Holy Cross Hospital Inc: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
Holy Cross Hospital Inc (EIN 86-0575938)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201111339349304951
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-13T15:21:58-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1250 East Fifth Street Suite 1900AddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN860575938EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Holy Cross Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOLYNameControl
Phone5206225833Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12202 N Forbes BlvdAddressLine1
CityTucsonCity
StateAZState
ZIP Code857451412ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameReShelle EnochName
TitleCFOTitle
Phone5206225833Phone
Date Signed2011-05-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone5137847100Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWinona FritzNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12202 N Forbes BlvdAddressLine1
CityTucsonCity
StateAZState
ZIP Code857451412ZIPCode
FieldValueIRS element (for citing)
Gross Receipts24933527GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
Web Sitewww.carondelet.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1987YearFormation
State Legal DomicileAZStateLegalDomicile
Activity Or Mission DescriptionProviding various types of advanced medical/surgical services to our patients.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees281TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI1328898TotalGrossUBI
Net Unrelated Business Txbl Income106183NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year119312ContributionsGrantsCurrentYear
Program Service Revenue Prior Year24336171ProgramServiceRevenuePriorYear
Program Service Revenue CY23129629ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year772017OtherRevenuePriorYear
Other Revenue Current Year1681939OtherRevenueCurrentYear
Total Revenue Prior Year25108188TotalRevenuePriorYear
Total Revenue Current Year24930880TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12488361SalariesEtcPriorYear
Salaries Etc Current Year12250849SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year11354TotalFundrsngExpCurrentYear
Other Expense Prior Year14137632OtherExpensePriorYear
Other Expenses Current Year17394124OtherExpensesCurrentYear
Total Expenses Prior Year26625993TotalExpensesPriorYear
Total Expenses Current Year29644973TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1517805RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-4714093RevenuesLessExpensesCY
Total Assets BOY10873288TotalAssetsBOY
Total Assets EOY9470609TotalAssetsEOY
Total Liabilities BOY2170419TotalLiabilitiesBOY
Total Liabilities EOY5481833TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8702869NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3988776NetAssetsOrFundBalancesEOY
Mission DescriptionProvides 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense20184750Expense
Revenue23148854Revenue
DescriptionAn 72-bed facility, Holy Cross Hospital 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 Expense20184750TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees281NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ReShelle EnochBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5208727520TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12202 N Forbes BlvdAddressLine1
CityTucsonCity
StateAZState
ZIP Code857451412ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
William Stout
Chairperson0.50XX000
Eladio Pereira MD
Vice Chairperson0.50XX000
Leonard Lizardi
Secretary/Treasury0.50XX000
Joel Block MD
Director0.50X000
Jose Duran MD
Director0.50X000
Anita Moreno
Director0.50X000
Sr Irma Odabashian Sch O
Director0.50X008112
James Ross
Director0.50X000
Mark Valenzuela
Director0.50X000
Winona Fritz Sch O
Director/CEO - CSM & HCH40.00XX02125958469
Ruth Brinkley Sch O
CEO - CHN40.00X088422978259
Richard Polheber Sch O
CEO - HCH (end 8/09)40.00X025255935106
Wesley Colvin Sch O
COO - CHN (end 7/09)40.00X064772146720
Andrew Guarni Sch O
CFO - CHN40.00X020834914941
Debbie Knapheide Sch O
CNO40.00000X
Roy Farrell Sch O
CMO40.000876162994X
Marlene Wade
CNO - HCH40.00204026063141X
Neil Carolan Sch O
Phy Dev Officer - CHN40.00017952728567X
Tracy Prigmore Sch O
VP Strategic Planning40.00025182731118X
Irma L Ramirez Sch O
VP Advoc Comm Rel40.00018587527745X
Linda Werbylo Sch O
Chief HR Officer - CHN40.00023996151560X
Daisy Jenkins Sch O
CHRO - CHN40.00000X
Jude Magers Sch O
VP Mission Integration40.00016547630472X
John Clayton Flowers
VP Rev Cycle Mgmt (Sch O)40.00016082413837X
Judy Tatman Sch O
VP - Clinical Excellence40.00029112136889X
Douglas Spegman Sch O
CMO - System40.00028525753118X
Stephen Arthur Henefield
CRNA40.00180554033307X
John W Petit
Physician40.001665510385X
Celia Torres
Pharmacist40.00121225014671X
Fernando Heredia
Ultrasound Tech40.00120972016198X
Thomas Murphy
Fmr CLO - CHN (end 1/09)40.0003619427491X
FieldValueIRS element (for citing)
Total Reportable Comp From Org793328TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4327263TotalReportableCompFrmRltdOrgs
Total Other Compensation600106TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TriMedx LLC
PO Box 636129CincinnatiOH452636129Equipment Maintenance757421
Crothall Healthcare
13028 Collections Center DrChicagoIL60693Housekeeping644358
Morrisons Management Specialists
5801 Peachtree Dunwoody RdAtlantaGA30342Nutritional Services635918
Quantum Plus Inc
PO Box 634850CincinnatiOH452634850Emergency Room Physicians372694
McKesson Pharmacy
9501 Norwalk BlvdSanta Fe SpringsCA90670Pharmacy Drugs/Supplies279834
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
Related Organizations15959RelatedOrganizations
Government Grants103353GovernmentGrants
Total Contributions119312TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient Service Rev.Description
Business Code621400BusinessCode
Total Revenue Column23129629TotalRevenueColumn
Related Or Exempt Function Income23129629RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue23129629TotalProgramServiceRevenue

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real170698Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2647Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real168051Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column168051TotalRevenueColumn
Exclusion$168,051ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Reference Lab62150013288981328898
Cafeteria Revenue722210165765$165,765
Other Misc9000991922519225
FieldValueIRS element (for citing)
Total Other Revenue1513888TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column24930880TotalRevenueColumn
Related Or Exempt Function Income23148854RelatedOrExemptFunctionIncome
Unrelated Business Revenue1328898UnrelatedBusinessRevenue
Exclusion$333,816ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total234808Total
Program Services234808ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10172674Total
Program Services7663889ProgramServices
Management And General2508785ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total258175Total
Program Services195929ProgramServices
Management And General62246ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total807036Total
Program Services623772ProgramServices
Management And General183264ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total778156Total
Program Services590543ProgramServices
Management And General187613ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3110Total
Management And General3110ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total2400Total
Management And General2400ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3488929Total
Program Services1331145ProgramServices
Management And General2157784ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total18165Total
Program Services45ProgramServices
Management And General18120ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total461465Total
Program Services258619ProgramServices
Management And General202846ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total40033Total
