TY 2024 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) CYNTHIA GARCIA...................................................................... CHAIR	1.0 ................. 0	X	X	0	0
(2) MAUREEN COOMLER...................................................................... TMC CHIEF EXECUTIVE OFFICER	40.0 ................. 0	X	X	781,432	97,810
(3) ALAN ROGERS...................................................................... TRUSTEE	1.0 ................. 0	X		0	0
(4) BARBARA FARMILANT...................................................................... TRUSTEE	1.0 ................. 0	X		0	0
(5) DAVID SMALLHOUSE...................................................................... TRUSTEE	1.0 ................. 0	X		0	0
(6) DAVID WHITMAN...................................................................... CHIEF OF STAFF ELECT	1.0 ................. 0	X		0	0
(7) ELIZABETH FRIMAN...................................................................... TRUSTEE	1.0 ................. 0	X		0	0
(8) JEFF CHRISTENSEN...................................................................... TRUSTEE	1.0 ................. 0	X		0	0
(9) JOHN LEVIN...................................................................... TRUSTEE	1.0 ................. 1.0	X		0	0
(10) JULIE ZAETTA...................................................................... CHIEF OF STAFF	1.0 ................. 0	X		0	0
(11) ALEXANDER HORVATH...................................................................... CHIEF HUMAN RESOURCES OFFICES	34.0 ................. 6.0		X	582,696	32,905
(12) BRADLEY HIPP...................................................................... TMC CHIEF FINANCIAL OFFICER	40.0 ................. 0		X	242,735	16,264
(13) JENNIFER MENDRZYCKI...................................................................... CHIEF EXECUTIVE OFFICER BEG 04/24	34.0 ................. 6.0		X	846,970	202,785
(14) JOSHUA LEE...................................................................... CHIEF HEALTH INFORMATION OFFICER	40.0 ................. 0		X	567,228	126,245
(15) JOY UPSHAW...................................................................... CHIEF NURSING OFFICER	40.0 ................. 0		X	526,990	63,845
(16) JUDITH RICH...................................................................... CHIEF EXECUTIVE OFFICER END 04/24	34.0 ................. 6.0		X	1,207,962	22,514
(17) KEVIN SMITH...................................................................... CHIEF MEDICAL OFFICER	39.0 ................. 1.0		X	471,678	121,105

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) STEVE REICHLING........................................................................ CHIEF FINANCIAL OFFICER, TREASURER	33.0 .......................7.0	X				646,106	0	147,469
(19) TIM REUSCHEL........................................................................ CHIEF LEGAL OFFICER, SECRETARY	33.0 .......................7.0	X				525,776	0	135,090
(20) JEFFREY LAMIE........................................................................ CHIEF DEVELOPMENT OFFICER	40.0 .......................0		X			468,289	0	56,144
(21) JULIA STRANGE........................................................................ VP, COMMUNITY BENEFITS	20.0 .......................24.0		X			424,547	0	34,215
(22) JULIE WARD........................................................................ VP, OPERATIONS	40.0 .......................0		X			255,366	0	25,372
(23) KEVIN KILDAY........................................................................ VP, CHIEF FINANCIAL OFFICER	40.0 .......................0		X			432,687	0	62,524
(24) IFTEQUAR SIDDIQUI........................................................................ PHYSICIAN	40.0 .......................0			X		212,571	0	8,005
(25) MONICA SHELDON........................................................................ NCCH CEO END 12/24	40.0 .......................0			X		258,886	0	68,430
(26) MUFUTAU AKINBILE........................................................................ Physician	40.0 .......................0			X		408,485	0	33,130
(27) NATHANIEL REYES........................................................................ PHYSICIAN	40.0 .......................0			X		490,501	0	29,682
(28) REBECCA MILLIGAN........................................................................ PHYSICIAN	40.0 .......................0			X		532,918	0	36,482
(29) STEPHEN BUSH........................................................................ FORMER CHIEF FINANCIAL OFFICER	34.0 .......................6.0				X	234,957	0	4,555

(A) Name and business address	(B) Description of services	(C) Compensation
CLOUDMED SOLUTIONS LLC PO BOX 208272 DALLAS,TX753208272	Software	4,719,705
MINDLANCE HEALTH LLC 1095 MORRIS AVE UNION,NJ07083	CONTRACT LABOR	4,446,578
ARIZONA INPATIENT MEDICINE ASSOCIATES LL 7383 E TANQUE VERDE RD TUCSON,AZ85715	Medical Services	3,136,795
PIMA HEART PHYSICIANS 555 E RIVER RD SUITE 1010 TUCSON,AZ85704	MEDICAL SERVICES	2,598,286
NEUROLOGICAL ASSOCIATES OF TUCSON 2450 E RIVER RD TUCSON,AZ85718	MEDICAL SERVICES	2,416,516
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 74

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

Name of the organization

Tucson Medical Center

Employer identification number

86-0137567

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2024

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2024

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

Name of the organization

Tucson Medical Center

Employer identification number

86-0137567

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization Tucson Medical Center

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 3

Name of organization Tucson Medical Center		Employer identification number 86-0137567

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 4


Name of organization Tucson Medical Center			Employer identification number 86-0137567
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

Tucson Medical Center

Employer identification number

86-0137567

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	3,355,439		3,355,439
b	Buildings ....	303,158,745	114,832,093	188,326,652
c	Leasehold improvements	1,961,558	0	1,961,558
d	Equipment ....	257,715,881	184,427,370	73,288,511
e	Other .....	58,681,971	11,567,764	47,114,207
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				314,046,367

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)DUE FROM 3RD PARTY				2,278,434
(2)OTHER RECEIVABLES				75,756,244
(3)ROU ASSET				14,404,946
(4)GUARANTEES				262,802
(5)INVEST IN SLA				118,996
(6)INVEST IN VHA				44,270
(7)OTHER ASSET				422,024
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				93,287,716

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Federal Income Taxes
DUE TO 3RD PARTY	638,682
ROU LIABILITIES	13,989,830
RETIREMENT OBLIGATION	3,257,785
OTHER LIABILITIES	273,557




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	18,159,854
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) (Rev. 1-2025)

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d	0
e	Add lines 2a through 2d .....................			2e	0
3	Subtract line 2e from line 1..................			3	0
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	0
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	0

