Holy Cross Hospital Inc: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- Holy Cross Hospital Inc (EIN 86-0575938)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-14
- IRS object ID
- 201501349349303025
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-14T12:47:23-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 East Fifth Street Suite 1900 | AddressLine1 |
| City | Cincinnati | City |
| State | OH | State |
| ZIP Code | 45202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860575938 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Holy Cross Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOLY | BusinessNameControlTxt |
| Phone | 5202853000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2202 N Forbes Blvd | AddressLine1 |
| City | Tucson | City |
| State | AZ | State |
| ZIP Code | 857451412 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Alan Strauss | PersonNm |
| Person Title | Tax Director-Ascension Health | PersonTitleTxt |
| Phone | 5202853000 | PhoneNum |
| Signature | 2015-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Rebecca Lyons | PreparerPersonNm |
| PTIN | P01487105 | PTIN |
| Phone | 5137847100 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | James K Beckmann Jr | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2202 N Forbes Blvd | AddressLine1 |
| City | Tucson | City |
| State | AZ | State |
| ZIP Code | 857451412 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $20,921,563 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.carondelet.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1987 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | Providing various types of advanced medical/surgical services to our patients. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 204 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $19,378 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $25,742 | PYContributionsGrantsAmt |
| CY Contributions Grants | $79,241 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $19,376,795 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $20,033,632 | CYProgramServiceRevenueAmt |
| PY Investment Income | $39,179 | PYInvestmentIncomeAmt |
| CY Investment Income | $64,950 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,202,869 | PYOtherRevenueAmt |
| CY Other Revenue | $735,609 | CYOtherRevenueAmt |
| PY Total Revenue | $20,644,585 | PYTotalRevenueAmt |
| CY Total Revenue | $20,913,432 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,489,752 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,486,334 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,705,690 | PYOtherExpensesAmt |
| CY Other Expenses | $11,303,523 | CYOtherExpensesAmt |
| PY Total Expenses | $23,195,442 | PYTotalExpensesAmt |
| CY Total Expenses | $21,789,857 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,550,857 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$876,425 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,861,816 | TotalAssetsBOYAmt |
| Total Assets EOY | $8,866,822 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,721,923 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $14,593,662 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$4,860,107 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$5,726,840 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Provide for the healthcare needs of the community; to embrace the person in mind, body and spirit; and to serve all people with dignity. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $17,337,668 | ExpenseAmt |
| Revenue | $20,432,790 | RevenueAmt |
| Desc | Holy Cross Hospital is a cornerstone of the Nogales, Arizona community; providing much-needed emergency care, general surgery, labor and delivery services, and important health and wellness education for residents throughout Santa Cruz County. Holy Cross Hospital is a 25-bed facility that provides general medical/surgical services, 24-hour emergency care, rehabilitation, mammography, ultrasound, chemotherapy, and home health. 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. See Schedule H. | Desc |
| Total Program Service Expenses | $17,337,668 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 204 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AZ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alan Strauss | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5208727520 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2202 N Forbes Blvd | AddressLine1 |
| City | Tucson | City |
| State | AZ | State |
| ZIP Code | 857451412 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Mark Valenzuela | |||||||||
| Chairman | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Amy Beiter MD Ex-Officio | |||||||||
| Pres/CEO-CSM;Dir-HCH | 5.00 | 55.00 | Yes (X) | $0 | $391,715 | $61,900 | |||
| Imogene Juby Bell | |||||||||
| Director | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Jose Duran MD | |||||||||
| Director | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Joseph Impicciche start 1113 | |||||||||
| Director | 0.50 | 55.00 | Yes (X) | $0 | $3,102,348 | $115,026 | |||
| Jeffrey T Maudlin | |||||||||
| Director/Chief of Staff | 1.00 | 0.00 | Yes (X) | $24,413 | $0 | $0 | |||
| William Neubauer | |||||||||
| Director | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Sr Irma Odabashian | |||||||||
| Director | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| James Ross | |||||||||
| Director | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| James K Beckmann Jr | |||||||||
| President/CEO-CHN | 5.00 | 55.00 | $0 | $1,605,120 | $82,174 | Yes (X) | |||
| Alan Strauss | |||||||||
| CFO-CHN | 5.00 | 55.00 | $0 | $261,402 | $50,287 | Yes (X) | |||
| Roy Farrell | |||||||||
| CMO-HCH | 5.00 | 55.00 | $0 | $192,996 | $37,639 | Yes (X) | |||
| Debra Knapheide | |||||||||
| VP COO/CNO-HCH | 60.00 | 0.00 | $0 | $182,699 | $41,311 | Yes (X) | |||
| Celia Torres | |||||||||
| Dir-Pharmacy | 40.00 | 0.00 | $139,687 | $0 | $28,720 | Yes (X) | |||
| Catherine Fairbanks | |||||||||
| Mgr-Perioperative Svcs | 40.00 | 0.00 | $112,323 | $0 | $11,915 | Yes (X) | |||
| Albert Garcia | |||||||||
| Mgr Rehab Srvs | 40.00 | 0.00 | $110,622 | $0 | $15,916 | Yes (X) | |||
| Roger Lucier | |||||||||
| Therapist-Phys-III | 40.00 | 0.00 | $102,847 | $0 | $23,340 | Yes (X) | |||
| Dorothy Sawyer end 1012 | |||||||||
| Former CEO-CSM/HCH | 0.00 | 0.00 | $0 | $239,258 | $1,020 | Yes (X) | |||
| Debra Mohesky | |||||||||
| Former CFO | 0.00 | 0.00 | $0 | $342,259 | $4,825 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $489,892 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,317,797 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $474,073 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Morrison Management Specialists | |||||
| 5801 Peachtree Dunwoody Rd | Atlanta | GA | 30342 | Nutritional Services | $986,089 |
| TriMedx LLC | |||||
| PO Box 636129 | Cincinnati | OH | 45263 | Equipment Maintenance | $556,740 |
| Quantum Plus Inc | |||||
| PO Box 634850 | Cinncinnati | OH | 45263 | Clinical Contract Labor | $445,234 |
| Medefis Consolidated | |||||
| PO Box 5068 | New York | NY | 10087 | Clinical Contract Labor | $393,197 |
| Alliance Healthcare Services | |||||
| FILE 55826 | Los Angeles | CA | 90074 | Health Services | $304,978 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $67,241 | RelatedOrganizationsAmt |
| Government Grants | $12,000 | GovernmentGrantsAmt |
| Total Contributions | $79,241 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Revenue | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $20,033,632 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,033,632 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $20,033,632 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $67,419 | TotalRevenueColumnAmt |
