2024-11-15T16:41:36+00:00 2023-12-31 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-01-01 811156192 TMC Medical Network TMCM 5203241048 5301 E GRANT ROAD TUCSON AZ 85712 STEVE REICHLING SR VP & CFO 5203241048 2024-11-15 true Brian Todd P00422601 4178658701 2024-05-14 2023 2024-10-15 13:58:12Z JUDITH RICH 5301 E GRANT ROAD TUCSON AZ 85712 55158032 false X WWW.TMCAZ.COM X 2016 AZ OPERATE AND MAINTAIN MEDICAL CLINICS/FACILITIES THAT MEET NEEDS OF SOUTHERN ARIZONA COMMUNITY FOR HIGH QUALITY, COMPREHENSIVE HEALTHCARE MADE AVAILABLE TO ALL. 2 0 0 0 0 0 0 0 47482873 55153032 -12998 30000 5000 47512873 55145034 1074742 1314169 0 0 14159185 17347805 0 0 0 44728099 59622838 59962026 78284812 -12449153 -23139778 7047739 12508774 4654454 5876755 2393285 6632019 OUR MISSION IS TO PROVIDE EXECPTIONAL HEALTH CARE WITH COMPASSION. false false 40452010 1314169 55153032 TMC MEDICAL NETWORK ESTABLISHES, OPERATES AND MAINTAINS MEDICAL CLINICS AND OTHER MEDICAL FACILITIES TO MEET THE NEEDS OF THE SOUTHERN ARIZONA COMMUNITY AND ADJOINING AREAS FOR HIGH QUALITY, COMPREHENSIVE MEDICAL AND OTHER HEALTHCARE SERVICES. 40452010 true false false false false false false false false true false false true true true false true false false false false false false false false false true false true false false false false false false false false false false false false false true false false false true 3 0 true 0 false false false false false false false false false false false false X 2 0 false false false false true true true false false false false false true true true true true false false false X STEVE REICHLING 5203242113 5301 E GRANT ROAD TUCSON AZ 85712 JUDITH RICH CHIEF EXECUTIVE OFFICER 1.0 39.0 X X 0 1305121 65508 STEPHEN BUSH CHIEF FINANCIAL OFFICER END 09/23 1.0 39.0 X X 0 490232 67025 STEVE REICHLING CHIEF FINANCIAL OFFICER BEG 03/23 1.0 39.0 X X 0 402835 92071 TIM REUSCHEL CHIEF LEGAL OFFICER BEG 01/23 1.0 38.0 X 0 422017 148708 TIMOTHY HARTIN CHIEF LEGAL OFFICER END 01/23 1.0 39.0 X 0 273872 1306 0 2894077 374618 0 false true false ARIZONA PEDIATRIC SURGERY AND UROLOGY 5166 E GLENN ST TUCSON AZ 85712 MEDICAL SERVICES 4326374 TUCSON INTERVENTIONAL PAIN MANAGEMENT 6453 N DESERT WIND CIRCLE TUCSON AZ 85750 MEDICAL SERVICES 834697 2 0 NET PATIENT SERVICES 621110 41714407 41714407 LAB REVENUE 900099 5184048 5184048 APSI REVENUE 900099 4383752 4383752 OTHER REVENUE 900099 3870825 3870825 0 0 0 0 55153032 5000 5000 0 5000 5000 12998 0 -12998 -12998 -12998 0 0 0 0 0 55145034 55153032 0 -7998 X 1314169 1314169 13800007 12122876 1677131 399669 399669 1894629 1843864 50765 1253500 1251855 1645 44309521 12824511 31485010 0 71302 58567 12735 1309255 1032452 276803 278411 198060 80351 3224849 2926919 297930 28764 14111 14653 29904 13361 16543 793772 793772 2194531 2194531 MEDICAL SUPPLIES AND DRUGS 7005609 3954264 3051345 RECRUITING AND RETENTION 239208 177688 61520 LICENSES, DUES, AND SUBSCRIPTIONS 77424 77368 56 REPAIRS AND MAINTENANCE 60288 47745 12543 0 0 0 0 78284812 40452010 37832802 0 103646 580919 1031045 5400961 0 0 14668 0 544771 185401 6771129 4613777 2511071 2157352 0 0 2842538 4184141 7047739 12508774 1238520 1240415 0 3415934 4636340 4654454 5876755 X 2393285 6632019 2393285 6632019 7047739 12508774 X -23139778 27378512 X false true X true false X 29525 3721 25804 2566796 1625480 941316 4031398 2984576 1046822 143410 143410 2157352 ROU ASSETS 4181459 OTHER RECEIVABLES 1682 DEPOSITS 1000 4184141 ROU LIABILITIES 4633298 REFUNDABLE SECURITY DEPOSTS 3042 4636340 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true PIMA ANIMAL CARE CENTER 4000 SILVERBELL RD