2014-05-13T18:37:53-05:00 2013-06-30 860683059 BEACHFLEISCHMAN PC PO BOX 64130 TUCSON AZ 857284130 990 2012-07-01 860492210 UNIVERSITY MEDICAL CENTER CORPORATION UNIV 5206942700 1501 N CAMPBELL AVENUE 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 MEDICAL CENTER CORPORATION MICHAEL R WALDRUM MD 1501 N CAMPBELL AVENUE TUCSON AZ 85724 777585480 0 X WWW.UAHEALTH.COM X 1984 AZ ADVANCING HEALTH AND WELLNESS THROUGH EDUCATION, RESEARCH, AND PATIENT CARE. 7 2 5437 625 857760 287605 16984623 16120503 627965985 669689444 -558187 19706956 160474 178900 644552895 705695803 19382429 19944817 0 0 249297974 310308115 0 0 0 371160871 319726107 639841274 649979039 4711621 55716764 650129553 645684693 409838549 351393053 240291004 294291640 X ADVANCING HEALTH AND WELLNESS THROUGH EDUCATION, RESEARCH, AND PATIENT CARE. 0 0 581883623 19944817 668992344 THE UNIVERSITY OF ARIZONA MEDICAL CENTER IS COMMITTED TO DELIVERING LEADING-EDGE PATIENT CARE TO PATIENTS AND THEIR FAMILIES IN A SUPPORTIVE AND CARING ENVIRONMENT. WE OFFER A BROAD RANGE OF INPATIENT AND OUTPATIENT SERVICES, INCLUDING ONCOLOGY, CARDIOVASCULAR SERVICES, PEDIATRIC SERVICES, TRANSPLANT PROGRAMS, AND TRAUMA AND EMERGENCY SERVICES. OPERATING AS THE SOLE LEVEL 1 TRAUMA CENTER IN SOUTHERN ARIZONA SINCE 2003, EMERGENCY MEDICINE PROVIDES TRAUMA CARE TO ALL OF SOUTHERN ARIZONA. THE UNIVERSITY OF ARIZONA MEDICAL CENTER'S ONCOLOGY PROGRAM OFFERS A MULTI-DISCIPLINARY CARE TO PATIENTS ACROSS ARIZONA, EXCELLING IN GROUND-BREAKING RESEARCH, EDUCATION, AND OUTREACH PROGRAMS. OUR FACILITIES INCLUDE AN OUTPATIENT CLINICAL FACILITY; A "ONE STOP" CENTER WHERE PATIENTS RECEIVE A VARIETY OF SUPPORT SERVICES AS WELL AS LEADING-EDGE CANCER THERAPIES. IN 2010, THE UNIVERSITY OF ARIZONA MEDICAL CENTER OPENED THE DIAMOND CHILDREN'S MEDICAL CENTER, A FACILITY DESIGNED TO PROVIDE THE MOST ADVANCED PEDIATRIC HEALTH CARE POSSIBLE WHILE MAINTAINING A COMFORTABLE, HEALING, ATMOSPHERE FOR CHILDREN AND THEIR FAMILIES. 581883623 1 1 0 1 0 0 0 1 0 1 1 0 0 1 1 1 0 1 0 1 1 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 182 0 1 5437 1 1 1 1 CJ 0 0 0 0 0 0 0 0 X 7 2 0 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 AZ X X DONELLA FONES 5206942700 1501 N CAMPBELL AVENUE TUCSON AZ 85724 MARTHA GILLILAND 1.00 1.00 X 0 0 0 LINDA MAZON GUTIERREZ 1.00 1.00 X 0 0 0 DAVID LABINER 1.00 1.00 X 0 299490 37228 MIKE LEMOLE 1.00 1.00 X 0 530146 37970 STEVE LYNN 1.00 1.00 X 0 0 0 BARBARA PECK 1.00 1.00 X 0 0 0 JODI MANSFIELD 39.00 1.00 X X 0 510133 0 KAREN MLAWSKY 39.00 1.00 X X 679223 0 108003 TOM BOYER 1.00 1.00 X X 0 509864 36961 LEO J BRENNAN 1.00 1.00 X X 0 0 0 MINDY FAIN 1.00 1.00 X X 0 260640 34222 EDMUND L JENKINS 1.00 1.00 X X 0 0 0 MICHAEL R WALDRUM 1.00 39.00 X 298940 0 0 MISTY D HANSEN 1.00 39.00 X 576491 0 101145 VICTORIA D BEGAN 40.00 0.00 X 307847 0 71126 RAFAEL A DIAZ 40.00 0.00 X 279659 0 22329 JUDY A DYE 40.00 0.00 X 258410 0 22887 ERIC A BRODY 40.00 0.00 X 382935 0 41023 SAMIR Y DAHDAL 40.00 0.00 X 403465 0 21900 MICHAEL J DARRAGH 40.00 0.00 X 342303 0 32503 CATHY A GEISART 40.00 0.00 X 284505 0 32556 GERALD A WOLF 40.00 0.00 X 318064 0 24821 4131842 2110273 624674 234 0 1 0 UNIVERSITY OF ARIZONA 888 N EUCLID TUCSON AZ 85719 HEALTH CARE PROFESSIONALS 38318479 THE UNIVERSITY OF ARIZONA PHYSICIANS 1501 N CAMPBELL AVE TUCSON AZ 85724 HEALTH CARE PROFESSIONALS 20411497 ARAMARK CORPORATION PO BOX 651009 CHARLOTTE NC 28265 FOOD SERVICE 9075012 AMERICAN RED CROSS 222 S CHERRY AVENUE TUCSON AZ 85719 BLOOD