| Exclusion | $67,419 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $179,861 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,662 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $174,199 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $174,199 | TotalRevenueColumnAmt |
| Exclusion | $174,199 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,469 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$2,469 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,469 | TotalRevenueColumnAmt |
| Exclusion | -$2,469 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| EHR Incentive Payment | 900099 | $322,323 | $322,323 | ||
| Cafeteria Revenue | 722210 | $142,874 | $142,874 | ||
| Reference Lab | 621500 | $19,378 | $19,378 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $76,835 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $76,835 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $561,410 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,913,432 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,432,790 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $19,378 | UnrelatedBusinessRevenueAmt |
| Exclusion | $382,023 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,042,537 | TotalAmt |
| Program Services | $7,909,058 | ProgramServicesAmt |
| Management And General | $1,133,479 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $358,957 | TotalAmt |
| Program Services | $323,061 | ProgramServicesAmt |
| Management And General | $35,896 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $453,356 | TotalAmt |
| Program Services | $408,020 | ProgramServicesAmt |
| Management And General | $45,336 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $631,484 | TotalAmt |
| Program Services | $568,336 | ProgramServicesAmt |
| Management And General | $63,148 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,286 | TotalAmt |
| Management And General | $4,286 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $601 | TotalAmt |
| Program Services | $601 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,796,471 | TotalAmt |
| Program Services | $2,713,197 | ProgramServicesAmt |
| Management And General | $1,083,274 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,809 | TotalAmt |
| Management And General | $20,809 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,235 | TotalAmt |
| Program Services | $158,750 | ProgramServicesAmt |
| Management And General | $485 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,374 | TotalAmt |
| Program Services | $27,337 | ProgramServicesAmt |
| Management And General | $3,037 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $391,862 | TotalAmt |
| Program Services | $352,676 | ProgramServicesAmt |
| Management And General | $39,186 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,039 | TotalAmt |
| Program Services | $18,111 | ProgramServicesAmt |
| Management And General | $14,928 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $603,124 | TotalAmt |
| Program Services | $542,812 | ProgramServicesAmt |
| Management And General | $60,312 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,087 | TotalAmt |
| Program Services | $114,378 | ProgramServicesAmt |
| Management And General | $12,709 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Shared Svcs Allocation | $4,009,285 | $2,405,571 | $1,603,714 | $0 |
| Supplies | $1,644,283 | $1,554,210 | $90,073 | $0 |
| Food Service | $134,308 | $110,133 | $24,175 | $0 |
| Restructuring | $95,926 | $0 | $95,926 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $252,833 | TotalAmt |
| Program Services | $131,417 | ProgramServicesAmt |
| Management And General | $121,416 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,789,857 | TotalAmt |
| Program Services | $17,337,668 | ProgramServicesAmt |
| Management And General | $4,452,189 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $885 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,309 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,519,930 | BOYAmt |
| EOY | $3,036,980 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,347 | BOYAmt |
| EOY | $21,180 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $694,529 | BOYAmt |
| EOY | $354,359 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $331,029 | BOYAmt |
| EOY | $372,694 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,425 | BOYAmt |
| EOY | $65,168 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,327,499 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,548,980 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,961,724 | BOYAmt |
| EOY | $4,778,519 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $15,515 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $221,523 | BOYAmt |
| EOY | $221,522 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,861,816 | BOYAmt |
| EOY | $8,866,822 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $731,716 | BOYAmt |
| EOY | $674,438 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,990,207 | BOYAmt |
| EOY | $13,919,224 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,721,923 | BOYAmt |
| EOY | $14,593,662 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$4,880,531 | BOYAmt |
| EOY | -$5,730,355 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,424 | BOYAmt |
| EOY | $3,515 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$4,860,107 | BOYAmt |
| EOY | -$5,726,840 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,861,816 | BOYAmt |
| EOY | $8,866,822 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$876,425 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $9,692 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $601 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $601 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Other activities represent the portion of dues paid to national and state hospital associations that is expended by the associations for lobbying and travel expenses to attend association lobbyist meetings. Holy Cross Hospital does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $815,007 | OtherCostOrOtherBasisAmt |
| Book Value | $815,007 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,656,316 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,326,529 | DepreciationAmt |
| Book Value | $3,329,787 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,800,392 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,178,337 | DepreciationAmt |
| Book Value | $622,055 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $55,784 | OtherCostOrOtherBasisAmt |
| Depreciation | $44,114 | DepreciationAmt |
| Book Value | $11,670 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,778,519 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliates | $13,238,894 |
| Estimated Settlements to Third Party Payors | $154,416 |
| Other Current Liabilities | $114,784 |
| Self Insurance Liability | $297,160 |
