TUCSON MEDICAL CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: TUCSON MEDICAL CENTER (EIN 86-0137567)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-17
IRS object ID: 202543219349312209
Schema version: 2024v5.1
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 B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-17T12:58:31+00:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Forvis Mazars LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E St Louis 200 PO Box 1190	AddressLine1Txt
City	Springfield	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	658062523	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	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	STEVE REICHLING	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	5203244461	PhoneNum
Signature	2025-11-17	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian Todd	PreparerPersonNm
PTIN	P00422601	PTIN
Phone	4178658701	PhoneNum
Preparation	2024-05-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JENNIFER MENDRZYCKI	BusinessNameLine1Txt

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	$960,743,553	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
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	10	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	5856	TotalEmployeeCnt
Total Volunteers	462	TotalVolunteersCnt
Total Gross UBI	$847,750	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$122,729	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,623,274	PYContributionsGrantsAmt
CY Contributions Grants	$9,836,698	CYContributionsGrantsAmt
PY Program Service Revenue	$778,380,986	PYProgramServiceRevenueAmt
CY Program Service Revenue	$898,503,410	CYProgramServiceRevenueAmt
PY Investment Income	$5,290,922	PYInvestmentIncomeAmt
CY Investment Income	$1,583,397	CYInvestmentIncomeAmt
PY Other Revenue	$5,259,983	PYOtherRevenueAmt
CY Other Revenue	$3,298,081	CYOtherRevenueAmt
PY Total Revenue	$791,555,165	PYTotalRevenueAmt
CY Total Revenue	$913,221,586	CYTotalRevenueAmt
PY Grants And Similar Paid	$4,814,877	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$10,708,751	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$368,077,301	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$390,238,262	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$396,084,964	PYOtherExpensesAmt
CY Other Expenses	$474,974,141	CYOtherExpensesAmt
PY Total Expenses	$768,977,142	PYTotalExpensesAmt
CY Total Expenses	$875,921,154	CYTotalExpensesAmt
PY Revenues Less Expenses	$22,578,023	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$37,300,432	CYRevenuesLessExpensesAmt
Total Assets BOY	$565,736,009	TotalAssetsBOYAmt
Total Assets EOY	$714,066,724	TotalAssetsEOYAmt
Total Liabilities BOY	$358,009,948	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$382,192,743	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$207,726,061	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$331,873,981	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
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	Yes (true)	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$792,096,428	ExpenseAmt
Grant	$10,708,751	GrantAmt
Revenue	$881,752,531	RevenueAmt
Desc	TUCSON MEDICAL CENTER, LICENSED AT MORE THAN 600 BEDS, HAS BEEN TUCSON'S LOCALLY GOVERNED NONPROFIT REGIONAL HOSPITAL FOR MORE THAN 75 YEARS. TMC IS SOUTHERN ARIZONA'S LEADING PROVIDER FOR EMERGENCY CARE AND PEDIATRIC CARE (INCLUDING TUCSON'S FIRST PEDIATRIC EMERGENCY DEPARTMENT), WITH INTENSIVE CARE UNITS FOR ADULTS, CHILDREN AND NEWBORNS. OTHER SPECIALTY AREAS INCLUDE WOMEN'S, MATERNITY, CARDIAC CARE, ORTHOPAEDIC, NEUROSCIENCE, HOSPICE, SURGICAL, VASCULAR AND GEROPSYCHIATRIC CARE. GOVERNED BY A VOLUNTEER COMMUNITY BOARD OF TRUSTEES, TUCSON MEDICAL CENTER IS CLOSELY TIED TO AND FOCUSED ON THE COMMUNITY. TUCSON MEDICAL CENTER IS DEDICATED TO DELIVERING "CARING, PERSONALIZED, QUALITY HEALTHCARE TO PATIENTS AND THEIR FAMILIES IN AN ENVIRONMENT THAT IS SUPPORTIVE, EDUCATION-FOCUSED AND COMPASSIONATE." IMPROVING THE HEALTHCARE OF THE COMMUNITY IS THE CORE INTENT OF ALL OUR EFFORTS AND THE BASIS OF OUR MISSION. EARNINGS ARE USED TO IMPROVE OUR FACILITY, PATIENT CARE, MEDICAL EDUCATION, TRAINING AND RESEARCH. TMC PROVIDES CARE TO THOSE WITH ACUTE HEALTH CARE NEEDS REGARDLESS OF THEIR ABILITY TO PAY FOR THE SERVICES NEEDED. LIKEWISE, TUCSON MEDICAL CENTER PROVIDES EXTENSIVE OUTPATIENT CLINICAL SERVICES SUCH AS LABORATORY, RADIOLOGY AND THERAPIES TO NAME A FEW. MANY OF THESE SERVICES ARE PROVIDED TO PATIENTS WHO ARE UNABLE TO PAY FOR SERVICES. TMC ALSO PARTICIPATES IN THE PIMA COMMUNITY ACCESS PROGRAM THAT PROVIDES ACCESS TO HEALTH SERVICES AT SIGNIFICANT DISCOUNTS TO LOW-INCOME FAMILIES. UNPAID COSTS: TMC PROVIDES SERVICES TO PATIENTS COVERED BY AHCCCS AND OTHER PUBLIC PROGRAMS FOR LOW-INCOME PEOPLE. THIS IS THE SHORTFALL CREATED WHEN A FACILITY RECEIVES PAYMENTS THAT ARE LESS THAN THE COST OF CARING FOR PUBLIC-PROGRAM BENEFICIARIES. UNCOMPENSATED COST OF CARE FOR CHARITY CARE AND BAD DEBT: CHARITY CARE IS FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO PEOPLE WHO CAN DEMONSTRATE THAT THEY DO NOT HAVE THE MEANS TO PAY THE FULL COST OF CARE AND WHO MEET THE ORGANIZATION'S FINANCIAL-ASSISTANCE POLICY CRITERIA. BAD DEBT CONSISTS OF SERVICES FOR WHICH THE HOSPITAL ANTICIPATED BUT DID NOT RECEIVE PAYMENT. FOR PURPOSES OF COMMUNITY BENEFIT REPORTING, CHARITY CARE AND BAD DEBT ARE REPORTED IN TERMS OF COSTS, NOT CHARGES. FOR MORE INFORMATION ABOUT TMC'S CHARITY CARE POLICY, VISIT WWW.TMCAZ.COM. OUTREACH & EDUCATION: THIS FIGURE INCLUDES COMMUNITY BENEFIT PROGRAMS AND ACTIVITIES THAT PROVIDE TREATMENT OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. THESE PROGRAMS AND ACTIVITIES HELP IMPROVE ACCESS TO HEALTH CARE SERVICES, ENHANCE THE HEALTH OF THE COMMUNITY AND ADVANCE MEDICAL KNOWLEDGE. DISCOUNTS FOR UNINSURED PATIENTS: SELF-PAY PATIENTS WHO DO NOT HAVE HEALTH INSURANCE ARE NOT IN THE SAME POSITION AS INSURANCE COMPANIES TO NEGOTIATE REDUCED RATES. IN AN EFFORT TO ADDRESS THIS DISPARITY, TMC REDUCES A PATIENT'S BILL BY HALF IF THE PATIENT IS WITHOUT ANY INSURANCE COVERAGE. DEPENDING ON A PATIENT'S INCOME, OTHER DISCOUNTS MAY APPLY AS OF THE TMC COMMUNITY CARE PROGRAM. PLEASE SEE OUR WEBSITE TO VIEW OUR FULL REPORT TO THE COMMUNITY: WWW.TMCAZ.COM	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$30,082,167	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$16,750,879	RevenueAmt
Desc	Tucson Medical Center includes the Rincon Hospital facility, which began operations in April 2024. This facility includes 35 licensed beds as of December 31, 2024. TMC Rincon offers inpatient services, emergency care, imaging, laboratory, operating suites, a cardiac catheterization lab, and labor & delivery care. Available specialties include cardiology, gastroenterology, gynecology, orthopedics, and labor and delivery. The Rincon Health Campus also includes TMCOne Primary & Specialty Care, TMC Rincon OB/GYN clinic, the Rincon Ambulatory Surgery Center, Radiology Ltd. outpatient imaging and TMC Urgent Care.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$822,178,595	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	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
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	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	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	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 With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	403	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5856	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	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
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
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	10	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	false	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
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
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

