4A (Expenses $ 1857282663 including grants of $ 10445915) (Revenue $ 2784275749)
As the leading provider of health services in Central Texas (an 11-county region), Ascension Seton (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 behavioral health hospital; the only heart transplant center; and the only University of Texas medical residency programs. Seton contributes to the positive health status of the communities it serves and continues to build and strengthen sustainable collaborative efforts to benefit the health of individuals, families and society as a whole. Seton has a mission to care for the community it serves with a special concern for the poor and the vulnerable. Ascension Seton is a 1,532-bed hospital system providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2022, Ascension Seton treated 64,162 adults and children for a total of 375,182 patient days of service. The hospital also provided services for 803,231 outpatient visits, which included 31,656 outpatient surgeries and 305,012 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. As part of the Ascension Catholic health ministry, the filing organization served in support of Ascension's commitment to both care for patients and communities and support caregivers and other associates through the challenges of the COVID-19 global pandemic in FY22.

Schedule H, Part V, Section B, Line 3E

Schedule H, Part V, Section B, Line 2
TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED.

Schedule H, Part V, Section B, Line 3E

Schedule H, Part V, Section B, Line 2
B, 10 - Ascension Seton Bastrop On January 23, 2020 Ascension Seton opened a 40,000 square-foot facility that includes an emergency department, imaging services, 14 inpatient beds, two minor procedure rooms, and medical office spaces that will offer patients primary and specialty care services. Ascension Seton Bastrop was licensed as a hospital in November 2019. C, 14 - Northwest Hills Surgical Hospital ON July 1, 2020, ASCENSION SETON ACQUIRED AN INTEREST IN Austin Center for Outpatient Surgery dba Northwest Hills Surgical Hospital. Northwest Hills Surgical Hospital is an 8 bed short term acute care specialty hospital located in Austin, Texas serving the Central Texas Region.

Schedule H, Part V, Section B, Line 3E
TO BETTER TARGET COMMUNITY RESOURCES ON THE SERVICE AREA'S MOST PRESSING HEALTH NEEDS, THE HOSPITAL PARTICIPATED IN A GROUP DISCUSSION WITH ORGANIZATIONAL DECISION MAKERS AND COMMUNITY LEADERS TO PRIORITIZE THE SIGNIFICANT COMMUNITY HEALTH NEEDS WHILE CONSIDERING SEVERAL CRITERIA: ALIGNMENT WITH ASCENSION HEALTH STRATEGIES OF HEALTHCARE THAT LEAVES NO ONE BEHIND; CARE FOR THE POOR AND VULNERABLE; OPPORTUNITIES FOR PARTNERSHIP; AVAILABILITY OF EXISTING PROGRAMS AND RESOURCES; ADDRESSING DISPARITIES OF SUBGROUPS; AVAILABILITY OF EVIDENCE-BASED PRACTICES; AND COMMUNITY INPUT. THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. SEE SCHEDULE H, PART V, LINE 7 FOR THE LINK TO THE CHNA AND SCHEDULE H, PART V, LINE 11 FOR HOW THOSE NEEDS ARE BEING ADDRESSED.

Schedule H, Part V, Section B, Line 5 Facility C, 1
Facility C, 1 - ALL ASCENSION SETON HOSPITALS. The Ascension Seton CHNA represents the following: A,1 - Dell Children's Medical Center of Central Texas A,2 - Ascension Seton Medical Center Austin A,3 - Dell Seton Medical Center at the University of Texas A,4 - Ascension Seton Williamson A,5 - Ascension Seton Hays A,6 - Ascension Seton Northwest A,7 - Ascension Seton Highland Lakes A,8 - Ascension Seton Southwest A,9 - Ascension Seton Edgar B. Davis B,10 - Ascension Seton Bastrop A,11 - Ascension Seton Smithville A,12 - Ascension Seton Shoal Creek A,13 - PAM Rehabilitation Hospital of Round Rock (JV) C,14 - Northwest Hills Surgical Hospital (JV) The 2021 CHNA was conducted from July 2021 to January 2022, and utilized processes which incorporated data from both primary and secondary sources. Primary data sources, sometimes called qualitative data, included information provided by groups/individuals, e.g., community residents, health care consumers, health care professionals, community stakeholders, and multi-sector representatives. Special attention was given to the needs of individuals and communities who are more vulnerable, and to unmet health needs or gaps in services. Together with the efforts of our hospital partners and consultants, an estimated total of 230 individuals participated in focus groups or interviews, held between July 2021 and December 2021. Populations represented by participants included medically underserved, low-income, minority groups, and rural, urban and suburban groups. Multiple methods were used to gather community input, including key stakeholder interviews, community focus groups and a community survey. Recognizing its vital importance in understanding the health needs and assets of the community, Ascension Seton, in collaboration with hospital partners at St. David's Foundation, Baylor Scott and White, and public health leaders for Travis and Williamson counties solicited input from a range of public health and social service providers that represent the broad interest of Ascension Seton service area. A concerted effort was made to ensure that the individuals and organizations represented the needs and perspectives of: 1) public health practice and research; 2) individuals who are medically underserved, are low-income, or considered among the minority populations served by the hospital; and 3) the broader community at large and those who represent the broad interests and needs of the community served. Ascension Seton drew from a number of sources to complete the qualitative analysis for this CHNA. A series of 19 focus groups with approximately 100 participants were conducted by Alpinista Consulting to gather input from community members in the following counties: Burnet, Llano, Blanco, Fayette, Lee and Gonzales, along with Travis and Williamson for focus groups that focused on children's needs. Ascension Seton also received feedback from community members in Bastrop, Caldwell, Hays and Williamson counties from the Texas Health Institute (THI) through a partnership agreement with hospital partner St. David's Foundation. THI conducted a total of 11 focus groups in these four counties, with three each (two in English and one in Spanish) in Bastrop, Caldwell and Hays counties, and two (both in English) in Williamson county. A total of 58 community residents participated in those across the counties. Finally, as part of collaborations led by public health departments in Travis and Williamson counties, Ascension Seton received reports from the community focus groups conducted in each of those counties. As part of the CHA Task Force, hospital partner Baylor Scott and White contracted with IBM Watson to conduct a focus group which included representatives from county government, church organizations, providers, local non-profits, and other community-based organizations. Most of the participants work with at-risk populations; the group at-large serve low-income populations, minorities, the medically under-served and homeless populations. A series of 14 one-on-one interviews were conducted by the Ascension Texas Community Benefit team to gather feedback from key stakeholders on the health needs and assets of Ascension Texas. These interviews represented 14 different organizations and agencies. Some agencies also participated in the focus groups, held between September 2021 and October 2021. Sectors represented by participants included community non-profits, foundations, social service providers and health organizations. A survey was conducted by Ascension Seton to gather the perceptions, thoughts, opinions, and concerns of the community regarding health outcomes, health care access, and social determinants of health for Ascension Seton. Fifty- one individuals participated in the survey, held between August 2021 and October 2021. Ascension Seton associates were also invited to participate in multiple focus groups and discussions related to the creation of the CHNA. The following organizations were represented during stakeholder interviews conducted in 2021: - 4:12 Kids - Advocacy Outreach - Affordable Central Texas - AGE of Central Texas - Amigos de Jesus - Austin Clubhouse - Austin Asian Community Health Initiative - Bastrop County Cares - Baylor Scott & White Health - Blanco Chamber of Commerce - Blanco County EMS - Bluebonnet Trails - Boys & Girls Club of the Austin Area - Buda Food Pantry - Catholic Charities of Central Texas - Central Health - Central Texas Food Bank - Central Texas Interfaith - Children's Optimal Health - City of Manor - City of Pflugerville - City of Smithville - City of Taylor - Combined Community Action, Inc. - Community Care - Community Health Centers of South Central Texas - Dickey Museum & Multipurpose Center - Faith Action in georgetown - First Methodist Church San Marcos - Georgetown Chamber of Commerce - Georgetown Health Foundation - Georgetown Independent School District - Gonzales County - Harris-Ross Head Start - Hays County Food Bank - Hays County Indigent Health Care Program - Integral Care - Interagency Support Council of eastern Williamson County, Inc. - Lampasas ISD - Lone Star Circle of Care - Luling City Council - Mobile Outreach Team Williamson County Emergency Services - Partners in Hope - Partnerships for Children - Pavilion Clubhouse of Williamson County - People's Community Clinic - Regarding Cancer - School District in Hays County - Texas Department of State Health Services - The Caring Place - United Way of Williamson County - Where We Thrive - Williamson County and City and Health District - Williamson County Child Advocacy Center - Williamson County Indigent Care Program - Workforce Solutions Rural Capital Area - Texas A&M College of Nursing The following organizations were represented during stakeholder focus groups conducted in 2021: - Bluebonnet Trails - Catholic Charities of Central Texas - Central Texas Food Bank - Child Protective Services - Dell Medical School at The University of Texas - Lone Star Circle of Care - Michael and Susan Dell Foundation - NAMI Central Texas - Texas Department of State Health Services - The Hogg Foundation - United Way of Greater Austin - YMCA Travis County - YMCA Williamson County

