2013-11-08T14:55:45-08:00 2012-12-31 990 2012-01-01 860137567 Tucson Medical Center TUCS 5203275461 5301 E Grant Road Tucson AZ 85712 Steve Bush 2013-10-28 2012 2016-02-24 21:20:13Z 454159061 false false X www.tmcaz.com X 1943 AZ Tucson Medical Center's mission is to deliver caring, personalized, quality healthcare to patients and their families in an environment that is supportive, education-focused and compassionate. 12 11 3736 489 -5250 -198531 5754347 2713468 408831131 439984890 1880999 3960885 5551998 5676931 422018475 452336174 355289 691682 0 179548747 194457984 0 0 229283471 245605693 409187507 440755359 12830968 11580815 346170876 384685491 203135611 225183813 143035265 159501678 Tucson Medical Center's mission is to deliver caring, personalized, quality healthcare to patients and their families in an environment that is supportive, education-focused and compassionate. false false 373926260 439984890 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 373926260 true false false true false false false false false false true false false false true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true false false false false true 379 0 true 3736 true true false false false false false false 0 false false false false false false false false false false X 12 11 true false false false true true true true true false false true true true true true true true true true true AZ X Steve Bush 5203275461 5301 E Grant Road Tucson AZ 85712 Judith Rich 40.00 0.00 X X 735202 0 49717 Beckie Torrey 1.00 0.00 X 0 0 0 David Cohen 1.00 0.00 X 0 0 0 Michael W Bracht MD 1.00 0.00 X 0 0 0 Jon R Young 1.00 0.00 X 0 0 0 Gay Tosch 1.00 0.00 X 0 0 0 Michael Probstfeld MD 1.00 0.00 X 66500 0 0 Eduardo A Leon 1.00 0.00 X 0 0 0 Louise L Francesconi 1.00 0.00 X 0 0 0 Manuel M Ferris 1.00 0.00 X 0 0 0 Susan L Ernsky 1.00 0.00 X 0 0 0 Mary E Cochran MD 1.00 0.00 X 0 0 0 Henry Boice 1.00 0.00 X 0 0 0 J Manuel Arreguin MD 1.00 0.00 X 36000 0 0 Elizabeth McCurdy Maish 40.00 0.00 X 17373 0 948 Linda Wojtowicz 40.00 0.00 X 347198 0 38213 Julia Strange 40.00 0.00 X 158398 0 23452 Richard Prevallet 40.00 0.00 X 166555 0 19273 Tracy Nuckolls 40.00 0.00 X 509794 0 47738 Frank Marini 40.00 0.00 X 320446 0 46064 Michael Duran 40.00 0.00 X 194266 0 31073 Stephen Bush 40.00 0.00 X 392911 0 46336 Jason Krupp 40.00 0.00 X 314770 0 9587 Cheryl Young 40.00 0.00 X 176221 0 20169 John Friend 40.00 0.00 X 201038 0 21741 Mark Joseph Helms 40.00 0.00 X 219816 0 11524 Eva McCullars 40.00 0.00 X 211077 0 31176 Lawrence Lincoln 40.00 0.00 X 180061 0 31707 Daniel Aaron Shinnick 40.00 0.00 X 177569 0 10528 Muhammad Saeed 40.00 0.00 X 174184 0 11392 4599379 450638 114 false true false 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 44 2609571 103897 2713468 Net Patient Services 900099 435479781 435479781 Meaningful Use Revenue 900099 4505109 4505109 439984890 3960885 3960885 0 0 2402373 1822887 579486 579486 -179412 758898 0 0 0 0 Pharmacy 446110 1365207 1365207 Misc Revenue 900099 1226026 1226026 Food Service 722210 2285929 2285929 220283 174162 46121 5097445 452336174 439984890 -5250 9643066 691682 691682 0 0 0 4103182 1833992 2269190 0 164737334 135084614 29652720 2225866 1825210 400656 11876644 9738848 2137796 11514958 9442266 2072692 3984213 3267055 717158 188432 154514 33918 4066256 3334330 731926 15000 12300 2700 0 0 33688265 29987612 3700653 2692354 2207730 484624 7950570 6519467 1431103 6286308 5154773 1131535 0 18704775 15337916 3366859 572238 469235 103003 0 1135584 931179 204405 5901237 4839014 1062223 5900000 5900000 24074223 19740863 4333360 7435149 6096822 1338327 Loss on Asset Disposal 2312176 2312176 Allow for IP Receivable 5686087 5686087 Bad Debt 22180273 22180273 Medical Supplies 92453861 92453861 378692 310528 68164 440755359 373926260 66829099 0 35771429 26342726 26588525 48464847 0 48646825 50959475 0 0 0 13190686 13804967 6129728 5452846 481499950 265848350 161693491 215651600 47353338 15695473 0 0 0 6796854 8313557 346170876 384685491 53882052 62176330 45615107 89263612 90000000 62361237 13638452 11382634 203135611 225183813 X 143035265 159501678 143035265 159501678 346170876 384685491 11580815 4988721 -103123 X false true X true false X false false false false false false false false false false true 81911 81911 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description Membership in Arizona Hospital Association - a portion of the dues are designated as lobbyingRetainers Paid to Lewis & Rocca for lobbying. 