TMC Health

What it reported doing in 2024

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

Financial Efficiency

• Mission deployment rate: 90.1%; rating input score 90
• Program expense ratio: 93.9%; rating input score 94
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 5 of 6 controls in place; rating input score 83
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Pass
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 70%; rating input score 70; 21st percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 4.1%; rating input score 53; 53rd percentile among comparable filings
• Total-asset coverage ratio: 0.82; rating input score 32; 32nd percentile among comparable filings
• Liabilities to assets ratio: 0.54; rating input score 33; 33rd percentile among comparable filings
• Officer compensation ratio: 1.3%; rating input score 68; 68th percentile among comparable filings

Growth

• Program expense growth: 9.6% per year; rating input score 100; 73rd percentile among comparable filings
• Revenue growth: 5.8% per year; rating input score 100; 50th percentile among comparable filings
• Asset growth: 4.7% per year; rating input score 100; 34th percentile among comparable filings