BANNER-UNIVERSITY MEDICAL GROUP: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
BANNER-UNIVERSITY MEDICAL GROUP (EIN 94-2958258)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201221369349303582
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-15T11:37:20-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BEACHFLEISCHMAN PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 64130AddressLine1
CityTUCSONCity
StateAZState
ZIP Code857284130ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN942958258EIN

Name Name

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line12701 EAST ELVIRA ROADAddressLine1
CityTUCSONCity
StateAZState
ZIP Code85756ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMISTY D HANSENName
TitleCHIEF FINANCIAL OFFICERTitle
Phone5206942700Phone
Date Signed2012-05-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKAREN K MCCLOSKEY CPAName
Phone5203214600Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1THE UNIVERSITY OF ARIZONA PHYSICIANSBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonJODI MANSFIELDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11501 N CAMPBELL AVENUEAddressLine1
CityTUCSONCity
StateAZState
ZIP Code85724ZIPCode
FieldValueIRS element (for citing)
Gross Receipts594237500GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.UAHEALTH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileAZStateLegalDomicile
Activity Or Mission DescriptionADVANCING HEALTH AND WELLNESS THROUGH EDUCATION, RESEARCH AND PATIENT CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees2937TotalNbrEmployees
Total Nbr Volunteers69TotalNbrVolunteers
Total Gross UBI1258505TotalGrossUBI
Net Unrelated Business Txbl Income-196104NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year12163133ContributionsGrantsCurrentYear
Program Service Revenue Prior Year597981026ProgramServiceRevenuePriorYear
Program Service Revenue CY581664978ProgramServiceRevenueCY
Investment Income Prior Year-289794InvestmentIncomePriorYear
Investment Income Current Year21894InvestmentIncomeCurrentYear
Other Revenue Prior Year4636659OtherRevenuePriorYear
Other Revenue Current Year387495OtherRevenueCurrentYear
Total Revenue Prior Year602327891TotalRevenuePriorYear
Total Revenue Current Year594237500TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2890237GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY11932102GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year217149807SalariesEtcPriorYear
Salaries Etc Current Year221099969SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year366735607OtherExpensePriorYear
Other Expenses Current Year364279019OtherExpensesCurrentYear
Total Expenses Prior Year586775651TotalExpensesPriorYear
Total Expenses Current Year597311090TotalExpensesCurrentYear
Revenues Less Expenses Prior Year15552240RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3073590RevenuesLessExpensesCY
Total Assets BOY210816927TotalAssetsBOY
Total Assets EOY182576174TotalAssetsEOY
Total Liabilities BOY121902939TotalLiabilitiesBOY
Total Liabilities EOY126366357TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY88913988NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY56209817NetAssetsOrFundBalancesEOY
Mission DescriptionADVANCING HEALTH AND WELLNESS THROUGH EDUCATION, RESEARCH, AND PATIENT CARE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense270755857Expense
Grants6042Grants
Revenue324589503Revenue
DescriptionUNIVERSITY OF ARIZONA HEALTH PLANS COORDINATES THE DELIVERY OF HEALTH CARE TO ENROLLEES OF THE ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM (ARIZONA'S MEDICAID PROGRAM), THE MEDICARE ADVANTAGE SPECIAL NEEDS PROGRAM (CENTERS FOR MEDICARE AND MEDICAID DUAL ELIGIBLE MEDICARE PROGRAM) AND HEALTH CARE GROUP (ARIZONA'S SMALL BUSINESS HEALTH CARE PROGRAM).Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense123104592Expense
Grants1822314Grants
Revenue123966708Revenue
DescriptionUNIVERSITY OF ARIZONA MEDICAL CENTER-SOUTH CAMPUS IS A 197 BED, FULL SERVICE HOSPITAL THAT PROVIDES VITAL MEDICAL SERVICES TO THE CITIZENS OF SOUTHERN ARIZONA. THE HOSPITAL PROVIDES PATIENTS WITH DIRECT ACCESS TO THE EXPERTISE, GROUNDBREAKING RESEARCH, AND THE LATEST TREATMENTS OF THE UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE. THE HOSPITAL IS LOCATED IN A PRIMARILY UNDERSERVED AREA AND GIVES CITIZENS EASY ACCESS TO EMERGENCY AND SPECIALTY CARE.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense154482163Expense
Grants10103746Grants
Revenue133108767Revenue
DescriptionUNIVERSITY OF ARIZONA PHYSICIANS CLINICAL PRACTICE PROVIDES INPATIENT AND AMBULATORY CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.Description
FieldValueIRS element (for citing)
Total Program Service Expense548342612TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096708NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2937NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
HENRY WELLS
INTERIM PRESIDENT & CEO40.00XX11200000
STEVE GOLDSCHMID MD
CHAIRPERSON5.00XX232250864438559
BARBARA PECK
VICE CHAIRPERSON2.00XX000
EDMUND L JENKINS
TREASURER2.00XX000
KATHRYN REED MD
SECRETARY2.00XX232235920842647
LARRY ALDRICH
PRESIDENT & CEO40.00XX1453025047178
KEVIN J BURNS
INTERIM PRESIDENT & CEO5.00XX092476829020
MARC BERG MD
DIRECTOR1.00X54024686234034
THOMAS BOYER MD
DIRECTOR1.00X685840344838689
