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Casa Grande Community Hospital: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
Casa Grande Community Hospital (EIN 86-0427850)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-06
IRS object ID
201311269349300811
Schema version
2011v1.5
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)
Timestamp2013-05-06T12:14:35-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

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 Signed2013-04-26DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTRACY S PAGLIAName
PTINP00366884PTIN
Phone2099556100Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts133984095GrossReceipts
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 Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees962TotalNbrEmployees
Total Nbr Volunteers370TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year215599ContributionsGrantsPriorYear
Contributions Grants Current Year445040ContributionsGrantsCurrentYear
Program Service Revenue Prior Year124022777ProgramServiceRevenuePriorYear
Program Service Revenue CY132877547ProgramServiceRevenueCY
Investment Income Prior Year216400InvestmentIncomePriorYear
Investment Income Current Year256486InvestmentIncomeCurrentYear
Other Revenue Prior Year420398OtherRevenuePriorYear
Other Revenue Current Year405022OtherRevenueCurrentYear
Total Revenue Prior Year124875174TotalRevenuePriorYear
Total Revenue Current Year133984095TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year11493GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY6153GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year55311852SalariesEtcPriorYear
Salaries Etc Current Year57223652SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year86423TotalFundrsngExpCurrentYear
Other Expense Prior Year62811124OtherExpensePriorYear
Other Expenses Current Year75392726OtherExpensesCurrentYear
Total Expenses Prior Year118134469TotalExpensesPriorYear
Total Expenses Current Year132622531TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6740705RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1361564RevenuesLessExpensesCY
Total Assets BOY94503859TotalAssetsBOY
Total Assets EOY93540561TotalAssetsEOY
Total Liabilities BOY92297829TotalLiabilitiesBOY
Total Liabilities EOY88640236TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2206030NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4900325NetAssetsOrFundBalancesEOY
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
Expense128210135Expense
Grants6153Grants
Revenue132877547Revenue
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 Expense128210135TotalProgramServiceExpense
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 With109678NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees962NumberOfEmployees
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 Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
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
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
CHERIE MCGLYNN
CHAIRPERSON2.00XX000
TOM ERICKSON MD
TREASURER2.00XX1600000
DAVID FITZGIBBONS
VICE CHAIRPERSON2.00XX000
HENRY GIVRE MD
TRUSTEE2.00X4092500
CHARIE WALLACE
TRUSTEE2.00X000
JR MCEVOY
SECRETARY2.00XX000
JOHN HENDREN THROUGH 63012
TRUSTEE2.00X000
CHUCK GOODMILLER
TRUSTEE2.00X000
RAJEESH PUNNAKKATTU MD
CHIEF OF STAFF2.00X8800000
RONA CURPHY
CEO60.00X04225965532
KAREN FRANCIS
CFO48.00X029512014354
CHERYSE AUSTIN
CHIEF NURSING OFFICER40.0001657648745X
WILLIAM STUBBS MD
VP MEDICAL AFFAIRS40.0026040105147X
PAUL MADEJSKI MD
PHYSICIAN40.0027000509483X
AMANPREET SINGH MD
PHYSICIAN40.0023189405147X
SUSAN EMRICK
PT CARE COORDINATOR40.0015875305147X
SUNIL KURUP MD
PHYSICIAN40.0021850105147X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1284479TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs883480TotalReportableCompFrmRltdOrgs
Total Other Compensation58702TotalOtherCompensation
Number Individuals GT100 K80NumberIndividualsGT100K
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 SYSTEMS7582010
O GRADY PEYTON INTL
4441 COLLECTIONS CENTER DRCHICAGOIL60693NURSING REGISTRY1534431
HEART HEALTH ORGANIZATION
333 N DOBSON RD STE 11CHANDLERAZ85224CARDIOLOGY SERVICES1316520
SONORAN DESERT ANESTHESIA INC
PO BOX 93173PHOENIXAZ95070ANESTHESIA SERVICES1085448
ANGELICA CORPORATION
PO BOX 846777LOS ANGELESCA90084LINEN SERVICES528240
FieldValueIRS element (for citing)
Number Of Contractors GT100 K28NumberOfContractorsGT100K
Related Organizations300000RelatedOrganizations
Government Grants101899GovernmentGrants
All Other Contributions43141AllOtherContributions
Total Contributions445040TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICES621990128439104128439104
EHR REIMBURSEMENT62150029328542932854
RENTAL INCOME531120989737989737
LAB TESTS621500218408218408
FLORENCE COMMUNITY HOS621400124751124751

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column172693TotalRevenueColumn
Related Or Exempt Function Income172693RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue132877547TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column221486TotalRevenueColumn
Exclusion$221,486ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other35000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other35000Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column35000TotalRevenueColumn
Exclusion$35,000ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA722210353839$353,839
CATERING & VENDING72232025303$25,303
PARKING81293021485$21,485