Program Services32239ProgramServices
Management And General7794ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total718Total
Program Services718ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total280189Total
Program Services134491ProgramServices
Management And General145698ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total60231Total
Program Services14539ProgramServices
Management And General45692ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total126043Total
Program Services60501ProgramServices
Management And General65542ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total848834Total
Program Services407440ProgramServices
Management And General441394ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total530019Total
Program Services518290ProgramServices
Management And General11729ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Shared Services89399546420413250818711354
Supplies15232981327381195917
Bad Debt303219303219
National Office Fees279300279300
Food Service Expense25675541153215602

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total231462Total
Program Services25616ProgramServices
Management And General205846ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total29644973Total
Program Services20184750ProgramServices
Management And General9448869ManagementAndGeneral
Fundraising11354Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3708BOY
EOY6922EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2814436BOY
EOY2452891EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY243046BOY
EOY210080EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY245164BOY
EOY316474EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY34238BOY
EOY36878EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11262502LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5312712LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6650887BOY
EOY5949790EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY881809BOY
EOY497574EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10873288BOY
EOY9470609EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1213238BOY
EOY1286271EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY957181BOY
EOY4195562EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2170419BOY
EOY5481833EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8702869BOY
EOY3954316EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY34460EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8702869BOY
EOY3988776EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10873288BOY
EOY9470609EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$7,782OtherActivitiesAmount
Total Lobbying Expenditures IIB7782TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationLobbying 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

FieldValueIRS element (for citing)
Other Cost Or Other Basis1044013OtherCostOrOtherBasis
Book Value1044013BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6325669OtherCostOrOtherBasis
Depreciation2584900Depreciation
Book Value3740769BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis118187OtherCostOrOtherBasis
Depreciation116098Depreciation
Book Value2089BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3624972OtherCostOrOtherBasis
Depreciation2472459Depreciation
Book Value1152513BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis149661OtherCostOrOtherBasis
Depreciation139255Depreciation
Book Value10406BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5949790TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Other Receivables463114
HRSA Grants Restricted Cash34460
FieldValueIRS element (for citing)
Total Book Value Other Assets497574TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
Dues to Affiliates$3,516,215
Other Current Liabilities$104,542
Other Non-Current Liabilities$94,373
Self Insurance Liability$256,916
Estimated Settlement Liability$223,516
FieldValueIRS element (for citing)
Total Of Amounts4195562TotalOfAmounts
Total Revenue24930880TotalRevenue
Total Expenses29644973TotalExpenses
Excess Or Deficit For Year-4714093ExcessOrDeficitForYear
Excess Or Deficit Per FS-4714093ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart X:Identifier
Return ReferenceDescription of Uncertain Tax Positions Under FIN 48:ReturnReference
ExplanationPer the financial statements of Ascension Health (which include the activity of Holy Cross Hospital, Inc.), there is no ASC 740 (fka FIN 48) footnote for the current year.Explanation

Schedule H IRS990ScheduleH

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

Other Percentage OtherPercentage

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense317878TotalCommunityBenefitExpense
Net Community Benefit Expense317878NetCommunityBenefitExpense
Percent Of Total Expense0.01080PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense13491033TotalCommunityBenefitExpense
Direct Offsetting Revenue10665108DirectOffsettingRevenue
Net Community Benefit Expense2825925NetCommunityBenefitExpense
Percent Of Total Expense0.09630PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense13808911TotalCommunityBenefitExpense
Direct Offsetting Revenue10665108DirectOffsettingRevenue
Net Community Benefit Expense3143803NetCommunityBenefitExpense
Percent Of Total Expense0.10710PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense73181TotalCommunityBenefitExpense
Net Community Benefit Expense73181NetCommunityBenefitExpense
Percent Of Total Expense0.00250PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense108TotalCommunityBenefitExpense
Net Community Benefit Expense108NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3034773TotalCommunityBenefitExpense
Direct Offsetting Revenue1704242DirectOffsettingRevenue
Net Community Benefit Expense1330531NetCommunityBenefitExpense
Percent Of Total Expense0.04530PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense15991TotalCommunityBenefitExpense
Net Community Benefit Expense15991NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3124053TotalCommunityBenefitExpense
Direct Offsetting Revenue1704242DirectOffsettingRevenue
Net Community Benefit Expense1419811NetCommunityBenefitExpense
Percent Of Total Expense0.04830PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense16932964TotalCommunityBenefitExpense
Direct Offsetting Revenue12369350DirectOffsettingRevenue
Net Community Benefit Expense4563614NetCommunityBenefitExpense
Percent Of Total Expense0.15540PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense1385TotalCommunityBuildingExpense
Net Community Building Expense1385NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense2776TotalCommunityBuildingExpense
Net Community Building Expense2776NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense7970TotalCommunityBuildingExpense
Net Community Building Expense7970NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense5965TotalCommunityBuildingExpense
Net Community Building Expense5965NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense2079TotalCommunityBuildingExpense
Net Community Building Expense2079NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense20175TotalCommunityBuildingExpense
Net Community Building Expense20175NetCommunityBuildingExpense
Percent Of Total Expense0.00070PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$85,861BadDebtExpenseAmount
Amount Attributable To37495AmountAttributableTo
Amount Reimbursed By Medicare5206325AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare6478098CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1271773MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1Holy Cross Hospital IncBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12202 N Forbes BlvdAddressLine1
CityTucsonCity
StateAZState
ZIP Code857451412ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Annual Community Benefit ExplnPart 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, Inc. and Carondelet Foundation.AnnualCommunityBenefitExpln
Costing Method UsedPart 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.CostingMethodUsed
