MT GRAHAM REGIONAL MEDICAL CENTER INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
MT GRAHAM REGIONAL MEDICAL CENTER INC (EIN 23-7094247)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-13
IRS object ID
201803179349307085
Schema version
2017v2.3
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)
Return2018-11-13T16:12:02-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1621 N ROBINSON AVE STE 200AddressLine1Txt
CityOKLAHOMA CITYCityNm
State AbbreviationOKStateAbbreviationCd
ZIP731026232ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237094247EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mt Graham Regional Medical Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMTGRBusinessNameControlTxt
Phone9283484000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 S 20th AvenueAddressLine1Txt
CitySaffordCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85546ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKeith BrycePersonNm
Person TitleCFOPersonTitleTxt
Phone9283484000PhoneNum
Signature2018-10-31SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim Hunwardsen CPAPreparerPersonNm
PTINP00484560PTIN
Phone4055942000PhoneNum
Preparation2018-10-31PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address98.173.248.226IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-10-31IPDt
IP Tm09:17:32IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdE10085862974BF89EE8F231EB831862A8F193D10AtSubmissionCreationDeviceId
At Submission Filing Device IdB602D594AFD2B0B327E07A06F36CA6A7E42546D0AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMark MarchettiPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 S 20th AvenueAddressLine1Txt
CitySaffordCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85546ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$64,023,342GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.mtgraham.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1970FormationYr
Legal Domicile StateAZLegalDomicileStateCd
Activity Or MissionTo provide quality and compassionate health care services.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee590TotalEmployeeCnt
Total Volunteers130TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$187,836PYContributionsGrantsAmt
CY Contributions Grants$45,729CYContributionsGrantsAmt
PY Program Service Revenue$60,110,876PYProgramServiceRevenueAmt
CY Program Service Revenue$61,653,970CYProgramServiceRevenueAmt
PY Investment Income$667,824PYInvestmentIncomeAmt
CY Investment Income$811,506CYInvestmentIncomeAmt
PY Other Revenue$340,645PYOtherRevenueAmt
CY Other Revenue$372,410CYOtherRevenueAmt
PY Total Revenue$61,307,181PYTotalRevenueAmt
CY Total Revenue$62,883,615CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$31,073,482PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$29,148,905CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$27,777,840PYOtherExpensesAmt
CY Other Expenses$31,280,213CYOtherExpensesAmt
PY Total Expenses$58,851,322PYTotalExpensesAmt
CY Total Expenses$60,429,118CYTotalExpensesAmt
PY Revenues Less Expenses$2,455,859PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,454,497CYRevenuesLessExpensesAmt
Total Assets BOY$81,482,299TotalAssetsBOYAmt
Total Assets EOY$79,865,993TotalAssetsEOYAmt
Total Liabilities BOY$9,095,926TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,582,646TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$72,386,373NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$76,283,347NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWe are caring people committed to improving community health.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$49,684,141ExpenseAmt
Revenue$61,653,970RevenueAmt
DescMt. Graham Regional Medical Center, Inc. is a 49-bed acute care hospital located in Graham County, Arizona. We are a nonprofit, community-owned and governed facility providing extensive medical services for Graham and Greenlee counties of Arizona. Our services include medical/surgical services, intensive care, obstetrics, emergency services, infusion therapy, chemotherapy, respiratory therapy, laboratory services, radiology, digital mammography, ultrasound, CT scans, MRI scans, nuclear medicine, home care and hospice. (Continued on Schedule O.)In addition to the services provided by the Medical Center, each month the following specialty care clinics are provided on the hospital campus: allergy and immunology; audiology; cardiology; dermatology; oncology; orthopedics; pediatric cardiology; pediatric neurology; pulmonary and urology. In 2017, the Medical Center had 4,861 inpatient visits and 71,253 outpatient visits.The Medical Center provides health care services to patients who meet certain criteria under its charity care policy without charge or at amounts less that established rates. Since the Hospital does not pursue collection of these amounts, they are not reported as patient service revenue. The estimated cost of providing these services was approximately $181,000 for the year ended December 31, 2017, calculated by multiplying the ratio of cost to gross charges for the Medical Center by the gross uncompensated charges associated with providing charity care to its patients.Desc
