DISTRICT MEDICAL GROUP INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- DISTRICT MEDICAL GROUP INC (EIN 20-8106540)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-14
- IRS object ID
- 201713189349310531
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule F
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-14T16:12:58-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208106540 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | District Medical Group Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DIST | BusinessNameControlTxt |
| Phone | 6024705000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2929 East Thomas Road | AddressLine1Txt |
| City | Phoenix | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85016 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Craig Jones | PersonNm |
| Person Title | Chief Financial Officer | PersonTitleTxt |
| Phone | 6024705000 | PhoneNum |
| Signature | 2017-11-14 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 65.156.228.28 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-14 | IPDt |
| IP Tm | 15:10:33 | IPTm |
| IP Timezone | US | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 4CC2D005BAEDA0520816F0CE66F8C7CBFDEEBEDF | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 4CC2D005BAEDA0520816F0CE66F8C7CBFDEEBEDF | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DMG | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Kote Chundu MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2929 East Thomas Road | AddressLine1Txt |
| City | Phoenix | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $151,678,249 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.dmgaz.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2006 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | Operate a faculty practice plan for the benefit of the Maricopa County Special Healthcare District, which was created to provide medical education programs, emergency and other services to the medically underserved. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 851 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $15 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,200 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $154,027,584 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $151,470,123 | CYProgramServiceRevenueAmt |
| PY Investment Income | $65,608 | PYInvestmentIncomeAmt |
| CY Investment Income | -$158,521 | CYInvestmentIncomeAmt |
| PY Other Revenue | $621,017 | PYOtherRevenueAmt |
| CY Other Revenue | $118,010 | CYOtherRevenueAmt |
| PY Total Revenue | $154,714,224 | PYTotalRevenueAmt |
| CY Total Revenue | $151,431,812 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $77,859 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $101,275 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $111,281,951 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $113,758,473 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $41,238,367 | PYOtherExpensesAmt |
| CY Other Expenses | $37,066,019 | CYOtherExpensesAmt |
| PY Total Expenses | $152,598,177 | PYTotalExpensesAmt |
| CY Total Expenses | $150,925,767 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,116,047 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $506,045 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $42,199,390 | TotalAssetsBOYAmt |
| Total Assets EOY | $43,795,986 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,115,383 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,205,934 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $33,084,007 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $33,590,052 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | We are dedicated to improving the health and well-being of individuals in Arizona through an integrated medical group practice based on a balanced program of patient care, education, research and community service. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $114,421,648 | ExpenseAmt |
| Grant | $101,275 | GrantAmt |
| Revenue | $132,910,383 | RevenueAmt |
| Desc | Established in 1993, by 2010 our 350+ provider multi-specialty group practice evolved into District Medical Group, Inc. (DMG), a physician-led, not-for-profit healthcare organization; the second largest in Arizona and one of the largest medical offices in the Phoenix area. Our mission is to improve the health and well-being of individuals in the Phoenix area and the entire state of Arizona through this integrated group practice, focusing on patient care, education, research, and community service. We strive to ensure that our patients have equal access to the highest quality, safest care in the most appropriate settings, regardless of a patient's ability to pay. We seek to create and support new programs and services that reflect the