Holy Cross Hospital Inc: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- Holy Cross Hospital Inc (EIN 86-0575938)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-14
- IRS object ID
- 201201359349301750
- Schema version
- 2010v3.4
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-14T09:51:32-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 East Fifth Street Suite 1900 | AddressLine1 |
| City | Cincinnati | City |
| State | OH | State |
| ZIP Code | 45202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860575938 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Holy Cross Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HOLY | NameControl |
| Phone | 5202853000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2202 N Forbes Blvd | AddressLine1 |
| City | Tucson | City |
| State | AZ | State |
| ZIP Code | 857451412 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Deb S Mohesky | Name |
| Title | CFO | Title |
| Phone | 5202853000 | Phone |
| Date Signed | 2012-05-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Rebecca Lyons | Name |
| Phone | 5137847100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Debra Knapheide | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2202 N Forbes Blvd | AddressLine1 |
| City | Tucson | City |
| State | AZ | State |
| ZIP Code | 857451412 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 25130847 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.carondelet.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1987 | YearFormation |
| State Legal Domicile | AZ | StateLegalDomicile |
| Activity Or Mission Description | Providing various types of advanced medical/surgical services to our patients. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 270 | TotalNbrEmployees |
| Total Nbr Volunteers | 10 | TotalNbrVolunteers |
| Total Gross UBI | 304012 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 119312 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 189747 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 23129629 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 23975118 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 262148 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1681939 | OtherRevenuePriorYear |
| Other Revenue Current Year | 665797 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 24930880 | TotalRevenuePriorYear |
| Total Revenue Current Year | 25092810 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 12250849 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 12309577 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 3216 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 17394124 | OtherExpensePriorYear |
| Other Expenses Current Year | 15663621 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 29644973 | TotalExpensesPriorYear |
| Total Expenses Current Year | 27973198 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -4714093 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -2880388 | RevenuesLessExpensesCY |
| Total Assets BOY | 9470609 | TotalAssetsBOY |
| Total Assets EOY | 9883434 | TotalAssetsEOY |
| Total Liabilities BOY | 5481833 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 8830791 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 3988776 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1052643 | NetAssetsOrFundBalancesEOY |
| Mission Description | Provide 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 Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 19282720 | Expense |
| Revenue | 24032028 | Revenue |
| Description | Holy Cross Hospital is a 72-bed facility that provides general medical/surgical services, 24-hour emergency care, rehabilitation, mammography, ultrasound, chemotherapy, hospice, home health, and long-term care. We also offer advanced technology such as renal dialysis, teleradiology, and lithotripsy programs. Holy Cross Hospital's community benefit information is included in the community benefit report for Carondelet Health Network. | Description |
| Total Program Service Expense | 19282720 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 270 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | AZ | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ReShelle Enoch | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5208727520 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2202 N Forbes Blvd | AddressLine1 |
| City | Tucson | City |
| State | AZ | State |
| ZIP Code | 857451412 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (35 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Eladio Pereira MD | |||||||||
| Chairman | 0.50 | X | X | 0 | 0 | 0 | |||
| Mark Valenzuela | |||||||||
| Vice Chairman | 0.50 | X | X | 0 | 0 | 0 | |||
| Leonard Lizardi | |||||||||
| Secretary/Treasurer | 0.50 | X | X | 0 | 0 | 0 | |||
| Jose Duran MD | |||||||||
| Director | 0.50 | X | 0 | 0 | 0 | ||||
| Jorge Mera MD | |||||||||
| Director | 0.50 | X | 0 | 0 | 0 | ||||
| Anita Moreno | |||||||||
| Director | 0.50 | X | 0 | 0 | 0 | ||||
| Sr Irma Odabashian | |||||||||
| Director | 0.50 | X | 0 | 0 | 5498 | ||||
| James Ross | |||||||||
| Director | 0.50 | X | 0 | 0 | 0 | ||||
| William Stout | |||||||||
| Director | 0.50 | X | 0 | 0 | 0 | ||||
| Ruth Brinkley Sch O | |||||||||
| CEO-CHN | 40.00 | X | X | 0 | 1329431 | 30355 | |||
| Odette Bolano Sch O | |||||||||
| COO-CHN | 40.00 | X | 0 | 455122 | 50383 | ||||
| Wanona Fritz Sch O | |||||||||
| CEO-CSM/HCH | 40.00 | X | 0 | 435187 | 38372 | ||||
| Deb Mohesky | |||||||||
| CFO-CHN (start 1/11) | 40.00 | X | 0 | 0 | 0 | ||||
| Debra Knapheide | |||||||||
| CNO/COO-HCH | 40.00 | X | 100945 | 0 | 8303 | ||||
| Neil Carolan Sch O | |||||||||
| VP Phys. Development | 40.00 | 0 | 218131 | 38951 | X | ||||
| Roy Farrell | |||||||||
| CMO-HCH | 40.00 | 184535 | 0 | 11533 | X | ||||
| Anthony Fonze Sch O | |||||||||
| VP CIO | 40.00 | 0 | 274481 | 28915 | X | ||||
| Daisy Jenkins Sch O | |||||||||
| Sr. VP Human Resources | 40.00 | 0 | 291966 | 21573 | X | ||||
| Jude Magers Sch O | |||||||||
| VP Mission Integration | 40.00 | 0 | 187271 | 30565 | X | ||||
| Patricia Martinez Sch O | |||||||||
| VP Chief Quality Off. | 40.00 | 0 | 266859 | 16541 | X | ||||
| Tracy Prigmore Sch O | |||||||||
| VP Strategic Planning (end 10/10) | 40.00 | 0 | 312174 | 11611 | X | ||||
| Irma Ramirez Sch O | |||||||||
| VP Comm/Govt. Relations | 40.00 | 0 | 217287 | 29391 | X | ||||
| Judy Tatman Sch O | |||||||||
| VP Clinical Excellence | 40.00 | 0 | 320193 | 21173 | X | ||||
| Linda Werbylo Sch O | |||||||||
| VP Ops & Integrity | 40.00 | 0 | 242229 | 47377 | X | ||||
| Donna Zazworsky Sch O | |||||||||
| VP Community Health | 40.00 | 0 | 166540 | 12726 | X | ||||
| Mary Abraham | |||||||||
| RN | 40.00 | 102666 | 0 | 19068 | X | ||||
| Stephen Henefield | |||||||||
| CRNA | 40.00 | 190208 | 0 | 17988 | X | ||||
| Jacinto Orozco | |||||||||
| General Surgeon | 40.00 | 228486 | 0 | 5718 | X | ||||
| Dina Rojas-Sanchez | |||||||||
| Planning & Comm Director | 40.00 | 100798 | 0 | 18952 | X | ||||
| Celia Torres | |||||||||
| Director Pharmacy | 40.00 | 122889 | 0 | 18075 | X | ||||
| Wesley Colvin | |||||||||
| Former COO-CHN (end 7/09) | 0.00 | 0 | 415301 | 3474 | X | ||||
| Richard Polheber | |||||||||
| Former CEO-HCH (end 8/09) | 0.00 | 0 | 148243 | 3021 | X | ||||
| Andrew Guarni | |||||||||
| Former CFO-CHN (end 1/10) | 0.00 | 0 | 189861 | 2236 | X | ||||
| Thomas Murphy | |||||||||
| Former CLO-CHN (end 1/09) | 0.00 | 0 | 139955 | 0 | X | ||||
| Marlene Wade | |||||||||
| Former CNO-HCH (end 8/09) | 0.00 | 197175 | 0 | 36114 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1227702 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 5610231 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 527913 | TotalOtherCompensation |
| Number Individuals GT100 K | 9 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Crothall Healthcare | |||||
