2025-11-17T16:41:30+00:00 2024-12-31 440160260 FORVIS MAZARS LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2024-01-01 866007695 BENSON HOSPITAL CORPORATION BENS 5205861873 PO BOX 2290 BENSON AZ 856022290 MARK NELLIES CFO 5203241614 2025-11-17 true true Brian Todd P00422601 4178658701 2025-11-17 2024 2025-03-06 01:10:19Z GARY KARTCHNER PO BOX 2290 BENSON AZ 856022290 34942895 false X WWW.BENSONHOSPITAL.ORG X 1960 AZ TO PROVIDE EXCEPTIONAL HEALTH CARE WITH COMPASSION. 8 6 245 6 0 1000525 3355313 26985065 28953361 343877 793088 30050 69970 28359517 33171732 0 0 0 0 13982673 14677437 0 0 12516666 12030567 26499339 26708004 1860178 6463728 28396497 35231319 3974326 4210993 24422171 31020326 TO PROVIDE EXCEPTIONAL HEALTH CARE WITH COMPASSION. false false 24459574 0 28953361 BENSON HOSPITAL IS A RURAL HOSPITAL THAT PROVIDES MEDICAL CARE ON AN INPATIENT, OUTPATIENT, AND EMERGENCY BASIS IN AND AROUND THE TOWN OF BENSON, ARIZONA. THE HOSPITAL HAS 22 ACUTE CARE BEDS AND IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL BY THE STATE OF ARIZONA. CARE PROVIDED INCLUDES EMERGENCY, OCCUPATIONAL MEDICINE, RESPIRATORY THERAPY, DIAGNOSTIC IMAGING, NUTRITION SERVICES, LABORATORY SERVICES, PHARMACY, PRIMARY CARE, AND PHYSICAL REHABILITATION. CARE IS PROVIDED REGARDLESS OF RACE, CREED, COLOR, OR ABILITY TO PAY. 24459574 true true false false false false false false false false true false false true true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false false false true false false false false true 76 0 true 245 true false false false false false false false false false false false false X 8 6 false false false false true true true true true false false false true true true true true true true true false false X MARK NELLIS 5207206514 PO BOX 2290 BENSON AZ 856022290 GARY KARTCHNER CHIEF EXECUTIVE OFFICER 39.0 1.0 X X 221259 0 58563 JOSEPH SPRIETSMA CHAIR 1.0 0 X X 0 0 0 ANN COOK TRUSTEE 1.0 0 X 0 0 0 BARBARA HARTLEY TRUSTEE 40.0 0 X 220811 0 0 CHARLENE HARRIS TRUSTEE 1.0 0 X 0 0 0 MARCOS TERAN EX OFFICIO 1.0 0 X 0 0 0 MATT SMITH TRUSTEE 1.0 0 X 0 0 0 MICAH MORTENSEN TRUSTEE 1.0 0 X 0 0 0 ALEXANDER HORVATH CHIEF HUMAN RESOURCE OFFICER 1.0 39.0 X 0 582696 32905 STEVE REICHLING CHIEF FINANCIAL OFFICER 1.0 39.0 X 0 646106 147469 TIM REUSCHEL CHIEF LEGAL OFFICER 1.0 39.0 X 0 525776 135090 AMANDA OSUNA PHYSICIAN 40.0 0 X 156005 0 19632 KATHLEEN MURRAY PHYSICIAN 40.0 0 X 268242 0 17123 OSVALDO ENRIQUEZ PHYSICIAN 40.0 0 X 204967 0 13129 ROBERT VIA PHYSICIAN 40.0 0 X 187202 0 15627 STEPHANIE STARNES PHYSICIAN 40.0 0 X 157845 0 4480 JULIA STRANGE FORMER CEO 24.0 20.0 X 0 424547 34215 1416331 2179125 478233 19 true true false EMERGENT HEALTH PLLC 11900 N LA CANADA 68744 Tucson AZ 85737 PHYSICIANS STAFFING 3419347 MCKESSON DRUG COMPANY 1401 ELM ST FL 5 DALLAS TX 752022902 PHARMACY SERVICES 1135967 ATHENA HEALTH INC PO Box 415615 BOSTON MA 022415615 COMPUTER SYSTEM 862279 ABBOTT LABORATORIES PO BOX 92679 CHICAGO IL 606752679 LAB SERVICES 330658 DAVIN HEALTHCARE WORKFORCE SOLUTIONS INC PO BOX 1355 MIDDLETOWN OH 450424355 CONTRACT STAFFING 253583 7 125000 3230263 50 3355313 NET PATIENT SERVICE REVENUE 621110 27414133 27414133 PHARMACY REVENUE 446110 839251 839251 OTHER REVENUE 900099 699977 699977 0 0 0 0 28953361 697852 697852 69970 69970 0 69970 69970 1866399 1753403 17760 112996 -17760 95236 95236 0 0 0 0 0 33171732 28953361 0 863058 X 500633 220811 279822 12315582 11927080 388502 296832 294610 2222 705100 689471 15629 859290 817496 41794 667320 667320 2909 2909 23550 23550 5197873 4631722 566151 0 104032 92960 11072 409320 367366 41954 594431 531169 63262 216158 193154 23004 949825 887655 62170 217770 194594 23176 MEDICAL SUPPLIES AND DRUGS 2555874 2555874 HEALTH ASSESSMENT 754241 754241 REPAIRS AND MAINTENANCE 286095 255648 30447 LICENSES, DUES, SUBSCRIPTIONS 41557 37134 4423 9612 8589 1023 0 26708004 24459574 2248430 0 230415 263897 1903399 1914477 0 89907 2271208 2030436 0 0 0 0 662719 748148 247162 323527 17989640 5431208 10988253 12558432 9101641 14456431 0 0 2991700 2846064 28396497 35231319 1725330 1886489 0 0 2248996 2324504 3974326 4210993 X 24422171 31020326 24422171 31020326 28396497 35231319 6463728 134427 0 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 324142 324142 12256613 3318094 8938519 5408885 2113114 3295771 12558432 OTHER RECEIVABLES 1708550 ROU ASSETS 1137514 2846064 Federal Income Taxes ROU LIABILITY 1189571 DUE TO 3RD PARTY 1134933 2324504 