TUCSON MEDICAL CENTER: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
TUCSON MEDICAL CENTER (EIN 86-0137567)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202233199349306413
Schema version
2021v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-15T07:54:09-08:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN202218975PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1TUCSON MEDICAL CENTERBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15301 E GRANT RDAddressLine1Txt
CityTUCSONCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85712ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN860137567EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Tucson Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTUCSBusinessNameControlTxt
Phone5203244461PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15301 E Grant RoadAddressLine1Txt
CityTucsonCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85712ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSteve BushPersonNm
Person TitleCFOPersonTitleTxt
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstStevePersonFirstNm
Person LastBushPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrian ToddPreparerPersonNm
PTINP00422601PTIN
Phone5203241048PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJudith RichPrincipalOfficerNm
Gross Receipts$717,725,795GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.tmcaz.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1943FormationYr
Legal Domicile StateAZLegalDomicileStateCd
Activity Or MissionTucson Medical Center's mission is to deliver caring, personalized, qualityhealthcare to patients and their families in an environment that is supportive,education-focused and compassionate.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee5256TotalEmployeeCnt
Total Volunteers350TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$15,557PYContributionsGrantsAmt
CY Contributions Grants$9,072,388CYContributionsGrantsAmt
PY Program Service Revenue$588,394,552PYProgramServiceRevenueAmt
CY Program Service Revenue$677,078,834CYProgramServiceRevenueAmt
PY Investment Income$3,954,007PYInvestmentIncomeAmt
CY Investment Income$10,668,054CYInvestmentIncomeAmt
PY Other Revenue$33,471,699PYOtherRevenueAmt
CY Other Revenue$15,864,678CYOtherRevenueAmt
PY Total Revenue$625,835,815PYTotalRevenueAmt
CY Total Revenue$712,683,954CYTotalRevenueAmt
PY Grants And Similar Paid$4,880,973PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$215,000CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$264,773,541PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$320,949,967CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$350,825,485PYOtherExpensesAmt
CY Other Expenses$357,833,567CYOtherExpensesAmt
PY Total Expenses$620,479,999PYTotalExpensesAmt
CY Total Expenses$678,998,534CYTotalExpensesAmt
PY Revenues Less Expenses$5,355,816PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$33,685,420CYRevenuesLessExpensesAmt
Total Assets BOY$517,868,559TotalAssetsBOYAmt
Total Assets EOY$695,529,192TotalAssetsEOYAmt
Total Liabilities BOY$231,367,426TotalLiabilitiesBOYAmt
Total Liabilities EOY$374,984,724TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$286,501,133NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$320,544,468NetAssetsOrFundBalancesEOYAmt
MissionTucson Medical Center's mission is to deliver caring, personalized, qualityhealthcare to patients and their families in an environment that is supportive,education-focused and compassionate.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$625,698,122ExpenseAmt
Grant$215,000GrantAmt
Revenue$689,818,813RevenueAmt
DescGoverned 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 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 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.Please see our website to view our full Report to the Community: www.tmcaz.comDesc
Total Program Service Expenses$625,698,122TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesYes (true)GamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document425IRPDocumentCnt
IRP Document W2 G6IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee5256EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSteve BushPersonNm
Phone5203242113PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15301 E Grant RoadAddressLine1Txt
CityTucsonCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85712ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Judith F Rich
Trustee35.005.00Yes (X)Yes (X)$1,464,605$0$438,397
Rick Alan Anderson
Chief Med Off30.0010.00Yes (X)$912,993$0$11,196
Maureen Coomler
COO40.000.00Yes (X)$718,192$0$151,958
Stephen Bush
CFO40.000.00Yes (X)$579,432$0$163,585
Alexander Horvath
VP-Human Res.40.000.00Yes (X)$640,745$0$86,394
Robert M Aaronson
Physician40.000.00$593,444$0$56,133
Timothy Hartin
Vice President40.000.00Yes (X)$519,110$0$113,371
Amy E Beiter
VP-Med Affairs40.000.00Yes (X)$489,465$0$134,805
Iftequar Ahmed Siddiqui
Physician40.000.00$566,614$0$51,142
Reham Abdou
Physician40.000.00$497,503$0$48,600
Ives R De Chazal
Physician40.000.00$466,473$0$60,430
Richard A Prevallet
VP-Facilities40.000.00Yes (X)$443,572$0$78,335
Shubh Preet Kaur
Physician40.000.00$460,135$0$32,583
Frank Marini
Chief Info Off40.000.00Yes (X)$442,982$0$21,533
Julia Strange
VP, Community20.0020.00Yes (X)$369,868$0$86,853
Joy Upshaw
VP, CNO40.000.00Yes (X)$285,690$0$72,151
Jeffrey Lamie
VP, CDO40.000.00Yes (X)$257,585$0$80,074
Jon Russell
VP, CIO40.000.00Yes (X)$201,097$0$30,189
Julie Ward
VP Operations40.000.00Yes (X)$173,640$0$28,953
David J Cohen CPA
Trustee1.000.00Yes (X)$0$0$0
Louise L Francesconi
