2013-05-15T14:39:24-05:00 2012-06-30 861065772 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2011-07-01 860575938 Holy Cross Hospital Inc HOLY 5202853000 2202 N Forbes Blvd Tucson AZ 857451412 Alan Strauss 5202853000 2013-05-15 1 Rebecca Lyons P01487105 5137847100 2011 2016-02-24 21:20:13Z Debra Knapheide 2202 N Forbes Blvd Tucson AZ 857451412 22507236 0 0928 X www.carondelet.org X 1987 AZ Providing various types of advanced medical/surgical services to our patients. 8 8 238 20 166753 7282 189747 70562 23975118 20959667 262148 37218 665797 1431944 25092810 22499391 0 0 0 0 12309577 10622179 0 0 0 15663621 15219445 27973198 25841624 -2880388 -3342233 9883434 8873873 8830791 11203387 1052643 -2329514 X Provide for the healthcare needs of the community; to embrace the person in mind, body and spirit; and to serve all people with dignity. 0 1 16210853 21902053 Holy Cross Hospital is a 25-bed facility that provides general medical/surgical services, 24-hour emergency care, rehabilitation, mammography, ultrasound, chemotherapy, home health, and long-term care. We also offer advanced technology such as renal dialysis, teleradiology, and lithotripsy programs. Holy Cross Hospital's community benefit information is included in the community benefit report for Carondelet Health Network. 16210853 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 238 1 1 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 AZ X Alan Strauss 5208727520 2202 N Forbes Blvd Tucson AZ 857451412 X Mark Valenzuela 0.50 X X 0 0 0 Eladio Pereira MD end 1111 0.50 X X 0 0 0 Jose Duran MD 0.50 X 0 0 0 Jorge Mera MD end 1111 0.50 X 0 0 0 Anita Moreno 0.50 X 0 0 0 William Neubauer start 112 0.50 X 0 0 0 Sr Irma Odabashian 0.50 X 0 0 0 James Ross 0.50 X 0 0 0 Wlliam Stout 0.50 X 0 0 0 Ruth Brinkley end 1011 40.00 X X 0 1167146 32277 James Beckmann Ex-Officio 40.00 X X 0 5831 0 Wanona Fritz Sch O 40.00 X 0 456065 42147 Dorothy Sawyer start 1111 40.00 X 59924 0 0 Deb Mohesky 40.00 X 0 514177 33475 Alan Strauss start 412 40.00 X 0 0 0 Odette Bolano Sch O 40.00 X 0 538141 38220 Debra Knapheide 40.00 X 153436 0 23198 Daisy Jenkins Sch O 40.00 X 0 320343 45986 Patricia Martinez Sch O 40.00 X 0 328800 35609 Roy Farrell 40.00 X 198342 0 25639 Carolyn Kenngott 40.00 X 156801 0 8110 Amos Wilkinson 40.00 X 152075 0 27997 Kerry Donn Smith 40.00 X 150702 0 17089 Celia Torres 40.00 X 141158 0 21725 Eric Padilla 40.00 X 119287 0 20316 Wesley Colvin 0.00 X 0 260285 0 1131725 3590788 371788 11 1 1 0 Morrisons Management Specialists 5801 Peachtree Dunwoody Rd Atlanta GA 30342 Nutritional Services 1020416 Crothall Healthcare Inc 13028 Corrections Center Dr Chicago IL 60693 Housekeeping 653551 TriMedx LLC PO Box 636129 Cincinnati OH 452636129 Equipment Maintenance 485688 Quantum Plus Inc PO Box 634850 Cincinnati OH 452634850 Emergency Room Physicians 434554 Alliance Healthcare Services FILE 55826 Los Angeles CA 900745826 Radiology 289266 20 70562 70562 Patient Service Rev 621400 20959667 20959667 20959667 11904 11904 173069 5733 167336 167336 167336 27426 2112 25314 25314 25314 EHR Incentive Payment 900099 859528 859528 Reference Lab 621500 166753 166753 Cafeteria Revenue 722210 155469 155469 82858 82858 1264608 22499391 21902053 166753 360023 376186 376186 8637925 7316745 1321180 272517 206813 65704 631958 479593 152365 703593 533957 169636 9121 9121 3644441 2609753 1034688 16502 16502 338740 243126 95614 25477 19386 6091 408473 196067 212406 47158 36526 10632 195885 94025 101860 696092 334124 361968 446609 338932 107677 Shared Services 5662829 5662829 Bad Debt 1581384 1581384 Supplies 1509034 1480593 28441 Repairs and Maintenance 69916 34163 35753 567784 329480 238304 25841624 16210853 9630771 0 2362 875 3107513 2830992 78263 71174 92740 62075 364322 339217 42671 75350 11909210 6679457 5692682 5229753 502881 264437 9883434 8873873 1006452 1102793 7824339 10100594 8830791 11203387 X 1034591 -2339221 18052 9707 0 1052643 -2329514 9883434 8873873 X -3342233 -39924 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 815007 815007 6946601 3315734 3630867 3887 1798 2089 3960694 3213669 747025 183021 148256 34765 5229753 Due to Affiliates 9444582 Estimated Settlements to Third Party Payors 223532 Other Current Liabilities 96922 Self Insurance Liability 231848 Other Non-Current Liabilities 103710 10100594 1 1 X 1 X 400.000000000000 1 X 1 1 0 1 1 383708 383708 0.01580 9003257 6269314 2733943 0.11270 9386965 6269314 3117651 0.12850 9 420 77818 77818 0.00320 5 29 354699 354699 0.01460 2 731 2021864 1314305 707559 0.02920 4 6122 6122 0.00030 20 1180 2460503 1314305 1146198 0.04730 20 1180 11847468 7583619 4263849 0.17580 1 2650 2650 0.00010 3 15845 15845 0.00070 1 662 662 0.00000 1 119 119 0.00000 6 19276 19276 0.00080 0 1581384 660648 4965426 6365766 -1400340 X 1 1 1 1 Holy Cross Hospital Inc

2202 North Forbes Blvd Tucson AZ 857451412

