2014-11-12T14:45:21-08:00 2013-12-31 990 2013-01-01 860137567 Tucson Medical Center TUCS 5203275461 5301 E Grant Road Tucson AZ 85712 Steve Bush CFO 2014-11-12 2013 2015-11-30 17:44:51Z 463901903 false false X www.tmcaz.com X 1943 AZ 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. 12 11 3777 489 73238 -272372 2713468 3172298 439984890 447596744 3960885 3114666 5676931 9094126 452336174 462977834 691682 3734189 0 194457984 198943195 0 0 245605693 244221152 440755359 446898536 11580815 16079298 384685491 410995563 225183813 230291095 159501678 180704468 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. false false 250101543 3734189 447726182 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.HEALING CHILDRENThey say laughter is the best medicine.So its no wonder 14-year-old Silvia was doing remarkably well as she recovered from major spine surgery she had at Tucson Medical Center. The Honduras native is described as the most energetic, outgoing person you will ever meet.She has an infectious giggle that fills the house of her host family a house that was her home for more than three months. Silvia suffered from a severe case of scoliosis and required a spinal fusion with a rod placement, but didnt have access to the treatment in Honduras. Her widowed mother, who sells bread for a living, didnt have the money or access to seek out the medical attention her daughter so desperately needed.Healing the Children is a nonprofit charitable organization that helps underserved children throughout the world secure urgently needed medical assistance they otherwise are unable to obtain. As part of the program, Silvia was flown to Arizona in October 2013 along with another little girl named Doris who underwent a similar surgery at a Phoenix area hospital. The girls bonded with their host family, the Shoemakers, for a few weeks before their operations.Leah and Dave Shoemaker both work full time in addition to raising their three young children, 9-year-old Aston, 4-year-old Bryton, and 2-year-old Caelyn. As you can imagine, it was a huge adjustment for all involved. The dynamics of the house changed instantly. When they first came into our house, it was unbelievably difficult. You want to do everything you can to make them feel welcome. But its amazing how quickly everyone adjusts, said Leah.Silvia lives with her 1-year-old niece and 3-year-old nephew in Honduras, so she was used to having little kids around, and was very helpful around the house. She was very eager to blend in with our family, said Leah. One little problem, however was the language barrier. Silvia speaks Spanish, and speaks very fast. Leah admits her Spanish is rusty at best. My Spanish has gotten better, and she has learned to speak slower, so were finally at a point where she finishes my sentences, she laughed. Silvia has become part of our family.Leading up to surgery day, Silvia was fearless and incredibly grateful, almost as if she was on a mission to get better. The face-to-face medical interpreter at TMC was absolutely amazing and made all the difference for Silvia. Everyone at TMC was extraordinarily welcoming. They did everything they could to make Silvia comfortable, and they treated me as her mom, said Leah.Silvia was in TMC for Childrens Pediatric Intensive Care Unit for five days following her surgery something that was tough to prepare her for. Despite telling her its going to hurt, youre going to be sick there really was no way to prepare her for that, said Leah.Silvia was fortunate to be under the care of Dr. Luis Piedrahita, a surgeon with Tucson Orthopaedic Institute. We are very fortunate to have one of the most advanced health care systems in the world, he said. The great majority of the world population has access only to basic medical care. Complex musculoskeletal problems are not treated and even ignored. Usually very complex surgeries like this one can only be performed here because of the limitations of instrumentation and lack of postoperative care. Bringing the patients here is the ideal thing to do, but requires a lot of non-medical work. I was very