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Carondelet Health Network

2202 N Forbes Blvd
Tucson, AZ 85745
EIN: 860455920
The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more
Individual Facility Details: Carondelet St Josephs Hospital
350 North Wilmot Road
Tucson, AZ 85711
2 hospitals in organization:
(click a facility name to update Individual Facility Details panel)
Bed count471Medicare provider number030011Member of the Council of Teaching HospitalsNOChildren's hospitalNO

Carondelet Health NetworkDisplay data for year:

Community Benefit Spending- 2014
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
18.26%
Spending by Community Benefit Category- 2014
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2014
Additional data

Community Benefit Expenditures: 2014

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 485,827,781
      Total amount spent on community benefits
      as % of operating expenses
      		$ 88,692,003
      18.26 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        		$ 4,158,369
        0.86 %
        Medicaid
        as % of operating expenses
        		$ 65,192,430
        13.42 %
        Costs of other means-tested government programs
        as % of operating expenses
        		$ 0
        0 %
        Health professions education
        as % of operating expenses
        		$ 3,813,650
        0.78 %
        Subsidized health services
        as % of operating expenses
        		$ 11,172,398
        2.30 %
        Research
        as % of operating expenses
        		$ 0
        0 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        		$ 3,982,250
        0.82 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        		$ 372,906
        0.08 %
        Community building*
        as % of operating expenses        		$ 182,670
        0.04 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?YES
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses          		$ 182,670
          0.04 %
          Physical improvements and housing
          as % of community building expenses
          		$ 0
          0 %
          Economic development
          as % of community building expenses
          		$ 11,285
          6.18 %
          Community support
          as % of community building expenses
          		$ 2,370
          1.30 %
          Environmental improvements
          as % of community building expenses
          		$ 0
          0 %
          Leadership development and training for community members
          as % of community building expenses
          		$ 0
          0 %
          Coalition building
          as % of community building expenses
          		$ 0
          0 %
          Community health improvement advocacy
          as % of community building expenses
          		$ 1,125
          0.62 %
          Workforce development
          as % of community building expenses
          		$ 0
          0 %
          Other
          as % of community building expenses
          		$ 167,890
          91.91 %
          Direct offsetting revenue$ 38,077
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 38,077

    Other Useful Tax-exempt Hospital Information: 2014

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses        		$ 3,492,609
        0.72 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses        		$ 0
        0 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available

