2025-11-17T12:58:31+00:00 2024-12-31 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2024-01-01 860137567 Tucson Medical Center TUCS 5203244461 5301 E GRANT ROAD TUCSON AZ 85712 STEVE REICHLING CEO 5203244461 2025-11-17 true Brian Todd P00422601 4178658701 2024-05-14 2024 2025-03-06 01:10:19Z JENNIFER MENDRZYCKI 5301 E GRANT ROAD TUCSON AZ 85712 960743553 false X WWW.TMCAZ.COM X 1943 AZ TUCSON MEDICAL CENTER'S MISSION IS TO DELIVER CARING, PERSONALIZED, QUALITY HEALTHCARE TO PATIENTS AND THEIR FAMILIES IN AN ENVIRONMENT THAT IS SUPPORTIVE, EDUCATION-FOCUSED AND COMPASSIONATE. 10 7 5856 462 847750 122729 2623274 9836698 778380986 898503410 5290922 1583397 5259983 3298081 791555165 913221586 4814877 10708751 0 368077301 390238262 0 0 396084964 474974141 768977142 875921154 22578023 37300432 565736009 714066724 358009948 382192743 207726061 331873981 X TUCSON MEDICAL CENTER'S MISSION IS TO DELIVER CARING, PERSONALIZED, QUALITY HEALTHCARE TO PATIENTS AND THEIR FAMILIES IN AN ENVIRONMENT THAT IS SUPPORTIVE, EDUCATION-FOCUSED AND COMPASSIONATE. true false 792096428 10708751 881752531 TUCSON MEDICAL CENTER, LICENSED AT MORE THAN 600 BEDS, HAS BEEN TUCSON'S LOCALLY GOVERNED NONPROFIT REGIONAL HOSPITAL FOR MORE THAN 75 YEARS. TMC IS SOUTHERN ARIZONA'S LEADING PROVIDER FOR EMERGENCY CARE AND PEDIATRIC CARE (INCLUDING TUCSON'S FIRST PEDIATRIC EMERGENCY DEPARTMENT), WITH INTENSIVE CARE UNITS FOR ADULTS, CHILDREN AND NEWBORNS. OTHER SPECIALTY AREAS INCLUDE WOMEN'S, MATERNITY, CARDIAC CARE, ORTHOPAEDIC, NEUROSCIENCE, HOSPICE, SURGICAL, VASCULAR AND GEROPSYCHIATRIC CARE. GOVERNED BY A VOLUNTEER COMMUNITY BOARD OF TRUSTEES, TUCSON MEDICAL CENTER IS CLOSELY TIED TO AND FOCUSED ON THE COMMUNITY. TUCSON MEDICAL CENTER IS DEDICATED TO DELIVERING "CARING, PERSONALIZED, QUALITY HEALTHCARE TO PATIENTS AND THEIR FAMILIES IN AN ENVIRONMENT THAT IS SUPPORTIVE, EDUCATION-FOCUSED AND COMPASSIONATE." IMPROVING THE HEALTHCARE OF THE COMMUNITY IS THE CORE INTENT OF ALL OUR EFFORTS AND THE BASIS OF OUR MISSION. EARNINGS ARE USED TO IMPROVE OUR FACILITY, PATIENT CARE, MEDICAL EDUCATION, TRAINING AND RESEARCH. TMC PROVIDES CARE TO THOSE WITH ACUTE HEALTH CARE NEEDS REGARDLESS OF THEIR ABILITY TO PAY FOR THE SERVICES NEEDED. LIKEWISE, TUCSON MEDICAL CENTER PROVIDES EXTENSIVE OUTPATIENT CLINICAL SERVICES SUCH AS LABORATORY, RADIOLOGY AND THERAPIES TO NAME A FEW. MANY OF THESE SERVICES ARE PROVIDED TO PATIENTS WHO ARE UNABLE TO PAY FOR SERVICES. TMC ALSO PARTICIPATES IN THE PIMA COMMUNITY ACCESS PROGRAM THAT PROVIDES ACCESS TO HEALTH SERVICES AT SIGNIFICANT DISCOUNTS TO LOW-INCOME FAMILIES. UNPAID COSTS: TMC PROVIDES SERVICES TO PATIENTS COVERED BY AHCCCS AND OTHER PUBLIC PROGRAMS FOR LOW-INCOME PEOPLE. THIS IS THE SHORTFALL CREATED WHEN A FACILITY RECEIVES PAYMENTS THAT ARE LESS THAN THE COST OF CARING FOR PUBLIC-PROGRAM BENEFICIARIES. UNCOMPENSATED COST OF CARE FOR CHARITY CARE AND BAD DEBT: CHARITY CARE IS FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO PEOPLE WHO CAN DEMONSTRATE THAT THEY DO NOT HAVE THE MEANS TO PAY THE FULL COST OF CARE AND WHO MEET THE ORGANIZATION'S FINANCIAL-ASSISTANCE POLICY CRITERIA. BAD DEBT CONSISTS OF SERVICES FOR WHICH THE HOSPITAL ANTICIPATED BUT DID NOT RECEIVE PAYMENT. FOR PURPOSES OF COMMUNITY BENEFIT REPORTING, CHARITY CARE AND BAD DEBT ARE REPORTED IN TERMS OF COSTS, NOT CHARGES. FOR MORE INFORMATION ABOUT TMC'S CHARITY CARE POLICY, VISIT WWW.TMCAZ.COM. OUTREACH & EDUCATION: THIS FIGURE INCLUDES COMMUNITY BENEFIT PROGRAMS AND ACTIVITIES THAT PROVIDE TREATMENT OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. THESE PROGRAMS AND ACTIVITIES HELP IMPROVE ACCESS TO HEALTH CARE SERVICES, ENHANCE THE HEALTH OF THE COMMUNITY AND ADVANCE MEDICAL KNOWLEDGE. DISCOUNTS FOR UNINSURED PATIENTS: SELF-PAY PATIENTS WHO DO NOT HAVE HEALTH INSURANCE ARE NOT IN THE SAME POSITION AS INSURANCE COMPANIES TO NEGOTIATE REDUCED RATES. IN AN EFFORT TO ADDRESS THIS DISPARITY, TMC REDUCES A PATIENT'S BILL BY HALF IF THE PATIENT IS WITHOUT ANY INSURANCE COVERAGE. DEPENDING ON A PATIENT'S INCOME, OTHER DISCOUNTS MAY APPLY AS OF THE TMC COMMUNITY CARE PROGRAM. PLEASE SEE OUR WEBSITE TO VIEW OUR FULL REPORT TO THE COMMUNITY: WWW.TMCAZ.COM 30082167 0 16750879 Tucson Medical Center includes the Rincon Hospital facility, which began operations in April 2024. This facility includes 35 licensed beds as of December 31, 2024. TMC Rincon offers inpatient services, emergency care, imaging, laboratory, operating suites, a cardiac catheterization lab, and labor & delivery care. Available specialties include cardiology, gastroenterology, gynecology, orthopedics, and labor and delivery. The Rincon Health Campus also includes TMCOne Primary & Specialty Care, TMC Rincon OB/GYN clinic, the Rincon Ambulatory Surgery Center, Radiology Ltd. outpatient imaging and TMC Urgent Care. 822178595 true true false false false false false false