2024-10-15T14:43:46-04:00 2023-12-31 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2023-01-01 860208451 NORTHERN COCHISE COMMUNITY HOSPITAL INC NORT 5203843541 901 WEST REX ALLEN DRIVE WILLCOX AZ 85643 JAMES KRAYKOVICH CFO 5203843541 2024-10-15 true true THOMAS DINGUS P00951009 5092420874 2024-10-15 2023 2024-10-15 13:58:12Z MONICA SHELDON 901 WEST REX ALLEN DRIVE WILLCOX AZ 856431009 20885206 false X WWW.NCCH.NET X 1966 AZ TO PROVIDE FOR THE HEALTHCARE NEEDS OF THE GREATER WILLCOX COMMUNITY AND SOUTHEAST ARIZONA. 8 8 163 8 0 2842021 2511725 18255628 18197440 5208 4857 194097 171184 21296954 20885206 0 0 7724627 7931143 0 8598 11210653 11301616 18935280 19232759 2361674 1652447 15971812 18283308 1386420 1959370 14585392 16323938 X TO PROVIDE FOR THE HEALTHCARE NEEDS OF THE GREATER WILLCOX COMMUNITY AND SOUTHEAST ARIZONA. false false 14889825 18197440 THE CRITCAL ACCESS HOSPITAL PROVIDES HEALTHCARE TO THE GENERAL PUBLIC REGARDLESS OF AGE, RACE, OR ABILITY TO PAY. SERVICES INCLUDE, BUT ARE NOT LIMITED TO, EMERGENCY ROOM, PHYSICAL THERAPY, SPEECH THERAPY, RESP THERAPY, CT SCAN, MRI, RURAL HEALTH CLINIC, LABORATORY SERVICE, AND OTHER HEALTHCARE SERVICES. THE HOSPITAL PROVIDED 381 DAYS OF ACUTE PATIENT SERVICES, 5,591 EMERGENCY ROOM VISITS, AND 10,995 RURAL HEALTH CLINIC VISITS FOR THE YEAR. THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 84,894 FOR CHARITY CARE, 3,638,374 FOR MEDICARE, 5,142,901 FOR MEDICAID, AND 8,187,394 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. 14889825 true true false true false false false false false false true false false true false true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 45 0 true 163 true false false false false false false false false false false false false X 8 8 false false false false true true true true true false false true true true true true true true true false AZ X THE ORGANIZATION 5203843541 901 WEST REX ALLEN DRIVE WILLCOX AZ 85643 LAUREL KIBLER NURSE PRACTI 40.00 X 216737 0 11631 MONICA SHELDON CEO 40.00 X 0 209844 0 KRISTIAN ABARCA NURSE PRACTI 30.00 X 163397 0 17427 JULIE WARD CNO 40.00 X 175171 0 5014 MICHAEL PAYNE PHYSICAL THE 40.00 X 140387 0 14496 KIMBERLY AGUIRRE DIR. OF SUPP 40.00 X 130046 0 9091 ANNA NANDIMO REGISTERED N 36.00 X 123535 0 8400 JAMES KRAYKOVICH CFO 40.00 X 113741 0 21832 DANIEL WILSON CHAIR 3.00 X X 0 0 0 ADAM GONZALEZ DIRECTOR 3.00 X 0 0 0 CAROL DUNAGAN DIRECTOR 3.00 X 0 0 0 DAWN WALKER DIRECTOR 3.00 X 0 0 0 JAY KATZ DIRECTOR 3.00 X 0 0 0 JONATHAN TRUSCHKE DIRECTOR 3.00 X 0 0 0 JULIA STRANGE DIRECTOR 3.00 X 0 0 0 MICHELLE MINTA DIRECTOR 3.00 X 0 0 0 1063014 209844 87891 10 false true false FEDKO EMERGENCY SERVICES PO BOX 742528 DALLAS TX 75374 ER PHYSICIANS 2392474 