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Casa Grande Community Hospital: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
Casa Grande Community Hospital (EIN 86-0427850)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201131339349301923
Schema version
2009v1.7
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)
Timestamp2011-05-13T11:19:39-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2009-07-01TaxPeriodBeginDate

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 Signed2011-05-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTRACY S PAGLIAName
Phone2099556100Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts125375871GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
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 Members5NbrIndependentVotingMembers
Total Nbr Employees942TotalNbrEmployees
Total Nbr Volunteers200TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year155010ContributionsGrantsPriorYear
Contributions Grants Current Year109837ContributionsGrantsCurrentYear
Program Service Revenue Prior Year115439564ProgramServiceRevenuePriorYear
Program Service Revenue CY124770242ProgramServiceRevenueCY
Investment Income Prior Year203301InvestmentIncomePriorYear
Investment Income Current Year10566InvestmentIncomeCurrentYear
Other Revenue Prior Year1074597OtherRevenuePriorYear
Other Revenue Current Year302387OtherRevenueCurrentYear
Total Revenue Prior Year116872472TotalRevenuePriorYear
Total Revenue Current Year125193032TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year92025GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY8263GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year49899662SalariesEtcPriorYear
Salaries Etc Current Year52268153SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year68289278OtherExpensePriorYear
Other Expenses Current Year66269581OtherExpensesCurrentYear
Total Expenses Prior Year118280965TotalExpensesPriorYear
Total Expenses Current Year118545997TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1408493RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6647035RevenuesLessExpensesCY
Total Assets BOY92221928TotalAssetsBOY
Total Assets EOY90677806TotalAssetsEOY
Total Liabilities BOY105613868TotalLiabilitiesBOY
Total Liabilities EOY94789476TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-13391940NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-4111670NetAssetsOrFundBalancesEOY
Mission DescriptionWe exist to make a positive difference in the lives of those we serve through compassion and excellence in patient care.MissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense105618022Expense
Grants8263Grants
Revenue124770242Revenue
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 Expense105618022TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109667NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees942NumberOfEmployees
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
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
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 Line1MARK GAWORSKIBusinessNameLine1
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 (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Cherie McGlynn
Chairperson1.00XX000
Tom Erickson MD
Chief of Staff/Treasurer1.00XX2600000
Evelyn Casuga
Trustee1.00X000
David Fitzgibbons
Vice Chairperson1.00XX000
Henry Givre MD
Trustee1.00X3250000
Charie Wallace
Trustee1.00X000
JR McEvoy
Secretary1.00XX000
John Hendren
Trustee1.00X000
Chuck Goodmiller
Trustee1.00X000
Rona Curphy
CEO36.00X02572586665
Karen Francis
CFO36.00X020841015372
Cheryse Austin
CNO40.00X14915208596
Joseph Moncayo
VP Ancillary Service40.0013735408650X
William Stubbs
VP Medical Affairs40.0025785606093X
Paul Madejski
Anesthesiologist40.00268396013899X
Amelita Hitsman
Coordinator40.0015540109516X
Marcia Whitbeck
Pharmacist40.0015316808003X
Susan Emrick
Coordinator40.0015132706489X
RAMON MOURELO MD
PHYSICIAN40.00033201913239X
John Dernier
Former CEO40.0002088915277X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1193800TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1006578TotalReportableCompFrmRltdOrgs
Total Other Compensation93149TotalOtherCompensation
Number Individuals GT100 K72NumberIndividualsGT100K
Formers Listed1FormersListed
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 SYSTEMS1194041
Sonoran Desert Anesthesia Inc
PO Box 93173PhoenixAZ95070Anesthesia Services1085448
O GRADY PEYTON INTERNATIONAL
4441 COLLECTIONS CENTER DRIVECHICAGOIL60693Nursing Registry862237
SODEXHO
DEPARTMENT 42383LOS ANGELESCA90088LINEN SERVICES571120
MASTERPLAN
9582 TOPANGA CANYON BLVDCHATSWORTHCA91311CLINICAL EQUIPMENT SERVICES545421
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
Related Organizations109837RelatedOrganizations
Total Contributions109837TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net patient services621990123400253123400253
Rental Income531120768673768673
Lab Tests621500159319159319
Cancer Center6215008807788077

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column353920TotalRevenueColumn
Related Or Exempt Function Income353920RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue124770242TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column193405TotalRevenueColumn
Exclusion$193,405ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other182839Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-182839Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-182839TotalRevenueColumn
Exclusion-$182,839ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
DEBT RESTRUCTURE GAIN900099758901$758,901
Cafeteria722210307385$307,385
DERIV. NET REAL. LOSS900099-836514-$836,514

