMENT HOMES, BOOKER T. WASHINGTON TERRACES PUBLIC HOUSING COMPLEX, NORTH AUSTIN YMCA, PFLUGERVILLE LIBRARY, AND EAST AUSTIN STAKEHOLDER FOCUS GROUP. IN PREPARATION OF THE CHNA FOR BASTROP COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ASCENSION SETON, GEORGETOWN HEALTH FOUNDATION, AND BASTROP COUNTY CARES. THROUGH THE COLLECTIVE EFFORT, KEY INFORMANT INTERVIEWS WERE CONDUCTED IN AUGUST OF 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 34 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF BASTROP COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF SIX COMMUNITY INPUT SESSIONS AND NINE KEY INFORMANT INTERVIEWS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED 39 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE SMITHVILLE HOSPITAL, COMBINED COMMUNITY ACTION, TEXAS A&M AGRILIFE EXTENSION SERVICES, VETERANS AFFAIRS, TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS, SMITHVILLE SCHOOL DISTRICT, BLUEBONNET TRAILS, BASTROP ISD, ASCENSION CATHOLIC CHURCH, AND LONE STAR CIRCLE OF CARE. IN PREPARATION OF THE CHNA FOR HAYS COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ASCENSION SETON, GEORGETOWN HEALTH FOUNDATION AND BAYLOR SCOTT AND WHITE. THROUGH THE COLLECTIVE EFFORT, TWO COMMUNITY INPUT SESSIONS AND NINE INTERVIEWS WERE CONDUCTED IN AUGUST OF 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 15 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF HAYS COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF NINE KEY INFORMANT INTERVIEWS AND TWO FOCUS GROUPS WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED 24 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE HAYS CISD, SAN MARCOS PUBLIC LIBRARY, CITY OF BUDA, TEXAS DEPARTMENT OF STATE HEALTH SERVICES HSR 7, CENTRAL TEXAS CATHOLIC CHARITIES, CENTRAL TEXAS FOOD BANK AND HAYS COUNTY FOOD BANK.IN PREPARATION OF THE CHNA FOR WILLIAMSON COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH THE WILLIAMSON COUNTY AND CITIES HEALTH DISTRICT, THE WILCO WELLNESS ALLIANCE, ASCENSION SETON, BAYLOR SCOTT & WHITE HEALTH, BLUEBONNET TRAILS COMMUNITY SERVICES, GEORGETOWN HEALTH FOUNDATION, AND OPPORTUNITIES FOR WILLIAMSON AND BURNET COUNTIES, COLLECTIVELY REFERRED TO AS THE CHA TEAM. THE CHA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE ASSESSMENT PROCESS INCLUDED BOTH PRIMARY DATA GENERATED BY THE PARTNERS AND SECONDARY DATA FROM EXTERNAL ORGANIZATIONS. THE TEAM ALSO GATHERED QUALITATIVE DATA THROUGH FACILITATED DISCUSSIONS, KEY INFORMANT INTERVIEWS, PAPER AND ELECTRONIC SURVEYS, AND FOCUS GROUPS WITH RESIDENTS AND STAKEHOLDERS. TRAINED FACILITATORS CONDUCTED EIGHT FOCUS GROUPS WITH COMMUNITY MEMBERS FROM A VARIETY OF GROUPS INCLUDING YOUTH, NON-ENGLISH SPEAKERS, OLDER ADULTS, HEALTHCARE SYSTEMS STAFF, NON-PROFIT ORGANIZATIONS, EDUCATIONAL ENTITIES, AND LOCAL GOVERNMENTS. IN ALL, THE CHA PROCESS ENGAGED MORE THAN 2,200 INDIVIDUAL COMMUNITY MEMBERS.
      GROUP A-FACILITY 2 -- ST. DAVID'S NORTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 6A:
SEE RESPONSE TO LINE 5 ABOVE.
      GROUP A-FACILITY 2 -- ST. DAVID'S NORTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 6B:
SEE RESPONSE TO LINE 5 ABOVE.
      GROUP A-FACILITY 2 -- ST. DAVID'S NORTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 7D:
THE COMMUNITY HEALTH NEEDS ASSESSMENTS ARE MADE AVAILABLE ON THE FACILITY'S WEB PAGE, WWW.STDAVIDS.COM/LOCATIONS/ST-DAVIDS-NORTH-AUSTIN-MEDICAL-CENTER/ABOUT.
