2014-05-13T18:38:41-05:00 2013-06-30 860683059 BEACHFLEISCHMAN PC PO BOX 64130 TUCSON AZ 857284130 990 2012-07-01 942958258 UNIVERSITY PHYSICIANS HEALTHCARE UNIV 5206942700 1501 N CAMPBELL AVE TUCSON AZ 85724 MISTY D HANSEN 5206942700 2014-05-05 1 KAREN K MCCLOSKEY CPA P00099644 5203214600 2012 2015-11-30 17:44:51Z THE UNIVERSITY OF ARIZONA PHYSICIANS MICHAEL R WALDRUM MD 1501 N CAMPBELL AVE TUCSON AZ 85724 599592494 0 X WWW.UAHEALTH.COM X 1983 AZ ADVANCING HEALTH AND WELLNESS THROUGH EDUCATION, RESEARCH AND PATIENT CARE. 7 2 3128 139 1206552 -2410407 9085900 8076066 581450041 584681489 -19722 6834939 401726 0 590917945 599592494 8495923 11898092 0 0 225002387 248002604 0 0 0 357523310 343536099 591021620 603436795 -103675 -3844301 180122021 160138982 124015879 107555804 56106142 52583178 ADVANCING HEALTH AND WELLNESS THROUGH EDUCATION, RESEARCH, AND PATIENT CARE. 0 0 243218721 251780654 UNIVERSITY OF ARIZONA HEALTH PLANS COORDINATES THE DELIVERY OF HEALTH CARE TO ENROLLEES OF THE ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM (ARIZONA'S MEDICAID PROGRAM), THE MEDICARE ADVANTAGE SPECIAL NEEDS PROGRAM (CENTERS FOR MEDICARE AND MEDICAID DUAL ELIGIBLE MEDICARE PROGRAM) AND HEALTH CARE GROUP (ARIZONA'S SMALL BUSINESS HEALTH CARE PROGRAM). 122845328 142689 140302043 UNIVERSITY OF ARIZONA MEDICAL CENTER-SOUTH CAMPUS IS A 197 BED, FULL SERVICE HOSPITAL THAT PROVIDES VITAL MEDICAL SERVICES TO THE CITIZENS OF SOUTHERN ARIZONA. THE HOSPITAL PROVIDES PATIENTS WITH DIRECT ACCESS TO THE EXPERTISE, GROUNDBREAKING RESEARCH, AND THE LATEST TREATMENTS OF THE UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE. THE HOSPITAL IS LOCATED IN A PRIMARILY UNDERSERVED AREA AND GIVES CITIZENS EASY ACCESS TO EMERGENCY AND SPECIALTY CARE. 196482224 11755403 191392240 THE UNIVERSITY OF ARIZONA PHYSICIANS (UAP) IS THE PRACTICE PLAN OF THE FACULTY-PHYSICIANS OF THE UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE. SERVING AS THE LARGEST PHYSICIAN PRACTICE IN ARIZONA, IT EMPLOYS MORE THAN 700 PHYSICIANS WHO ARE THE FULL-TIME FACULTY OF THE UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE. UAP PHYSICIANS PRACTICE AT THE UNIVERSITY OF ARIZONA HEALTH NETWORK'S HOSPITALS AND AT NUMEROUS HOSPITALS AND CLINICS ACROSS TUCSON, SOUTHERN ARIZONA, AND NEVADA. AS FACULTY OF THE UA COLLEGE OF MEDICINE, UAP PHYSICIANS EDUCATE MORE THAN 500 MEDICAL STUDENTS AND TRAIN NEARLY AS MANY POST-GRADUATE MEDICAL RESIDENTS ANNUALLY. THEY ALSO CONDUCT RESEARCH AT THE UNIVERSITY OF ARIZONA'S CANCER CENTER, STEELE CHILDREN'S RESEARCH CENTER, ARIZONA ARTHRITIS CENTER, SARVER HEART CENTER, AND MANY OTHER FACILITIES AND PROGRAMS. 