Total Program Service Expenses$49,684,141TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document70IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee590EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldAZStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Keith BryceBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9283484099PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 S 20th AvenueAddressLine1Txt
CitySaffordCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85546ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Caro Gaethje
Chair1.00Yes (X)Yes (X)$0$0$0
Debbie Watson
Vice Chair1.00Yes (X)Yes (X)$0$0$0
Cindy Bryce
Secretary/Treasurer1.00Yes (X)Yes (X)$0$0$0
Trent Batty MD
Chief of Staff2.00Yes (X)$18,000$0$0
Matthew Sampson MD
Vice Chief of Staff1.00Yes (X)$3,000$0$0
Rex Bryce MD
Member1.00Yes (X)$0$0$0
Bart J Carter MD
Member1.00Yes (X)$0$0$0
Matt Clifford
Member1.00Yes (X)$0$0$0
Cecil L Evans
Member1.00Yes (X)$0$0$0
Steve Goodman
Member1.00Yes (X)$0$0$0
Susan J Jones MD
Member5.00Yes (X)$13,350$0$0
Tom Johnson
Member1.00Yes (X)$0$0$0
John Martin
Member1.00Yes (X)$0$0$0
Carolyn McCormies
Member1.00Yes (X)$0$0$0
Bruce Stanfield
Member1.00Yes (X)$0$0$0
Jean Reynolds
Member1.00Yes (X)$0$0$0
Eldon Woodall
Member1.00Yes (X)$0$0$0
Mark Marchetti
President & CEO40.00Yes (X)$225,798$0$56,635
Keith Bryce
CFO40.00Yes (X)$168,369$0$51,788
Jason Branch MD
ER Physician36.00$395,263$0$52,316Yes (X)
Clayton Hargis MD
ER Physician36.00$368,042$0$56,822Yes (X)
Vincent Bournique MD
Cardiologist40.00$394,054$0$53,882Yes (X)
Llaura Beach
Hospitalist36.00$293,813$0$20,782Yes (X)
David Bryce MD
ER Physician36.00$417,503$0$41,655Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,297,192TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$333,880TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K25IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Roadrunner Rehab
2290 16th StreetSaffordAZ85546Physical Therapy Services$1,015,048
Gila Valley Orthopedics PC
2270 W 16th StreetSaffordAZ85546Orthopedic Services$495,393
Sonora Quest Labs
PO Box 29661 Dept 2059PhoenixAZ850389661Laboratory Services$387,397
Mountain View Anesthesia PC
2466 N Webster RoadCentralAZ85531Anesthesia Services$384,000
Barton Associates Inc
300 Jubilee DrivePeabodyMA01960Provide Traveling Workers$359,608
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt
All Other Contributions$45,729AllOtherContributionsAmt
Total Contributions$45,729TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient service revenue622110$60,880,871$60,880,871
EHR incentive900099$215,400$215,400
Equity in affiliate900099$3,447$3,447

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$554,252TotalRevenueColumnAmt
Related Or Exempt Func Income$554,252RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$61,653,970TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$540,404TotalRevenueColumnAmt
Exclusion$540,404ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$377,971RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$5,561RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$372,410RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$372,410TotalRevenueColumnAmt
Exclusion$372,410ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,378,673SecuritiesAmt
Other$26,595OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,134,166SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$244,507SecuritiesAmt
Other$26,595OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$271,102TotalRevenueColumnAmt
Exclusion$271,102ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$62,883,615TotalRevenueColumnAmt
Related Or Exempt Func Income$61,653,970RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,183,916ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$502,591TotalAmt
Management And General$502,591ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$641,067TotalAmt
Program Services$641,067ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$23,007,099TotalAmt
Program Services$19,594,008ProgramServicesAmt
Management And General$3,413,091ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$626,729TotalAmt
Program Services$563,611ProgramServicesAmt
Management And General$63,118ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,748,216TotalAmt
Program Services$2,340,142ProgramServicesAmt
Management And General$408,074ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,623,203TotalAmt
Program Services$1,353,429ProgramServicesAmt
Management And General$269,774ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$110,662TotalAmt
Management And General$110,662ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$74,198TotalAmt
Management And General$74,198ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,067,232TotalAmt
Program Services$4,747,146ProgramServicesAmt
Management And General$1,320,086ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$149,920TotalAmt
Program Services$182ProgramServicesAmt
Management And General$149,738ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,875,838TotalAmt
Program Services$1,535,720ProgramServicesAmt
Management And General$2,340,118ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$731,514TotalAmt
