2014-05-14T08:51:14-05:00 2013-06-30 861065772 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2012-07-01 860455920 Carondelet Health Network CARO 5208727796 2202 N Forbes Blvd Tucson AZ 85745 Alan Strauss 5208727796 2014-05-14 1 Rebecca Lyons P01487105 5137847100 2014-05-09 2012 2015-11-30 17:44:51Z James K Beckman Jr 2202 N Forbes Blvd Tucson AZ 85745 440687060 0 0928 X www.carondelet.org X 1987 AZ Provide for the healthcare needs of the community. 14 11 4574 342 2095131 -626908 4661434 5697330 401733893 420285017 1114596 500139 7166811 12724357 414676734 439206843 1762342 195746 0 0 215931386 214055734 0 0 0 275972469 239048956 493666197 453300436 -78989463 -14093593 513324796 558236270 299552440 313331010 213772356 244905260 Provide for the healthcare needs of the community; to embrace the person in mind, body and spirit; and to serve all people with dignity. 0 0 371370462 195746 427018742 During 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. 371370462 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 X 587 0 1 4574 1 1 1 0 0 0 0 0 0 0 0 0 0 X 14 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 AZ X Alan Strauss 5208727796 2202 N Forbes Blvd Tucson AZ 85745 Sr Annette Bower end 0613 0.50 0.00 X X 0 0 0 Elizabeth Kaminski 0.50 0.00 X X 0 0 0 John Boulet MD 0.50 0.00 X 0 0 0 Marcel Dabdoub 0.50 0.00 X 0 0 0 Steve Eggen 0.50 0.00 X 0 0 0 John Jack Forsythe 0.50 0.00 X 0 0 0 Wade Harman JD 0.50 0.00 X 0 0 0 Karl Hekimian MD 0.50 0.00 X 0 0 0 Sheldon King 0.50 0.00 X 0 0 0 John Lauer 0.50 0.00 X 0 0 0 Christopher Linscott 0.50 0.00 X 0 0 0 Fran Roberts PhD 0.50 0.00 X 0 0 0 William Stout 0.50 0.00 X 0 0 0 Sr Pat Rosholt 0.50 0.00 X 0 0 0 James K Beckmann Jr 45.00 15.00 X X 2096761 0 57959 Alan Strauss Sch J 45.00 15.00 X 0 1107791 50301 Amy Elizabeth Beiter 50.00 10.00 X 322628 0 41188 Anthony R Fonze 60.00 0.00 X 54710 288098 17865 Debra Finch 60.00 0.00 X 319494 0 28515 Mary Henrickson 50.00 0.00 X 395433 0 21400 Dorothy Sawyer 40.00 10.00 X 388586 0 39771 Richard Imwalle 25.00 25.00 X 292188 0 18652 Martha Gerganoff 60.00 0.00 X 243967 0 46278 Christen Castellano 60.00 0.00 X 218423 0 17511 Donald Denmark 60.00 0.00 X 445709 0 51683 Daisy Jenkins 60.00 0.00 X 366276 0 47781 Patricia Martinez 40.00 0.00 X 366377 0 31681 Sue Gold 50.00 0.00 X 184308 0 26152 Mary Hill 40.00 0.00 X 190698 0 41106 Rex Williams 40.00 0.00 X 156999 0 22325 David Berger 40.00 0.00 X 141953 0 5461 Alyce Turnbull 40.00 0.00 X 140302 0 16513 Odette Bolano 0.00 0.00 X 370247 0 20808 Paula Register 0.00 0.00 X 424276 0 5993 Roberta Kaemmerling 0.00 0.00 X 190107 0 12203 Neil Carolan 0.00 0.00 X 262752 0 18681 Irma Ramirez 0.00 0.00 X 231175 0 8100 Linda Werbylo 0.00 0.00 X 138954 0 23413 Debra S Mohesky 0.00 0.00 X 474903 0 12122 8417226 1395889 683462 143 1 1 0 Accretive Health 39918 Treasury Center Chicago IL 606949900 Healthcare Services 34462924 Morrison Management Specialists 5801 Peachtree Dunwoody Rd Atlanta GA 30342 Nutritional Services 14421480 TriMedx LLC PO Box 636129 Cincinnati OH 45263 Equipment Maintenance 6993357 Hall Render Killian Heath & Lyman 39778 Treasury Center Chicago IL 60694 Legal Services 2473978 Sodexho Inc Dept 880328 Los Angeles CA 90088 Linen Services 2183973 63 5432844 187172 77314 5697330 Net Patient Services 621990 392746872 392177650 569222 Joint Ventures 621990 15226147 14112294 1113853 Corporate Allocation 561000 12311998 12311998 420285017 476536 476536 1641046 1471396 169650 169650 169650 32424 8821 23603 23603 23603 Cafeteria/Vending Rev 722210 