2011-05-13T15:21:41-05:00 2010-06-30 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2009-07-01 860455920 Carondelet Health Network CARO 5206228533 2202 N Forbes Blvd Tucson AZ 85745 ReShelle Enoch 5206228533 2011-05-13 1 5137847100 2009 2016-02-24 21:20:13Z Doug Kell 2202 N Forbes Blvd Tucson AZ 85745 530050721 0 0928 X www.carondelet.org X 1987 AZ Provide for the healthcare needs of the community. 17 16 5199 345 2733518 -2829423 112464 2265032 512901657 515380428 -6550328 1138941 3817329 8966412 510281122 527750813 82806 2207741 0 248487179 248593183 0 0 270407042 255325142 518977027 506126066 -8695905 21624747 489733275 496166934 191518932 189329664 298214343 306837270 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 416978507 2207741 518648976 During fiscal year 2010, Carondelet Health Network provided $63,361,177, or 13.2 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. 416978507 1 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 759 0 1 5199 1 1 1 0 0 0 0 0 0 0 0 17 16 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 AZ X ReShelle Enoch 5208727520 2202 N Forbes Blvd Tucson AZ 85745 Stephen Quinlan 0.50 X 0 0 0 Sr Annette Bower 0.50 X 0 0 0 Elizabeth Kaminski 0.50 X 0 0 0 Christopher Linscott 0.50 X 0 0 0 John Anderson 0.50 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 Reid Schindler 0.50 X 0 0 0 Carolyn Hope Smeltzer 0.50 X 0 0 0 Lisa Soltani 0.50 X 0 0 0 Meredith Spear 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 884229 0 78259 Andrew Guarni 40.00 X 208349 0 14941 Wesley Colvin end 709 40.00 X 647721 0 46720 Odette Bolano 40.00 X 365666 0 21768 Winona Fritz 40.00 X 212595 0 8469 Dr John Anderson 40.00 X 0 0 0 Daisy Jenkins 40.00 X 0 0 0 Linda Werbylo 40.00 X 239961 0 51560 Neil Carolan 40.00 X 179527 0 28567 Marty Dorgan 40.00 X 73610 0 18319 Diana McBroom 40.00 X 225131 0 50528 Douglas Spegman 40.00 X 285257 0 53118 Patrick Smith 40.00 X 243767 0 51915 Amy Elizabeth Beiter 40.00 X 243509 0 33500 Tracy Prigmore 40.00 X 251827 0 31118 Irma L Ramirez 40.00 X 185875 0 27745 Judy Tatman 40.00 X 291121 0 36889 Jude Magers 40.00 X 165476 0 30472 Andrew Cosentino 40.00 X 163197 0 31464 John Clayton Flowers 40.00 X 160824 0 13837 Daniel Kopp 40.00 X 156239 0 35497 Melissa Taspirin 40.00 X 144447 0 11573 Cecilia Dindal 40.00 X 138557 0 25679 Carol Martin 40.00 X 132758 0 35849 Tariq Quraishy 40.00 X 134241 0 22559 Thomas Murphy end 109 0.00 X 361942 0 7491 Gregory Angle end 1108 0.00 X 499841 0 7636 Peggy MacMacken end 209 0.00 X 280066 0 12341 6802123 0 769495 135 1 1 0 McKesson Pharmacy 9501 Norwalk Blvd Santa Fe Springs CA 90670 Pharmacy Drugs/Supplies 15344691 Morrisons Management Specialists 5801 Peachtree Dunwoody Rd Atlanta GA 30342 Nutritional Services 9981003 Crothall Healthcare 13028 Corrections Center Dr Chicago IL 60693 Housekeeping 5451036 TriMedx LLC PO Box 636129 Cincinnati OH 452636129 Equipment Maintenance 5365243 Metronic Sofamor Danek USA 12099 Collections Center Dr Chicago IL 60693 Implants 4485789 223 1676950 588082 2265032 Net Patient Services 621990 475584440 475584440 Joint Ventures 621990 24847138 24529741 317397 Corporate Allocation 561000 14948850 14948850 515380428 1071564 1071564 2131432 2299908 -168476 -168476 -168476 67377 67377 67377 67377 Other Misc Revenue 900099 3585945 3585945 Cafeteria/Vending Rev. 722210 3132822 3132822 Ref. Lab & Childcare 621990 2416121 2416121 9134888 527750813 518648976 2733518 4103287 2207741 2207741 4740499 2145560 2594939 201272961 183804347 17468614 5536746 4994145 542601 21677491 19553097 2124394 15365486 13859668 1505818 57113 57113 2928059 78861 2849198 877215 877215 57783491 38535967 19247524 535532 42284 493248 11234357 8424764 2809593 24311502 338648 23972854 5931223 5041540 889683 1248470 550988 697482 3402598 2892208 510390 24631563 20936829 3694734 4388036 3302029 1086007 Supplies 83476002 82860483 615519 0 Bad Debt 18480658 18480658 0 0 Food Service Expense 5970407 5312665 657742 National Office Fees 3710700 3710700 Restructuring Charges 531513 531513 0 0 5826703 3084512 2742191 506126066 416978507 89147559 0 14534105 10069646 4033 67469424 59520532 9799510 10611206 2331851 2876372 398888074 121861243 298298533 277026831 97295819 136062347 489733275 496166934 65322784 51568965 8647221 3917433 117548927 133843266 191518932 189329664 X 298167237 306458970 47106 378300 298214343 306837270 489733275 496166934 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 1 25000 0 0 0 1 36576 0 1 137154 198730 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: Other activities represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. 542430 32341570 32884000 223513397 46837778 176675619 5537458 1561882 3975576 120519271 69242990 51276281 16433948 4218593 12215355 277026831 Due from Affiliates 20509151 Other Receivables 4510232 Deferred Compensation 2509518 Physician Guarantees 5894434 Est. Settlements from Third Party Payors 1748558 Investments in Unconsolidated Entities 90898491 Health System Depository Account 9991963 136062347 Self Insurance Liability 5954674 Deferred Compensation Liability 2509518 Other Miscellaneous 21750641 Environmental Liabilities 4002916 Settlements to Third Party Payors 7306157 Physician Debt Guarantee 1356381 Intercompany Debt to Ascension Health 82392019 Other Debt 8570960 133843266 527750813 506126066 21624747 -13001820 -13001820 8622927 Part X: Description of Uncertain Tax Positions Under FIN 48: Per the financial statements of Ascension Health (which include the activity of Carondelet Health Network), there is no ASC 740 (fka FIN 48) footnote for the current year. Part XI, Line 8 - Other Adjustments: Restricted Contributions Used for Property Additions: 1549968. Transfers to Ascension: -106781. Change in Share of Joint Ventures Net Assets: 2555725. Transfers to Affiliates: -17000732. 1 1 X 1 X 400.000000000000 1 X 1 1 0 1 1 2179835 2179835 0.00450 129507852 80997408 48510444 0.09950 131687687 80997408 50690279 0.10400 5242338 1067263 4175075 0.00860 2011720 2011720 0.00410 46131212 40116995 6014217 0.01230 466375 466375 0.00100 53851645 41184258 12667387 0.02600 185539332 122181666 63357666 0.13000 3511 3511 0.00000 3511 3511 0 3607644 959994 227812558 231552607 -3740049 X 1 1 St Joseph's Hospital

