2011-05-13T08:49:25-05:00 2010-06-30 RSM McGladrey Inc 801 Nicollet Mall Suite 1100 Minneapolis MN 55402 990 2009-07-01 860492210 UNIVERSITY MEDICAL CENTER CORPORATION UNIV 5206942700 1501 N CAMPBELL AVENUE TUCSON AZ 85724 MISTY HANSEN 5206942700 2011-05-13 1 Collin F Buzzell 6125738750 2009 2016-02-24 21:20:13Z KEVIN J BURNS 1501 N CAMPBELL AVENUE TUCSON AZ 85724 786780241 0 X WWW.UMCAz.EDU X 1984 AZ University Medical Center's mission is four-fold: excellent patient care, education, community services and research. 21 20 4786 685 823197 157037 8539198 4320957 534222146 557694728 -6595719 922647 5367199 5991919 541532824 568930251 10318447 11615263 0 240691118 252023153 0 99829 280078520 290010524 531088085 553648940 10444739 15281311 599374809 611605726 398785426 399057687 200589383 212548039 University Medical Center Corporation's (UMCC) primary exempt purpose is to provide the communities it serves a comprehensive array of quality healthcare services in the most cost-effective manner, consistent with the Corporation's mission, vision, ethics and compliance programs, governmental regulations and guidelines, and industry standards. Our mission is "to provide patient care, education, research and community outreach," and "to be the leader in the Southwest in health, wellness, and caring." Our strategy is focused on program development for our five strategic business units which include Transplantation, Oncology, Cardiac Services, Pediatrics and Critical Care (Trauma, Emergency Medicine and Surgical Services). We also remain focused on improving access to care, labor force development and continued growth and development of the University Medical Center Foundation, an affiliate. 0 0 177910828 2053986 133501957 Health Care Programs, General/Other: Inpatient Services, Med/Surgical, Pediatrics, and OB-GYN: UMCC presently maintains 467 licensed beds and offers a broad range of services. In 2010 UMCC admissions were 22,950 with 120,983 patient days, 63,018 ED visits, 10,680 NICU patient days, 4,846 PICU patient days, and 1,941 obstetric deliveries. 55912202 100656824 Health Care Programs, General/Other: pharmacy: UMCC provides pharmaceutical care by assuring the technical, distributive, clinical and administrative expertise necessary for the safe, appropriate, efficient, and cost effective use of pharmaceuticals. UMCC dispensed 2,990,374 doses in fiscal year 2010. 40438059 43623173 Health Care Programs, General/Other: Operating Room/PACU/Anesthesia: UMCC completed 8,375 inpatient surgeries, 5,136 outpatient surgeries, and 8,661 elective surgeries. 