Form 990 for tax year 2022

Totals

Total revenue

$216,856,278

Total expenses

$213,260,508

Contributions and grants received

$500

Grants paid

$186,411

Program service revenue

$216,485,321

Investment income

-$81,786

Other revenue

$452,243

Total assets, end of year

$102,743,186

Total liabilities, end of year

$45,149,689

Net assets or fund balances, end of year

$57,593,497

Program services expenses (Part IX)

$192,956,537

Management and general expenses

$20,303,971

Fundraising expenses

$0

Program service expenses (Part III)

$192,956,537

Program services were 90.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Mission and programs · 2022

• ESTABLISHED IN 1993, BY 2010 OUR 350+ PROVIDER MULTI-SPECIALTY GROUP PRACTICE EVOLVED INTO DISTRICT MEDICAL GROUP, INC. (DMG), A PHYSICIAN-CENTRIC, PHYSICIAN-LED, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION, AND ONE OF THE LARGEST MEDICAL OFFICES IN THE PHOENIX AREA. OUR MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS IN THE PHOENIX AREA THROUGH THIS INTEGRATED GROUP PRACTICE, FOCUSING ON PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. WE STRIVE TO ENSURE THAT OUR PATIENTS HAVE EQUAL ACCESS TO THE HIGHEST QUALITY, SAFEST CARE IN THE MOST APPROPRIATE SETTINGS, REGARDLESS OF A PATIENT'S ABILITY TO PAY. WE SEEK TO CREATE AND SUPPORT NEW PROGRAMS AND SERVICES THAT REFLECT THE NEEDS OF ALL PATIENTS, ACROSS ALL SPECTRUMS OF LIFE- FROM BIRTH TO THE ELDERLY, INCLUDING THE MOST VULNERABLE, THE POOR AND THE UNDERSERVED. THE HEART OF OUR MISSION IS PROVIDING EXCEPTIONAL AND COMPASSIONATE MEDICAL CARE WITH NO RESTRICTIONS TO OUR ENTIRE COMMUNITY. DMG WITH ITS AFFILIATES COMPRISE 70 CLINICAL SITES, MORE THAN 500 PHYSICIANS, 200 NON-PHYSICIAN PROVIDERS, AND OVER 70 ANCILLARY CLINIC STAFF. IN 2022, DESPITE THE LINGERING EFFECTS OF THE COVID-19 PANDEMIC, DMG SERVED PATIENT VOLUMES OF CLOSE TO 20,000 AS INPATIENT, OVER 475,000 AS OUTPATIENT, AND ALMOST 90,000 EMERGENCY VISITS. DURING 2022 DMG'S DIRECT ECONOMIC OUTPUT, INCLUDING THE SERVICE ECONOMY, IS ESTIMATED AT OVER $178 MILLION. THE INDIRECT ECONOMIC BENEFIT TO THE COMMUNITY IS SIGNIFICANTLY MORE.DISTRICT MEDICAL GROUP STAFFS THE VALLEYWISE HEALTH SYSTEM, WHICH INCLUDES A 325-BED ACUTE CARE HOSPITAL, THREE INPATIENT PSYCHIATRIC HOSPITALS TOTALING MORE THAN 340 BEDS, TWO EMERGENCY DEPARTMENTS, NINE FAMILY HEALTH CENTERS THROUGHOUT THE VALLEY AND TWO LARGE DIAGNOSTIC CENTERS. DMG ALSO STAFFS THE INTERNATIONALLY RENOWNED ARIZONA BURN CENTER, THE 2ND LARGEST IN THE US, ADMITTING OVER 1,675 PATIENTS/YEAR AND SERVING MORE THAN 8,000 PATIENTS/YEAR IN AN OUTPATIENT SETTING; THE VERIFIED AMERICAN COLLEGE OF SURGEONS LEVEL I TRAUMA CENTER, AND LEVEL 2 PEDIATRIC TRAUMA CENTER; AND THE ARIZONA CHILDREN'S CENTER, A NACHRI-CERTIFIED CHILDREN'S HOSPITAL, CARING FOR CHILDREN THROUGH THE PEDIATRIC EMERGENCY