2012-05-14T09:52:02-05:00 2011-06-30 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2010-07-01 860455920 Carondelet Health Network CARO 5208727796 2202 N Forbes Blvd Tucson AZ 85745 Alan Strauss 5208727796 2012-05-11 1 Rebecca Lyons 5137847100 2010 2016-02-24 21:20:13Z James K Beckmann Jr 2202 N Forbes Blvd Tucson AZ 85745 528772745 0 0928 X www.carondelet.org X 1987 AZ Provide for the healthcare needs of the community. 13 12 5170 335 2396265 -2331585 2265032 2227454 515380428 514691276 1138941 424556 8966412 8927966 527750813 526271252 2207741 1663304 0 0 248593183 248058609 0 0 0 255325142 279356346 506126066 529078259 21624747 -2807007 496166934 492258235 189329664 189796637 306837270 302461598 Provide for the healthcare needs of the community; to embrace the person in mind, body and spirit; and to serve all people with dignity. 0 0 435954432 1663304 518289283 During fiscal year 2011, Carondelet Health Network provided $49,151,981, or 9.72 percent of net revenue, in community benefit to the residents of Southern Arizona. Each year, Carondelet Health Network provides community education and outreach, free immunization clinics for children, health screenings, and community spiritual care and outreach services for the poor and vulnerable. As a Catholic, faith-based healing ministry, Carondelet Health Network is deeply committed to transforming health care through active collaboration with community organizations and non-profit organizations to identify and address community need to improve health and well-being for life. See Schedule H for Community Benefit Report. 435954432 1 1 0 1 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 869 0 1 5170 1 1 1 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 AZ X ReShelle Enoch 5208727520 2202 N Forbes Blvd Tucson AZ 85745 X Stephen Quinlan 0.50 X X 0 0 0 Sr Annette Bower 0.50 X X 0 0 0 Christopher Linscott 0.50 X X 0 0 0 Elizabeth Kaminski 0.50 X X 0 0 0 John Boulet 0.50 X 0 0 0 Wade Harman 0.50 X 0 0 0 John Lauer 0.50 X 0 0 0 Sr Judy Murphy 0.50 X 0 0 0 Fran Roberts 0.50 X 0 0 0 Carolyn Smeltzer 0.50 X 0 0 0 William Stout 0.50 X 0 0 0 Ronald Wagner 0.50 X 0 0 0 Ruth Brinkley 40.00 X X 1329431 0 30355 Odette Bolano 40.00 X 455122 0 50383 Debra Finch 40.00 X 249712 0 23457 Wanona Fritz 40.00 X 435187 0 38372 Deb Mohesky 40.00 X 0 0 0 Berta Kaemmerling 40.00 X 156619 0 9180 Amy Elizabeth Beiter 40.00 X 240404 0 50412 Neil Carolan 40.00 X 218131 0 38951 Andrew Cosentino 40.00 X 217040 0 38628 Anthony Fonze 40.00 X 0 274481 28915 Daisy Jenkins 40.00 X 291966 0 21573 Jude Magers 40.00 X 187271 0 30565 Patricia Martinez 40.00 X 266859 0 16541 Diana McBroom 40.00 X 222088 0 41323 Tracy Prigmore 40.00 X 312174 0 11611 Irma Ramirez 40.00 X 217287 0 29391 Judy Tatman 40.00 X 320193 0 21173 Linda Werbylo 40.00 X 242229 0 47377 Donna Zazworsky 40.00 X 166540 0 12726 Cecilia Dindal 40.00 X 152588 0 17094 John Eaker 40.00 X 154065 0 15241 Doug Kell 40.00 X 214148 0 11666 Daniel Kopp 40.00 X 170822 0 20060 Tariq Quraishy 40.00 X 157204 0 10470 Wesley Colvin 0.00 X 415301 0 3474 Andrew Guarni 0.00 X 189861 0 2236 Peggy MacMacken 0.00 X 199368 0 0 Thomas Murphy 0.00 X 139955 0 0 7321565 274481 621174 165 1 1 0 Morrisons Management Specialists 5801 Peachtree Dunwoody Rd Atlanta GA 30342 Nutritional Services 11135574 Crothall Healthcare 13028 Collections Center Dr Chicago IL 60693 Housekeeping 5802843 TriMedx LLC PO Box 636129 