ADAPTIVE WORKFORCE SOLUTIONS 3451 S MERCY RD STE 103 GILBERT AZ 85297 TRAVEL NURSES 499021 PSYCHIATRIC MEDICAL CARE LLC 8 CADILLAC DR STE 230 BRENTWOOD TN 37027 PSYCH MGMT. 484929 CAREFUSION SOLUTIONS LLC 25082 NETWORK PL CHICAGO IL 60673 PHARMACY SYSTEM 123251 CLOUDMED SOLUTIONS LLC PO BOX 208272 DALLAS TX 75320 COLLECTIONS 107401 5 2251395 260330 2511725 NET PATIENT SERVICE REVENUE 624100 18076513 18076513 OTHER PROGRAM REVENUE 624100 120927 120927 18197440 4857 4857 56080 56080 56080 56080 CAFETERIA REVENUE 722514 44766 44766 OTHER REVENUE 900099 37619 37619 REBATES 900099 32719 32719 115104 20885206 18197440 176041 X 315758 180185 135573 6647691 5418979 1225519 3193 71714 57835 13846 33 347374 292911 54293 170 548606 444007 104344 255 14250 14250 58556 58556 5218748 4790278 427235 1235 36391 36391 511369 272182 238905 282 444035 444035 282981 225068 55837 2076 23902 18845 5037 20 10578 10578 535443 451885 82686 872 120728 61751 58977 MEDICAL SUPPLIES & DRUGS 1713033 1713033 ASSESSMENT FEES 499521 499521 REPAIRS & MAINTENANCE 390335 355868 34007 460 1441746 107477 1334267 2 19232759 14889825 4334336 8598 2567523 3810349 3825295 3828492 3290782 3950891 231215 222899 199649 167864 4979297 1361985 3249323 3617312 635947 722046 1972078 1963455 15971812 18283308 1318671 1933051 67749 26319 1386420 1959370 X 14585392 16323938 14585392 16323938 15971812 18283308 1652447 86099 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 3997 3997 false SCHEDULE C, PART II-B, LINE 1 THE HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE HOSPITAL PAYS MEMBERSHIP DUES TO A STATE HOSPITAL ASSOCIATION. THE ASSOCIATION USES A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. 2713165 146832 2566333 2010651 1215153 795498 255481 255481 3617312 DUE FROM THE DISTRICT 1311184 ESTIMATED THIRD PARTY SETTLEMENTS 613011 OPERATING LEASE RIGHT-OF-USE ASSETS 20760 DONATED ARTWORK 18500 1963455 X SCHEDULE D, PAGE 3, PART X THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE HOSPITAL EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2023, THE HOSPITAL HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. AS ORGANIZED, THE DISTRICT IS EXEMPT FROM PAYING FEDERAL INCOME TAXES. true true X true X false true true true false true true 39900 39900 0.00210 4623556 3631642 991914 0.05160 4663456 3631642 1031814 0.05360 1572453 1027007 545446 0.02840 1572453 1027007 545446 0.02840 6235909 4658649 1577260 0.08200 46395 46395 0.00240 6918 6918 0.00040 89094 89094 0.00460 142407 142407 0.00740 true 973610 84000 4801129 4819171 -18042 X true false 1 1 NORTHERN COCHISE COMMUNITY HOSPITAL 901 REX ALLEN DRIVE WILLCOX AZ 85643 X X X X NORTHERN COCHISE COMMUNITY HOSPITAL 1 false false true X X X X X X X