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St David's Foundation
811 Barton Springs Rd No 600
Austin, TX 78704
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: Heart Hospital Of Austin3801 North Lamar Boulevard
Austin, TX 78756
Austin, TX 78756
6 hospitals in organization:
(click a facility name to update Individual Facility Details panel)
(click a facility name to update Individual Facility Details panel)
| Bed count | 58 | Medicare provider number | 450824 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
St David's FoundationDisplay data for year:
Community Benefit Spending- 2011
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
127.47%
Spending by Community Benefit Category- 2011
(as % of total functional expenses)
(as % of total functional expenses)
Community Benefit Spending Compared to Functional Expenses, 2010-2011
Additional data
Community Benefit Expenditures: 2011
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 $ 31,816,283 Total amount spent on community benefits as % of operating expenses$ 40,555,947 127.47 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 24,653,689 77.49 %Medicaid as % of operating expenses$ -18,019,184 -56.64 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 1,242,427 3.91 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 6,891,435 21.66 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 25,787,580 81.05 %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 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 Persons served (optional) 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 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: 2011
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$ 4,260,301 13.39 %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 agency Not available Filed lawsuit Not available Placed liens on residence Not available Issue body attachments? (an order by the court commanding a sheriff or other official to physically bring before the court a person who is guilty of contempt of court) Not 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: 2011
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? Not available Did the CHNA define the community served by the tax-exempt hospital? Not available Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? Not available Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? Not available Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? Not available Did the tax-exempt hospital execute the implementation strategy? Not available Did the tax-exempt hospital participate in the development of a community-wide plan? Not available
Supplemental Information: 2011
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 $ 25600350 including grants of $ 24374015) (Revenue $ 0) The reporting organization provides grants and corresponding program services to community organizations with the purpose of improving access to health care in Central Texas.
4B (Expenses $ 3510492 including grants of $ 0) (Revenue $ 0) The reporting organization provides free comprehensive 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. In 2011, the mobile clinics served 39 Title 1 elementary schools in 6 independent school districts. At these schools we screened 16,131 children for decay, 21,382 teeth were sealed and patient encounters totaled 6,533 for acute and restorative treatment.
4C (Expenses $ 0 including grants of $ 0) (Revenue $ 77288808) The reporting organization controls hospitals dedicated to serving Central Texas under the community benefit standard. St. David's Healthcare Partnership includes six acute care hospitals and one rehabilitation hospital. In 2011, 61,920 patients were admitted and there were 271,826 emergency room visits.
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Supplemental Information
Schedule H (Form 990) Part VI
Part I, Line 3c: The hospitals provide 100% financial assistance(Charity Care) for eligible patients with income equal to or less 200% of the 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. The accounts for individuals without any health insurance who live in low income zip codes and who fail to respond to collection efforts are removed from accounts receivable and treated as charity care. All collections efforts cease on these accounts once classified as charity care.
Part I, Line 7: The hospitals utilize the cost to charge ratio from the audited financial statements.
Part I, L7 Col(f): Bad debts are excluded from the calculation of total expenses.
Part II: 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 to six key areas that will improve the health and health care of all Central Texans.
"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:""Estimated provisions for doubtful accounts are recorded to the extent it is probable that a portion or all of a particular account will not be collected. The Partnership considers a number of factors in evaluating the collectibility of accounts receivable including the age of the accounts, changes in collection patterns and other current conditions, and the composition of patient accounts by payor type."""
Part III, Line 8: The Foundation has used the hositals' proportionate share of the shortfall on Medicare using the Medicare Cost Reports.
Part III, Line 9b: The organization writes off all charity care and does not pursue collection on those that qualify for charity care.
St. David's Medical Center Part V, Section B, Line 9: The hospitals provide 100% financial assistance(Charity Care) for eligible patients with income equal to or less 200% of the the Federal Poverty Guidelines(FPG). Eligiblity is determined using various sources of documentation and income verification. The accounts for individuals without any health insurance who live in low income zip codes and who fail to respond to collection efforts are removed from accounts receivable and treated as charity care. All collections efforts cease on these accounts once classified as charity care.
St. David's Medical Center Part V, Section B, Line 10: For eligible patients with income over 200% FPG and equal to 500% or less than FPG, discounts are provided on a sliding scale. Eligiblity is determined using various sources of documentation and income verification.
St. David's Medical Center Part V, Section B, Line 11h: The following is a summary of the Charity Care Policy adopted by St. David's Medical Center:St. David's Medical Center actively seeks completion of an application, which facilitates collection of appropriate information, including:* Verification of family members in the household - For adult patients, patient spouse and any dependents; for minors, mother and father, and dependents of both.* Income calculation - For adults, sum of the total yearly gross income of the patient and the patient's spouse; for minors, total yearly gross income of the patient, and the patient's mother and father.* Documentation - various official income reporting documentation is sought (e.g. W-2, Wage and Tax Statement, Pay Check Remittance and others). Documentation associated with the participation in a Public Benefit Program can be provided in lieu of income documentation (proof of participation indicates the patient has been deemed financially indigent and therefore is not required to provide income information). There is also a verification process in place for patients that do not have appropriate documentation. * Charity Eligibility Classifications - For financially indigent patients, the amount owed by the patient after payment by all third-party payors must exceed ten percent of the patient's yearly income and the patient must be unable to pay the remaining bill. Acceptance by St. David's Medical Center is based on meeting one of of two criteria. Yearly income must be greater than 200%, but less than or equal to 500% of the Federal Poverty Guidelines.