Program Services$731,514ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$113,902TotalAmt
Program Services$88,500ProgramServicesAmt
Management And General$25,402ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$81,128TotalAmt
Program Services$61,734ProgramServicesAmt
Management And General$19,394ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$94,084TotalAmt
Program Services$94,084ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,242,127TotalAmt
Program Services$4,242,127ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,175,297TotalAmt
Program Services$70,355ProgramServicesAmt
Management And General$1,104,942ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$8,474,895$8,474,895
Bad debt expense$3,674,727$3,674,727
Repairs & maintenance$2,194,635$1,259,021$935,614
Dietary$119,841$112,911$6,930

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$100,213TotalAmt
Program Services$98,968ProgramServicesAmt
Management And General$1,245ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$60,429,118TotalAmt
Program Services$49,684,141ProgramServicesAmt
Management And General$10,744,977ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,257,985BOYAmt
EOY$535,348EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,588,288BOYAmt
EOY$6,529,691EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$18,000BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,473,763BOYAmt
EOY$1,460,888EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,872,547BOYAmt
EOY$1,891,304EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$76,288,304LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$51,263,913LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$27,512,478BOYAmt
EOY$25,024,391EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$34,926,242BOYAmt
EOY$38,823,794EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$4,782,111BOYAmt
EOY$5,448,107EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$152,470EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$50,885BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$81,482,299BOYAmt
EOY$79,865,993EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,527,844BOYAmt
EOY$3,186,371EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,457,819BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$110,263BOYAmt
EOY$396,275EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,095,926BOYAmt
EOY$3,582,646EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$69,182,578BOYAmt
EOY$76,120,770EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,203,795BOYAmt
EOY$162,577EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$72,386,373BOYAmt
EOY$76,283,347EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$81,482,299BOYAmt
EOY$79,865,993EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,454,497ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,442,477NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,843,865OtherCostOrOtherBasisAmt
Book Value$1,843,865BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$32,895,848OtherCostOrOtherBasisAmt
Depreciation$19,903,509DepreciationAmt
Book Value$12,992,339BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$92,292OtherCostOrOtherBasisAmt
Depreciation$42,163DepreciationAmt
Book Value$50,129BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$38,740,280OtherCostOrOtherBasisAmt
Depreciation$29,414,859DepreciationAmt
Book Value$9,325,421BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,716,019OtherCostOrOtherBasisAmt
Depreciation$1,903,382DepreciationAmt
Book Value$812,637BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$25,024,391TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescAlternative investmentsDesc
Book Value$5,448,107BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$5,448,107TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Estimated third-party settlements$49,655
Self-insurances claims$346,620
FieldValueIRS element (for citing)
Total Liability$396,275TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$60,477,543TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,442,477NetUnrealizedGainsInvstAmt
Other Revenue-$3,848,549OtherRevenueAmt
Revenue Not Reported-$2,406,072RevenueNotReportedAmt
Revenue Subtotal$62,883,615RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$62,883,615TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$56,580,569TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$2,091OtherExpensesIncludedAmt
Expenses Not Reported$2,091ExpensesNotReportedAmt
Expenses Subtotal$56,578,478ExpensesSubtotalAmt
Other Expenses Not Included$3,850,640OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$3,850,640ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$60,429,118TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part XI, Line 2d - Other Adjustments:Bad debt expense recorded in revenue for financial statements -3,674,727. Interest expense recorded in revenue for financial statements -94,084. Grant expenses recorded in revenue for financial statements -68. Other expenses recorded in revenue for financial statements -81,761. Mt. Graham Community Health Services, Inc. eliminated for 990 reporting 2,091.
Part XII, Line 2d - Other Adjustments:Mt. Graham Community Health Services, Inc. eliminated for 990 reporting 2,091.
