Civic Intelligence

Holy Cross Hospital Inc

EIN 86-0575938 • 501(c)3 • Tucson, AZ

Profile

Provide for the healthcare needs of the community; to embrace the person in mind, body and spirit; and to serve all people with dignity.

2202 N Forbes BlvdTucson, AZ 85745-1412

www.carondelet.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

98th percentile

1.62x

Higher debt load relative to assets than 98% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2015

Liabilities / Revenue

69th percentile

0.51x

Higher debt load relative to revenue than 69% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2015

Net Margin

49th percentile

4.0%

Higher net margin than 49% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2015

Top Officer Pay

100th percentile

$3,284,947

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 13.4% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2015

Asset Growth

9th percentile

-13%

Faster asset growth than 9% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2014 to 2015

Revenue Growth

67th percentile

17%

Faster revenue growth than 67% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2014 to 2015

Assets

Down

$7,689,420

Down $1,177,402 (-13%) from 2014

Liabilities

Down

$12,461,903

Down $2,131,759 (-15%) from 2014

Net Assets

Up

-$4,772,483

Up $954,357 (+17%) from 2014

Revenue

Up

$24,537,379

Up $3,623,947 (+17%) from 2014

Expenses

Up

$23,561,336

Up $1,771,479 (+8.1%) from 2014

Net Income

Up

$976,043

Up $1,852,468 (+211%) from 2014

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$20M$10M$0-$10MAssets 2010: $9,470,609Liabilities 2010: $5,481,833Net Assets 2010: $3,988,7762010Assets 2011: $9,883,434Liabilities 2011: $8,830,791Net Assets 2011: $1,052,6432011Assets 2012: $8,873,873Liabilities 2012: $11,203,387Net Assets 2012: -$2,329,5142012Assets 2013: $8,861,816Liabilities 2013: $13,721,923Net Assets 2013: -$4,860,1072013Assets 2014: $8,866,822Liabilities 2014: $14,593,662Net Assets 2014: -$5,726,8402014Assets 2015: $7,689,420Liabilities 2015: $12,461,903Net Assets 2015: -$4,772,4832015

Highlighted filing

2015

Assets$7,689,420
Liabilities$12,461,903
Net Assets-$4,772,483

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$30M$20M$10M$0-$10MExpenses 2010: $29,644,9732010Expenses 2011: $27,973,1982011Expenses 2012: $25,841,6242012Expenses 2013: $23,195,4422013Revenue 2014: $20,913,432Expenses 2014: $21,789,857Net Income 2014: -$876,4252014Revenue 2015: $24,537,379Expenses 2015: $23,561,336Net Income 2015: $976,0432015

Highlighted filing

2015

Revenue$24,537,379
Expenses$23,561,336
Net Income$976,043

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
May 26, 2016
Return Version
2014v6.0
Gross Receipts
$24,585,757
Mission and Program Overview

Mission

Provide for the healthcare needs of the community; to embrace the person in mind, body and spirit; and to serve all people with dignity.

Providing various types of advanced medical/surgical services to our patients.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$4,778,519$4,308,474▼ $470,045
Accounts Receivable$3,036,980$2,699,974▼ $337,006
Inventories for Sale or Use$372,694$382,830▲ $10,136
Other Notes and Loans Receivable, Net$354,359--
Prepaid Expenses and Deferred Charges$65,168$72,904▲ $7,736
Receivables From Officers Etc$21,180$0▼ $21,180
Investments Program Related$15,515$2,831▼ $12,684
Cash and Non-Interest-Bearing Accounts$885$885→ $0
Receivable From Disqualified Prsn$0--
Investments Other Securities$0--
Loans From Officers Directors$0--
Total Assets$8,866,822$7,689,420▼ $1,177,402
Other Assets Total$221,522$221,522→ $0
Liabilities
Other Liabilities$13,919,224$11,605,516▼ $2,313,708
Accounts Payable and Accrued Expenses$674,438$856,387▲ $181,949
Total Liabilities$14,593,662$12,461,903▼ $2,131,759
Net Assets / Fund Balance
Temporarily Rstr Net Assets$3,515$2,831▼ $684
Unrestricted Net Assets$-5,730,355$-4,775,314▲ $955,041
Total Net Assets Fund Balance$-5,726,840$-4,772,483▲ $954,357
Total Liabilities and Net Assets / Fund Balance$8,866,822$7,689,420▼ $1,177,402

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$2,897,102$3,748,215$6,645,317
Equipment$587,058$2,353,437$2,940,495
Land$815,007-$815,007
Other Land Buildings$9,307$46,477$55,784
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-CMO-hchFT$181,671$104,873$286,544
-COO/CNO - HchFT$168,438$87,093$255,531
-Director pharmacyFT$149,492-$149,492
-Mgr-perioperative SvcsFT$123,413-$123,413
-Mgr Rehab SrvsFT$122,204-$122,204
-Rn-3 AdvancedFT$109,063-$109,063
-Director of Planning & Community HealthFT$107,956-$107,956

Board Members and Trustees

NameTitle
-Chairman
-President/CEO-CHN
-Director
-PRES/CEO-CSM; Director HCH
-CFO-CHN
-Chief of Staff
Revenue and Support