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STEVE REICHLING	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5203242113	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

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CYNTHIA GARCIA
CHAIR	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
MAUREEN COOMLER
TMC CHIEF EXECUTIVE OFFICER	40.0	0	Yes (X)	Yes (X)	$781,432	$0	$97,810
ALAN ROGERS
TRUSTEE	1.0	0	Yes (X)		$0	$0	$0
BARBARA FARMILANT
TRUSTEE	1.0	0	Yes (X)		$0	$0	$0
DAVID SMALLHOUSE
TRUSTEE	1.0	0	Yes (X)		$0	$0	$0
DAVID WHITMAN
CHIEF OF STAFF ELECT	1.0	0	Yes (X)		$0	$0	$0
ELIZABETH FRIMAN
TRUSTEE	1.0	0	Yes (X)		$0	$0	$0
JEFF CHRISTENSEN
TRUSTEE	1.0	0	Yes (X)		$0	$0	$0
JOHN LEVIN
TRUSTEE	1.0	1.0	Yes (X)		$0	$0	$0
JULIE ZAETTA
CHIEF OF STAFF	1.0	0	Yes (X)		$0	$0	$0
ALEXANDER HORVATH
CHIEF HUMAN RESOURCES OFFICES	34.0	6.0		Yes (X)	$582,696	$0	$32,905
BRADLEY HIPP
TMC CHIEF FINANCIAL OFFICER	40.0	0		Yes (X)	$242,735	$0	$16,264
JENNIFER MENDRZYCKI
CHIEF EXECUTIVE OFFICER BEG 04/24	34.0	6.0		Yes (X)	$846,970	$0	$202,785
JOSHUA LEE
CHIEF HEALTH INFORMATION OFFICER	40.0	0		Yes (X)	$567,228	$0	$126,245
JOY UPSHAW
CHIEF NURSING OFFICER	40.0	0		Yes (X)	$526,990	$0	$63,845
JUDITH RICH
CHIEF EXECUTIVE OFFICER END 04/24	34.0	6.0		Yes (X)	$1,207,962	$0	$22,514
KEVIN SMITH
CHIEF MEDICAL OFFICER	39.0	1.0		Yes (X)	$471,678	$0	$121,105
STEVE REICHLING
CHIEF FINANCIAL OFFICER, TREASURER	33.0	7.0		Yes (X)	$646,106	$0	$147,469
TIM REUSCHEL
CHIEF LEGAL OFFICER, SECRETARY	33.0	7.0		Yes (X)	$525,776	$0	$135,090
JEFFREY LAMIE
CHIEF DEVELOPMENT OFFICER	40.0	0			$468,289	$0	$56,144	Yes (X)
JULIA STRANGE
VP, COMMUNITY BENEFITS	20.0	24.0			$424,547	$0	$34,215	Yes (X)
JULIE WARD
VP, OPERATIONS	40.0	0			$255,366	$0	$25,372	Yes (X)
KEVIN KILDAY
VP, CHIEF FINANCIAL OFFICER	40.0	0			$432,687	$0	$62,524	Yes (X)
IFTEQUAR SIDDIQUI
PHYSICIAN	40.0	0			$212,571	$0	$8,005		Yes (X)
MONICA SHELDON
NCCH CEO END 12/24	40.0	0			$258,886	$0	$68,430		Yes (X)
MUFUTAU AKINBILE
Physician	40.0	0			$408,485	$0	$33,130		Yes (X)
NATHANIEL REYES
PHYSICIAN	40.0	0			$490,501	$0	$29,682		Yes (X)
REBECCA MILLIGAN
PHYSICIAN	40.0	0			$532,918	$0	$36,482		Yes (X)
STEPHEN BUSH
FORMER CHIEF FINANCIAL OFFICER	34.0	6.0			$234,957	$0	$4,555			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,118,780	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,324,571	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	948	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	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
CLOUDMED SOLUTIONS LLC
PO BOX 208272	DALLAS	TX	753208272	Software	$4,719,705
MINDLANCE HEALTH LLC
1095 MORRIS AVE	UNION	NJ	07083	CONTRACT LABOR	$4,446,578
ARIZONA INPATIENT MEDICINE ASSOCIATES LL
7383 E TANQUE VERDE RD	TUCSON	AZ	85715	Medical Services	$3,136,795
PIMA HEART PHYSICIANS
555 E RIVER RD SUITE 1010	TUCSON	AZ	85704	MEDICAL SERVICES	$2,598,286
NEUROLOGICAL ASSOCIATES OF TUCSON
2450 E RIVER RD	TUCSON	AZ	85718	MEDICAL SERVICES	$2,416,516

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	74	CntrctRcvdGreaterThan100KCnt
Related Organizations	$4,247,954	RelatedOrganizationsAmt
Government Grants	$5,588,744	GovernmentGrantsAmt
Total Contributions	$9,836,698	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICES	621110	$873,863,999	$873,863,999
PHARMACY REVENUE	446110	$15,897,999	$15,897,999
FOOD SERVICES	446110	$3,872,648	$3,872,648
OTHER REVENUE	900099	$4,868,764	$4,021,014	$847,750

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$898,503,410	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$848,983	TotalRevenueColumnAmt
Exclusion	$848,983	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,298,081	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$3,298,081	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,298,081	TotalRevenueColumnAmt
Exclusion	$3,298,081	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$44,383,633	SecuritiesAmt
Other	$3,872,748	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$43,442,629	SecuritiesAmt
Other	$4,079,338	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$941,004	SecuritiesAmt
Other	-$206,590	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$734,414	TotalRevenueColumnAmt
Exclusion	$734,414	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$913,221,586	TotalRevenueColumnAmt
Related Or Exempt Func Income	$897,655,660	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$847,750	UnrelatedBusinessRevenueAmt
Exclusion	$4,881,478	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$10,692,901	TotalAmt
Program Services	$10,692,901	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$15,850	TotalAmt
Program Services	$15,850	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$9,124,751	TotalAmt
Program Services	$2,335,854	ProgramServicesAmt
Management And General	$6,788,897	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$239,512	TotalAmt
Management And General	$239,512	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$313,431,363	TotalAmt
Program Services	$311,544,456	ProgramServicesAmt
Management And General	$1,886,907	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,674,246	TotalAmt
Program Services	$5,776,271	ProgramServicesAmt
Management And General	$897,975	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$37,374,580	TotalAmt
Program Services	$37,219,336	ProgramServicesAmt
Management And General	$155,244	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$23,393,810	TotalAmt
Program Services	$22,984,341	ProgramServicesAmt
Management And General	$409,469	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,122,105	TotalAmt
Program Services	$4,057,591	ProgramServicesAmt
Management And General	$64,514	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$10,891	TotalAmt
Management And General	$10,891	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$14,875	TotalAmt
Management And General	$14,875	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$471,317	TotalAmt
Management And General	$471,317	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$109,786,938	TotalAmt
Program Services	$84,710,557	ProgramServicesAmt
Management And General	$25,076,381	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$753,676	TotalAmt
Program Services	$379,486	ProgramServicesAmt
Management And General	$374,190	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$22,082,332	TotalAmt
Program Services	$21,976,309	ProgramServicesAmt
Management And General	$106,023	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$18,658,117	TotalAmt
Program Services	$16,172,926	ProgramServicesAmt
Management And General	$2,485,191	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,171,005	TotalAmt
Program Services	$11,807,086	ProgramServicesAmt
Management And General	$363,919	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$818,616	TotalAmt
Program Services	$618,912	ProgramServicesAmt
Management And General	$199,704	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$450,274	TotalAmt
Program Services	$402,386	ProgramServicesAmt
Management And General	$47,888	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,443,240	TotalAmt
Program Services	$4,443,240	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$31,212,143	TotalAmt
Program Services	$31,212,143	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$9,298,154	TotalAmt
Program Services	$1,161,374	ProgramServicesAmt
Management And General	$8,136,780	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$204,251,901	$204,251,901
HOSPITAL ASSESSMENT	$43,326,720	$43,326,720
REPAIRS AND MAINTENANCE	$6,108,904	$5,943,087	$165,817
RECRUITING AND RETENTION	$5,839,807	$783,369	$5,056,438

