With more than 110 sites across Central Texas, St. David’s HealthCare includes seven of the area’s leading hospitals and is one of the largest health systems in Texas. The organization was recognized with a Malcolm Baldrige National Quality Award—the nation’s highest presidential honor for performance excellence—in 2014. St. David’s HealthCare is the third-largest private employer in the Austin area, with more than 9,000 employees. St. David’s HealthCare is a unique partnership between a hospital management company and two local non-profits—St. David’s Foundation and Georgetown Health Foundation. The proceeds from the operations of the hospitals fund the foundations, which, in turn, invest those dollars back into the community. Since the inception of St. David’s HealthCare in 1996, more than $379 million have been given back to the community to improve the health and healthcare of people in Central Texas. St. David's HealthCare is part of HCA Healthcare. HCA Healthcare has been continually named a World's Most Ethical Company by Ethisphere since 2010. In 2019, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.