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Casa Grande Community Hospital: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
Casa Grande Community Hospital (EIN 86-0427850)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201441359349304234
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-15T11:07:59-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN910189318EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13121 WEST MARCH LANE SUITE 100AddressLine1
CitySTOCKTONCity
StateCAState
ZIP Code952192303ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN860427850EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CASA GRANDE COMMUNITY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCASANameControl
Phone5203816300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11800 E FLORENCE BLVDAddressLine1
CityCASA GRANDECity
StateAZState
ZIP Code85122ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKAREN FRANCISName
TitleCFOTitle
Phone5203816300Phone
Date Signed2014-05-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTRACY S PAGLIAName
PTINP00366884PTIN
Phone2099556100Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1CASA GRANDE REGIONAL MED CTRBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonRONA CURPHYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11800 E FLORENCE BLVDAddressLine1
CityCASA GRANDECity
StateAZState
ZIP Code85122ZIPCode
FieldValueIRS element (for citing)
Gross Receipts141928958GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CASAGRANDEHOSPITAL.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileAZStateLegalDomicile
Activity Or Mission DescriptionHEALTH CARE AND HEALTH CARE MANAGEMENT SERVICES THROUGH ACUTE CARE AND SPECIALTY CARE PROGRAMS.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees990TotalNbrEmployees
Total Nbr Volunteers370TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year445040ContributionsGrantsPriorYear
Contributions Grants Current Year516467ContributionsGrantsCurrentYear
Program Service Revenue Prior Year132877547ProgramServiceRevenuePriorYear
Program Service Revenue CY140446405ProgramServiceRevenueCY
Investment Income Prior Year256486InvestmentIncomePriorYear
Investment Income Current Year206380InvestmentIncomeCurrentYear
Other Revenue Prior Year405022OtherRevenuePriorYear
Other Revenue Current Year758877OtherRevenueCurrentYear
Total Revenue Prior Year133984095TotalRevenuePriorYear
Total Revenue Current Year141928129TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year6153GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY6430GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year57223652SalariesEtcPriorYear
Salaries Etc Current Year59824236SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year91857TotalFundrsngExpCurrentYear
Other Expense Prior Year75392726OtherExpensePriorYear
Other Expenses Current Year93158746OtherExpensesCurrentYear
Total Expenses Prior Year132622531TotalExpensesPriorYear
Total Expenses Current Year152989412TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1361564RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-11061283RevenuesLessExpensesCY
Total Assets BOY93540561TotalAssetsBOY
Total Assets EOY79849467TotalAssetsEOY
Total Liabilities BOY88640236TotalLiabilitiesBOY
Total Liabilities EOY87178263TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4900325NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-7328796NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCASA 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense148328612Expense
Grants6430Grants
Revenue140446405Revenue
DescriptionCASA 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.Description
Total Program Service Expense148328612TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109652NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees990NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LESA ABBEYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5203816913TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11800 E FLORENCE BLVDAddressLine1
CityCASA GRANDECity
StateAZState
ZIP Code85122ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
CHERIE MCGLYNN
CHAIRPERSON2.002.10XX000
THOMAS ERICKSON MD
TREASURER1.000.50XX000
DAVID FITZGIBBONS
VICE CHAIRPERSON2.002.10XX000
HENRY GIVRE MD
TRUSTEE2.001.60X3850000
CHARIE WALLACE
TRUSTEE1.00X000
JR MCEVOY
SECRETARY2.002.10XX000
CHUCK GOODMILLER
TRUSTEE1.000.50X000
RAJEESH PUNNAKKATTU MD
CHIEF OF STAFF1.00X9612900
EVELYN CASUGA
TRUSTEE2.001.50X000
RONA CURPHY
CEO56.004.00X03901068151
KAREN FRANCIS
CFO51.004.00X028918216661
CHERYSE AUSTIN
CHIEF NURSING OFFICER36.004.00016427710068X
WILLIAM STUBBS MD
VP MEDICAL AFFAIRS40.0026554605922X
PAUL MADEJSKI MD
PHYSICIAN40.00270005011016X
AMANPREET SINGH MD
PHYSICIAN40.0027264405922X
SUNIL KURUP MD
PHYSICIAN40.0014640203416X
AMELITA HITSMAN
PT CARE COORDINATOR40.00159316011016X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1248542TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs843565TotalReportableCompFrmRltdOrgs
Total Other Compensation72172TotalOtherCompensation
Number Individuals GT100 K70NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CERNER CORPORATION
PO BOX 730112KANSAS CITYMO64141CLINICAL SYSTEMS7558478
O GRADY PEYTON INTL
4441 COLLECTIONS CENTER DRCHICAGOIL60693NURSING REGISTRY2190345
HEART HEALTH ORGANIZATION
