2025-11-13T12:25:52-05:00 2024-12-31 200079326 DZA PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2024-01-01 860208451 NORTHERN COCHISE COMMUNITY HOSPITAL INC NORT 5203843541 901 WEST REX ALLEN DRIVE WILLCOX AZ 85643 JAMES KRAYKOVICH CFO 5203843541 2025-11-11 true true RIKKI PATCH P01472231 5092420874 2025-11-13 2024 2025-03-06 01:10:19Z GARY KARTCHNER 901 WEST REX ALLEN DRIVE WILLCOX AZ 856431009 24778233 false X WWW.NCCH.NET X 1966 AZ TO PROVIDE FOR THE HEALTHCARE NEEDS OF THE GREATER WILLCOX COMMUNITY AND SOUTHEAST ARIZONA. 7 7 162 7 0 2511725 2282540 18197440 22313337 4857 5007 171184 177349 20885206 24778233 0 0 7931143 8481567 0 9701 11301616 11844454 19232759 20326021 1652447 4452212 18283308 22803061 1959370 1972464 16323938 20830597 X TO PROVIDE FOR THE HEALTHCARE NEEDS OF THE GREATER WILLCOX COMMUNITY AND SOUTHEAST ARIZONA. false false 15866805 22313337 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 584 DAYS OF ACUTE PATIENT SERVICES, 5,885 EMERGENCY ROOM VISITS, AND 11,896 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 155,497 FOR CHARITY CARE, 5,513,357 FOR MEDICARE, 2,981,385 FOR MEDICAID, AND 9,365,636 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. 15866805 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 48 0 true 162 true false false false false false false false false false false false false X 7 7 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 X MONICA SHELDON CEO (ENDED 1 40.00 X 0 228386 0 GARY KARTCHNER CEO (BEG. 11 40.00 X 0 221259 16428 LAUREL KIBLER NURSE PRACTI 40.00 X 206475 0 14604 KIMBERLY AGUIRRE DIR. OF SUPP 40.00 X 165561 0 8580 TREVOR JONES NURSE PRACTI 40.00 X 158985 0 6542 MICHAEL PAYNE PHYSICAL THE 40.00 X 146489 0 23133 JAMES KRAYKOVICH CFO 40.00 X 143148 0 21007 KRISTIAN ABARCA NURSE PRACTI 30.00 X 129244 0 21505 DANIEL WILSON CHAIR 3.00 X X 0 0 0 BOB GLEASON-MOORE 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 JULIA STRANGE DIRECTOR 3.00 X 0 0 0 MICHELLE MINTA DIRECTOR 3.00 X 0 0 0 949902 449645 111799 14 false true false ERX - ARIZONA PO BOX 742528 DALLAS TX 75374 ED PHYSICIANS 2536834 TUCSON MEDICAL CENTER PO BOX 31990 TUCSON AZ 85751 MANAGEMENT SVS. 1507106 VAYA WORKFORCE SOLUTIONS PO BOX 713427 CHICAGO IL 60677 STAFFING SVS. 797740 PSYCHIATRIC MEDICAL CARE LLC PO BOX 734606 DALLAS TX 75373 PSYCH MGMT. 570932 MEDHOST OF TENNESSEE INC PO BOX 201650 DALLAS TX 75320 SOFTWARE SVS. 448518 27 2263185 19355 2282540 NET PATIENT SERVICE REVENUE 624100 22256106 22256106 OTHER PROGRAM REVENUE 624100 57231 57231 22313337 5007 5007 44042 44042 44042 44042 REBATES 900099 53067 53067 OTHER REVENUE 900099 42444 42444 CAFETERIA REVENUE 722514 37796 37796 133307 24778233 22313337 182356 X 622818 622818 6919841 5680521 1235542 3778 59005 44659 14316 30 294324 247500 46659 165 585579 444991 140293 295 48000 48000 6175065 5548694 624934 1437 53578 627 52951 647386 357937 289087 362 469613 469613 232291 179498 50989 1804 36833 26611 10188 34 484100 417468 65576 1056 106063 77388 28675 MEDICAL SUPPLIES & DRUGS 1940012 1940012 REPAIRS & MAINTENANCE 402225 376372 25173 680 ASSESSMENT FEES 399600 399600 849688 124927 724701 60 20326021 15866805 4449515 9701 3810349 8459903 3828492 3832323 3950891 4360042 222899 265647 167864 218505 5312070 1846086 3617312 3465984 722046 776493 1963455 1424164 18283308 22803061 1933051 1970902 26319 1562 1959370 1972464 X 16323938 20830597 16323938 20830597 18283308 22803061 4452212 54447 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 4351 4351 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. 