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,153,126	TotalAmt
Program Services	$362,499	ProgramServicesAmt
Management And General	$790,627	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$875,921,154	TotalAmt
Program Services	$822,178,595	ProgramServicesAmt
Management And General	$53,742,559	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,264,827	BOYAmt
EOY	$2,320,504	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$19,310,060	BOYAmt
EOY	$1,214,594	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$113,616,545	BOYAmt
EOY	$123,579,158	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$39,597,703	BOYAmt
EOY	$44,506,969	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$15,966,655	BOYAmt
EOY	$16,459,802	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$624,873,594	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$310,827,227	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$192,368,415	BOYAmt
EOY	$314,046,367	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$121,402,190	BOYAmt
EOY	$118,651,614	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$59,209,614	BOYAmt
EOY	$93,287,716	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$565,736,009	BOYAmt
EOY	$714,066,724	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$110,005,105	BOYAmt
EOY	$141,466,993	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$220,938,235	BOYAmt
EOY	$216,989,867	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$7,574,035	BOYAmt
EOY	$5,576,029	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,492,573	BOYAmt
EOY	$18,159,854	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$358,009,948	BOYAmt
EOY	$382,192,743	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$207,726,061	BOYAmt
EOY	$331,873,981	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$207,726,061	BOYAmt
EOY	$331,873,981	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$565,736,009	BOYAmt
EOY	$714,066,724	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$37,300,432	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$7,010,759	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$79,836,729	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
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 B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,355,439	OtherCostOrOtherBasisAmt
Book Value	$3,355,439	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$303,158,745	OtherCostOrOtherBasisAmt
Depreciation	$114,832,093	DepreciationAmt
Book Value	$188,326,652	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,961,558	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$1,961,558	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$257,715,881	OtherCostOrOtherBasisAmt
Depreciation	$184,427,370	DepreciationAmt
Book Value	$73,288,511	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$58,681,971	OtherCostOrOtherBasisAmt
Depreciation	$11,567,764	DepreciationAmt
Book Value	$47,114,207	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$314,046,367	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM 3RD PARTY	$2,278,434
OTHER RECEIVABLES	$75,756,244
ROU ASSET	$14,404,946
GUARANTEES	$262,802
INVEST IN SLA	$118,996
INVEST IN VHA	$44,270
OTHER ASSET	$422,024

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$93,287,716	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Federal Income Taxes
DUE TO 3RD PARTY	$638,682
ROU LIABILITIES	$13,989,830
RETIREMENT OBLIGATION	$3,257,785
OTHER LIABILITIES	$273,557

Field	Value	IRS element (for citing)
Total Liability	$18,159,854	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,786,119	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,786,119	NetCommunityBenefitExpnsAmt
Total Expense	0.00204	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$207,527,133	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$189,334,670	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,192,463	NetCommunityBenefitExpnsAmt
Total Expense	0.02077	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$209,313,252	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$189,334,670	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,978,582	NetCommunityBenefitExpnsAmt
Total Expense	0.02281	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,523,252	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,523,252	NetCommunityBenefitExpnsAmt
Total Expense	0.00402	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,361,228	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,361,228	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$5,884,480	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,884,480	NetCommunityBenefitExpnsAmt
Total Expense	0.00672	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$215,197,732	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$189,334,670	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,863,062	NetCommunityBenefitExpnsAmt
Total Expense	0.02953	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$33,665,565	BadDebtExpenseAmt
Bad Debt Expense Attributable	$9,054,286	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$172,273,368	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$200,598,747	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$28,325,379	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	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
TMC CARDIAC & CARDIOTHORAC
MANAGEMENT OF CARDIAC SVCS	0.4	0	0.6
TMC NEUROSCIENCE MGMT LLC
MANAGE NEURO SVCS	0.325	0	0.675
TMC VASCULAR SURGERY MGMT
MANAGE VASCULAR SERVICES	0.3	0	0.7
TMC GENERAL SURGERY & UROLO
MGE GENERAL SURG & UROLOGY	0.3	0	0.7

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd
TUCSON MEDICAL CENTER RINCON
2	5755 SOUTH HOUGHTON RD	TUCSON	AZ	85747	www.rincon.tmcaz.com	H13332	Yes (X)	Yes (X)	Yes (X)	1
TUCSON MEDICAL CENTER
1	5301 E GRANT RD	TUCSON	AZ	85712	WWW.TMCAZ.COM	H0012	Yes (X)	Yes (X)	Yes (X)	1	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	1	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	2	FacilityNum
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	24	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.tmchealth.tmcaz.com/en/community/community-benefit	OwnWebsiteURLTxt
Other Website URL	https://www.pima.gov/3192/Community-Health-Needs-Assessment	OtherWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.tmchealth.tmcaz.com/en/community/community-benefit	StrategyWebsiteURLTxt
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	100.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
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
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	(SEE STATEMENT)	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	(SEE STATEMENT)	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	(SEE STATEMENT)	FAPSummaryOnWebsiteURLTxt
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 Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
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 (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E
Schedule H, Part V, Section B, Line 5 Facility 1, 1	Facility 1, 1 - TUCSON MEDICAL CENTER. The significant health needs identified in the 2024 Community Health Needs Assessment (CHNA) are prioritized and informed directly through a structured community engagement process. Input was gathered through focus groups, community surveys, and stakeholder interviews, ensuring representation from diverse voices across Southern Arizona, including LGBTQ+ community members, seniors, people with disabilities, direct service providers, faith leaders, the African American Health and Wellness Coalition, and the Tucson Indian Center. The prioritization of needs was further refined through the Community Health Improvement Plan (CHIP), which engaged cross-sector partners to align community feedback with data-driven health indicators. This process ensures that the identified health needs reflect both the community's lived experiences and objective health data, with clear priorities to guide collaborative action.
Schedule H, Part V, Section B, Line 6a Facility 1, 1	Facility 1, 1 - TUCSON MEDICAL CENTER. Tucson Medical Center's 2024 CHNA was conducted in collaboration with Banner-University Medical Center and the Tucson VA Medical Center. In addition to these hospital partners, the CHNA process included robust participation from community partners across Pima County. Key collaborators included the Pima County Health Department, El Rio Health, CODAC Health, Recovery & Wellness, United Way of Tucson and Southern Arizona, the Community Food Bank of Southern Arizona, and multiple community coalitions and advocacy groups. This collaborative approach ensured that the identified health needs reflect both the perspectives of hospital systems and the expertise and lived experiences of community-based organizations.
Schedule H, Part V, Section B, Line 6b Facility 1, 1	Facility 1, 1 - TUCSON MEDICAL CENTER. Tucson Medical Center's 2024 CHNA was conducted in collaboration with multiple organizations beyond hospital facilities. Key partners included the Pima County Health Department, which convened the Community Advisory Committee (CAC) of local leaders to guide CHNA planning and qualitative data collection. Additional partners included El Rio Health, CODAC Health, Recovery & Wellness, United Way of Tucson and Southern Arizona, the Community Food Bank of Southern Arizona, and other nonprofit and advocacy organizations. These partners contributed survey data, focus group input, and subject matter expertise, ensuring that the CHNA reflects both local and regional perspectives on community health priorities.
Schedule H, Part V, Section B, Line 11 Facility 1, 1	Facility 1, 1 - TUCSON MEDICAL CENTER. TMC Health is actively addressing the significant community health needs identified in the 2024 CHNA through a combination of direct clinical services, expanded access initiatives, and community partnerships. Priority Area 1: Behavioral Health, including substance use and suicide prevention Expanded integration of behavioral health into primary care through TMCOne, including virtual behavioral health support. Continued partnership with CODAC, Palo Verde Behavioral Health, and the Southern Arizona Opioid Consortium to expand access to crisis response, substance use treatment, and recovery services. Ongoing "Healing the Healer" wellness and resiliency programming to support the mental health of TMC's own workforce. Priority Area 2: Chronic Disease Prevention and Management (including obesity, diabetes, and cardiovascular disease) Expansion of care coordination and chronic disease management programs within TMCOne. Community education initiatives in partnership with El Rio Health, Pima County Health Department, and United Way of Tucson and Southern Arizona. Nutrition and activity programs supported through collaborations with schools and the Community Food Bank of Southern Arizona. Priority Area 3: Access to Care Investment in same-day, after-hours, and telehealth options to reduce barriers to timely care. Support for transportation and resource navigation services in collaboration with local nonprofits. Needs Not Fully Addressed and Rationale: Some identified needs, such as housing insecurity and food insecurity, extend beyond the direct scope of hospital-based care. TMC Health supports partner organizations that lead these efforts (such as Pima County, United Way, and the Community Food Bank), but does not directly provide housing or social services. In these areas, TMC contributes through partnership, advocacy, and resource alignment rather than direct service delivery.
Schedule H, Part V, Section B, Line 13 Facility 1, 1	Facility 1, 1 - TUCSON MEDICAL CENTER. HERE IS THE COMPLETE WEBSITE REGARDING FINANCIAL ASSISTANCE HTTPS://WWW.TMCAZ.COM/ABOUT-MY-VISIT-TO-TMC/ABOUT-YOUR-BILL/FINANCIAL-ASSISTANCE/COM MUNITY-CARE-POLICY