| 13028 Collections Center Dr | Chicago | IL | 60693 | Housekeeping | 755320 |
| Morrisons Management Specialists | |||||
| 5801 Peachtree Dunwoody Rd | Atlanta | GA | 30342 | Nutritional Services | 638795 |
| TriMedx LLC | |||||
| PO Box 636129 | Cincinnati | OH | 452636129 | Equipment Maintenance | 466637 |
| Quantum Plus Inc | |||||
| PO Box 634850 | Cincinnati | OH | 452634850 | Emergency Room Physicians | 377068 |
| Alliance Imaging Inc | |||||
| File 55826 | Los Angeles | CA | 900745826 | Physician Services | 241233 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 7 | NumberOfContractorsGT100K |
| Related Organizations | 175997 | RelatedOrganizations |
| Government Grants | 13750 | GovernmentGrants |
| Total Contributions | 189747 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Patient Service Rev | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 23975118 | TotalRevenueColumn |
| Related Or Exempt Function Income | 23975118 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 23975118 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 123608 | TotalRevenueColumn |
| Exclusion | $123,608 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 161505 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 5336 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 156169 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 156169 | TotalRevenueColumn |
| Exclusion | $156,169 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 171241 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 32701 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 138540 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 138540 | TotalRevenueColumn |
| Exclusion | $138,540 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|---|
| Reference Lab | 621500 | 304012 | 304012 | ||
| Cafeteria Revenue | 722210 | 148706 | $148,706 | ||
| Unclaimed Property Rev | 900099 | 49387 | 49387 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7523 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7523 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 509628 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 25092810 | TotalRevenueColumn |
| Related Or Exempt Function Income | 24032028 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 304012 | UnrelatedBusinessRevenue |
| Exclusion | $567,023 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 310488 | Total |
| Program Services | 310488 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9794025 | Total |
| Program Services | 7529925 | ProgramServices |
| Management And General | 2264100 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 252917 | Total |
| Program Services | 191939 | ProgramServices |
| Management And General | 60978 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1207867 | Total |
| Program Services | 916650 | ProgramServices |
| Management And General | 291217 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 744280 | Total |
| Program Services | 564834 | ProgramServices |
| Management And General | 179446 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8224 | Total |
| Management And General | 8224 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17830 | Total |
| Management And General | 17830 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3957593 | Total |
| Program Services | 1597282 | ProgramServices |
| Management And General | 2360311 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13945 | Total |
| Management And General | 13945 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 355975 | Total |
| Program Services | 222708 | ProgramServices |
| Management And General | 133267 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35542 | Total |
| Program Services | 33839 | ProgramServices |
| Management And General | 1703 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 307104 | Total |
| Program Services | 147410 | ProgramServices |
| Management And General | 159694 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60441 | Total |
| Program Services | 33092 | ProgramServices |
| Management And General | 27349 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 171111 | Total |
| Program Services | 82133 | ProgramServices |
| Management And General | 88978 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 368439 | Total |
| Management And General | 368439 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 713508 | Total |
| Program Services | 342484 | ProgramServices |
| Management And General | 371024 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 347071 | Total |
| Program Services | 336954 | ProgramServices |
| Management And General | 10117 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Shared Services | 4744340 | 2968812 | 1772312 | 3216 |
| Bad Debt | 2352351 | 2352351 | 0 | 0 |
| Supplies | 1554454 | 1467590 | 86864 | 0 |
| Food Service Expense | 291798 | 36331 | 255467 | |
| Repairs and Maintenance | 247313 | 118710 | 128603 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 116582 | Total |
| Program Services | 29188 | ProgramServices |
| Management And General | 87394 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27973198 | Total |
| Program Services | 19282720 | ProgramServices |
| Management And General | 8687262 | ManagementAndGeneral |
| Fundraising | 3216 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6922 | BOY |
| EOY | 2362 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2452891 | BOY |
| EOY | 3107513 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 78263 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 92740 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 210080 | BOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 316474 | BOY |
| EOY | 364322 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36878 | BOY |
| EOY | 42671 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 11685270 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5992588 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5949790 | BOY |
| EOY | 5692682 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 497574 | BOY |
| EOY | 502881 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9470609 | BOY |
| EOY | 9883434 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1286271 | BOY |
| EOY | 1006452 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4195562 | BOY |
| EOY | 7824339 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5481833 | BOY |
| EOY | 8830791 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3954316 | BOY |
| EOY | 1034591 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34460 | BOY |
| EOY | 18052 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3988776 | BOY |
| EOY | 1052643 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9470609 | BOY |
| EOY | 9883434 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -2880388 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -55745 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $17,830 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 17830 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Other Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1i: | ReturnReference |
| Explanation | Lobby expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1016496 | OtherCostOrOtherBasis |
| Book Value | 1016496 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6758862 | OtherCostOrOtherBasis |
| Depreciation | 2941139 | Depreciation |
| Book Value | 3817723 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3887 | OtherCostOrOtherBasis |
| Depreciation | 1798 | Depreciation |
| Book Value | 2089 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3741363 | OtherCostOrOtherBasis |
| Depreciation | 2903756 | Depreciation |
| Book Value | 837607 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 164662 | OtherCostOrOtherBasis |
