Casa Grande Community Hospital: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- Casa Grande Community Hospital (EIN 86-0427850)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-15
- IRS object ID
- 201521359349307362
- Schema version
- 2013v4.0
- 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 D
- Schedule H
- Schedule J
- Schedule L
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-15T15:54:03-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3121 W MARCH LN STE 100 | AddressLine1 |
| City | STOCKTON | City |
| State | CA | State |
| ZIP Code | 952192367 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860427850 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CASA GRANDE COMMUNITY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CASA | BusinessNameControlTxt |
| Phone | 5203816300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1800 E FLORENCE BLVD | AddressLine1 |
| City | CASA GRANDE | City |
| State | AZ | State |
| ZIP Code | 85122 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SCOTT DAVIS | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 5203816300 | PhoneNum |
| Signature | 2015-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TRACY S PAGLIA | PreparerPersonNm |
| PTIN | P00366884 | PTIN |
| Phone | 2099556100 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CASA GRANDE REGIONAL MED CTR | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RONA CURPHY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1800 E FLORENCE BLVD | AddressLine1 |
| City | CASA GRANDE | City |
| State | AZ | State |
| ZIP Code | 85122 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $187,255,342 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CASAGRANDEHOSPITAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1982 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | HEALTH CARE AND HEALTH CARE MANAGEMENT SERVICES THROUGH ACUTE CARE AND SPECIALTY CARE PROGRAMS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 970 | TotalEmployeeCnt |
| Total Volunteers | 370 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $516,467 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $140,446,405 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $122,142,010 | CYProgramServiceRevenueAmt |
| PY Investment Income | $206,380 | PYInvestmentIncomeAmt |
| CY Investment Income | $444,175 | CYInvestmentIncomeAmt |
| PY Other Revenue | $758,877 | PYOtherRevenueAmt |
| CY Other Revenue | $32,898,898 | CYOtherRevenueAmt |
| PY Total Revenue | $141,928,129 | PYTotalRevenueAmt |
| CY Total Revenue | $155,485,083 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $6,430 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,710 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $59,824,236 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $53,952,662 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $56,412 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $93,158,746 | PYOtherExpensesAmt |
| CY Other Expenses | $83,938,094 | CYOtherExpensesAmt |
| PY Total Expenses | $152,989,412 | PYTotalExpensesAmt |
| CY Total Expenses | $137,893,466 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$11,061,283 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $17,591,617 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $79,849,467 | TotalAssetsBOYAmt |
| Total Assets EOY | $23,119,078 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $87,178,263 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,890,241 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$7,328,796 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,228,837 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CASA GRANDE REGIONAL MEDICAL CENTER PROVIDES ACUTE INPATIENT AND OUTPATIENT HEALTHCARE SERVICES INCLUDING URGENT CARE AND EMERGENCY SERVICES FOR PATIENTS. IT ALSO PROMOTES HEALTH AWARENESS TO THE CASA GRANDE COMMUNITY THROUGH EVENTS, PROGRAMS, AND SERVICES SUCH AS NUTRITIONAL EDUCATION, PHYSICIANS LUNCH AND LEARN TALKS, LAB DRAWS, SAFETY AND HEALTH FAIRS, AND A CARDIAC INTERVENTIONAL PROGRAM. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $130,905,138 | ExpenseAmt |