X X X X Holy Cross Hospital Inc 1 1 1 400.000000000000 1 400.000000000000 1 X X X X X X 1 1 X X 1 0 1 X 0 0 Part I, Line 6a: The organization prepares and files an annual Community Benefit Plan Report. This report is prepared on a consolidated basis and includes data for Carondelet Health Network, Holy Cross Hospital, Carondelet Foundation, and Carondelet Heart & Vascular Institute. Part I, Line 7: The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a costing accounting system that addresses all patient segments (for example: inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. Part I, Line 7g: The organization has not included costs attributable to a physician clinic as part of subsidized health services. Part I, L7 Col(f): The Bad Debt expense included in Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $1,581,384. Part III, Line 4: From the audited consolidated financial statements of Ascension Health Alliance (which includes the activity of Holy Cross Hospital):The provision for bad debt expense is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for uncollectible accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for bad debt expense to establish an appropriate allowance for uncollectible accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the 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. 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 Hospital liens on primary residences or wage garnishments and unpaid bills will not be sent to collection agencies. Holy Cross Hospital, Inc. Part V, Section B, Line 13g: In addition to providing the financial assistance policy upon request, it is also referenced in the Emergency Rooms and admissions. Holy Cross Hospital, Inc. Part V, Section B, Line 19d: Per the Carondelet Health Network Financial Assistance Policy:Charges for emergency or other medically necessary care provided to persons who are eligible for financial assitance under this policy shall not exceed the amounts generally billed to individuals who have insurance coverage for such care. Part VI, Line 2: Holy Cross Hospital follows the Catholic Healthcare Association Guidelines which state that a Community Needs Assessment ("CHNA") should be completed every three years. The last Community Needs Assessment was commissioned in 2012 and will be delivered in June 2013 from an outside research center affiliated with Arizona State University. The research center worked with an internal committee for guidance of the needs assessment. Other internal strategic documents are used to identify community needs and hospital data support the work community outreach programs do in Tucson. Part VI, Line 3: Upon admission, patients are encouraged to apply for the state medicaid program if they are uninsured as well as other public benefits such as TANF or SNAP if the patient has a need. If patients prove they meet at least one (1) of eight (8) criteria outlined in the policy, they will be eligible for charity care. The patient will be placed in pre-emptive charity care status and after all bills are finalized a request for the total amount 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 1.21 million individuals based on 2010 census data. This growth is 2.05% from 2000. The average household size is 2.53. The median age is 37.4 which is at the national average. 51.7% of the population earns less than $50,000 with the median household income at $48,208 and the per capita income at $24,171. 27.2% of the population is over the age of 55. The demographics of the area with regard to ethnicity is as follows: 36% of Hispanic Origin, 3.8% two or more races, 15.6% some other race alone, 0.2% Pacific Islander alone, 2.2% Asian American, 2.8% American Indian Alone, 3.5% black and 36% white alone. Santa Cruz County has been growing at a percentage of 2.14% between 2000 and 2014, the national average is 0.76%. Current population, based on the 2010 census reveals a total of 47,420 in Santa Cruz County. There are a total number of households of 15,437 which represents a 2.72% growth since 2000. 81% of the population are households with 2+ members, and 77.7% are family households. Husband-Wife families comprise 55.7% of this and 26.7% with children. The average household size is 3.1 members Part VI, Line 6: Carondelet Health Network ("CHN")is a member of Ascension Health. 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 health care facilities, or Health Ministries, located in 21 of the United States and the District of Columbia. Ascension Health Alliance is sponsored by Ascension Health Ministries, a Public Juridic Person. The Participating Entities of Ascension Health Ministries are the Daughters of Charity of St. Vincent de Paul in the United States, St. Louise Province, the Congregation of St. Joseph, the Congregation of the Sisters of St. Joseph of Carondelet, and the Congregation of Alexian Brothers of the Immaculate Conception Province - American Province. Holy Cross Hospital is part of CHN. CHN is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of Ascension Health are related to providing health care services.Mission: 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 improves the health of the individuals and communities it serves. In accordance with The System's mission of service to those who are poor and vulnerable, each Health Ministry accepts patients regardless of their ability to pay. Ascension Health uses four categories to identify the resources utilized for the care of persons who are poor and community benefit programs:1. Traditional charity care includes the cost of services provided to persons who cannot afford health care because of inadequate resources and/or who are uninsured or underinsured. 