needs of all patients, across all spectrums of life- from birth to the elderly, including the most vulnerable, the poor and the underserved. The heart of our mission is providing exceptional and compassionate medical care with no restrictions to our entire community. DMG with its affiliates comprise 70 clinical sites, approximately 700 physicians, 150 non-physician providers, and over 30 ancillary clinic staff. In 2016, DMG served over 19,000 inpatients, 400,000 outpatients, and 103,000 emergency/walk-in clinic visits. During 2016 DMG's direct economic output, including the service economy, is estimated at almost $142 million. The indirect economic benefit to the community is significantly more.District Medical Group staffs the Maricopa Integrated Health System, which includes a 325 bed acute care hospital, a 219 bed inpatient psychiatric hospital, twelve family health centers throughout the valley and a large diagnostic center. DMG also staffs the internationally renowned Arizona Burn Center, the 2nd largest in the US, admitting over 800 patients/year and serving more than 8,700 patients/year in an outpatient setting; the verified American College of Surgeons Level I trauma center, and Level 2 pediatric trauma center; and the Arizona Children's Center, a NACHRI-certified children's hospital, caring for well over 25,000 patients/year between the Pediatric Emergency department, Pediatric Intensive Care Unit, the Neonatal Intensive Care Unit, and the Pediatric inpatient areas, with a dedicated area for pediatric procedural sedations. Among other innovative programs that DMG provides are the Refugee Women's Health Clinic, the first of its kind in Arizona, providing culturally-grounded healthcare to the growing refugee and immigrant community, and Mariposa: Wings to Safety, whose focus is on victims and families affected by domestic violence and sexual abuse. Through affiliation with Maricopa Integrated Health System (MIHS) and the University of Arizona College of Medicine, we are a recognized leader in providing high quality, innovative medical care delivered in a fiscally responsible and cost effective manner. As the largest teaching faculty in Phoenix, we annually train over 230 residents and fellows, another 60 in affiliated programs, and supervise close to 500 medical student rotations. A majority of DMG physicians hold faculty positions with the University of Arizona College of Medicine, giving and attending clinical lectures and other academic events, and actively teaching and supporting scholarship and research activities. In recent years we have been involved in well over 100 active research projects, including industry-sponsored and NIH grants. DMG believes that creating an institutional culture of scholarship and promoting clinical research improves the health and well-being of all our patients and their communities. DMG physicians are frequent contributors to national peer-reviewed publications and presenters at national medical conferences and workshops, holding active leadership positions in national and international medical societies. DMG providers and employees furnish significant assistance and personal resources to the community as well as outlying areas through screenings, immunizations, and information/access to integrated services at health fairs; community outreach events highlighting prenatal screenings, rehabilitation, hospice, senior care, transportation and care coordination; back-to-school and holiday clinics for children and students; childhood and adolescent obesity clinics; and seminars promoting exercise and nutrition in our partnerships with local schools. DMG physicians volunteer their time seeing patients at the Arizona State Health Department, the Crisis Nursery, St. Vincent de Paul, the Red Cross and scores of nonprofit agencies, centers and clinics across the county and the state. Awareness and sensitivity to the historical, cultural and traditional mores of the large Hispanic and varied Native American populations across Arizona is a hallmark of DMG's longstanding commitment to making healthcare services and information accessible and effective for everyone, benefiting the entire community. Nationally and internationally, DMG's physicians have been on the scene wherever medical help is needed, bringing their clinical expertise to combat hospitals in war-torn areas, relief efforts in this country and abroad, and day to day medical crises and emergencies in the U.S. and many countries in Africa and Asia. Working with Doctors without Borders, the Red Cross, other relief agencies, and even on their own, DMG's physicians have made a difference and been gratefully recognized for their efforts and contributions, to the extent of receiving the "Citizen Service Above Self" award from the Congressional Medal of Honor Foundation. DMG contributes regularly through community health improvement services, health professions education, subsidized health services, research, cash and in-kind contributions, and community benefiting activities. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $17,857,037 | ExpenseAmt |