562546273 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 2285 0 1 3128 1 1 1 0 0 0 0 0 0 0 0 0 X 7 2 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 AZ X DONELLA FONES 5206942700 1501 N CAMPBELL AVENUE TUCSON AZ 85724 MARC BERG 1.00 39.00 X 795 288475 34475 LYLE BOOTMAN 1.00 39.00 X 0 318714 39956 THOMAS BOYER 1.00 1.00 X 0 0 0 LAURA EBERLY-SUNDT 1.00 1.00 X 0 0 0 FAYEZ GHISHAN 1.00 39.00 X 79736 645566 55219 RAINER GRUESSNER 1.00 39.00 X 2159 505181 37689 EDMUND L JENKINS 1.00 2.00 X 0 0 0 DAVID LABINER 1.00 39.00 X 1396 298094 37228 STEVE LYNN 1.00 3.00 X 0 0 0 KAREN MLAWSKY 1.00 39.00 X 0 679223 108003 LYNN SCHNEIDER GRENNAN 40.00 0.00 X 283774 0 0 STEVE GOLDSCHMID 1.00 39.00 X X 2541 566767 53246 SAMUEL KEIM 1.00 39.00 X X 1396 359527 36874 BARBARA PECK 1.00 2.00 X X 0 0 0 KATHRYN REED 1.00 39.00 X X 3857 354385 47581 OLE THIENHAUS 1.00 39.00 X X 17051 284517 24758 MISTY D HANSEN 1.00 39.00 X X 0 576491 101145 JAMES V STOVER 40.00 0.00 X 332455 0 66230 THOMAS M BALL 40.00 0.00 X 339928 0 38247 SARAH E FROST 40.00 0.00 X 216892 0 17535 JEAN FEDIGAN 40.00 0.00 X 179023 0 12785 JODY L BUTERA 40.00 0.00 X 196463 0 23961 SETH M DUBRY 40.00 0.00 X 275851 0 31333 HOSSAI SHAH 40.00 0.00 X 229390 0 26828 EDDY COFFMAN 40.00 0.00 X 200081 0 24484 WILBUR PITTINGER 40.00 0.00 X 197410 0 16555 THERESA L LEBARRON 0.00 0.00 X 197586 0 0 2757784 4876940 834132 91 1 1 0 UNIVERSITY OF ARIZONA 888 N EUCLID TUCSON AZ 85719 MEDICAL AND ADMINISTRATIVE 14887482 HURON HEALTHCARE 3005 MOMENTUM PLACE CHICAGO IL 60689 CONSULTING 5806876 CSC CONSULTING PO BOX 905145 CHARLOTTE NC 28290 CONSULTING 2151305 CYMETRIX CORPORATION 2875 MICHELLE DRIVE IRVINE CA 92606 CONSULTING 1925491 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 30368 FOOD SERVICE 1182223 104 8076066 8076066 CAPITATION AND CONTRACT REVENUE 621111 329954305 329954305 NET PATIENT SERVICE REVENUE 621111 254727184 253520632 1206552 584681489 6834939 6834939 599592494 583474937 1206552 6834939 11898092 11898092 3103596 3103596 201130157 179856223 21273934 4180543 3518929 661614 32851969 30523071 2328898 6736339 5244841 1491498 31323697 30532396 791301 449804 449804 465745 465745 19928 19928 422498 422498 22944592 21345548 1599044 1141101 300008 841093 5961814 5399585 562229 4989128 4989128 8919665 5193266 3726399 1830040 1683521 146519 331706 296106 35600 752967 750941 2026 6811980 4808851 2003129 9238608 9237643 965 MEDICAL CLAIMS 217105517 217105517 SUPPLIES 27149342 26969505 179837 OTHER 3677967 2893102 784865 603436795 562546273 40890522 0 25071992 7538890 5003381 5014543 52562931 43340864 3326586 3729263 23617796 41037451 109137266 65731921 48870194 43405345 3605420 15460197 18063721 612429 180122021 160138982 53025222 65842255 204777 11968116 5607038 14916091 24309486 44106450 11592248 124015879 107555804 X 0 0 0 0 56106142 52583178 56106142 52583178 180122021 160138982 -3844301 321337 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 19928 19928 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: THE UNIVERSITY OF ARIZONA HEALTH NETWORK EMPLOYS A DIRECTOR OF LEGISLATIVE AFFAIRS. THIS POSITION PROVIDES LEADERSHIP IN THE AREA OF LEGISLATIVE INITIATIVES, HEALTH POLICY, AND CONSUMER ADVOCACY. THIS POSITION CREATES LINKS TO STATE AND FEDERAL LEGISLATIVE REPRESENTATIVES AND STAFF, RESEARCHES AND DEVELOPS POLICY POSITIONS FOR THE UNIVERSITY OF ARIZONA HEALTH NETWORK. 