ASCENSION ARIZONA: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ASCENSION ARIZONA (EIN 86-0455920)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201411349349301676
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-14T08:51:14-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1250 East Fifth Street Suite 1900AddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN860455920EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Carondelet Health NetworkBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCARONameControl
Phone5208727796Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12202 N Forbes BlvdAddressLine1
CityTucsonCity
StateAZState
ZIP Code85745ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameAlan StraussName
TitleCEOTitle
Phone5208727796Phone
Date Signed2014-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRebecca LyonsName
PTINP01487105PTIN
Phone5137847100Phone
Date Prepared2014-05-09DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJames K Beckman JrNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12202 N Forbes BlvdAddressLine1
CityTucsonCity
StateAZState
ZIP Code85745ZIPCode
FieldValueIRS element (for citing)
Gross Receipts440687060GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.carondelet.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1987YearFormation
State Legal DomicileAZStateLegalDomicile
Activity Or Mission DescriptionProvide for the healthcare needs of the community.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees4574TotalNbrEmployees
Total Nbr Volunteers342TotalNbrVolunteers
Total Gross UBI2095131TotalGrossUBI
Net Unrelated Business Txbl Income-626908NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4661434ContributionsGrantsPriorYear
Contributions Grants Current Year5697330ContributionsGrantsCurrentYear
Program Service Revenue Prior Year401733893ProgramServiceRevenuePriorYear
Program Service Revenue CY420285017ProgramServiceRevenueCY
Investment Income Prior Year1114596InvestmentIncomePriorYear
Investment Income Current Year500139InvestmentIncomeCurrentYear
Other Revenue Prior Year7166811OtherRevenuePriorYear
Other Revenue Current Year12724357OtherRevenueCurrentYear
Total Revenue Prior Year414676734TotalRevenuePriorYear
Total Revenue Current Year439206843TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1762342GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY195746GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year215931386SalariesEtcPriorYear
Salaries Etc Current Year214055734SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year275972469OtherExpensePriorYear
Other Expenses Current Year239048956OtherExpensesCurrentYear
Total Expenses Prior Year493666197TotalExpensesPriorYear
Total Expenses Current Year453300436TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-78989463RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-14093593RevenuesLessExpensesCY
Total Assets BOY513324796TotalAssetsBOY
Total Assets EOY558236270TotalAssetsEOY
Total Liabilities BOY299552440TotalLiabilitiesBOY
Total Liabilities EOY313331010TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY213772356NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY244905260NetAssetsOrFundBalancesEOY
Mission DescriptionProvide for the healthcare needs of the community; to embrace the person in mind, body and spirit; and to serve all people with dignity.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense371370462Expense
Grants195746Grants
Revenue427018742Revenue
DescriptionDuring fiscal year 2013, Carondelet Health Network provided $67 million, or 16 percent 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.Description
Total Program Service Expense371370462TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With1096587NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees4574NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Alan StraussBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5208727796TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12202 N Forbes BlvdAddressLine1
CityTucsonCity
StateAZState
ZIP Code85745ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (39 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Sr Annette Bower end 0613
Chair0.500.00XX000
Elizabeth Kaminski
Secretary/Treasurer0.500.00XX000
John Boulet MD
Director0.500.00X000
Marcel Dabdoub
Director0.500.00X000
Steve Eggen
Director0.500.00X000
John Jack Forsythe
Director0.500.00X000
Wade Harman JD
Director0.500.00X000
Karl Hekimian MD
Director0.500.00X000
Sheldon King
Director0.500.00X000
John Lauer
Director0.500.00X000
Christopher Linscott
Director0.500.00X000
Fran Roberts PhD
Director0.500.00X000
William Stout
Director0.500.00X000
Sr Pat Rosholt
Director0.500.00X000
James K Beckmann Jr
President/CEO (Ex Officio)45.0015.00XX2096761057959
Alan Strauss Sch J
CFO-CHN45.0015.00X0110779150301
Amy Elizabeth Beiter
Pres/CEO-CSM50.0010.00X322628041188
Anthony R Fonze
CEO - CSJ60.000.00X5471028809817865
Debra Finch
COO/CNO - CSM60.000.00X319494028515
Mary Henrickson
CEO CSJ50.000.00X395433021400
Dorothy Sawyer
CEO - CSM40.0010.00X388586039771
Richard Imwalle
VP Mktg/CEO Foundation25.0025.00292188018652X
Martha Gerganoff
Sr. VP CNO60.000.00243967046278X
Christen Castellano
Sr. VP Strategy60.000.00218423017511X
Donald Denmark
VP CMO60.000.00445709051683X
Daisy Jenkins
Sr. VP Human Resources60.000.00366276047781X
Patricia Martinez
VP Chief Quality Off40.000.00366377031681X
Sue Gold
Dir-Sr. Nursing & Clinical Svcs.50.000.00184308026152X
Mary Hill
VP Mission Integration40.000.00190698041106X
Rex Williams
Director CSJ Pharmacy40.000.00156999022325X
David Berger
Pharmacist - CSM40.000.0014195305461X
Alyce Turnbull
Pharmacist - CSJ40.000.00140302016513X
Odette Bolano
Former COO-CHN0.000.00370247020808X
Paula Register
Former Sr VP0.000.0042427605993X
Roberta Kaemmerling
Former COO0.000.00190107012203X
Neil Carolan
Former VP PDO0.000.00262752018681X
Irma Ramirez
VP Advocacy0.000.0023117508100X
Linda Werbylo
Former VP Operations0.000.00138954023413X
Debra S Mohesky
Former CFO0.000.00474903012122X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8417226TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1395889TotalReportableCompFrmRltdOrgs
Total Other Compensation683462TotalOtherCompensation
Number Individuals GT100 K143NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Accretive Health
39918 Treasury CenterChicagoIL606949900Healthcare Services34462924
Morrison Management Specialists
5801 Peachtree Dunwoody RdAtlantaGA30342Nutritional Services14421480
TriMedx LLC
PO Box 636129CincinnatiOH45263Equipment Maintenance6993357
Hall Render Killian Heath & Lyman
39778 Treasury CenterChicagoIL60694Legal Services2473978
Sodexho Inc
Dept 880328Los AngelesCA90088Linen Services2183973
FieldValueIRS element (for citing)
Number Of Contractors GT100 K63NumberOfContractorsGT100K
Related Organizations5432844RelatedOrganizations
Government Grants187172GovernmentGrants
All Other Contributions77314AllOtherContributions
Total Contributions5697330TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Net Patient Services621990392746872392177650569222
Joint Ventures62199015226147141122941113853
Corporate Allocation5610001231199812311998
FieldValueIRS element (for citing)
Total Program Service Revenue420285017TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column476536TotalRevenueColumn
Exclusion$476,536ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1641046Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1471396Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real169650Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column169650TotalRevenueColumn
Exclusion$169,650ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other32424Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other8821Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other23603Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column23603TotalRevenueColumn
Exclusion$23,603ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Cafeteria/Vending Rev7222102961128$2,961,128
Physician Guarantees900090766595$766,595
Child Care621990635167468100167067

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column8191817TotalRevenueColumn
Related Or Exempt Function Income7946828RelatedOrExemptFunctionIncome
Unrelated Business Revenue244989UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue12554707TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column439206843TotalRevenueColumn
Related Or Exempt Function Income427016870RelatedOrExemptFunctionIncome
Unrelated Business Revenue2095131UnrelatedBusinessRevenue
Exclusion$4,397,512ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total195746Total
Program Services195746ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total6664017Total
Program Services3998410ProgramServices