2. Unpaid cost of public programs represents the unpaid cost of services provided to persons covered by public programs for the 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 and persons with acquired immune deficiency syndrome. 4. Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for persons living in poverty and other vulnerable persons, including health promotion and education, health clinics and screenings and medical research.Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care of persons living in poverty and community benefit programs. The cost of providing care of persons living in poverty and community benefit programs is estimated using internal cost data and is calculated in compliance with the guidelines established by both the Catholic Health Associations (CHA) and the Internal Revenue Service (IRS). 0 1 0 0 0 0 0 0 0 Ruth Brinkley end 1011 0 1167146 0 0 0 0 0 18615 0 13662 0 1199423 0 0 Wanona Fritz Sch O 0 455632 0 0 0 433 0 20328 0 21819 0 498212 0 0 Deb Mohesky 0 514177 0 0 0 0 0 22000 0 11475 0 547652 0 0 Odette Bolano Sch O 0 538141 0 0 0 0 0 22000 0 16220 0 576361 0 37316 Debra Knapheide 153436 0 0 0 0 0 14278 0 8920 0 176634 0 0 0 Daisy Jenkins Sch O 0 318008 0 0 0 2335 0 21639 0 24347 0 366329 0 0 Patricia Martinez Sch O 0 328800 0 0 0 0 0 16500 0 19109 0 364409 0 0 Roy Farrell 198342 0 0 0 0 0 6923 0 18716 0 223981 0 0 0 Carolyn Kenngott 156801 0 0 0 0 0 6184 0 1926 0 164911 0 0 0 Amos Wilkinson 152075 0 0 0 0 0 10821 0 17176 0 180072 0 0 0 Kerry Donn Smith 150702 0 0 0 0 0 6174 0 10915 0 167791 0 0 0 Celia Torres 140810 0 0 0 348 0 4009 0 17716 0 162883 0 0 0 Wesley Colvin 0 260285 0 0 0 0 0 0 0 0 0 260285 0 13540 Supplemental Information Part III Part I, Line 3: Carondelet Health Network, a related organization of Holy Cross Hospital, Inc., uses the following to establish the compensation of the organization's CEO: -Compensation Committee, -Independent Compensation Committee, -Written Employment Contract, -Compensation Survey or Study, and -Approval by the Board or Compensation Committee. Supplemental Information Part III 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. A related organization made distributions from the supplemental nonqualified retirement plan in the amounts as noted: Irma Ramirez - $30,406 Odette Bolano - $37,316 Neil Carolan - $35,640 Alfredo Guevara MD To purchase medical office building X 296766 62075 0 1 1 Jose Duran MD To purchase medical office building X 245735 71174 0 1 1 133249 Changes in Program Services Form 990, Part III, line 3 Both the Holy Cross Hospital and Carondelet Health Network boards have agreed to close the hospice program. After in-depth financial analysis, the board has concluded that the financial losses of the hospice program are no longer sustainable due to the cuts made to Arizona's Medicaid program that will result in lower reimbursements. Number of Forms 1099 Filed: Form 990, Part V, Line 1a: Carondelet Health Network, a related organization of Holy Cross Hospital, uses a common paymaster 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. Management presents the Form to the Board, or a designated committee, to review and answer any questions. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members questions. Form 990, Part VI, Section B, line 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 who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. The individuals were not present when their 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 individuals at other hospitals in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Form 990, Part VI, Section C, line 19 The organization will provide any documents open to public inspection upon request. Explanation of Average Hours Worked for Organization: Form 990, Part VII, Section A: Officers and Key Employees for Holy Cross Hospital, Inc. provide services to Carondelet Health Network and its subsidiaries. Hours worked are not tracked on an entity by entity basis. Therefore where noted with a "Sch O" reference, all hours are reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week for all entities. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -514. Transfers to Sponsor - Ascension Health -35,853. Net Assets Released from Restriction -8,346. Interest Rate Swap 4,789. Total to Form 990, Part XI, Line 5: -39,924. Form 990, Part XII, Line 2: The financial statements of Carondelet Health Network (which include the activity of Holy Cross Hospital) fall under the limited scope audit of Ascension Heatlh 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. Form 990, Part III, Line 4a: Carondelet Health Network Community Benefit Report Fiscal Year 2012 Post-Hospital Program for Those Who Are Homeless: Jose C., aged 73, was in a tough spot. He had been homeless for many years, had no financial resources and had recently been hospitalized for heart failure. Jose needed a place to stay while he recuperated. He also needed meals and follow-up medical care. His only family member was a brother who lived out of state and was unable to provide assistance. Fortunately, Jose was able to enroll in the Homeless Post-Hospital