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column72615TotalRevenueColumn
Exclusion$72,615ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue302387TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column125193032TotalRevenueColumn
Related Or Exempt Function Income124770242RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$312,953ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total8263Total
Program Services8263ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total564485Total
Program Services508378ProgramServices
Management And General56107ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total41211418Total
Program Services37115184ProgramServices
Management And General4096234ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7320536Total
Program Services6592907ProgramServices
Management And General727629ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3171714Total
Program Services2856460ProgramServices
Management And General315254ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total89747Total
Program Services78977ProgramServices
Management And General10770ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total556316Total
Program Services489558ProgramServices
Management And General66758ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total102932Total
Program Services90580ProgramServices
Management And General12352ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total242790Total
Program Services213655ProgramServices
Management And General29135ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10340748Total
Program Services9099858ProgramServices
Management And General1240890ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total107511Total
Program Services94610ProgramServices
Management And General12901ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7974427Total
Program Services7017496ProgramServices
Management And General956931ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total810073Total
Program Services712864ProgramServices
Management And General97209ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1269007Total
Program Services1116726ProgramServices
Management And General152281ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total391106Total
Program Services344173ProgramServices
Management And General46933ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total5751152Total
Program Services5061014ProgramServices
Management And General690138ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5586323Total
Program Services4915964ProgramServices
Management And General670359ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1188239Total
Program Services1045650ProgramServices
Management And General142589ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT16345848143843461961502
PATIENT USE CHARGEABLE54889644830288658676
PHARMACEUTICALS41056433612966492677
PROSTHESIS12540971103605150492
REAGENT RENTAL82949472995699538

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3835164Total
Program Services3594544ProgramServices
Management And General240620ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total118545997Total
Program Services105618022ProgramServices
Management And General12927975ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9767782BOY
EOY18662915EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3438481BOY
EOY11823EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY13422885BOY
EOY12758331EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY176751BOY
EOY104131EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2226914BOY
EOY2478457EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY905502BOY
EOY759376EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis100046259LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec59209073LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY43334291BOY
EOY40837186EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY13145144BOY
EOY9736179EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY368232BOY
EOY256309EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5435946BOY
EOY5073099EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY92221928BOY
EOY90677806EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY11735366BOY
EOY10211153EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY5048316BOY
EOY4921806EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY70320452BOY
EOY69196416EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY9988606BOY
EOY7507877EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8521128BOY
EOY2952224EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY105613868BOY
EOY94789476EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-13451238BOY
EOY-4111670EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY59298BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-13391940BOY
EOY-4111670EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY92221928BOY
EOY90677806EOY
FieldValueIRS element (for citing)
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 Basis49071043OtherCostOrOtherBasis
Depreciation24066597Depreciation
Book Value25004446BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis40849560OtherCostOrOtherBasis
Depreciation30920601Depreciation
Book Value9928959BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6762344OtherCostOrOtherBasis
Depreciation4221875Depreciation
Book Value2540469BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings40837186TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED COSTS, NET OF AMORTization1353573
Third PArty Settlement receivable120777
Due from Affiliates3598749
FieldValueIRS element (for citing)
Total Book Value Other Assets5073099TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ESTIMATED SELF-INSURANCE COSTS$2,510,267
DERIVATIVE INSTRUMENTS$418,017
DEPOSITS$23,940
FieldValueIRS element (for citing)
Total Of Amounts2952224TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart X:Identifier
Return ReferenceDescription of Uncertain Tax Positions Under FIN 48:ReturnReference
ExplanationRCSC adopted the provisions of ASC 740-10, Income Taxes, relating to accounting for uncertain tax positions on July 1, 2009, which had no financial statement impact to RCSC. RCSC 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. RCSC recognizes interest and penalties related to income tax matters in income tax expense.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
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 Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served441PersonsServed
Total Community Benefit Expense378961TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense378961NetCommunityBenefitExpense
Percent Of Total Expense0.00320PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense33302516TotalCommunityBenefitExpense
Direct Offsetting Revenue27776857DirectOffsettingRevenue
Net Community Benefit Expense5525659NetCommunityBenefitExpense
Percent Of Total Expense0.04660PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served441PersonsServed
Total Community Benefit Expense33681477TotalCommunityBenefitExpense
Direct Offsetting Revenue27776857DirectOffsettingRevenue
Net Community Benefit Expense5904620NetCommunityBenefitExpense
Percent Of Total Expense0.04980PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served441PersonsServed
Total Community Benefit Expense33681477TotalCommunityBenefitExpense
Direct Offsetting Revenue27776857DirectOffsettingRevenue
Net Community Benefit Expense5904620NetCommunityBenefitExpense
Percent Of Total Expense0.04980PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs22NumberOfActivitiesOrPrograms
Persons Served17000PersonsServed
Total Community Building Expense29500TotalCommunityBuildingExpense
Net Community Building Expense29500NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs25NumberOfActivitiesOrPrograms
Persons Served5120PersonsServed
Total Community Building Expense16250TotalCommunityBuildingExpense
Net Community Building Expense16250NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs47NumberOfActivitiesOrPrograms
Persons Served22120PersonsServed
Total Community Building Expense45750TotalCommunityBuildingExpense
Net Community Building Expense45750NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$13,356,691BadDebtExpenseAmount
Amount Attributable To1170677AmountAttributableTo
Amount Reimbursed By Medicare29170631AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare26968892CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall2201739MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Form990ScheduleHPartV