    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?YES

    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?Not available

    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?NO

    Community Health Needs Assessment Activities: 2014

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2014

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
      • 4A (Expenses $ 428316353 including grants of $ 92700) (Revenue $ 442087130)
DURING FISCAL YEAR 2015, CARONDELET HEALTH NETWORK PROVIDED $91.9M, OR 20.7% OF NET REVENUE, IN COMMUNITY BENEFIT TO THE RESIDENTS OF SOUTHERN ARIZONA. EACH YEAR, CARONDELET HEALTH NETWORK PROVIDES COMMUNITY EDUCATION AND OUTREACH, FREE IMMUNIZATION CLINICS FOR CHILDREN, HEALTH SCREENINGS, AND COMMUNITY SPIRITUAL CARE AND OUTREACH SERVICES FOR THE POOR AND VULNERABLE. AS A CATHOLIC, FAITH-BASED HEALING MINISTRY, CARONDELET HEALTH NETWORK IS DEEPLY COMMITTED TO TRANSFORMING HEALTH CARE THROUGH ACTIVE COLLABORATION WITH COMMUNITY ORGANIZATIONS AND NON-PROFIT ORGANIZATIONS TO IDENTIFY AND ADDRESS COMMUNITY NEED TO IMPROVE HEALTH AND WELL-BEING FOR LIFE. SEE SCHEDULE H FOR COMMUNITY BENEFIT REPORT.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      Schedule H, Part V, Section B, Line 5 Facility A, 1
"Facility A, 1 - St. Joseph's Hospital. In addition to conducting surveys, the following key informants were consulted during the CHNA process: - Michele Barnard, The University of Arizona Medical Center - Odette Bolano, Carondelet Health Network - Jessamyn Bowling, Candidate, The University of Arizona College of Public Health - Juliet Charron, Candidate, The University of Arizona College of Public Health - Andrea Chiasson, United Way of Southern Arizona - Patricia Coyle, Coyle Creative Solutions - Kayla DeRosa, The University of Arizona - Dr. Howard Eng, The University of Arizona College of Public Health - Mindy Fain, The University of Arizona Center on Aging - Michal Goforth, Pima County Access Program - Scott Going, UA Nutritional Sciences Department - Taz Greiner, Carondelet Obesity Prevention - Andrew J Gall, The University of Arizona College of Public Health - Chuck Huckleberry, Pima County - Maia Ingram, The University of Arizona College of Public Health - Cheryl Kohout, Tucson Medical Center - Jan Lesher, Pima County - Jody Mansfield, The University of Arizona Health Network - Brad McKinney, Pima County Health Department - Karen Mlawsky, The University of Arizona Medical Center - Jim Murphy, Pima Council on Aging - Christopher ""Kit"" O'Connor, The University of Arizona School of Natural Resources - Honey Pivirotto, Pima County Health Department - Judy Rich, Tucson Medical Center - Dorothy Sawyer, St. Mary's Hospital - Joe Snell, TREO - Julia Strange, Tucson Medical Center - Andy Theodoro, The University of Arizona Medical Center - Donna Zazworsky, Carondelet Heatlh Network - Debra Adams COO Pima Council on Aging - Suzy Bourque Caregiver Specialist Pima Council on Aging - Dr. Michael Ellis Chief of Behavioral Health Marana Health Center Healthcare - Dawn Godowski Clinical Supervisor Marana Health Center Healthcare - Mary Carter Director of Special Projects Marana Health Center Healthcare - Michal Goforth Executive Director Pima Community Access Program - Brenda Goldsmith Executive Director El Rio Health Center Foundation - Kristine Hansen Principal Whitemore Elementary School - Penelope Jacks Director Children's Action Alliance, Southern AZ - Marie Marchal Director of Business development HealthSouth Rehabilitation Institute of Tucson - Jennifer Pashley Medical Case Manager International Rescue Committee in Tucson - Honey Pivirotto Assistant County Administrator for Health Policy Pima County Health Department - Dr. William Martz Chief Medical Director Pima County Health Department - Larry Kraus Director, Department of Institutional Health Pima County Health Department - Pat Benchik Behavioral Health Administrator Pima County Health Department - Sherry Daniels Director Pima County Health Department - Karen Ring Health Living Program Coordinator Pima Council on Aging - Lauren Schroeder, MPH Well-Being Promotion Program Coordinator International Rescue Committee in Tucson - Yolanda Sevillano, MA Case Manager Pima County."
      Schedule H, Part V, Section B, Line 5 Facility A, 2
"Facility A, 2 - St. Mary's Hospital. In addition to conducting surveys, the following key informants were consulted during the CHNA process: - Michele Barnard, The University of Arizona Medical Center - Odette Bolano, Carondelet Health Network - Jessamyn Bowling, Candidate, The University of Arizona College of Public Health - Juliet Charron, Candidate, The University of Arizona College of Public Health - Andrea Chiasson, United Way of Southern Arizona - Patricia Coyle, Coyle Creative Solutions - Kayla DeRosa, The University of Arizona - Dr. Howard Eng, The University of Arizona College of Public Health - Mindy Fain, The University of Arizona Center on Aging - Michal Goforth, Pima County Access Program - Scott Going, UA Nutritional Sciences Department - Taz