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        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Investments</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>2229874</RegionTotalExpendituresAmt>
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      <SubtotalOfficesCnt>0</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>0</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>0</TotalOfficeCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <SubtotalSpentAmt>2229874</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>2229874</TotalSpentAmt>
      <TransferToForeignCorpInd>true</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>false</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>true</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>CENTRAL AMERICA AND THE CARIBBEAN-Accrual</ExplanationTxt>
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        <GrossReceiptsEvent1Amt>322340</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>299631</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>22709</GrossRevenueEvent1Amt>
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        <RentFacilityCostsEvent1Amt>114095</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>50</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>120031</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>50332</OtherDirectExpensesEvent1Amt>
        <Event2Nm>HOOK N SLICE</Event2Nm>
        <GrossReceiptsEvent2Amt>92290</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>83390</CharitableContriEvent2Amt>
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        <NonCashPrizesEvent2Amt>2445</NonCashPrizesEvent2Amt>
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        <OtherDirectExpensesEvent2Amt>2501</OtherDirectExpensesEvent2Amt>
        <GrossRevenueOtherEventsAmt>0</GrossRevenueOtherEventsAmt>
        <GrossReceiptsTotalAmt>414630</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>383021</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>31609</GrossRevenueTotalEventsAmt>
        <CashPrizesTotalEventsAmt>1000</CashPrizesTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>2545</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>159876</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>50</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>120031</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>52833</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>336335</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-304726</NetIncomeSummaryAmt>
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      <GrantRecordsMaintainedInd>false</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TUCSON MEDICAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5301 E GRANT RD</AddressLine1Txt>
          <CityNm>TUCSON</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85712</ZIPCd>
        </USAddress>
        <RecipientEIN>860137567</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>2949648</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TU NIDITO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3922 N MOUNTAIN AVE</AddressLine1Txt>
          <CityNm>TUCSON</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85719</ZIPCd>
        </USAddress>
        <RecipientEIN>860769031</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BOYS AND GIRLS CLUB</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 40217</AddressLine1Txt>
          <CityNm>TUCSON</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85704</ZIPCd>
        </USAddress>
        <RecipientEIN>860172257</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RONALD MCDONALD HOUSE CHARITIES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2155 E ALLEN ROAD</AddressLine1Txt>
          <CityNm>TUCSON</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>857191501</ZIPCd>
        </USAddress>
        <RecipientEIN>953526934</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COPPER QUEEN COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>101 COLE AVE</AddressLine1Txt>
          <CityNm>BISBEE</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85603</ZIPCd>
        </USAddress>
        <RecipientEIN>860334966</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>125000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YMCA OF SOUTHERN AZ</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1111</AddressLine1Txt>
          <CityNm>TUCSCON</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85702</ZIPCd>
        </USAddress>
        <RecipientEIN>860101237</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EMERGE CENTER AGAINST DOMESTIC ABUSE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2545 E ADAMS ST</AddressLine1Txt>
          <CityNm>TUCSON</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85716</ZIPCd>
        </USAddress>
        <RecipientEIN>860312162</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE CENTER FOR NEUROSCIENCES FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2450 EAST RIVER ROAD</AddressLine1Txt>
          <CityNm>TUCSON</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85718</ZIPCd>
        </USAddress>
        <RecipientEIN>272783064</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>18150</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTHERN COCHISE COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>901 WEST REX ALLEN DRIVE</AddressLine1Txt>
          <CityNm>WILLCOX</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85643</ZIPCd>
        </USAddress>
        <RecipientEIN>860208451</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>66000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HIGHER GROUND A RESOURCE CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 27883</AddressLine1Txt>
          <CityNm>TUCSON</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85726</ZIPCd>
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        <RecipientEIN>273585869</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>29680</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIONAL ALLIANCE ON MENTAL ILLNESS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6122 E 22ND ST</AddressLine1Txt>
          <CityNm>TUCSON</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85711</ZIPCd>
        </USAddress>
        <RecipientEIN>860450977</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHIRICAHUA COMMUNITY HEALTH CENTERS</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1205 F AVE DOUGLAS</AddressLine1Txt>
          <CityNm>TUCSON</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85607</ZIPCd>
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        <RecipientEIN>860814898</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>41863</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BAG IT</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>7090 N ORACLE RD</AddressLine1Txt>
          <CityNm>TUCSON</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85704</ZIPCd>