333 N DOBSON RD STE 11CHANDLERAZ85224CARDIOLOGY SERVICES1443960
SONORAN DESERT ANESTHESIA INC
PO BOX 93173PHOENIXAZ95070ANESTHESIA SERVICES1085448
ANGELICA CORPORATION
PO BOX 846777LOS ANGELESCA90084LINEN SERVICES530160
FieldValueIRS element (for citing)
Number Of Contractors GT100 K24NumberOfContractorsGT100K
Related Organizations200000RelatedOrganizations
Government Grants176784GovernmentGrants
All Other Contributions139683AllOtherContributions
Total Contributions516467TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICES621990138577603138577603
RENTAL INCOME53112010383431038343
EHR REIMBURSEMENT621500601114601114
LAB TESTS621500126541126541

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column102804TotalRevenueColumn
Related Or Exempt Function Income102804RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue140446405TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column194274TotalRevenueColumn
Exclusion$194,274ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other12935Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other829Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other12106Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column12106TotalRevenueColumn
Exclusion$12,106ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA722210358435$358,435
CATERING & VENDING72232023247$23,247
PARKING81293017036$17,036

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column360159TotalRevenueColumn
Exclusion$360,159ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue758877TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column141928129TotalRevenueColumn
Related Or Exempt Function Income140446405RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$965,257ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total6430Total
Program Services6430ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total133500Total
Program Services133500ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total50094402Total
Program Services48260983ProgramServices
Management And General1763288ManagementAndGeneral
Fundraising70131Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6327093Total
Program Services6095521ProgramServices
Management And General222714ManagementAndGeneral
Fundraising8858Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3269241Total
Program Services3149587ProgramServices
Management And General115077ManagementAndGeneral
Fundraising4577Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total448713Total
Management And General448713ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total142115Total
Management And General142115ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total118812Total
Management And General118812ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total12856011Total
Program Services12005774ProgramServices
Management And General850237ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total648975Total
Program Services625222ProgramServices
Management And General22844ManagementAndGeneral
Fundraising909Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4058576Total
Program Services3910032ProgramServices
Management And General142862ManagementAndGeneral
Fundraising5682Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1522480Total
Program Services1317491ProgramServices
Management And General204989ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total3432Total
Program Services1932ProgramServices
Management And General1000ManagementAndGeneral
Fundraising500Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total138489Total
Program Services134889ProgramServices
Management And General2400ManagementAndGeneral
Fundraising1200Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total5238185Total
Program Services5238185ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5674986Total
Program Services5674986ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1127867Total
Program Services1127867ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
BAD DEBT4209426142094261
PATIENT USE CHARGEABLES57043765704376
PHARMACEUTICALS34524083452408
MEDICAL SUPPLIES34154143415414

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6513646Total
Program Services5979754ProgramServices
Management And General533892ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total152989412Total
Program Services148328612ProgramServices
Management And General4568943ManagementAndGeneral
Fundraising91857Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY17814750BOY
EOY9573379EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY15305388BOY
EOY13787180EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2782681BOY
EOY2713616EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1090403BOY
EOY851753EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis111084294LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec75629882LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY39668842BOY
EOY35454412EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY9345747BOY
EOY9369457EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY85471BOY
EOY18979EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7447279BOY
EOY8080691EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY93540561BOY
EOY79849467EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY9096882BOY
EOY11387093EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4727763BOY