Revenue Composition

Contributions and Grants
$687,864
Program Service Revenue
$23,285,382
Investment Income
$9,480
Other Revenue
$554,653
Change in Net Assets
$976,043
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$12,555,481
Salaries, Compensation, and Employee Benefits$11,005,855
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$8,395,221$932,802-$9,328,023
Fees for Services Other$2,721,490$1,087,769$0$3,809,259
Payroll Taxes$603,455$67,051-$670,506
Depreciation Depletion$539,511$59,946-$599,457
Other Employee Benefits$515,761$57,307-$573,068
Office Expenses$510,384$1,560-$511,944
Insurance$426,528$47,392-$473,920
Pension Plan Contributions$390,832$43,426-$434,258
Occupancy$310,708$34,523-$345,231
Other Expenses$126,643$27,800-$154,443
All Other Expenses$54,111$49,949$0$104,060
Information Technology$26,929$2,992-$29,921
Travel$13,735$11,321-$25,056
Advertising-$19,352-$19,352
Fees for Services Management-$5,903-$5,903
Fees for Services Lobbying$2,967--$2,967
Total Functional Expenses$19,041,445$4,519,891$0$23,561,336
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Officers, Directors, Trustees, and Key Employees$21,180$0▼ $21,180
Loans from Officers, Directors, Trustees, and Key Employees$0--
Receivables from Disqualified Persons$0--
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$10,845,918
Self Insurance Liability$342,610
Other Current Liabilities$227,301
Other Non-Current Liabilities$119,475
Estimated Settlements to Third Party Payors$70,212
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15B COMPENSATION OF OTHER OFFICERS & KEY EMPLOYEES

In determining compensation of other officers or key employees of the organization, the process, performed by carondelet health network, a related organization, included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The audit committee reviewed and approved the compensation. In the review of the compensation, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes.

Form 990, Part VI, Line 2 Family/business relationships amongst interested persons

Many of the persons listed on Form 990, Part VII, Section A have a "business relationship" with each other by virtue of employment by Carondelet Health Network related entities. - Business relationship

Form 990, Part VI, Line 6 Classes of members or stockholders

Holy Cross Hospital, Inc. has a single corporate member, Carondelet Health Network.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

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, Line 7B Decisions requiring approval by members or stockholders

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, Line 11B Review of form 990 by governing body

Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Historically, Management has presented the Form to the Board, or a designated committee, to review and answer any questions. In addition, prior to filing the return all Board Members were provided the Form 990 and management team members were available to answer any Board Members' questions. Due to changes in organizational roles and responsibilities, system leadership reviewed the returns in lieu of the Board.

Form 990, Part VI, Line 12C Conflict of interest policy

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, Line 19 Required documents available to the public

The organization will provide any documents open to public inspection upon request.

Form 990, Part VIII, Line 11D Other Miscellaneous Revenue

OTHER - Total Revenue: 427863, Related or Exempt Function Revenue: 427863, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

Filing and Contact Details

Filer

Filer Name
Holy Cross Hospital Inc
EIN
86-0575938
Phone
5202853000
Address
2202 N Forbes Blvd, Tucson, AZ 85745-1412

Signing Officer

Name
Tonya Mershon
Title
Tax Director - Ascension Health
Signed
2016-05-26
Discuss with paid preparer
Yes

Organization Details

Formed
1987
Legal Domicile
Az
Voting Board Members
10
Independent Board Members
7
Employees
203
Volunteers
13

Preparer

Firm
Deloitte Tax Llp
Address
250 EAST FIFTH STREET SUITE 1900, CINCINNATI, OH 45202
Preparer
Rebecca Lyons
Phone
5137847100
Supplemental Narrative

Additional Explanations

Process for Determining Compensation for CEO

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 hospital in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. The individual was not present when his compensation was decided.

Number of 1099S Filed

CARONDELET HEALTH NETWORK, A RELATED ORGANIZATION OF HOLY CROSS HOSPITAL, Inc., USES A CENTRALIZED ACCOUNTING SYSTEM TO COMPENSATE ALL INDEPENDENT CONTRACTORS USED WITHIN THE HEALTH SYSTEM. THE NUMBER ATTRIBUTABLE TO EACH HOSPITAL IS NOT EASILY DISTINGUISHABLE. THE TOTAL AMOUNT OF FORMS 1099 FILED FOR THE ENTIRE HEALTH SYSTEM APPEARS ON PART V, LINE 1A OF CARONDELET HEALTH NETWORK'S FORM 990.

Form 990, Part IX, Line 11G Other Fees

Purch svcs - Dietary, housekeeping, linen, laundry - Total Expense: 1062235, Program Service Expense: 754187, Management and General Expenses: 308048, Fundraising Expenses: ; Contract Personnel - Total Expense: 685959, Program Service Expense: 487031, Management and General Expenses: 198928, Fundraising Expenses: ; Purch Svcs - TriMedx - Total Expense: 506266, Program Service Expense: 359449, Management and General Expenses: 146817, Fundraising Expenses: ; Purch Svcs - Medical labor/supplies - Total Expense: 56582, Program Service Expense: 40173, Management and General Expenses: 16409, Fundraising Expenses: ; Other - Total Expense: 1498217, Program Service Expense: 1080650, Management and General Expenses: 417567, Fundraising Expenses: ;

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Other Changes in Net Assets - -12684;

Form 990, Part XII, Line 2B Audited Financial Statements

The Financial Statements of Carondelet Health Network (which includes the activity of Holy Cross Hospital, Inc.) fall under the limited scope audit of Ascension Health Alliance. The activity of Carondelet Health Network and other members of the Carondelet Health Network are reported in the consolidated financial statements of Ascension Health Alliance. No individual audit report of Carondelet Heath Network is completed.

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

From the consolidated audited financial statements of ascension health alliance ("the system") (which include the activity of holy cross hospital, inc.): the system accounts for uncertainty in income tax position by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The system has determined that no material unrecognized tax benefits or liabilities exist as of june 30, 2015.

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