| Other Non-Current Liabilities | $113,970 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $13,919,224 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 400.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $600,930 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $176,477 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $424,453 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01950 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,338,879 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,851,632 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,487,247 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06830 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,939,809 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,028,109 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,911,700 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08780 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $115,863 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,765 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $114,098 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00520 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $115,742 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $115,742 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,021,185 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $597,681 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,423,504 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06530 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,252,790 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $599,446 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,653,344 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07580 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,192,599 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,627,555 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,565,044 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16360 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,920 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,920 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $3,360 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,360 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $5,041 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,041 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $5,911 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,911 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $2,521 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,521 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $18,753 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,753 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $531,423 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $382,355 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $4,894,454 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $6,503,989 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,609,535 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Holy Cross Hospital Inc | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1171 W Target Range Rd | AddressLine1 |
| City | Nogales | City |
| State | AZ | State |
| ZIP Code | 85621 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.carondelet.org | WebsiteAddressTxt |
| State License | h0090 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | Rural | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Holy Cross Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.carondelet.org/about/community-benefi | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 400.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Holy Cross Hospital, Inc. | Part V, Section B, Line 3: In addition to conducting surveys, the following key informants were consulted during the CHNA process:Santa Cruz County Community Health Needs Assessment Name Title Affiliation Role Special Knowledge and/or Expertise: -Marcelino Varona (Member Nogales Unified School District Governing Board), Santa Cruz Provisional Community College Governing Board; -Pat Trulock, Volunteer Santa Cruz Community Foundation Facilitate community events, binational cross border issues, grant writing, fundraising to support NGOs, capactity building for local NPOs, Identify currently emerging issues and strengthen community resources to address those issues; -Marcella Chavez Coordinator, Executive Director Rebuilding Together, United Way Grant writing & program coordination, campaign manager, 11 years with RBT, 6 years grant writing; -Kimberly Munoz Physical Therapist Carondelet Holy Cross Hospital, Self Contractor, Santa Cruz Valley Unified School District Resident of Santa Cruz County since 1995, 17 years as physical therapist, worked in home health, acute care, long term care, subacute care and outpation with pediatrics through adults/geriatrics; -Dina Sanchez, Director of Planning/Community Relations Carondelet Holy Cross Hospital Knowledge of local health care system and community affiliation; -Debra Knapheide, Site Administrator/CNO/COO Carondelet Holy Cross Hospital Overall healthcare needs of acute care patient population; -Michael Vetter, Executive Director Catholic Community Services of Southern AZ; -Suzanne David, Assistant Director South East Arizona Health Education Center (SEAHEC) Continuing education for health care providers; -Joyce Hospodar, Manager, Health Systems Development Center for Rural Health, MEZCOPH U of A Working with rural hospitals and first responders; -Alexa Bathe, Membership manager Arizona Lifeline Air Medical Care Paramedic, awareness manager of the membership program; -Yvonne Delgado, Executive Director Nogales Community Development Working with Mariposa Community Health Center and local partners on a Healthy Foods Intitiative, working with/provide support for the Southwest Rural Policy Network; -Cassalyn David, Network Director Mariposa Community Health Center, Santa Cruz County Adolescent Wellness Adolescent health and wellness, rural health networks, health equity; -Joyce LaTura, Maternal & Child Health Manager Mariposa CHC Maternal & Child health issues, community engagement, promotora (community health workers) training; -William Sanchez, Nogales Fire Department; -Gerry Castro, Nogales Fire Department; -Octavio Gradillas, Nogales Police Department; -Shane Dille, City Manager; -Nogales Christine Young, ADHS Office of Border; -Health Gail Emrick, Executive Director SEAHEC Public Health Administration/Planning/Management, health workforce development, border health issues, international health; -Jeffrey Maudlin, MD Carondelet Medical Group Community physician and chief of staff, Carondelet Holy Cross Hospital; -Christia Bridges-Jones, Breastfeeding Coordinator ADHS Maternal & child health nutrition, program coordinator/breastfeeding services; -Lisa Nieri, Director of Community Development and Special Populations Arizona Association of Community Health Centers Migrant & seasonal farmworker health, community health centers; -Kelly Watters, Project Coordinator Somos La Semilla, Community Food Bank of Southern AZ Community food systems development (farmers markets, food production and education); -William Neubauer, MD Chairman, Co-Chair, Trustee Santa Cruz Community Foundation, Arizona Mexico Commission, Carondelet Holy Cross Hospital Medical doctor |
| Holy Cross Hospital, Inc. | Part V, Section B, Line 7: Priorities Not Being Addressed Rationale Access to Healthcare1. Mental health services are lacking This priority will not be addressed. This need is being addressed in Santa Cruz County by a variety of organizations. Community resources include: 1. Community Intervention Associates 2. Community Connection 3. Mariposa Community Health Center 4. Southern Arizona Behavior Health Services 5. Corazon Behavior Health ServicesHealth Status (Leading Causes of Death)2. Cardiovascular Disease, Respiratory Disease, and Cancer This priority will not be addressed. Carondelet Medical Group routinely screens, treats, and educates patients on these diseases. Carondelet Holy Cross provides routine imaging services. Santa Cruz County is served by three cardiology groups (Pima Heart Physicians, The University of Arizona Medical Center Pediatric Cardiologists, and Tucson Heart Group) Mariposa Community Health Center offers cancer and cardiovascular prevention and education programs.Modifiable Risk Factors3. Obesity - Kids This priority will not be addressed. Carondelet Holy Cross will continue with its healthy eating program in its cafeteria. The Vivir Mejor! Consortium is working to educate families on healthy eating and physical activity. Numerous farmers markets are located throughout Santa Cruz County. Local school districts have begun to serve healthier foods during school and following after school programs.4. Adolescent Excessive Drinking This priority will not be addressed. This issue is best addressed by the Santa Cruz County Health Department and local school districts. 