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true true X true X true X 350978 350978 0.01314 5117546 6647538 0 0.0 0 0.0 0 0 5468524 6647538 350978 0.01314 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 0 0 5468524 6647538 350978 0.01314 0 0.0 0 0.0 20 2030 14900 14900 0.00056 9 2200 3500 3500 0.00013 13 101 3050 3050 0.00011 20 2000 6000 6000 0.00022 77 15873 4480 4480 0.00017 0 0.0 12 540 5000 5000 0.00019 151 22744 36930 0 36930 0.00138 true 1631353 463304 5986015 5898990 87025 X true true 1 1 BENSON HOSPITAL CORPORATION 450 S OCOTILLO AVE BENSON AZ 85602 WWW.BENSONHOSPITAL.ORG RGH0096 X X X X X BENSON HOSPITAL CORPORATION 1 false false true X X X X X X X X X 24 true true false true X HTTPS://WWW.BENSONHOSPITAL.ORG/EN/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT HTTPS://WWW.NCCH.COM/EN/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X true 24 true HTTPS://WWW.BENSONHOSPITAL.ORG/EN/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT false true X 150.0 400.0 X X X X true true X X X X true X HTTPS://WWW.BENSONHOSPITAL.ORG/EN/ABOUT-MY-BILL/FINANCIAL-ASSISTANCE X HTTPS://WWW.BENSONHOSPITAL.ORG/EN/ABOUT-MY-BILL/FINANCIAL-ASSISTANCE X HTTPS://WWW.BENSONHOSPITAL.ORG/EN/ABOUT-MY-BILL/FINANCIAL-ASSISTANCE X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Benson Hospital Corporation. DATA FROM A NUMBER OF FEDERAL AND STATE LEVEL SOURCES WERE USED TO BETTER UNDERSTAND THE DEMOGRAPHICS, HEALTH BEHAVIORS, SOCIAL & ECONOMIC FACTORS, PHYSICAL ENVIRONMENT, AND CLINICAL CARE CHARACTERISTICS OF THE TWO HOSPITAL SERVICES AREAS AND THE COUNTY. SPECIFIC DATA SOURCES INCLUDED: CENTERS FOR DISEASE CONTROL, AMERICAN COMMUNITY SURVEY (ACS), US CENSUS BUREAU, ROBERT WOOD JOHNSON COUNTY HEALTH RANKINGS, DEPARTMENT OF HEALTH AND HUMAN SERVICES, NATIONAL VITAL STATISTICS, ARIZONA YOUTH SURVEY, UDS MAPPER HRSA DATA WAREHOUSE, ARIZONA DEPARTMENT OF HEALTH PRIMARY CARE, STATISTICAL AREA PROFILES, ARIZONA DEPARTMENT OF ECONOMIC SECURITY, AND POINT IN TIME HOMELESS SURVEY. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - BENSON HOSPITAL CORPORATION. THE CHNA WAS ALSO CONDUCTED FOR NORTHERN COCHISE COMMUNITY HOSPITAL. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Benson Hospital Corporation. MENTAL HEALTH AND SUBSTANCE ABUSE * COLLABORATE WITH CCHCI ON A MAT GRANT TO ENSURE PATIENTS FROM THE ED HAVE TREATMENT OPTIONS FOR ALCOHOL, OPIOID, AND OTHER ADDICTION ISSUES * PLAN AND COLLABORATE WITH THE LEGACY FOUNDATION OF SOUTHEASTERN ARIZONA TO HAVE AN ANNUAL MULTIDISCIPLINARY DRUG ADDICTION SUMMIT IN COCHISE COUNTY * COLLABORATE WITH THE BENSON POLICE DEPARTMENT & REACH PROGRAM TO ADDRESS ADDICTION-RELATED SOCIAL NEEDS * CONTINUE TO EXPAND CONCERT HEALTH PROGRAM * WORK WITH THE BENSON FAMILY ALLIANCE TO HOLD PARENT MULTIDISCIPLINARY EDUCATION NIGHTS AT THE SCHOOL AROUND SUBSTANCE ABUSE AND THE CORRELATION WITH ADVERSE CHILDHOOD EXPERIENCES * EXPLORE OPTIONS TO TREAT SOCIAL ISOLATION AMONG THE ELDERLY THROUGH FELLOWSHIP OPTIONS WITH LOCAL CHURCHES * CREATE A COLLABORATION WITH THE AREA AGENCY ON AGING TO IMPROVE MENTAL HEALTH OUTCOMES IN BENSON'S ELDERLY POPULATION * EXPLORE THE POSSIBILITY OF PARTNERING WITH SEAGO TO CREATE A CONGREGATE MEAL SITE IN BENSON THAT WOULD ADDRESS SOCIAL ISOLATION * WORK WITH COCHISE COUNTY HEALTH AND HUMAN SERVICES TO EXPLORE THE OPTION OF USING CAHS FOR DETOX BRIDGE TREATMENT GOOD JOBS AND HEALTHY ECONOMY * HOLD A SUMMER CAMP FOR CURRENT STUDENTS IN MIDDLE AND EARLY HIGH SCHOOL TO INVEST IN THE NEXT GENERATION OF HEALTHCARE PROFESSIONALS * WORK WITH THE CENTER FOR THE FUTURE OF ARIZONA TO IMPROVE CAREER-BASED STEM LEARNING OPPORTUNITIES IN BENSON * ATTEND AND PARTICIPATE IN SERVICE AREA STEM NIGHT EVENTS * WORK WITH BUSD AND CENTER FOR THE FUTURE OF ARIZONA TO TRY AND CREATE A HEALTHCARE PORTION FOR THE SOUTHWESTERN REGION SPACE SETTLEMENT DESIGN COMPETITION * CONTINUE CREATING AND EXPANDING SERVICE LINES THAT BOTH KEEP AND INCREASE HEALTHCARE-ASSOCIATED SPENDING IN BENSON * WORK WITH THE BENSON CHAMBER OF COMMERCE AND THE SOUTHEAST ARIZONA ECONOMIC DEVELOPMENT GROUP TO IMPROVE THE OVERALL ECONOMIC ENVIRONMENT IN BENON * WORK WITH THE COCHISE TECHNOLOGY DISTRICT TO EXPAND THE PCT PROGRAM AND EXPLORE CREATING A COMMUNITY HEALTH WORKER PROGRAM * PARTNER WITH LOCAL SCHOOLS TO CREATE PRACTICAL EXPERIENCES FOR STUDENTS SUCH AS SHADOWING VARIOUS DEPARTMENTS INVOLVED WITH THE DELIVERY OF HEALTHCARE * RECRUIT MORE SPECIALISTS PROVIDERS