TUCSON MEDICAL CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: TUCSON MEDICAL CENTER (EIN 86-0137567)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2016-03-31
IRS object ID: 201640919349300039
Schema version: 2014v6.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-03-31T15:23:11-07:00	ReturnTs
Tax Period End	2014-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-01-01	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 Bush	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2016-03-31	SignatureDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Steve Bush	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5301 E Grant Road	AddressLine1Txt
City	Tucson	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	85712	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$473,275,849	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
All Affiliates Included	false	AllAffiliatesIncludedInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.tmcaz.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1943	FormationYr
Legal Domicile State	AZ	LegalDomicileStateCd
Activity Or Mission	Tucson Medical Center's mission is to deliver caring, personalized, quality healthcare to patients and their families in an environment that is supportive, education-focused and compassionate.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	3952	TotalEmployeeCnt
Total Volunteers	761	TotalVolunteersCnt
Total Gross UBI	$106,056	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$703,213	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,172,298	PYContributionsGrantsAmt
CY Contributions Grants	$584,572	CYContributionsGrantsAmt
PY Program Service Revenue	$447,596,744	PYProgramServiceRevenueAmt
CY Program Service Revenue	$451,329,514	CYProgramServiceRevenueAmt
PY Investment Income	$3,114,666	PYInvestmentIncomeAmt
CY Investment Income	$5,829,398	CYInvestmentIncomeAmt
PY Other Revenue	$9,094,126	PYOtherRevenueAmt
CY Other Revenue	$10,344,820	CYOtherRevenueAmt
PY Total Revenue	$462,977,834	PYTotalRevenueAmt
CY Total Revenue	$468,088,304	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,734,189	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$5,233,153	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$198,943,195	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$204,126,527	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$244,221,152	PYOtherExpensesAmt
CY Other Expenses	$247,710,432	CYOtherExpensesAmt
PY Total Expenses	$446,898,536	PYTotalExpensesAmt
CY Total Expenses	$457,070,112	CYTotalExpensesAmt
PY Revenues Less Expenses	$16,079,298	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$11,018,192	CYRevenuesLessExpensesAmt
Total Assets BOY	$410,995,563	TotalAssetsBOYAmt
Total Assets EOY	$412,336,896	TotalAssetsEOYAmt
Total Liabilities BOY	$230,291,095	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$223,295,065	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$180,704,468	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$189,041,831	NetAssetsOrFundBalancesEOYAmt
Mission	Tucson Medical Center's mission is to deliver caring, personalized, quality healthcare to patients and their families in an environment that is supportive, education-focused and compassionate.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$352,043,108	ExpenseAmt
Desc	Governed by a volunteer community board of trustees, Tucson Medical Center is closely tied to and focused on the community. Tucson Medical Center is dedicated to delivering "caring, personalized, quality healthcare to patients and their families in an environment that is supportive, education-focused and compassionate." Improving the healthcare of the community is the core intent of all our efforts and the basis of our mission. Earnings are used to improve our facility, patient care, medical education, training and research. TMC provides care to those with acute health care needs regardless of their ability to pay for the services needed. Likewise, Tucson Medical Center provides extensive outpatient clinical services such as laboratory, radiology and therapies to name a few. Many of these services are provided to patients who are unable to pay for services. TMC also participates in the Pima Community Access Program that provides access to health services at significant discounts to low income families. Unpaid Costs: TMC provides services to patients covered by AHCCCS and other public programs for low income people. This is the shortfall created when a facility receives payments that are less than the cost of caring for public-program beneficiaries. Uncompensated Cost of Care for Charity Care and Bad Debt: Charity care is free or discounted health services provided to people who can demonstrate that they do not have the means to pay the full cost of care and who meet the organizations financial-assistance policy criteria. Bad debt consists of services for which the hospital anticipated but did not receive payment.For purposes of community benefit reporting, charity care and bad debt are reported in terms of costs, not charges. For more information about TMCs charity care policy, visit www.tmcaz.com. Outreach & Education: This figure includes community benefit programs and activities that provide treatment or promote health and healing as a response to identified community needs. These programs and activities help improve access to health care services, enhance the health of the community and advance medical knowledge.DISCOUNTS FOR UNINSURED PATIENTS Self-pay patients who do not have health insurance are not in the same position as insurance companies to negotiate reduced rates. In an effort to address this disparity, TMC reduces a patients bill by half if the patient is without any insurance coverage. Depending on a patients income, other discounts may apply as part of the TMC Community Care program.Please see our website to view our full Report to the Community: www.tmcaz.com/TMCHealthcare/Report_to_our_Community	Desc
Total Program Service Expenses	$352,043,108	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	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	Yes (true)	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	349	IRPDocumentCnt
IRP Document W2 G	17	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3952	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
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Org Filed In Lieu Of Form1041	false	OrgFiledInLieuOfForm1041Ind
Licensed More Than One State	false	LicensedMoreThanOneStateInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	AZ	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Steve Bush	PersonNm
Phone	5203275461	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	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
J Manuel Arreguin MD
Trustee/COS	1.00	1.00	Yes (X)	$0	$0	$0
Henry Boice
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
Douglas Lowell MD
Trust/COS Elect	1.00	1.00	Yes (X)	$0	$0	$0
Dr Jay A Katz MD
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
Alan K Rogers MD
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
Louise L Francesconi
Trustee/Chair	1.00	1.00	Yes (X)	$0	$0	$0
Eduardo A Leon
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
Gay Tosch
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
Jon R Young
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
Michael W Bracht MD
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
David Cohen
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
Beckie Torrey
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
Judith Rich
CEO	40.00	1.00	Yes (X)	$847,818	$0	$20,185	Yes (X)
Rick Alan Anderson
Vice President	40.00	0.00		$380,182	$0	$25,823	Yes (X)
Timothy Alan Hartin
CLO	40.00	0.00		$361,694	$0	$18,748	Yes (X)
Steve Bush
CFO	40.00	0.00		$393,912	$0	$10,298	Yes (X)
Michael Duran
Vice President	40.00	0.00		$207,430	$0	$23,236	Yes (X)
David Ronald Ressler
Vice President	40.00	0.00		$270,154	$0	$25,472	Yes (X)
Richard Lawley
Vice President	40.00	0.00		$211,011	$0	$11,711	Yes (X)
Frank Marini
Vice President	40.00	0.00		$371,403	$0	$19,457	Yes (X)
Richard Prevallet
Vice President	40.00	0.00		$175,798	$0	$24,175	Yes (X)
Julia Strange
Vice President	40.00	0.00		$167,397	$0	$14,686	Yes (X)
Linda Wojtowicz
Vice President	40.00	0.00		$45,038	$0	$135	Yes (X)
Elizabeth McCurdy Maish
Vice President	40.00	0.00		$217,007	$0	$16,999	Yes (X)
Lawrence Lincoln
Medical Director	40.00	0.00		$215,036	$0	$22,635		Yes (X)
Suzann Catherine Filleul
Dir Periop and OSC	40.00	0.00		$180,076	$0	$19,526		Yes (X)
Maria L Persons
Dir Revenue Cycle	40.00	0.00		$160,680	$0	$20,144		Yes (X)
Susan T Snedaker
Dir Information Se	40.00	0.00		$159,395	$0	$15,573		Yes (X)
Cheryl Young
Lean Transformatio	40.00	0.00		$151,712	$0	$15,141		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,515,743	TotalReportableCompFromOrgAmt
Total Other Compensation	$303,944	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	160	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Old Pueblo Anesthesia
2810 N Swan Road Suite 100	Tucson	AZ	85712	Medical Services	$3,129,154
TOI
2424 E Wyatt Drive	Tucson	AZ	85712	Medical Services	$1,794,745
Neurological Associates of Tucson
2450 E River Road	Tucson	AZ	85718	Medical Services	$1,340,551
TMC Cardiac & Cardiothoracic Surgery Mgmt
5301 E Grant Road	Tucson	AZ	85712	Medical Services	$1,178,550
OBSTETRIX MEDICAL GROUP OF ARIZONA PC
PO Box 281034	Atlanta	GA	303841034	Medical Services	$1,110,200