5. Smoking This priority will not be addressed. Carondelet Holy Cross does maintain a smoke free campus. Carondelet Medical Group routinely counsels patients on the adverse effects of smoking and provides resources, including ASHLine, to patients who wish to quit smoking. Mariposa Community Health Center provides school-based tobacco prevention education and other tobacco use prevention and cessation classes. Women and Children Services6. Highest Infant Mortality Rate in the State This priority will not be addressed. From 2000 to 2009 infant mortality rates in Santa Cruz County were above the state average only once (2004). In 2010, the infant mortality rate in Santa Cruz County was more than double that of the state. It is Carondelet Holy Cross's belief that 2010 represents an anomaly in which there was a rash of severe health issues with several babies born in Santa Cruz County. The infant mortality rate in 2011 (4.3/1,000) returned to a level below that of the state (5.9/1,000). 7. Fewer women receive pap smear and mammography screenings in Santa Cruz County than the StateThis priority will not be addressed. Carondelet Medical Group will continue to educate women on the benefits of routine pap smear and mammography screenings. Carondelet Holy Cross and Mariposa Community Health Center provide mammography screenings. Nogales Unified School District offers mobile mammography screening for eligible employees. 8. High rates of women who received no prenatal care or lower than average number of prenatal care visitsThis priority will not be addressed. Carondelet Medical Group will continue to educate patients on the benefits of early and regular prenatal care. Mariposa Community Health Center provides prenatal care and classes on prenatal education. 9. High Rates of Teen PregnancyThis priority will not be addressed. Mariposa Community Health Center offers Teen Maze, a program designed to help teens and preteens better understand potential outcomes to life decisions concerning sex, substance abuse, vocational and education issues.Reportable Diseases10. Campylobacteriosis, Shigellosis, Salmonellosis, Amebiasis, Meningococcal DiseaseThis priority will not be addressed. Relative to population, these numbers are not significantly high. Natural and Built Environment11. Air Quality - The number of particulate matter days in the Santa Cruz County is higher than the state and national benchmark. This priority will not be addressed. The city of Nogales Parks and Recreation Department has begun to fly air quality flags at the Fleischer Park flag pole in Nogales. This is part of an informational program by the Arizona Department of Environmental Quality. The flags help area residents make informed decisions about outdoor activities. Additionally, the Arizona Department of Environmental Quality sends out regular emails with projected air quality levels. 12. Access to Healthy Food This priority will not be addressed. Carondelet Holy Cross does maintain a healthy eating program in its cafeteria. Local school districts have begun to serve healthier foods during school and following after school programs. The Vivir Mejo! Consortium is working with the Community Food Bank of Southern Arizona to serve diabetic friendly food boxes. Social Environment13. Transportation This priority will not be addressed. This need is best addressed by Santa Cruz County and the cities and towns with in its boundary. 14. Domestic Violence This priority will not be addressed. Carondelet Holy Cross will explore starting a Domestic Violence screening program in the Emergency Department. Other community resources include: 1. Santa Cruz County Coordinated Response Team and Task Force Against Domestic Violence (CCRT and Task Force) 2. Our House/Nuestra Casa Domestic Violence Shelter15. Senior Care This priority will not be addressed. Carondelet Holy Cross will continue with its semi-monthly senior wellness clinic Centro De Salud Nogales Clinic. This clinic provides health screenings (including weight: blood pressure and blood glucose) medication review and education, health information, and referral. Other community resources include: 1. Santa Cruz council on Aging 2. Southeastern Arizona Governments Organization 3. Mariposa Community Health Center |
| Holy Cross Hospital, Inc. | Part V, Section B, Line 14g: In addition to being available upon request, a plain language summary is posted on the hospital facility's website, in the hospital facility's emergency rooms or waiting rooms, in the hospital facility's admissions offices, and in patients' financial statements when sent. |
| Holy Cross Hospital, Inc. | Part V, Section B, Line 20d: Per the Carondelet Health Network Financial Assistance Policy:Charges for emergency or other medically necessary care provided to persons who are eligible for financial assistance under this policy shall not exceed the amounts generally billed to individuals who have insurance coverage for such care. |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: | The organization prepares and files an annual Community Benefit Plan Report. This report is prepared on a consolidated basis and includes data for Carondelet Health Network, Holy Cross Hospital, 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 II, Community Building Activities: | Holy Cross Hospital's leadership team collaborates actively with a variety of community organizations in community building activities to advance the economic and overall growth and vitality of the region. This is done through active participation on economic development and chamber of commerce activities, through coalition building with community partners, and through advocacy for community health improvements around access to care and public health initiatives. This includes being members of the Southern AZ Coalition and Vivir Mejor!, a community coalition to improve the health of the community. |
| Part III, Line 4: | From the consolidated audited financial statements of Ascension Health Alliance (which includes the activity of Holy Cross Hospital, Inc.):The provision for doubtful accounts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the System follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by the System. Accounts receivable are written off after collection efforts have been followed in accordance with the System's policies.The methodology for determining the allowance for doubtful accounts and related write-offs on uninsured patient accounts has remained consistent with the prior year. The System has not experienced material changes in write-off trends and has not materially changed its charity care policy in the current fiscal year.The organization's bad debt expense in 2012 was $2,132,675 at charges($531,423 at cost). |
| Part III, Line 8: | Holy Cross Hospital follows the Catholic Health Association ("CHA") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit. |
| Part III, Line 9b: | The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. Patients who are cooperating in good faith to resolve their hospital bills will not receive from Holy Cross Hospitalliens on primary residences or wage garnishments and unpaid bills will not be sent to collection agencies. |