Field	Value	IRS element (for citing)
Facility	12	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
TMC Endocrinology
2380 North Ferguson Avenue Suite 1	Tucson	AZ	85712	CLINIC
TMC Rheumatology
2380 North Ferguson Avenue Suite 1	Tucson	AZ	85712	CLINIC
Tucson Medical Center (TMC Health Cancer Center)
603 North Wilmot Road	Tucson	AZ	85711	CLINIC
Tucson Medical Center (TMC Health Cancer Center)
10350 East Drexel Road 250	Tucson	AZ	85747	CLINIC
Tucson Medical Center (TMC Health Cancer Center)
2070 West Rudasill Road Suite 100	Tucson	AZ	85704	CLINIC
Tucson Medical Center (TMC Integrative Pain Center)
5335 East Erickson Drive Floor 1 On	Tucson	AZ	85712	CLINIC
TUCSON MEDICAL CENTER EL DORADO HEALTH CAMPUS
1400 North Wilmot Road First Floor	Tucson	AZ	85712	CLINIC
TUCSON MEDICAL CENTER INTEGRATIVE PAIN CENTER
5355 East Erickson Drive	Tucson	AZ	85712	CLINIC
TUCSON MEDICAL CENTER OUTPATIENT THERAPY CLINIC
5395 East Erickson Road Suite 101	Tucson	AZ	85712	CLINIC
TUCSON MEDICAL CENTER SLEEP DIAGNOSTIC LABORATORY
2100 North Rosemont Suite 110	Tucson	AZ	85712	CLINIC
TUCSON MEDICAL CENTER WOMEN'S IMAGING CENTER
2625 North Craycroft Suite 111	Tucson	AZ	85712	CLINIC
TMC RINCON SURGERY CENTER
10360 E DREXEL RD	TUCSON	AZ	85747	CLINIC