Schedule H, Part V, Section B, Line 6a Facility C, 1
Facility C, 1 - ALL SETON HOSPITALS. The Ascension Seton CHNA represents the following list of 14 hospital facilities: A,1 - Dell Children's Medical Center of Central Texas A,2 - Ascension Seton Medical Center Austin A,3 - Dell Seton Medical Center at the University of Texas A,4 - Ascension Seton Williamson A,5 - Ascension Seton Hays A,6 - Ascension Seton Northwest A,7 - Ascension Seton Highland Lakes A,8 - Ascension Seton Southwest A,9 - Ascension Seton Edgar B. Davis B,10 - Ascension Seton Bastrop A,11 - Ascension Seton Smithville A,12 - Ascension Seton Shoal Creek A,13 - PAM Rehabilitation Hospital of Round Rock (JV) C,14 - Northwest Hills Surgical Hospital (JV) The other Ascension hospital facilities with which the reporting hospitals conducted the CHNA include: - Cedar Park Regional Medical Center (JV) - Warm Springs Rehabilitation Hospital of Kyle (JV) - Central Texas Rehabilitation Hospital (JV) The other hospital facilities with which the reporting hospitals conducted the CHNA include: - St. David's Foundation, which represents various hospital facilities that serve Travis, Williamson, Hays, Bastrop and Caldwell counties within the Ascension Seton service area - Baylor Scott & White Health, which represent various hospital facilities serving Travis, Williamson, Hays, Llano, Burnet, and Blanco counties within the Ascension Seton service area

Schedule H, Part V, Section B, Line 6b Facility C, 1
Facility C, 1 - ALL ASCENSION SETON HOSPITALS. The Ascension Seton CHNA represents the following: A,1 - Dell Children's Medical Center of Central Texas A,2 - Ascension Seton Medical Center Austin A,3 - Dell Seton Medical Center at the University of Texas A,4 - Ascension Seton Williamson A,5 - Ascension Seton Hays A,6 - Ascension Seton Northwest A,7 - Ascension Seton Highland Lakes A,8 - Ascension Seton Southwest A,9 - Ascension Seton Edgar B. Davis B,10 - Ascension Seton Bastrop A,11 - Ascension Seton Smithville A,12 - Ascension Seton Shoal Creek A,13 - PAM Rehabilitation Hospital of Round Rock (JV) C,14 - Northwest Hills Surgical Hospital (JV) The Ascension Seton CHNA was completed in partnership with the following non-hospital facilities 1. Austin Public Health and collaborative partners including: - Capital Metro - Central Health - City of Austin Transportation Department - Travis County - Integral Care - The University of Texas at Austin Dell Medical School - The University of Texas Health Science Center at Houston, School of Public Health 2. Williamson County & Cities Health District and collaborative partners including: - Williamson County - Bluebonnet Trails Community Services - Georgetown Health Foundation - Healthy Williamson County Coalition - Lone Star Circle of Care - Opportunities for Williamson & Burnet Counties - United Way of Williamson County

Schedule H, Part V, Section B, Line 11 Facility C, 1
"Facility C, 1 - A,1 - Dell Children's Medical Center of Central Texas. During the 2019 Community Health Needs Assessment (CHNA) process, which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized three main needs for Travis County: (1) Access to Healthcare, (2) Mental Health, (3) Diabetes and other Chronic Disease. To address these three key needs, Ascension Seton has developed a Community Health Improvement Plan for each of its hospitals and joint ventures in Travis County. Each plan identifies the action the hospital, with the support of the Ascension Seton network, plans to take to address the prioritized needs. Since Ascension Seton has multiple sites throughout Travis County, both inpatient and outpatient, some actions described in the Implementation Strategies are not strictly operated by Dell Children's Medical Center or any other one facility. The various actions included in the Implementation Strategy are not intended to be exhaustive or inclusive of every single Ascension Texas strategy, initiative or program. Instead, the plan highlights the most significant actions that each hospital has undertaken to address the health needs prioritized in the CHNA, including those strategies that are expected to make the most significant impact on the delivery of health care in the region for the poor and vulnerable. The Implementation Strategy for Dell Children's Medical Center Austin addresses all three needs identified in the 2019 Ascension Seton Central Region: Travis County CHNA. As required by IRS guidelines, for each need, Ascension Seton has identified key actions to address the need: - The anticipated impact of these actions - Available resources to address the need - Potential collaborations Hospital-based strategies in the Dell Children's Medical Center Austin Implementation Strategy to address each of the identified community health needs include those listed below. Access to Healthcare: - The Children's Health Express, a ""doctor's office on wheels"" providing primary pediatric medical care and social services to under and uninsured children from birth to 18 years in Greater Austin community has been retired due to mechanical failures and operations have been moved to temporary fixed space in the Specialty Care Center. - Increase access to injury prevention resources for communities of need by reducing barriers through diverse programming initiatives. - Implement water safety and drowning prevention efforts by targeting populations of need and reducing barriers to access. - Needs addressed in FY22: The Children's Health Express Van continued to serve the community providing healthcare and vaccinations. Currently services are provided at a clinic on site rather than in a mobile facility. Grant funding allowed expansion of more mental health visits both in person and telehealth and expanded screenings for insurance eligibility. Improvement has been made to screening processes for social determinants of health and connecting families with community resources. Dell Children's continues to lead the Safe Kids Austin initiative with the purpose to bring awareness to the most common traumas in children, educate the community on safety for kids, and advocate for safe policies. As part of this initiative Dell Children's hosts contactless car seat and booster seat distribution events and promotes safety through news and radio segments in addition to social media posts about the prevalence of unintentional childhood injuries. Mental Health: - In partnership with Dell Medical School, expand access to mental and behavioral health services through Dell Children's. - Needs addressed in FY22: Four doctoral interns continued to serve in an effort to expand mental and behavioral health services through primary care settings associated with Dell Children's Medical Center. Additionally through the Child Psychiatry Access Network (CPAN) and Texas Child Health Access Through Telemedicine (TCHATT) initiatives, psychiatrists provided telehealth consultations to children through primary care physicians and school nurses throughout the state. Chronic Disease: - Provide primary care to the most medically complex children and their families in the Austin community - Needs addressed in FY22: Provided primary care to the most medically complex children and their families in the Austin community Located on the second floor of Rosedale School's campus in Austin, Texas, Dell Children's Medical Group - Comprehensive Care Clinic facilitates consultations with child and adolescent psychology, psychiatry, nutritional counseling, and with physical medicine and rehabilitation. The CoIIN grant supported a shared care plan so that parents and caregivers have their child's care plan accessible and up to date in real time. The program provided preventive visits with families that includes shared decision making and discussions about parameters of care and is working to increase the number of and diversity of caregivers on a Family Workgroup to inform the care model. During the 2021 Community Health Needs Assessment (CHNA) process (final report published in June 2022), which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized four main needs for the 11 county service area including Bastrop, Blanco, Burnet, Caldwell, Fayette, Gonzales, Hays, Lee, Llano, Travis and Williamson Counties which include: (1) Mental and Behavioral Health, (2) Access to Care, (3) Social Determinants of Health, (4) Health Equity. To address the needs identified in the 2021 CHNA, an Implementation Strategy (IS) for each Ascension Seton facility was adopted in August of 2022. Dell Children's Medical Center will address all four prioritized community health needs. Due to the timing of the recently adopted IS, the impact report provided in this report shows the impact of the previous 2019 IS. Impact on the most recent 2021 CHNA will be reported starting next year."