| Revenue | $18,514,143 | RevenueAmt |
| Desc | The Children's Rehabilitative Services (CRS) program started in 1929 to provide medical services to children who have some of the most serious health conditions and who are enrolled in the Arizona Health Care Cost Containment System (Medicaid). The program in total serves over 24,000 members statewide with the DMG location serving approximately 16,000 children, including telemedicine visits serving the outlying communities. The CRS Multi-Specialty Interdisciplinary Clinic (MSIC) was designed to present the unique ability to meet the health care requirements of special needs children by offering nearly all specialty, primary care, and behavioral health services in a single location. The DMG CRS Clinic provides a full spectrum of pediatric specialty care where physicians, therapists, nutritionists, child life specialists, social workers and a host of others can all work together providing vital medical care, behavioral health care and support services under one roof in a space specifically designed for this purpose. Through the use of a single electronic medical record, the DMG CRS Clinic improves efficiency and communication between the health care providers, with the goal of improving care while better managing costs. DMG also operates the Desert Horizons Integrative Medicine Clinic, specializing in behavioral health assessment and treatment of children and adults. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $132,278,685 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 302 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 851 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AZ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Craig Jones | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6024705000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2929 E Thomas Road | AddressLine1Txt |
| City | Phoenix | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85016 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Phyllis Biedess | |||||||||
| Community Board Member, Vice Chair | 0.50 | Yes (X) | Yes (X) | $11,587 | $0 | $0 | |||
| James Marovich | |||||||||
| Community Board Member | 0.50 | Yes (X) | $13,087 | $0 | $0 | ||||
| William Putnam | |||||||||
| Community Board Member | 0.50 | Yes (X) | $11,587 | $0 | $0 | ||||
| Alan Rawls | |||||||||
| Community Board Member | 0.50 | Yes (X) | $11,587 | $0 | $0 | ||||
| Ted Williams | |||||||||
| Community Board Member | 0.50 | Yes (X) | $11,587 | $0 | $0 | ||||
| Dr Dan Hobohm | |||||||||
| Bd. Chair, Path Chair, VP of Quality | 65.00 | Yes (X) | Yes (X) | $437,735 | $0 | $37,860 | |||
| Dr Kote Chundu | |||||||||
| Bd. Member, President & CEO | 65.00 | Yes (X) | Yes (X) | $1,118,321 | $0 | $83,934 | |||
| Dr David Wisinger | |||||||||
| Bd. Member, CMO, Int. Medicine Chair | 65.00 | Yes (X) | Yes (X) | $563,642 | $0 | $87,470 | |||
| Dr Dean Coonrod | |||||||||
| Bd. Member, Secretary, OBGYN Chair | 60.00 | Yes (X) | Yes (X) | $390,584 | $0 | $90,605 | |||
| Craig Jones | |||||||||
| CFO, Treasurer | 50.00 | Yes (X) | $228,434 | $0 | $60,292 | ||||
| Dr Danial Gridley | |||||||||
| Radiology Chair | 60.00 | $503,725 | $0 | $70,058 | Yes (X) | ||||
| Dr William Johnson | |||||||||
| Anes. Chair, Perioperative Director | 60.00 | $479,485 | $0 | $83,394 | Yes (X) | ||||
| Dr Daniel Caruso | |||||||||
| Surgery Chair | 60.00 | $480,460 | $0 | $84,912 | Yes (X) | ||||
| Dr Eric Katz | |||||||||
| Emergency Medicine Chair | 60.00 | $393,233 | $0 | $67,315 | Yes (X) | ||||
| Dr Carol Olson | |||||||||
| Psychiatry Chair | 60.00 | $378,941 | $0 | $84,675 | Yes (X) | ||||
| Dr Prabodh Hemmady | |||||||||
| Pediatrics Chair | 60.00 | $339,726 | $0 | $87,507 | Yes (X) | ||||
| Dr Abraham Kuruvilla | |||||||||
| Ambulatory Chair | 60.00 | $272,738 | $0 | $57,117 | Yes (X) | ||||
| Dr Iman Feiz-Erfan | |||||||||
| Director of Neurosurgery | 70.00 | $1,114,620 | $0 | $66,659 | Yes (X) | ||||
| Dr Eli Swanson | |||||||||
| Orthopedic Surgeon | 60.00 | $698,950 | $0 | $40,305 | Yes (X) | ||||
| Dr Adrian Harvey | |||||||||
| Neurosurgeon | 50.00 | $658,495 | $0 | $60,476 | Yes (X) | ||||
| Dr Bryan Pimlott | |||||||||
| Orthopedic Surgeon | 50.00 | $564,355 | $0 | $52,886 | Yes (X) | ||||
| Dr Paul Zidel | |||||||||
| Chief of Hand Surgery | 60.00 | $521,008 | $0 | $67,007 | Yes (X) | ||||
| Dr Joseph Stapczynski | |||||||||