St. David's North Austin Medical Center Part V, Section B, Line 11h: The following is a summary of the Charity Care Policy adopted by St. David's North Austin Medical Center:St. David's North Austin Medical Center actively seeks completion of an application, which facilitates collection of appropriate information, including:* Verification of family members in the household - For adult patients, patient spouse and any dependents; for minors, mother and father, and dependents of both.* Income calculation - For adults, sum of the total yearly gross income of the patient and the patient's spouse; for minors, total yearly gross income of the patient, and the patient's mother and father.* Documentation - various official income reporting documentation is sought (e.g. W-2, Wage and Tax Statement, Pay Check Remittance and others). Documentation associated with the participation in a Public Benefit Program can be provided in lieu of income documentation (proof of participation indicates the patient has been deemed financially indigent and therefore is not required to provide income information). There is also a verification process in place for patients that do not have appropriate documentation. * Charity Eligibility Classifications - For financially indigent patients, the amount owed by the patient after payment by all third-party payors must exceed ten percent of the patient's yearly income and the patient must be unable to pay the remaining bill. Acceptance by St. David's North Austin Medical Center is based on meeting either of two criteria. Yearly income must be greater than 200%, but less than or equal to 500% of the Federal Poverty Guidelines.
St. David's South Austin Medical Center Part V, Section B, Line 11h: The following is a summary of the Charity Care Policy adopted by St. David's South Austin Medical Center:St. David's South Austin Medical Center actively seeks completion of an application, which facilitates collection of appropriate information, including:* Verification of family members in the household - For adult patients, patient spouse and any dependents; for minors, mother and father, and dependents of both.* Income calculation - For adults, sum of the total yearly gross income of the patient and the patient's spouse; for minors, total yearly gross income of the patient, and the patient's mother and father.* Documentation - various official income reporting documentation is sought (e.g. W-2, Wage and Tax Statement, Pay Check Remittance and others). Documentation associated with the participation in a Public Benefit Program can be provided in lieu of income documentation (proof of participation indicates the patient has been deemed financially indigent and therefore is not required to provide income information). There is also a verification process in place for patients that do not have appropriate documentation. * Charity Eligibility Classifications - For financially indigent patients, the amount owed by the patient after payment by all third-party payors must exceed ten percent of the patient's yearly income and the patient must be unable to pay the remaining bill. Acceptance by St. David's South Austin Medical Center is based on meeting either of two criteria. Yearly income must be greater than 200%, but less than or equal to 500% of the Federal Poverty Guidelines.
Heart Hospital of Austin Part V, Section B, Line 11h: The following is a summary of the Charity Care Policy adopted by the Heart Hospital of Austin:Heart Hospital of Austin actively seeks completion of an application, which facilitates collection of appropriate information, including:* Verification of family members in the household - For adult patients, patient spouse and any dependents; for minors, mother and father, and dependents of both.* Income calculation - For adults, sum of the total yearly gross income of the patient and the patient's spouse; for minors, total yearly gross income of the patient, and the patient's mother and father.* Documentation - various official income reporting documentation is sought (e.g. W-2, Wage and Tax Statement, Pay Check Remittance and others). Documentation associated with the participation in a Public Benefit Program can be provided in lieu of income documentation (proof of participation indicates the patient has been deemed financially indigent and therefore is not required to provide income information). There is also a verification process in place for patients that do not have appropriate documentation. * Charity Eligibility Classifications - For financially indigent patients, the amount owed by the patient after payment by all third-party payors must exceed ten percent of the patient's yearly income and the patient must be unable to pay the remaining bill. Acceptance by Heart Hospital of Austin is based on meeting either of two criteria. Yearly income must be greater than 200%, but less than or equal to 500% of the Federal Poverty Guidelines.
St. David's Round Rock Medical Center Part V, Section B, Line 11h: The following is a summary of the Charity Care Policy adopted by St. David's Round Rock Medical Center:St. David's Round Rock Medical Center actively seeks completion of an application, which facilitates collection of appropriate information, including:* Verification of family members in the household - For adult patients, patient spouse and any dependents; for minors, mother and father, and dependents of both.* Income calculation - For adults, sum of the total yearly gross income of the patient and the patient's spouse; for minors, total yearly gross income of the patient, and the patient's mother and father.* Documentation - various official income reporting documentation is sought (e.g. W-2, Wage and Tax Statement, Pay Check Remittance and others). Documentation associated with the participation in a Public Benefit Program can be provided in lieu of income documentation (proof of participation indicates the patient has been deemed financially indigent and therefore is not required to provide income information). There is also a verification process in place for patients that do not have appropriate documentation. * Charity Eligibility Classifications - For financially indigent patients, the amount owed by the patient after payment by all third-party payors must exceed ten percent of the patient's yearly income and the patient must be unable to pay the remaining bill. Acceptance by St. David's Round Rock Medical Center is based on meeting either of two criteria. Yearly income must be greater than 200%, but less than or equal to 500% of the Federal Poverty Guidelines.
