2012-05-15T11:37:20-05:00 2011-06-30 BEACHFLEISCHMAN PC PO BOX 64130 TUCSON AZ 857284130 990 2010-07-01 942958258 UNIVERSITY PHYSICIANS HEALTHCARE UNIV 5206942700 2701 EAST ELVIRA ROAD TUCSON AZ 85756 MISTY D HANSEN 5206942700 2012-05-10 1 KAREN K MCCLOSKEY CPA 5203214600 2010 2016-02-24 21:20:13Z THE UNIVERSITY OF ARIZONA PHYSICIANS JODI MANSFIELD 1501 N CAMPBELL AVENUE TUCSON AZ 85724 594237500 0 X WWW.UAHEALTH.COM X 1983 AZ ADVANCING HEALTH AND WELLNESS THROUGH EDUCATION, RESEARCH AND PATIENT CARE. 13 4 2937 69 1258505 -196104 0 12163133 597981026 581664978 -289794 21894 4636659 387495 602327891 594237500 2890237 11932102 0 0 217149807 221099969 0 0 0 366735607 364279019 586775651 597311090 15552240 -3073590 210816927 182576174 121902939 126366357 88913988 56209817 ADVANCING HEALTH AND WELLNESS THROUGH EDUCATION, RESEARCH, AND PATIENT CARE. 0 0 270755857 6042 324589503 UNIVERSITY 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). 123104592 1822314 123966708 UNIVERSITY 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. 154482163 10103746 133108767 UNIVERSITY OF ARIZONA PHYSICIANS CLINICAL PRACTICE PROVIDES INPATIENT AND AMBULATORY CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. 548342612 1 1 0 1 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 708 0 1 2937 1 1 1 0 0 0 0 0 0 0 0 0 X 13 4 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 AZ X X DONELLA FONES 5206942700 1501 N CAMPBELL AVENUE TUCSON AZ 85724 HENRY WELLS 40.00 X X 112000 0 0 STEVE GOLDSCHMID MD 5.00 X X 2322 508644 38559 BARBARA PECK 2.00 X X 0 0 0 EDMUND L JENKINS 2.00 X X 0 0 0 KATHRYN REED MD 2.00 X X 2322 359208 42647 LARRY ALDRICH 40.00 X X 1453025 0 47178 KEVIN J BURNS 5.00 X X 0 924768 29020 MARC BERG MD 1.00 X 540 246862 34034 THOMAS BOYER MD 1.00 X 6858 403448 38689 WILLIAM M CRIST MD 1.00 X 6858 647509 39283 LAURA EBERLY 1.00 X 0 0 0 FAYEZ GHISHAN MD 1.00 X 6858 619281 46221 JUDY GIGNAC 1.00 X 0 0 0 RAINER GRUESSNER MD 1.00 X 1242 587267 42472 DAVID LABINER MD 1.00 X 1242 304350 39020 STEVE LYNN 1.00 X 0 0 0 EDMUND PARKER 1.00 X 0 0 0 GRANGER VINALL 1.00 X 0 0 0 MISTY D HANSEN 5.00 X 0 393322 63123 KATHLEEN A OESTREICH 40.00 X 489861 0 32786 DIANE RAFFERTY THRU ALVAREZ MARSAL 40.00 X 0 0 0 JAMES V STOVER 40.00 X 196192 0 18083 JODY L BUTERA 40.00 X 235190 0 21495 CHRISTEN A CASTELLANO 40.00 X 224340 0 18833 THERESA G LEBARRON 40.00 X 307874 0 29808 GERALD T MIRON 40.00 X 250702 0 33132 SUSAN WONG-BEAN 40.00 X 210564 0 21283 3507990 4994659 635666 30 0 1 0 INGENIX PO BOX 27116 SALT LAKE CITY UT 84127 EDP, CONSULTING 2614326 ALVAREZ & MARSAL HEALTHCARE 