2015-05-14T12:41:57-05:00 2014-06-30 861065772 Deloitte Tax LLP 250 East Fifth Suite 1900 Cincinnati OH 45202 990 2013-07-01 860455920 Carondelet Health Network CARO 5208727796 2202 N Forbes Blvd Tucson AZ 85745 Tonya Mershon Tax Director-Ascension Health 5208727796 2015-05-14 1 Rebecca Lyons P01487105 5137847100 2013 2016-03-07 17:11:31Z James K Beckmann Jr 2202 N Forbes Blvd Tucson AZ 85745 484818588 0 0928 X www.carondelet.org X 1987 AZ Provide for the healthcare needs of the community. 7 6 4175 344 1668802 -301309 5697330 7536683 420285017 462933176 500139 1021573 12724357 11245433 439206843 482736865 195746 138865 0 0 214055734 215979639 0 0 0 239048956 358165009 453300436 574283513 -14093593 -91546648 558236270 400224078 313331010 352915940 244905260 47308138 Provide for the healthcare needs of the community; to embrace the person in mind, body and spirit; and to serve all people with dignity. 0 0 481769967 138865 469916448 During fiscal year 2014, Carondelet Health Network provided $72.3M, or 14.8% of net revenue, in community benefit to the residents of Southern Arizona. Each year, Carondelet Health Network provides community education and outreach, free immunization clinics for children, health screenings, and community spiritual care and outreach services for the poor and vulnerable. As a Catholic, faith-based healing ministry, Carondelet Health Network is deeply committed to transforming health care through active collaboration with community organizations and non-profit organizations to identify and address community need to improve health and well-being for life. See Schedule H for Community Benefit Report. 481769967 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 X 595 0 1 4175 1 1 1 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 1 AZ X Alan Strauss 5208727796 2202 N Forbes Blvd Tucson AZ 85745 X John Lauer Chair 0.50 0.50 X X 0 0 0 Elizabeth Kaminski end 214 Secretary/Treasurer 0.50 0.50 X X 0 0 0 Sr Annette Bower start 414 Director 0.50 0.50 X 0 0 0 Marcel Dabdoub end 214 Director 0.50 0.50 X 0 0 0 Steve Eggen Director 0.50 0.50 X 0 0 0 John JackForsythe end 1013 Director 0.50 0.50 X 0 0 0 Wade Harman JD end 214 Director 0.50 0.50 X 0 0 0 Karl Hekimian MD end 1013 Director 0.50 0.50 X 0 0 0 Robert Henkel start 1113 Director 0.50 50.00 X 0 4376097 69523 Joseph Impicciche start 1113 Director 0.50 50.00 X 0 3102348 115026 Sheldon King end 214 Director 0.50 0.50 X 0 0 0 Christopher Linscott end 214 Director 0.50 0.00 X 0 0 0 Fran Roberts PhD end 214 Director 0.50 0.00 X 0 0 0 Sr Pat Rosholt end 214 Director 0.50 0.00 X 0 0 0 Anthony J Speranzostart 1113 Director 0.50 50.00 X 0 5530530 67180 William Stout end 214 Director 0.50 0.00 X 0 0 0 James K Beckmann Jr President/CEO (Ex-Officio) 45.00 15.00 X X 1605120 0 82174 Amy Elizabeth Beiter President/CEO-CSM 50.00 10.00 X 391715 0 61900 Anthony Fonze President/CEO-CSJ 60.00 0.00 X 377025 0 49548 Alan Strauss CFO-CHN 45.00 15.00 X 0 694954 50287 Christen Castellano Sr. VP Strategy 60.00 0.00 X 326839 0 45301 Donald Denmark VP CMO 60.00 0.00 X 422212 0 67180 Martha Gerganoff Sr. VP CNO 60.00 0.00 X 275674 0 55859 Robin Conklin VP CNO-CSJ 40.00 0.00 X 217129 0 43476 Heather Bathen VP Revenue Cycle-CHN 40.00 0.00 X 206479 0 1668 Donna Zazworsky VP Community Health CHN 40.00 0.00 X 175917 0 45086 Christopher Wernke Director Sr Pharmacy 40.00 0.00 X 159107 0 27287 Rex Williams Director Pharmacy 40.00 0.00 X 155543 0 28247 Mary Henrickson end 1012 Former CEO-CSJ 0.00 0.00 X 241235 0 977 Dororthy Sawyer end 1012 Former CEO-CSM 0.00 0.00 X 239258 0 1020 Debra Mohesky Former CFO 0.00 0.00 X 342258 0 4285 Debra Finch end 413 Former VP COO/CNO 0.00 0.00 X 145329 0 1942 Daisy Jenkins end 613 Former Sr. VP HR 0.00 0.00 X 480705 0 42347 Patricia Martinez end 613 Frmr VP Chief Qual Officer 0.00 0.00 X 402256 0 32681 Richard Imwalle Former VP Mktg-CHN/CEO-Fnd 25.00 25.00 X 301741 0 41396 6465542 13703929 934390 131 1 1 0 Accretive Health 39918 Treasury Center Chicago IL 60694 Patient Financial Services 19295446 Morrison Management Specialists 5801 Peachtree Dunwoody Rd Atlanta GA 30342 Nutritional Services 16028905 TriMedx LLC PO Box 636129 Cincinnati OH 45263 Medical Equipment Maintenance 8035226 Diversified Design and Construction 3237 E Ft Lowell Rd Tucson AZ 85716 Construction 7771692 Cogent Healthcare of Arizona PO Box 645037 Cincinnati OH 45264 Healthcare Services 6321550 56 7390056 146627 7536683 Net Patient Services 621990 429831641 429297270 534371 Joint Ventures 621990 22706867 21784633 922234 Corporate Allocation 561000 10394668 10394668 462933176 1004468 1004468 1728882 1835911 -107029 -107029 22596 -129625 262917 245812 17105 17105 17105 ARRA 900099 3868767 3868767 Cafeteria/ Vending Rev 722210 2722984 2722984 Child Care 621990 658964 500936 158028 4101747 4047578 54169 11352462 482736865 469916448 1668802 3614932 X 138865 138865 3536166 1131573 2404593 2152783 688890 1463893 171500662 157650187 13850475 7641869 6877682 764187 18129918 16316926 1812992 13018241 11716417 1301824 488226 415070 73156 1587387 476216 1111171 1039914 343172 696742 84143 84143 74194185 44516511 29677674 1516409 1288948 227461 9897906 9403011 494895 27458279 24712451 2745828 6286948 5614234 672714 509798 322449 187349 7104547 6388368 716179 1541558 1541558 20924216 18831794 2092422 3104938 2794444 310494 Restructuring Charges 105210844 84168675 21042169 0 Med/Operating Supplies 83944750 75550275 8394475 0 Provider Tax Expense 5228049 5228049 0 0 Pt./Dietary Cafeteria 3023403 2721063 302340 0 5019509 2848996 2170513 574283513 481769967 92513546 0 5690898 5953165 55162982 55830315 9904547 9149517 1788436 1604008 378378137 231937660 250814398 146440477 234875009 181246596 558236270 400224078 55283667 46590874 3716509 2886854 254330834 303438212 313331010 352915940 X 244572222 47142544 333238 165594 0 244905260 47308138 558236270 400224078 X -91546648 231903 -106282377 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 84143 84143 0 Part II-B, Line 1: Other activities represent the portion of dues paid to national and state hospital associations that is expended by the associations for lobbying and travel expenses to attend association lobbyist meetings. Carondelet Health Network does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. 7986091 651677 2789973 5847795 7105534 880557 7986091 7291345 -185811 7105534 6337390 1004559 50604 7291345 6306720 0 389627 358957 6337390 0.45200 0.38700 0.16100 0 1 1 542430 31436063 31978493 210579863 49888494 160691369 6081289 3510573 2570716 98581982 70719621 27862361 31156510 107818972 -76662462 146440477 Investment in Unconsolidated Entities 91036180 Due from Affiliates 74503758 Other Receivables 5563818 Other Long-Term Investments 3497584 Deferred Compensation Assets 2915238 Physician Guarantees and Other Misc 1675370 Assets Held for Sale - Current 1637411 Assets Limited as to Use 165594 Estimated Settlements from Third Party Payors 151110 Interest in Investments Held by Ascension Health Alliance's Alpha Fund 100533 181246596 Intercompany Debt to Ascension Health Alliance 226156205 Settlements to Third Party Payors 39025117 Graham Group Lease Obligation 20300000 Other Miscellaneous 9791338 Self Insurance Liability 5250314 Deferred Compensation Liability 2915238 303438212 Part V, Line 4: To support program services for St. Mary's and St. Joseph's hospitals. 