Subsidized Health Services ExplnPart I, Line 7g: The organization has not included costs attributable to a physician clinic as part of subsidized health services.SubsidizedHealthServicesExpln
Percent Of Total Expense ExplnPart I, Line 7f: 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 $303,919.PercentOfTotalExpenseExpln
Bad Debt FootnotePart III, Line 4: The organization is a part of the Ascension Health consolidated audit. The footnote that references bad debt expense in the 2009 consolidated audit is as follows:The provision for bad debts is based upon management's assessment of expected net collections considering 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 on 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 modification to the provision for bad debts to 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, the organization follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restriction on collection efforts as determined by the organization. Accounts receivable are written off after collection efforts have been followed in accordance with the organization's policies.The organization's share of bad debt expense in 2009 was $303,919 at charges ($85,861 at cost).BadDebtFootnote
Shortfall As Community BenefitPart 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.ShortfallAsCommunityBenefit
Debt Collection PolicyPart 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 of financial assistance. If a patient qualifies for charity of financial assistance, certain collection practices do not apply.DebtCollectionPolicy
Needs AssessmentPart 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 CNA 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.NeedsAssessment
Patient Education AssistancePart VI, Line 3: Upon admission, patients are encouraged to apply for the state Medicaid program if they are uninsured as well as other public benefits such as TANF or SNAP if the patient has a need. If patients prove they meet at least one (1) of eight (8) criteria outlined in the policy, they will be eligible for charity care. The patient will be placed in pre-emptive charity care status and after all bills are finalized a request for the total amount will be made on the 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.PatientEducationAssistance
Community InformationPart VI, Line 4: Carondelet Health Network has facilities in Tucson, Green Valley, Sahuarita and Nogales. Among others, these cities are in Pima and Santa Cruz counties. According to the 2009 American Community Survey reported by the U.S. Census, Pima County has an estimated population of 990,213 residents, of which 32.80% are identify as Hispanic or Latino. 28% of residents speak a language another than English in their homes. Of those that speak other language in their homes, 82.94% speak Spanish. 15.70% of all people's income fell below the Federal Poverty Level from 2008-2009. According to the 2009 American Community Survey reported by the U.S. Census, Santa Cruz County has an estimated population of 42,550 residents, of which 79.90% are identify as Hispanic or Latino. 78.40% of residents speak a language other then English in their homes. Of those that speak another language in their homes, 98.96% speak Spanish. 22.10% of all people's income fell below the Federal Poverty Level from 2008-2009.CommunityInformation
Community Building ActivitiesPart VI, Line 5: Rebuilding Together: Helps low income families fix their homes. The Holy Cross Hospital Administrator serves on the board (24 hours annually). 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 Holy Cross Hospital Administrator serves on the board (16 hours annually). 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 (36 hours annually).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 (30 hours annually).Santa Cruz Council on Aging: Representing 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 Holy Cross Hospital Administrator serves on the board (36 hours annually). Child & Family Resources: 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 (10 hours annually). 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. The Holy Cross Hospital Administrator serves on the board (36 hours annually).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 Holy Cross Hospital Administrator serves on the board (60 hours annually).Workforce Investment - WIA: To expand regions knowledge of workforce. The Holy Cross Hospital Administrator serves on the board (36 hours annually).CommunityBuildingActivities
Other InformationPart 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.OtherInformation
Affiliated Health Care SystemPart 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 (CSJ).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 and its sponsored organizations 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 which sustains and improves the health of the individuals and communities it serves. In accordance with Ascension Health's mission of service to those who are poor and vulnerable, 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 who are poor 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 who are uninsured or underinsured.2. Unpaid cost of public programs represents the unpaid cost of services provided to persons covered by public programs for the poor.3. Cost of other programs for the poor includes unreimbursed costs of programs intentionally designed to serve the poor and vulnerable 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 poor, including health promotion and education, health clinics and screenings, and medical research. Ascension Health contributed $1,075,150,000 to the community in FY 10.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 poor and community benefit programs. The cost of providing care of persons who are poor and community benefit programs is estimated using internal cost data.AffiliatedHealthCareSystem

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Winona Fritz (Sch O)
0183370000292250008469022106400
Ruth Brinkley (Sch O)
06721410186944025144022000056259096248800
Richard Polheber (Sch O)
0143539000109020013090022016028766500
Wesley Colvin (Sch O)
0301268000346453022230024490069444100
Andrew Guarni (Sch O)
0181513015920252440698507956022329000
Marlene Wade
1451420117910470930385000246410267167000
Neil Carolan (Sch O)
01784450001082013000015567020809400
Tracy Prigmore (Sch O)
0250903000924016484014634028294500
Irma L Ramirez (Sch O)
018516700070802200005745021362000
Linda Werbylo (Sch O)
02314420008519016849034711029152100
Jude Magers (Sch O)
0162020000345602200008472019594800
John Clayton Flowers
016070800011600013837017466100
Judy Tatman (Sch O)
02823860008735022000014889032801000
Douglas Spegman (Sch O)
02771420008115037050016068033837500
Stephen Arthur Henefield
17275006800010040219830113240213861000
John W Petit
16655100000385000166936000
Thomas Murphy
054650003564770138506106036943300

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 4aSeverance Payments: Wesley Colvin-$169,837, Richard Polheber-$89,607, and Thomas Murphy-$249,920 Part I, Line 4b: Eligible Executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and cirsumstances 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 related organization made contributions to and/or payments from the supplemental nonqualified retirement plan in the amounts as noted: Marlene Wade-$44,832, Thomas Murphy-$79,595, Wesley Colvin-$114,680, Neil Carolan - $15,103, Richard Polheber - $20,205, and Linda Werbylo - $19,518
Part IIIPart 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, -Approval by the Board or Compensation CommitteeSupplemental Information

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Purpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
Dr Guevara
To purchase medical office buildingX$296,766114151011
Dr Duran
To purchase medical office buildingX$245,73595929011
FieldValueIRS element (for citing)
Total Balance Due210080TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 6Holy Cross Hospital, Inc. has a single corporate member, Carondelet Health Network.