| Former Key EE, Former Emergency Chair | 65.00 | $263,316 | $0 | $59,586 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,467,203 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,242,058 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 288 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| St Joseph's Hospital & Medical Center | |||||
| File 57431 | Los Angeles | CA | 900748781 | Physician Services | $1,151,340 |
| Infosol Inc | |||||
| 2340 W Parkside Lane Unit H-106 | Phoenix | AZ | 85027 | Technology Services | $827,447 |
| GE Healthcare | |||||
| 15724 Collections Center Drive | Chicago | IL | 60693 | Technology Services | $772,569 |
| Sonoran Ortho Trauma Surgeons PLLC | |||||
| PO Box 29425 Bin 920067 | Phoenix | AZ | 85038 | Physician Services | $645,156 |
| Mayo Clinic | |||||
| PO Box 4006 | Rochester | MN | 559034006 | Physician Services | $537,881 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 32 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $2,200 | AllOtherContributionsAmt |
| Total Contributions | $2,200 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Services | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $151,470,123 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $151,470,123 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $151,470,123 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,850 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,764 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $5,086 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $181,371 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$181,371 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$181,371 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$181,371 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $79,164 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $65,066 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,098 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,098 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other Income | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $103,912 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $103,912 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $103,912 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $151,431,812 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $151,424,526 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,086 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,275 | TotalAmt |
| Program Services | $101,275 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,538,598 | TotalAmt |
| Program Services | $4,988,181 | ProgramServicesAmt |
| Management And General | $1,550,417 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,835,135 | TotalAmt |
| Program Services | $78,462,958 | ProgramServicesAmt |
| Management And General | $8,372,177 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,496,670 | TotalAmt |
| Program Services | $6,929,647 | ProgramServicesAmt |
| Management And General | $567,023 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,961,050 | TotalAmt |
| Program Services | $5,874,921 | ProgramServicesAmt |
| Management And General | $2,086,129 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,927,020 | TotalAmt |
| Program Services | $4,272,260 | ProgramServicesAmt |
| Management And General | $654,760 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $421,728 | TotalAmt |
| Management And General | $421,728 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $277,523 | TotalAmt |
| Program Services | $74,149 | ProgramServicesAmt |
| Management And General | $203,374 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,000 | TotalAmt |
| Management And General | $65,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,504,024 | TotalAmt |
| Program Services | $10,768,923 | ProgramServicesAmt |
| Management And General | $735,101 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,540 | TotalAmt |
| Program Services | $3,648 | ProgramServicesAmt |
| Management And General | -$108 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,289,050 | TotalAmt |
| Program Services | $456,704 | ProgramServicesAmt |
| Management And General | $832,346 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,331,070 | TotalAmt |
| Program Services | $193,698 | ProgramServicesAmt |
| Management And General | $2,137,372 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,201,666 | TotalAmt |
| Program Services | $2,020,177 | ProgramServicesAmt |
| Management And General | $181,489 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,607 | TotalAmt |
| Program Services | $38,460 | ProgramServicesAmt |
| Management And General | $23,147 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,141 | TotalAmt |
| Program Services | $4,667 | ProgramServicesAmt |
| Management And General | $31,474 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,181 | TotalAmt |