DEPARTMENT, PEDIATRIC INTENSIVE CARE UNIT, THE NEONATAL INTENSIVE CARE UNIT, AND THE PEDIATRIC INPATIENT AREAS, WITH A DEDICATED AREA FOR PEDIATRIC PROCEDURAL SEDATIONS. AMONG OTHER INNOVATIVE PROGRAMS THAT DMG PROVIDES IS THE REFUGEE WOMEN'S HEALTH CLINIC, THE FIRST OF ITS KIND IN ARIZONA, PROVIDING CULTURALLY GROUNDED HEALTHCARE TO THE GROWING REFUGEE AND IMMIGRANT COMMUNITY. THROUGH AFFILIATION WITH VALLEYWISE HEALTH SYSTEM, THE UNIVERSITY OF ARIZONA - COLLEGE OF MEDICINE PHOENIX, AND THE CREIGHTON UNIVERSITY ARIZONA HEALTH EDUCATION ALLIANCE, WE ARE A RECOGNIZED LEADER IN PROVIDING HIGH QUALITY, INNOVATIVE MEDICAL CARE DELIVERED IN A FISCALLY RESPONSIBLE AND COST-EFFECTIVE MANNER. AS THE LARGEST TEACHING FACULTY IN PHOENIX, WE ANNUALLY TRAIN OVER 230 RESIDENTS AND FELLOWS, ANOTHER 60 IN AFFILIATED PROGRAMS, AND SUPERVISE CLOSE TO 500 MEDICAL STUDENT ROTATIONS. A MAJORITY OF DMG PHYSICIANS HOLD FACULTY POSITIONS WITH THE UNIVERSITY OF ARIZONA - COLLEGE OF MEDICINE PHOENIX AND/OR CREIGHTON UNIVERSITY, PARTICIPATING IN CLINICAL LECTURES AND OTHER ACADEMIC EVENTS, AND ACTIVELY TEACHING AND SUPPORTING SCHOLARSHIP AND RESEARCH ACTIVITIES. IN RECENT YEARS WE HAVE BEEN INVOLVED IN A SIGNIFICANT NUMBER OF ACTIVE RESEARCH PROJECTS, INCLUDING INDUSTRY-SPONSORED AND NIH GRANTS. EXAMPLES OF OUR INVOLVEMENT INCLUDE:DYNAMICS OF SEROLOGICAL RESPONSES TO SARS-COV-2 INFECTION: LONGITUDINAL SEROSURVEILLANCE AND SERO-PROTECTION STUDIESPREVALENCE OF PATHOGENS IN SYNOVIAL FLUID OBTAINED FROM EMERGENCY DEPARTMENT PATIENTS AND CLINICAL AND LABORATORY FEATURES OF PATIENTS DIAGNOSED WITH SEPTIC ARTHRITISA PIVOTAL STUDY TO ASSESS THE SAFETY AND EFFECTIVENESS OF NOVOSORB BIODEGRADABLE TEMPORIZING MATRIX (BTM) IN THE TREATMENT OF SEVERE BURN SKIN INJURIESTHE ACUTE BURN RESUSCITATION MULTICENTER PROSPECTIVE TRIAL - 2 (ABRUPT 2)EVALUATION OF THE CLINICAL PERFORMANCE OF THE PAXGENE BLOOD CCFDNA TUBE IN COMPARISON TO THE BD VACUTAINER K2EDTA TUBE USING THE THERASCREEN PIK3CA RGQ PCR KITPSYCHIATRY BOOTCAMP: ENHANCING INCOMING RESIDENT CONFIDENCE AND KNOWLEDGECOVID-19 VARIANTS AND MORBIDITY AND MORTALITYINTERSECTING GLOBAL EPIDEMICS RIGHT AT HOME: UNDERSTANDING THE IMPACT OF INTIMATE PARTNER VIOLENCE AMONG HIV-POSITIVE WOMEN AND THEIR ENGAGEMENT IN THE HIV CONTINUUM OF CARESARS-COV-2 GENOMIC SEQUENCING OF HOSPITAL CASESAN OPEN, NON-COMPARATIVE, MULTI-CENTER INVESTIGATION TO EVALUATE PERFORMANCE AND SAFETY OF EXUFIBER AG+ AND EXUFIBER ON PARTIAL THICKNESS BURNSANALYSIS OF EXTRACELLULAR VESICLE COMPOSITION IN DIABETIC KIDNEY DISEASE (DKD)AN ADAPTIVE, RANDOMIZED, CONTROLLED TRIAL EVALUATING THE EFFECTIVENESS OF PERMEADERM AS COMPARED TO MEPILEX AG USED AS STANDARD OF CARE IN THE TREATMENT OF ADULT AND PEDIATRIC PARTIAL THICKNESS BURNSA PHASE 2, OPEN-LABEL, RANDOMIZED, ACTIVE-CONTROLLED PILOT STUDY OF INVESTIGATIONAL DRUG, MW-III VERSUS SILVADENE