The specific and primary purposes of TMC Medical Network are to perform and carry outcharitable healthcare functions and purposes for the benefit of the community by:i. Establishing, operating and maintaining medical clinics and other medicalfacilities that meet the needs of the Southern Arizona community and adjoining areasfor high quality, comprehensive medical and other healh care services and to make thesame available to all persons without regard to race, creed, color or inablility topay;ii. Engaging in the provision of integrated medical and support services to patientsthrough employed and retained licensed physicians and other licensed health careprofessionals and staff, and maintaining integrated medical records for suchpatients;iii. Initiating and conducting research and educational activities open to thepublic relating to the provision of the medical and preventive care and theimprovement in methods of providing outpatient and inpatient medical care;iv. Participating in other

501(c)(3) charity; gifts are tax-deductible.
52¢ of each $1 spent went to programs.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX

Before you give

FY2023 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2024
latest Form 990
Looks good: the latest return is for FY2024, 2 tax years back; within 2 tax years.
IRS e-file · Filing history
Surplus or deficit
0 of 5
filings with a surplus
Average deficit $18.3M a year · 39% of revenue · last 5 filings
Concern: a surplus in 0 of the last 5 filings.
Pt I · Ln 19 · 5 filings
Spent on programs
52%
of spending
Worth a look: 52% of spending went to programs; under 65%.
Pt IX · Ln 25 · col B
<1 mo
of spending, in cash
Concern: 0.1 months of spending in cash; under 2 weeks.
Pt X · Ln 1–2 · Pt I · Ln 18
Liabilities
$5.9M
47% of total assets
Looks good: liabilities are 47% of assets; 50% or less.
Pt X · Ln 26
Independent board members
0
of 2 voting members
Concern: none of 2 voting members are independent.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$55.1M
+16% vs prior year
Spent
$78.3M
To programs
52%
Net assets
$6.6M
By yearFY2020–FY2024
Revenue
$55.1M
FY2023▲ +16%
Tap a bar for its year
Revenue by fiscal year
FY2020$28.1M
FY2021$36.3M
FY2022$47.5M
FY2023$55.1M
FY2024$67.3M
Expenses
$78.3M
FY2023▲ +31%
Tap a bar for its year
Expenses by fiscal year
FY2020$44.7M
FY2021$49.4M
FY2022$60.0M
FY2023$78.3M
FY2024$93.8M
Net assets
$6.6M
FY2023▲ +177%
Tap a bar for its year
Net assets by fiscal year
FY2020$4.7M
FY2021$6.6M
FY2022$2.4M
FY2023$6.6M
FY2024$10.6M

From the FY2023 Form 990 · figures checked against the IRS filing · see the original

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You’re viewing the FY2023 filing — not the latest on file. See the latest (FY2024) →

Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2024. IRS ruling in Jul 2017.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

52 cents of each dollar spent went to programs.

Program services 52% · $40.5M Management & general 48% · $37.8M

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

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Who runs it and what they're paid

5 people listed on the 990.

Part VII, Section A · reportable compensation
Chief Executive Officer
$0Pt VII · Sec A
Chief Financial Officer End 09/23
$0Pt VII · Sec A
Chief Financial Officer Beg 03/23
$0Pt VII · Sec A
Chief Legal Officer Beg 01/23
$0Pt VII · Sec A
Chief Legal Officer End 01/23
$0Pt VII · Sec A

Michelle Ruiz’s $177K as Executive Director is at the 15th percentile of top reported officer pay among 2902 $10–100M health care nonprofits. Peer set: organizations in the same NTEE major field of work and revenue-size band, compared on each org’s own highest-paid officer/key-employee, from Form 990 Part VII / 990-PF Part VIII. Descriptive placement, not a verdict on whether the pay is appropriate.

Compensation history total reportable pay by year · 4 named individuals · Part VII

NameFY2021FY2020
Michelle Ruiz$176,941$170,411
Jonathan Leicht$121,882$102,783
Marina Ganem$108,223$107,101
Tierra Patrick—$103,091

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

See Tmc Medical Network executive salaries →

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Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2No
  • Top official's pay set by an independent reviewPt VI · Ln 15aNo

Programs and updates

Provides accessible, comprehensive healthcare services to the community, regardless of ability to pay.