Chairman1.000.00Yes (X)Yes (X)$0$0$0
Jay A Katz MD
Trustee1.000.00Yes (X)$0$0$0
Jon R Young
Vice Chairman1.000.00Yes (X)Yes (X)$0$0$0
Gayle Dean MD
Trustee1.000.00Yes (X)$0$0$0
Alan K Rogers MD
Trustee1.000.00Yes (X)$0$0$0
Michelle Williams
Trustee1.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,083,145TotalReportableCompFromOrgAmt
Total Other Compensation$1,746,682TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K448IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
OLD PUEBLO ANESTHESIA
2810 N SWAN RD STE 100TucsonAZ85712Medical Services$4,651,310
ARIZONA COMMUNITY PHYSICIANS
5055 E BROADWAY STE A 100TucsonAZ85711EPIC Subsidy$4,141,269
SOUTHWEST PREMIER OBSTETRICS PLLC
2409 N BARNWALL COURTTUCSONAZ85749Medical Services$3,956,332
ARIZONA PEDIATRIC SURGERY AND UROLOGY
5166 E GLENN STTUCSONAZ85712Consulting Services$3,430,904
ARIZONA INPATIENT MEDICINE ASSOCIATES LLC
7383 E TANQUE VERDE RDTUCSONAZ85715Medical Services$2,235,701
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K88CntrctRcvdGreaterThan100KCnt
Government Grants$9,069,963GovernmentGrantsAmt
All Other Contributions$2,425AllOtherContributionsAmt
Total Contributions$9,072,388TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNet Patient ServicesDesc
Business900099BusinessCd
Total Revenue Column$677,078,834TotalRevenueColumnAmt
Related Or Exempt Func Income$677,078,834RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$677,078,834TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,986,943TotalRevenueColumnAmt
Exclusion$1,986,943ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,496,703RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$443,874RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$3,052,829RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,052,829TotalRevenueColumnAmt
Exclusion$3,052,829ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$9,433,201SecuritiesAmt
Other$149,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$901,090OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$9,433,201SecuritiesAmt
Other-$752,090OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,681,111TotalRevenueColumnAmt
Exclusion$8,681,111ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$5,755,690GamingGrossIncomeAmt
Gaming Direct Expenses$3,696,877GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,058,813TotalRevenueColumnAmt
Exclusion$2,058,813ExclusionAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Food Service722210$2,259,536$2,259,536
Pharmacy446110$8,493,500$8,493,500
FieldValueIRS element (for citing)
Other Revenue Total$10,753,036OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$712,683,954TotalRevenueColumnAmt
Related Or Exempt Func Income$687,831,870RelatedOrExemptFuncIncomeAmt
Exclusion$15,779,696ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$215,000TotalAmt
Program Services$215,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,960,727TotalAmt
Program Services$7,483,083ProgramServicesAmt
Management And General$477,644ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$271,278,743TotalAmt
Program Services$255,002,018ProgramServicesAmt
Management And General$16,276,725ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,429,687TotalAmt
Program Services$5,103,906ProgramServicesAmt
Management And General$325,781ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$18,795,976TotalAmt
Program Services$17,668,217ProgramServicesAmt
Management And General$1,127,759ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$17,484,834TotalAmt
Program Services$16,435,744ProgramServicesAmt
Management And General$1,049,090ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$6,714,434TotalAmt
Program Services$6,311,568ProgramServicesAmt
Management And General$402,866ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$590,180TotalAmt
Program Services$545,529ProgramServicesAmt
Management And General$44,651ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,375,099TotalAmt
Management And General$5,375,099ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$313,289TotalAmt
Management And General$313,289ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$42,761,949TotalAmt
Program Services$41,583,203ProgramServicesAmt
Management And General$1,178,746ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,609,254TotalAmt
Program Services$3,387,040ProgramServicesAmt
Management And General$222,214ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,280,370TotalAmt
Program Services$3,320,906ProgramServicesAmt
Management And General$1,959,464ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$12,961,277TotalAmt
Program Services$1,799,700ProgramServicesAmt
Management And General$11,161,577ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$30,913,926TotalAmt
Program Services$22,423,448ProgramServicesAmt
Management And General$8,490,478ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$356,401TotalAmt
Program Services$335,017ProgramServicesAmt
Management And General$21,384ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,037,339TotalAmt
Program Services$975,056ProgramServicesAmt
Management And General$62,283ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,539,422TotalAmt
Management And General$2,539,422ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$7,837,428TotalAmt
Program Services$7,837,428ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$27,070,892TotalAmt
Program Services$24,798,952ProgramServicesAmt
Management And General$2,271,940ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Medical Supplies$158,383,073$158,383,073
Hospital Assessment$36,935,927$36,935,927
Bad Debt$14,065,433$14,065,433
Other Fees$1,087,874$1,087,874