15433690 15433690 206738794 73623704 133115090 259327466 192224646 67102820 215651600 Lease obligation EDH 1620426 Interest Rate Swap Agreement 4391824 Due to Broker 21544 Due to Affiliates -381279 Cost Report Reserves 2834457 Asbestos Retirement Obligations 2895662 11382634 X Part X Part X : FIN48 Footnote 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. true true true X true X true true true false true true 1 10735019 10735019 0.02440 1 6346 21884295 21884295 0.04970 2 6346 32619314 32619314 0.07410 70 100449 1242224 1242224 0.00280 1 139685 139685 0.00030 3 1519524 1519524 0.00340 74 100449 2901433 2901433 0.00650 76 106795 35520747 35520747 0.08060 648595 648595 0.00150 1 37862 37862 0.00010 1 1014556 1014556 0.00230 2 1701013 1701013 0.00390 true 22180273 970675 104278471 96899346 7379125 X true true TMC Neuroscience Mgmt LLC Manage Neuro Svcs 0.32500 0.67500 TMC Cardiac & Cardiothoraci Management of Cardiac Svcs 0.30000 0.70000 1 1 Tucson Medical Center

5301 E Grant Road Tucson AZ 85712

X X X X X Acute, Psychatric Hospital, Hospice Tucson Medical Center 1 true X X X X X X X X X 12 true true true X X X X X X X X X X true false false true true 100.0000 true 400.0000 true X X X X X X true true X X X X true true X X X X true X false false Part 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 Number of Hospital Faciltiy - 1 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 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. true 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 7 3 Grantmaker's Description of How Grants are Used Members of the executive team determine which community grants will be issued from TMC. X true true X X X X X true true false false false false false false false false Tracy Nuckolls 279733 54453 175608 35193 12545 557532 Stephen Bush 328561 64350 36435 9901 439247 Richard Prevallet 144281 22274 7044 12229 185828 Muhammad Saeed 174184 11392 185576 Michael Duran 153698 24752 15816 17000 14073 225339 Mark Joseph Helms 219816 11524 231340 Linda Wojtowicz 289479 57719 34000 4213 385411 Lawrence Lincoln 180061 22500 9207 211768 Julia Strange 136948 21450 13540 9912 181850 Judith Rich 513703 125235 96264 34000 15717 784919 John Friend 176975 24063 7000 14741 222779 Jason Krupp 290846 23924 9587 324357 Frank Marini 256592 41747 22107 29651 16413 366510 Eva McCullars 211077 23422 7754 242253 Daniel Aaron Shinnick 177569 3586 6942 188097 Cheryl Young 153533 22688 9581 10588 196390 Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. First class travel is available to trustees on extended flights. A Ind Devel Auth of Pima Co 860445981 2010-12-16 114370800 Campus Development false false false A 89211512 1318696 89211512 true false false true A false false false false true A true false false false false false false false A true Supplemental Information Part VI Part II Proceeds6) There was no escrow because everything was paid off at closing.12) These are draw down bonds. 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 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. 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. Tucson Musculo Skeletal 5301 E Grant Road Tucson AZ 85712 800032117 Oupatient Surgery AZ Tucson Medical Center 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 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 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 202330009 Hospital - not yet open AZ N/A c false TMC Healthcare Security Services Inc 5301 E Grant Road Tucson AZ 85712 522414943 Security Services AZ N/A c false TMC de Mexico Ltd 5301 E Grant Road Tucson AZ 85712 860769541 Holding Company AZ N/A c false Saguaro Medical Holdings Inc 5301 E Grant Road Tucson AZ 85712 200614853 Holding Company AZ N/A c false Medhold Inc 5301 E Grant Road Tucson AZ 85712 860769548 Holding Company AZ N/A c false Hospital Care Systems Development Corp 5301 E Grant Road Tucson AZ 85712 203015545 Hospital Management AZ N/A c false false false true false false false false false false false true false false false true false false false false Tucson Medical Center Auxiliary o 125539 GAAP TMC Holdings Inc k 2045049 GAAP TMC Foundation o 472482 GAAP TMC Foundation c 2376751 GAAP