TUCSON MEDICAL CENTER: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- TUCSON MEDICAL CENTER (EIN 86-0137567)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-12
- IRS object ID
- 201923169349303727
- Schema version
- 2018v3.1
- 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
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-12T11:33:20-08:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860137567 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Tucson Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TUCS | BusinessNameControlTxt |
| Phone | 5203244461 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5301 E Grant Road | AddressLine1Txt |
| City | Tucson | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85712 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | James Seager | PersonNm |
| Person Title | Controller | PersonTitleTxt |
| Signature | 2019-11-12 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-04-17 16:48:07Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Judith Rich | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5301 E Grant Road | AddressLine1Txt |
| City | Tucson | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85712 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $578,877,703 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.tmcaz.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1943 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | Tucson Medical Center's mission is to deliver caring, personalized, quality healthcare to patients and their families in an environment that is supportive, education-focused and compassionate. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 4682 | TotalEmployeeCnt |
| Total Volunteers | 453 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $365,235 | PYContributionsGrantsAmt |
| CY Contributions Grants | $152,591 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $550,009,631 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $556,015,807 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,260,565 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,823,042 | CYInvestmentIncomeAmt |
| PY Other Revenue | $8,242,068 | PYOtherRevenueAmt |
| CY Other Revenue | $11,951,212 | CYOtherRevenueAmt |
| PY Total Revenue | $559,877,499 | PYTotalRevenueAmt |
| CY Total Revenue | $569,942,652 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,122,956 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,543,339 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $240,100,445 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $251,103,036 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $334,184 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $297,449,387 | PYOtherExpensesAmt |
| CY Other Expenses | $298,701,947 | CYOtherExpensesAmt |
| PY Total Expenses | $540,672,788 | PYTotalExpensesAmt |
| CY Total Expenses | $553,348,322 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $19,204,711 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $16,594,330 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $466,606,243 | TotalAssetsBOYAmt |
| Total Assets EOY | $459,871,383 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $219,858,534 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $204,742,159 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $246,747,709 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $255,129,224 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Tucson Medical Center's mission is to deliver caring, personalized, quality healthcare to patients and their families in an environment that is supportive, education-focused and compassionate. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $464,047,797 | ExpenseAmt |
| Desc | 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 | Desc |
| Total Program Service Expenses | $464,047,797 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | Yes (true) | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (true) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 406 | IRPDocumentCnt |
| IRP Document W2 G | 19 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 4682 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (true) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | AZ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | James Seager | PersonNm |
| Phone | 5203243157 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5301 E Grant Road | AddressLine1Txt |
| City | Tucson | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85712 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Arnie Aros | ||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Paul Yurkanin MD | ||||||||
| Trust/COS | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Dr Jay A Katz MD | ||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Alan K Rogers MD | ||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Louise L Francesconi | ||||||||
| Trustee/Chair | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Eric Anctil MD | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Gay Tosch | ||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Stephen G Eggen | ||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Jon R Young | ||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Clifford Martin MD | ||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| David Cohen | ||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Ira H Rosenberg | ||||||||
| Trustee | 1.00 | 39.00 | Yes (X) | $0 | $0 | $0 | ||
| Steven Siwik MD | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Beckie Torrey | ||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Judith Rich | ||||||||
| CEO/Trustee | 40.00 | 1.00 | Yes (X) | $1,968,623 | $0 | $321,230 | Yes (X) | |
| Karen Mlawsky | ||||||||
| Vice President | 40.00 | 1.00 | $556,547 | $0 | $144,456 | Yes (X) | ||
| Rick Alan Anderson | ||||||||
| Vice President | 40.00 | 1.00 | $745,182 | $0 | $130,420 | Yes (X) | ||
| Timothy Alan Hartin | ||||||||
| CLO | 40.00 | 1.00 | $604,585 | $0 | $111,376 | Yes (X) | ||
| Steve Bush | ||||||||
| CFO | 40.00 | 1.00 | $573,868 | $0 | $156,166 | Yes (X) | ||
| Michael Duran | ||||||||
| Vice President | 1.00 | 40.00 | $261,321 | $0 | $72,863 | Yes (X) | ||
| Maureen Coomler | ||||||||
| Vice President | 40.00 | 0.00 | $248,990 | $0 | $76,843 | Yes (X) | ||