Greiner, Carondelet Obesity Prevention - Andrew J Gall, The University of Arizona College of Public Health - Chuck Huckleberry, Pima County - Maia Ingram, The University of Arizona College of Public Health - Cheryl Kohout, Tucson Medical Center - Jan Lesher, Pima County - Jody Mansfield, The University of Arizona Health Network - Brad McKinney, Pima County Health Department - Karen Mlawsky, The University of Arizona Medical Center - Jim Murphy, Pima Council on Aging - Christopher ""Kit"" O'Connor, The University of Arizona School of Natural Resources - Honey Pivirotto, Pima County Health Department - Judy Rich, Tucson Medical Center - Dorothy Sawyer, St. Mary's Hospital - Joe Snell, TREO - Julia Strange, Tucson Medical Center - Andy Theodoro, The University of Arizona Medical Center - Donna Zazworsky, Carondelet Heatlh Network - Debra Adams COO Pima Council on Aging - Suzy Bourque Caregiver Specialist Pima Council on Aging - Dr. Michael Ellis Chief of Behavioral Health Marana Health Center Healthcare - Dawn Godowski Clinical Supervisor Marana Health Center Healthcare - Mary Carter Director of Special Projects Marana Health Center Healthcare - Michal Goforth Executive Director Pima Community Access Program - Brenda Goldsmith Executive Director El Rio Health Center Foundation - Kristine Hansen Principal Whitemore Elementary School - Penelope Jacks Director Children's Action Alliance, Southern AZ - Marie Marchal Director of Business development HealthSouth Rehabilitation Institute of Tucson - Jennifer Pashley Medical Case Manager International Rescue Committee in Tucson - Honey Pivirotto Assistant County Administrator for Health Policy Pima County Health Department - Dr. William Martz Chief Medical Director Pima County Health Department - Larry Kraus Director, Department of Institutional Health Pima County Health Department - Pat Benchik Behavioral Health Administrator Pima County Health Department - Sherry Daniels Director Pima County Health Department - Karen Ring Health Living Program Coordinator Pima Council on Aging - Lauren Schroeder, MPH Well-Being Promotion Program Coordinator International Rescue Committee in Tucson - Yolanda Sevillano, MA Case Manager Pima County."
      Schedule H, Part V, Section B, Line 6a Facility A, 1
Facility A, 1 - St. Joseph's Hospital. The hospital facility's CHNA was conducted with the following other hospital facilities: University of Arizona State Medical Center and Tucson Medical Center
      Schedule H, Part V, Section B, Line 6a Facility A, 2
Facility A, 2 - St. Mary's Hospital. The hospital facility's CHNA was conducted with the following other hospital facilities: University of Arizona State Medical Center and Tucson Medical Center
      Schedule H, Part V, Section B, Line 11 Facility A, 1
Facility A, 1 - ST. JOSEPH'S HOSPITAL. THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED TWENTY NEEDS. THE FOLLOWING NEEDS IDENTIFIED IN THE CHNA ARE BEING ADDRESSED BY ST. JOSEPH'S HOSPITAL: 1. ACCESS TO HEALTHCARE - MENTAL HEALTH PROFESSIONAL SHORTAGE AREA - Maintain 15 bed intensive inpatient chemical dependency and behavioral health program. - Begin outpatient chemical dependency program first quarter of 2013. 2. ACCESS TO HEALTHCARE - LOWER RATE OF ADULTS AND CHILDREN WITH INSURANCE AND NOT MEETING THE HEALTH PEOPLE 2020 GOAL OF ADULTS AND CHILDREN WITH INSURANCE - Maintain community outreach programs through accretive and carondelet to increase enrollment in state and federal programs and facilitate pcp visits with community resources. - CSM will partner with Enroll America - a nonpartisan organization to ensure that all Americans are enrolled in health coverage - Continue ED Navigation program at CSJ to connect uninsured and underinsured patients with PCP and other appropriate community resources. - Incorporate health literacy techniques into all outreach efforts. 3. ACCESS TO HEALTHCARE - HIGHER RATES OF PREVENTABLE HOSPITALIZATIONS IN SPECIFIC AREAS OF TUCSON AND CONTINENTAL - Continue CMG recruitment for PCPs/Expansion in Sahuarita. - Join the community healthcare benefit foundation, a TMC-Carondelet partnership to address community need. - Continue respite care program with homeless shelters. - CMS Care Transitions work in partnership with Pima Council on Aging 4. HEALTH STATUS (LEADING CAUSES OF DEATH) - CARDIOVASCULAR DISEASE - Satellite clinics in Sahuarita. - CMS Care Transitions Program for heart failure failure, acute myocardial Association (AHA) infarction and pneumonia in partnership with Pima Council on Aging 5. HEALTH STATUS (LEADING CAUSES OF DEATH) - CEREBROVASCULAR DISEASE - Grow CNI outreach. - Continue annual AHA Stroke Screening. - Satellite clinics in Sahuarita. 6. HEALTH STATUS (LEADING CAUSES OF DEATH) - DIABETES - Continue free once/week Diabetes Community Classes at Carondelet hospitals. - Implement ADA recognized program CMG office. 