2012-11-09T14:51:27-08:00 2011-12-31 990 2011-01-01 860137567 Tucson Medical Center TUCS 5203275461 5301 E Grant Road Tucson AZ 85712 Steve Bush 2012-10-11 2011 2016-02-24 21:20:13Z Judith Rich 5301 E Grant Rd Tucson AZ 85712 423357838 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. 15 12 3624 595 641952 505324 813875 5754347 405723481 408831131 651995 1880999 2589499 5551998 409778850 422018475 406142 355289 0 193710225 179548747 0 0 209211991 229283471 403328358 409187507 6450492 12830968 324860961 346170876 176428774 203135611 148432187 143035265 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 345173497 355289 411596078 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 2011 Our Vision of Health Care":"TMC wrote off $28.6 million in charity care and bad debt charges in 2010. With unprecedented cuts to AHCCCS (Arizonas Medicaid program), that number climbed to$40 million in 2011, with estimates indicating that number is expected to be close to $60 million in 2012. While these numbers certainly challenge us, we understand and celebrate our role as a nonprofit community hospital to care for themost vulnerable in our community.As a nonprofit hospital, it is our mission to care for those regardless of their ability to pay and so we continue to focus on improving quality, expanding services while reducing costs. The pages of this report are filled with stories of howthe staff, physicians and volunteers of TMC benefited the community in 2011, from helping us move beyond the tragedy of Jan. 8, to providing care and thanks to ourveterans facing the end of life, to helping our families and patients navigate the hospital. But, one project that gained momentum in 2011 doesnt need to be told on the pages of a report. Its clearly evident when you drive down Grant Road near Craycroft. In fact, its impossible to miss the four-story structure rising fromthe ground on TMCs west campus. Throughout TMCs history, plans have been put forward to build up only to step back for one reason or another. In 2011, despite unprecedented challenges from State of Arizona budget reductions, we collectively agreed to continue moving on a redevelopment plan that we broke ground on in late 2009, building for the future, investing in Southern Arizona. Through this $110 million project, we are investing in Tucson by creating jobs, engaging with local subcontractors, and creating a world-class orthopaedic and surgical center for the people of Southern Arizona.Even with all the challenges facing hospitals in this economic environment, Tucson Medical Center continues investing to create the highest quality facilities and services for our community.In September, TMC and Southern Arizona Against Sexual Assault launched a support facility in the TMC Emergency Department that includes a dedicated medicalforensic examination room, a quiet space for family and friends, and a separate entrance for additional privacy. TMC dedicated the facility, which is the first step of medical support for recent survivors, and SACASA staff provides emotional support services and conducts medicalforensic exams. Both agencies understand how important it is to respond immediately and professionally to the needs of a survivor of sexual assault, while also providing as much comfort as possible in such situations.This center is a huge step forward in our communitys ability to provide the full spectrum of care that is so urgently needed in a crisis situation following an assault, said Montserrat Caballero, program director of SACASA. Sexual assault is a reality in Southern Arizona and it is our responsibility as a community to provide support. This facility helps meet the needs of survivors. This partnershipis incredibly unique and highlights the level of compassion and care that Tucson Medical Center has for all survivors.In the interest of promoting workplace wellness, Tucson Medical Center joined forces with the YMCA to give more than 500 local workers the skinny about their health. The partnership started as a result of the Communities Putting Prevention to Work grant,funded by the Centers for Disease Control. The YMCAs Worksite Wellness program assisted businesses with creating or enhancing worksite wellness through programs that supported increased awareness of good nutrition and encouragement to increase physical activity throughout the work day.Mary Atkinson, TMCs director of Food & Nutrition Services, said the TMC/YMCA partnership got its start at a community wellness meeting funded by the Prevention to Work grant, when some small business owners indicated theyd like to offer health screenings to employees. Some didnt have health insurance plans that allowed it, she recalled, or had high health care premiums or were so small they didnt offer health plans at all. We thought it