Management And General2665607ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total1706709Total
Program Services1024025ProgramServices
Management And General682684ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total169674153Total
Program Services140829547ProgramServices
Management And General28844606ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6869996Total
Program Services6182996ProgramServices
Management And General687000ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total15770041Total
Program Services14193037ProgramServices
Management And General1577004ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total13370818Total
Program Services12033736ProgramServices
Management And General1337082ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total446848Total
Program Services394073ProgramServices
Management And General52775ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2215007Total
Program Services664502ProgramServices
Management And General1550505ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1099531Total
Program Services367317ProgramServices
Management And General732214ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total39981Total
Program Services39981ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total65198586Total
Program Services35721541ProgramServices
Management And General29477045ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1611155Total
Program Services563904ProgramServices
Management And General1047251ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total9974436Total
Program Services9439851ProgramServices
Management And General534585ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total26070428Total
Program Services23463385ProgramServices
Management And General2607043ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7465882Total
Program Services6705025ProgramServices
Management And General760857ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total607924Total
Program Services347455ProgramServices
Management And General260469ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total5383766Total
Program Services4845389ProgramServices
Management And General538377ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total4353590Total
Program Services3918231ProgramServices
Management And General435359ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total20739010Total
Program Services18665109ProgramServices
Management And General2073901ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3666802Total
Program Services3300122ProgramServices
Management And General366680ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Med/Operating Supplies76791554760345257570290
Pt./Dietery Cafeteria301145827103123011460
Restructuring Charges287309551715723559380
Licenses, Fees and Dues11193929179012014910

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6380511Total
Program Services4297185ProgramServices
Management And General2083326ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total453300436Total
Program Services371370462ProgramServices
Management And General81929974ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY24176081BOY
EOY5690898EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY58970310BOY
EOY55162982EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY9412544BOY
EOY9904547EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3109080BOY
EOY1788436EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis363539010LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec112724612LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY243750351BOY
EOY250814398EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY173906430BOY
EOY234875009EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY513324796BOY
EOY558236270EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY69191698BOY
EOY55283667EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY6009111BOY
EOY3716509EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY224351631BOY
EOY254330834EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY299552440BOY
EOY313331010EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY213173213BOY
EOY244572022EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY599143BOY
EOY333238EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY213772356BOY
EOY244905260EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY513324796BOY
EOY558236270EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-14093593ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-1420ReconciliationUnrealizedInvest
Reconcilation Other Changes45227917ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$36,381OtherActivitiesAmount
Total Lobbying Expenditures IIB36381TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationOther 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.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance7105534BeginningOfYearBalance
Investment Earnings Or Losses880557InvestmentEarningsOrLosses
End Of Year Balance7986091EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance7291345BeginningOfYearBalance
Investment Earnings Or Losses-185811InvestmentEarningsOrLosses
End Of Year Balance7105534EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance6337390BeginningOfYearBalance
Investment Earnings Or Losses1004559InvestmentEarningsOrLosses
Other Expenditures50604OtherExpenditures
End Of Year Balance7291345EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance6306720BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses389627InvestmentEarningsOrLosses
Other Expenditures358957OtherExpenditures
End Of Year Balance6337390EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Contributions3863754Contributions
Investment Earnings Or Losses2442966InvestmentEarningsOrLosses
End Of Year Balance6306720EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.63400BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.28400PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.08200TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis542430InvestmentCostOrOtherBasis
Other Cost Or Other Basis32833798OtherCostOrOtherBasis
Book Value33376228BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis192214258OtherCostOrOtherBasis
Depreciation39857589Depreciation
Book Value152356669BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5536OtherCostOrOtherBasis
Depreciation2418468Depreciation
Book Value-2412932BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis102447504OtherCostOrOtherBasis
Depreciation65446844Depreciation
Book Value37000660BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis35495484OtherCostOrOtherBasis
Depreciation5001711Depreciation
Book Value30493773BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings250814398TotalOfBookValueLandBuildings

Other Assets OtherAssets (9 entries)

DescriptionDescriptionBook ValueBookValue
Estimated Settlements from Third Party Payors1157808
Due from Affiliates112393668
Other Current Assets6413580
Interest in Investments Held by Ascension Health Alliance's Alpha Fund8074607
Restricted Funds333237
Investments in Unconsolidated Entities90291167
Deferred Compensation2891883
Physician Guarantees2557539
Other Long Term10761520
FieldValueIRS element (for citing)
Total Book Value Other Assets234875009TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescriptionAmountAmount
Settlements to Third Party Payers$70,499,578
Self Insurance Liability$5,052,016
Physician Debt Guarantees$52,799
Other Miscellaneous$6,399,363
Intercompany Debt to Ascension Health Alliance$143,121,881
Deferred Compensation Liability$2,891,883
Graham Group Lease Obligation$20,300,000
Reserve for Abatement$6,013,314
FieldValueIRS element (for citing)
Total Of Amounts254330834TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDescription of Intended Use of Endowment Funds:Identifier
Return ReferencePart V, Line 4:ReturnReference
ExplanationTo support program services for St. Mary's and St. Joseph's hospitals.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage400.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served3280PersonsServed
Total Community Benefit Expense17092252TotalCommunityBenefitExpense
Net Community Benefit Expense17092252NetCommunityBenefitExpense
Percent Of Total Expense0.04530PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served45424PersonsServed
Total Community Benefit Expense57653014TotalCommunityBenefitExpense
Direct Offsetting Revenue38345359DirectOffsettingRevenue
Net Community Benefit Expense19307655NetCommunityBenefitExpense
Percent Of Total Expense0.05120PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served48704PersonsServed
Total Community Benefit Expense74745266TotalCommunityBenefitExpense
Direct Offsetting Revenue38345359DirectOffsettingRevenue
Net Community Benefit Expense36399907NetCommunityBenefitExpense
Percent Of Total Expense0.09650PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs33NumberOfActivitiesOrPrograms