| Part VI, Line 2: | Carondelet Holy Cross Hospital follows the Catholic Healthcare Association Guidelines which state that a Community Needs Assessment (CHNA) should be completed every three years. The Community Needs Assessment was commissioned in 2012 and delivered in February 2013 as a result of a collaboration with the the Arizona Department of Health Services. Carondelet engaged a graduate student from the UA College of Public health to lead the CHNA efforts. The Graduate Student worked with an internal committee for guidance of the needs assessment. The Student worked with her Public Health Professors and the ADHS to perform community focus groups and key informant surveys. Other internal and external strategic documents were used to identify community needs along with hospital data. |
| Part VI, Line 3: | Upon admission, patients are encouraged to apply for the state Medicaid program if they are uninsured as well as other public benefits such as TANF or SNAP if the patient has a need. If patients prove they meet at least one (1) of eight (8) criteria outlined in the policy, they will be eligible for charity care. The patient will be placed in pre-emptive charity care status and after all bills are finalized a request for the total amount with be made on the patient's behalf by their financial counselor. Trained financial counselors will work with patients if it is not easily determined that a patient qualifies for charity care or to what level of financial assistance a patient may qualify for. The Pre-emptive Charity Care Policy is posted in the Emergency Department, Admitting, hospital lobbies, other public areas as well as summarized on the Carondelet website and is to be included in a patient's financial statements when sent. The Network participates in "Tu Salud", a Southern AZ community Collaboration CHIPRA funded outreach program which provides a community outreach worker/financial counselor at community events to facilitate enrollment into government and community assistance programs. CHN led a Southern Arizona "Phonathon", which was a one day event, to increase awareness of state Medicaid eligibility requirements and other public funding resources as well as to facilitate enrollment of qualifying individuals and families. |
| Part VI, Line 4: | The primary and secondary service area includes Pima, Santa Cruz and Cochise Counties. The population is 1.29 million individuals based on 2014 projected from 2010 census data. This growth is 2.22% from 2000. The average household size is 2.52. The median age is 37.4 which is at the national average. 51.7% of the population earns less than $50,000 with the median household income at $48,879 and the per capita income at $26,267. 28.6% of the population is over the age of 55.The demographics of the area with regard to ethnicity are as follows: 36.6% of Hispanic origin, 2.0% two or more races, .1% some other race alone, 0.1% Pacific Islander alone, 2.4% Asian American, 2.3% American Indian alone, 3.2% Black and 53.3% White alone. |
| Part VI, Line 5: | Carondelet 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 senior wellness services at the Santa Cruz Senior Nutrition Center. CHN works with community partners to provide border health outreach, promotion of state Medicaid enrollment, education on chronic diseases to schools, patients, churches and health and human service organizations.Associates serve on various Boards of Directors for local and regional organizations. Additional community outreach includes health screenings, health fairs and educational conferences and events throughout the year. The following are the organizations which Carondelet leadership is engaged in key community coalition building activities, community events, or initiatives: American Diabetes Association, American Heart Association, American Cancer Society, Lions Club, Catholic Foundation, United Way, American Red Cross. |
| Part VI, Line 6: | Carondelet Health Network is a member of Ascension Health Alliance. Ascension Health Alliance is a Missouri nonprofit corporation formed on September 13, 2011. Ascension Health Alliance is the sole corporate member and parent organization of Ascension Health, a Catholic national health system consisting primarily of nonprofit corporations that own and operate local healthcare facilities, or Health Ministries, located in 23 of the United States and the District of Columbia.Ascension is sponsored by Ascension Sponsor, a Public Juridic Person. The Participating Entities of Ascension Sponsor are the Daughters of Charity of St. Vincent de Paul, St. Louise Province; the Congregation of St. Joseph; the Congregation of the Sisters of St. Joseph of Carondelet; the Congregation of Alexian Brothers of the Immaculate Conception Province, Inc. American Province; and the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi US/Caribbean Province. As more fully described in the Organizational Changes note, Marian Health System, which was previously sponsored by the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi US/Caribbean Province, became part of Ascension Health on April 1, 2013.Carondelet Health Network consists of two nonprofit acute care hospitals in Tucson, Arizona and a critical access hospital in Nogales, Arizona. The hospitals within Carondelet Health Network provide inpatient, outpatient, and emergency care services for the residents of Tucson and Southern Arizona. Admitting physicians are primarily practitioners in the local area. Carondelet Health Network is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of Ascension Health and its sponsored organizations are related to providing health care services.Mission:The System directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing, and dedicates its resources to spiritually centered care which sustains and accordance with the System's mission of service to those persons living in poverty and other vulnerable persons, each Health Ministry accepts patients regardless of their ability to pay. The System uses four categories to identify the resources utilized for the care of persons living in poverty and community benefit programs:1. Traditional charity care includes the cost of services provided to persons who cannot afford healthcare because of inadequate resources and/or who are uninsured or underinsured.2. Unpaid cost of public programs represents the unpaid cost of services provided to persons covered by public programs for the persons living in poverty and other vulnerable persons.3. Cost of other programs for the persons living in poverty and other vulnerable persons includes programs intentionally designed to serve the persons living in poverty and other vulnerable persons of the community including substance abusers, the homeless, victims of child abuse andpersons with acquired immune deficiency syndrome.4. Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for persons living in poverty and other vulnerable persons, including health promotion and education, health clinics and screenings and medicalresearch.Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care of persons living in poverty and community benefit programs. The cost of providing care to persons living in poverty and community benefit programs is estimated by reducing charges forgone by a factor derived from the ratio of each entity's total operating expenses to the entity's billed charges for patient care.Certain costs such as graduate medical education and certain other activities are excluded from total operating expenses for purposes of this computation.The amount of traditional charity care provided, determined on the basis of cost, was $424,453 and $770,003 for the years ended June 30, 2014 and 2013, respectively. The amount of unpaid cost of public programs, cost of other programs for persons living in poverty and other vulnerable persons, and community benefit cost is reported in the accompanying supplementary information. |