2705040 2705040 21747733 9971858 11775875 11392512 4736031 6656481 73152741 50901229 22251512 139240 122803 16437 43405345 INVESTMENTS IN JOINT VENTURES AND SUBSIDIARIES 15460197 C 15460197 OTHER LIABILITIES 5227162 NET INTERCOMPANY RECEIVABLES/PAYABLES 5716735 DUE TO UNIVERSITY OF ARIZONA 648351 11592248 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: INCOME TAXES FOOTNOTE FROM THE UNIVERSITY OF ARIZONA HEALTH NETWORK AND SUBSIDIARIES CONSOLIDATED FINANCIAL REPORT: IN GENERAL, THE CORPORATION'S SUBSIDIARIES ARE NOT-FOR-PROFIT ENTITIES AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE AND RELATED STATE LAWS. THE CORPORATION ITSELF APPLIED FOR SECTION 501(C)(3) TAX-EXEMPT STATUS WITH THE INTERNAL REVENUE SERVICE, AND THE APPLICATION IS PENDING. THE CORPORATION HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN TAX YEARS AND HAS CONCLUDED THAT NO LIABILITIES EXIST AS OF JUNE 30, 2013 AND 2012. THE CORPORATION FILES TAX RETURNS WITH THE U.S. FEDERAL AND THE STATE OF ARIZONA JURISDICTIONS. WITH FEW EXCEPTIONS, THE CORPORATION IS NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2008. 1 1 X 1 X 1 X 1 1 1 0 0 25982639 17830846 8151793 0.01350 80010238 72008034 8002204 0.01330 105992877 89838880 16153997 0.02680 11526431 5003055 6523376 0.01080 10916410 3970332 6946078 0.01150 11898092 11898092 0.01970 34340933 8973387 25367546 0.04200 140333810 98812267 41521543 0.06880 0 59232571 0 26457160 27822755 -1365595 X 1 1 1 UM LEASING LLC LEASING 0.50000 0.00000 0.00000 1 1 U OF A MEDICAL CENTER-SOUTH CAMPUS

2800 E AJO WAY TUCSON AZ 85713

WWW.UAHEALTH.COM X X X X X X U OF A MEDICAL CENTER SOUTH CAMPUS 1 1 X X X X X X X X 12 1 1 1 X X X 1 0 1 1 100.000000000000 1 200.000000000000 1 X X X X X X 1 1 X X X X 1 0 1 X 0 0 5 U OF A MEDICAL CENTER-SPORTS CLINIC

2800 E AJO WAY SUITES 100-105 TUCSON AZ 85713

CLINIC U OF A MEDICAL CENTER-ALVERNON CLINIC

750 N ALVERNON WAY TUCSON AZ 85711

AMBULATORY SURGERY CENTER U OF A MEDICAL CENTER-WILMOT CLINIC

535 N WILMOT SUITE 101 TUCSON AZ 85711

CLINIC U OF A MEDICAL CENTER-PSYCHIATRIC CLINIC

2800 E AJO WAY SUITE 300 TUCSON AZ 85713

CLINIC U OF A MEDICAL CENTER-ALVERNON CLINIC

707 N ALVERNON WAY SUITE 101 TUCSON AZ 85711

CLINIC PART I, LINE 7: THE ESTIMATED NET COST, IN EXCESS OF REIMBURSEMENT, IS DETERMINED USING A RATIO OF COST TO CHARGES, WHICH ADDRESSES ALL PATIENT SEGMENTS INCLUDING MEDICAID, MEDICARE, UNINSURED OR SELF-PAY. PART III, LINE 4: FINANCIAL STATEMENT FOOTNOTE FOR PATIENT ACCOUNTS RECEIVABLE: "PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF ESTIMATED ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS AND ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS. ESTIMATED ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS AND UNCOLLECTIBLE ACCOUNTS ARE APPROXIMATELY $300,946,000 AND $266,988,000 AS OF JUNE 30, 2013 AND 2012, RESPECTIVELY."BAD DEBT EXPENSE IS