Cincinnati OH 452636129 Equipment Maintenance 5327321 Radiology Ltd PO Box 12249 Tucson AZ 85732 Physician Services 2193193 Hall Render Killian Heath & Lyman 39778 Treasury Center Chicago IL 606949700 Legal Services 2147970 54 1509217 718237 2227454 Net Patient Services 621990 468817922 468817922 Joint Ventures 621990 30021540 29285499 736041 Corporate Allocation 561000 15851814 15851814 514691276 424556 424556 2162178 2501493 -339315 -339315 -339315 Cafeteria/Vending Rev. 722210 3273009 3273009 Ref. Lab and Childcare 621990 1660224 1660224 Unclaimed Property Rev 900090 1414479 1414479 2919569 2919569 9267281 526271252 518289283 2396265 3358250 1663304 1663304 5768201 2146355 3621846 202826838 184925532 17901306 5361501 4836074 525427 18695473 16863317 1832156 15406596 13896750 1509846 671612 548909 122703 2076668 29314 2047354 1057173 1057173 80481 80481 61520166 37929186 23590980 1112154 131566 980588 12298216 9524630 2773586 25026092 690626 24335466 6513093 5536129 976964 940639 467053 473586 4135677 3515325 620352 3259170 3259170 23137422 19666809 3470613 1972746 991338 981408 Supplies 85245232 84679541 565691 0 Bad Debt 37459555 37459555 0 0 Food Service Expense 6222757 5484319 738438 0 Physician Guarantee Exp 1544387 1544387 Restructuring Charges 1454852 1454852 0 0 3628254 1969561 1658693 529078259 435954432 93123827 0 10069646 12735023 59520532 58973574 10611206 9393958 2876372 2379591 403117270 143254774 277026831 259862496 136062347 148913593 496166934 492258235 51568965 57941947 3917433 3275964 133843266 128578726 189329664 189796637 X 306458970 302165985 378300 696075 306837270 302461598 496166934 492258235 X -2807007 -1568665 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 5875 1 44078 1 8 1 30520 80481 0 Explanation of Other Lobbying Activities: Part II-B, Line 1i: Other activities represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. 6337390 1004559 50604 7291345 6306720 389627 358957 6337390 3863754 2442966 6306720 1.00000 0 1 1 542430 32091570 32634000 226540013 56338643 170201370 2268653 2058593 210060 123849818 79521587 44328231 17824786 5335951 12488835 259862496 Investments in Unconsolidated Entities 96185163 Due from Affiliates 33387699 Physician Guarantees 4307163 Deferred Compensation 2656794 Health System Depository Accounts 1897445 Est. Settlements from Third Party Payors 1489473 Other Receivables 8989856 148913593 Intercompany Debt to Ascension Health 84738966 Other Miscellaneous 22267562 Self Insurance Liability 5631601 Settlements to Third Party Payors 5223409 Environmental Liabilities 4196257 Deferred Compensation Liability 2656794 Physician Debt Guarantees 269398 Other Debt 3594739 128578726 Description of Intended Use of Endowment Funds: Part V, Line 4: To support program services for St. Mary's and St. Joseph's hospitals. 1 1 X 1 X 400.000000000000 1 X 1 1 0 1 1 5305534 5305534 0.01080 112179545 86617969 25561576 0.05200 117485079 86617969 30867110 0.06280 50 50669 5346167 490393 4855774 0.00990 12 7399061 7399061 0.01510 6 11814 42369266 36823228 5546038 0.01130 69 1322 483998 483998 0.00100 137 63805 55598492 37313621 18284871 0.03730 137 63805 173083571 123931590 49151981 0.10010 1 125 20912 20912 0.00000 3 10901 10901 0.00000 5 177 10405 10405 0.00000 6 39 28426 28426 0.00010 8 89369 14360 75009 0.00020 23 341 160013 14360 145653 0.00030 0 9312445 6811446 216087095 242046820 -25959725 X 1 1 2 1 St Joseph's Hospital