| Frank Marini | ||||||||
| Vice President | 40.00 | 0.00 | $404,817 | $0 | $126,264 | Yes (X) | ||
| Richard Prevallet | ||||||||
| Vice President | 1.00 | 40.00 | $237,166 | $0 | $79,142 | Yes (X) | ||
| Julia Strange | ||||||||
| Vice President | 40.00 | 0.00 | $245,476 | $0 | $64,800 | Yes (X) | ||
| Alexander Horvath | ||||||||
| Vice President | 40.00 | 1.00 | $316,930 | $0 | $89,309 | Yes (X) | ||
| Joel Vanderford | ||||||||
| Physician | 40.00 | 0.00 | $347,157 | $0 | $42,912 | Yes (X) | ||
| Shubh Kaur | ||||||||
| Physician | 40.00 | 0.00 | $329,728 | $0 | $21,058 | Yes (X) | ||
| William Abraham | ||||||||
| Physician | 40.00 | 0.00 | $293,387 | $0 | $43,611 | Yes (X) | ||
| Lawrence Lincoln | ||||||||
| Medical Director | 40.00 | 0.00 | $267,582 | $0 | $68,511 | Yes (X) | ||
| Theresa Carleton | ||||||||
| Physician | 40.00 | 0.00 | $266,614 | $0 | $33,065 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,667,973 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $1,582,026 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 258 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Old Pueblo Anesthesia | |||||
| 2810 N Swan Road Suite 100 | Tucson | AZ | 85712 | Medical Services | $4,460,934 |
| Praxis Healthcare Solutions LLC | |||||
| 5800 Tennyson Parkway Suite 350 | Plano | TX | 75024 | Consulting | $2,033,740 |
| Neurological Associates of Tucson | |||||
| 2450 E River Road | Tucson | AZ | 85718 | Medical Services | $1,795,124 |
| TOI SLA LLC | |||||
| 5301 E Grant Road | Tucson | AZ | 85712 | Medical Services | $1,610,205 |
| TMC Cardiac & Cardiothoracic Surgery Mgt | |||||
| 5301 E Gramt Rd | Tucson | AZ | 85712 | Medical Services | $1,205,859 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 60 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $152,591 | AllOtherContributionsAmt |
| Total Contributions | $152,591 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Services | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $556,015,807 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $556,015,807 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $556,015,807 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,080,321 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$967,904 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $4,048,225 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,653,686 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,094,308 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$440,622 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$440,622 | TotalRevenueColumnAmt |
| Exclusion | -$440,622 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,257,279 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$1,257,279 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,257,279 | TotalRevenueColumnAmt |
| Exclusion | -$1,257,279 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $5,056,825 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $3,583,464 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,473,361 | TotalRevenueColumnAmt |
| Exclusion | $1,473,361 | ExclusionAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Food Service | 722210 | $3,269,115 | $3,269,115 |
| Misc Revenue | 900099 | $3,853,195 | $3,853,195 |
| Pharmacy | 446110 | $3,684,533 | $3,684,533 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $111,630 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $111,630 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $10,918,473 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $569,942,652 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $565,966,376 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $3,823,685 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,543,339 | TotalAmt |
| Program Services | $3,543,339 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,536,374 | TotalAmt |
| Program Services | $4,192,291 | ProgramServicesAmt |
| Management And General | $3,009,899 | ManagementAndGeneralAmt |
| Fundraising | $334,184 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,876,273 | TotalAmt |
| Program Services | $198,028,226 | ProgramServicesAmt |
| Management And General | $7,848,047 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,692,351 | TotalAmt |
| Program Services | $3,953,288 | ProgramServicesAmt |
| Management And General | $739,063 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,967,329 | TotalAmt |
| Program Services | $15,141,731 | ProgramServicesAmt |
| Management And General | $2,825,598 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,030,709 | TotalAmt |
| Program Services | $12,663,316 | ProgramServicesAmt |
| Management And General | $2,367,393 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,757,311 | TotalAmt |
| Program Services | $3,156,142 | ProgramServicesAmt |
| Management And General | $601,169 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $721,536 | TotalAmt |
| Program Services | $608,640 | ProgramServicesAmt |
| Management And General | $112,896 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,723,075 | TotalAmt |
| Management And General | $3,723,075 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,240 | TotalAmt |
| Program Services | $26,240 | ProgramServicesAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,381,722 | TotalAmt |
| Program Services | $33,498,241 | ProgramServicesAmt |
| Management And General | $2,883,481 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,583,953 | TotalAmt |
| Program Services | $3,004,167 | ProgramServicesAmt |
| Management And General | $579,786 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,461,334 | TotalAmt |
| Program Services | $2,565,985 | ProgramServicesAmt |
| Management And General | $3,895,349 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,580,743 | TotalAmt |
| Program Services | $815,568 | ProgramServicesAmt |
| Management And General | $8,765,175 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,581,806 | TotalAmt |
| Program Services | $13,622,646 | ProgramServicesAmt |
| Management And General | $7,959,160 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $509,852 | TotalAmt |
| Program Services | $428,276 | ProgramServicesAmt |
| Management And General | $81,576 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $867,210 | TotalAmt |