WILLIAM M CRIST MD
DIRECTOR1.00X685864750939283
LAURA EBERLY
DIRECTOR1.00X000
FAYEZ GHISHAN MD
DIRECTOR1.00X685861928146221
JUDY GIGNAC
DIRECTOR1.00X000
RAINER GRUESSNER MD
DIRECTOR1.00X124258726742472
DAVID LABINER MD
DIRECTOR1.00X124230435039020
STEVE LYNN
DIRECTOR1.00X000
EDMUND PARKER
DIRECTOR1.00X000
GRANGER VINALL
DIRECTOR1.00X000
MISTY D HANSEN
CHIEF FINANCIAL OFFICER5.00X039332263123
KATHLEEN A OESTREICH
CHIEF ADMINISTRATIVE OFFICER40.00489861032786X
DIANE RAFFERTY THRU ALVAREZ MARSAL
INTERIM HOSPITAL CEO40.00000X
JAMES V STOVER
CHIEF ADMINISTRATIVE OFFICER40.00196192018083X
JODY L BUTERA
CHIEF FINANCIAL OFFICER-HEALTH PLANS40.00235190021495X
CHRISTEN A CASTELLANO
DEPARTMENT ADMINISTRATOR40.00224340018833X
THERESA G LEBARRON
VP PLANNING AND INTEGRATION40.00307874029808X
GERALD T MIRON
CHIEF OPERATIONS OFFICER40.00250702033132X
SUSAN WONG-BEAN
ASSOCIATE GENERAL COUNSEL40.00210564021283X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3507990TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4994659TotalReportableCompFrmRltdOrgs
Total Other Compensation635666TotalOtherCompensation
Number Individuals GT100 K30NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
INGENIX
PO BOX 27116SALT LAKE CITYUT84127EDP, CONSULTING2614326
ALVAREZ & MARSAL HEALTHCARE
600 LEXINGTON AVENUENEW YORKNY10022CONSULTING2220273
JANET JENNER & SUGGS LLC
1777 REISTERTOWN ROAD SUITE 165BALTIMOREMD21208ATTORNEYS1650000
NVISION NETWORKING
PO BOX 91050TUCSONAZ85752EDP1414986
INSIGHT DIRECT USA
6820 S HARL AVENUETUCSONAZ85283EDP1288873
FieldValueIRS element (for citing)
Number Of Contractors GT100 K59NumberOfContractorsGT100K
Related Organizations12163133RelatedOrganizations
Total Contributions12163133TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
CAPITATION & CONTRACT621111387277338387277338
NET PATIENT SERVICE6211111943876401931291351258505
FieldValueIRS element (for citing)
Total Program Service Revenue581664978TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column21894TotalRevenueColumn
Exclusion$21,894ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real387495Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real387495Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column387495TotalRevenueColumn
Exclusion$387,495ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column594237500TotalRevenueColumn
Related Or Exempt Function Income580406473RelatedOrExemptFunctionIncome
Unrelated Business Revenue1258505UnrelatedBusinessRevenue
Exclusion$409,389ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total11932102Total
Program Services11932102ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3863855Total
Program Services3863855ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total177412255Total
Program Services158991818ProgramServices
Management And General18420437ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1899598Total
Program Services1796619ProgramServices
Management And General102979ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total35108714Total
Program Services33205442ProgramServices
Management And General1903272ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2815547Total
Program Services2662914ProgramServices
Management And General152633ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total8373510Total
Program Services6342966ProgramServices
Management And General2030544ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total797007Total
Program Services404668ProgramServices
Management And General392339ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total867151Total
Program Services649261ProgramServices
Management And General217890ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total24234376Total
Program Services18032479ProgramServices
Management And General6201897ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total887707Total
Program Services574332ProgramServices
Management And General313375ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2481541Total
Program Services585535ProgramServices
Management And General1896006ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3825813Total
Program Services1313623ProgramServices
Management And General2512190ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total10492283Total
Program Services6106168ProgramServices
Management And General4386115ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1959842Total
Program Services1790131ProgramServices
Management And General169711ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total198882Total
Program Services169765ProgramServices
Management And General29117ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1629420Total
Program Services849777ProgramServices
Management And General779643ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total8606651Total
Program Services3885518ProgramServices
Management And General4721133ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8264425Total
Program Services5324491ProgramServices
Management And General2939934ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total8913654Total
Program Services8642220ProgramServices
Management And General271434ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL CLAIMS FOR HEAL255850873255850873
MEDICAL SUPPLIES23575996224770681098928
PROFESSIONAL DEVELOPMEN19815671761217220350
RECRUITMENT13383211129770208551