| Community Benefit Report: | Carondelet Health NetworkFiscal Year 2014Carondelet Health Network is Southern Arizona's leading faith-based provider of healthcare services, serving a region of 1.3 million residents.As the area's largest Catholic, nonprofit healthcare system, it is Carondelet's commitment to offer advanced quality, person-centered care, in a faith-based environment. Our vision, and that of our parent healthcare ministry, Ascension Health, is to ensure service that is committed to health and well-being for our communities and that responds to the needs of individuals throughout the life cycle. We are dedicated to Healthcare That Works, Healthcare That Is Safe, and Healthcare That Leaves No One Behind - for Life.Carondelet St. Mary's Hospital, Carondelet St. Joseph's Hospital, Carondelet Holy Cross Hospital, and Carondelet Foundation are nonprofit entities with a 501(c)(3) tax-exempt status.Carondelet Helps Insure over 6,200:Lack of health insurance can significantly impact an individual's health and the community at large; and last fall, roughly 147,000 Pima County residents were without a health insurance plan of any kind.To honor its mission to support the community's well-being - and encouraged by changes to healthcare laws on both the federal and state levels - Carondelet launched a grassroots campaign in 2013 to help the uninsured in Tucson get the health coverage they needed.The Campaign:The seven-month campaign targeted five groups, aiming to enroll 3,000 uninsured among them: current and former Carondelet patients; associates and their families; churches; those living below the poverty level; and the general public.Posters, pins, and business-sized cards were distributed across Carondelet's facilities and area organizations prompting people to call the Carondelet Help Center where a Patient Navigator could help enroll them in AHCCCS or the Federal Marketplace, if eligible. Additional help was provided by hospital Admitting staff and an Outreach Worker/Navigator in the Emergency Department (ED).Renee Perez, an ED Navigator at St. Mary's Hospital, was one of those who helped a number of patients get the coverage they need."Some people do not know how to navigate the system, and I have been doing this job for over 10 years. It's nice to have that help," she said. "I always get feedback, even now, from my patients thanking me because they were able to get on AHCCCS and get their medical issues taken care of. I love those calls!"Carondelet also partnered with area hospitals and Tucson Regional Economic Opportunities (TREO) on AZCares.org, a community-wide campaign focused on insuring the uninsured. The campaign earned national recognition from the White House and Centers for Medicaid and Medicare Services, declaring it a model community effort.Care Transitions Program Acknowledged as a National Best PracticeIn an effort to increase the quality and safety of patient care while reducing hospital readmissions, a collaborative program between Carondelet Health Network and the Pima Council on Aging (PCOA) is receiving national praise and an additional year of funding. The Centers for Medicaid and Medicare Services (CMS) call the Community-Based Care Transitions Program a "best practice" among the programs initiated nationwide to reduce hospital readmissions and lower the cost of healthcare.The program focuses on Medicare patients with multiple chronic illnesses who have been recently discharged from the hospital. Carondelet nurses and PCOA care coordinators partner on regular visits to the homes of patients who have joined the program, providing much-needed medical follow-up and a variety of other kinds of social support that help the patient manage their recuperation and maintain their health for 60 days post-hospitalization. It's clearly working. "We've seen some real success with this program. Patients are improving their health, their life status, and their well-being simply by receiving the support necessary to remain healthy and stay out of the hospital," says Donald Denmark, MD, Carondelet Health Network's Chief Medical Officer. To help facilitate visits with transitional team members, Carondelet is piloting a telehealth option. The nurse can be at the patient's home and connect real-time with the pharmacist or Pima Council on Aging coach via their laptops or tablets. |
| Women's Health Hotline a big hit with callers: | On May 10, 2014, Carondelet teamed up with KOLD News 13 to sponsor a day-long televised phone bank, answering women's questions about their health. The Carondelet KOLD Women's Health Hotline drew nearly 220 callers in the hours between 6 a.m. and 9 a.m. and again from 3 p.m. to 7 p.m., primetime viewing hours for local news on KOLD television. The broadcasts reaches over 40,000 viewers on any given day.Calls were answered by physicians and nurses in the area of obstetrics, gynecology, cardiac care, breast health, and family medicine. The event was held in conjunction with Carondelet's Mammograms & Massages Mother's Day promotion, a month-long initiative encouraging women to gift themselves the gift of health and get their annual screening mammogram in May.Diabetes:Diabetes continues to be an important area of focus for healthcare providers in Arizona where nearly 500,000 people have been diagnosed with the disease. However, diabetes can be controlled, and those living with it can lead active, fulfilling lives with the right care and self-management.Whether newly diagnosed or just getting around to doing something about it, individuals living with diabetes can attend any of the free, weeklydiabetes classes offered through Carondelet and led by Certified Diabetes Educators Gwen Gallegos, FNP, and Donna Heun, RN or nurse Ann McCurry.The weekly class includes an overview of diabetes, as well as instruction on healthy eating, safe exercise, symptoms and warning signs, and information on additional community resources and support. Last year, more than 240 people attended classes at one of the three Carondelet hospitals: St. Joseph's, St. Mary's or Holy Cross (Nogales). Carondelet also co-hosts classes at Mariposa Community Health Center and the Nogales Senior Center, both taught by Gwen.In Nogales, where she leads a youth diabetes support group at Carondelet Holy Cross Hospital every last Thursday of the month, Gwen meets with parents and their teens in a more interactive, playful environment. "They'll play games around the topic of diabetes. It's a lot of fun," said Maria Astorga, a nurse at Holy Cross who works with Gwen." She has seen those kids grow up, go to college, and they still keep in touch with her. Managing Diabetes Before Delivery:The American Diabetes Association estimates that many women will develop gestational diabetes (GD) during their pregnancy as a result of normal hormonal changes that make it harder to regulate blood sugar levels. Left untreated or uncontrolled, GD can harm the developing fetus and complicate delivery. For women diagnosed with GD, Carondelet Holy Cross and Carondelet St. Joseph's hospitals offer a specialized program to help.During a series of sessions with Certified Diabetes Educator and FamilyNurse Practitioner Gwen Gallegos, women at any stage of pregnancy learn how to manage their health (and that of their developing child) by focusing on meal planning, medication management, and monitoring their blood sugar levels."The whole reason for the Gestational Diabetes Management [program] is to reduce risks to the baby and the mother, such as a high birth weight and problems with delivery" says Gwen. "Of course [the women] are frightened. They come in here with preconceived notions about what it means to have diabetes. We help reduce their anxiety."In addition to educating the women on managing their condition, Gwen sends their physicians regular reports on what they've discussed. Additional follow-up sessions are offered until the baby is delivered, at which time they can choose to attend a community diabetes class for ongoing education.Last year, the program expanded to include women already living with diabetes prior to becoming pregnant. During that time, about 120 women attended the Gestational Diabetes Management/Diabetes in Pregnancy programs at Holy Cross and St. Joseph's hospitals.The benefit of such a program also extends to the hospital, which sees lower admissions of newborns to the Neonatal Intensive Care Unit (NICU) and a reduction in the length of hospital stays for the mother and baby, says Gwen. "It's a team effort between me, the physician and the patient. Our goal is he althy mothers and healthy babies." |