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d	0
e	Add lines 2a through 2d....................			2e	0
3	Subtract line 2e from line 1...................			3	0
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b	0
c	Add lines 4a and 4b.....................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	0

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
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.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public Inspection

Name of the organization

Tucson Medical Center

Employer identification number

86-0137567

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			1,786,119		1,786,119	0.204 %
b	Medicaid (from Worksheet 3, column a) . . . . .			207,527,133	189,334,670	18,192,463	2.077 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .					0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	209,313,252	189,334,670	19,978,582	2.281 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).			3,523,252		3,523,252	0.402 %
f	Health professions education (from Worksheet 5) . . .					0	0 %
g	Subsidized health services (from Worksheet 6) . . . .					0	0 %
h	Research (from Worksheet 7) .					0	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .			2,361,228		2,361,228	0.270 %
j	Total. Other Benefits . .	0	0	5,884,480	0	5,884,480	0.672 %
k	Total. Add lines 7d and 7j .	0	0	215,197,732	189,334,670	25,863,062	2.953 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing					0	0 %
2	Economic development					0	0 %
3	Community support					0	0 %
4	Environmental improvements					0	0 %
5	Leadership development and training for community members					0	0 %
6	Coalition building					0	0 %
7	Community health improvement advocacy					0	0 %
8	Workforce development					0	0 %
9	Other					0	0 %
10	Total	0	0	0	0	0	0 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

33,665,565

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

9,054,286

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

172,273,368

Enter Medicare allowable costs of care relating to payments on line 5.....

200,598,747

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-28,325,379

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1TMC CARDIAC & CARDIOTHORAC	MANAGEMENT OF CARDIAC SVCS	40 %	0 %	60 %
2TMC NEUROSCIENCE MGMT LLC	MANAGE NEURO SVCS	32.5 %	0 %	67.5 %
3TMC VASCULAR SURGERY MGMT	MANAGE VASCULAR SERVICES	30 %	0 %	70 %
4TMC GENERAL SURGERY & UROLO	MGE GENERAL SURG & UROLOGY	30 %	0 %	70 %
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2024

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)							Facility reporting group
2	TUCSON MEDICAL CENTER RINCON 5755 SOUTH HOUGHTON RD TUCSON,AZ85747 www.rincon.tmcaz.com H13332	X	X			X	1
1	TUCSON MEDICAL CENTER 5301 E GRANT RD TUCSON,AZ85712 WWW.TMCAZ.COM H0012	X	X	X	X	X	1

Schedule H (Form 990) 2024

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	1
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 24

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): https://www.tmchealth.tmcaz.com/en/community/community-benefit

Other website (list url): https://www.pima.gov/3192/Community-Health-Needs-Assessment

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 24

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): https://www.tmchealth.tmcaz.com/en/community/community-benefit

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	1
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.0%
and FPG family income limit for eligibility for discounted care of 400.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

(SEE STATEMENT)

The FAP application form was widely available on a website (list url):

(SEE STATEMENT)

A plain language summary of the FAP was widely available on a website (list url):
(SEE STATEMENT)

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	1
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	1
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 3E
Schedule H, Part V, Section B, Line 5 Facility 1, 1	Facility 1, 1 - TUCSON MEDICAL CENTER. The significant health needs identified in the 2024 Community Health Needs Assessment (CHNA) are prioritized and informed directly through a structured community engagement process. Input was gathered through focus groups, community surveys, and stakeholder interviews, ensuring representation from diverse voices across Southern Arizona, including LGBTQ+ community members, seniors, people with disabilities, direct service providers, faith leaders, the African American Health and Wellness Coalition, and the Tucson Indian Center. The prioritization of needs was further refined through the Community Health Improvement Plan (CHIP), which engaged cross-sector partners to align community feedback with data-driven health indicators. This process ensures that the identified health needs reflect both the community's lived experiences and objective health data, with clear priorities to guide collaborative action.
Schedule H, Part V, Section B, Line 6a Facility 1, 1	Facility 1, 1 - TUCSON MEDICAL CENTER. Tucson Medical Center's 2024 CHNA was conducted in collaboration with Banner-University Medical Center and the Tucson VA Medical Center. In addition to these hospital partners, the CHNA process included robust participation from community partners across Pima County. Key collaborators included the Pima County Health Department, El Rio Health, CODAC Health, Recovery & Wellness, United Way of Tucson and Southern Arizona, the Community Food Bank of Southern Arizona, and multiple community coalitions and advocacy groups. This collaborative approach ensured that the identified health needs reflect both the perspectives of hospital systems and the expertise and lived experiences of community-based organizations.
Schedule H, Part V, Section B, Line 6b Facility 1, 1	Facility 1, 1 - TUCSON MEDICAL CENTER. Tucson Medical Center's 2024 CHNA was conducted in collaboration with multiple organizations beyond hospital facilities. Key partners included the Pima County Health Department, which convened the Community Advisory Committee (CAC) of local leaders to guide CHNA planning and qualitative data collection. Additional partners included El Rio Health, CODAC Health, Recovery & Wellness, United Way of Tucson and Southern Arizona, the Community Food Bank of Southern Arizona, and other nonprofit and advocacy organizations. These partners contributed survey data, focus group input, and subject matter expertise, ensuring that the CHNA reflects both local and regional perspectives on community health priorities.
Schedule H, Part V, Section B, Line 11 Facility 1, 1	Facility 1, 1 - TUCSON MEDICAL CENTER. TMC Health is actively addressing the significant community health needs identified in the 2024 CHNA through a combination of direct clinical services, expanded access initiatives, and community partnerships. Priority Area 1: Behavioral Health, including substance use and suicide prevention Expanded integration of behavioral health into primary care through TMCOne, including virtual behavioral health support. Continued partnership with CODAC, Palo Verde Behavioral Health, and the Southern Arizona Opioid Consortium to expand access to crisis response, substance use treatment, and recovery services. Ongoing "Healing the Healer" wellness and resiliency programming to support the mental health of TMC's own workforce. Priority Area 2: Chronic Disease Prevention and Management (including obesity, diabetes, and cardiovascular disease) Expansion of care coordination and chronic disease management programs within TMCOne. Community education initiatives in partnership with El Rio Health, Pima County Health Department, and United Way of Tucson and Southern Arizona. Nutrition and activity programs supported through collaborations with schools and the Community Food Bank of Southern Arizona. Priority Area 3: Access to Care Investment in same-day, after-hours, and telehealth options to reduce barriers to timely care. Support for transportation and resource navigation services in collaboration with local nonprofits. Needs Not Fully Addressed and Rationale: Some identified needs, such as housing insecurity and food insecurity, extend beyond the direct scope of hospital-based care. TMC Health supports partner organizations that lead these efforts (such as Pima County, United Way, and the Community Food Bank), but does not directly provide housing or social services. In these areas, TMC contributes through partnership, advocacy, and resource alignment rather than direct service delivery.
Schedule H, Part V, Section B, Line 13 Facility 1, 1	Facility 1, 1 - TUCSON MEDICAL CENTER. HERE IS THE COMPLETE WEBSITE REGARDING FINANCIAL ASSISTANCE HTTPS://WWW.TMCAZ.COM/ABOUT-MY-VISIT-TO-TMC/ABOUT-YOUR-BILL/FINANCIAL-ASSISTANCE/COM MUNITY-CARE-POLICY