      GROUP A-FACILITY 2 -- ST. DAVID'S NORTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 11:
THE ST. DAVID'S FOUNDATION EMBRACED THE AFFORDABLE CARE ACT REQUIREMENTS TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS IN THE GEOGRAPHIES OF ITS MEDICAL FACILITIES AND CREATE STRATEGIC IMPLEMENTATION PLANS FOR EACH FACILITY. ST. DAVID'S AUGMENTED ITS AREA-BASED, COLLABORATIVE, COMPREHENSIVE COMMUNITY HEALTH PLANNING EFFORTS IN TRAVIS AND WILLIAMSON COUNTIES BY LEADING SIMILAR ASSESSMENTS FOR BASTROP AND HAYS COUNTIES AND CONSOLIDATING AN ASSESSMENT OF COMMUNITY HEALTH NEEDS ACROSS ALL COMMUNITIES IN THE MEDICAL FACILITIES' GEOGRAPHIES. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS WAS DATA-LED, EVIDENCE-BASED AND REFLECTIVE OF KEY COMMUNITY PARTNERSHIPS.SEVERAL OVERARCHING THEMES EMERGED FROM SYNTHESIZING THE QUANTITATIVE AND QUALITATIVE DATA OF THE CHNAS CONDUCTED IN 2019. THESE NEEDS INFORMED THE PRIORITIES, GOALS, OBJECTIVES, AND STRATEGIES OF THE ST. DAVID'S NORTH AUSTIN MEDICAL CENTER STRATEGIC IMPLEMENTATION PLAN. NEED AREAS: 1. IMPROVED HEALTH AND WELL-BEING OF CHILDREN 2. IMPROVED HEALTH AND WELL-BEING OF WOMEN 3. IMPROVED HEALTH AND WELL-BEING OF OLDER ADULTS4. IMPROVED HEALTH AND WELL-BEING IN RURAL COMMUNITIES5. HEALTH CLINICS TO BECOME COMMUNITY HUBS FOR HEALTHTHESE MAJOR FINDINGS FROM THE CHNAS ALIGN WELL WITH THE FIVE ESTABLISHED PRIORITY AREAS OF ST. DAVID'S FOUNDATION AS DESCRIBED IN THE DETAILED STRATEGIC IMPLEMENTATION PLAN, WHICH CAN BE FOUND AT WWW.STDAVIDSFOUNDATION.ORG/COMMUNITY-NEEDS-ASSESSMENTS. ALL AREAS HIGHLIGHTED BY THE CHNAS ARE BEING ADDRESSED BY THE 2020 STRATEGIC IMPLEMENTATION PLAN. THIS PLAN IS MEANT TO BE REVIEWED ANNUALLY AND ADJUSTED TO ACCOMMODATE REVISIONS THAT MERIT ATTENTION.
      GROUP A-FACILITY 3 -- ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 5:
IN PREPARATION OF THE CHNA FOR AUSTIN / TRAVIS COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ASCENSION SETON, AUSTIN PUBLIC HEALTH, GEORGETOWN HEALTH FOUNDATION, AND BAYLOR SCOTT AND WHITE. THROUGH THE COLLECTIVE EFFORT, A FOCUS GROUP, INTERVIEWS AND ONLINE SURVEYS WERE CONDUCTED FROM JULY 2018 TO AUGUST 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 40 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF TRAVIS COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF FIVE INTERVIEWS, 504 UNIQUE DOOR-TO-DOOR INTERVIEWS SURVEYS AND SIX FOCUS GROUPS WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED OVER 550 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE TEXAS DEPARTMENT OF STATE HEALTH SERVICES HSR 7, CENTRAL TEXAS FOOD BANK, LAKE TRAVIS ISD, CENTRAL TEXAS CATHOLIC CHARITIES, ST. JOHN EPISCOPAL CHURCH, PLEASANT HILL BRANCH PUBLIC LIBRARY, WILLIAM CANNON APARTMENT HOMES, BOOKER T. WASHINGTON TERRACES PUBLIC HOUSING COMPLEX, NORTH AUSTIN YMCA, PFLUGERVILLE LIBRARY, AND EAST AUSTIN STAKEHOLDER FOCUS GROUP. IN PREPARATION OF THE CHNA FOR BASTROP COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ASCENSION SETON, GEORGETOWN HEALTH FOUNDATION, AND BASTROP COUNTY CARES. THROUGH THE COLLECTIVE EFFORT, KEY INFORMANT INTERVIEWS WERE CONDUCTED IN AUGUST OF 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 34 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF BASTROP COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF SIX COMMUNITY INPUT SESSIONS AND NINE KEY INFORMANT INTERVIEWS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED 39 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE SMITHVILLE