Program. The Homeless Post-Hospital Program is part of the Southern Arizona Health Village for the Homeless Program, which also includes the Van of Hope. The Van of Hope is a mobile clinic providing medical, social and behavioral health services for people who are homeless. Partners in the Health Village collaborative are: Carondelet Health Network, El Rio Community Health Center, Primavera Foundation, Interfaith Coalition for the Homeless, Pima Community Access Program, Salvation Army, Dependable Home Health, St. Elizabeth's Health Center and the Veterans Administration. While in the Homeless Post-Hospital Program, Jose stayed at the Primavera Men's Shelter and also received his meals there. Dependable Home Health sent in skilled nurses to provide the follow-up care he needed, and an El Rio Community Health Center Nurse Practitioner checked in with Jose every week. A Carondelet Heart Failure Team nurse also visited Jose to help monitor his progress. Members of the Van of Hope staff rounded out Jose's post-hospital support team, visiting him twice a week to ensure that all his needs (medical, social and behavioral health) were being met. When Jose first arrived at the Primavera Men's Shelter, he had been in and out of hospitals and was very weak. After a couple of weeks, he began to feel better. Before the end of his three-month stay, he began to thrive. Case managers at the shelter worked closely with Jose to find a home for him to transition into once he had recuperated. Ultimately they suggested St. Luke's Home; Jose visited there and thought it was a great fit. He made great strides and his life improved drastically once he was healthier and living at St. Luke's. Behavioral Health Patients Who Are Homeless Get Vital Care: Behavioral health issues, including psychiatric illnesses and substance abuse problems, are often factors that prevent people from holding a job. All too often, this ultimately causes them to become homeless. Unfortunately, having a serious psychiatric illness - such as schizophrenia, post-traumatic stress disorder (PTSD), panic attacks or addiction - can make homelessness even more terrifying and overwhelming. Some homeless individuals also have serious medical issues that make their lives that much more difficult. These issues commonly include heart attacks, strokes, chronic obstructive pulmonary disease (COPD), back injuries and diabetes, among many others. With the past several years of our country's economic downturn, many more people have become homeless. The behavioral health services offered via Carondelet Health Network's Van of Hope are often a lifesaver for those in great need. The van, with its medical and behavioral health staff, routinely travels to 21 locations where the homeless congregate - primarily shelters and meal sites. One man, who had lost his job, house, wife and children, tried to walk from Mesa to Tucson in the summertime and had been hospitalized for dehydration. When he encountered staff on the Van of Hope, he was disoriented and suicidal. After counseling, he was willing to return to Phoenix, where he had the most support, and was connected with behavioral health services there. Carondelet's follow-up efforts indicate that he is now doing well. Another man had significant psychiatric symptoms resulting from severe abuse by his mother and grandmother throughout childhood. He had grown tall, but could not defend himself from the intrusion of horrible memories and nightmares because of his PTSD. He found relief only by cutting and burning himself, and he had thoughts of both suicide and homicide. He knew he needed to control these thoughts, but could not do it alone. He had no healthcare and no money. This patient was connected to the Crisis Response Center/SAMHC for emergency assessment and then referred to a behavioral health network center. After therapeutic encounters, he reported that his anxiety and anger were diminished. With the regular treatment and medication he now receives, he is doing much better. The Van of Hope has provided an ever-increasing number of services to people like these. In fiscal year 2011, the Van assisted 54 behavioral health patients with 74 therapeutic encounters. In fiscal year 2012 those numbers increased to 245 behavioral health patients receiving 373 therapeutic encounters. Van staffers work hard to ensure that patients go to their follow-up appointments to get the best and most thorough care. Carondelet's Van of Hope serves a community of people in great need, most of whom have no other options or behavioral health services available to them. Over the past two years, the Van of Hope has worked with 33 individuals with serious mental illness. Not only are these patients getting the help they desperately need, they also report being very happy with their care and grateful for the services. "It means a lot to me to have someone professional to talk to." A behavioral health patient who is homeless explained what getting help means to him. Heart Failure Transitional Care Team Celebrates Two Years of Successful, Challenging Care: Patients who have been diagnosed with heart failure are on a precarious journey - one that frequently leads right back to the hospital. To improve their health