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total597311090Total
Program Services548342612ProgramServices
Management And General48968478ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY30037609BOY
EOY13257065EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY40487472EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY86906749BOY
EOY54887216EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2994298BOY
EOY3021296EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1591551BOY
EOY7085112EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis102245681LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec52175153LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY49065098BOY
EOY50070528EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY31828949BOY
EOY1792886EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8392673BOY
EOY11974599EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY210816927BOY
EOY182576174EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY59256050BOY
EOY62289429EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY20253078BOY
EOY14530329EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY11396194BOY
EOY12282879EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY30997617BOY
EOY37263720EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY121902939BOY
EOY126366357EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY88913988BOY
EOY56209817EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY88913988BOY
EOY56209817EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY210816927BOY
EOY182576174EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-3073590ReconcilationRevenueExpenses
Reconcilation Other Changes-29630581ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$165,203OtherActivitiesAmount
Total Lobbying Expenditures IIB165203TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationTHE UNIVERSITY OF ARIZONA PHYSICIANS EMPLOYS A DIRECTOR OF LEGISLATIVE AFFAIRS. THIS POSITION PROVIDES LEADERSHIP IN THE AREAS OF LEGISLATIVE INITIATIVES, HEALTH POLICY AND CONSUMER ADVOCACY. THIS POSITION ALSO CREATES LINKS TO STATE AND FEDERAL LEGISLATIVE REPRENTATIVES AND STAFF; RESEARCHES AND PROVIDES GUIDANCE ON THE EFFECTS OF LEGISLATIVE AND HEALTH POLICY CHANGES AND CREATES STRONG LINKS TO THE VARIOUS CONSUMER ADVOCACY ORGANIZATIONS.Explanation