St. David's Rehabilitation Hospital Part V, Section B, Line 11h: The following is a summary of the Charity Care Policy adopted by St. David's Rehabilitation Hospital:St. David's Rehabilitation Hospital actively seeks completion of an application, which facilitates collection of appropriate information, including:* Verification of family members in the household - For adult patients, patient spouse and any dependents; for minors, mother and father, and dependents of both.* Income calculation - For adults, sum of the total yearly gross income of the patient and the patient's spouse; for minors, total yearly gross income of the patient, and the patient's mother and father.* Documentation - various official income reporting documentation is sought (e.g. W-2, Wage and Tax Statement, Pay Check Remittance and others). Documentation associated with the participation in a Public Benefit Program can be provided in lieu of income documentation (proof of participation indicates the patient has been deemed financially indigent and therefore is not required to provide income information). There is also a verification process in place for patients that do not have appropriate documentation. * Charity Eligibility Classifications - For financially indigent patients, the amount owed by the patient after payment by all third-party payors must exceed ten percent of the patient's yearly income and the patient must be unable to pay the remaining bill. Acceptance by St. David's Rehabilitation Hospital is based on meeting either of two criteria. Yearly income must be greater than 200%, but less than or equal to 500% of the Federal Poverty Guidelines.
St. David's Georgetown Hospital Part V, Section B, Line 11h: The following is a summary of the Charity Care Policy adopted by St. David's Georgetown Hospital:St. David's Georgetown Hospital actively seeks completion of an application, which facilitates collection of appropriate information, including:* Verification of family members in the household - For adult patients, patient spouse and any dependents; for minors, mother and father, and dependents of both.* Income calculation - For adults, sum of the total yearly gross income of the patient and the patient's spouse; for minors, total yearly gross income of the patient, and the patient's mother and father.* Documentation - various official income reporting documentation is sought (e.g. W-2, Wage and Tax Statement, Pay Check Remittance and others). Documentation associated with the participation in a Public Benefit Program can be provided in lieu of income documentation (proof of participation indicates the patient has been deemed financially indigent and therefore is not required to provide income information). There is also a verification process in place for patients that do not have appropriate documentation. * Charity Eligibility Classifications - For financially indigent patients, the amount owed by the patient after payment by all third-party payors must exceed ten percent of the patient's yearly income and the patient must be unable to pay the remaining bill. Acceptance by St. David's Georgetown Hospital is based on meeting either of two criteria. Yearly income must be greater than 200%, but less than or equal to 500% of the Federal Poverty Guidelines.
St. David's Rehabilitation Hospital Part V, Section B, Line 18c: St. David's Rehabilitation Hospital does not have an emergency room facility.
St. David's Medical Center Part V, Section B, Line 19d: The hospital utilized a sliding fee scale for patients between 200% and 500% of Federal Poverty Guidelines that is lower than the average of the three lowest negotiated commercial insurance rates.
St. David's North Austin Medical Center Part V, Section B, Line 19d: The hospital utilized a sliding fee scale for patients between 200% and 500% of Federal Poverty Guidelines that is lower than the average of the three lowest negotiated commercial insurance rates.
St. David's South Austin Medical Center Part V, Section B, Line 19d: The hospital utilized a sliding fee scale for patients between 200% and 500% of Federal Poverty Guidelines that is lower than the average of the three lowest negotiated commercial insurance rates.
Heart Hospital of Austin Part V, Section B, Line 19d: The hospital utilized a sliding fee scale for patients between 200% and 500% of Federal Poverty Guidelines that is lower than the average of the three lowest negotiated commercial insurance rates.
St. David's Round Rock Medical Center Part V, Section B, Line 19d: The hospital utilized a sliding fee scale for patients between 200% and 500% of Federal Poverty Guidelines that is lower than the average of the three lowest negotiated commercial insurance rates.
St. David's Rehabilitation Hospital Part V, Section B, Line 19d: The hospital utilized a sliding fee scale for patients between 200% and 500% of Federal Poverty Guidelines that is lower than the average of the three lowest negotiated commercial insurance rates.
St. David's Georgetown Hospital Part V, Section B, Line 19d: The hospital utilized a sliding fee scale for patients between 200% and 500% of Federal Poverty Guidelines that is lower than the average of the three lowest negotiated commercial insurance rates.
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 6: The Foundation is a general partner in St. David's Healthcare, a hospital system that meets the Community Benefit Standard 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 subsidiaries give needs based scholarships to students pursuing healthcare careers. In addition, through a subsidiary, the Foundation provides free dental care to the children in more than 50 low income schools and to the adult patients of safety net clinics in Central Texas.
Reports Filed With States Part VI, Line 7 TX