7. MODIFIABLE RISK FACTORS - OBESITY - Continue to work with Activate Tucson, a community coalition under the YMCA, to promote policy, systems and environmental change - Hold monthly Walk with a Doc in Tucson and Green Valley/Sahuarita 8. WOMEN'S AND CHILDREN'S SERVICES - LOWER PRENATAL CARE IN FIRST TRIMESTER - Maintain Primeros Pasos 9. NATURAL AND BUILT ENVIRONMENT - ACCESS TO HEALTHY FOOD - Maintain Carondelet Healthy Eating program in cafeterias THE FOLLOWING NEEDS IDENTIFIED IN THE CHNA WILL NOT BE ADDRESSED BY ST. JOSEPH'S HOSPITAL: 10. ACCESS TO HEALTHCARE - Federal Medically Underserved Areas or Population of Pima County to include Ajo, Tohono O'odham, Pascua Yaqui -areas are currently being served by either a Federally Qualified Health Center or Indian Health Services 11. Health Status (Leading Causes of Death) - Malignant Neoplasms - Carondelet has a full array of oncology services. 12. Health Status (Leading Causes of Death) - Accidents- Motor vehicle, Falls, Poisonings, Drowning - Of the top four deaths related to accidents, Pima County ranks higher than the state in only one, motor vehicle accidents. Pima County and the City of Tucson are addressing this issue with red light cameras 13. Health Status (Leading Causes of Death) - Chronic Lower Respiratory Disease - CHN has a range of pulmonary services including CSJ Pulmonary Rehabilitation program to help patients cope with Chronic Lower Respiratory Disease 14. Health Status (Leading Causes of Death) - Drug-induced Death, Suicide, and Excessive Drinking - CSJ has a 15 bed intensive inpatient chemical dependency and behavior health program and is in the process of starting an outpatient chemical dependency program. In addition, this need is being address by a variety of organizations in Pima County. 15. Modifiable Risk Factors - Smoking - CHN maintains a smoke free campus. Arizona and Pima County have the Arizona Smokers Help Line (ASH Line). Pima County maintains a smoking cessation program and bans the use of tobacco products on most county properties and facilities. 16. Women's and Children's Services - Infant Mortality Rate - CHN does not have a pediatric unit. This population is served by the University of Arizona Medical Center (UAMC) and Tucson Medical Center (TMC). 17. Infectious Diseases - Syphilis, Chlamydia, Gonorrhea, HIV/AIDS - Pima County Health Department operates an STD/HIV clinic. 18. Natural, Social and built Environment - Air Quality - Pima County has the Air Program under the Pima County Department of Environmental Quality that works to maintain healthy air quality for Pima County. 19. Natural, Social and built Environment - Homicide Rate/Firearms - CHN will continue to maintain a firearm free campus. Pima County Sheriff's Department operates a Community Resources Unit (CR). 20. Natural, Social and built Environment - Child Injury from Family/Relative Abuse - CHN does report suspected abuse to Child Protective Services (CPS). The state of Arizona has committed to hiring SO additional CPS workers.
      Schedule H, Part V, Section B, Line 11 Facility A, 2
Facility A, 2 - ST. MARY'S HOSPITAL. THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED TWENTY NEEDS. THE FOLLOWING NEEDS IDENTIFIED IN THE CHNA ARE BEING ADDRESSED BY ST. JOSEPH'S HOSPITAL: 1. ACCESS TO HEALTHCARE - LOWER RATE OF ADULTS AND CHILDREN WITH INSURANCE AND NOT MEETING THE HEALTH PEOPLE 2020 GOAL OF ADULTS AND CHILDREN WITH INSURANCE - Maintain community outreach programs through accretive and carondelet to increase enrollment in state and federal programs and facilitate pcp visits with community resources. - CSM will partner with Enroll America - a nonpartisan organization to ensure that all Americans are enrolled in health coverage - Continue ED Navigation program at CSJ to connect uninsured and underinsured patients with PCP and other appropriate community resources. - Incorporate health literacy techniques into all outreach efforts. 2. ACCESS TO HEALTHCARE - HIGHER RATES OF PREVENTABLE HOSPITALIZATIONS IN SPECIFIC AREAS OF TUCSON AND CONTINENTAL - Continue CMG recruitment for PCPs/Expansion in Sahuarita. - Join the community healthcare benefit foundation, a TMC-Carondelet partnership to address community need. - Continue respite care program with homeless shelters. - CMS Care Transitions work in partnership with Pima Council on Aging 3. HEALTH STATUS (LEADING CAUSES OF DEATH) - CARDIOVASCULAR DISEASE - Enhance and leverage CHVI aon CSM campus - Satellite clinics in Sahuarita. - CMS Care Transitions Program for heart failure failure, acute myocardial Association (AHA) infarction and pneumonia in partnership with Pima Council on Aging 4. HEALTH STATUS (LEADING CAUSES OF DEATH) - DIABETES - Continue free once/week Diabetes Community Classes at Carondelet hospitals. - Implement ADA recognized program CMG office. 5. MODIFIABLE RISK FACTORS - OBESITY - Continue to work with Activate Tucson, a community coalition under the YMCA, to promote policy, systems and environmental change - Hold monthly Walk with a Doc in Tucson and Green Valley/Sahuarita 6. NATURAL AND BUILT ENVIRONMENT - ACCESS TO HEALTHY FOOD - Maintain Carondelet Healthy Eating program in cafeterias THE FOLLOWING NEEDS IDENTIFIED IN THE CHNA WILL NOT BE ADDRESSED BY ST. JOSEPH'S HOSPITAL: 7. ACCESS TO HEALTHCARE - Federal Medically Underserved Areas or Population of Pima County to include Ajo, Tohono O'odham, Pascua Yaqui - Areas are currently being served by either a Federally Qualified Health Center or Indian Health Services on a partnership for patients program. 