TUCSON AZ 85745 866000543 GOVT 1314169 SUPPORT 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. MEMBERS OF THE EXECUTIVE TEAM DETERMINE WHICH COMMUNITY GRANTS WILL BE ISSUED FROM TMC MEDICAL NETWORK. false true false false false false true false false STEPHEN BUSH CHIEF FINANCIAL OFFICER END 09/23 0 339176 0 122204 0 28852 0 52500 0 14525 0 557257 0 0 JUDITH RICH CHIEF EXECUTIVE OFFICER 0 1049958 0 239685 0 15478 0 45000 0 20508 0 1370629 0 0 STEVE REICHLING CHIEF FINANCIAL OFFICER BEG 03/23 0 402835 0 0 0 0 0 72729 0 19342 0 494906 0 0 TIMOTHY HARTIN CHIEF LEGAL OFFICER END 01/23 0 8502 0 55909 0 209461 0 508 0 798 0 275178 0 0 TIM REUSCHEL CHIEF LEGAL OFFICER BEG 01/23 0 422017 0 0 0 0 0 122488 0 26220 0 570725 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan EXECUTIVES PARTICIPATING IN A SUPPLEMENTAL, NON QUALIFIED RETIREMENT PLAN: JUDITH RICH 2022 VESTED CONTRIBUTIONS INCLUDED IN W-2: $15,478 STEPHEN BUSH 2022 VESTED CONTRIBUTIONS INCLUDED IN W-2: $28,852 TIMOTHY HARTIN 2023 VESTED CONTRIBUTIONS INCLUDED IN W-2: $209.461 STEVE REICHLING 2023 NONVESTED CONTRIBUTIONS NOT INCLUDED IN W-2: $72,729 TIM REUSCHEL 2023 NONVESTED CONTRIBUTIONS NOT INCLUDED IN W-2: $77,488 Schedule J, Part I, Line 6b Compensation contingent on net earnings of a related organization MIP BONUS METRICS MANAGEMENT IS ELIGIBLE FOR AN ANNUAL MANAGEMENT INCENTIVE PLAN (MIP) AT THE DISCRETION OF THE GOVERNING BOARD OF TMCH. THE INCENTIVE IS BASED ON THE GOALS: RELATIVE VALUE UNITS AND QUALITY. METRICS ARE ESTABLISHED FOR EACH FISCAL (CALENDAR) YEAR, TOGETHER WITH THE PERCENTAGE OF COMPENSATION PAYOUT BASED ON REACHING ANNUAL ESTABLISHED GOALS. STIP BONUS METRICS - EXECUTIVES ARE ELIGIBLE FOR AN ANNUAL SHORT TERM INCENTIVE PROGRAM (STIP) AT THE DISCRETION OF THE GOVERNING BOARD OF TMCH. THE INCENTIVE IS BASED ON THE GOALS: FINANCIAL, PEOPLE, QUALITY, PATIENT EXPERIENCE, AND GROWTH. METRICS ARE ESTABLISHED FOR EACH FISCAL (CALENDAR) YEAR, TOGETHER WITH THE PERCENTAGE OF COMPENSATION PAYOUT BASED ON REACHING ANNUAL ESTABLISHED GOALS. Schedule J, Part I, Line 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION TUCSON MEDICAL CENTER, A RELATED ORGANIZATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE TMC HEALTHCARE TOP MANAGEMENT OFFICIAL: COMPENSATION COMMITTEE INDEDPENDENT COMPENSATION CONSULTANT FORM 990 OF OTHER ORGANIZATIONS COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE Form 990, Part VI, Line 6 Classes of members or stockholders THE ORGANIZATION'S SOLE MEMBER IS THE PARENT COMPANY TMC HEALTHCARE, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE BOARD OF TRUSTEES IS ELECTED BYT THE PARENT COMPANY TMC HEALTHCARE, INC. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE MEMBER (TMC HEALTHCARE) RETAINS APPROVAL THE FOLLOWING: 1) THE AMENDMENT OF THIS CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS 2) THE ACQUISITION OR CREATION OF ANY SUBSIDIARY OR CONTROLLED CORPORATION 3) 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 4) THE DISSOLUTION OR LIQUIDATION OF THIS CORPORATION 5) EXPEND ANY FUNDS IN EXCESS OF THOSE PREVIOUSLY APPROVED IN THE CAPITAL AND OPERATING BUDGETS OF THIS CORPORATION 6) ENTER INTO ANY LOAN, INDEBTEDNESS, GUARANTY, SECURITY INTEREST, MORTGAGE, SURETY HYPOTHECATION OR OTHER FORM OF INDEBTEDNESS. 