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$678,998,534TotalAmt
Program Services$625,698,122ProgramServicesAmt
Management And General$53,300,412ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$53,929,692BOYAmt
EOY$21,819,068EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$19,514,181BOYAmt
EOY$139,469,146EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$70,985,883BOYAmt
EOY$86,643,548EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$37,624,925BOYAmt
EOY$38,443,185EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$17,586,504BOYAmt
EOY$27,682,783EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$462,082,040LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$261,674,444LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$196,879,556BOYAmt
EOY$200,407,596EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$118,769,244BOYAmt
EOY$153,734,066EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,578,574BOYAmt
EOY$27,329,800EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$517,868,559BOYAmt
EOY$695,529,192EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$64,208,564BOYAmt
EOY$97,783,254EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$120,058,814BOYAmt
EOY$237,233,716EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,977,864BOYAmt
EOY$3,738,499EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$42,122,184BOYAmt
EOY$36,229,255EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$231,367,426BOYAmt
EOY$374,984,724EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$286,501,133BOYAmt
EOY$320,544,468EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$286,501,133BOYAmt
EOY$320,544,468EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$517,868,559BOYAmt
EOY$695,529,192EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$33,685,420ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$5,763,647NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$5,405,732OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedfalseFSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$25,025OtherActivitiesAmt
Total Lobbying Expenditures$25,025TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part II-B, Line 1i - Other Activities DescriptionMembership in Arizona Hospital and Healthcare Association - a portion of the dues are designated as lobbying.
Part IV - Additional Information