8. Health Status (Leading Causes of Death) - Mental health professional shortage area - CSJ has a 15 bed intensive inpatient chemical dependency and behavior health program and is in the process of starting an outpatient chemical dependency program. In addition, this need is being address by a variety of organizations in Pima County. 9. Health Status (Leading Causes of Death) - Malignant Neoplasms - Carondelet has a full array of oncology services. 10. Health Status (Leading Causes of Death) - Cerebrovascular Disease - CSM and CSJ will continue annual AHA stroke screenings. CSJ will address this need by expanding CNI outreach and maintaining satellite clinics in Green Valley/Sahuarita. 11. Health Status (Leading Causes of Death) - Accidents- Motor vehicle, Falls, Poisonings, Drowning - Of the top four deaths related to accidents, Pima County ranks higher than the state in only one, motor vehicle accidents. Pima County and the City of Tucson are addressing this issue with red light cameras 12. Health Status (Leading Causes of Death) - Chronic Lower Respiratory Disease - CHN has a range of pulmonary services including CSJ Pulmonary Rehabilitation program to help patients cope with Chronic Lower Respiratory Disease 13. Health Status (Leading Causes of Death) -Drug-induced Death, Suicide, and Excessive Drinking - CSJ has a 15 bed intensive inpatient chemical dependency and behavior health program and is in the process of starting an outpatient chemical dependency program. In addition, this need is being address by a variety of organizations in Pima County. 14. Modifiable Risk Factors - Smoking - CHN maintains a smoke free campus. Arizona and Pima County have the Arizona Smokers Help Line (ASH Line). Pima County maintains a smoking cessation program and bans the use of tobacco products on most county properties and facilities. 15. Women's and Children's Services - Infant Mortality Rate - CHN does not have a pediatric unit. This population is served by the University of Arizona Medical Center (UAMC) and Tucson Medical Center (TMC). 16. Women's and Children's Services - Lower Prenatal Care in Frist Trimester - CSJ will address this need by maintaining Primeros Pasos Clinic. 17. Infectious Diseases - Syphilis, Chlamydia, Gonorrhea, HIV/AIDS - Pima County Health Department operates an STD/HIV clinic. 18. Natural, Social and built Environment - Air Quality - Pima County has the Air Program under the Pima County Department of Environmental Quality that works to maintain healthy air quality for Pima County. 19. Natural, Social and built Environment - Homicide Rate/Firearms - CHN will continue to maintain a firearm free campus. Pima County Sheriff's Department operates a Community Resources Unit (CR). 20. Natural, Social and built Environment - Child Injury from Family/Relative Abuse - CHN does report suspected abuse to Child Protective Services (CPS). The state of Arizona has committed to hiring SO additional CPS workers.
      Schedule H, Part V, Section B, Line 22 Facility A, 1
Facility A, 1 - St. Joseph's Hospital. 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.
      Schedule H, Part V, Section B, Line 22 Facility A, 2
Facility A, 2 - St. Mary's Hospital. 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
      Schedule H (Form 990) Part VI
      Schedule H, Part I, Line 6a COMMUNITY BENEFIT REPORT
The organization prepares and files its 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.
      Schedule H, Part I, Line 7g Subsidized Health Services
The organization has not included costs attributable to a physician clinic as part of subsidized health services.
      Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
"The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association (""CHA"") guidelines. The organization uses a cost accounting system that addresses all patient segments (for example: inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table."
      Schedule H, Part II Community Building Activities
"Carondelet Health Network's (""CHN"") leadership team collaborates actively with a variety or 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 a member of the Southern AZ Cover AZ Coalition, Health Pima and the Carondelet-Pima Council on Aging Transitional Care Navigation Program. CHN is a member of the Tucson Regional Economic Authority (TREO), Chairman's Circle. TREO offers an integrated approach of programs and services to support the creation of new businesses, the expansion of existing businesses within the region, and the attraction of companies that offer high impact jobs and share the community's values. The Carondelet CEO serves on the Chairman's Circle and the Board of Directors. CHN's CEO is also a board member of the Tucson Metro Chamber of Commerce, and the Arizona Hospital and Healthcare Association board. CHN is also a member of the Tucson Hispanic Chamber. Carondelet St. Mary's President and CEO is on the board of Pima Community Access Program (PCAP), and Carondelet St. Joseph's President and CEO is on the board of Arizona Health-e Connection, the parent entity of Arizona's Health Information Exchange (AZHIE). The CHN VP of Community Health is on the Catholic Community Services board and the Southern Arizona Diabetes board. Through active participation in these diverse organizations, CHN leadership ensures that key initiatives implemented by these organizations advance the community health and well-being of the region."