X X X 21 true true false true X WWW.NCCH.NET X WWW.COCHISE.AZ.GOV X true 21 true WWW.NCCH.NET false true X 100.000000000000 X X X X X true true X X X true X WWW.NCCH.NET X WWW.NCCH.NET X WWW.NCCH.NET X X X true X false X X X true X false false FACILITY 1, NORTHERN COCHISE COMMUNITY HOSPITAL - PART V, LINE 3E IDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDS BEGIN ON PAGE 42 OF THE CHNA LOCATED ON THE HOSPITAL'S WEBSITE. FACILITY 1, NORTHERN COCHISE COMMUNITY HOSPITAL - PART V, LINE 5 THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY BY UTILIZING ONLINE SURVEYS AND ONE-ON-ONE PHONE INTERVIEWS WITH COMMUNITY MEMBERS, HEALTH SYSTEM PARTNERS, AND OTHER HEALTH AND SOCIAL SERVICE ORGANIZATIONS SERVING THE VULNERABLE ALONG WITH WRITTEN COMMENTS RECEIVED ON THE HOSPITAL'S MOST RECENTLY CONDUCTED CHNA AND MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY. FACILITY 1, NORTHERN COCHISE COMMUNITY HOSPITAL - PART V, LINE 6A THE HOSPITAL CONDUCTED A JOINT CHNA WITH BENSON HOSPITAL. FACILITY 1, NORTHERN COCHISE COMMUNITY HOSPITAL - PART V, LINE 11 THE HOSPITAL WAS NOT ABLE TO ADDRESS ALL HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA DUE TO NOT CURRENTLY HAVING THE STAFF OR FINANCIAL RESOURCES TO DEVOTE TO THE NEED OR OTHER ORGANIZATIONS IN THE SERVICE AREA BEING A BETTER FIT TO ADDRESS THE NEED. THE HOSPITAL IS CONTINUALLY ASSESSING THE HEALTH NEEDS OF THE COMMUNITY AND DECIDING HOW IT CAN BETTER SERVE THE COMMUNITY BASED ON NEED. THE TOP 5 HEALTH NEEDS IDENTIFIED IN THE MOST RECENT ASSESSMENT ARE AS FOLLOWS: 1.MENTAL HEALTH & SUBSTANCE ABUSE 2.GOOD JOBS & HEALTHY ECONOMY 3.AGING CONCERNS & RESOURCES FOR HEALTHY LIVING 4.PRIMARY CARE 5.DENTAL CARE THE HOSPITAL IS ADDRESSING THESE NEEDS USING VARIOUS STRATEGIES THAT INCLUDE THE FOLLOWING: IMPLEMENT DEPRESSION SCREENS IN PRIMARY CARE EVALUATE THE POSSIBILITY OF A COLLABORATIVE EFFORT WITH THE SCHOOL TO INTRODUCE HEALTH CAREERS TO STUDENTS CONTINUE EFFORTS TO (RE)INSTATE LONG TERM SWINGBEDS IN THE COMMUNITY TO PROVIDE A SOURCE OF LTC COLLABORATE WITH THE NONPROFIT THAT RUNS THE SERVICES AT THE SENIOR CENTER TO RE-INITIATE SERVICE WHEN DEEMED SAFE RECRUIT MEDICAL DIRECTOR WHO WILL PROVIDE AT LEAST LIMITED OFFICE HOURS TO THE RHC'S ADD 1 DAY OF RHC PRIMARY CARE WITH CURRENT STAFFING MODEL OF 3 BY INITIATING A 5-DAY /WEEK PROVIDER VS. THE 4-DAY MODEL WITH EXISTING PROVIDERS ADD ADDITIONAL DAYS TO EXISTING PARTIAL WEEK SCHEDULE EVALUATE THE POSSIBILITY OF PROVIDING FLUORIDE TREATMENTS TO MEDICAID CHILDREN. THE HOSPITAL WAS NOT ABLE TO ADDRESS ALL HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA DUE TO NOT CURRENTLY HAVING THE STAFF OR FINANCIAL RESOURCES TO DEVOTE TO THE NEED. THE HOSPITAL IS CONTINUALLY