1 1 X 1 X 400.000000000000 1 X 1 1 0 1 1 1 15749453 5228049 10521404 0.01830 1 78199892 39803684 38396208 0.06690 0.00000 2 93949345 45031733 48917612 0.08520 19 3524 4657231 343600 4313631 0.00750 1 490 4488491 4488491 0.00780 6 11081 35109042 29825356 5283686 0.00920 0.00000 49 7800 418524 418524 0.00070 75 22895 44673288 30168956 14504332 0.02520 77 22895 138622633 75200689 63421944 0.11040 0.00000 7 55185 55185 0.00010 1 1255 1255 0.00000 0.00000 1 43 43 0.00000 0.00000 2 380 380 0.00000 0.00000 0.00000 11 56863 56863 0.00010 0 7582008 7214041 221041219 251063226 -30022007 X 1 1 1 St Joseph's Family Practice Physician Services 0.30000 0.00000 0.30000 2 Carondelet Surgical Centers LLC Surgery 0.38410 0.00000 0.55900 3 Tucson Mountain Medical Building Associates LLC Propery Rental 0.20670 0.00000 0.38390 2 1 St Joseph's Hospital 350 N Wilmot Tucson AZ 85711 www.carondelet.org H0099 X X X A 2 St Mary's Hospital 160 W St Marys Rd Tucson AZ 85745 www.carondelet.org H0011 X X X A Group A 1 X X X X X X X X X 12 1 1 1 X www.carondelet.org/about/community-benefi X X X X X X X X X 0 0 1 1 400.000000000000 1 400.000000000000 1 X X X X X X 1 1 X X 1 0 1 X 0 0 Part V, Section B Facility Reporting Group A Facility Reporting Group A consists of: - Facility 1: St. Joseph's Hospital, - Facility 2: St. Mary's Hospital Facility 1 -- St. Joseph's Hospital Part V, Section B, line 3: In addition to conducting surveys, the following key informants were consulted during the CHNA process:- Michele Barnard, The University of Arizona Medical Center- Odette Bolano, Carondelet Health Network- Jessamyn Bowling, Candidate, The University of Arizona College of Public Health- Juliet Charron, Candidate, The University of Arizona College of Public Health- Andrea Chiasson, United Way of Southern Arizona- Patricia Coyle, Coyle Creative Solutions- Kayla DeRosa, The University of Arizona- Dr. Howard Eng, The University of Arizona College of Public Health- Mindy Fain, The University of Arizona Center on Aging- Michal Goforth, Pima County Access Program- Scott Going, UA Nutritional Sciences Department- Taz Greiner, Carondelet Obesity Prevention- Andrew J Gall, The University of Arizona College of Public Health- Chuck Huckleberry, Pima County- Maia Ingram, The University of Arizona College of Public Health- Cheryl Kohout, Tucson Medical Center- Jan Lesher, Pima County- Jody Mansfield, The University of Arizona Health Network- Brad McKinney, Pima County Health Department- Karen Mlawsky, The University of Arizona Medical Center- Jim Murphy, Pima Council on Aging- Christopher "Kit" O'Connor, The University of Arizona School of Natural Resources- Honey Pivirotto, Pima County Health Department- Judy Rich, Tucson Medical Center- Dorothy Sawyer, St. Mary's Hospital- Joe Snell, TREO- Julia Strange, Tucson Medical Center- Andy Theodoro, The University of Arizona Medical Center- Donna Zazworsky, Carondelet Heatlh Network- Debra Adams COO Pima Council on Aging- Suzy Bourque Caregiver Specialist Pima Council on Aging- Dr. Michael Ellis Chief of Behavioral Health Marana Health Center Healthcare- Dawn Godowski Clinical Supervisor Marana Health Center Healthcare- Mary Carter Director of Special Projects Marana Health Center Healthcare- Michal Goforth Executive Director Pima Community Access Program- Brenda Goldsmith Executive Director El Rio Health Center Foundation- Kristine Hansen Principal Whitemore Elementary School- Penelope Jacks Director Children's Action Alliance, Southern AZ- Marie Marchal Director of Business development HealthSouth Rehabilitation Institute of Tucson- Jennifer Pashley Medical Case Manager International Rescue Committee in Tucson- Honey Pivirotto Assistant County Administrator for Health Policy Pima County Health Department- Dr. William Martz Chief Medical Director Pima County Health Department- Larry Kraus Director, Department of Institutional Health Pima County Health Department- Pat Benchik Behavioral Health Administrator Pima County Health Department- Sherry Daniels Director Pima County Health Department- Karen Ring Health Living Program Coordinator Pima Council on Aging- Lauren Schroeder, MPH Well-Being Promotion Program Coordinator International Rescue Committee in Tucson- Yolanda Sevillano, MA Case Manager Pima County. Facility 1 -- St. Joseph's Hospital Part V, Section B, line 4: The hospital facility's CHNA was conducted with the following other hospital facilities: University of Arizona State Medical Center and Tucson Medical Center Facility 1 -- St. Joseph's Hospital Part V, Section B, line 5d: Facility 1 -- St. Joseph's Hospital Part V, Section B, line 7: Carondelet St. Joseph's Hospital Needs Not Being Addressed as a Priority RationalAccess to Healthcare1. Federal Medically Underserved Areas or Population of Pima County to include Ajo, Tohono O'odham, Pascua Yaqui This need will not be addressed because these areas are currently being served by either a Federally Qualified Health Center or Indian Health Services. CHN works with the Tohono O'odham Nation and Indian Health Services on a Partnership for Patients program. Health Status(Leading Causes of Death)2. Malignant Neoplasms This need will not be addressed as priority. Carondelet has a full array of oncology services. Carondelet Neurological Institute (CNI) partners with Arizona Oncology, Western Neurosurgery, and Radiology Ltd. to provide comprehensive oncology care. CSM partners with Arizona State Radiology and Arizona Oncology to provide comprehensive oncology care. The Breast Center at Carondelet St. Mary's is dedicated to a comprehensive, interdisciplinary approach that covers the entire spectrum of breast care, including screening, risk assessment, diagnosis and treatment of both benign and malignant conditions. The Breast Center offers a Patient Navigator to assist women that have an abnormal examination or a positive finding to find their way through the healthcare system. University of Arizona Medical Center (UAMC) operates the UA Cancer Center.3. AccidentsMotor vehicle, Falls, Poisonings, Drowning This need will not be addressed as a priority. Of the top four deaths related to accidents, Pima County ranks higher than the state in only one, motor vehicle accidents. Pima County and the City of Tucson are addressing this issue with red light cameras.4. Chronic Lower Respiratory Disease This need will not be addressed as a priority. CHN has a range of pulmonary services including CSJ Pulmonary Rehabilitation program to help patients cope with Chronic Lower Respiratory Disease. CHN participates in the Fight for Air Walk which promotes awareness of healthy lungs and healthy air. Community resources include the American Lung Association.5. Drug-induced Death, Suicide, and Excessive Drinking These needs will not be addressed as a priority. CSJ has a 15 bed intensive inpatient chemical dependency and behavior health program and is in the process of starting an outpatient chemical dependency program. In addition, this need is being address by a variety of organizations in Pima County. Community resources include:a. COPE Behavioral Services, Inc. b. CODAC Behavior Health Services, Inc. c. La Frontera Centerd. Amity Foundatione. Arizona Suicide and Crisis Hotlines - http://www.suicidehotlines.com/arizona.html f. Southern Arizona Mental Health Corporationg. Lutheran Social Services of the Southwesth. Jewish Family & Children's Services Of Southern Arizonai. Crisis Response Network of Southern ArizonaModifiable Risk Factors6. Smoking This need will not be addressed as a priority. CHN maintains a smoke free campus. Arizona and Pima County have the Arizona Smokers Help Line (ASHLine). Pima County maintains a smoking cessation program and bans the use of tobacco products on most county properties and facilities. Community resources include: a. ASHLineb. Pima County Tobacco and Chronic Disease Programc. Pima County bans the use of tobacco products on most county properties and facilitiesWomen's and Children's Services7. Infant Mortality Rate This need will not be addressed as a priority. CHN does not have a pediatric unit. This population is served by the University of Arizona Medical Center (UAMC) and Tucson Medical Center (TMC). Infectious Diseases8. Syphilis, Chlamydia, Gonorrhea, HIV/AIDS This need will not be addressed as a priority. Pima County Health Department operates an STD/HIV clinic. Natural, Social and built Environment9. Air Quality This need will not be addressed as a priority. Pima County has the Air Program under the Pima County Department of Environmental Quality that works to maintain healthy air quality for Pima County. 