350 N Wilmot Tucson AZ 85711

X X X 2 St Mary's Hospital

1601 W St Marys Rd Tucson AZ 85745

X X X NA 1 43 CMG Oro Valley

10425 N Oracle Rd Suite 105 Tucson AZ 85737

Medical Group Carondelet Medical Mall

1055 N La Canada Dr Green Valley AZ 85614

Physician Offices CMG Nogales

1209 W Target Range Rd Nogales AZ 85621

Medical Group & Physician Clinic CMG Fort Lowell

137 E Fort Lowell Rd Tucson AZ 85745

Medical Group CMG Urgent Care Sahuarita

15920 S Rancho Sahuarita Blvd Sahuarita AZ 85629

Medical Group Physician Office

1701 W St Marys Suite 147 Tucson AZ 85745

Physician Office Occupational Health

1712 W Anklam Suite 101 Tucson AZ 85745

Physician Office St Mary's Imaging Center

1750 W Anklam Tucson AZ 85745

Imaging Center Physician Offices

1775 W St Marys Rd Ste 111 115 Tucson AZ 85745

Physician Offices Physician Offices

1773 W St Marys Rd Suite 103 Tucson AZ 85745

Physician Offices Holy Family Center

1802 W St Marys Rd Tucson AZ 85745

Nursing Care Services/Hospice Services Dr Berman Practice

1815 W St Marys Rd Tucson AZ 85745

Physician Office-Surgery Care CMG Urgent Care Silverbell

2500 N Silverbell Rd Tucson AZ 85745

Physician Clinics CMG Osteopathic Internists

3920 N Campbell Tucson AZ 85719

Medical Offices CMG Southwest

3939 S Park Ave Suites 150160 Tucson AZ 85713

Physician Office St Mary's Medical Plaza

395 N Silverbell Tucson AZ 85745

Physician Offices CMG North Campbell Plaza

3974 N Campbell Tucson AZ 85719

Physician Office Carondelet Specialist

3987 E Paradise Falls Suite 118 Tucson AZ 85712

Medical Group CMG Green Valley Medical Mall

400 W Camino Casa Verde Nogales AZ 85614

Physician Office and Imaging Services South Rehab

445 N Silverbell Rd Suite 3 Tucson AZ 85745

Rehab Services CSM South Wing-Timeshare & Pima Heart

445 N Silverbell Rd Suite 202 200 Tucson AZ 85745

Physician Office Medical Office Building

4892 N Stone Ave Tucson AZ 85704

Medical Office Building CMG Wetmore

541 W Wetmore Rd Tucson AZ 85705

Medical Group CMG Northwest

551 W Magee Rd Tucson AZ 85704

Medical Group Silverbell Ambulatory Surgery Center

585 N Silverbell Tucson AZ 85745

Surgery Center CMG Kiva

6274 E Grant Rd Tucson AZ 85712

Medical Group Carondelet Imaging Center

630 Alvernon Way Suite 150 Tucson AZ 85711

Imaging Center Sports Plus Physical Therapy

630 Alvernon Way Suite 181 Tucson AZ 85711

Physical Therapy Office CMG Central

630 Alvernon Way Suite 251 Tucson AZ 85711

Medical Group Carondelet Specialist Dr Berman

6320 N LaCholla Blvd Suite 370 Tucson AZ 85741

Physician Office Carondelet Family Practice

6528 E Carondelet Dr Tucson AZ 85710

Physician Office Center for Advanced Wound Care

6565 E Carondelet Dr Suite 265 Tucson AZ 85710

Wound Care Center Carondelet Family Practice

6566 E Carondelet Dr Tucson AZ 85711

Physician Office CMG Carondelet Drive

6567 E Carondelet Drive Suite 555 Tucson AZ 85710

Medical Group Rita Ranch Medical Mall

8290 S Houghton Rd Tucson AZ 85757

Medical Group, Imaging Services CMG Bears Path Clinic

8826 E Tanque Verde Tucson AZ 85749

Physician Clinic Primeros Pasos

4600 N Park Ave Suite 6B Tucson AZ 85714

Family Medical Center Physician Offices

6060 N Fountain Plaza Suite 180 Tucson AZ 85745

Physician Office Nogales Rehab

857 W Bell Rd Suite 3 Nogales AZ 85621

Rehab Services RLC LLC

6567 E Carondelet Drive Suite 105 Tucson AZ 85710

Imaging Services Stereotactic Radiology

6567 E Carondelet Drive Suite 185 Tucson AZ 85710

Imaging Center Spine Clinic

6567 E Carondelet Drive Suite 355 Tucson AZ 85710

Spine Clinic Carondelet Specialist

6567 E Carondelet Drive Suite 225 Tucson AZ 85710

Physician Office 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 cost accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. Part I, Line 7g: The organization has not included costs attributable to physician clinics as part of subsidized health 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 $37,459,555. Part II: Carondelet Health Network's ("CHN") leadership team collaborates actively with a variety of community organizations in community building activities to advance the economic and overall growth and vitality of the region. This is done through active participation in economic development and chamber of commerce activities, through coalition building with community partners, and through advocacy for community health improvements around access to care and public health initiatives. CHN is a member of the Tucson Regional Economic Authority, Chairman's Circle (TREO). TREO offers an integrated approach of programs and services to support the creation of new