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	37	CntrctRcvdGreaterThan100KCnt
Related Organizations	$501,270	RelatedOrganizationsAmt
Government Grants	$61,306	GovernmentGrantsAmt
All Other Contributions	$21,996	AllOtherContributionsAmt
Total Contributions	$584,572	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Meaningful Use Revenue	900099	$2,045,591	$2,045,591
Net Patient Services	900099	$449,283,923	$449,283,923

Field	Value	IRS element (for citing)
Total Program Service Revenue	$451,329,514	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,902,892	TotalRevenueColumnAmt
Related Or Exempt Func Income	$152,576	RelatedOrExemptFuncIncomeAmt
Exclusion	$2,750,316	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,273,903	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,340,323	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,933,580	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,933,580	TotalRevenueColumnAmt
Exclusion	$2,933,580	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$3,200,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$273,494	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$2,926,506	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,926,506	TotalRevenueColumnAmt
Exclusion	$2,926,506	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$3,753,800	GamingGrossIncomeAmt
Gaming Direct Expenses	$3,573,728	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$180,072	TotalRevenueColumnAmt
Exclusion	$180,072	ExclusionAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
Food Service	722210	$2,802,652	$2,802,652
Misc Revenue	900099	$1,000,455	$1,000,455
Pharmacy	446110	$3,287,262	$3,287,262

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$140,799	TotalRevenueColumnAmt
Unrelated Business Revenue	$106,056	UnrelatedBusinessRevenueAmt
Exclusion	$34,743	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,231,168	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$468,088,304	TotalRevenueColumnAmt
Related Or Exempt Func Income	$451,482,090	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$106,056	UnrelatedBusinessRevenueAmt
Exclusion	$15,915,586	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$5,233,153	TotalAmt
Program Services	$5,233,153	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,132,048	TotalAmt
Program Services	$1,066,349	ProgramServicesAmt
Management And General	$3,065,699	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$170,423,394	TotalAmt
Program Services	$140,925,079	ProgramServicesAmt
Management And General	$29,498,315	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,586,324	TotalAmt
Program Services	$2,909,121	ProgramServicesAmt
Management And General	$677,203	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,109,401	TotalAmt
Program Services	$11,493,156	ProgramServicesAmt
Management And General	$2,616,245	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,875,360	TotalAmt
Program Services	$9,659,964	ProgramServicesAmt
Management And General	$2,215,396	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$5,276,821	TotalAmt
Program Services	$4,250,910	ProgramServicesAmt
Management And General	$1,025,911	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,079,606	TotalAmt
Program Services	$162,078	ProgramServicesAmt
Management And General	$917,528	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$3,086,337	TotalAmt
Program Services	$7,326	ProgramServicesAmt
Management And General	$3,079,011	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$30,000	TotalAmt
Program Services	$30,000	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$29,744,454	TotalAmt
Program Services	$21,018,887	ProgramServicesAmt
Management And General	$8,725,567	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,244,699	TotalAmt
Program Services	$399,286	ProgramServicesAmt
Management And General	$1,845,413	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,986,025	TotalAmt
Program Services	$5,822,267	ProgramServicesAmt
Management And General	$2,163,758	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,425,933	TotalAmt
Program Services	$856,129	ProgramServicesAmt
Management And General	$6,569,804	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$21,387,761	TotalAmt
Program Services	$11,323,859	ProgramServicesAmt
Management And General	$10,063,902	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$548,619	TotalAmt
Program Services	$304,492	ProgramServicesAmt
Management And General	$244,127	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,031,905	TotalAmt
Program Services	$245,942	ProgramServicesAmt
Management And General	$785,963	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,881,024	TotalAmt
Program Services	$194,051	ProgramServicesAmt
Management And General	$3,686,973	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$28,278,105	TotalAmt
Program Services	$2,179,456	ProgramServicesAmt
Management And General	$26,098,649	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,131,588	TotalAmt
Program Services	$4,659,079	ProgramServicesAmt
Management And General	$1,472,509	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
Medical Supplies	$104,956,104	$104,956,104
Bad Debt	$12,749,003	$12,749,003
Hospital Assessment	$9,321,807	$9,321,807
Allow for IP Receivable	$2,266,747	$2,266,747