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,342,410OtherCostOrOtherBasisAmt
Book Value$21,342,410BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$197,962,826OtherCostOrOtherBasisAmt
Depreciation$98,168,661DepreciationAmt
Book Value$99,794,165BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,641,799OtherCostOrOtherBasisAmt
Book Value$17,641,799BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$219,034,421OtherCostOrOtherBasisAmt
Depreciation$159,514,443DepreciationAmt
Book Value$59,519,978BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,100,584OtherCostOrOtherBasisAmt
Depreciation$3,991,340DepreciationAmt
Book Value$2,109,244BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$200,407,596TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Cost Report Reserves$12,891,437
Lease Liability - LT$21,280,869
Retirement Obligation$2,056,949
FieldValueIRS element (for citing)
Total Liability$36,229,255TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X : FIN48 FootnoteFormAndLineReferenceDesc
ExplanationIncome taxes: TMC Healthcare, TMC, TMC Medical Network, TMC One, the Foundation, SAHA, Benson Hospital, NCCH and TMC Holdings, Inc. are tax-exempt corporations as described under Section 501 of the Internal Revenue Code; however, they are subject to federal and state income tax on any unrelated business taxable income. GLPIC is a foreign corporation organized under the laws of the Cayman Islands, British West Indies, and is, therefore, not subject to income tax. Security Services and HCSDC are for-profit corporations but did not have taxable operations that were significant to the consolidated financial statements in 2020 or 2019. Certain taxable corporations have net operating loss carryforwards. At December 31, 2021 and 2020, the related deferred tax asset is fully allowed for due to the uncertainty regarding the ability of these corporations to realize such assets in future periods.Management has reviewed the Companys tax positions for all open tax years and has concluded that no material liabilities exist as of December 31, 2021 or 2020. Management files the Companys tax returns in the U.S. federal jurisdiction. The Company is no longer subject to U.S. federal examinations by tax authorities for years before 2017.ExplanationTxt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Volunteer Labor BingofalseVolunteerLaborBingoInd
Volunteer Labor Pull TabsfalseVolunteerLaborPullTabsInd
Gross Revenue Other Gaming$5,755,690GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming$1,583,983CashPrizesOtherGamingAmt
Non Cash Prizes Other Gaming$918,082NonCashPrizesOtherGamingAmt
Oth Direct Expnss Other Gaming$1,194,812OthDirectExpnssOtherGamingAmt
Volunteer Labor Other GamingfalseVolunteerLaborOtherGamingInd
Gross Revenue Total Gaming$5,755,690GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming$1,583,983CashPrizesTotalGamingAmt
Non Cash Prizes Total Gaming$918,082NonCashPrizesTotalGamingAmt
Oth Direct Expnss Total Gaming$1,194,812OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$3,696,877DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$2,058,813NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedAZStatesWhereGamingConductedCd
LicensedYes (true)LicensedInd
License Suspended EtcfalseLicenseSuspendedEtcInd
Gaming With NonmembersYes (true)GamingWithNonmembersInd
Member Of Other EntityfalseMemberOfOtherEntityInd
Gaming Other Facility1.00000GamingOtherFacilityPct
Individual With BooksEide BaillyIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line12355 E Camelback Road Ste 900AddressLine1Txt
CityPhoenixCityNm
State AbbreviationAZStateAbbreviationCd
ZIP850169065ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game RevYes (true)CntrctWith3rdPrtyForGameRevInd
Gaming Revenue Received By Org$5,572,965GamingRevenueReceivedByOrgAmt

