BANNER-UNIVERSITY MEDICAL GROUP: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BANNER-UNIVERSITY MEDICAL GROUP (EIN 94-2958258)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-13
IRS object ID
201321339349304092
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-13T16:47:27-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN860683059EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BEACHFLEISCHMAN PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 64130AddressLine1
CityTUCSONCity
StateAZState
ZIP Code857284130ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN942958258EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY PHYSICIANS HEALTHCAREBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUNIVNameControl
Phone5206942700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11501 N CAMPBELL AVENUEAddressLine1
CityTUCSONCity
StateAZState
ZIP Code85724ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMISTY D HANSENName
TitleCHIEF FINANCIAL OFFICERTitle
Phone5206942700Phone
Date Signed2013-05-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKELLY L MELTZER CPAName
PTINP00633511PTIN
Phone5203214600Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1THE UNIVERSITY OF ARIZONA PHYSICIANSBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAEL R WALDRUM MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11501 N CAMPBELL AVENUEAddressLine1
CityTUCSONCity
StateAZState
ZIP Code85724ZIPCode
FieldValueIRS element (for citing)
Gross Receipts590986498GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.UAHEALTH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileAZStateLegalDomicile
Activity Or Mission DescriptionADVANCING HEALTH AND WELLNESS THROUGH EDUCATION, RESEARCH AND PATIENT CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees3276TotalNbrEmployees
Total Nbr Volunteers118TotalNbrVolunteers
Total Gross UBI1572507TotalGrossUBI
Net Unrelated Business Txbl Income-246911NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year12163133ContributionsGrantsPriorYear
Contributions Grants Current Year9085900ContributionsGrantsCurrentYear
Program Service Revenue Prior Year581664978ProgramServiceRevenuePriorYear
Program Service Revenue CY581450041ProgramServiceRevenueCY
Investment Income Prior Year21894InvestmentIncomePriorYear
Investment Income Current Year-19722InvestmentIncomeCurrentYear
Other Revenue Prior Year387495OtherRevenuePriorYear
Other Revenue Current Year401726OtherRevenueCurrentYear
Total Revenue Prior Year594237500TotalRevenuePriorYear
Total Revenue Current Year590917945TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year11932102GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY8495923GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year221099969SalariesEtcPriorYear
Salaries Etc Current Year225002387SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year364279019OtherExpensePriorYear
Other Expenses Current Year357523310OtherExpensesCurrentYear
Total Expenses Prior Year597311090TotalExpensesPriorYear
Total Expenses Current Year591021620TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3073590RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-103675RevenuesLessExpensesCY
Total Assets BOY182576174TotalAssetsBOY
Total Assets EOY180122021TotalAssetsEOY
Total Liabilities BOY126366357TotalLiabilitiesBOY
Total Liabilities EOY124015879TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY56209817NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY56106142NetAssetsOrFundBalancesEOY
Mission DescriptionADVANCING HEALTH AND WELLNESS THROUGH EDUCATION, RESEARCH, AND PATIENT CARE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense277074180Expense
Revenue288676503Revenue
DescriptionUNIVERSITY 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).Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense120020797Expense
Grants38389Grants
Revenue131606650Revenue
DescriptionUNIVERSITY 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.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense145200494Expense
Grants8340460Grants
Revenue159594381Revenue
DescriptionTHE 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.Description
FieldValueIRS element (for citing)
Total Program Service Expense542295471TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10962190NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees3276NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DONELLA FONESBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5206942700TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11501 N CAMPBELL AVENUEAddressLine1
CityTUCSONCity
StateAZState
ZIP Code85724ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
MARC BERG MD
DIRECTOR1.00X57826718553040
LYLE BOOTMAN
DIRECTOR1.00X029116681882
THOMAS BOYER MD
DIRECTOR1.00X441846188981350
LAURA EBERLY
DIRECTOR1.00X000
FAYEZ GHISHAN MD
DIRECTOR1.00X10680063653597960
RAINER GRUESSNER MD
DIRECTOR1.00X131776617064037
EDMUND L JENKINS
DIRECTOR1.00X000
DAVID LABINER MD
DIRECTOR1.00X131734590387996
STEVE LYNN
DIRECTOR1.00X000
STEVE GOLDSCHMID MD
CHAIRMAN1.00X239751017693062X
BARBARA PECK
VICE CHAIRMAN1.00X000X
KEVIN J BURNS
INTERIM PRESIDENT & CEO1.00X0188045626542X
HENRY E WELLS
INTERIM PRESIDENT & CEO1.00X24517100X
JODI MANSFIELD
INTERIM PRESIDENT & CEO1.00X25783000X
KAREN MLAWSKY
INTERIM CO-PRESIDENT & CEO1.00X065304172640X
KATHRYN REED MD
SECRETARY1.00X360239147388600X
MISTY D HANSEN
CHIEF FINANCIAL OFFICER1.00059512691107X
KATHLEEN A OESTREICH
CHIEF EXECUTIVE OFFICER40.0062826302705X
JAMES V STOVER
CHIEF ADMINISTRATIVE OFFICER40.00274719019603X
THOMAS M BALL MD
CHIEF MEDICAL OFFICER40.00324524030241X
THOMAS R CHEEK
MEDICAL DIRECTOR40.0022736906571X
SUSAN H WILLIS
CHIEF OPERATIONS OFFICER40.00195324022831X
JUANITA SIMMONS
CHIEF OPERATIONS OFFICER40.00158618010968X
SARAH E FROST
HOSPITAL ADMINISTRATOR40.00179807012305X
JODY L BUTERA
CHIEF FINANCIAL OFFICER40.00261716020204X
SETH M DUBRY
MEDICAL DIRECTOR40.00276959015194X
CHRISTEN A CASTELLANO
DEPARTMENT ADMINISTRATOR40.00213004018273X
GERALD T MIRON
CHIEF OPERATIONS OFFICER40.00361226036176X
HOSSAI SHAH
PHYSICIANS ASSISTANT40.00211465018612X
JEAN M TKACHYK
FORMER CFO0.0064880402235X
THERESA G LEBARRON
FORMER VP PLANNING & INTEGRATION0.0023360301542X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4818831TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs6799120TotalReportableCompFrmRltdOrgs
Total Other Compensation1055676TotalOtherCompensation
Number Individuals GT100 K73NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HURON HEALTHCARE
3005 MOMENTUM PLACECHICAGOIL60689CONSULTING5189714
ALVAREZ & MARSAL HEALTHCARE
600 LEXINGTON AVENUENEW YORKNY10022CONSULTING2515800
OPTUMINSIGHT
PO BOX 88050CHICAGOIL60680CONSULTING2382159
SPM MARKETING & COMMUNICATION
15 W HARRIS SUITE 300LA GRANGEIL60525CONSULTING1458754
MORRISON MANAGEMENT SPECIAL
PO BOX 102289ATLANTAGA30368FOOD SERVICE1187897
FieldValueIRS element (for citing)
Number Of Contractors GT100 K137NumberOfContractorsGT100K
Related Organizations9085680RelatedOrganizations
All Other Contributions220AllOtherContributions
Total Contributions9085900TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
CAPITATION & CONTRACT621111356453992356453992
NET PATIENT SERVICE6211112249960492234235421572507
FieldValueIRS element (for citing)
Total Program Service Revenue581450041TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column48831TotalRevenueColumn
Exclusion$48,831ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real401726Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real401726Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column401726TotalRevenueColumn
Exclusion$401,726ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other68553Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-68553Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-68553TotalRevenueColumn
Exclusion-$68,553ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column590917945TotalRevenueColumn
Related Or Exempt Function Income579877534RelatedOrExemptFunctionIncome
Unrelated Business Revenue1572507UnrelatedBusinessRevenue
Exclusion$382,004ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total8495923Total
Program Services8495923ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5197330Total
Program Services5197330ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total185495511Total
Program Services185495511ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1819875Total
Program Services1819875ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total26237177Total
Program Services26237177ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6252494Total
Program Services6252494ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total4832608Total
Program Services4832608ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total71190Total
Program Services71190ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total55706084Total
Program Services23817728ProgramServices
Management And General31888356ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2510891Total
Program Services443353ProgramServices
Management And General2067538ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5410198Total
Program Services2183280ProgramServices
Management And General3226918ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3947034Total
Program Services1585625ProgramServices
Management And General2361409ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6698485Total
Program Services6304613ProgramServices
Management And General393872ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total2212110Total
Program Services1975030ProgramServices
Management And General237080ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total242191Total
Program Services206445ProgramServices
Management And General35746ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total954040Total
Program Services742887ProgramServices
Management And General211153ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8887211Total
Program Services1554864ProgramServices
Management And General7332347ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total8103238Total
Program Services8103238ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL CLAIMS FOR HEAL228858027228858027
MEDICAL SUPPLIES2521320025213200
OTHER32151192905073310046
SUPPLIES661684661684

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total591021620Total
Program Services542295471ProgramServices
Management And General48726149ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY13257065BOY
EOY25071992EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY40487472BOY
EOY5003381EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY54887216BOY
EOY52562931EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3021296BOY
EOY3326586EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7085112BOY
EOY23617796EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis107618007LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec58747813LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY50070528BOY
EOY48870194EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1792886BOY
EOY3605420EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11974599BOY
EOY18063721EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY182576174BOY
EOY180122021EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY62289429BOY
EOY53025222EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY14530329BOY
EOY11968116EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY12282879BOY
EOY14916091EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY37263720BOY
EOY44106450EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY126366357BOY
EOY124015879EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY56209817BOY
EOY56106142EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY56209817BOY
EOY56106142EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY182576174BOY
EOY180122021EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-103675ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2705040OtherCostOrOtherBasis
Book Value2705040BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis21705100OtherCostOrOtherBasis
Depreciation8814364Depreciation
Book Value12890736BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis11350985OtherCostOrOtherBasis
Depreciation3919952Depreciation
Book Value7431033BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis71702008OtherCostOrOtherBasis
Depreciation45901697Depreciation
Book Value25800311BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis154874OtherCostOrOtherBasis
Depreciation111800Depreciation
Book Value43074BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings48870194TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM UNIVERSITY OF ARIZONA MEDICAL CENTER16208358
OTHER LONG-TERM ASSETS1855363
FieldValueIRS element (for citing)
Total Book Value Other Assets18063721TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
DUE TO COLLEGE OF MEDICINE DEAN FUND$532,201
ACCRUED MEDICAL CLAIMS$25,169,319
DUE TO THE UNIVERSITY OF ARIZONA HEALTH NETWORK$8,013,495
DUE TO UNIVERSITY OF ARIZONA MEDICAL CENTER$511,311
OTHER LIABILITIES$4,989,162
DUE TO CADUCEUS INDEMNITY INSURANCE CORPORATION$4,890,962
FieldValueIRS element (for citing)
Total Of Amounts44106450TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care0AmountsBudgetedForCharityCare
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense25673529TotalCommunityBenefitExpense
Direct Offsetting Revenue19053207DirectOffsettingRevenue
Net Community Benefit Expense6620322NetCommunityBenefitExpense
Percent Of Total Expense0.01120PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense79782116TotalCommunityBenefitExpense
Direct Offsetting Revenue69582606DirectOffsettingRevenue
Net Community Benefit Expense10199510NetCommunityBenefitExpense
Percent Of Total Expense0.01730PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense105455645TotalCommunityBenefitExpense
Direct Offsetting Revenue88635813DirectOffsettingRevenue
Net Community Benefit Expense16819832NetCommunityBenefitExpense
Percent Of Total Expense0.02850PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense11702389TotalCommunityBenefitExpense
Direct Offsetting Revenue4624462DirectOffsettingRevenue
Net Community Benefit Expense7077927NetCommunityBenefitExpense
Percent Of Total Expense0.01200PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense7359402TotalCommunityBenefitExpense
Direct Offsetting Revenue3050469DirectOffsettingRevenue
Net Community Benefit Expense4308933NetCommunityBenefitExpense
Percent Of Total Expense0.00730PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense8495926TotalCommunityBenefitExpense
Net Community Benefit Expense8495926NetCommunityBenefitExpense
Percent Of Total Expense0.01440PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense27557717TotalCommunityBenefitExpense
Direct Offsetting Revenue7674931DirectOffsettingRevenue
Net Community Benefit Expense19882786NetCommunityBenefitExpense
Percent Of Total Expense0.03370PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense133013362TotalCommunityBenefitExpense
Direct Offsetting Revenue96310744DirectOffsettingRevenue
Net Community Benefit Expense36702618NetCommunityBenefitExpense
Percent Of Total Expense0.06220PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$51,847,313BadDebtExpenseAmount
Amount Reimbursed By Medicare19579379AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare16199714CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall3379665MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line11 UM LEASING LLCBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityLEASINGDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.50000OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership0.00000OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership0.00000PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1U OF A MEDICAL CENTER-SOUTH CAMPUSBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12800 E AJO WAYAddressLine1
CityTUCSONCity
StateAZState
ZIP Code85713ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1U OF A MEDICAL CENTER SOUTH CAMPUSBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent200.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities5NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
U OF A MEDICAL CENTER-SPORTS CLINIC
2800 E AJO WAY SUITES 100-105TUCSONAZ85713CLINIC
U OF A MEDICAL CENTER-ALVERNON CLINIC
750 N ALVERNON WAYTUCSONAZ85711AMBULATORY SURGERY CENTER
U OF A MEDICAL CENTER-WILMOT CLINIC
535 N WILMOT SUITE 101TUCSONAZ85711CLINIC
U OF A MEDICAL CENTER-PSYCHIATRIC CLINIC
2800 E AJO WAY SUITE 300TUCSONAZ85713CLINIC
U OF A MEDICAL CENTER-ALVERNON CLINIC
707 N ALVERNON WAY SUITE 101TUCSONAZ85711CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

ExplanationExplanationIdentifierIdentifier
PART I, LINE 7: THE ESTIMATED NET COSTS, IN EXCESS OF REIMBURSEMENT IS DETERMINED USING A COST OF CHARGE RATIO.
PART II: THE UNIVERSITY OF ARIZONA MEDICAL CENTER IS COMMITTED TO THE COMMUNITY IT SERVES AS WELL AS THE PROMOTION OF PUBLIC HEALTH. THE UNIVERSITY OF ARIZONA MEDICAL CENTER SUPPORTS MANY LOCAL CHARITABLE ORGANIZATIONS, INCLUDING TUCSON FESTIVAL OF BOOKS, AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, JUVENILE DIABETES RESEARCH FOUNDATION AND OTHERS NOT ONLY WITH FINANCIAL CONTRIBUTIONS BUT WITH HOSPITAL VOLUNTEERS AS WELL. IN NOVEMBER OF 2011 THE ORGANIZATION SPONSORED THE 29TH ANNUAL EL TOUR DE TUCSON, A 109 MILE BIKE RIDE AND IMPORTANT TUCSON COMMUNITY EVENT PROMOTING HEALTH AND WELLNESS. IN ADDITION, THE UNIVERSITY OF ARIZONA MEDICAL CENTER PARTICIPATES IN A VARIETY OF HEALTH FAIRS, PROVIDING FREE SCREENINGS, SUCH AS BLOOD PRESSURE CHECKS, AS WELL AS CPR INSTRUCTION.
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 $266,988,000 AND $211,907,000 AS OF JUNE 30, 2012 AND 2011, 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 UNINSURED DISCOUNT PROGRAM AND IDENTIFY IF PATIENTS ARE ELIGIBLE FOR THESE PROGRAMS.
PART III, LINE 8: THE MEDICARE ALLOWABLE COSTS 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.
PART V, SECTION B, LINE 19D: FOR HOSPITAL SERVICES THAT DO NOT HAVE MEDICARE RATES, PATIENTS PAY 35% OF FULL BILLED CHARGES FOR HOSPITAL SERVICES AND 50% OF FULL BILLED CHARGES FOR PHYSICIAN SERVICES.U OF A MEDICAL CENTER SOUTH CAMPUS
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 SOUTH CAMPUS 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. 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 IS AN ACUTE CARE AND PSYCHIATRIC HOSPITAL THAT PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES. 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. CONSISTENT WITH ITS NONPROFIT STATUS, THE UNIVERSITY OF ARIZONA MEDICAL CENTER SOUTH CAMPUS USES SURPLUS REVENUES TO REINVEST IN FACILITIES, TECHNOLOGY, AND MEDICAL SERVICES FOR THE COMMUNITY.
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, SOME 40 CLINICS, A HEALTH PLAN DIVISION AND THE PRACTICE PLAN FOR PHYSICIANS FROM THE UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE. IT'S BEEN NATIONALLY RECOGNIZED FOR PROVIDING EXCEPTIONAL PATIENT CARE, TEACHING NEW HEALTH CARE 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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantIRC SectionIRCSection
UNIVERSITY OF ARIZONA
888 N EUCLIDTUCSONAZ857197426526898364476MEDICAL EDUCATION, RESEARCH
UNIVERSITY MEDICAL CENTER FOUNDATION
1501 N CAMPBELL AVENUETUCSONAZ85724860572438117074MEDICAL EDUCATION AND RESEARCH501(C)(3)
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (27 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARC BERG MD
017925508793057800361281326936431384730695600
LYLE BOOTMAN
02911660000063700018182037304800
THOMAS BOYER MD
0430316031573441800603591434866431876652889100
FAYEZ GHISHAN MD
10238247395701625784418074812083541479418996665132900
RAINER GRUESSNER MD
06763220898481317003692616630104811794781357700
DAVID LABINER MD
02653940704411317100680698771339347261471042050600
STEVE GOLDSCHMID MD
051017600239700712151434874991674558889000
KEVIN J BURNS
0310302028620901283945019487070550190699800
HENRY E WELLS
245171000000000245171000
JODI MANSFIELD
257830000000000257830000
KAREN MLAWSKY
038867002614480292306309509545072568100
KATHRYN REED MD
02973660941073602007692558855790948747418800
MISTY D HANSEN
0395981019679602349075461015646068623300
KATHLEEN A OESTREICH
533650005748980176009450630968000
JAMES V STOVER
2037460707910182013017065860294322000
THOMAS M BALL MD
254422068602015000182140120270354765000
THOMAS R CHEEK
200819026250030000065710233940000
SUSAN H WILLIS
17147502362402250124820103490218155000
JUANITA SIMMONS
826750007594305809051590169586000
SARAH E FROST
1594560202510100011177011280192112000
JODY L BUTERA
1914630699970256013513066910281920000
SETH M DUBRY
243058033558034309127060670292153000
CHRISTEN A CASTELLANO
1807550320240225012627056460231277000
GERALD T MIRON
274598000866280236710125050397402000
HOSSAI SHAH
973420114075048070300115820230077000
JEAN M TKACHYK
6812800058067600022350651039000
THERESA G LEBARRON
6421202432301450680322012200235145000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINES 4A-BTHE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN ACCORDANCE WITH THE EMPLOYMENT CONTRACT: JEAN M. TKACHYK $580,457, KATHLEEN A. OESTREICH $574,800, GERALD T. MIRON $85,000, JUANITA M. SIMMONS $75,803, THERESA G. LEBARRON $145,037, AND KEVIN J. BURNS $1,281,641. THE FOLLOWING PEOPLE PARTICIPATED IN OR RECEIVED PAYMENTS FROM A NON-QUALIFIED RETIREMENT PLAN: KEVIN J. BURNS $286,209, KAREN MLAWSKY $128,041 AND MISTY D. HANSEN $52,050.
PART I, LINE 6THE 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.
PART IIIPART 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 OR COMPENSATION COMMITTEE.SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF SOUTH TUCSON ARIZONA
8660002672004-12-159900000FINANCE MEDICAL EQUIPMENT000
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF SOUTH TUCSON ARIZONA
8660002672005-12-216750000FINANCE MEDICAL EQUIPMENT000
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF SOUTH TUCSON ARIZONA
8660002672006-09-2010000000FINANCE MEDICAL EQUIPMENT000
THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF SOUTH TUCSON ARIZONA
8660002672004-12-153250000FINANCE MEDICAL EQUIPMENT010

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
990000076745982325520060011
675000078637667136320060011
1000000062098993790220070011
325000037863321213720060011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00001
00001
00001
00001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
010000
000000
000001

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 6UNIVERSITY 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 7AMEMBERS 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 7BTHE 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 11THE 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 12CTHE 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 15THE 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 19POLICIES ARE POSTED ON THE UNIVERSITY OF ARIZONA PHYSICIAN'S INTRANET. GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
THE UNIVERSITY OF ARIZONA HEALTH PLANS-UNIVERSITY CARE ADVANTAGE LLC
2701 E ELVIRA RDTUCSONAZ85756208406187HEALTHCAREAZ3858948713153781UNIVERSITY PHYSICIANS HEALTHCARE
THE UNIVERSITY OF ARIZONA HEALTH PLANS-UNIVERSITY FAMILY CARE LLC
2701 E ELVIRA RDTUCSONAZ85756263153084HEALTHCAREAZ22035980850931043UNIVERSITY PHYSICIANS HEALTHCARE

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Exempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatus
ARIZONA BOARD OF REGENTS
2020 N CENTRAL AVENUEPHOENIXAZ85004866004791GOVERNING BOARD OF ARIZONA'S PUBLIC UNIVERSITIESAZN/A0
THE UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
888 N EUCLIDTUCSONAZ85719742652689PUBLIC UNIVERSITYAZ0ARIZONA BOARD OF REGENTS
THE UNIVERSITY OF ARIZONA HEALTH NETWORK INC
1501 N CAMPBELL AVENUETUCSONAZ85724272936985ENHANCE RELATIONSHIP BETWEEN UAMCC AND UAPAZ0ARIZONA BOARD OF REGENTS501(C)(3)LINE 11B, II
UNIVERSITY MEDICAL CENTER CORPORATION
1501 N CAMPBELL AVENUETUCSONAZ85724860492210HEALTHCAREAZ0THE UNIVERSITY OF ARIZONA HEALTH NETWORK501(C)(3)LINE 3
UNIVERSITY MEDICAL CENTER FOUNDATION
1501 N CAMPBELL AVENUETUCSONAZ85724860572438FUNDRAISINGAZ0UNIVERSITY MEDICAL CENTER CORPORATION501(C)(3)LINE 11A, I
UNIVERSITY PHYSICIANS HEALTHCARE FOUNDATION
2701 E ELVIRA ROADTUCSONAZ85756202826747FUNDRAISINGAZ1UNIVERSITY PHYSICIANS HEALTHCARE501(C)(3)LINE 11A, I
DEVICE PRESERVATION INC
1501 N CAMPBELL AVENUETUCSONAZ85724860687598SUPPORTAZ0UNIVERSITY MEDICAL CENTER CORPORATION501(C)(3)LINE 11A, I
CADUCEUS INDEMNITY INSURANCE CORPORATION LTD
745 FORT STREET SUITE 1100HONOLULUHI96813990343363CAPTIVE INSURANCEHI1UNIVERSITY PHYSICIANS HEALTHCARE501(C)(3)LINE 11A, I

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1UM LEASING LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14291 N CAMPBELL AVENUEAddressLine1
CityTUCSONCity
StateAZState
ZIP Code85724ZIPCode
FieldValueIRS element (for citing)
EIN203400643EIN
Primary ActivityLEASINGPrimaryActivity
Legal Domicile StateAZLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1UPH AND UMCBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income298071ShareOfTotalIncome
Share Of EOY Assets1762938ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner1GeneralOrManagingPartner
Percentage Ownership0.50000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeLegal Domicile StateLegalDomicileState
UMCC INSURANCE FUNDING LIMITED
PO BOX 1051 GEORGETOWNGRAND CAYMAN KY1-1102CJ980116943CAPTIVE INSURANCECJN/AC
THE UNIVERSITY OF ARIZONA HEALTH PLANS-UNIVERSITY HEALTHCARE INC
454370907HEALTH INSURANCEN/AC2701 E ELVIRA ROADTUCSONAZ85756AZ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CADUCEUS INDEMNITY INSURANCE
Q2871760ACTUAL TRANSFER
CADUCEUS INDEMNITY INSURANCE
L5230191ACTUAL TRANSFER
CADUCEUS INDEMNITY INSURANCE
P2156481ACTUAL TRANSFER
UNIVERSITY PHYSICIANS HEALTHCARE FOUNDATION
B36300ACTUAL TRANSFER
UNIVERSITY PHYSICIANS HEALTHCARE FOUNDATION
C15844ACTUAL TRANSFER

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.