Schedule H (Form 990) 2024

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?12
Name and address		Type of Facility (describe)
1	TMC Endocrinology 2380 North Ferguson Avenue Suite 1 Tucson,AZ85712	CLINIC
2	TMC Rheumatology 2380 North Ferguson Avenue Suite 1 Tucson,AZ85712	CLINIC
3	Tucson Medical Center (TMC Health Cancer Center) 603 North Wilmot Road Tucson,AZ85711	CLINIC
4	Tucson Medical Center (TMC Health Cancer Center) 10350 East Drexel Road 250 Tucson,AZ85747	CLINIC
5	Tucson Medical Center (TMC Health Cancer Center) 2070 West Rudasill Road Suite 100 Tucson,AZ85704	CLINIC
6	Tucson Medical Center (TMC Integrative Pain Center) 5335 East Erickson Drive Floor 1 On Tucson,AZ85712	CLINIC
7	TUCSON MEDICAL CENTER EL DORADO HEALTH CAMPUS 1400 North Wilmot Road First Floor Tucson,AZ85712	CLINIC
8	TUCSON MEDICAL CENTER INTEGRATIVE PAIN CENTER 5355 East Erickson Drive Tucson,AZ85712	CLINIC
9	TUCSON MEDICAL CENTER OUTPATIENT THERAPY CLINIC 5395 East Erickson Road Suite 101 Tucson,AZ85712	CLINIC
10	TUCSON MEDICAL CENTER SLEEP DIAGNOSTIC LABORATORY 2100 North Rosemont Suite 110 Tucson,AZ85712	CLINIC
11	TUCSON MEDICAL CENTER WOMEN'S IMAGING CENTER 2625 North Craycroft Suite 111 Tucson,AZ85712	CLINIC
12	TMC RINCON SURGERY CENTER 10360 E DREXEL RD TUCSON,AZ85747	CLINIC