and help avoid repeat hospitalizations, Carondelet Health Network created a special Heart Failure Transitional Care team made up of experienced cardiac nurses. The first year of the program's existence was challenging but successful. Patients with heart failure definitely benefited from the education, medication, understanding and coordination of care that the nurses in Carondelet's program provide. Heart Failure Transitional Care begins when patients are released from the hospital. A nurse follows up with each patient at home, working to develop a plan of care that will help patients become independent in managing their care. Care plans include the following elements: -Home visits to provide self-management education -Education to increase patients' understanding of their condition and medications -Care coordination for follow-up medical appointments -Other community or social services care coordination as needed The nurses work with heart failure patients for two months, providing consistent and ongoing care and education. During this critical time, nurses are able to monitor patients' weight via tele-monitoring, while educating patients about the significance and potential dangers posed by weight gains. With significant help from Dependable Home Health, Pima Council on Aging and other community partners, team nurses care for a number of patients with complex health needs. Some are homeless, without insurance and lack money and food. They often have many other needs as well. This program helps people understand that heart failure need not be a death sentence. One patient said, "I gave up all hope and just wanted to die. Then you came and showed me how I can still live a good life with just a few adjustments in my daily living." Carondelet's exceptional nurses are able to keep these patients from going back into the hospital. The hospital re-admission rate for patients with heart failure who are in the program is significantly lower than for similar patients who do not participate in the program. Thanks to the Heart Failure Transitional Care Program, the future is a lot brighter for many Tucson residents with heart failure. Faith through Good Health and Wellness: Reaching out to engage an entire community in the pursuit of good health and wellness can be an overwhelming task. One way to do this is by partnering with religious groups, which have already established ties to their members: ties of faith, trust and fellowship. To take advantage of an excellent opportunity to help more people in Southern Arizona, Carondelet Health Network has teamed up with local religious congregations to train their leaders on how best to provide health and wellness outreach to church members. "Basic Training for Congregational Health Leaders" (CHL training) was created to teach the essentials of starting or improving an existing health ministry program, with a focus on promoting whole-person health within religious organizations. A health ministry can include such elements as prayer groups, visiting the sick, nutrition classes, health screenings and evaluations and other wellness initiatives. By March 2012, Carondelet - in partnership with Interfaith Community Services - had completed its sixth session of CHL training. Thus far, 83 individuals, representing faith communities that reach over 61,000 members, have participated in the training. Putting Health Ministries into Action: One example of the faith community spreading the message of good health is Rising Star Missionary Baptist Church. It has used CHL training, along with technical assistance from Carondelet's Parish Nurse Program, to implement a health ministry program. Their first initiative was in February 2011, when 65 Rising Star members were screened to assess their risk for diabetes and high blood pressure. The church used the results from the health screenings as a guide for further activities. Blue Cross and Blue Shield of Arizona is continuing to fund health screenings in the community. Next, the church kicked off its "Biggest Winner" challenge to lose pounds, exercise more and reduce the risk of developing diabetes, heart disease, stroke and certain cancers. More than 100 church members signed up to participate in this program. Each member was assigned to one of eight teams that encourage one another to eat healthy diets, exercise and attend Bible study and prayer services. Nogales Diabetes Support Group Helps Kids and Families Stay Healthy: Children diagnosed with type 1 diabetes face an extra challenge in their daily lives. But sometimes the diagnosis is even harder on their parents. To help families manage this condition, Carondelet Holy Cross Hospital offers a Diabetes Support Group in Nogales. Gwen Gallegos, FNP, MSN, CDE, started the group more than 20 years ago and still conducts the monthly meetings for kids (most of whom have type 1 diabetes) and their parents. Within this supportive environment, Gallegos educates families about healthy lifestyle habits for optimal diabetes management. Beginning with just seven young people referred by their pediatricians, the group now has a roster of about 25 regulars. The first children in the group are grown and in college or working now. These alumni often refer other