| Depreciation | 145895 | Depreciation |
| Book Value | 18767 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5692682 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Other Receivables | 484829 |
| Donor Restricted Funds | 18052 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 502881 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due to Affiliates | $7,375,167 |
| Self Insurance Liability | $237,172 |
| Other Current Liabilities | $103,347 |
| Other Non-Current Liabilities | $98,931 |
| Estimated Settlement Liability | $9,722 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 7824339 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 400.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 297301 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 297301 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01160 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11508980 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9065009 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2443971 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09540 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11806281 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9065009 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2741272 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10700 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 12 | NumberOfActivitiesOrPrograms |
| Persons Served | 1351 | PersonsServed |
| Total Community Benefit Expense | 69797 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 902 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 68895 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00270 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 4347 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 4347 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 731 | PersonsServed |
| Total Community Benefit Expense | 2454285 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1606512 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 847773 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03310 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 20 | PersonsServed |
| Total Community Benefit Expense | 9794 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 9794 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 22 | NumberOfActivitiesOrPrograms |
| Persons Served | 2102 | PersonsServed |
| Total Community Benefit Expense | 2538223 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1607414 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 930809 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03640 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 22 | NumberOfActivitiesOrPrograms |
| Persons Served | 2102 | PersonsServed |
| Total Community Benefit Expense | 14344504 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10672423 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3672081 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14340 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 1459 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1459 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 2407 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2407 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 35 | PersonsServed |
| Total Community Building Expense | 1011 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1011 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 450 | PersonsServed |
| Total Community Building Expense | 3290 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3290 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 8510 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 8510 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 3160 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3160 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 13 | NumberOfActivitiesOrPrograms |
| Persons Served | 485 | PersonsServed |
| Total Community Building Expense | 19837 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 19837 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $784,744 | BadDebtExpenseAmount |
| Amount Attributable To | 515170 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 5182041 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 6259499 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1077458 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Holy Cross Hospital Inc | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2202 N Forbes Blvd | AddressLine1 |
| City | Tucson | City |
| State | AZ | State |
| ZIP Code | 857451412 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation |
|---|
| Part I, Line 6a: The organization prepares and files an 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 included costs attributable to Women & Children and Skilled Nursing facility services. |
| Part I, L7 Col(f): The amount of bad debt expense reported on Form 990, Part IX, Line 25, column (A), but subtracted for purposes of calculating the percentages in Part I, Line 7, column (f) is $2,352,351. |
| Part II: Rebuilding Together helps low income families fix their homes. The Director of Planning/Community Relations serves on the board.Arizona/Mexico Commission: Outreach from both sides of the border regarding the health issues.Governor's Council on Workforce Development: State representative for workforce development in Santa Cruz County. The Director of Planning/Community Relations serves on the board. The Exchange Club is an organization for people who want to serve the community and develop leadership skills. Encourage parents and caregivers to make healthy choices and prevent child abuse. A Holy Cross Hospital worker serves on the Board of Directors. Santa Cruz Co. Coordinated Response Team (SCCRT) is a committee of several agencies in the community, come together to bring agency updates and develop programs to assist each other and the community. A Holy Cross Hospital social worker serves on the Board of Directors. Santa Cruz Council on Aging: Representing the hospital on issues regarding the elderly in our community. The Holy Cross Hospital Administrator serves on the board (24 hours annually).United Way of Santa Cruz County: Special projects and discussions on fundraising, partnering with various community members for the good of the community. The Director of Planning/Community Relations serves on the board. Child & Family Resources, Inc. is a private, community-based, nonprofit agency offering dozens of programs throughout Arizona investing in quality early childhood care and education training, which saves money by increasing the likelihood that children will be literate, employed, enrolled in post secondary education, and less likely to be school dropouts, dependent on welfare, or arrested for criminal activity. A Holy Cross Hospital Nurse Case Manager serves on the board for Child and Family Resources.Community Presentations/Outreach: Evaluated Senior Class Projects. Home Health Professional Advisory Group: The group is presented with financials, operational information, and issues going on within the community. Brainstorming on solving problems with professionals from Carondelet, Mariposa and Social Services. A Holy Cross Hospital physical therapist serves on the board of directors (8 hours annually).Nogales Lions Club: To strategize for community outreach, eye clinics, eyeglasses. Director of Planning/Community Relations serves on the board. Nogales Sonora Lions Club: Cooperation between Nogales, AZ and Nogales, Sonora; collaborative effort to bring the poor for needed eye surgery in the United States. The Director of Planning/Community Relations serves on the board.Workforce Investment-WIA: To expand regions knowledge of workforce. The Director of Planning/Community Relations serves on the board. |