600 LEXINGTON AVENUE NEW YORK NY 10022 CONSULTING 2220273 JANET JENNER & SUGGS LLC 1777 REISTERTOWN ROAD SUITE 165 BALTIMORE MD 21208 ATTORNEYS 1650000 NVISION NETWORKING PO BOX 91050 TUCSON AZ 85752 EDP 1414986 INSIGHT DIRECT USA 6820 S HARL AVENUE TUCSON AZ 85283 EDP 1288873 59 12163133 12163133 CAPITATION & CONTRACT 621111 387277338 387277338 NET PATIENT SERVICE 621111 194387640 193129135 1258505 581664978 21894 21894 387495 387495 387495 387495 594237500 580406473 1258505 409389 11932102 11932102 3863855 3863855 177412255 158991818 18420437 1899598 1796619 102979 35108714 33205442 1903272 2815547 2662914 152633 8373510 6342966 2030544 797007 404668 392339 867151 649261 217890 24234376 18032479 6201897 887707 574332 313375 2481541 585535 1896006 3825813 1313623 2512190 10492283 6106168 4386115 1959842 1790131 169711 198882 169765 29117 1629420 849777 779643 8606651 3885518 4721133 8264425 5324491 2939934 8913654 8642220 271434 MEDICAL CLAIMS FOR HEAL 255850873 255850873 MEDICAL SUPPLIES 23575996 22477068 1098928 PROFESSIONAL DEVELOPMEN 1981567 1761217 220350 RECRUITMENT 1338321 1129770 208551 597311090 548342612 48968478 0 30037609 13257065 40487472 86906749 54887216 2994298 3021296 1591551 7085112 102245681 52175153 49065098 50070528 0 31828949 1792886 8392673 11974599 210816927 182576174 59256050 62289429 20253078 14530329 11396194 12282879 30997617 37263720 121902939 126366357 X 0 0 0 0 88913988 56209817 88913988 56209817 210816927 182576174 X -3073590 -29630581 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 0 0 1 165203 165203 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: THE 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. 2705040 2705040 21605640 7667678 13937962 8978019 3131983 5846036 66926422 41277249 25649173 2030560 98243 1932317 50070528 DUE FROM MEDICARE 3601660 DUE FROM THE UNIVERSITY OF ARIZONA MEDICAL CENTER 5005531 MISCELLANEOUS OTHER LONG-TERM ASSETS 3367408 11974599 DUE TO COLLEGE OF MEDICINE DEAN FUND 566759 ACCRUED MEDICAL CLAIMS 32983231 DUE TO THE UNIVERSITY OF ARIZONA HEALTH NETWORK 3713730 37263720 1 1 X 1 X 125.000000000000 1 X 1 0 0 2445300 113000 2332300 0.00390 37595711 27859996 9735715 0.01630 40041011 27972996 12068015 0.02020 11499334 3082990 8416344 0.01410 7647949 6576816 1071133 0.00180 11932101 11932101 0.02000 31079384 9659806 21419578 0.03590 71120395 37632802 33487593 0.05610 97498 97498 0.00020 97498 97498 0.00020 0 9951153 16870608 21355436 -4484828 X 1 1 1 UNIVERSITY OF ARIZONA MEDICAL CENTER - IMAGING CENTER LEASING 0.50000 0.00000 0.00000 6 1 U OF A MEDICAL CENTER-SOUTH CAMPUS