TO BENSON IN ORDER TO INCREASE LOCAL REVENUE AND DECREASE THE COMMUNITY EXPENDITURES ASSOCIATED WITH TRAVELING TO TUCSON FOR CARE HEALTHY EATING, OBESITY AND DIABETES * EXPLORE THE POSSIBILITY OF WORKING WITH SEAGO TO HAVE CONGREGATE MEAL SITE FOR ELDERS IN BENSON * RECONVENE THE BENSON DIABETIC EDUCATION SUPPORT GROUP * WORK WITH CONCERT HEALTH TO ADDRESS LIFESTYLE DISEASES IN PATIENTS THAT ALSO HAVE COEXISTING CONDITIONS OTHER THAT ANXIETY AND DEPRESSION * CONTINUE WORKING WITH SOUTHWIND'S FARM TO IMPROVE ACCESS TO LOCALLY GROWN HEALTHY PRODUCE * REESTABLISH THE SUMMER FARMERS MARKET AT BENSON HOSPITAL TO INCREASE ACCESS TO LOCALLY GROWN PRODUCE * WORK THE BENSON CLEAN & BEAUTIFUL AND THE CITY OF BENSON TO DEVELOP A COMMUNITY GARDEN IN LIONS PARK * WORK WITH BENSON CLEAN & BEAUTIFUL TO EXPAND MARKET ON THE MOVE IN BENSON * PROVIDE GUIDANCE FOR YOUTH EFFORT FUNDRAISING FOR THE FOOD PANTRY * WORK WITH COCHISE (EFNEP) EXPANDED FOOD AND NUTRITION EDUCATION PROGRAM THROUGH THE U OF A COOPERATIVE EXTENSION TO HOLD MORE EDUCATIONAL CLASSES IN BENSON 4 BENSON FAMILY HEALTH CARE CLINIC 688 WEST 4TH STREET SUITE B BENSON AZ 85602 PATIENT CLINIC BENSON SAN PEDRO CLINIC 890 WEST 4TH STREET BENSON AZ 85602 PATIENT CLINIC BENSON HOSPITAL REHABILITATION 500 SOUTH HIGHWAY 80 SUITE B BENSON AZ 85602 REHABILITATION BENSON HOSPITAL SATELLITE DRAW STATION 880 WEST 4TH STREET BENSON AZ 85602 LAB DRAW STATION Schedule H, Part I, Line 7 PERCENT OF TOTAL EXPENSE TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25 OF THE FORM 990. Schedule H, Part I, Line 7 COSTING METHODOLOGY THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEET 1. IRS WORKSHEETS 3 AND 6 USED INTERNAL COST ACCOUNTING METHODOLOGY. Schedule H, Part II Community Building Activities THE HOSPITAL IMPROVES THE HEALTH OF THE COMMUNITY BY ASSISTING WITH FREE/DISCOUNTED FOOD DISTRIBUTION, EDUCATION EVENTS TO HELP INFORM THEM ON WAYS TO IMPROVE AND MAINTAIN HEALTH, PARTNERING WITH SCHOOLS TO ASSIST WITH STUDENTS, COLLABORATING WITH A PARTNER TO PROVIDE FREE DIAPERS TO THE COMMUNITY, AND COLLABORATING/PARTICIPATING IN MANY COMMUNITY COLLABORATION ACTIVITIES. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT EXPENSE IS BASED ON HISTORICAL BAD DEBT WRITEOFFS BY FINANCIAL PAY CLASS I.E. COMMERCIAL INSURANCE GOVERNMENT PAYORS MEDICARE AND MEDICAID AND SELFPAY. THE PAST PERFORMANCE IS USED TO ESTIMATE THE MONTHLY REVENUE AND OUTSTANDING RECEIVABLE BALANCE. THE ESTIMATE IS UPLOADED MONTHLY TO REFLECT ACTUAL ACTIVITY TO DATE. ANY DISCOUNTS TO PATIENT BILLS ARE INCLUDED IN THE BAD DEBT EXPENSE SINCE THEY ARE BILLED NET OF ANY CONTRACTUAL ADJUSTMENTS OR SELF-PAY DISCOUNTS. Schedule H, Part III, Line 3 Bad Debt Expense Methodology ANY BAD DEBT EXPENSE WHERE THE FINANCIAL CLASS WAS SLIDING FEE WHICH IS THE TERM USED FOR PATIENTS UNDER THE FINANCIAL ASSISTANCE PLAN. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE AUDIT FOOTNOTE ADDRESSING BAD DEBT EXPENSE AND PATIENT ACCOUNTS RECEIVABLE IS FOUND ON THE AUDITED FINANCIAL STATEMENTS UNDER NOTE 1, SUBTITLED "PATIENT ACCOUNTS RECEIVABLE." Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE ALLOWABLE COSTS ARE BASED ON THE MEDICARE COST REPORT WHICH IS BASED ON THE NUMBER OF PATIENT DAYS TIMES THE COST PER DIEM. ALL OF THE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT AS COMMUNITY MEMBERS WERE PROVIDED SERVICES THAT WERE NOT REIMBURSED TO THE HOSPITAL. SHORTFALL REPRESENTS COMMUNITY BENEFIT. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance BENSON HOSPITAL WILL CONTINUE TO BILL THE PATIENT FOR AT LEAST 120 DAYS IF THE PATIENT DOES NOT MAKE PAYMENT ARRANGEMENTS OR FAILS TO INITIATE THE FINANCIAL ASSISTANCE PROCESS. COLLECTION ACTIVITIES, INCLUDING TRANSFERRING TO A COLLECTION AGENCY, WILL BEGIN ON ACCOUNTS OLDER THAN 120 DAYS. BENSON HOSPITAL WILL SEND A MINIMUM OF THREE STATEMENTS EVERY 30-45 DAYS PRIOR TO TRANSFERRING AN ACCOUNT TO A COLLECTION AGENCY. BENSON HOSPITAL WILL MAKE TWO PHONE CALLS ON ACCOUNTS WITH RETURNED MAIL IN AN ATTEMPT TO CONTACT THE PATIENT AT THE ADDRESS AND PHONE NUMBERS PROVIDED BY THE PATIENT. IF THERE IS NO RESPONSE, THE ACCOUNT WILL BE TRANSFERRED TO A COLLECTION AGENCY. STATEMENT AND COMMUNICATIONS WILL INFORM THE PATIENT OF THE AMOUNT DUE, THE OPPORTUNITY TO COMPLETE AN FAP APPLICATION, AND THAT THE COMPLETION OF THE APPLICATION MAY QUALIFY THE PATIENT FOR FREE OR REDUCED-COST CARE. Schedule H, Part V, Section B, Line 16a FAP