2961128 2961128 Physician Guarantees 900090 766595 766595 Child Care 621990 635167 468100 167067 8191817 7946828 244989 12554707 439206843 427016870 2095131 4397512 X 195746 195746 6664017 3998410 2665607 1706709 1024025 682684 169674153 140829547 28844606 6869996 6182996 687000 15770041 14193037 1577004 13370818 12033736 1337082 446848 394073 52775 2215007 664502 1550505 1099531 367317 732214 39981 39981 65198586 35721541 29477045 1611155 563904 1047251 9974436 9439851 534585 26070428 23463385 2607043 7465882 6705025 760857 607924 347455 260469 5383766 4845389 538377 4353590 3918231 435359 20739010 18665109 2073901 3666802 3300122 366680 Med/Operating Supplies 76791554 76034525 757029 0 Pt./Dietery Cafeteria 3011458 2710312 301146 0 Restructuring Charges 2873095 517157 2355938 0 Licenses, Fees and Dues 1119392 917901 201491 0 6380511 4297185 2083326 453300436 371370462 81929974 0 24176081 5690898 58970310 55162982 9412544 9904547 3109080 1788436 363539010 112724612 243750351 250814398 173906430 234875009 513324796 558236270 69191698 55283667 6009111 3716509 224351631 254330834 299552440 313331010 X 213173213 244572022 599143 333238 0 213772356 244905260 513324796 558236270 X -14093593 -1420 45227917 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 36381 36381 0 Explanation of Lobbying Activities: Part II-B, Line 1: Other activities represent the portion of dues paid to national and state hospital associations that is expended by the associations for lobbying and travel expenses to attend association lobbyist meetings. Carondelet Health Network does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. 7105534 880557 7986091 7291345 -185811 7105534 6337390 1004559 50604 7291345 6306720 0 389627 358957 6337390 3863754 2442966 6306720 0.63400 0.28400 0.08200 0 1 1 542430 32833798 33376228 192214258 39857589 152356669 5536 2418468 -2412932 102447504 65446844 37000660 35495484 5001711 30493773 250814398 Estimated Settlements from Third Party Payors 1157808 Due from Affiliates 112393668 Other Current Assets 6413580 Interest in Investments Held by Ascension Health Alliance's Alpha Fund 8074607 Restricted Funds 333237 Investments in Unconsolidated Entities 90291167 Deferred Compensation 2891883 Physician Guarantees 2557539 Other Long Term 10761520 234875009 Settlements to Third Party Payers 70499578 Self Insurance Liability 5052016 Physician Debt Guarantees 52799 Other Miscellaneous 6399363 Intercompany Debt to Ascension Health Alliance 143121881 Deferred Compensation Liability 2891883 Graham Group Lease Obligation 20300000 Reserve for Abatement 6013314 254330834 Description of Intended Use of Endowment Funds: Part V, Line 4: To support program services for St. Mary's and St. Joseph's hospitals. 1 1 X 1 X 400.000000000000 1 X 1 1 0 1 1 1 3280 17092252 17092252 0.04530 1 45424 57653014 38345359 19307655 0.05120 2 48704 74745266 38345359 36399907 0.09650 33 5414 5119272 288315 4830957 0.01280 14 467 3118445 3118445 0.00830 6 7617 43446074 36734950 6711124 0.01780 66 532855 532855 0.00140 119 13498 52216646 37023265 15193381 0.04030 121 62202 126961912 75368624 51593288 0.13680 0.00000 8 71090 71090 0.00020 1 885 885 0.00000 0.00000 0.00000 0.00000 0.00000 0.00000 0.00000 9 71975 71975 0.00020 0 9169789 5592627 222314296 228932347 -6618051 X 1 1 1 St Joseph's Family Practice Physician Services 0.30000 0.00000 0.30000 2 Carondelet Surgical Centers LLC Surgery 0.42670 0.51040 3 Tucson Mountain Medical Building Associates LLC Property Rental 0.20670 0.00000 0.38390 2 1 St Joseph's Hospital