350 N Wilmot Tucson AZ 85711

X X X St Mary's Hospital

1601 W St Marys Rd Tucson AZ 85745

X X X Carondelet Heart and Vascular Institute

4888 N Stone Ave Tucson AZ 85704

X X X Part I, Line 6a: The organization prepares and files an annual Community Benefit Report. This report is prepared on a consolidated basis and includes data for Carondelet Health Network, Holy Cross Hospital, Inc. and Carondelet Foundation. Part I, Line 7: The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a costing accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. Part I, Line 7g: The organization has not included costs attributable to a physician clinic as part of subsidized health services. Part 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 $18,480,658. Part 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 $18,480,658 at charges ($3,607,644 at cost). Part III, Line 8: Carondelet Health Network follows the Catholic Health Association ("CHA") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit. Part III, Line 9b: The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance, certain collection practices do not apply. Part VI, Line 2: Carondelet Health Network follows the Catholic Healthcare Association Guidelines which state that a Community Needs Assessment ("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. Part VI, Line 3: Upon admission, patients are encouraged to apply for the state Medicaid program if they are uninsured as well as other public benefits such as TANF or SNAP if the patient has a need. If patients prove they meet at least one (1) of eight (8) criteria outlined in the policy, they will be eligible for charity care. The patient will be placed in pre-emptive charity care status and after all bills are finalized a request for the total amount will be made on the 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. Part 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. Part VI, Line 5: Tucson Regional Economic Opportunities ("TREO") strengthens the Tucson region by providing a comprehensive menu of solutions and effective regionally-based economic development leadership with vision and coordination. 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 Chairmans Circle (8 hours annually) and the Sr. VP, Chief Human Resources Officer serves on the Board of Directors (24 hours annually). 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. 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 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. 1 Habitat for Humanity 621 W Lester Tucson AZ 85710 942725100 Sec. 501(c)(3) 25000 Sponsor a Habitat for Humanity Home Angel Charity for Children PO Box 13318 Tucson AZ 85732 860472794 Sec. 501(c)(3) 7500 Event Sponsorship Jewish Community Foundation of Southern Arizona 5546 E 4th St 100 Tucson AZ 85711 860718936 Sec. 501(c)(3) 6000 Humanism in Medicine Seminar Endowment Southern Arizona Roadrunners PO Box 64215 Tucson AZ 85728 942573924 Sec. 501(c)(3) 13000 Event Sponsorship Tucson Metropolitan Chamber of Commerce PO Box 991 Tucson AZ 85702 860062660 Sec. 501(c)(6) 10000 Event Sponsorship Tucson Nurses Week Foundation PO Box 645085 Tucson AZ 857285085 860771880 Sec. 501(c)(3) 25000 Sponsor Annual Conference Tucson Hispanic Chamber of Commerce 4420 E Speedyway 101 Tucson AZ 85712 860714441 Sec. 501(c)(6) 7500 Corporate Sponsorship Event Sponsorship ARA Parseghian Medical Research Foundation 3530 E Campo Abierto Tucson AZ 85718 860775966 Sec. 501(c)(3) 13500 Event Sponsorship Catholic Foundation for the Diocese of Tucson 111 S Church Ave Tucson AZ 85701 860408580 Sec. 501(c)(3) 6500 Conference Sponsorship Carondelet Sisters of St Joseph Carondelet Center 11999 Chalon Rd Tucson AZ 900491524 Sec. 501(c)(3) 50000 Distribution of donation collected for the Sisters of St. Joseph/Event Sponsor Southern Arizona Health Information Exchange 2501 E Elm St Tucson AZ 85716 