| Grant | $2,710 | GrantAmt |
| Revenue | $122,142,010 | RevenueAmt |
| Desc | CASA GRANDE REGIONAL MEDICAL CENTER PROVIDES ACUTE INPATIENT AND OUTPATIENT HEALTHCARE SERVICES AND EMERGENCY ROOM MEDICAL CARE SERVICES FOR PATIENTS. IT ALSO PROMOTES HEALTH AWARENESS TO THE CASA GRANDE COMMUNITY THROUGH EVENTS AND PROGRAMS SUCH AS DIABETES EDUCATION, LAB DRAWS, SAFETY AND HEALTH FAIRS, AND A CARDIAC INTERVENTIONAL PROGRAM. | Desc |
| Total Program Service Expenses | $130,905,138 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | 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 | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | 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 | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | 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 | Yes (1) | 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 | 50 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 970 | 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 |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | 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 | LESA ABBEY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5203816913 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1800 E FLORENCE BLVD | AddressLine1 |
| City | CASA GRANDE | City |
| State | AZ | State |
| ZIP Code | 85122 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| THOMAS ERICKSON MD | |||||||||
| TREASURER | 1.00 | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DAVID FITZGIBBONS | |||||||||
| VICE CHAIRPERSON | 2.00 | 2.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| HENRY GIVRE MD | |||||||||
| TRUSTEE | 2.00 | 1.60 | Yes (X) | $42,000 | $0 | $0 | |||
| CHARIE WALLACE | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JR MCEVOY | |||||||||
| SECRETARY | 2.00 | 2.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHUCK GOODMILLER | |||||||||
| TRUSTEE | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| RAJEESH PUNNAKKATTU MD | |||||||||
| CHIEF OF STAFF | 1.00 | Yes (X) | $96,000 | $0 | $0 | ||||
| EVELYN CASUGA | |||||||||
| TRUSTEE | 2.00 | 1.50 | Yes (X) | $0 | $0 | $0 | |||
| CHERIE MCGLYNN | |||||||||
| CHAIRPERSON | 2.00 | 2.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RONA CURPHY | |||||||||
| CEO | 54.20 | 5.80 | Yes (X) | $0 | $422,596 | $5,532 | |||
| KAREN FRANCIS | |||||||||
| CFO | 51.00 | 4.00 | Yes (X) | $0 | $295,120 | $14,354 | |||
| CHERYSE AUSTIN | |||||||||
| CHIEF NURSING OFFICER | 36.00 | 1.00 | $0 | $165,764 | $8,745 | Yes (X) | |||
| PAUL MADEJSKI MD | |||||||||
| PHYSICIAN | 40.00 | $142,968 | $0 | $14,354 | Yes (X) | ||||
| DREW DAVENPORT MD | |||||||||
| PHYSICIAN | 40.00 | $325,000 | $0 | $0 | Yes (X) | ||||
| PHILIP KAPSOS MD | |||||||||
| PHYSICIAN | 40.00 | $325,000 | $0 | $0 | Yes (X) | ||||
| ANJU SHIRVASTAVA MD | |||||||||
| PHYSICIAN | 40.00 | $325,000 | $0 | $0 | Yes (X) | ||||
| BLANCHE LOWRY | |||||||||
| PHYSICIAN | 40.00 | $330,417 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,586,385 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $883,480 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $42,985 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 64 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CERNER CORPORATION | |||||
| PO BOX 730112 | KANSAS CITY | MO | 64141 | CLINICAL SYSTEMS | $4,868,799 |
| O GRADY PEYTON INTL | |||||
| 4441 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | NURSING REGISTRY | $2,823,586 |
| BROWNSTEIN HYATT FARBER SHRECK | |||||
| PO BOX 172168 | DENVER | CO | 80217 | LEGAL SERVICES | $1,884,273 |