website - BENSON HOSPITAL CORPORATION: Line 16a URL: HTTPS://WWW.BENSONHOSPITAL.ORG/EN/ABOUT-MY-BILL/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16b FAP Application website - BENSON HOSPITAL CORPORATION: Line 16b URL: HTTPS://WWW.BENSONHOSPITAL.ORG/EN/ABOUT-MY-BILL/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - BENSON HOSPITAL CORPORATION: Line 16c URL: HTTPS://WWW.BENSONHOSPITAL.ORG/EN/ABOUT-MY-BILL/FINANCIAL-ASSISTANCE; Schedule H, Part VI, Line 2 Needs assessment OUR MISSION AT BENSON HOSPITAL IS TO PROVIDE EXCEPTION HEALTH CARE WITH COMPASSION. IN ORDER TO MEET THIS MISSION, WE STRIVE TO UNDERSTAND THE NEEDS OF OUR COMMUNITY IN SEVERAL DIFFERENT WAYS. OUR LEADERSHIP AND STAFF ARE MEMBERS OF CIVIC CLUBS, BOARDS, AND COMMITTEES. OUR BOARD OF TRUSTEES IS COMPRISED OF MEMBERS FROM COUNTIES THROUGHOUT OUR SERVICE AREA. WE WORK CLOSELY WITH THE HEALTH DEPARTMENT AND OTHER COMMUNITY AGENCIES. STATE, REGIONAL AND LOCAL MEDIAS ARE USED TO MONITOR NEEDS AT ALL LEVELS. WE ALSO BELONG TO MANY HEALTHCARE RELATED ORGANIZATIONS THAT PROVIDE INFORMATION REGARDING USAGE AND NEEDS OF HEALTHCARE IN OUR SERVICE AREA WHICH IS USED TO EVALUATE WHAT WE NEED TO FOCUS ON TO IMPROVE THE HEALTH IN OUR COMMUNITY. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance TO FURTHER BENSON HOSPITAL'S MISSION TO THE COMMUNITIES THAT IT SERVES, BENSON HOSPITAL WILL PROVIDE FINANCIAL ASSISTANCE FOR MEDICALLY NECESSARY HEALTH CARE IN A FAIR, CONSISTENT, RESPECTFUL AND OBJECTIVE MANNER TO LOW-INCOME PATIENTS WHO DO NOT HAVE INSURANCE COVERAGE OR ARE UNDERINSURED. COMMUNICATIONS TO PATIENTS A. BENSON HOSPITAL IS COMMITTED TO MAKING THE PEOPLE IN THE COMMUNITIES THAT IT SERVICES AWARE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH ITS COMMUNITY CARE POLICY. BENSON HOSPITAL WILL PROVIDE FINANCIAL COUNSELING TO PATIENTS UPON REQUEST AND HELP THOSE WHO ARE ELIGIBLE THROUGH THE COMMUNITY CARE APPLICATION PROCESS. B. BENSON HOSPITAL COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN APPROPRIATE ACUTE-CARE SETTINGS SUCH AS THE EMERGENCY DEPARTMENT, REGISTRATION AREAS AND ON THE HOSPITAL WEBSITE. C. ALL BILLING STATEMENTS AND STATEMENTS OF SERVICES WILL INFORM PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE. D. SIGNS ARE POSTED IN HOSPITAL REGISTRATION AREAS INFORMING PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR QUALIFYING PATIENTS WHO COMPLETE AN ASSISTANCE APPLICATION. THESE SIGNS INFORM PATIENTS THAT FREE OR REDUCED-COST CARE MAY BE AVAILABLE TO QUALIFYING PATIENTS WHO COMPLETE AN APPLICATION. E. MATERIALS DESCRIBING THE COMMUNITY CARE POLICY, INCLUDING CARDS AND BROCHURES, ARE AVAILABLE IN ENGLISH AND SPANISH ON THE HOSPITAL WEBSITE, IN ADMITTING AND AT THE BUSINESS OFFICE 450 S OCOTILLO AVE BENSON, AZ 85602 F. FINANCIAL COUNSELING AND BUSINESS OFFICE PERSONNEL ARE AVAILABLE AT THE HOSPITAL OR AT THE BUSINESS OFFICE TO ASSIST PATIENTS IN UNDERSTANDING AND APPLYING FOR LOCAL, STATE AND FEDERAL HEALTH CARE PROGRAMS AND THE BENSON HOSPITAL COMMUNITY CARE PROGRAM. G. REASONABLE EFFORTS ARE MADE TO ENSURE THAT ALL BENSON HOSPITAL EMPLOYEES ARE INFORMED ABOUT HOW TO REFER PATIENTS TO APPLY FOR BENSON HOSPITAL'S COMMUNITY CARE PROGRAM. ANNUAL STAFF EDUCATION PROGRAMS ARE PROVIDED TO ALL BUSINESS OFFICE AND ADMITTING STAFF. H. PATIENTS CAN REQUEST FINANCIAL ASSISTANCE INFORMATION OR A COPY OF THIS POLICY OR THE COMMUNITY CARE APPLICATION BY CALLING THE BUSINESS OFFICE AT (520)720-6519 OR BY E-MAIL AT FAP@BENSONHOSPITAL.ORG. VOICEMAIL IS AVAILABLE AND CALLS WILL BE FOLLOWED UP WITHIN TWO WORKING DAYS. I. PATIENTS ARE PROVIDED INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE UPON REGISTRATION OR ADMISSION TO BENSON HOSPITAL'S ACUTE CARE AREAS. J. THIS POLICY AND THE COMMUNITY CARE APPLICATION FOR ASSISTANCE IN THE FORM OF THE BENSON HOSPITAL FAP ARE AVAILABLE ON THE HOSPITAL WEBSITE AT HTTP://WWW.BENSONHOSPITAL.ORG, IN ACUTE CARE INPATIENT REGISTRATION AREAS OR VIA MAIL OR E-MAIL FROM THE BUSINESS OFFICE. THE COMMUNITY CARE APPLICATION DOCUMENTS INCLUDE INSTRUCTIONS ON HOW TO COMPLETE THE APPLICATION FORM AND THE KINDS OF SUPPORTING DOCUMENTATION THAT ARE NEEDED TO COMPLETE THE APPLICATION PROCESS. INSTRUCTIONS FOR RETURN OF THE FORM ARE ALSO PROVIDED. K. INDIVIDUALS OTHER THAN THE PATIENT, SUCH AS THE PATIENT'S PHYSICIAN, FAMILY MEMBERS, COMMUNITY OR RELIGIOUS GROUPS, SOCIAL SERVICES OR HOSPITAL PERSONNEL MAY MAKE REQUESTS FOR FINANCIAL ASSISTANCE ON