| Part III, Line 4: The organization is a part of the Carondelet Health Network consolidated audit. The footnote that references bad debt expense in the 6/30/2011 consolidated audit is as follows:The provision for bad debt expense is based upon management's assessment of expected net collections, taking into consideration economic conditions, historical experience, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for uncollectible 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 bad debt expense and establish an appropriate allowance for uncollectible accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, CHN 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 Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with CHN's policies.The organization's share of bad debt expense in 2010 was $2,352,351 at charges and $784,744 at cost. |
| Part III, Line 8: Holy Cross Hospital 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. Patients who are coopoerating in good faith to resolve their hospital bills wil not receive from Holy Cross Hospital liens on primary residences or wage garnishments and unpaid bills will not be sent to collection agencies. |
| Part VI, Line 2: Holy Cross Hospital follows the Catholic Healthcare Association Guidelines which state that a Community Needs Assessment ("CNA") should be completed every three years. The last Community Needs Assessment was commissioned in 2007 and delivered in December of 2009 from an outside research center affiliated with Arizona State University. The research center worked with an internal committee for guidance of the needs assessment. Other internal strategic documents are used to identify community needs and hospital data support the work community outreach programs do in Tucson. In June 2010, an outside consultant provided a senior Community Assessment with senior groups and community and health agencies. The results were shared at a community presentation attended by community agencies and health care providers. |
| 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 to be billed and written-off as charity care will be made on the patients 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 for. 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 Health Network website and is to be included in a patient's financial statements when sent. The hospital also works with Tu Salud, a Southern AZ community Collaboration CHIPRA funded community outreach program, and provides a community outreach worker/financial counselor at community events to facilitate enrollment into government and community assistance programs. |
| 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. Eighty-one percent of the population are households with 2+ members, and 77.7% are family households. Husband-Wife families comprise 55.7% of this, and 26.7% with children. The average household size is 3.1 members.The demographics of the area with regard to ethnicity is 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 6: Holy Cross Hospital ("HCH") provides a wide variety of services to the communities where it has a presence. Activities include social service enrollment, support groups for patients, families and the community at large, chronic disease education to patients, families and outside medical professionals, spiritual care services and parish nursing program. HCH 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. |
| Part VI, Line 7: Holy Cross Hospital, Inc. is a wholly owned subsidiary of Carondelet Health Network, which is a member of Ascension Health. Ascension Health is a Catholic, national health system consisting primarily of nonprofit corporations that own and operate local health care facilities, or Health Ministries, located in 20 of the United States and the District of Columbia. Ascension Health is sponsored by the Northeast, Southeast, East Central, and West Central Provinces of the Daughters of Charity of St. Vincent de Paul, the Congregation of St. Joseph, and the Sisters of St. Joseph of Carondelet.Holy Cross Hospital, Inc., located in Tucson, Arizona, is a nonprofit acute care hospital. Holy Cross Hospital, Inc. provides inpatient, outpatient, and emergency care services for the residents of Tucson, Arizona. Admitting physicians are primarily practitioners in the local area. Holy Cross Hospital, Inc. is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of Ascension Health are related to providing health care services. Mission:Ascension Health 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 that sustains and improves the health of the individuals and communities it serves. In accordance with Ascension Health'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. Ascension Health 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 health care because of inadequate resources and/or those who are uninsured or underinsured.2. Unpaid cost of public programs, excluding Medicare, represents the unpaid cost of services provided to persons covered by public programs for persons living in poverty and other vulnerable persons.3. Cost of other programs for persons living in poverty and other vulnerable persons includes unreimbursed costs of programs intentionally designed to serve persons living in poverty and other vulnerable persons of the community, including substance abusers, the homeless, victims of child abuse, and persons with acquired immune deficiency syndrome.4. Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for persons living in poverty, including health promotion and education, health clinics and screenings, and medical research. 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 who are living in poverty and community benefit programs. The cost of providing care of persons who are poor and community benefit programs is estimated using internal cost data and is calculated in compliance with guidelines established by both the Carondelet Health Network ("CHA") and the Internal Revenue Service ("IRS"). |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ruth Brinkley Sch O | |||||||||||||
| 0 | 673820 | 0 | 631788 | 0 | 23823 | 0 | 11025 | 0 | 19330 | 0 | 1359786 | 0 | 0 |
| Odette Bolano Sch O | |||||||||||||
| 0 | 368458 | 0 | 80500 | 0 | 6164 | 0 | 43236 | 0 | 7147 | 0 | 505505 | 0 | 31184 |
| Wanona Fritz Sch O | |||||||||||||
| 0 | 375976 | 0 | 51329 | 0 | 7882 | 0 | 26114 | 0 | 12258 | 0 | 473559 | 0 | 0 |
| Neil Carolan Sch O | |||||||||||||
| 0 | 178290 | 0 | 38759 | 0 | 1082 | 0 | 22962 | 0 | 15989 | 0 | 257082 | 0 | 17494 |
| Roy Farrell | |||||||||||||
| 183446 | 0 | 0 | 0 | 1089 | 0 | 0 | 0 | 11533 | 0 | 196068 | 0 | 0 | 0 |
| Anthony Fonze Sch O | |||||||||||||
| 0 | 220068 | 0 | 53520 | 0 | 893 | 0 | 12250 | 0 | 16665 | 0 | 303396 | 0 | 0 |
| Daisy Jenkins Sch O | |||||||||||||
| 0 | 245450 | 0 | 40000 | 0 | 6516 | 0 | 6519 | 0 | 15054 | 0 | 313539 | 0 | 0 |
| Jude Magers Sch O | |||||||||||||
| 0 | 160737 | 0 | 22776 | 0 | 3758 | 0 | 20740 | 0 | 9825 | 0 | 217836 | 0 | 0 |
| Patricia Martinez Sch O | |||||||||||||
| 0 | 196307 | 0 | 61848 | 0 | 8704 | 0 | 5219 | 0 | 11322 | 0 | 283400 | 0 | 0 |
| Tracy Prigmore Sch O | |||||||||||||
| 0 | 160589 | 0 | 76059 | 0 | 75526 | 0 | 6492 | 0 | 5119 | 0 | 323785 | 0 | 0 |
| Irma Ramirez Sch O | |||||||||||||
| 0 | 185113 | 0 | 31466 | 0 | 708 | 0 | 23185 | 0 | 6206 | 0 | 246678 | 0 | 10144 |
| Judy Tatman Sch O | |||||||||||||
| 0 | 239234 | 0 | 39693 | 0 | 41266 | 0 | 8575 | 0 | 12598 | 0 | 341366 | 0 | 0 |
| Linda Werbylo Sch O | |||||||||||||
| 0 | 234402 | 0 | 0 | 0 | 7827 | 0 | 28908 | 0 | 18469 | 0 | 289606 | 0 | 0 |
| Donna Zazworsky Sch O | |||||||||||||
| 0 | 163090 | 0 | 2934 | 0 | 516 | 0 | 5881 | 0 | 6845 | 0 | 179266 | 0 | 0 |
| Stephen Henefield | |||||||||||||
| 176132 | 0 | 7057 | 0 | 7019 | 0 | 6242 | 0 | 11746 | 0 | 208196 | 0 | 0 | 0 |
| Jacinto Orozco | |||||||||||||
| 223382 | 0 | 4201 | 0 | 903 | 0 | 0 | 0 | 5718 | 0 | 234204 | 0 | 0 | 0 |