HOSPITAL, COMBINED COMMUNITY ACTION, TEXAS A&M AGRILIFE EXTENSION SERVICES, VETERANS AFFAIRS, TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS, SMITHVILLE SCHOOL DISTRICT, BLUEBONNET TRAILS, BASTROP ISD, ASCENSION CATHOLIC CHURCH, AND LONE STAR CIRCLE OF CARE. IN PREPARATION OF THE CHNA FOR HAYS COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ASCENSION SETON, GEORGETOWN HEALTH FOUNDATION AND BAYLOR SCOTT AND WHITE. THROUGH THE COLLECTIVE EFFORT, TWO COMMUNITY INPUT SESSIONS AND NINE INTERVIEWS WERE CONDUCTED IN AUGUST OF 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 15 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF HAYS COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF NINE KEY INFORMANT INTERVIEWS AND TWO FOCUS GROUPS WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED 24 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE HAYS CISD, SAN MARCOS PUBLIC LIBRARY, CITY OF BUDA, TEXAS DEPARTMENT OF STATE HEALTH SERVICES HSR 7, CENTRAL TEXAS CATHOLIC CHARITIES, CENTRAL TEXAS FOOD BANK AND HAYS COUNTY FOOD BANK.IN PREPARATION OF THE CHNA FOR WILLIAMSON COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH THE WILLIAMSON COUNTY AND CITIES HEALTH DISTRICT, THE WILCO WELLNESS ALLIANCE, ASCENSION SETON, BAYLOR SCOTT & WHITE HEALTH, BLUEBONNET TRAILS COMMUNITY SERVICES, GEORGETOWN HEALTH FOUNDATION, AND OPPORTUNITIES FOR WILLIAMSON AND BURNET COUNTIES, COLLECTIVELY REFERRED TO AS THE CHA TEAM. THE CHA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE ASSESSMENT PROCESS INCLUDED BOTH PRIMARY DATA GENERATED BY THE PARTNERS AND SECONDARY DATA FROM EXTERNAL ORGANIZATIONS. THE TEAM ALSO GATHERED QUALITATIVE DATA THROUGH FACILITATED DISCUSSIONS, KEY INFORMANT INTERVIEWS, PAPER AND ELECTRONIC SURVEYS, AND FOCUS GROUPS WITH RESIDENTS AND STAKEHOLDERS. TRAINED FACILITATORS CONDUCTED EIGHT FOCUS GROUPS WITH COMMUNITY MEMBERS FROM A VARIETY OF GROUPS INCLUDING YOUTH, NON-ENGLISH SPEAKERS, OLDER ADULTS, HEALTHCARE SYSTEMS STAFF, NON-PROFIT ORGANIZATIONS, EDUCATIONAL ENTITIES, AND LOCAL GOVERNMENTS. IN ALL, THE CHA PROCESS ENGAGED MORE THAN 2,200 INDIVIDUAL COMMUNITY MEMBERS.IN PREPARATION OF THE CHNA FOR CALDWELL COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ASCENSION SETON. THROUGH THE COLLECTIVE EFFORT, KEY INFORMANT INTERVIEWS WERE CONDUCTED IN AUGUST OF 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. REPRESENTATIVES FROM THE COLLABORATING AGENCIES MADE UP A STEERING COMMITTEE, WHICH WAS RESPONSIBLE FOR DESIGNING THE ASSESSMENT. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR FIVE PEOPLE WHO REPRESENT THE BROAD INTERESTS OF BASTROP COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF TWO COMMUNITY INPUT SESSIONS AND FIVE KEY INFORMANT INTERVIEWS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED 25 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE TEXAS A&M UNIVERSITY EXTENSION SERVICES, TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, LOCKHART WIC PROGRAM CLINIC, LOCKHART CITY LIBRARY, AND CITY OF LULING.
      GROUP A-FACILITY 3 -- ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 6A:
SEE RESPONSE TO LINE 5 ABOVE.
      GROUP A-FACILITY 3 -- ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 6B:
SEE RESPONSE TO LINE 5 ABOVE.
      GROUP A-FACILITY 3 -- ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 7D:
THE COMMUNITY HEALTH NEEDS ASSESSMENTS ARE MADE AVAILABLE ON THE FACILITY'S WEB PAGE, WWW.STDAVIDS.COM/LOCATIONS/ST-DAVIDS-SOUTH-AUSTIN-MEDICAL-CENTER/ABOUT.