228143819 9552022 279912774 Health Care Programs, General/Other: Pathology Services, Radiation Oncology, Emergency Services, Cardiology, Physician Offices, Home Health/Infusion, Transplant, All Other 228143819 9552022 279912774 502404908 1 1 0 1 0 0 1 0 1 1 0 1 0 1 1 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 1 46407 2 1 4786 1 1 1 1 CJ LU EI 0 0 0 0 0 0 0 21 20 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 AZ X X DONELLA FONES 5206942700 1501 n CAMPBELL AVENUE TUCSON AZ 85724 JUDY GIGNAC 1.00 X X 0 0 0 MATTHEW H MILLER 1.00 X X 0 0 0 EDMUND L JENKINS 1.00 X X 0 0 0 JOHN BERNAL 1.00 X 0 0 0 FRED BOICE 1.00 X 0 0 0 LEO J BRENNAN 1.00 X 0 0 0 ESTHER N CAPIN 1.00 X 0 0 0 WILLIAM M CRIST MD 1.00 X 0 0 0 MARTHA GILLIAND 1.00 X 0 0 0 laura t almquist 1.00 X 0 0 0 DAVID LABINER MD 1.00 X 0 0 0 DANIEL M LEWIS 1.00 X 0 0 0 JAMIE MATANOVICH PHD 1.00 X 0 0 0 GARY MUNK 1.00 X 0 0 0 BRUCE J NORDSTROM 1.00 X 0 0 0 ROBERT C RUIZ 1.00 X 0 0 0 ROBERT SHELTON PHD 1.00 X 0 0 0 N PHILIP STRAUSE III 1.00 X 0 0 0 LINDA MAZON GUTIERREZ 1.00 X 0 0 0 EDMUND HIDALGO 1.00 X 0 0 0 MAX POLL 1.00 X 0 0 0 BEN WILLIAMS 1.00 X 0 0 0 DOUG WALL 1.00 X 0 0 0 KATIE DUSENBERRY 1.00 X 0 0 0 FRED DUVAL 1.00 X 0 0 0 KEVIN J BURNS 40.00 X X 698581 0 37349 GREGORY PIVIROTTO 40.00 X X 754724 0 200156 MISTY HANSEN 40.00 X 191893 0 27377 KAREN D MLAWSKY 40.00 X 405738 0 74237 MARTHA G ENRIQUEZ 40.00 X 397381 0 81214 JUDY A DYE 40.00 X 270949 0 60614 JOHN A MARQUES 40.00 X 278452 0 69751 MARIA A KLEMMEDSON 40.00 X 235587 0 57408 VICTORIA D BEGAN 40.00 X 211333 0 63376 JAMES RICHARDSON 40.00 X 453296 0 56795 SURESH B KATAKKAR 40.00 X 279315 0 19397 BETH R MALASKY 40.00 X 317370 0 25480 KENT D ROLLINS 40.00 X 422438 0 39007 ROBERT B DZIOBA 40.00 X 597606 0 28885 SAMIR Y DAHDAL 40.00 X 288792 0 20513 5803455 0 861559 217 0 1 0 UNIVERSITY PHYSICIANS HEALTHCARE PO BOX 26697 TUCSON AZ 85726 HEALTH CARE PROFESSIONALS 28296373 UNIVERSITY OF ARIZONA PO BOX 245018 TUCSON AZ 85719 HEALTH CARE PROFESSIONALS 26923757 ARAMARK CORP PO BOX 651009 CHARLOTTE NC 28265 FOOD SERVICES 8971029 AM RED CROSS 222 S CHERRY AVENUE TUCSON AZ 85719 BLOOD PROCESSING SERVICES 6920694 DONOR NETWORK OF AZ 201 W COOLIDGE PHOENIX AZ 85013 MEDICAL SERVICES 4473884 42 211317 4097640 12000 85267 4320957 NET PATIENT REVENUE 621500 546584364 545910127 674237 teaching services 611600 8551800 8551800 services to other orga 722320 2558564 2558564 557694728 557163 557163 1104328 1104328 86156 127911 -41755 -41755 -41755 216943435 39800 217721915 164 -778480 39636 -738844 -738844 other income 812930 6033674 5884714 148960 6033674 568930251 562863450 823197 922647 11606008 11606008 9255 9255 4626211 4231335 394876 210019187 193415261 16603926 9908858 8973622 935236 12302050 9941776 2360274 15166847 14034300 1132547 1694054 1694054 349231 349231 117887 117887 86099374 79041629 7048396 9349 2976300 18133 2892815 65352 2807755 1660432 1136309 11014 5654026 492978 5161048 318707 117334 201373 273492 159690 113802 11783368 11783366 2 26487485 22090337 4397148 3364328 2236 3362092 supplies 123449559 123138637 299257 11665 equipment & maintenance 9816808 8838383 978425 other operating expense 8035762 5964447 2068866 2449 utilities 6885749 6885749 unrelated business inco -103361 -103361 553648940 502404908 51144203 99829 3219563 930579 85343396 77502623 7963 2766 12575875 12300070 3752276 4901321 576324877 263294903 269460503 313029974 104297447 116841478 1517768 1106765 119200018 84990150 599374809 611605726 88530918 93566691 3380078 7050431 283988083 279912369 5496097 3381595 17390250 15146601 398785426 399057687 X 0 0 0 0 200589383 212548039 200589383 212548039 599374809 611605726 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 117887 117887 502532819 502650706 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 39256 39823 72887 117887 269853 250000 250000 250000 250000 1000000 1500000 247277 X 0 1331702 24506 -22155 1334053 1.00000 0 1 1 11521198 11521198 380573790 130251348 250322442 2078463 1593901 484562 181904149 131449654 50454495 247277 247277 313029974 LIMITED ASSETS, NET OF CURRENT PORTION 23904640 OTHER NET ASSETS & BOND ISSUE COSTS 4612417 LIMITED ASSETS, CURRENT PORTION 11772675 OTHER A/R 44700418 84990150 OTHER LIABILITIES 6855415 DUE TO THIRD PARTY 4506561 OTHER LT RESERVES 812684 WORKMAN'S COMP RESERVE 2971941 15146601 Part III, Line 4: UNIVERISTY MEDICAL CENTER'S ART COLLECTION PROMOTES AN ATMOSPHERE OF HEALING FOR PATIENTS. Part V, Line 4: Description of Intended Use of Endowment Funds: UNIVERSITY MEDICAL CENTER FOUNDATION, A RELATED ORGANIZATION, HOLDS FUNDS IN AN ENDOWMENT TO SUPPORT PROGRAMS FOR VARIOUS DEPARTMENTS OF UNIVERSITY MEDICAL CENTER. Part X: Description of Uncertain Tax Positions Under FIN 48: UMCC ADOPTED FIN48 FOR THE YEAR ENDING 6/30/2009. The Corporation and the Foundation are not-for-profit entities as described in Section 501(c) (3) of the Internal Revenue Code (the Code) and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. At the present time, the Captive is not subject to income taxes, as no income taxes are levied in the Cayman Islands. Accordingly, no provision for income taxes has been recorded in the accompanying Financial statements. cayman islands 0 1 program service captive insurance 38377 0 1 38377 1 1 X 1 X 1 X 1 0 0 0 10136821 1933618 8203203 0.01480 143222621 131127375 12095246 0.02180 8246095 6131897 2114198 0.00380 161605537 139192890 22412647 0.04040 427534 427534 0.00080 19861206 11620902 8240304 0.01490 30296399 29514121 782278 0.00140 132315 0 132315 0.00020 11606008 0 11606008 0.02100 62323462 41135023 21188439 0.03830 223928999 180327913 43601086 0.07870 132517 132517 0.00020 460342 460342 0.00080 166035 166035 0.00030 21990 21990 0.00000 780884 780884 0.00130 0 2943439 0 103578158 97889254 5688904 X 1 1 TUCSON SRS LEASING LLC LEASING COMPANY 0.56510 0.00000 0.26090 UNIVERSITY MEDICAL IMAGING LEASING COMPANY 0.50000 0.00000 0.00000 UNIVERSITY MEDICAL CENTER