REPORTED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES AND IS NOT INCLUDED AS PART OF COMMUNITY BENEFIT. FINANCIAL COUNSELORS ASSIST PATIENTS WITH CHARITY CARE APPLICATIONS AND THE UNINSURED DISCOUNT PROGRAM AND IDENTIFY IF PATIENTS ARE ELIGIBLE FOR THESE PROGRAMS. PART III, LINE 8: THE MEDICARE ALLOWABLE COST OF CARE IS REPORTED FROM THE UNIVERSITY OF ARIZONA MEDICAL CENTER - SOUTH CAMPUS MEDICARE COST REPORT. PART III, LINE 9B: IF SUBSEQUENT EVENTS REVEAL FINANCIAL HARDSHIP, PATIENTS MAY APPLY FOR CHARITY CARE AND RECEIVE DISCOUNTS BASED ON THEIR FINANCIAL CIRCUMSTANCES. U OF A MEDICAL CENTER SOUTH CAMPUS PART V, SECTION B, LINE 3: IN 2012, THE UNIVERSITY OF ARIZONA MEDICAL CENTER - SOUTH CAMPUS COLLABORATED WITH TUCSON MEDICAL CENTER AND CARONDELET HEALTH NETWORK TO COMPLETE THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR PIMA COUNTY. TOGETHER, THE HEALTH SYSTEMS SHARED RESOURCES AND BROUGHT TOGETHER KEY MEMBERS OF THE COMMUNITY TO CONDUCT THE ASSESSMENT. THE THREE HEALTH SYSTEMS DEFINED THEIR GEOGRAPHIC SCOPE TO COVER ALL OF PIMA COUNTY, WHERE OVER 80 PERCENT OF THE HOSPITALS' PATIENTS LIVE. "WE APPRECIATED THE COLLABORATION AND EFFORT OF TUCSON'S NON-PROFIT HOSPITALS IN IDENTIFYING OUR REGION'S MOST PRESSING HEALTH NEEDS IN LAST YEAR'S PIMA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT," SAID COUNTY ADMINISTRATOR CHUCK HUCKELBERRY. "CLOSING THOSE CRITICAL HEALTH GAPS IS THE REAL WORK, AND WE ARE GRATEFUL FOR COMMUNITY LEADERS LIKE THE UNIVERSITY OF ARIZONA HEALTH NETWORK THAT ARE MAKING INNOVATIVE AND CONCRETE PLANS TO ADDRESS THESE NEEDS THROUGH ITS MEDICAL SERVICES, COMMUNITY OUTREACH AND EXTERNAL RELATIONS PROGRAMS. PIMA COUNTY IS PROUD TO PARTICIPATE IN THIS IMPORTANT WORK THROUGH OUR PARTNERSHIP WITH THE UNIVERSITY OF ARIZONA MEDICAL CENTER - SOUTH CAMPUS, WHICH IS MATURING INTO A HUB OF MEDICAL RESEARCH, EDUCATION AND PATIENT CARE BENEFITING COUNTY RESIDENTS." U OF A MEDICAL CENTER SOUTH CAMPUS PART V, SECTION B, LINE 4: TUCSON MEDICAL CENTER AND CARONDELET HEALTH NETWORK PART VI, LINE 2: IN THE FALL OF 2011, THE THREE MAJOR NON-PROFIT HEALTH SYSTEMS IN PIMA COUNTY - CARONDELET HEALTH NETWORK, TUCSON MEDICAL CENTER, AND THE UNIVERSITY OF ARIZONA MEDICAL HEALTH NETWORK - COMBINED EFFORTS TO CONDUCT A COUNTY-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS COLLABORATION ALLOWED FOR HEALTH SYSTEMS TO WORK CLOSELY WITH ONE ANOTHER, BRING TOGETHER KEY MEMBERS OF THE COMMUNITY, AND SHARE RESOURCES TO COMPLETE THE ASSESSMENT AND BETTER UNDERSTAND THE HEALTH SERVICES SECTOR IN THE REGION. PART VI, LINE 3: THE UNIVERSITY OF ARIZONA PHYSICIANS PROVIDES HEALTH CARE SERVICES FREE OR AT A REDUCED CHARGE TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL CRITERIA. ALL PATIENTS IN NEED OF EMERGENCY SERVICES ARE ACCEPTED REGARDLESS OF THEIR ABILITY TO PAY. WE ALSO OFFER SUBSTANTIAL DISCOUNTS TO INDIVIDUALS WHO LACK INSURANCE OR WHOSE INSURANCE COVERAGE MAY NOT COVER CERTAIN SERVICES UNDER ITS POLICY FOR