Persons Served5414PersonsServed
Total Community Benefit Expense5119272TotalCommunityBenefitExpense
Direct Offsetting Revenue288315DirectOffsettingRevenue
Net Community Benefit Expense4830957NetCommunityBenefitExpense
Percent Of Total Expense0.01280PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served467PersonsServed
Total Community Benefit Expense3118445TotalCommunityBenefitExpense
Net Community Benefit Expense3118445NetCommunityBenefitExpense
Percent Of Total Expense0.00830PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served7617PersonsServed
Total Community Benefit Expense43446074TotalCommunityBenefitExpense
Direct Offsetting Revenue36734950DirectOffsettingRevenue
Net Community Benefit Expense6711124NetCommunityBenefitExpense
Percent Of Total Expense0.01780PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs66NumberOfActivitiesOrPrograms
Total Community Benefit Expense532855TotalCommunityBenefitExpense
Net Community Benefit Expense532855NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs119NumberOfActivitiesOrPrograms
Persons Served13498PersonsServed
Total Community Benefit Expense52216646TotalCommunityBenefitExpense
Direct Offsetting Revenue37023265DirectOffsettingRevenue
Net Community Benefit Expense15193381NetCommunityBenefitExpense
Percent Of Total Expense0.04030PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs121NumberOfActivitiesOrPrograms
Persons Served62202PersonsServed
Total Community Benefit Expense126961912TotalCommunityBenefitExpense
Direct Offsetting Revenue75368624DirectOffsettingRevenue
Net Community Benefit Expense51593288NetCommunityBenefitExpense
Percent Of Total Expense0.13680PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Total Community Building Expense71090TotalCommunityBuildingExpense
Net Community Building Expense71090NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense885TotalCommunityBuildingExpense
Net Community Building Expense885NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs9NumberOfActivitiesOrPrograms
Total Community Building Expense71975TotalCommunityBuildingExpense
Net Community Building Expense71975NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$9,169,789BadDebtExpenseAmount
Amount Attributable To5592627AmountAttributableTo
Amount Reimbursed By Medicare222314296AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare228932347CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-6618051MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 St Joseph's Family Practice
Physician Services0.300000.000000.30000
2 Carondelet Surgical Centers LLC
Surgery0.426700.51040
3 Tucson Mountain Medical Building Associates LLC
Property Rental0.206700.000000.38390
FieldValueIRS element (for citing)
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeWebsite AddressWebsiteAddressLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursFacility Reporting GroupFacilityReportingGroup
St Joseph's Hospital
1350 N WilmotTucsonAZ85711www.carondelet.orgXXXA
St Mary's Hospital
21601 W St Marys RdTucsonAZ85745www.carondelet.orgXXXA

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Facility Reporting Group - ABusinessNameLine1
FieldValueIRS element (for citing)
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities1OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent400.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities10NumberOfOtherFacilities

Other Facilities OtherFacilities (10 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Silverbell Ambulatory Surgery Center
585 N SilverbellTucsonAZ85745Joint Venture
Carondelet Imaging Center
630 Alvernon Way Suite 150TucsonAZ85711Imaging Center
Sports Plus Physical Therapy
630 Alvernon Way Suite 181TucsonAZ85711Physical Therapy Office
Carondelet Family Practice
6528 E Carondelet DrTucsonAZ85710Physician Office
Center for Advanced Wound Care
6565 E Carondelet Dr Suite 265TucsonAZ85710Wound Care Center
Carondelet Family Practice
6566 E Carondelet DrTucsonAZ85711Physician Offices
RLC LLC
6567 E Carondelet Drive Suite 105TucsonAZ85710Joint Venture
Rita Ranch Medical Mall
8290 S Houghton RdTucsonAZ85757Medical Group, Imaging Services
Primeros Pasos
4600 N Park Ave Suite 6BTucsonAZ85714Family Medical Center
Nogales Rehab
857 W Bell Rd Suite 3NogalesAZ85621Rehab Services

Form990 Schedule H Part VI Form990ScheduleHPartVI (29 entries)

ExplanationExplanationReturn ReferenceReturnReferenceIdentifierIdentifier
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, Carondelet Foundation, and Carondelet Heart & Vascular Institute.
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 costing 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: Carondelet Health Network's ("CHN") leadership team collaborates actively with a variety of 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 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 Circle and the Senior Vice President of Human Resources Officer serves on the Board of Directors. CHN's VP of Advocacy is a member of the Public Policy Committees for the Tucson Metro Chamber of Commerce, the Tucson Hispanic Chamber of Commerce. CHN's VP has additional active involvement on the Arizona Hospital and Healthcare Association Government Relations Council, the Arizona Town Hall, Green Valley Chamber of Commerce Advisory Council and the Green Valley Healthcare Coordinating Council. The Southern Arizona Leadership Council ("SALC") is Southern Arizona's leading business group and the CHN Senior VP of Human Resources serves as a member of this leading organization. SALC's mission is to advocate for the region's well being around key issues of importance including job growth, economic development, business friendly environment, health, education and other regional interests. Through active participation in these diverse organizations, CHN leadership ensures that key initiatives which these leading organizations consider and execute advance the community health and well-being of the region.
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 organization's bad debt expense in 2012 was $40,184,143 at charges($9,169,789 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 with a patients' bills when sent. The Network participates in "Nuestro 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 1.21 million individuals based on 2010 census data. This growth is 2.05% from 2000. The average household size is 2.53. 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 $48,208 and the per capita income at $24,171. 27.2% of the population is over the age of 55.The demographics of the area with regard to ethnicity are as follows: 36% of Hispanic origin, 3.8% two or more races, 15.6% some other race alone, 0.2% Pacific Islander alone, 2.2% Asian American, 2.8% American Indian alone, 3.5% Black and 36% 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 programs. 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, American Israel Friendship League, Tucson Urban League, Habitat for Humanity, Rotary Club of Tucson, Catholic Foundation, Science Foundation of Southern Arizona, Tucson Arthritis Support League, United Way, and 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 Health Alliance is sponsored by Ascension Health Ministries, a Public Juridic Person. The Participating Entities of Ascension Health Ministries are the Daughters of Charity of St. Vincent de Paul in the United States, 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. In addition, Alexian Brothers Health System, which was previously sponsored by the Congregation of Alexian Brothers of the Immaculate Conception Province, Inc. American Province, became part of Ascension Health on January 1, 2012. Carondelet Health Network located in Tucson, Arizona, consists of two nonprofit acute care hospitals. The hospitals within Carondelet Health Network provide inpatient, outpatient, and emergency care services for theresidents of Tucson, 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 improves the health of the individuals and communities it serves. In 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 servicesprovided to persons covered by public programs for the persons living inpoverty and other vulnerable persons.3. Cost of other programs for the persons living in poverty and othervulnerable persons includes programs intentionally designed to serve thepersons living in poverty and other vulnerable persons of the communityincluding substance abusers, the homeless, victims of child abuse andpersons with acquired immune deficiency syndrome.4. Community benefit consists of the unreimbursed costs of communitybenefit programs and services for the general community, not solely forpersons 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 $524,605 and $466,916 for the years ended June 30, 2013 and 2012, 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.