10. Homicide Rate/Firearms This need will not be addressed as a priority. CHN will continue to maintain a firearm free campus. Pima County Sheriff's Department operates a Community Resources Unit (CR). This unit provides timely, important public safety information to the citizens and media outlets of Southern Arizona. The CR Unit manages the Sheriff's Auxiliary Volunteer (SAV) program that provides up to date crime prevention information as well as oversight to hundreds of Neighborhood Watch groups in unincorporated Pima County.11. Child Injury from Family/Relative Abuse This need will not be addressed as a priority. CHN does report suspected abuse to Child Protective Services (CPS). The state of Arizona has committed to hiring 50 additional CPS workers. Facility 1 -- St. Joseph's Hospital Part V, Section B, line 14g: In addition to being available upon request, a plain language summary is posted on the hospital facility's website, in the hospital facility's emergency rooms or waiting rooms, in the hospital facility's admissions offices, and in patients' financial statements when sent. Facility 1 -- St. Joseph's Hospital Part V, Section B, line 20d: Per the Carondelet Health Network Financial Assistance Policy:Charges for emergency or other medically necessary care provided topersons who are eligible for financial assistance under this policy shallnot exceed the amounts generally billed to individuals who have insurancecoverage for such care. Facility 2 -- St. Mary's Hospital Part V, Section B, line 3: In addition to conducting surveys, the following key informants were consulted during the CHNA process:- Michele Barnard, The University of Arizona Medical Center- Odette Bolano, Carondelet Health Network- Jessamyn Bowling, Candidate, The University of Arizona College of Public Health- Juliet Charron, Candidate, The University of Arizona College of Public Health- Andrea Chiasson, United Way of Southern Arizona- Patricia Coyle, Coyle Creative Solutions- Kayla DeRosa, The University of Arizona- Dr. Howard Eng, The University of Arizona College of Public Health- Mindy Fain, The University of Arizona Center on Aging- Michal Goforth, Pima County Access Program- Scott Going, UA Nutritional Sciences Department- Taz Greiner, Carondelet Obesity Prevention- Andrew J Gall, The University of Arizona College of Public Health- Chuck Huckleberry, Pima County- Maia Ingram, The University of Arizona College of Public Health- Cheryl Kohout, Tucson Medical Center- Jan Lesher, Pima County- Jody Mansfield, The University of Arizona Health Network- Brad McKinney, Pima County Health Department- Karen Mlawsky, The University of Arizona Medical Center- Jim Murphy, Pima Council on Aging- Christopher "Kit" O'Connor, The University of Arizona School of Natural Resources- Honey Pivirotto, Pima County Health Department- Judy Rich, Tucson Medical Center- Dorothy Sawyer, St. Mary's Hospital- Joe Snell, TREO- Julia Strange, Tucson Medical Center- Andy Theodoro, The University of Arizona Medical Center- Donna Zazworsky, St. Mary's Hospital- Michele Barnard, The University of Arizona Medical Center- Odette Bolano, Carondelet Health Network- Jessamyn Bowling, Candidate, The University of Arizona College of Public Health- Juliet Charron, Candidate, The University of Arizona College of Public Health- Andrea Chiasson, United Way of Southern Arizona- Patricia Coyle, Coyle Creative Solutions- Kayla DeRosa, The University of Arizona- Dr. Howard Eng, The University of Arizona College of Public Health- Mindy Fain, The University of Arizona Center on Aging- Michal Goforth, Pima County Access Program- Scott Going, UA Nutritional Sciences Department- Taz Greiner, Carondelet Obesity Prevention- Andrew J. Gall, The University of Arizona College of Public Health- Chuck Huckleberry, Pima County- Maia Ingram, The University of Arizona College of Public Health- Cheryl Kohout, Tucson Medical Center- Jan Lesher, Pima County- Jody Mansfield, The University of Arizona Health Network- Brad McKinney, Pima County Health Department- Karen Mlawsky, The University of Arizona Medical Center- Jim Murphy, Pima Council on Aging- Christopher "Kit" O'Connor, The University of Arizona School of Natural Resources- Honey Pivirotto, Pima County Health Department- Judy Rich, Tucson Medical Center- Dorothy Sawyer, St. Mary's Hospital- Joe Snell, TREO- Julia Strange, Tucson Medical Center- Andy Theodoro, The University of Arizona Medical Center- Donna Zazworsky, Carondelet Heatlh Network- Debra Adams COO Pima Council on Aging- Suzy Bourque Caregiver Specialist Pima Council on Aging- Dr. Michael Ellis Chief of Behavioral Health Marana Health Center Healthcare- Dawn Godowski Clinical Supervisor Marana Health Center Healthcare- Mary Carter Director of Special Projects Marana Health Center Healthcare- Michal Goforth Executive Director Pima Community Access Program- Brenda Goldsmith Executive Director El Rio Health Center Foundation- Kristine Hansen Principal Whitemore Elementary School- Penelope Jacks Director Children's Action Alliance, Southern AZ- Marie Marchal Director of Business development HealthSouth Rehabilitation Institute of Tucson- Jennifer Pashley Medical Case Manager International Rescue Committee in Tucson- Honey Pivirotto Assistant County Administrator for Health Policy Pima County Health Department- Dr. William Martz Chief Medical Director Pima County Health Department- Larry Kraus Director, Department of Institutional Health Pima County Health Department- Pat Benchik Behavioral Health Administrator Pima County Health Department- Sherry Daniels Director Pima County Health Department- Karen Ring Health Living Program Coordinator Pima Council on Aging- Lauren Schroeder, MPH Well-Being Promotion Program Coordinator International Rescue Committee in Tucson- Yolanda Sevillano, MA Case Manager Pima County. Facility 2 -- St. Mary's Hospital Part V, Section B, line 4: The hospital facility's CHNA was conducted with the following other hospital facilities: University of Arizona State Medical Center and Tucson Medical Center Facility 2 -- St. Mary's Hospital Part V, Section B, line 7: Carondelet St. Mary's Hospital Needs Not Being Addressed as a Priority Rational Access to Healthcare1. Federal Medically Underserved Areas or Population of Pima County to include Ajo, Tohono O'odham, Pascua Yaqui This need will not be addressed because these areas are currently being served by either a Federally Qualified Health Center or Indian Health Services CHN works with the Tohono O'odham Nation and Indian Health Services on a Partnership for Patients program. 2. Mental health Professional Shortage Area This need will not be addressed as a priority. Carondelet St, Joseph's Hospital (CSJ) does have a 15 bed intensive inpatient chemical dependency and behavior health program and is in the process of starting an outpatient chemical dependency program. In addition, this need is being address by a variety of organizations in Pima County. Community resources include:a. COPE Behavioral Services, Inc. b. CODAC Behavior Health Services, Inc. c. La Frontera Centerd. Amity Foundatione. Arizona Suicide and Crisis Hotlines - http://www.suicidehotlines.com/arizona.html f. Southern Arizona Mental Health Corporationg. Lutheran Social Services of the Southwesth. Jewish Family & Children's Services Of Southern Arizonai. Crisis Response Network of Southern Arizonaj. Tucson Chapter of the National Alliance on Mental Illness (NAMI)k. Palo Verde hospital Behavioral health Services at TMCl. Sonora Behavioral HealthHealth Status(Leading Causes of Death)3. Malignant Neoplasms This need will not be addressed as priority. Carondelet has a full array of oncology services. CSM partners with Arizona State Radiology and Arizona Oncology to provide comprehensive oncology care. The Breast Center at Carondelet St. Mary's is dedicated to a comprehensive, interdisciplinary approach that covers the entire spectrum of breast care, including screening, risk assessment, diagnosis and treatment of both benign and malignant conditions. The Breast Center offers a Patient Navigator to assist women that have an abnormal examination or a positive finding to find their way through the healthcare system. Carondelet Neurological Institute (CNI) partners with Arizona Oncology, Western Neurosurgery, and Radiology Ltd. to provide comprehensive oncology care. University of Arizona Medical Center (UAMC) operates the UA Cancer Center.4. Cerebrovascular Disease This need will not be addressed as a priority. CSM and CSJ will continue annual AHA stroke screenings. CSJ will address this need by expanding CNI outreach and maintaining satellite clinics in Green Valley/Sahuarita. 