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$283,894	TotalAmt
Program Services	$8,863	ProgramServicesAmt
Management And General	$275,031	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$457,070,112	TotalAmt
Program Services	$352,043,108	ProgramServicesAmt
Management And General	$105,027,004	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$16,679,375	BOYAmt
EOY	$19,553,646	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,078,119	BOYAmt
EOY	$2,586,106	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$52,791,908	BOYAmt
EOY	$60,993,346	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,200,000	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$15,367,909	BOYAmt
EOY	$17,648,301	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,674,200	BOYAmt
EOY	$6,969,260	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$532,107,158	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$298,448,733	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$240,125,245	BOYAmt
EOY	$233,658,425	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$58,338,723	BOYAmt
EOY	$64,301,581	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$8,740,084	BOYAmt
EOY	$6,626,231	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$410,995,563	BOYAmt
EOY	$412,336,896	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$48,902,540	BOYAmt
EOY	$48,033,466	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$114,599,715	BOYAmt
EOY	$138,910,309	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$55,963,360	BOYAmt
EOY	$27,846,916	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,825,480	BOYAmt
EOY	$8,504,374	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$230,291,095	BOYAmt
EOY	$223,295,065	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$180,704,468	BOYAmt
EOY	$189,041,831	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$180,704,468	BOYAmt
EOY	$189,041,831	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$410,995,563	BOYAmt
EOY	$412,336,896	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$11,018,192	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$864,182	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$1,664,071	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$152,576	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed Section4955 Tax	false	Form4720FiledSection4955TaxInd
Correction Made	false	CorrectionMadeInd
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$162,201	OtherActivitiesAmt
Total Lobbying Expenditures	$162,201	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1i - Other Activities Description	FormAndLineReferenceDesc
Explanation	Membership in Arizona Hospital Association - a portion of the dues are designated as lobbyingRetainers paid to Lewis Roca Rothgerber for lobbying.Payment to 2015 Arizona Government Transition CommitteePayment to Arizonans Can Make A DifferencePayment to Pets Are Worth Saving (PAWS)	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,232,430	OtherCostOrOtherBasisAmt
Book Value	$27,232,430	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$203,111,427	OtherCostOrOtherBasisAmt
Depreciation	$86,329,524	DepreciationAmt
Book Value	$116,781,903	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,058,147	OtherCostOrOtherBasisAmt
Book Value	$20,058,147	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$271,599,821	OtherCostOrOtherBasisAmt
Depreciation	$207,105,429	DepreciationAmt
Book Value	$64,494,392	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,105,333	OtherCostOrOtherBasisAmt
Depreciation	$5,013,780	DepreciationAmt
Book Value	$5,091,553	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$233,658,425	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
Asbestos Retirement Obligations	$2,715,936
Cost Report Reserves	$1,732,124
Due to Broker	$10,607
Interest Rate Swap Agreement	$2,399,692
Lease obligation EDH	$1,704,035
Refundable Security Deposit	-$58,020

Field	Value	IRS element (for citing)
Total Liability	$8,504,374	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part X : FIN48 Footnote	FormAndLineReferenceDesc
Explanation	Income taxes: TMCH, TMC, Foundation, and TMC Holdings, Inc. are tax-exempt corporations as described under Section 501 of the Internal Revenue Code and CHB is a corporation pending IRS approval for tax-exempt status; however, they are subject to federal and state income tax on any unrelated business taxable income. GLPIC is a foreign corporation organized under the laws of the Cayman Islands, British West Indies, and is, therefore, not subject to income tax. Security Services, SMH, AZCC and HCSDC are for-profit corporations but did not have taxable operations that were significant to the consolidated financial statements in 2014 or 2013. Certain taxable corporations have net operating loss carryforwards. At December 31, 2014 and 2013, the related deferred tax asset is fully reserved due to the uncertainty regarding the ability of these corporations to realize such assets in future periods.Management has reviewed the Companys tax positions for all open tax years and has concluded that no material liabilities exist as of December 31, 2014 and 2013. Management files the Companys tax returns in the U.S. federal jurisdiction. The Company is no longer subject to U.S. federal examinations by tax authorities for years before 2011.	ExplanationTxt

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	false	AgrmtProfFundraisingActyInd

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Volunteer Labor Bingo	false	VolunteerLaborBingoInd
Volunteer Labor Pull Tabs	false	VolunteerLaborPullTabsInd
Gross Revenue Other Gaming	$3,753,800	GrossRevenueOtherGamingAmt
Non Cash Prizes Other Gaming	$1,920,504	NonCashPrizesOtherGamingAmt
Oth Direct Expnss Other Gaming	$1,653,224	OthDirectExpnssOtherGamingAmt
Volunteer Labor Other Gaming	false	VolunteerLaborOtherGamingInd
Gross Revenue Total Gaming	$3,753,800	GrossRevenueTotalGamingAmt
Non Cash Prizes Total Gaming	$1,920,504	NonCashPrizesTotalGamingAmt
Oth Direct Expnss Total Gaming	$1,653,224	OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming	$3,573,728	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$180,072	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	AZ	StatesWhereGamingConductedCd
Licensed	Yes (true)	LicensedInd
License Suspended Etc	false	LicenseSuspendedEtcInd
Gaming With Nonmembers	false	GamingWithNonmembersInd
Member Of Other Entity	false	MemberOfOtherEntityInd
Gaming Other Facility	1.00000	GamingOtherFacilityPct
Cntrct With3rd Prty For Game Rev	Yes (true)	CntrctWith3rdPrtyForGameRevInd
Gaming Revenue Received By Org	$3,753,800	GamingRevenueReceivedByOrgAmt