Schedule H (Form 990) 2024

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Schedule H, Part I, Line 6a RELATED ORGANIZATION COMMUNITY BENEFIT REPORT	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. UNPAID COSTS: TMC PROVIDES SERVICES TO PATIENTS COVERED BY AHCCCS AND OTHER PUBLIC PROGRAMS FOR LOW INCOME PEOPLE. THIS IS THE SHORTFALL CREATED WHEN A FACILITY RECEIVES PAYMENTS THAT ARE LESS THAN THE COST OF CARING FOR PUBLIC-PROGRAM BENEFICIARIES. UNCOMPENSATED COST OF CARE FOR CHARITY CARE AND BAD DEBT: CHARITY CARE IS FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO PEOPLE WHO CAN DEMONSTRATE THAT THEY DO NOT HAVE THE MEANS TO PAY THE FULL COST OF CARE AND WHO MEET THE ORGANIZATIONS FINANCIAL-ASSISTANCE POLICY CRITERIA. BAD DEBT CONSISTS OF SERVICES FOR WHICH THE HOSPITAL ANTICIPATED BUT DID NOT RECEIVE PAYMENT. FOR PURPOSES OF COMMUNITY BENEFIT REPORTING, CHARITY CARE AND BAD DEBT ARE REPORTED IN TERMS OF COSTS, NOT CHARGES. FOR MORE INFORMATION ABOUT TMCS CHARITY CARE POLICY, VISIT WWW.TMCAZ.COM. OUTREACH & EDUCATION: THIS FIGURE INCLUDES COMMUNITY BENEFIT PROGRAMS AND ACTIVITIES THAT PROVIDE TREATMENT OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. THESE PROGRAMS AND ACTIVITIES HELP IMPROVEACCESS TO HEALTH CARE SERVICES, ENHANCE THE HEALTH OF THE COMMUNITY AND ADVANCE MEDICAL KNOWLEDGE. DISCOUNTS FOR UNINSURED PATIENTS - SELF-PAY PATIENTS WHO DO NOT HAVE HEALTH INSURANCE ARE NOT IN THE SAME POSITION AS INSURANCE COMPANIES TO NEGOTIATE REDUCED RATES. IN AN EFFORT TO ADDRESS THIS DISPARITY, TMC REDUCES A PATIENTS BILL BY HALF IF THE PATIENT IS WITHOUT ANY INSURANCE COVERAGE. DEPENDING ON A PATIENTS INCOME, OTHER DISCOUNTS MAY APPLY AS PART OF THE TMC COMMUNITY CARE PROGRAM.
Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE	HTTPS://WWW.TMCAZ.COM/ABOUT-MY-VISIT-TO-TMC/ABOUT-YOUR BILL/FINANCIALASSISTANCE/ COMMUNITY-CARE-POLICY
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE	HTTPS://WWW.TMCAZ.COM/ABOUT-MY-VISIT-TO-TMC/ABOUT-YOUR-BILL/FINANCIALASSISTANCE/ COMMUNITY-CARE-POLICY
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE	HTTPS://WWW.TMCAZ.COM/ABOUT-MY-VISIT-TO-TMC/ABOUT-YOUR-BILL/FINANCIALASSISTANCE/ COMMUNITY-CARE-POLICY
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	BAD DEBT EXPENSE IS BASED ON OUR HISTORICAL COLLECTION PERCENTAGE OF GROSS REVENUE LESS DEDUCTIONS FOR CONTRACTUALS, CHARITY CARE AND SELF PAY ACCOUNTS. THE VALUE FOR THIS LINE IS FROM FORM CMS-2552-10
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	BAD DEBT ATTRIBUTABLE TO CHARITY CARE IS CALCULATED USING AN ESTIMATE OF NET PATIENT REVENUE AFTER DISCOUNTS.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	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 NECESSARY FINANCIAL INFORMATION IS REVIEWED AND THE APPROPRIATE ADJUSTMENTS ARE MADE ACCORDING TO THE POLICY.
Schedule H, Part V, Section B, Line 16a FAP website	1 - TUCSON MEDICAL CENTER: Line 16a URL: (SEE STATEMENT);
Schedule H, Part V, Section B, Line 16b FAP Application website	1 - TUCSON MEDICAL CENTER: Line 16b URL: (SEE STATEMENT);
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	1 - TUCSON MEDICAL CENTER: Line 16c URL: (SEE STATEMENT);
Schedule H, Part VI, Line 2 Needs assessment	Tucson Medical Center (TMC) participated in the 2024 Pima County Community Health Needs Assessment (CHNA), a triennial collaborative process involving local hospitals, federally qualified health centers, and the Pima County Health Department. The goal was to gain a comprehensive picture of health needs and assets in Southern Arizona, using both quantitative and qualitative methods to ensure a balanced understanding of community priorities. On the quantitative side, the CHNA analyzed secondary data from sources such as the American Community Survey, the Arizona Department of Health Services, and the Pima County Health Department. These datasets provided insight into demographic trends, poverty and housing burdens, transportation barriers, access to primary and behavioral health providers, rates of chronic disease, and insurance coverage patterns. This analysis established a baseline of community health status and highlighted disparities across neighborhoods and population groups. A broad community survey, reaching approximately 4,000 residents, added another critical layer of quantitative and perception-based data. Residents were asked about their experiences with healthcare access, the quality of services, and the social and economic challenges most affecting health. Survey findings highlighted community concerns around mental health care availability, substance use, and resources for children and adolescents, validating themes that also emerged in other data sources. The qualitative process further deepened these insights. TMC and its partners convened 41 key informant interviews with healthcare providers, educators, and civic leaders; facilitated focus groups with 71 participants representing diverse populations; and engaged nearly 100 residents through gallery-walk sessions, where participants reviewed and prioritized findings. In addition, a steering committee composed of community partners met monthly to review data, discuss trends, and ground the assessment in lived community experience. Together, these methods ensured that the CHNA reflected both measurable health outcomes and the voices of those directly experiencing barriers to care.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	TMC Health ensures that patients and families are informed about financial assistance options at the earliest opportunity. At the time of admission, patients are interviewed to determine whether they may qualify for help through federal, state or local programs, or through the organization's Financial Assistance Policy (FAP). TMC Health's FAP offers free or discounted care based on income, family size and need, ensuring fair access to services. Financial counselors explain available resources, provide written materials, and assist with applications and documentation. This process helps reduce financial barriers to care while promoting transparency, understanding, and peace of mind for patients.
Schedule H, Part VI, Line 4 Community information	TMC Health serves the diverse communities of Southern Arizona, encompassing the urban center of Tucson and rural areas across Pima, Cochise, Santa Cruz, Graham and Greenlee Counties. This service region reflects wide variation in health needs: metropolitan neighborhoods facing poverty, housing instability, and behavioral health concerns, alongside rural and frontier communities challenged by provider shortages, long travel distances, and limited transportation options. The 2024 Community Health Needs Assessment highlighted significant concerns around mental and behavioral health, substance use, child and adolescent wellbeing, and access to affordable housing and nutritious food. TMC Health works to address these needs through a regional approach. In addition to its hospitals, clinics, and specialty services, the system provides support for non-affiliated critical access hospitals, recognizing their role as essential lifelines for rural residents. Investments in a comprehensive transfer center ensure that patients across the region can be efficiently connected to emergency and specialty care at higher-level facilities. TMC Health also prioritizes recruitment of primary care and specialty providers, building capacity to meet the workforce demands of both urban and rural communities. These efforts underscore a mission to strengthen the health system across Southern Arizona, ensuring access to exceptional and compassionate care close to home.
Schedule H, Part VI, Line 5 Promotion of community health	TMC Health furthers its exempt purpose by actively promoting the health of the communities it serves. As a nonprofit system, it maintains an open medical staff, which allows independent physicians and specialists from across the region to provide care in its facilities. This model ensures patients have broad access to high-quality, diverse clinical expertise without restrictions based on employment status. Governance also reflects a strong commitment to community benefit. TMC Health is guided by a community-based governing board, composed of local leaders and representatives who bring firsthand knowledge of the region's needs and priorities. Their oversight helps align strategic decisions with the values and expectations of Southern Arizona residents. Financial resources are reinvested directly back into the hospitals, clinics, and programs that make care more exceptional and accessible. This includes facility improvements, investments in advanced medical technology, the expansion of primary and specialty care services, and the support of programs that address social determinants of health. In addition, TMC Health invests in community outreach, education, and partnerships that strengthen the overall health infrastructure of the region. Through these actions, TMC Health demonstrates a mission-driven approach to ensuring care that is compassionate, accessible, and designed around the people it serves.
Schedule H, Part VI, Line 6 Affiliated health care system	TMC Health furthers its exempt purpose by promoting the health of Southern Arizona through a nonprofit, community-focused system of care. The organization is governed by a volunteer community Board of Trustees, ensuring accountability to the people it serves. TMC Health includes two hospitals in Tucson-Tucson Medical Center and TMC Rincon-along with two critical access hospitals in Cochise County, Benson Hospital and Northern Cochise Community Hospital. Together, these facilities provide acute care, emergency services, labor and delivery, and specialty services to both urban and rural communities. The opening of TMC Rincon in 2024 expanded access in a federally designated medically underserved area, bringing inpatient and maternity care to a part of Pima County with limited options. The system also operates TMCOne, a large provider group delivering primary and specialty care across the region. This extends access, strengthens care coordination, and addresses workforce shortages through recruitment of physicians and advanced practice providers. TMC Health provides care regardless of ability to pay, including charity care, uncompensated care, and services for AHCCCS and other public program beneficiaries. Patients without insurance receive significant discounts under the Community Care Program, and financial counselors connect families with federal, state, and local assistance programs. Earnings are reinvested into facilities, technology, workforce development, and community benefit programs, including outreach, prevention, and education aligned with identified needs from the Community Health Needs Assessment. Through these commitments, TMC Health and its affiliates strengthen the regional safety net and advance health for all communities they serve.