350 N Wilmot Tucson AZ 85711

www.carondelet.org X X X A 2 St Mary's Hospital

1601 W St Marys Rd Tucson AZ 85745

www.carondelet.org X X X A Facility Reporting Group - A 1 X X X X X X X X X 12 1 1 1 X X X X X X X X 0 0 1 1 400.000000000000 1 400.000000000000 1 X X X X X X 1 1 X X X X X 1 0 1 X 0 0 10 Silverbell Ambulatory Surgery Center

585 N Silverbell Tucson AZ 85745

Joint Venture Carondelet Imaging Center

630 Alvernon Way Suite 150 Tucson AZ 85711

Imaging Center Sports Plus Physical Therapy

630 Alvernon Way Suite 181 Tucson AZ 85711

Physical Therapy Office Carondelet Family Practice

6528 E Carondelet Dr Tucson AZ 85710

Physician Office Center for Advanced Wound Care

6565 E Carondelet Dr Suite 265 Tucson AZ 85710

Wound Care Center Carondelet Family Practice

6566 E Carondelet Dr Tucson AZ 85711

Physician Offices RLC LLC

6567 E Carondelet Drive Suite 105 Tucson AZ 85710

Joint Venture Rita Ranch Medical Mall

8290 S Houghton Rd Tucson AZ 85757

Medical Group, Imaging Services Primeros Pasos

4600 N Park Ave Suite 6B Tucson AZ 85714

Family Medical Center Nogales Rehab

857 W Bell Rd Suite 3 Nogales AZ 85621

Rehab Services Part I, Line 6a: The organization prepares and files its annual Community Benefit Plan Report. This report is prepared on a consolidated basis and includes data for Carondelet Health Network, Holy Cross Hospital, 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. Community Benefit Report: 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. 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. Part V, Line 8 Facility Reporting Group A See below Facility 1 -- St. Joseph's Hospital Part V, Section B, line 3: In addition to conducting surveys, the following key informants were consulted during the CHNA process:- Michele Barnard, The University of Arizona Medical Center- Odette Bolano, Carondelet Health Network- Jessamyn Bowling, Candidate, The University of Arizona College of Public Health- Juliet Charron, Candidate, The University of Arizona College of Public Health- Andrea Chiasson, United Way of Southern Arizona- Patricia Coyle, Coyle Creative Solutions- Kayla DeRosa, The University of Arizona- Dr. Howard Eng, The University of Arizona College of Public Health- Mindy Fain, The University of Arizona Center on Aging- Michal Goforth, Pima County Access Program- Scott Going, UA Nutritional Sciences Department- Taz Greiner, Carondelet Obesity Prevention- Andrew J Gall, The University of Arizona College of Public Health- Chuck Huckleberry, Pima County- Maia Ingram, The University of Arizona College of Public Health- Cheryl Kohout, Tucson Medical Center- Jan Lesher, Pima County- Jody Mansfield, The University of Arizona Health Network- Brad McKinney, Pima County Health Department- Karen Mlawsky, The University of Arizona Medical Center- Jim Murphy, Pima Council on Aging- Christopher "Kit" O'Connor, The University of Arizona School of Natural Resources- Honey Pivirotto, Pima County Health Department- Judy Rich, Tucson Medical Center- Dorothy Sawyer, St. Mary's Hospital- Joe Snell, TREO- Julia Strange, Tucson Medical Center- Andy Theodoro, The University of Arizona Medical Center- Donna Zazworsky, Carondelet Heatlh Network- Debra Adams COO Pima Council on Aging- Suzy Bourque Caregiver Specialist Pima Council on Aging- Dr. Michael Ellis Chief of Behavioral Health Marana Health Center Healthcare- Dawn Godowski Clinical Supervisor Marana Health Center Healthcare- Mary Carter Director of Special Projects Marana Health Center Healthcare- Michal Goforth Executive Director Pima Community Access Program- Brenda Goldsmith Executive Director El Rio Health Center Foundation- Kristine Hansen Principal Whitemore Elementary School- Penelope Jacks Director Children's Action Alliance, Southern AZ- Marie Marchal Director of Business development HealthSouth Rehabilitation Institute of Tucson- Jennifer Pashley Medical Case Manager International Rescue Committee in Tucson- Honey Pivirotto Assistant County Administrator for Health Policy Pima County Health Department- Dr. William Martz Chief Medical Director Pima County Health Department- Larry Kraus Director, Department of Institutional Health Pima County Health Department- Pat Benchik Behavioral Health Administrator Pima County Health Department- Sherry Daniels Director Pima County Health Department- Karen Ring Health Living Program Coordinator Pima Council on Aging- Lauren Schroeder, MPH Well-Being Promotion Program Coordinator International Rescue Committee in Tucson- Yolanda Sevillano, MA Case Manager Pima County. Facility 1 -- St. Joseph's Hospital Part V, Section B, line 