2024-11-18T11:55:28+00:00 2023-12-31 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-01-01 202218975 TMC HEALTHCARE TMCH 5203241048 5301 E GRANT ROAD TUCSON AZ 85712 STEVE REICHLING SR VP & CFO 5203241048 2024-11-18 true true Brian Todd P00422601 4178658701 2024-05-14 2023 2024-10-15 13:58:12Z JUDITH RICH 5301 E GRANT ROAD TUCSON AZ 85712 10070870 false X WWW.TMCAZ.COM X 2004 AZ ASPIRE TO SERVE OUR COMMUNITY BY BEING THE BEST HEALTH SYSTEM AS MEASURED BY THE QUALITY OF CARE WE DELIVER, THE EXPERIENCES WE CREATE AND THE VALUE WE BRING. 9 8 0 8 0 0 0 0 3191109 9625657 153589 444213 0 1000 3344698 10070870 0 145347 0 2006614 4190045 0 0 0 1728978 6976810 3735592 11312202 -390894 -1241332 36231093 42718273 3328623 4750987 32902470 37967286 OUR MISSION IS TO PROVIDE EXCEPTIONAL HEALTH CARE WITH COMPASSION. false false 7851943 145347 9625657 TMC HEALTHCARE SUPPORTS AND BENEFITS THE INTEREST AND PURPOSES OF TMC HEALTH SYSTEM. 7851943 true false false false false false false false false true false false true false true false true false false true false false false false false false true false true false false false false false false false false false false false false true true true false false false true X 14 0 true 0 false true CJ false false false false false false false false false false X 9 8 false false false false false false false true true false false false true true true true true false false true true X STEVE REICHLING 5203242113 5301 E GRANT ROAD TUCSON AZ 85712 JUDITH RICH CHIEF EXECUTIVE OFFICER 1.0 39.0 X X 0 1305121 65508 BECKIE TORREY TRUSTEE 1.0 0 X 25000 0 0 GAY TOSCH TRUSTEE 1.0 0 X 25000 0 0 JACK PHILLIPS TRUSTEE 1.0 0 X 0 0 0 JAY KATZ TRUSTEE 1.0 0 X 25000 0 0 JOHN YOUNG TRUSTEE 1.0 0 X 25000 0 0 LOUISE L FRANCESCONI TRUSTEE 1.0 0 X 25000 0 0 ROBERT GONZALEZ TRUSTEE 1.0 0 X 25000 0 0 STEVE EGGEN TRUSTEE 1.0 0 X 25000 0 0 ALEXANDER HORVATH CHIEF HUMAN RESOURCE OFFICER 1.0 39.0 X 0 431501 25632 STEPHEN BUSH CHIEF FINANCIAL OFFICER END 09/23 1.0 39.0 X 0 490232 67025 STEVE REICHLING CHIEF FINANCIAL OFFICER BEG 03/23 1.0 39.0 X 0 402835 92071 TIM REUSCHEL CHIEF LEGAL OFFICER BEG 01/23 1.0 38.0 X 0 422017 148708 TIMOTHY HARTIN CHIEF LEGAL OFFICER END 01/23 1.0 38.0 X 0 273872 1306 175000 3325578 400250 0 false true false 0 0 HEALTH SYSTEM ALLOCATION 900099 9625657 9625657 0 0 0 0 9625657 444213 444213 0 0 0 0 GAIN ON INVESTMENT IN SUBSIDAIRY 900099 1000 1000 0 0 0 0 1000 10070870 9625657 0 445213 X 145347 145347 175000 140000 35000 3950147 3160118 790029 64898 51918 12980 1075254 1075254 458138 458138 1979393 1583514 395879 0 1709568 1367654 341914 125565 100277 25288 23461 18769 4692 87326 69861 17465 13677 10942 2735 112221 89777 22444 95925 76740 19185 LICENSES, DUES, SUBSCRIPTIONS 777350 621880 155470 RECRUITING AND RETENTION 518932 415146 103786 0 0 0 0 11312202 7851943 3460259 0 3449 13335327 28763706 0 0 0 0 75000 297139 394547 139113 162243 255434 0 0 22655074 13401994 36231093 42718273 328623 1750987 0 0 3000000 3000000 0 0 3328623 4750987 X 32902470 37967286 32902470 37967286 36231093 42718273 X -1241332 6306148 X false true X true false X X 6 TUCSON MEDICAL CENTER 860137567 3 false 0 0 TMC HEALTH FOUNDATION 860504015 7 false 0 0 TMC MEDICAL NETWORK 811156192 3 false 0 0 BENSON HOSPITAL 866007695 3 false 0 0 NORTHERN COCHISE COUNTY HOSPITAL 