Schedule H (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
Tucson Medical Center

Employer identification number
86-0137567

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) CITY OF TUCSON 255 W ALAMEDA ST TUCSON,AZ85701	86-6000266	GOV'T	10,692,901				SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) Rev. 1-2025

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) EMPLOYEE SUPPORT	33	15,850
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
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.

Schedule I (Form 990) Rev. 1-2025

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

Tucson Medical Center

Employer identification number

86-0137567

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Yes

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1MAUREEN COOMLER TMC CHIEF EXECUTIVE OFFICER	(i) (ii)	566,200 ------------- 0	122,767 ------------- 0	92,465 ------------- 0	77,205 ------------- 0	20,605 ------------- 0	879,242 ------------- 0	0 ------------- 0
2STEPHEN BUSH FORMER CHIEF FINANCIAL OFFICER	(i) (ii)	207,629 ------------- 0	0 ------------- 0	27,328 ------------- 0	4,555 ------------- 0	0 ------------- 0	239,512 ------------- 0	0 ------------- 0
3ALEXANDER HORVATH CHIEF HUMAN RESOURCES OFFICES	(i) (ii)	402,148 ------------- 0	71,954 ------------- 0	108,594 ------------- 0	10,350 ------------- 0	22,555 ------------- 0	615,601 ------------- 0	0 ------------- 0
4JOY UPSHAW CHIEF NURSING OFFICER	(i) (ii)	450,161 ------------- 0	47,661 ------------- 0	29,168 ------------- 0	37,969 ------------- 0	25,876 ------------- 0	590,835 ------------- 0	0 ------------- 0
5JUDITH RICH CHIEF EXECUTIVE OFFICER END 04/24	(i) (ii)	687,723 ------------- 0	278,937 ------------- 0	241,302 ------------- 0	9,974 ------------- 0	12,540 ------------- 0	1,230,476 ------------- 0	0 ------------- 0
6STEVE REICHLING CHIEF FINANCIAL OFFICER, TREASURER	(i) (ii)	556,420 ------------- 0	75,153 ------------- 0	14,533 ------------- 0	127,034 ------------- 0	20,435 ------------- 0	793,575 ------------- 0	0 ------------- 0
7JOSHUA LEE CHIEF HEALTH INFORMATION OFFICER	(i) (ii)	472,396 ------------- 0	87,340 ------------- 0	7,492 ------------- 0	105,339 ------------- 0	20,906 ------------- 0	693,473 ------------- 0	0 ------------- 0
8KEVIN SMITH CHIEF MEDICAL OFFICER	(i) (ii)	424,864 ------------- 0	21,194 ------------- 0	25,620 ------------- 0	96,807 ------------- 0	24,298 ------------- 0	592,783 ------------- 0	0 ------------- 0
9TIM REUSCHEL CHIEF LEGAL OFFICER, SECRETARY	(i) (ii)	418,703 ------------- 0	80,071 ------------- 0	27,002 ------------- 0	106,519 ------------- 0	28,571 ------------- 0	660,866 ------------- 0	0 ------------- 0
10JENNIFER MENDRZYCKI CHIEF EXECUTIVE OFFICER BEG 04/24	(i) (ii)	737,533 ------------- 0	100,000 ------------- 0	9,437 ------------- 0	183,402 ------------- 0	19,383 ------------- 0	1,049,755 ------------- 0	0 ------------- 0
11BRADLEY HIPP TMC CHIEF FINANCIAL OFFICER	(i) (ii)	66,478 ------------- 0	175,000 ------------- 0	1,257 ------------- 0	12,202 ------------- 0	4,062 ------------- 0	258,999 ------------- 0	0 ------------- 0
12JEFFREY LAMIE CHIEF DEVELOPMENT OFFICER	(i) (ii)	388,130 ------------- 0	74,999 ------------- 0	5,160 ------------- 0	37,182 ------------- 0	18,962 ------------- 0	524,433 ------------- 0	0 ------------- 0
13JULIE WARD VP, OPERATIONS	(i) (ii)	248,297 ------------- 0	0 ------------- 0	7,069 ------------- 0	887 ------------- 0	24,485 ------------- 0	280,738 ------------- 0	0 ------------- 0
14KEVIN KILDAY VP, CHIEF FINANCIAL OFFICER	(i) (ii)	371,090 ------------- 0	50,794 ------------- 0	10,803 ------------- 0	42,303 ------------- 0	20,221 ------------- 0	495,211 ------------- 0	0 ------------- 0
15JULIA STRANGE VP, COMMUNITY BENEFITS	(i) (ii)	268,068 ------------- 0	92,793 ------------- 0	63,686 ------------- 0	21,972 ------------- 0	12,243 ------------- 0	458,762 ------------- 0	0 ------------- 0
16IFTEQUAR SIDDIQUI PHYSICIAN	(i) (ii)	123,372 ------------- 0	66,099 ------------- 0	23,100 ------------- 0	0 ------------- 0	8,005 ------------- 0	220,576 ------------- 0	0 ------------- 0
17NATHANIEL REYES PHYSICIAN	(i) (ii)	458,573 ------------- 0	31,688 ------------- 0	240 ------------- 0	10,350 ------------- 0	19,332 ------------- 0	520,183 ------------- 0	0 ------------- 0
18MUFUTAU AKINBILE Physician	(i) (ii)	380,651 ------------- 0	26,250 ------------- 0	1,584 ------------- 0	4,078 ------------- 0	29,052 ------------- 0	441,615 ------------- 0	0 ------------- 0
19REBECCA MILLIGAN PHYSICIAN	(i) (ii)	501,014 ------------- 0	31,688 ------------- 0	216 ------------- 0	10,350 ------------- 0	26,132 ------------- 0	569,400 ------------- 0	0 ------------- 0
20MONICA SHELDON NCCH CEO END 12/24	(i) (ii)	213,052 ------------- 0	41,520 ------------- 0	4,314 ------------- 0	40,095 ------------- 0	28,335 ------------- 0	327,316 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Schedule J, Part I, Line 1a First-class or charter travel	FIRST CLASS TRAVEL IS AVAILABLE TO TRUSTEES ON EXTENDED FLIGHTS.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	EXECUTIVES PARTICIPATING IN A SUPPLEMENTAL, NON QUALIFIED RETIREMENT PLAN: STEPHEN BUSH 2024 VESTED CONTRIBUTIONS INCLUDED IN W-2: $27,328 STEPHEN REICHLING 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $116,684 MAUREEN COOMLER 2024 VESTED CONTRIBUTIONS INCLUDED IN W-2: $66,855 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $66,855 JEFFREY LAMIE 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $29,999 ALEXANDER HORVATH 2024 VESTED CONTRIBUTIONS INCLUDED IN W-2: $86,496 JUDITH RICH 2024 VESTED CONTRIBUTIONS INCLUDED IN W-2: $204,242 JENNIFER MENDRZYCKI 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $174,518 JULIA STRANGE 2024 VESTED CONTRIBUTIONS INCLUDED IN W-2: $37,608 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $12,536 JOY UPSHAW 2024 VESTED CONTRIBUTIONS INCLUDED IN W-2: $27,619 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $27,619 MONICA SHELDON 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $33,885 KEVIN KILDAY 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $33,187 JOSHUA LEE 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $102,554 TIM REUSCHEL 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $96,169 KEVIN SMITH 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $85,938 BRADLEY HIPP 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $11,683
Schedule J, Part I, Line 6a Compensation contingent on net earnings of the 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 (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
Tucson Medical Center