1501 N CAMPBELL AVE tucson AZ 85724

X X X X X X UMC AT NORTH HILLS

265 W INA ROAD Tucson AZ 85704

OUTPATIENT PHYSICIAN CLINIC UMC AT PANTANO

7901 E 22ND ST Tucson AZ 85710

OUTPATIENT PHYSICIAN CLINIC UMC AT GREEN VALLEY

1141 S LA CANADA DR GREEN VALLEY AZ 85614

OUTPATIENT PHYSICIAN CLINIC UMC CANCER CENTER

3838 N CAMPBELL AVE Tucson AZ 85719

ONCOLOGY SERVICES UMC AT ALVERNON

707 ALVERNON WAY Tucson AZ 85711

OUTPATIENT PHYSICIAN CLINIC UMC HOME HEALTH

655 E RIVER ROAD Tucson AZ 85704

HOME HEALTH/INFUSIAN UNIVERSITY MEDICAL IMAGING

4921 N CAMPBELL AVE Tucson AZ 85719

DIAGNOSTIC CENTER PHOENIX MEDICAL TRANSPLANT OFFICE

926 E MCDOWELL ST PHOENIX AZ 85006

DIAGNOSTIC TESTING UMC PHLEBOTOMY AT ALVERNON

707 ALVERNON WAY Tucson AZ 85711

DIAGNOSTIC CENTER UMC AT ORANGE GROVE

1891 W ORANGE GROVE TUCSON AZ 85704

OUTPATIENT PHYSICIAN CLINIC UMC SURGERY MEDICAL OFFICE 40P

1501 N CAMPBELL AVE TUcson AZ 85724

OUTPATIENT PHYSICIAN CLINIC UMC SURGERY MEDICAL OFFICE 50P

1501 N CAMPBELL AVE Tucson AZ 85724

OUTPATIENT PHYSICIAN CLINIC Part III, Line 4: 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 WERE APPROXIMATELY $120,984,000 AND $104,043,000 AS OF JUNE 30, 2010 AND 2009, RESPECTIVELY. 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: UNIVERSITY MEDICAL CENTER'S (UMCC) COMMUNITY NEEDS ASSESSMENT IS PREPARED THROUGH ITS INTERNAL CONSULTING DEPARTMENT WHICH SERVES AS A BASIS FOR UMCC'S STRATEGIC PLANS AND SUBSEQUENT BUSINESS PLANS TO ALLOCATE RESOURCES, IMPROVE AND DEVELOP EXISTING SERVICES, IMPLEMENT NEW PROGRAMS, AND COLLABORATE WITH OTHER COMMUNITY HEALTHCARE PROVIDERS. FOR EXAMPLE, IN RESPONSE TO RISING INCIDENCE OF DIABETES IN SOUTHERN ARIZONA, UMCC ENTERED INTO THE ARIZONA DIABETES ALLIANCE, A UNIQUE PARTNERSHIP WITH THE UNIVERSITY OF ARIZONA, AND CARONDELET HEALTHCARE NETWORK, PIMA COUNTY. THE ARIZONA DIABETES ALLIANCE WAS FORMED TO COORDINATE A REGIONAL INITIATIVE TO PREVENT DIABETES AND IMPROVE THE LIVES OF INDIVIDUALS LIVING WITH DIABETES. Part VI, Line 3: UMCC 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. We also offer substantial discounts to individuals who lack insurance or whose insurance coverage may not cover certain services, under its policy for the uninsured and underinsured. Under this program, patients are charged no more than the rate the Corporation receives under the Medicare program.In addition, we assist patients in applying for additional assistance programs for which they may qualify. Financial counselors assist patients with their bills as well as with applying for other federal, state, and local programs including Medicare, Medicaid, pharmaceutical assistance, and local medical assistance programs for which they may be eligible as well as any assistance need in completing University Medical Center's charity care applications. Part VI, Line 4: The Hospital provides tertiary healthcare and is a major medical referral center for the State and other southwestern states. The Hospital is one of eight non-federal acute care hospitals in metropolitan Tucson, which consists of the City of Tucson and immediately surrounding areas (hereinafter referred to as "Metropolitan Tucson"). 