Form 990, Part VI, Section A, line 7aHoly 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 7bAll 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 11Management, 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.
Form 990, Part VI, Section B, line 12cThe organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Section B, line 15In determining compensation of the organization's CEO, the process, 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 top management was compared to 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. 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 thedecision was recorded in the board minutes.
Form 990, Part VI, Section C, line 19The organization will provide any documents open to public inspection upon request.
Form 990, Part XI, Line 2:Carondelet Health Network and other members of Carondelet Health Network are reported in the consolidated financial statements of Ascension Health. No individual audited financial statement for Carondelet Health Network is completed.Explanation of the Audited Financial Statements:
Form 990, Part II, Line 4a:Carondelet Health Network June 30, 2010 Community Benefit Report A LETTER FROM THE CHAIR OF THE BOARD AND THE PRESIDENT AND CEO It is with great pride that we introduce the 2010 Carondelet Health Network Report to the Community. This annual publication details the 2010 fiscal year that ended June 30, 2010. It is a summary of Carondelet's efforts - alone and with key partners in Southern Arizona - dedicated to bringing access to healthcare and wellness to all, with a special focus on the poor and vulnerable. During a year in which economic strain caused federal and state service reductions, funding freezes and complete program eliminations, we were continually reminded of the vital role our health ministry plays in Southern Arizona. In 2010, Carondelet provided $49,906,676 (8.3 percent of our total revenue) to serve those in need through assistance within our hospitals and health network and throughout our communities. We are particularly proud of our continuing tradition of service to those in need as we celebrate Carondelet Health Network's 130th anniversary. The Sisters of St. Joseph of Carondelet first opened the doors of St. Mary's Hospital in 1880. Ten years earlier, those Sisters had answered a call: spiritual help was needed in Tucson. They endured a 36-day trek from Carondelet, Missouri, enduring scorching temperatures, sand storms, and a raft ride across the Colorado River. Today, that trek continues as we answer another urgent call: the need for health care for the local homeless population. Thanks to a generous donation, a new collaborative called the Southern Arizona Health Village for the Homeless was launching. Its flagship "Van of Hope" will directly provide medical care to a population that can number over 4,000 in the Tucson community. We hope you will read with interest about the volunteers, dedicated associates and community partners who innovate and provide programs that expand access to health care, focus on preventive care and wellness and improve the quality of life for thousands across the region. On behalf of our Board of Directors, leadership, medical staff, associates and volunteers, we offer our most sincere thanks for your support that makes these efforts possible. We are proud of the vital services and care that Carondelet Health Network provides and we are deeply grateful to the many partners and generous supporters who make it possible for us to continue the legacy of the Seven Sisters. Sincerely, RUTH W. BRINKLEY, RN, FACHE President and CEO, Carondelet Health Network West Ministry Market Leader, Ascension Health STEPHEN E. QUINLAN Chair, Carondelet Health Network Board Chair of the Board, Long Realty Companies Co-CEO, Miramonte Homes KEY STATISTICS - Acute care beds 965 - Associates 4,841 - Active medical staff 626 - Credentialed Allied Health Professionals 214 - Volunteers 377 UTILIZATION - Births 3,716 - Inpatient surgeries 10,965 - Outpatient surgeries 16,100 - Patient days 212,239 - Emergency room visits 141,40 CARONDELET HEALTH NETWORK HOSPITALS AND FACILITIES HOSPITALS - Carondelet St. Joseph's Hospital - Carondelet St. Mary's Hospital - Carondelet Heart & Vascular Institute - Carondelet Holy Cross Hospital, Nogales IMAGING CENTERS - Central Imaging Center - St. Mary's Imaging Center - Medical Mall at Green Valley - Medical Mall at Rita Ranch - Green Valley Imaging Center - Carondelet Imaging Center - St. Joseph's Medical Plaza II Imaging Center SURGERY CENTER - Foothills Surgery Center HOSPICE & PALLIATIVE CARE - Inpatient and Outpatient Care CARONDELET SPECIALIST GROUP (5 locations) - Tucson Vascular Specialists - Vein Solutions - Arizona Cardiothoracic Surgery Specialists - Southwest Heart CARONDELET MEDICAL GROUP (18 locations, including Carondelet Silverbell and Carondelet Medical Group - Sahuarita walk-in clinics) CARONDELET FOUNDATION CHN COMMUNITY BENEFIT FY10 COMMUNITY BENEFIT FOR FY 2010 IS $49,906,676 OR 8.3 PERCENT OF NET REVENUE - Traditional Charity Care $ 2,264,998 ( 4.5%) - Unpaid Costs to Public Programs $29,187,364 ( 58.5%) - Community Services $ 6,053,250 ( 12.1%) - Financial Contributions & In-Kind Donations $ 274,237 ( .5%) - Subsidized Health Services $11,668,177 ( 23.4%) - Community-Building and Leadership Activities $ 81,038 ( .2%) - Community Benefit Operations $ 377,612 ( .8%) TOTAL $49,906,676 (100.0%) COMMUNITY PARTNERS Carondelet works with the following local, regional and national organizations to bring access to healthcare and wellness to those living in Southern Arizona. - Alzheimer's Association, Desert Southwest Chapter - American Diabetes Association in Tucson - American Heart Association - American Parkinson Disease Association, Arizona Chapter - American Red Cross, Southern Arizona Chapter - Arizona Chamber of Commerce - Arizona Children's Association - Arizona Covering Kids Coalition - Arizona Department of Health Services - Arizona Healthcare