2800 E AJO WAY TUCSON AZ 85713

X X X X X 2 U OF A MEDICAL CENTER-SPORTS CLINIC

2800 E AJO WAY SUITES 100-105 TUCSON AZ 85713

CLINIC 3 U OF A MEDICAL CENTER-ALVERNON CLINIC

750 N ALVERNON WAY TUCSON AZ 85711

AMBULATORY SURGERY CENTER 4 U OF A MEDICAL CENTER-WILMOT CLINIC

535 N WILMOT SUITE 101 TUCSON AZ 85711

CLINIC 5 U OF A MEDICAL CENTER-PSYCHIATRIC CLINIC

2800 E AJO WAY SUITE 300 TUCSON AZ 85713

CLINIC 6 U OF A MEDICAL CENTER-ALVERNON CLINIC

707 N ALVERNON WAY SUITE 101 TUCSON AZ 85711

CLINIC NA 1 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. 1 MARICOPA HEALTH FOUNDATION 2601 E ROOSEVELT PHOENIX AZ 85007 860777567 501(C)(3) 10000 MEDICAL EDUCATION, RESEARCH, AND PATIENT SERVICE UNIVERSITY OF ARIZONA 888 N EUCLID TUCSON AZ 85719 742652689 11596152 MEDICAL EDUCATION, RESEARCH UNIVERSITY PHYSICIANS HEALTHCARE FOUNDATION 2701 E ELVIRA TUCSON AZ 85756 202826747 501(C)(3) 161001 SUPPORT 2 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE 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. 1 1 0 0 0 1 0 0 0 STEVE GOLDSCHMID MD 0 508644 0 0 2322 0 0 17803 20283 473 22605 526920 0 0 KATHRYN REED MD 0 268204 0 0 2322 91004 0 31389 10120 1138 12442 391735 0 0 LARRY ALDRICH 714204 0 256659 0 482162 0 33686 0 13492 0 1500203 0 0 0 KEVIN J BURNS 0 545041 0 373960 0 5767 0 19487 0 9533 0 953788 0 0 MARC BERG MD 0 179255 0 0 540 67607 0 15538 18025 471 18565 262871 0 0 THOMAS BOYER MD 0 403448 0 0 6858 0 0 17932 20283 474 27141 421854 0 0 WILLIAM M CRIST MD 0 647509 0 0 6858 0 0 17150 21659 474 28517 665133 0 0 FAYEZ GHISHAN MD 0 468305 0 0 6858 150976 0 24424 21324 473 28182 644178 0 0 RAINER GRUESSNER MD 0 587267 0 0 1242 0 0 17150 24848 474 26090 604891 0 0 DAVID LABINER MD 0 224138 0 0 1242 80212 0 20151 18374 495 19616 324996 0 0 MISTY D HANSEN 0 281311 0 109746 0 2265 0 53763 0 9360 0 456445 0 0 KATHLEEN A OESTREICH 273503 0 215200 0 1158 0 22155 0 10631 0 522647 0 0 0 DIANE RAFFERTY THRU ALVAREZ MARSAL 0 0 0 0 0 0 0 0 0 0 0 0 JAMES V STOVER 149154 0 46930 0 108 0 11864 0 6219 0 214275 0 0 0 JODY L BUTERA 187083 0 47869 0 238 0 14833 0 6662 0 256685 0 0 0 CHRISTEN A CASTELLANO 169308 0 54832 0 200 0 12843 0 5990 0 243173 0 0 0 THERESA G LEBARRON 213526 0 93900 0 448 0 16915 0 12893 0 337682 0 0 0 GERALD T MIRON 247294 0 2354 0 1054 0 20415 0 12717 0 283834 0 0 0 SUSAN WONG-BEAN 175217 0 35000 0 347 0 14117 0 7166 0 231847 0 0 0 PART I, LINES 4A-B LARRY 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 6 THE 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. SUPPLEMENTAL INFORMATION PART III PART 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. THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF SOUTH TUCSON ARIZONA 866000267 2004-12-15 9900000 FINANCE MEDICAL EQUIPMENT 0 0 0 THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF SOUTH TUCSON ARIZONA 866000267 2005-12-21 6750000 FINANCE MEDICAL EQUIPMENT 0 0 0 THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF SOUTH TUCSON ARIZONA 866000267 2006-09-20 10000000 FINANCE MEDICAL EQUIPMENT 0 0 0 THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF SOUTH TUCSON ARIZONA 866000267 2004-12-15 3250000 FINANCE MEDICAL