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 1,100,000 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: University Medical Center Corporation is committed to the community it serves as well as the promotion of public health. UMCC supports many local charitable organizations, including Tucson Festival of Books, American Heart Association, the American Cancer Society, Juvenile Diabetes Research Foundation and others not only with financial contributions but with hospital volunteers as well. In November of 2010 UMCC sponsored the 28th annual El Tour de Tucson, a 109 mile bike ride and important Tucson community event promoting health and wellness. In addition, UMCC participates in a variety of health fairs, providing free screenings, such as blood pressure checks, as well as CPR instruction. Part VI, Line 6: UMCC is the only level one trauma center in Southern Arizona and as such take a leadership role in improving systems of care for trauma patients. Trauma education, injury prevention, and disaster preparedness efforts in the region are often led by staff at UMCC, who have spent hundreds of hours providing professional and community wide education.Consistent with its nonprofit status, University Medical Center uses surplus revenues to reinvest in facilities, technology, and medical services for the community. In FY 2010, UMCC opened the Diamond Medical Children's Medical Center which provides the most advance pediatric health care possible while maintaining a comfortable, healing atmosphere for children and their families. 1 University of Arizona PO Box 245018 tucson AZ 85719 742652689 115 11034473 MISSION SUPPORT Tucson Fesitval of Books Foundation PO Box 210019 Tucson AZ 85721 262145432 501(C)(3) 100000 PROMOTION OF LITERACY ARA Parsegian Foundation 3530 E Campo Abierto Suite 105 Tucson AZ 85718 860775966 501(C)(3) 60000 MEDICAL RESEARCH American Heart Association 710 2nd Avenue Seattle WA 98014 135613797 501(C)(3) 46500 MEDICAL RESEARCH Perimeter Bicycling 2609 E Broadway Tucson AZ 85716 860830696 501(C)(3) 41429 FOSTERING AND PROMOTING AWARENESS OF HEALTH BENEFITS OF CYCLING TO GENERAL PUBLIC HEALTH Susan G Komen Breast Cancer Foundation 4574 E Broadway tucson AZ 85711 752844652 501(C)(3) 35000 BREAST CANCER RESEARCH American Cancer Society 1636 N Swan 151 Tucson AZ 85712 131788491 501(C)(3) 35000 RESEARCH, TREATMENT, AND PREVENTION OF CANCER Angel Charity for Children Inc PO Box 14225 Tucson AZ 85732 860472794 501(C)(3) 27500 IMPROVE QUALITY OF LIFE FOR CHILDREN IN OUR COMMUNITY March of Dimes 3550 N Central Avenue PHOENIX AZ 85012 131846366 501(C)(3) 21500 MEDICAL RESEARCH FOR PREVENTATION AND AMELIORATION OF BIRTH DEFECTS American Red Cross 5301 E Braodway Tucson AZ 85711 530196605 501(C)(3) 21068 BIOMEDICAL SERVICES - COLLECTION, TESTING, AND DISTRIBUTION OF BLOOD SUPPLIES Tucson Medical Center 5301 E Grant Road Tucson AZ 85712 860137567 501(C)(3) 15000 MEDICAL RESEARCH Interfaith