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column4395TotalRevenueColumn
Exclusion$4,395ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue405022TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column133984095TotalRevenueColumn
Related Or Exempt Function Income132877547RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$661,508ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total6153Total
Program Services6153ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total152308Total
Program Services152308ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total48329658Total
Program Services46559937ProgramServices
Management And General1702027ManagementAndGeneral
Fundraising67694Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5505769Total
Program Services5304258ProgramServices
Management And General193803ManagementAndGeneral
Fundraising7708Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3235917Total
Program Services3117483ProgramServices
Management And General113904ManagementAndGeneral
Fundraising4530Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total558389Total
Management And General558389ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total45614Total
Management And General45614ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total122112Total
Management And General122112ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total11900894Total
Program Services11081437ProgramServices
Management And General819457ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total702973Total
Program Services677244ProgramServices
Management And General24745ManagementAndGeneral
Fundraising984Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2719453Total
Program Services2619921ProgramServices
Management And General95725ManagementAndGeneral
Fundraising3807Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1390448Total
Program Services1358648ProgramServices
Management And General31800ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total3342Total
Program Services1842ProgramServices
Management And General1000ManagementAndGeneral
Fundraising500Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total156727Total
Program Services153127ProgramServices
Management And General2400ManagementAndGeneral
Fundraising1200Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total5419795Total
Program Services5419795ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5648108Total
Program Services5648108ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1114270Total
Program Services1114270ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
BAD DEBT2438009624380096
PATIENT USE CHARGEABLES56801435680143
PHARMACEUTICALS41179364117936
MEDICAL SUPPLIES34160363416036

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total8016390Total
Program Services7401393ProgramServices
Management And General614997ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total132622531Total
Program Services128210135ProgramServices
Management And General4325973ManagementAndGeneral
Fundraising86423Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY22307286BOY
EOY17814750EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY12727094BOY
EOY15305388EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY57542BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2692095BOY
EOY2782681EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY581229BOY
EOY1090403EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis109966155LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec70297313LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY40317975BOY
EOY39668842EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY9944442BOY
EOY9345747EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY305330BOY
EOY85471EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5570866BOY
EOY7447279EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY94503859BOY
EOY93540561EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY10121339BOY
EOY9096882EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4829591BOY
EOY4727763EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY67961811BOY
EOY66536616EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6267351BOY
EOY5901133EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3117737BOY
EOY2377842EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY92297829BOY
EOY88640236EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2206030BOY
EOY4900325EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2206030BOY
EOY4900325EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY94503859BOY
EOY93540561EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1361564ReconcilationRevenueExpenses
Reconcilation Other Changes1332731ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Basis53860008OtherCostOrOtherBasis
Depreciation28185027Depreciation
Book Value25674981BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis45178563OtherCostOrOtherBasis
Depreciation37638670Depreciation
Book Value7539893BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7564272OtherCostOrOtherBasis
Depreciation4473616Depreciation
Book Value3090656BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings39668842TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED COSTS, NET OF AMORTIZATION1184300
THIRD PARTY SETTLEMENT RECEIVABLE228776
DUE FROM AFFILIATES5143614
DERIVATIVE INSTRUMENTS890589
FieldValueIRS element (for citing)
Total Book Value Other Assets7447279TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ESTIMATED SELF-INSURANCE COSTS$2,367,000
DEPOSITS$10,842
FieldValueIRS element (for citing)
Total Of Amounts2377842TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X: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, 2012 AND 2011, 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

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage125.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
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 Expense773726TotalCommunityBenefitExpense
Net Community Benefit Expense773726NetCommunityBenefitExpense
Percent Of Total Expense0.00710PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense22802441TotalCommunityBenefitExpense
Direct Offsetting Revenue17116367DirectOffsettingRevenue
Net Community Benefit Expense5686074NetCommunityBenefitExpense
Percent Of Total Expense0.05250PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense23576167TotalCommunityBenefitExpense
Direct Offsetting Revenue17116367DirectOffsettingRevenue
Net Community Benefit Expense6459800NetCommunityBenefitExpense
Percent Of Total Expense0.05960PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense23576167TotalCommunityBenefitExpense
Direct Offsetting Revenue17116367DirectOffsettingRevenue
Net Community Benefit Expense6459800NetCommunityBenefitExpense
Percent Of Total Expense0.05960PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs30NumberOfActivitiesOrPrograms
Total Community Building Expense30514TotalCommunityBuildingExpense
Net Community Building Expense30514NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs9NumberOfActivitiesOrPrograms
Total Community Building Expense12000TotalCommunityBuildingExpense
Net Community Building Expense12000NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs39NumberOfActivitiesOrPrograms
Total Community Building Expense42514TotalCommunityBuildingExpense
Net Community Building Expense42514NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$24,380,097BadDebtExpenseAmount
Amount Attributable To3074445AmountAttributableTo
Amount Reimbursed By Medicare30127787AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare29908966CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall218821MedicareSurplusOrShortfall

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
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent125.000000000000FPGFreePercent
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 (9 entries)