4: The hospital facility's CHNA was conducted with the following other hospital facilities: University of Arizona State Medical Center and Tucson Medical Center Facility 1 -- St. Joseph's Hospital Part V, Section B, line 5c: The hospital facility's CHNA was also made widely available via news releases and articles in the local newspaper. Facility 1 -- St. Joseph's Hospital Part V, Section B, line 7: Carondelet St. Joseph's Hospital Needs Not Being Addressed as a Priority RationalAccess to Healthcare1. Federal Medically Underserved Areas or Population of Pima County to include Ajo, Tohono O'odham, Pascua Yaqui This need will not be addressed because these areas are currently being served by either a Federally Qualified Health Center or Indian Health Services. CHN works with the Tohono O'odham Nation and Indian Health Services on a Partnership for Patients program. Health Status(Leading Causes of Death)2. Malignant Neoplasms This need will not be addressed as priority. Carondelet has a full array of oncology services. Carondelet Neurological Institute (CNI) partners with Arizona Oncology, Western Neurosurgery, and Radiology Ltd. to provide comprehensive oncology care. CSM partners with Arizona State Radiology and Arizona Oncology to provide comprehensive oncology care. The Breast Center at Carondelet St. Mary's is dedicated to a comprehensive, interdisciplinary approach that covers the entire spectrum of breast care, including screening, risk assessment, diagnosis and treatment of both benign and malignant conditions. The Breast Center offers a Patient Navigator to assist women that have an abnormal examination or a positive finding to find their way through the healthcare system. University of Arizona Medical Center (UAMC) operates the UA Cancer Center.3. AccidentsMotor vehicle, Falls, Poisonings, Drowning This need will not be addressed as a priority. Of the top four deaths related to accidents, Pima County ranks higher than the state in only one, motor vehicle accidents. Pima County and the City of Tucson are addressing this issue with red light cameras.4. Chronic Lower Respiratory Disease This need will not be addressed as a priority. CHN has a range of pulmonary services including CSJ Pulmonary Rehabilitation program to help patients cope with Chronic Lower Respiratory Disease. CHN participates in the Fight for Air Walk which promotes awareness of healthy lungs and healthy air. Community resources include the American Lung Association.5. Drug-induced Death, Suicide, and Excessive Drinking These needs will not be addressed as a priority. CSJ has a 15 bed intensive inpatient chemical dependency and behavior health program and is in the process of starting an outpatient chemical dependency program. In addition, this need is being address by a variety of organizations in Pima County. Community resources include:a. COPE Behavioral Services, Inc. b. CODAC Behavior Health Services, Inc. c. La Frontera Centerd. Amity Foundatione. Arizona Suicide and Crisis Hotlines - http://www.suicidehotlines.com/arizona.html f. Southern Arizona Mental Health Corporationg. Lutheran Social Services of the Southwesth. Jewish Family & Children's Services Of Southern Arizonai. Crisis Response Network of Southern ArizonaModifiable Risk Factors6. Smoking This need will not be addressed as a priority. CHN maintains a smoke free campus. Arizona and Pima County have the Arizona Smokers Help Line (ASHLine). Pima County maintains a smoking cessation program and bans the use of tobacco products on most county properties and facilities. Community resources include: a. ASHLineb. Pima County Tobacco and Chronic Disease Programc. Pima County bans the use of tobacco products on most county properties and facilitiesWomen's and Children's Services7. Infant Mortality Rate This need will not be addressed as a priority. CHN does not have a pediatric unit. This population is served by the University of Arizona Medical Center (UAMC) and Tucson Medical Center (TMC). Infectious Diseases8. Syphilis, Chlamydia, Gonorrhea, HIV/AIDS This need will not be addressed as a priority. Pima County Health Department operates an STD/HIV clinic. Natural, Social and built Environment9. Air Quality This need will not be addressed as a priority. Pima County has the Air Program under the Pima County Department of Environmental Quality that works to maintain healthy air quality for Pima County. 