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 6a RELATED ORGANIZATION COMMUNITY BENEFIT REPORT	GOVERNED BY A VOLUNTEER COMMUNITY BOARD OF TRUSTEES, TUCSON MEDICAL CENTER IS CLOSELY TIED TO AND FOCUSED ON THE COMMUNITY. TUCSON MEDICAL CENTER IS DEDICATED TO DELIVERING "CARING, PERSONALIZED, QUALITY HEALTHCARE TO PATIENTS AND THEIR FAMILIES IN AN ENVIRONMENT THAT IS SUPPORTIVE, EDUCATION-FOCUSED AND COMPASSIONATE." IMPROVING THE HEALTHCARE OF THE COMMUNITY IS THE CORE INTENT OF ALL OUR EFFORTS AND THE BASIS OF OUR MISSION. EARNINGS ARE USED TO IMPROVE OUR FACILITY, PATIENT CARE, MEDICAL EDUCATION, TRAINING AND RESEARCH. TMC PROVIDES CARE TO THOSE WITH ACUTE HEALTH CARE NEEDS REGARDLESS OF THEIR ABILITY TO PAY FOR THE SERVICES NEEDED. LIKEWISE, TUCSON MEDICAL CENTER PROVIDES EXTENSIVE OUTPATIENT CLINICAL SERVICES SUCH AS LABORATORY, RADIOLOGY AND THERAPIES TO NAME A FEW. MANY OF THESE SERVICES ARE PROVIDED TO PATIENTS WHO ARE UNABLE TO PAY FOR SERVICES. TMC ALSO PARTICIPATES IN THE PIMA COMMUNITY ACCESS PROGRAM THAT PROVIDES ACCESS TO HEALTH SERVICES AT SIGNIFICANT DISCOUNTS TO LOW INCOME FAMILIES. UNPAID COSTS: TMC PROVIDES SERVICES TO PATIENTS COVERED BY AHCCCS AND OTHER PUBLIC PROGRAMS FOR LOW INCOME PEOPLE. THIS IS THE SHORTFALL CREATED WHEN A FACILITY RECEIVES PAYMENTS THAT ARE LESS THAN THE COST OF CARING FOR PUBLIC-PROGRAM BENEFICIARIES. UNCOMPENSATED COST OF CARE FOR CHARITY CARE AND BAD DEBT: CHARITY CARE IS FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO PEOPLE WHO CAN DEMONSTRATE THAT THEY DO NOT HAVE THE MEANS TO PAY THE FULL COST OF CARE AND WHO MEET THE ORGANIZATIONS FINANCIAL-ASSISTANCE POLICY CRITERIA. BAD DEBT CONSISTS OF SERVICES FOR WHICH THE HOSPITAL ANTICIPATED BUT DID NOT RECEIVE PAYMENT. FOR PURPOSES OF COMMUNITY BENEFIT REPORTING, CHARITY CARE AND BAD DEBT ARE REPORTED IN TERMS OF COSTS, NOT CHARGES. FOR MORE INFORMATION ABOUT TMCS CHARITY CARE POLICY, VISIT WWW.TMCAZ.COM. OUTREACH & EDUCATION: THIS FIGURE INCLUDES COMMUNITY BENEFIT PROGRAMS AND ACTIVITIES THAT PROVIDE TREATMENT OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. THESE PROGRAMS AND ACTIVITIES HELP IMPROVEACCESS TO HEALTH CARE SERVICES, ENHANCE THE HEALTH OF THE COMMUNITY AND ADVANCE MEDICAL KNOWLEDGE. DISCOUNTS FOR UNINSURED PATIENTS - SELF-PAY PATIENTS WHO DO NOT HAVE HEALTH INSURANCE ARE NOT IN THE SAME POSITION AS INSURANCE COMPANIES TO NEGOTIATE REDUCED RATES. IN AN EFFORT TO ADDRESS THIS DISPARITY, TMC REDUCES A PATIENTS BILL BY HALF IF THE PATIENT IS WITHOUT ANY INSURANCE COVERAGE. DEPENDING ON A PATIENTS INCOME, OTHER DISCOUNTS MAY APPLY AS PART OF THE TMC COMMUNITY CARE PROGRAM.
Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE	HTTPS://WWW.TMCAZ.COM/ABOUT-MY-VISIT-TO-TMC/ABOUT-YOUR BILL/FINANCIALASSISTANCE/ COMMUNITY-CARE-POLICY
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE	HTTPS://WWW.TMCAZ.COM/ABOUT-MY-VISIT-TO-TMC/ABOUT-YOUR-BILL/FINANCIALASSISTANCE/ COMMUNITY-CARE-POLICY
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE	HTTPS://WWW.TMCAZ.COM/ABOUT-MY-VISIT-TO-TMC/ABOUT-YOUR-BILL/FINANCIALASSISTANCE/ COMMUNITY-CARE-POLICY
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	BAD DEBT EXPENSE IS BASED ON OUR HISTORICAL COLLECTION PERCENTAGE OF GROSS REVENUE LESS DEDUCTIONS FOR CONTRACTUALS, CHARITY CARE AND SELF PAY ACCOUNTS. THE VALUE FOR THIS LINE IS FROM FORM CMS-2552-10
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	BAD DEBT ATTRIBUTABLE TO CHARITY CARE IS CALCULATED USING AN ESTIMATE OF NET PATIENT REVENUE AFTER DISCOUNTS.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	PATIENTS ARE INTERVIEWED ON ADMISSION TO SEE IF THEY MAY QUALIFY FOR FINANCIAL ASSISTANCE. THERE IS A NOTICE ON OUR STATEMENTS ADVISING PATIENTS TO CALL OUR PATIENT FINANCIAL SERVICES DEPARTMENT TO SEE IF THEY QUALIFY AND PATIENTS WITH PAST DUE BALANCES ARE SENT A LETTER ADVISING THEM OF THE AVAILABILITY OF ASSISTANCE BEFORE THEY ARE SENT TO COLLECTIONS. BAD DEBT POLICY STATES CHARITY ACCOUNTS ARE TO BE RETURNED FROM BAD DEBT AND ALL THE NECESSARY FINANCIAL INFORMATION IS REVIEWED AND THE APPROPRIATE ADJUSTMENTS ARE MADE ACCORDING TO THE POLICY.
Schedule H, Part V, Section B, Line 16a FAP website	1 - TUCSON MEDICAL CENTER: Line 16a URL: (SEE STATEMENT);
Schedule H, Part V, Section B, Line 16b FAP Application website	1 - TUCSON MEDICAL CENTER: Line 16b URL: (SEE STATEMENT);
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	1 - TUCSON MEDICAL CENTER: Line 16c URL: (SEE STATEMENT);
Schedule H, Part VI, Line 2 Needs assessment	Tucson Medical Center (TMC) participated in the 2024 Pima County Community Health Needs Assessment (CHNA), a triennial collaborative process involving local hospitals, federally qualified health centers, and the Pima County Health Department. The goal was to gain a comprehensive picture of health needs and assets in Southern Arizona, using both quantitative and qualitative methods to ensure a balanced understanding of community priorities. On the quantitative side, the CHNA analyzed secondary data from sources such as the American Community Survey, the Arizona Department of Health Services, and the Pima County Health Department. These datasets provided insight into demographic trends, poverty and housing burdens, transportation barriers, access to primary and behavioral health providers, rates of chronic disease, and insurance coverage patterns. This analysis established a baseline of community health status and highlighted disparities across neighborhoods and population groups. A broad community survey, reaching approximately 4,000 residents, added another critical layer of quantitative and perception-based data. Residents were asked about their experiences with healthcare access, the quality of services, and the social and economic challenges most affecting health. Survey findings highlighted community concerns around mental health care availability, substance use, and resources for children and adolescents, validating themes that also emerged in other data sources. The qualitative process further deepened these insights. TMC and its partners convened 41 key informant interviews with healthcare providers, educators, and civic leaders; facilitated focus groups with 71 participants representing diverse populations; and engaged nearly 100 residents through gallery-walk sessions, where participants reviewed and prioritized findings. In addition, a steering committee composed of community partners met monthly to review data, discuss trends, and ground the assessment in lived community experience. Together, these methods ensured that the CHNA reflected both measurable health outcomes and the voices of those directly experiencing barriers to care.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	TMC Health ensures that patients and families are informed about financial assistance options at the earliest opportunity. At the time of admission, patients are interviewed to determine whether they may qualify for help through federal, state or local programs, or through the organization's Financial Assistance Policy (FAP). TMC Health's FAP offers free or discounted care based on income, family size and need, ensuring fair access to services. Financial counselors explain available resources, provide written materials, and assist with applications and documentation. This process helps reduce financial barriers to care while promoting transparency, understanding, and peace of mind for patients.
Schedule H, Part VI, Line 4 Community information	TMC Health serves the diverse communities of Southern Arizona, encompassing the urban center of Tucson and rural areas across Pima, Cochise, Santa Cruz, Graham and Greenlee Counties. This service region reflects wide variation in health needs: metropolitan neighborhoods facing poverty, housing instability, and behavioral health concerns, alongside rural and frontier communities challenged by provider shortages, long travel distances, and limited transportation options. The 2024 Community Health Needs Assessment highlighted significant concerns around mental and behavioral health, substance use, child and adolescent wellbeing, and access to affordable housing and nutritious food. TMC Health works to address these needs through a regional approach. In addition to its hospitals, clinics, and specialty services, the system provides support for non-affiliated critical access hospitals, recognizing their role as essential lifelines for rural residents. Investments in a comprehensive transfer center ensure that patients across the region can be efficiently connected to emergency and specialty care at higher-level facilities. TMC Health also prioritizes recruitment of primary care and specialty providers, building capacity to meet the workforce demands of both urban and rural communities. These efforts underscore a mission to strengthen the health system across Southern Arizona, ensuring access to exceptional and compassionate care close to home.