pleased with how Healing the Children was able to accomplish this efficiently, and I look forward to continuing to provide my support in any way I can.Anesthesiologist Dr. Luis Esparza from Old Pueblo Anesthesia was asked to participate since he speaks Spanish, and could therefore help her feel a little more comfortable so far from home. I had the opportunity to be involved in providing care for her that she could never have obtained at home. I think that we sometimes lose sight of the fact that what seems routine to us can have such a huge impact on others. Being involved in cases like hers helps to remind me of that. I was happy to be part of the team that cared for her.A bright future aheadThe experience led to the creation of some big goals for Silvia. She wants to learn English, move to America, become a nurse and be able to support her family back home. She knows that the one way to get there is through education.Silvia goes to school in Honduras, whereas most children do not. During the three short months she was here, she made it clear she wanted to go to school. The Shoemakers enrolled her in Emily Gray Junior High. She found a bilingual student who helped her quite a bit, said Leah. She has really embraced this experience and wants to see everything America has to offer. At night, Silvia would spend three to four hours figuring out her homework.Silvia headed back to Honduras in January, but not without leaving her mark in the States. We will keep in touch with her forever, said Leah. These kids become part of your family, and we will never forget them.HEALTHY LIVING CONNECTIONSGone are the days when older adults sit back and wait for dis-ease to take its toll in an inevitable journey of decline. Instead, one of the major health trends amongst older adults is proactively seeking community resources to help stay healthy and prevent or manage conditions. TMC launched Healthy Living Connections seven years ago and its wellness programs this past year to respond to the growing trend of healthy lifestyles. And what better partner for the community than Canyon Ranch Institute, a 501(c)3 non-profit public charity led by the wellness leaders who founded Canyon Ranch Institute.Last year, TMC and Canyon Ranch Institute teamed up to provide the Canyon Ranch Institute Life Enhancement Program to members of our community at no cost. The CRI Life Enhancement Program, also known as the CRI LEP, focuses on self-discovery, preventive care and positive lifestyle habits that enable the participants to experience a healthy transformation through personal empowerment and behavioral changes.The CRI LEP is a 12-week program delivered by a core team of TMC health professionals with expertise in behavioral health, integrative health, nutrition, physical activity and pharmacology. The program includes weekly classes as well as one-on-one appointments with members of the core team.At the core of the program is the philosophy that lasting change is not a one-size-fits-all proposition. It is very important for people 250101543 true false false true false false false false false false true false false false true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true false false false false true 339 0 true 3777 true true false false false false false false 0 false false false false false false false false false false X 12 11 true false false false true true true true true false false true true true true true true true true true true X Steve Bush 5203275461 5301 E Grant Road Tucson AZ 85712 J Manuel Arreguin MD Trustee 1.00 0.00 X 0 0 0 Henry Boice Trustee 1.00 0.00 X 0 0 0 Dr Jay A Katz MD Trustee 1.00 0.00 X 0 0 0 Susan L Ernsky Trustee 1.00 0.00 X 0 0 0 Louise L Francesconi Trustee/Chair 1.00 0.00 X 0 0 0 Eduardo A Leon Trustee 1.00 0.00 X 0 0 0 Michael R Probstfeld MD Trustee 1.00 0.00 X 0 0 0 Gay Tosch Trustee 1.00 0.00 X 0 0 0 Jon R Young Trustee 1.00 0.00 X 0 0 0 Michael W Bracht MD Trustee 1.00 0.00 X 0 0 0 David Cohen Trustee 1.00 0.00 X 0 0 0 Beckie Torrey Trustee 1.00 0.00 X 0 0 0 Judith Rich CEO 40.00 0.00 X X 810792 0 52455 Rick Alan Anderson Vice