| GRANT THORNTON LLP | |||||
| 201 S COLLEGE ST | CHARLOTTE | NC | 28244 | BANKRUPTCY CONSULTING | $1,873,762 |
| HEART HEALTH ORGANIZATION | |||||
| 333 N DOBSON RD STE 11 | CHANDLER | AZ | 85224 | CARDIOLOGY SERVICES | $1,710,720 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 33 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICES | 621990 | $117,997,126 | $117,997,126 |
| RENTAL INCOME | 531120 | $108,621 | $108,621 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,036,263 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,036,263 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $122,142,010 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $156,843 | TotalRevenueColumnAmt |
| Exclusion | $156,843 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $32,057,591 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $31,770,259 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $287,332 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $287,332 | TotalRevenueColumnAmt |
| Exclusion | $287,332 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | REORGANIZATION INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $32,772,064 | TotalRevenueColumnAmt |
| Exclusion | $32,772,064 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $126,834 | TotalRevenueColumnAmt |
| Exclusion | $126,834 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $32,898,898 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $155,485,083 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $122,142,010 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $33,343,073 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,710 | TotalAmt |
| Program Services | $2,710 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,000 | TotalAmt |
| Program Services | $132,000 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,890,949 | TotalAmt |
| Program Services | $44,235,635 | ProgramServicesAmt |
| Management And General | $1,609,333 | ManagementAndGeneralAmt |
| Fundraising | $45,981 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,915,617 | TotalAmt |
| Program Services | $4,738,654 | ProgramServicesAmt |
| Management And General | $172,047 | ManagementAndGeneralAmt |
| Fundraising | $4,916 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,014,096 | TotalAmt |
| Program Services | $2,905,589 | ProgramServicesAmt |
| Management And General | $105,493 | ManagementAndGeneralAmt |
| Fundraising | $3,014 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,991,888 | TotalAmt |
| Management And General | $1,991,888 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,279 | TotalAmt |
| Management And General | $97,279 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,769,991 | TotalAmt |
| Program Services | $17,391,825 | ProgramServicesAmt |
| Management And General | $1,378,166 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,398 | TotalAmt |
| Program Services | $86,519 | ProgramServicesAmt |
| Management And General | $11,297 | ManagementAndGeneralAmt |
| Fundraising | $582 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $442,133 | TotalAmt |
| Program Services | $425,951 | ProgramServicesAmt |
| Management And General | $15,563 | ManagementAndGeneralAmt |
| Fundraising | $619 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,493,004 | TotalAmt |
| Program Services | $1,951,879 | ProgramServicesAmt |
| Management And General | $1,541,125 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,757 | TotalAmt |
| Program Services | $5,257 | ProgramServicesAmt |
| Management And General | $1,000 | ManagementAndGeneralAmt |
| Fundraising | $500 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,099 | TotalAmt |
| Program Services | $127,799 | ProgramServicesAmt |
| Management And General | $1,500 | ManagementAndGeneralAmt |
| Fundraising | $800 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,709,343 | TotalAmt |