7) DISPOSE 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 Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, THE FORM 990 IS FIRST REVIEWED BY THE CONTROLLER WITH INPUT FROM THE CHIEF FINANCIAL OFFICER AND CHIEF LEGAL OFFICER. Form 990, Part VI, Line 12c Conflict of interest policy TMC CONFLICT OF INTEREST POLICY EXCERPT: ARTICLE V DISCLOSURE AND PROCESS FOR RESOLUTION 1. DISCLOSURE OF CONFLICTS OF INTEREST ANNUALLY, 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 CHIEF LEGAL 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 EXISTS THE 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 RESOLUTION OF THE ISSUE. 3. PROCEDURES FOR DECISION MAKING WHEN A CONFLICT OF INTEREST EXISTS IF 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 19 Required documents available to the public GOVERNING DOCUMENTS AVAILABLE UPON REQUIEST. Form 990, Part IX, Line 11g Other Fees PURCHASED SERVICES - Total Expense: 31112530, Program Service Expense: 14189, Management and General Expenses: 31098341, Fundraising Expenses: ; PHYSICIAN FEES - Total Expense: 9086658, Program Service Expense: 9086658, Management and General Expenses: , Fundraising Expenses: ; MASTER SERVICE AGREEMENT - Total Expense: 4020353, Program Service Expense: 3634642, Management and General Expenses: 385711, Fundraising Expenses: ; CONSULTING - Total Expense: 66308, Program Service Expense: 65350, Management and General Expenses: 958, Fundraising Expenses: ; BILLING SERVICES - Total Expense: 8599, Program Service Expense: 8599, Management and General Expenses: , Fundraising Expenses: ; MEDICAL DIRECTOR - Total Expense: 8000, Program Service Expense: 8000, Management and General Expenses: , Fundraising Expenses: ; MANAGEMENT FEE - Total Expense: 3744, Program Service Expense: 3744, Management and General Expenses: , Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 3329, Program Service Expense: 3329, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER FROM AFFILIATES - 27378512; PART V, LINE 2; PART VII, PART IX LINES 5-7 W2 COMPENSATION THE ORGANIZATION'S CEO, CFO AND SEVERAL OTHER CORPORATE OFFICERS RECEIVE W-2 COMPENSATION ISSUED BY TUCSON MEDICAL CENTER, A RELATED ORGANIZATION, FOR THEIR WORK WHICH IS PERFORMED MOSTLY FOR THE BENEFIT OF TMC HEALTHCARE. TUCSON MEDICAL CENTER ALSO FILES ALL REQUIRED W-2S FOR THE HEALTH SYSTEM. TUCSON MEDICAL CENTER 5301 E GRANT RF TUCSON AZ 85712 860137567 HOSPITAL AZ 501(c)(3) 3 TMC HEALTHCARE false TMC FOUNDATION 5301 E GRANT RD TUCSON AZ 85712 860504015 FUNDRAISING AZ 501(c)(3) 7 TMC HEALTHCARE false TMC HEALTHCARE 5301 E GRANT RD TUCSON AZ 85712 202218975 PARENT COMPANY AZ 501(c)(3) Type II NA false TMC HOLDINGS 5301 E GRANT RD TUCSON AZ 85712 860441785 HOLDING COMPANY AZ 501(c)(2) TMC HEALTHCARE false TMCONE 5301 E GRANT RD TUCSON AZ 85712 810686782 PHYSICIAN PRACTICES AZ 501(c)(3) Type I TMC MEDICAL NETWORK true BENSON HOSPITAL PO BOX 2290 BENSON AZ 85602 866007695 HOSPITAL AZ 501(c)(3) 3 TMC HEALTHCARE false NOTHERN COCHISE COMMUNITY HOSPITAL 9001 W REX ALLEN DR WILCOX AZ 85643 860208451 HOSPITAL AZ 501(c)(3) 3 TMC HEALTHCARE false TUCSON HOSPITALS MEDICAL EDUCATION PROGRAM PO BOX 42195 TUCSON AZ 85733 860204268 EDUCATION AZ 501(c)(3) 3 TMC HEALTHCARE false SOUTHERN ARIZONA HOSPITAL ALLIANCE 5301 E GRANT ROAD TUCSON AZ 85712 200385301 HOSPITAL AZ 501(c)(3) 3 TMC HEALTHCARE false HOSPITAL CARE SYSTEMS DEVELOPM 5301 E GRANT RD TUCSON AZ 85712 203015545 HOSPITAL MANAGEMENT AZ TMC HEALTHCARE C Corporation false SAGUARO MEDICAL HOLDINGS INC 5301 E GRANT RD TUCSON AZ 85712 200614853 HOLDING COMPANY AZ TMC HEALTHCARE C Corporation false TMC HEALTHCARE SECURITY SERVICE 5301 E GRANT RD TUCSON AZ 85712 522414943 SECURITY SERVICES AZ TMC HEALTHCARE C Corporation false GLP INSURANCE SELF INSURANCE CJ TMC HEALTHCARE C Corporation false false false false false false false false false false false false false false true true true true false true