2021-11-15T15:01:55-08:00 2020-12-31 990 2020-01-01 860137567 Tucson Medical Center TUCS 5203244461 5301 E Grant Road Tucson AZ 85712 Steve Bush CFO 2021-11-15 Steve Bush 999009999 0 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z Judith Rich 629948430 false X www.tmcaz.com X 1943 AZ Tucson 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. 15 12 5097 450 4232755 85633 15557 597654611 588394552 2933187 3954007 15129610 33471699 615803041 625835815 7615542 4880973 0 267814750 264773541 0 0 317574837 350825485 593005129 620479999 22797912 5355816 484639591 518601454 203494274 232015757 281145317 286585697 Tucson 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. false false 568629152 625835814 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 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.com 568629152 true false false true false false false false false false true false false false true true false false false false false false false false false true false false false true true false false false false false false false false false false false false false false false true false false false true 0 0 true 5097 true true true false false false false false false 0 false false false false false true false X 15 12 true false false false true true true true true false false false true true true true true true true true true X Steve Bush 5203242113 5301 E Grant Road Tucson AZ 85712 JUDITH RICH President & CEO 40.00 0.00 X X 1286121 0 58760 STEPHEN BUSH CFO 40.00 0.00 X 1239372 0 65081 RICK ANDERSON Vice President 40.00 0.00 X 614435 0 59210 FRANK MARINI Vice President 40.00 0.00 X 547677 0 45297 SIDDIQUI IFTEQUAR Physician 40.00 0.00 525744 0 58597 TIMOTHY HARTIN Vice President 40.00 0.00 X 519729 0 38767 JULIA STRANGE Vice President 40.00 0.00 X 500415 0 45287 SHAHIN MOHAMED AMR Physician 40.00 0.00 438869 0 35120 AKINBILE MUFUTAU Physician 40.00 0.00 433947 0 36797 MAUREEN COOMLER Vice President 40.00 0.00 X 419956 0 45662 VANDERFORD JOEL Physician 40.00 0.00 414560 0 29233 KAUR SHUBH Physician 40.00 0.00 375169 0 41661 ALEXANDER HORVATH Vice President 0.00 0.00 X 370515 0 40099 JOY UPSHAW Vice President 40.00 0.00 X 260386 0 28148 RICHARD PREVALLET Vice President 40.00 0.00 X 224821 0 47691 MICHAEL DURAN Vice President 0.00 0.00 X 66520 0 0 Arnie Aros Trustee 1.00 0.00 X 0 0 0 Clifford Martin Trustee 1.00 0.00 X 0 0 0 Dr Jay A Katz MD Trustee 1.00 0.00 X 0 0 0 Alan K Rogers MD Trustee 1.00 0.00 X 0 0 0 Louise L Francesconi Trustee/Chair 1.00 0.00 X 0 0 0 Gay Tosch Trustee 1.00 0.00 X 0 0 0 Stephen G Eggen Trustee 1.00 0.00 X 0 0 0 John R Young Trustee 1.00 0.00 X 0 0 0 Eric Anctil MD Trustee 1.00 0.00 X 0 0 0 David Cohen Trustee 1.00 0.00 X 0 0 0 Ira H Rosenberg Trustee 1.00 0.00 X 0 0 0 Steven Siwik MD Trustee 1.00 0.00 X 0 0 0 Gayle Dean MD Trustee 1.00 0.00 X 0 0 0 Beckie Torrey Trustee 1.00 0.00 X 0 0 0 8238236 675410 15 false true false OLD PUEBLO ANESTHESIA 2810 N SWAN RD STE 100 Tucson AZ 85712 Medical Services 4674402 SOUTHWEST PREMIER OBSTETRICS PLLC 2409 N BARNWALL COURT Tucson AZ 85749 Medical Services 4146626 ARIZONA PEDIATRIC SURGERY AND UROLOGY 5166 E GLENN ST TUCSON AZ 85712 Medical Services 3296016 PRAXIS HEALTHCARE SOLUTIONS LLC 5700 GRANITE PARKWAY SUITE 940 PLANO TX 75024 Consulting Services 2397513 ARIZONA INPATIENT MEDICINE ASSOCIATES LLC 7383 E TANQUE VERDE RD TUCSON AZ 85715 Medical Services 2318292 5 15557 15557 Net Patient Services 900099 588394552 588394552 588394552 4232755 4232755 0 0 4066282 4066282 4066282 4066282 278748 -278748 -278748 -278748 0 5683050 3833867 1849183 1849183 0 Cares Act Contributions 624100 21554883 21554883 Food Service 722210 2201869 2201869 Pharmacy 446110 4812707 4812707 -1013225 -1013225 27556234 625835815 615950786 4232755 5636717 4880973 4880973 0 0 0 7279994 6843194 436800 0 218801968 205673850 13128118 5043868 4741236 302632 16958658 15941258 1017400 16689053 15687710 1001343 5621595 5284259 337336 763739 717173 46566 4810916 4810916 75000 75000 0 0 43376815 41991116 1385699 3158672 2963598 195074 5903799 3272622 2631177 12107070 1674148 10432922 0 33158771 22337209 10821562 179871 169079 10792 0 754674 709945 44729 3447435 3447435 29329248 29329248 28208497 26408151 1800346 0 Medical Supplies 148104107 148104107 Hospital Assessment 18622071 18622071 Bad Debt 12127346 12127346 Other Fees 1075859 1075859 0 620479999 568629152 51850847 0 8635966 54662587 25408914 19514181 0 79373860 70985883 0 0 0 36265794 37624925 19755782 17586504 461084451 264204895 204388613 196879556 88278403 118769244 0 0 0 22532259 2578574 484639591 518601454 54675591 64662086 132594771 120058814 9328301 4977864 6895611 42316993 203494274 232015757 X 281145317 286585697 281145317 286585697 484639591 518601454 5355816 X true X true X true false X false false false false false false false false false false true 75000 75000 false false Part II-B, Line 1i - Other Activities Description Membership in Arizona Hospital and Healthcare Association - a portion of the dues are designated as lobbying. 