5. Accidents Motor vehicle, Falls, Poisonings, Drowning This need will not be addressed as a priority. Of the top four deaths related to accidents, Pima County ranks higher than the state in only one, motor vehicle accidents. Pima County and the City of Tucson are addressing this issue with red light cameras. 6. Chronic Lower Respiratory DiseaseThis need will not be addressed as a priority. CHN has a range of pulmonary services including CSJ Pulmonary Rehabilitation program to help patients cope with Chronic Lower Respiratory Disease. CHN participates in the Fight for Air Walk which promotes awareness of healthy lungs and healthy air. Community resources include the American Lung Association.7. Drug-induced Death, Suicide, and Excessive Drinking These needs will not be addressed as a priority. CSJ has a 15 bed intensive inpatient chemical dependency and behavior health program and is in the process of starting an outpatient chemical dependency program. In addition, this need is being address by a variety of organizations in Pima County. Community resources include:a. COPE Behavioral Services, Inc. b. CODAC Behavior Health Services, Inc. c. La Frontera Centerd. Amity Foundatione. Arizona Suicide and Crisis Hotlines - http://www.suicidehotlines.com/arizona.html f. Southern Arizona Mental Health Corporationg. Lutheran Social Services of the Southwesth. Jewish Family & Children's Services Of Southern Arizonai. Crisis Response Network of Southern ArizonaModifiable Risk Factors8. Smoking This need will not be addressed as a priority. CHN maintains a smoke free campus. Arizona and Pima County have the Arizona Smokers Help Line (ASHLine). Pima County maintains a smoking cessation program and bans the use of tobacco products on most county properties and facilities. Community resources include: a. ASHLineb. Pima County Tobacco and Chronic Disease Programc. Pima County bans the use of tobacco products on most county properties and facilitiesWomen's and Children's Services9. Infant Mortality Rate This need will not be addressed as a priority. CHN does not have a pediatric unit. This population is served by the University of Arizona Medical Center (UAMC) and Tucson Medical Center (TMC). 10. Lower Prenatal Care in First Trimester This need will not be addressed as a priority. CSJ will address this need by maintaining Primeros Pasos Clinic. Primeros Pasos Clinic provides comprehensive obstetrical health care services, free pregnancy testing, and prenatal education classes. Additional county services include Lasos Familias and the Pima County Health Department.Infectious Diseases11. Syphilis, Chlamydia, Gonorrhea, HIV/AIDS This need will not be addressed as a priority. Pima County Health Department operates an STD/HIV clinic. Natural, Social and built Environment12. Air Quality This need will not be addressed as a priority. Pima County has the Air Program under the Pima County Department of Environmental Quality that works to maintain healthy air quality for Pima County. 13. Homicide Rate/Firearms This need will not be addressed as a priority. CHN will continue to maintain a firearm free campus. Pima County Sheriff's Department operates a Community Resources Unit (CR). This unit provides timely, important public safety information to the citizens and media outlets of Southern Arizona. The CR Unit manages the Sheriff's Auxiliary Volunteer (SAV) program that provides up to date crime prevention information as well as oversight to hundreds of Neighborhood Watch groups in unincorporated Pima County.14. Child Injury from Family/Relative Abuse This need will not be addressed as a priority. CHN does report suspected abuse to Child Protective Services (CPS). The state of Arizona has committed to hiring 50 additional CPS workers. Facility 2 -- St. Mary's Hospital Part V, Section B, line 14g: In addition to being available upon request, a plain language summary is posted on the hospital facility's website, in the hospital facility's emergency rooms or waiting rooms, in the hospital facility's admissions offices, and in patients' financial statements when sent. Facility 2 -- St. Mary's Hospital Part V, Section B, line 20d: Per the Carondelet Health Network Financial Assistance Policy:Charges for emergency or other medically necessary care provided topersons who are eligible for financial assistance under this policy shallnot exceed the amounts generally billed to individuals who have insurancecoverage for such care. 14 Carondelet Medical Mall Green Valley 400 W Camino Casa Verde Suite 200 Green Valley AZ 85614 Physician Offices Carondelet St Mary's Imaging Center (SM 395 N Silverbell Road Tucson AZ 85745 Imaging Center Carondelet River Stone Imaging Center 4892 N Stone Avenue Suite 180 Tucson AZ 85704 Imaging Center Carondelet Imaging Center (CIC) 630 N Alvernon Way Suite 150 Tucson AZ 85711 Imaging Center Carondelet Hospice & Palliative Care 1802 W St Marys Road Tucson AZ 85745 Hospice Carondelet Medical Mall - Rita Ranch 8290 S Houghton Road Tucson AZ 85747 Physician Offices Carondelet Medical Laboratory 1620 W St Marys Road Tucson AZ 85745 Laboratory Services Carondelet Heart & Vascular Imaging Cent 6567 E Carondelet Drive Suite 185 Tucson AZ 85711 Imaging Center Carondelet Neurological Institute Sterot 6567 E Carondelet Drive Suite 185 Tucson AZ 85711 Neurology/Radiosurgery Services Carondelet Neurological Institute Spine 6567 E Carondelet Drive Suite 355 Tucson AZ 85711 Neurosurgery/Treatment of Spinal Disorders Carondelet St Joseph's Ctr for Advanced 6565 E Carondelet Drive Tucson AZ 85711 Wound Care CHN Primeros Pasos South 4600 S Park Avenue Tucson AZ 85714 Prenatal Clinic O'Reilly Transitions Intensive Outpatien 350 N Wilmot Road Tucson AZ 85711 Behavioral Health Nogales Rehab 857 W Bell Road Suite 3 Nogales AZ 85621 Rehab Services Part I, Line 6a: The organization prepares and files its annual Community Benefit Plan Report. This report is prepared on a consolidated basis and includes data for Carondelet Health Network, Holy Cross Hospital, and Carondelet Foundation. Part I, Line 7: The cost of providing charity care, means tested government programs, and 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. Part I, Line 7g: The organization has not included costs attributable to a physician clinic as part of subsidized health services. Part II, Community Building Activities: Carondelet Health Network's ("CHN") leadership team collaborates actively with a variety or community organizations in community building activities to advance the economic and overall growth and vitality of the region. This is done through active participation on economic development and chamber of commerce activities, through coalition building with community partners, and through advocacy for community health improvements around access to care and public health initiatives. This includes being a member of the Southern AZ Cover AZ Coalition, Health Pima and the Carondelet-Pima Council on Aging Transitional Care Navigation Program.CHN is a member of the Tucson Regional Economic Authority (TREO), Chairman's Circle. TREO offers an integrated approach of programs and services to support the creation of new businesses, the expansion of existing businesses within the region, and the attraction of companies that offer high impact jobs and share the community's values. The Carondelet CEO serves on the Chairman's Circle and the Board of Directors. CHN's CEO is also a board member of the Tucson Metro Chamber of Commerce, and the Arizona Hospital and Healthcare Association board. CHN is also a member of the Tucson Hispanic Chamber. Carondelet St. Mary's President and CEO is on the board of Pima Community Access Program (PCAP), and Carondelet St. Joseph's President and CEO is on the board of Arizona Health-e Connection, the parent entity of Arizona's Health Information Exchange (AZHIE). The CHN VP of Community Health is on the Catholic Community Services board and the Southern Arizona Diabetes board. Through active participation in these diverse organizations, CHN leadership ensures that key initiatives implemented by