      GROUP A-FACILITY 3 -- ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER PART V, SECTION B, LINE 11:
THE ST. DAVID'S FOUNDATION EMBRACED THE AFFORDABLE CARE ACT REQUIREMENTS TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS IN THE GEOGRAPHIES OF ITS MEDICAL FACILITIES AND CREATE STRATEGIC IMPLEMENTATION PLANS FOR EACH FACILITY. ST. DAVID'S AUGMENTED ITS AREA-BASED, COLLABORATIVE, COMPREHENSIVE COMMUNITY HEALTH PLANNING EFFORTS IN TRAVIS AND WILLIAMSON COUNTIES BY LEADING SIMILAR ASSESSMENTS FOR BASTROP AND HAYS COUNTIES AND CONSOLIDATING AN ASSESSMENT OF COMMUNITY HEALTH NEEDS ACROSS ALL COMMUNITIES IN THE MEDICAL FACILITIES' GEOGRAPHIES. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS WAS DATA-LED, EVIDENCE-BASED AND REFLECTIVE OF KEY COMMUNITY PARTNERSHIPS.SEVERAL OVERARCHING THEMES EMERGED FROM SYNTHESIZING THE QUANTITATIVE AND QUALITATIVE DATA OF THE CHNAS CONDUCTED IN 2019. THESE NEEDS INFORMED THE PRIORITIES, GOALS, OBJECTIVES, AND STRATEGIES OF THE ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER STRATEGIC IMPLEMENTATION PLAN. NEED AREAS: 1. IMPROVED HEALTH AND WELL-BEING OF CHILDREN 2. IMPROVED HEALTH AND WELL-BEING OF WOMEN 3. IMPROVED HEALTH AND WELL-BEING OF OLDER ADULTS4. IMPROVED HEALTH AND WELL-BEING IN RURAL COMMUNITIES5. HEALTH CLINICS TO BECOME COMMUNITY HUBS FOR HEALTHTHESE MAJOR FINDINGS FROM THE CHNAS ALIGN WELL WITH THE FIVE ESTABLISHED PRIORITY AREAS OF ST. DAVID'S FOUNDATION AS DESCRIBED IN THE DETAILED STRATEGIC IMPLEMENTATION PLAN, WHICH CAN BE FOUND AT WWW.STDAVIDSFOUNDATION.ORG/COMMUNITY-NEEDS-ASSESSMENTS. ALL AREAS HIGHLIGHTED BY THE CHNAS ARE BEING ADDRESSED BY THE 2020 STRATEGIC IMPLEMENTATION PLAN. THIS PLAN IS MEANT TO BE REVIEWED ANNUALLY AND ADJUSTED TO ACCOMMODATE REVISIONS THAT MERIT ATTENTION.
      GROUP A-FACILITY 4 -- ST. DAVID'S ROUND ROCK MEDICAL CENTER PART V, SECTION B, LINE 5:
IN PREPARATION OF THE CHNA FOR AUSTIN / TRAVIS COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ASCENSION SETON, AUSTIN PUBLIC HEALTH, GEORGETOWN HEALTH FOUNDATION, AND BAYLOR SCOTT AND WHITE. THROUGH THE COLLECTIVE EFFORT, A FOCUS GROUP, INTERVIEWS AND ONLINE SURVEYS WERE CONDUCTED FROM JULY 2018 TO AUGUST 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 40 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF TRAVIS COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF FIVE INTERVIEWS, 504 UNIQUE DOOR-TO-DOOR INTERVIEWS SURVEYS AND SIX FOCUS GROUPS WITH COMMUNITY STAKEHOLDERS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED OVER 550 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE TEXAS DEPARTMENT OF STATE HEALTH SERVICES HSR 7, CENTRAL TEXAS FOOD BANK, LAKE TRAVIS ISD, CENTRAL TEXAS CATHOLIC CHARITIES, ST. JOHN EPISCOPAL CHURCH, PLEASANT HILL BRANCH PUBLIC LIBRARY, WILLIAM CANNON APARTMENT HOMES, BOOKER T. WASHINGTON TERRACES PUBLIC HOUSING COMPLEX, NORTH AUSTIN YMCA, PFLUGERVILLE LIBRARY, AND EAST AUSTIN STAKEHOLDER FOCUS GROUP. IN PREPARATION OF THE CHNA FOR BASTROP COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH ASCENSION SETON, GEORGETOWN HEALTH FOUNDATION, AND BASTROP COUNTY CARES. THROUGH THE COLLECTIVE EFFORT, KEY INFORMANT INTERVIEWS WERE CONDUCTED IN AUGUST OF 2018 WITH LEADERS FROM A WIDE RANGE OF ORGANIZATIONS IN DIFFERENT SECTORS, COMMUNITY STAKEHOLDERS, AND RESIDENTS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, THEIR HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. THE CHNA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE STEERING COMMITTEE MEMBERS CONTRIBUTED CONTACT INFORMATION FOR 34 PEOPLE WHO REPRESENT THE BROAD INTERESTS OF BASTROP COUNTY AND WHO ARE KNOWLEDGEABLE ABOUT ITS HEALTH-RELATED ISSUES. THE STEERING COMMITTEE THEN PRIORITIZED POTENTIAL INTERVIEWEES, PAYING ATTENTION TO FACTORS SUCH AS TYPE OF WORK AND WORK PLACE. A TOTAL OF SIX COMMUNITY INPUT SESSIONS AND NINE KEY INFORMANT INTERVIEWS WERE CONDUCTED. ULTIMATELY, THE QUALITATIVE RESEARCH ENGAGED 39 INDIVIDUALS IN DISCUSSIONS ABOUT THE HEALTH ISSUES THEY DEEMED CRITICAL IN THEIR COMMUNITY. ORGANIZATIONS REPRESENTED BY THESE INDIVIDUALS INCLUDE SMITHVILLE HOSPITAL, COMBINED COMMUNITY ACTION, TEXAS A&M AGRILIFE EXTENSION SERVICES, VETERANS AFFAIRS, TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS, SMITHVILLE SCHOOL DISTRICT, BLUEBONNET TRAILS, BASTROP ISD, ASCENSION CATHOLIC CHURCH, AND LONE STAR CIRCLE OF CARE. IN PREPARATION OF THE CHNA FOR WILLIAMSON COUNTY, THE REPORTING ORGANIZATION COLLABORATED WITH THE WILLIAMSON COUNTY AND CITIES HEALTH DISTRICT, THE WILCO WELLNESS ALLIANCE, ASCENSION SETON, BAYLOR SCOTT & WHITE HEALTH, BLUEBONNET TRAILS COMMUNITY SERVICES, GEORGETOWN HEALTH FOUNDATION, AND OPPORTUNITIES FOR WILLIAMSON AND BURNET COUNTIES, COLLECTIVELY REFERRED TO AS THE CHA TEAM. THE CHA TEAM USED THE NACCHO MAPP PROCESS AS A PROVEN SYSTEMATIC FRAMEWORK FOR IDENTIFYING COMMUNITY HEALTH NEEDS AND THE RESOURCES FOR MEETING THOSE NEEDS. THE ASSESSMENT PROCESS INCLUDED BOTH PRIMARY DATA GENERATED BY THE PARTNERS AND SECONDARY DATA FROM EXTERNAL ORGANIZATIONS. THE TEAM ALSO GATHERED QUALITATIVE DATA THROUGH FACILITATED DISCUSSIONS, KEY INFORMANT INTERVIEWS, PAPER AND ELECTRONIC SURVEYS, AND FOCUS GROUPS WITH RESIDENTS AND STAKEHOLDERS. TRAINED FACILITATORS CONDUCTED EIGHT FOCUS GROUPS WITH COMMUNITY MEMBERS FROM A VARIETY OF GROUPS INCLUDING YOUTH, NON-ENGLISH SPEAKERS, OLDER ADULTS, HEALTHCARE SYSTEMS STAFF, NON-PROFIT ORGANIZATIONS, EDUCATIONAL ENTITIES, AND LOCAL GOVERNMENTS. IN ALL, THE CHA PROCESS ENGAGED MORE THAN 2,200 INDIVIDUAL COMMUNITY MEMBERS.
      GROUP A-FACILITY 4 -- ST. DAVID'S ROUND ROCK MEDICAL CENTER PART V, SECTION B, LINE 6A:
SEE RESPONSE TO LINE 5 ABOVE.
      GROUP A-FACILITY 4 -- ST. DAVID'S ROUND ROCK MEDICAL CENTER PART V, SECTION B, LINE 6B:
SEE RESPONSE TO LINE 5 ABOVE.
      GROUP A-FACILITY 4 -- ST. DAVID'S ROUND ROCK MEDICAL CENTER PART V, SECTION B, LINE 7D:
THE COMMUNITY HEALTH NEEDS ASSESSMENTS ARE MADE AVAILABLE ON THE FACILITY'S WEB PAGE, WWW.STDAVIDS.COM/LOCATIONS/ST-DAVIDS-ROUND-ROCK-MEDICAL-CENTER/ABOUT.