only made sense, as a community hospital, to try to help, since we have the resources here, she said.Laura Rosebaugh, a human resources generalist with the Providence Service Corp., said she was pondering how to respond to results from a recent employee survey, inwhich workers expressed interest in free or reduced-cost health screenings. She reached out to the YMCA when she heard about the program, noting it also meshedwith her companys goals of raising awareness of health and safety among its roughly 200 employees.The employees who had [participated] commented on how helpful it was, Rosebaugh said, noting that some workers were told to get in to see their doctors basedon risk findings, such as high blood sugar or high blood pressure readings.Vivian Cullen,the Community Outreach Director for the YMCA, said the program is the result of an effective partnership. The statistics around the country show if both employees and management understand the importance of better nutrition and increasedactivity during the workday, it results in a real win-win. Employees win through improved personal health, she said, and employers win by having healthier employees whose insurance claims often are lower, sick days are fewer, and productivity is increased.VOLUNTEERS, INCLUDING TMC CLINICAL STAFF AND HEALTH EDUCATORS, PROVIDED FREE HEALTHSCREENINGS TO NEARLY A DOZEN SMALL BUSINESSES INVOLVED IN THE WORKSITE WELLNESS PROGRAM. SINCE THE INCEPTION OF THE PARTNERSHIP, TMC STAFF HAS PROVIDED EMPLOYEES WITH THEIR BLOOD SUGAR AND CHOLESTEROL LEVELS, BLOOD PRESSURE READINGS AND WEIGHT-TO-HEIGHT RATIOS."Please see our website to view our full Report to the Community: www.tmcaz.com/TMCHealthCare/Report_to_our_community 345173497 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 340 0 true 3624 true true true false false false false false false false false false 0 false false false false false false false false false false false X 15 12 true false false false true true true true true false 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 X X 620122 0 93344 Beckie Torrey 1.00 X 0 0 0 Joel Valdez 1.00 X 0 0 0 David Cohen 1.00 X 0 0 0 Michael W Bracht 1.00 X 0 0 0 Jon R Young 1.00 X 0 0 0 David F Peachin 1.00 X 0 0 0 Richard M Moreno 1.00 X 0 0 0 Michael Probstfeld MD 1.00 X 69558 0 0 Eduardo A Leon 1.00 X 0 0 0 Louise L Francesconi 1.00 X 0 0 0 Manuel M Ferris 1.00 X 0 0 0 Susan L Ernsky 1.00 X 0 0 0 Mary E Cochran MD 1.00 X 0 0 0 Henry Boice 1.00 X 0 0 0 Matthew Atlas 1.00 X 60000 0 0 Mahmood Mirza 40.00 X 190631 0 9869 Linda Wojtowicz 40.00 X 311991 0 64174 Julia Strange 40.00 X 143619 0 30531 Richard Prevallet 40.00 X 149394 0 34352 Tracy Nuckolls 40.00 X 471827 0 12237 Frank Marini 40.00 X 285211 0 34490 Michael Duran 40.00 X 181113 0 27325 Stephen Bush 40.00 X 363348 0 76049 Jason Krupp 40.00 X 111300 0 14984 Cheryl Young 40.00 X 171742 0 27745 John Friend 40.00 X 183900 0 33317 Eva B McCullars 40.00 X 235344 0 10091 Mark Joseph Helms 40.00 X 211858 0 10182 Rainier J Diaz 40.00 X 180497 0 13055 Daniel Aaron Shinnick 40.00 X 179894 0 3451 Lawrence Lincoln 40.00 X 177661 0 9059 Igor Shegolev 0.00 X 15761 0 1645 4314771 505900 130 true true false Sonora Surgical Services LLC 6339 E Speedway Suite 201 Tucson AZ 85710 Medical Services 764879 Old Pueblo Anesthesia 2810 N Swan Road Suite 100 Tucson AZ 85712 Medical Services 2856184 Obstetrix Medical Group of Arizona PC PO Box 281034 Atlanta GA 303841034 Medical Services 1076790 Neurological Associates of Tucson 2450 E River Road Tucson AZ 85718 Medical Services 1087180 Advanced Reimbursement Management PO Box 671042 Dallas TX 752671042 Collection Services 722990 340 5672224 82123 5754347 Net Patient Services 900099 406431347 406431347 Meaningful Use Revenue 900099 2399784 2399784 408831131 2118656 2118656 0 0 2694559 1764796 929763 929763 -81334 1011097 237657 -237657 -237657 -237657 0 0 13100 -663090 676190 676190 Pharmacy 446110 671928 671928 Misc Revenue 900099 896345 896345 Food Service 722210 2276570 2276570 101202 47096 54106 3946045 422018475 408593474 641952 7028702 355289 355289 0 0 0 3315018 697159 2617859 0 150759562 140821199 9938363 2813743 2582193 231550 11549087 10592343 956744 11111337 10222431 888906 6758001 3733788 3024213 29286 29286 1280720 1280720 82741 82741 0 0 40406266 38683518 1722748 2501048 162310 2338738 17808438 13817690 3990748 6251742 5125851 1125891 0 10899515 10567648 331867 422905 310799 112106 0 1599889 423913 1175976 5732243 5732243 436228 436228 20692545 20692545 7845321 104555 7740766 Medical Supplies 87100874 87100874 Bad Debt 19435709 19435709 0 409187507 345173497 64014010 0 28250513 35771429 10223004 26588525 0 49863107 48646825 0 0 0 12517116 13190686 5996116 6129728 406460928 244767437 146640873 161693491 49127279 47353338 0 0 0 22242953 6796854 324860961 346170876 50764811 53882052 22143928 45615107 90000000 90000000 13520035 13638452 176428774 203135611 X 148432187 143035265 148432187 143035265 324860961 346170876 X 12830968 -18227890 X false true true X false false X false false false false false false false false false false true 82741 82741 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. 