ASSESSING THE HEALTH NEEDS OF THE COMMUNITY AND DECIDING HOW IT CAN BETTER SERVE THE COMMUNITY BASED ON NEED. FACILITY 1, NORTHERN COCHISE COMMUNITY HOSPITAL - PART V, LINE 13B THE HOSPITAL UTILIZES THE POVERTY GUIDELINE PERCENTAGES FOR FINANCIAL ASSISTANCE - 100% DISCOUNT AND LESS BASED ON INCOME. THE HOSPITAL PROVIDES DISCOUNTED CARE BASED ON A CASE BY CASE EVALUATION. ALL INFORMATION IS REVIEWED BY THE PFS DIRECTOR AND COMPARED WITH THE POVERTY GUIDELINES AS WELL AS ALL OUTSTANDING MEDICAL EXPENSES. OTHER FACTORS MAY ALSO CONTRIBUTE TO THE FINAL DECISION. 3 SULPHUR SPRINGS MEDICAL CENTER 900 W SCOTT WILLCOX AZ 85643 OUTPATIENT CLINIC SUNSITES MEDICAL CENTER 223 N FRONTAGE ROAD PEARCE AZ 85625 OUTPATIENT CLINIC SPECIALTY CLINICS 900 W SCOTT WILLCOX AZ 85643 OUTPATIENT CLINIC SCHEDULE H, PART I, LINE 3C THE HOSPITAL PROVIDES DISCOUNTED CARE BASED ON A CASE BY CASE EVALUATION. ALL INFORMATION IS REVIEWED BY THE PFS DIRECTOR AND COMPARED WITH THE POVERTY GUIDELINES AS WELL AS ALL OUTSTANDING MEDICAL EXPENSES. OTHER FACTORS MAY ALSO CONTRIBUTE TO THE FINAL DECISION. SCHEDULE H, PART I, LINE 7G THE HOSPITAL HAS INCLUDED COSTS ASSOCIATED WITH PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7G IN THE AMOUNT OF 1,572,453 IN COLUMN C AND 1,027,007 IN COLUMN D. SCHEDULE H, PART I, LINE 7 THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COST-TO-CHARGES FOR AMOUNTS REPORTED IN THE TABLE (TOTAL OPERATING EXPENSES LESS NON-PATIENT CARE ACTIVITIES, PROVIDER TAXES, TOTAL COMMUNITY BENEFIT AND TOTAL COMMUNITY BUILDING EXPENSES). SCHEDULE H, PART II THE HOSPITAL IS A FEDERALLY DESIGNATED CRITICAL ACCESS HOSPITAL (CAH) MEANING THAT IT IS AN ESSENTIAL COMMUNITY PROVIDER. THE HOSPITAL IS CONTINUALLY RECRUITING PHYSICIANS AND OTHER HEALTH PROFESSIONALS TO ITS RURAL SERVICE AREA TO HELP IMPROVE ACCESS TO HEALTHCARE SERVICES AS IDENTIFIED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT. SCHEDULE H, PART III, LINE 2 THE HOSPITAL USED THE RATIO OF PATIENT CARE COSTS TO CHARGES TO DETERMINE THE COST OF BAD DEBT EXPENSE. SCHEDULE H, PART III, LINE 3 THE HOSPITAL DID NOT TRACK THE AMOUNT OF BAD DEBT EXPENSE THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY BUT FOR WHOM SUFFICIENT INFORMATION WAS NOT OBTAINED TO MAKE DETERMINATION OF THEIR ELIGIBILITY DURING THE YEAR. SCHEDULE H, PART III, LINE 4 THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 1, ON PAGE 12, OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS INCLUDED IN FOOTNOTE 3 STARTING ON PAGE 18 OF THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 ANY MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS ARE NOT COUNTED AS COMMUNITY BENEFIT. THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR. SCHEDULE