families to the support group. According to Gallegos, the support parents get from other parents who face the same diagnosis is especially valuable. Diabetes is a growing problem in the U.S., where Hispanics and Native Americans have a particularly high risk of developing type 2 diabetes. Thanks to the longtime efforts of Gwen Gallegos, the next generation of Southern Arizonans has a better chance of staying healthy. Young Parents Helped by Corazon de Maria Program: At Holy Cross Hospital in Nogales, Arizona, young women facing the realities of a teenage pregnancy participated in a unique program to teach them about the role and responsibility of becoming a mother. This community outreach and education project, called Corazon de Maria, was made possible by a grant from the Sisters of St. Joseph of Carondelet. The effort focused on educating teenagers about the need to protect and ensure human dignity - both their own and their child's. It also promoted the Sisters' values: respect, integrity, wisdom and leadership. The program helped young people appreciate the importance of a good quality of life for everyone. In collaboration with a number of community organizations, the Corazon de Maria team created a curriculum focused on teenaged mothers and their infants, although young fathers and others who play supporting roles in raising the child were also encouraged to attend. Class topics included the following: -What to Expect When You Turn 18 -Infant CPR -Shaken Baby Syndrome -Identifying and Building Healthy Relationships -Personal Identity -The Happiest Baby on the Block The curriculum included hands-on activities, medical and social educational presentations, a guide to available community resources, lots of conversation and a tremendous amount of compassion. Teenagers feeling the pressure of parenthood found a sense of value and empowerment. One young girl who participated in the program explained, "You realize that you are not alone in your fear, confusion and thoughts about what to do now. Corazon de Maria helps teen mothers learn to take care of a baby, from changing diapers to giving CPR." Corazon de Maria classes were held at Carondelet Holy Cross Hospital and Cima Vista High School in Rio Rico, Arizona. Many thanks to the following organizations whose collaboration make the Corazon de Maria program possible: -Mariposa Community Health Center -Child & Family Resources -Arizona Cooperative Extension -Catholic Community Services -Community Intervention Associates -Nuestra Casa -Santa Cruz Valley Unified School District Carondelet Community Outreach to the Rescue: At 20 years old, Sislynne Langbata had to grow up fast. She moved to Arizona from Colorado in June 2010 with her daughter. As a new mother, Langbata knew she needed an education to be able to have a good career. Her parents, who live in Phoenix, were happy to care for their two-year-old granddaughter while Langbata attended the Fred Giacosta Job Corps Center in Tucson. She was working hard to earn a medical receptionist certificate when she discovered she was pregnant again. Without health insurance, she felt lost and afraid. "I didn't tell anyone I was pregnant. I was so stressed and depressed because I didn't have the means to see a doctor," Langbata said. The next three months were torture. "I went to see a doctor in one office, but he couldn't do anything to help me with my pregnancy since I had no health insurance." In America today, approximately 13 percent of pregnant women do not have health insurance. The percentages are higher for minorities, and the consequences can be severe. Unfortunately, without health insurance, pregnant women are at greatly increased risk for miscarriage, birth defects, infant mortality and maternal death. But Langbata's story is happier than most in a similar situation. Renee Perez, Community Health Outreach Coordinator for Carondelet Health Network, visited the Job Corps Center and met Langbata. Perez assisted her in taking the necessary steps to apply electronically for AHCCCS coverage, Arizona's Medicaid program. Within weeks of Perez's intervention, Langbata was insured through the Mercy Care Plan. "It is such a huge weight off my shoulders. This means everything to me." Perez also helped Langbata make her first appointment at Carondelet Health Network's Primeros Pasos Prenatal Clinic. Langbata was able to get regular checkups and the prenatal care and vitamins she needed to ensure that her second child was born healthy. With health insurance coverage, Langbata had the peace of mind to focus on her future. She was able to concentrate on school, getting her employment certificate, finding a job and building a life for herself and her children. Brain Academy Offers Students a Glimpse into the Future: All parents ponder the possibilities of what our children may become. Scientists...doctors...brain surgeons? Consider actually providing them a firsthand look at the realities of those possibilities. Over the past two years, students from all over Tucson participated in a special event called the Brain Academy, sponsored by Carondelet Health Network. The two-day event was held in tandem with Carondelet Neurological Institute's annual Neurosciences Conference. On the