| Wesley Colvin | |||||||||||||
| 0 | 0 | 0 | 0 | 0 | 415301 | 0 | 0 | 0 | 3474 | 0 | 418775 | 0 | 0 |
| Richard Polheber | |||||||||||||
| 0 | 708 | 0 | 0 | 0 | 147535 | 0 | 2914 | 0 | 107 | 0 | 151264 | 0 | 0 |
| Andrew Guarni | |||||||||||||
| 0 | 42770 | 0 | 128700 | 0 | 18391 | 0 | 653 | 0 | 1583 | 0 | 192097 | 0 | 0 |
| Thomas Murphy | |||||||||||||
| 0 | 0 | 0 | 0 | 0 | 139955 | 0 | 0 | 0 | 0 | 0 | 139955 | 0 | 0 |
| Marlene Wade | |||||||||||||
| 162094 | 0 | 20442 | 0 | 14639 | 0 | 22559 | 0 | 13555 | 0 | 233289 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Lines 4a-b | Severance Payments: Wesley Colvin - $415,301 Richard Polheber - $147,535 Thomas Murphy - $139,955 Part I, Line 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. A related organization made contributions to the supplemental nonqualified retirement plan in the amounts as noted: Odette Bolano - $34,661 Neil Carolan - $15,863 Jude Magers - $14,144 Irma Ramirez - $15,905 Linda Werbylo - $20,459 Wanona Fritz - $17,539 A related organization made distributions from the supplemental nonqualified retirement plan in the amounts as noted: Irma Ramirez - $10,144 Odette Bolano - $31,184 Neil Carolan - $17,494 | |
| Part III | Part I, Line 3: Carondelet Health Network, a related organization of Holy Cross Hospital, Inc., uses the following to establish the compensation of the organization's CEO: -Compensation Committee, -Independent Compensation Committee, -Written Employment Contract, -Compensation Survey or Study, and -Approval by the Board or Compensation Committee. | Supplemental Information |
Schedule L IRS990ScheduleL
Loan Table LoanTable (2 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| Alfredo Guevara MD | ||||||
| To purchase medical office building | X | $296,766 | 92740 | 0 | 1 | 1 |
| Jose Duran MD | ||||||
| To purchase medical office building | X | $245,735 | 78263 | 0 | 1 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 171003 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | Holy Cross Hospital, Inc. has a single corporate member, Carondelet Health Network. | |
| Form 990, Part VI, Section A, line 7a | Holy Cross Hospital, Inc. has a single corporate member, Carondelet Health Network, who has the ability to elect members to the governing body of Holy Cross Hospital, Inc. | |
| Form 990, Part VI, Section A, line 7b | All decisions that have a material impact to Holy Cross Hospital, Inc. financial information or corporation as a whole are subject to approval by its sole corporate member, Carondelet Health Network. | |
| 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. Management presents the Form to the Board, or a designated committee, to review and answer any questions. 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. | |
| 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 12c | |
| In determining compensation of the organization's CEO, the process, performed by Carondelet Health Network, a related organization, 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 hospitals in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. The individual was not present when her compensation was decided. In determining compensation of other officers or key employees of the organization, the process, performed by Carondelet Health Network, a related organization, 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 hospitals' 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 B, line 15 | |
| The organization will provide any documents open to public inspection upon request. | Form 990, Part VI, Section C, line 19 | |
| Explanation of Average Hours Worked for Organization: | Officers and Key Employees for Holy Cross Hospital, Inc. provide services to Carondelet Health Network and its subsidiaries. Hours worked are not tracked on an entity by entity basis. Therefore where noted with a "Sch O" reference, all hours are reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week for all entities. | Form 990, Part VII, Section A: |
| Changes in Net Assets or Fund Balances: | Transfers to Sponsor - Ascension Health -55,745. Total to Form 990, Part XI, Line 5: -55,745. | Form 990, Part XI, line 5: |
| Community Benefit Report: | Carondelet Health Network 2011 Community Benefit Report Brain Academy Offers Students a Glimpse into the Future: All parents ponder the possibilities of what our children may become. Scientists...doctors...brain surgeons? But consider actually providing them a firsthand look at the realities of those possibilities. In May 2011, a dozen students from Tucson's largest school district participated in the first-ever Brain Academy, sponsored by Carondelet Health Network. The two-day event was held in tandem with Carondelet Neurological Institute's annual Neurosciences Conference. On the first day of the Brain Academy, students toured the Carondelet Neurological Institute at St. Joseph's Hospital. They got to see the neurosurgical operating room suites-the first of their kind in North America. They also visited the biplane angiography suite, where aneurysms are treated, and the Stereotactic Radiosurgery Suite, which is used for targeted radiation treatment of brain and spinal tumors. The second day, students had the unique opportunity to meet with top neurologists and neurosurgeons at the Neurosciences Conference. Conference leaders discussed the latest developments in the treatment of Alzheimer's disease, stroke, movement disorders, disorders of the spine, and brain concussions. Brain Academy was conceived in an effort to spark interest in the medical sciences among Tucson's youth. "In the educational community, we certainly recognize the need to generate more interest among today's students in the fields of science and technology," said Tucson Unified School District Superintendent John J. Pedicone, Ph.D. "Carondelet Neurological Institute's outreach to our students is a wonderful gift that allows students to see the possibilities that exist in their futures through science and medicine." Robert P. Goldfarb, M.D., Chairman of Carondelet Neurological Institute noted, "The Brain Academy is a valuable next effort to invest in and strengthen this region's future through the students we encourage to pursue careers in our field." Carondelet Health Network is expanding the program to engage students in a number of local school systems in 2012. A few comments from students' evaluation forms: -It was such a great opportunity to talk with doctors and have questions answered. -I really enjoyed touring the hospital. -The student discussion groups and activities were fun-such a fantastic opportunity. -It was great to learn about conditions applicable to teenage lives, like concussions in sports. Habitat For Humanity & Carondelet Health Network Team up to Build a Dream: Carondelet Health Network is always actively working to improve the lives of those in Southern Arizona. In addition to providing excellent medical care and a broad spectrum of health resources, Carondelet also works with Habitat for Humanity to build homes for those in need. In the fall of 2010, Carondelet associates from across the Ministry volunteered to help build a house for a deserving Tucson family. Turns out, they were building for one of their own. Gina Beltran, an office coordinator in the Carondelet Diabetes Center, was the joyful recipient of the new home, located in Southeast Tucson. Beltran has four children: Jessica, 23, and Pedro, 19, who have left the nest, and Cassandra, 17, and Angela, 14, who live with Beltran in their new Habitat home. "My kids are everything to me," Beltran said. "I always wanted to do this-buy a home-but I was scared." Carondelet associates-from clinical workers to physicians to executives-pounded nails and raised the first walls at the home's groundbreaking held September 11, 2010, as part of "Building Freedom Day." Every year on the anniversary of the 9/11 attacks, Habitat for Humanity Tucson begins construction on several homes to memorialize the victims and to celebrate hope, community and the American dream. Groups of Carondelet volunteers continued to lend time and muscle on weekends for several months. Working alongside the volunteers, Beltran and her children contributed many required "sweat equity" hours during construction. "I am just so happy about this opportunity, and I am grateful that anybody would help," Beltran said. "It means a lot to me and my children-so much that I can't even express my thanks in words." The Beltrans got the keys, and their home was dedicated on May 26, 2011. Not only was it the ultimate homecoming for the family, that date holds added significance. It was the 141st anniversary of the day the Sisters of St. Joseph of Carondelet first arrived in Tucson in 1870. The Sisters started St. Mary's Hospital a decade later. Finding Faith through Good Health and Wellness: Reaching out to engage an entire community in the pursuit of good health and wellness can be an overwhelming task. One way to do this is by partnering with religious groups, which have already established ties to their members: ties of faith, trust and fellowship. To take advantage of an excellent opportunity to help more people in Southern Arizona, Carondelet Health Network has teamed up with local religious congregations to train their leaders on how best to provide health and wellness outreach to church members. "Basic Training for Congregational Health Leaders" (CHL training) was created to teach the essentials of starting or improving an existing health ministry program, with a focus on promoting whole-person health within religious organizations. A health ministry can include such elements as prayer groups, visiting the sick, nutrition classes, health screenings and evaluations and other wellness initiatives. By October 2011, Carondelet, in partnership with Interfaith Community Services, had completed its fifth session of CHL training. Thus far, 70 individuals from 45 faith-based organizations have participated in the training. One example is Rising Star Missionary Baptist Church. It has used the training, along with technical assistance from Carondelet's Parish Nurse Program, to implement a health ministry program. Rising Star's first initiative was a health screening in February 2011, where 65 members were screened to assess their risk for diabetes and high blood pressure. Rising Star then used the results from the health screenings as a guide for further activities. Next, Rising Star kicked off its "Biggest Winner" challenge to lose pounds, exercise more and reduce the risk of developing diabetes, heart disease, stroke and certain cancers. More than 100 church members signed up to participate in this program. Each member was assigned to one of eight teams that are encouraging one another to eat healthy diets, exercise and attend Bible study and prayer services. Don't you realize that your body is the temple of the Holy Spirit, who lives in you and was given to you by God? You do not belong to yourself, for God bought you with a high price. So you must honor God with your body. 1 Corinthians 6:19-20 Heart Failure Transitional Care Team Celebrates First Year of Successful, Challenging Care: Patients who have been diagnosed with heart failure are on a precarious journey-one that frequently leads right back to the hospital. To improve their health and help avoid repeat hospitalizations, Carondelet Health Network created a special Heart Failure Transitional Care team last year. The team is composed of two experienced cardiac nurses, Rose Quiroga, RN, and Amy Salgado, RN. The first year of the program's existence was challenging but successful. Patients with heart failure have definitely benefited from the education, medication, understanding and coordination of care that the nurses in Carondelet's program provide. Heart Failure Transitional Care begins when patients are released from the hospital. A nurse follows up with each patient at home, working with them to develop a plan of care that will help them become independent in managing their care. These plans include the following elements: -Home visits to provide self-management education -Education to increase patients' understanding of their condition and medications -Care coordination for follow-up medical appointments -Other community or social services care coordination as needed. The nurses work with heart failure patients for two months, providing consistent and ongoing care and education. During this critical time, nurses are able to monitor patients' weight via tele-monitoring and educate patients about the significance and potential dangers posed by weight gains. During the past year, the team nurses cared for a number of patients with complex health needs. Some were homeless, without insurance, lacking money and food and had many other needs. | Form 990, Part III, Line 4a: |
| Thanks to the collaboration of many community organizations, including St. Elizabeth's Clinic, El Rio Health Care, Carondelet's Van of Hope, Dependable Home Health, La Frontera, Tucson Community Food Bank, Pima Council on Aging and others, the team was able to help connect their patients with the care and resources they needed. It wasn't always easy, but the rewards were significant. One patient explained, "I gave up all hope and just wanted to die. Then you came and showed me how I can still live a good life with just a few adjustments in my daily living." This patient thought heart failure was a death sentence until Amy Salgado came into his life. She was able to provide the resources and education he needed to understand and manage his health condition. In another case, Rose Quiroga cared for a homeless patient, with the help of El Rio discharge nurse planners and physicians, the Van of Hope and Primavera Homeless Shelter. This patient is now living comfortably and independently at St. Luke's Assisted Living. "I needed a lot of help and would never have made it without Rose," he said. Carondelet's exceptional nurses were able to help these patients avoid going back into the hospital. In addition, the team cared for 19 other patients, also preventing readmissions to the hospital for all of them during the first year of the Heart Failure Transitional Care program. Thanks to this program, the future looks a lot brighter for many Tucson residents with heart failure. Behavioral Health Patients Who Are Homeless Get Vital Care: Behavioral health issues, including psychiatric illnesses and substance abuse problems, are often factors that prevent people from holding a job. All too often, this ultimately causes them to become homeless. Unfortunately, having a serious psychiatric illness, such as schizophrenia, post-traumatic stress disorder (PTSD), panic attacks or addiction can make homelessness even more terrifying and overwhelming. Some homeless individuals also have serious medical issues that make their lives that much more difficult. These issues commonly include heart attacks, strokes, chronic obstructive pulmonary disease (COPD), back injuries and diabetes, among many others. With the past several years of our country's economic downturn, many more people have become homeless. The behavioral health services offered via Carondelet Health Network's Van of Hope are often a lifesaver for those in great need. The van, with its medical and behavioral health staff, routinely travels to 17 locations where the homeless congregate-primarily shelters and meal sites. One man who had lost his job, house, wife and children tried to walk from Mesa to Tucson in the summertime and had been hospitalized for dehydration. When he encountered staff on the Van of Hope, he was disoriented and suicidal. After counseling, he