| Program Services | $4,709,343 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,971,262 | TotalAmt |
| Program Services | $3,971,262 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,513,187 | TotalAmt |
| Program Services | $2,513,187 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| BAD DEBT | $28,605,702 | $28,605,702 |
| PATIENT USE CHARGEABLES | $5,401,331 | $5,401,331 |
| PHARMACEUTICALS | $3,465,020 | $3,465,020 |
| MEDICAL SUPPLIES | $3,072,669 | $3,072,669 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,170,031 | TotalAmt |
| Program Services | $7,162,806 | ProgramServicesAmt |
| Management And General | $7,225 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,893,466 | TotalAmt |
| Program Services | $130,905,138 | ProgramServicesAmt |
| Management And General | $6,931,916 | ManagementAndGeneralAmt |
| Fundraising | $56,412 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,573,379 | BOYAmt |
| EOY | $23,013,265 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,787,180 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,713,616 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $851,753 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,454,412 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,369,457 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,979 | BOYAmt |
| EOY | $105,813 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,080,691 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,849,467 | BOYAmt |
| EOY | $23,119,078 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,387,093 | BOYAmt |
| EOY | $7,429,887 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,618,510 | BOYAmt |
| EOY | $3,920,784 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,011,177 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,539,356 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,622,127 | BOYAmt |
| EOY | $1,539,570 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,178,263 | BOYAmt |
| EOY | $12,890,241 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$7,328,796 | BOYAmt |
| EOY | $10,228,837 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$7,328,796 | BOYAmt |
| EOY | $10,228,837 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,849,467 | BOYAmt |
| EOY | $23,119,078 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $17,591,617 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$33,984 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ESTIMATED SELF-INSURANCE COSTS | Desc |
| Amt | $1,539,570 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,539,570 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $793,998 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $793,998 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00730 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,446,607 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,224,295 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,222,312 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05690 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,240,605 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,224,295 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,016,310 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06420 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,240,605 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,224,295 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,016,310 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06420 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $9,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $9,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $28,605,702 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,488,696 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $24,944,440 | ReimbursedByMedicareAmt |