| Program Services | $38,837 | ProgramServicesAmt |
| Management And General | $65,344 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,180,782 | TotalAmt |
| Program Services | $565,513 | ProgramServicesAmt |
| Management And General | $615,269 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,490,305 | TotalAmt |
| Program Services | $3,689,765 | ProgramServicesAmt |
| Management And General | -$199,460 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Bad Debt | $9,653,631 | $9,653,631 | |
| Provider Education | $1,069,057 | $1,069,057 | |
| Resident Program Expens | $785,051 | $785,051 | |
| Dues & Fees | $608,985 | $501,869 | $107,116 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,982,678 | TotalAmt |
| Program Services | $1,785,294 | ProgramServicesAmt |
| Management And General | $197,384 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,925,767 | TotalAmt |
| Program Services | $132,278,685 | ProgramServicesAmt |
| Management And General | $18,647,082 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,157,025 | BOYAmt |
| EOY | $17,882,478 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,476,326 | BOYAmt |
| EOY | $11,958,158 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,666 | BOYAmt |
| EOY | $14,545 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $592,984 | BOYAmt |
| EOY | $522,710 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,999 | BOYAmt |
| EOY | $13,925 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,116,292 | BOYAmt |
| EOY | $944,689 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $13,015,803 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,455,652 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,893,281 | BOYAmt |
| EOY | $7,560,151 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $475,000 | BOYAmt |
| EOY | $475,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,447,817 | BOYAmt |
| EOY | $4,424,330 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,199,390 | BOYAmt |
| EOY | $43,795,986 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,515,964 | BOYAmt |
| EOY | $4,873,239 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $134,624 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,185,713 | BOYAmt |
| EOY | $3,069,006 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,279,082 | BOYAmt |
| EOY | $2,263,689 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,115,383 | BOYAmt |
| EOY | $10,205,934 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,084,007 | BOYAmt |
| EOY | $33,590,052 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,084,007 | BOYAmt |
| EOY | $33,590,052 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,199,390 | BOYAmt |
| EOY | $43,795,986 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $506,045 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $246,757 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,645 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $252 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,200 | CurrentTaxYearAmt |
| Total | $250,869 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $124,299,779 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $156,473,501 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $157,563,465 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $154,027,584 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $151,470,123 | CurrentTaxYearAmt |
| Total | $743,834,452 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $124,546,536 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $156,475,146 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $157,563,717 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $154,027,599 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $151,472,323 | CurrentTaxYearAmt |
| Total | $744,085,321 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $744,085,321 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,995 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,218 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,264 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $65,608 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,850 | CurrentTaxYearAmt |
| Total | $115,935 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,995 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,218 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,264 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $65,608 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,850 | CurrentTaxYearAmt |
| Total | $115,935 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $597,658 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,292,472 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $855,460 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $581,152 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $590,226 | CurrentTaxYearAmt |
