Health care is a complicated industry, and community health is often discussed in terms of populations or demographics. But ultimately, our work is about individual people, and how with better health care and resources they can live better lives.
That includes all the people who’ve received quality care from St. David’s HealthCare in its 90-year history, which we celebrated in 2014. It includes all the people who’ve benefitted from the services provided by St. David’s Foundation’s more than 60 grant partners, who make such a huge difference in our community, as well as the Foundation’s own dental program. And it includes the people who’ve given of their time and treasure to support the Foundation and its work over the years.
As we reflect on the work of St. David’s in Central Texas over most of the past century, we also look forward to the future in which our continued growth and careful investment will have an even greater impact. Today, St. David’s Foundation is on the verge of becoming one of America’s top five health foundation funders, and our recently expanded mobile dental program is the largest such program in the country.
Our $58 million in community investments in 2014, which will grow to $65 million in 2015, included our largest gifts ever, for the new location of People’s Community Clinic and for a new mental health crisis center. We focus not only on making the wisest and most effective investments in the community, but also on investments in ourselves, to ensure St. David’s Foundation has the capacity and resilience to continue its contributions well into the future. We’ve completed an organizational assessment that has given us important insight on how to build out our staff and refine our governance structure. We’re also constructing a new office building that will house the Foundation as it grows, which we’ll be moving into later this year.
As we grow, we’re always interested in hearing from you — the people we serve, and the people who support us. As you’ll see in this report, the voices of the individuals whose lives are being changed by the work of the Foundation are the best and most rewarding evidence of our impact.
Earl Maxwell, CEO
Jerry E. Turner, Board Chair
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This page, clockwise from above:
One of St. David’s Foundation’s major goals is to help bridge gaps in our community’s health care safety net. This work not only directly benefits the underserved and underinsured residents of Central Texas, but also helps ensure the health of the entire community.
After 44 years, People’s Community Clinic (PCC) had reached its threshold. This longtime St. David’s Foundation grant partner needed to expand beyond its original location in Central Austin to continue to keep up with the growth in its services and in the community’s needs.
The Foundation responded with a $10 million grant for a new, twice as large facility for PCC, allowing the clinic to serve at least 10,000 more Central Texans each year. The new facility, north of U.S. 290 and east of I-35, “is in an area with a high unmet need for health care,” says PCC’s CEO Regina Rogoff. The original location, across from St. David’s Medical Center, will be transitioned into a dedicated women’s health clinic and continue seeing patients.
Along with the Foundation’s grants to other safety net clinics in the region, such as Lone Star Circle of Care in Georgetown and CommuniCare in Kyle, the investment in PCC
will keep the region moving toward its goal of providing people with the best possible access to care, regardless of their ability to pay.
Another major gap in regional health care is in behavioral health — specifically, for patients who need immediate attention but do not require hospitalization. An $8.9 million investment by the Foundation, in partnership with Austin/Travis County Integral Care and Central Health, will allow the creation of such a center in Southeast Austin that will provide clinically and cost effective treatment for people in mental health crisis.
Supporting more active lifestyles has proven to be an effective response to the increase in obesity and related illnesses, such as diabetes and heart disease. St. David’s Foundation invests in community health by creating public places where adults and children can play and exercise in their own communities.
For a long time, the park adjoining Southeast Austin’s Dove Springs Recreation Center “was not a very friendly place for kids,” says parent Hector Bardequez. “It had these little places for kids to play, and they were metal, and it was too hot in the summer. We live in the neighborhood, but we never came.”
This was more than an inconvenience — Dove Springs has among the highest rates of childhood obesity and related challengesin Central Texas, according to the work of Children’s Optimal Health. In addition to the substandard and off-putting play facilities, Dove Springs also suffered from public safety challenges, and many of the lower-income residents could not afford the fees for programs at the recreation center.
St. David’s Foundation collaborated with a number of community partners, including the Michael & Susan Dell Foundation, Austin Parks Foundation, and the City of Austin, and to renovate the park and build a new custom-
designed play scape, based on the input received from Dove Springs families. “My daughter had seen a zip line at camp and said she wanted to see it in the park. We thought that was impossible,” says Rodriguez. “But here it is! It’s really unbelievable.”
The Foundation also invested in a much more visible project that also helped make healthy community connections. The Boardwalk constructed to link the Ann and Roy Butler Hike and Bike Trail to southeast Austin has created a safe, accessible way for residents to walk, run and bike for both transportation and recreation. The $500,000 invested by the Foundation has reaped dividends already, as more than 15,000 people use the new trail section every day.
St. David’s Foundation is helping build the future health care workforce in Central Texas with scholarships and loan repayment programs. These efforts are helping the region respond to its growth and are deepening the connections between these new providers and the community.