Third Party Business Name ThirdPartyBusinessName

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

Third Party US Address ThirdPartyUSAddress

Field	Value	IRS element (for citing)
Address Line1	1850 N Central Ave Suite 400	AddressLine1Txt
City	Phoenix	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	85004	ZIPCd

Gaming Manager Business Name GamingManagerBusinessName

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

Field	Value	IRS element (for citing)
Gaming Manager Compensation	$150,000	GamingManagerCompensationAmt
Gaming Manager Services Prov	Ran entire event	GamingManagerServicesProvTxt
Gaming Manager Is Ind Cntrct	Yes (X)	GamingManagerIsIndCntrctInd
Charitable Distribution Rqr	false	CharitableDistributionRqrInd
Distributed	$180,072	DistributedAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part III, Line 17b - Distributions Required Under State Law	FormAndLineReferenceDesc
Explanation	$180072	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,936,527	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,936,527	NetCommunityBenefitExpnsAmt
Total Expense	0.02170	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,927,397	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$38,927,397	NetCommunityBenefitExpnsAmt
Total Expense	0.08520	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,863,924	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$48,863,924	NetCommunityBenefitExpnsAmt
Total Expense	0.10690	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,080,031	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,080,031	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$319,594	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$319,594	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$573,981	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$573,981	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,973,606	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,973,606	NetCommunityBenefitExpnsAmt
Total Expense	0.00440	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,837,530	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$50,837,530	NetCommunityBenefitExpnsAmt
Total Expense	0.11130	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$600,703	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$600,703	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$742,011	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$742,011	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,342,714	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,342,714	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$12,749,003	BadDebtExpenseAmt
Bad Debt Expense Attributable	$212,988	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$101,717,808	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$61,557,306	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$40,160,502	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 (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
TMC Cardiac & Cardiothoraci
Management of Cardiac Svcs	0.29630	0.70370
TMC Neuroscience Mgmt LLC
Manage Neuro Svcs	0.32500	0.67500

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Tucson Medical Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5301 E Grant Road	AddressLine1Txt
City	Tucson	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	85712	ZIPCd

Field	Value	IRS element (for citing)
Website Address	tmcaz.com	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	Acute Hospital, Hospice	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Tucson Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	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
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.tmcaz.com/TMCHealthcare/CHNA	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	12	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.tmcaz.com/TMCHealthcare/CHNA	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.0000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.tmcaz.com/PatientsVisitors/C	FAPAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.tmcaz.com/PatientsVisitors/C	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
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	Yes (true)	CollectionActivitiesInd
Other Actions	Yes (X)	OtherActionsInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 5 - Account Input from Persons Who Represent the Community	In spring 2012, Tucson Medical Center joined forces with Tucsons nonprofit hospitals on a Pima County Community Health Needs Assessment.The Affordable Care Acts requires tax-exempt, nonprofit hospitals to complete a Community Health Needs Assessment every three years and to implement strategies to address the needs identified in the report.The 121-page assessment was completed with information obtained through written questionnaires and focus groups attended by key informants and community leaders representing the various needs and interests of Pima County. The assessment draws from county health rankings, the Arizona Department of Health Services Vital Statistics, Primary Care Area Statistical Profiles and the U.S. Census Bureau.TMC combined the information from the CHNA with the 2011 Pima County Community Health Assessment and the Arizona Child Fatality Review Program as it developed its Implementation Plan. With input from staff, physicians, and hospital and community leaders, TMC published its Implementation Plan in October 2012. TMC Implementation PlanThe TMC Implementation Plan is based on data from the following:The 2012 Pima County Community Health Needs Assessment 2011 Pima County Community Health AssessmentArizona Child Fatality Review Program
Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment	Tucson Medical Center joined with University of Arizona Medical Center and Carondelet Health Network to produce a Community Health Needs Assessment. This unique collaboration will help guide each nonprofit hospital system develop individual implementation plan. With input from staff, physicians, and hospital and community leadership, TMC released its Implementation in October 2012.
Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why	Changes in implementation strategy goals: Agility trumps rigidityGiven the dynamic and complex nature of health care, change is inevitable as we adapt to fluctuations in the health care environment. In recalibrating our plans to move forward as new information and opportunities surfaced, TMC did not undertake some of the strategies outlined in the initial implementation plan.At the time of the report, TMC was exploring the creation of the Green Valley Medical Center, a 32-bed acute care hospital. After due diligence, we determined that the required investment was too much for a community hospital to bear.At the time of the report, TMC was planning to develop its own infrastructure that would enhance continuity of care by allowing information to be shared with providers across the continuum, from primary care doctors, to hospitals, nursing homes and rehabilitative facilities. After much analysis, it was determined that putting efforts into a statewide exchange system would be more valuable to the community than developing our own internal exchange, which would have had more limited communication power. As outlined in the Access to Care section above, TMC continues to be on the leading edge of health care information technology and remains committed to ensuring we have the right tools in place to create a 21st century health care delivery system.Palo Verde Behavioral Health: The implementation plan stressed Palo Verde Hospitals longstanding history of providing mental health services in the community. As outlined in the Mental Health section above, although TMC has long valued the service provided at Palo Verde, we also recognized that selling Palo Verde would allow it to thrive in the hands of a company that specializes in behavioral health services. ConclusionAs a non-profit, community hospital that is locally governed and celebrating its 70th year of serving Southern Arizona, TMC is proud of its important role in strengthening healthcare throughout the region. Whether setting patients on the road to recovery or providing tools to community members to help them retain their good health, TMC is committed to acting with purpose to fill gaps in service and address community needs.
Part V, Line 19d - Other Actions Took Before Any Collection Actions	Hospital Leins arising out of accidents (insurance) under state law.