Schedule H, Part VI, Line 5 Promotion of community health	TMC Health furthers its exempt purpose by actively promoting the health of the communities it serves. As a nonprofit system, it maintains an open medical staff, which allows independent physicians and specialists from across the region to provide care in its facilities. This model ensures patients have broad access to high-quality, diverse clinical expertise without restrictions based on employment status. Governance also reflects a strong commitment to community benefit. TMC Health is guided by a community-based governing board, composed of local leaders and representatives who bring firsthand knowledge of the region's needs and priorities. Their oversight helps align strategic decisions with the values and expectations of Southern Arizona residents. Financial resources are reinvested directly back into the hospitals, clinics, and programs that make care more exceptional and accessible. This includes facility improvements, investments in advanced medical technology, the expansion of primary and specialty care services, and the support of programs that address social determinants of health. In addition, TMC Health invests in community outreach, education, and partnerships that strengthen the overall health infrastructure of the region. Through these actions, TMC Health demonstrates a mission-driven approach to ensuring care that is compassionate, accessible, and designed around the people it serves.
Schedule H, Part VI, Line 6 Affiliated health care system	TMC Health furthers its exempt purpose by promoting the health of Southern Arizona through a nonprofit, community-focused system of care. The organization is governed by a volunteer community Board of Trustees, ensuring accountability to the people it serves. TMC Health includes two hospitals in Tucson-Tucson Medical Center and TMC Rincon-along with two critical access hospitals in Cochise County, Benson Hospital and Northern Cochise Community Hospital. Together, these facilities provide acute care, emergency services, labor and delivery, and specialty services to both urban and rural communities. The opening of TMC Rincon in 2024 expanded access in a federally designated medically underserved area, bringing inpatient and maternity care to a part of Pima County with limited options. The system also operates TMCOne, a large provider group delivering primary and specialty care across the region. This extends access, strengthens care coordination, and addresses workforce shortages through recruitment of physicians and advanced practice providers. TMC Health provides care regardless of ability to pay, including charity care, uncompensated care, and services for AHCCCS and other public program beneficiaries. Patients without insurance receive significant discounts under the Community Care Program, and financial counselors connect families with federal, state, and local assistance programs. Earnings are reinvested into facilities, technology, workforce development, and community benefit programs, including outreach, prevention, and education aligned with identified needs from the Community Health Needs Assessment. Through these commitments, TMC Health and its affiliates strengthen the regional safety net and advance health for all communities they serve.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CITY OF TUCSON	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	255 W ALAMEDA ST	AddressLine1Txt
City	TUCSON	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	85701	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	866000266	RecipientEIN
IRC Section	GOV'T	IRCSectionDesc
Cash Grant	$10,692,901	CashGrantAmt
Purpose Of Grant	SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	EMPLOYEE SUPPORT	GrantTypeTxt
Recipient	33	RecipientCnt
Cash Grant	$15,850	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds	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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MAUREEN COOMLER
TMC CHIEF EXECUTIVE OFFICER	$566,200	$0	$122,767	$0	$92,465	$0	$77,205	$0	$20,605	$0	$879,242	$0	$0	$0
STEPHEN BUSH
FORMER CHIEF FINANCIAL OFFICER	$207,629	$0	$0	$0	$27,328	$0	$4,555	$0	$0	$0	$239,512	$0	$0	$0
ALEXANDER HORVATH
CHIEF HUMAN RESOURCES OFFICES	$402,148	$0	$71,954	$0	$108,594	$0	$10,350	$0	$22,555	$0	$615,601	$0	$0	$0
JOY UPSHAW
CHIEF NURSING OFFICER	$450,161	$0	$47,661	$0	$29,168	$0	$37,969	$0	$25,876	$0	$590,835	$0	$0	$0
JUDITH RICH
CHIEF EXECUTIVE OFFICER END 04/24	$687,723	$0	$278,937	$0	$241,302	$0	$9,974	$0	$12,540	$0	$1,230,476	$0	$0	$0
STEVE REICHLING
CHIEF FINANCIAL OFFICER, TREASURER	$556,420	$0	$75,153	$0	$14,533	$0	$127,034	$0	$20,435	$0	$793,575	$0	$0	$0
JOSHUA LEE
CHIEF HEALTH INFORMATION OFFICER	$472,396	$0	$87,340	$0	$7,492	$0	$105,339	$0	$20,906	$0	$693,473	$0	$0	$0
KEVIN SMITH
CHIEF MEDICAL OFFICER	$424,864	$0	$21,194	$0	$25,620	$0	$96,807	$0	$24,298	$0	$592,783	$0	$0	$0
TIM REUSCHEL
CHIEF LEGAL OFFICER, SECRETARY	$418,703	$0	$80,071	$0	$27,002	$0	$106,519	$0	$28,571	$0	$660,866	$0	$0	$0
JENNIFER MENDRZYCKI
CHIEF EXECUTIVE OFFICER BEG 04/24	$737,533	$0	$100,000	$0	$9,437	$0	$183,402	$0	$19,383	$0	$1,049,755	$0	$0	$0
BRADLEY HIPP
TMC CHIEF FINANCIAL OFFICER	$66,478	$0	$175,000	$0	$1,257	$0	$12,202	$0	$4,062	$0	$258,999	$0	$0	$0
JEFFREY LAMIE
CHIEF DEVELOPMENT OFFICER	$388,130	$0	$74,999	$0	$5,160	$0	$37,182	$0	$18,962	$0	$524,433	$0	$0	$0
JULIE WARD
VP, OPERATIONS	$248,297	$0	$0	$0	$7,069	$0	$887	$0	$24,485	$0	$280,738	$0	$0	$0
KEVIN KILDAY
VP, CHIEF FINANCIAL OFFICER	$371,090	$0	$50,794	$0	$10,803	$0	$42,303	$0	$20,221	$0	$495,211	$0	$0	$0
JULIA STRANGE
VP, COMMUNITY BENEFITS	$268,068	$0	$92,793	$0	$63,686	$0	$21,972	$0	$12,243	$0	$458,762	$0	$0	$0
IFTEQUAR SIDDIQUI
PHYSICIAN	$123,372	$0	$66,099	$0	$23,100	$0	$0	$0	$8,005	$0	$220,576	$0	$0	$0
NATHANIEL REYES
PHYSICIAN	$458,573	$0	$31,688	$0	$240	$0	$10,350	$0	$19,332	$0	$520,183	$0	$0	$0
MUFUTAU AKINBILE
Physician	$380,651	$0	$26,250	$0	$1,584	$0	$4,078	$0	$29,052	$0	$441,615	$0	$0	$0
REBECCA MILLIGAN
PHYSICIAN	$501,014	$0	$31,688	$0	$216	$0	$10,350	$0	$26,132	$0	$569,400	$0	$0	$0
MONICA SHELDON
NCCH CEO END 12/24	$213,052	$0	$41,520	$0	$4,314	$0	$40,095	$0	$28,335	$0	$327,316	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a First-class or charter travel	FIRST CLASS TRAVEL IS AVAILABLE TO TRUSTEES ON EXTENDED FLIGHTS.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	EXECUTIVES PARTICIPATING IN A SUPPLEMENTAL, NON QUALIFIED RETIREMENT PLAN: STEPHEN BUSH 2024 VESTED CONTRIBUTIONS INCLUDED IN W-2: $27,328 STEPHEN REICHLING 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $116,684 MAUREEN COOMLER 2024 VESTED CONTRIBUTIONS INCLUDED IN W-2: $66,855 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $66,855 JEFFREY LAMIE 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $29,999 ALEXANDER HORVATH 2024 VESTED CONTRIBUTIONS INCLUDED IN W-2: $86,496 JUDITH RICH 2024 VESTED CONTRIBUTIONS INCLUDED IN W-2: $204,242 JENNIFER MENDRZYCKI 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $174,518 JULIA STRANGE 2024 VESTED CONTRIBUTIONS INCLUDED IN W-2: $37,608 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $12,536 JOY UPSHAW 2024 VESTED CONTRIBUTIONS INCLUDED IN W-2: $27,619 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $27,619 MONICA SHELDON 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $33,885 KEVIN KILDAY 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $33,187 JOSHUA LEE 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $102,554 TIM REUSCHEL 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $96,169 KEVIN SMITH 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $85,938 BRADLEY HIPP 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $11,683
Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization	MIP BONUS METRICS MANAGEMENT IS ELIGIBLE FOR AN ANNUAL MANAGEMENT INCENTIVE PLAN (MIP) AT THE DISCRETION OF THE GOVERNING BOARD OF TMCH. THE INCENTIVE IS BASED ON THE GOALS: RELATIVE VALUE UNITS AND QUALITY. METRICS ARE ESTABLISHED FOR EACH FISCAL (CALENDAR) YEAR, TOGETHER WITH THE PERCENTAGE OF COMPENSATION PAYOUT BASED ON REACHING ANNUAL ESTABLISHED GOALS. STIP BONUS METRICS - EXECUTIVES ARE ELIGIBLE FOR AN ANNUAL SHORT TERM INCENTIVE PROGRAM (STIP) AT THE DISCRETION OF THE GOVERNING BOARD OF TMCH. THE INCENTIVE IS BASED ON THE GOALS: FINANCIAL, PEOPLE, QUALITY, PATIENT EXPERIENCE, AND GROWTH. METRICS ARE ESTABLISHED FOR EACH FISCAL (CALENDAR) YEAR, TOGETHER WITH THE PERCENTAGE OF COMPENSATION PAYOUT BASED ON REACHING ANNUAL ESTABLISHED GOALS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	IND DEVEL AUTH OF PIMA CO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	860445981	BondIssuerEIN
CUSIP	721901KX3	CUSIPNum
Bond Issued	2021-09-09	BondIssuedDt
Issue Price	$212,666,119	IssuePriceAmt
Purpose	BONDS WERE ISSUED TO FINANCE CAPITAL PROJECTS AND TO CURRENT REFUND PRIOR BONDS (ISSUED ON 4/10/18)	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$212,673,759	TotalProceedsAmt
Refunding Escrow	$90,659,715	RefundingEscrowAmt
Other Spent Proceeds	$100,217,209	OtherSpentProceedsAmt
Unspent	$21,796,835	UnspentAmt
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	Yes (true)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (true)	EngageBondCounselResearchInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropPct
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Term Of Hedge	0	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Term Of GIC	0	TermOfGICPct
Regulatory Safe Harbor Stsfd	false	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule K, Part II, Line 3

THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS.

Schedule K, Part III, Line 7

AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE SECURITY OR PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 2 New program services	During the year, Tucson Medical Center opened the Rincon Hospital facility in April 2024. This facility includes 35 licensed beds as of December 31, 2024.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE ORGANIZATION'S MEMBER IS THE PARENT COMPANY, TMC HEALTHCARE.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE MEMBER'S (TMC HEALTHCARE) BOARD OF TRUSTEES ELECTS THE BOARD OF TUCSON MEDICAL CENTER.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	TMC HEALTHCARE, THE MEMBER, MUST APPROVE: - THE AMENDMENT OF THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS - THE ACQUISITION OR CREATION OF ANY SUBSIDIARY OR CONTROLLED CORPORATION - THE MERGER OR CONSOLIDATION OF THIS CORPORATION WITH ANOTHER CORPORATION, OR THE ENTERING INTO ANY JOINT VENTURE, PARTNERSHIP, LIMITED LIABILITY COMPANY, OR OTHER BUSINESS VENTURE WITH A THIRD PARTY. - THE DISSOLUTION OR LIQUIDATION OF THIS CORPORATION - THE EXPENDITURE OF ANY FUNDS IN EXCESS OF THOSE PREVIOUSLY APPROVED IN THE CAPITAL AND OPERATING BUDGETS OF THIS CORPORATION - THE ENTERING INTO ANY LOAN, INDEBTEDNESS, GUARANTY, SECURITY INTEREST, MORTGAGE, SURETY, HYPOTHECATION - THE DISPOSITION OF ANY OF ITS ASSETS IN EXCESS OF SUCH MONETARY SUM AS THE MEMBER MAY DETERMINE FROM TIME TO TIME TO ANY PERSON OTHER THAN TO THE MEMBER OR A SUBSIDIARY OF THE MEMBER - THE APPOINTMENT OF AN INDEPENDENT AUDITOR OR HIRING OF INDEPENDENT COUNSEL
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, THE FORM 990 IS FIRST REVIEWED BY MANAGEMENT.
Form 990, Part VI, Line 12c Conflict of interest policy	TMC CONFLICT OF INTEREST POLICY EXCERPT: ARTICLE V DISCLOSURE AND PROCESS FOR RESOLUTION 1. DISCLOSURE OF CONFLICTS OF INTEREST ANNUALLY, ALL TRUSTEES, OFFICERS, AND MEMBERS OF BOARD COMMITTEE SHALL COMPLETE A DISCLOSURE FORM THAT LISTS VARIOUS RELATIONSHIPS THAT GIVE RISE TO ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AND RETURN THE SAME TO THE CHIEF LEGAL OFFICER OF THE ORGANIZATION. IN ADDITION, THEY HAVE A CONTINUING DUTY TO DISCLOSE POTENTIAL CONFLICTS AND SHALL DISCLOSE ANY AND ALL ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AS THEY ARISE OR ARE DISCOVERED DURING THEIR TENURE. THE CHIEF LEGAL OFFICER IS VESTED WITH THE AUTHORITY TO BRING CONFLICTS OR POTENTIAL CONFLICTS TO THE ATTENTION OF THE TRUSTEES, OFFICERS, COMMITTEE MEMBERS OR APPLICABLE BODY, INCLUDING THE REQUIREMENT THAT THE PERSON WITH THE ALLEGED CONFLICT RECUSE HIMSELF FROM PARTICIPATION IN THE DISCUSSION AND VOTING ON ANY ISSUE. 2. DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS THE CHIEF LEGAL OFFICER HAS BEEN VESTED WITH THE AUTHORITY TO DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. IF THERE IS A DISAGREEMENT WITH THE DECISION OF THE CHIEF LEGAL OFFICER, THEN THE GOVERNANCE COMMITTEE SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS BASED ON THE INFORMATION PRESENTED BY THE CHIEF LEGAL OFFICER. IF A BOARD MEMBER DISAGREES WITH THE GOVERNANCE COMMITTEE DECISION, THE ISSUE WILL BE SENT TO ALL REMAINING BOARD MEMBERS OF THE TMC HEALTHCARE BOARD FOR A VOTE ON THE ISSUE FOR THE FINAL RESOLUTION OF THE ISSUE. 3. PROCEDURES FOR DECISION MAKING WHEN A CONFLICT OF INTEREST EXISTS IF IT HAS BEEN DETERMINED THAT A CONFLICT OF INTEREST EXISTS, THE FOLLOWING PROCESS SHALL BE FOLLOWED REGARDING THE MATTER FOR WHICH A CONFLICT EXISTS: A. THE INTERESTED PERSON MAY, BUT IS NOT REQUIRED TO, PARTICIPATE IN THE PRESENTATION OF THE MATTER AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE MAY BE ASKED TO LEAVE THE MEETING DURING THE DISCUSSION OF THE MATER, AND IN ANY EVENT SHALL NOT PARTICIPATE IN THE VOTE ON THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. B. IF THE BOARD OR COMMITTEE BELIEVES THAT IT NEEDS ADDITIONAL INFORMATION ON ALTERNATIVES TO THE PROPOSED BUSINESS ARRANGEMENT, THEN THE FOLLOWING PROCESS MAY BE FOLLOWED: A. THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, DIRECT MANAGEMENT TO OBTAIN ADDITIONAL INFORMATION AND ALTERNATIVES, OR APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. B. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR BUSINESS ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. C. IF A MORE ADVANTAGEOUS TRANSACTION OR BUSINESS ARRANGEMENT IS NOT REASONABLY POSSIBLE OR READILY AVAILABLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR BUSINESS ARRANGEMENT.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	TMC IS RESPONSIBLE FOR THE PAYMENT OF COMPENSATION AND BENEFITS AS WELL AS THE PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR ADMINISTRATIVE LEADERSHIP. FOR THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER AS WELL AS OTHER SENIOR LEADERSHIP POSITIONS THE COMPENSATION COMMITTEE CONTRACTS DIRECTLY WITH SULLIVAN COTTER, AN INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANT, WHO PERIODICALLY PROVIDES A WRITTEN REPORT CONTAINING A SUMMARY OF RELEVANT, CONTEMPORANEOUS BENCHMARK INFORMATION AND MAKES RECOMMENDATIONS REGARDING THE LEVEL OF COMPENSATION AND BENEFITS THAT WOULD BE REASONABLE. THE COMPENSATION COMMITTEE CAREFULLY REVIEWS THE INFORMATION, DISCUSSES IT DIRECTLY WITH THE CONSULTANT AND MAKES RECOMMENDATIONS BASED UPON THE INFORMATION PROVIDED. THE COMPENSATION COMMITTEE THEN MAKES ITS FINAL RECOMMENDATION TO THE FULL BOARD FOR THEIR APPROVAL.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	TMC IS RESPONSIBLE FOR THE PAYMENT OF COMPENSATION AND BENEFITS AS WELL AS THE PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR ADMINISTRATIVE LEADERSHIP. FOR THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER AS WELL AS OTHER SENIOR LEADERSHIP POSITIONS THE COMPENSATION COMMITTEE CONTRACTS DIRECTLY WITH SULLIVAN COTTER, AN INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANT, WHO PERIODICALLY PROVIDES A WRITTEN REPORT CONTAINING A SUMMARY OF RELEVANT, CONTEMPORANEOUS BENCHMARK INFORMATION AND MAKES RECOMMENDATIONS REGARDING THE LEVEL OF COMPENSATION AND BENEFITS THAT WOULD BE REASONABLE. THE COMPENSATION COMMITTEE CAREFULLY REVIEWS THE INFORMATION, DISCUSSES IT DIRECTLY WITH THE CONSULTANT AND MAKES RECOMMENDATIONS BASED UPON THE INFORMATION PROVIDED. THE COMPENSATION COMMITTEE THEN MAKES ITS FINAL RECOMMENDATION TO THE FULL BOARD FOR THEIR APPROVAL.
Form 990, Part VI, Line 19 Required documents available to the public	GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
Form 990, Part IX, Line 11g Other Fees	PHYSICIAN SERVICES - Total Expense: 39358168, Program Service Expense: 39358168, Management and General Expenses: 0, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 24043032, Program Service Expense: 21843157, Management and General Expenses: 2199875, Fundraising Expenses: ; OTHER FEES - Total Expense: 21693983, Program Service Expense: 21693983, Management and General Expenses: 0, Fundraising Expenses: ; HEALTH SYSTEM ALLOCATION - Total Expense: 18588876, Program Service Expense: 0, Management and General Expenses: 18588876, Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 4022472, Program Service Expense: 0, Management and General Expenses: 4022472, Fundraising Expenses: ; MEDICAL DIRECTOR - Total Expense: 1063121, Program Service Expense: 1027913, Management and General Expenses: 35208, Fundraising Expenses: ; CONSULTING SERVICES - Total Expense: 853979, Program Service Expense: 624029, Management and General Expenses: 229950, Fundraising Expenses: ; ADMINISTRATION SERVICES - Total Expense: 144000, Program Service Expense: 144000, Management and General Expenses: 0, Fundraising Expenses: ; PRINTING SERVICES - Total Expense: 19307, Program Service Expense: 19307, Management and General Expenses: 0, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFER TO AFFILIATES - -13124465; RINCON HOSPITAL TRANSFER - 92961194; Total - 79836729;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HOLDINGS 5099 LLC	BusinessNameLine1Txt