Schedule H, Part V, Section B, Line 11 Facility C, 2
Facility C, 2 - A,2 - Ascension Seton Medical Center Austin. During the 2019 Community Health Needs Assessment (CHNA) process, which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized three main needs for Travis County: (1) Access to Healthcare, (2) Mental Health, (3) Diabetes and other Chronic Disease. To address these three key needs, Ascension Seton has developed a Community Health Improvement Plan for each of its hospitals and joint ventures in Travis County. Each plan identifies the action the hospital, with the support of the Ascension Seton network, plans to take to address the prioritized needs. Since Ascension Seton has multiple sites throughout Travis County, both inpatient and outpatient, some actions described in the Implementation Strategies are not strictly operated by Ascension Seton Medical Center or any other one facility. The various actions included in the Implementation Strategy are not intended to be exhaustive or inclusive of every single Ascension Texas strategy, initiative or program. Instead, the plan highlights the most significant actions that each hospital has undertaken to address the health needs prioritized in the CHNA including those strategies that are expected to make the most significant impact on the delivery of health care in the region for the poor and vulnerable. The Implementation Strategy for Ascension Seton Medical Center Austin addresses all three needs identified in the 2019 Ascension Seton Central Region: Travis County CHNA. As required by IRS guidelines, for each need, Ascension Seton has identified key actions to address the need: - The anticipated impact of these actions - Available resources to address the need - Potential collaborations Hospital-based strategies in the Ascension Seton Medical Center Austin Implementation Strategy to address each of the identified community health needs include those listed below. It is of note that most Ascension Texas hospitals in Travis County and the surrounding service areas are participating in a common strategy around mental health to improve coordination throughout the community. Access to Healthcare: - Improve prenatal course of care for women in Ascension Seton Medical Center Austin's service area and beyond, with a focus on mental and behavioral health. - Provide continuum of care for diagnosis through treatment for breast care, including those who are least likely to receive services. - Needs addressed in FY22: Continued use of a universal screening tool to assess for substance use disorders during pregnancy and an induction protocol established for inpatient treatment. Protocol is under the discovery phase of AIS. Virtual community education was provided for breast care. Continued navigation of over 540 patients a year along the continuum of care from abnormal diagnostic imaging and procedures through treatment. Mental Health - Create a behavioral health consortium, comprised of hospital leaders and mental and behavioral health clinicians, to provide a forum to identify site-specific needs around access to mental and behavioral health services, and consider and implement best practices that improve delivery of care to a wider variety of patients both in and outside hospitals. - Needs addressed in FY22: The Behavioral Health Task Force was suspended due to the pandemic and staff availability to participate. Within the three years of this implementation cycle, mental health coverage expanded in the emergency department with 24/7 psychiatric consults at Ascension Seton Medical Center and tele-psych coverage for other sites provided by providers at Dell Seton Medical Center and Ascension Seton Medical Center Austin. Chronic Disease: - Provide treatment, care coordination and support for adults with one or more chronic conditions (including diabetes, heart disease, asthma, HIV-AIDS, cancer). - Needs addressed in FY22: Monthly Very Important Hearts -- Cardiac Support Group meetings and bi-monthly high-risk maternity panels were held for the community. During the 2021 Community Health Needs Assessment (CHNA) process (final report published in June 2022), which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized four main needs for the 11 county service area including Bastrop, Blanco, Burnet, Caldwell, Fayette, Gonzales, Hays, Lee, Llano, Travis and Williamson Counties which include: (1) Mental and Behavioral Health, (2) Access to Care, (3) Social Determinants of Health, (4) Health Equity. To address the needs identified in the 2021 CHNA, an Implementation Strategy (IS) for each Ascension Seton facility was adopted in August of 2022. Ascension Seton Medical Center Austin will address all four prioritized community health needs. Due to the timing of the recently adopted IS, the impact report provided in this report shows the impact of the previous 2019 IS. Impact on the most recent 2021 CHNA will be reported starting next year.

Schedule H, Part V, Section B, Line 11 Facility C, 3
"Facility C, 3 - A,3 - Dell Seton Medical Center at the University of Texas. During the 2019 Community Health Needs Assessment (CHNA) process, which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized three main needs for Travis County: (1) Access to Healthcare, (2) Mental Health, (3) Diabetes and other Chronic Disease. To address these three key needs, Ascension Seton has developed a Community Health Improvement Plan for each of its hospitals and joint ventures in Travis County. Each plan identifies the action the hospital, with the support of the Ascension Seton network, plans to take to address the prioritized needs. Since Ascension Seton has multiple sites throughout Travis County, both inpatient and outpatient, some actions described in the Implementation Strategies are not strictly operated by Dell Seton Medical Center at the University of Texas or any other one facility. The various actions included in the Implementation Strategy are not intended to be exhaustive or inclusive of every single Ascension Texas strategy, initiative or program. Instead, the plan highlights the most significant actions that each hospital has undertaken to address the health needs prioritized in the CHNA, including those strategies that are expected to make the most significant impact on the delivery of health care in the region for the poor and vulnerable. The Implementation Strategy for Dell Seton Medical Center at the University of Texas addresses all three needs identified in the 2019 Ascension Seton Central Region: Travis County CHNA. As required by IRS guidelines, for each need, Ascension Seton has identified key actions to address the need: - The anticipated impact of these actions - Available resources to address the need - Potential collaborations Hospital-based strategies in the Dell Seton Medical Center at the University of Texas Implementation Strategy to address each of the identified community health needs include those listed below. It is of note that most Ascension Texas hospitals in Travis County and the surrounding service areas are participating in a common strategy around mental health to improve coordination throughout the community. Access to Healthcare: - Facilitate care for patients with Opioid Use Disorder (OUD). - Improve access and continuity of care for Veterans. - Needs addressed in FY22: Ongoing training of clinical care team members on appropriate treatment for patients with OUD and providing opioid consultations when needed. A quality improvement project aimed at increasing the number of rescue naloxone prescriptions for clinically appropriate patients continues including development and distribution of custom-designed ""badge-buddies"" with prescribing details. In-person peer recovery support encounters continued during this period. In addition to clinical education an online OUD stigma reduction training produced by the B-Team and SHOUT Texas was provided to community practitioners. Mental Health - Create a behavioral health consortium, comprised of hospital leaders and mental and behavioral health clinicians, to provide a forum to identify site-specific needs around access to mental and behavioral health services, and consider and implement best practices that improve delivery of care to a wider variety of patients both in and outside hospitals. - Expand access to psychiatric services through telemedicine - Needs addressed in FY22: The Behavioral Health Task Force was suspended due to the pandemic and staff availability to participate. Within the three years of this implementation cycle, mental health coverage expanded in the emergency department with 24/7 psychiatric consults at Del Seton Medical Center at UT and tele-psych coverage for other sites provided by providers at Dell Seton Medical Center and Ascension Seton Medical Center Austin. Chronic Disease: - Improve coordination of care for adults with one or more chronic conditions. - Needs addressed in FY22: To meet this objective, support was offered with referrals to support groups and education. During the 2021 Community Health Needs Assessment (CHNA) process (final report published in June 2022), which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized four main needs for the 11 county service area including Bastrop, Blanco, Burnet, Caldwell, Fayette, Gonzales, Hays, Lee, Llano, Travis and Williamson Counties which include: (1) Mental and Behavioral Health, (2) Access to Care, (3) Social Determinants of Health, (4) Health Equity. To address the needs identified in the 2021 CHNA, an Implementation Strategy (IS) for each Ascension Seton facility was adopted in August of 2022. Dell Seton Medical Center at The University of Texas will address all four prioritized community health needs. Due to the timing of the recently adopted IS, the impact report provided in this report shows the impact of the previous 2019 IS. Impact on the most recent 2021 CHNA will be reported starting next year."