860208451 3 false 0 0 TUCSON HOSPITALS MEDICAL EDUCATION PROGRAM 860204268 3 false 0 0 6 0 0 false false false false false false false false false false false false false false false true Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name TMC HEALTHCARE'S ARTICLES OF INCORPORATION STATE THAT THE ORGANIZATION IS TO SUPPORT, ASSIST, AND BENEFIT THE INTERESTS AND PURPOSES AND/OR PROGRAMS OF SUCH EXEMPT ORGANIZATIONS THAT ARE DIRECTLY OR INDIRECTLY CONTROLLED BY, UNDER COMMON CONTROL WITH, OR AFFILIATED WITH THE ORGANIZATION AND WHICH ARE DESCRIBED IN IRC SECTION 501(C)(3) OR 501(C)(2) THAT ARE PUBLIC CHARITIES DESCRIBED IN IRC SECTION 509(A)(1) OR 509(A)(2). TMC HEALTHCARE HAS OWNERSHIP INTEREST OR CONTROL OVER THE FOLLOWING ENTITIES THAT MEET THE ABOVE PUBLIC CHARITY STATUS: TUCSON MEDICAL CENTER TMC HOLDINGS, INC TMC MEDICAL NETWORK TMCONE TMC FOUNDATION TMC HEALTH MEDICAL EDUCATION PROGRAM BENSON HOSPITAL NORTHERN COCHISE COMMUNITY HOSPITAL RINCON NEIGHBORHOOD HOSPITAL 8785 8785 385762 139113 246649 255434 INVESTMENT IN CHBF OF PIMA COUNTY 100 INVESTMENT IN GLP INSURANCE CO 500000 INVESTMENT IN HOSP CARE SYS DEV CORP 50000 INVESTMENT IN SAGUARO HEALTH CARE 12768150 INVESTMENT IN SAGUARO MEDICAL HOLDINGS 25000 INVESTMENT IN TMC SECURITY SERVICES 25000 OTHER ASSETS 8799 DUE FROM RELATED PARTY 23945 INVESTMENT IN CCRS 1000 13401994 0 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Central America and the Caribbean 0 1 CAPTIVE INSURANCE CAPTIVE INSURANCE 10938755 0 1 0 0 0 1 10938755 0 10938755 true false true false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEA true VAIL SCHOOL DISTRICT 13801 E BENSON HWY B VAIL AZ 85641 GOV'T 10000 SUPPORT COMMUNITY FOOD BANK OF SOUTHERN ARIZONA 3003 S COUNTRY CLUB RD TUCSON AZ 85713 510192519 501(C)(3) 15000 SUPPORT PERIMETER BICYCLING ASSOCIATION OF AMERICA INC 3400 E SPEEDWAY BLVD SUITE 120 TUCSON AZ 85716 860830696 501(C)(3) 45000 SUPPORT JOBPATH INC PO BOX 12519 TUCSON AZ 85732 651190309 501(C)(3) 10000 SUPPORT COALITION TO PROTECT AMERICA'S HEALTH CARE 800 10TH ST NW TWO CITYCENTER WASHINGTON DC 20001 522253225 501(C)(4) 30000 SUPPORT PEOPLE FOR COMMUNITY HEALTHCARE PO BOX 688 WILLCOX AZ 85644 871219769 501(C)(4) 25000 SUPPORT 4 2 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. MEMBERS OF THE EXECUTIVE TEAM DETERMINE WHICH COMMUNITY GRANTS WILL BE ISSUED BY TMC HEALTHCARE. false true false false false false true false false JUDITH RICH CHIEF EXECUTIVE OFFICER 0 1049958 0 239685 0 15478 0 45000 0 20508 0 1370629 0 0 ALEXANDER HORVATH CHIEF HUMAN RESOURCE OFFICER 0 352622 0 65105 0 13774 0 0 0 25632 0 457133 0 0 STEPHEN BUSH CHIEF FINANCIAL OFFICER END 09/23 0 339176 0 122204 0 28852 0 52500 0 14525 0 557257 0 0 TIMOTHY HARTIN CHIEF LEGAL OFFICER END 01/23 0 8502 0 55909 0 209461 0 508 0 798 0 275178 0 0 STEVE REICHLING CHIEF FINANCIAL OFFICER BEG 03/23 0 402835 0 0 0 0 0 72729 0 19342 0 494906 0 0 TIM REUSCHEL CHIEF LEGAL OFFICER BEG 01/23 0 422017 0 0 0 0 0 122488 0 26220 0 570725 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation 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 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan EXECUTIVES PARTICIPATING IN A SUPPLEMENTAL, NON QUALIFIED RETIREMENT PLAN: JUDITH RICH 2022 VESTED CONTRIBUTIONS INCLUDED IN W-2: $15,478 ALEXANDER HORVATH 2022 