Carondelet Health NetworkCommunity Benefit ReportFiscal Year 2013First All-Hospital Community Needs Assessment Identifies Major Health Issues: For the very first time, all the nonprofit hospitals in the Tucson area worked together to create a community needs assessment to identify opportunities for health improvement among residents. Research was conducted in both Pima and Santa Cruz counties. Carondelet St. Joseph's Hospital, Carondelet St. Mary's Hospital, Tucson Medical Center and University of Arizona Medical Center staff found a number of areas needing improvement in southern Arizona. Some topics were identified all over the region, including the following: - Diabetes prevention - Rising obesity rates - Cardiovascular disease - Preventable hospitalizations - Access to health care - primary care providers - Shortage of mental health care - Lack of health insurance And further south . . . Carondelet Holy Cross Hospital worked with community partners Arizona Department of Health Services, Mariposa Community Health Center and Arizona Area Health Education Center to evaluate community needs in Santa Cruz County. The top issues in this part of the state are a lack of health insurance, a shortage of primary health providers and diabetes. Armed with a new understanding of specific needs, all the hospitals in the Tucson and Nogales communities are working to improve health care wherever possible.Carondelet leads the way in Chronic DiseaseCarondelet-Pima Council on Aging Coalition: When asked by other hospitals, why our Care Transitions Program is successful in reducing readmissions, we answer it takes a village or better yet, a Coalition. The Carondelet PCOA Transitional Care Navigation Coalition was formed in July 2012 and meets quarterly to review readmission rates and explore opportunities to improve care for our patients when they leave our hospitals. The Coalition membership includes Carondelet and PCOA leadership and Care Transition team members, community agencies such as Mobile Meals and CPSA, and our Carondelet Preferred Providers. As part of the effort in the Care Transitions Program, Carondelet established a Preferred Provider relationship with skilled nursing facilities, home health, infusion therapy and hospice/palliative care. Together, these Preferred providers work with Carondelet to ensure our patients are seamlessly transitioned to a different level of care. Our Preferred Providers also follow the same evidence-based guidelines and utilize our patient education tools that were initiated in the hospital. Carondelet emphasizes person-centered care and our preferred providers embrace our efforts, says Dr. Denmark.Transitional Care Program Means Better Recovery,Fewer Hospital Readmissions:For patients with certain medical conditions, being readmitted to the hospital shortly after leaving is unfortunately all too common. Carondelet is working hard to change that with a variety of outreach programs. In 2012, the Centers for Medicaid and Medicare Services (CMS) selected Carondelet Health Network as a Community-Based Care Transitions Program, in partnership with Pima Council on Aging (PCOA). Together, we provide the needed health and social support many patients need after they leave the hospital. This program manages Medicare patients with multiple chronic illnesses and includes a special focus on the following health conditions:- Heart failure- Acute myocardial infarction (heart attack)- Pneumonia- COPD (chronic obstructive pulmonary disease)- Renal (kidney) failureThe overall goals are to improve the quality and safety of patient care while reducing preventable hospital readmissions. Carondelet's Care Transitions Program follows high-risk Medicare patients from the hospital to their homes or other community venues such as a skilled nursing or assisted living facilities. From the beginning, the program has been successful in reducing hospital readmissions. In the Care Transitions Program, at-risk patients are placed in a 60-day intervention plan based on the level of their health risks. High-risk patients receive a home visit by the nurse and/or social worker within 24 hours of the patient's departure from the hospital. These patients are also equipped with telehome monitoring devices to record and report their vital signs wirelessly to nurses. In addition, a nurse accompanies patients to their follow-up doctor's appointments. For high-risk patients, that's just the beginning. The nurses also call the patients regularly to make sure they understand their medications, know how to identify red flags with their health condition and are going to their follow-up doctor's appointments. They keep in touch with the patient's doctors to help coordinate care, too.Low- and moderate-risk patients, a nurse and/or social worker keeps in touch by telephone to make sure they are managing their health they are taking their medications properly and going to their follow-up doctor's appointments. These patients are trained on self-management practices and medication adherence using proven methods for successful learning. The Transitional Care Program:Sandra Wente, RN, BSN, recounted a case from early 2013 that made a big difference for a family.A legally blind patient with diabetes was released from the hospital after experiencing heart failure. The patient lived with her daughter, grandson and great-grandchildren."I discovered that the patient was not taking her medication properly because she couldn't read the bottles," Sandra said. "She wouldn't let her daughter help manage her medications because she wanted to maintain some independence, but the result was that she was taking the wrong pills and wrong doses."Fortunately, Sandra was able to convince the patient to allow her daughter organize her medications. Sandra brought them a pill container, which helped ensure proper dosages and timing.Another problem was that the daughter, who did all the family cooking, was disabled herself. As a result, she did not have the energy to prepare meals from scratch, relying instead on frozen foods with a high sodium content. Too much sodium is especially problematic for those with heart failure. This diet caused the patient to suffer constantly from edema (swelling), putting an extra strain on the heart. Sandra brought a scale with remote reporting capability to the patient's home. This would help Sandra teach her patient and family about the importance of weight fluctuations caused by edema. Creating additional work for the patient's daughter by asking her to prepare separate meals for her mother was out of the question. So Sandra contacted the Pima Council on Aging social worker, who arranged for the patient to get her meals from Mobile Meals of Tucson. This service delivers healthy meals each day to the patient, with no disruption in the family's meal plans.About two weeks after Sandra made these changes in medication process and diet, the patient improved dramatically. "She was more alert, had much more energy (previously, walking from her bed to the bathroom took a great effort) and was not experiencing swelling," Sandra explained.The experience was happy for everyone. The patient was able to enjoy her family because she felt better, the family didn't have to worry about her so much, and Sandra was more than pleased with the results. "The next time I saw her, she gave me a big hug and said "You changed my life!" said Sandra. "It was such a satisfying experience."Telehome Monitoring Keeps Patients In Close Touch with Health Care:Carondelet Health Network is working to improve the health of those in our community through the telehome monitoring program. Registered nurses Rose Quiroga, Amy Salgado and Sandra Wente follow up with patients after they are discharged from the hospital to make sure they are on track with their medications and getting the proper care. This prevents many readmissions to the hospital.This also includes remote monitoring equipment for some patients, making it easy for patient's vital signs to be monitored from home. The information is sent wirelessly to a Carondelet computer, where the nurses can make sure things are going well. When numbers begin to change in a negative way, nurses can quickly intervene before a patient develops serious problems.The program has been a big success, with a 24 percent improvement in readmission rates. Patients are recovering better, saving money and enjoying life more because they are getting healthier.Community Benefit Report:
Better Health with Diabetes Management:Carondelet's diabetes continuum of care provides a special program that involves a comprehensive team of experts to help Carondelet Medical Group patients better manage their diabetes. A special component of the program is the telehome monitoring service. Lily Ramos is the diabetes navigator who coordinates care for dozens of diabetes patients each week. Lily sets up patients referred from Carondelet Medical Group with home diabetes testing technology. This allows the patient's blood glucose to be transmitted to a website where a Carondelet Health Network diabetes team member care review the results twice a day. When a patient's numbers are high, Lily contacts the diabetes nurse, who calls the patient to figure out what the trouble may be. In some cases, the physician needs to readjust the medications. For many patients, problem-solving with a diabetes educator and a dietitian makes all the difference."One lady's numbers stayed high until she met with the dietitian. As soon as she learned how to make better food choices, her numbers really went down," Lily noted. Learning how to manage diabetes successfully is vital for patients who are diagnosed with the disease. Telehome monitoring technology serves as an excellent teaching tool to coach the patient in real-time, helping them understand how they can make changes and give them a "a high five" when we see improvement. Patients typically stay in the telehome monitoring program about two months while becoming skilled and independent. For people who need help managing their diabetes, the telehome program makes all the difference. Getting diabetes under control helps patients avoid serious complications such as kidney disease, vision loss and even amputation. Diabetes navigator Lily Ramos (right) shows patient Alexandra Budeac how to use the blood glucose monitor.The Role of the Telemedicine Clinical Coordinator:For the past three years, Karen Wright, MS, RN, has served as Carondelet's Clinical Coordinator of Telemedicine. Bringing the telestroke program live was one of her first responsibilities Coordinating the various telemedicine programs means being on top of a lot of details and working with a wide range of health professionals and facilities. Karen collaborates with Linda Manalo, Stroke Program Coordinator at Carondelet Neurological Institute, to organize the on-site training of the specialists/neurologists and the emergency department staff at the rural hospitals. To be sure these outlying hospitals are ready for critical patient care and able to manage the videoconferencing elements, the team conducts periodic mock patient tests.In addition to the vital hands-on training, Karen is in close communication with the telemedicine information technology (IT) team to avoid problems, troubleshoot any issues and develop solutions. The IT group provides needed support to fix any connectivity issues and update software.Among her many responsibilities as telemedicine coordinator, Karen keeps Carondelet leadership updated on the status of the various telemedicine programs. Together, they plan for the future of the telemedicine program. Without this highly skilled team, there would be no telemedicine program. All the hard work that goes into this effort pays off every day in lives saved in remote locations, so it is a truly satisfying responsibility. Telemedicine Program Saves Lives:For people who live in rural parts of southern Arizona, immediate medical care isn't always an option. Specialty care can be even less accessible, particularly in an emergency.Fortunately for those who live in southern Arizona, lifesaving care for emergencies is available through Carondelet's telemedicine program. Telemedicine connects Tucson-area specialists with staff members at smaller local hospitals to bring critical care right to the patient via remote access. For stroke patients, time is a critical factor in preserving function. Patients need the right care fast in order to have the best chance of recovery. Telemedicine provides rural patients with specialists that can help make a difference in their recovery.Carondelet's telestroke program is a 24/7 consultation service provided by the neurologists of Western Neurosurgery Ltd., a private practice group of neurologists and neurosurgeons that practices exclusively at the Carondelet Neurological Institute. These highly trained experts collaborate with emergency physicians at rural hospitals who need rapid neurology consultation for patients with stroke symptoms. Using telemedicine, Emergency Department staff and specialists are able to interact in real time using videoconferencing software. By directly examining the patient and viewing test results such as a CT scan the neurologist can help determine whether the patient is a candidate for t-PA, a medicine that can dissolve blood clots causing stroke. This medicine is only approved to treat stroke patients within three hours of the onset of symptoms, making treatment time a critical factor when evaluating stroke patients in the Emergency Department.The telestroke program at Carondelet Neurological Institute (CNI), on the campus of St. Joseph's Hospital, currently provides services to Mt. Graham Regional Medical Center (Safford) and Sierra Vista Regional Medical Center. Other rural hospitals are soon to be added. Vascular neurologist Roderick Anderson, MD, leads the Carondelet telestroke program. Dr. Anderson and five associate neurologists can assess a patient many miles away and help the local hospital staff provide proper treatment. "Telestroke is more effective in treating acute stroke patients compared to phone consultation, making it the preferred method in which rural hospitals treat stroke patients," Dr. Anderson explained. Following the initial assessment, patients are often then transported to Tucson for further testing and treatment. The telestroke team relies on six neurosurgeons to help treat stroke patients requiring neurosurgical consultation, including Emun Abdu, MD, a vascular neurosurgeon. Adaeze Onouha, MD, is a neurointensivist involved with accepting stroke patients into the neurological intensive care unit. Linda Manalo is the Stroke Coordinator, and Emily Baughman, RN, is the Rural Market Physician Liaison. Karen Wright is the Clinical Coordinator of Telemedicine. According to Leah Shea, PMP, MHI, Neurosciences Service Line Director, "Carondelet and CNI are committed to meeting the needs of rural Arizona communities, especially for stroke care. These rural communities often transport patients to CNI when complex care is needed."Telestroke Care Saved Sierra Vista Patient:Recently, an 82-year-old woman arrived at Sierra Vista Regional Health Center with signs of stroke. The patient's daughter had received a phone call from her mother, who was unable to talk. She was unable to say words, so the daughter called 911.Upon arrival, the patient scored high on a national measure to evaluate strokes. In the emergency department, a neurology consultation was quickly conducted with one of the Carondelet Neurologic Institute (CNI) neurologists. When the neurologist evaluated the patient, the decision was made to give her medication to dissolve blood clots. She was then transferred to CNI, on the campus of at St. Joseph's Hospital. Additional testing at CNI revealed that the patient had a clot in a large blood vessel, making her a candidate for thrombolytic therapy. Immediately, a vascular neurosurgeon treated her with procedures to break up or remove a clot from the blood vessel.After treatment, the patient showed a marked improvement. She was able to regain her speech and make a good recovery.