PROCESSING SERVICES 7318653 DONOR NETWORK OF ARIZONA 3877 N 7TH STREET SUITE 200 PHOENIX AZ 85014 MEDICAL SERVICES 2496284 23 11158492 4962011 201648 16120503 NET PATIENT SERVICE REVENUE 621500 647089807 646392707 697100 OTHER OPERATING INCOME 812930 12791170 12791170 TEACHING SERVICES 611600 8580000 8580000 SERVICES TO OTHER ORGANIZATIONS 722320 1228467 1228467 669689444 15944577 15944577 360320 360320 27671 9431 18240 18240 18240 75282305 71880246 3402059 3402059 3402059 PARKING REVENUE 812930 160660 160660 160660 705695803 668992344 857760 19725196 X 19879184 19879184 65633 65633 4610135 4610135 248311799 211757385 36554414 12703289 11648520 1054769 26629477 22514066 4115411 18053415 15528274 2525141 1723753 434473 1289280 429193 429193 138050 138050 33738 33738 500493 500493 68853022 66145804 2707218 1445001 21011 1423990 2144109 1192242 951867 4811584 4811584 19741894 13433015 6308879 475748 227688 248060 114337 54065 60272 16492357 16488927 3430 26887209 23495865 3391344 6249095 6247462 1633 SUPPLIES 156868916 156564448 304468 OTHER MEDICAL EQUIPMENT 9889789 9889789 OTHER 2812982 1484188 1328794 TAXES ON UBTI 114837 114837 649979039 581883623 68095416 0 32494505 31583651 138005117 138451675 662561 13909120 16327756 6230508 10010098 646995385 346341421 312561768 300653964 80986844 94414893 112128 485601 393202 218445 65436361 52876049 650129553 645684693 69658879 34179911 199260 3668796 312497150 307509173 657459 341662 26825801 5693511 409838549 351393053 X 0 0 0 0 240291004 294291640 240291004 294291640 650129553 645684693 55716764 -1716128 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 0 566886 0 566886 649404065 807226243 649404065 807793129 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 117887 238409 307673 566886 1230855 250000 250000 250000 250000 1000000 1500000 300251 X 0 1135932 40060 21293 1197285 1135932 1135932 1334053 195923 394044 1135932 1331702 24506 -22155 1334053 362534 919177 49991 1331702 1.00000 0 1 1 11521198 11521198 417001825 168744067 248257758 2866221 1978260 887961 215606141 175619094 39987047 300653964 ASSETS HELD BY TRUSTEE 37067587 ART 300251 OTHER ASSETS 3068903 NET INTERCOMPANY RECEIVABLES/PAYABLES 12439308 52876049 DUE TO THIRD PARTY 5670761 OTHER LIABILITIES 22750 5693511 X PART III, LINE 4: THE UNIVERSITY OF ARIZONA MEDICAL CENTER'S ART COLLECTION PROMOTES AN ATMOSPHERE OF HEALING FOR PATIENTS AND THEIR LOVED ONES. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: UNIVERSITY MEDICAL CENTER FOUNDATION'S ENDOWMENT FUNDS ARE PROGRAM SUPPORT FOR VARIOUS DEPARTMENTS AT THE UNIVERSITY OF ARIZONA MEDICAL CENTER. 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. CENTRAL AMERICA AND THE CARRIBEAN 0 1 PROGRAM SERVICE CAPTIVE INSURANCE 8360773 0 1 0 0 0 1 8360773 0 8360773 1 0 1 0 1 0 METHOD USED TO ACCCOUNT FOR EXPENDITURES: SCHEDULE F, PART I, LINE 3: AMOUNT SHOWN REFLECTS TOTAL ASSETS OF ACADEMIC INSURANCE FUNDING LTD., AN OFFSHORE CAPTIVE INSURANCE COMPANY. 1 1 X 1 X 1 X 1 1 1 0 0 37005207 15695663 21309544 0.03280 140137100 131759765 8377335 0.01290 177142307 147455428 29686879 0.04570 253091 253091 0.00040 32316403 14845008 17471395 0.02690 16907473 16470544 436929 0.00070 19944817 19944817 0.03070 69421784 31315552 38106232 0.05870 246564091 178770980 67793111 0.10440 50000 50000 0.00010 47203 47203 0.00010 227625 227625 0.00040 324828 324828 0.00060 0 51223536 0 130887156 172905446 -42018290 X 1 1 1 UM LEASING LLC LEASING 0.50000 0.00000 0.00000 1 1 UAMC-UNIVERSITY CAMPUS

