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        <ExplanationTxt>EXECUTIVES PARTICIPATING IN A SUPPLEMENTAL, NON QUALIFIED RETIREMENT PLAN: JUDITH RICH 2022 VESTED CONTRIBUTIONS INCLUDED IN W-2: $380,520 STEPHEN BUSH 2022 VESTED CONTRIBUTIONS INCLUDED IN W-2: $188.541</ExplanationTxt>
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        <ExplanationTxt>MIP Bonus metrics- Management is eligible for an annual Management Incentive Plan (MIP) at the discretion of the Governing Board of TMCH. The incentive is based on the goals: Relative Value Units and Quality. Metrics are established for each fiscal (calendar) year, together with the percentage of compensation payout based on reaching annual established goals. STIP Bonus metrics - Executives are eligible for an annual short term incentive program (STIP) at the discretion of the Governing Board of TMCH. The incentive is based on the goals: financial, People, Quality, Patient Experience, and Growth. Metrics are established for each fiscal (calendar) year, together with the percentage of compensation payout based on reaching annual established goals.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>TUCSON MEDICAL CENTER, A RELATED ORGANIZATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE TMC HEALTHCARE TOP MANAGEMENT OFFICIAL: COMPENSATION COMMITTEE INDEDPENDENT COMPENSATION CONSULTANT FORM 990 OF OTHER ORGANIZATIONS COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
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        <ExplanationTxt>THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, THE FORM 990 IS FIRST REVIEWED BY THE CONTROLLER WITH INPUT FROM THE CHIEF FINANCIAL OFFICER AND CHIEF LEGAL OFFICER.</ExplanationTxt>
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        <ExplanationTxt>TMC Conflict of Interest Policy Excerpt: Article V Disclosure and Process for Resolution 1. Disclosure of Conflicts of Interest Annually, all trustees, officers, and members of board committee shall complete a disclosure form that lists various relationships that give rise to actual or potential conflicts of interest and return the same to the Chief Legal Officer of the Organization. In addition, they have a continuing duty to disclose potential conflicts and shall disclose any and all actual or potential conflicts of interest as they arise or are discovered during their tenure. The Chief Legal Officer is vested with the authority to bring conflicts or potential conflicts to the attention of the trustees, officers, committee members or applicable body, including the requirement that the person with the alleged conflict recuse himself from participation in the discussion and voting on any issue. 2. Determining Whether a Conflict of Interest Exists The Chief Legal Officer has been vested with the authority to determine whether a conflict of interest exists. If there is a disagreement with the decision of the Chief Legal Officer, then the Governance Committee shall decide if a conflict of interest exists based on the information presented by the Chief Legal Officer. If a board member disagrees with the Governance Committee decision, the issue will be sent to all remaining board members of the TMC HealthCare board for a vote on the issue for the final resolution of the issue. 3. Procedures for Decision Making when a Conflict of Interest Exists If it has been determined that a conflict of interest exists, the following process shall be followed regarding the matter for which a conflict exists: a. The interested person may, but is not required to, participate in the presentation of the matter at the governing board or committee meeting, but after the presentation, he may be asked to leave the meeting during the discussion of the mater, and in any event shall not participate in the vote on the transaction or arrangement involving the possible conflict of interest. b. If the board or committee believes that it needs additional information on alternatives to the proposed business arrangement, then the following process may be followed: a. The chairperson of the board or committee shall, if appropriate, direct management to obtain additional information and alternatives, or appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. b. After exercising due diligence, the governing board or committee shall determine whether the Organization can obtain with reasonable efforts a more advantageous transaction or business arrangement from a person or entity that would not give rise to a conflict of interest. c. If a more advantageous transaction or business arrangement is not reasonably possible or readily available under circumstances not producing a conflict of interest, the governing board or committee shall determine by a majority vote of the disinterested trustees whether the transaction or arrangement is in the Organization's best interest, for its own benefit, and whether it is fair and reasonable. In conformity with the above determination it shall make its decision as to whether to enter into the transaction or business arrangement.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>TMC is responsible for the payment of compensation and benefits as well as the process for reviewing and approving compensation and benefits for administrative leadership. For the Chief Executive Officer and Chief Financial Officer as well as other senior leadership positions the compensation committee contracts directly with Sullivan Cotter, an independent third-party compensation consultant, who periodically provides a written report containing a summary of relevant, contemporaneous benchmark information and makes recommendations regarding the level of compensation and benefits that would be reasonable. The compensation committee carefully reviews the information, discusses it directly with the consultant and makes recommendations based upon the information provided. The compensation committee then makes its final recommendation to the full board for their approval.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>TMC is responsible for the payment of compensation and benefits as well as the process for reviewing and approving compensation and benefits for administrative leadership. For the Chief Executive Officer and Chief Financial Officer as well as other senior leadership positions the compensation committee contracts directly with Sullivan Cotter, an independent third-party compensation consultant, who periodically provides a written report containing a summary of relevant, contemporaneous benchmark information and makes recommendations regarding the level of compensation and benefits that would be reasonable. The compensation committee carefully reviews the information, discusses it directly with the consultant and makes recommendations based upon the information provided. The compensation committee then makes its final recommendation to the full board for their approval.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER TO AFFILIATE - -238955;</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART V, LINE 2; PART VII; PART IX LINES 5-7 W-2 COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CEO, CFO AND CMO CORPORATE OFFICERS RECEIVE W-2 COMPENSATION ISSUED BY TUCSON MEDICAL CENTER, A RELATED ORGANIZATION, FOR THEIR WORK WHICH IS PERFORMED MOSTLY FOR THE BENEFIT OF TMC HEALTHCARE. TUCSON MEDICAL CENTER ALSO FILES ALL REQUIRED W-2S FOR THE HEALTH SYSTEM.</ExplanationTxt>
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      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
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      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
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</Return>