was willing to return to Phoenix, where he had the most support, and was connected with behavioral health services there. Carondelet's follow-up efforts indicate that he is now doing well. Another man had significant psychiatric symptoms resulting from severe abuse by his mother and grandmother throughout childhood. He had grown tall, but could not defend himself from the intrusion of horrible memories and nightmares because of his PTSD. He found relief only by cutting and burning himself, and he had thoughts of both suicide and homicide. He knew he needed to control these thoughts, but could not do it alone. He had no health care and no money. This patient was connected to the Crisis Response Center/SAMHC for emergency assessment and then referred to a behavioral health network center. After therapeutic encounters, he reported that his anxiety and anger were diminished. With the regular treatment and medication he now receives, he is doing much better. The Van of Hope has provided an ever-increasing number of services to people like these. A total of 54 behavioral health patients received 74 therapeutic encounters. Most were in person; 14 were conducted via telemedicine sessions. During the past year, 18 patients were referred to behavioral health network centers; 13 were seriously mentally ill, and three were referred to the Crisis Response Center/SAMHC for emergency assessments. Of those referred, 39 percent did follow up on their referrals. Nine patients with both serious medical and behavioral health issues received help; 44 percent of those followed up on referrals. Van staffers work hard to ensure that patients go to their follow-up appointments to get the best and most thorough care. Carondelet's Van of Hope serves a community of people in great need, most of whom have no other options or behavioral health services available to them. Not only are these patients getting the help they desperately need, they also report being very happy with their care and grateful for the services. In the words of one homeless person, "It means a lot to me to have someone professional to talk to." Post-Hospital Program for Those Who Are Homeless: Jose C., aged 73, was in a tough spot. He had been homeless for many years, had no financial resources and had recently been hospitalized for heart failure. Jose needed a place to stay while he recuperated. He also needed meals and follow-up medical care. His only family member was a brother who lived out of state and was unable to provide assistance. Fortunately, Jose was able to enroll in the Homeless Post-hospital pilot program. The Homeless Post-hospital program is part of the Health Village (Southern Arizona Health Village for the Homeless) program, which also includes the Van of Hope. The Van of Hope is a mobile clinic providing medical, social and behavioral health services for people who are homeless. Partners in the Health Village collaborative are Carondelet Health Network, El Rio Community Health Center, Primavera Foundation, Interfaith Coalition for the Homeless, Pima Community Access Program, Salvation Army, Dependable Health Services, St. Elizabeth's Health Center and the Veterans Administration. While in the Homeless Post-hospital program, Jose stayed at the Primavera Men's Shelter and also received his meals there. Dependable Health Services sent in skilled nurses to provide the follow-up care he needed, and an El Rio Community Health Center Nurse Practitioner checked in with Jose every week. A Carondelet Heart Failure Team nurse also visited Jose to help monitor his progress. Members of the Van of Hope staff rounded out Jose's post-hospital support team, visiting him twice a week to insure that all his needs (medical, social and behavioral health) were being met. When Jose first arrived at the Primavera Men's Shelter, he had been in and out of hospitals and was very weak. After a couple of weeks, he began to feel better. Before the end of his three-month stay, he began to thrive. Case managers at the shelter worked closely with Jose to find a home for him to transition into once he had recuperated. Ultimately they suggested St. Luke's Home; Jose visited there and thought it was a great fit. Today Jose is doing very well. He reports that he feels great and is really enjoying living at St. Luke's. The pilot for the Homeless Post-hospital program was launched at Carondelet St. Mary's Hospital. St. Mary's case managers were instrumental in identifying homeless patients who were in need of post-hospital services and recommending them for the program. Once the pilot is complete, the program will open at other area hospitals, giving another helping hand to our community's most vulnerable residents. Carondelet Offers Shadowing, Hiring Events to Boost Workforce: Carondelet Health Network engages in a variety of professional outreach efforts to find people considering a career in healthcare, or those who might be returning to a career in the hospital environment. Events are organized by the health ministry's Student Services, Management Development and Human Resources teams. At the lead is Lynda Gallagher. One great opportunity for those who want an up-close look at the hospital environment is called "shadowing." This allows individuals considering a healthcare career to follow a physician or nurse around during a typical day in the hospital. Similarly, "RN refreshers" are four-hour shadowing periods that help nurses get reacquainted with the intricacies of hospital care. Carondelet Volunteer Services also gets involved by coordinating unique, up-close visits or volunteer experiences at Carondelet hospitals or other facilities that span Southern Arizona. | ||
| As the healthcare industry experiences dynamic fluctuations in hiring, coupled with an ongoing need for specialized clinicians, Carondelet also hosts career fairs or other hiring events whenever needed. Even as the industry changes and evolves, healthcare recruiting for those with specialized skills and experienced caregivers will likely remain a constant. Two hiring events in late 2010 and 2011 saw tremendous turnout with long lines of interested job applicants. Openings ranged from experienced RNs, therapists and patient care technicians. Some attendees scored interviews on the spot and job offers shortly thereafter to join the Carondelet family. Carondelet Community Outreach to the Rescue: At 20 years old, Sislynne Langbata has had to grow up fast. She moved to Arizona from Colorado in June 2010 with her daughter. As a new mother, Langbata knew she needed an education to be able to have a good career. Her parents, who live in Phoenix, were happy to care for their two-year-old granddaughter while Langbata attended the Fred Giacosta Job Corps Center here in Tucson. She was working hard to earn a medical receptionist certificate when she discovered she was pregnant again. Without health insurance, she felt lost and afraid. "I didn't tell anyone I was pregnant. I was so stressed and depressed because I didn't have the means to see a doctor," Langbata said. The next three months were torture. "I went to see a doctor in one office, but he couldn't do anything to help me with my pregnancy since I had no health insurance." In America today, approximately 13 percent of pregnant women do not have health insurance. The percentages are higher for minorities, and the consequences can be severe. Unfortunately, without health insurance, pregnant women are at greatly increased risk for miscarriage, birth defects, infant mortality and maternal death. But Langbata's story is happier than most in a similar situation. Renee Perez, Community Health Outreach Coordinator for Carondelet Health Network, visited the Job Corps Center and met Langbata. Perez assisted her in taking the necessary steps to apply electronically for AHCCCS coverage, Arizona's Medicaid