Community Services 2820 W Ina Road Tucson AZ 85741 860520997 501(C)(3) 15000 MATERIAL ASSISTANCE TO POOR AND NEEDY Casa De Los Ninos 1101 N Fourth Avenue Tucson AZ 85705 860314595 501(C)(3) 12240 2240 FMV MEDICAL SUPPLIES CHILD ABUSE PREVENTION American Liver Foundation 75 Maiden Lane 603 NEW YORK NY 10038 362883000 501(C)(3) 12000 RESEARCH THE CAUSE, TREATMENT, PREVENTION, AND CURE OF LIVER DISEASE Tucson Nurses Week Foundation PO BOX 65085 Tucson AZ 85728 860771880 501(C)(3) 10000 CONTINUING NURSING EDUCATION Fox Tucson Theatre Foundation PO BOX 1008 Tucson AZ 85702 860965120 501(C)(3) 10000 RENOVATION AND OPERATION OF THE HISTORIC TUCSON FOX THEATRE Boys & Girls Club of Tucson PO Box 40217 Tucson AZ 85717 860172257 501(C)(3) 10000 PROVIDE PROGRAMS, PROFESSIONAL STAFF, AND A SAFE ENVIRONMENT TO ASSIST YOUTH IN DEVELOPING SELF ESTEEM, VALUES AND SKILLS Southern Arizona Health Information Exchange 2501 E Elm Street Tucson AZ 85716 264749066 501(C)(3) 9371 IMPROVE QUALITY OF HEALTHCARE THROUGH THE CREATION OF A SECURE HEALTH INFORMATION EXCHANGE University Physicians Healthcare 575 E River Road TUCson AZ 85704 264749066 501(C)(3) 8333 SUPPORT U OF ARIZONA COLLEGE OF MEDICINE AND ITS FACULTY PHYSICIANS ENGAGED IN PATIENT CARE American Lung Association in Arizona 2819 E Broadway Tucson AZ 85716 860111676 501(C)(3) 8069 SAVE LIVES BY IMPROVOING LUNG HEALTH AND PREVENTING LUNG DISEASE PGA Tour Inc 100 PGA Tour Blvd Point Vedra Beach FL 32082 520999206 501(C)(6) 8000 TO PROMOTE THE SPORT OF PROFESSIONAL GOLF Jr Achievement of Arizona INC 636 W Southern Avenue TEMPE AZ 85282 841267604 501(C)(3) 8000 TO INSPIRE AND PREPARE YOUNG PEOPLE TO SUCCEED IN A GLOBAL ECONOMY Tucson Childrens Museum PO Box 245082 TUcson AZ 857245082 860676237 501(C)(3) 7500 PROMOTE CHILDREN'S LEARNING THROUGH USE OF EXHIBITS Tu Nidito Children & Family Services 3922 N Mountain Avenue TUcson AZ 85719 860769031 501(C)(3) 7500 PROVISION OF PROGRAMS AND SERVICES TO CHILDREN AND THEIR FAMILIES AS THEY DEAL WITH SERIOUS ILLNESS AND DEATH Pima Council of Aging 8467 E Broadway TUcson AZ 85710 860251768 501(C)(3) 5000 TO PROMOTE DIGNITY AND RESPECT FOR AGING, AND TO ADVOCATE FOR INDEPENDENCE PIMA COUNTY'S OLDER ADULTS AND THEIR FAMILIES New Parents Network PO Box 64327 TUcson AZ 85728 742544881 501(C)(3) 5000 HELP CHILDREN WORLDWIDE BY REACHING FAMILIES WITH PARENTING INFORMATION THROUGH USE OF CREATIVE TECHNOLOGIES 26 non-cash assistance 846 9255 FMV - cost of prescription drugs prescription drugs from our out patient pharmacy Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: UNIVERSITY MEDICAL CENTER CORPORATION MAINTAINS WRITTEN CONTRACTS REGARDING THE AMOUNT AND INTENDED USE OF MISSION SUPPORT. X X X X X X 0 1 0 0 0 0 0 0 0 KEVIN J BURNS 359702 0 124829 0 214050 0 19487 0 17862 0 735930 0 133108 0 GREGORY PIVIROTTO 532867 0 204317 0 17540 0 167463 0 32693 0 954880 0 0 0 MISTY HANSEN 164566 0 27200 0 127 0 15584 0 11793 0 219270 0 0 0 KAREN D MLAWSKY 257841 0 75220 0 72677 0 63487 0 10750 0 479975 0 69992 0 MARTHA G ENRIQUEZ 213668 0 66298 0 117415 0 62408 