      Schedule H, Part III, Line 3 Bad Debt Expense Methodology
CARONDELET HEALTH NETWORK HAS A VERY ROBUST FINANCIAL ASSISTANCE PROGRAM; THEREFORE, NO ESTIMATE IS MADE FOR BAD DEBT ATTRIBUTED TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS.
      Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
From the consolidated audited financial statements of Ascension Health Alliance (which includes the activity of Carondelet Health Network): THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL EXPERIENCE, ECONOMIC CONDITIONS, 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.
      Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
"Carondelet Health Network follows the Catholic Health Association (""CHA"") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit."
      Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance, certain collection practices do not apply.
      Schedule H, Part V, Section B, Line 16a FAP website
A - St. Joseph's Hospital: Line 16a URL: HTTP://WWW.CARONDELET.ORG/PATIENTS-VISITORS/BILLING-ASSISTANCE/FINANCIAL-ASSISTANCE-POLICIES.ASPX;
      Schedule H, Part V, Section B, Line 16b FAP Application website
A - St. Joseph's Hospital: Line 16b URL: HTTP://WWW.CARONDELET.ORG/PATIENTS-VISITORS/BILLING-ASSISTANCE/FINANCIAL-ASSISTANCE-POLICIES.ASPX;
      Schedule H, Part V, Section B, Line 16c FAP plain language summary website
A - St. Joseph's Hospital: Line 16c URL: HTTP://WWW.CARONDELET.ORG/PATIENTS-VISITORS/BILLING-ASSISTANCE/FINANCIAL-ASSISTANCE-POLICIES.ASPX;
      Schedule H, Part VI, Line 2 Needs assessment
Carondelet Health Network 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 August of 2012 as a result of a collaboration with the three not-for profit health care systems in Pima County: Carondelet Health Network, Tucson Medical Center and University of Arizona health Network. The three hospitals 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 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.
      Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
"Upon admission, patients are encouraged to apply for the state Medicaid program if they are uninsured as well as other public benefits such as TANF or SNAP if the patient has a need. If patients prove they meet at least one (1) of eight (8) criteria outlined in the policy, they will be eligible for charity care. The patient will be placed in pre-emptive charity care status and after all bills are finalized a request for the total amount will be made on the 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. 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."
      Schedule H, Part VI, Line 4 Community information
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.
      Schedule H, Part VI, Line 5 Promotion of community health
Carondelet Health Network (CHN) provides a wide variety of services to the communities where it has a presence. Activities include social service enrollment, support groups for patients, families and the community at large, chronic disease education to patients, families and outside medical professionals, spiritual care services and parish nursing program. CHN works with community partners to provide mobile health services for the area homeless, border health outreach, promotion of state Medicaid enrollment, education on chronic diseases to schools, patients, churches and health and human service organizations. Associates serve on various Boards of Directors for local and regional organizations. Additional community outreach includes health screenings, health fairs and educational conferences and events throughout the year. The following are the organizations which Carondelet leadership is engaged in key community coalition building activities, community events, or initiatives: Catholic Community Services of Southern Arizona, Primavera Foundation, YWCA of Tucson, American Diabetes Association, American Heart Association, American Cancer Society, YMCA of Tucson and Pima Council on Aging, Tucson Urban League, Habitat for Humanity, Rotary Club of Tucson, Catholic Foundation, United Way, American Red Cross.
      Schedule H, Part VI, Line 6 Affiliated health care system
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 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 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.