program. Within weeks of Perez's intervention, Langbata was insured through the Mercy Care Plan. "It is such a huge weight off my shoulders. This means everything to me." Perez also helped Langbata make her first appointment at Carondelet Health Network's Primeros Pasos prenatal clinic. Now, Langbata receives regular checkups and the prenatal care and vitamins she needs to ensure that her second child will be born healthy. With health insurance coverage, Langbata now has the peace of mind to focus on her future. She's concentrating on school, getting her employment certificate, finding a job and building a life for herself and her children. Corazon de Maria Extends Vital Help Across the Boarder: At Holy Cross Hospital in Nogales, Arizona, young women facing the realities of a teenage pregnancy are invited to participate in a unique program that teaches them about the role and responsibility of becoming a mother. This community outreach and education project, called Corazon de Maria, is made possible by a grant from the Sisters of St. Joseph of Carondelet. The effort focuses on educating teenagers about the need to protect and ensure human dignity-both their own and their child's. It also promotes the Sisters' values: respect, integrity, wisdom and leadership. The program helps young people appreciate the importance of a good quality of life for everyone-the poor, the vulnerable, themselves and their children. In collaboration with a number of community organizations, the Corazon de Maria team has created a curriculum focused on teenage mothers and their infants, although young fathers and others who may play a supporting role in raising the child are also encouraged to attend. Class topics include the following: -What to Expect When You Turn 18 -Infant CPR -Shaken Baby Syndrome -Identifying and Building Healthy Relationships -Personal Identity -The Happiest Baby on the Block The Corazon de Maria curriculum includes hands-on activities, medical and social educational presentations, an explanation of available community resources, lots of conversation and a tremendous amount of compassion. Teenagers feeling the pressure of parenthood find a sense of value and empowerment. One young girl who participated in the program explained, "You realize that you are not alone in your fear, confusion and thoughts about what to do now. Corazon de Maria helps teen mothers learn to take care of a baby, from changing diapers to giving CPR." Corazon de Maria classes are held at Carondelet Holy Cross Hospital and Cima Vista High School in Rio Rico, Arizona. Many thanks to the following organizations whose collaboration make the Corazon de Maria program possible: -Mariposa Community Health Center -Child & Family Resources -U of A Cooperative Extension -Catholic Community Services -Community Intervention Associates -Nuestra Casa -Santa Cruz Valley Unified School District Hospice & Palliative Care Program Uses Family-centered Care to Enhance Patients' Comfort and Well-being: Carondelet St. Mary's Hospital's Hospice and Palliative Care Program, aligned with the mission and ministry of Carondelet Health Network, is a model of care that is patient- and family-centered for those who suffer with chronic disease or who may be at the end of their life. This care optimizes patients' quality of life by anticipating, preventing and treating suffering, while also addressing the physical, emotional and spiritual needs of each patient. Palliative care can be provided in the hospital setting at any time during a serious illness in conjunction with curative or life-prolonging medical care. The Palliative program team consists of a full-time registered nurse and physicians, plus other interdisciplinary team members, such as hospital chaplains, social workers and case managers. As a faith-based organization, Carondelet Health Network's mission is to provide compassionate medical and spiritual care for patients and families as they navigate their life's journeys. One example of a collaborative effort by the Palliative care team and the Spiritual Care department is the prayer blanket ministry. Prayer blankets are created by volunteers, associates and community partners as a gift of love for patients who may be at the end of life. The thought of losing a life is heartbreaking for everyone involved-patients, family and friends, and even the medical team, hospital associates and volunteers who have served the patient. But sometimes a kind gesture can make a difference. Thus the Prayer Blanket Ministry was born. This collaborative effort began in March 2008 at St. Mary's Hospital in an effort to ease a stressful time for patients and their families. Volunteers and associates crochet or knit blankets as gifts for patients at the end of their lives. The blankets are then lovingly presented, along with special blessings for both the patient and family, by the Hospital's Spiritual Care chaplains, Palliative nurse and sometimes even the volunteer who created the blanket. Many who have received a prayer blanket described the experience as "being wrapped in the arms of God." The project began with a single knitter and has since expanded to dozens of volunteers and staff members who create handmade blankets. The impact has been significant. The daughter of a recent patient said, "Words cannot convey our gratitude for your gift of love. The blanket, your gentle kindness and thoughtful counsel were so wonderful as we went through a remarkable farewell journey with our mom. We will forever cherish the beautiful blue and white blanket that warmed our mother during our last days together. It warms us still. Thank you, and bless you." Carondelet Hospice and Palliative Care was blessed to receive its largest donation ever last summer. A gift of $4.5 million was gratefully accepted from the estate of Winifred Q. Witt, a longtime Tucsonan who passed away in September 2010 at age 94. This gift allows the program to continue its helpful and loving ministry in the Tucson community. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Ascension Health | |||||||||||
| PO Box 45998 | St Louis | MO | 63145 | 311662309 | National Health System | MO | Section 501(c)(3) | Schedule A, Line 11a | N/A | 0 | |
| Carondelet Health Network | |||||||||||
| 2202 N Forbes Blvd | Tucson | AZ | 85745 | 860455920 | Hospital | AZ | Section 501(c)(3) | Schedule A, Line 3 | 0 | Ascension Health | |
| Carondelet Heart & Vascular Institute | |||||||||||
| 4888 N Stone Ave | Tucson | AZ | 85704 | 561943271 | Hospital | AZ | Section 501(c)(3) | Schedule A, Line 3 | 1 | Carondelet Health Network | |
| Carondelet Foundation Inc | |||||||||||
| 120 N Tucson Blvd | Tucson | AZ | 85716 | 860749574 | Foundation | AZ | Section 501(c)(3) | Schedule A, Line 11a | 1 | Carondelet Health Network | |
| Southwest Catholic Health Network (DBA Mercy Care Plan) | |||||||||||
| 4350 E Cotton Center Blvd Bldg D | Phoenix | AZ | 85040 | 860527381 | Insurance | AZ | Section 501(c)(3) | Schedule A, Line 11a | 1 | CHN & Cthlc Hlthcare W AZ | |
| Chalon Living Inc | |||||||||||
| 8553 E San Alberto Dr | Scottsdale | AZ | 85258 | 860805615 | Elderly/Disabled Housing | AZ | Section 501(c)(3) | Schedule A, Line 7 | 1 | Holy Cross Hospital Inc | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Carondelet Medical Group PC | ||||||||
| 2202 N Forbes Blvd | Tucson | AZ | 85745 | 860836126 | Medical Group | AZ | N/A | C |
| Carondelet Specialist Group Inc | ||||||||
| 2202 N Forbes Blvd | Tucson | AZ | 85745 | 281558773 | Physician Practice | AZ | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Carondelet Health Network | ||
| Q | 20383687 | Actual Amount Transferred |
| Ascension Health | ||
| Q | 55745 | Actual Amount Transferred |
| Carondelet Foundation Inc | ||
| C | 175997 | Actual Amount Transferred |
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