| Program Services | $734,152 | ProgramServicesAmt |
| Management And General | $133,058 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,697,309 | TotalAmt |
| Management And General | $4,697,309 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,564,552 | TotalAmt |
| Program Services | $292,664 | ProgramServicesAmt |
| Management And General | $32,271,888 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,963,171 | TotalAmt |
| Program Services | $5,849,064 | ProgramServicesAmt |
| Management And General | $1,114,107 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $133,316,068 | $133,316,068 | |
| Bad Debt | $16,449,816 | $16,449,816 | |
| Hospital Assessment | $12,157,937 | $12,157,937 | |
| Fund Transfers | $5,358,312 | $5,358,312 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $553,348,322 | TotalAmt |
| Program Services | $464,047,797 | ProgramServicesAmt |
| Management And General | $88,966,341 | ManagementAndGeneralAmt |
| Fundraising | $334,184 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,135,303 | BOYAmt |
| EOY | $19,450,653 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,918,500 | BOYAmt |
| EOY | $9,504,590 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,751,542 | BOYAmt |
| EOY | $75,573,905 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,817,601 | BOYAmt |
| EOY | $31,247,403 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,928,816 | BOYAmt |
| EOY | $20,148,891 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $461,327,088 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $248,788,071 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $218,361,945 | BOYAmt |
| EOY | $212,539,017 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,440,610 | BOYAmt |
| EOY | $69,641,109 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,251,926 | BOYAmt |
| EOY | $21,765,815 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $466,606,243 | BOYAmt |
| EOY | $459,871,383 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,560,295 | BOYAmt |
| EOY | $53,871,646 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,497,657 | BOYAmt |
| EOY | $130,295,589 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,255,844 | BOYAmt |
| EOY | $14,955,653 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,544,738 | BOYAmt |
| EOY | $5,619,271 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,858,534 | BOYAmt |
| EOY | $204,742,159 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,747,709 | BOYAmt |
| EOY | $255,129,224 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,747,709 | BOYAmt |
| EOY | $255,129,224 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $466,606,243 | BOYAmt |
| EOY | $459,871,383 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $16,594,330 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$7,842,477 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$370,338 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed Section4955 Tax | false | Form4720FiledSection4955TaxInd |
| Correction Made | false | CorrectionMadeInd |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $26,240 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $26,240 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1i - Other Activities Description | FormAndLineReferenceDesc |
| Explanation | Membership in Arizona Hospital and Healthcare Association - a portion of the dues are designated as lobbying plus we contributed to grass roots campaigns for Vote Yes on Prop 407, Just Fix Our Roads and Citizens for Benson Hospital. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,188,888 | OtherCostOrOtherBasisAmt |
| Book Value | $27,188,888 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $214,513,679 | OtherCostOrOtherBasisAmt |
| Depreciation | $102,442,302 | DepreciationAmt |
| Book Value | $112,071,377 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,208,029 | OtherCostOrOtherBasisAmt |
| Book Value | $3,208,029 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $208,222,536 | OtherCostOrOtherBasisAmt |
| Depreciation | $140,908,936 | DepreciationAmt |
| Book Value | $67,313,600 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,193,956 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,436,833 | DepreciationAmt |
| Book Value | $2,757,123 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $212,539,017 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Asbestos Retirement Obligations | $2,184,221 |
| Cost Report Reserves | $1,589,732 |
| Due to Affiliates | $120,315 |
| Interest Rate Swap Agreement | $671,430 |
| Lease obligation EDH | $1,053,573 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,619,271 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X : FIN48 Footnote | FormAndLineReferenceDesc |
| Explanation | TMC HealthCare, TMC, TMC Foundation, Southern Arizona Hospital Alliance, Community Healthcare Benefit Foundation and TMC Holdings are tax exempt corporations as described under Section 501 of the Internal Revenue Code. TMC Medical Network and TMC One are corporations pending IRS approval for tax-exempt status; 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, Saguaro Medical Holdings, Arizona Connected Care and Hospital Care Systems Development Corporation are for-profit corporations but did not have taxable operations that were significant to the consolidated financial statments in 2018 or 2017. Certain taxable corporations have net operating loss carryforwards. At December 31, 2018 and 2018, 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 Company's tax positions for all open tax years and has concluded that no material liabilities exist as of December 31, 2018 and 2017. Management files the Company's tax returns in the U.S. federal jurisdiction. The company is no longer subject to U.S. federal examinatins by tax authorities for years before 2013. | ExplanationTxt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agrmt Prof Fundraising Acty | false | AgrmtProfFundraisingActyInd |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteer Labor Bingo | false | VolunteerLaborBingoInd |
| Volunteer Labor Pull Tabs | false | VolunteerLaborPullTabsInd |
| Gross Revenue Other Gaming | $5,056,825 | GrossRevenueOtherGamingAmt |
| Cash Prizes Other Gaming | $662,072 | CashPrizesOtherGamingAmt |