Cost Containment System - Arizona Health-e Connection - Arizona Hospital and Healthcare Association - Arizona Nurses Association - Arizona Postpartum Wellness Coalition - Arizona State University - Arthritis Foundation, Greater Southwest Chapter - Benson Hospital - Big Brothers Big Sisters of Tucson - Big Chuy Cancer Foundation - Boys & Girls Club of Tucson - Casa de Esperanza - Casa de los Ninos - Catholic Community Services of Southern Arizona - Catholic Foundation for the Diocese of Tucson - Catholic Health Association - Catholic Healthcare West - Child and Family Resources - Children's Action Alliance - City of Tucson - City of Tucson Mayor's Office - Coalition for African American Health & Wellness - Community Food Bank of Tucson - Copper Queen Community Hospital, Bisbee - Dependable Home Health - Desert Senita Community Health Center, Ajo - El Rio Community Health Center - Grand Canyon University - Greater Tucson Leadership Organization - Green Valley/Sahuarita Chamber of Commerce - Habitat for Humanity - Hospital Council of Southern Arizona - Hospital General Nogales, Sonora - Indian Health Service Hospital, Sells - Jewish Federation of Southern Arizona - Junior Achievement of Arizona - La Frontera Health Center - Marana Health Center - March of Dimes, Arizona Chapter - Mariposa Community Health Center - Mt. Graham Regional Medical Center, Safford - Muscular Dystrophy Association - National Alliance on Mental Illness - National Multiple Sclerosis Society, Southern Arizona Region - Nogales, Arizona Lions Club - Nogales Chamber of Commerce - Nogales, Sonora Lions Club - Northern Cochise Community Hospital, Willcox - Pima Community Access Program - Pima Community College - Pima Council on Aging - Pima County Health Department - Primavera Foundation - Rebuilding Together - Rio Salado College - Rotary Club of Tucson - Science Foundation of Southern Arizona - St. Andrew's Children's Clinic - St. Elizabeth's Health Center - Southern Arizona Health Information Exchange - Southern Arizona Leadership Council - Southern Arizona Medical Center, Douglas - Tu Nidito Child and Family Services - Tucson Black Chamber of Commerce - Tucson Hispanic Chamber of Commerce - Tucson Metropolitan Chamber of Commerce - Tucson Postpartum Depression Coalition - Tucson Regional Economic Opportunities - Tucson Urban League - United Community Health Center - United Way of Santa Cruz County - United Way of Tucson and Southern Arizona - University of Arizona - Wellness Council of Southern Arizona - YMCA of Tucson - YWCA of Tucson COMMUNITY OUTREACH: DIABETES EDUCATION DIABETES & OBESITY PROGRAMS PUT KIDS ON A HEALTHY PATH NOGALES HIGH SCHOOL & HA:SAN PREPATORY AND LEADERSHIP SCHOOL Across Southern Arizona and the nation, Hispanics and Native Americans are at the highest risk of developing Type 2 Diabetes. That's why Carondelet Health Network, Ha:san Preparatory and Leadership School and Nogales High School partner to bring valuable education to students of the Tohono O'odham Nation and Nogales Unified School District. Each month, Ha:san freshmen travel from the Tohono O'odham Nation, in buses provided by Ha:san High School, to Carondelet St. Mary's Hospital to learn about diabetes prevention, healthy eating and exercise. In real time, via live television interface, Nogales High School students participate in the same class remotely from Carondelet Holy Cross Hospital.Community Benefit Report:
SAN MIGUEL HIGH SCHOOL & SANTA CRUZ ELEMENTARY SCHOOL Thanks to a generous donation from Dr. C. Harold and Nancy Willingham, more than 325 Tucson students at two parochial schools were able to participate in a new Carondelet program aimed toward preventing childhood diabetes and obesity. The Willinghams have been generous donors to Carondelet Foundation since 1969. Nancy Willingham explains, "The Carondelet Diabetes Care Center made such a difference in my life. That's why we are so supportive of their work." More than 200 students, K-8, participated at Santa Cruz Elementary. Evelyn Jacobs, RN, explains, "We saw the elementary students during their lunch breaks and gave 10-minute talks throughout the school year. The children became excited to talk about the healthy foods they were eating." At San Miguel High School, one-hundred twenty-five 9th graders participated. Jacobs and Gwen Gallegos, FNP, MSN, CDE conducted five sessions for each of six different science classes during the course of the project. Fifteen-year-old Natasha Avila took what she learned home with her. Relatives on both sides of her family have diabetes and she didn't know very much about the disease. After participating in the diabetes program she said, "I learned about the importance of a good diet and exercise, and I read food labels a lot now." She has incorporated more fruits and vegetables into her diet and works out at her gym more frequently. She and her parents also do a lot of walking together. SAN XAVIER CATHOLIC SCHOOL A special "Stop Diabetes Day" was held at San Xavier Catholic School, where three interactive presentations were tailored to students in first through eighth grades. Carondelet Health Network also offers a wide range of care for those with diabetes, including individual consultations, educational classes for adults, self-management programs, insulin pump training and support groups. For more information, visit carondelet.org/diabetes. COMMUNITIES PUTTING PREVENTION TO WORK In March 2010, the federal Centers for Disease Control and Prevention (CDC) awarded grants to address the obesity epidemic in communities around the country. The Pima County Health Department received a grant for nearly $16 million dollars. The Communities Putting Prevention to Work Grant provides Pima County with funding designed to institute population-based policy, systems and environmental changes in both communities and schools to prevent or decrease the spread of obesity and related chronic diseases through increased physical activity and improved nutrition. One of