false false true false false true true true false true false false false false false false false false true true true true true true false false false false false false false false false false false false false false true true false false false false true 403 0 true 5856 true true true false false false false false false false false false true false X 10 7 false false false false true true true true true false false false false true true true true true true true true true AZ X STEVE REICHLING 5203242113 5301 E GRANT ROAD TUCSON AZ 85712 CYNTHIA GARCIA CHAIR 1.0 0 X X 0 0 0 MAUREEN COOMLER TMC CHIEF EXECUTIVE OFFICER 40.0 0 X X 781432 0 97810 ALAN ROGERS TRUSTEE 1.0 0 X 0 0 0 BARBARA FARMILANT TRUSTEE 1.0 0 X 0 0 0 DAVID SMALLHOUSE TRUSTEE 1.0 0 X 0 0 0 DAVID WHITMAN CHIEF OF STAFF ELECT 1.0 0 X 0 0 0 ELIZABETH FRIMAN TRUSTEE 1.0 0 X 0 0 0 JEFF CHRISTENSEN TRUSTEE 1.0 0 X 0 0 0 JOHN LEVIN TRUSTEE 1.0 1.0 X 0 0 0 JULIE ZAETTA CHIEF OF STAFF 1.0 0 X 0 0 0 ALEXANDER HORVATH CHIEF HUMAN RESOURCES OFFICES 34.0 6.0 X 582696 0 32905 BRADLEY HIPP TMC CHIEF FINANCIAL OFFICER 40.0 0 X 242735 0 16264 JENNIFER MENDRZYCKI CHIEF EXECUTIVE OFFICER BEG 04/24 34.0 6.0 X 846970 0 202785 JOSHUA LEE CHIEF HEALTH INFORMATION OFFICER 40.0 0 X 567228 0 126245 JOY UPSHAW CHIEF NURSING OFFICER 40.0 0 X 526990 0 63845 JUDITH RICH CHIEF EXECUTIVE OFFICER END 04/24 34.0 6.0 X 1207962 0 22514 KEVIN SMITH CHIEF MEDICAL OFFICER 39.0 1.0 X 471678 0 121105 STEVE REICHLING CHIEF FINANCIAL OFFICER, TREASURER 33.0 7.0 X 646106 0 147469 TIM REUSCHEL CHIEF LEGAL OFFICER, SECRETARY 33.0 7.0 X 525776 0 135090 JEFFREY LAMIE CHIEF DEVELOPMENT OFFICER 40.0 0 X 468289 0 56144 JULIA STRANGE VP, COMMUNITY BENEFITS 20.0 24.0 X 424547 0 34215 JULIE WARD VP, OPERATIONS 40.0 0 X 255366 0 25372 KEVIN KILDAY VP, CHIEF FINANCIAL OFFICER 40.0 0 X 432687 0 62524 IFTEQUAR SIDDIQUI PHYSICIAN 40.0 0 X 212571 0 8005 MONICA SHELDON NCCH CEO END 12/24 40.0 0 X 258886 0 68430 MUFUTAU AKINBILE Physician 40.0 0 X 408485 0 33130 NATHANIEL REYES PHYSICIAN 40.0 0 X 490501 0 29682 REBECCA MILLIGAN PHYSICIAN 40.0 0 X 532918 0 36482 STEPHEN BUSH FORMER CHIEF FINANCIAL OFFICER 34.0 6.0 X 234957 0 4555 10118780 0 1324571 948 true true false CLOUDMED SOLUTIONS LLC PO BOX 208272 DALLAS TX 753208272 Software 4719705 MINDLANCE HEALTH LLC 1095 MORRIS AVE UNION NJ 07083 CONTRACT LABOR 4446578 ARIZONA INPATIENT MEDICINE ASSOCIATES LL 7383 E TANQUE VERDE RD TUCSON AZ 85715 Medical Services 3136795 PIMA HEART PHYSICIANS 555 E RIVER RD SUITE 1010 TUCSON AZ 85704 MEDICAL SERVICES 2598286 NEUROLOGICAL ASSOCIATES OF TUCSON 2450 E RIVER RD TUCSON AZ 85718 MEDICAL SERVICES 2416516 74 4247954 5588744 9836698 NET PATIENT SERVICES 621110 873863999 873863999 PHARMACY REVENUE 446110 15897999 15897999 FOOD SERVICES 446110 3872648 3872648 OTHER REVENUE 900099 4868764 4021014 847750 0 0 0 0 898503410 848983 848983 3298081 3298081 0 3298081 3298081 44383633 3872748 43442629 4079338 941004 -206590 734414 734414 0 0 0 0 0 913221586 897655660 847750 4881478 X 10692901 10692901 15850 15850 9124751 2335854 6788897 239512 239512 313431363 311544456 1886907 6674246 5776271 897975 37374580 37219336 155244 23393810 22984341 409469 4122105 4057591 64514 10891 10891 14875 14875 471317 471317 109786938 84710557 25076381 0 753676 379486 374190 22082332 21976309 106023 18658117 16172926 2485191 12171005 11807086 363919 818616 618912 199704 450274 402386 47888 4443240 4443240 31212143 31212143 9298154 1161374 8136780 MEDICAL SUPPLIES 204251901 204251901 HOSPITAL ASSESSMENT 43326720 43326720 REPAIRS AND MAINTENANCE 6108904 5943087 165817 RECRUITING AND RETENTION 5839807 783369 5056438 1153126 362499 790627 0 875921154 822178595 53742559 0 4264827 2320504 19310060 1214594 113616545 123579158 0 0 0 0 39597703 44506969 15966655 16459802 624873594 310827227 192368415 314046367 121402190 118651614 0 0 59209614 93287716 565736009 714066724 110005105 141466993 220938235 216989867 0 0 7574035 5576029 19492573 18159854 358009948 382192743 X 207726061 331873981 207726061 331873981 565736009 714066724 X 37300432 7010759 79836729 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3355439 3355439 303158745 114832093 188326652 1961558 0 1961558 257715881 184427370 73288511 58681971 11567764 47114207 314046367 DUE FROM 3RD PARTY 2278434 OTHER RECEIVABLES 75756244 ROU ASSET 14404946 GUARANTEES 262802 INVEST IN SLA 118996 INVEST IN VHA 44270 OTHER ASSET 422024 93287716 Federal Income Taxes DUE TO 3RD PARTY 638682 ROU LIABILITIES 13989830 RETIREMENT OBLIGATION 3257785 OTHER LIABILITIES 273557 18159854 X 0 0 0 0 0 0 0 0 0 0 0 0 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. true true X true X true X 1786119 1786119 0.00204 207527133 189334670 18192463 0.02077 0 0.0 0 0 209313252 189334670 19978582 0.02281 3523252 3523252 0.00402 0 0.0 0 0.0 0 0.0 2361228 2361228 0.00270 0 0 5884480 0 5884480 0.00672 0 0 215197732 189334670 25863062 