| Non Cash Prizes Other Gaming | $1,632,795 | NonCashPrizesOtherGamingAmt |
| Oth Direct Expnss Other Gaming | $1,288,597 | OthDirectExpnssOtherGamingAmt |
| Volunteer Labor Other Gaming | false | VolunteerLaborOtherGamingInd |
| Gross Revenue Total Gaming | $5,056,825 | GrossRevenueTotalGamingAmt |
| Cash Prizes Total Gaming | $662,072 | CashPrizesTotalGamingAmt |
| Non Cash Prizes Total Gaming | $1,632,795 | NonCashPrizesTotalGamingAmt |
| Oth Direct Expnss Total Gaming | $1,288,597 | OthDirectExpnssTotalGamingAmt |
| Direct Expense Summary Gaming | $3,583,464 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $1,473,361 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | AZ | StatesWhereGamingConductedCd |
| Licensed | Yes (true) | LicensedInd |
| License Suspended Etc | false | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | Yes (true) | GamingWithNonmembersInd |
| Member Of Other Entity | false | MemberOfOtherEntityInd |
| Gaming Other Facility | 1.00000 | GamingOtherFacilityPct |
| Cntrct With3rd Prty For Game Rev | Yes (true) | CntrctWith3rdPrtyForGameRevInd |
| Gaming Revenue Received By Org | $1,473,361 | GamingRevenueReceivedByOrgAmt |
Third Party Business Name ThirdPartyBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly | BusinessNameLine1Txt |
Third Party US Address ThirdPartyUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1850 N Central Ave Suite 400 | AddressLine1Txt |
| City | Phoenix | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85004 | ZIPCd |
Gaming Manager Business Name GamingManagerBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Manager Services Prov | Ran entire event | GamingManagerServicesProvTxt |
| Gaming Manager Is Ind Cntrct | Yes (X) | GamingManagerIsIndCntrctInd |
| Charitable Distribution Rqr | false | CharitableDistributionRqrInd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,154,131 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,154,131 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00750 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $51,836,359 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $51,836,359 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09370 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $55,990,490 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $55,990,490 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10120 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,805,543 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,805,543 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $433,667 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $433,667 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $161,552 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $161,552 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $265,414 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $265,414 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,666,176 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,666,176 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00490 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $58,656,666 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $58,656,666 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10610 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $402,100 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $402,100 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,102,936 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,102,936 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00380 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,505,036 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,505,036 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00450 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $28,272,647 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $137,212,738 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $126,751,321 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $10,461,417 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| TMC Cardiac & Cardiothoraci | ||
| Management of Cardiac Svcs | 0.32143 | 0.67857 |
| TMC Neuroscience Mgmt LLC | ||
| Manage Neuro Svcs | 0.32500 | 0.67500 |
| TMC Vascular Surgery Mgmt | ||
| Manage Vascular Services | 0.29825 | 0.70175 |
| TMC General Surgery & Urolo | ||
| Mge General Surg & Urology | 0.30000 | 0.70000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Tucson Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5301 East Grant Road | AddressLine1Txt |
| City | Tucson | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85712 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | tmcaz.com | WebsiteAddressTxt |
| State License | H0012 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | TMCAZ.COM | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.tmcaz.com | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.0000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Facility: - Part V, Section B, Line 5 | Primary Data Collection and Community Input:Conducting primary data collection through key informant interviews, focus groups, surveys and community forums as part of the community health assessment process provides a deeper look into the health needs and strengths of the community and more engagement of the community in the process.Primary data can compliment and enrich the understanding and interpretation of data collected from existing published sources, otherwise known as secondary data, such as morbidity and mortality data. The collection and analysis of primary data can help to fill potential gaps in the secondary data sources. For example, the social context of a community is less straightforward to capture through secondary data. Likewise, the complexity of an individuals health needs and extent to which services are easy or difficult to reach is also challenging to demonstrate through published data alone. In addition to filling identified gaps, the primary data may highlight critical themes or issues that the secondary data does not.Perhaps as important as a thorough data set, gathering primary data provides opportunities for the community to be engaged through the community health needs assessment (CHNA) process and to ensure that the community members voices are heard. Engagement at this stage can lead to stronger community support and involvement