Carondelet's focus areas will be faith-based and health & human service organizations. Our goal is for 100 faith-based and 100 health & human service organizations to adopt and implement wellness guidelines to improve opportunities for physical activity and access to healthy food. Through a Wellness Coach, Carondelet will provide technical assistance and social support for organizations to establish wellness committees that encourage and support physical activity and access to healthy foods. Other organizations working with Carondelet in this mission are El Rio Health Center, St. Elizabeth's Health Center, United Community Health Center, MHC Healthcare and Desert Senita Community Health Center. REACHING OUT TO THOSE IN NEED HOPE FOR THE HOMELESS Every community faces the challenge of providing healthcare services to homeless individuals. The need for housing, food, job training and other basic necessities crosses medical, behavioral and social services lines. Tucson's homeless population includes about 4,000 people - single men and women, teenagers and families with small children. Expectedly, this population has grown as the economy has declined. The Southern Arizona Health Village for the Homeless collaborative was formed to develop an integrated system of care for the homeless in Southern Arizona. With Carondelet serving as facilitator, key partners have come together to work collaboratively with a common goal: to end homelessness. This collaboration is made up of Carondelet, El Rio Community Health Center, the Primavera Foundation, the Salvation Army, Dependable Health Services, Interfaith Coalition for the Homeless, Pima Community Access program, Pima County Health Department, St. Elizabeth's Health Center and the Veterans Administration. The program's flagship effort is a 38-foot air-conditioned RV, known as the "Van of Hope." The van is equipped to provide telehealth and mobile medical services at sites including soup kitchens, churches and shelters. Tele health services include tele-dermatology, tele-wound care, behavioral health and other consultations can be offered. Carondelet and two other primary partners, El Rio Community Health Center and Primavera Foundation, work together to staff the van and connect clients to community services. The goals of the Health Village are to: - Avoid preventable conditions from becoming acute due to lack of primary care. - Establish designated community-wide acute and extended care beds for homeless patients. - Provide case management and social service outreach to homeless children through school systems. - Offer behavioral health screenings and referral to Carondelet's behavioral health program. - Conduct specialized health ministry training to churches and faith-based communities that already help the homeless with social services. This program has been made possible by a grant from an anonymous donor. In coordination with local organizations, Carondelet Health Network worked with the Carondelet Foundation to secure a financial commitment of $2 million dollars from this generous soul. The funds are payable at $400,000 a year for five years. This provides the startup funding for the staff and the services offered by the Van of Hope, with the eventual goal of creating a sustainable model of care. MOBILE MEALS DELIVER BETTER HEALTH For someone with a medical problem, staying healthy often depends on the right diet. Those with diabetes, for example, must be careful with their food to avoid serious medical problems. Thankfully, Mobile Meals of Tucson comes to the rescue for many such residents of Tucson with health issues that are unable to shop and prepare their own meals. Supported in part by Carondelet Health Network, Mobile Meals volunteers deliver two diet-specific meals five days a week to hundreds of people throughout much of the city. Morrison's Healthcare, Carondelet's foodservice provider, prepares 34,000 nutritious meals a year at Carondelet St. Mary's and St. Joseph's hospitals. Mobile Meals clients get two of these meals a day delivered to their homes for a nominal fee or free if they can't afford it. Carondelet Health Network absorbs the difference in cost, which exceeds $150,000 each year. Carondelet has been aiding this community program since it began 40 years ago. It helps keep vulnerable residents healthy and prevents problems from occurring that could otherwise result in illness and hospitalization. Priscilla Altuna, Executive Director of Mobile Meals of Tucson, explains, "About 300 volunteer drivers pick up food at St. Joseph's and St. Mary's Hospitals and deliver meals every week. Many clients are frail, diabetic and on special diets. Without this program they would not be eating the proper foods. We deliver one hot and one cold meal each day, Monday through Friday, every day but Christmas and Thanksgiving." - Anna Garcia, a local realtor, has been a volunteer driver for about 10 years. She delivers meals to her St. Mary's-area clients every Wednesday. - Client Juliana Era echoes that sentiment. "Whenever I'm sick, I get the meals delivered. I have diabetes and need a special diet that I can't make myself. Anna is so helpful." - Volunteer Bill Webber, MD, and his wife Elaine have been delivering meals from St. Joseph's Hospital each Thursday for a year now. After he retired in 1994 as chief of plastic surgery at Carondelet St. Mary's Hospital in St. Louis, he found that he missed the aspect of helping people that he used to enjoy in his career. "It's fun getting to know folks. They're very appreciative," Dr. Webber says. "These meals are so good for people with health conditions. Specialized hospital-prepared meals for diabetics can be a lifesaver." - Client Patricia Sanchez has had Mobile Meals delivered for about a year. With diabetes and crippling arthritis in both knees and hips, she is grateful for the service. "This program is so commendable," she says. "The meals are very helpful and quite substantial. I'm very glad I can receive them."