A PATIENT'S BEHALF. Schedule H, Part VI, Line 4 Community information FOUNDED IN 1881, 31 YEARS BEFORE ARIZONA ACHIEVED STATEHOOD, COCHISE COUNTY HAS A RICH AND DIVERSE HISTORY. LOCATED IN THE SOUTHEAST CORNER OF ARIZONA AND COVERING NEARLY FOUR MILLION ACRES, IT IS LARGER THAN THE STATES OF CONNECTICUT AND RHODE ISLAND COMBINED. THE COUNTY'S NAMESAKE, THE LEGENDARY APACHE CHIEF COCHISE, WAGED BATTLE WITH U.S. CAVALRY UNITS IN THE DRAGOON MOUNTAINS, WHILE GERONIMO WAS PURSUED DEEP INTO THE CHIRICAHUA MOUNTAINS. TODAY, PEOPLE OF DIVERSE CULTURES, WITH VARYING SOCIOECONOMIC AND HEALTH STATUS CONDITIONS CALL COCHISE COUNTY HOME. THE COMMUNITIES COMPRISING THE COUNTY INCLUDING TOMBSTONE, THE COPPER TOWN TURNED ARTISTIC COMMUNITY OF BISBEE, SIERRA VISTA, FORT HUACHUCA, THE VINEYARDS, AND FARMS OF WILLCOX, THE NATURAL BEAUTY OF THE SAN PEDRO VALLEY AND THE CROSS-BORDER BUSTLE IN DOUGLAS EACH SERVE TO CREATE A DIVERSE LIFESTYLE AND GEOGRAPHY AS WELL. COCHISE COUNTY'S POPULATION IS NEARLY 127,000 TODAY. IT HAS DECLINED BY NEARLY 4% BETWEEN 2010 AND 2020. GROWTH BY 2025 IS EXPECTED TO BE VIRTUALLY FLAT (+1%). COLLECTIVELY, THE SERVICE AREAS OF NCCH AND BENSON COVER ABOUT 80% OF THE LAND AREA OF COCHISE COUNTY, AND THE POPULATIONS OF THE TWO COMBINED SERVICE AREAS REPRESENT ABOUT 53% OF THE COUNTY'S POPULATION. THE BENSON HOSPITAL SERVICE AREA ALSO INCLUDES SIX ZIP CODES. 83% OF BENSON'S PATIENTS RESIDE IN THESE SIX ZIP CODES: 85602 BENSON 85630 SAINT DAVID 85616 HUACHUCA CITY 85635 SIERRA VISTA 85627 POMERENE 85609 DRAGOON Schedule H, Part VI, Line 5 Promotion of community health THROUGH THE MOST RECENT CHNA PROCESS, BENSON CREATED INDIVIDUAL, COMMUNITY-SPECIFIC CHNA PRIORITIES AND DEVELOPED STRATEGIES FOR IMPLEMENTING THOSE PRIORITIES. ACCOMPLISHMENTS RELATED TO THOSE 2024-26 CHNA INDIVIDUAL PRIORITIES AND STRATEGIES FOR EACH HOSPITAL ARE OUTLINED BELOW. PRIORITY: MENTAL HEALTH AND SUBSTANCE ABUSE - ACCOMPLISHMENTS - FORMED COLLABORATE WITH THE FQHC (CCHCI) ON A MAT GRANT TO ENSURE PATIENTS FROM THE ED HAVE TREATMENT OPTIONS FOR ALCOHOL, OPIOID, AND OTHER ADDICTION ISSUES. PATIENTS CAN ACCESS THE FIRST DOSE OF MAT AT THE ER ANY TIME DAY OR NIGHT AND FOLLOW UP OUTPATIENT WITH CCHCI FOR CONTINUED CARE. - HAS HELPED PLAN AND COLLABORATED WITH THE LEGACY FOUNDATION OF SOUTHEASTERN ARIZONA TO HOLD AN ANNUAL MULTIDISCIPLINARY DRUG ADDICTION SUMMIT IN COCHISE COUNTY. - COLLABORATED WITH THE BENSON POLICE DEPARTMENT & REACH PROGRAM TO ADDRESS ADDICTION-RELATED SOCIAL NEEDS. - CREATE A COLLABORATION WITH THE AREA AGENCY ON AGING TO IMPROVE MENTAL HEALTH OUTCOMES IN BENSON'S ELDERLY POPULATION THROUGH REFERRALS AND PROVIDING THEM LOCAL SPACE TO OPERATE IN TOWN. - WORKED WITH THE CITY OF BENSON TO CREATE A FREE FRIDAY LUNCH TO SENIORS IN THE COMMUNITY TO HELP ADDRESS SOCIAL ISOLATION. - COLLABORATED WITH LOCAL HIGH SCHOOL STUDENTS AND THE CENTER FOR THE FUTURE OF ARIZONA TO CREATE AN ANTI-VAPING CAMPAIGN THAT THE SCHOOLS AND LOCAL LAW ENFORCEMENT USE. PRIORITY: GOOD JOBS AND A HEALTHY ECONOMY - WORKED WITH THE CENTER FOR THE FUTURE OF ARIZONA TO IMPROVE CAREER-BASED STEM LEARNING OPPORTUNITIES IN BENSON THROUGH A SUMMER CAMP FOR CHILDREN. - SPONSORED AND PARTICIPATED IN STEM LEARNING NIGHTS ACROSS THE COUNTY. - COLLABORATED WITH THE CENTER FOR THE FUTURE OF ARIZONA TO CREATE A HEALTHCARE PORTION FOR THE SOUTHWESTERN REGION SPACE SETTLEMENT DESIGN COMPETITION, ALSO SPONSORED THE COMPETITION. - WORKED WITH THE COCHISE TECHNOLOGY DISTRICT TO CREATE AND THEN EXPAND A PATIENT CARE TECH TRAINING PROGRAM. - PARTNERED WITH LOCAL SCHOOLS TO CREATE PRACTICAL EXPERIENCES FOR STUDENTS SUCH AS SHADOWING VARIOUS DEPARTMENTS INVOLVED WITH THE DELIVERY OF HEALTHCARE. - RECRUITED MORE SPECIALIST PROVIDERS TO BENSON TO INCREASE LOCAL REVENUE AND DECREASE THE COMMUNITY EXPENDITURE ASSOCIATED WITH TRAVELING TO TUCSON FOR CARE. PRIORITY: AGING CONCERNS AND RESOURCES FOR HEALTHY LIVING - NCCH HAS EARNED AN AGE FRIENDLY DESIGNATION FROM THE INSTITUTE FOR HEALTHCARE IMPROVEMENT. - HAS EXPANDED THE SWING BED PROGRAM SO SENIORS CAN RECOVER CLOSE TO HOME - HIRED A COMMUNITY DEVELOPMENT SPECIALIST TO FOCUS ON THE DEEPER NEEDS AROUND AGEING AND HEALTHY LIVING IN THE SERVICE AREA. - COLLABORATED WITH TUCSON MEDICAL CENTER TO VIRTUALLY HOST SENIOR HEALTH EDUCATION PROGRAMS. - HELPED THE LOCAL SENIOR SERVICES GROUP OBTAIN THEIR OWN 501 C 3 DESIGNATION. - CREATED A DIAPER BANK COLLABORATION TO PROVIDE BOTH PEDIATRIC