businesses, the expansion of existing businesses within the region, and the attraction of companies that offer high impact jobs and share the community's values. The Carondelet CEO serves on the Chairman's Circle and the Sr. VP Chief Human Resources Officer serves on the Board of Directors. CHN's VP of Advocacy is a member of the Public Policy Committees for the Tucson Metro Chamber of Commerce and the Tucson Hispanic Chamber of Commerce. Additional activities involved are the Arizona Hospital and Healthcare Association Government Relations Council, the Arizona Town Hall, Green Valley Chamber of Commerce Advisory Council and the Green Valley Healthcare Coordinating Council. The Southern Arizona Leadership Council (SALC) is Southern Arizona's leading business group and the CHN Executive VP of Human Resources serves as a member of this leading organization. SALC's mission is to advocate for the region's well being around key issues of importance including job growth, economic development, business friendly environment, health, education and other regional interests. Through active participation in these diverse organizations, CHN leadership ensures that key initiatives which these leading organizations consider and execute advance the community health and well-being of the region. Part III, Line 4: 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 $37,459,555 at charges ($9,312,445 at cost). Part III, Line 8: Carondelet Health Network follows the Catholic Health Association ("CHA") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit. Part III, Line 9b: The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. Patients who are cooperating in good faith to resolve their hospital bills will not receive from Carondelet Health Network liens on primary residences or wage garnishments and unpaid bills will not be sent outside to collection agencies. Part VI, Line 2: Carondelet Health Network 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 for Santa Cruz County 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 website and is to be included in a patient's financial statements when sent. The Network participates in "Tu Salud", a Southern AZ community Collaboration CHIPRA funded outreach program which provides a community outreach worker/financial counselor at community events to facilitate enrollment into government and community assistance programs. CHN led a Southern Arizona "Phonathon" , which was a one day event, to increase awareness of state Medicaid eligibility requirements and other public funding resources as well as to facilitate enrollment of qualifying individuals and families. Part VI, Line 4: The primary and secondary service area includes Pima, Santa Cruz and Cochise Counties. The population is 1.21 million individuals based on 2010 census data. This growth is 2.05% from 2000. The average household size is 2.53. The median age is 37.4 which is at the national average. 51.7% of the population earns less than $50,000 with the median household income at $48,208 and the per capita income at $24,171. 27.2% of the population is over the age of 55. The demographics of the area with regard to ethnicity 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. Santa Cruz County has been growing at a percentage of 2.14% between 2000 and 2014, the national average is 0.76%. Current population, based on the 2010 census reveals a total of 47,420 in Santa Cruz County. There are a total number of households of 15,437 which represents a 2.72% growth since 2000. 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. Part VI, Line 6: Carondelet Health Network ("CHN") provides a wide variety of services to the communities where it has a presence. Activities include social service enrollment, support groups for patients, families and the community at large, chronic disease education to patients, families and outside medical professionals, spiritual care services and parish nursing program. CHN works with community partners to provide mobile health services for the area homeless, border health outreach, promotion of state Medicaid enrollment, education on chronic diseases to schools, patients, churches and health and human service organizations. Associates serve on various Boards of Directors for local and regional organizations. Additional community outreach includes health screenings, health fairs and educational conferences and events throughout the year. The following are the organizations which Carondelet leadership is engaged in key community coalition building activities, community events, or initiatives: Catholic Community Services of Southern