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 6a - Related Organization Community Benefit Report	The 2013 Report to our Community is available on the organization's website.
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	Bad debt expense is based on our historical collection percentage of gross revenue less dedutions for contractuals, charity care and self pay accounts.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit	Bad debt expense is not included in our community benefit. Only the direct dedutions for charity care are included.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	Patients are interviewed on admission to see if they may qualify for financial assistance. There is a notice on our statements advising patients to call our Patient Financial Services department to see if they qualify and patients with past due balances are sent a letter advising them of the availability of assistance before they are sent to collections.Bad Debt policy states charity accounts are to be returned from Bad Debt and all the neccessary financial information is reviewed and the appropriate adjustments are made according to the policy.
Part VI - Needs Assessment	Please see attached PDF titled CHNA
Part VI - Patient Education of Eligibility for Assistance	Patients are interviewed on admission to determine if they may qualify for financial assistance. There is a notice on our statements advising patients to call our Patient Financial Services department to see if they qualify and patients with past due balances are sent a letter advising them of the availability of assistance before they are sent to collections.
Part VI - Community Information	I. PIMA COUNTY GEOGRAPHY, DEMOGRAPHICS AND SOCIAL STATISTICSNote: With the exception of the Primary Care Area Statistical Area data, much of the following geography, demographic and social statistics profile was provided for use in this assessment courtesy of the Pima County Health Department on Dec. 14, 2011.Geography and History:Pima County, located in Southern Arizona, is adjacent to six other Arizona counties and shares an international border with Mexico. The counties are Cochise to the east, Graham to the northeast, Maricopa to the north, Pinal to the north, Santa Cruz to the southeast, and Yuma to the west. The international border to the south is with the State of Sonora, Mexico. The border is approximately 123 miles long, with approximately 62 miles of that border located on Tohono Oodham Nation land. Ports of entry are Sasabe, AZ (Sasabe, Sonora Mexico) and Lukeville, AZ (Sonoyta, Sonora Mexico).Pima County, the second largest of the four original Arizona counties, was created in 1864 and included approximately all of Southern Arizona acquired from Mexico by the Gadsden Purchase. Settlement of the region goes back to the arrival of the Spanish, in the 1690s, who encountered indigenous people already living there.Around the middle of the 18th century, silver and gold were discovered and prospectors from Mexico entered the area in droves. The latter part of the century saw an expansion of mining and ranching in Pima County and an increase in population.The Royal Presidio de San Augustn del Tucson was completed by 1781, and it remained the northern-most outpost of Mexico until the arrival of American soldiers in 1856. From a population of 395 in 1820, Tucson has grown to become the second largest city in Arizona. It has always served as the Pima County seat and was the Arizona Territorial capital from 1867 to 1877. Just south of Tucson is the Mission of San Xavier del Bac, founded in 1697 by Father Kino and is still in use today.Although greatly reduced from its original size, Pima County still covers 9,184 square miles. It ranges in elevation from 1,200 feet to the 9,185-foot peak of Mount Lemmon. Within Pima County are two cactus forests Saguaro National Park to the northeast and Organ Pipe Cactus National Monument in the southwest.People:Pima County at a Glance, 2010iPopulation: 980,263Unemployment (Tucson, December 2010): 8.3%Median household income: $45,885Families living below poverty: 22.8%Individuals living below poverty: 18.9%Foreign born: 13.2%Speak language other than English at home: 28.0%Unemployment:According to 2010 Primary Care Area (PCA) Statistical Profiles, Pima County has an unemployment rate of 8.7 percent, lower than the state rate of 9.5 percent. The PCAs with the higher percentages of unemployment than the county are the following: Ajo, Arivaca, Pascua Yaqui, Tanque Verde, Tohono Oodham Nation, Tucson Central, Tucson East, Tucson North Central, Tucson Southeast, and Tucson Southwest.PCA Statistical Profiles also provide the percentage of population that falls below 200 percent of the Federal Poverty Level as reported by the U.S. Census American Community Survey from 2005-2009. The state percentage is 49.2, lower than the Pima County rate of 51.7. PCAs that had higher percentages of the population below 200 percent of the Federal Poverty Level are Ajo, Marana, Pascua Yaqui, Tohono Oodham Nation, Tucson Central, Tucson East Central, Tucson East, Tucson North Central, Tucson Southeast, Tucson Southwest and Tucson West.Pima County Population, 2010Race/EthnicityWhite: 87.6%African American: 4.0%Native American: 3.6%Asian or Pacific Islander: 2.7%Other: 2.1%Hispanic Heritage: 33.7%AgeUnder 5 years: 6.9%5 to 9 years: 12.8%10 to 14 years: 6.5%15 to 19 years: 6.9%20 to 24 years: 6.9%25 to 34 years: 14.3%35 to 44 years: 12.5%45 to 54 years: 13.7%55 to 59 years: 6.1%60 to 64 years: 5.3%65 years or older: 14.7%Median age36.8Educational Attainment, among residents 25 years or olderHigh school graduate or higher: 86.4%Bachelors degree or higher: 29.0%Within Pima County, there are two American Indian Reservations the Tohono Oodham Nation and the Pascua Yaqui Tribe and Reservation. The Tohono Oodham Nation is located in the western portion of Pima County and has a total land mass of 4,453 square miles including the San Xavier Indian Reservation. The resident population of the entire Tohono Oodham Nation was 10,787 according to the Year 2000 Census. The San Xavier Indian Reservation is the smaller eastern section of the Tohono O'odham Indian Reservation, and it lies in the southwestern part of the Tucson metropolitan area and consists of 111 square miles of land area. San Xavier has a 2000 census resident population of 2,053 persons. Sells is the capitol of the Nation with a population of 2,799, or 26 percent of the Tohono O'odham population. Total tribal enrollment is estimated to be 23,890.The Pascua Yaqui Tribe and Reservation is located in the southwestern part of the Tucson metropolitan area and adjacent to San Xavier Indian Reservation. The Pascua Yaqui Reservation has a land area of less than 1.9 square miles, and a 2000 census resident population of 