Schedule D IRS990ScheduleD

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis21605640OtherCostOrOtherBasis
Depreciation7667678Depreciation
Book Value13937962BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis8978019OtherCostOrOtherBasis
Depreciation3131983Depreciation
Book Value5846036BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis66926422OtherCostOrOtherBasis
Depreciation41277249Depreciation
Book Value25649173BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2030560OtherCostOrOtherBasis
Depreciation98243Depreciation
Book Value1932317BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings50070528TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM MEDICARE3601660
DUE FROM THE UNIVERSITY OF ARIZONA MEDICAL CENTER5005531
MISCELLANEOUS OTHER LONG-TERM ASSETS3367408
FieldValueIRS element (for citing)
Total Book Value Other Assets11974599TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO COLLEGE OF MEDICINE DEAN FUND$566,759
ACCRUED MEDICAL CLAIMS$32,983,231
DUE TO THE UNIVERSITY OF ARIZONA HEALTH NETWORK$3,713,730
FieldValueIRS element (for citing)
Total Of Amounts37263720TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage125.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care0AmountsBudgetedForCharityCare
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2445300TotalCommunityBenefitExpense
Direct Offsetting Revenue113000DirectOffsettingRevenue
Net Community Benefit Expense2332300NetCommunityBenefitExpense
Percent Of Total Expense0.00390PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense37595711TotalCommunityBenefitExpense
Direct Offsetting Revenue27859996DirectOffsettingRevenue
Net Community Benefit Expense9735715NetCommunityBenefitExpense
Percent Of Total Expense0.01630PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense40041011TotalCommunityBenefitExpense
Direct Offsetting Revenue27972996DirectOffsettingRevenue
Net Community Benefit Expense12068015NetCommunityBenefitExpense
Percent Of Total Expense0.02020PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense11499334TotalCommunityBenefitExpense
Direct Offsetting Revenue3082990DirectOffsettingRevenue
Net Community Benefit Expense8416344NetCommunityBenefitExpense
Percent Of Total Expense0.01410PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense7647949TotalCommunityBenefitExpense
Direct Offsetting Revenue6576816DirectOffsettingRevenue
Net Community Benefit Expense1071133NetCommunityBenefitExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense11932101TotalCommunityBenefitExpense
Net Community Benefit Expense11932101NetCommunityBenefitExpense
Percent Of Total Expense0.02000PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense31079384TotalCommunityBenefitExpense
Direct Offsetting Revenue9659806DirectOffsettingRevenue
Net Community Benefit Expense21419578NetCommunityBenefitExpense
Percent Of Total Expense0.03590PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense71120395TotalCommunityBenefitExpense
Direct Offsetting Revenue37632802DirectOffsettingRevenue
Net Community Benefit Expense33487593NetCommunityBenefitExpense
Percent Of Total Expense0.05610PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense97498TotalCommunityBuildingExpense
Net Community Building Expense97498NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense97498TotalCommunityBuildingExpense
Net Community Building Expense97498NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$9,951,153BadDebtExpenseAmount
Amount Reimbursed By Medicare16870608AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare21355436CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-4484828MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line11 UNIVERSITY OF ARIZONA MEDICAL CENTER - IMAGING CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityLEASINGDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.50000OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership0.00000OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership0.00000PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities6NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (6 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalResearch FacilityResearchFacilityEr24 HoursEr24HoursOtherOther
U OF A MEDICAL CENTER-SOUTH CAMPUS
12800 E AJO WAYTUCSONAZ85713XXXXX
U OF A MEDICAL CENTER-SPORTS CLINIC
22800 E AJO WAY SUITES 100-105TUCSONAZ85713CLINIC
U OF A MEDICAL CENTER-ALVERNON CLINIC
3750 N ALVERNON WAYTUCSONAZ85711AMBULATORY SURGERY CENTER
U OF A MEDICAL CENTER-WILMOT CLINIC
4535 N WILMOT SUITE 101TUCSONAZ85711CLINIC
U OF A MEDICAL CENTER-PSYCHIATRIC CLINIC
52800 E AJO WAY SUITE 300TUCSONAZ85713CLINIC
U OF A MEDICAL CENTER-ALVERNON CLINIC
6707 N ALVERNON WAY SUITE 101TUCSONAZ85711CLINIC