| Total | $3,916,968 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $125,158,189 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $157,773,836 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $158,426,441 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $154,674,359 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $152,085,399 | CurrentTaxYearAmt |
| Total | $748,118,224 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99460 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99510 | PublicSupportPY509Pct |
| Investment Income CY | 0.00020 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12, Explanation of Other Income: | FormAndLineReferenceDesc |
| Explanation | Misc Non-operating income - 2012 Amount: $ 10,677. 2013 Amount: $ 139,070. 2014 Amount: $ 49,603. 2015 Amount: $ 43,271. 2016 Amount: $ 51,976. UA Integrated Health Clinic Start-Up/Operations Subsidy - 2012 Amount: $ 586,981. 2013 Amount: $ 1,153,402. 2014 Amount: $ 805,857. 2015 Amount: $ 345,975. 2016 Amount: $ 461,378. EHR Incentives - 2015 Amount: $ 191,906. 2016 Amount: $ 76,872. | ExplanationTxt |
Schedule C IRS990ScheduleC
Total Grassroots Lobbying TotalGrassrootsLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $132,278,685 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $132,278,685 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $3,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $4,500,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus2 | $260,000 | CurrentYearMinus2Amt |
| Total | $260,000 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $750,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,125,000 | GrassrootsCeilingAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-A, Line 2 | FormAndLineReferenceDesc |
| Explanation | DMG made its first section 501(h) election for the tax year ending December 31, 2014. Therefore only columns b,c,d & e are completed for line 2. DMG did not incur any lobbying expenses in 2016. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $350,000 | OtherCostOrOtherBasisAmt |
| Book Value | $350,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,381,506 | OtherCostOrOtherBasisAmt |
| Depreciation | $443,415 | DepreciationAmt |
| Book Value | $2,938,091 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,706,372 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,070,588 | DepreciationAmt |
| Book Value | $1,635,784 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,700,262 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,497,883 | DepreciationAmt |
| Book Value | $1,202,379 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,877,663 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,443,766 | DepreciationAmt |
| Book Value | $1,433,897 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,560,151 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Receivables | $213,858 |
| Restricted Cash - Bank Collateral Account | $2,170,682 |
| Restricted Cash - Section 125 Withholdings | $183,235 |
| 457(b) Investments | $1,011,029 |
| Security Deposits | $834,272 |
| Other Assets | $11,254 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,424,330 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| Deferred rent - current | $1,908 |
| Deferred rent - long term | $404,638 |
| Suspense - unidentified receipts | $701,540 |
| GCR collection liability | $90,723 |
| Escheat liability | $53,851 |
| 457(b) liability | $1,011,029 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,263,689 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | From footnote 1 of the audited financial statements: The Company evaluates their uncertain tax positions, if any, on a continual basis through review of their policies and procedures, review of their regular tax filings, and discussions with outside experts. At December 31, 2016 and 2015, the Company did not have any uncertain tax positions. | ExplanationTxt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)
| RegionRegionTxt | OfficesOfficesCnt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Region Total ExpendituresRegionTotalExpendituresAmt | Specific Services ProvidedSpecificServicesProvidedTxt |
|---|---|---|---|---|---|
| East Asia and the Pacific - Australia, Brunei, Burma, Cambodia, | 0 | 1 | Speaker at Conference | $9,151 | |
| North America - Canada and Mexico, but not the United States | 0 | 2 | Program Services | $5,284 | Medical Services |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 3 | SubtotalEmployeesCnt |
| Continutation Total Office | 0 | ContinutationTotalOfficeCnt |
| Continutation Total Employee | 0 | ContinutationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 3 | TotalEmployeeCnt |