Schedule H, Part V, Section B, Line 11 Facility C, 4
Facility C, 4 - A,4 - Ascension Seton Williamson. During the 2019 Community Health Needs Assessment (CHNA) process, which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized three main needs for Williamson County: (1) Behavioral health, stress and wellbeing (2) Chronic disease risk factors, (3) Access and affordability of healthcare, (4) Building a resilient Williamson County, (5) Social determinants of health. To address these key needs, Ascension Seton has developed a Community Health Improvement Plan for each of its hospitals and joint ventures in Williamson County. Each plan identifies the action the hospital, with the support of the Ascension Seton network, plans to take to address the prioritized needs. The various actions included in the Implementation Strategy are not intended to be exhaustive or inclusive of every single Ascension Texas strategy, initiative or program. Instead, the plan highlights the most significant actions that each hospital has undertaken to address the health needs prioritized in the CHNA, including those strategies that are expected to make the most significant impact on the delivery of health care in the region for the poor and vulnerable. Ascension Seton Williamson will address needs identified in the 2019 North Region CHNA including: (1) behavioral health, stress and well-being, (2) chronic disease risk factors, (3) access and affordability of healthcare and (4) building a resilient Williamson County. Although Ascension Seton Williamson will not directly address social determinants of health they will partner with the Georgetown Health Foundation and other community organizations to better understand and help to address social determinants of health for the Williamson County community. As required by IRS guidelines, for each need, Ascension Seton Williamson has identified key actions to address the need: - The anticipated impact of these actions - Available resources to address the need - Potential collaborations Hospital-based strategies in the Ascension Seton Williamson Implementation Strategy to address each of the identified community health needs include those listed below. It is of note that most Ascension Texas hospitals in Central Texas are participating in a common strategy around mental health to improve coordination throughout the community. Behavioral health, stress and well-being - Create a behavioral health consortium, comprised of hospital leaders and mental and behavioral health clinicians, to provide a forum to identify site-specific needs around access to mental and behavioral health services, and consider and implement best practices that improve delivery of care to a wider variety of patients both in and outside hospitals. - Needs addressed in FY22: The Behavioral Health Task Force was suspended due to the pandemic and staff availability to participate. All Ascension Seton hospitals have expanded access to psychiatric consults during this implementation cycle using telehealth. Chronic disease risk factors - Identify, educate and support people with chronic disease. - Offer diabetes self-management classes and individual consults. - Needs addressed in FY21: Hosted community education events related to women's health, car seat safety, CPR and trauma. Hosted a weekly postpartum support group and cardiac yoga class for the community. Access and affordability of healthcare - Provide a navigator in the emergency department to connect patients to primary care providers and specialists. - Needs addressed in FY22: The navigator continues to work in the emergency department and connects patients to primary care providers and specialists. Building a resilient Williamson County - Host and lead Williamson County emergency-response teams to ensure Williamson County is ready to utilize current resources in adverse situations. - Needs addressed in FY22: The collaborative effort has been amended to address the pandemic and other ongoing health issues due to the pandemic and changes in county staff. During the 2021 Community Health Needs Assessment (CHNA) process (final report published in June 2022), which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized four main needs for the 11 county service area including Bastrop, Blanco, Burnet, Caldwell, Fayette, Gonzales, Hays, Lee, Llano, Travis and Williamson Counties which include: (1) Mental and Behavioral Health, (2) Access to Care, (3) Social Determinants of Health, (4) Health Equity. To address the needs identified in the 2021 CHNA, an Implementation Strategy (IS) for each Ascension Seton facility was adopted in August of 2022. Ascension Seton Williamson will address all four prioritized community health needs. Due to the timing of the recently adopted IS, the impact report provided in this report shows the impact of the previous 2019 IS. Impact on the most recent 2021 CHNA will be reported starting next year.

Schedule H, Part V, Section B, Line 11 Facility C, 5
Facility C, 5 - A,5 - Ascension Seton Hays. During the 2019 Community Health Needs Assessment (CHNA) process, which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized two main needs for Hays County including access to care and mental health. To address these key needs, Ascension Seton has developed a Community Health Improvement Plan for each of its hospitals and joint ventures in Hays County. Each plan identifies the action the hospital, with the support of the Ascension Seton network, plans to take to address the prioritized needs. The various actions included in the Implementation Strategy are not intended to be exhaustive or inclusive of every single Ascension Texas strategy, initiative or program. Instead, the plan highlights the most significant actions that each hospital has undertaken to address the health needs prioritized in the CHNA, including those strategies that are expected to make the most significant impact on the delivery of health care in the region for the poor and vulnerable. Ascension Seton Hays will address both needs identified in the 2019 South 1 Region CHNA. As required by IRS guidelines, for each need, Ascension Seton has identified key actions to address the need: - The anticipated impact of these actions - Available resources to address the need - Potential collaborations Hospital-based strategies in the Ascension Seton Hays Implementation Strategy to address each of the identified community health needs include those listed below. It is of note that most Ascension Texas hospitals in Central Texas are participating in a common strategy around mental health to improve coordination throughout the community. Access to Care - Provide free mammograms to uninsured and underinsured. - Identify, educate and support people with chronic disease through access to health care. - Offer diabetes self-management classes and individual consults. - Needs addressed in FY22: Hosted two flu shot clinics at no cost to the community. Mental Health - Create a behavioral health consortium, comprised of hospital leaders and mental and behavioral health clinicians, to provide a forum to identify site-specific needs around access to mental and behavioral health services, and consider and implement best practices that improve delivery of care to a wider variety of patients both in and outside hospitals. - Needs addressed in FY22: The Behavioral Health Task Force was suspended due to the pandemic and staff availability to participate. All Ascension Seton hospitals have expanded access to psychiatric consults during this implementation cycle using telehealth. During the 2021 Community Health Needs Assessment (CHNA) process (final report published in June 2022), which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized four main needs for the 11 county service area including Bastrop, Blanco, Burnet, Caldwell, Fayette, Gonzales, Hays, Lee, Llano, Travis and Williamson Counties which include: (1) Mental and Behavioral Health, (2) Access to Care, (3) Social Determinants of Health, (4) Health Equity. To address the needs identified in the 2021 CHNA, an Implementation Strategy (IS) for each Ascension Seton facility was adopted in August of 2022. Ascension Seton Hays will address all four prioritized community health needs. Due to the timing of the recently adopted IS, the impact report provided in this report shows the impact of the previous 2019 IS. Impact on the most recent 2021 CHNA will be reported starting next year.

Schedule H, Part V, Section B, Line 11 Facility C, 6
Facility C, 6 - A,6 - Ascension Seton Northwest. During the 2019 Community Health Needs Assessment (CHNA) process, which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized three main needs for Travis County: (1) Access to Healthcare, (2) Mental Health, (3) Diabetes and other Chronic Disease. To address these three key needs, Ascension Seton has developed a Community Health Improvement Plan for each of its hospitals and joint ventures in Travis County. Each plan identifies the action the hospital, with the support of the Ascension Seton network, plans to take to address the prioritized needs. Since Ascension Seton has multiple sites throughout Travis County, both inpatient and outpatient, some actions described in the Implementation Strategies are not strictly operated by Ascension Seton Northwest or any other one facility. The various actions included in the Implementation Strategy are not intended to be exhaustive or inclusive of every single Ascension Texas strategy, initiative or program. Instead, the plan highlights the most significant actions that each hospital has undertaken to address the health needs prioritized in the CHNA, including those strategies that are expected to make the most significant impact on the delivery of health care in the region for the poor and vulnerable. The Implementation Strategy for Ascension Seton Northwest addresses all three needs identified in the 2019 Ascension Seton Central Region: Travis County CHNA. As required by IRS guidelines, for each need, Ascension Seton has identified key actions to address the need: - The anticipated impact of these actions - Available resources to address the need - Potential collaborations Hospital-based strategies in the Ascension Seton Northwest Implementation Strategy to address each of the identified community health needs include those listed below. It is of note that most Ascension Texas hospitals in Travis County and the surrounding service areas are participating in a common strategy around mental health to improve coordination throughout the community. Access to Healthcare: - Provide educational opportunities and health screenings to community members. - Needs addressed in FY22: Continued to provide perinatal support groups, flu shot clinics, and community health education opportunities. Mental Health - Create a behavioral health consortium, comprised of hospital leaders and mental and behavioral health clinicians, to provide a forum to identify site-specific needs around access to mental and behavioral health services, and consider and implement best practices that improve delivery of care to a wider variety of patients both in and outside hospitals. - Needs addressed in FY22: The Behavioral Health Task Force was suspended due to the pandemic and staff availability to participate. All Ascension Seton hospitals have expanded access to psychiatric consults during this implementation cycle using telehealth. Chronic Disease: - Offer nutrition classes and advance partnerships around conditions including hypertension. - Needs addressed in FY22: Due to the pandemic, programs addressing chronic disease changed to not include community-based nutrition learning sessions. During the 2021 Community Health Needs Assessment (CHNA) process (final report published in June 2022), which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized four main needs for the 11 county service area including Bastrop, Blanco, Burnet, Caldwell, Fayette, Gonzales, Hays, Lee, Llano, Travis and Williamson Counties which include: (1) Mental and Behavioral Health, (2) Access to Care, (3) Social Determinants of Health, (4) Health Equity. To address the needs identified in the 2021 CHNA, an Implementation Strategy (IS) for each Ascension Seton facility was adopted in August of 2022. Ascension Seton Northwest will address all four prioritized community health needs. Due to the timing of the recently adopted IS, the impact report provided in this report shows the impact of the previous 2019 IS. Impact on the most recent 2021 CHNA will be reported starting next year.