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Provided by the organization

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1 program · $40.5M · in their own filed words · FY2023
01

TMC medical network establishes, operates and maintains medical clinics and other medical facilities to meet the needs of the southern arizona community and adjoining areas for high quality, comprehensive medical and other healthcare services.

$40.5Mprogram expense

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · this organization's grantmaking
Grants paid · 3 grants · $4.7M · 2022–2024
City of TucsonFY2024$2,343,118
Pima Animal Care CenterFY2023$1,314,169
Pima Animal Care CenterFY2022$1,074,742

By the numbers

The FY2023 990, line by line.

1The main four
Money inPt VIII
$55.1M
Ln 12
Fees for servicesLn 2g$55.2M
Money outPt IX
$78.3M
Ln 25
Programscol B$40.5M
Managementcol C$37.8M
Owns and owesPt X
$6.6M
net assets · Ln 32
Cash and savingsLn 1–2$581K
Total assetsLn 16$12.5M
LiabilitiesLn 26$5.9M
PeoplePt VI, VII
5
listed · VII A
PaidVII A0
Voting boardVI 1a2
IndependentVI 1b0
2In more detail
Revenue in detailPt VIII
Fees for servicesLn 2g$55.2M
Gains on assetsLn 7−$13K
Total revenueLn 12$55.1M
Assets in detailPt X, end of year
CashLn 1$581K
Cash and savings togetherLn 1–2$581K
Land, buildings, equipmentLn 10c$2.2M
Other assetsLn 15$4.2M
Total assetsLn 16$12.5M
LiabilitiesLn 26$5.9M
Net assetsLn 32$6.6M
OperationsPt I, VI
EmployeesI 50
VolunteersI 60
Fiscal year endsHeaderDecember
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY23End FY23
Cash and savingsLn 1–2$104K$581K
Land, buildings, equipmentLn 10c$2.5M$2.2M
Total assetsLn 16$7.0M$12.5M
LiabilitiesLn 26$4.7M$5.9M
Net assetsLn 32$2.4M$6.6M
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$1.3M$1.3M
Other salaries and wagesLn 7$13.8M$12.1M$1.7M
Pension plan contributionsLn 8$400K$400K
Other employee benefitsLn 9$1.9M$1.8M$51K
Payroll taxesLn 10$1.3M$1.3M$2K
Other fees for servicesLn 11g$44.3M$12.8M$31.5M$0
Advertising and promotionLn 12$71K$59K$13K
Office expensesLn 13$1.3M$1.0M$277K
Information technologyLn 14$278K$198K$80K
OccupancyLn 16$3.2M$2.9M$298K
TravelLn 17$29K$14K$15K
Conferences, conventions and meetingsLn 19$30K$13K$17K
Depreciation, depletion and amortizationLn 22$794K$794K
InsuranceLn 23$2.2M$2.2M
Other expenses (24a–d)Ln 24$7.4M$4.3M$3.1M
All other expensesLn 24e$0$0$0$0
Total functional expensesLn 25$78.3M$40.5M$37.8M$0

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2024 Latest $67.3M$93.8M−$26.4M$10.6M 990 PDF
FY2023 Viewing $55.1M$78.3M−$23.1M$6.6M 990 PDF
FY2022 $47.5M$60.0M−$12.4M$2.4M 990 PDF
FY2021 $36.3M$49.4M−$13.1M$6.6M 990 PDF
FY2020 $28.1M$44.7M−$16.6M$4.7M 990 PDF