| Subtotal Spent | $14,435 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $14,435 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Maricopa Health Foundation | |||||||
| 2901 E Camelback Road Suite 100 | Phoenix | AZ | 85016 | 860777567 | 501c(3) | $41,000 | General Support |
| March of Dimes - Arizona Chapter | |||||||
| 3550 N Central Ave Suite 610 | Phoenix | AZ | 85012 | 131846366 | 501c(3) | $25,000 | General Support |
| UA Foundation | |||||||
| 1111 N Cherry Ave PO Box 210109 | Tucson | AZ | 857210109 | 866050388 | 501c(3) | $18,200 | Educational Programs |
| Jewish Family & Childrens Service | |||||||
| 4747 N 7th St Suite 100 | Phoenix | AZ | 85014 | 860096781 | 501c(3) | $5,250 | General Support |
| Honor Health Foundation | |||||||
| 8125 N Hayden Road | Scottsdale | AZ | 85258 | 742355411 | 501c(3) | $5,250 | General Support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | DMG generally gives grants to well established organizations that it is familiar with and which are involved in activities closely related to DMG's mission. The company does not feel post grant monitoring to be practical or necessary for these types of grants. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dr Dan Hobohm | ||||||||||||||
| Bd. Chair, Path Chair, VP of Quality | $381,986 | $0 | $10,000 | $0 | $45,749 | $0 | $15,900 | $0 | $21,960 | $0 | $475,595 | $0 | $0 | $0 |
| Dr Kote Chundu | ||||||||||||||
| Bd. Member, President & CEO | $1,006,783 | $0 | $109,216 | $0 | $2,322 | $0 | $53,000 | $0 | $30,934 | $0 | $1,202,255 | $0 | $0 | $0 |
| Dr David Wisinger | ||||||||||||||
| Bd. Member, CMO, Int. Medicine Chair | $355,382 | $0 | $9,931 | $0 | $198,329 | $0 | $53,000 | $0 | $34,470 | $0 | $651,112 | $0 | $0 | $0 |
| Dr Dean Coonrod | ||||||||||||||
| Bd. Member, Secretary, OBGYN Chair | $375,671 | $0 | $9,958 | $0 | $4,955 | $0 | $53,000 | $0 | $37,605 | $0 | $481,189 | $0 | $0 | $0 |
| Craig Jones | ||||||||||||||
| CFO, Treasurer | $215,717 | $0 | $11,236 | $0 | $1,481 | $0 | $28,492 | $0 | $31,800 | $0 | $288,726 | $0 | $0 | $0 |
| Dr Danial Gridley | ||||||||||||||
| Radiology Chair | $468,885 | $0 | $10,000 | $0 | $24,840 | $0 | $31,800 | $0 | $38,258 | $0 | $573,783 | $0 | $0 | $0 |
| Dr William Johnson | ||||||||||||||
| Anes. Chair, Perioperative Director | $413,074 | $0 | $10,000 | $0 | $56,411 | $0 | $53,000 | $0 | $30,394 | $0 | $562,879 | $0 | $0 | $0 |
| Dr Daniel Caruso | ||||||||||||||
| Surgery Chair | $465,503 | $0 | $9,965 | $0 | $4,992 | $0 | $53,000 | $0 | $31,912 | $0 | $565,372 | $0 | $0 | $0 |
| Dr Eric Katz | ||||||||||||||
| Emergency Medicine Chair | $339,550 | $0 | $9,792 | $0 | $43,891 | $0 | $31,800 | $0 | $35,515 | $0 | $460,548 | $0 | $0 | $0 |
| Dr Carol Olson | ||||||||||||||
| Psychiatry Chair | $333,345 | $0 | $9,896 | $0 | $35,700 | $0 | $53,000 | $0 | $31,675 | $0 | $463,616 | $0 | $0 | $0 |
| Dr Prabodh Hemmady | ||||||||||||||
| Pediatrics Chair | $327,714 | $0 | $9,861 | $0 | $2,151 | $0 | $53,000 | $0 | $34,507 | $0 | $427,233 | $0 | $0 | $0 |
| Dr Abraham Kuruvilla | ||||||||||||||
| Ambulatory Chair | $257,136 | $0 | $7,000 | $0 | $8,602 | $0 | $31,800 | $0 | $25,317 | $0 | $329,855 | $0 | $0 | $0 |
| Dr Iman Feiz-Erfan | ||||||||||||||
| Director of Neurosurgery | $1,018,840 | $0 | $0 | $0 | $95,780 | $0 | $31,800 | $0 | $34,859 | $0 | $1,181,279 | $0 | $0 | $0 |
| Dr Eli Swanson | ||||||||||||||
| Orthopedic Surgeon | $464,934 | $0 | $29,259 | $0 | $204,757 | $0 | $26,500 | $0 | $13,805 | $0 | $739,255 | $0 | $0 | $0 |
| Dr Adrian Harvey | ||||||||||||||
| Neurosurgeon | $656,165 | $0 | $0 | $0 | $2,330 | $0 | $23,850 | $0 | $36,626 | $0 | $718,971 | $0 | $0 | $0 |
| Dr Bryan Pimlott | ||||||||||||||
| Orthopedic Surgeon | $458,710 | $0 | $32,685 | $0 | $72,960 | $0 | $31,800 | $0 | $21,086 | $0 | $617,241 | $0 | $0 | $0 |
| Dr Paul Zidel | ||||||||||||||
| Chief of Hand Surgery | $504,025 | $0 | $0 | $0 | $16,983 | $0 | $31,800 | $0 | $35,207 | $0 | $588,015 | $0 | $0 | $0 |
| Dr Joseph Stapczynski | ||||||||||||||
| Former Key EE, Former Emergency Chai | $256,226 | $0 | $0 | $0 | $7,090 | $0 | $31,800 | $0 | $27,786 | $0 | $322,902 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | DMG maintains a Compensation Plan approved by the Board of Directors, and overseen by the Compensation Committee. The voting rights of the Compensation Committee are vested entirely in the community directors (non-employee directors). There is a written policy governing the Personnel Action Committee, which oversees the day to day administration of the Compensation Plan. There is also a written policy for providers who earn compensation in excess of base salary. |
| Part I, Line 7 | The majority of bonus and incentive compensation is based on employee contracts and approved written compensation plans. Annually the Company considers whether a company-wide bonus for all employees is possible based on overall company financial performance for the year. This amount is approved by the Compensation Committee and amounts are determined by the type of employee and the full time status within the company. |