AND ADULT INCONTINENCE SUPPLIES TO THE COMMUNITY FOR FREE. - WORKED TO BRING A MOBILE CARDIAC PET SCANNER TO THE COMMUNITY SO THAT RESIDENTS NO LONGER HAVE TO TRAVEL 170 MILES ROUND TRIP FOR THE SERVICE. - WORKED WITH LOCAL FOOD PANTRY TO ADDRESS SENIOR FOOD INSECURITY. PRIORITY: PRIMARY CARE - CONTINUED RECRUITMENT EFFORTS FOCUSED ON ADDING NEW PROVIDERS TO SSMC - HIRED A NEW MEDICAL DIRECTOR FOR THE SSMC RURAL HEALTH CLINIC. - IMPLEMENTED A CAREER PATHWAY FOR PATIENT CARE TECHS TO WORK IN AT SSMC RURAL HEALTH CLINIC IN ORDER MAXIMIZE EFFICIENCY. - EXPANDED PREVENTATIVE VACCINE AVAILABILITY. PRIORITY: DENTAL CARE - EVALUATED THE FEASIBILITY OF PROVIDING FLUORIDE TREATMENTS TO MEDICAID CHILDREN WITHIN THE CLINICS. - COLLABORATING WITH CHIRICAHUA FQHC'S PLANNED DENTAL EXPANSION TO WILLCOX. - EXPLORE DENTISTRY SCREENING DAYS WITH TUCSON DENTISTS. Schedule H, Part VI, Line 6 Affiliated health care system TMC HEALTHCARE IS A TAX-EXEMPT NONPROFIT CORPORATION LOCATED IN TUCSON, ARIZONA. TMC HEALTHCARE AND ITS VARIOUS SUBSIDIARIES AND AFFILIATES (COLLECTIVELY, THE COMPANY) PROVIDE GENERAL MEDICAL AND SURGICAL ACUTE CARE, GERIATRIC PSYCHIATRY SERVICES, HEALTHCARE EDUCATION, AND A FULL RANGE OF OUTPATIENT SERVICES PRIMARILY TO THE RESIDENTS OF SOUTHERN ARIZONA. TMC HEALTHCARE IS PRIMARILY A TAX-EXEMPT NONPROFIT HOLDING COMPANY. TUCSON MEDICAL CENTER (TMC) - TMC IS A TAX-EXEMPT NONPROFIT ARIZONA CORPORATION THAT HAS 596 ACUTE MEDICAL AND SURGICAL, 16 PSYCHIATRIC, AND 16 HOSPICE LICENSED BEDS AS OF DECEMBER 31, 2023 AND 2022. TMC HOLDINGS, INC. - TMC HOLDINGS, INC., IS A TAX-EXEMPT NONPROFIT CORPORATION. TMC HOLDINGS, INC., PRIMARILY LEASES MEDICAL FACILITIES TO HEALTHCARE PROVIDERS IN TUCSON, ARIZONA. TMC MEDICAL NETWORK (TMN) - TMN IS A TAX-EXEMPT NONPROFIT CORPORATION. TMCONE - TMN IS THE SOLE CORPORATE MEMBER OF TMCONE, A TAX-EXEMPT NONPROFIT CORPORATION. TMCONE ENGAGES PHYSICIANS AND OTHER PROVIDERS TO PROVIDE PROFESSIONAL MEDICAL SERVICES, EITHER THROUGH DIRECT EMPLOYMENT OR THROUGH PROVIDER SERVICE AGREEMENTS. TMC FOUNDATION - TMC FOUNDATION IS A TAX-EXEMPT NONPROFIT CORPORATION. TMC FOUNDATION RAISES AND INVESTS FUNDS PRIMARILY FOR THE BENEFIT OF TMC AND OTHER COMMUNITY NONPROFIT INITIATIVES. GLP INSURANCE COMPANY (GLPIC) - GLPIC IS A FOREIGN FOR-PROFIT CORPORATION. GLPIC PROVIDES SELF-INSURED RETENTION INSURANCE FOR PROFESSIONAL AND GENERAL LIABILITY AND WORKERS' COMPENSATION LIABILITY AND ARRANGES FOR CERTAIN OTHER INSURANCE COVERAGE FOR THE COMPANY AND CERTAIN PHYSICIANS. TMC HEALTHCARE SECURITY SERVICES, INC. (SECURITY SERVICES) - SECURITY SERVICES IS A FOR-PROFIT CORPORATION. SECURITY SERVICES PROVIDES CONTRACTED SECURITY SERVICES TO RELATED AND NON-RELATED PARTIES. TMC HEALTH MEDICAL EDUCATION PROGRAM (THMEP) - THMEP IS TAX-EXEMPT NONPROFIT CORPORATION AND IS A PROVIDER OF GRADUATE AND CONTINUING MEDICAL EDUCATION IN THE SOUTHERN ARIZONA REGION. NORTHERN COCHISE COMMUNITY HOSPITAL (NCCH) - NCCH IS A TAX-EXEMPT NONPROFIT CORPORATION THAT OPERATES A 24-BED CRITICAL ACCESS HOSPITAL LOCATED IN WILLCOX, ARIZONA. RINCON NEIGHBORHOOD HOSPITAL (RNH) - RNH IS A TAX-EXEMPT NONPROFIT CORPORATION AND IS THE ENTITY CREATED FOR THE NEW HOSPITAL IN THE RINCON NEIGHBORHOOD. CONSTRUCTION ON THIS HOSPITAL IS ONGOING, AND THE HOSPITAL IS EXPECTED TO OPEN IN EARLY 2024. HOSPITAL CARE SYSTEMS DEVELOPMENT CORPORATION (HCSDC) - HCSDC IS A FOR-PROFIT CORPORATION. CHILDREN'S CLINIC FOR REHABILITATION SERVICES (CCRS) - CCRS IS A TAX-EXEMPT NONPROFIT CORPORATION THAT PROVIDES PEDIATRIC SERVICES. SOUTHERN ARIZONA HOSPITAL ALLIANCE (SAHA) - SAHA IS A TAX-EXEMPT NONPROFIT CORPORATION FOCUSED ON PROVIDING SUSTAINABLE HEALTHCARE IN SOUTHERN ARIZONA. ABACUS HEALTH, LLC (ABACUS) - ABACUS IS A FOR-PROFIT LIMITED LIABILITY COMPANY THAT IS AN AFFILIATE OF ARIZONA COMMUNITY PHYSICIANS AND OPERATES AN ACCOUNTABLE CARE ORGANIZATION UNDER THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010. X X X X X false true false false false true false false false GARY KARTCHNER CHIEF EXECUTIVE OFFICER 201582 0 15384 0 4293 0 38943 0 19620 0 279822 0 0 0 BARBARA HARTLEY TRUSTEE 220811 0 0 0 0 0 0 0 0 0 220811 0 0 0 JULIA STRANGE FORMER CEO 0 268068 0 92793 0 63686 0 21972 0 12243 0 458762 0 0 ALEXANDER HORVATH CHIEF HUMAN RESOURCE OFFICER 0 402148 0 71954 0 108594 0 10350 0 22555 0 615601 0 0 STEVE REICHLING CHIEF FINANCIAL OFFICER 0 556420 0 75153 0 14533 0 127034 0 20435 0 793575 0 0 TIM REUSCHEL CHIEF