      GROUP A-FACILITY 4 -- ST. DAVID'S ROUND ROCK MEDICAL CENTER PART V, SECTION B, LINE 11:
THE ST. DAVID'S FOUNDATION EMBRACED THE AFFORDABLE CARE ACT REQUIREMENTS TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS IN THE GEOGRAPHIES OF ITS MEDICAL FACILITIES AND CREATE STRATEGIC IMPLEMENTATION PLANS FOR EACH FACILITY. ST. DAVID'S AUGMENTED ITS AREA-BASED, COLLABORATIVE, COMPREHENSIVE COMMUNITY HEALTH PLANNING EFFORTS IN TRAVIS AND WILLIAMSON COUNTIES BY LEADING SIMILAR ASSESSMENTS FOR BASTROP AND HAYS COUNTIES AND CONSOLIDATING AN ASSESSMENT OF COMMUNITY HEALTH NEEDS ACROSS ALL COMMUNITIES IN THE MEDICAL FACILITIES' GEOGRAPHIES. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS WAS DATA-LED, EVIDENCE-BASED AND REFLECTIVE OF KEY COMMUNITY PARTNERSHIPS.SEVERAL OVERARCHING THEMES EMERGED FROM SYNTHESIZING THE QUANTITATIVE AND QUALITATIVE DATA OF THE CHNAS CONDUCTED IN 2019. THESE NEEDS INFORMED THE PRIORITIES, GOALS, OBJECTIVES, AND STRATEGIES OF THE ST. DAVID'S ROUND ROCK MEDICAL CENTER STRATEGIC IMPLEMENTATION PLAN. NEED AREAS: 1. IMPROVED HEALTH AND WELL-BEING OF CHILDREN 2. IMPROVED HEALTH AND WELL-BEING OF WOMEN 3. IMPROVED HEALTH AND WELL-BEING OF OLDER ADULTS4. IMPROVED HEALTH AND WELL-BEING IN RURAL COMMUNITIES5. HEALTH CLINICS TO BECOME COMMUNITY HUBS FOR HEALTHTHESE MAJOR FINDINGS FROM THE CHNAS ALIGN WELL WITH THE FIVE ESTABLISHED PRIORITY AREAS OF ST. DAVID'S FOUNDATION AS DESCRIBED IN THE DETAILED STRATEGIC IMPLEMENTATION PLAN, WHICH CAN BE FOUND AT WWW.STDAVIDSFOUNDATION.ORG/COMMUNITY-NEEDS-ASSESSMENTS. ALL AREAS HIGHLIGHTED BY THE CHNAS ARE BEING ADDRESSED BY THE 2020 STRATEGIC IMPLEMENTATION PLAN. THIS PLAN IS MEANT TO BE REVIEWED ANNUALLY AND ADJUSTED TO ACCOMMODATE REVISIONS THAT MERIT ATTENTION.
      Supplemental Information
      Schedule H (Form 990) Part VI
      PART I, LINE 3C:
IN COMPLIANCE WITH IRC SECTION 501(R), THE HOSPITALS PROVIDE 100% FINANCIAL ASSISTANCE (CHARITY CARE) FOR ELIGIBLE PATIENTS WITH INCOME EQUAL TO OR LESS THAN 200% OF THE FEDERAL POVERTY GUIDELINES (FPG). FOR ELIGIBLE PATIENTS WITH INCOME OVER 200% FPG AND EQUAL TO 500% OR LESS THAN FPG, DISCOUNTS ARE PROVIDED ON A SLIDING SCALE. ELIGIBILITY IS DETERMINED USING VARIOUS SOURCES OF DOCUMENTATION AND INCOME VERIFICATION. THROUGHOUT 2020, THE ACCOUNTS FOR INDIVIDUALS WITHOUT ANY HEALTH INSURANCE WHO LIVE IN LOW INCOME ZIP CODES AND WHO FAILED TO RESPOND TO COLLECTION EFFORTS WERE REMOVED FROM ACCOUNTS RECEIVABLE AND TREATED AS CHARITY CARE.
      PART I, LINE 7:
THE HOSPITALS UTILIZE THE COST TO CHARGE RATIO FROM THE AUDITED FINANCIAL STATEMENTS.
      PART I, LN 7 COL(F):
BAD DEBTS ARE EXCLUDED FROM THE CALCULATION OF TOTAL EXPENSES.
      PART II, COMMUNITY BUILDING ACTIVITIES:
ALL OF THE HOSPITALS ARE ACTIVE IN THE COMMUNITY PROMOTING HEALTH OF CENTRAL TEXANS. THE FOUNDATION PROVIDES SIGNIFICANT GRANTS EACH YEAR TO NUMEROUS AGENCIES AND LOCAL SAFETY NET CLINICS. THE FOUNDATION FOCUSES ITS FUNDING ON FIVE KEY AREAS THAT WILL IMPROVE THE HEALTH AND HEALTH CARE OF ALL CENTRAL TEXANS.