0.02953 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 33665565 9054286 172273368 200598747 -28325379 X true true TMC CARDIAC & CARDIOTHORAC MANAGEMENT OF CARDIAC SVCS 0.4 0 0.6 TMC NEUROSCIENCE MGMT LLC MANAGE NEURO SVCS 0.325 0 0.675 TMC VASCULAR SURGERY MGMT MANAGE VASCULAR SERVICES 0.3 0 0.7 TMC GENERAL SURGERY & UROLO MGE GENERAL SURG & UROLOGY 0.3 0 0.7 2 2 TUCSON MEDICAL CENTER RINCON 5755 SOUTH HOUGHTON RD TUCSON AZ 85747 www.rincon.tmcaz.com H13332 X X X 1 1 TUCSON MEDICAL CENTER 5301 E GRANT RD TUCSON AZ 85712 WWW.TMCAZ.COM H0012 X X X X X 1 1 2 false false true X X X X X X X X X 24 true true true true X https://www.tmchealth.tmcaz.com/en/community/community-benefit https://www.pima.gov/3192/Community-Health-Needs-Assessment true 24 true https://www.tmchealth.tmcaz.com/en/community/community-benefit false true X 100.0 400.0 X X X X X true true X X X X true X (SEE STATEMENT) X (SEE STATEMENT) X (SEE STATEMENT) X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E Schedule H, Part V, Section B, Line 5 Facility 1, 1 Facility 1, 1 - TUCSON MEDICAL CENTER. The significant health needs identified in the 2024 Community Health Needs Assessment (CHNA) are prioritized and informed directly through a structured community engagement process. Input was gathered through focus groups, community surveys, and stakeholder interviews, ensuring representation from diverse voices across Southern Arizona, including LGBTQ+ community members, seniors, people with disabilities, direct service providers, faith leaders, the African American Health and Wellness Coalition, and the Tucson Indian Center. The prioritization of needs was further refined through the Community Health Improvement Plan (CHIP), which engaged cross-sector partners to align community feedback with data-driven health indicators. This process ensures that the identified health needs reflect both the community's lived experiences and objective health data, with clear priorities to guide collaborative action. Schedule H, Part V, Section B, Line 6a Facility 1, 1 Facility 1, 1 - TUCSON MEDICAL CENTER. Tucson Medical Center's 2024 CHNA was conducted in collaboration with Banner-University Medical Center and the Tucson VA Medical Center. In addition to these hospital partners, the CHNA process included robust participation from community partners across Pima County. Key collaborators included the Pima County Health Department, El Rio Health, CODAC Health, Recovery & Wellness, United Way of Tucson and Southern Arizona, the Community Food Bank of Southern Arizona, and multiple community coalitions and advocacy groups. This collaborative approach ensured that the identified health needs reflect both the perspectives of hospital systems and the expertise and lived experiences of community-based organizations. Schedule H, Part V, Section B, Line 6b Facility 1, 1 Facility 1, 1 - TUCSON MEDICAL CENTER. Tucson Medical Center's 2024 CHNA was conducted in collaboration with multiple organizations beyond hospital facilities. Key partners included the Pima County Health Department, which convened the Community Advisory Committee (CAC) of local leaders to guide CHNA planning and qualitative data collection. Additional partners included El Rio Health, CODAC Health, Recovery & Wellness, United Way of Tucson and Southern Arizona, the Community Food Bank of Southern Arizona, and other nonprofit and advocacy organizations. These partners contributed survey data, focus group input, and subject matter expertise, ensuring that the CHNA reflects both local and regional perspectives on community health priorities. Schedule H, Part V, Section B, Line 11 Facility 1, 1 Facility 1, 1 - TUCSON MEDICAL CENTER. TMC Health is actively addressing the significant community health needs identified in the 2024 CHNA through a combination of direct clinical services, expanded access initiatives, and community partnerships. Priority Area 1: Behavioral Health, including substance use and suicide prevention Expanded integration of behavioral health into primary care through TMCOne, including virtual behavioral health support. Continued partnership with CODAC, Palo Verde Behavioral Health, and the Southern Arizona Opioid Consortium to expand access to crisis response, substance use treatment, and recovery services. Ongoing "Healing the Healer" wellness and resiliency programming to support the mental health of TMC's own workforce. Priority Area 2: Chronic Disease Prevention and Management (including obesity, diabetes, and cardiovascular disease) Expansion of care coordination and chronic disease management programs within TMCOne. Community education initiatives in partnership with El Rio Health, Pima County Health Department, and United Way of Tucson and Southern Arizona. Nutrition and activity programs supported through collaborations with schools and the Community Food Bank of Southern