| Part II, B (iii): | Other reportable compensation - This includes additional pay for services performed outside and/or in addition to their base contractual requirements. |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| Adrian Harvey | |||||||
| HCE | Fellowship Stipend | Yes (X) | $60,000 | $0 | 0 | 0 | Yes (1) |
| Eli Swanson | |||||||
| HCE | Salary Advance | Yes (X) | $20,000 | $14,545 | 0 | 0 | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $14,545 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 7a | The 4 Physician Directors of the Board are elected by the Board, after being nominated by the Division Chairs. |
| Form 990, Part VI, Section B, line 11b | A copy of the draft is sent to each of the Board Members. Input from the Board Members is incorporated into the draft, which is then reviewed by the CFO and the Controller. An outside accounting firm is consulted every few years as well. The updated draft is sent to the Board Members and then signed and forwarded to the IRS. |
| Form 990, Part VI, Section B, line 12c | The Conflict of Interest Policy and Procedure is reviewed with the Board annually, and the Conflict of Interest Disclosure Statement is completed annually, and retained by the Chief Compliance Officer. Any potential conflicts of interest identified from the Disclosure Statements are reviewed by the Executive Committee and the organization's legal counsel, if needed, and unresolved potential conflicts are noted so that actual conflicts of interest are avoided. |
| Form 990, Part VI, Section B, line 15 | With guidance from an outside (independent) compensation consultant, the Executive Committee reviews and makes recommendations to the Board on the compensation of the CEO. Said compensation is determined based on a survey and comparison from the CEO compensation reported by similar organizations on their IRS form 990. A majority of the membership of both the Executive Committee and the Board consists of Community Board Members (they are independent, and not employed by DMG). Such discussions and actions are reflected in the minutes of duly constituted meetings of the Committee and the Board. The compensation of the other officers and key employees is determined based on survey data produced by MGMA and the AAMC, both of which are nationally recognized medical group management associations. |
| Form 990, Part VI, Section C, line 19 | DMG makes its governing documents, conflict of interest policy and financial statements available to the public through written requests received at the corporate office. The request is to be reviewed by the appropriate corporate officer, who will oversee the fulfilling of the request. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DMG Insurance Company Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2929 E Thomas Rd | AddressLine1Txt |
| City | Phoenix | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261262665 | EIN |
| Primary Activities | Pure Captive Insurer | PrimaryActivitiesTxt |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 12a, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | District Medical Group Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| DMG Insurance Company Inc | ||
| L | $255,037 | Estimate |
| DMG Insurance Company Inc | ||
| Q | $1,183,587 | Cash |
| DMG Insurance Company Inc | ||
| R | $2,845,000 | Cash |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V - Line 2(1) | The amount presented represents an estimated cost of personnel time provided by employees of the parent to the subsidiary. The amount was based on an estimate of annual hours parent employees dedicated to managing the subsidiary. The parent absorbed these costs, which are included in Part IX of Form 990, and was not reimbursed by the subsidiary. |
| Part V, Line 2(2) | The parent pays the daily operating expenses of the subsidiary and is reimbursed by the subsidiary on a quarterly basis. These expenses can include but are not limited to accounting fees, management fees, license fees and case defense costs and settlements. The amount presented is the total expenses for 2016 reimbursed by the subsidiary. These expenses are excluded from amounts in Part IX of Form 990. At the end of the year, there were no amounts due to the parent from the subsidiary. |
| Part V, Line 2(3) | This amount represents total premiums paid to the subsidiary for professional liability and general liability insurance coverage. Portions of this amount are included on Form 990, Part IX, Line 23 - insurance expense and Form 990, Part X, Line 9 - prepaid expenses and deferred charges. |