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)
EIN	562472030	EIN
Primary Activities	AQUIRE REAL PROPERTY	PrimaryActivitiesTxt
Legal Domicile State	AZ	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	TUCSON MEDICAL CENTER	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
TMC HEALTH FOUNDATION
5301 E GRANT ROAD	TUCSON	AZ	85712	860504015	FUNDRAISING	AZ	501(c)(3)	7	TMC HEALTHCARE	false
TMC HEALTHCARE
5301 E GRANT ROAD	TUCSON	AZ	85712	202218975	SUPPORTING ORGANIZATION	AZ	501(c)(3)	Type II	NA	false
TMC HOLDINGS INC
5301 E GRANT RD	TUCSON	AZ	85712	860441785	HOLDING COMPANY	AZ	501(c)(2)		TMC HEALTHCARE	false
TMC MEDICAL NETWORK
5301 E GRANT ROAD	TUCSON	AZ	85712	811156192	PHYSICIAN OFFICES	AZ	501(c)(3)	3	TMC HEALTHCARE	false
TMCONE
5301 E GRANT ROAD	TUCSON	AZ	85712	810868782	PHYSICIAN OFFICES	AZ	501(c)(3)	Type I	TMC MEDICAL NETWORK	false
BENSON HOSPITAL
450 S OCOTILLO AVE	BENSON	AZ	85602	866007695	HOSPITAL	AZ	501(c)(3)	3	TMC HEALTHCARE	false
NORTHERN COCHISE COMMUNITY HOSPITAL
901 WEST REX ALLEN DRIVE	WILLCOX	AZ	85643	860208451	HOSPITAL	AZ	501(c)(3)	3	TMC HEALTHCARE	false
TMC HEALTH MEDICAL EDUCATION PROGAM
PO BOX 42195	TUCSCON	AZ	85733	860204268	EDUCATION	AZ	501(c)(3)	3	TMC HEALTHCARE	false
PEOPLE FOR COMMUNITY HEALTHCARE
450 S OCOTILLO ST	BENSON	AZ	85602	871219769	CIVIC ORGANIZATION	AZ	501(c)(4)		TMC HEALTHCARE	false
SOUTHERN ARIZONA HOSPITAL ALLIANCE
5301 E GRANT ROAD	TUCSON	AZ	85712	200385301	HEALTHCARE	AZ	501(c)(3)	10	TMC HEALTHCARE	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
TMC CARDIAC & CARDIOTHORACIC SURGERY
5301 E GRANT ROAD	TUCSON	AZ	85712	270766398	SERVICE LINE MANAGEMENT	AZ	TUCSON MEDICAL CENTER	N/A	$0	$2,440	false	Yes (true)	0.4
TMC NEUROSCIENCE MANAGEMENT
5301 E GRANT ROAD	TUCSON	AZ	85712	273027087	SERVICE LINE MANAGEMENT	AZ	TUCSON MEDICAL CENTER	N/A	$265,709	$0	false	Yes (true)	0.325
TMC VASCULAR SURGERY MANAGEMENT
5301 E GRANT ROAD	TUCSON	AZ	85712	474586127	SERVICE LINE MANAGEMENT	AZ	TUCSON MEDICAL CENTER	N/A	$62,659	$31,456	false	Yes (true)	0.3
TMC GENERAL SURGERY
5301 E GRANT ROAD	TUCSON	AZ	85712	811405660	SERVICE LINE MANAGEMENT	AZ	TUCSON MEDICAL CENTER	N/A	$7,643	$94,412	false	Yes (true)	0.3

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	EINEIN	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
SOUTHERN ARIZONA MEDICAL SERVICES
5301 E GRANT RD	TUCSON	AZ	85712	MEDICAL BILLING	AZ	MEDICAL BILLING	C Corporation	false
HOSPITAL CARE SYSTEMS DEVELOPMENT
5301 E GRANT RD	TUCSON	AZ	85712	HOSPITAL MANAGEMEN T	AZ	TMC HEALTHCARE	C Corporation	false	203015545
TMC HEALTHCARE SECURITY SERVICES
5301 E GRANT RD	TUCSON	AZ	85712	SECURITY SERVICES	AZ	TMC HEALTHCARE	C Corporation	false	522414943
GLP INSURANCE COMPANY LTD
				SELF INSURANCE		TMC HEALTHCARE	C Corporation	false		GEORGE TOWN	GRAND GAYMAN	CJ	KY11203	CJ
PEDIATRICS GPS
5301 E GRANT RD	TUCSON	AZ	85712	PEDIATRIC CARE	AZ	TMC MEDICAL NETWORK	C Corporation	false	845151905

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	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	Yes (true)	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	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd