TUCSON MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: TUCSON MEDICAL CENTER (EIN 86-0137567)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-08
IRS object ID: 201323129349302077
Schema version: 2012v2.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-08T14:55:45-08:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	860137567	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Tucson Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	TUCS	NameControl
Phone	5203275461	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5301 E Grant Road	AddressLine1
City	Tucson	City
State	AZ	State
ZIP Code	85712	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Steve Bush	Name
Title	CFO	Title
Date Signed	2013-10-28	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	454159061	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	www.tmcaz.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1943	YearFormation
State Legal Domicile	AZ	StateLegalDomicile
Activity Or Mission Description	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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	3736	TotalNbrEmployees
Total Nbr Volunteers	489	TotalNbrVolunteers
Total Gross UBI	-5250	TotalGrossUBI
Net Unrelated Business Txbl Income	-198531	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	5754347	ContributionsGrantsPriorYear
Contributions Grants Current Year	2713468	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	408831131	ProgramServiceRevenuePriorYear
Program Service Revenue CY	439984890	ProgramServiceRevenueCY
Investment Income Prior Year	1880999	InvestmentIncomePriorYear
Investment Income Current Year	3960885	InvestmentIncomeCurrentYear
Other Revenue Prior Year	5551998	OtherRevenuePriorYear
Other Revenue Current Year	5676931	OtherRevenueCurrentYear
Total Revenue Prior Year	422018475	TotalRevenuePriorYear
Total Revenue Current Year	452336174	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	355289	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	691682	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	179548747	SalariesEtcPriorYear
Salaries Etc Current Year	194457984	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	229283471	OtherExpensePriorYear
Other Expenses Current Year	245605693	OtherExpensesCurrentYear
Total Expenses Prior Year	409187507	TotalExpensesPriorYear
Total Expenses Current Year	440755359	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	12830968	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	11580815	RevenuesLessExpensesCY
Total Assets BOY	346170876	TotalAssetsBOY
Total Assets EOY	384685491	TotalAssetsEOY
Total Liabilities BOY	203135611	TotalLiabilitiesBOY
Total Liabilities EOY	225183813	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	143035265	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	159501678	NetAssetsOrFundBalancesEOY
Mission Description	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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	373926260	Expense
Revenue	439984890	Revenue
Description	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. Excerpts from "Report to Our Community 2012 Our Health.Our Community":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.PROMOTING HEALTHY LIVING Healthy living begins with making healthy food choicesTMC continues to promote a culture of making healthy lifestyle choices through community education and prevention measures such as regular exercise and proper nutrition initiatives. Whether hosting a farmers market on the hospital campus or providing healthy meal options for the communitys senior population, TMC is making strides in preventive health care through nutritional measures. THE EASTSIDE EL DORADO MEAL PROGRAM It will be three years since we opened on April 26 of 2010, said Dolores Capin, as she recalled how long the Eastside El Dorado Meal Program has been in its new facility next to TMC Senior Services at El Dorado Health Campus. Dolores is one of many longtime members of the Eastside program, a community service offered to qualified participants over the age of 60, providing access to healthy meals Monday through Friday for a minimal cost. The program served 300 people, preparing and serving 8,156 meals in 2012. The meals served in El Dorados onsite kitchen offer a number of nutritional choices. The new facilities have provided opportunities to serve the community healthier meal options, such as the salad bar, that we were unable to offer previously, said Linda Rumsey, program director of Catholic Social Services Nutrition Program. Of the 12 congregate meal programs facilitated by Pima Council on Aging, TMCs El Dorado location is one of two that offers this healthier option. Preparing meals is not the only benefit of the Eastside El Dorado Meal Program. Another program member and friend of Capin, Vincent Corrao, said, We celebrate birthdays, attend various classes, play games and engage in activities outside of El Dorado. This program gives us an opportunity to meet new people and it feels very much like a family environment. This particular congregate meal program was previously housed in an old city-owned firehouse that was outdated and began to lack the level of service required. Tucson Medical Center really stepped in as a partner. Working with Catholic Social Services and the Pima Council on Aging, we figured out, with TMCs assistance, how to keep this group of individuals together on the eastside and provide a new home for this congregate meal program, said Debra Adams, chief operations officer, PCOA. MOBILE MEALS OF TUCSON TMC is a major donor to Mobile Meals of Tucson Inc., a nonprofit volunteer program that supplies meals to homebound residents in Tucson. Many of the eligible participants in the Mobile Meals program have specific dietetic requirements. The TMC Cafeteria provides therapeutic meals that meet the residents diet prescriptions as part of their therapy. In 2012, TMC provided 12,174 meals, with plans to increase the support in 2013. COMMUNITY FOOD BANK OF SOUTHERN ARIZONA The Community Food Bank of Southern Arizona, through a variety of programs and initiatives, is committed to meeting the food need of people who are hungry in our community. TMC shares this commitment by facilitating donations of food and produce that would otherwise be discarded. In 2012, TMC gave 37,772 pounds of food equaling 25,181 meals to the Community Food Bank. MARKET ON THE MOVE Tucson Medical Center hosted its first Market on the Move event in December 2012. Market on the Move, started by the nonprofit 3000 Club, provides fresh produce in a farmers market model to communities throughout the metropolitan Tucson and Phoenix areas. During the Market on the Move event on TMCs campus, community members gifted a minimal donation to receive up to 60 pounds of fresh produce.TMC PARTNERS WITH PIMA COUNTY, SOUTHERN ARIZONA COMMUNITY SPORTS TO BUILD INDOOR YOUTH SPORTS COMPLEX Tucson Medical Center entered into a partnership to fund the construction of a new indoor sports facility at La Cholla and River Road. The 40,000-square-foot center, scheduled to open in mid-2013, will allow youth and adults to play basketball, volleyball and other athletic activities year-round. TMCs mission expands far beyond the hospital walls. A recently completed community health needs assessment showed that cardiovascular disease, stroke and diabetes are among the top killers in our community and with the rising obesity rate, that will continue, said Julia Strange, vice president, Community Benefit, Tucson Medical Center. We wanted to impact that in a real way, and this is one way for us to do that. University of Arizona Hall of Fame basketball coach Lute Olson attended the groundbreaking and spoke about the importance of the Southern Arizona Community Sports Center which expands social and wellness opportunities throughout Pima County, but particularly serves youngsters in the northwest and nearby Flowing Wells area, where 67 percent of district school children qualify for free or reduced lunch. Believe me, there is nothing more needed in this community in my opinion than an indoor sports facility where kids can come play sports in a safe place, Olson said. This has been a wonderful thing and it is great to see all of the various people who have stepped up. It is great news that TMC is stepping up big time for this. The project is a unique public/private partnership between Pima County and its partnering organizations, including Southern Arizona Community Sports and TMC. The project also has received substantial financial support from the Tucson Conquistadores and Sporting Chance Youth Basketball Inc. Please see our website to view our full Report to the Community: www.tmcaz.com/TMCHealthCare/Report_to_our_community	Description
Total Program Service Expense	373926260	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	379	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	3736	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	AZ	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Steve Bush	NamePerson
Telephone Number	5203275461	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	5301 E Grant Road	AddressLine1
City	Tucson	City
State	AZ	State
ZIP Code	85712	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
Judith Rich
CEO	40.00	0.00	X	X	735202	0	49717
Beckie Torrey
Trustee	1.00	0.00	X		0	0	0
David Cohen
Trustee	1.00	0.00	X		0	0	0
Michael W Bracht MD
Trustee	1.00	0.00	X		0	0	0
Jon R Young
Trustee	1.00	0.00	X		0	0	0
Gay Tosch
Trustee	1.00	0.00	X		0	0	0
Michael Probstfeld MD
Trustee	1.00	0.00	X		66500	0	0
Eduardo A Leon
Trustee	1.00	0.00	X		0	0	0
Louise L Francesconi
Trustee/Chair	1.00	0.00	X		0	0	0
Manuel M Ferris
Trustee	1.00	0.00	X		0	0	0
Susan L Ernsky
Trustee	1.00	0.00	X		0	0	0
Mary E Cochran MD
Trustee	1.00	0.00	X		0	0	0
Henry Boice
Trustee	1.00	0.00	X		0	0	0
J Manuel Arreguin MD
Trustee	1.00	0.00	X		36000	0	0
Elizabeth McCurdy Maish
Vice President	40.00	0.00		X	17373	0	948
Linda Wojtowicz
Vice President	40.00	0.00		X	347198	0	38213
Julia Strange
Vice President	40.00	0.00		X	158398	0	23452
Richard Prevallet
Vice President	40.00	0.00		X	166555	0	19273
Tracy Nuckolls
Executive VP	40.00	0.00		X	509794	0	47738
Frank Marini
Vice President	40.00	0.00		X	320446	0	46064
Michael Duran
Vice President	40.00	0.00		X	194266	0	31073
Stephen Bush
CFO	40.00	0.00		X	392911	0	46336
Jason Krupp
Vice President	40.00	0.00		X	314770	0	9587
Cheryl Young
Vice President	40.00	0.00		X	176221	0	20169
John Friend
Vice President	40.00	0.00		X	201038	0	21741
Mark Joseph Helms
Psychiatrist	40.00	0.00			219816	0	11524	X
Eva McCullars
Psychiatrist	40.00	0.00			211077	0	31176	X
Lawrence Lincoln
Medical Director	40.00	0.00			180061	0	31707	X
Daniel Aaron Shinnick
Psychiatrist	40.00	0.00			177569	0	10528	X
Muhammad Saeed
Psychiatrist	40.00	0.00			174184	0	11392	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4599379	TotalReportableCompFromOrg
Total Other Compensation	450638	TotalOtherCompensation
Number Individuals GT100 K	114	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
TOI
2424 E Wyatt Drive	Tucson	AZ	85712	Medical Services	2099430
TMC Cardiac & Cardiothoracic Surgery Mgmt
5301 E Grant Road	Tucson	AZ	85712	Collection Services	1120576
Old Pueblo Anesthesia
2810 N Swan Road Suite 100	Tucson	AZ	85712	Medical Services	2941870
Obstetrix Medical Group of Arizona PC
PO Box 281034	Atlanta	GA	303841034	Medical Services	1128026
Neurological Associates of Tucson
2450 E River Road	Tucson	AZ	85718	Medical Services	1148056

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	44	NumberOfContractorsGT100K
Related Organizations	2609571	RelatedOrganizations
Government Grants	103897	GovernmentGrants
Total Contributions	2713468	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Services	900099	435479781	435479781
Meaningful Use Revenue	900099	4505109	4505109

Field	Value	IRS element (for citing)
Total Program Service Revenue	439984890	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3960885	TotalRevenueColumn
Exclusion	$3,960,885	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2402373	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1822887	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	579486	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	579486	TotalRevenueColumn
Unrelated Business Revenue	-179412	UnrelatedBusinessRevenue
Exclusion	$758,898	ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

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

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Pharmacy	446110	1365207	$1,365,207
Misc Revenue	900099	1226026	$1,226,026
Food Service	722210	2285929	$2,285,929

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	220283	TotalRevenueColumn
Unrelated Business Revenue	174162	UnrelatedBusinessRevenue
Exclusion	$46,121	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	5097445	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	452336174	TotalRevenueColumn
Related Or Exempt Function Income	439984890	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	-5250	UnrelatedBusinessRevenue
Exclusion	$9,643,066	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	691682	Total
Program Services	691682	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	4103182	Total
Program Services	1833992	ProgramServices
Management And General	2269190	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	164737334	Total
Program Services	135084614	ProgramServices
Management And General	29652720	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2225866	Total
Program Services	1825210	ProgramServices
Management And General	400656	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	11876644	Total
Program Services	9738848	ProgramServices
Management And General	2137796	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	11514958	Total
Program Services	9442266	ProgramServices
Management And General	2072692	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	3984213	Total
Program Services	3267055	ProgramServices
Management And General	717158	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	188432	Total
Program Services	154514	ProgramServices
Management And General	33918	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	4066256	Total
Program Services	3334330	ProgramServices
Management And General	731926	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	15000	Total
Program Services	12300	ProgramServices
Management And General	2700	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	33688265	Total
Program Services	29987612	ProgramServices
Management And General	3700653	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2692354	Total
Program Services	2207730	ProgramServices
Management And General	484624	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	7950570	Total
Program Services	6519467	ProgramServices
Management And General	1431103	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	6286308	Total
Program Services	5154773	ProgramServices
Management And General	1131535	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	18704775	Total
Program Services	15337916	ProgramServices
Management And General	3366859	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	572238	Total
Program Services	469235	ProgramServices
Management And General	103003	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1135584	Total
Program Services	931179	ProgramServices
Management And General	204405	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	5901237	Total
Program Services	4839014	ProgramServices
Management And General	1062223	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	5900000	Total
Management And General	5900000	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	24074223	Total
Program Services	19740863	ProgramServices
Management And General	4333360	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	7435149	Total
Program Services	6096822	ProgramServices
Management And General	1338327	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Loss on Asset Disposal	2312176	2312176
Allow for IP Receivable	5686087		5686087
Bad Debt	22180273	22180273
Medical Supplies	92453861	92453861

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	378692	Total
Program Services	310528	ProgramServices
Management And General	68164	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	440755359	Total
Program Services	373926260	ProgramServices
Management And General	66829099	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	35771429	BOY
EOY	26342726	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	26588525	BOY
EOY	48464847	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	48646825	BOY
EOY	50959475	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	13190686	BOY
EOY	13804967	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	6129728	BOY
EOY	5452846	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	481499950	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	265848350	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	161693491	BOY
EOY	215651600	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	47353338	BOY
EOY	15695473	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	6796854	BOY
EOY	8313557	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	346170876	BOY
EOY	384685491	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	53882052	BOY
EOY	62176330	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	45615107	BOY
EOY	89263612	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	90000000	BOY
EOY	62361237	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	13638452	BOY
EOY	11382634	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	203135611	BOY
EOY	225183813	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	143035265	BOY
EOY	159501678	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	143035265	BOY
EOY	159501678	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	346170876	BOY
EOY	384685491	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	11580815	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	4988721	ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment	-103123	ReconcilationPriorAdjustment
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed4955 Tax	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$81,911	OtherActivitiesAmount
Total Lobbying Expenditures IIB	81911	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i	Identifier
Return Reference	Part II-B, Line 1i - Other Activities Description	ReturnReference
Explanation	Membership in Arizona Hospital Association - a portion of the dues are designated as lobbyingRetainers Paid to Lewis & Rocca for lobbying.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15433690	OtherCostOrOtherBasis
Book Value	15433690	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	206738794	OtherCostOrOtherBasis
Depreciation	73623704	Depreciation
Book Value	133115090	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	259327466	OtherCostOrOtherBasis
Depreciation	192224646	Depreciation
Book Value	67102820	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	215651600	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
Lease obligation EDH	$1,620,426
Interest Rate Swap Agreement	$4,391,824
Due to Broker	$21,544
Due to Affiliates	-$381,279
Cost Report Reserves	$2,834,457
Asbestos Retirement Obligations	$2,895,662

Field	Value	IRS element (for citing)
Total Of Amounts	11382634	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	Part X	Identifier
Return Reference	Part X : FIN48 Footnote	ReturnReference
Explanation	Income taxes: TMC Healthcare, TMC, Foundation, and TMC Holdings, Inc. are tax-exempt corporations as described under Section 501 of the Internal Revenue Code; 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, and HCSDC are for-profit corporations but did not have taxable operations that were significant to the consolidated financial statements in 2012 or 2011. Certain taxable corporations have net operating loss carryforwards. At December 31, 2012 and 2011, 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.The Company has reviewed its tax positions for all open tax years and has concluded that no material liabilities exist as of December 31, 2012 and 2011. The Company files 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 2009.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	10735019	TotalCommunityBenefitExpense
Net Community Benefit Expense	10735019	NetCommunityBenefitExpense
Percent Of Total Expense	0.02440	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	6346	PersonsServed
Total Community Benefit Expense	21884295	TotalCommunityBenefitExpense
Net Community Benefit Expense	21884295	NetCommunityBenefitExpense
Percent Of Total Expense	0.04970	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	6346	PersonsServed
Total Community Benefit Expense	32619314	TotalCommunityBenefitExpense
Net Community Benefit Expense	32619314	NetCommunityBenefitExpense
Percent Of Total Expense	0.07410	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	70	NumberOfActivitiesOrPrograms
Persons Served	100449	PersonsServed
Total Community Benefit Expense	1242224	TotalCommunityBenefitExpense
Net Community Benefit Expense	1242224	NetCommunityBenefitExpense
Percent Of Total Expense	0.00280	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	139685	TotalCommunityBenefitExpense
Net Community Benefit Expense	139685	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	1519524	TotalCommunityBenefitExpense
Net Community Benefit Expense	1519524	NetCommunityBenefitExpense
Percent Of Total Expense	0.00340	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	74	NumberOfActivitiesOrPrograms
Persons Served	100449	PersonsServed
Total Community Benefit Expense	2901433	TotalCommunityBenefitExpense
Net Community Benefit Expense	2901433	NetCommunityBenefitExpense
Percent Of Total Expense	0.00650	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	76	NumberOfActivitiesOrPrograms
Persons Served	106795	PersonsServed
Total Community Benefit Expense	35520747	TotalCommunityBenefitExpense
Net Community Benefit Expense	35520747	NetCommunityBenefitExpense
Percent Of Total Expense	0.08060	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	648595	TotalCommunityBuildingExpense
Net Community Building Expense	648595	NetCommunityBuildingExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	37862	TotalCommunityBuildingExpense
Net Community Building Expense	37862	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	1014556	TotalCommunityBuildingExpense
Net Community Building Expense	1014556	NetCommunityBuildingExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	1701013	TotalCommunityBuildingExpense
Net Community Building Expense	1701013	NetCommunityBuildingExpense
Percent Of Total Expense	0.00390	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$22,180,273	BadDebtExpenseAmount
Amount Attributable To	970675	AmountAttributableTo
Amount Reimbursed By Medicare	104278471	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	96899346	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	7379125	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost Accounting System	X	CostAccountingSystem

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
TMC Neuroscience Mgmt LLC
Manage Neuro Svcs	0.32500	0.67500
TMC Cardiac & Cardiothoraci
Management of Cardiac Svcs	0.30000	0.70000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Tucson Medical Center	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	5301 E Grant Road	AddressLine1
City	Tucson	City
State	AZ	State
ZIP Code	85712	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Childrens Hospital	X	ChildrensHospital
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours
Other	Acute, Psychatric Hospital, Hospice	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Tucson Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	true	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	true	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
File Form4720 Report Excise Tax	false	FileForm4720ReportExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	100.0000	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	400.0000	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	true	CollectionActivities
Other Actions	X	OtherActions
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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.
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 - 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 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 - 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 - 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 - Needs Assessment	Please see attached PDF titled CHNA
Part V, Line 20d - Other Billing Determination of Individuals Without Insurance	All patients are charged the same amount regardless of insurance or lack of insurance. The charges are the same regardless of payment methodology. However patient responsibility is based on our financial assistance policy which provides a sliding scale of up to 400% of the federal poverty level. In 2012, the FAP also provided uninsured patients with a standard discount prior to application of the sliding scale discount.	Number of Hospital Faciltiy - 1
Part V, Line 17e - Other Collection Actions by Facility or Third Party Engaged	Hospital Leins arising out of accidents (insurance) under state law.	Number of Hospital Faciltiy - 1
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.	Number of Hospital Faciltiy - 1
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	Number of Hospital Faciltiy - 1
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 III, Line 8 - Explanation Of Shortfall As Community Benefit	Medicare Shortfall is not included in our community benefit.
Part III, Line 4 - Bad Debt Expense	The organization reports bad debt in accordance with Generally Accepted Accounting Principles (GAAP). Healthcare Financial Management Association Statement 15 is followed to the extent that it aligns with the guidelines set forth by GAAP.
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 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 I, Line 6a - Related Organization Community Benefit Report	The 2012 Report to our Community "Our Health.Our Community" is available on the organization's website.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (10 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Purpose Of GrantPurposeOfGrant
YWCA of Tucson
738 N 5th Ave Suite 110	Tucson	AZ	85705	860098937	501(c)(3)	10000	0	Sponsorship
United Way
PO Box 86750	Tucson	AZ	85754	860098932	501(c)(3)	7500	0	Community support
Tucson Oasis
2099 East River Road	Tucson	AZ	85718	262902416		10000	0	Senior Services
Tucson Childrens Museum
PO BOX 2609	Tucson	AZ	85702	860676237	501(c)(3)	25000	0	Health related exhibit
Southern AZ Comm Sports
1551 E Paseo Pavon	Tucson	AZ	85718	261302348	501(c)(3)	100000	0	Indoor youth sports complex
Literacy Connects
2850 E Speedway Blvd	Tucson	AZ	85716	237047508	501(c)(3)	10000	0	Literacy
Juvenile Diabetes Research Fdn
4560 E Broadway Suite 214	Tucson	AZ	85711	231907729	501(c)(3)	14800	0	Diabetes Research
Casa de los Ninos Inc
1101 N 4th Ave	Tucson	AZ	85705	860314595	501(c)(3)	10000	0	Childrens shelter
Boys & Girls Club
PO Box 40217	Tucson	AZ	85717	860172257	501(c)(3)	7500	0	Children's Health
American Heart Association
PO BOX 4002030	Des Moines	IA	50340	135613797	501(c)(3)	85250	0	Heart Disease Research

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	7	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	3	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException
Rebuttable Presumption Procedure	false	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
Tracy Nuckolls
Executive VP	279733	54453	175608	35193	12545	557532
Stephen Bush
CFO	328561	64350		36435	9901	439247
Richard Prevallet
Vice President	144281	22274		7044	12229	185828
Muhammad Saeed
Psychiatrist	174184				11392	185576
Michael Duran
Vice President	153698	24752	15816	17000	14073	225339
Mark Joseph Helms
Psychiatrist	219816				11524	231340
Linda Wojtowicz
Vice President	289479	57719		34000	4213	385411
Lawrence Lincoln
Medical Director	180061			22500	9207	211768
Julia Strange
Vice President	136948	21450		13540	9912	181850
Judith Rich
CEO	513703	125235	96264	34000	15717	784919
John Friend
Vice President	176975	24063		7000	14741	222779
Jason Krupp
Vice President	290846	23924			9587	324357
Frank Marini
Vice President	256592	41747	22107	29651	16413	366510
Eva McCullars
Psychiatrist	211077			23422	7754	242253
Daniel Aaron Shinnick
Psychiatrist	177569			3586	6942	188097
Cheryl Young
Vice President	153533	22688		9581	10588	196390

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Sch J, Part I, Line 1a	Identifier
Return Reference	Part I, Line 1a: Relevant information in regards to selections on 1a.	ReturnReference
Explanation	First class travel is available to trustees on extended flights.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Ind Devel Auth of Pima Co	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	860445981	IssuerEIN
Date Issued	2010-12-16	DateIssued
Issue Price	114370800	IssuePrice
Description Of Purpose	Campus Development	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	89211512	TotalProceeds
Issuance Costs From Proceeds	1318696	IssuanceCostsFromProceeds
Capital Expenditures	89211512	CapitalExpenditures
Current Refunding	true	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	false	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Non Qualified Bond Remed Procdrs	true	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	true	Form8038TFiled
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds
Superintegrated Hedge	false	SuperintegratedHedge
Hedge Terminated	false	HedgeTerminated
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC
Regulatory Safe Harbor Satisfied	false	RegulatorySafeHarborSatisfied
Gross Proceeds Invested	false	GrossProceedsInvested
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	true	ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	Supplemental Information	Identifier
Return Reference	Part VI	ReturnReference
Explanation	Part II Proceeds6) There was no escrow because everything was paid off at closing.12) These are draw down bonds.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
David Cohen
Trustee	9765	Tax Return Prep ptnr	false
Henry Boice
Trustee	173425	Banking Services	false
Robert Wolk
Employee	131776	Pharmacy Manager	false
Michael Bracht
Trustee	2941870	Anesthesia svc agree	false
Michael Probstfeld
Trustee	66500	COS, Med Dir	false
J Manuel Arreguin
Trustee	36000	Chief of Staff Elect	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Explanation	1) Trustee receives payments for professional services rendered to organization2) Trustee receives payments for professional services rendered to organization3) Trustee is a minority owner of an anesthesia group which does business with the organization. 4) A manager is married to trustee, Mary Cochran5) Trustee is employed by bank which handles most TMC investments6) Trustee is a partner in a CPA firm in which another partner prepares tax returns for related joint ventures.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	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.
Form 990, Part VI, Line 15b	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 15a	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 12c	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 InterestBiannually, 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 11b	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 7b	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 7a	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 6	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 2	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.Mary Cochran is the spouse of a manager employed by 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 2012 (votes only in absence of Chief of Staff).Michael Probstfeld is Chief of Staff for 2012.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	Tucson Musculo Skeletal	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	5301 E Grant Road	AddressLine1
City	Tucson	City
State	AZ	State
ZIP Code	85712	ZIPCode

Field	Value	IRS element (for citing)
EIN	800032117	EIN
Primary Activities	Oupatient Surgery	PrimaryActivities
Legal Domicile State	AZ	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Tucson Medical Center	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg
Tucson Medical Center Auxiliary
PO Box 42195	Tucson	AZ	85713	866050769	Support to TMC	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
TMC HealthCare
5301 E Grant Road	Tucson	AZ	85712	202218975	Parent Company	AZ	501(c)3	11	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
El Dorado Hospital
5301 E Grant Road	Tucson	AZ	85712	200385301	Hospital - discontinued operations	AZ	501(c)3	3	N/A	false

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
TMC Neuroscience Mgmt LLC
5301 E Grant Road	Tucson	AZ	85712	273027087	Service Line Management	AZ	Tucson Medical Cente	161792	88637	false	true	0.32500
TMC Cardiac & Cardiothoracic Surgery
5301 E Grant Road	Tucson	AZ	85712	270766398	Service Line Mgmt	AZ	Tucson Medical Cente	17388	84292	false	true	0.30000

Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg	EINEIN
Saguaro Healthcare Inc
5301 E Grant Road	Tucson	AZ	85712	Holding Company	AZ	N/A	c	false
Rincon Community Hospital
5301 E Grant Road	Tucson	AZ	85712	Hospital - not yet open	AZ	N/A	c	false	202330009
TMC Healthcare Security Services Inc
5301 E Grant Road	Tucson	AZ	85712	Security Services	AZ	N/A	c	false	522414943
TMC de Mexico Ltd
5301 E Grant Road	Tucson	AZ	85712	Holding Company	AZ	N/A	c	false	860769541
Saguaro Medical Holdings Inc
5301 E Grant Road	Tucson	AZ	85712	Holding Company	AZ	N/A	c	false	200614853
Medhold Inc
5301 E Grant Road	Tucson	AZ	85712	Holding Company	AZ	N/A	c	false	860769548
Hospital Care Systems Development Corp
5301 E Grant Road	Tucson	AZ	85712	Hospital Management	AZ	N/A	c	false	203015545

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Tucson Medical Center Auxiliary
o	125539	GAAP
TMC Holdings Inc
k	2045049	GAAP
TMC Foundation
o	472482	GAAP
TMC Foundation
c	2376751	GAAP