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART II, COMMUNITY BUILDING ACTIVITIES:THE UNIVERSITY OF ARIZONA MEDICAL CENTER IS COMMITTED TO THE COMMUNITY IT SERVES AS WELL AS THE PROMOTION OF PUBLIC HEALTH. THE UNIVERSITY OF ARIZONA MEDICAL CENTER SUPPORTS MANY LOCAL CHARITABLE ORGANIZATIONS, INCLUDING TUCSON FESTIVAL OF BOOKS, AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, JUVENILE DIABETES RESEARCH FOUNDATION AND OTHERS NOT ONLY WITH FINANCIAL CONTRIBUTIONS BUT WITH HOSPITAL VOLUNTEERS AS WELL. IN NOVEMBER OF 2011 THE ORGANIZATION SPONSORED THE 29TH ANNUAL EL TOUR DE TUCSON, A 109 MILE BIKE RIDE AND IMPORTANT TUCSON COMMUNITY EVENT PROMOTING HEALTH AND WELLNESS. IN ADDITION, THE UNIVERSITY OF ARIZONA MEDICAL CENTER PARTICIPATES IN A VARIETY OF HEALTH FAIRS, PROVIDING FREE SCREENINGS, SUCH AS BLOOD PRESSURE CHECKS, AS WELL AS CPR INSTRUCTION.
PART III, LINE 4: FINANCIAL STATEMENT FOOTNOTE FOR PATIENT ACCOUNTS RECEIVABLE: "PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF ESTIMATED ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS AND ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS. ESTIMATED ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS AND UNCOLLECTIBLE ACCOUNTS ARE APPROXIMATELY $211,907,000 AS OF JUNE 30, 2011." BAD DEBT EXPENSE IS NOT INCLUDED AS PART OF COMMUNITY BENEFIT. FINANCIAL COUNSELORS ASSIST PATIENTS WITH CHARITY CARE APPLICATIONS AND UNINSURED DISCOUNT PROGRAM.
PART III, LINE 8: UNIVERSITY OF ARIZONA MEDICAL CENTER-SOUTH CAMPUS HOSPITAL, AS A MEDICARE CERTIFIED HOSPITAL, IS OBLIGATED TO PROVIDE CARE TO MEDICARE PATIENTS AND AS SUCH PROVIDES A BENEFIT TO THE COMMUNITY. THE MEDICARE ALLOWABLE COSTS OF CARE IS REPORTED FROM THE UNIVERSITY OF ARIZONA MEDICAL CENTER-SOUTH CAMPUS MEDICARE COST REPORT.
PART III, LINE 9B: IF SUBSEQUENT EVENTS REVEAL FINANCIAL HARDSHIP, PATIENTS MAY APPLY FOR CHARITY CARE AND RECEIVE DISCOUNTS BASED ON THEIR FINANCIAL CIRCUMSTANCES.
PART VI, LINE 2, NEEDS ASSESSMENTS:THE UNIVERSITY OF ARIZONA MEDICAL CENTER-SOUTH CAMPUS'S COMMUNITY NEEDS ASSESSMENT IS PREPARED THROUGH ITS INTERNAL CONSULTING DEPARTMENT WHICH SERVES AS A BASIS FOR ITS STRATEGIC PLANS AND SUBSEQUENT BUSINESS PLANS TO ALLOCATE RESOURCES, IMPROVE AND DEVELOP EXISTING SERVICES, IMPLEMENT NEW PROGRAMS, AND COLLABORATE WITH OTHER COMMUNITY HEALTHCARE PROVIDERS.