10. Homicide Rate/Firearms This need will not be addressed as a priority.CHN will continue to maintain a firearm free campus. Pima County Sheriff's Department operates a Community Resources Unit (CR). This unit provides timely, important public safety information to the citizens and media outlets of Southern Arizona. The CR Unit manages the Sheriff's Auxiliary Volunteer (SAV) program that provides up to date crime prevention information as well as oversight to hundreds of Neighborhood Watch groups in unincorporated Pima County.11. Child Injury from Family/Relative Abuse This need will not be addressed as a priority. CHN does report suspected abuse to Child Protective Services (CPS). The state of Arizona has committed to hiring 50 additional CPS workers. Facility 1 -- St. Joseph's Hospital Part V, Section B, line 14g: Facility 1 -- St. Joseph's Hospital Part V, Section B, line 20d: Per the Carondelet Health Network Financial Assistance Policy:Charges for emergency or other medically necessary care provided topersons who are eligible for financial assistance under this policy shallnot exceed the amounts generally billed to individuals who have insurancecoverage for such care. Facility 2 -- St. Mary's Hospital Part V, Section B, line 3: In addition to conducting surveys, the following key informants were consulted during the CHNA process:- Michele Barnard, The University of Arizona Medical Center- Odette Bolano, Carondelet Health Network- Jessamyn Bowling, Candidate, The University of Arizona College of Public Health- Juliet Charron, Candidate, The University of Arizona College of Public Health- Andrea Chiasson, United Way of Southern Arizona- Patricia Coyle, Coyle Creative Solutions- Kayla DeRosa, The University of Arizona- Dr. Howard Eng, The University of Arizona College of Public Health- Mindy Fain, The University of Arizona Center on Aging- Michal Goforth, Pima County Access Program- Scott Going, UA Nutritional Sciences Department- Taz Greiner, Carondelet Obesity Prevention- Andrew J Gall, The University of Arizona College of Public Health- Chuck Huckleberry, Pima County- Maia Ingram, The University of Arizona College of Public Health- Cheryl Kohout, Tucson Medical Center- Jan Lesher, Pima County- Jody Mansfield, The University of Arizona Health Network- Brad McKinney, Pima County Health Department- Karen Mlawsky, The University of Arizona Medical Center- Jim Murphy, Pima Council on Aging- Christopher "Kit" O'Connor, The University of Arizona School of Natural Resources- Honey Pivirotto, Pima County Health Department- Judy Rich, Tucson Medical Center- Dorothy Sawyer, St. Mary's Hospital- Joe Snell, TREO- Julia Strange, Tucson Medical Center- Andy Theodoro, The University of Arizona Medical Center- Donna Zazworsky, St. Mary's Hospital- Michele Barnard, The University of Arizona Medical Center- Odette Bolano, Carondelet Health Network- Jessamyn Bowling, Candidate, The University of Arizona College of Public Health- Juliet Charron, Candidate, The University of Arizona College of Public Health- Andrea Chiasson, United Way of Southern Arizona- Patricia Coyle, Coyle Creative Solutions- Kayla DeRosa, The University of Arizona- Dr. Howard Eng, The University of Arizona College of Public Health- Mindy Fain, The University of Arizona Center on Aging- Michal Goforth, Pima County Access Program- Scott Going, UA Nutritional Sciences Department- Taz Greiner, Carondelet Obesity Prevention- Andrew J. Gall, The University of Arizona College of Public Health- Chuck Huckleberry, Pima County- Maia Ingram, The University of Arizona College of Public Health- Cheryl Kohout, Tucson Medical Center- Jan Lesher, Pima County- Jody Mansfield, The University of Arizona Health Network- Brad McKinney, Pima County Health Department- Karen Mlawsky, The University of Arizona Medical Center- Jim Murphy, Pima Council on Aging- Christopher "Kit" O'Connor, The University of Arizona School of Natural Resources- Honey Pivirotto, Pima County Health Department- Judy Rich, Tucson Medical Center- Dorothy Sawyer, St. Mary's Hospital- Joe Snell, TREO- Julia Strange, Tucson Medical Center- Andy Theodoro, The University of Arizona Medical Center- Donna Zazworsky, Carondelet Heatlh Network- Debra Adams COO Pima Council on Aging- Suzy Bourque Caregiver Specialist Pima Council on Aging- Dr. Michael Ellis Chief of Behavioral Health Marana Health Center Healthcare- Dawn Godowski Clinical Supervisor Marana Health Center Healthcare- Mary Carter Director of Special Projects Marana Health Center Healthcare- Michal Goforth Executive Director Pima Community Access Program- Brenda Goldsmith Executive Director El Rio Health Center Foundation- Kristine Hansen Principal Whitemore Elementary School- Penelope Jacks Director Children's Action Alliance, Southern AZ- Marie Marchal Director of Business