2844330 209752 2634578 2410845 1636334 774511 56895 56895 3465984 DUE FROM THE DISTRICT 1404066 DONATED ARTWORK 18500 OPERATING LEASE RIGHT-OF-USE ASSETS 1598 1424164 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, 2024, 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 66864 66864 0.00330 4282117 4282117 4348981 4282117 66864 0.00330 1787365 1335376 451989 0.02220 1787365 1335376 451989 0.02220 6136346 5617493 518853 0.02550 65187 65187 0.00320 6761 6761 0.00030 108402 108402 0.00530 180350 180350 0.00890 true 935509 80713 4934609 4946007 -11398 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 24 true true false true X WWW.NCCH.NET X WWW.COCHISE.AZ.GOV X true 24 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 41 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 HEALTH. FACILITY 1, NORTHERN COCHISE COMMUNITY HOSPITAL - PART V, LINE 11 THE TOP 4 HEALTH NEEDS IDENTIFIED IN THE MOST RECENT ASSESSMENT ARE AS FOLLOWS: 1.TO REALIZE A HEALTHY, DIVERSE, INCLUSIVE, AND WELCOMING COMMUNITY THAT PROVIDES AFFORDABILITY AND LIVABILITY 2.PROVIDE SERVICES AND SUPPORT FOR HEALTHY AGING 3.ADDRESS GROWING BEHAVIORAL HEALTH NEEDS 4.IMPROVE ACCESS TO PRIMARY AND DENTAL CARE THE HOSPITAL IS ADDRESSING THESE NEEDS USING VARIOUS STRATEGIES THAT INCLUDE THE FOLLOWING: COLLABORATING WITH ARIZONA HOSA AND LOCAL SCHOOLS TO PROMOTE HEALTH- RELATED CAREER PATHWAYS FOR STUDENTS. ADVANCING EFFORTS TO RE-ESTABLISH SWING BEDS TO SUPPORT LOCAL LONG-TERM CARE SERVICES. PARTNERING WITH TUCSON MEDICAL CENTER AND COMMUNITY ORGANIZATIONS TO DELIVER SENIOR HEALTH PROGRAMS AND RESOURCES. EXPANDING RURAL HEALTH CLINIC OPERATIONS AND MEDICAL PROVIDER RECRUITMENT EFFORTS. EXPLORING OPPORTUNITIES FOR FLUORIDE TREATMENTS AND COLLABORATION WITH CHIRICAHUA FQHCS PLANNED DENTAL EXPANSION IN WILLCOX. 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 1,787,365 IN COLUMN C AND 1,335,376 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 11, OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS INCLUDED IN FOOTNOTE 3 STARTING ON PAGE 17 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 12,318. IN 2024, 18% OF THE COUNTY'S POPULATION IS AGE 65+, WHILE 22% OF THE STATE'S POPULATION IS AGE 65+. AMERICAN INDIANS REPRESENT ABOUT 1.5% OF THE TOTAL POPULATION WHILE HISPANICS REPRESENT ABOUT 40%. 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 MONICA SHELDON CEO (ENDED 10/2024) 228386 228386 GARY KARTCHNER CEO (BEG. 11/2024) 221259 16428 237687 LAUREL KIBLER NURSE PRACTITIONER 142154 64321 323 14281 221079 KIMBERLY AGUIRRE DIR. OF SUPPORT SVC. 151948 13613 1154 7426 174141 TREVOR JONES NURSE PRACTITIONER 130665 18320 10000 6542 165527 MICHAEL PAYNE PHYSICAL THERAPIST 146489 1110 22023 169622 JAMES KRAYKOVICH CFO 131350 11798 21007 164155 KRISTIAN ABARCA NURSE PRACTITIONER 95001 34243 21505 150749 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 FORM 990 IS PROVIDED TO THE CFO 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 FORM 990. ONCE MANAGEMENT IS SATISFIED WITH THE FORM 990, THE CFO 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 VII FORM 990, PART VII, SECTION A: A RELATED ORGANIZATION PAID THE COMPENSATION OF THE FILING ORGANIZATION'S CEO DURING THE YEAR AND ISSUED A FORM W-2. THE FILING ORGANIZATION REIMBURSED THE RELATED ORGANIZATION FOR THE EXPENSE INCURRED. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES 5,548,694 624,934 1,437 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 false false false false false false false false false false true true true false false false false