1501 N CAMPBELL AVENUE TUCSON AZ 85724

WWW.UAHEALTH.COM X X X X X X UAMC-UNIVERSITY 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 1 0 1 X 0 0 12 UAMC-HOME HEALTH SERVICE

655 E RIVER ROAD B TUCSON AZ 85704

HOME HEALTH/INFUSION UAMC-ALVERNON CLINIC

707 N ALVERNON 2ND FLOOR TUCSON AZ 85711

OUTPATIENT PHYSICIAN CLINIC UAMC-NORTH CAMPUS

3838 N CAMPBELL AVENUE TUCSON AZ 85719

ONCOLOGY SERVICES UAMC-GREEN VALLEY PHYSICIAN CLINIC

1141 S LA CANADA GREEN VALLEY AZ 85614

OUTPATIENT PHYSICIAN CLINIC UAMC-NORTH HILLS CLINIC

265 W INA ROAD TUCSON AZ 85704

OUTPATIENT PHYSICIAN CLINIC UAMC-ORANGE GROVE CAMPUS

1891 W ORANGE GROVE BUILDING 1 TUCSON AZ 85704

OUTPATIENT PHYSICIAN CLINIC UAMC-PANTANO CLINIC

7901 E 22ND STREET TUCSON AZ 85710

OUTPATIENT PHYSICIAN CLINIC UAMC-IMAGING CENTER

4291 N CAMPBELL AVENUE TUCSON AZ 85719

DIAGNOSTIC CENTER UAMC-PHOENIX TRANSPLANT CLINIC

926 E MCDOWELL ROAD PHOENIX AZ 85006

OUTPATIENT PHYSICIAN CLINIC UAMC-UNIVERSITY CAMPUS SURGERY

1501 N CAMPBELL AVENUE SUITE 4400 TUCSON AZ 85724

OUTPATIENT PHYSICIAN CLINIC UAMC-ALVERNON SURGERY CENTER

750 N ALVERNON WAY TUCSON AZ 85711

OUTPATIENT PHYSICIAN CLINIC UAMC-LA CHOLLA PHYSICIANS

6261 N LA CHOLLA SUITE 131 TUCSON AZ 85741

OUTPATIENT PHYSICIAN CLINIC PART I, LINE 7: THE ESTIMATED NET COST, IN EXCESS OF REIMBURSEMENT, IS DETERMINED USING A COST ACCOUNTING SYSTEM, WHICH ADDRESSES ALL PATIENT SEGMENTS INCLUDING MEDICAID, MEDICARE, UNINSURED OR SELF-PAY. PART II: UNIVERSITY OF ARIZONA MEDICAL CENTER (UAMC) PROVIDES FREE SCREENINGS THROUGHOUT THE YEAR FOR COMMUNITY MEMBERS. OUR SKILLED NURSES AND PHYSICIANS DONATE THEIR TIME TO PROVIDE THESE SERVICES AS A WAY TO INCREASE AWARENESS AND EDUCATE THE PUBLIC. IN ADDITION, WE KNOW THE LASTING EFFECTS THAT ILLNESS CAN HAVE ON OUR PATIENTS AND THEIR FAMILIES, WHICH IS WHY UAMC IS COMMITTED TO PROVIDING FREE SERVICES TO ADDRESS THESE NEEDS. WE OFFER DAILY, WEEKLY, AND MONTHLY SUPPORT GROUPS FOR ALL OUR COMMUNITY MEMBERS FOR A VARIETY OF ISSUES.BEING AN ACADEMIC MEDICAL CENTER, WE ARE ABLE TO PROVIDE A WIDE ARRAY OF OPPORTUNITIES TO FURTHER EDUCATION. WE HELP PREPARE OUR YOUTH FOR CAREERS IN THE MEDICAL FIELD AS WELL AS TEACH THOSE ALREADY IN IT. 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'S 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. UAMC-UNIVERSITY CAMPUS PART V, SECTION B, LINE 3: IN 2012, THE UNIVERSITY OF ARIZONA MEDICAL CENTER 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." UAMC-UNIVERSITY 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 CENTER - 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 MEDICAL CENTER 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 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 2010 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 2010 AND WILL EXCEED 1,100,000 BY 2015. 