development HealthSouth Rehabilitation Institute of Tucson- Jennifer Pashley Medical Case Manager International Rescue Committee in Tucson- Honey Pivirotto Assistant County Administrator for Health Policy Pima County Health Department- Dr. William Martz Chief Medical Director Pima County Health Department- Larry Kraus Director, Department of Institutional Health Pima County Health Department- Pat Benchik Behavioral Health Administrator Pima County Health Department- Sherry Daniels Director Pima County Health Department- Karen Ring Health Living Program Coordinator Pima Council on Aging- Lauren Schroeder, MPH Well-Being Promotion Program Coordinator International Rescue Committee in Tucson- Yolanda Sevillano, MA Case Manager Pima County. Facility 2 -- St. Mary's Hospital Part V, Section B, line 4: The hospital facility's CHNA was conducted with the following other hospital facilities: University of Arizona State Medical Center and Tucson Medical Center Facility 2 -- St. Mary's Hospital Part V, Section B, line 5c: The hospital facility's CHNA was also made widely available via news releases and articles in the local newspaper. Facility 2 -- St. Mary's Hospital Part V, Section B, line 7: Carondelet St. Mary's Hospital Needs Not Being Addressed as a Priority Rational Access to Healthcare1. Federal Medically Underserved Areas or Population of Pima County to include Ajo, Tohono O'odham, Pascua Yaqui This need will not be addressed because these areas are currently being served by either a Federally Qualified Health Center or Indian Health Services CHN works with the Tohono O'odham Nation and Indian Health Services on a Partnership for Patients program. 2. Mental health Professional Shortage Area This need will not be addressed as a priority. Carondelet St, Joseph's Hospital (CSJ) does have a 15 bed intensive inpatient chemical dependency and behavior health program and is in the process of starting an outpatient chemical dependency program. In addition, this need is being address by a variety of organizations in Pima County. Community resources include:a. COPE Behavioral Services, Inc. b. CODAC Behavior Health Services, Inc. c. La Frontera Centerd. Amity Foundatione. Arizona Suicide and Crisis Hotlines - http://www.suicidehotlines.com/arizona.html f. Southern Arizona Mental Health Corporationg. Lutheran Social Services of the Southwesth. Jewish Family & Children's Services Of Southern Arizonai. Crisis Response Network of Southern Arizonaj. Tucson Chapter of the National Alliance on Mental Illness (NAMI)k. Palo Verde hospital Behavioral health Services at TMCl. Sonora Behavioral HealthHealth Status(Leading Causes of Death)3. Malignant Neoplasms This need will not be addressed as priority. Carondelet has a full array of oncology services. CSM partners with Arizona State Radiology and Arizona Oncology to provide comprehensive oncology care. The Breast Center at Carondelet St. Mary's is dedicated to a comprehensive, interdisciplinary approach that covers the entire spectrum of breast care, including screening, risk assessment, diagnosis and treatment of both benign and malignant conditions. The Breast Center offers a Patient Navigator to assist women that have an abnormal examination or a positive finding to find their way through the healthcare system. Carondelet Neurological Institute (CNI) partners with Arizona Oncology, Western Neurosurgery, and Radiology Ltd. to provide comprehensive oncology care. University of Arizona Medical Center (UAMC) operates the UA Cancer Center.4. Cerebrovascular Disease This need will not be addressed as a priority. CSM and CSJ will continue annual AHA stroke screenings. CSJ will address this need by expanding CNI outreach and maintaining satellite clinics in Green Valley/Sahuarita. 5. Accidents Motor vehicle, Falls, Poisonings, Drowning This need will not be addressed as a priority. Of the top four deaths related to accidents, Pima County ranks higher than the state in only one, motor vehicle accidents. Pima County and the City of Tucson are addressing this issue with red light cameras. 