3,315 persons. Total tribal enrollment is estimated to be 6,136 members.Economics:The American Indian reservations account for ownership of 42.1 percent of land located in Pima County. The state of Arizona owns 14.9 percent; the U.S. Forest Service and Bureau of Land Management, 12.1 percent; other public lands, 17.1 percent; and individual or corporate ownership, 13.8 percent.Pima County has an Urban Enterprise Zone that includes all of the City of South Tucson, central Tucson, portions of Marana, Sahuarita, parts of Pima County and parts of the Tohono Oodham Nation and Pascua Yaqui Indian Reservation.vi These Urban Enterprise Zones are designated to help encourage economic development in distressed neighborhoods through tax and regulatory relief to investors willing to launch businesses in the area. Pima County is also home to 15 designated Colonias. In Arizona, Colonias encompass all types of communities that meet the federal definition of lacking sewer, wastewater removal, decent housing or other basic services.Davis-Monthan (D-M) Air Force Base borders the southeastern edge of the City of Tucson and falls within the city limits of Tucson. The Base occupies approximately 16.6 square miles of land. The land occupied by D-M is owned by the United States Air Force, the State of Arizona, the City of Tucson and several private owners. The 355th Fighter Wing is the host unit providing medical, logistical and operational support to all D-M units. The wing's mission is to train A-10 and OA-10 pilots, and provide close support and forward air control to ground forces worldwide. D-M is also home to the 12th Air Force, the 563rd Rescue Group, the Aerospace Maintenance and Regeneration Group also known as the Aircraft Boneyard and a regional U.S. Immigration and Customs Enforcement complex. These units at D-M, along with tenet organizations, represent a workforce of 6,100 airmen and 1,700 civilian personnel.Pima County is also home of the University of Arizona, a large public research university. Founded in 1885, the mission of the University of Arizona is to provide a comprehensive, high-quality education that engages students in discovery through research and broad-based scholarship. Home to nearly 39,000 students, the University also employs more than 11,000 staff and faculty. The University brings in approximately $530 million in research to the community and is ranked #16 among all public universities by the National Science Foundation. The University occupies 387 acres in central Tucson, and is the oldest continually-maintained green space in Arizona.Pima County is home to eight community hospitals, an Institute for Mental Disease (IMD), Sonora Behavioral Health and the Southern Arizona Veterans Affairs Health Care System. The University of Arizona Medical Center University Campus (UAMC) is the countys only Level I Trauma Center. Tucson Medical Center (TMC) and UAMC are the only in-patient pediatric facilities in the area. St. Josephs Hospital, part of the Carondelet Health Network, is the newest neurological facility, joining TMC, UAMC and Northwest Medical Center that also offer this service. Carondelet also manages St. Marys and the Carondelet Heart & Vascular Institute. The other two hospitals serving Pima County are The University of Arizona Medical Center South Campus, which holds a level III trauma license working under the same leadership as the Level 1 Trauma Center and Northwest Healthcare Oro Valley Hospital. Sells Hospital, run by the Indian Health Service, is also located in Pima County but on the Tohono Oodham Nation Reservation and serves only tribal members. Pima County is also home to four Federally Qualified Health Centers, Desert Senita Community Health Center; El Rio Community Health Center; Marana Health Center and United Community Health Cent
Part VI - Community Building Activities	The amount reported in Part II line 3 column c represents our Senior Services Community Support and our Emergency Response Team training. We offer classes on topics relating to senior health to the community. The amount reported in Part II line 8 column c represents our contribution to recruiting physicians to practice in the areas which are underserved.
Part VI - Explanation Of How Organization Furthers Its Exempt Purpose	Our medical staff is open, our board is recruited from the community, we maintain a 24 hour 7 day emergency room where we treat everyone regardless of ability to pay, we use any surplus operational funds to improve the facility and operations.
Part V - Explanation of Number of Facility Type	Tucson Medical Center is a single licensed hospital providing general medical and surgical services, a 24 hour emergency department, hospice services, and a psychiatric hospital (until psychiatric practice sold in March 2014).
Part VI - Additional Information	The Organization does not file a community benefit report with the state of Arizona other than to the extent to which community benefit informatin is included in other reporting requirements such as the information provided on the Arizona Hospital Association Annual Report.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
88 Crime
32 North Stone Avenue 1400	Tucson	AZ	85701	860407186	$6,000	$0	Crime Prevention
American Cancer Society
1636 N Swan Road	Tucson	AZ	85712	131788491	$105,500	$0	Cancer research and prevention
American Heart Association
2601 n Campbell Ave 204	Tucson	AZ	85719	135613797	$59,000	$0	Heart Disease Research
ARA Pharseghian Med Research
4729 E Sunrise Dr 327	Tucson	AZ	85718	860775966	$12,500	$0	Medical Research
Boys & Girls Club
PO Box 40217	Tucson	AZ	85717	860172257	$25,950	$0	Children's Health
City of Tucson
225 W Alemeda	Tucson	AZ	85701		$8,500	$0	Tucson Moves a Million Miles
Diaper Bank of Southern AZ
4500 E Speedway 75	Tucson	AZ	85712	431990345	$12,500	$0	Senior Services
El Rio Foundation
839 W Congress St	Tucson	AZ	85745	860816675	$11,700	$0	Support El Rio Health Center
Emerge
2545 E Adams St	Tucson	AZ	85716	860312162	$5,250	$0	Domestic Abuse Prevention
Girl Scouts of Southern AZ
4300 E Broadway Blvd	Tucson	AZ	85711	860098917	$6,050	$0	Youth Services
Reid Park Zoological Society
1030 S Randolph Way	Tucson	AZ	85716	942379052	$8,500	$0	Education
Ronald McDonald House
3838 N Campbell Ave 6	Tucson	AZ	85719	953526934	$7,500	$0	Housing assistance
Tucson Childrens Museum
PO BOX 2609	Tucson	AZ	85702	860676237	$20,000	$0	Health related exhibit
Tucson Jewish Community Cente
3800 E River Road	Tucson	AZ	85718	860183578	$5,300	$0	Community Health
Tucson Metropolitan Chamber
of Commerce	Tucson	AZ	85712	860062660	$10,000	$0	State of Ecucation Health Services
Tucson Nurses Week Foundation
PO Box 65085	Tucson	AZ	85728	860771880	$25,000	$0	Promote Nursing Careers
YMCA of Southern AZ
PO Box 1111	Tucson	AZ	85702	860101237	$15,000	$0	Children's water safety