| Medicare Surplus Or Shortfall | $24,944,440 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CASA GRANDE REGIONAL MEDICAL CENTER | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1800 E FLORENCE BLVD | AddressLine1 |
| City | CASA GRANDE | City |
| State | AZ | State |
| ZIP Code | 85122 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CASA GRANDE REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.BANNERHEALTH.COM | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CASA GRANDE REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 3: SEE LINE 7 EXPLANATION. |
| CASA GRANDE REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 7: FROM THE TOP 3 NEEDS THAT WERE IDENTIFIED IN THE COMMUNITY HEALTH NEEDS THAT WAS COMPLETED IN MARCH 2013. THE TOP PRIORITY WAS OBESITY WHICH HAS HAD SIGNIFICANT WORK ON ADDRESSING THIS NEED. WE ARE ADDRESSING THIS THROUGH A COMMUNITY COMMITTEE THAT IS MADE UP OF COMMUNITY BUSINESS LEADERS, SUN LIFE FAMILY HEALTH CENTER AND CASA GRANDE REGIONAL MEDICAL CENTER WHO CHAIRS THIS EFFORT. WE HAVE APPLIED FOR A GRANT TO ASSIST US IN THIS WORK. WE IDENTIFIED 3 NEEDS AND OUR MAJOR FOCUS HAS BEEN ON OBESITY PREVENTION. THE OTHER TWO ARE: CHRONIC DISEASE AND SUBSTANCE ABUSE AND MENTAL HEALTH NEEDS. |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 28,605,702. |
| PART II, LINE 7 | CGRMC PROMOTES HEALTH AWARENESS TO THE CASA GRANDE COMMUNITY THROUGH EVENTS, PROGRAMS, AND SERVICES. |
| PART III, LINE 4: | CGRMC DID NOT RECEIVE AUDITED FINANCIAL STATEMENTS FOR THE FISCAL YEAR ENDED JUNE 30, 2014. THE COMPANY REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS DUE FROM THIRD-PARTY PAYORS, PATIENTS, AND OTHERS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE COMPANY ANALYZES ITS HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS, AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS, AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. AS A SERVICE TO THE PATIENT, THE COMPANY BILLS THIRD-PARTY PAYORS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE COMPANY ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE COMPANY RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. PATIENT ACCOUNTS RECEIVABLE BALANCES PAST DUE MORE THAN 150 DAYS ARE CONSIDERED DELINQUENT. DELINQUENT RECEIVABLES ARE CHARGED OFF BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE PATIENT OR THIRD-PARTY PAYOR. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.THERE IS NO COSTING METHODOLOGY IN DETERMINING BAD DEBTS. THE ACTUALWRITE OFF METHOD IS USED. THE AMOUNT REPORTED OF $2,488,696 IS THE ACTUAL CHARITY WRITE OFFS ACCORDING TO THE POLICY. |
| PART III, LINE 8: | THE COMPANY HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE COMPANY AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. THESE PAYMENT ARRANGEMENTS INCLUDE:MEDICARE - INPATIENT ACUTE CARE SERVICES RENDERED TO MEDICARE PROGRAM BENEFICIARIES ARE PAID AT PROSPECTIVELY DETERMINED RATES PER DISCHARGE. THESE RATES VARY ACCORDING TO A PATIENT CLASSIFICATION SYSTEM THAT IS BASED ON CLINICAL, DIAGNOSTIC AND OTHER FACTORS. OUTPATIENT SERVICES RELATED TO MEDICARE BENEFICIARIES ARE PAID BASED ON AMBULATORY PATIENT CLASSIFICATION (APC) RATES, WHICH VARY WITH THE CLINICAL INDICATORS FOR EACH PATIENT. THE HOSPITAL IS REIMBURSED FOR CERTAIN SERVICES AT TENTATIVE RATES WITH FINAL SETTLEMENT DETERMINED AFTER SUBMISSION OF ANNUAL COST REPORTS BY THE COMPANY AND AUDITS THEREOF BY THE MEDICARE ADMINISTRATIVE CONTRACTOR. THE HOSPITAL'S MEDICARE COST REPORTS HAVE BEEN AUDITED BY THE MEDICARE FISCAL INTERMEDIARY THROUGH 2010. THE HOSPITAL'S CLASSIFICATION OF PATIENTS UNDER THE MEDICARE PROGRAM AND THE APPROPRIATENESS OF THEIR ADMISSION ARE SUBJECT TO AN INDEPENDENT REVIEW BY A PEER REVIEW ORGANIZATION.ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM (AHCCCS) - HEALTH CARE SERVICES TO MEDICAID AND INDIGENT PATIENTS ARE PROVIDED AT RATES PUBLISHED BY THE STATE OF ARIZONA UNDER THE STATE'S AHCCCS PROGRAM. APPROXIMATELY 21% OF THE HOSPITAL'S NET PATIENT SERVICE REVENUE IS PAID BY THE AHCCCS PROGRAM. THE COMPANY HAS ALSO ENTERED INTO PAYMENT AGREEMENTS WITH CERTAIN COMMERCIAL INSURANCE CARRIERS, HEALTH MAINTENANCE ORGANIZATIONS AND PREFERRED PROVIDER ORGANIZATIONS. THE BASIS FOR PAYMENT TO THE COMPANY UNDER THESE AGREEMENTS INCLUDES PROSPECTIVELY DETERMINED RATES PER DISCHARGE, DISCOUNTS FROM ESTABLISHED CHARGES AND PROSPECTIVELY DETERMINED DAILY RATES.THE COMPANY RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE COMPANY RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED (OR ON THE BASIS OF DISCOUNTED RATES, IF NEGOTIATED OR PROVIDED BY POLICY). ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE COMPANY'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE COMPANY RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. |
| PART III, LINE 9B: | THE COMPANY PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN THEIR ESTABLISHED RATES TO PATIENTS MEETING CERTAIN CRITERIA UNDER THEIR CHARITY CARE POLICY. BECAUSE THE COMPANY DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THESE AMOUNTS ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. THE AMOUNT OF CHARITY CARE PROVIDED FLUCTUATES DEPENDING ON CHANGES IN PATIENT DEMOGRAPHICS AND ECONOMIC CONDITIONS. CHARGES, AT COST, EXCLUDED FROM REVENUE UNDER THE COMPANY'S CHARITY CARE POLICY FOR THE YEARS ENDED JUNE 30, 2014 AND 2013 WERE APPROXIMATELY $3,043,000 AND 3,663,000, RESPECTIVELY. |
| PART VI, LINE 2: | THE ORGANIZATION CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT ON MARCH 1, 2013. SEE SCHEDULE H, PART V, SECTION B FOR MORE INFORMATION. |
| PART VI, LINE 3: | PATIENT COMPLETION OF A CONFIDENTIAL FINANCIAL DISCLOSURE FORM IS REQUIRED BEFORE CGRMC CAN MAKE AN ELIGIBILITY DETERMINATION. CGRMC STAFF WILL PROVIDE ASSISTANCE TO THOSE INDIVIDUALS WHO NEED HELP TO COMPLETE THE FORM, WHICH CAN BE OBTAINED IN THE ADMISSIONS OFFICE OR PATIENT BILLING. PATIENTS ARE ENCOURAGED TO COMPLETE THE APPLICATION PRIOR TO TREATMENT WHENEVER POSSIBLE. PATIENTS WORKING WITH OUR ELIGIBILITY VENDOR TO DETERMINE ELIGIBILITY FOR AHCCCS, SECTION 1011, CRIME VICTIM ASSISTANCE OR OTHER RESOURCES MAY ALSO APPLY FOR FINANCIAL ASSISTANCE, HOWEVER, HOSPITAL FINANCIAL ASSISTANCE IS CONSIDERED LAST, ONCE ALL OTHER RESOURCES HAVE BEEN EXHAUSTED. |
| PART VI, LINE 4: | CASA GRANDE IS A DYNAMIC, INVOLVED COMMUNITY, A MODERN CITY WITH RURAL HERITAGE AND OLD-FASHIONED VALUES. ITS ECONOMIC BASE IS A MIX OF RETAIL TRADE, MANUFACTURING AND AGRICULTURE. FOUNDED IN 1879, CASA GRANDE WAS NAMED FOR THE FAMOUS HOHOKAM INDIAN RUINS 20 MILES TO THE NORTHEAST. MIDWAY BETWEEN PHOENIX AND TUCSON, THE CITY HAS GROWN TO BE THE LARGEST COMMUNITY IN WESTERN PINAL COUNTY SINCE ITS INCORPORATION IN 1915. ONCE DEPENDENT ON AGRICULTURE AND MINING, THE COMMUNITY HAS EVOLVED INTO A DIVERSIFIED FULL-SERVICE AREA WITH MANUFACTURING, RETAIL TRADE, GOVERNMENT AND TOURIST-RELATED EMPLOYMENT. ALL OF PINAL COUNTY IS A DESIGNATED ENTERPRISE ZONE. |
| PART VI, LINE 5: | IN ADDITION TO PROVIDING PATIENT CARE WITHIN ITS 177 PRIVATE ROOMS, THERE IS AN IMPRESSIVE LINEUP OF ADDITIONAL SERVICES AVAILABLE AT CGRMC. THESE SERVICES PROVIDE THE COMMUNITY WITH MORE CONVENIENT ACCESS TO THE LATEST PROCEDURES AND EQUIPMENT AVAILABLE IN INTERVENTIONAL CARDIOLOGY, MEDICAL IMAGING, AND OUTPATIENT SURGERY. A WOUND CARE CENTER FEATURES TWO HYPERBARIC OXYGEN CHAMBERS. THERE IS ALSO A SLEEP LAB, OUTPATIENT PHYSICAL THERAPY, FULL SERVICE LABORATORY AND AN URGENT CARE CENTER.CGRMC IS PROUD TO SERVE AS A BASE STATION, PROVIDING MEDICAL DIRECTION TO MORE THAN 12 EMERGENCY MEDICAL SERVICE PROVIDERS IN PINAL COUNTY. AN AIREVAC HELICOPTER IS BASED AT THE CGRMC CAMPUS.THERE ARE MORE THAN 170 PHYSICIANS WHO ARE MEMBERS OF THE CGRMC MEDICAL STAFF. A FEW OF THE MEDICAL