throughout the community health improvement plans and processes effort. Community health improvement efforts are most effective when community members are active in addressing their own needs and visions for a healthy community. Particular attention to groups with unique health or social issues who are often underrepresented in community planning efforts can be accomplished through direct participation or through their proxies. For example, it may not be appropriate to directly collect information from victims of domestic abuse or people experiencing homelessness or drug addiction for the CHNA but working with proxies or service providers concerned about their welfare would be suitable.Initial Community Input & Final Forum:The Pima County CHNA gathered initial community input through a variety of methods. Analysis across all data sources sought to identify common themes and concerns. Results presented here are a synthesis of those themes.The following approaches were used to collect primary data through community input:Key Informant Interviews (n=18)5 Focus Groups (n=48)1st Community Forum (n=41)Community Survey (n=176) |
| Facility: - Part V, Section B, Line 6a | The 2018 Pima County CHNA consisted of a core planning committee that met regularly to help guide and support the process. Committee members provided input and direction regarding selection of data sources, development of primary data collection instruments such as key informant and survey questionnaires and helped identify opportunities to involve stakeholders. Committee members also played a key role in ensuring participants in the CHNA process reflected the broad and diverse demographics of the Pima County population.Community Health Centerso El Rio Community Health Center Nancy Johnson, CEOo Desert Senita Community Healh Center Jonathan Leonard, CEOo Marana Community Health Center Clinton Kuntz, CEO; Rose Skupeika, Director of Integrated Operationso Mariposa Community Health Center Ed Sicurello, CEOo United Community Health Center Rodolfo Jimenez, CEOHealth Departmentso Pascua Yaqui Tribe Apryl Krause, Diabetes Programo Pima County Health Department Marcy Flanagan, Director; Alan Bergen, Senior Program Managero Tohono Oodham Department of Health & Human Services Rosemary Lopez, DirectorHospitalso Banner University Medical Center Jim Elco, Senior Director of Strategy and Planning; Lori Taplin, Director of Strategy and Planningo Carondelet Health Network St. Marys Hospital and St. Josephs Hospital Kelly Raach, Market Director of Strategy; Melissa Shafer, Physician Relationship Managero Tucson Medical Center Julia Strange, VP Community Benefit; Mary Atkinson, Director of Wellness; Laurie Ledford, Wellness DieticianAlsoo Community Food Bank of Southern Arizona Michael McDonald, CEOo Healthy Pima (Pima County Health Department) Nic Cogdall, Senior Strategist; Mary Kinkade, Senior Advisoro Pima County Administrators Office Francisco Garca, Assistant County Administrator and CMOo Tohono Oodham Nation Executive Branch Verlon Jose, Vice Chairmano Consulting Team Emily Coyle, Rebecca Drummond, and Keely Bo Breedlove |
| Facility: - Part V, Section B, Line 11 | Caring for the community is central to what we do.Its central to our mission. Its embedded in our values.And its what the community has expected from its locallygoverned, nonprofit community hospital for more than 70years.Good health isnt just about what happens within the walls of the hospital although we believe our role remains crucial in treating and managing disease. Good health also is more than scheduling an annual wellness exam. Good health is something that is deeply rooted in our practices and lifestyle choices in our homes and in our communities. The foundation lies not only in the choices we make as individuals, but in the priorities that are established to help people take steps at preventing illness through access to nutritious food, physical activity and healthcare. It also lies in eradicating disparities and barriers where we find them.Tucson Medical Center in 2014 provided $56 million in community benefit,that included helping the most vulnerable obtain care regardless of their ability to pay as well as providing outreach and education designed to advance medical knowledge and enhance the health of the community.To assess the needs of the community, Tucson Medical Center worked incollaboration with our community counterparts to identify the most serious public health issues facing us today, with the goal of harnessing our collective resources, assets and best practices to build a healthier Southern Arizona.It is our hope that the work undertaken in the Community Health NeedsAssessment https://www.tmcaz.com/community-health-needs-assessmentand in this accompanying Implementation Plan will not only help TucsonMedical Center play a role in making a measurable difference, but will inspire community leaders to join us in making sustainable change and engage community members in how they can influence their individual health.Community Health Needs not addressed by TMCOf the priority health needs identified in the Community Health NeedsAssessment, Tucson Medical Center is not as strongly equipped toaddress some of the areas highlighted in the report. It is not our intention to be dismissive of the importance of any given health need, but we also recognize that resource constraints require prioritization so TMC can best concentrate on making positive changes in areas of strength.Dental and oral health needs. Although this area of concern also madethe top 10 list of community health needs, and although those sufferingfrom dental needs do present in our emergency room and we provideservice to the best degree possible, we are not as an institution equipped or certified to provide dental care.Direct substance abuse treatment. Although TMCs preventive efforts,particularly in our work with youth and adolescents, as well as our other wellness efforts for adults likely have a preventive effect on substance abuse, we do not offer detoxification services and do not specifically offer substance abuse treatment. We are confident, however, that our community partners do offer effective services and we actively refer to those existing resources as needed.Tobacco cessation. Pima County performs better than the state in anumber of risk behaviors, to include tobacco use. Even so, tobacco useis a key contributing factor for many disease states that ultimately require hospitalization. Other state and local resources, including health insurance plans, do offer cessation programs for those actively seeking assistance in halting smoking. |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a - Related Organization Community Benefit Report | The 2018 Report to our Community is available on the organization's website. |
| Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense | Bad 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 Benefit | Bad 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 Patients | Patients are interviewed on admission to see if they may qualify for financial assistance. There is a notice on our statements advising patients to call our Patient Financial Services department to see if they qualify and patients with past due balances are sent a letter advising them of the availability of assistance before they are sent to collections.Bad Debt policy states charity accounts are to be returned from Bad Debt and all the neccessary financial information is reviewed and the appropriate adjustments are made according to the policy. |
| Part V - Explanation of Number of Facility Type | Tucson Medical Center is a single licensed hospital providing general medical and surgical services, a 24 hour emergency department, hospice services, pediatric services and geo-psychiatric services. |
| Part VI, Line 2 - Needs Assessment | Please see attached PDF titled CHNA |
| Part VI, Line 3 - Patient Education of Eligibility for Assistance | Patients 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 Information | I. PIMA COUNTY GEOGRAPHY, DEMOGRAPHICS AND SOCIAL STATISTICSNote: With the exception of the Primary Care Area Statistical Area data, much of the following geography, demographic and social statistics profile was provided for use in this assessment courtesy of the Pima County Health Department on Dec. 14, 2011.Geography and History:Pima County, located in Southern Arizona, is adjacent to six other Arizona counties and shares an international border with Mexico. The counties are Cochise to the east, Graham to the northeast, Maricopa to the north, Pinal to the north, Santa Cruz to the southeast, and Yuma to the west. The international border to the south is with the State of Sonora, Mexico. The border is approximately 123 miles long, with approximately 62 miles of that border located on Tohono Oodham Nation land. Ports of entry are Sasabe, AZ (Sasabe, Sonora Mexico) and Lukeville, AZ (Sonoyta, Sonora Mexico).Pima County, the second largest of the four original Arizona counties, was created in 1864 and included approximately all of Southern Arizona acquired from Mexico by the Gadsden Purchase. Settlement of the region goes back to the arrival of the Spanish, in the 1690s, who encountered indigenous people already living there.Around the middle of the 18th century, silver and gold were discovered and prospectors from Mexico entered the area in droves. The latter part of the century saw an expansion of mining and ranching in Pima County and an increase in population.The Royal Presidio de San Augustn del Tucson was completed by 1781, and it remained the northern-most outpost of Mexico until the arrival of American soldiers in 1856. From a population of 395 in 1820, Tucson has grown to become the second largest city in Arizona. It has always served as the Pima County seat and was the Arizona Territorial capital from 1867 to 1877. Just south of Tucson is the Mission of San Xavier del Bac, founded in 1697 by Father Kino and is still in use today.Although greatly reduced from its original size, Pima County still covers 9,184 square miles. It ranges in elevation from 1,200 feet to the 9,185-foot peak of Mount Lemmon. Within Pima County are two cactus forests Saguaro National Park to the northeast and Organ Pipe Cactus National Monument in the southwest.People:Pima County at a Glance, 2010Population: 980,263Unemployment (Tucson, December 2010): 8.7%Median household income: $45,885Families living below poverty: 22.8%Individuals living below poverty: 18.9%Foreign born: 13.2%Speak language other than English at home: 28.0%Unemployment:According to 2010 Primary Care Area (PCA) Statistical Profiles, Pima County has an unemployment rate of 8.7 percent, lower than the state rate of 9.5 percent. The PCAs with the higher percentages of unemployment than the county are the following: Ajo, Arivaca, Pascua Yaqui, Tanque Verde, Tohono Oodham Nation, Tucson Central, Tucson East, Tucson North Central, Tucson Southeast, and Tucson Southwest.PCA Statistical Profiles also provide the percentage of population that falls below 200 percent of the Federal Poverty Level as reported by the U.S. Census American Community Survey from 2005-2009. The state percentage is 49.2, lower than the Pima County rate of 51.7. PCAs that had higher percentages of the population below 200 percent of the Federal Poverty Level are Ajo, Marana, Pascua Yaqui, Tohono Oodham Nation, Tucson Central, Tucson East Central, Tucson East, Tucson North Central, Tucson Southeast, Tucson Southwest and Tucson West.Pima County Population, 2010Race/EthnicityWhite: 87.6%African American: 4.0%Native American: 3.6%Asian or Pacific Islander: 2.7%Other: 2.1%Hispanic Heritage: 33.7%AgeUnder 5 years: 6.9%5 to 9 years: 12.8%10 to 14 years: 6.5%15 to 19 years: 6.9%20 to 24 years: 6.9%25 to 34 years: 14.3%35 to 44 years: 12.5%45 to 54 years: 13.7%55 to 59 years: 6.1%60 to 64 years: 5.3%65 years or older: 14.7%Median age36.8Educational Attainment, among residents 25 years or olderHigh school graduate or higher: 86.4%Bachelors degree or higher: 29.0%Within Pima County, there are two American Indian Reservations the Tohono Oodham Nation and the Pascua Yaqui Tribe and Reservation. The Tohono Oodham Nation is located in the western portion of Pima County and has a total land mass of 4,453 square miles including the San Xavier Indian Reservation. The resident population of the entire Tohono Oodham Nation was 10,787 according to the Year 2000 Census. The San Xavier Indian Reservation is the smaller eastern section of the Tohono O'odham Indian Reservation, and it lies in the southwestern part of the Tucson metropolitan area and consists of 