H, PART III, LINE 9B PATIENTS WILL BE CONSIDERED FOR CHARITY OR DISCOUNTED BILLING BASED ON THEIR ABILITY TO PAY AND THE FEDERAL POVERTY GUIDELINES. THE ACCOUNTS OF UNINSURED OR UNDER- INSURED PATIENTS WHO HAVE APPLIED FOR MEDICAL ASSISTANCE OR FINANCIAL ASSISTANCE ARE HELD WITHOUT FURTHER COLLECTION ACTION, UNTIL THE APPLICATION PROCESS HAS BEEN COMPLETE. SCHEDULE H, PART VI, LINE 2 THE HOSPITAL UTILIZES FEDERAL AND STATE LEVEL SOURCES WHEN ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. THE HOSPITAL IS COMMITTED TO QUALITY AND AFFORDABLE HEALTHCARE CLOSE TO HOME. AS SUCH, IT WILL CONTINUE TO STRIVE TOWARD ELIMINATING BARRIERS TO TREATMENT IN THE COMMUNITY THAT WOULD PREVENT THE PROVISION OF APPROPRIATE, SAFE, AND ADEQUATE HEALTHCARE TO THE POPULATION IT SERVES. COPIES OF THE MOST RECENTLY ADOPTED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE AVAILABLE AT THE HOSPITAL UPON REQUEST OR A COPY CAN BE FOUND AT THE HOSPITAL'S WEBSITE AT THE FOLLOWING URL: HTTP://WWW.NCCH.NET SCHEDULE H, PART VI, LINE 3 THE HOSPITAL NOTIFIES PATIENTS OF THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BY PLACING A BROCHURE IN PUBLIC AREAS OF THE HOSPITAL, AS WELL AS INCLUDING A BROCHURE IN ADMISSION PACKETS TO PATIENTS. THE INFORMATION IS ALSO AVAILABLE ON THE HOSPITAL WEBSITE AND IS MADE AVAILABLE TO LOCAL AGENCIES THAT ASSIST WITH LOW INCOME POPULATIONS. SCHEDULE H, PART VI, LINE 4 THE POPULATION OF THE NORTHERN COCHISE SERVICE AREA IS NEARLY 13,700. IN 2020, 23% OF THE COUNTY'S POPULATION IS AGE 65+, WHILE ONLY 18% OF THE STATE'S POPULATION IS AGE 65+. AMERICAN INDIANS REPRESENT ABOUT 1.4% OF THE TOTAL POPULATION WHILE HISPANICS REPRESENT ABOUT 42%. BOWIE / WILCOX SERVICE AREA IS DESIGNATED BY HRSA AS A MEDICALLY UNDERSERVED AREA. SCHEDULE H, PART VI, LINE 5 MANY OF THE HOSPITAL'S BOARD MEMBERS RESIDE IN THE PRIMARY SERVICE AREA RANGING FROM BUSINESS OWNERS TO HOMEMAKERS TO RETIREES REPRESENTING THE COMMUNITY IT SERVES. THIS VOLUNTEER BOARD DEDICATES TIME TO ENSURING THEY UNDERSTAND THE HEALTH AND WELFARE NEEDS OF THE COMMUNITY. MEDICAL STAFF PRIVILEGES AT THE HOSPITAL ARE OPEN TO ALL MEDICAL PROVIDERS WITH ACTIVE LICENSURE. WHILE THE CREDENTIALING PROCESS ENSURES PRACTITIONERS OF THE HIGHEST CALIBER ARE PRIVILEGED, PRACTITIONERS FROM NUMEROUS SPECIALTIES ARE ENCOURAGED TO MEET THE EVER EXPANDING HEALTHCARE NEEDS OF THE COMMUNITY. AS A NON-PROFIT CORPORATION, THE HOSPITAL DOES NOT HAVE ANY SHAREHOLDERS AND SURPLUS FUNDS ARE REINVESTED INTO THE FACILITY, EQUIPMENT, AND EMPLOYEE EDUCATION. THE ABSENCE OF SHAREHOLDERS ALLOWS THE HOSPITAL TO FOCUS ON MEETING THE HEALTH AND WELFARE NEEDS OF THE COMMUNITIES SERVED. THE HOSPITAL PARTICIPATES IN MULTIPLE ACTIVITIES