Schedule H, Part V, Section B, Line 11 Facility C, 7
Facility C, 7 - A,7 - Ascension Seton Highland Lakes. During the 2019 Community Health Needs Assessment (CHNA) process, which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized three main needs for Hays County including mental health, access to care and chronic disease. To address these key needs, Ascension Seton has developed a Community Health Improvement Plan for each of its hospitals and joint ventures. Each plan identifies the action the hospital, with the support of the Ascension Seton network, plans to take to address the prioritized needs. The various actions included in the Implementation Strategy are not intended to be exhaustive or inclusive of every single Ascension Texas strategy, initiative or program. Instead, the plan highlights the most significant actions that each hospital has undertaken to address the health needs prioritized in the CHNA, including those strategies that are expected to make the most significant impact on the delivery of health care in the region for the poor and vulnerable. Ascension Seton Highland Lakes will address all three needs identified in the 2019 West CHNA. As required by IRS guidelines, for each need, Ascension Seton has identified key actions to address the need: - The anticipated impact of these actions - Available resources to address the need - Potential collaborations Hospital-based strategies in the Ascension Seton Highland Lakes Implementation Strategy to address each of the identified community health needs include those listed below. It is of note that most Ascension Texas hospitals in Central Texas are participating in a common strategy around mental health to improve coordination throughout the community. Mental Health - Create a behavioral health consortium, comprised of hospital leaders and mental and behavioral health clinicians, to provide a forum to identify site-specific needs around access to mental and behavioral health services, and consider and implement best practices that improve delivery of care to a wider variety of patients both in and outside hospitals. - Needs addressed in FY22: The Behavioral Health Task Force was suspended due to the pandemic and staff availability to participate. All Ascension Seton hospitals have expanded access to psychiatric consults during this implementation cycle using telehealth. Access to healthcare - Continue to provide medical care to pediatric patients with the Children's Care-a-Van - Needs addressed in FY22: The Care-A-Van averages 1,000 patients annually with an average of 1,500 immunizations administered annually and one flu clinic providing pediatric flu vaccinations. The Care-A-Van is currently undergoing maintenance, however the services are still provided at a clinic on site. Chronic Disease - Identify, educate and support people with chronic disease. - Needs addressed in FY22: Ongoing weekly chronic disease education including Wellness Wednesday and weekly Tai Chi classes held at the YMCA as well as a weekly Parkinson's support group. Highland Lakes also participated in community events to promote health and provided a pediatric flu shot clinic at no cost to the community. During the 2021 Community Health Needs Assessment (CHNA) process (final report published in June 2022), which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized four main needs for the 11 county service area including Bastrop, Blanco, Burnet, Caldwell, Fayette, Gonzales, Hays, Lee, Llano, Travis and Williamson Counties which include: (1) Mental and Behavioral Health, (2) Access to Care, (3) Social Determinants of Health, (4) Health Equity. To address the needs identified in the 2021 CHNA, an Implementation Strategy (IS) for each Ascension Seton facility was adopted in August of 2022. Ascension Seton Highland Lakes will address all four prioritized community health needs. Due to the timing of the recently adopted IS, the impact report provided in this report shows the impact of the previous 2019 IS. Impact on the most recent 2021 CHNA will be reported starting next year.

Schedule H, Part V, Section B, Line 11 Facility C, 8
Facility C, 8 - A,8 - Ascension Seton Southwest. During the 2019 Community Health Needs Assessment (CHNA) process, which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized three main needs for Travis County: (1) Access to Healthcare, (2) Mental Health, (3) Diabetes and other Chronic Disease. To address these three key needs, Ascension Seton has developed a Community Health Improvement Plan for each of its hospitals and joint ventures in Travis County. Each plan identifies the action the hospital, with the support of the Ascension Seton network, plans to take to address the prioritized needs. Since Ascension Seton has multiple sites throughout Travis County, both inpatient and outpatient, some actions described in the Implementation Strategies are not strictly operated by Ascension Seton Southwest or any other one facility. The various actions included in the Implementation Strategy are not intended to be exhaustive or inclusive of every single Ascension Texas strategy, initiative or program. Instead, the plan highlights the most significant actions that each hospital has undertaken to address the health needs prioritized in the CHNA, including those strategies that are expected to make the most significant impact on the delivery of health care in the region for the poor and vulnerable. The Implementation Strategy for Ascension Seton Southwest addresses all three needs identified in the 2019 Ascension Seton Central Region: Travis County CHNA. As required by IRS guidelines, for each need, Ascension Seton has identified key actions to address the need: - The anticipated impact of these actions - Available resources to address the need - Potential collaborations Hospital-based strategies in the Ascension Seton Southwest Implementation Strategy to address each of the identified community health needs include those listed below. It is of note that most Ascension Texas hospitals in Travis County and the surrounding service areas are participating in a common strategy around mental health to improve coordination throughout the community. Access to Healthcare: - Recruit new professionals and expand services beyond surgical to include medical. - Provide educational opportunities and health screenings to community members. - Needs addressed in FY22: Held a flu shot clinic providing vaccines at no cost to the South Austin Community. Mental Health - Create a behavioral health consortium, comprised of hospital leaders and mental and behavioral health clinicians, to provide a forum to identify site-specific needs around access to mental and behavioral health services, and consider and implement best practices that improve delivery of care to a wider variety of patients both in and outside hospitals. - Needs addressed in FY22: The Behavioral Health Task Force was suspended due to the pandemic and staff availability to participate. All Ascension Seton hospitals have expanded access to psychiatric consults during this implementation cycle using telehealth. Chronic Disease: - Offer diabetes self-management classes and individual consults - Needs addressed in FY22: Due to the pandemic, programs addressing chronic disease changed to not include community-based nutrition learning sessions. During the 2021 Community Health Needs Assessment (CHNA) process (final report published in June 2022), which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized four main needs for the 11 county service area including Bastrop, Blanco, Burnet, Caldwell, Fayette, Gonzales, Hays, Lee, Llano, Travis and Williamson Counties which include: (1) Mental and Behavioral Health, (2) Access to Care, (3) Social Determinants of Health, (4) Health Equity. To address the needs identified in the 2021 CHNA, an Implementation Strategy (IS) for each Ascension Seton facility was adopted in August of 2022. Ascension Seton Southwest will address all four prioritized community health needs. Due to the timing of the recently adopted IS, the impact report provided in this report shows the impact of the previous 2019 IS. Impact on the most recent 2021 CHNA will be reported starting next year.

Schedule H, Part V, Section B, Line 11 Facility C, 9
Facility C, 9 - A,9 - Ascension Seton Edgar B. Davis. During the 2019 Community Health Needs Assessment (CHNA) process, which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized two main needs for Caldwell County including access to care and mental health. To address these key needs, Ascension Seton has developed a Community Health Improvement Plan for each of its hospitals and joint ventures. Each plan identifies the action the hospital, with the support of the Ascension Seton network, plans to take to address the prioritized needs. The various actions included in the Implementation Strategy are not intended to be exhaustive or inclusive of every single Ascension Texas strategy, initiative or program. Instead, the plan highlights the most significant actions that each hospital has undertaken to address the health needs prioritized in the CHNA, including those strategies that are expected to make the most significant impact on the delivery of health care in the region for the poor and vulnerable. Ascension Seton Edgar B Davis will address all three needs identified in the 2019 South 2 CHNA. As required by IRS guidelines, for each need, Ascension Seton has identified key actions to address the need: - The anticipated impact of these actions - Available resources to address the need - Potential collaborations Hospital-based strategies in the Ascension Seton Edgar B Davis Implementation Strategy to address each of the identified community health needs include those listed below. It is of note that most Ascension Texas hospitals in Central Texas are participating in a common strategy around mental health to improve coordination throughout the community. Access to care - Continue to provide medical care to pediatric patients with the Children's Care-a-Van. - Participate in Indigent Health Care program for Caldwell County residents - Needs addressed in FY22: The Care-A-Van serves an average of 1,700 patients annually with an average of 1,200 vaccines administered annually. The Care-A-Van is currently undergoing maintenance, however the services continue to be provided on site until the van is mobile again. Ascension Seton Edgar B. Davis also continues to provide support including PCP support, crisis, and inpatient care for Caldwell County Indigent Health Care programs. Mental Health - Create a behavioral health consortium, comprised of hospital leaders and mental and behavioral health clinicians, to provide a forum to identify site-specific needs around access to mental and behavioral health services, and consider and implement best practices that improve delivery of care to a wider variety of patients both in and outside hospitals. - Needs addressed in FY22: The Behavioral Health Task Force was suspended due to the pandemic and staff availability to participate. All Ascension Seton hospitals have expanded access to psychiatric consults during this implementation cycle using telehealth. During the 2021 Community Health Needs Assessment (CHNA) process (final report published in June 2022), which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized four main needs for the 11 county service area including Bastrop, Blanco, Burnet, Caldwell, Fayette, Gonzales, Hays, Lee, Llano, Travis and Williamson Counties which include: (1) Mental and Behavioral Health, (2) Access to Care, (3) Social Determinants of Health, (4) Health Equity. To address the needs identified in the 2021 CHNA, an Implementation Strategy (IS) for each Ascension Seton facility was adopted in August of 2022. Ascension Seton Edgar B. Davis will address all four prioritized community health needs. Due to the timing of the recently adopted IS, the impact report provided in this report shows the impact of the previous 2019 IS. Impact on the most recent 2021 CHNA will be reported starting next year.