      PART III, LINE 2:
"HOSPITALS CONTROLLED BY THE FOUNDATION DETERMINE BAD DEBT AND CHARITY CARE IN ACCORDANCE WITH GAAP AND WITH IRC SECTION 501(R). WHETHER BAD DEBT IS DETERMINED IN ACCORDANCE WITH STATEMENT 15 REQUIREMENTS IS A MORE DIFFICULT ISSUE. STATEMENT 15 REQUIRES HOSPITALS TO RECOGNIZE REVENUE ONLY WHEN COLLECTIONS ARE REASONABLY ASSURED AND FOR AN AMOUNT THAT IS DETERMINABLE. MOST HOSPITALS, INCLUDING THOSE CONTROLLED BY THE FOUNDATION, USE MATHEMATICAL MODELS BASED ON PRIOR HISTORY TO DETERMINE THE PERCENTAGE OF PATIENT BILLINGS THAT IS LIKELY TO RESULT IN BAD DEBT.FOR THIS REASON, AND OUT OF AN ABUNDANCE OF CAUTION, THE FOUNDATION HAS ANSWERED ""NO"" TO WHETHER STATEMENT 15 IS FOLLOWED. DESPITE THE BEST EFFORTS OF HMFA TO ASSIST HOSPITALS IN DETERMINING THE DIFFERENCE BETWEEN PATIENTS WHO HAVE THE CAPACITY TO PAY FOR THEIR CARE BUT WON'T PAY AND PATIENTS WHO LACK THE CAPACITY TO PAY, THE DETERMINATION ALWAYS INVOLVES JUDGMENT. HOWEVER, THE HOSPITALS CONTROLLED BY THE FOUNDATION DETERMINE CHARITY CARE ON THE CORE PRINCIPLES SET FORTH IN STATEMENT 15, INCLUDING SPECIFIC CRITERIA FOR CHARITY CARE, A SPECIFIC TIME OF DETERMINATION, RECORD KEEPING, DISCLOSURE OF THE CHARITY CARE POLICY AND VALUATION OF CHARITY CARE AT COST."
      PART III, LINE 4:
"ST. DAVID'S FOUNDATION'S PROPORTIONATE SHARE OF BAD DEBT EXPENSE FROM ITS OWNERSHIP INTEREST IN ST. DAVID'S HEALTHCARE PARTNERSHIP, LP, LLP (THE ""PARTNERSHIP"") IS REPORTED ON SCHEDULE H, PART III, LINE 2. FOLLOWING IS THE FOOTNOTE TO THE PARTNERSHIP'S AUDITED FINANCIAL STATEMENTS WHICH DESCRIBES BAD DEBT EXPENSE:""THE SDHP [THE PARTNERSHIP] RECORDS A PROVISION FOR DOUBTFUL ACCOUNTS (BASED PRIMARILY ON HISTORICAL COLLECTION EXPERIENCE) RELATED TO UNINSURED ACCOUNTS AT THE ESTIMATED NET SELF-PAY REVENUES THE PARTNERSHIP EXPECTS TO COLLECT. ADVERSE CHANGES IN GENERAL ECONOMIC CONDITIONS, BUSINESS OFFICE OPERATIONS, PAYOR MIX, OR TRENDS IN FEDERAL OR STATE GOVERNMENTAL HEALTH COVERAGE COULD AFFECT THE PARTNERSHIP'S COLLECTION OF ACCOUNTS RECEIVABLE, CASH FLOWS, AND RESULTS OF OPERATIONS."""
      PART III, LINE 8:
THE AMOUNTS REPORTED ON PART III, LINES 5-7 HAVE BEEN DETERMINED BY AGGREGATING THE INFORMATION FROM THE INDIVIDUAL FACILITY COST REPORT(S) FOR EACH OF THE HOSPITALS OPERATED BY SDHP [ST. DAVID'S HEALTHCARE PARTNERSHIP, LP, LLP]. THE HOSPITALS OPERATED BY SDHP MAY HAVE COST REPORT YEAR ENDS OTHER THAN DECEMBER 31, 2021. ACCORDINGLY, FOR A FACILITY WITH A NON-CALENDAR COST REPORT YEAR END, THE COST REPORT THAT WAS FILED FOR THE COST REPORT YEAR END THAT ENDED DURING 2021 WAS UTILIZED. IT IS IMPORTANT TO NOTE THAT AMOUNTS INCLUDED IN LINES 5-7 DO NOT INCLUDE MEDICARE REVENUE AND RELATED COST FOR FREESTANDING AMBULATORY SURGERY SERVICES AND FOR PHYSICIAN SERVICES.