Jona Mata’s father told her “that I had to look for as many scholarships as I could,” the University of Texas at Austin senior recounts. “So when I searched online for health care scholarships, the St. David’s Neal Kocurek Scholarship was the first one I found. ... It was a difficult interview, very thorough, but everyone was very nice and I could tell that they really cared.”
Mata, whose goal is to be a pediatrician for underserved communities, is one of more than 300 students who have received St. David’s Neal Kocurek Scholarship, which provide $7,500 in annual support for up to eight years of study in health care at over 40 colleges and universities. The generous support of private donors participating in St. David’s Toast of the Town series make the scholarships possible.
In addition to the financial support, students are matched with mentors — providers and professionals in the St. David’s HealthCare family who help scholars as they navigate both the demands of their studies and the transition into a new phase of adulthood. This year, 54 new scholarships were awarded, a record for the program. In addition, over 20 scholarships were awarded through the ACC Endowed Scholarship Program.
For medical school graduates entering the field, the Foundation provides support through a loan repayment program for members of the St. David’s Public Health Corps. These providers, like Mata, want to serve lower-income communities but find it financially challenging to repay their student loans. The Public Health Corps bridges the gap with up to $30,000 annually for four years in supplemental income to these physicians, nurses, and other providers, many of whom are working with St. David’s grant partners providing safety-net care. In addition to financial support to individuals, St. David’s Foundation supports many other health care programs at higher education institutions in Central Texas, including the St. David’s School of Nursing at Texas State University (below).
Oral health is a fundamental component of overall wellness, but quality dental care has traditionally been difficult for many families to access. The St. David’s Dental Program is now the largest charity mobile dental program in the country and a model for the nation.
With its expansion in 2014, the dental program now includes more than 50 clinicians and a fleet of nine vans. The program treats more than 11,000 school children at high-needs elementary campuses in six local school districts throughout the school year. When school isn’t in session, the dental vans travel to area clinics and social service agencies and treat adult patients referred by the Foundation’s partner safety-net clinics.
This translates into millions of dollars worth of services and screenings provided to Central Texas each year — all supported by the Foundation’s philanthropy and delivered free of charge to low income families.
Beyond the clinical care, St. David’s Dental Program has a vibrant oral health education program. Children and adults learn proper brushing and flossing techniques, and everyone goes home with a new toothbrush, floss and timer so they can brush for two minutes, two times a day.
Since 1924, St. David’s HealthCare has touched the lives of hundreds of thousands of Central Texans. We collected some of those stories as part of our commemoration of the 90th Anniversary, both in the book St. David’s: 90 Years and Counting published in partnership with Texas Monthly Custom Publishing, and in video vignettes. We’ve shared those stories with the community online, in presentations, and at the 90th Anniversary signature event held in November. Retired local news legends Ron Oliviera and Judy Maggio served as hosts for the event, which welcomed more than 600 past and present members and friends of the St. David’s family.
These stories were collected from employees, patients, volunteers and others associated with St. David’s, showing the vast impact quality health care can have on a community. Extensive interviews were held to capture the history of St. David’s, as well as a joint effort among all hospitals to collect historical photos and other archive materials for the book. Click here to see all of the stories.
The unique relationship between St. David’s HealthCare and St. David’s Foundation allows for hospital proceeds to be reinvested in Central Texas. This year, the Foundation will invest more than $65 million in programs and initiatives that will help us achieve our goal of making Central Texas the healthiest community in the world.
The St. David’s tradition of quality was recognized when St. David’s HealthCare received the prestigious Malcolm Baldrige National Quality Award, one of only four recipients in the nation in 2014 (pictured above). The award is the highest Presidential honor for performance excellence through innovation, improvement and visionary leadership. St. David’s HealthCare is the first health care system in Texas to ever receive the award.
Even as St. David’s HealthCare looked back to its past, it charged forward into its future with new programs and new facilities:
Through the dedicated and skilled efforts of more than 60 grant partner organizations, St. David’s Foundation’s investments are leading to healthier outcomes for all kinds of Central Texans—in clinical settings, in schools and workplaces, and in the community. In 2014, we invested more than $58M in the health of Central Texans.
hover over each icon for a list of our grant partners
St. David’s Foundation Board
St. David’s Foundation Community
Health Access Committee
St. David’s Foundation
Community Fund Board
St. David’s Foundation
Chair’s Emeritus Council
St. David’s Foundation
St. David’s Foundation
Community Fund Leadership
Summarized Statements of Financial Position
($ in millions, as of December 31st)
|Cash and investments, at market||430||378|
|Investments in St. David's Partnership||308||285|
Summarized Statements of Activity
($ in millions, year ended December 31st)
|Support and Revenue|
|Income from St. David's Partnerships||122||94|
|Management & General||5||4|
|Change in Net Assets||67||85|
|Net Assets, Beginning of Year||649||564|
|Net Assets, End of Year||$716||$649|