0 18806 0 478595 0 110913 0 JUDY A DYE 209608 0 56896 0 4445 0 48022 0 12592 0 331563 0 0 0 JOHN A MARQUES 203270 0 74341 0 841 0 55873 0 13878 0 348203 0 0 0 MARIA A KLEMMEDSON 172792 0 57686 0 5109 0 45427 0 11981 0 292995 0 0 0 VICTORIA D BEGAN 156714 0 52879 0 1740 0 48838 0 14538 0 274709 0 0 0 JAMES RICHARDSON 198282 0 58643 0 196371 0 17337 0 39458 0 510091 0 139318 0 SURESH B KATAKKAR 276544 0 0 0 2771 0 18384 0 1013 0 298712 0 0 0 BETH R MALASKY 313827 0 3059 0 484 0 19487 0 5993 0 342850 0 0 0 KENT D ROLLINS 213572 0 44980 0 163886 0 16222 0 22785 0 461445 0 104601 0 ROBERT B DZIOBA 583413 0 6550 0 7643 0 19487 0 9398 0 626491 0 0 0 SAMIR Y DAHDAL 285834 0 2703 0 255 0 19044 0 1469 0 309305 0 0 0 Part I, Line 4a THE FOLLOWING PARTICIPATED AND RECEIVED PAYMENT(S) FROM A NON-QUALIFIED RETIREMENT PLAN: KEVIN J. BURNS - $208,784 KAREN D. MLAWSKY - $113,992 MARTHA G. ENRIQUEZ - $154,776 JUDY A. DYE - $31,200 JOHN A. MARQUES - $36,864 MARIA A. KLEMMEDSON - $28,053 VICTORIA D. BEGAN - $31,657 KENT D. ROLLINS - $147,457 GREGORY PIVIROTTO - $147,976 JAMES RICHARDSON - $177,869 university medical center corporation 860492210 914446as8 2004-03-03 53188604 finance construction 0 0 university medical center corporation 860492210 914446av1 2005-11-10 139802720 finance construction 0 0 university medical center corporation 860492210 914446bf5 2009-05-28 60172660 finance construction 0 0 53188604 4294750 20992549 716470 27184835 2007 1 0 1 1 139802720 11085750 1036763 127680207 2010 0 0 1 1 60172570 4187277 868287 55117006 2010 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 0 0 1 Bayerische Landesbank 7242012.000000000000 1 1 0 0 0 0 1 1 0 0 X 45 ESTIMATE OF FMV X 20282 ESTIMATE OF FMV X 2 1290 ESTIMATE OF FMV X 6 63650 ESTIMATE OF FMV 0 0 0 Form 990, Part VI, Section A, line 4 In June 2010, the Board of Regents created UA Healthcare, Inc. ("UA Healthcare") to bring together UMCC and UPH to align the two organizations strategically and operationally. This integration is intended to create efficiencies in the healthcare delivery system and position the organization to be prepared for potential health care reforms. After the creation of UA Healthcare, the Board of Regents approved a change in UMCC's bylaws designating UA Healthcare as UMCC's sole member and granting UA Healthcare certain reserved power and authority. Effective July 1, 2010, UA Healthcare also controls UPH. Form 990, Part VI, Section A, line 6 UA HEALTHCARE IS THE SOLE MEMBER OF UNIVERSITY MEDICAL CENTER. Form 990, Part VI, Section A, line 7a UA HEALTHCARE, AS THE SOLE MEMBER OF UNIVERSITY MEDICAL CENTER, ELECTS THE BOARD OF DIRECTORS. Form 990, Part VI, Section A, line 7b UA HEALTHCARE, AS SOLE MEMBER, APPROVES AND/OR RATIFIES SIGNIFICANT DECISIONS MADE BY THE UMCC GOVERNING BODY. Form 990, Part VI, Section B, line 11 UMCC'S FORM 990 IS REVIEWED BY THE CFO, CEO, AND BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Section B, line 12c UNIVERSITY MEDICAL CENTER REQUIRES BOARD MEMBERS, OFFICERS, VICE PRESIDENTS, DIRECTORS, AND MEDICAL STAFF TO COMPLETE