ED Navigators Go Many Extra Miles, While Adding a Caring Touch:When a patient comes into the emergency department (ED) at a Carondelet hospital, lots of things happen. In addition to the immediate needs for assessment and proper treatment, some special associates begin evaluating how they might offer extra help after the emergency is over.A Carondelet ED Navigator gets involved when a patient needs more than just emergency medical care. For patients who are without insurance and without a home, the ED Navigator helps connect them to the resources they need. If someone uses the ED for all their health care even when the situation isn't an emergency the ED Navigator can arrange care in a more appropriate setting. She'll also follow up with the patient. And it's all done with kindness and caring support. Better Care at a Lower Cost: The ED Navigators help an average of 100 to 200 people each month with a wide range of needs. However, the benefits provided extend beyond the individual patients served. By helping people find more appropriate sites than the ED for non-emergency health care and by preventing avoidable hospital readmissions (with follow-up attention to ensure patients get proper care after leaving the hospital), ED Navigators are making more efficient use of community resources. This saves a lot of money.Health care costs keep rising, and the savings gained when patients get their medical care in an appropriate setting makes a big difference to us all. The Carondelet ED Navigators are helping reduce costs, while at the same time increasing appropriate care forpatients a win/win situation.For example, in about six months, the St. Mary's ED Navigator's efforts resulted in a savings of more than $200,000. By reducing the use of the ED and getting more appropriate care elsewhere, patient's health and well-being improved, too. At CarondeletSt. Joseph's Hospital :Margaret Rweikiza-Polk, BSPA, serves as ED Navigator at St. Joseph's Hospital. She has many stories about people she's helped, but a recent case really resonated with her.A young man had spent his childhood in foster care in California. The week he turned 18, he was no longer eligible to remain in the system and was sent to Tucson to live with cousins. Within a week, the cousins were no longer able to let him stay there. The young man had no place to go, didn't know anyone in Tucson and was afraid.In tears, all he could think to do was come to the nearby emergency room at St. Joseph's and ask for help. The ED Navigator was able to find him a place to stay at a local shelter. The shelter also offered a program to help him find a job and eventually get an apartment. This young man was very relieved to have a place to go and a chance for a better life.At Carondelet St. Mary's Hospital: Renee Perez is the ED Navigator at St. Mary's Hospital. She spends a lot of time helping people get establish as patients with primary care health providers when they don't have one. Other common scenarios include helping people apply for medical assistance, Nutrition Assistance and cash assistance using the Online Application Health-e-Arizona.A recent case proved particularly satisfying for everyone involved: the patient, the ED staff and Renee. A woman in her 50s had lost her job and become uninsured because her health problems prevented her from being able to work. The woman came to the St. Mary's ED over and over with knee pain. When it was determined that the patient needed knee surgery, Renee helped her file disability paperwork. Her application was approved, and she was able to get the surgery she needed. The operation was a success, and the patient recovered fully. She hasn't been back to the ED since. Nurse Practitioner Training Expands Primary Care in Arizona:Across the country, primary care providers are in short supply. Arizona faces the same challenges in many parts of the state. Primary care providers are critical for ensuring better coordinated care and better health outcomes for patients. The Affordable Care Act includes provisions that address the shortage of these providers by making their training a top priority. The Centers for Medicare and Medicaid (CMS) launched a program in 2012 to train more primary care health providers. Carondelet Health Network has joined a clinical partnership in Arizona that is helping train advanced practice registered nurses (APRN) across the state. Students from the University of Arizona, Grand Canyon University, Arizona State University and Northern Arizona University can train at Carondelet.APRNs are a vital part of the U.S. health system. They are registered nurses educated at Masters or post-Masters levels and in specific roles. APRNs are prepared by education and certification to assess, diagnose and manage patient problems, order tests and prescribe medications.The primary goal of the CMS project is to expand qualified training to APRN students. This training provides APRNs with the clinical skills necessary to provide primary care, preventive care, transitional care, chronic care management and other services. While CMS focuses on Medicare beneficiaries, adding APRNs helps entire communities.Ten students from the University of Arizona completed their required semester clinical training with Carondelet primary care professionals in various Tucson offices in FY 2013. Carondelet's primary care providers served as preceptors and mentors for the students in training, giving the students vital clinical training experience. "Carondelet is excited to be a participant in this program and to help to provide primary care learning experiences for Advanced Practice Nurses in Tucson," said Lateefah Collingwood, RN, NNP, MSN, Carondelet's Director of Integrated Learning.Vivir Mejor Telehealth Program Brings Diabetes Care to Santa Cruz County:During FY 2013, Carondelet partnered with Mariposa Community Health Center to provide diabetes outreach services through a HRSA Rural Health Grant for its Vivir Mejor! system of diabetes care in Santa Cruz County. The goal was to prevent and treat diabetes in a high-risk Hispanic population through improved primary care, enhanced self-management, increased family involvement/support and healthy lifestyle services.Carondelet Registered Dieticians and Certified Diabetes Educators provided nutrition counseling for high-risk diabetics via telehealth services. The counseling was provided in Spanish eight hours a week.
Free Community Diabetes Information Sessions Held Weekly at Carondelet Hospitals:Carondelet Health Network is also working to improve the health of the Tucson community with free diabetes information sessions. These sessions are offered at all three hospitals each week.At St. Joseph's Hospital, Educator Donna Heun, RN, MSN, CDE, covers a variety of topics such as nutrition, exercise and preventing diabetes-related complications. Class size is small enough so that individual needs can be discussed."Sometimes people have specific questions about their own health situation," Donna explained. "I'm happy to help them with whatever they need."Information sessions are ongoing, so anyone can attend at any time. There's no need to pre-register or make a reservation.Topics covered include the following:- Facts about diabetes- Healthy eating- Safe exercise- Community resources and support"People can come once or a few times to get their questions answered," Donna said. "If they need more help, I can connect them to our more comprehensive diabetes education classes." Free Drive-Thru Flu Shot Clinic A Tremendous Success :In January 2013, Carondelet Health Network held two drive-thru flu shot clinics at St. Joseph's Hospital and St. Mary's Hospital. Despite the wind and rain, and thanks to significant community promotion provided by media sponsor, KOLD/Channel 13, more than 2,200 Tucson-area residents came