Employer identification number
86-0137567

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	IND DEVEL AUTH OF PIMA CO	86-0445981	721901KX3	09-09-2021	212,666,119	BONDS WERE ISSUED TO FINANCE CAPITAL PROJECTS AND TO CURRENT REFUND PRIOR BONDS (ISSUED ON 4/10/18)		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	212,673,759
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............	90,659,715
7 Issuance costs from proceeds ...............
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............
11 Other spent proceeds .............	100,217,209
12 Other unspent proceeds .............	21,796,835
13 Year of substantial completion .............
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X
16 Has the final allocation of proceeds been made? ..........	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %
6 Total of lines 4 and 5 .............	0 %
7 Does the bond issue meet the private security or payment test? ...		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..	0 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X
b Exception to rebate? ........		X
c No rebate due? .........		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X

Schedule K (Form 990) (Rev. 1-2025)

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider ..........
c Term of hedge .........	0 %
d Was the hedge superintegrated? ......		X
e Was the hedge terminated? ........		X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X
b Name of provider ..........
c Term of GIC .........	0 %
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........		X
6 Were any gross proceeds invested beyond an available temporary period?		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X

Part Ⅴ

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference

Explanation

Schedule K, Part II, Line 3

THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS.

Schedule K, Part III, Line 7

AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE SECURITY OR PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE.

Schedule K (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

Tucson Medical Center

Employer identification number

86-0137567

Return Reference	Explanation
Form 990, Part III, Line 2 New program services	During the year, Tucson Medical Center opened the Rincon Hospital facility in April 2024. This facility includes 35 licensed beds as of December 31, 2024.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE ORGANIZATION'S MEMBER IS THE PARENT COMPANY, TMC HEALTHCARE.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE MEMBER'S (TMC HEALTHCARE) BOARD OF TRUSTEES ELECTS THE BOARD OF TUCSON MEDICAL CENTER.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	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 DISPOSITION 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 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 MANAGEMENT.
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 15a Process to establish compensation of top management official	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 15b Process to establish compensation of other 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 19 Required documents available to the public	GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
Form 990, Part IX, Line 11g Other Fees	PHYSICIAN SERVICES - Total Expense: 39358168, Program Service Expense: 39358168, Management and General Expenses: 0, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 24043032, Program Service Expense: 21843157, Management and General Expenses: 2199875, Fundraising Expenses: ; OTHER FEES - Total Expense: 21693983, Program Service Expense: 21693983, Management and General Expenses: 0, Fundraising Expenses: ; HEALTH SYSTEM ALLOCATION - Total Expense: 18588876, Program Service Expense: 0, Management and General Expenses: 18588876, Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 4022472, Program Service Expense: 0, Management and General Expenses: 4022472, Fundraising Expenses: ; MEDICAL DIRECTOR - Total Expense: 1063121, Program Service Expense: 1027913, Management and General Expenses: 35208, Fundraising Expenses: ; CONSULTING SERVICES - Total Expense: 853979, Program Service Expense: 624029, Management and General Expenses: 229950, Fundraising Expenses: ; ADMINISTRATION SERVICES - Total Expense: 144000, Program Service Expense: 144000, Management and General Expenses: 0, Fundraising Expenses: ; PRINTING SERVICES - Total Expense: 19307, Program Service Expense: 19307, Management and General Expenses: 0, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFER TO AFFILIATES - -13124465; RINCON HOSPITAL TRANSFER - 92961194; Total - 79836729;

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

Tucson Medical Center

Employer identification number

86-0137567

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(f) Direct controlling entity
(1) HOLDINGS 5099 LLC 5301 E GRANT ROAD TUCSON,AZ85712 56-2472030	AQUIRE REAL PROPERTY	AZ	TUCSON MEDICAL CENTER