      PART III, LINE 9B:
THE HOSPITAL FACILITIES DO NOT TAKE ANY ACTIONS LISTED IN SCHEDULE H, PART V, SECTION B, LINES 18 AND 19. THE FACILITIES WRITE OFF ALL CHARITY CARE AND IN COMPLIANCE WITH IRC SECTION 501(R), DO NOT PURSUE COLLECTION ON PATIENTS WHO QUALIFY FOR CHARITY CARE.
      PART I, LINES 6A AND 6B:
ST. DAVID'S HEALTHCARE PARTNERSHIP, LP, LLP FILES ANNUAL STATEMENTS OF COMMUNITY BENEFITS AS REQUIRED BY THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES.
      PART VI, LINE 2:
THE PARTNERSHIP STRATEGIC PLANNING PROCESS CONTINUALLY ASSESSES AND ADDRESSES THE NEEDS OF THE COMMUNITY. THE FOUNDATION RECENTLY PARTICIPATED IN A CAPACITY STUDY FOR THE SURROUNDING SERVICE AREA TO ASSESS THE OVERALL COMMUNITY NEEDS. THE FOUNDATION'S GRANTS PROGRAM ADDRESSES THE NEEDS OF THE SERVICE AREA.
      PART VI, LINE 3:
EACH HOSPITAL POSTS A SUMMARY OF ITS CHARITY CARE POLICY IN ADMISSION AREAS, EMERGENCY ROOMS, AND OTHER AREAS WHERE ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. THE HOSPITALS' CONDITION OF ADMISSION CONSENT INFORMS THE PATIENTS THAT THEY MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE OR CHARITY CARE AND THEY MAY REQUEST INFORMATION ABOUT THESE PROGRAMS. A SUMMARY OF THE FINANCIAL ASSISTANCE PROGRAM IS PROVIDED TO THE PATIENT DURING THE INTAKE AND DISCHARGE PROCESSES. PATIENTS ARE INFORMED OF AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID, AND RECEIVE ASSISTANCE WITH THE QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE.
      PART VI, LINE 4:
THE HOSPITALS ARE LOCATED IN TRAVIS AND WILLIAMSON COUNTIES. THE PATIENTS ARE PREDOMINATELY FROM TRAVIS, WILLIAMSON AND HAYS COUNTIES. THE FOUNDATION'S GRANT PROGRAM RECIPIENTS CLOSELY ALIGN WITH PATIENT DEMOGRAPHICS SERVED AT THE HOSPITALS.
      PART VI, LINE 5:
THE HOSPITALS OPERATE AS EXEMPT HOSPITALS; THEY HAVE OPEN EMERGENCY ROOMS AND MEDICAL STAFF. THE FOUNDATION INVESTS ITS SHARE OF EARNINGS FROM THE HOSPITALS INTO PROGRAMS IN CENTRAL TEXAS THAT INCREASE ACCESS TO HEALTHCARE.
      PART VI, LINE 7, REPORTS FILED WITH STATES
TX
      PART VI, LINE 6:
THE FOUNDATION IS A GENERAL PARTNER IN ST. DAVID'S HEALTHCARE, A HOSPITAL SYSTEM THAT MEETS THE COMMUNITY BENEFIT STANDARD AND THE REQUIREMENTS OF THE AFFORDABLE CARE ACT IN DELIVERING HOSPITAL CARE TO CENTRAL TEXAS. IN ADDITION, THE FOUNDATION HAS ASSESSED THE UNMET HEALTHCARE NEEDS OF CENTRAL TEXAS AND USES THE EARNINGS FROM THE HOSPITALS TO MEET THOSE NEEDS IN MANY WAYS. THE FOUNDATION MAKES GRANTS TO CHARITIES IN CENTRAL TEXAS MEETING THE HEALTHCARE NEEDS OF THE INDIGENT. THE FOUNDATION ALSO MAKES GRANTS TO EDUCATIONAL INSTITUTIONS TO SUPPORT MEDICAL EDUCATION. THE FOUNDATION'S AFFILIATES GIVE NEEDS-BASED SCHOLARSHIPS TO STUDENTS PURSUING HEALTHCARE CAREERS. IN ADDITION, THE FOUNDATION PROVIDES FREE DENTAL CARE TO THE CHILDREN IN 35 LOW INCOME SCHOOLS AND TO THE ADULT PATIENTS OF SAFETY NET CLINICS IN CENTRAL TEXAS, AND IT PAYS FOR DISCOUNTED EYE EXAMS AND EYEGLASSES FOR LOW INCOME CENTRAL TEXANS.