WITHIN ITS COMMUNITY TO PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES INCLUDING THE FOLLOWING: PROVIDING QUARTERLY SENIOR BREAKFASTS, TUITION REIMBURSEMENT FOR HEALTHCARE RELATED DEGREES, PROMOTING SCHOOL PROGRAMS, AND PROVIDING VARIOUS COMMUNITY EDUCATION TO PROMOTE HEALTH WITHIN THE COMMUNITY. IN ADDITION, THE HOSPITAL IS CONTINUALLY WORKING WITH LOCAL OFFICIALS TO PROVIDE NEEDED SERVICES AND DONATE TIME AND EFFORT TO THE COMMUNITY. SCHEDULE H, PART VI, LINE 7 ARIZONA X X X X X false false false false false false false true false LAUREL KIBLER NURSE PRACTITIONER 140000 71352 5385 11631 228368 MONICA SHELDON CEO 209844 209844 KRISTIAN ABARCA NURSE PRACTITIONER 117483 45914 17427 180824 JULIE WARD CNO 170000 5171 5014 180185 MICHAEL PAYNE PHYSICAL THERAPIST 140387 14496 154883 SCHEDULE J, PAGE 1, PART I, LINE 7 PURSUANT TO THE HOSPITAL'S EMPLOYEE AGREEMENT WITH THE CEO, AN ANNUAL INCENTIVE BONUS MAY BE PAID. THIS BONUS IS DEPENDENT ON THE ORGANIZATION'S OVERALL FINANCIAL CONDITION AND THE CEO'S ACHIEVEMENT OF A VARIETY OF PREVIOUSLY ESTABLISHED GOALS RELATED TO COMMUNITY INVOLVEMENT, EMPLOYEE DEVELOPMENT, OPERATIONAL COMPLIANCE, INDUSTRY KNOWLEDGE, AND THE IMPLEMENTATION OF NEW PROGRAMS. NO BONUS PAYMENT WAS MADE THIS TAX YEAR. FORM 990, PAGE 6, PART VI, LINE 6 TMC HEALTHCARE IS THE SOLE MEMBER OF NORTHERN COCHISE COMMUNITY HOSPITAL. FORM 990, PAGE 6, PART VI, LINE 7A TMC HEALTHCARE APPOINTS THE HOSPITAL GOVERNING BODY. THE HOSPITAL BOARD SHALL CONSIST OF 6-10 DIRECTORS OF WHICH AT LEAST 2 BOARD MEMBERS SHALL BE TMC HEALTHCARE DIRECTORS AND 1-2 BOARD MEMBERS SHALL BE NORTHERN COCHISE COUNTY HOSPITAL DISTRICT DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 7B TMC HEALTHCARE AS SOLE MEMBER HAS EXCLUSIVE AUTHORITY TO DETERMINE ANY OF THE FOLLOWING ACTIONS: APPROVAL OF ANNUAL OPERATING AND CAPITAL BUDGETS APPROVAL OF INDIVIDUAL NON-RECURRING UNBUDGETED EXPENDITURES IN EXCESS OF 50,000 APPROVAL OF ANY UNBUDGETED CAPITAL EXPENDITURES EXCEEDING 50,000 APPOINTING OR APPROVING THE CEO APPROVING THE STRATEGIC GOALS AND OBJECTIVES FILING FOR BANKRUPTCY, MAKING A GENERAL ASSIGNMENT FOR THE BENEFIT OF CREDITORS, OR TAKING ANY SIMILAR ACTION MAKING ANY MATERIAL CHANGE IN THE NATURE OF THE ORGANIZATION'S BUSINESS SALE, EXCHANGE OR OTHER DISPOSITION OF ANY ASSETS OUTSIDE THE ORDINARY COURSE OF BUSINESS ENTERING INTO, AMENDING, OR TERMINATING ANY LEASE OF REAL PROPERTY ENGAGING IN DISSOLUTION OR LIQUIDATION ENGAGING IN ANY MERGER, CONSOLIDATION, CONVERSION, REORGANIZATION OR ISSUANCE OF ANY MEMBERSHIPS ENTERING INTO A MANAGEMENT AGREEMENT BORROWING MONEY OR UTILIZING PROPERTY OWNED BY THE ORGANIZATION AS SECURITY FOR SUCH LOANS MAKING ANY LOAN, INVESTMENT, TRANSFER OR DISPOSITION OF ANY ASSETS OR INCURRING ANY LIABILITIES ON BEHALF OF THE ORGANIZATION TAKING ANY OTHER ACTION THAT MAY HAVE A MATERIAL ADVERSE EFFECT ON THE 501(C)(3) STATUS ACQUIRING OR CREATING ANY SUBSIDIARY OR ACQUIRING AN INTEREST IN ANY AFFILIATE FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE CEO WHO REVIEWS THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A DRAFT IS MADE AVAILABLE TO THE BOARD OF DIRECTORS WHO THEN APPROVE THE 990. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C ALL OFFICERS AND DIRECTORS ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST FORM ANNUALLY. THE FORMS ARE REVIEWED BY THE COMPLIANCE OFFICER FOR POTENTIAL CONFLICTS. ANY ACTUAL CONFLICTS ARE REVIEWED BY THE BOARD OF DIRECTORS. A PERSON WITH A CONFLICT IS RESTRICTED FROM VOTING ON RELATED MATTERS. FORM 990, PAGE 6, PART VI, LINE 15A THE CEO'S COMPENSATION IS DETERMINED ON AN ANNUAL BASIS BY A COMPENSATION COMMITTEE BASED ON COMPARABILITY DATA. THE MAIN SOURCE AVAILABLE TO THE HOSPITAL IN REGARD TO FAIR MARKET VALUE IN SALARIES IS THE STATE HOSPITAL ASSOCIATION ANNUAL SURVEY. THIS SURVEY IS UTILIZED BY THE BOARD IN DETERMINING THE CEO'S COMPENSATION. FORM 990, PAGE 6, PART VI, LINE 15B SEE FORM 990, PART VI, LINE 15A. FORM 990, PAGE 6, PART VI, LINE 19 THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES 4,790,278 427,235 1,235 NORTHERN COCHISE HOSPITAL FOUNDATIO 901 REX ALLEN DRIVE WILLCOX AZ 85643 460868855 FUNDRAISE AZ 501C3 12A N/A false NORTHERN COCHISE HOSPITAL AUXILIARY 901 REX ALLEN DRIVE WILLCOX AZ 85643 FUNDRAISE AZ 501C3 12A N/A false TMC HEALTHCARE 5301 E GRANT ROAD TUCSON AZ 85712 202218975 HOSPITAL AZ 501C3 12B N/A false TUCSON MEDICAL CENTER 5301 E GRANT ROAD TUCSON AZ 85712 860137567 HOSPITAL AZ 501C3 3 TMCH false TMC HOLDINGS INC 5301 E GRANT ROAD TUCSON AZ 85712 860441785 HOLDING CO AZ 501C2 N/A false TMC MEDICAL NETWORK 5301 E GRANT ROAD TUCSON AZ 85712 811156192 PHYSICIAN AZ 501C3 3 N/A false TMC FOUNDATION 5301 E GRANT ROAD TUCSON AZ 85712 860504015 FUNDRAISIN AZ 501C3 10 N/A false BENSON HOSPITAL PO BOX 2290 BENSON AZ 85602 866007695 HEALTHCARE AZ 501C3 3 N/A false TMC HEALTH MEDICAL EDUCATION PROGRA 5301 E GRANT ROAD TUCSON AZ 85712 HOSPITAL AZ 501C3 10 N/A false RINCON NEIGHBORHOOD HOSPITAL 5301 E GRANT ROAD TUCSON AZ 85712 HOSPITAL AZ 501C3 3 N/A false GLP INSURANCE COMPANY CARIBBEAN PLAZA 2ND FLOOR NORTH BLD GEORGE TOWN CJ INSURANCE CJ N/A false TMC HEALTHCARE SECURITY SERVICES 5301 E GRANT ROAD TUCSON AZ 85712 522414943 SECURITY AZ N/A false HOSPITAL CARE SYSTEMS DEVELOPMENT 5301 E GRANT ROAD TUCSON AZ 85712 HEALTHCARE AZ N/A false false false true false false false false false false false false false true true true false false false false