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Schedules filed Part IV

III · Programs R · Related orgs G · Fundraising L · Interested persons I · Grants A · Public support O · Explanations
See the full FY2023 990 (6 parts)
Part I · Summary $55,145,034 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $0$0
I-9 Program service revenuePrior year $47,482,873$55,153,032
I-10 Investment income−$12,998
I-11 Other revenuePrior year $30,000$5,000
I-12 Total revenuePrior year $47,512,873$55,145,034
I-13 Grants and similar amounts paidPrior year $1,074,742$1,314,169
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $14,159,185$17,347,805
I-16a Professional fundraising feesPrior year $0$0
I-17 Other expensesPrior year $44,728,099$59,622,838
I-18 Total expensesPrior year $59,962,026$78,284,812
I-19 Revenue less expensesPrior year −$12,449,153−$23,139,778
Part VI · Governance 0 of 2 board members independent, 1 to look at
VI-1a Voting members of the governing body2
VI-1b Independent voting members0
VI-15a Process for setting top official's payNo
VI-2 Family or business relationship among officers or directorsNo
VI-12a Written conflict of interest policyYes
VI-13 Written whistleblower policyYes
VI-14 Document retention and destruction policyYes
Part VIII · Statement of revenue $55,145,034 across 5 lines filed
VIII-1h Total contributions, gifts and grants$0
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $55,153,032$55,153,032
VIII-6 Net rental income or lossExcluded from tax $5,000$5,000
VIII-7 Net gain or loss on sales of assetsExcluded from tax −$12,998−$12,998
VIII-12 Total revenueRelated to mission $55,153,032 · Unrelated business $0 · Excluded from tax −$7,998$55,145,034
Part IX · Statement of functional expenses $78,284,812 across 16 lines filed
IX-1 Grants to domestic organizationsPrograms $1,314,169$1,314,169
IX-7 Other salaries and wagesPrograms $12,122,876 · Management $1,677,131$13,800,007
IX-8 Pension plan contributionsPrograms $399,669$399,669
IX-9 Other employee benefitsPrograms $1,843,864 · Management $50,765$1,894,629
IX-10 Payroll taxesPrograms $1,251,855 · Management $1,645$1,253,500
IX-11g Other fees for servicesPrograms $12,824,511 · Management $31,485,010 · Fundraising $0$44,309,521
IX-12 Advertising and promotionPrograms $58,567 · Management $12,735$71,302
IX-13 Office expensesPrograms $1,032,452 · Management $276,803$1,309,255
IX-14 Information technologyPrograms $198,060 · Management $80,351$278,411
IX-16 OccupancyPrograms $2,926,919 · Management $297,930$3,224,849
IX-17 TravelPrograms $14,111 · Management $14,653$28,764
IX-19 Conferences, conventions and meetingsPrograms $13,361 · Management $16,543$29,904
IX-22 Depreciation, depletion and amortizationManagement $793,772$793,772
IX-23 InsurancePrograms $2,194,531$2,194,531
IX-24 Other expenses (24a–d)Programs $4,257,065 · Management $3,125,464$7,382,529
IX-24e All other expensesPrograms $0 · Management $0 · Fundraising $0$0
IX-25 Total functional expensesPrograms $40,452,010 · Management $37,832,802 · Fundraising $0$78,284,812
Part X · Balance sheet $12,508,774 assets, 13 lines filed
X-1 Cash, non-interest-bearingStart of year $103,646$580,919
X-4 Accounts receivableStart of year $1,031,045$5,400,961
X-8 Inventories for sale or useStart of year $14,668$0
X-9 Prepaid expenses and deferred chargesStart of year $544,771$185,401
X-10c Land, buildings and equipment, netStart of year $2,511,071$2,157,352
X-15 Other assetsStart of year $2,842,538$4,184,141
X-16 Total assetsStart of year $7,047,739$12,508,774
X-17 Accounts payable and accrued expensesStart of year $1,238,520$1,240,415
X-25 Other liabilitiesStart of year $3,415,934$4,636,340
X-26 Total liabilitiesStart of year $4,654,454$5,876,755
X-27 Net assets without donor restrictionsStart of year $2,393,285$6,632,019
X-32 Total net assets or fund balancesStart of year $2,393,285$6,632,019
X-33 Total liabilities and net assetsStart of year $7,047,739$12,508,774
Part XI · Reconciliation of net assets $6,632,019 net assets at year end
XI-1 Total revenue$55,145,034
XI-2 Total expenses$78,284,812
XI-3 Revenue less expenses−$23,139,778
XI-4 Net assets at start of year$2,393,285
XI-9 Other changes in net assets$27,378,512
XI-10 Net assets at end of year$6,632,019

Form 990 e-file (XML) FY2023 from the IRS · Classification, formation year and address from the IRS Business Master File

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