Third Party Business Name ThirdPartyBusinessName

FieldValueIRS element (for citing)
Business Name Line1Eide BaillyBusinessNameLine1Txt

Third Party US Address ThirdPartyUSAddress

FieldValueIRS element (for citing)
Address Line11850 N Central Ave Suite 400AddressLine1Txt
CityPhoenixCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85004ZIPCd

Gaming Manager Business Name GamingManagerBusinessName

FieldValueIRS element (for citing)
Business Name Line1Eide BaillyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Gaming Manager Compensation$245,000GamingManagerCompensationAmt
Gaming Manager Services ProvRan entire eventGamingManagerServicesProvTxt
Gaming Manager Is Ind CntrctYes (X)GamingManagerIsIndCntrctInd
Charitable Distribution RqrfalseCharitableDistributionRqrInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$2,612,681TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,612,681NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$132,488,439TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$132,488,439DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$135,101,120TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$132,488,439DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,612,681NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$53,316TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$53,316NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,954,991TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,954,991NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$205,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$205,000NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,213,307TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,213,307NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$137,314,427TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$132,488,439DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,825,988NetCommunityBenefitExpnsAmt
Total Expense0.00710TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$440,528TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$440,528NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,548,235TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,548,235NetCommunityBenefitExpnsAmt
Total Expense0.00230TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,044,278TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,044,278NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$167,651TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$167,651NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,597,382TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,597,382NetCommunityBenefitExpnsAmt
Total Expense0.00240TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$646,511TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$646,511NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,444,585TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,444,585NetCommunityBenefitExpnsAmt
Total Expense0.00800TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$14,065,433BadDebtExpenseAmt
Bad Debt Expense Attributable$4,712,443BadDebtExpenseAttributableAmt
Reimbursed By Medicare$140,114,685ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$167,225,222CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$27,110,537MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
TMC Cardiac & Cardiothoraci
Management of Cardiac Svcs0.321430.67857
TMC Neuroscience Mgmt LLC
Manage Neuro Svcs0.325000.67500
TMC Vascular Surgery Mgmt
Manage Vascular Services0.298250.70175
TMC General Surgery & Urolo
Mge General Surg & Urology0.300000.70000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Tucson Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15301 E Grant RdAddressLine1Txt
CityTucsonCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85712ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.tmcaz.comWebsiteAddressTxt
State LicenseH0012StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Childrens HospitalYes (X)ChildrensHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Tucson Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.tmcaz.comOwnWebsiteURLTxt
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.tmcaz.com/assets/documents/community/2021-pima-cStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.0000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.tmcaz.com/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.tmcaz.com/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.tmcaz.com/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Facility: Tucson Medical Center - Part V, Section B, Line 5We took input from the communinity via focus groups conducted by trained focus group facilitators. Most of the focus groups were facilitated by individuals who were not part of the CHNA team, and as much as possible we tried to identify facilitators with similar characteristics to the focus group participants. Focus groups included LGBTQ, Direct Service Providers, African AMerican Health and Wellness Coalition, People with Disabilities, Seniors, Faith Leaders, Tucson Indian Center.
Facility: Tucson Medical Center - Part V, Section B, Line 6aBanner-University Medical CenterCarondalet St. Joes HospitalCarondalet St. Mary's HospitalNorthwest Medical CenterOro Valley HospitalSnata Cruz Valley Regional HospitalTucson Medical CenterTucson VA Medical Center
Facility: Tucson Medical Center - Part V, Section B, Line 11TMC Health 2021 CHNA Implementation StrategyThe COVID-19 pandemic has required all of us to think and act differently across all spectrums of our lives. This is especially true in health care; we have had to take a different approach to caring for our patients, interacting with families and visitors, and engaging with the community. As a result, many of our planned initiatives that would address concerns from the 2018 CHNA were limited due to the restrictions the pandemic required. Below is an overview of how TMC Health was able to address the identified needs:Priority Area 1: Behavioral health, including addressing substance abuse and deaths by suicideAs with most cities across the nation, Tucson continues to struggle with how to meet the behavioral health needs of our community. TMC Health has found some unique ways to address the behavior health needs of our patients.TMCOne offices are offering more robust behavioral health services for their patients by integrating Concert Health, a tele-behavioral health service, into their practices.In an attempt to address the increased incidences of unintentional opioid overdoses, the TMC Emergency Department has started to offer naloxone hydrochloride as a treatment option for patients.In the past two years, we have seen an unprecedented level of stress, anxiety and burnout among our own health care workers. Resiliency has been the focus for the TMC Wellness department and resulted in the creation of the Healing the Healer program. We offered staff on- site counseling, a care shop where staff could get essential items that were not readily available in stores, and a variety of pop-up events to allow staff to take a break throughout the day.TMC understands the value of building coalitions and creating partnerships when addressing the behavioral health needs in our community. In addition to work at the Grant-Craycroft campus, we are proud of the work we have done with CODAC, the Southern Arizona Hospital Association and Palo Verde Behavioral Health:The Connie Hillman Family Foundation House provides treatment for mothers recovering from substance abuse. The 16-unit complex provides aftercare treatment, pediatric and maternal care, life-skills training and other services to help women be successful in their recovery, to keep families together and to provide a bridge to independence.The Southern Arizona Opioid Consortium provides education and resources to help those struggling with substance abuse to find help and treatment close to home.TMC works closely with Palo Verde Behavioral Health, which shares our campus. Palo Verde assists in evaluating patients who present at the TMC Emergency Department to ensure a safe disposition and treatment. Palo Verde also works closely with TMC when needs are identified on the inpatient unit.Priority Area 2: Obesity and related chronic diseaseTMC Health offers comprehensive services to help patients struggling with obesity and related chronic diseases such as diabetes and cardiovascular disease.
Facility: Tucson Medical Center - Part V, Section B, Line 15eHere is the complete website reagrding Financial Assistancehttps://www.tmcaz.com/about-my-visit-to-tmc/about-your-bill/financial-assistance/community-care-policy