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)TMC HEALTH FOUNDATION 5301 E GRANT ROAD TUCSON,AZ85712 86-0504015	FUNDRAISING	AZ	501(c)(3)	7	TMC HEALTHCARE		No
(2)TMC HEALTHCARE 5301 E GRANT ROAD TUCSON,AZ85712 20-2218975	SUPPORTING ORGANIZATION	AZ	501(c)(3)	Type II	NA		No
(3)TMC HOLDINGS INC 5301 E GRANT RD TUCSON,AZ85712 86-0441785	HOLDING COMPANY	AZ	501(c)(2)		TMC HEALTHCARE		No
(4)TMC MEDICAL NETWORK 5301 E GRANT ROAD TUCSON,AZ85712 81-1156192	PHYSICIAN OFFICES	AZ	501(c)(3)	3	TMC HEALTHCARE		No
(5)TMCONE 5301 E GRANT ROAD TUCSON,AZ85712 81-0868782	PHYSICIAN OFFICES	AZ	501(c)(3)	Type I	TMC MEDICAL NETWORK		No
(6)BENSON HOSPITAL 450 S OCOTILLO AVE BENSON,AZ85602 86-6007695	HOSPITAL	AZ	501(c)(3)	3	TMC HEALTHCARE		No
(7)NORTHERN COCHISE COMMUNITY HOSPITAL 901 WEST REX ALLEN DRIVE WILLCOX,AZ85643 86-0208451	HOSPITAL	AZ	501(c)(3)	3	TMC HEALTHCARE		No
(8)TMC HEALTH MEDICAL EDUCATION PROGAM PO BOX 42195 TUCSCON,AZ85733 86-0204268	EDUCATION	AZ	501(c)(3)	3	TMC HEALTHCARE		No
(9)PEOPLE FOR COMMUNITY HEALTHCARE 450 S OCOTILLO ST BENSON,AZ85602 87-1219769	CIVIC ORGANIZATION	AZ	501(c)(4)		TMC HEALTHCARE		No
(10)SOUTHERN ARIZONA HOSPITAL ALLIANCE 5301 E GRANT ROAD TUCSON,AZ85712 20-0385301	HEALTHCARE	AZ	501(c)(3)	10	TMC HEALTHCARE		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) TMC CARDIAC & CARDIOTHORACIC SURGERY 5301 E GRANT ROAD TUCSON,AZ85712 27-0766398	SERVICE LINE MANAGEMENT	AZ	TUCSON MEDICAL CENTER	N/A	0	2,440		No		Yes		40 %
(2) TMC NEUROSCIENCE MANAGEMENT 5301 E GRANT ROAD TUCSON,AZ85712 27-3027087	SERVICE LINE MANAGEMENT	AZ	TUCSON MEDICAL CENTER	N/A	265,709	0		No		Yes		32.5 %
(3) TMC VASCULAR SURGERY MANAGEMENT 5301 E GRANT ROAD TUCSON,AZ85712 47-4586127	SERVICE LINE MANAGEMENT	AZ	TUCSON MEDICAL CENTER	N/A	62,659	31,456		No		Yes		30 %
(4) TMC GENERAL SURGERY 5301 E GRANT ROAD TUCSON,AZ85712 81-1405660	SERVICE LINE MANAGEMENT	AZ	TUCSON MEDICAL CENTER	N/A	7,643	94,412		No		Yes		30 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) SOUTHERN ARIZONA MEDICAL SERVICES 5301 E GRANT RD TUCSON,AZ85712	MEDICAL BILLING	AZ	MEDICAL BILLING	C Corporation					No
(2) HOSPITAL CARE SYSTEMS DEVELOPMENT 5301 E GRANT RD TUCSON,AZ85712 20-3015545	HOSPITAL MANAGEMEN T	AZ	TMC HEALTHCARE	C Corporation					No
(3) TMC HEALTHCARE SECURITY SERVICES 5301 E GRANT RD TUCSON,AZ85712 52-2414943	SECURITY SERVICES	AZ	TMC HEALTHCARE	C Corporation					No
(4) GLP INSURANCE COMPANY LTD GEORGE TOWN GRAND GAYMAN KY11203 CJ	SELF INSURANCE	CJ	TMC HEALTHCARE	C Corporation					No
(5) PEDIATRICS GPS 5301 E GRANT RD TUCSON,AZ85712 84-5151905	PEDIATRIC CARE	AZ	TMC MEDICAL NETWORK	C Corporation					No

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

Yes

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) (Rev. 1-2025)

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

1	Briefly describe the organization’s mission or most significant activities: 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.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	10
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	7
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	5,856
6	Total number of volunteers (estimate if necessary) .............	6	462
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	847,750
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	122,729

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,623,274	9,836,698
9	Program service revenue (Part VIII, line 2g) .........	778,380,986	898,503,410
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	5,290,922	1,583,397
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	5,259,983	3,298,081
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	791,555,165	913,221,586
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	4,814,877	10,708,751
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	368,077,301	390,238,262
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	396,084,964	474,974,141
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	768,977,142	875,921,154
19	Revenue less expenses. Subtract line 18 from line 12.......	22,578,023	37,300,432
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	565,736,009	714,066,724
21	Total liabilities (Part X, line 26).............	358,009,948	382,192,743
22	Net assets or fund balances. Subtract line 21 from line 20.....	207,726,061	331,873,981

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 792,096,428 including grants of $ 10,708,751 ) (Revenue $ 881,752,531 )
	TUCSON MEDICAL CENTER, LICENSED AT MORE THAN 600 BEDS, HAS BEEN TUCSON'S LOCALLY GOVERNED NONPROFIT REGIONAL HOSPITAL FOR MORE THAN 75 YEARS. TMC IS SOUTHERN ARIZONA'S LEADING PROVIDER FOR EMERGENCY CARE AND PEDIATRIC CARE (INCLUDING TUCSON'S FIRST PEDIATRIC EMERGENCY DEPARTMENT), WITH INTENSIVE CARE UNITS FOR ADULTS, CHILDREN AND NEWBORNS. OTHER SPECIALTY AREAS INCLUDE WOMEN'S, MATERNITY, CARDIAC CARE, ORTHOPAEDIC, NEUROSCIENCE, HOSPICE, SURGICAL, VASCULAR AND GEROPSYCHIATRIC CARE. 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. UNPAID COSTS: TMC PROVIDES SERVICES TO PATIENTS COVERED BY AHCCCS AND OTHER PUBLIC PROGRAMS FOR LOW-INCOME PEOPLE. THIS IS THE SHORTFALL CREATED WHEN A FACILITY RECEIVES PAYMENTS THAT ARE LESS THAN THE COST OF CARING FOR PUBLIC-PROGRAM BENEFICIARIES. UNCOMPENSATED COST OF CARE FOR CHARITY CARE AND BAD DEBT: CHARITY CARE IS FREE OR DISCOUNTED HEALTH SERVICES PROVIDED TO PEOPLE WHO CAN DEMONSTRATE THAT THEY DO NOT HAVE THE MEANS TO PAY THE FULL COST OF CARE AND WHO MEET THE ORGANIZATION'S FINANCIAL-ASSISTANCE POLICY CRITERIA. BAD DEBT CONSISTS OF SERVICES FOR WHICH THE HOSPITAL ANTICIPATED BUT DID NOT RECEIVE PAYMENT. FOR PURPOSES OF COMMUNITY BENEFIT REPORTING, CHARITY CARE AND BAD DEBT ARE REPORTED IN TERMS OF COSTS, NOT CHARGES. FOR MORE INFORMATION ABOUT TMC'S CHARITY CARE POLICY, VISIT WWW.TMCAZ.COM. OUTREACH & EDUCATION: THIS FIGURE INCLUDES COMMUNITY BENEFIT PROGRAMS AND ACTIVITIES THAT PROVIDE TREATMENT OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. THESE PROGRAMS AND ACTIVITIES HELP IMPROVE ACCESS TO HEALTH CARE SERVICES, ENHANCE THE HEALTH OF THE COMMUNITY AND ADVANCE MEDICAL KNOWLEDGE. DISCOUNTS FOR UNINSURED PATIENTS: SELF-PAY PATIENTS WHO DO NOT HAVE HEALTH INSURANCE ARE NOT IN THE SAME POSITION AS INSURANCE COMPANIES TO NEGOTIATE REDUCED RATES. IN AN EFFORT TO ADDRESS THIS DISPARITY, TMC REDUCES A PATIENT'S BILL BY HALF IF THE PATIENT IS WITHOUT ANY INSURANCE COVERAGE. DEPENDING ON A PATIENT'S INCOME, OTHER DISCOUNTS MAY APPLY AS OF THE TMC COMMUNITY CARE PROGRAM. PLEASE SEE OUR WEBSITE TO VIEW OUR FULL REPORT TO THE COMMUNITY: WWW.TMCAZ.COM