6. Chronic Lower Respiratory DiseaseThis need will not be addressed as a priority. CHN has a range of pulmonary services including CSJ Pulmonary Rehabilitation program to help patients cope with Chronic Lower Respiratory Disease. CHN participates in the Fight for Air Walk which promotes awareness of healthy lungs and healthy air. Community resources include the American Lung Association.7. Drug-induced Death, Suicide, and Excessive Drinking These needs will not be addressed as a priority. CSJ has a 15 bed intensive inpatient chemical dependency and behavior health program and is in the process of starting an outpatient chemical dependency program. In addition, this need is being address by a variety of organizations in Pima County. Community resources include:a. COPE Behavioral Services, Inc. b. CODAC Behavior Health Services, Inc. c. La Frontera Centerd. Amity Foundatione. Arizona Suicide and Crisis Hotlines - http://www.suicidehotlines.com/arizona.html f. Southern Arizona Mental Health Corporationg. Lutheran Social Services of the Southwesth. Jewish Family & Children's Services Of Southern Arizonai. Crisis Response Network of Southern ArizonaModifiable Risk Factors8. Smoking This need will not be addressed as a priority. CHN maintains a smoke free campus. Arizona and Pima County have the Arizona Smokers Help Line (ASHLine). Pima County maintains a smoking cessation program and bans the use of tobacco products on most county properties and facilities. Community resources include: a. ASHLineb. Pima County Tobacco and Chronic Disease Programc. Pima County bans the use of tobacco products on most county properties and facilitiesWomen's and Children's Services9. Infant Mortality Rate This need will not be addressed as a priority. CHN does not have a pediatric unit. This population is served by the University of Arizona Medical Center (UAMC) and Tucson Medical Center (TMC). 10. Lower Prenatal Care in First Trimester This need will not be addressed as a priority. CSJ will address this need by maintaining Primeros Pasos Clinic. Primeros Pasos Clinic provides comprehensive obstetrical health care services, free pregnancy testing, and prenatal education classes. Additional county services include Lasos Familias and the Pima County Health Department.Infectious Diseases11. Syphilis, Chlamydia, Gonorrhea, HIV/AIDS This need will not be addressed as a priority. Pima County Health Department operates an STD/HIV clinic. Natural, Social and built Environment12. Air Quality This need will not be addressed as a priority. Pima County has the Air Program under the Pima County Department of Environmental Quality that works to maintain healthy air quality for Pima County. 13. Homicide Rate/Firearms This need will not be addressed as a priority. CHN will continue to maintain a firearm free campus. Pima County Sheriff's Department operates a Community Resources Unit (CR). This unit provides timely, important public safety information to the citizens and media outlets of Southern Arizona. The CR Unit manages the Sheriff's Auxiliary Volunteer (SAV) program that provides up to date crime prevention information as well as oversight to hundreds of Neighborhood Watch groups in unincorporated Pima County.14. Child Injury from Family/Relative Abuse This need will not be addressed as a priority. CHN does report suspected abuse to Child Protective Services (CPS). The state of Arizona has committed to hiring 50 additional CPS workers. Facility 2 -- St. Mary's Hospital Part V, Section B, line 20d: Per the Carondelet Health Network Financial Assistance Policy:Charges for emergency or other medically necessary care provided topersons who are eligible for financial assistance under this policy shallnot exceed the amounts generally billed to individuals who have insurancecoverage for such care. 1 American Heart Association PO Box 4002908 Des Moines IA 503402908 135613797 501(c)(3) 55000 Go Red, Heart Walk, and Heart Ball Sponsorships Catholic Community Services of Southern Arizona Inc 140 W Speedway Blvd Suite 230 Tucson AZ 85705 860100880 501(c)(3) 25000 Events Sponsorship University of Arizona Foundation PO Box 210109 Tucson AZ 85721 866050388 501(c)(3) 20750 Events Sponsorships Tucson Nurses Week Foundation PO Box 65085 Tucson AZ 857285085 860771880 501(c)(3) 10000 Events Sponsorship Southern Arizona Affiliate of Susan G Komen Race for the Cure 4574 E Broadway Boulevard Tucson AZ 85711 751835298 501(c)(3) 6300 Events Sponsorship Pima Council on Aging 8467 E Broadway Tucson AZ 85711 860251768 501(c)(3) 6500 Events Sponsorship 6 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule 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. X 1 1 X X X X 1 1 0 0 0 0 0 0 0 James K Beckmann Jr 605278 0 1472750 0 18733 0 34000 0 23959 0 2154720 0 0 0 Alan Strauss Sch J 0 499276 0 322744 0 285771 0 19425 0 30876 0 1158092 0 85540 Amy Elizabeth Beiter 300704 0 17016 0 4908 0 19410 0 21778 0 363816 0 0 0 Anthony R Fonze 52928 199244 0 71663 1782 17191 2100 0 0 15765 56810 303863 0 0 Debra Finch 215192 0 46204 0 58098 0 19052 0 9463 0 348009 0 0 0 Mary Henrickson 297330 0 12296 0 85807 0 0 0 21400 0 416833 0 