LEGAL OFFICER 0 418703 0 80071 0 27002 0 106519 0 28571 0 660866 0 0 OSVALDO ENRIQUEZ PHYSICIAN 191292 0 12957 0 718 0 6019 0 7110 0 218096 0 0 0 KATHLEEN MURRAY PHYSICIAN 257792 0 450 0 10000 0 6900 0 10223 0 285365 0 0 0 AMANDA OSUNA PHYSICIAN 145270 0 10463 0 272 0 4779 0 14853 0 175637 0 0 0 STEPHANIE STARNES PHYSICIAN 131538 0 3950 0 22357 0 4480 0 0 0 162325 0 0 0 ROBERT VIA PHYSICIAN 174542 0 12252 0 408 0 5691 0 9936 0 202829 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation TUCSON MEDICAL CENTER, A RELATED ORGANIZATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE TMC HEALTHCARE TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan EXECUTIVES PARTICIPATING IN A SUPPLEMENTAL, NON QUALIFIED RETIREMENT PLAN: STEPHEN REICHLING 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $116,684 ALEXANDER HORVATH 2024 VESTED CONTRIBUTIONS INCLUDED IN W-2: $86,496 JULIA STRANGE 2024 VESTED CONTRIBUTIONS INCLUDED IN W-2: $37,608 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $12,536 TIM REUSCHEL 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $96,169 GARY KARTCHNER 2024 NONVESTED CONTRIBUTIONS INCLUDED IN DEFERRED COMPENSATION: $33,258 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. Form 990, Part VI, Line 6 Classes of members or stockholders THE HOSPITAL SHALL HAVE ONLY ONE MEMBER, TMC HEALTHCARE. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE HOSPITAL BOARD SHALL BE COMPOSED OF THOSE PERSONS APPOINTED BY THE SYSTEM BOARD OF TRUSTEES AND THOSE PERSONS WHO ARE EX OFFICIO DIRECTORS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders TMC HEALTHCARE SHALL HAVE EXCLUSIVE AUTHORITY, IN ITS SOLE AND ABSOLUTE DISCRETION, TO DETERMINE ANY OF THE FOLLOWING ACTIONS BY OR ON BEHALF OF THE HOSPITAL: (A) APPROVAL OF THE HOSPITAL'S ANNUAL OPERATING AND CAPITAL BUDGETS AND MATERIAL CHANGES THERETO. THE HOSPITAL BOARD SHALL PROPOSE ANNUAL OPERATING AND CAPITAL BUDGETS FOR THE HOSPITAL, AND MAY REQUEST MATERIAL CHANGES THERETO. (B) APPROVAL OF INDIVIDUAL NON-RECURRING UNBUDGETED EXPENDITURES IN EXCESS OF FIFTY THOUSAND AND NO/100 DOLLARS, WHICH APPROVAL CAN BE PROVIDED BY THE SYSTEM CEO OR SYSTEM CHIEF FINANCIAL OFFICER. (C) APPROVAL OF ANY UNBUDGETED CAPITAL EXPENDITURES THE COST OF WHICH IN ANY ONE FISCAL YEAR EXCEEDS FIFTY THOUSAND AND NO/100 DOLLARS, WHICH APPROVAL CAN BE PROVIDED BY THE SYSTEM CEO OR SYSTEM CHIEF FINANCIAL OFFICER. (D) APPOINTING OR REMOVING THE HOSPITAL CEO. THE SYSTEM SHALL CONSULT WITH THE HOSPITAL BOARD REGARDING CANDIDATES FOR THE POSITION OF HOSPITAL CEO. (E) APPROVING THE HOSPITAL'S STRATEGIC GOALS AND OBJECTIVES, CONSISTENT WITH THE SYSTEM'S STRATEGIC GOALS AND OBJECTIVES. (F) FILING FOR BANKRUPTCY, MAKING A GENERAL ASSIGNMENT FOR THE BENEFIT OF CREDITORS, OR TAKING ANY SIMILAR ACTION. (G) MAKING ANY MATERIAL CHANGE IN THE NATURE OF THE HOSPITAL'S BUSINESS. (H) SALE, EXCHANGE OR OTHER DISPOSITION OF ANY ASSETS OUTSIDE THE ORDINARY COURSE OF BUSINESS. (I) ENTERING INTO, AMENDING, OR TERMINATING ANY LEASE OF REAL PROPERTY. (J) ENGAGING IN ANY DISSOLUTION OR LIQUIDATION. (K) ENGAGING IN ANY MERGER, CONSOLIDATION, CONVERSION, REORGANIZATION OR ISSUANCE OF ANY MEMBERSHIPS. (L) ENTERING INTO A MANAGEMENT AGREEMENT WITH ANY PERSON OR ENTITY PURSUANT TO WHICH IT WOULD REASONABLY BE INTERPRETED THAT THE HOSPITAL IS TRANSFERRING MANAGEMENT CONTROL OF ITS OPERATIONS TO A THIRD PARTY. (M) BORROWING MONEY IN THE NAME OF THE HOSPITAL OR UTILIZING PROPERTY (REAL OR PERSONAL) OWNED BY THE HOSPITAL AS SECURITY FOR SUCH LOANS, OR OTHERWISE ENTERING INTO ANY LOAN, GUARANTY, SECURITY INTEREST, MORTGAGE, SURETY, HYPOTHECATION OR OTHER FORM OF INDEBTEDNESS, EXCEPT AS PERMITTED BY A POLICY OF THE SYSTEM THAT ALLOWS MANAGEMENT TO INCUR DEBT UP TO BUT NOT EXCEEDING A SPECIFIED AMOUNT PER TRANSACTION WITHOUT ADDITIONAL APPROVAL. (N) MAKING ANY LOAN, INVESTMENT, TRANSFER OR DISPOSITION OF ANY ASSETS OF THE HOSPITAL OR ENTERING INTO ANY CONTRACT OR INCURRING ANY LIABILITIES ON BEHALF OF THE HOSPITAL OTHER THAN FOR FAIR CONSIDERATION AND IN THE ORDINARY COURSE OF BUSINESS RELATING TO ITS NORMAL DAILY OPERATION. (O) TAKING ANY OTHER ACTION THAT THE SYSTEM DETERMINES, IN ITS SOLE AND ABSOLUTE DISCRETION, MAY HAVE A MATERIAL ADVERSE EFFECT ON THE 501(C)(3) STATUS OF THE HOSPITAL OR THE 501(C)(3) STATUS OR TAX-EXEMPT BONDS OF THE SYSTEM OR ANY SUBSIDIARY OR AFFILIATE. IN ADDITION, THE HOSPITAL SHALL NOT (I) ACQUIRE OR CREATE ANY SUBSIDIARY OR ACQUIRE AN INTEREST IN ANY AFFILIATE WITHOUT PRIOR WRITTEN APPROVAL OF THE SYSTEM, WHICH APPROVAL MAY BE GIVEN, WITHHELD OR CONDITIONED BY THE SYSTEM IN ITS SOLE AND ABSOLUTE DISCRETION, OR (II) PERFORM OR COMMIT, OR AUTHORIZE OR DIRECT ANY OFFICER OR OTHER PERSON OR ENTITY TO PERFORM OR COMMIT, ANY OF THE ACTIONS IDENTIFIED IN THIS SECTION WITH RESPECT TO A SUBSIDIARY OR AFFILIATE. 