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 CENTER IS THE ONLY LEVEL ONE TRAUMA CENTER IN SOUTHERN ARIZONA AND AS SUCH TAKES A LEADERSHIP ROLE IN IMPROVING SYSTEMS OF CARE FOR TRAUMA PATIENTS. TRAUMA EDUCATION, INJURY PREVENTION, AND DISASTER PREPAREDNESS EFFORTS IN THE REGION ARE OFTEN LED BY STAFF AT THE UNIVERSITY OF ARIZONA MEDICAL CENTER, WHO HAVE SPENT HUNDREDS OF HOURS PROVIDING PROFESSIONAL AND COMMUNITY WIDE EDUCATION. 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 THE UNIVERSITY OF ARIZONA PHYSICIANS 1501 N CAMPBELL AVENUE TUCSON AZ 85724 942958258 501(C)(3) 8076066 MISSION SUPPORT THE UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE 888 N EUCLID TUCSON AZ 85719 742652689 STATE OF ARIZONA 8693885 MISSION SUPPORT UNIVERSITY MEDICAL CENTER FOUNDATION 1501 N CAMPBELL AVENUE TUCSON AZ 85724 860572438 501(C)(3) 2295657 MISSION SUPPORT 3 NON-CASH 1577 65633 FMV PRESCRIPTION DRUGS FROM OUTPATIENT PHARMACY, RENT PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE MISSION OF THE UNIVERSITY OF ARIZONA MEDICAL CENTER INCLUDES SUPPORT OF LOCAL COMMUNITIES BY PARTICIPATING IN AND SPONSORING CHARITABLE AND SERVICE ORGANIZATIONS. OUR GRANT AND SPONSORSHIP COMMITTEE MEETS MONTHLY TO REVIEW GRANT REQUESTS AND DETERMINES THE HIGHEST AND BEST USE OF OUR GRANT FUNDS WITHIN OUR SERVICE AREAS AND LOCAL COMMUNITIES. THE UNIVERSITY OF ARIZONA MEDICAL CENTER PROMOTES INVESTING IN OUR COMMUNITY IN MULTIPLE WAYS, INCLUDING FINANCIAL CONTRIBUTIONS THROUGH GRANTS AND INVOLVING OUR EMPLOYEES IN SERVICE PROGRAMS AND ACTIVITIES. 0 1 0 0 0 0 0 0 0 DAVID LABINER 0 266774 0 31399 0 1317 0 20940 0 16288 0 336718 0 0 MIKE LEMOLE 0 406934 0 122597 0 615 0 17621 0 20349 0 568116 0 0 JODI MANSFIELD 0 510133 0 0 0 0 0 0 0 0 0 510133 0 0 KAREN MLAWSKY 493884 0 182145 0 3194 0 94304 0 13699 0 787226 0 0 0 TOM BOYER 0 458296 0 47150 0 4418 0 17223 0 19738 0 546825 0 0 MINDY FAIN 0 257018 0 914 0 2708 0 18033 0 16189 0 294862 0 0 MICHAEL R WALDRUM 0 0 298940 0 0 0 0 0 0 0 298940 0 0 0 MISTY D HANSEN 422465 0 151604 0 2422 0 83555 0 17590 0 677636 0 0 0 VICTORIA D BEGAN 237334 0 6560 0 63953 0 57639 0 13487 0 378973 0 0 0 RAFAEL A DIAZ 230750 0 48374 0 535 0 20296 0 2033 0 301988 0 0 0 JUDY A DYE 212283 0 6822 0 39305 0 13924 0 8963 0 281297 0 0 0 ERIC A BRODY 382005 