Arizona. Priority Area 3: Access to Care Investment in same-day, after-hours, and telehealth options to reduce barriers to timely care. Support for transportation and resource navigation services in collaboration with local nonprofits. Needs Not Fully Addressed and Rationale: Some identified needs, such as housing insecurity and food insecurity, extend beyond the direct scope of hospital-based care. TMC Health supports partner organizations that lead these efforts (such as Pima County, United Way, and the Community Food Bank), but does not directly provide housing or social services. In these areas, TMC contributes through partnership, advocacy, and resource alignment rather than direct service delivery. Schedule H, Part V, Section B, Line 13 Facility 1, 1 Facility 1, 1 - TUCSON MEDICAL CENTER. HERE IS THE COMPLETE WEBSITE REGARDING FINANCIAL ASSISTANCE HTTPS://WWW.TMCAZ.COM/ABOUT-MY-VISIT-TO-TMC/ABOUT-YOUR-BILL/FINANCIAL-ASSISTANCE/COM MUNITY-CARE-POLICY 12 TMC Endocrinology 2380 North Ferguson Avenue Suite 1 Tucson AZ 85712 CLINIC TMC Rheumatology 2380 North Ferguson Avenue Suite 1 Tucson AZ 85712 CLINIC Tucson Medical Center (TMC Health Cancer Center) 603 North Wilmot Road Tucson AZ 85711 CLINIC Tucson Medical Center (TMC Health Cancer Center) 10350 East Drexel Road 250 Tucson AZ 85747 CLINIC Tucson Medical Center (TMC Health Cancer Center) 2070 West Rudasill Road Suite 100 Tucson AZ 85704 CLINIC Tucson Medical Center (TMC Integrative Pain Center) 5335 East Erickson Drive Floor 1 On Tucson AZ 85712 CLINIC TUCSON MEDICAL CENTER EL DORADO HEALTH CAMPUS 1400 North Wilmot Road First Floor Tucson AZ 85712 CLINIC TUCSON MEDICAL CENTER INTEGRATIVE PAIN CENTER 5355 East Erickson Drive Tucson AZ 85712 CLINIC TUCSON MEDICAL CENTER OUTPATIENT THERAPY CLINIC 5395 East Erickson Road Suite 101 Tucson AZ 85712 CLINIC TUCSON MEDICAL CENTER SLEEP DIAGNOSTIC LABORATORY 2100 North Rosemont Suite 110 Tucson AZ 85712 CLINIC TUCSON MEDICAL CENTER WOMEN'S IMAGING CENTER 2625 North Craycroft Suite 111 Tucson AZ 85712 CLINIC TMC RINCON SURGERY CENTER 10360 E DREXEL RD TUCSON AZ 85747 CLINIC Schedule H, Part I, Line 6a RELATED ORGANIZATION COMMUNITY BENEFIT REPORT GOVERNED BY A VOLUNTEER COMMUNITY BOARD OF TRUSTEES, TUCSON MEDICAL CENTER IS CLOSELY TIED TO AND FOCUSED ON THE COMMUNITY. TUCSON MEDICAL CENTER IS DEDICATED TO DELIVERING "CARING, PERSONALIZED, QUALITY HEALTHCARE TO PATIENTS AND THEIR FAMILIES IN AN ENVIRONMENT THAT IS SUPPORTIVE, EDUCATION-FOCUSED AND COMPASSIONATE." IMPROVING THE HEALTHCARE OF THE COMMUNITY IS THE CORE INTENT OF ALL OUR EFFORTS AND THE BASIS OF OUR MISSION. EARNINGS ARE USED TO IMPROVE OUR FACILITY, PATIENT CARE, MEDICAL EDUCATION, TRAINING AND RESEARCH. TMC PROVIDES CARE TO THOSE WITH ACUTE HEALTH CARE NEEDS REGARDLESS OF THEIR ABILITY TO PAY FOR THE SERVICES NEEDED. LIKEWISE, TUCSON MEDICAL CENTER PROVIDES EXTENSIVE OUTPATIENT CLINICAL SERVICES SUCH AS LABORATORY, RADIOLOGY AND THERAPIES TO NAME A FEW. MANY OF THESE SERVICES ARE PROVIDED TO PATIENTS WHO ARE UNABLE TO PAY FOR SERVICES. TMC ALSO PARTICIPATES IN THE PIMA COMMUNITY ACCESS PROGRAM THAT PROVIDES ACCESS TO HEALTH SERVICES AT SIGNIFICANT DISCOUNTS TO LOW INCOME FAMILIES. UNPAID COSTS: TMC PROVIDES SERVICES TO PATIENTS COVERED BY AHCCCS AND OTHER PUBLIC PROGRAMS FOR LOW INCOME PEOPLE. THIS IS THE SHORTFALL CREATED WHEN A FACILITY RECEIVES PAYMENTS THAT ARE LESS THAN THE COST OF CARING FOR PUBLIC-PROGRAM BENEFICIARIES. UNCOMPENSATED COST OF CARE FOR CHARITY CARE AND BAD DEBT: CHARITY CARE IS FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO PEOPLE WHO CAN DEMONSTRATE THAT THEY DO NOT HAVE THE MEANS TO PAY THE FULL COST OF CARE AND WHO MEET THE ORGANIZATIONS FINANCIAL-ASSISTANCE POLICY CRITERIA. BAD DEBT CONSISTS OF SERVICES FOR WHICH THE HOSPITAL ANTICIPATED BUT DID NOT RECEIVE PAYMENT. FOR PURPOSES OF COMMUNITY BENEFIT REPORTING, CHARITY CARE AND BAD DEBT ARE REPORTED IN TERMS OF COSTS, NOT CHARGES. FOR MORE INFORMATION ABOUT TMCS CHARITY CARE POLICY, VISIT WWW.TMCAZ.COM. OUTREACH & EDUCATION: THIS FIGURE INCLUDES COMMUNITY BENEFIT PROGRAMS AND ACTIVITIES THAT PROVIDE TREATMENT OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. THESE PROGRAMS AND ACTIVITIES HELP IMPROVEACCESS TO HEALTH CARE SERVICES, ENHANCE THE HEALTH OF THE COMMUNITY AND ADVANCE MEDICAL KNOWLEDGE. DISCOUNTS FOR UNINSURED PATIENTS - SELF-PAY PATIENTS WHO DO NOT HAVE HEALTH INSURANCE ARE NOT IN THE SAME POSITION AS INSURANCE COMPANIES TO NEGOTIATE REDUCED RATES. IN AN EFFORT TO ADDRESS THIS DISPARITY, TMC REDUCES A PATIENTS BILL BY HALF IF THE PATIENT IS WITHOUT ANY INSURANCE COVERAGE. DEPENDING ON A PATIENTS INCOME, OTHER DISCOUNTS MAY APPLY AS PART OF THE TMC COMMUNITY CARE PROGRAM. Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE HTTPS://WWW.TMCAZ.COM/ABOUT-MY-VISIT-TO-TMC/ABOUT-YOUR BILL/FINANCIALASSISTANCE/ COMMUNITY-CARE-POLICY Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE HTTPS://WWW.TMCAZ.COM/ABOUT-MY-VISIT-TO-TMC/ABOUT-YOUR-BILL/FINANCIALASSISTANCE/ COMMUNITY-CARE-POLICY Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE HTTPS://WWW.TMCAZ.COM/ABOUT-MY-VISIT-TO-TMC/ABOUT-YOUR-BILL/FINANCIALASSISTANCE/ COMMUNITY-CARE-POLICY Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT EXPENSE IS BASED ON OUR HISTORICAL COLLECTION PERCENTAGE OF GROSS REVENUE LESS DEDUCTIONS FOR CONTRACTUALS, CHARITY CARE AND SELF PAY ACCOUNTS. THE VALUE FOR THIS LINE IS FROM FORM CMS-2552-10 Schedule H, Part III, Line 3 Bad Debt Expense Methodology BAD DEBT ATTRIBUTABLE TO CHARITY CARE IS CALCULATED USING AN ESTIMATE OF NET PATIENT REVENUE AFTER DISCOUNTS. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance PATIENTS ARE INTERVIEWED ON ADMISSION TO SEE IF THEY MAY QUALIFY FOR FINANCIAL ASSISTANCE. THERE IS A NOTICE ON OUR STATEMENTS ADVISING PATIENTS TO CALL OUR PATIENT FINANCIAL SERVICES DEPARTMENT TO SEE IF THEY QUALIFY AND PATIENTS WITH PAST DUE BALANCES ARE SENT A LETTER ADVISING THEM OF THE AVAILABILITY OF ASSISTANCE BEFORE THEY ARE SENT TO COLLECTIONS. BAD DEBT POLICY STATES CHARITY ACCOUNTS ARE TO BE RETURNED FROM BAD DEBT AND ALL THE NECESSARY FINANCIAL INFORMATION IS REVIEWED AND THE APPROPRIATE ADJUSTMENTS ARE MADE ACCORDING TO THE POLICY. Schedule H, Part V, Section B, Line 16a FAP website 1 - TUCSON MEDICAL CENTER: Line 16a URL: (SEE STATEMENT); Schedule H, Part V, Section B, Line 16b FAP Application website 1 - TUCSON MEDICAL CENTER: Line 16b URL: (SEE STATEMENT); Schedule H, Part V, Section B, Line 16c FAP plain language summary website 1 - TUCSON MEDICAL CENTER: Line 16c URL: (SEE STATEMENT); Schedule H, Part VI, Line 2 Needs assessment Tucson Medical Center (TMC) participated in the 2024 Pima County Community Health Needs Assessment (CHNA), a triennial collaborative process involving local hospitals, federally qualified health centers, and the Pima County Health Department. The goal was to gain a comprehensive picture of health needs and assets in Southern Arizona, using both quantitative and qualitative methods to ensure a balanced understanding of community priorities. On the quantitative side, the CHNA analyzed secondary data from sources such as the American Community Survey, the Arizona Department of Health Services, and the Pima County Health Department. These datasets provided insight into demographic trends, poverty and housing burdens, transportation barriers, access to primary and behavioral health providers, rates of chronic disease, and insurance coverage patterns. This analysis established a baseline of community health status and highlighted disparities across neighborhoods and population groups. A broad community survey, reaching approximately 4,000 residents, added another critical layer of quantitative and perception-based data. Residents were asked about their experiences with healthcare access, the quality of services, and the social and economic challenges most affecting health. Survey findings highlighted community concerns around mental health care availability, substance use, and resources for children and adolescents, validating themes that also emerged in other data sources. The qualitative process further deepened these insights. TMC and its partners convened 41 key informant interviews with healthcare providers, educators, and civic leaders; facilitated focus groups with 71 participants representing diverse populations; and engaged nearly 100 residents through gallery-walk sessions, where participants reviewed and prioritized findings. In addition, a steering committee composed of community partners met monthly to review data, discuss trends, and ground the assessment in lived community experience. Together, these methods ensured that the CHNA reflected both measurable health outcomes and the voices of those directly experiencing barriers to care. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance TMC Health ensures that patients and families are informed about financial assistance options at the earliest opportunity. At the time of admission, patients are interviewed to determine whether they may qualify for help through federal, state or local programs, or through the organization's Financial Assistance Policy (FAP). TMC Health's FAP offers free or discounted care based on income, family size and need, ensuring fair access to services. Financial counselors explain available resources, provide written materials, and assist with applications and documentation. This process helps reduce financial barriers to care while promoting transparency, understanding, and peace of mind for patients. Schedule H, Part VI, Line 4 Community information TMC Health serves the diverse communities of Southern Arizona, encompassing the urban center of Tucson and rural areas across Pima, Cochise, Santa Cruz, Graham and Greenlee Counties. This