out to get the flu vaccine. For many, it was their first time receiving a flu shot. Because of the cost and high demand at other flu shot clinics, some people hadn't been able to get the flu vaccine prior to this event. The event was successful because of the many Carondelet associates who volunteered to participate in a wide variety of roles. Donald Denmark, MD, Carondelet Health Network's Chief Medical Officer, and Michael Connolly, DO, Chief Medical Officer of Carondelet Medical Group, served as executive leaders of the event.A great many Carondelet associates and physician partners gave up their weekend to work at the clinics. In addition, they helped raise awareness about the prevalence of the flu and spread the word about the value of receiving a flu shot. These associates and physicians took their message "viral," sharing their thoughts about the event's value and popularity on Facebook and Twitter. "As health care professionals, we all recognize the importance of preventive medicine. So, it seemed natural to offer our community the opportunity to receive a free flu shot if it meant they would be healthier and those they came in contact with would remain healthier, too," explained Dr. Denmark. According to Lisa Contreras, Carondelet's Communications Director, "All people had to do was roll down their car window and roll up their sleeves!" The drive-thru flu shot clinics were held on two consecutive days on one weekend, from 11 a.m.-3 p.m. There was no cost and no proof of insurance needed.Breathing Easier Thanks to New Initiative at Holy Cross Hospital:Carondelet Holy Cross Hospital is part of several initiatives to enhance asthma awareness. In partnership with the Arizona Department of Environmental Quality (ADEQ), air quality flags are hung outside the hospital daily indicating what the air quality is for the day. Patients and community members who suffer from respiratory problems will always be able to find out what the day's air quality has been declared. The flags are also flown at schools in Nogales and Santa Cruz Valley. Another initiative that started in July involved officially reporting to The Joint Commission with regard to consistently treating and educating all pediatric asthmatics. The American Lung Association and the Asthma Educator Institute provide therapists with the guidelines to implement this measure. Asthma education, along with an action plan, is provided to every patient seen at Carondelet Holy Cross Hospital. The physician and the respiratory care practitioner work together to complete the plan and provide very specialized detailed instructions to the patient. The RN involved in the patient's care is also part of this effort. In January, the hospital respiratory staff will kick off an initiative to meet frequently with school health staff and provide education on asthma. This effort will also include coaches and afterschool activity staff. The education will include demonstrations on how to teach children to properly use their inhalers. The ultimate goal is to have an asthma camp in the summer of 2014 for Santa Cruz County children to attend.Gwen Gallegos Wins National Award For Exceptional Service:Carondelet Health Network's own Gwen Gallegos was recently honored for her dedication and exceptional service with a national award from Ascension Health, Carondelet's parent company.Gwen, who is bilingual and bicultural, has provided spiritually-centered, holistic care to adolescents and adults with diabetes in the Nogales area. As a Family Nurse Practitioner and Certified Diabetes Educator, Gwen recognized a gap in the care and support of children, teens, pregnant women and adults diagnosed with diabetes in the rural community of Nogales, Arizona. Nogales, which is designated a medically underserved area, has residents with limited access to health care, a lack of health insurance and a high unemployment rate.Despite the challenges for vulnerable population, Gwen has made a real difference in the lives of those living in the Nogales area. Every week for the past 22 years, she has traveled from Tucson to Nogales to use her clinical expertise to promote good health and to prevent diabetes-related complications. Gwen provides diabetes self-management training to adults, helping them reduce the onset of diabetes complications. She does the same for pregnant women with gestational diabetes, helping achieve the best possible outcomes with healthy birth-weight babies. In addition, 16 years ago Gwen developed a diabetes support group for young people and their families. She still leads the regular meetings, and some of the original group members are now parents themselves. Gwen has been the primary source of support for many young people and their parents.Because there are no pediatric endocrinologists in Nogales, Gwen has established a professional relationship with specialists in Tucson who help care for the Nogales youngsters. When a child must be transported to Tucson because of a diabetes-related emergency, Gwen is the link between the hospital, the professional medical staff and the family. Over the past two years, Gwen also created and maintains a teleschool diabetes prevention program for middle school students on the Tohono O'odham reservation and at Sahuarita and Nogales Middle Schools. More than 100 middle schoolers participate in a year-long program to learn about diabetes and obesity prevention. After they complete the first three months of the program, the students take their newfound expertise to teach elementary school children in their communities. The program has become so successful that Gwen has been asked to expand it to three more schools.Although she's a very busy person, this isn't all Gwen does! She also speaks and gives workshops to state and national groups to address the issues of diabetes and behavioral health in vulnerable populations, particularly those who are homeless.Carondelet Health Network is proud of associates like Gwen who make a positive difference every day in the lives of others. Through her dedication, creativity, energy and spirit, Gwen is the embodiment of Carondelet's mission and values.
New Chapel, Spiritual Center at Carondelet St. Joseph's Hospital:On April 23, the doors to the Fred & Olga Pace Spiritual Center at St. Joseph's Hospital finally opened, revealing a welcoming healing garden, multiple spaces for quiet reflection, and the centerpiece the hospital chapel."The hospital is a place where the things some of us experience periodically are experienced daily: birth, death, struggle, fear, but also charity and miracles," said Tony Fonze, CEO of St. Joseph's Hospital. "The Chapel and the Spiritual Center offer us all a very special place where we can rejoice and be thankful for the wonderful things that happen in our lives, but also we can find consolation and peace during times of confusion and loss."The new chapel and spiritual center's simple beauty and central location are truly in the heart of St. Joseph's Hospital. It's a place for comfort and peace, or simply a space to reflect on the many miracles and events that transpire within the hospital's walls. Two colorful eight-foot stained glass windows depicting scenes from the surrounding Sonoran landscape decorate the chapel's altar and adjoining the All-Faiths Meditation Room. A separate series of smaller windows lines the tops of the walls and, when viewed left to right, reflect the changing colors of the Arizona sky from sunrise to sunset. The artist, Mary Myers, said her window's designs were inspired by Psalm 121 and Psalm 23.In a surprising twist of fortune, almost all of the windows were salvaged from the hospital's last chapel (built in 1984) and restored by Myers. Only the meditation room window is new. That was created with the help of another stained glass artist, Teresa Karjalainen.