Part XII, Line 4b - Other Adjustments:Bad debt expense recorded in revenue for financial statements 3,674,727. Interest expense recorded in revenue for financial statements 94,084. Grant expenses recorded in revenue for financial statements 68. Other expenses recorded in revenue for financial statements 81,761.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$181,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$181,000NetCommunityBenefitExpnsAmt
Total Expense0.00320TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,708,002TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,518,747DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,189,255NetCommunityBenefitExpnsAmt
Total Expense0.09140TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,889,002TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,518,747DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,370,255NetCommunityBenefitExpnsAmt
Total Expense0.09460TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$36,923TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,995DirectOffsettingRevenueAmt
Net Community Benefit Expns$26,928NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$677,496TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$239,248DirectOffsettingRevenueAmt
Net Community Benefit Expns$438,248NetCommunityBenefitExpnsAmt
Total Expense0.00770TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,729TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$45,729NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$760,148TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$249,243DirectOffsettingRevenueAmt
Net Community Benefit Expns$510,905NetCommunityBenefitExpnsAmt
Total Expense0.00900TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,649,150TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,767,990DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,881,160NetCommunityBenefitExpnsAmt
Total Expense0.10360TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$3,674,727BadDebtExpenseAmt
Bad Debt Expense Attributable$220,484BadDebtExpenseAttributableAmt
Reimbursed By Medicare$8,619,163ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$9,797,135CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,177,972MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mt Graham Regional Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 S 20th AvenueAddressLine1Txt
CitySaffordCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85546ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.mtgraham.orgWebsiteAddressTxt
State LicenseH0140StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Other1 provider based rural health clinicOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Mt Graham Regional Medical Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Page 8OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLwww.mtgraham.org/chna-implementation-plan.aspxStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.mtgraham.org/charity-care-policy.aspxFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.mtgraham.org/cope-charity-care.aspxFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.mtgraham.org/cope-charity-care.aspxFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Mt. Graham Regional Medical Center, Inc.Part V, Section B, Line 5: To ensure that all individuals within our service area were represented, MGRMC invited individuals from our community representing not only civic and non-profit organizations, but also a wide scope of ethnicities and cultural backgrounds. Local health care providers and county public health department officials were also included to provide additional professional perspective. The underserved population in Graham County was represented through government agencies, hospital clinics for the uninsured or underinsured, and non-profit organizations that solely exist to meet the needs of the underserved. It was our goal to guarantee that the needs of all Graham County residents would be addressed.
Mt. Graham Regional Medical Center, Inc.Part V, Section B, Line 11: MGRMC is continuing its efforts to attract additional medical providers to the Gila Valley. MGMRC continues its efforts to recruit for a Family Practitioner as a provider and Medical Director of the Copper Mountain Clinic, a hospitalist, and an ED physician. Telemedicine is still being explored to provide additional physician coverage.MGRMC continues to provide financial support to the Graham County Substance Abuse Coalition in their efforts to combat opioid abuse and response in the Gila Valley.The feasibility of instituting Tele-Psych into the Emergency department continues to be explored.In early 2017, the hospital employed a Registered Dietician on a full-time basis to oversee nutrition and diabetes services, replacing a part-time contract dietician. The hospital continues to sponsor and support the Gila Valley Diabetes Coalition which exists to increase awareness of and response to diabetes.Transportation is still an ongoing issue. MGRMC is committed to remaining an active participant in community conversations and solutions.MGRMC services pricing is reviewed on a regular basis relative to cost and market conditions. The hospital's prompt pay discount program and charity care program provide financial support and are continually being expanded.MGRMC will once again review the financial feasibility of offering expanded oncology services through our Cancer Center. It is the mission of MGRMC to offer as many health care solutions locally as possible while maintaining a secure financial position so that the future of the organization is not compromised.
Mt. Graham Regional Medical Center, Inc.Part V, Section B, Line 16j: A summary, including contact information, was included in our emergency rooms, waiting rooms, admissions offices, and provided to patients on admission to the hospital facility.
Mt. Graham Regional Medical Center, Inc.Part V, Section B, Line 24: All individuals eligible under the Medical Center's financial assistance policy are provided a discount for emergency and other medically necessary care. The financial assistance policy does not apply to elective procedures. Therefore, FAP-eligible patients without insurance may be charged gross charges on elective procedures.
Part V, Section B, Line 7a:www.mtgraham.org/community-health-needs-assessment.aspx
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
2 - Mt Graham Hospice
1600 S 20th Avenue Building ESaffordAZ85546Hospice services
3 - Mt Graham Specialty Clinic
1600 S 20th Avenue Building ESaffordAZ85546Physician clinic

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:Charity care was converted to cost using an overall cost-to-charge ratio addressing all patient segments. Unreimbursed Medicaid was calculated using the costing methods to prepare the cost reports. Community health improvement services and cash and in-kind contributions were reported based on expenses recorded in the general ledger. The cost for subsidized health services was determined using the Medicare Cost Report.