CENTRO DE SALUD AT NOGALES SENIOR CENTER Carondelet Health Network has a long history with the Nogales Senior Center. Carondelet nurses have been screening seniors for diabetes and delivering education there for many years. Since 1984, Maria Astorga, LPN, has been visiting the Center; Gwen Gallegos, FNP, MSN, CDE, has been going since 1994. They have become like family to many patients in Nogales, who look forward to the clinics every 2nd and 4th Thursdays of each month. "Your Health Hotline" Outreach Effort A Huge Success This year, Carondelet Health Network teamed up with community organizations in Pima and Santa Cruz counties to create two major outreach campaigns. Carondelet aided with the promotion and execution of the phone-a-thons by working with media outlets for advertising and facility space at Clear Channel to handle all the phone calls from the community as well as snacks for the volunteers. In the fall of 2009, Phone-a-Thon efforts were focused on families in need who might have been unaware of the State Children's Health Insurance Program, KidsCare. Unfortunately, the state budget crisis later eliminated the ability for families to enroll in KidsCare. Therefore, in 2010 the spring and fall Phone-a-Thons focused on providing information about health and social services to anyone in need. The spring event resulted in nearly three times as many calls as in previous years, clearly showing the need that exists for healthcare and other public services in our community. Penelope Jacks, Southern Arizona Director of the Children's Action Alliance says, "We received 2,903 phone calls in 13 hours during the spring event showing the intense level of need for medical services for young children to seniors. It is vital that community organizations work together to guarantee that people know about the services available to them." The fall event received 1707 phone calls from the community looking for a variety of services ranging from low-cost and no-cost medical services, credit and debt repayment services, utility and rental assistance, food stamps, food boxes, and adult education classes. NEW LIFE PRIMEROS PASOS DELIVERS...AGAIN! Moms-to-be can take an important "First Step" in caring for the health of their babies at Carondelet Health Network's Primeros Pasos prenatal and postnatal clinic. Expectant mothers in Tucson, including those who lack insurance or face economic difficulties, are able to receive essential prenatal care and education plus follow-up care. Diane Ramos had nothing but enthusiastic praise for Primeros Pasos and the Carondelet St. Joseph's Hospital Women's Center. She said, "My whole experience, from beginning to end, was phenomenal! The people, the doctors, and the atmosphere - it's great there. You're always greeted with smiles, and it's so convenient. Just one stop for everything I needed." The Primeros Pasos staff took excellent care of the Ramos family. They helped Ramos with paperwork to get insurance coverage quickly and worked with AHCCCS to resolve processing problems. Ramos calls the birth of her healthy daughter, Emily Rose, "a beautiful experience. Dr. Laudonio [Frank Laudonio, MD, her obstetrician] was really great. He talked us through everything and made both my husband and me comfortable." CARONDELET POST PARTUM DEPRESSION PROGRAM WINS STATE GRANT Carondelet Health Network's Postpartum Depression Program, part of Carondelet Women's Care, received a $35,000 grant to provide education, screening and support for pregnant and postpartum women, as well as to identify and treat mood disorders. This grant is part of our state's child abuse prevention efforts. "Mood disorders around childbirth impact several generations," says Carole Sheehan, MA, RNC, coordinator of St. Joseph's Postpartum Depression Program. Robin Shepherd, Director of Carondelet Women's Care program, adds, "This grant helps us assist families and their physicians as they navigate through postpartum depression. We help families heal, bond and thrive...and that makes our entire community stronger and healthier." REACHING OUT THROUGH EDUCATION HUNDREDS BENEFIT FROM CAREGIVERS' CONFERENCE More than 200 were in attendance for a March conference for caregivers. This event was co-hosted by Carondelet Health Network and the Catholic Diocese of Tucson. "The Resilient Caregiver: Embracing the Spiritual Journey," offered education and inspiration for those who care for spouses, parents, siblings, children and friends - loved ones who can no longer care for themselves. Care giving is a very stressful experience that can also be incredibly rewarding. According to Bishop Gerald Kicanas, "Very often, it is the support of the community that makes all the difference. This conference provided support to caregivers and informed them of support resources in our community." Experts from the University of Arizona and Carondelet Health Network shared advice and personal stories of their experiences as caregivers. Attendees learned that they are not alone on their difficult but fulfilling journey. They also collected resource information from local agencies to assist with their loved ones' long-term care needs. CARONDELET DIABETES EDUCATION INSTITUTE The Carondelet Diabetes Education Institute (CDEI) provides professional education to healthcare providers in Tucson and rural communities. Through video conferencing technology, Carondelet's experts provide core and advanced training in diabetes, cardiology and neurology to local and rural nurses, physicians, community health outreach workers/promotoras, and medical assistants. This ensures that patients will be able to receive the high-quality care they need, closer to home. As a result, more than 1000 healthcare professionals and community health workers have graduated from CDEI classes since the program began five years ago. Three hundred twenty-two of these graduates came from rural sites in Arizona, Texas and New Mexico. Each year brings increased participation for these high-quality educational