PART VI, LINE 3, PATIENT EDUCATION OF ELIGIBILITY:THE UNIVERSITY OF ARIZONA MEDICAL CENTER-SOUTH CAMPUS PROVIDES HEALTH CARE SERVICES FREE OR AT A REDUCED CHARGE TO INDIVIDUALS WHO MEET CERTAIN FINANCIAL CRITERIA. ALL PATIENTS IN NEED OF EMERGENCY SERVICES ARE ACCEPTED REGARDLESS OF THEIR ABILITY TO PAY. FINANCIAL COUNSELORS ASSIST PATIENTS WITH THE ORGANIZATION'S CHARITY CARE APPLICATION AS WELL AS APPLYING FOR OTHER FEDERAL, STATE, AND LOCAL MEDICAL ASSISTANCE PROGRAMS FOR WHICH THEY MAY BE ELIGIBLE.
PART VI, LINE 4, COMMUNITY INFORMATION:THE UNIVERSITY OF ARIZONA MEDICAL CENTER-SOUTH CAMPUS PROVIDES TERTIARY HEALTHCARE AND IS A MAJOR REFERRAL CENTER FOR THE STATE AND OTHER SOUTHWESTERN STATES. THE CITY OF TUCSON IS THE SECOND LARGEST CITY IN ARIZONA AND THE ONLY METROPOLITAN AREA IN PIMA COUNTY, ARIZONA. PIMA COUNTY COVERS 9,184 SQUARE MILES, INCLUDING DIVERSE CHANGES IN ELEVATION, TOPOGRAPHY, AND CLIMATE. SEVERAL NATIVE AMERICAN TRIBAL NATIONS HAVE RESERVATION LANDS IN THE COUNTY WHICH TOGETHER TOTAL 42.1% OF PIMA COUNTY LAND. ACCORDING TO 2007 POPULATION PROJECTIONS BY THE CITY OF TUCSON DEPARTMENT OF URBAN PLANNING & DESIGN, IT IS ESTIMATED THAT THE PIMA COUNTY AREA HAS APPROXIMATELY 1,000,000 RESIDENTS IN 2008 AND WILL EXCEED 1,100,100 BY 2012. TUCSON IS LOCATED APPROXIMATELY 60 MILES NORTH OF THE U.S.-MEXICO BORDER. PIMA COUNTY, WHICH ACCOUNTS FOR APPROXIMATELY 15% OF THE STATE'S POPULATION HAS A CROSS SECTION OF EMPLOYERS WITH HEAVY EMPHASIS IN SERVICES, TRADE, GOVERNMENT, MILITARY, MINING, AND MANUFACTURING. METROPOLITAN TUCSON ACCOUNTS FOR APPROXIMATELY 54% OF THE POPULATION IN PIMA COUNTY.
PART VI, LINE 5, PROMOTION OF COMMUNITY HEALTH:THE UNIVERSITY OF ARIZONA MEDICAL CENTER-SOUTH CAMPUS PROMOTES HEALTH IN MANY WAYS, INCLUDING ATTENDING AND HOSTING HEALTH FAIRS AND SCREENING EVENTS. THESE EVENTS ALLOW OUR CONSTITUENTS TO ACCESS MUCH NEEDED HEALTHCARE AS WELL AS PROVIDE THEM WITH INFORMATION ON OTHER HEALTHCARE RESOURCES FOR WHICH THEY MAY BE ELIGIBLE. CONSISTENT WITH ITS NONPROFIT STATUS, THE UNIVERSITY OF ARIZONA MEDICAL CENTER-SOUTH CAMPUS USES SURPLUS REVENUES TO REINVEST IN FACILITIES, TECHNOLOGY, AND MEDICAL SERVICES FOR THE COMMUNITY.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
MARICOPA HEALTH FOUNDATION
2601 E ROOSEVELTPHOENIXAZ85007860777567501(C)(3)10000MEDICAL EDUCATION, RESEARCH, AND PATIENT SERVICE
UNIVERSITY OF ARIZONA
888 N EUCLIDTUCSONAZ8571974265268911596152MEDICAL EDUCATION, RESEARCH
UNIVERSITY PHYSICIANS HEALTHCARE FOUNDATION
2701 E ELVIRATUCSONAZ85756202826747501(C)(3)161001SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: GRANTS ARE GIVEN ONLY TO ORGANIZATIONS EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND GOVERNMENT ORGANIZATIONS. NO FURTHER MONITORING OF GRANTS IS CONSIDERED NECESSARY.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