0 0 Dorothy Sawyer 291772 0 13943 0 82871 0 18760 0 21011 0 428357 0 0 0 Richard Imwalle 263615 0 11526 0 17047 0 11006 0 7646 0 310840 0 0 0 Martha Gerganoff 229595 0 6483 0 7889 0 22500 0 23778 0 290245 0 0 0 Christen Castellano 176698 0 40000 0 1725 0 12116 0 5395 0 235934 0 0 0 Donald Denmark 353025 0 73596 0 19088 0 22500 0 29183 0 497392 0 0 0 Daisy Jenkins 336415 0 20744 0 9117 0 22500 0 25281 0 414057 0 0 0 Patricia Martinez 343127 0 21137 0 2113 0 16250 0 15431 0 398058 0 0 0 Sue Gold 150657 0 32344 0 1307 0 17000 0 9152 0 210460 0 0 0 Mary Hill 178232 0 10431 0 2035 0 22500 0 18606 0 231804 0 0 0 Rex Williams 153627 0 2000 0 1372 0 18700 0 3625 0 179324 0 0 0 Alyce Turnbull 137787 0 2000 0 515 0 8457 0 8056 0 156815 0 0 0 Debra S Mohesky 111713 0 49489 0 313701 0 5190 0 6932 0 487025 0 0 0 Part I, Line 1a A housing allowance is provided for an executive. The amount is included in his W-2 wages. Part I, Lines 4a-b Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The organization made payments from the supplemental nonqualified retirement plan in the amounts as noted: Sue Gold - $23,932 Odette Bolano - $34,041 Paula Register - $28,322 Roberta Kaemmerling - $14,021 Neil Carolan - $46,892 Irma Ramirez - $16,252 Supplemental Information Part III Schedule 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. Pima Heart Board member is a partner 330373 Services 0 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 6 Carondelet Health Network has a single corporate member, Ascension Health. Form 990, Part VI, Section A, line 7a Carondelet Health Network has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of Carondelet Health Network. Form 990, Part VI, Section A, line 7b Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix. Form 990, Part VI, Section B, line 11 Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. 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 12c The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee 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 15 In determining compensation of the organization's CEO, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Audit Committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals at other healthcare organizations in the area 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 19 The organization will provide any documents open to public inspection upon request. Other Fees Form 990, Part IX, line 11g Physician, 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. St Mary's Hospital 1601 W St Marys Rd Tucson AZ 85745 860455920 Hospital AZ -11909989 145260024 Carondelet Health Network St Joseph's Hospital 350 N Wilmot Rd Tucson AZ 85711 860455920 Hospital AZ -14536700 147821141 Carondelet Health Network Ascension Health PO Box 45998 St Louis MO 631343806 311662309 National Health System MO Section 501(c)(3) Schedule A, Line 11a Ascension Health Alliance 0 Holy Cross Hospital Inc 1171 W Target Range Rd Nogales AZ 85621 860575938 Hospital AZ Section 501(c)(3) Schedule A, Line 3 Carondelet Health Network 1 Carondelet Heart & Vascular Institute 4888 N Stone Ave Tucson AZ 85704 561943271 Hospital AZ Section 501(c)(3) Schedule A, Line 3 Carondelet Health Network 1 Carondelet Foundation Inc 120 N Tucson Blvd Tuscon AZ 85716 860749574 Foundation AZ Section 501(c)(3) Schedule A, Line 11a Carondelet Health Network 1 Chalon Living Inc 8553 E San Alberto Dr Scottsdale AZ 85258 860805615 Elderly/Disabled Housing AZ Section 501(c)(3) Schedule A, Line 7 Holy Cross Hospital Inc 1 Southwest Catholic Health Network 4350 E Cotton Center Blvd Bldg D Phoenix AZ 85040 860527381 Insurance AZ Section 501(c)(3) Schedule A, Line 11a CHN & Cthl Hlthcare W AZ 0 The Centurions 2202 N Forbes Blvd Tucson AZ 85745 854088322 Foundation AZ Section 501(c)(3) Schedule A, Line 11a Carondelet Foundation Inc 1 Carondelet Specialist Group Inc 2202 N Forbes Blvd Tucson AZ 85745 281558773 Physician Practice AZ Carondelet Health Network C -8702079 1538806 1.00000 1 Carondelet Medical Group PC 2202 N Forbes Blvd Tucson AZ 85745 860836126 Medical Group AZ Carondelet Health Network C -6405639 3624761 1.00000 1 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 1 0 0 1 Carondelet Foundation Inc E 244403 Actual Amount Transferred Carondelet Foundation Inc M 797681 Actual Amount Transferred Carondelet Foundation Inc P 1057666 actual Amount Transferred Holy Cross Hospital Inc P 2651147 Actual Amount Transferred Ascension Health P 4347786 Actual Amount Transferred Carondelet Heart & Vascular Institute R 2760681 Actual Amount Transferred Ascension Health S 41746042 Actual Amount Transferred