19731732 19731732 206255400 99612323 106643077 5739715 5739715 223473471 160993275 62480196 5884133 3599297 2284836 196879556 Cost Report Reserves 29993061 Deferred FICA, non current 5178337 Due to Broker -9812 Interest Rate Swap Agreement 4287181 Lease obligation EDH 505128 Retirement Obligation 2168289 SLA Equity Outside Invest 194809 42316993 X Part X : FIN48 Footnote Income taxes: TMC Healthcare, TMC, TMC Medical Network, TMC One, the Foundation, SAHA, Benson Hospital 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, SMH, AzCC 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, 2020 and 2019, 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, 2020 or 2019. 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 2016. false false false 5683050 1553379 983886 1296602 false 5683050 1553379 983886 1296602 3833867 1849183 AZ true false true false 1.00000 true Eide Bailly 1850 N Central Ave Suite 400 Phoenix AZ 85004 Eide Bailly Ran entire event X false false false false false false false false false false AKINBILE MUFUTAU Physician 433947 8893 27904 470744 ALEXANDER HORVATH Vice President 297884 72631 15574 24525 410614 FRANK MARINI Vice President 315088 47638 184951 26000 19297 592974 JOY UPSHAW Vice President 241257 19129 7407 20741 288534 JUDITH RICH President & CEO 783264 180933 321924 39000 19760 1344881 JULIA STRANGE Vice President 242662 33162 224591 26966 18321 545702 KAUR SHUBH Physician 375169 19500 22161 416830 MAUREEN COOMLER Vice President 348441 71515 19500 26162 465618 RICHARD PREVALLET Vice President 28260 196561 19500 28191 272512 RICK ANDERSON Vice President 439602 91292 83541 39000 20210 673645 SHAHIN MOHAMED AMR Physician 438869 19500 15620 473989 SIDDIQUI IFTEQUAR Physician 525744 39000 19597 584341 STEPHEN BUSH CFO 450969 93112 695291 45500 19581 1304453 TIMOTHY HARTIN Vice President 360660 59908 99161 19500 19267 558496 VANDERFORD JOEL Physician 414560 19500 9733 443793 A Ind Devel Auth of Pima Co 860445981 2010-12-16 114370800 Campus Development false false false B Ind Devel Auth of Pima Co 860445981 2014-03-11 30000000 Campus Development false false false A 114599715 1318696 114599715 true false true true B 30000000 277062 30000000 true false true true A false false false false true B false false false false true A true false false false false B true false false false false A true B true Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et David Cohen is a partner in a CPA firm in which another partner provides services to related joint ventures.Judith Rich is the CEO.Clifford Martin, M.D. is the Chief of Staff.(Replace this with current COS) Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The organization's Member is the parent company, TMC HealthCare. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The 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 Shareholders 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: Form 990 Review Process The Form 990 is prepared and reviewed by Financial Services. It is then reviewed by the Controller with input from the Chief Financial Officer and Chief Legal Officer. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts TMC 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 Management 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: Compensation Review and Approval Process for Officers and Key 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: Other Organization Documents Publicly Available This 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. Southern Arizona Hospital Alliance 5301 E Grant Road Tucson AZ 85712 200385301 Hospital Support AZ 501(c)(3) 3 N/A false TMC Foundation 5301 E Grant Road Tucson AZ 85712 860504015 Supports Tucson Medical Center AZ 501(c)(3) 11 N/A false TMC HealthCare 5301 E Grant Road Tucson AZ 85712 202218975 Parent Company AZ 501(c)(3) 11 N/A false TMC Holdings Inc 5301 E Grant Rd Tucson AZ 85712 860441785 Holding Company AZ 501(c)(2) N/A false TMC Medical Network 5301 E Grant Road Tucson AZ 85712 811156192 Physician Offices AZ 501(c)(3) 11 N/A false TMCOne 5301 E Grant Road Tucson AZ 85712 810686782 Physician Offices AZ 501(c)(3) 11 N/A false TMC Cardiac & Cardiothoracic Surgery 5301 E Grant Road Tucson AZ 85712 270766398 Service Line Mgmt AZ Tucson Medical Cente false true 0.32143 TMC Neuroscience Mgmt LLC 5301 E Grant Road Tucson AZ 85712 273027087 Service Line Management AZ Tucson Medical Cente false true 0.32500 TMC Vascular Surgery Mgmt LLC 5301 E Grant Road Tucson AZ 85712 474586127 Service Line Management AZ N/A false true 0.29825 TMC General Surgery & Urology Mgmt LLC 5301 E Grant Road Tucson AZ 85712 811405660 Service Line Management AZ N/A false true 0.30000 false false false false false false false false false false false false false false false false false false false