STEVE GOLDSCHMID MD
05086440023220017803202834732260552692000
KATHRYN REED MD
0268204002322910040313891012011381244239173500
LARRY ALDRICH
7142040256659048216203368601349201500203000
KEVIN J BURNS
054504103739600576701948709533095378800
MARC BERG MD
01792550054067607015538180254711856526287100
THOMAS BOYER MD
04034480068580017932202834742714142185400
WILLIAM M CRIST MD
06475090068580017150216594742851766513300
FAYEZ GHISHAN MD
0468305006858150976024424213244732818264417800
RAINER GRUESSNER MD
05872670012420017150248484742609060489100
DAVID LABINER MD
022413800124280212020151183744951961632499600
MISTY D HANSEN
028131101097460226505376309360045644500
KATHLEEN A OESTREICH
2735030215200011580221550106310522647000
DIANE RAFFERTY THRU ALVAREZ MARSAL
000000000000
JAMES V STOVER
1491540469300108011864062190214275000
JODY L BUTERA
1870830478690238014833066620256685000
CHRISTEN A CASTELLANO
1693080548320200012843059900243173000
THERESA G LEBARRON
21352609390004480169150128930337682000
GERALD T MIRON
24729402354010540204150127170283834000
SUSAN WONG-BEAN
1752170350000347014117071660231847000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINES 4A-BLARRY ALDRICH RECEIVED $479,200 IN SEVERANCE PAYMENTS IN ACCORDANCE WITH THE EMPLOYMENT CONTRACT. THE FOLLOWING PEOPLE PARTICIPATED AND RECEIVED PAYMENTS FROM A NON-QUALIFIED RETIREMENT PLAN: KEVIN J. BURNS $105,653, MISTY D. HANSEN $34,375.
PART I, LINE 6THE UNIVERSITY OF ARIZONA PHYSICIANS HAS AN INCENTIVE PLAN FOR PHYSICIANS THAT PROVIDES FOR BONUSES CALCULATED AS A PERCENTAGE OF NET INCOME FROM THE VARIOUS PRACTICE AREAS. EACH PHYSICIAN'S BONUS IS CAPPED AT A PREDETERMINED MAXIMUM PERCENTAGE OF HIS OR HER SALARY.
PART IIIPART I, LINE 3: THE ORGANIZATION RELIES ON ITS RELATED ORGANIZATION THE UNIVERSITY OF ARIZONA HEALTH NETWORK, WHICH USED THE FOLLOWING TO ESTABLISH COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OF DIRECTORS OR COMPENSATION COMMITTEE. PART II, LINE 13: DIANE RAFFERTY SERVED DURING THE YEAR AS INTERIM CEO OF THE HOSPITAL. THESE SERVICES WERE PROVIDED THROUGH A CONTRACT WITH ALVAREZ & MARSAL. THIS CONTRACT PROVIDED FOR THE INTERIM CEO AS WELL AS SEVERAL OTHER POSITIONS. PAYMENTS IN THE AMOUNT OF $2,220,273 WERE MADE BY UNIVERSITY OF ARIZONA PHYSICIANS DURING THE YEAR TO ALVAREZ & MARSAL.SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