A CONFLICT OF INTEREST FORM. ANY REPORTED CONFLICT OF INTEREST IS REVIEWED BY A CORPORATE COMPLIANCE OFFICER AND UMC GENERAL COUNSEL. ANY POTENTIAL CONFLICTS IDENTIFIED ARE SUBJECT TO FURTHER REVIEW BY SENIOR MANAGEMENT AND/OR THE BOARD OF DIRECTORS. Form 990, Part VI, Section B, line 15 UMCC HIRES A THIRD PARTY CONSULTANT TO REVIEW COMPENSATION AND BENEFITS. IN ADDITION, UMCC COMPLETES A SURVEY COMPARING THE COMPENSATION PACKAGES TO SIMILAR ORGANIZATIONS. THE CEO AND CFO HAVE WRITTEN EMPLOYMENT CONTRACTS THAT ARE REVIEWED AND APPROVED BY UMCC'S COMPENSATION COMMITTEE AND BOARD OF DIRECTORS. Form 990, Part VI, Section C, line 19 POLICIES ARE POSTED ON UMC'S INTRANET. GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 16B University Medical Center Corporation reviewed current joint ventures as it relates to its tax exempt status and found no violations. University Physicians Health Plans University Family Care LLC 2701 E Elvira Road Tucson AZ 85756 HEALTH PLAN AZ 3756891 55753054 UNIVERSITY PHYSICIANS HEALTHCARE UNIVERSITY MEDICAL CENTER FOUNDATION 1501 N CAMPBELL AVENUE TUCSON AZ 85724 860572438 SOLICIT & ADMINISTER CHARITABLE SUPPORT TO UNIVERSITY MEDICAL CENTER AZ 501(C)(3) 509(A)(3) I N/A DEVICE PRESERVATION INC 1501 N CAMPBELL AVENUE TUCSON AZ 85724 860687598 MANUFACTURE ARTIFICIAL HEART AND VENT ASSIST DEVICES AZ 501(C)(3) 509(A)(3) I N/A univeristy physicians healthcare inc 2701 E ELVIRA ROAD tUCSON AZ 85706 942958258 healthcare AZ 501(C)(3) 170(b)(1) (a)(iii) UA Healthcare CADUCEUS INDEMNITY INSURANCE CORPORATION 745 Fort Street honolulu HI 96813 990343363 captive insurance HI 501(C)(3) 509(A)(3) I UNIVERSITY PHYSICIANS HEALTHCARE UNIVERSITY PHYSICIANS HEALTHCARE FOUNDATION 2701 E ELVIRA ROAD tUCSON AZ 85706 202826747 FUNDRAISING AZ 501(C)(3) 509(A)(3) I UNIVERSITY PHYSICIANS HEALTHCARE UPH COMMUNITY HEALTH CENTERS INC 2701 E ELVIRA ROAD TUCSON AZ 85706 264586679 FEDERALLY QUALIFIED HEALTH CENTER AZ 501(C)(3) 509(A)(3) I UniverSITY PHYSICIANS HEALTHCARE UA HEALTHCARE INC 1501 N CAMPBELL AVENUE TUCSON AZ 85724 272936985 ENHANCE RELATIONSHIP BETWEEN UMCC AND UPH AZ 501(C)(3) 509(A)(3) I PENDING N/A TUCSON SRS LEASING LLC 5600 NORTH RIVER ROAD STE 885 ROSEMONT IL 60018 205641701 LEASING COMPANY IL N/A RELATED 299501 1424094 0 0 UNIVERSITY MEDICAL CENTER IMAGING LLC 4291 NORTH CAMPBELL AVENUE TUCSON AZ 85724 203400643 LEASING COMPANY AZ N/A RELATED 115152 1505698 0 0 UNIV PHYS HEALTHPLANS - UNIV FAM CARE LLC 2701 E ELVIRA ROAD TUCSON AZ 85706 263153084 HEALTH PLAN AZ UNIVERSITY PHYSICIANS HEALTHCARE RELATED 0 0 UMCC INSURANCE FUNDING LIMITED PO BOX 1051 GT 1ST CARIBBEAN HOUSE GRAND CAYMAN CJ 980116943 CAPTIVE INSURANCE CJ N/A C 3231430 13805444 1.00000 0 1 1 0 0 0 0 0 1 0 1 1 1 1 1 1 1 1 UNIVERSITY MEDICAL CENTER FOUNDATION C 211317 UNIVERSITY MEDICAL CENTER FOUNDATION M 52026 UNIVERSITY MEDICAL CENTER FOUNDATION N 725968 UNIVERSITY MEDICAL CENTER FOUNDATION O 173202 UMCC INSURANCE FUNDING LIMITED Q 3200000 UMCC INSURANCE FUNDING LIMITED R 933813 TUCSON SRS LEASING LLC I 287550 TUCSON SRS LEASING LLC R 181759