SPECIALTIES OFFERED INCLUDE: CARDIOLOGY, GASTROENTEROLOGY, GYNECOLOGY, NEUROLOGY, ONCOLOGY, PEDIATRICS, AND UROLOGY.CGRMC IS FORTUNATE TO HAVE DESERT REFLECTIONS IMAGING CENTER (DRIC) LOCATED ON CAMPUS. DRIC PROVIDES THE MOST UP-TO-DATE EQUIPMENT WITH PET CT, BREAST STEREOTACTIC SYSTEM, BONE DENSITOMETRY, HIGH-DEFINITION MRI, MULTI-SLICE CT SCANS, DIGITAL RADIOLOGY, DIGITAL MAMMOGRAPHY INCLUDING HIGH-DEFINITION BREAST MRI AND ULTRASOUND. BY UTILIZING THEIR STATE-OF-THE-ART VOICE RECOGNITION SYSTEM, TEST RESULTS CAN BE MADE AVAILABLE WITHIN ONE HOUR.CGRMC OPERATES AN URGENT CARE CENTER IN AN EFFORT TO BETTER MEET THE DEMANDS OF THE COMMUNITY FOR AFTER-HOURS, NON-EMERGENT MEDICAL CARE. THE URGENT CARE IS STAFFED WITH BOTH A PHYSICIAN AND PHYSICIAN ASSISTANT SEVEN DAYS A WEEK. |
| PART VI, LINE 6: | N/APART VI, LINE 7: N/A |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RONA CURPHY | ||||||||||||||
| CEO | $0 | $422,596 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $5,532 | $0 | $428,128 | $0 | $0 |
| KAREN FRANCIS | ||||||||||||||
| CFO | $0 | $295,120 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $14,354 | $0 | $309,474 | $0 | $0 |
| CHERYSE AUSTIN | ||||||||||||||
| CHIEF NURSING OFFICER | $0 | $158,264 | $0 | $7,500 | $0 | $0 | $0 | $0 | $0 | $8,745 | $0 | $174,509 | $0 | $0 |
| PAUL MADEJSKI MD | ||||||||||||||
| PHYSICIAN | $142,968 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $14,354 | $0 | $157,322 | $0 | $0 | $0 |
| DREW DAVENPORT MD | ||||||||||||||
| PHYSICIAN | $325,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $325,000 | $0 | $0 | $0 |
| PHILIP KAPSOS MD | ||||||||||||||
| PHYSICIAN | $325,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $325,000 | $0 | $0 | $0 |
| ANJU SHIRVASTAVA MD | ||||||||||||||
| PHYSICIAN | $325,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $325,000 | $0 | $0 | $0 |
| BLANCHE LOWRY | ||||||||||||||
| PHYSICIAN | $330,417 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $330,417 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS LISTED TO ESTABLISH TOP MANAGEMENT OFFICIAL'S COMPENSATION. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JR MCEVOY | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | OFFICER OF THE ORG. | RelationshipDescriptionTxt |
| Transaction | $549,881 | TransactionAmt |
| Transaction | INSURANCE | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | PROPERTY AND EQUIPMENT | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2014-06-08 | DistributionDt |
| Fair Market Value Of Asset | $32,057,591 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | COMPARABLES | MethodOfFMVDeterminationTxt |
| EIN | 450233470 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BANNER HEALTH | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1441 NORTH 12TH STREET | AddressLine1 |
| City | PHOENIX | City |
| State | CA | State |
| ZIP Code | 85006 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | 501(C)(3) | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | 0 | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | Yes (1) | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | 0 | OwnerOfSuccessor2Ind |
| Receive Compensation2 | 0 | ReceiveCompensation2Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II, LINE 2E: | PERSON(S) INVOLVED: RONA CURPHY AND KAREN FRANCIS |