THE UNINSURED AND UNDERINSURED. UNDER THIS PROGRAM, PATIENTS ARE CHARGED NO MORE THAN THE RATE THE CORPORATION RECEIVED UNDER THE MEDICARE PROGRAM. IN ADDITION, FINANCIAL COUNSELORS ASSIST PATIENTS WITH THE ORGANIZATION'S CHARITY CARE APPLICATION AS WELL AS APPLYING FOR OTHER FEDERAL, STATE, AND LOCAL MEDICAL ASSISTANCE PROGRAMS FOR WHICH THEY MAY BE ELIGIBLE. PART VI, LINE 4: THE UNIVERSITY OF ARIZONA MEDICAL CENTER - SOUTH CAMPUS PROVIDES QUATERNARY HEALTHCARE AND IS A MAJOR REFERRAL CENTER FOR THE STATE AND OTHER SOUTHWESTERN STATES. THE HOSPITAL IS ONE OF EIGHT NON-FEDERAL ACUTE CARE HOSPITALS IN METROPOLITAN TUCSON, WHICH CONSISTS OF THE CITY OF TUCSON AND IMMEDIATELY SURROUNDING AREAS (HEREINAFTER REFERRED TO AS "METROPOLITAN TUCSON"). THE CITY OF TUCSON IS THE SECOND LARGEST CITY IN ARIZONA AND THE ONLY METROPOLITAN AREA IN PIMA COUNTY, ARIZONA. PIMA COUNTY COVERS 9,184 SQUARE MILES, INCLUDING DIVERSE CHANGES IN ELEVATION, TOPOGRAPHY, AND CLIMATE. SEVERAL NATIVE AMERICAN TRIBAL NATIONS HAVE RESERVATION LANDS IN THE COUNTY WHICH TOGETHER TOTAL 42.1% OF PIMA COUNTY LAND. ACCORDING TO 2007 POPULATION PROJECTIONS BY THE CITY OF TUCSON DEPARTMENT OF URBAN PLANNING & DESIGN, IT IS ESTIMATED THAT THE PIMA COUNTY AREA HAS APPROXIMATELY 1,000,000 RESIDENTS IN 2008 AND WILL EXCEED 1,100,100 BY 2012. TUCSON IS LOCATED APPROXIMATELY 60 MILES NORTH OF THE U.S.-MEXICO BORDER. PIMA COUNTY, WHICH ACCOUNTS FOR APPROXIMATELY 15% OF THE STATE'S POPULATION, HAS A CROSS SECTION OF EMPLOYERS WITH HEAVY EMPHASIS IN SERVICES, TRADE, GOVERNMENT, MILITARY, MINING, AND MANUFACTURING. METROPOLITAN TUCSON ACCOUNTS FOR APPROXIMATELY 54% OF THE POPULATION IN PIMA COUNTY. PART VI, LINE 5: THE UNIVERSITY OF ARIZONA MEDICAL CENTER-SOUTH CAMPUS PROMOTES HEALTH IN MANY WAYS, INCLUDING ATTENDING AND HOSTING HEALTH FAIRS AND SCREENING EVENTS. THESE EVENTS ALLOW OUR CONSTITUENTS TO ACCESS MUCH NEEDED HEALTHCARE AS WELL AS PROVIDE THEM WITH INFORMATION ON OTHER HEALTHCARE RESOURCES FOR WHICH THEY MAY BE ELIGIBLE. PART VI, LINE 6: THE UNIVERSITY OF ARIZONA HEALTH NETWORK (UAHN) IS ARIZONA'S FIRST ACADEMIC MEDICAL NETWORK. IT INCLUDES THE UNIVERSITY OF ARIZONA MEDICAL CENTER - UNIVERSITY CAMPUS, THE UNIVERSITY OF ARIZONA MEDICAL CENTER - DIAMOND CHILDREN'S, THE UNIVERSITY OF ARIZONA MEDICAL CENTER - SOUTH CAMPUS, APPROXIMATELY 40 CLINICS, PRACTICE PLAN FOR PHYSICIANS FROM THE UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE, AND A HEALTH PLAN DIVISION. IT HAS BEEN NATIONALLY RECOGNIZED FOR PROVIDING EXCEPTIONAL PATIENT CARE, TEACHING NEW HEALTHCARE PROFESSIONALS AND CONDUCTING GROUNDBREAKING RESEARCH THROUGH THE PHYSICIAN-SCIENTISTS OF THE UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE. UAHN, WHICH WORKS IN PARTNERSHIP WITH THE UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE, WAS CREATED TO FACILITATE BETTER COORDINATION, INTEGRATION AND PROMOTION OF CLINICAL ACTIVITIES TO SUPPORT THE COLLEGE OF MEDICINE'S EDUCATION, RESEARCH AND PATIENT-CARE GOALS. THE UNIVERSITY OF ARIZONA MEDICAL CENTER - UNIVERSITY CAMPUS OPENED IN 1971 AND IS THE PRIMARY TEACHING HOSPITAL OF THE UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE, NURSING, AND PHARMACY. 