CREAM 1% (SILVER SULFADIAZINE) TOPICALLY APPLIED TO SECOND-DEGREE THERMAL BURNS IN ADULTSCLINICAL TRIAL TO ASSESS THE EFFICACY OF MICROLYTE MATRIX ON THE HEALING OF SURGICALLY CREATED PARTIAL THICKNESS DONOR SITE WOUNDS ON PATIENTS REQUIRING SPLIT-THICKNESS SKIN GRAFTINGNATIENS: A PHASE III RANDOMIZED STUDY TO DETERMINE THE MECHANISMS AND OPTIMAL MANAGEMENT OF STEVENS-JOHNSON SYNDROME AND TOXIC EPIDERMAL NECROLYSISDISPARITIES IN TELEMEDICINE USE AND HEALTHCARE UTILIZATION PATTERNS DURING THE COVID-19 PANDEMICDMG BELIEVES THAT CREATING AN INSTITUTIONAL CULTURE OF SCHOLARSHIP AND PROMOTING CLINICAL RESEARCH IMPROVES THE HEALTH AND WELL-BEING OF ALL OUR PATIENTS AND THEIR COMMUNITIES. DMG PHYSICIANS ARE FREQUENT CONTRIBUTORS TO NATIONAL PEER-REVIEWED PUBLICATIONS AND PRESENTERS AT NATIONAL MEDICAL CONFERENCES AND WORKSHOPS, HOLDING ACTIVE LEADERSHIP POSITIONS IN STATE, NATIONAL, AND INTERNATIONAL MEDICAL SOCIETIES. DMG PROVIDERS AND EMPLOYEES FURNISH SIGNIFICANT ASSISTANCE AND PERSONAL RESOURCES TO THE COMMUNITY AS WELL AS OUTLYING AREAS THROUGH SCREENINGS, IMMUNIZATIONS, AND INFORMATION/ACCESS TO INTEGRATED SERVICES AT HEALTH FAIRS; THROUGH COMMUNITY OUTREACH EVENTS HIGHLIGHTING PRENATAL SCREENINGS, REHABILITATION, HOSPICE, SENIOR CARE, TRANSPORTATION AND CARE COORDINATION; THROUGH BACK-TO-SCHOOL AND HOLIDAY CLINICS FOR CHILDREN AND STUDENTS; THROUGH CHILDHOOD AND ADOLESCENT OBESITY CLINICS; AND THROUGH SEMINARS PROMOTING EXERCISE AND NUTRITION IN OUR PARTNERSHIPS WITH LOCAL SCHOOLS. DMG PHYSICIANS VOLUNTEER THEIR TIME SEEING PATIENTS AT THE ARIZONA STATE HEALTH DEPARTMENT, THE CRISIS NURSERY, ST. VINCENT DE PAUL, THE RED CROSS AND SCORES OF NONPROFIT AGENCIES, CENTERS AND CLINICS ACROSS THE COUNTY AND THE STATE. AWARENESS AND SENSITIVITY TO THE HISTORICAL, CULTURAL, AND TRADITIONAL MORES OF THE LARGE HISPANIC AND VARIED NATIVE AMERICAN POPULATIONS ACROSS ARIZONA IS A HALLMARK OF DMG'S LONGSTANDING COMMITMENT TO MAKING HEALTHCARE SERVICES AND INFORMATION ACCESSIBLE AND EFFECTIVE FOR EVERYONE, BENEFITING THE ENTIRE COMMUNITY. NATIONALLY AND INTERNATIONALLY, DMG'S PHYSICIANS HAVE BEEN ON THE SCENE WHEREVER MEDICAL HELP IS NEEDED, BRINGING THEIR CLINICAL EXPERTISE TO COMBAT HOSPITALS IN WAR-TORN AREAS, TO RELIEF EFFORTS IN THIS COUNTRY AND ABROAD, AND IN DAY-TO-DAY MEDICAL CRISES AND EMERGENCIES IN THE U.S. AND MANY COUNTRIES IN AFRICA AND ASIA. WORKING WITH DOCTORS WITHOUT BORDERS, THE RED CROSS, OTHER RELIEF AGENCIES, AND EVEN ON THEIR OWN, DMG'S PHYSICIANS HAVE MADE A DIFFERENCE AND BEEN GRATEFULLY RECOGNIZED FOR THEIR EFFORTS AND CONTRIBUTIONS, TO THE EXTENT OF RECEIVING THE "CITIZEN SERVICE ABOVE SELF" AWARD FROM THE CONGRESSIONAL MEDAL OF HONOR FOUNDATION. DMG CONTRIBUTES REGULARLY THROUGH COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, CASH AND IN-KIND CONTRIBUTIONS, AND COMMUNITY BENEFITING ACTIVITIES.