4b	(Code: ) (Expenses $ 30,082,167 including grants of $ 0 ) (Revenue $ 16,750,879 )
	Tucson Medical Center includes the Rincon Hospital facility, which began operations in April 2024. This facility includes 35 licensed beds as of December 31, 2024. TMC Rincon offers inpatient services, emergency care, imaging, laboratory, operating suites, a cardiac catheterization lab, and labor & delivery care. Available specialties include cardiology, gastroenterology, gynecology, orthopedics, and labor and delivery. The Rincon Health Campus also includes TMCOne Primary & Specialty Care, TMC Rincon OB/GYN clinic, the Rincon Ambulatory Surgery Center, Radiology Ltd. outpatient imaging and TMC Urgent Care.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses822,178,595

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	10,118,780	0	1,324,571

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	4,247,954
e	Government grants (contributions)		1e	5,588,744

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		9,836,698

		Business Code
2a	NET PATIENT SERVICES	621110	873,863,999	873,863,999
b	PHARMACY REVENUE	446110	15,897,999	15,897,999
c	FOOD SERVICES	446110	3,872,648	3,872,648
d	OTHER REVENUE	900099	4,868,764	4,021,014	847,750
e
f	All other program service revenue.		0	0	0	0
g	Total. Add lines 2a–2f .....		898,503,410

3 Investment income (including dividends, interest, and othersimilar amounts) ......			848,983			848,983
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	3,298,081
b	Less: rental expenses	6b
c	Rental income or (loss)	6c	3,298,081	0
d	Net rental income or (loss).......			3,298,081			3,298,081
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	44,383,633	3,872,748
b	Less: cost or other basis and sales expenses	7b	43,442,629	4,079,338
c	Gain or (loss)	7c	941,004	-206,590
d	Net gain or (loss).........			734,414			734,414
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a
b
c
d	All other revenue ....			0	0	0	0
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See instructions.....			913,221,586	897,655,660	847,750	4,881,478

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	10,692,901	10,692,901
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	15,850	15,850
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	9,124,751	2,335,854	6,788,897
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	239,512		239,512
7	Other salaries and wages........	313,431,363	311,544,456	1,886,907
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	6,674,246	5,776,271	897,975
9	Other employee benefits .......	37,374,580	37,219,336	155,244
10	Payroll taxes ...........	23,393,810	22,984,341	409,469
11	Fees for services (non-employees):
a	Management ......	4,122,105	4,057,591	64,514
b	Legal .........	10,891		10,891
c	Accounting ...........	14,875		14,875
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	471,317		471,317
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	109,786,938	84,710,557	25,076,381	0
12	Advertising and promotion ....	753,676	379,486	374,190
13	Office expenses .......	22,082,332	21,976,309	106,023
14	Information technology ......	18,658,117	16,172,926	2,485,191
15	Royalties ..
16	Occupancy ...........	12,171,005	11,807,086	363,919
17	Travel ............	818,616	618,912	199,704
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	450,274	402,386	47,888
20	Interest ...........	4,443,240	4,443,240
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	31,212,143	31,212,143
23	Insurance ...	9,298,154	1,161,374	8,136,780
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	204,251,901	204,251,901
b	HOSPITAL ASSESSMENT	43,326,720	43,326,720
c	REPAIRS AND MAINTENANCE	6,108,904	5,943,087	165,817
d	RECRUITING AND RETENTION	5,839,807	783,369	5,056,438
e	All other expenses	1,153,126	362,499	790,627	0
25	Total functional expenses. Add lines 1 through 24e	875,921,154	822,178,595	53,742,559	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			4,264,827	1	2,320,504
2	Savings and temporary cash investments .........			19,310,060	2	1,214,594
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			113,616,545	4	123,579,158
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			39,597,703	8	44,506,969
9	Prepaid expenses and deferred charges ......			15,966,655	9	16,459,802
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	624,873,594
b	Less: accumulated depreciation	10b	310,827,227	192,368,415	10c	314,046,367
11	Investments—publicly traded securities .			121,402,190	11	118,651,614
12	Investments—other securities. See Part IV, line 11 .....			0	12
13	Investments—program-related. See Part IV, line 11 ..			0	13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			59,209,614	15	93,287,716
16	Total assets. Add lines 1 through 15 (must equal line 33)...			565,736,009	16	714,066,724

17	Accounts payable and accrued expenses .....	110,005,105	17	141,466,993
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	220,938,235	20	216,989,867
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	7,574,035	23	5,576,029
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	19,492,573	25	18,159,854
26	Total liabilities. Add lines 17 through 25..	358,009,948	26	382,192,743

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	207,726,061	27	331,873,981
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	207,726,061	32	331,873,981
33	Total liabilities and net assets/fund balances ........	565,736,009	33	714,066,724