EQUIPMENT 0 0 0 9900000 76745 9823255 2006 0 0 1 1 6750000 78637 6671363 2006 0 0 1 1 10000000 62098 9937902 2007 0 0 1 1 3250000 37863 3212137 2006 0 0 1 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 UNIVERSITY 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 7A MEMBERS 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 7B THE 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 11 THE 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. FORM 990, PART VI, SECTION B, LINE 12C 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 15 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 C, LINE 19 POLICIES ARE POSTED ON THE UNIVERSITY OF ARIZONA PHYSICIAN'S INTRANET. GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: CHANGE FROM CONSOLIDATED METHOD OF ACCOUNTING IN INVESTMENT IN SUBSIDIARY -29,630,581. TOTAL TO FORM 990, PART XI, LINE 5: -29,630,581. THE UNIVERSITY OF ARIZONA HEALTH PLANS-UNIVERSITY CARE ADVANTAGE LLC 2701 E ELVIRA RD TUCSON AZ 85756 208406187 HEALTHCARE AZ 27158311 11412744 UNIVERSITY PHYSICIANS HEALTHCARE THE UNIVERSITY OF ARIZONA HEALTH PLANS-UNIVERSITY FAMILY CARE LLC 2701 E ELVIRA RD TUCSON AZ 85756 263153084 HEALTHCARE AZ 273163143 53987909 UNIVERSITY PHYSICIANS HEALTHCARE ARIZONA BOARD OF REGENTS 2020 N CENTRAL AVENUE PHOENIX AZ 85004 866004791 GOVERNING BOARD OF ARIZONA'S PUBLIC UNIVERSITIES AZ N/A 0 THE UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE 888 N EUCLID TUCSON AZ 85719 742652689 PUBLIC UNIVERSITY AZ ARIZONA BOARD OF REGENTS 0 THE UNIVERSITY OF ARIZONA HEALTH NETWORK INC 1501 N CAMPBELL AVENUE TUCSON AZ 85724 272936985 ENHANCE RELATIONSHIP BETWEEN UAMCC AND UAP AZ 501(C)(3) LINE 11B, II ARIZONA BOARD OF REGENTS 0 UNIVERSITY MEDICAL CENTER CORPORATION 1501 N CAMPBELL AVENUE TUCSON AZ 85724 860492210 HEALTHCARE AZ 501(C)(3) LINE 3 THE UNIVERSITY OF ARIZONA HEALTH NETWORK 0 UNIVERSITY MEDICAL CENTER FOUNDATION 1501 N CAMPBELL AVENUE TUCSON AZ 85724 860572438 FUNDRAISING AZ 501(C)(3) LINE 11A, I UNIVERSITY MEDICAL CENTER CORPORATION 0 UNIVERSITY PHYSICIANS HEALTHCARE FOUNDATION 2701 E ELVIRA ROAD TUCSON AZ 85756 202826747 FUNDRAISING AZ 501(C)(3) LINE 11A, I UNIVERSITY PHYSICIANS HEALTHCARE 1 DEVICE PRESERVATION INC 1501 N CAMPBELL AVENUE TUCSON AZ 85724 860687598 SUPPORT AZ 501(C)(3) LINE 11A, I UNIVERSITY MEDICAL CENTER CORPORATION 0 CADUCEUS INDEMNITY INSURANCE CORPORATION LTD 745 FORT STREET SUITE 1100 HONOLULU HI 96813 990343363 CAPTIVE INSURANCE HI 501(C)(3) LINE 11A, I UNIVERSITY PHYSICIANS HEALTHCARE 1 THE UNIVERSITY OF ARIZONA MEDICAL CENTER IMAGING CENTER 4291 N CAMPBELL AVENUE TUCSON AZ 85724 203400643 LEASING AZ UPH AND UMC RELATED 173481 2034279 0 1 0.50000 UMCC INSURANCE FUNDING LIMITED PO BOX 1051 GEORGETOWN GRAND CAYMAN KY1-1102 CAYMAN ISLANDS CJ 980116943 CAPTIVE INSURANCE CJ N/A C 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 CADUCEUS INDEMNITY INSURANCE R 2017997 ACTUAL TRANSFER CADUCEUS INDEMNITY INSURANCE P 7529554 ACTUAL TRANSFER CADUCEUS INDEMNITY INSURANCE L 5544095 ACTUAL TRANSFER UNIVERSITY PHYSICIANS HEALTHCARE FOUNDATION B 161001 ACTUAL TRANSFER UNIVERSITY PHYSICIANS HEALTHCARE FOUNDATION C 32554 ACTUAL TRANSFER