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 VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Bad Debt FootnotePart III, Line 4: The Hospital and the Group report patient accounts receivable for services rendered at net realizable amounts due from third-party payers, patients and others. The Hospital and the Group provides an allowance for doubtful accounts, which is based upon a review of outstanding receivables, historical collection information and existing economic conditions. As a service to the patient, the Hospital and the Group bill third-party payers directly and bill the patient when the patient's liability is determined. Patient accounts receivable balances past due more than 120 days are considered delinquent. Delinquent receivables are written off based on individual credit evaluation and specific circumstances of the patient or third-party payer.There is no costing methodology in determining bad debts. The actual write off method is used. The amount reported of $1,170,677 is the actual charity write offs according to the policy.BadDebtFootnote
Shortfall As Community BenefitPart III, Line 8: The Hospital and the Group have agreements with third-party payers that provide for payments to the Hospital 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 Hospital and audits thereof by the Medicare Administrative Contractor. The Hospital's Medicare cost reports have been audited by the Medicare fiscal intermediary through 2007. 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. All Arizona Hospital reimbursement rates have been frozen since October 1, 2008. The State anticipates reducing Hospital payments across the board on April 1, 2011, by 5%, which could reduce the Hospital's net patient reimbursement by approximately $1.3 million annually. There continues to be significant uncertainty regarding future payment cuts by the State's AHCCCS reimbursement program due to the ongoing State budget shortfalls.The Hospital and the Group have also entered into payment agreements with certain commercial insurance carriers, health maintenance organizations and preferred provider organizations. The basis for payment to the Hospital and the Group under these agreements includes prospectively determined rates per discharge, discounts from established charges and prospectively determined daily rates.ShortfallAsCommunityBenefit
Debt Collection PolicyPart III, Line 9b: The Hospital and the Group provide care without charge or at amounts less than their established rates to patients meeting certain criteria under their charity care policy. Because the Hospital and the Group do 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 excluded from revenue under the Hospital and the Group's charity care policy for the years ended June 30, 2010 and 2009 were approximately $1,174,000 and $618,000, respectively.DebtCollectionPolicy
Needs AssessmentPart VI, Line 2: Periodic Community Needs Assessments are conducted with the help of external consultants and hospital personnel.NeedsAssessment
Patient Education AssistancePart 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.PatientEducationAssistance
Community InformationPart 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, factory outlet shopping, 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.CommunityInformation
Community Building ActivitiesPart 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.CommunityBuildingActivities

Schedule I IRS990ScheduleI

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
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 (10 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
025725800000172804937026392300
Karen Francis
0208410000001756013616022378200
Cheryse Austin
149152000001008075880157748000
William Stubbs
257856000001202048910263949000
Paul Madejski
2683960000000138990282295000
Amelita Hitsman
15540100000418090980164917000
Marcia Whitbeck
153168000001115068880161171000
Susan Emrick
151327000001177053120157816000
RAMON MOURELO MD
0332019000000013239034525800
John Dernier
000002088910204903228021416800

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 4aJohn Dernier received severance pay of 6 months at his regular salary during calendar year 2009.
Part IIIPart 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.Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
JR McEvoy
Off. of the Org.321817Ins. Prem.0
Great Western Bank
Entity where John Hendren, Trustee serves as President352930Interest expenses and Bank fees0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part III, line 2New Program ServicesThe hospital added a new cardiac program during the year.
Form 990, Part VI, Section B, line 11The CFO and Director of Finance reviewed the Form 990 and will meet with the Board of Directors to review the return after filing.
Form 990, Part VI, Section B, line 12cThe organization requires an annual signature on the conflict of interest forms.
Form 990, Part VI, Section B, line 15This filing organization does not set or pay compensation to the CEO. Salary surveys are used to set compensation for the filing organization's key employees.
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 VIIHOURS DEVOTED TO RELATED ORGANIZATIONS:Rona Curphy spends a total average of 40 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 40 hours per week performing CFO services for the Regional Care Services Corporation and Affiliates, which includes Casa Grande Community Hospital. John Dernier is the former CEO of Regional Care Services Corporation and Affiliates and provided an average of 40 hours per week performing services for Casa Grande Community Hospital.

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/BusinessNameLine1Direct Controlling Entity NADirectControllingEntityNA
regional Care Physicians Group Inc
1800 E Florence BlvdCasa GrandeAZ85122263096262HealthcareAZ501(c)(3)9REGIONAL CARE SERVICES CORPORATION
Casa Grande Regional Retirement Community
1800 E Florence BlvdCasa GrandeAZ85122742558095HealthcareAZ501(c)(3)11a, IREGIONAL CARE SERVICES CORPORATION
REGIONAL CARE SERVICES CORPORATION
1800 E Florence BlvdCasa GrandeAZ85122860919714HealthcareAZ501(c)(3)11a, IN/A
Casa Grande Community Hospital Foundation inc
1800 E Florence BlvdCasa GrandeAZ85122311726569HealthcareAZ501(c)(3)7REGIONAL CARE SERVICES CORPORATION

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 Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
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