Part I, Ln 7 Col(f):Bad debt expense in the amount of $3,674,727 was removed from total expenses to determine the percent of total expense on Worksheet 1.
Part III, Line 2:Accounts are not written off to bad debt until all payments, discounts, and contractual allowances are applied. When a payment is received on an account previously written off to bad debt, the payment reduces the current year's bad debt expense.Bad debt expense on line 2 is reported at charges as presented on the financial statements.
Part III, Line 3:The amount of bad debt expense attributable to patients eligible for charity care is based on the percentage of applications that have been denied because they were incomplete.
Part III, Line 4:The footnote to the Organization's financial statements can be found on page 14 of the attached audited financial statements.
Part III, Line 8:The entire Medicare shortfall is considered a community benefit. Services are provided to patients under the Medicare program even though the hospital knows they will not recover all of the costs from providing the services. This program is considered subsidized by the hospital and other payors. Patients rely on these services for their health and well-being and are essential for their access to healthcare. The costs associated with Medicare were taken from the Medicare Cost Report. The Medicare Cost Report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services.
Part III, Line 9b:The Hospital must determine whether an individual is FAP-eligible or provide required notices during a notification period ending 120 days after the date of the first billing statement. Although the Hospital may use extraordinary collection efforts after the 120-day notification period, we must still accept and process a FAP application for an additional 120 days. The total period during which we must accept and process FAP applications is 240 days from the date of the first billing statement. If the hospital receives a FAP application during the application period, we must suspend any extraordinary collection efforts started until the application is processed, and if the individual is FAP-eligible, must seek to reverse the extraordinary collection efforts and promptly refund any overpaid amounts. Debts may be referred to third parties to assist with collection efforts, they may not be sold to third parties during the notification period until an eligibility determination has been made.
Part VI, Line 2:Throughout the year, the hospital works closely with community clinics on recruiting, scheduling, and services review. The hospital also continues to expand its charity care program.
Part VI, Line 3:Mt. Graham Regional Medical Center provides brochures for charity care at time of admission. Patients are given additional information with contact information at time of inpatient admission and discharge. Brochures with information about charity care are located in admission areas and other areas of the organization in which eligible patients are likely to be present. Charity care brochures are also provided to local physicians to provide information to their patients who may need services at Mt. Graham Regional Medical Center. When patients are contacted by phone for collection purposes, patients are given additional information regarding our charity care program. Mt. Graham Regional Medical Center has contracted HPS (Hospital Patient Services) to assist patients with government benefits such as Medicaid.
Part VI, Line 4:Mt. Graham Regional Medical Center is an acute care hospital located in Safford which is in Graham County, Arizona. Graham County is a rural area with a population of approximately 37,220. MGRMC serves Graham, Greenlee and northern Cochise counties. The median household income is $40,609, and 21.5% of Graham County is below poverty level. The two facilities closest to our facility are approximately 50-75 miles away, and both are critical access facilities. In its rural setting, the hospital serves the population with general surgery and orthopedic surgery. Other specialists come to the hospital on a weekly or monthly basis to provide service to community members.
Part VI, Line 5:The majority of MGRMC's governing body is comprised of persons who reside in the Organization's primary service area. MGRMC extends medical staff privileges to all qualified physicians in the community. MGRMC provides emergency room services regardless of ability to pay.Mt. Graham Regional Medical Center (MGRMC) is a facility dedicated to promoting the health of the community. MGRMC provides services through our Community Health Department and Rural Health such as teen pregnancy prevention, tobacco cessation program, diabetes education and Annual Gila Valley Health Fair. The amount reported as community health improvement services represents the excess of costs for these events over the funds received from government agencies to put on the events. MGRMC supports the education and training of healthcare professionals. MGRMC offers volunteer opportunities to the community through our auxiliary.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Mark Marchetti
President & CEO$225,509$0$101$0$188$0$31,539$0$25,096$0$282,433$0$0$0
Keith Bryce
CFO$164,804$0$101$0$3,464$0$28,393$0$23,394$0$220,156$0$0$0