264749066 Sec. 501(c)(3) 30079 Secure Health Information Exchange Rotary Club of Tucson 3900 E Timrod 4 Tucson AZ 85711 860062925 Sec. 501(c)(4) 7500 Reading Seed Program 9 3 Other Information: Part IV: Schedule I, Part I, Line 2: The Organization 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. X X X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 Ruth Brinkley 672141 0 186944 0 25144 0 22000 0 56259 0 962488 0 0 0 Andrew Guarni 181513 0 1592 0 25244 0 6985 0 7956 0 223290 0 0 0 Wesley Colvin (end 709) 301268 0 0 0 346453 0 22230 0 24490 0 694441 0 0 0 Odette Bolano 359108 0 0 0 6558 0 16500 0 5268 0 387434 0 0 0 Winona Fritz 183370 0 0 0 29225 0 0 0 8469 0 221064 0 0 0 Linda Werbylo 231442 0 0 0 8519 0 16849 0 34711 0 291521 0 0 0 Neil Carolan 178445 0 0 0 1082 0 13000 0 15567 0 208094 0 0 0 Diana McBroom 186498 0 28880 0 9753 0 22000 0 28528 0 275659 0 0 0 Douglas Spegman 277142 0 0 0 8115 0 37050 0 16068 0 338375 0 0 0 Patrick Smith 242736 0 0 0 1031 0 35984 0 15931 0 295682 0 0 0 Amy Elizabeth Beiter 241852 0 0 0 1657 0 16500 0 17000 0 277009 0 0 0 Tracy Prigmore 250903 0 0 0 924 0 16484 0 14634 0 282945 0 0 0 Irma L Ramirez 185167 0 0 0 708 0 22000 0 5745 0 213620 0 0 0 Judy Tatman 282386 0 0 0 8735 0 22000 0 14889 0 328010 0 0 0 Jude Magers 162020 0 0 0 3456 0 22000 0 8472 0 195948 0 0 0 Andrew Cosentino 162262 0 0 0 935 0 16500 0 14964 0 194661 0 0 0 John Clayton Flowers 160708 0 0 0 116 0 0 0 13837 0 174661 0 0 0 Daniel Kopp 145221 0 7500 0 3518 0 22000 0 13497 0 191736 0 0 0 Melissa Taspirin 144447 0 0 0 0 0 0 0 11573 0 156020 0 0 0 Cecilia Dindal 133802 0 0 0 4755 0 11700 0 13979 0 164236 0 0 0 Carol Martin 121692 0 0 0 11066 0 22000 0 13849 0 168607 0 0 0 Tariq Quraishy 134236 0 0 0 5 0 13910 0 8649 0 156800 0 0 0 Thomas Murphy (end 109) 5465 0 0 0 356477 0 1385 0 6106 0 369433 0 0 0 Gregory Angle (end 1108) 0 0 0 0 499841 0 0 0 7636 0 507477 0 0 0 Peggy MacMacken (end 209) 25507 0 0 0 254559 0 3219 0 9122 0 292407 0 0 0 Part I, Line 1a Travel for companions - for relocation only. Tax indemnification and gross-up payments - for executive bonuses, amounts are grossed up. Housing allowance or residence for personal use - executives for extended-stay housing. Part I, Line 4a The following individuals received severance payments: Wesley Colvin - $169,837 Thomas Murphy - $249,920 Peggy MacMacken - $172,530 Gregory Angle - $485,976 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 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 filing organization made contributions to and/or payments from the supplemental nonqualified retirement plan in the amounts as noted: Thomas Murphy - $79,595 Gregory Angle - $13,437 Peggy MacMacken - $52,417 Wesley Colvin - $114,680 Odette Bolano - $27,777 Neil Carolan - $15,103 Andrew Consentino - $11,954 Diana McBroom - $15,851 Linda Werbylo - $19,518 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 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 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 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 compensations, 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. Form 990, Part X, Line 2: Explanation of the Audited Financial Statements: The financial statements of Carondelet Health Network receive a full scope audit. The activity of 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. Form 990, Part II, Line 4a: Community Benefit Report: 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. 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 B: Explanation of Independent Contractors: Amounts paid to McKesson Pharmacy is for both supplies and services. A breakout between amounts for supplies and services is not possible. Amounts paid to TriMedx, LLC is for both supplies and services. 91% of the amount reported is related to services and 9% is related to supplies. 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