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 6a - Related Organization Community Benefit Report-The Community Advisory Committee (CAC) is a group of community leaders within Pima County. The CAC meets twice a month with PCHD to discuss county-wide health initiatives and updates. The CAC helped to guide CHNA planning and qualitative data collection.-Pima County Health Department Strategic Planning Surveys were given to internal and external stakeholders, including community members, employees, and subject matter experts (SME) in public health. Most SMEs lived in Pima County, but some national SMEs were interviewed for different perspectives.
Part III, Line 2 - Methodology Used To Estimate Bad Debt ExpenseBad debt expense is based on our historical collection percentage of gross revenue less dedutions for contractuals, charity care and self pay accounts. The value for this line is from Form CMS-2552-10
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community BenefitBad debt expense is not included in our community benefit. Only the direct deductions for charity care are included.
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsPatients 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 neccessary financial information is reviewed and the appropriate adjustments are made according to the policy.
Part VI, Line 2 - Needs AssessmentPlease see attached PDF titled CHNA
Part VI, Line 3 - Patient Education of Eligibility for AssistancePatients are interviewed on admission to determine 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.
Part VI, Line 4 - Community Building ActivitiesThe amount reported in Part II line 3 column c represents our Senior Services Community Support and our Emergency Response Team training. We offer classes on topics relating to senior health to the community. The amount reported in Part II line 8 column c represents our contribution to recruiting physicians to practice in the areas which are underserved.
Part VI, Line 5 - Promotion of Community HealthOur medical staff is open, our board is recruited from the community, we maintain a 24 hour 7 day emergency room where we treat everyone regardless of ability to pay, we use any surplus operational funds to improve the facility and operations.
Part VI - Additional InformationPart VI Line 6Governed 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 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 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.Part VI Line 7The Organization does not file a community benefit report with the state of Arizona other than to the extent to which community benefit information is included in other reporting requirements such as the information provided on the Arizona Hospital Association Annual Report.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxt
Bag It
2900 E Broadway Blvd Suite 10TucsonAZ85716743097354501(c)(3$10,000$0FMVCancer patient support
Boys & Girls Clubs of Tucson
PO Box 40217TucsonAZ85717860172257501(c)(3$25,000$0FMVYouth Service
Emerge Center Against Domesti
2545 E Adams StTucsonAZ85716860312162501(c)(3$50,000$0FMVDomestic Abuse victim support
Habitat for Humaity
3501 N Mountain AveTucsonAZ85719942725100501(c)(3$50,000$0FMVHousing
National Alliance on Mental I
6122 E 22nd StreetTucsonAZ85711860450977501(c)(3$25,000$0FMVSupporting mental health
NCCH
901 W Rex Allen DrWilcoxAZ85643860208451501(c)(3$15,000$0FMVCommunity health
Pima Council on Aging
8467 E BroadwayTucsonAZ85710860251768501(c)(3$10,000$0FMVHelp seniors
Sierra Vista Fire
675 Julio Cesare AveSierra VistaAZ85635866005496501(c)(3$20,000$0FMVsupporting EMS functions
Tu Nidito
3922 N Mountain AveTucsonAZ85719860769031501(c)(3$10,000$0FMVchildren's services
FieldValueIRS element (for citing)
Total501c3 Org9Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceAdditional Supplemental InformationFormAndLineReferenceDesc
ExplanationSchedule I, Part I Line 2Members of the executive team determine which community grants will be issued from TMC.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (true)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Alexander Horvath
VP-Human Res.$374,467$67,095$199,183$71,035$15,359$727,139
Amy E Beiter
VP-Med Affairs$418,784$70,681$117,885$16,920$624,270
Frank Marini
Chief Info Off$80,807$72,374$289,801$18,953$2,580$464,515
Iftequar Ahmed Siddiqui
Physician$566,614$35,096$16,046$617,756
Ives R De Chazal
Physician$466,473$45,500$14,930$526,903
Jeffrey Lamie
VP, CDO$229,147$28,438$65,988$14,086$337,659
Jon Russell
VP, CIO$201,097$23,139$7,050$231,286
Joy Upshaw
VP, CNO$240,035$45,655$55,405$16,746$357,841
Judith F Rich
Trustee$896,783$245,553$322,269$427,633$10,764$1,903,002
Julia Strange
VP, Community$253,089$46,735$70,044$81,239$5,614$456,721
Julie Ward
VP Operations$173,640$7,131$21,822$202,593
Maureen Coomler
COO$430,816$81,398$205,978$135,038$16,920$870,150
Reham Abdou
Physician$497,503$39,000$9,600$546,103
Richard A Prevallet
VP-Facilities$205,906$38,612$199,054$57,129$21,206$521,907
Rick Alan Anderson
Chief Med Off$472,665$440,328$11,196$924,189
Robert M Aaronson
Physician$593,444$41,129$15,004$649,577
Shubh Preet Kaur
Physician$460,135$19,500$13,083$492,718
Stephen Bush
CFO$452,210$127,222$152,993$10,592$743,017
Timothy Hartin
Vice President$363,469$82,488$73,153$103,087$10,284$632,481

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 1a: Relevant information in regards to selections on 1a.FormAndLineReferenceDesc