See belowPart V, Line 8 Facility Reporting Group A
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.Part V, Section B, line 3:Facility 1 -- St. Joseph's Hospital
The hospital facility's CHNA was conducted with the following other hospital facilities: University of Arizona State Medical Center and Tucson Medical CenterPart V, Section B, line 4:Facility 1 -- St. Joseph's Hospital
The hospital facility's CHNA was also made widely available via news releases and articles in the local newspaper.Part V, Section B, line 5c:Facility 1 -- St. Joseph's Hospital
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.Part V, Section B, line 7:Facility 1 -- St. Joseph's Hospital
Part V, Section B, line 14g:Facility 1 -- St. Joseph's Hospital
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.Part V, Section B, line 20d:Facility 1 -- St. Joseph's Hospital
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.Part V, Section B, line 3:Facility 2 -- St. Mary's Hospital
The hospital facility's CHNA was conducted with the following other hospital facilities: University of Arizona State Medical Center and Tucson Medical CenterPart V, Section B, line 4:Facility 2 -- St. Mary's Hospital
The hospital facility's CHNA was also made widely available via news releases and articles in the local newspaper.Part V, Section B, line 5c:Facility 2 -- St. Mary's Hospital
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.Part V, Section B, line 7:Facility 2 -- St. Mary's Hospital
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.Part V, Section B, line 20d:Facility 2 -- St. Mary's Hospital

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
American Heart Association
PO Box 4002908Des MoinesIA503402908135613797501(c)(3)55000Go Red, Heart Walk, and Heart Ball Sponsorships
Catholic Community Services of Southern Arizona Inc
140 W Speedway Blvd Suite 230TucsonAZ85705860100880501(c)(3)25000Events Sponsorship
University of Arizona Foundation
PO Box 210109TucsonAZ85721866050388501(c)(3)20750Events Sponsorships
Tucson Nurses Week Foundation
PO Box 65085TucsonAZ857285085860771880501(c)(3)10000Events Sponsorship
Southern Arizona Affiliate of Susan G Komen Race for the Cure
4574 E Broadway BoulevardTucsonAZ85711751835298501(c)(3)6300Events Sponsorship
Pima Council on Aging
8467 E BroadwayTucsonAZ85711860251768501(c)(3)6500Events Sponsorship
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants6TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
James K Beckmann Jr
President/CEO (Ex Officio)6052780147275001873303400002395902154720000
Alan Strauss Sch J
CFO-CHN04992760322744028577101942503087601158092085540
Amy Elizabeth Beiter
Pres/CEO-CSM300704017016049080194100217780363816000
Anthony R Fonze
CEO - CSJ52928199244071663178217191210000157655681030386300
Debra Finch
COO/CNO - CSM215192046204058098019052094630348009000
Mary Henrickson
CEO CSJ297330012296085807000214000416833000
Dorothy Sawyer
CEO - CSM2917720139430828710187600210110428357000
Richard Imwalle
VP Mktg/CEO Foundation263615011526017047011006076460310840000
Martha Gerganoff
Sr. VP CNO22959506483078890225000237780290245000
Christen Castellano
Sr. VP Strategy17669804000001725012116053950235934000
Donald Denmark
VP CMO3530250735960190880225000291830497392000
Daisy Jenkins
Sr. VP Human Resources336415020744091170225000252810414057000
Patricia Martinez
VP Chief Quality Off343127021137021130162500154310398058000
Sue Gold
Dir-Sr. Nursing & Clinical Svcs.15065703234401307017000091520210460000
Mary Hill
VP Mission Integration178232010431020350225000186060231804000
Rex Williams
Director CSJ Pharmacy1536270200001372018700036250179324000
Alyce Turnbull
Pharmacist - CSJ13778702000051508457080560156815000
Debra S Mohesky
Former CFO111713049489031370105190069320487025000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aA housing allowance is provided for an executive. The amount is included in his W-2 wages.
Part I, Lines 4a-bEligible 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: Sue Gold - $23,932 Odette Bolano - $34,041 Paula Register - $28,322 Roberta Kaemmerling - $14,021 Neil Carolan - $46,892 Irma Ramirez - $16,252
Part IIISchedule J, Part II: The 2012 compensation amounts shown for Alan Strauss were paid by a related organization. $580,676 of the compensation was paid for Mr. Strauss's services as the CFO of Carondelet Health Network. His remaining compensation was paid for his services as the CFO of the related organization. A portion of the 2012 compensation amounts shown for Anthony Fonze were paid by a related organization. $52,928 of the compensation was paid for Mr. Fonze's services as the CEO of Carondelet St. Joseph. His remaining compensation from a related organization was for services to that related organization.Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Pima HeartBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipBoard member is a partnerRelationship
Amount Of Transaction330373AmountOfTransaction
Description Of TransactionServicesDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Number of Forms 1099 Filed:Form 990, Part V, Line 1a: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 6Carondelet Health Network has a single corporate member, Ascension Health.
Form 990, Part VI, Section A, line 7aCarondelet 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 7bAscension 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 11Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members questions.
Form 990, Part VI, Section B, line 12cThe 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 meeting 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 15In 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 who 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 that 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 19The organization will provide any documents open to public inspection upon request.
Other FeesForm 990, Part IX, line 11gPhysician, Professional, Revenue cycle and consulting fees: Program service expenses 8,862,482. Management and general expenses 14,463,292. Fundraising expenses 0. Total expenses 23,325,774. Contract labor: Program service expenses 3,162,803. Management and general expenses 3,641,882. Fundraising expenses 0. Total expenses 6,804,685. Purch Svcs.(housekeeping,dietary,biomed,etc.) Labor & Supplies: Program service expenses 23,696,256. Management and general expenses 11,371,871. Fundraising expenses 0. Total expenses 35,068,127.
Changes in Net Assets or Fund Balances:Form 990, Part XI, line 9:Net Assets Released from Restrictions -264,485. Transfers to Sponsors -1,601,401. Change in share of Joint Ventures Net Assets 5,347,760. Transfers to/from Ascension Health 41,746,043.
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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
St Mary's Hospital
1601 W St Marys RdTucsonAZ85745860455920HospitalAZ-11909989145260024Carondelet Health Network
St Joseph's Hospital
350 N Wilmot RdTucsonAZ85711860455920HospitalAZ-14536700147821141Carondelet Health Network

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Ascension Health
PO Box 45998St LouisMO631343806311662309National Health SystemMOSection 501(c)(3)Schedule A, Line 11aAscension Health Alliance0
Holy Cross Hospital Inc
1171 W Target Range RdNogalesAZ85621860575938HospitalAZSection 501(c)(3)Schedule A, Line 3Carondelet Health Network1
Carondelet Heart & Vascular Institute
4888 N Stone AveTucsonAZ85704561943271HospitalAZSection 501(c)(3)Schedule A, Line 3Carondelet Health Network1
Carondelet Foundation Inc
120 N Tucson BlvdTusconAZ85716860749574FoundationAZSection 501(c)(3)Schedule A, Line 11aCarondelet Health Network1
Chalon Living Inc
8553 E San Alberto DrScottsdaleAZ85258860805615Elderly/Disabled HousingAZSection 501(c)(3)Schedule A, Line 7Holy Cross Hospital Inc1
Southwest Catholic Health Network
4350 E Cotton Center Blvd Bldg DPhoenixAZ85040860527381InsuranceAZSection 501(c)(3)Schedule A, Line 11aCHN & Cthl Hlthcare W AZ0
The Centurions
2202 N Forbes BlvdTucsonAZ85745854088322FoundationAZSection 501(c)(3)Schedule A, Line 11aCarondelet Foundation Inc1

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
Carondelet Specialist Group Inc
2202 N Forbes BlvdTucsonAZ85745281558773Physician PracticeAZCarondelet Health NetworkC-870207915388061.000001
Carondelet Medical Group PC
2202 N Forbes BlvdTucsonAZ85745860836126Medical GroupAZCarondelet Health NetworkC-640563936247611.000001
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Carondelet Foundation Inc
E244403Actual Amount Transferred
Carondelet Foundation Inc
M797681Actual Amount Transferred
Carondelet Foundation Inc
P1057666actual Amount Transferred
Holy Cross Hospital Inc
P2651147Actual Amount Transferred
Ascension Health
P4347786Actual Amount Transferred
Carondelet Heart & Vascular Institute
R2760681Actual Amount Transferred
Ascension Health
S41746042Actual Amount Transferred

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