Field	Value	IRS element (for citing)
Total501c3 Org	15	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Grantmaker's Description of How Grants are Used	FormAndLineReferenceDesc
Explanation	Members of the executive team determine which community grants will be issued from TMC.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd
Rebuttable Presumption Proc	false	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt
Cheryl Young
Lean Transformatio	$151,712	$15,141	$166,853
David Ronald Ressler
Vice President	$251,696	$25,472	$295,626	$18,458
Elizabeth McCurdy Maish
Vice President	$195,479	$16,999	$234,006	$21,528
Frank Marini
Vice President	$288,647	$19,457	$390,860	$38,039	$44,717
Judith Rich
CEO	$579,060	$20,185	$868,003	$112,449	$156,309
Julia Strange
Vice President	$150,644	$14,686	$182,083	$16,753
Lawrence Lincoln
Medical Director	$215,036	$22,635	$237,671
Maria L Persons
Dir Revenue Cycle	$160,680	$20,144	$180,824
Michael Duran
Vice President	$164,137	$23,236	$230,666	$18,086	$25,207
Richard Lawley
Vice President	$211,011	$11,711	$222,722
Richard Prevallet
Vice President	$158,351	$24,175	$199,973	$17,447
Rick Alan Anderson
Vice President	$346,042	$25,823	$406,005	$34,140
Steve Bush
CFO	$347,820	$10,298	$404,210	$46,092
Susan T Snedaker
Dir Information Se	$159,395	$15,573	$174,968
Suzann Catherine Filleul
Dir Periop and OSC	$180,076	$19,526	$199,602
Timothy Alan Hartin
CLO	$328,416	$18,748	$380,442	$33,278