service region reflects wide variation in health needs: metropolitan neighborhoods facing poverty, housing instability, and behavioral health concerns, alongside rural and frontier communities challenged by provider shortages, long travel distances, and limited transportation options. The 2024 Community Health Needs Assessment highlighted significant concerns around mental and behavioral health, substance use, child and adolescent wellbeing, and access to affordable housing and nutritious food. TMC Health works to address these needs through a regional approach. In addition to its hospitals, clinics, and specialty services, the system provides support for non-affiliated critical access hospitals, recognizing their role as essential lifelines for rural residents. Investments in a comprehensive transfer center ensure that patients across the region can be efficiently connected to emergency and specialty care at higher-level facilities. TMC Health also prioritizes recruitment of primary care and specialty providers, building capacity to meet the workforce demands of both urban and rural communities. These efforts underscore a mission to strengthen the health system across Southern Arizona, ensuring access to exceptional and compassionate care close to home. Schedule H, Part VI, Line 5 Promotion of community health TMC Health furthers its exempt purpose by actively promoting the health of the communities it serves. As a nonprofit system, it maintains an open medical staff, which allows independent physicians and specialists from across the region to provide care in its facilities. This model ensures patients have broad access to high-quality, diverse clinical expertise without restrictions based on employment status. Governance also reflects a strong commitment to community benefit. TMC Health is guided by a community-based governing board, composed of local leaders and representatives who bring firsthand knowledge of the region's needs and priorities. Their oversight helps align strategic decisions with the values and expectations of Southern Arizona residents. Financial resources are reinvested directly back into the hospitals, clinics, and programs that make care more exceptional and accessible. This includes facility improvements, investments in advanced medical technology, the expansion of primary and specialty care services, and the support of programs that address social determinants of health. In addition, TMC Health invests in community outreach, education, and partnerships that strengthen the overall health infrastructure of the region. Through these actions, TMC Health demonstrates a mission-driven approach to ensuring care that is compassionate, accessible, and designed around the people it serves. Schedule H, Part VI, Line 6 Affiliated health care system TMC Health furthers its exempt purpose by promoting the health of Southern Arizona through a nonprofit, community-focused system of care. The organization is governed by a volunteer community Board of Trustees, ensuring accountability to the people it serves. TMC Health includes two hospitals in Tucson-Tucson Medical Center and TMC Rincon-along with two critical access hospitals in Cochise County, Benson Hospital and Northern Cochise Community Hospital. Together, these facilities provide acute care, emergency services, labor and delivery, and specialty services to both urban and rural communities. The opening of TMC Rincon in 2024 expanded access in a federally designated medically underserved area, bringing inpatient and maternity care to a part of Pima County with limited options. The system also operates TMCOne, a large provider group delivering primary and specialty care across the region. This extends access, strengthens care coordination, and addresses workforce shortages through recruitment of physicians and advanced practice providers. TMC Health provides care regardless of ability to pay, including charity care, uncompensated care, and services for AHCCCS and other public program beneficiaries. Patients without insurance receive significant discounts under the Community Care Program, and financial counselors connect families with federal, state, and local assistance programs. Earnings are reinvested into facilities, technology, workforce development, and community benefit programs, including outreach, prevention, and education aligned with identified needs from the Community Health Needs Assessment. Through these commitments, TMC Health and its affiliates strengthen the regional safety net and advance health for all communities they serve. true CITY OF TUCSON 255 W ALAMEDA ST TUCSON AZ 85701 866000266 GOV'T 10692901 SUPPORT 1 0 EMPLOYEE SUPPORT 33 15850 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 FROM TMC. X true true X X X X X false true false false false true false false false MAUREEN COOMLER TMC CHIEF EXECUTIVE OFFICER 