111 square miles of land area. San Xavier has a 2000 census resident population of 2,053 persons. Sells is the capitol of the Nation with a population of 2,799, or 26 percent of the Tohono O'odham population. Total tribal enrollment is estimated to be 23,890.The Pascua Yaqui Tribe and Reservation is located in the southwestern part of the Tucson metropolitan area and adjacent to San Xavier Indian Reservation. The Pascua Yaqui Reservation has a land area of less than 1.9 square miles, and a 2000 census resident population of 3,315 persons. Total tribal enrollment is estimated to be 6,136 members.Economics:The American Indian reservations account for ownership of 42.1 percent of land located in Pima County. The state of Arizona owns 14.9 percent; the U.S. Forest Service and Bureau of Land Management, 12.1 percent; other public lands, 17.1 percent; and individual or corporate ownership, 13.8 percent.Pima County has an Urban Enterprise Zone that includes all of the City of South Tucson, central Tucson, portions of Marana, Sahuarita, parts of Pima County and parts of the Tohono Oodham Nation and Pascua Yaqui Indian Reservation. These Urban Enterprise Zones are designated to help encourage economic development in distressed neighborhoods through tax and regulatory relief to investors willing to launch businesses in the area. Pima County is also home to 15 designated Colonias. In Arizona, Colonias encompass all types of communities that meet the federal definition of lacking sewer, wastewater removal, decent housing or other basic services.Davis-Monthan (D-M) Air Force Base borders the southeastern edge of the City of Tucson and falls within the city limits of Tucson. The Base occupies approximately 16.6 square miles of land. The land occupied by D-M is owned by the United States Air Force, the State of Arizona, the City of Tucson and several private owners. The 355th Fighter Wing is the host unit providing medical, logistical and operational support to all D-M units. The wing's mission is to train A-10 and OA-10 pilots, and provide close support and forward air control to ground forces worldwide. D-M is also home to the 12th Air Force, the 563rd Rescue Group, the Aerospace Maintenance and Regeneration Group also known as the Aircraft Boneyard and a regional U.S. Immigration and Customs Enforcement complex. These units at D-M, along with tenet organizations, represent a workforce of 6,100 airmen and 1,700 civilian personnel.Pima County is also home of the University of Arizona, a large public research university. Founded in 1885, the mission of the University of Arizona is to provide a comprehensive, high-quality education that engages students in discovery through research and broad-based scholarship. Home to nearly 39,000 students, the University also employs more than 11,000 staff and faculty. The University brings in approximately $530 million in research to the community and is ranked #16 among all public universities by the National Science Foundation. The University occupies 387 acres in central Tucson, and is the oldest continually-maintained green space in Arizona.Pima County is home to eight community hospitals, an Institute for Mental Disease (IMD), Sonora Behavioral Health and the Southern Arizona Veterans Affairs Health Care System. Banner University Medical Center University Campus (BUMC) is the countys only Level I Trauma Center. Tucson Medical Center (TMC) and BUMC are the only in-patient pediatric facilities in the area. St. Josephs Hospital, part of the Carondelet Health Network, is the newest neurological facility, joining TMC, BUMC and Northwest Medical Center that also offer this service. Carondelet also manages St. Marys and the Carondelet Heart & Vascular Institute. The other two hospitals serving Pima County are Banner University Medical Center South Campus, which holds a level III trauma license working under the same leadership as the Level 1 Trauma Center and Northwest Healthcare Oro Valley Hospital. Sells Hospital, run by the Indian Health Service, is also located in Pima County but on the Tohono Oodham Nation Reservation and serves only tribal members. Pima County is also home to four Federally Qualified Health Centers, Desert Senita Community Health Center; El Rio Community Health Center; Marana Health Center and United Community Health Center. |
| Part VI, Line 4 - Community Building Activities | The 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 Health | Our 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 Information | The 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| American Cancer Society | ||||||||
| 1636 N Swan Road | Tucson | AZ | 85712 | 131788491 | $11,500 | $0 | FMV | Cancer research and prevention |
| American Heart Association | ||||||||
| 2601 n Campbell Ave 204 | Tucson | AZ | 85719 | 135613797 | $62,500 | $0 | FMV | Heart Disease Research |
| Community Foundatin for S AZ | ||||||||
| 2250 E Broadway Blvd | Tucson | AZ | 85719 | 942681765 | $18,000 | $0 | FMV | Community Support |
| Diaper Bank of Southern AZ | ||||||||
| 4500 E Speedway 75 | Tucson | AZ | 85712 | 431990345 | $8,000 | $0 | FMV | Pediatric Services |
| El Rio Foundation | ||||||||
| 839 W Congress St | Tucson | AZ | 85745 | 860816675 | $10,000 | $0 | FMV | Support El Rio Health Center |
| Girl Scouts of Southern AZ | ||||||||
| 4300 E Broadway Blvd | Tucson | AZ | 85711 | 860098917 | $7,500 | $0 | FMV | Youth Services |
| Juvenile Diabetes Research Fdn | ||||||||
| 4560 E Broadway Suite 214 | Tucson | AZ | 85711 | 231907729 | $7,500 | $0 | FMV | Diabetes Research |
| Pima Council on Aging | ||||||||
| 8467 E Boradway Blvd | Tucson | AZ | 85710 | 860251768 | $10,000 | $0 | FMV | Senior Services |
| Reid Park Zoological Society | ||||||||
| 1030 S Randolph Way | Tucson | AZ | 85716 | 942379052 | $5,500 | $0 | FMV | Education |
| Tu Nudito | ||||||||
| 3922 N Mountain Ave | Tucson | AZ | 85719 | 860769031 | $10,500 | $0 | FMV | Child Wellness |
| Tucson Childrens Museum | ||||||||
| PO BOX 2609 | Tucson | AZ | 85702 | 860676237 | $20,000 | $0 | FMV | Health related exhibit |
| Tucson Festival of Books | ||||||||
| 5633 E Grant Road | Tucson | AZ | 85712 | 262145432 | $100,000 | $0 | FMV | Literacy |
| Tucson Hispanic Chamber of Co | ||||||||
| 823 E Speedway | Tucson | AZ | 85719 | 860714441 | $7,500 | $0 | FMV | Community Development |