0 0 0 930 0 27888 0 13135 0 423958 0 0 0 SAMIR Y DAHDAL 403042 0 0 0 423 0 19858 0 2042 0 425365 0 0 0 MICHAEL J DARRAGH 273688 0 67480 0 1135 0 19858 0 12645 0 374806 0 0 0 CATHY A GEISART 233173 0 49922 0 1410 0 20555 0 12001 0 317061 0 0 0 GERALD A WOLF 311563 0 0 0 6501 0 19996 0 4825 0 342885 0 0 0 PART I, LINE 3 THE ORGANIZATION RELIES ON ITS RELATED ORGANIZATION, THE UNIVERSITY OF ARIZONA HEALTH NETWORK, TO ESTABLISH THE CEO'S COMPENSATION AND USED THE FOLLLOWING METHODS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OF DIRECTORS. PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN AND/OR RECEIVED PAYMENTS FROM A NON-QUALIFIED RETIREMENT PLAN: KAREN MLAWSKY $74,446, MISTY D. HANSEN $63,698, VICTORIA D. BEGAN $98,742 AND JUDY A. DYE $34,383. A UNIVERSITY MEDICAL CENTER CORPORATION 860492210 914446AVI 2005-11-10 139802720 FINANCE CONSTRUCTION 0 0 0 B UNIVERSITY MEDICAL CENTER CORPORATION 860492210 914446AS8 2004-03-03 53188604 FINANCE CONSTRUCTION 0 0 0 C UNIVERSITY MEDICAL CENTER CORPORATION 860492210 914446BF5 2009-05-28 60172570 FINANCE CONSTRUCTION 0 0 0 D UNIVERSITY MEDICAL CENTER CORPORATION 860492210 914062DK7 2011-08-09 74228012 FINANCE CONSTRUCTION & REFUND PRIOR ISSUE 0 0 0 A 495000 139802720 11085750 1036763 127680207 2010 0 0 1 1 B 12080000 53188604 4294750 20992549 716470 27184835 2007 1 1 1 1 C 60172570 4187277 868287 55117006 2010 0 0 1 1 D 74228012 2427675 32679599 963609 38157130 2011 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 D 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 1 0 0 0 0 1 B 0 0 1 1 0 0 0 0 1 C 0 1 0 0 0 0 1 BAYERISCHE LANDESBANK 3.000000000000 1 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 SCHEDULE K PART IV, ARBITRAGE, LINE 2C DATE REBATE COMPUTATION PERFORMED ISSUER NAME: UNIVERSITY MEDICAL CENTER CORPORATION DATE THE REBATE COMPUTATION WAS PERFORMED: 05/27/2011 ISSUER NAME: UNIVERSITY MEDICAL CENTER CORPORATION DATE THE REBATE COMPUTATION WAS PERFORMED: 05/04/2009 X 24203 FAIR MARKET VALUE X 4 177445 FAIR MARKET VALUE 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE UNIVERSITY OF ARIZONA HEALTH NETWORK (UAHN) AND UNIVERSITY OF ARIZONA MEDICAL CENTER (UAMC), 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 UAMC OFFICERS, DIRECTORS, KEY EMPLOYEES OR HIGHEST COMPENSATED EMPLOYEES LISTED AT PART VII, SECTION A. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED TO PROVIDE THAT THE UNIVERSITY OF ARIZONA HEALTH NETWORK, AS SOLE CORPORATE MEMBER, RESERVES THE AUTHORITY TO APPROVE DECISIONS REGARDING THE FOLLOWING MATTERS: STRATEGIC PLAN, OPERATING AND CAPITAL BUDGETS, INSURANCE AND RISK MANAGEMENT, STAFFING, COMPENSATION, BENEFIT PLANS, AND ANY OTHER MATERIAL ACTION TAKEN OUTSIDE OF THE NORMAL COURSE OF BUSINESS. FORM 990, PART VI, SECTION A, LINE 6 THE UNIVERSITY OF ARIZONA HEALTH NETWORK IS THE SOLE MEMBER OF THE UNIVERSITY OF ARIZONA MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A THE UNIVERSITY OF ARIZONA HEALTH NETWORK, AS THE SOLE MEMBER OF THE UNIVERSITY OF ARIZONA MEDICAL CENTER, ELECTS THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE UNIVERSITY OF ARIZONA HEALTH NETWORK, AS THE SOLE MEMBER OF THE UNIVERSITY OF ARIZONA MEDICAL CENTER, RESERVES THE AUTHORITY TO APPROVE DECISIONS REGARDING THE FOLLOWING MATTERS: STRATEGIC PLAN, OPERATING AND CAPITAL BUDGETS, INSURANCE AND RISK MANAGEMENT, STAFFING, COMPENSATION, BENEFIT PLANS, AND ANY OTHER MATERIAL ACTION TAKEN OUTSIDE OF THE NORMAL COURSE OF BUSINESS. FORM 990, PART VI, SECTION B, LINE 11 THE UNIVERSITY OF ARIZONA MEDICAL CENTER'S FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER, CHIEF EXECUTIVE OFFICER, AND AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE 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 MEDICAL CENTER BOARD OF DIRECTORS HAS ADOPTED WRITTEN CONFLICT OF INTEREST POLICIES WHICH ESTABLISH PROCEDURES FOR THE IDENTIFICATION AND DISCLOSURE OF CONFLICTS OF INTEREST. UNDER THESE POLICIES, CONFLICTED DIRECTORS, OFFICERS AND EMPLOYEES ARE TO REFRAIN FROM PARTICIPATING IN ANY DECISION OR ACTION BY UAMC INVOLVING THE CONFLICT. DIRECTORS AND MEMBERS OF SENIOR MANAGEMENT OF UAMC ARE REQUIRED ANNUALLY TO REVIEW UAMC'S CONFLICT OF INTEREST POLICY AND COMPLETE AND SIGN A CONFLICT OF INTEREST QUESTIONNAIRE. FORM 990, PART VI, SECTION B, LINE 15 THE UNIVERSITY OF ARIZONA MEDICAL CENTER HIRES A THIRD PARTY CONSULTANT TO REVIEW COMPENSATION AND BENEFITS. IN ADDITION, THE UNIVERSITY OF ARIZONA MEDICAL CENTER COMPLETES A SURVEY COMPARING THE COMPENSATION PACKAGES TO SIMILAR ORGANIZATIONS. THE CHIEF EXECUTIVE OFFICER HAS A WRITTEN EMPLOYMENT CONTRACT THAT IS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE AND BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 POLICIES ARE POSTED ON THE UNIVERSITY OF ARIZONA MEDICAL CENTER'S INTRANET. GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. OTHER FEES FORM 990, PART IX, LINE 11G PROFESSIONAL MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 66,145,804. MANAGEMENT AND GENERAL EXPENSES 2,707,218. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,853,022. 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