opportunities. PUTTING PROFESSIONALS WHERE THEY ARE NEEDED TELECARDIOLOGY Telehealth services has played a vital role in bridging a healthcare delivery gap for rural Arizona, and continues to make great strides as other specialty areas are added. Donna Zazworsky, Vice President of Carondelet Community Health and Continuum Care, notes, "Carondelet's Telehealth services has met a need for rural hospitals to better serve their community." Now, with the help of Southwest Heart Cardiologists, patients in rural communities can be seen either in their Rural Hospital Emergency Room or at the bedside via telemedicine for evaluation and care. In some cases, these patients can stay in their community hospital rather than be transported to a hospital in Tucson or Phoenix. Recognizing the advantages of Telehealth, several rural hospitals are now using the technology and have formed the Southeastern Arizona Telemedicine Alliance (SATA). The group includes Copper Queen Community Hospital in Bisbee; Northern Cochise Community Hospital in Willcox; Benson Community Hospital, Mount Graham Regional Medical Center in Safford; Southeast Arizona Medical Center in Douglas and Carondelet Holy Cross Hospital in Nogales. RNS SAVE THE GAME The annual tradition of Carondelet nurses providing first aid during baseball spring training continued in 2010. Organizer Evelyn Chapman, RN has coordinated this effort the entire 18 years the Colorado Rockies have been in Tucson. In 2010 she and 15 other nurses volunteered a total of 330 hours for games at Hi Corbett Field. Evelyn was recognized at the final game of spring training for her years of service. Congratulations to Evelyn and the volunteer RN staff for an appreciated service and job well done. SERVING OUR COMMUNITY CARONDELET HEALTH NETWORK AND ITS ASSOCIATES SUPPORT THESE AND MANY OTHER COMMUNITY EVENTS THROUGHOUT THE YEAR: - Annual walk and fundraising events for the American Heart Association, American Diabetes Association and other organizations - Blood drives - several each year at Carondelet facilities - Food and clothing drives - Homeless Connect events - People of Color Festival STROKE CHECK HELPED 776 This year's Stroke Check event was another rousing success, with a total of 776 participants in Tucson being screened at hospitals all over town. At Carondelet St. Joseph's Hospital, 152 people received services, while 155 were seen at Carondelet St. Mary's Hospital. More than 100 volunteers turned out to help improve our community's health.
SECURING OUR HEALTHCARE FUTURE CHARITABLE GIVING Many of the Carondelet programs highlighted in this Community Benefit Report have been made possible through the generosity of our community and the partnerships forged through the Carondelet Foundation. Some examples of the programs supported by charitable giving include the following: - The Carondelet Diabetes Care Center has been able to implement a network-wide Diabetes Chronic Care Model. - Carondelet, in conjunction with community partners, established the Southern Arizona Health Village for the Homeless. The "Van of Hope" is a 38 foot RV equipped to provide medical and telehealth services for the homeless of Tucson by going to shelters, churches and soup kitchens. "Carondelet's mission is to provide for the healthcare needs of our community; to embrace the whole person in mind, body, and spirit; and to serve all people with dignity. The work of the Foundation provides resources, so that Carondelet Health Network is able to fulfill its mission. We will continue our efforts, so this and future generations can live a more robust and healthy lifestyle." T.K. Warfield, Jr., DVM Chair, Carondelet Foundation Board of Trustees
Form 990, Part VII, Section A:Officers 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, 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.Explanation of Average Hours Worked for Organization:
Form 990, Part VII, Section A:Sr. Irma Odabashian received health insurance benefits from Carondelet Health Network, a related organization of Holy Cross Hospital, Inc. The health insurance benefits are not for her role as trustee of Holy Cross Hospital, Inc.Explanation of Board Member Compensation:
Form 990, Part VII, Section B:Amounts paid to McKesson Pharmacy is for both supplies and services. A breakout between amounts for supplies and services is not possible.Explanation of Independent Contractors:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

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Ascension Health
PO Box 45998St LouisMO63145311662309National Health SystemMOSection 501(c)(3)Schedule A, Line 11aN/A
Carondelet Health Network
2202 N Forbes RdTusconAZ85745860455920HospitalAZSection 501(c)(3)Schedule A, Line 3Ascension Health
Carondelet Foundation Inc
120 N Tucson BlvdTucsonAZ85716860749574FoundationAZSection 501(c)(3)Schedule A, Line 11aCarondelet Health Network
Southwest Catholic Health Network (DBA Mercy Care Plan)
4350 E Cotton Center Blvd Bldg DPhoenixAZ85040860527381InsuranceAZSection 501(c)(3)Schedule A, Line 11aCarondelet Health Network & Catholic Healthcare West AZ
Carondelet Heart and Vascular Institute
4888 N Stone AveTucsonAZ85704561943271HospitalAZSection 501(c)(3)Schedule A, Line 11aCarondelet Health Network
Chalon Living Inc
8553 E San Alberto DrScottsdaleAZ85258860805615Elderly/Disabled HousingAZSection 501(c)(3)Schedule A, Line 7Holy Cross Hospital Inc

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
Carondelet Medical Group PC
2202 N Forbes BlvdTucsonAZ85745860836126Medical GroupAZN/AC
Carondelet Specialist Group Inc
2202 N Forbes BlvdTucsonAZ85745281558773Physician PracticeAZN/AC
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Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
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Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
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Business Name Line1Carondelet Health NetworkBusinessNameLine1
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