President 40.00 0.00 X 272388 0 25621 Timothy Alan Hartin CLO 40.00 0.00 X 248348 0 5963 John Friend Vice President 40.00 0.00 X 215732 0 29539 Stephen Bush CFO 40.00 0.00 X 418444 0 56673 Michael Duran Vice President 40.00 0.00 X 203724 0 38123 David Ronald Ressler Vice President 40.00 0.00 X 145010 0 9073 Frank Marini Vice President 40.00 0.00 X 352201 0 56461 Tracy Nuckolls Executive VP 40.00 0.00 X 193770 0 21703 Richard Prevallet Vice President 40.00 0.00 X 209305 0 30797 Julia Strange Vice President 40.00 0.00 X 171887 0 29474 Linda Wojtowicz Vice President 40.00 0.00 X 548766 0 41579 Elizabeth McCurdy Maish Vice President 40.00 0.00 X 185590 0 47451 Mark Joseph Helms Psychiatrist 40.00 0.00 X 267686 0 18104 Rainier J Diaz Psychiatrist 40.00 0.00 X 231130 0 29617 Muhammad Saeed Psychiatrist 40.00 0.00 X 210978 0 16832 Lawrence Lincoln Medical Director 40.00 0.00 X 191091 0 39791 Susan Snedaker Director 40.00 0.00 X 172997 0 19788 Jason Krupp Vice President 0.00 0.00 X 186055 0 446 5235894 569490 148 true true false Old Pueblo Anesthesia 2810 N Swan Road Suite 100 Tucson AZ 85712 Medical Services 2946963 TOI 2424 E Wyatt Drive Tucson AZ 85712 Medical Services 2086975 OBSTETRIX MEDICAL GROUP OF ARIZONA PC PO BOX 281034 Atlanta GA 303841034 Medical Services 1124500 TMC Cardiac & Cardiothoracic Surgery Mgmt 5301 E Grant Road Tucson AZ 85712 Medical Services 1086166 Neurological Associates of Tucson 2450 E River Road Tucson AZ 85718 Medical Services 1080315 46 3095131 77167 3172298 Meaningful Use Revenue 900099 3116448 3116448 Net Patient Services 900099 444480296 444480296 447596744 3114666 129438 2985228 0 0 3267692 924069 2343623 2343623 2343623 0 0 0 0 Food Service 722210 2368195 2368195 Misc Revenue 900099 1132188 1132188 Pharmacy 446110 3157049 3157049 93071 73238 19833 6750503 462977834 447726182 73238 12006116 3734189 3734189 0 0 0 4420869 4420869 0 165281346 113139434 52141912 0 17261959 2072 17259887 11979021 11979021 5721167 695925 5025242 1068188 29505 1038683 2837749 2837749 47000 47000 0 0 30188632 6461894 23726738 2553179 62375 2490804 6900896 589434 6311462 7279589 431435 6848154 0 20910475 5388711 15521764 513914 156522 357392 0 1124688 133483 991205 3724506 3724506 0 26893990 672795 26221195 8010839 8010839 Medical Supplies 97455051 94509949 2945102 Bad Debt 24057510 24057510 Allow for IP Receivable 4392253 4392253 Postage and Shipping 266912 6688 260224 274614 29622 244992 446898536 250101543 196796993 0 26342726 16679375 48464847 5078119 0 50959475 52791908 0 0 1200000 13804967 15367909 5452846 12674200 512032118 271906873 215651600 240125245 15695473 58338723 0 0 0 8313557 8740084 384685491 410995563 62176330 48902540 89263612 114599715 62361237 55963360 11382634 10825480 225183813 230291095 X 159501678 180704468 159501678 180704468 384685491 410995563 X 16079298 4679536 314518 129438 X false true X true false X false false false false false false false false false false true 128008 128008 false false Part II-B, Line 1i - Other Activities Description Membership in Arizona Hospital Association - a portion of the dues are designated as lobbyingRetainers paid to Lewis & Rocca for lobbying.Fees paid to Burns and Associates, Inc for lobbyingPayment to Arizona Business Coalition on HealthIRC 501 donation to UA Friends for Arizona's Future 27224425 27224425 203218122 78263269 124954853 6043505 6043505 275546066 193643604 81902462 240125245 Asbestos Retirement Obligations 2751631 Cost Report Reserves 3163911 Due to Affiliates 1083000 Due to Broker 10795 Interest Rate Swap Agreement 2183445 Lease obligation EDH 1690718 Refundable Security Deposit -58020 10825480 X Part X : FIN48 Footnote 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 2013 or 2012. Certain taxable corporations have net operating loss carryforwards. At December 31, 2013 and 2012, 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, 2013 and 2012. 