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, A DRAFT IS PROVIDED TO THE CEO FOR REVIEW. UPON THE CEO'S APPROVAL A COPY IS PROVIDED TO THE BOARD. Form 990, Part VI, Line 12c Conflict of interest policy CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD ANNUALLY. THE POLICY COVERS THE DIRECTORS, OFFICERS, COMMITTEE MEMBERS, OR A PERSON RELATED TO A SUCH PERSON. A CONFLICT IS DEFINED AS A SITUATION WHERE AN INTERESTED PERSON HAS A BENEFICIAL INTEREST OR OTHER LINK TO A TRANSACTION THAT WOULD REASONABLY BE EXPECTED TO EXERT INFLUENCE ON THAT PERSON'S JUDGMENT. CONFLICTING INTEREST TRANSACTIONS ALSO INCLUDE TRANSACTIONS INVOLVING ENTITIES WITH WHICH AN INTERESTED PERSON IS AFFILIATED PERSONS WHO CONTROL ENTITIES WITH AN INTERESTED PERSON IS AFFILIATED AND PERSONS WHO ARE GENERAL PARTNERS PRINCIPALS OR EMPLOYERS OF AN INTERESTED PERSON. INTERESTED PERSONS MUST DISCLOSE CONFLICTING INTERESTS TO THE BOARD WHEN AND WHERE APPROPRIATE AND CANNOT PLAY A DIRECT OR INDIRECT ROLE IN DELIBERATIONS OF VOTE ON THE RELATED MATTER. DIRECTORS OR COMMITTEE MEMBERS WHO DO NOT HAVE A CONFLICTING INTEREST WITH THE TRANSACTION VOTE TO APPROVE THE RELATED TRANSACTION. 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 ULL 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 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part VII, Section A BOARD MEMBER COMPENSATION BARBARA HARTLEY IS COMPENSATED RELATED TO SERVICES PERFORMED AT BENSON HOSPITAL. NO BOARD MEMBER RECEIVES COMPENSATION FOR THEIR DUTIES AS BOARD MEMBERS. Form 990, Part IX, Line 11g Other Fees PHYSICIAN SERVICES - Total Expense: 2543287, Program Service Expense: 2249120, Management and General Expenses: 294167, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 1898463, Program Service Expense: 1696421, Management and General Expenses: 202042, Fundraising Expenses: ; OTHER PROFESSIONAL FEES - Total Expense: 657200, Program Service Expense: 587258, Management and General Expenses: 69942, Fundraising Expenses: ; MEDICAL DIRECTOR - Total Expense: 98923, Program Service Expense: 98923, Management and General Expenses: , Fundraising Expenses: ; TUCSON MEDICAL CENTER 5301 E GRANT RD TUCSON AZ 85712 860137567 HOSPITAL AZ 501(c)(3) 3 TMC HEALTHCARE false TMC HEALTH FOUNDATION 5301 E GRANT RD TUCSON AZ 85712 860504015 SUPPORTING ORGANIZATION AZ 501(c)(3) 3 TMC HEALTHCARE false TMC HEALTHCARE 5301 E GRANT RD TUCSON AZ 85712 202218975 SUPPORTING ORGANIZATION AZ 501(c)(3) Type II NA false TMC MEDICAL NETWORK 5301 E GRANT RD TUCSON AZ 85712 811156192 PHYSICIANS OFFICES AZ 501(c)(3) 3 TMC HEALTHCARE false TMCONE 5301 E GRANT RD TUCSON AZ 85712 810686782 PHYSICIAN PRACTICES AZ 501(c)(3) Type I TMC MEDICAL NETWORK false TMC HOLDING 5301 E GRANT RD TUCSON AZ 85712 860441785 SUPPORTING ORGANIZATION AZ 501(c)(2) TMC HEALTHCARE false NORTHERN COCHISE COMMUNITY HOSPITAL 901 W REX ALLEN DR WILCOX AZ 85643 860208451 HOSPITAL AZ 501(c)(3) 3 TMC HEALTHCARE false TMC HEALTH MEDICAL EDUCATION PROGRAM PO BOX 42195 TUCSON AZ 85733 860204268 EDUCATION AZ 501(c)(3) 3 TMC HEALTHCARE false SOUTHERN ARIZONA HOSPITAL ALLIANCE 5301 E GRANT RD TUCSON AZ 85712 200385301 HEALTHCARE AZ 501(c)(3) 10 TMC HEALTHCARE false PEOPLE FOR COMMUNITY HEALTHCARE 450 S OCOTILLO ST BENSON AZ 85602 871219769 CIVIC ORGANIZATION AZ 501(c)(4) TMC HEALTHCARE false HOSPITAL CARE SYSTEM DEVELOPMENT 5301 E GRANT RD TUCSON AZ 85712 203015545 HOSPITAL MANAGEMENT AZ TMC HEALTHCARE C Corporation false TMC HEALTHCARE SECURITY SERVICE 5301 E GRANT RD TUCSON AZ 85712 522414943 SECURITY SERVICES AZ TMC HEALTHCARE C Corporation false GLP INSURANCE GEORGE TOWN GRAND CAYMAN CJ KY11203 SELF INSURANCE CJ TMC HEALTHCARE C Corporation false PEDIATRICS GPS 5301 E GRANT RD TUCSON AZ 85712 845151905 PEDIATRIC CARE AZ TMC MEDICAL NETWORK C Corporation false SOUTHERN ARIZONA MEDICAL SERVICES 5301 E GRANT RD TUCSON AZ 85712 200614780 BILLING COMPANY AZ TMC MEDICAL NETWORK C Corporation false false false true false false false false false false false false false false false true true true false false