first day of the Brain Academy, students tour the Carondelet Neurological Institute at St. Joseph's Hospital. They get to see the neurosurgical operating room suites-the first of their kind in North America. They also visit the biplane angiography suite, where aneurysms are treated, and the Stereotactic Radiosurgery Suite, used for targeted radiation treatment of brain and spinal tumors. The second day, students have the unique opportunity to meet with top neurologists and neurosurgeons at the Neurosciences Conference. Conference leaders discuss the latest developments in the treatment of Alzheimer's disease, stroke, movement disorders, disorders of the spine and brain concussions. Brain Academy was conceived in an effort to spark interest in the medical sciences among Tucson's youth. Robert P. Goldfarb, M.D., Chairman of Carondelet Neurological Institute noted, "The Brain Academy is a valuable next effort to invest in and strengthen this region's future through the students we encourage to pursue careers in our field." Carondelet Health Network began the program in 2011 with a dozen students from Tucson Unified School District. In 2012, 20 high school juniors participated from a number of local school systems. Students must apply for the program and write an essay; participants are selected by a panel of top neurosurgeons. One lucky student is selected for a $2,500 scholarship toward the college of his/her choice. Scholarship funds are provided by the Carondelet Foundation. Plans are already underway for the 2013 Brain Academy. As one school administrator commented, "Carondelet Neurological Institute's outreach to our students is a wonderful gift that allows students to see the possibilities that exist in their futures through science and medicine." "The discussion groups and activities were fun - such a fantastic opportunity." Student comment "It was great to learn about conditions applicable to teenage lives, like concussions in sports." Student comment Carondelet Offers Shadowing, Hiring Events to Boost Workforce: Carondelet Health Network engages in a variety of professional outreach efforts to find people considering a career in healthcare and those who want to return to a career in the hospital environment. Events are organized by Carondelet's Student Services, Management Development and Human Resources teams. One great opportunity for those who want an up-close look at the hospital environment is called "shadowing." This allows individuals considering a healthcare career to follow a physician or nurse around during a typical day in the hospital. Similarly, "RN refreshers" are opportunities for nurses to become reacquainted with the intricacies of hospital care. Four-hour shadowing periods help train nurses in the most up-to-date care practices. Carondelet Volunteer Services also gets involved by coordinating unique visits and volunteer experiences at Carondelet hospitals or other facilities that span Southern Arizona. Maria Sandra Marshall is a great example of the value of the RN refresher program in the community. A registered nurse with a PhD, Marshall stopped working when her children were young. After many years out of the workforce, she was ready to restart her career. She enrolled at Pima Community College for an RN refresher course, where she learned about the opportunity to shadow a Carondelet nurse. "I was lucky to have a wonderful and knowledgeable mentor, Maria Valenzuela," Marshall said. After her refresher program, Marshall landed a job as an RN with Carondelet's Faith Community Nursing Program. "I truly enjoy my job," she noted. "It's such a meaningful role for me to advocate and educate in the community to improve health, while using my clinical, research and Spanish language skills to truly understand and help people." As the healthcare industry experiences dynamic fluctuations in hiring, coupled with an ongoing need for specialized clinicians, Carondelet also hosts career fairs and hiring events. Even as the industry changes and evolves, healthcare recruiting for those with specialized skills and experienced caregivers will likely remain a constant. Hiring events held in FY 2011 and 2012 saw tremendous turnout with long lines of interested job applicants. Openings ranged from experienced RNs, therapists and patient care technicians. Some attendees scored interviews on the spot and job offers shortly thereafter to join the Carondelet family. Carondelet is one of the main trainers for Pima County's One Stop Program. This workforce development program helps people seeking employment with job training and employment assistance. Hospice & Palliative Care Program Uses Family-Centered Care To Enhance Patients' Comfort and Well-Being: Carondelet Hospice and Palliative Care was blessed to receive its largest donation ever in FY 2011. A gift of $4.5 million was gratefully accepted from the estate of Winifred Q. Witt, a longtime Tucsonan who passed away in September 2010 at age 94. This gift allows the program to continue its vital ministry in the Tucson community. Carondelet St. Mary's Hospital's Hospice and Palliative Care Program aligned with the mission and ministry of Carondelet Health Network, is a model of care that is patient- and family-centered