VESTED CONTRIBUTIONS INCLUDED IN W-2: $13,774 STEPHEN BUSH 2022 VESTED CONTRIBUTIONS INCLUDED IN W-2: $28,852 TIMOTHY HARTIN 2023 VESTED CONTRIBUTIONS INCLUDED IN W-2: $209,461 STEVE REICHLING 2023 NONVESTED CONTRIBUTIONS INCLUDED IN W-2: $72,729 TIM REUSCHEL 2023 NONVESTED CONTRIBUTIONS INCLUDED IN W-2: $77,488 Schedule J, Part I, Line 6b Compensation contingent on net earnings of a related organization MIP BONUS METRICSMANAGEMENT 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. Form 990, Part V, Line 2a PART IX LINES 5-7 - W-2 COMPENSATION 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. Form 990, Part VI, Line 11b Review of form 990 by governing body 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. Form 990, Part VI, Line 12c Conflict of interest policy 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. Form 990, Part VI, Line 19 Required documents available to the public GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. Form 990, Part VII, Section A BOARD MEMBER COMPENSASTION BOARD MEMBERS WHO SERVED FOR THE FULL YEAR RECEIVED A STIPEND FOR THEIR SERVICES TO TMC HEALTHCARE. THE AMOUNT OF COMPENSATION IS DEEMED JUST AND RESONABLE BY THE BOARD MEMBER. THE PROCESS OF RECEIVING COMPENSATION BY BOARD MEMBERS IS OUTLINED IN THE BYLAWS OF THE ORGANIZATION. Form 990, Part IX, Line 11g Other Fees PURCHASED SERVICES - Total Expense: 1615864, Program Service Expense: 1292691, Management and General Expenses: 323173, Fundraising Expenses: ; CONSULTING - Total Expense: 363529, Program Service Expense: 290823, Management and General Expenses: 72706, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFERS FROM AFFILIATES - 6306148; TMC FOUNDATION 5301 E GRANT ROAD TUCSON AZ 85712 860504015 SUPPORTING ORGANIZATION AZ 501(c)(3) 7 TMC HEALTHCARE true TMC HOLDINGS INC 5301 E GRANT ROAD TUCSON AZ 85712 860441785 SUPPORTING ORGANIZATION AZ 501(c)(2) TMC HEALTHCARE true TUCSON MEDICAL CENTER 5301 E GRANT ROAD TUCSON AZ 85712 860137567 HOSPITAL AZ 501(c)(3) 3 TMC HEALTHCARE true TMC MEDICAL NETWORK 5301 E GRANT ROAD TUCSON AZ 85712 811156192 PYSICIANS OFFICES AZ 501(c)(3) 3 TMC HEALTHCARE true TMCONE 5301 E GRANT ROAD TUCSON AZ 85712 810686782 PHYSICIAN PRACTICES AZ 501(c)(3) Type I TMC MEDICAL NETWORK false BENSON HOSPITAL PO BOX 2290 BENSON AZ 85602 866007695 HOSPITALS AZ 501(c)(3) 3 TMC HEALTHCARE true NORTHERN COCHISE COUNTY HOSPITAL 901 W REX ALLEN DR WILLCOX AZ 85643 860208451 HOSPITAL AZ 501(c)(3) 3 TMC HEALTHCARE true TUCSON HOSPITALS MEDICAL EDUCATION PROGRAM PO BOX 42195 TUCSON AZ 85733 860204268 EDUCATION AZ 501(c)(3) 3 TMC HEALTHCARE true SOUTHERN ARIZONA HOSPITAL ALLIANCE 5301 E GRANT ROAD TUCSON AZ 85712 200385301 HOSPITAL AZ 501(c)(3) 3 TMC HEALTHCARE true HOSPITAL CARE SYSTEM DEVELOPMENT 5301 E GRANT RD TUCSON AZ 85712 203015545 HOSPITAL MANAGEMENT AZ TMC HEALTHCARE C Corporation 1 true SAGUARO MEDICAL HOLDINGS INC 5301 E GRANT RD TUCSON AZ 85712 200614853 HOLDING COMPANY AZ TMC HEALTHCARE C Corporation 1 true TMC HEALTHCARE SECURITY SERVICE 5301 E GRANT RD TUCSON AZ 85712 522414943 SECURITY SERVICES AZ TMC HEALTHCARE C Corporation 0 0 1 true GLP INSURANCE COMPANY LTD SELF INSURANCE CJ TMC HEALTHCARE C Corporation 9363210 43214766 1 true false false false false false false false false false false false false false true true true true false true