ExplanationExplanation
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 $ 24380096.
PART III, LINE 4: AUDITED FINANCIAL STATEMENTS, NOTE 2 - PATIENT ACCOUNTS RECEIVABLE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS: THE COMPANY REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS DUE FROM THIRD-PARTY PAYERS, 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 FINANCIALLYRESPONSIBLE. PATIENT ACCOUNTS RECEIVABLE BALANCES PAST DUE MORE THAN 120 DAYS ARE CONSIDERED DELINQUENT. DELINQUENT RECEIVABLES ARE CHARGED OFF BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE PATIENT OR THIRD-PARTY PAYER. 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 19% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2011, TO 29% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2012. IN ADDITION, THE COMPANY'S SELF-PAY NET CHARGE OFFS INCREASED $7,218,000 FROM APPROXIMATELY $11,947,000 FOR FISCAL YEAR 2011, TO APPROXIMATELY $19,165,000 FOR FISCAL YEAR 2012. BOTH INCREASES WERE THE RESULT OF NEGATIVE TRENDS EXPERIENCED IN THE COLLECTION OF AMOUNTS FROM SELF-PAY PATIENTS IN FISCAL YEAR 2012 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 2011 OR 2012. 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 ACTUAL WRITE OFF METHOD IS USED. THE AMOUNT REPORTED OF $3,074,445 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 2009. 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 26% 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, 2012 AND 2011 WERE APPROXIMATELY $3,083,000 AND $1,057,000, RESPECTIVELY.
PART VI, LINE 2: THE ORGANIZATION CURRENTLY DOES NOT CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT. A CHNA WAS COMPLETED IN MARCH 2013.
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 187 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. WE OFFER BEHAVIORAL HEALTH FOR INPATIENTS.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, PSYCHIATRY, 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 NURSE PRACTITIONER SEVEN DAYS A WEEK.
PART VI, LINE 6: N/APART VI, LINE 7: N/A

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000

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 (8 entries)

Base 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
0374993047603000005532042812800
KAREN FRANCIS
02751200200000000014354030947400
CHERYSE AUSTIN
015826407500000008745017450900
WILLIAM STUBBS MD
260401000000051470265548000
PAUL MADEJSKI MD
270005000000094830279488000
AMANPREET SINGH MD
231894000000051470237041000
SUSAN EMRICK
158753000000051470163900000
SUNIL KURUP MD
218501000000051470223648000

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 Transaction1209219AmountOfTransaction
Description Of TransactionINSURANCEDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 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 2011.
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 VIIRONA CURPHY SPENDS A TOTAL AVERAGE OF 75 HOURS PER WEEK PERFORMING CEO SERVICES FOR THE REGIONAL CARE SERVICES CORPORATION AND AFFILIATES, WHICH INCLUDES CASA GRANDE COMMUNITY HOSPITAL. KAREN FRANCIS SPENDS A TOTAL AVERAGE OF 60 HOURS PER WEEK PERFORMING CFO SERVICES FOR THE REGIONAL CARE SERVICES CORPORATION AND AFFILIATES, WHICH INCLUDES CASA GRANDE COMMUNITY HOSPITAL. CHERIE MCGLYNN, DAVID FITZGIBBONS AND J.R. MCEVOY SPEND 1 HOUR PER WEEK AS VOTING BOARD MEMBERS FOR EACH OF THE FOLLOWING: REGIONAL CARE SERVICES CORPORATION, REGIONAL CARE PHYSICIANS GROUP, INC., CASA GRANDE COMMUNITY HOSPITAL FOUNDATION, INC., CASA GRANDE REGIONAL RETIREMENT COMMUNITY. HENRY GIVRE SPENDS 1 HOUR PER WEEK AS A VOTING BOARD MEMBER FOR EACH OF THE FOLLOWING: REGIONAL CARE SERVICES CORPORATION, REGIONAL CARE PHYSICIANS GROUP, INC., CASA GRANDE REGIONAL RETIREMENT COMMUNITY. THOMAS ERICKSON AND CHUCK GOODMILLER SPEND 1 HOUR PER WEEK AS VOTING BOARD MEMBERS FOR CASA GRANDE COMMUNITY HOSPITAL FOUNDATION, INC. CHERYSE AUSTIN SPENDS 1 HOUR PER WEEK AS AN EMPLOYEE OF REGIONAL CASE SERVICES CORPORATION.HOURS DEVOTED TO RELATED ORGANIZATIONS:
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 2,247. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 1,630,484. CONTRIBUTION FROM RHV NOT RECORDED ON BOOKS -300,000. TOTAL TO FORM 990, PART XI, LINE 5: 1,332,731.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
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
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
C300000CASH VALUE
REGIONAL CARE PHYSICIANS GROUP INC
M89759CASH VALUE
REGIONAL CARE PHYSICIANS GROUP INC
N1276523CASH VALUE
REGIONAL CARE PHYSICIANS GROUP INC
P144756CASH VALUE
REGIONAL CARE PHYSICIANS GROUP INC
D4700567LOAN BALANCE