EOY4618510EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY66536616BOY
EOY65011177EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5901133BOY
EOY4539356EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2377842BOY
EOY1622127EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY88640236BOY
EOY87178263EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4900325BOY
EOY-7328796EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4900325BOY
EOY-7328796EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY93540561BOY
EOY79849467EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-11061283ReconcilationRevenueExpenses
Reconciliation Unrealized Invest2705ReconciliationUnrealizedInvest
Reconcilation Other Changes-1170543ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3363312OtherCostOrOtherBasis
Book Value3363312BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis55125829OtherCostOrOtherBasis
Depreciation30417994Depreciation
Book Value24707835BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis46017399OtherCostOrOtherBasis
Depreciation40557094Depreciation
Book Value5460305BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6577754OtherCostOrOtherBasis
Depreciation4654794Depreciation
Book Value1922960BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings35454412TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED COSTS, NET OF AMORTIZATION1100649
THIRD PARTY SETTLEMENT RECEIVABLE738948
DUE FROM AFFILIATES6241094
FieldValueIRS element (for citing)
Total Book Value Other Assets8080691TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ESTIMATED SELF-INSURANCE COSTS$1,539,570
DEPOSITS$2,603
DERIVATIVE INSTRUMENTS$79,954
FieldValueIRS element (for citing)
Total Of Amounts1622127TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE COMPANY HAS ADOPTED THE PROVISIONS OF ASC 740 RELATING TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS THAT REQUIRE THE APPLICATION OF MORE-LIKELY-THAN-NOT RECOGNITION CRITERION. THE COMPANY RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE-LIKELY-THAN-NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE COMPANY RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. AS OF JUNE 30, 2013 AND 2012, RCSC HAS NO TAX POSITIONS IT BELIEVES TO BE UNCERTAIN.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense910620TotalCommunityBenefitExpense
Net Community Benefit Expense910620NetCommunityBenefitExpense
Percent Of Total Expense0.00820PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense23018636TotalCommunityBenefitExpense
Direct Offsetting Revenue17187753DirectOffsettingRevenue
Net Community Benefit Expense5830883NetCommunityBenefitExpense
Percent Of Total Expense0.05260PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense23929256TotalCommunityBenefitExpense
Direct Offsetting Revenue17187753DirectOffsettingRevenue
Net Community Benefit Expense6741503NetCommunityBenefitExpense
Percent Of Total Expense0.06080PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense23929256TotalCommunityBenefitExpense
Direct Offsetting Revenue17187753DirectOffsettingRevenue
Net Community Benefit Expense6741503NetCommunityBenefitExpense
Percent Of Total Expense0.06080PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$42,094,261BadDebtExpenseAmount
Amount Attributable To3655437AmountAttributableTo
Amount Reimbursed By Medicare28798244AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare29238021CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-439777MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1CASA GRANDE REGIONAL MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11800 E FLORENCE BLVDAddressLine1
CityCASA GRANDECity
StateAZState
ZIP Code85122ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CASA GRANDE REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Develop Community PlanXDevelopCommunityPlan
Prioritize Health NeedsXPrioritizeHealthNeeds
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent200.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Insurance StatusXInsuranceStatus
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

ExplanationExplanationIdentifierIdentifier
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 $ 42094261.
PART III, LINE 4: AUDITED FINANCIAL STATEMENTS, NOTE 3 - 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.THE COMPANY'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS INCREASED FROM 86% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2012, TO 87% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2013. IN ADDITION, THE COMPANY'S SELF-PAY NET CHARGE OFFS INCREASED $25,215,000 FROM APPROXIMATELY $19,165,000 FOR FISCAL YEAR 2012, TO APPROXIMATELY $44,380,000 FOR FISCAL YEAR 2013. BOTH INCREASES WERE THE RESULT OF NEGATIVE TRENDS EXPERIENCED IN THE COLLECTION OF AMOUNTS FROM SELF-PAY PATIENTS IN FISCAL YEAR 2013 AND AS A RESULT OF THE ARIZONA MEDICAID (AHCCCS) PROGRAM CHANGES. THE COMPANY HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2012 OR 2013. THE COMPANY DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT CHARGE OFFS FROM THIRD-PARTY PAYORS.THERE IS NO COSTING METHODOLOGY IN DETERMINING BAD DEBTS. THE ACTUALWRITE OFF METHOD IS USED. THE AMOUNT REPORTED OF $3,655,437 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, 2013 AND 2012 WERE APPROXIMATELY $3,663,000 AND 3,083,000, RESPECTIVELY.