Schedule H, Part V, Section B, Line 11 Facility C, 10
Facility C, 10 - B,10 - Ascension Seton Bastrop. On January 23, 2020 Ascension Seton opened a 40,000 square-foot facility that includes an emergency department, imaging services, 14 inpatient beds, two minor procedure rooms, and medical office spaces that will offer patients primary and specialty care services. Ascension Seton Bastrop was licensed as a hospital in November 2019. Ascension Seton Bastrop conducted its first Community Health Needs Assessment (CHNA) in the 2021 cycle and therefore there is not an Implementation Strategy (IS) to report updates on for the 2019 CHNA/IS cycle. During the 2021 CHNA process (final report published in June 2022), which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized four main needs for the 11 county service area including Bastrop, Blanco, Burnet, Caldwell, Fayette, Gonzales, Hays, Lee, Llano, Travis and Williamson Counties which include: (1) Mental and Behavioral Health, (2) Access to Care, (3) Social Determinants of Health, (4) Health Equity. To address the needs identified in the 2021 CHNA, an Implementation Strategy (IS) for each Ascension Seton facility was adopted in August of 2022. Ascension Seton Bastrop will address all four prioritized community health needs.

Schedule H, Part V, Section B, Line 11 Facility C, 11
Facility C, 11 - A,11 - Ascension Seton Smithville. During the 2019 Community Health Needs Assessment (CHNA) process, which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized three main needs for Hays County including mental health, access to care and chronic disease. To address these key needs, Ascension Seton has developed a Community Health Improvement Plan for each of its hospitals and joint ventures. Each plan identifies the action the hospital, with the support of the Ascension Seton network, plans to take to address the prioritized needs. The various actions included in the Implementation Strategy are not intended to be exhaustive or inclusive of every single Ascension Texas strategy, initiative or program. Instead, the plan highlights the most significant actions that each hospital has undertaken to address the health needs prioritized in the CHNA, including those strategies that are expected to make the most significant impact on the delivery of health care in the region for the poor and vulnerable. Ascension Seton Smithville will address all three needs identified in the 2019 East CHNA. As required by IRS guidelines, for each need, Ascension Seton has identified key actions to address the need: - The anticipated impact of these actions - Available resources to address the need - Potential collaborations Hospital-based strategies in the Ascension Seton Smithville Implementation Strategy to address each of the identified community health needs include those listed below. It is of note that most Ascension Texas hospitals in Central Texas are participating in a common strategy around mental health to improve coordination throughout the community. Mental Health - Create a behavioral health consortium, comprised of hospital leaders and mental and behavioral health clinicians, to provide a forum to identify site-specific needs around access to mental and behavioral health services, and consider and implement best practices that improve delivery of care to a wider variety of patients both in and outside hospitals. - Needs addressed in FY22: The Behavioral Health Task Force was suspended due to the pandemic and staff availability to participate. All Ascension Seton hospitals have expanded access to psychiatric consults during this implementation cycle using telehealth. Access to Care - Assist indigent individuals to apply for prescription assistance. - Needs addressed in FY22: Continued to assist patients with applications for prescription assistance for discounted or free prescriptions through pharmaceutical company programs. Chronic Disease - Collaborate with partners in the community to prevent chronic disease. - Needs addressed in FY22: Continued to attend monthly community partner meetings and coalition committees. During the 2021 Community Health Needs Assessment (CHNA) process (final report published in June 2022), which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized four main needs for the 11 county service area including Bastrop, Blanco, Burnet, Caldwell, Fayette, Gonzales, Hays, Lee, Llano, Travis and Williamson Counties which include: (1) Mental and Behavioral Health, (2) Access to Care, (3) Social Determinants of Health, (4) Health Equity. To address the needs identified in the 2021 CHNA, an Implementation Strategy (IS) for each Ascension Seton facility was adopted in August of 2022. Ascension Seton Smithville will address all four prioritized community health needs. Due to the timing of the recently adopted IS, the impact report provided in this report shows the impact of the previous 2019 IS. Impact on the most recent 2021 CHNA will be reported starting next year.

Schedule H, Part V, Section B, Line 11 Facility C, 12
Facility C, 12 - A,12 - Ascension Seton Shoal Creek. During the 2019 Community Health Needs Assessment (CHNA) process, which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized three main needs for Travis County: (1) Access to Healthcare, (2) Mental Health, (3) Diabetes and other Chronic Disease. To address these three key needs, Ascension Seton has developed a Community Health Improvement Plan for each of its hospitals and joint ventures in Travis County. Each plan identifies the action the hospital, with the support of the Ascension Seton network, plans to take to address the prioritized needs. Since Ascension Seton has multiple sites throughout Travis County, both inpatient and outpatient, some actions described in the Implementation Strategies are not strictly operated by Ascension Seton Shoal Creek or any other one facility. The various actions included in the Implementation Strategy are not intended to be exhaustive or inclusive of every single Ascension Texas strategy, initiative or program. Instead, the plan highlights the most significant actions that each hospital has undertaken to address the health needs prioritized in the CHNA, including those strategies that are expected to make the most significant impact on the delivery of health care in the region for the poor and vulnerable. The Implementation Strategy for Ascension Seton Shoal Creek addresses needs identified in the 2019 Ascension Seton Central Region: Travis County CHNA including access to care and mental and behavioral needs. Ascension Seton Shoal Creek will not address chronic disease, as this hospital is focused on mental and behavioral health issues and is close in proximity to Ascension Seton Medical Center Austin, which is addressing all the needs as are the other 11 hospitals in the network serving the same region. As required by IRS guidelines, for each need, Ascension Seton has identified key actions to address the need: - The anticipated impact of these actions - Available resources to address the need - Potential collaborations Hospital-based strategies in the Ascension Seton Shoal Creek Implementation Strategy to address each of the identified community health needs include those listed below. It is of note that most Ascension Texas hospitals in Travis County and the surrounding service areas are participating in a common strategy around mental health to improve coordination throughout the community. Access to Healthcare: - Implement a partial hospitalization program to expand the continuum of care for mental health services. - Needs addressed in FY22: The partial hospitalization program expanded the continuum of care for patients. Mental Health - Create a behavioral health consortium, comprised of hospital leaders and mental and behavioral health clinicians, to provide a forum to identify site-specific needs around access to mental and behavioral health services, and consider and implement best practices that improve delivery of care to a wider variety of patients both in and outside hospitals. - Provide free behavioral health assessments and navigate individuals to community health providers. - Expand access to psychiatric services through telemedicine technology. - Needs addressed in FY22: The Behavioral Health Task Force was suspended due to the pandemic and staff availability to participate. Shoal Creek provides behavioral health assessments to patients at no cost in order to identify the appropriate level of care in a community setting as well as expand access to psychiatric services through telemedicine. During the 2021 Community Health Needs Assessment (CHNA) process (final report published in June 2022), which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized four main needs for the 11 county service area including Bastrop, Blanco, Burnet, Caldwell, Fayette, Gonzales, Hays, Lee, Llano, Travis and Williamson Counties which include: (1) Mental and Behavioral Health, (2) Access to Care, (3) Social Determinants of Health, (4) Health Equity. To address the needs identified in the 2021 CHNA, an Implementation Strategy (IS) for each Ascension Seton facility was adopted in August of 2022. Ascension Seton Shoal Creek will address all four prioritized community health needs. Due to the timing of the recently adopted IS, the impact report provided in this report shows the impact of the previous 2019 IS. Impact on the most recent 2021 CHNA will be reported starting next year.