these organizations advance the community health and well-being of the region. Part III, Line 4: Part III, Line 4: From the consolidated audited financial statements of Ascension Health Alliance (which includes the activity of Carondelet Health Network):The provision for doubtful accounts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the System follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by the System. Accounts receivable are written off after collection efforts have been followed in accordance with the System's policies.The methodology for determining the allowance for doubtful accounts and related write-offs on uninsured patient accounts has remained consistent with the prior year. The System has not experienced material changes in write-off trends and has not materially changed its charity care policy in the current fiscal year.The organization's current bad debt expense in 2013 was $33,246,453 at charges ($7,582,008 at cost). Part III, Line 8: Carondelet Health Network follows the Catholic Health Association ("CHA") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit. Part III, Line 9b: The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance, certain collection practices do not apply. Part VI, Line 2: Carondelet Health Network follows the Catholic Healthcare Association Guidelines which state that a Community Needs Assessment (CHNA) should be completed every three years. The Community Needs Assessment was commissioned in 2012 and delivered in August of 2012 as a result of a collaboration with the three not-for profit health care systems in Pima County: Carondelet Health Network, Tucson Medical Center and Univeristy of Arizona health Network. The three hospitals engaged a graduate student from the UA College of Public Health to lead the CHNA efforts. The Graduate Student worked with an internal committee for guidance of the needs assessment. The student worked with her Public Health Professors to perform community focus groups and key informant surveys. Other internal and external strategic documents were used to identify community needs along with hospital data. Part VI, Line 3: Upon admission, patients are encouraged to apply for the state Medicaid program if they are uninsured as well as other public benefits such as TANF or SNAP if the patient has a need. If patients prove they meet at least one (1) of eight (8) criteria outlined in the policy, they will be eligible for charity care. The patient will be placed in pre-emptive charity care status and after all bills are finalized a request for the total amount will be made on the patient's behalf by their financial counselor. Trained financial counselors will work with patients if it is not easily determined that a patient qualifies for charity care or to what level of financial assistance a patient may qualify. The Pre-emptive Charity Care Policy is posted in the Emergency Department, Admitting, hospital lobbies, other public areas as well as summarized on the Carondelet website and is to be included in a patient's financial statements when sent. The Network participates in "Tu Salud", a Southern AZ community Collaboration CHIPRA funded outreach program which provides a community outreach worker/financial counselor at community events to facilitate enrollment into government and community assistance programs. CHN led a Southern Arizona "Phonathon" , which was a one day event, to increase awareness of state Medicaid eligibility requirements and other public funding resources as well as to facilitate enrollment of qualifying individuals and families. Part VI, Line 4: The primary and secondary service area includes Pima, Santa Cruz and Cochise Counties. The population is 1.29 million individuals based on 2014 projected from 2010 census data. This growth is 2.22% from 2000. The average household size is 2.52. The median age is 37.4 which is at the national average. 51.7% of the population earns less than $50,000 with the median household income at $48,879 and the per capita income at $26,267. 28.6% of the population is over the age of 55.The demographics of the area with regard to ethnicity are as follows: 36.6% of Hispanic origin, 2.0% two or more races, .1% some other race alone, 0.1% Pacific Islander alone, 2.4% Asian American, 2.3% American Indian alone, 3.2% Black and 53.3% White alone. Part VI, Line 5: Carondelet Health Network (CHN) provides a wide variety of services to the communities where it has a presence. Activities include social service enrollment, support groups for patients, families and the community at large, chronic disease education to patients, families and outside medical professionals, spiritual care services and parish nursing program. CHN works with community partners to provide mobile health services for the area homeless, border health outreach, promotion of state Medicaid enrollment, education on chronic diseases to schools, patients, churches and health and human service organizations.Associates serve on various Boards of Directors for local and regional organizations. Additional community outreach includes health screenings, health fairs and educational conferences and events throughout the year. The following are the organizations which Carondelet leadership is engaged in key community coalition building activities, community events, or initiatives: Catholic Community Services of Southern Arizona, Primavera Foundation, YWCA of Tucson, American Diabetes Association, American Heart Association, American Cancer Society, YMCA of Tucson and Pima Council on Aging, Tucson Urban League, Habitat for Humanity, Rotary Club of Tucson, Catholic Foundation, United Way, American Red Cross. Part VI, Line 6: Carondelet Health Network is a member of Ascension Health Alliance. Ascension Health Alliance is a Missouri nonprofit corporation formed on September 13, 2011. Ascension Health Alliance 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 23 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. As more fully described in the Organizational Changes note, Marian Health System, which was previously sponsored by the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi US/Caribbean Province, became part of Ascension Health on April 1, 2013.Carondelet Health Network consists of two nonprofit acute care hospitals in Tucson, Arizona and a critical access hospital in Nogales, Arizona. The hospitals within Carondelet Health Network provide inpatient, outpatient, and emergency care services for the residents of Tucson and Southern Arizona. Admitting physicians are primarily practitioners in the local area. Carondelet Health Network is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of Ascension Health and its sponsored organizations are related to providing health care services.Mission:The System directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing, and dedicates its resources to spiritually centered care which sustains and accordance with the System's mission of service to those persons living in poverty and other vulnerable persons, each Health Ministry accepts patients regardless of their ability to pay. The System uses four categories to identify the resources utilized for the care of persons living in poverty and community benefit programs:1. Traditional charity care includes the cost of services provided to persons who cannot afford healthcare because of inadequate resources and/or who are uninsured or underinsured.2. Unpaid cost of public programs represents the unpaid cost of services provided to persons covered by public programs for the persons living in poverty and other vulnerable persons.3. Cost of other programs for the persons living in poverty and other vulnerable persons includes programs intentionally designed to serve the persons living in poverty and other vulnerable persons of the community including substance abusers, the homeless, victims of child abuse andpersons with acquired immune deficiency syndrome.4. Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for persons living in poverty and other vulnerable persons, including health promotion and education, health clinics and screenings and medicalresearch.Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care of persons living in poverty and community benefit programs. The cost of providing care to persons living in poverty and community benefit programs is estimated by reducing charges forgone by a factor derived from the ratio of each entity's total operating expenses to the entity's billed charges for patient care.Certain costs such as graduate medical education and certain other activities are excluded from total operating expenses for purposes of this computation.The amount of traditional charity care provided, determined on the basis of cost, was $10,521,404 and $17,042,096 for the years ended June 30, 2014 and 2013, respectively. The amount of unpaid cost of public programs, cost of other programs for persons living in poverty and other vulnerable persons, and community benefit cost is reported in the accompanying supplementary information. Community Benefit Report Carondelet Health NetworkFiscal Year 2014Carondelet Health Network is Southern Arizona's leading faith-based provider of healthcare services, serving a region of 1.3 million residents.As the area's largest Catholic, nonprofit healthcare system, it is Carondelet's commitment to offer advanced quality, person-centered care, in a faith-based environment. Our vision, and that of our parent healthcare ministry, Ascension Health, is to ensure service that is committed to health and well-being for our communities and that responds to the needs of individuals throughout the life cycle. We are dedicated to Healthcare That Works, Healthcare That Is Safe, and Healthcare That Leaves No One Behind - for Life.Carondelet St. Mary's Hospital, Carondelet St. Joseph's Hospital, Carondelet Holy Cross Hospital, and Carondelet Foundation are nonprofit entities with a 501(c)(3) tax-exempt status.Carondelet Helps Insure over 6,200:Lack of health insurance can significantly impact an individual's health and the community at large; and last fall, roughly 147,000 Pima County residents were without a health insurance plan of any kind.To honor its mission to support the community's well-being - and encouraged by changes to healthcare laws on both the federal and state levels - Carondelet launched a grassroots campaign in 2013 to help the uninsured in Tucson get the health coverage they needed.The Campaign:The seven-month campaign targeted five groups, aiming to enroll 3,000 uninsured among them: current and former Carondelet patients; associates and their families; churches; those living below the poverty level; and the general public.Posters, pins, and business-sized cards were distributed across Carondelet's facilities and area organizations prompting people to call the Carondelet Help Center where a Patient Navigator could help enroll them in AHCCCS or the Federal Marketplace, if eligible. Additional help was provided by hospital Admitting staff and an Outreach Worker/Navigator in the Emergency Department (ED).Renee Perez, an ED Navigator at St. Mary's Hospital, was one of those who helped a number of patients get the coverage they need."Some people do not know how to navigate the system, and I have been doing this job for over 10 years. It's nice to have that help," she said. "I always get feedback, even now, from my patients thanking me because they were able to get on AHCCCS and get their medical issues taken care of. I love those calls!"Carondelet also partnered with area hospitals and Tucson Regional Economic Opportunities (TREO) on AZCares.org, a community-wide campaign focused on insuring the uninsured. The campaign earned national recognition from the White House and Centers for Medicaid and Medicare Services, declaring it a model community effort.Care Transitions Program Acknowledged as a National Best PracticeIn an effort to increase the quality and safety of patient care while reducing hospital readmissions, a collaborative program between Carondelet Health Network and the Pima Council on Aging (PCOA) is receiving national praise and an additional year of funding. The Centers for Medicaid and Medicare Services (CMS) call the Community-Based Care Transitions Program a "best practice" among the programs initiated nationwide to reduce hospital readmissions and lower the cost of healthcare.The program focuses on Medicare patients with multiple chronic illnesses who have been recently discharged from the hospital. Carondelet nurses and PCOA care coordinators partner on regular visits to the homes of patients who have joined the program, providing much-needed medical follow-up and a variety of other kinds of social support that help the patient manage their recuperation and maintain their health for 60 days post-hospitalization. It's clearly working. "We've seen some real success with this program. Patients are improving their health, their life status, and their well-being simply by receiving the support necessary to remain healthy and stay out of the hospital," says Donald Denmark, MD, Carondelet Health Network's Chief Medical Officer. To help facilitate visits with transitional team members, Carondelet is piloting a telehealth option. The nurse can be at the patient's home and connect real-time with the pharmacist or Pima Council on Aging coach via their laptops or tablets. Women's Health Hotline a big hit with callers: On May 10, 2014, Carondelet teamed up with KOLD News 13 to sponsor a day-long televised phone bank, answering women's questions about their health. The Carondelet KOLD Women's Health Hotline drew nearly 220 callers in the hours between 6 a.m. and 9 a.m. and again from 3 p.m. to 7 p.m., primetime viewing hours for local news on KOLD television. The broadcasts reaches over 40,000 viewers on any given day.Calls were answered by physicians and nurses in the area of obstetrics, gynecology, cardiac care, breast health, and family medicine. The event was held in conjunction with Carondelet's Mammograms & Massages Mother's Day promotion, a month-long initiative encouraging women to gift themselves the gift of health and get their annual screening mammogram in May.Diabetes:Diabetes continues to be an important area of focus for healthcare providers in Arizona where nearly 500,000 people have been diagnosed with the disease. However, diabetes can be controlled, and those living with it can lead active, fulfilling lives with the right care and self-management.Whether newly diagnosed or just getting around to doing something about it, individuals living with diabetes can attend any of the free, weekly diabetes classes offered through Carondelet and led by Certified Diabetes Educators Gwen Gallegos, FNP, and Donna Heun, RN or nurse Ann McCurry.The weekly class includes an overview of diabetes, as well as instruction on healthy eating, safe exercise, symptoms and warning signs, and information on additional community resources and support. Last year, more than 240 people attended classes at one of the three Carondelet hospitals: St. Joseph's, St. Mary's or Holy Cross (Nogales). Carondelet also co-hosts classes at Mariposa Community Health Center and the Nogales Senior Center, both taught by Gwen.In Nogales, where she leads a youth diabetes support group at Carondelet Holy Cross Hospital every last Thursday of the month, Gwen meets with parents and their teens in a more interactive, playful environment."They'll play games around the topic of diabetes. It's a lot of fun," said Maria Astorga, a nurse at Holy Cross who works with Gwen." She has seen those kids grow up, go to college, and they still keep in touch with her. Managing Diabetes Before Delivery:The American Diabetes Association estimates that many women will develop gestational diabetes (GD) during their pregnancy as a result of normal hormonal changes that make it harder to regulate blood sugar levels. Left untreated or uncontrolled, GD can harm the developing fetus and complicate delivery. For women diagnosed with GD, Carondelet Holy Cross and Carondelet St. Joseph's hospitals offer a specialized program to help.During a series of sessions with Certified Diabetes Educator and FamilyNurse Practitioner Gwen Gallegos, women at any stage of pregnancy learn how to manage their health (and that of their developing