566200 0 122767 0 92465 0 77205 0 20605 0 879242 0 0 0 STEPHEN BUSH FORMER CHIEF FINANCIAL OFFICER 207629 0 0 0 27328 0 4555 0 0 0 239512 0 0 0 ALEXANDER HORVATH CHIEF HUMAN RESOURCES OFFICES 402148 0 71954 0 108594 0 10350 0 22555 0 615601 0 0 0 JOY UPSHAW CHIEF NURSING OFFICER 450161 0 47661 0 29168 0 37969 0 25876 0 590835 0 0 0 JUDITH RICH CHIEF EXECUTIVE OFFICER END 04/24 687723 0 278937 0 241302 0 9974 0 12540 0 1230476 0 0 0 STEVE REICHLING CHIEF FINANCIAL OFFICER, TREASURER 556420 0 75153 0 14533 0 127034 0 20435 0 793575 0 0 0 JOSHUA LEE CHIEF HEALTH INFORMATION OFFICER 472396 0 87340 0 7492 0 105339 0 20906 0 693473 0 0 0 KEVIN SMITH CHIEF MEDICAL OFFICER 424864 0 21194 0 25620 0 96807 0 24298 0 592783 0 0 0 TIM REUSCHEL CHIEF LEGAL OFFICER, SECRETARY 418703 0 80071 0 27002 0 106519 0 28571 0 660866 0 0 0 JENNIFER MENDRZYCKI CHIEF EXECUTIVE OFFICER BEG 04/24 737533 0 100000 0 9437 0 183402 0 19383 0 1049755 0 0 0 BRADLEY HIPP TMC CHIEF FINANCIAL OFFICER 66478 0 175000 0 1257 0 12202 0 4062 0 258999 0 0 0 JEFFREY LAMIE CHIEF DEVELOPMENT OFFICER 388130 0 74999 0 5160 0 37182 0 18962 0 524433 0 0 0 JULIE WARD VP, OPERATIONS 248297 0 0 0 7069 0 887 0 24485 0 280738 0 0 0 KEVIN KILDAY VP, CHIEF FINANCIAL OFFICER 371090 0 50794 0 10803 0 42303 0 20221 0 495211 0 0 0 JULIA STRANGE VP, COMMUNITY BENEFITS 268068 0 92793 0 63686 0 21972 0 12243 0 458762 0 0 0 IFTEQUAR SIDDIQUI PHYSICIAN 123372 0 66099 0 23100 0 0 0 8005 0 220576 0 0 0 NATHANIEL REYES PHYSICIAN 458573 0 31688 0 240 0 10350 0 19332 0 520183 0 0 0 MUFUTAU AKINBILE Physician 380651 0 26250 0 1584 0 4078 0 29052 0 441615 0 0 0 REBECCA MILLIGAN PHYSICIAN 501014 0 31688 0 216 0 10350 0 26132 0 569400 0 0 0 MONICA SHELDON NCCH CEO END 12/24 213052 0 41520 0 4314 0 40095 0 28335 0 327316 0 0 0 Schedule J, Part I, Line 1a First-class or charter travel FIRST CLASS TRAVEL IS AVAILABLE TO TRUSTEES ON EXTENDED FLIGHTS. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan EXECUTIVES PARTICIPATING IN A SUPPLEMENTAL, NON QUALIFIED RETIREMENT PLAN: STEPHEN BUSH 2024 VESTED CONTRIBUTIONS INCLUDED IN W-2: $27,328 STEPHEN REICHLING 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $116,684 MAUREEN COOMLER 2024 VESTED CONTRIBUTIONS INCLUDED IN W-2: $66,855 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $66,855 JEFFREY LAMIE 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $29,999 ALEXANDER HORVATH 2024 VESTED CONTRIBUTIONS INCLUDED IN W-2: $86,496 JUDITH RICH 2024 VESTED CONTRIBUTIONS INCLUDED IN W-2: $204,242 JENNIFER MENDRZYCKI 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $174,518 JULIA STRANGE 2024 VESTED CONTRIBUTIONS INCLUDED IN W-2: $37,608 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $12,536 JOY UPSHAW 2024 VESTED CONTRIBUTIONS INCLUDED IN W-2: $27,619 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $27,619 MONICA SHELDON 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $33,885 KEVIN KILDAY 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $33,187 JOSHUA LEE 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $102,554 TIM REUSCHEL 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $96,169 KEVIN SMITH 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $85,938 BRADLEY HIPP 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $11,683 Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization 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. A IND DEVEL AUTH OF PIMA CO 860445981 721901KX3 2021-09-09 212666119 BONDS WERE ISSUED TO FINANCE CAPITAL PROJECTS AND TO CURRENT REFUND PRIOR BONDS (ISSUED ON 4/10/18) false false false A 212673759 90659715 100217209 21796835 true false true true A false true true true true true 0 0 0.0 false false 0 false true A false true false false true false 0 false false false 0 false false true A true Schedule K, Part II, Line 3 THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS. Schedule K, Part III, Line 7 AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE SECURITY OR PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. Form 990, Part III, Line 2 New program services During the year, Tucson Medical Center opened the Rincon Hospital facility in April 2024. This facility includes 35 licensed beds as of December 31, 2024. Form 990, Part VI, Line 6 Classes of members or stockholders THE ORGANIZATION'S MEMBER IS THE PARENT COMPANY, TMC HEALTHCARE. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE MEMBER'S (TMC HEALTHCARE) BOARD OF TRUSTEES ELECTS THE BOARD OF TUCSON MEDICAL CENTER. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders TMC HEALTHCARE, THE MEMBER, MUST APPROVE: - THE AMENDMENT OF THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS - THE ACQUISITION OR CREATION OF ANY SUBSIDIARY OR CONTROLLED CORPORATION - 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 WITH A THIRD PARTY. - THE DISSOLUTION OR LIQUIDATION OF THIS CORPORATION - THE EXPENDITURE OF ANY FUNDS IN EXCESS OF THOSE PREVIOUSLY APPROVED IN THE CAPITAL AND OPERATING BUDGETS OF THIS CORPORATION - THE ENTERING INTO ANY LOAN, INDEBTEDNESS, GUARANTY, SECURITY INTEREST, MORTGAGE, SURETY, HYPOTHECATION - THE DISPOSITION 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 - THE APPOINTMENT OF AN INDEPENDENT AUDITOR OR HIRING OF INDEPENDENT COUNSEL 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 MANAGEMENT. 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 15a Process to establish compensation of top management official 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. Form 990, Part VI, Line 15b Process to establish compensation of other employees 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. Form 990, Part VI, Line 19 Required documents available to the public GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. Form 990, Part IX, Line 11g Other Fees PHYSICIAN SERVICES - Total Expense: 39358168, Program Service Expense: 39358168, Management and General Expenses: 0, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 24043032, Program Service Expense: 21843157, Management and General Expenses: 2199875, Fundraising Expenses: ; OTHER FEES - Total Expense: 21693983, Program Service Expense: 21693983, Management and General Expenses: 0, Fundraising Expenses: ; HEALTH SYSTEM ALLOCATION - Total Expense: 18588876, Program Service Expense: 0, Management and General Expenses: 18588876, Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 4022472, Program Service Expense: 0, Management and General Expenses: 4022472, Fundraising Expenses: ; MEDICAL DIRECTOR - Total Expense: 1063121, Program Service Expense: 1027913, Management and General Expenses: 35208, Fundraising Expenses: ; CONSULTING SERVICES - Total Expense: 853979, Program Service Expense: 624029, Management and General Expenses: 229950, Fundraising Expenses: ; ADMINISTRATION SERVICES - Total Expense: 144000, Program Service Expense: 144000, Management and General Expenses: 0, Fundraising Expenses: ; PRINTING SERVICES - Total Expense: 19307, Program Service Expense: 19307, Management and General Expenses: 0, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER TO AFFILIATES - -13124465; RINCON HOSPITAL TRANSFER - 92961194; Total - 79836729; HOLDINGS 5099 LLC 5301 E GRANT ROAD TUCSON AZ 85712 562472030 AQUIRE REAL PROPERTY AZ TUCSON MEDICAL CENTER TMC HEALTH FOUNDATION 5301 E GRANT ROAD TUCSON AZ 85712 860504015 FUNDRAISING AZ 501(c)(3) 7 TMC HEALTHCARE false TMC HEALTHCARE 5301 E GRANT ROAD TUCSON AZ 85712 202218975 SUPPORTING ORGANIZATION AZ 501(c)(3) Type II NA false TMC HOLDINGS INC 5301 E GRANT RD TUCSON AZ 85712 860441785 HOLDING COMPANY AZ 501(c)(2) TMC HEALTHCARE false TMC MEDICAL NETWORK 5301 E GRANT ROAD TUCSON AZ 85712 811156192 PHYSICIAN OFFICES AZ 501(c)(3) 3 TMC HEALTHCARE false TMCONE 5301 E GRANT ROAD TUCSON AZ 85712 810868782 PHYSICIAN OFFICES AZ 501(c)(3) Type I TMC MEDICAL NETWORK false BENSON HOSPITAL 450 S OCOTILLO AVE BENSON AZ 85602 866007695 HOSPITAL AZ 501(c)(3) 3 TMC HEALTHCARE false NORTHERN COCHISE COMMUNITY HOSPITAL 901 WEST REX ALLEN DRIVE WILLCOX AZ 85643 860208451 HOSPITAL AZ 501(c)(3) 3 TMC HEALTHCARE false TMC HEALTH MEDICAL EDUCATION PROGAM PO BOX 42195 TUCSCON AZ 85733 860204268 EDUCATION AZ 501(c)(3) 3 TMC HEALTHCARE false PEOPLE FOR COMMUNITY HEALTHCARE 450 S OCOTILLO ST BENSON AZ 85602 871219769 CIVIC ORGANIZATION AZ 501(c)(4) TMC HEALTHCARE false SOUTHERN ARIZONA HOSPITAL ALLIANCE 5301 E GRANT ROAD TUCSON AZ 85712 200385301 HEALTHCARE AZ 501(c)(3) 10 TMC HEALTHCARE false TMC CARDIAC & CARDIOTHORACIC SURGERY 5301 E GRANT ROAD TUCSON AZ 85712 270766398 SERVICE LINE MANAGEMENT AZ TUCSON MEDICAL CENTER N/A 0 2440 false true 0.4 TMC NEUROSCIENCE MANAGEMENT 5301 E GRANT ROAD TUCSON AZ 85712 273027087 SERVICE LINE MANAGEMENT AZ TUCSON MEDICAL CENTER N/A 265709 0 false true 0.325 TMC VASCULAR SURGERY MANAGEMENT 5301 E GRANT ROAD TUCSON AZ 85712 474586127 SERVICE LINE MANAGEMENT AZ TUCSON MEDICAL CENTER N/A 62659 31456 false true 0.3 TMC GENERAL SURGERY 5301 E GRANT ROAD TUCSON AZ 85712 811405660 SERVICE LINE MANAGEMENT AZ TUCSON MEDICAL CENTER N/A 7643 94412 false true 0.3 SOUTHERN ARIZONA MEDICAL SERVICES 5301 E GRANT RD TUCSON AZ 85712 MEDICAL BILLING AZ MEDICAL BILLING C Corporation false HOSPITAL CARE SYSTEMS DEVELOPMENT 5301 E GRANT RD TUCSON AZ 85712 203015545 HOSPITAL MANAGEMEN T AZ TMC HEALTHCARE C Corporation false TMC HEALTHCARE SECURITY SERVICES 5301 E GRANT RD TUCSON AZ 85712 522414943 SECURITY SERVICES AZ TMC HEALTHCARE C Corporation false GLP INSURANCE COMPANY LTD GEORGE TOWN GRAND GAYMAN CJ KY11203 SELF INSURANCE CJ TMC HEALTHCARE C Corporation false PEDIATRICS GPS 5301 E GRANT RD TUCSON AZ 85712 845151905 PEDIATRIC CARE AZ TMC MEDICAL NETWORK C Corporation false true false true false false false false false true false true false true true true true true true true