Schedule H, Part V, Section B, Line 11 Facility C, 13
Facility C, 13 - A,13 - PAM Rehabilitation Hospital of Round Rock (JV). During the 2019 Community Health Needs Assessment (CHNA) process, which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized three main needs for Williamson County: (1) Behavioral health, stress and wellbeing (2) Chronic disease risk factors, (3) Access and affordability of healthcare, (4) Building a resilient Williamson County, (5) Social determinants of health. To address these key needs, Ascension Seton has developed a Community Health Improvement Plan for each of its hospitals and joint ventures in Williamson County. Each plan identifies the action the hospital, with the support of the Ascension Seton network, plans to take to address the prioritized needs. The various actions included in the Implementation Strategy are not intended to be exhaustive or inclusive of every single Ascension Texas strategy, initiative or program. Instead, the plan highlights the most significant actions that each hospital has undertaken to address the health needs prioritized in the CHNA, including those strategies that are expected to make the most significant impact on the delivery of health care in the region for the poor and vulnerable. PAM Round Rock will address needs identified in the 2019 North Region CHNA including chronic disease risk factors and access and affordability of healthcare. PAM Round Rock will not address access and behavioral health, stress and wellbeing, building a resilient Williamson County or social determinants of health in this Implementation Strategy. Behavioral health, stress and well-being and building a resilient Williamson County will be addressed by Ascension Seton Williamson, which is also in Williamson County. While social determinants of health will not be addressed in this Implementation Strategy, over the next three years PAM Rehabilitation Hospital of Round Rock will partner with Ascension Seton Williamson and other community organizations to better understand and help to address social determinants of health for the Williamson County community. As required by IRS guidelines, for each need, PAM Round Rock has identified key actions to address the need: - The anticipated impact of these actions - Available resources to address the need - Potential collaborations Hospital-based strategies in the PAM Round Rock Implementation Strategy to address each of the identified community health needs include those listed below. It is of note that most Ascension Texas hospitals in Central Texas are participating in a common strategy around mental health to improve coordination throughout the community. Chronic disease risk factors - Provide monthly stroke support groups for stroke survivors. - Needs addressed in FY22: Hosted a virtual or call-in Brain Injury and Stroke Support Group monthly to help survivors and families. Attendance has ranged from 8-22 per meeting. Access and affordability of healthcare - Provide facility space for professional organizations to support workforce development for rehabilitation services. - Needs addressed in FY22: Covid restrictions limited the number of professional association meetings individuals were able to attend. During the 2021 Community Health Needs Assessment (CHNA) process (final report published in June 2022), which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized four main needs for the 11 county service area including Bastrop, Blanco, Burnet, Caldwell, Fayette, Gonzales, Hays, Lee, Llano, Travis and Williamson Counties which include: (1) Mental and Behavioral Health, (2) Access to Care, (3) Social Determinants of Health, (4) Health Equity. To address the needs identified in the 2021 CHNA, an Implementation Strategy (IS) for each Ascension Seton facility was adopted in August of 2022. PAM Rehabilitation Hospital Round Rock will address access to care. PAM Rehabilitation Hospital Round Rock will not address mental and behavioral health, social determinants of health nor health equity. Ascension Seton partners will be addressing each of these needs in their IS. Due to the timing of the recently adopted IS, the impact report provided in this report shows the impact of the previous 2019 IS. Impact on the most recent 2021 CHNA will be reported starting next year.

Schedule H, Part V, Section B, Line 11 Facility C, 14
Facility C, 14 - C,14 - Northwest Hills Surgical Hospital (JV). Northwest Hills Surgical Hospital became an Ascension Joint Venture hospital in FY21. The hospital opened its doors to the Austin community in May 1995. Due to the hospital's new status as an Ascension Joint Venture, Northwest Hills Surgical Hospital conducted its first Community Health Needs Assessment (CHNA) in the 2021 cycle and therefore there is not an Implementation Strategy (IS) to report updates on for the 2019 CHNA/IS cycle. During the 2021 CHNA process (final report published in June 2022), which included both quantitative and qualitative analysis, Ascension Seton identified and prioritized four main needs for the 11-county service area including Bastrop, Blanco, Burnet, Caldwell, Fayette, Gonzales, Hays, Lee, Llano, Travis and Williamson Counties which include: (1) Mental and Behavioral Health, (2) Access to Care, (3) Social Determinants of Health, (4) Health Equity. To address the needs identified in the 2021 CHNA, an Implementation Strategy (IS) for each Ascension Seton facility was adopted in August of 2022. Northwest Hills Surgical Hospital will not address mental and behavioral health, social determinants of health nor health equity. Ascension Seton partners will be addressing each of these needs in their IS.

Schedule H, Part V, Section B, Line 16 WEB SITES FOR FINANCIAL ASSISTANCE
THE FAP, FAP APPLICATION FORM AND PLAIN LANGUAGE SUMMARY CAN BE LOCATED AT: FOR ALL ENTITIES NOT LISTED SEPARATELY BELOW: https://healthcare.ascension.org/financial-assistance PAM REHABILITATION HOSPITAL OF ROUND ROCK: https://postacutemedical.com/facilities/find-facility/rehabilitation-hospitals/pam-rehabilitation-hospital-round-rock/financial-assistance-policy NORTHWEST HILLS SURGICAL HOSPITAL: https://northwesthillssurgical.com/contact/finassist.html

Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG
"IN ADDITION TO FPG, THE ORGANIZATION USES MEDICAL INDIGENCY, ASSET TEST, INSURANCE STATUS AND RESIDENCY AS OTHER FACTORS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. A Patient may not be eligible for the financial assistance if such Patient is deemed to have sufficient assets to pay pursuant to an ""Asset Test."" The Asset Test involves a substantive assessment of a Patient's ability to pay based on the categories of assets measured in the FAP Application. A Patient with such assets that exceed 250% of such Patient's FPL amount may not be eligible for financial assistance. AN ASSET TEST APPLIES IF A PATIENT HAS ELIGIBLE LIQUID ASSETS THAT EXCEED 250% OF THE PATIENT'S FPG LEVEL FOR CONSIDERATION OF FINANCIAL ASSISTANCE ELIGIBILITY. LIQUID ASSETS INCLUDE ASSETS THAT CAN BE CONVERTED TO CASH WITHIN 1 YEAR. THESE INCLUDE ITEMS SUCH AS CHECKING ACCOUNTS, SAVINGS ACCOUNTS, TRUST FUNDS AND LUXURY ITEMS SUCH AS RECREATIONAL VEHICLES, BOATS, A SECOND HOME, ETC."

Schedule H, Part I, Line 5a BUDGET AMOUNTS FOR FREE OR DISCOUNTED CARE
THE ORGANIZATION ADMINISTERS ITS FINANCIAL ASSISTANCE POLICY IN ACCORDANCE WITH THE TERMS OF THE POLICY.

Schedule H, Part I, Line 7g Subsidized Health Services
None of the costs on line 7g are attributable to a physician clinic.

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
"THE COST OF PROVIDING CHARITY CARE, MEANS-TESTED GOVERNMENT PROGRAMS, AND OTHER 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 THE INFORMATION IN THE TABLE, A COST-TO-CHARGE RATIO WAS CALCULATED AND APPLIED."

Schedule H, Part II Community Building Activities
Ascension Seton contributed $100,000 toward programs to advance social justice and equity in workforce development. Through their investment in PAM Round Rock, Ascension Seton contributed $375 toward programs that provide stroke education.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITHIN 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 THE CORPORATION'S POLICIES. AFTER APPLYING THE COST-TO-CHARGE RATIO, THE SHARE OF THE BAD DEBT EXPENSE IN FISCAL YEAR 2022 WAS $310,364,734 AT CHARGES ($50,062,388 AT COST).