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        <RecipientEIN>743097354</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT</PurposeOfGrantTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.</FormAndLineReferenceDesc>
        <ExplanationTxt>Grant recipients are determined through the Foundation Grant Committee which meets annually. Recipients submit requests. The Committee then makes determinations based on alignment of current year goals of the hospital, previous funding and overall hospital impact to the community.</ExplanationTxt>
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      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
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          <BusinessNameLine1Txt>Judith Rich</BusinessNameLine1Txt>
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        <TitleTxt>Chief Executive Officer</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>STEPHEN BUSH</BusinessNameLine1Txt>
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        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>911017</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <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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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 6b Compensation contingent on net earnings of a related organization</FormAndLineReferenceDesc>
        <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <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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        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>4000</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
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        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>9902</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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      <FoodInventoryGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>7170</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </FoodInventoryGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>SUPPLIES</Desc>
        <ContributionCnt>3</ContributionCnt>
        <NoncashContributionsRptF990Amt>149036</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
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      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
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        <FormAndLineReferenceDesc>Schedule M, Part I NUMBER OF CONTRIBUTIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NUMBER OF CONTRIBUTIONS LISTED IN COLUMN B IS BASED ON THE NUMBER OF CONTRIBUTORS.</ExplanationTxt>
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    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="22016089" softwareVersionNum="2022v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's sole Member is the parent company TMC HealthCare, Inc.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Trustees is elected by the parent company (TMC HealthCare).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>The Member (TMC HealthCare) retains approval the following: 1) The amendment of this Corporation's Articles of Incorporation or Bylaws 2) The acquisition or creation of any subsidiary or controlled corporation 3) The merger or consolidation of this Corporation with another corporation, or the entering into any joint venture, partnership, limited liability company, or other business venture 4) The dissolution or liquidation of this Corporation 5) Expend any funds in excess of those previously approved in the capital and operating budgets of this Corporation 6) Enter into any loan, indebtedness, guaranty, security interest, mortgage, surety hypothecation or other form of indebtedness. 7) Dispose of any of its assets in excess of such monetary sum as the Member may determine from time to time to any person other than to the Member or a subsidiary of the Member</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER TO AFFILIATES - -3945811; NET ASSETS RELEASED FROM RESTRICTIONS - 1743645;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 2; PART VII; PART IX LINES 5-7 W2 COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CEO, CFO AND SEVERAL OTHER 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>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>Tucson Medical Center</BusinessNameLine1Txt>
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          <AddressLine1Txt>5301 E Grant Road</AddressLine1Txt>
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          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85712</ZIPCd>
        </USAddress>
        <EIN>811156192</EIN>
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        <LegalDomicileStateCd>AZ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>TMC Healthcare</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TMCOne</BusinessNameLine1Txt>
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          <AddressLine1Txt>5301 E Grant Road</AddressLine1Txt>
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          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85712</ZIPCd>
        </USAddress>
        <EIN>810868782</EIN>
        <PrimaryActivitiesTxt>Physician Offices</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AZ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TMC Medical Network</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BENSON HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>450 S Ocotillo Ave</AddressLine1Txt>
          <CityNm>Benson</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85602</ZIPCd>
        </USAddress>
        <EIN>866007695</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AZ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>TMC Healthcare</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NORTHERN COCHISE COMMUNITY HOSPITAL</BusinessNameLine1Txt>
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          <AddressLine1Txt>901 West Rex Allen Drive</AddressLine1Txt>
          <CityNm>Willcox</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85643</ZIPCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>TUCSON HOSPITALS MEDICAL EDUCATION PROGRAM</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO BOX 42195</AddressLine1Txt>
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          <ZIPCd>85733</ZIPCd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GLP INSURANCE COMPANY LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <PrimaryActivitiesTxt>SELF INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
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          <BusinessNameLine1Txt>TMC HEALTHCARE</BusinessNameLine1Txt>
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      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
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      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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</Return>