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Ind Devel Auth of Pima CoBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN860445981BondIssuerEIN
CUSIP721901KX3CUSIPNum
Bond Issued2021-09-09BondIssuedDt
Issue Price$212,666,119IssuePriceAmt
PurposeSee Part VIPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$212,673,759TotalProceedsAmt
Other Spent Proceeds$90,659,715OtherSpentProceedsAmt
Unspent$122,014,044UnspentAmt
Refunding Tax Exempt BondsYes (true)RefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadefalseFinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsYes (true)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (true)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (true)EngageBondCounselContractsInd
Any Research AgreementsYes (true)AnyResearchAgreementsInd
Engage Bond Counsel ResearchYes (true)EngageBondCounselResearchInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebateYes (true)ExceptionToRebateInd
No Rebate DueYes (true)NoRebateDueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart VIFormAndLineReferenceDesc
ExplanationColumn A: Part I(f) - Bonds were issued to finance capital projects and to current refund Prior Bonds (issued on April 10, 2018).Column A: 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.Column A: 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.Column A: Part IV, line 2(b) - The current refunding portion of the Bonds has met the 6-month expenditure exception to rebate.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderThe organization's Member is the parent company, TMC HealthCare.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe Member's (TMC HealthCare) Board of Trustees elects the Board of Tucson Medical Center.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersTMC 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: Form 990 Review ProcessThe Form 990 is prepared by Financial Staff and reviewed by Forvis. It is then reviewed by the Controller with input from the Chief Financial Officer and Chief Legal Officer. Provided to Board and Audit Compliance Committee.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsTMC Conflict of Interest Policy Excerpt:Article VDisclosure and Process for Resolution1. Disclosure of Conflicts of InterestAnnually, 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 ChiefLegal 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 ExistsThe 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 ExistsIf 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: Compensation Review & Approval Process - CEO, Top ManagementTMC 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: Compensation Review and Approval Process for Officers and Key EmployeesTMC 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: Other Organization Documents Publicly AvailableThis Form 990 is available on request. The organization's website is https://www.tmcaz.com/ and our mission, goals, directors and executives and other organizational information is available there.
Other Changes In Net Assets Or Fund Balances - Other DecreasesFund Transfers = -$5450383
Other Changes In Net Assets Or Fund Balances - Other IncreasesOther Increases = $44651

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
Southern Arizona Hospital Alliance
5301 E Grant RoadTucsonAZ85712200385301Hospital SupportAZ501(c)(3)3N/Afalse
TMC Foundation
5301 E Grant RoadTucsonAZ85712860504015Supports Tucson Medical CenterAZ501(c)(3)11N/Afalse
TMC HealthCare
5301 E Grant RoadTucsonAZ85712202218975Parent CompanyAZ501(c)(3)12 B IIN/Afalse
TMC Holdings Inc
5301 E Grant RdTucsonAZ85712860441785Holding CompanyAZ501(c)(2)N/Afalse
TMC Medical Network
5301 E Grant RoadTucsonAZ85712811156192Physician OfficesAZ501(c)(3)3N/Afalse
TMCOne
5301 E Grant RoadTucsonAZ85712810868782Physician OfficesAZ501(c)(3)12, 1N/Afalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
TMC Cardiac & Cardiothoracic Surgery
5301 E Grant RoadTucsonAZ85712270766398Service Line MgmtAZTucson Medical CentefalseYes (true)0.32143
TMC Neuroscience Mgmt LLC
5301 E Grant RoadTucsonAZ85712273027087Service Line ManagementAZTucson Medical CentefalseYes (true)0.32500
TMC Vascular Surgery Mgmt LLC
5301 E Grant RoadTucsonAZ85712474586127Service Line ManagementAZTucson Medical CentefalseYes (true)0.29825
TMC General Surgery & Urology Mgmt LLC
5301 E Grant RoadTucsonAZ85712811405660Service Line ManagementAZTucson Medical CentefalseYes (true)0.30000
Northern Cochise Community Hospital
901 West Rex Allen DriveWilcoxAZ856431009860208451HospitalAZTMC Healthcarefalsefalse
Benson Hospital
PO Box 2290BensonAZ856022290866007695HospitalAZTMC Healthcarefalsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Southern Arizona Medical Services
5301 E Grant RdTucsonAZ85712Medical BillingAZN/ACfalse
Hospital Care Systems Development Corp
5301 E Grant RdTucsonAZ85712Hospital Mgmt.AZN/ACfalse
TMC Healthcare Security Services
5301 E Grant RdTucsonAZ85712Security servicesAZN/ACfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

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