| Associates Helping The Community: | In FY14, associates donated items and time through a number of Carondelet-hosted drives. Highlights from the past year include:- Southern Arizona Community Food Bank - Associates gave more than 3,200 pounds of non-perishable food.- Wings for Women - associates filled a pick-up truck full of hygiene products for homeless and impoverished women in Tucson and Nogales.- O'Rielly Center at St. Joseph's Hospital - associates donated more than 50 bags of clothing to help patients at our inpatient behavioral health treatment facility.- Be the Match - associate volunteers organized and ran a bone marrow drive for the national registry drive. More than 190 associates and community members registered as potential donors.First Carondelet Heart & Vascular Institute Heart Academy:St. Mary's hosts hands-on experience for area high school studentsinside an operating room, alongside a surgical team performing open heart surgery, stood a small group of high school students. This definitely was not an ordinary field trip. The group was among 16 students from Sahuarita unified School District who were invited to Carondelet Health Network's first Heart Academy on Thursday, March 6 at Carondelet Heart & Vascular Institute (CHVI) at St. Mary's Hospital in Tucson.Upon arrival, students were whisked to a brief orientation where they met St. Mary's Chief Executive Officer, Amy Beiter, M.D., and other hospital leaders. Each student was issued scrubs to wear (and take home). They broke out into four groups and started the first of four interactive breakout sessions, which included tours of the hospital's new hybrid operating suite, Emergency Room and helipad, Catheterization Lab, and Imaging.The day was packed with hands-on learning. Students scrubbed up, donning booties and masks, and went into CHVI's new hybrid operating suite to observe segments of surgeries, from a heart valve replacement to hernia repair. Another session took place on the hospital's roof where an emergency helicopter pilot, flight nurse, and paramedic talked to them about the skills needed for a career in emergency transport. The kids took turns sitting inside the helicopter and orienting themselves to the equipment onboard.At the Cath Lab, students observed a physician replacing a patient's pacemaker battery while cardiovascular technologists explained the procedure in real time. The ED and imaging department were also part of the tour.Chaperone and Walden Grove science teacher Emily Bertelsen said during the tour, she saw in practice many of the medical skills she had learned in college."It was neat to see the different processes the surgeons go through during open heart surgery," Bertelsen said. "I think this type of exposure to real life medical situations is so valuable for the students."Planning for the Heart Academy began last fall. Program participation was limited to ensure students would have the most interactive, personalized experience possible. While programming focused on cardiology and vascular care, the academy ultimately aimed to expose students interested in healthcare to a wide array of professions within the medical field. Many participants already had an idea of the career they want to pursue - anesthesiologist, nurse, and radiologist among them. Others did not and hoped the experience would bring medical career options to light. Carondelet has plans to expand the program and open it to students in other districts across Southern Arizona.2014 Stroke Check- Carondelet Tucson Hospitals Screened Hundreds:According to the Centers for Disease Control and prevention, nearly 800,000 Americans suffer a stroke each year. Stroke is one of America's top killers, taking a life every four minutes in the US. Those who survive may have significant physical and mental deficiencies.In an effort to educate the Tucson community on stroke prevention, area hospitals partnered this spring to provide free stroke screenings to the public at an annual event called Stroke Check. In its eleventh year, Stroke Check took place on Saturday, April 12 at various facilities across town, including Carondelet St. Mary's Hospital and Carondelet St. Joseph's Hospital. Other partners included HealthSouth and the local chapter of the American Heart Association/American Stroke Association (AHA/ASA).Approximately 1,000 people were screened across Tucson in this community-wide event, including 92 at St. Mary's and 150 at St. Joseph's. Participants came in between 8:00 a.m. and 12:00 p.m. to receive a stroke screening, a 45-minute evaluation done on site that concluded with a private discussion with a clinician about the screening results.St. Mary's and St. Joseph's are Joint Commission-certified Primary Stroke Centers, and both earned the AHA/ASA Get with the Guidelines Stroke Gold Plus Quality Achievement Award for the third and fourth year in a row, respectively. It's a privilege to care for our community through Stroke Check. Carondelet looks forward to participating next year.Meditation Room at St. Joseph's offers a quiet space for all:In June 2014, St. Joseph's Hospital celebrated the opening of its newly finished meditation room. The room, nestled next to the hospital's chapel in the Fred & Olga Pace Spiritual Center, is available to all-associates, patients and guests-as a space for quiet contemplation or solace.The new meditation room includes several seating areas, a small library of inspirational books. A notepad left in the room has since become a guestbook of sorts in which visitors have shared their personal stories and offered words of comfort for others.The completion of the meditation room was made possible by a generous gift from the St. Joseph's Auxiliary. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Amy Beiter MD Ex-Officio | ||||||||||||||
| Pres/CEO-CSM;Dir-HCH | $0 | $337,718 | $0 | $0 | $0 | $53,997 | $0 | $38,150 | $0 | $23,750 | $0 | $453,615 | $0 | $0 |
| Joseph Impicciche start 1113 | ||||||||||||||
| Director | $0 | $758,824 | $0 | $1,988,719 | $0 | $354,805 | $0 | $81,461 | $0 | $33,565 | $0 | $3,217,374 | $0 | $0 |
| James K Beckmann Jr | ||||||||||||||
| President/CEO-CHN | $0 | $637,610 | $0 | $957,522 | $0 | $9,988 | $0 | $55,650 | $0 | $26,524 | $0 | $1,687,294 | $0 | $0 |
| Alan Strauss | ||||||||||||||
| CFO-CHN | $0 | $40,497 | $0 | $58,000 | $0 | $162,905 | $0 | $21,675 | $0 | $28,612 | $0 | $311,689 | $0 | $0 |
| Roy Farrell | ||||||||||||||
| CMO-HCH | $0 | $182,313 | $0 | $0 | $0 | $10,683 | $0 | $18,624 | $0 | $19,015 | $0 | $230,635 | $0 | $0 |
| Debra Knapheide | ||||||||||||||
| VP COO/CNO-HCH | $0 | $168,360 | $0 | $9,334 | $0 | $5,005 | $0 | $32,316 | $0 | $8,995 | $0 | $224,010 | $0 | $0 |
| Celia Torres | ||||||||||||||
| Dir-Pharmacy | $138,254 | $0 | $0 | $0 | $1,433 | $0 | $9,863 | $0 | $18,857 | $0 | $168,407 | $0 | $0 | $0 |
| Dorothy Sawyer end 1012 | ||||||||||||||