14338525 14338525 123236507 60707770 62528737 29091885 5963321 23128564 239794011 178096346 61697665 161693491 Lease obligation EDH 1494547 Interest Rate Swap Agreement 6790789 Due to Broker 24028 Cost Report Reserves 2363022 Asbestos Retirement Obligations 2966066 13638452 Part X Part X : FIN48 Footnote TMCH (TMC HealthCare),TMC (Tucson Medical Center), the Foundation (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 (GLP Insurance Company) is a foreign corporation organized under the laws of the Cayman Islands, British West Indies, and is therefore not subject to income tax. (TMC) Security Services; SMH (Saguaro Medical Holdings); and HCSDC (Hospital Care Systems Development) are for-profit entities that did not have taxable operations which were significant to the consolidated financial statements in 2011 or 2010. Certain taxable corporations have net operating loss caryforwards. At December 31, 2011 and 2010, the related deferred tax asset is fully reserved due to the uncertainty regarding the ability of the Company to realize such assets in future periods.The Company has reviewed its tax positions for all open tax years and has concluded that no liabilities exist as of December 31, 2011 and 2010. The Company files tax returns in the U.S. federal juristiction. With a few exceptions, the Company is no longer subject to U.S. federal examinations by tax authorities for years before 2008. Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Net Transfer from Affiliates $ -13762850 true true true X true X true true true false true true 1 6011801 6011801 0.01470 1 65611 20589580 20589580 0.05030 2 65611 26601381 26601381 0.06500 73 143734 542531 542531 0.00130 2 268 2118601 2118601 0.00520 404059 404059 0.00100 4 17705 234158 234158 0.00060 79 161707 3299349 3299349 0.00810 81 227318 29900730 29900730 0.07310 1 380864 380864 0.00090 1 52000 52000 0.00010 2 432864 432864 0.00100 true 19435709 30000 97877152 91390118 6487034 X true true TMC Neuroscience Mgmt LLC Manage Neuro Svcs 0.32500 0.67500 TMC Cardiac & Cardiothoraci Management of Cardiac Svcs 0.29990 0.70010 TMC Orthopaedic Mgmt LLC Manage Ortho Svcs 0.32500 0.67500 1 0 Tucson Medical Center

5301 E Grant Road Tucson AZ 85712

X X X X X Acute, Psychatric Hospital, Hospice Tucson Medical Center 1 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 true 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 Tucson Medical Center is located east of downtown Tucson, Arizona. We provide service to people throughout Pima County and even into Mexico. Pima County has a population of about one million with almost 20% living below the federal poverty line. 23% of the population are under 18 years old, 62% are between 18 and 64 and 15% are over 65. 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 We rely on the data provided by the Arizona Department of Health Services that determines and defines the designated "medically underserved" areas in Southern Arizona (http://www.azdhs.gov/hsd/profiles/index.htm). Additional resources include the Pima County Health Department's Health Data and Report Statistics (http://www.pimahealth.org/healthdata/index.htm) and white paper documents like the City of Tucson Poverty of Urban Stress report. We are on track to complete a comprehensive community health needs assessment during 2012. Number of Hospital Faciltiy - 0 Part V, Line 20 - Explanation of Eligible Assistance Patients Billed More Than Insurance Rates 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. At the end of 2011, the FAP was expanded to provide uninsured patients with a standard discount prior to application of the sliding scale discount. Number of Hospital Faciltiy - 0 Part V, Line 19d - 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. At the end of 2011, the FAP was expanded to provide uninsured patients with a standard discount prior to application of the sliding scale discount. Number of Hospital Faciltiy - 0 Part V, Line 16e - Other Collection Actions by Facility or Third Party Engaged Hospital Leins arising out of accidents (insurance) under state law. 