Jason Branch MD
ER Physician$388,471$0$102$0$6,690$0$27,275$0$25,041$0$447,579$0$0$0
Clayton Hargis MD
ER Physician$367,872$0$102$0$68$0$27,272$0$29,550$0$424,864$0$0$0
Vincent Bournique MD
Cardiologist$393,820$0$102$0$132$0$33,968$0$19,915$0$447,937$0$0$0
Llaura Beach
Hospitalist$293,693$0$102$0$18$0$5,300$0$15,482$0$314,595$0$0$0
David Bryce MD
ER Physician$417,379$0$102$0$22$0$16,445$0$25,210$0$459,158$0$0$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (12 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Gila Valley Orthopedics PC
Rex Bryce, MD, board member, is owner of organization$495,393Payment for Orthopedic services0
Michael Carter
Son to Bart Carter, MD - physician and board member$71,117Compensation and benefits as an employee0
Cecil Lee Evans
Son to Cecil Evans - board member$68,683Compensation and benefits as an employee0
Staci Hincha
Daughter to Cindy Bryce - board member$102,857Compensation and benefits as an employee0
Kerri Hopson
Daughter to Debra Watson - board member$97,369Compensation and benefits as an employee0
Loni Sanders
Daughter to Eldon Woodall - board member$88,310Compensation and benefits as an employee0
Danielle Carter
Daughter to Bart Carter, MD - physician and board member$46,717Compensation and benefits as an employee0
Kyle Lines
Son-in-law to Bart Carter, MD - physician and board member$52,468Compensation and benefits as an employee0
Yummi Evans
Daughter-in-law to Cecil Evans - board member$91,234Compensation and benefits as an employee0
Bart J Carter MD PC
Bart Carter, MD, physician and board member, is owner$242,100Payment for services0
Alexis Carter
Daughter to Bart Carter, MD - physician and board member$22,312Compensation and benefits as an employee0
Mountain View Anesthesia PC
Cindy Bryce's son-in-law is >35% owner$384,000Payment for services0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 1Of the two Designated Directors from the Medical Staff, one is the Chief of Staff, or in his or her absence, the Vice-Chief of Staff, and the other is approved by the District Board. Only two are considered Designated Directors with one vote each.
Form 990, Part VI, Section A, line 2Cindy Bryce, Secretary/Treasurer of the Board and Rex Bryce, MD, board member, have a family relationship.
Form 990, Part VI, Section A, line 7aThe Board includes two members of the active Medical Staff and five Directors who are members of the Board of Directors of the Mt. Graham Hospital District of Graham County, Arizona. These members are referred to as Designated Directors. The Designated Directors must be approved and confirmed by the District Board before taking office. The same individual may serve as a Designated Director in more than one capacity, but is entitled to only one vote as Director. If the dual appointment reduces the number of Directors below the minimum, then the District Board will appoint a new Director.
Form 990, Part VI, Section A, line 8bThe Organization does not have a committee with authority to act on behalf of the governing body.
Form 990, Part VI, Section B, line 11bThe Form 990 is provided to the board before it is filed. The Finance Committee, CFO and CEO review the Form 990.
Form 990, Part VI, Section B, line 12cEach officer, director, and key employee is required to complete a conflict of interest disclosure annually. The forms are reviewed initially by the Compliance Officer as well as other officers or department directors as necessary. Any actual conflicts are reviewed by the Board of Directors. A person with a conflict is restricted from voting on related matters.
Form 990, Part VI, Section B, line 15aThe Board of Directors annually conducts an evaluation of the CEO and sets goals for the coming year. Compensation for the CEO is determined and approved by the Board of Directors. Comparability data is used and the process is documented. The compensation of CFO is approved by the CEO.
Form 990, Part VI, Section C, line 19The Organization's governing documents, conflict of interest policy and financial statements are made available upon request at the administrative offices.
Form 990, Part IX, line 11gProfessional fees: Program service expenses 2,183,315. Management and general expenses 621,636. Fundraising expenses 0. Total expenses 2,804,951. Purchased services: Program service expenses 976,612. Management and general expenses 680,450. Fundraising expenses 0. Total expenses 1,657,062. Medical consultants: Program service expenses 1,587,219. Management and general expenses 18,000. Fundraising expenses 0. Total expenses 1,605,219.

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Mt Graham Community Health Services IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 S 20th AvenueAddressLine1Txt
CitySaffordCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85546ZIPCd
FieldValueIRS element (for citing)
EIN860733116EIN
Primary ActivitiesPhone answering servicePrimaryActivitiesTxt
Legal Domicile StateAZLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Mt Graham Regional Medical Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income$3,447ShareOfTotalIncomeAmt
Share Of EOY Assets$152,597ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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