child) by focusing on meal planning, medication management, and monitoring their blood sugar levels."The whole reason for the Gestational Diabetes Management [program] is to reduce risks to the baby and the mother, such as a high birth weight and problems with delivery" says Gwen. "Of course [the women] are frightened. They come in here with preconceived notions about what it means to have diabetes. We help reduce their anxiety."In addition to educating the women on managing their condition, Gwen sends their physicians regular reports on what they've discussed. Additional follow-up sessions are offered until the baby is delivered, at which time they can choose to attend a community diabetes class for ongoing education.Last year, the program expanded to include women already living with diabetes prior to becoming pregnant. During that time, about 120 women attended the Gestational Diabetes Management/Diabetes in Pregnancy programs at Holy Cross and St. Joseph's hospitals.The benefit of such a program also extends to the hospital, which sees lower admissions of newborns to the Neonatal Intensive Care Unit (NICU) and a reduction in the length of hospital stays for the mother and baby, says Gwen. "It's a team effort between me, the physician and the patient. Our goal is he althy mothers and healthy babies." Associates Helping The Community; In FY14, Associates donated items and time through a number of Carondelet-hosted drives. Highlights from the past year include:- Southern Arizona Community Food Bank - Associates gave more than 3,200 pounds of non-perishable food.- Wings for Women - Associates filled a pick-up truck full of hygiene products for homeless and impoverished women in Tucson and Nogales.- O'Rielly Center at St. Joseph's Hospital - Associates donated more than 50 bags of clothing to help patients at our inpatient behavioral health treatment facility.- Be the Match - Associate volunteers organized and ran a bone marrow drive for the national registry drive. More than 190 Associates and community members registered as potential donors.First Carondelet Heart & Vascular Institute Heart Academy:St. Mary's Hosts Hands-on experience for area high school studentsInside an operating room, alongside a surgical team performing open heart surgery, stood a small group of high school students. This definitely was not an ordinary field trip. The group was among 16 students from Sahuarita unified School District who were invited to Carondelet Health Network's first Heart Academy on Thursday, March 6 at Carondelet Heart & Vascular Institute (CHVI) at St. Mary's Hospital in Tucson.Upon arrival, students were whisked to a brief orientation where they met St. Mary's Chief Executive Officer, Amy Beiter, M.D., and other hospital leaders. Each student was issued scrubs to wear (and take home). They broke out into four groups and started the first of four interactive breakout sessions, which included tours of the hospital's new hybrid operating suite, Emergency Room and helipad, Catheterization Lab, and Imaging.The day was packed with hands-on learning. Students scrubbed up, donning booties and masks, and went into CHVI's new hybrid operating suite to observe segments of surgeries, from a heart valve replacement to hernia repair. Another session took place on the hospital's roof where an emergency helicopter pilot, flight nurse, and paramedic talked to them about the skills needed for a career in emergency transport. The kids took turns sitting inside the helicopter and orienting themselves to the equipment onboard.At the Cath Lab, students observed a physician replacing a patient's pacemaker battery while cardiovascular technologists explained the procedure in real time. The ED and imaging department were also part of the tour.Chaperone and Walden Grove science teacher Emily Bertelsen said during the tour, she saw in practice many of the medical skills she had learned in college."It was neat to see the different processes the surgeons go through during open heart surgery," Bertelsen said. "I think this type of exposure to real life medical situations is so valuable for the students."Planning for the Heart Academy began last fall. Program participation was limited to ensure students would have the most interactive, personalized experience possible. While programming focused on cardiology and vascular care, the academy ultimately aimed to expose students interested in healthcare to a wide array of professions within the medical field. Many participants already had an idea of the career they want to pursue - anesthesiologist, nurse, and radiologist among them. Others did not and hoped the experience would bring medical career options to light. Carondelet has plans to expand the program and open it to students in other districts across Southern Arizona.2014 Stroke Check - Carondelet Tucson Hospitals Screened Hundreds:According to the Centers for Disease Control and prevention, nearly 800,000 Americans suffer a stroke each year. Stroke is one of America's top killers, taking a life every four minutes in the US. Those who survive may have significant physical and mental deficiencies.In an effort to educate the Tucson community on stroke prevention, area hospitals partnered this spring to provide free stroke screenings to the public at an annual event called Stroke Check. In its eleventh year, Stroke Check took place on Saturday, April 12 at various facilities across town, including Carondelet St. Mary's Hospital and Carondelet St. Joseph's Hospital. Other partners included HealthSouth and the local chapter of the American Heart Association/American Stroke Association (AHA/ASA).Approximately 1,000 people were screened across Tucson in this community-wide event, including 92 at St. Mary's and 150 at St. Joseph's. Participants came in between 8:00 a.m. and 12:00 p.m. to receive a stroke screening, a 45-minute evaluation done on site that concluded with a private discussion with a clinician about the screening results.St. Mary's and St. Joseph's are Joint Commission-certified Primary Stroke Centers, and both earned the AHA/ASA Get with the Guidelines Stroke Gold Plus Quality Achievement Award for the third and fourth year in a row, respectively. It's a privilege to care for our community through Stroke Check. Carondelet looks forward to participating next year.Meditation Room at St. Joseph's offers a quiet space for all:In June 2014, St. Joseph's Hospital celebrated the opening of its newly finished meditation room. The room, nestled next to the hospital's chapel in the Fred & Olga Pace Spiritual Center, is available to all-associates, patients and guests-as a space for quiet contemplation or solace.The new meditation room includes several seating areas, a small library of inspirational books. A notepad left in the room has since become a guestbook of sorts in which visitors have shared their personal stories and offered words of comfort for others.The completion of the meditation room was made possible by a generous gift from the St. Joseph's Auxiliary. 