District Medical Group

What it reported doing in 2024

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 practices in the phoenix area. Our mission is to improve the health and well-being of individuals in phoenix and the surrounding areas 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 60 clinical sites, more than 500 physicians, 200 non-physician providers, and over 70 ancillary clinic staff. In 2024 dmg served patient volumes as follows: more than 21,000 as inpatient, over 480,000 as outpatient, and more than 113,000 emergency visits. During 2024 dmg's direct economic output, including the service economy, is estimated in excess of $200 million. The indirect economic benefit to the community is significantly more.district medical group staffs the valleywise health system, which includes a 233 bed acute care hospital, three inpatient psychiatric hospitals totaling 412 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 1,300 patients per year and serving almost 12,000 patients per 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 300 residents and fellows, another 60 in affiliated programs, and supervise close to 500 medical student rotations. A large number 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 scholarly 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: development of a heat-illness registry at a safety-net hospital in phoenix, Arizona.diabetes education and empowerment project combined with a food program to improve health outcomes.measuring immunity against circulating influenza viruses: randomized immunogenicity study among us adults aged 18 - 64 years comparing two approved influenza vaccines.ambient whole blood analysis and research evaluation study (ambient).maternal health-seeking behaviors and maternal health experiences of african refugee wom

Financial Efficiency

• Mission deployment rate: 89.5%; rating input score 89
• Program expense ratio: 91.2%; rating input score 91
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
• Pay-setting controls: 6 of 6 controls in place; rating input score 100
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Pass
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 99.2%; rating input score 99; 38th percentile among comparable filings
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 55.6%; rating input score 56; 15th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 1.2%; rating input score 38; 38th percentile among comparable filings
• Total-asset coverage ratio: 0.45; rating input score 16; 16th percentile among comparable filings
• Liabilities to assets ratio: 0.46; rating input score 39; 39th percentile among comparable filings
• Officer compensation ratio: 5.4%; rating input score 14; 14th percentile among comparable filings

Growth

• Program expense growth: 5.5% per year; rating input score 100; 45th percentile among comparable filings
• Revenue growth: 5.4% per year; rating input score 100; 47th percentile among comparable filings
• Asset growth: 12.9% per year; rating input score 100; 81st percentile among comparable filings