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 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 I, Line 6a - Related Organization Community Benefit Report The 2011 Report to our Community "Our Vision of Health Care" is available on the organization's website. true YWCA of Tucson 738 N 5th Ave Suite 110 Tucson AZ 85705 860098937 501(c)(3) 11500 0 Sponsorship Tucson Oasis 2099 East River Road Tucson AZ 85718 262902416 18150 0 Senior Services Tucson Nurses Week Foundation PO Box 65085 Tucson AZ 85728 860771880 501(c)(3) 25000 0 Promote Nursing Careers Tucson Childrens Museum PO BOX 2609 Tucson AZ 85702 860676237 501(c)(3) 12000 0 Health related exhibit Sahuaro Girl Scouts Co 4300 E Broadway Blvd Tucson AZ 85711 860098917 501(c)(3) 10500 0 Children's Health Komen Southern Arizona 4574 E Broadway Blvd Tucson AZ 85711 751835298 501(c)(3) 12500 0 Breast Cancer Research Juvenile Diabetes Research Fdn 4560 E Broadway Suite 214 Tucson AZ 85711 231907729 501(c)(3) 15000 0 Diabetes Research El Rio Foundation 839 W Congress St Tucson AZ 85745 860816675 501(c)(3) 7500 0 Support El Rio Health Center Community Food Bank PO Box 26727 Tucson AZ 85726 510192519 501(c)(3) 10000 0 Assist the hungry in community Boys & Girls Club PO Box 40217 Tucson AZ 85717 860172257 501(c)(3) 7800 0 Children's Health American Heart Association 5325 East Pima Street Tucson AZ 85712 135613797 501(c)(3) 95000 0 Heart Disease Research American Cancer Society 1636 N Swan 151 Tucson AZ 85712 131788491 501(c)(3) 5500 0 Cancer Research Americain Diabetes Association 333 W Ft Lowell Ste 123 Tucson AZ 85705 131623888 501(c)(3) 6000 0 Diabetes Research 13 0 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 280974 28877 161976 4866 7371 484064 Stephen Bush 329223 34125 68693 7356 439397 Richard Prevallet 137582 11812 24579 9773 183746 Rainier J Diaz 180497 13055 193552 Michael Duran 153223 13126 14764 17649 9676 208438 Mark Joseph Helms 211858 10182 222040 Mahmood Mirza 9027 14875 166729 9869 200500 Linda Wojtowicz 284164 27827 63318 856 376165 Lawrence Lincoln 177661 9059 186720 Julia Strange 132244 11375 23706 6825 174150 Judith Rich 480658 57750 81714 85877 7467 713466 John Friend 183900 23431 9886 217217 Igor Shegolev 15761 1645 17406 Frank Marini 245329 20126 19756 24427 10063 319701 Eva B McCullars 235344 10091 245435 Daniel Aaron Shinnick 179894 3451 183345 Cheryl Young 166919 4823 20659 7086 199487 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. Ind Devel Auth of Pima Co 860445981 2010-12-16 114370800 Campus Development false false false 45615107 1318696 45615107 true false false true false false false false true true true true false false false false false false false X David Cohen Ptnr of CPA Firm 30575 Other ptnr preps tax retur false Henry Boice VP of Bank 131096 Banking Relationship false Robert Wolk Spouse of Trustee 128854 Manager Married to Trustee false Michael Bracht Partner of Trustee 2856184 Min. Owner Anesthesia Grp. false Matthew Atlas Partner of Trustee 2856184 Min. Owner Anesthesia Grp. false Michael Probstfeld Trustee 69558 COS elect, Med Dir false Matthew Atlas Trustee 60000 Chief of Staff 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) Trustee is a minority owner of an anesthesia group which does business with the organization.5) A manager is married to trustee, Mary Cochran6) Trustee is employed by bank which handles most TMC investments7) Trustee is a partner in a CPA firm in which another partner prepares tax returns for related joint ventures. Schedule H Attached is a copy of our consolidated audited financial statements. 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 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 11 Form 990, Part VI, Line 11: 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 dispotition 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 Matthew Atlas and Michael Bracht have 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. 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 Orthopaedic Mgmt LLC 5301 E Grant Road Tucson AZ 85712 262915162 Service Line Management AZ N/A Related -76195 false true 0.32500 TMC Neuroscience Mgmt LLC 5301 E Grant Road Tucson AZ 85712 273027087 Service Line Management AZ Tucson Medical Cente Related 199653 59569 false true 0.32500 TMC Cardiac & Cardiothoracic Surgery 5301 E Grant Road Tucson AZ 85712 270766398 Service Line Mgmt AZ Tucson Medical Cente Related 4811 70353 false true 0.29990 Rincon Community Hospital 5301 E Grant Road Tucson AZ 85712 202330009 Hospital - not yet open AZ N/A c TMC Healthcare Security Services Inc 5301 E Grant Road Tucson AZ 85712 522414943 Security Services AZ N/A c TMC de Mexico Ltd 5301 E Grant Road Tucson AZ 85712 860769541 Holding Company AZ N/A c Saguaro Medical Holdings Inc 5301 E Grant Road Tucson AZ 85712 200614853 Holding Company AZ N/A c Medhold Inc 5301 E Grant Road Tucson AZ 85712 860769548 Holding Company AZ N/A c Hospital Care Systems Development Corp 5301 E Grant Road Tucson AZ 85712 203015545 Hospital Management AZ N/A c false false true false false false false false false true false true false false true true false false TMC Holdings Inc p 5896830 GAAP TMC Holdings Inc j 1767903 GAAP