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 1a: Relevant information in regards to selections on 1a.	FormAndLineReferenceDesc
Explanation	First class travel is available to trustees on extended flights.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Ind Devel Auth of Pima Co
A	860445981	2010-12-16	$114,370,800	Campus Development	false	false	false
Ind Devel Auth of Pima Co
B	860445981	2014-03-11	$30,000,000	Campus Development	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	UnspentUnspentAmt
A	$114,599,715	$1,318,696	$114,599,715	Yes (true)	false	Yes (true)	Yes (true)
B	$30,000,000	$277,062	$27,413,894	Yes (true)	false	false	Yes (true)	$2,586,106

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	Yes (true)
B	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (true)	false	false	false	false	false	Yes (true)
B	Yes (true)	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part VI	FormAndLineReferenceDesc
Explanation	Part II Proceeds6) There was no escrow because everything was paid off at closing.12) These are draw down bonds.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
J Manuel Arreguin
Trustee	$68,333	Chief of Staff	false
Henry Boice
Trustee	$138,031	Banking Services	false
David Cohen
Trustee	$3,900	Tax Return Prep ptnr	false
Douglas Lowell
Trustee	$33,000	Chief of Staff Elect	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part V Supplemental Information	FormAndLineReferenceDesc
Explanation	1) Trustee receives payments for professional services rendered to organization 2) Trustee is employed by bank which handles most TMC investments3) Trustee is a partner in a CPA firm in which another partner prepares tax returns for related joint ventures.4) Trustee receives payments for professional services rendered to organization	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	David Cohen is a partner in a CPA firm in which another partner provides services to related joint ventures.Henry Boice is a vice president at a bank which provides investment services.J. Manuel Arreguin is the Chief of Staff Elect for 2014 (votes only in absence of Chief of Staff).Douglass Lowell is Chief of Staff for 2014.
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	The organization's Member is the parent company, TMC HealthCare.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	The Member's (TMC HealthCare) Board of Trustees electes the Board of Tucson Medical Center.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders	TMC HealthCare, the Member, must approve: - The amendment of the Corporation's Articles of Incorporation or Bylaws - The acquisition or creation of any subsidiary or controlled corporation - The merger or consolidation of this Corporation with another corporation, or the entering into any joint venture, partnership, limited liability company, or other business venture with a third party. - The dissolution or liquidation of this Corporation - The expenditure of any funds in excess of those previously approved in the capital and operating budgets of this Corporation - The entering into any loan, indebtedness, guaranty, security interest, mortgage, surety, hypothecation - The disposition of any of its assets in excess of such monetary sum as the Member may determine from time to time to any person other than to the Member or a subsidiary of the Member - The appointment of an independent auditor or hiring of independent counsel
Form 990, Part VI, Line 11b: Form 990 Review Process	The Form 990 is prepared and reviewed by Financial Services. It is then reviewed by the Chief Financial Officer and Chief Legal Officer for presentation to the Board of Trustees. A copy is provided to the Board via the Board sharepoint site. All questions are addressed prior to filing the form 990 with the Internal Revenue Service
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	TMC Conflict of Interest Policy Excerpt:Article VDisclosure and Process for Resolution1. Disclosure of Conflicts of InterestAnnually, all trustees, officers, and members of board committee shall complete a disclosure form that lists various relationships that give rise to actual or potential conflicts of interest and return the same to the ChiefLegal Officer of the Organization.In addition, they have a continuing duty to disclose potential conflicts and shall disclose any and all actual or potential conflicts of interest as they arise or are discovered during their tenure.The Chief Legal Officer is vested with the authority to bring conflicts or potential conflicts to the attention of the trustees, officers, committee members or applicable body, including the requirement that the person with the alleged conflict recuse himself from participation in the discussion and voting on any issue.2. Determining Whether a Conflict of Interest ExistsThe Chief Legal Officer has been vested with the authority to determine whether a conflict of interest exists. If there is a disagreement with the decision of the Chief Legal Officer, then the Governance Committee shall decide if a conflict of interest exists based on the information presented by the Chief Legal Officer. If a board member disagrees with the Governance Committee decision, the issue will be sent to all remaining board members of the TMC HealthCare board for a vote on the issue for the final resolutionof the issue.3. Procedures for Decision Making when a Conflict of Interest ExistsIf it has been determined that a conflict of interest exists, the following process shall be followed regarding the matter for which a conflict exists:a. The interested person may, but is not required to, participate in the presentation of the matter at the governing board or committee meeting, but after the presentation, he may be asked to leave the meeting during the discussion of the mater, and in any event shall not participate in the vote on the transaction or arrangement involving the possible conflict of interest.b. If the board or committee believes that it needs additional information on alternatives to the proposed business arrangement, then the following process may be followed: a. The chairperson of the board or committee shall, if appropriate, direct management to obtain additional information and alternatives, or appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. b. After exercising due diligence, the governing board or committee shall determine whether the Organization can obtain with reasonable efforts a more advantageous transaction or business arrangement from a person or entity that would not give rise to a conflict of interest. c. If a more advantageous transaction or business arrangement is not reasonably possible or readily available under circumstances not producing a conflict of interest, the governing board or committee shall determine by a majority vote of the disinterested trustees whether the transaction or arrangement is in the Organization's best interest, for its own benefit, and whether it is fair and reasonable. In conformity with the above determination it shall make its decision as to whether to enter into the transaction or business arrangement.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	TMC is responsible for the payment of compensation and benefits as well as the process for reviewing and approving compensation and benefits for administrative leadership. For the Chief Executive Officer and Chief Financial Officer as well as other senior leadership positions the compensation committee contracts directly with Sullivan Cotter, an independent third-party compensation consultant, who periodically provides a written report containing a summary of relevant, contemporaneous benchmark information and makes recommendations regarding the level of compensation and benefits that would be reasonable. The compensation committee carefully reviews the information, discusses it directly with the consultant and makes recommendations based upon the information provided. The compensation committee then makes its final recommendation to the full board for their approval.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	TMC is responsible for the payment of compensation and benefits as well as the process for reviewing and approving compensation and benefits for administrative leadership. For the Chief Executive Officer and Chief Financial Officer as well as other senior leadership positions the compensation committee contracts directly with Sullivan Cotter, an independent third-party compensation consultant, who periodically provides a written report containing a summary of relevant, contemporaneous benchmark information and makes recommendations regarding the level of compensation and benefits that would be reasonable. The compensation committee carefully reviews the information, discusses it directly with the consultant and makes recommendations based upon the information provided. The compensation committee then makes its final recommendation to the full board for their approval.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Form 990 and Form 990T are available on request. The organization's website is https://www.tmcaz.com/ and our mission, goals, directors and executives and other organizational information is available there.
Other Changes In Net Assets Or Fund Balances - Other Increases	TMC Cardiac and Cardiothoracic Surgery K-1 = $33904
Other Changes In Net Assets Or Fund Balances - Other Decreases	TMC Neuroscience Mgmt K-1 = -$186480

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
El Dorado Hospital
5301 E Grant Road	Tucson	AZ	85712	200385301	Hospital - discontinued operations	AZ	501(c)3	3	N/A	false
TMC Foundation
5301 E Grant Road	Tucson	AZ	85712	860504015	Supports Tucson Medical Center	AZ	501(c)3	11	N/A	false
TMC HealthCare
5301 E Grant Road	Tucson	AZ	85712	202218975	Parent Company	AZ	501(c)3	11	N/A	false
TMC Holdings Inc
5301 E Grant Rd	Tucson	AZ	85712	860441785	Holding Company	AZ	501(c)2		N/A	false
Tucson Medical Center Auxiliary
PO Box 42195	Tucson	AZ	85713	866050769	Support to TMC	AZ	501(c)(3)	11	N/A	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	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 Mgmt	AZ	Tucson Medical Cente	-$33,904	$67,839	false	Yes (true)	0.33278
TMC Neuroscience Mgmt LLC
5301 E Grant Road	Tucson	AZ	85712	273027087	Service Line Management	AZ	Tucson Medical Cente	$186,390	$57,510	false	Yes (true)	0.32500
Arizona Connected Care LLC
5301 E Grant Road	Tucson	AZ	85712	800671408	Accountable Care Org	AZ	TMC HealthCare			false	false	0.25000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
Hospital Care Systems Development Corp
5301 E Grant Road	Tucson	AZ	85712	203015545	Hospital Management	AZ	N/A	c	false
Medhold Inc
5301 E Grant Road	Tucson	AZ	85712	860769548	Holding Company	AZ	N/A	c	false
Saguaro Medical Holdings Inc
5301 E Grant Road	Tucson	AZ	85712	200614853	Holding Company	AZ	N/A	c	false
TMC de Mexico Ltd
5301 E Grant Road	Tucson	AZ	85712	860769541	Holding Company	AZ	N/A	c	false
TMC Healthcare Security Services Inc
5301 E Grant Road	Tucson	AZ	85712	522414943	Security Services	AZ	N/A	c	false
Rincon Community Hospital
5301 E Grant Road	Tucson	AZ	85712	202330009	Closed in 2014	AZ	N/A	c	false

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

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
TMC Foundation
c	$1,291,114	GAAP
TMC Foundation
o	$528,024	GAAP
TMC Holdings Inc
k	$1,158,934	GAAP
Tucson Medical Center Auxiliary
o	$125,401	GAAP