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 2010. true true true X true X true true false false true true 21220326 21220326 0.04750 27617082 27617082 0.06180 48837408 48837408 0.10930 2786562 2786562 0.00620 179468 179468 0.00040 90257 90257 0.00020 3056287 3056287 0.00680 51893695 51893695 0.11610 435599 435599 0.00100 516304 516304 0.00120 951903 951903 0.00220 true 24057510 471010 106779324 61574551 45204773 X true true TMC Cardiac & Cardiothoraci Management of Cardiac Svcs 0.29630 0.70370 TMC Neuroscience Mgmt LLC Manage Neuro Svcs 0.32500 0.67500 1 1 Tucson Medical Center 5301 E Grant Road Tucson AZ 85712 X X X X X Acute, Psychatric Hospital, Hospice true X X X X X X X X X 12 true true true X https://www.tmcaz.com/TMCHealthcare/CHNA X X X X X X X X X false false false true true 100.0000 true 400.0000 true X X X X X X true true X X X X true true X X X X true X false false Part V, Line 3 - Account Input from Person 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 4 - 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 7 - 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 17e - Other Collection Actions by Facility or Third Party Engaged Hospital Leins arising out of accidents (insurance) under state law. Part V, Line 20d - Other Billing Determination of Individuals Without Insurance Patients determined to be FAP eligable or otherwise self pay recieve a 50% discount and may qualify for additional assistance. 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. 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 Welfare to Work and At Risk Youth programs. We hope to help people to qualify for work so that they can afford to maintain a heathier lifestyle and possibly recieve employee sponsored medical insurance. 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, a psychatric hospital and hospice services. 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. true American Cancer Society 1636 N Swan Road Tucson AZ 85712 131788491 102000 0 Cancer research and prevention American Heart Association 2601 n Campbell Ave 204 Tucson AZ 85719 135613797 87500 0 Heart Disease Research ARA Pharseghian Med Research 4729 E Sunrise Dr 327 Tucson AZ 85718 860775966 12500 0 Medical Research ASU Foundation 300 E University Drive Tempe AZ 85281 866051042 5150 0 Community Education Boys & Girls Club PO Box 40217 Tucson AZ 85717 860172257 6950 0 Children's Health Casa de los Ninos Inc 1101 N 4th Ave Tucson AZ 85705 860314595 10250 0 Childrens shelter City of Tucson 225 W Alemeda Tucson AZ 85701 15000 0 Tucson Moves a Million Miles Diaper Bank of Southern AZ 4500 E Speedway 75 Tucson AZ 85712 431990345 13500 0 Senior Services El Rio Foundation 839 W Congress St Tucson AZ 85745 860816675 7700 0 Support El Rio Health Center Juvenile Diabetes Research Fdn 4560 E Broadway Suite 214 Tucson AZ 85711 231907729 11500 0 Diabetes Research Pima Council on Aging 8467 E Broadway Blvd Tucson AZ 85710 860251768 7800 0 Sponsor of Community Education Pima County Medical Society 5199 E Farness Dr Tucson AZ 85712 860125897 501(c)(6) 7500 0 Community Health Ronald McDonald House 3838 N Campbell Ave 6 Tucson AZ 85719 953526934 7500 0 Housing assistance S AZ Leadership Council 3497 N Campbell Ave 703 Tucson AZ 85719 860879845 501(c)(6) 10000 0 Community Benefit Supporting Academic Trauma Fd 6266 N Desert Moon Loop Tucson AZ 85712 461563127 10000 0 SW Regional Trauma Conference Tucson Childrens Museum PO BOX 2609 Tucson AZ 85702 860676237 25000 0 Health related exhibit Tucson Festival of Books 5633 E Grant Road Tucson AZ 85712 262145432 25000 0 Literacy Tucson Metropolitan Chamber of Commerce Tucson AZ 85712 860062660 501(c)(6) 8000 0 State of Ecucation Health Services Tucson Nurses Week Foundation PO Box 65085 Tucson AZ 85728 860771880 25000 0 Promote Nursing Careers Tucson Values Teachers 3497 N Campbell Ave 703 Tucson AZ 85719 264637708 6500 0 Education United Way PO Box 86750 Tucson AZ 85754 860098932 15000 0 Community support University of AZ Foundation 111 North Cherry Ave Tucson AZ 85721 742652689 10000 0 Community Health YMCA of Southern AZ PO Box 1111 Tucson AZ 85702 860101237 15000 0 Children's water safety YWCA of Tucson 738 N 5th Ave Suite 110 Tucson AZ 85705 860098937 10000 0 Sponsorship 19 5 Grantmaker's Description of How Grants are Used Members of the