1 American Heart Association PO Box 4002908 Des Moines IA 503402908 135613797 501(c)(3) 40000 Go Red, Heart Walk, and Heart Ball sponsorships Tucson Nurses Week Foundation PO Box 65085 Tucson AZ 857285085 860771880 501(c)(3) 10000 Fab 50 event sponsorship American Diabetes Association 1701 N Beauregard Street Alexandria VA 22311 131623888 501(c)(3) 7500 Step Out - Walk to Stop Diabetes; Tour de Cure sponsorship; Cure, Care & Commitment Awards El Rio Foundation 839 W Congress Tucson AZ 85745 860816675 501(c)(3) 6200 2013 Gala sponsorship, 2014 Golf Tournament fundraiser 4 0 Part I, Line 2: CHN provides charitable contributions to organizations in the community. Our related Foundation organizes and monitors all contributions and ensures that the receiving organizations are qualified 501(c)(3) entities. All funds are used for their intended charitable purposes. X 1 1 X X X X 1 1 0 0 0 0 0 0 0 Robert Henkel start 1113 Director 0 1213720 0 2287500 0 874877 0 41702 0 27821 0 4445620 0 0 Joseph Impicciche start 1113 Director 0 758824 0 1988719 0 354805 0 81461 0 33565 0 3217374 0 0 Anthony J Speranzostart 1113 Director 0 1043175 0 2992500 0 1494855 0 32092 0 35088 0 5597710 0 0 James K Beckmann Jr President/CEO (Ex-Officio) 637610 0 957522 0 9988 0 55650 0 26524 0 1687294 0 0 0 Amy Elizabeth Beiter President/CEO-CSM 337718 0 0 0 53997 0 38150 0 23750 0 453615 0 48341 0 Anthony Fonze President/CEO-CSJ 344090 0 22227 0 10708 0 25850 0 23698 0 426573 0 0 0 Alan Strauss CFO-CHN 0 474049 0 58000 0 162905 0 21675 0 28612 0 745241 0 0 Christen Castellano Sr. VP Strategy 323389 0 0 0 3450 0 35088 0 10213 0 372140 0 0 0 Donald Denmark VP CMO 399131 0 0 0 23081 0 36416 0 30764 0 489392 0 0 0 Martha Gerganoff Sr. VP CNO 265983 0 0 0 9691 0 36737 0 19122 0 331533 0 0 0 Robin Conklin VP CNO-CSJ 193052 0 20000 0 4077 0 26027 0 17449 0 260605 0 0 0 Heather Bathen VP Revenue Cycle-CHN 169585 0 25000 0 11894 0 0 0 1668 0 208147 0 0 0 Donna Zazworsky VP Community Health CHN 167152 0 5519 0 3246 0 35816 0 9270 0 221003 0 0 0 Christopher Wernke Director Sr Pharmacy 157595 0 0 0 1512 0 24884 0 2403 0 186394 0 0 0 Rex Williams Director Pharmacy 152059 0 2000 0 1484 0 23867 0 4380 0 183790 0 0 0 Mary Henrickson end 1012 Former CEO-CSJ 0 0 32066 0 209169 0 0 0 977 0 242212 0 0 0 Dororthy Sawyer end 1012 Former CEO-CSM 0 0 4997 0 234261 0 0 0 1020 0 240278 0 31011 0 Debra Mohesky Former CFO 36032 0 0 0 306226 0 0 0 4285 0 346543 0 0 0 Debra Finch end 413 Former VP COO/CNO 0 0 36236 0 109093 0 0 0 1942 0 147271 0 0 0 Daisy Jenkins end 613 Former Sr. VP HR 188891 0 106511 0 185303 0 23750 0 18597 0 523052 0 0 0 Patricia Martinez end 613 Frmr VP Chief Qual Officer 129282 0 44915 0 228059 0 19180 0 13501 0 434937 0 48341 0 Richard Imwalle Former VP Mktg-CHN/CEO-Fnd 278922 0 0 0 22819 0 30270 0 11126 0 343137 0 0 0 Part I, Line 1a A housing allowance is provided for an executive. The amount is included in his W-2 wages. Part I, Lines 4a-b Severance Payments: Mary Henrickson - $209,493 Debra Mohesky - $302,776 Debra Finch - $84,208 Daisy Jenkins - $175,001 Patricia Martinez - $175,001 Dorothy Sawyer - $203,612 Part I, Line 4b: Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The organization made payments from the supplemental nonqualified retirement plan in the amounts as noted: Amy Elizabeth Beiter: $48,341 Patricia Martinez: $48,341 Form 990, Part V, Line 1a Number of Forms 1099 Filed: Carondelet Health Network uses a centralized accounting system to compensate all independent contractors used within the Health System. The number attributable to each hospital is not easily distinguished. The amount on Line 1a represents total Forms 1099 filed for the entire Health System. Form 990, Part VI, Section A, line 6 Carondelet Health Network has a single corporate member, Ascension Health. Form 990, Part VI, Section A, line 7a Carondelet Health Network has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of Carondelet Health Network. Form 990, Part VI, Section A, line 7b Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix. Form 990, Part VI, Section B, line 11 Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Historically, Management has presented the Form to the Board, or a designated committee, to review and answer any questions. In addition, prior to filing the return all Board Members were provided the Form 990 and management team members were available to answer any Board Members' questions. Due to changes in organizational roles and responsibilities, system leadership reviewed the returns in lieu of the Board. Form 990, Part VI, Section B, line 12c The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the Conflict of Interest Policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. Form 990, Part VI, Section B, line 15 In determining compensation of the organization's CEO, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Audit Committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals at other healthcare organizations in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. The individual was not present when his compensation was decided. In determining compensation of other officers or key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Audit Committee reviewed and approved the compensation. In the review of the compensation, the other officers or key employees of the organization were compared to other healthcare organizations' employees in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Form 990, Part VI, Section C, line 19 The organization will provide any documents open to public inspection upon request. Form 990, Part VII, Section B: The amount reported for Diversified Design and Construction includes amounts for materials and services. These amounts cannot be separated. Form 990, Part IX, line 11g Physian, Professional, Revenue-Cycle, and Consulting Fees: Program service expenses 16,062,566. Management and general expenses 10,708,377. Fundraising expenses 0. Total expenses 26,770,943. Contract Labor: Program service expenses 5,101,235. Management and general expenses 3,400,824. Fundraising expenses 0. Total expenses 8,502,059. Purch Svcs (Housekeeping, Dietary, Biomed, etc.) Labor & Supplies: Program service expenses 23,352,710. Management and general expenses 15,568,473. Fundraising expenses 0. Total expenses 38,921,183. Form 990, Part XI, line 9: Transfers to/from Affiliates -51,111,838. Transfers to Sponsors -254,386. Change in share of Joint Ventures Net Assets -972,628. Other Unrestricted Activity -53,696,162. Net Assets released from restrictions -249,778. Other restricted activity 2,415. Form 990, Part XII, Line 2: The financial statements of Carondelet Health Network and other members of Carondelet Health Network receive a limited-scope audit. The activity of Carondelet Health Network and other members of Carondelet Health Network are reported on a consolidated basis. No individual audited financial statement for Carondelet Health Network is completed. St Mary's Hospital 1601 W St Marys Rd Tucson AZ 85745 860455920 Hospital AZ 2012319 129102829 Carondelet Health Network St Joseph's Hospital 350 N Wilmot Rd Tucson AZ 85711 860455920 Hospital AZ -11985390 116600698 Carondelet Health Network Ascension Health PO Box 45998 St Louis MO 631343806 311662309 National Health System MO Section 501(c)(3) Schedule A, Line 11a Ascension Health Alliance 0 Holy Cross Hospital Inc 1171 W Target Range Rd Nogales AZ 85621 860575938 Hospital AZ Section 501(c)(3) Schedule A, Line 3 Carondelet Health Network 1 Carondelet Heart & Vascular Institute 4888 N Stone Ave Tucson AZ 85704 561943271 Inactive Hospital AZ Section 501(c)(3) Schedule A, Line 3 Carondelet Health Network 1 Carondelet Foundation Inc 120 N Tucson Blvd Tuscon AZ 85716 860749574 Foundation AZ Section 501(c)(3) Schedule A, Line 11a Carondelet Health Network 1 Chalon Living Inc 8553 E San Alberto Dr Scottsdale AZ 85258 860805615 Low Income Housing AZ Section 501(c)(3) Schedule A, Line 7 Holy Cross Hospital Inc 1 Southwest Catholic Health Network 4350 E Cotton Center Blvd Bldg D Phoenix AZ 85040 860527381 Insurance AZ Section 501(c)(3) Schedule A, Line 11a Carondelet Health Network & Dignity Health 0 The Centurions 2202 N Forbes Blvd Tucson AZ 85745 854088322 Foundation AZ Section 501(c)(3) Schedule A, Line 11a Carondelet Foundation Inc 1 Carondelet Specialist Group Inc 2202 N Forbes Blvd Tucson AZ 85745 281558773 Physician Practice AZ Carondelet Health Network C -6025090 5200068 1.00000 1 Carondelet Medical Group PC 2202 N Forbes Blvd Tucson AZ 85745 860836126 Medical Group AZ Carondelet Health Network C -8985736 1825813 1.00000 1 0 1 1 0 1 0 0 0 0 1 0 0 1 0 1 1 1 0 1 Carondelet Medical Group PC B 25275914 Actual Amount Transferred Carondelet Specialist Group Inc B 32999967 Actual Amount Transferred Carondelet Foundation Inc C 7286906 Actual Amount Transferred Carondelet Foundation Inc P 1219762 Actual Amount Transferred Holy Cross Hospital Inc P 1164001 Actual Amount Transferred Ascension Health P 45061281 Actual Amount Transferred Ascension Health E 81324400 Actual Amount Transferred Carondelet Foundation Inc J 153792 Actual Amount Transferred Carondelet Foundation Inc O 552151 Actual Amount Transferred Carondelet Heart & Vascular Institute P 192196 Actual Amount Transferred The Centurions P 127569 Actual Amount Transferred