1 UNIVERSITY OF ARIZONA 888 N EUCLID TUCSON AZ 85719 742652689 STATE OF ARIZONA 11492619 MEDICAL EDUCATION, RESEARCH UNIVERSITY MEDICAL CENTER FOUNDATION 1501 N CAMPBELL AVENUE TUCSON AZ 85724 860572438 501(C)(3) 373573 MEDICAL EDUCATION, RESEARCH UNIVERSITY PHYSICIANS HEALTHCARE FOUNDATION 1501 N CAMPBELL AVENUE TUCSON AZ 85724 202826747 501(C)(3) 31900 MEDICAL EDUCATION 3 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: GRANTS ARE GIVEN ONLY TO ORGANIZATIONS EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND GOVERNMENT ORGANIZATIONS. NO FURTHER MONITORING OF GRANTS IS CONSIDERED NECESSARY. 1 1 0 0 0 1 0 0 0 MARC BERG 45 188123 0 100343 750 9 71 18651 11697 4056 12563 311182 0 0 LYLE BOOTMAN 0 318714 0 0 0 0 0 22472 0 17484 0 358670 0 0 FAYEZ GHISHAN 25268 516137 50000 123125 4468 6304 1557 34824 10092 8746 91385 689136 0 0 RAINER GRUESSNER 122 458031 0 47150 2037 0 73 17150 13125 7341 15357 529672 0 0 DAVID LABINER 79 266695 0 31399 1317 0 73 20867 11778 4510 13247 323471 0 0 KAREN MLAWSKY 0 493885 0 182145 0 3193 0 94303 0 13700 0 787226 0 0 LYNN SCHNEIDER GRENNAN 283774 0 0 0 0 0 0 0 0 0 283774 0 0 0 STEVE GOLDSCHMID 144 529544 2397 37223 0 0 73 32533 12397 8243 15011 607543 0 0 SAMUEL KEIM 79 337455 0 22072 1317 0 73 19307 12074 5420 13543 384254 0 0 KATHRYN REED 218 298489 0 55896 3639 0 0 35888 6082 5611 9939 395884 0 0 OLE THIENHAUS 116 281942 15000 2575 1935 0 0 11768 8689 4301 25740 300586 0 0 MISTY D HANSEN 0 151604 0 422465 0 2422 0 83555 0 17590 0 677636 0 0 JAMES V STOVER 247485 0 79963 0 5007 0 57280 0 8950 0 398685 0 0 0 THOMAS M BALL 278088 0 60638 0 1202 0 25207 0 13040 0 378175 0 0 0 SARAH E FROST 210018 0 6721 0 153 0 15975 0 1560 0 234427 0 0 0 JEAN FEDIGAN 172203 0 5546 0 1274 0 7118 0 5667 0 191808 0 0 0 JODY L BUTERA 152734 0 43523 0 206 0 19015 0 4946 0 220424 0 0 0 SETH M DUBRY 242939 0 32563 0 349 0 21794 0 9539 0 307184 0 0 0 HOSSAI SHAH 109776 0 119550 0 64 0 15714 0 11114 0 256218 0 0 0 EDDY COFFMAN 164444 0 35430 0 207 0 15328 0 9156 0 224565 0 0 0 WILBUR PITTINGER 196222 0 0 0 1188 0 5239 0 11316 0 213965 0 0 0 THERESA L LEBARRON 197586 0 0 0 0 0 0 0 0 0 197586 0 0 0 PART I, LINES 4A-B THERESA LEBARRON RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $197,586. THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED PAYMENTS FROM A NON-QUALIFIED RETIREMENT PLAN: MISTY D. HANSEN $63,698, JAMES V. STOVER $34,046 AND KAREN MLAWSKY $74,446. PART I, LINE 6 THE UNIVERSITY OF ARIZONA PHYSICIANS HAS AN INCENTIVE PLAN FOR PHYSICIANS THAT PROVIDES FOR BONUSES CALCULATED AS A PERCENTAGE OF NET INCOME FROM THE VARIOUS PRACTICE AREAS. EACH PHYSICIAN'S BONUS IS CAPPED AT A PREDETERMINED MAXIMUM PERCENTAGE OF HIS OR HER SALARY. SUPPLEMENTAL INFORMATION PART III PART I, LINE 3: THE ORGANIZATION RELIES ON ITS RELATED ORGANIZATION THE UNIVERSITY OF ARIZONA HEALTH NETWORK, WHICH USED THE FOLLOWING TO ESTABLISH COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OF DIRECTORS. A THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF SOUTH TUCSON ARIZONA 866000267 2005-12-21 6750000 FINANCE MEDICAL EQUIPMENT 0 0 0 A 6750000 78637 6671363 2006 0 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 1 0 0 0 1 A 0 FORM 990, PART VI, SECTION A, LINE 3 THE UNIVERSITY OF ARIZONA HEALTH NETWORK (UAHN) AND UNIVERSITY PHYSICIANS HEALTHCARE (UPH), COMPONENTS OF A VERTICALLY AND HORIZONTALLY INTEGRATED HEALTH NETWORK, ENTERED INTO A MASTER INTERCOMPANY SERVICES AGREEMENT ON MARCH 18, 2013 WHEREBY UAHN PROVIDES CERTAIN CORPORATE SERVICES ON A COORDINATED BASIS. SPECIFICALLY, UAHN PROVIDES ADMINISTRATION, MANAGEMENT, ISS, ACCOUNTING, AND HUMAN RESOURCES, AS WELL AS SUPPLIES ALL EMPLOYEES. PRIOR TO MARCH 18, 2013, UAHN WAS NOT THE EMPLOYER OF RECORD OF ANY UPH OFFICERS, DIRECTORS, KEY EMPLOYEES OR HIGHEST COMPENSATED EMPLOYEES LISTED AT PART VII, SECTION A. FORM 990, PART VI, SECTION A, LINE 6 UNIVERSITY OF ARIZONA PHYSICIANS HAS TWO CLASSES OF MEMBERS: (I) CORPORATE MEMBERS AND (II) PHYSICIAN MEMBERS. THE UNIVERSITY OF ARIZONA HEALTH NETWORK IS UNIVERSITY OF ARIZONA PHYSICIAN'S SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS ELECT AT-LARGE DIRECTORS FROM COMMUNITY DIRECTORS SERVING ON THE BOARD OF DIRECTORS FOR THE UNIVERSITY OF ARIZONA HEALTH NETWORK. FORM 990, PART VI, SECTION A, LINE 7B THE UNIVERSITY OF ARIZONA HEALTH NETWORK, AS THE SOLE CORPORATE MEMBER, RESERVES THE POWER TO MAKE OR APPROVE DECISIONS OF THE CORPORATION AS GRANTED IN THE BYLAWS. FORM 990, PART VI, SECTION B, LINE 11 THE UNIVERSITY OF ARIZONA PHYSICIAN'S FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER, CHIEF EXECUTIVE OFFICER, AND AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990 IS DISTRIBUTED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE UNIVERSITY OF ARIZONA PHYSICIANS REQUIRES BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES TO ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. THESE FORMS ARE REVIEWED BY CORPORATE COMPLIANCE AND GENERAL COUNSEL. ANY POTENTIAL CONFLICTS IDENTIFIED ARE SUBJECT TO FURTHER REVIEW BY SENIOR MANAGEMENT AND THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE UNIVERSITY OF ARIZONA PHYSICIANS HIRES A THIRD PARTY CONSULTANT TO REVIEW COMPENSATION AND BENEFITS. IN ADDITION, THE UNIVERSITY OF ARIZONA PHYSICIANS COMPLETES A SURVEY COMPARING THE COMPENSATION PACKAGE TO SIMILAR ORGANIZATIONS. THE CEO HAS A WRITTEN EMPLOYMENT CONTRACT THAT IS REVIEWED AND APPROVED BY THE UNIVERSITY OF ARIZONA HEALTH NETWORK'S COMPENSATION COMMITTEE AND BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 POLICIES ARE POSTED ON THE UNIVERSITY OF ARIZONA PHYSICIAN'S INTRANET. GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. 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