  Expenses $172,045,343 · Grants $186,411 · Revenue $200,597,558

• THE CHILDREN'S REHABILITATIVE SERVICES (CRS) PROGRAM STARTED IN 1929 TO PROVIDE MEDICAL SERVICES TO CHILDREN WHO HAVE SOME OF THE MOST SERIOUS HEALTH CONDITIONS AND WHO ARE ENROLLED IN THE ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM (MEDICAID). THE PROGRAM IN TOTAL SERVES OVER 20,000 MEMBERS STATEWIDE WITH THE DMG LOCATION SERVING APPROXIMATELY 14,000 CHILDREN, INCLUDING TELEMEDICINE VISITS AND FIELD CLINICS SERVING THE OUTLYING COMMUNITIES. THE CRS MULTI-SPECIALTY INTERDISCIPLINARY CLINIC (MSIC) WAS DESIGNED TO UNIQUELY MEET THE HEALTH CARE REQUIREMENTS OF SPECIAL NEEDS CHILDREN BY OFFERING NEARLY ALL SPECIALTY, PRIMARY CARE, AND BEHAVIORAL HEALTH SERVICES IN A SINGLE LOCATION. THE DMG CRS CLINIC PROVIDES A FULL SPECTRUM OF PEDIATRIC SPECIALTY CARE WHERE PHYSICIANS, THERAPISTS, NUTRITIONISTS, CHILD LIFE SPECIALISTS, SOCIAL WORKERS AND A HOST OF OTHERS CAN ALL WORK TOGETHER PROVIDING VITAL MEDICAL CARE, BEHAVIORAL HEALTH CARE AND SUPPORT SERVICES UNDER ONE ROOF AND ON ONE FLOOR IN A SPACE SPECIFICALLY DESIGNED FOR THIS PURPOSE. USING A SINGLE ELECTRONIC MEDICAL RECORD, THE DMG CRS CLINIC IMPROVES EFFICIENCY AND COMMUNICATION BETWEEN THE HEALTH CARE PROVIDERS, WITH THE GOAL OF IMPROVING CARE WHILE BETTER MANAGING COSTS.

  Expenses $20,911,194 · Revenue $15,887,763

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

• CREIGHTON UNIVERSITY ARIZONA HEALTH EDUCATION ALLIANCE

  $117,651

  OPERATING SUPPORT

• VALLEYWISE HEALTH FOUNDATION

  $25,000

  GENERAL SUPPORT

• UA FOUNDATION

  $15,000

  WHITE COAT CEREMONY

• CREIGHTON UNIVERSITY

  $10,000

  WHITE COAT CEREMONY

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

• DMG INSURANCE COMPANY INC

  501(C)(3) · PURE CAPTIVE INSURER · AZ

  Directly controlled by DISTRICT MEDICAL GROUP INC

Provenance

Return type

form_990

Tax year

2022

Filed

9 November 2023

IRS schema version

2022v5.0

Source object

202313139349305426

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