Arizona, Primavera Foundation, YWCA of Tucson, American Diabetes Association, American Heart Association, American Cancer Society, American Israel Friendship League, University of Arizona African American Advisory Committee, Tucson Unified School district African American studies, Tucson Urban League, Habitat for Humanity, Rotary Club of Tucson, Catholic Foundation, Science Foundation of Southern Arizona, Tucson Arthritis Support League, United Way, American Red Cross. Several Senior Leaders are board members for Mercy Care Plan, an Arizona Health Care Cost Containment System plan(Arizona's Medicaid entity), jointly owned by Carondelet Health Network and St. Joseph's Hospital in Phoenix. The Chief Medical Officer from Carondelet St. Mary's Hospital serves on the Pima Community Access Program, a discount health program that offers membership for low income individuals and families access to primary, specialty and hospital care at discounted fees. The Chief Information Officer serves as a board member for the Health Information Network of Arizona with the intent to establish the state's Health Information Exchange. Part VI, Line 7: Carondelet Health Network 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 Congregation of the Sisters of St. Joseph of Carondelet. Carondelet Health Network located in Tucson, Arizona, consists of two nonprofit acute care hospitals. The hospitals within Carondelet Health Network provide inpatient, outpatient, and emergency care services for the residents of Tucson, Arizona. Admitting physicians are primarily practitioners in the local area. Carondelet Health Network is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of Ascension Health 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 people. 3. Cost of other programs for persons living in poverty includes unreimbursed costs of programs intentionally designed to serve persons living in poverty and other vulnerale 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 the 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 Catholic Health Association (CHA) and the Internal Revenue Service (IRS). 1 Jewish Community Foundation of Southern Arizona 5546 E 4th St 100 Tucson AZ 85711 860718936 501(c)(3) 6000 Sponsor Cindy Wool Memorial Seminar on Humanism in Medicine St Thomas Foundation 4220 Harding Rd Nashville TN 37205 581663055 501(c)(3) 10000 Nashville, TN Flood Relief El Rio Health Center 839 W Congress St Tucson AZ 85745 860816675 501(c)(3) 5500 Event Sponsorship Carondelet Sisters of St Joseph of Carondelet Carondelet Center - 11999 Chalon Rd Rd Tucson AZ 900491524 501(c)(3) 25000 Support Sisters of St. Joseph of Carondelet Rosenberg Media LLC 4729 E Sunrise Dr 505 Tucson AZ 85718 263650978 7360 Sponsorship of Biz Tucson Health Care Summit Luncheon American Heart Association PO Box 4002908 Des Moines IA 503402908 135613797 501(c)(3) 75000 Event Sponsorship 2nd Saturdays 64 E Broadway Blvd Tucson AZ 85701 242270892 8700 Sponsorship of Urban Street Festival Primavera Foundation 702 South 6th Ave Tucson AZ 85701 860733182 501(c)(3) 7500 Sponsorship of Primavera Cooks Angel Charity for Children PO Box 13318 Tucson AZ 85732 860472794 501(c)(3) 16800 Event Sponsorship Tucson Metropolitan Chamber of Commerce PO Box 991 Tucson AZ 85702 860062660 501(c)(6) 10000 Event Sponsorship Habitat for Humanity 621 W Lester Tucson AZ 85710 942725100 501(c)(3) 65000 Sponsor a Habitat for Humanity Home Tucson Nurses Week Foundation PO Box 65085 Tucson AZ 857285085 860771880 501(c)(3) 10000 Event Sponsorship American Red Cross 2916 E Broadway Blvd Tucson AZ 85716 530196605 501(c)(3) 10000 Event Sponsorship Tucson Hispanic Chamber of Commerce 4420 E Speedway 101 Tucson AZ 85712 860714441 501(c)(6) 7500 Annual Sponsorship St Elizabeth of Hungary 140 W Speedway Blvd Ste 100 Tucson AZ 85710 860100880 501(c)(3) 8327 Promote Healthy Nutrition Education Arizona Telemedicine Program 1501 N Campbell Avenue Tucson AZ 85724 501(c)(3) 9778 Support Telemedicine Service Delivery in Arizona American Diabetes Association 333 W Ft Lowell Rd Ste 123 Tucson AZ 85705 131623888 501(c)(3) 7500 Sponsorship to Fund 'Stop Diabetes Community Relations and Collaboration' Carondelet Foundation 120 N Tucson Blvd Tucson AZ 857164740 860749574 501(c)(3) 1089352 Payment of Foundation Operational Expenses 14 4 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: CHN provides charitable contributions to organizations in the community. Our related foundation organizes and monitors all contributions and ensures that the receiving organizations are qualified 501(c)(3) entities. All funds are used for their intended charitable