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

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
990000076745982325520060011
675000078637667136320060011
1000000062098993790220070011
325000037863321213720060011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000011
000011
000011
000011

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

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

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6UNIVERSITY OF ARIZONA PHYSICIANS HAS TWO CLASSES OF MEMBERS: (I) CORPORATE MEMBERS AND (II) PHYSICIAN MEMBERS. THE UNIVERSITY OF ARIZONA HEALTH NETWORK IS UNIVERSITY OF ARIZONA PHYSICIAN'S SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS ELECT AT-LARGE DIRECTORS FROM COMMUNITY DIRECTORS SERVING ON THE BOARD OF DIRECTORS FOR THE UNIVERSITY OF ARIZONA HEALTH NETWORK.
FORM 990, PART VI, SECTION A, LINE 7BTHE UNIVERSITY OF ARIZONA HEALTH NETWORK, AS THE SOLE CORPORATE MEMBER, RESERVES THE POWER TO MAKE OR APPROVE DECISIONS OF THE CORPORATION AS GRANTED IN THE BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11THE UNIVERSITY OF ARIZONA PHYSICIAN'S FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER, CHIEF EXECUTIVE OFFICER, AND BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
THE UNIVERSITY OF ARIZONA PHYSICIANS REQUIRES BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES TO COMPLETE A CONFLICT OF INTEREST FORM. THESE FORMS ARE REVIEWED BY CORPORATE COMPLIANCE AND GENERAL COUNSEL. ANY POTENTIAL CONFLICTS IDENTIFIED ARE SUBJECT TO FURTHER REVIEW BY SENIOR MANAGEMENT AND THE BOARD OF DIRECTORS.FORM 990, PART VI, SECTION B, LINE 12C
THE UNIVERSITY OF ARIZONA HEALTH NETWORK HIRES A THIRD PARTY CONSULTANT TO REVIEW COMPENSATION AND BENEFITS. IN ADDITION, THE UNIVERSITY OF ARIZONA HEALTH NETWORK COMPLETES A SURVEY COMPARING THE COMPENSATION PACKAGES TO SIMILAR ORGANIZATIONS. THE CEO AND CFO HAVE WRITTEN EMPLOYMENT CONTRACTS THAT ARE REVIEWED AND APPROVED BY THE UNIVERSITY OF ARIZONA HEALTH NETWORK'S COMPENSATION COMMITTEE AND BOARD OF DIRECTORS.FORM 990, PART VI, SECTION B, LINE 15
POLICIES ARE POSTED ON THE UNIVERSITY OF ARIZONA PHYSICIAN'S INTRANET. GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:CHANGE FROM CONSOLIDATED METHOD OF ACCOUNTING IN INVESTMENT IN SUBSIDIARY -29,630,581. TOTAL TO FORM 990, PART XI, LINE 5: -29,630,581.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
THE UNIVERSITY OF ARIZONA HEALTH PLANS-UNIVERSITY CARE ADVANTAGE LLC
2701 E ELVIRA RDTUCSONAZ85756208406187HEALTHCAREAZ2715831111412744UNIVERSITY PHYSICIANS HEALTHCARE
THE UNIVERSITY OF ARIZONA HEALTH PLANS-UNIVERSITY FAMILY CARE LLC
2701 E ELVIRA RDTUCSONAZ85756263153084HEALTHCAREAZ27316314353987909UNIVERSITY PHYSICIANS HEALTHCARE

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

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

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1THE UNIVERSITY OF ARIZONA MEDICAL CENTER IMAGING CENTERBusinessNameLine1

Address US AddressUS

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

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1UPH AND UMCBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income173481ShareOfTotalIncome
Share Of EOY Assets2034279ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner1GeneralOrManagingPartner
Percentage Ownership0.50000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1UMCC INSURANCE FUNDING LIMITEDBusinessNameLine1

Address Foreign AddressForeign

FieldValueIRS element (for citing)
Address Line1PO BOX 1051 GEORGETOWNAddressLine1
CityGRAND CAYMAN KY1-1102City
Province Or StateCAYMAN ISLANDSProvinceOrState
CountryCJCountry
FieldValueIRS element (for citing)
EIN980116943EIN
Primary ActivityCAPTIVE INSURANCEPrimaryActivity
Legal Domicile Foreign CountryCJLegalDomicileForeignCountry
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CADUCEUS INDEMNITY INSURANCE
R2017997ACTUAL TRANSFER
CADUCEUS INDEMNITY INSURANCE
P7529554ACTUAL TRANSFER
CADUCEUS INDEMNITY INSURANCE
L5544095ACTUAL TRANSFER
UNIVERSITY PHYSICIANS HEALTHCARE FOUNDATION
B161001ACTUAL TRANSFER
UNIVERSITY PHYSICIANS HEALTHCARE FOUNDATION
C32554ACTUAL TRANSFER

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