| Former CEO-CSM/HCH | $0 | $0 | $0 | $4,997 | $0 | $234,261 | $0 | $0 | $0 | $1,020 | $0 | $240,278 | $0 | $0 |
| Debra Mohesky | ||||||||||||||
| Former CFO | $0 | $0 | $0 | $0 | $0 | $342,259 | $0 | $0 | $0 | $4,825 | $0 | $347,084 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | Carondelet Health Network, a related organization of Holy Cross Hospital, Inc., uses the following to establish the compensation of the organization's CEO: -Compensation Committee, -Independent Compensation Committee, -Compensation Survey or Study, and -Approval by the Board or Compensation Committee. |
| Part I, Lines 4a-b | The following individuals received severance payments from CHN: - Former CFO-CHN Debra Mohesky, $302,776, severance to be paid out over 18 months, end date of 9/30/13 - Former CEO Dorothy Sawyer, $203,612, severance paid out over 9 months, ending 7/31/13. 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 organization made payments from the supplemental nonqualified retirement plan in the amounts as noted: Debra K. Knapheide - $3,570 Roy Farrell - $6,923 Celia Torres - $4,009 Amy Elizabeth Beiter - $48,341 |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jose Duran MD | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship With Org | Board Member | RelationshipWithOrgTxt |
| Loan Purpose | To purchase medical office building | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $245,735 | OriginalPrincipalAmt |
| Balance Due | $21,180 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | Yes (1) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $21,180 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part V, Line 1a: | Number of Forms 1099 filed: Carondelet Health Network, a related organization of Holy Cross Hospital, uses a centralized accounting system to compensate all independent contractors used within the Health System. The number attributable to each hospital is not easily distinguishable. The total amount of Forms 1099 filed for the entire Health System appears on Part V, Line 1a of Carondelet Health Network's Form 990. |
| Form 990, Part VI, Section A, line 6 | Holy Cross Hospital, Inc. has a single corporate member, Carondelet Health Network. |
| Form 990, Part VI, Section A, line 7a | Holy Cross Hospital, Inc. has a single corporate member, Carondelet Health Network, who has the ability to elect members to the governing body of Holy Cross Hospital, Inc. |
| Form 990, Part VI, Section A, line 7b | All decisions that have a material impact to Holy Cross Hospital, Inc. financial information or corporation as a whole are subject to approval by its sole corporate member, Carondelet Health Network. |
| Form 990, Part VI, Section B, line 11 | Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Historically, Management has presented the Form to the Board, or a designated committee, to review and answer any questions. In addition, prior to filing the return all Board Members were provided the Form 990 and management team members were available to answer any Board Members' questions. Due to changes in organizational roles and responsibilities, system leadership reviewed the returns in lieu of the Board. |
| Form 990, Part VI, Section B, line 12c | The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the Conflict of Interest Policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. |
| Form 990, Part VI, Section B, line 15 | In determining compensation of the organization's CEO, the process, performed by Carondelet Health Network, a related organization, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Audit Committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals at other hospitals in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. The individual was not present when his compensation was decided. In determining compensation of other officers or key employees of the organization, the process, performed by Carondelet Health Network, a related organization, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Audit Committee reviewed and approved the compensation. In the review of the compensation, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. |
| Form 990, Part VI, Section C, line 19 | The organization will provide any documents open to public inspection upon request. |
| Form 990, Part IX, line 11g | Purch Svcs - Medical labor/supplies: Program service expenses 507,148. Management and general expenses 0. Fundraising expenses 0. Total expenses 507,148. Purch Svcs - TriMedex: Program service expenses 512,127. Management and general expenses 0. Fundraising expenses 0. Total expenses 512,127. Purch Svcs - Dietary, housekeeping, linen, laundry: Program service expenses 364,340. Management and general expenses 596,262. Fundraising expenses 0. Total expenses 960,602. Purch Svcs - All other: Program service expenses 108,938. Management and general expenses 399,060. Fundraising expenses 0. Total expenses 507,998. Professional/Consulting fees: Program service expenses 695,465. Management and general expenses 87,952. Fundraising expenses 0. Total expenses 783,417. Contract Personnel: Program service expenses 525,179. Management and general expenses 0. Fundraising expenses 0. Total expenses 525,179. |
| Form 990, Part XI, line 9: | Net Assets Released from Restriction -30,423. Transfers from Affiliates 40,115. |
| Form 990, Part XII, Line 2: | The financial statements of Carondelet Health Network (which include the activity of Holy Cross Hospital, Inc.) fall under the limited scope audit of Ascension Health Alliance. The activity of Carondelet Health Network and other members of the Carondelet Health Network are reported in the consolidated financial statements of Ascension Health Alliance. No individual audit report of Carondelet Health Network is completed. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Ascension Health | ||||||||||
| PO Box 45998 | St Louis | MO | 63145 | 311662309 | National Health System | MO | Section 501(c)(3)A | Schedule A, Line 11a | Ascension Health Alliance | 0 |
| Carondelet Health Network | ||||||||||
| 2202 N Forbes Blvd | Tucson | AZ | 85745 | 860455920 | Hospital | AZ | Section 501(c)(3) | Schedule A, Line 3 | Ascension Health | 0 |
| Carondelet Heart & Vascular Institute | ||||||||||
| 4888 N Stone Ave | Tucson | AZ | 85704 | 561943271 | Inactive Hospital | AZ | Section 501(c)(3) | Schedule A, Line 3 | Carondelet Health Network | Yes (1) |
| Carondelet Foundation Inc | ||||||||||
| 120 N Tucson Blvd | Tuscon | AZ | 85716 | 860749574 | Foundation | AZ | Section 501(c)(3) | Schedule A, Line 11a | Carondelet Health Network | Yes (1) |
| Southwest Catholic Health Network (DBA Mercy Care Plan) | ||||||||||
| 4350 E Cotton Center Blvd Bldg D | Phoenix | AZ | 85040 | 860527381 | Insurance | AZ | Section 501(c)(3) | Schedule A, Line 11a | Carondelet Health Network & Dignity Health | 0 |
| Chalon Living Inc | ||||||||||
| 8553 E San Alberto Dr | Scottsdale | AZ | 85258 | 860805615 | Low Income Housing | AZ | Section 501(c)(3) | Schedule A, Line 3 | Holy Cross Hospital Inc | Yes (1) |
| The Centurions | ||||||||||
| 2202 N Forbes Blvd | Tucson | AZ | 85745 | 854088322 | Foundation | AZ | Section 501(c)(3) | Schedule A, Line 11a | Carondelet Foundation Inc | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Carondelet Medical Group PC | |||||||||
| 2202 N Forbes Blvd | Tucson | AZ | 85745 | 860836126 | Medical Group | AZ | N/A | C | 0 |
| Carondelet Specialist Group Inc | |||||||||
| 2202 N Forbes Blvd | Tucson | AZ | 85745 | 281558773 | Physician Practice | AZ | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Carondelet Health Network | ||
| Q | $13,238,894 | Actual Amount Transferred |
| Carondelet Foundation Inc | ||
| C | $67,241 | Actual Amount Transferred |