purposes. X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 Ruth Brinkley 673820 0 631788 0 23823 0 11025 0 19330 0 1359786 0 0 0 Odette Bolano 368458 0 80500 0 6164 0 43236 0 7147 0 505505 0 31184 0 Debra Finch 223171 0 25638 0 903 0 17395 0 6062 0 273169 0 0 0 Wanona Fritz 375976 0 51329 0 7882 0 26114 0 12258 0 473559 0 0 0 Berta Kaemmerling 146759 0 9277 0 583 0 5357 0 3823 0 165799 0 0 0 Amy Elizabeth Beiter 238695 0 0 0 1709 0 29982 0 20430 0 290816 0 0 0 Neil Carolan 178290 0 38759 0 1082 0 22962 0 15989 0 257082 0 17494 0 Andrew Cosentino 194682 0 20509 0 1849 0 22092 0 16536 0 255668 0 0 0 Anthony Fonze 0 220068 0 53520 0 893 0 12250 0 16665 0 303396 0 0 Daisy Jenkins 245450 0 40000 0 6516 0 6519 0 15054 0 313539 0 0 0 Jude Magers 160737 0 22776 0 3758 0 20740 0 9825 0 217836 0 0 0 Patricia Martinez 196307 0 61848 0 8704 0 5219 0 11322 0 283400 0 0 0 Diana McBroom 178696 0 31895 0 11497 0 23543 0 17780 0 263411 0 9748 0 Tracy Prigmore 160589 0 76059 0 75526 0 6492 0 5119 0 323785 0 0 0 Irma Ramirez 185113 0 31466 0 708 0 23185 0 6206 0 246678 0 10144 0 Judy Tatman 239234 0 39693 0 41266 0 8575 0 12598 0 341366 0 0 0 Linda Werbylo 234402 0 0 0 7827 0 28908 0 18469 0 289606 0 0 0 Donna Zazworsky 163090 0 2934 0 516 0 5881 0 6845 0 179266 0 0 0 Cecilia Dindal 150935 0 0 0 1653 0 5107 0 11987 0 169682 0 0 0 John Eaker 147008 0 1406 0 5651 0 808 0 14433 0 169306 0 0 0 Doug Kell 190289 0 23498 0 361 0 5491 0 6175 0 225814 0 0 0 Daniel Kopp 168443 0 1495 0 884 0 5881 0 14179 0 190882 0 0 0 Tariq Quraishy 155120 0 0 0 2084 0 5130 0 5340 0 167674 0 0 0 Wesley Colvin 0 0 0 0 415301 0 0 0 3474 0 418775 0 0 0 Andrew Guarni 42770 0 128700 0 18391 0 653 0 1583 0 192097 0 0 0 Peggy MacMacken 0 0 0 0 199368 0 0 0 0 0 199368 0 0 0 Thomas Murphy 0 0 0 0 139955 0 0 0 0 0 139955 0 0 0 Part I, Line 1a Tax indemnification and gross-up payments for executive bonuses, amounts are grossed up. Part I, Lines 4a-b The following individuals received severance payments: Wesley Colvin - $415,301 Peggy MacMacken - $199,368 Thomas Murphy - $139,955 Part I, Lines 4a-4b: Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The organization made contributions to the supplemental nonqualified retirement plan in the amounts as noted: Amy Elizabeth Beiter - $21,407 Odette Bolano - $34,661 Neil Carolan - $15,863 Andrew Cosentino - $14,316 Jude Magers - $14,144 Diana McBroom - $16,520 Irma Ramirez - $15,905 Linda Werbylo - $20,459 Debra Finch - $8,827 Wanona Fritz - $17,539 The organization made payments from the supplemental nonqualified retirement plan in the amounts as noted: Odette Bolano - $31,184 Neil Carolan - $17,494 Diana McBroom - $9,748 Irma Ramirez - $10,144 Form 990, Part VI, Section A, line 6 Carondelet Health Network has a single corporate member, Ascension Health. Form 990, Part VI, Section A, line 7a Carondelet Health Network has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of Carondelet Health Network. Form 990, Part VI, Section A, line 7b Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix. Form 990, Part VI, Section B, line 11 Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members questions. Form 990, Part VI, Section B, line 12c The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. Form 990, Part VI, Section B, line 15 In determining compensation of the organization's CEO, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The audit committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals at other healthcare organizations in the area 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, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The audit committee reviewed and approved the compensation. In the review of the compensation, the other officers or key employees of the organization were compared to other healthcare organizations' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Form 990, Part VI, Section C, line 19 The organization will provide any documents open to public inspection upon request. Explanation of Independent Contractors: Form 990, Part VII, Section B: Amounts paid to TriMedx, LLC represent amounts paid for services and materials. These amounts cannot be separated. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Transfers to Sponsors -462,930. Change in Share of Joint Ventures Net Assets 5,528,280. Transfers to Ascension Health -6,634,015. Total to Form 990, Part XI, Line 5: -1,568,665. Community Benefit Report: Form 990, Part III, Line 4a: 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. 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. 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