Disclosure of Facility Ownership

In compliance with Federal law, you, your representative or surrogate have the right to know if your physician has a financial interest in this facility. This notice advises you that the following entity and physicians have ownership in Tucson Endoscopy Center:

• Timothy A. Beer, M.D.
  
• Cybil Corning, M.D.
• Dara Chafik, M.D.
• Amram Dahukey, M.D.
• Sarah Ducharme, M.D.
• Kathleen M. Duerksen, M.D.
• Kelly Favre, M.D.
  
• Samaritan Surgicenters of America II, LLC
• Charles L. Krone, M.D.
• Regina Najera, M.D.
• Pima East, LLC
• Michael R. Probstfeld, M.D.
• Joylon D. Schilling, M.D.
• Stefanie Schluender, M.D.
• Gary Goldstein, M.D.
• Sameer Jain, M.D.

If you have any questions or concerns regarding this notice, please feel free to ask to speak with a representative of Tucson Surgery center or Tucson Endoscopy Center. We welcome you as a patient and value our relationship with you.

• Tucson Surgery Center
  2121 N. Craycroft Rd, Bldg 8
  Tucson, AZ 85712
• Tucson Endoscopy Center
  7140 E. Rosewood, Suite 100
  Tucson, AZ 85710