executive team determine which community grants will be issued from TMC. X true true X X X X X X true true false false false false false true false false David Ronald Ressler Vice President 145010 9073 154083 Elizabeth McCurdy Maish Vice President 185590 32811 14640 233041 Frank Marini Vice President 276883 48072 27246 31282 25179 408662 Jason Krupp Vice President 186055 446 186501 John Friend Vice President 175732 40000 7000 22539 245271 Judith Rich CEO 559380 144210 107202 35000 17455 863247 Julia Strange Vice President 146161 25726 14568 14906 201361 Lawrence Lincoln Medical Director 191091 23000 16791 230882 Linda Wojtowicz Vice President 307826 64420 176520 35000 6579 590345 Mark Joseph Helms Psychiatrist 267686 18104 285790 Michael Duran Vice President 158410 28502 16812 17500 20623 241847 Muhammad Saeed Psychiatrist 210978 16832 227810 Rainier J Diaz Psychiatrist 231130 8498 21119 260747 Richard Prevallet Vice President 182537 26768 9013 21784 240102 Rick Alan Anderson Vice President 272388 13143 12478 298009 Stephen Bush CFO 344344 74100 39110 17563 475117 Susan Snedaker Director 172997 5224 14564 192785 Timothy Alan Hartin CLO 248348 5963 254311 Tracy Nuckolls Executive VP 131066 62704 10657 11046 215473 Part I, Line 1a: Relevant information in regards to selections on 1a. First class travel is available to trustees on extended flights. Part I, Line 7: Non-Fixed payments not listed above If certain quality and/or budget metrics are met a bonus payment is made. Goals are established annually by approval of the compensation committee and the Board of Directors. Payment is also approved by the compensation committee. A Ind Devel Auth of Pima Co 860445981 2010-12-16 114370800 Campus Development false false false A 114599715 1318696 114599715 true false true true A false false false false true A true false false false false false true A true Part VI Part II Proceeds6) There was no escrow because everything was paid off at closing.12) These are draw down bonds. J Manuel Arreguin Trustee 36000 Chief of Staff Elect false Michael Bracht Trustee 2946963 Anesthesia svc agree false Henry Boice Trustee 141021 Banking Services false David Cohen Trustee 6570 Tax Return Prep ptnr false Michael Probstfeld Trustee 67000 Chief of Staff false Schedule L, Part V Supplemental Information 1) Trustee receives payments for professional services rendered to organization2) Trustee is a minority owner of an anesthesia group which does business with the organization. 3) Trustee is employed by bank which handles most TMC investments4) Trustee is a partner in a CPA firm in which another partner prepares tax returns for related joint ventures.5) Trustee receives payments for professional services rendered to organization Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Michael Bracht has ownership in an anesthesia group which has a business relationship with the company.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).Michael Probstfeld 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 Decreases TMC Cardiac and Cardiothoracic Surgery K-1 = -$3916 Other Changes In Net Assets Or Fund Balances - Other Increases TMC Neuroscience Mgmt K-1 = $133354 Tucson Musculo Skeletal 5301 E Grant Road Tucson AZ 85712 800032117 Oupatient Surgery AZ Tucson Medical Center 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 TMC Cardiac & Cardiothoracic Surgery 5301 E Grant Road Tucson AZ 85712 270766398 Service Line Mgmt AZ Tucson Medical Cente -3916 81638 false true 0.29629 TMC Neuroscience Mgmt LLC 5301 E Grant Road Tucson AZ 85712 273027087 Service Line Management AZ Tucson Medical Cente 133354 99754 false true 0.32500 Arizona Connected Care LLC 5301 E Grant Road Tucson AZ 85712 Accountable Care Org AZ TMC HealthCare false false 0.20000 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 Hospital - not yet open AZ N/A c false false false true false false false false false false false true false false false true false false false false TMC Foundation c 2786984 GAAP TMC Foundation o 497867 GAAP TMC Holdings Inc k 1951215 GAAP Tucson Medical Center Auxiliary o 126559 GAAP