for those who suffer from chronic disease or who may be at the end of their life. This care optimizes patients' quality of life by anticipating, preventing and treating suffering, while also addressing the physical, emotional and spiritual needs of each patient. Palliative care can be provided in the hospital setting at any time during a serious illness in conjunction with curative or life-prolonging medical care. The Palliative Program team consists of a registered nurse, physicians and other interdisciplinary team members, such as hospital chaplains, social workers and case managers. As a faith-based organization, Carondelet Health Network's mission is to provide compassionate medical and spiritual care for patients and families as they navigate their life's journeys. One example of a collaborative effort by the Palliative care team and the Spiritual Care department is the prayer blanket ministry. Prayer blankets are created by volunteers, associates and community partners as a gift of love for patients who may be at the end of life. The thought of losing a life is heartbreaking for everyone involved-patients, family and friends, and even the medical team, hospital associates and volunteers who have served the patient. But sometimes a kind gesture can make a difference. Thus, the Prayer Blanket Ministry was born. This collaborative effort began back in 2008 at St. Mary's Hospital in an effort to ease a stressful time for patients and their families. Volunteers and associates began to crochet and knit blankets as gifts for patients at the end of their lives. The project began with a single knitter and has since expanded to dozens of volunteers and staff members who create the blankets. The blankets are lovingly presented, along with special blessings for both the patient and family, by the Hospital's Spiritual Care chaplains, Palliative nurse and sometimes even the volunteer who created the blanket. The impact has been significant. The daughter of a patient commented, "Words cannot convey our gratitude for your gift of love. The blanket, your gentle kindness and thoughtful counsel were so wonderful as we went through a remarkable farewell journey with our mom. We will forever cherish the beautiful blanket that warmed our mother during our last days together. It warms us still. Thank you, and bless you." Habitat for Humanity and Carondelet Build a Dream: Carondelet Health Network is always actively working to improve the lives of those in Southern Arizona. In addition to providing excellent medical care and a broad spectrum of health resources, Carondelet also works with Habitat for Humanity to build homes for those in need. In the fall of 2010, Carondelet associates volunteered to help build a house for a deserving Tucson family. As it happened, they were building for one of their own. Gina Beltran, an office coordinator in the Carondelet Diabetes Center, was the joyful recipient of the new home, located in Southeast Tucson. Beltran has four children: Jessica, 24, and Pedro, 20, who have left the nest, and Cassandra, 18, and Angela, 15, who live with Beltran in their new Habitat home. Carondelet clinical workers, physicians and executives pounded nails and raised the first walls at the home's groundbreaking. Volunteers from Carondelet continued to lend time and muscle on weekends for several months. Beltran and her children joined in to contribute the many required "sweat equity" hours during construction. "I am just so happy about this opportunity," Beltran said. "This means so much to me and my children." Postpartum Depression Prevention and Awareness: Postpartum depression has far-reaching consequences for a woman, her family and the community. Unfortunately it affects 10 to 25 percent of new mothers. Carondelet's Postpartum Depression Program at St. Joseph's Hospital began in 2003, offering free support groups open to the public. The Postpartum depression group meets the second and fourth Tuesdays of each month at 10:00 a.m. at St.Joseph's Hospital in the Childbirth Education Room on the first floor in the Women's Care Pavilion. Ascension Health PO Box 45998 St Louis MO 63145 311662309 National Health System MO Section 501(c)(3) 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 Hospital AZ Section 501(c)(3) Schedule A, Line 3 Carondelet Health Network 1 Carondelet Foundation Inc 2202 N Tucson Blvd Tuscon AZ 85716 860749574 Foundation AZ Section 501(c)(3) Schedule A, Line 11a Carondelet Health Network 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 CHN & Cthlc Hlthcare W AZ 1 Chalon Living Inc 8553 E San Alberto Drive Scottsdale AZ 85258 860805615 Elderly/Disabled Housing AZ Section 501(c)(3) Schedule A, Line 7 Holy Cross Hospital Inc 1 The Centurions 2202 N Forbes Blvd Tucson AZ 85745 854088322 Foundation AZ Section 501(c)(3) Schedule A, Line 11a Carondelet Foundation Inc 1 Carondelet Medical Group PC 2202 N Forbes Blvd Tucson AZ 85745 860836126 Medical Group AZ N/A C Carondelet Specialist Group Inc 2202 N Forbes Blvd Tucson AZ 85745 281558773 Physician Practice AZ N/A C 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 Carondelet Foundation Inc C 70562 Actual Amount Transferred Carondelet Health Network Q 2063345 Actual Amount Transferred