| Tucson Nurses Week Foundation | ||||||||
| PO Box 65085 | Tucson | AZ | 85728 | 860771880 | $25,000 | $0 | FMV | Promote Nursing Careers |
| YMCA of Southern AZ | ||||||||
| PO Box 1111 | Tucson | AZ | 85702 | 860101237 | $10,000 | $0 | FMV | Children's water safety |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 15 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Grantmaker's Description of How Grants are Used | FormAndLineReferenceDesc |
| Explanation | Members of the executive team determine which community grants will be issued from TMC. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt |
|---|---|---|---|---|---|---|---|
| Alexander Horvath | |||||||
| Vice President | $280,142 | $36,788 | $63,889 | $25,420 | $406,239 | ||
| Frank Marini | |||||||
| Vice President | $306,106 | $49,389 | $107,291 | $18,973 | $531,081 | $49,322 | |
| Joel Vanderford | |||||||
| Physician | $347,157 | $18,500 | $24,412 | $390,069 | |||
| Judith Rich | |||||||
| CEO/Trustee | $710,521 | $162,813 | $304,957 | $16,273 | $2,289,853 | $1,095,289 | |
| Julia Strange | |||||||
| Vice President | $201,153 | $27,071 | $53,005 | $11,795 | $310,276 | $17,252 | |
| Karen Mlawsky | |||||||
| Vice President | $463,669 | $92,878 | $124,601 | $19,855 | $701,003 | ||
| Lawrence Lincoln | |||||||
| Medical Director | $267,582 | $43,000 | $25,511 | $336,093 | |||
| Maureen Coomler | |||||||
| Vice President | $221,536 | $27,454 | $52,822 | $24,021 | $325,833 | ||
| Michael Duran | |||||||
| Vice President | $192,284 | $42,733 | $60,738 | $12,125 | $334,184 | $26,304 | |
| Richard Prevallet | |||||||
| Vice President | $194,100 | $26,295 | $52,041 | $27,101 | $316,308 | $16,771 | |
| Rick Alan Anderson | |||||||
| Vice President | $429,909 | $85,272 | $110,565 | $19,855 | $875,602 | $230,001 | $137,936 |
| Shubh Kaur | |||||||
| Physician | $329,728 | $21,058 | $350,786 | ||||
| Steve Bush | |||||||
| CFO | $439,785 | $87,120 | $136,926 | $19,240 | $730,034 | $46,963 | |
| Theresa Carleton | |||||||
| Physician | $266,614 | $18,500 | $14,565 | $299,679 | |||
| Timothy Alan Hartin | |||||||
| CLO | $347,224 | $56,075 | $91,521 | $19,855 | $715,961 | $201,286 | $128,264 |
| William Abraham | |||||||
| Physician | $293,387 | $17,891 | $25,720 | $336,998 | |||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 1a: Relevant information in regards to selections on 1a. | FormAndLineReferenceDesc |
| Explanation | First class travel is available to trustees on extended flights. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| Ind Devel Auth of Pima Co | |||||||
| A | 860445981 | 2010-12-16 | $114,370,800 | Campus Development | false | false | false |
| Ind Devel Auth of Pima Co | |||||||
| B | 860445981 | 2014-03-11 | $30,000,000 | Campus Development | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|
| A | $114,599,715 | $1,318,696 | $114,599,715 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $30,000,000 | $277,062 | $30,000,000 | Yes (true) | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|
| A | false | false | false | false | Yes (true) |
| B | false | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|
| A | Yes (true) | false | false | false | false | false | Yes (true) |
| B | Yes (true) | false | false | false | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part VI | FormAndLineReferenceDesc |
| Explanation | Part II Proceeds6) There was no escrow because everything was paid off at closing.12) These are draw down bonds. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 |
| 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. |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | TMC Cardiac and Cardiothoracic Surgery = -$7025 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | TMC General Surgery = -$12314 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | TMC Neuroscience Mgmt K-1 = -$224676 |
| Other Changes In Net Assets Or Fund Balances - Other Decreases | TMC Vascular Surgery Mgmt K-1 = -$126323 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||
| Tucson Medical Center Auxiliary | |||||||||||
| PO Box 42195 | Tucson | AZ | 85713 | 866050769 | Support to TMC | AZ | 501(c)(3) | 11 | N/A | false | |
| TMC Medical Network | |||||||||||
| 5301 E Grant Road | Tucson | AZ | 85712 | 811156192 | Physician Offices | AZ | 501(c)(3) | 11 | false | NA | |
| TMCOne | |||||||||||
| 5301 E Grant Road | Tucson | AZ | 85712 | 810686782 | Physician Offices | AZ | 501(c)(3) | 11 | false | NA | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| TMC Cardiac & Cardiothoracic Surgery | |||||||||||
| 5301 E Grant Road | Tucson | AZ | 85712 | 270766398 | Service Line Mgmt | AZ | Tucson Medical Cente | false | Yes (true) | 0.32143 | |
| TMC Neuroscience Mgmt LLC | |||||||||||
| 5301 E Grant Road | Tucson | AZ | 85712 | 273027087 | Service Line Management | AZ | Tucson Medical Cente | false | Yes (true) | 0.32500 | |
| Arizona Connected Care LLC | |||||||||||
| 5301 E Grant Road | Tucson | AZ | 85712 | 800671408 | Accountable Care Org | AZ | TMC HealthCare | false | false | 0.25000 | |
| TMC Vascular Surgery Mgmt LLC | |||||||||||
| 5301 E Grant Road | Tucson | AZ | 85712 | 474586127 | Service Line Management | AZ | false | Yes (true) | 0.29825 | N/A | |
| TMC General Surgery & Urology Mgmt LLC | |||||||||||
| 5301 E Grant Road | Tucson | AZ | 85712 | 811405660 | Service Line Management | AZ | false | Yes (true) | 0.30000 | N/A | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Hospital Care Systems Development Corp | |||||||||
| 5301 E Gramt Road | Tucson | AZ | 85712 | 203015545 | Hospital Management | AZ | N/A | c | false |
| Medhold Inc | |||||||||
| 5301 E Grant Road | Tucson | AZ | 85712 | 860769548 | Holding Company | AZ | N/A | c | false |
| Saguaro Medical Holdings Inc | |||||||||
| 5301 E Grant Road | Tucson | AZ | 85712 | 200614853 | Holding Company | AZ | N/A | C | false |
| TMC de Mexico Ltd | |||||||||
| 5301 E Grant Road | Tucson | AZ | 85712 | 860769541 | Holding Company | AZ | N/A | c | false |
| TMC Healthcare Security Services Inc | |||||||||
| 5301 E Grant Road | Tucson | AZ | 85712 | 522414943 | Security Services | AZ | N/A | c | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| TMC Foundation | ||
| o | $1,002,689 | FMV |
| TMC Holdings Inc | ||
| k | $1,322,038 | FMV |
Comments