| PART II, LINE 2E: | EXPLANATION OF INVOLVEMENT: RONA CURPHY CONTINUES AS THE CEO OF BANNER CASA GRANDE MEDICAL CENTER, AND KAREN FRANCIS IS THE CFO OF BANNER BOSWELL MEDICAL CENTER. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 3 | CASA GRANDE REGIONAL MEDICAL CENTER FILED FOR BANKRUPTCY AND WAS ACQUIRED BY BANNER HEALTH. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION'S SOLE MEMBER IS REGIONAL CARE SERVICES CORPORATION, AN ARIZONA NON-PROFIT CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER HAS THE RIGHT TO APPOINT OR REMOVE TRUSTEES TO OR FROM THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE ORGANIZATION CANNOT AMEND OR MODIFY THE ARTICLES OF INCORPORATION WITHOUT THE CONSENT OF THE MEMBER. ADDITIONAL POWERS, AUTHORITY AND PREROGATIVES MAY BE GRANTED AND RESERVED TO THE MEMBER AS SET FORTH IN THE BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE CEO AND THE DIRECTOR OF FINANCE REVIEWED THE FORM 990 PRIOR TO FILING. THE CEO WILL PROVIDE AN OVERVIEW AFTER FILING TO THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS A POLICY FOR EMPLOYEES TO DISCLOSE ANY CONFLICTS OF INTEREST BY REPORTING TO HR OR THE CEO. THIS WILL PRECLUDE THE STAFF MEMBER FROM PARTICIPATING IN ANY ACTIVITY WHICH CONFLICT. AT THE BOARD LEVEL EACH BOARD MEMBER AND SR. STAFF SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT THAT REQUIRES THEM TO DISCLOSE AND CONFLICT. WHEN THIS HAS OCCURRED WE GENERALLY EXCUSE THEM FROM ANY DELIBERATIONS OR DECISION MAKING ON THAT ISSUE. IF SOMETHING WOULD BE DISCOVERED AFTER THE FACT THAT WOULD GO BEFORE THE BOARD CHAIRPERSON TO ASSESS THE CONFLICT AND IF ANYTHING NEEDS TO BE DONE AT THAT POINT. THERE WERE NO IDENTIFIED CONFLICTS AFTER THE FACT DISCOVERED IN 2013. |
| FORM 990, PART VI, SECTION B, LINE 15 | THIS FILING ORGANIZATION DOES NOT SET OR PAY COMPENSATION TO THE CEO. OTHER OFFICERS, BEING CFO AND CNO, AND OTHER TOP OFFICIALS OF THE ORGANIZATION THE COMPENSATION IS SET BY THE CEO IN CONSULTATION WITH THE BOARD CHAIRPERSON WHICH INCLUDED BASE SALARY AND ANY BONUS THAT WAS GIVEN. THE REVIEW OF COMPENSATION WAS DONE UTILIZING OTHER ORGANIZATIONS 990, OTHER SURVEYS AND AN INDEPENDENT CONSULTATION IN 2009 AND 2012. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST, ARE UPLOADED TO EMMA SITE ON THE INTERNET, AND ARE FILED WITH THE STATE OF ARIZONA AS REQUIRED BY STATE STATUTE. |
| FORM 990, PART IX, LINE 11G | OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,518,393. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,518,393. MEDICAL & ANCILLARY PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 11,873,432. MANAGEMENT AND GENERAL EXPENSES 1,378,166. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,251,598. |
| FORM 990, PART XI, LINE 9: | CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -33,984. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| REGIONAL CARE PHYSICIANS GROUP INC | |||||||||||
| 1800 E FLORENCE BLVD | CASA GRANDE | AZ | 85122 | 263096262 | HEALTHCARE | AZ | 501(C)(3) | 9 | REGIONAL CARE SERVICES CORPORATION | Yes (1) | |
| CASA GRANDE REGIONAL RETIREMENT COMMUNITY | |||||||||||
| 1800 E FLORENCE BLVD | CASA GRANDE | AZ | 85122 | 742558095 | HEALTHCARE | AZ | 501(C)(3) | 11A, I | REGIONAL CARE SERVICES CORPORATION | Yes (1) | |
| REGIONAL CARE SERVICES CORPORATION | |||||||||||
| 1800 E FLORENCE BLVD | CASA GRANDE | AZ | 85122 | 860919714 | HEALTHCARE | AZ | 501(C)(3) | 11A, I | 0 | N/A | |
| CASA GRANDE COMMUNITY HOSPITAL FOUNDATION INC | |||||||||||
| 1800 E FLORENCE BLVD | CASA GRANDE | AZ | 85122 | 311726569 | HEALTHCARE | AZ | 501(C)(3) | 7 | REGIONAL CARE SERVICES CORPORATION | Yes (1) | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REGIONAL HEALTHCARE VENTURES | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1800 E FLORENCE BLVD | AddressLine1 |
| City | CASA GRANDE | City |
| State | AZ | State |
| ZIP Code | 85122 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 262199660 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | 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 | Yes (1) | 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| REGIONAL CARE PHYSICIANS GROUP INC | ||
| N | $82,356 | CASH VALUE |
| REGIONAL CARE PHYSICIANS GROUP INC | ||
| O | $1,457,160 | CASH VALUE |
| REGIONAL CARE PHYSICIANS GROUP INC | ||
| Q | $110,295 | CASH VALUE |
| REGIONAL CARE PHYSICIANS GROUP INC | ||
| D | $8,656,561 | LOAN BALANCE |