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
BASED ON THE ORGANIZATION'S ADMINISTRATION OF ITS FINANCIAL ASSISTANCE PROGRAM, NO ESTIMATE FOR BAD DEBT ATTRIBUTABLE TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS IS DEEMED APPLICABLE TO HOSPITAL OPERATIONS.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
THE ORGANIZATION IS PART OFASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THAT DISCUSSESBAD DEBT (IMPLICIT PRICE CONCESSIONS) EXPENSE IS LOCATED IN FOOTNOTE #2, PAGES 17-20, OF THE AUDITED FINANCIAL STATEMENTS.

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
A COST TO CHARGE RATIO IS APPLIED TO THE ORGANIZATION'S MEDICARE GROSS CHARGES TO CALCULATE MEDICARE COSTS, WHICH ARE THEN COMPARED TO MEDICARE PAYMENTS RECEIVED, TO DETERMINE A MEDICARE GAIN OR LOSS. ASCENSION HEALTH AND ITS RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION (CHA) GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT A MEDICARE SHORTFALL (LOSS) IS NOT TREATED AS COMMUNITY BENEFIT, EVEN THOUGH THE HOSPITAL HAS INCURRED LOSSES IN PROVIDING CARE TO MEDICARE PATIENTS. THEREFORE, NONE OF THE AMOUNT ON LINE 7 IS TREATED AS COMMUNITY BENEFIT.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
ASCENSION SETON FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED THE PATIENT'S ACCOUNT IS ADJUSTED IF ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS 365 Days MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED FOR THE AMOUNTS FOR WHICH THE PATIENT QUALIFIES.

Schedule H, Part V, Section B, Line 16a FAP website
A - Ascension Seton Medical Center Austin: Line 16a URL: SEE PT VI; A - Ascension Seton Edgar B. Davis: Line 16a URL: SEE PT VI; B - Ascension Seton Bastrop: Line 16a URL: SEE PT VI; C - Northwest Hills Surgical Hospital: Line 16a URL: SEE PT VI;

Schedule H, Part V, Section B, Line 16b FAP Application website
A - Ascension Seton Medical Center Austin: Line 16b URL: SEE PT VI; A - Ascension Seton Edgar B. Davis: Line 16b URL: SEE PT VI; B - Ascension Seton Bastrop: Line 16b URL: SEE PT VI; C - Northwest Hills Surgical Hospital: Line 16b URL: SEE PT VI;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
A - Ascension Seton Medical Center Austin: Line 16c URL: SEE PT VI; A - Ascension Seton Edgar B. Davis: Line 16c URL: SEE PT VI; B - Ascension Seton Bastrop: Line 16c URL: SEE PT VI; C - Northwest Hills Surgical Hospital: Line 16c URL: SEE PT VI;

Schedule H, Part VI, Line 4 Community information
The total population of the 11 county primary service area is estimated to be 2,511,652 residents in calendar year 2022 and is expected to increase by approximately 6.7% to 2,681,002 residents in five years. The average income of the primary service area is $123,087 based on Claritas-Environics 2022 Approximately 10% of the service area residents live below the poverty line, with 20% uninsured or Medicaid patients. Within the primary service area, there are 20 federally-designated medically underserved areas. There are 38 other acute care hospitals located within the primary service area.

Schedule H, Part VI, Line 7 State filing of community benefit report
TX

Schedule H, Part VI, Line 2 Needs assessment
Ascension Seton uses internal and external data and reports from third parties, including government sources, to assess the healthcare needs of the communities we serve. These reports provide key information about health, socioeconomic, demographic factors that identify areas of need and inform our strategies that help to meet those needs of our community. These reports include, but are not limited to: 1. Local and State Department of Health Reports 2. Local Government Planning Departments 3. US Census Bureau 4. Economic Impact Studies 5. Sg2 healthcare intelligence 6. Healthcare claims datasets 7. State datasets 8. CMS 9. CDC 10.Internal data sets. Ascension Seton utilizes information from these secondary sources to develop programs and provide appropriate services needed throughout the region. In addition, Ascension Seton considers the health care needs of the overall community when evaluating internal financial and operational decisions.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
Ascension Seton IS COMMITTED TO DELIVERING EFFECTIVE, SAFE, PERSON-CENTRIC, HEALTH CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT HOSPITAL, IT IS OUR MISSION AND PRIVILEGE TO PLAY THIS IMPORTANT ROLE IN OUR COMMUNITY. STAFF SCREEN UNINSURED PATIENTS AND IF FOUND POTENTIALLY ELIGIBLE FOR A GOVERNMENT FUNDING SOURCE, PROVIDE ASSISTANCE AND/OR RESOURCES TO THE PATIENT AND THEIR FAMILY. IF A PATIENT IS NOT ELIGIBLE FOR A PAYMENT SOURCE, Ascension Seton'S FINANCIAL ASSISTANCE POLICY COVERS PATIENTS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR ALL OR PART OF THEIR BILLS. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON THE ANNUAL FEDERAL POVERTY GUIDELINES. Ascension Seton PROVIDES FINANCIAL ASSISTANCE FOR THOSE WHO EARN UP TO 250% OF THE FEDERAL POVERTY LEVEL. And, patients with incomes above 250% of the FPL but not exceeding 400% of the FPL, will receive a sliding scale discount on that portion of the charges for services provided for which the Patient is responsible following payment by an insurer. Ascension Seton WIDELY PUBLICIZES ITS: - FINANCIAL ASSISTANCE POLICY - Amount Generally Billed Calculation - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE Plain Language Summary - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY - Billing and Collections Policy VIA THE HOSPITAL FACILITY'S WEBSITE - www.healthcare.ascension.org/Financial-Assistance/Texas Ascension Seton MAKES PAPER COPIES OF THE: - FINANCIAL ASSISTANCE POLICY - Amount Generally Billed Calculation - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE Plain Language Summary - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY - Billing and Collections Policy THE PAPER COPIES ARE MADE READILY AVAILABLE AS PART OF THE INTAKE, DISCHARGE AND CUSTOMER SERVICE PROCESSES. UPON REQUEST, PAPER COPIES CAN ALSO BE OBTAINED BY MAIL. Ascension Seton INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA A NOTICE ON PATIENT BILLING STATEMENTS, INCLUDING THE PHONE NUMBER AND WEB ADDRESS WHERE MORE INFORMATION MAY BE FOUND. Ascension Seton INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA SIGNAGE DISPLAYED IN THE EMERGENCY ROOM AND ADMISSIONS AREAS.

Schedule H, Part VI, Line 5 Promotion of community health
Ascension Seton's governing body is comprised of persons representing diverse aspects and interests of the community. Many members of the hospital governing bodies reside in the organization's primary service area; who are neither employees nor independent contractors of the organization, nor family members thereof. Applications for medical staff privileges at Ascension Seton hospital facilities are open to all qualified physicians in the community, subject to completing an Ascension Seton application and hospital privileging process to ensure that the applicant physician meets the requirements for the privileges requested by the applicant physician. Ascension Seton is continuously improving its patient care services to address the needs of the community we serve. Surplus funds generated from Ascension Texas' operations are reinvested in the organization's activities, including patient care.

Schedule H, Part VI, Line 6 Affiliated health care system
Ascension Seton IS A MEMBER OF ASCENSION. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS 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 HEALTHCARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN 19 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. Ascension Seton OPERATES A HOSPITAL FACILITIES in Travis, Hays, Williamson, Burnet, Caldwell and Bastrop counties and is part of Ascension Texas, WHICH OWNS AND OPERATES, DIRECTLY AND INDIRECTLY THROUGH JOINT VENTURES, HEALTH CARE RELATED ENTITIES, INCLUDING Ascension Seton Medical Center Austin, Dell Children's Medical Center of Central Texas, Dell Seton Medical Center at the University of Texas, Ascension Seton Hays, Ascension Seton Williamson, Ascension Seton Northwest, Ascension Seton Highland Lakes, Ascension Seton Southwest, Ascension Seton Edgar B. Davis, Ascension Seton Shoal Creek, Ascension Seton Smithville, Ascension Seton Bastrop, Pam Rehabilitation Hospital of Round Rock, Northwst Hills Surgical Hospital, Cedar Park Regional Medical Center, Seton Medical Center Harker Heights, Warm Springs Rehabilitation Hospial of Kyle, Central Texas Rehabilitaton Hospital and Ascension Providence. THE HEALTH SYSTEM PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF Central Texas and beyond.