PART V, SECTION B, LINE 3: SEE PART V, SECTION B, 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.CASA GRANDE REGIONAL MEDICAL CENTER
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 I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RONA CURPHY
CEO039010600000008151039825700
KAREN FRANCIS
CFO0289182000000016661030584300
CHERYSE AUSTIN
CHIEF NURSING OFFICER0164277000000010068017434500
WILLIAM STUBBS MD
VP MEDICAL AFFAIRS265546000000059220271468000
PAUL MADEJSKI MD
PHYSICIAN2700050000000110160281021000
AMANPREET SINGH MD
PHYSICIAN272644000000059220278566000
AMELITA HITSMAN
PT CARE COORDINATOR1593160000000110160170332000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationPART I, LINE 3: THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS LISTED TO ESTABLISH TOP MANAGEMENT OFFICIAL'S COMPENSATION.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonJR MCEVOYNamePerson
FieldValueIRS element (for citing)
RelationshipOFFICER OF THE ORG.Relationship
Amount Of Transaction1285866AmountOfTransaction
Description Of TransactionINSURANCEDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION'S SOLE MEMBER IS REGIONAL CARE SERVICES CORPORATION, AN ARIZONA NON-PROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE MEMBER HAS THE RIGHT TO APPOINT OR REMOVE TRUSTEES TO OR FROM THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7BTHE 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 11THE CEO, CFO, AND THE DIRECTOR OF FINANCE REVIEWED THE FORM 990 PRIOR TO FILING. THE CEO AND CFO WILL PROVIDE AN OVERVIEW AFTER FILING TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 2012.
FORM 990, PART VI, SECTION B, LINE 15THIS 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 19GOVERNING 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 XI, LINE 9:CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -970,543. CONTRIBUTION FROM RHV NOT RECORDED ON BOOKS -200,000.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
REGIONAL CARE PHYSICIANS GROUP INC
1800 E FLORENCE BLVDCASA GRANDEAZ85122263096262HEALTHCAREAZ501(C)(3)9REGIONAL CARE SERVICES CORPORATION1
CASA GRANDE REGIONAL RETIREMENT COMMUNITY
1800 E FLORENCE BLVDCASA GRANDEAZ85122742558095HEALTHCAREAZ501(C)(3)11A, IREGIONAL CARE SERVICES CORPORATION1
REGIONAL CARE SERVICES CORPORATION
1800 E FLORENCE BLVDCASA GRANDEAZ85122860919714HEALTHCAREAZ501(C)(3)11A, I0N/A
CASA GRANDE COMMUNITY HOSPITAL FOUNDATION INC
1800 E FLORENCE BLVDCASA GRANDEAZ85122311726569HEALTHCAREAZ501(C)(3)7REGIONAL CARE SERVICES CORPORATION1

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1REGIONAL HEALTHCARE VENTURESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11800 E FLORENCE BLVDAddressLine1
CityCASA GRANDECity
StateAZState
ZIP Code85122ZIPCode
FieldValueIRS element (for citing)
EIN262199660EIN
Primary ActivityHEALTHCAREPrimaryActivity
Legal Domicile StateAZLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
REGIONAL HEALTHCARE VENTURES
C200000CASH VALUE
REGIONAL CARE PHYSICIANS GROUP INC
N109449CASH VALUE
REGIONAL CARE PHYSICIANS GROUP INC
O1583241CASH VALUE
REGIONAL CARE PHYSICIANS GROUP INC
Q116690CASH VALUE
REGIONAL CARE PHYSICIANS GROUP INC
D5835780LOAN BALANCE