KINGMAN HEALTHCARE INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: KINGMAN HEALTHCARE INC (EIN 94-2916102)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-05-03
IRS object ID: 202141239349301804
Schema version: 2019v5.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-05-03T12:09:57-05:00	ReturnTs
Tax Period End	2020-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 South Tejon Suite 800	AddressLine1Txt
City	Colorado Springs	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	809039848	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	942916102	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KINGMAN HEALTHCARE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% KINGMAN HEALTHCARE INC	InCareOfNm
Business Name Control	KING	BusinessNameControlTxt
Phone	9287572101	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3269 STOCKTON HILL ROAD	AddressLine1Txt
City	KINGMAN	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	86409	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TIMOTHY BLANCHARD	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9287572101	PhoneNum
Signature	2020-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Adam R Smith CPA	PreparerPersonNm
PTIN	P00958966	PTIN
Phone	7194714290	PhoneNum

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Kingman Regional Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	C WILLIAM MCCONNELL	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3269 STOCKTON HILL ROAD	AddressLine1Txt
City	KINGMAN	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	86409	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$367,864,283	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	AZKRMC.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1980	FormationYr
Legal Domicile State	AZ	LegalDomicileStateCd
Activity Or Mission	OUR VISION IS TO PROVIDE THE REGION'S BEST CLINICAL CARE AND PATIENT SERVICE THROUGH AN ENVIRONMENT THAT FOSTERS RESPECT FOR OTHERS AND PRIDE IN PERFORMANCE.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	2429	TotalEmployeeCnt
Total Volunteers	12	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$325,823	PYContributionsGrantsAmt
CY Contributions Grants	$17,982,791	CYContributionsGrantsAmt
PY Program Service Revenue	$329,377,235	PYProgramServiceRevenueAmt
CY Program Service Revenue	$292,978,058	CYProgramServiceRevenueAmt
PY Investment Income	$397,046	PYInvestmentIncomeAmt
CY Investment Income	$1,922,968	CYInvestmentIncomeAmt
PY Other Revenue	$8,392,874	PYOtherRevenueAmt
CY Other Revenue	$8,412,851	CYOtherRevenueAmt
PY Total Revenue	$338,492,978	PYTotalRevenueAmt
CY Total Revenue	$321,296,668	CYTotalRevenueAmt
PY Grants And Similar Paid	$543,796	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$560,462	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$169,227,208	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$166,452,324	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$163,263,351	PYOtherExpensesAmt
CY Other Expenses	$149,150,964	CYOtherExpensesAmt
PY Total Expenses	$333,034,355	PYTotalExpensesAmt
CY Total Expenses	$316,163,750	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,458,623	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,132,918	CYRevenuesLessExpensesAmt
Total Assets BOY	$332,032,355	TotalAssetsBOYAmt
Total Assets EOY	$370,007,205	TotalAssetsEOYAmt
Total Liabilities BOY	$72,192,299	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$106,016,537	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$259,840,056	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$263,990,668	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	OUR VISION IS TO PROVIDE THE REGIONS BEST CLINICAL CARE AND PATIENT SERVICE THROUGH AN ENVIRONMENT THAT FOSTERS RESPECT FOR OTHERS AND PRIDE IN PERFORMANCE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$202,007,868	ExpenseAmt
Grant	$560,462	GrantAmt
Revenue	$296,020,331	RevenueAmt
Desc	MOHAVE COUNTY IS ONE OF THE FASTEST GROWING COUNTIES IN ARIZONA. THE AREA AROUND KINGMAN WHICH IS THE COUNTY SEAT IS EXPECTED TO CONTINUE GROWING STEADILY IN THE COMING YEARS. IN RESPONSE TO THE GROWTH, KINGMAN REGIONAL MEDICAL CENTER (KRMC) HAS CONTINUED TO EXPAND ITS SERVICES. WE NOW OFFER A FULL RANGE OF HEALTH AND WELLNESS SERVICES, INCLUDING A WELLNESS AND FITNESS CENTER, MULTIPLE PRIMARY CARE PHYSICIAN PRACTICES, ADVANCED MEDICAL PROGRAMS IN CARDIOLOGY, CANCER, AND REHABILITATION, AND HOME HEALTH AND HOSPICE CARE. MOREOVER, WE ARE HONORED TO SERVE AS A TEACHING HOSPITAL IN AFFILIATION WITH MIDWESTERN UNIVERSITY TO TRAIN DOCTORS SPECIALIZING IN FAMILY PRACTICE, AND EMERGENCY MEDICINE. WITH THE GROWING POPULATION, WE ARE EXPERIENCING A HIGHER VOLUME OF SELF-PAY AND MEDICAID PATIENTS WHO ARE WAITING TO SEEK MEDICAL CARE UNTIL THE TIME THAT THEY MUST GO TO THE EMERGENCY ROOM. OUR MEDICAID POPULATION IS 20.6% OF OUR TOTAL PATIENT POPULATION. OUR MEDICARE POPULATION IS 57.2% OF TOTAL PATIENT POPULATION. MAJOR STRATEGIES TO ADDRESS IDENTIFIED NEEDS AND PROBLEMS INCLUDE: - WE HAVE INCREASED RECRUITMENT EFFORTS OF RN'S, THERAPISTS AND SKILLED TECHNICIANS TO MEET THE GROWING NEEDS OF THE COMMUNITY. - WE CONTINUE TO RECRUIT PHYSICIANS OF VARIOUS SPECIALTIES TO THE AREA. - WE CONTINUE TO EXPAND OUR FACILITIES TO MEET THE NEEDS OF THE COMMUNITY. KRMC IS COLLABORATING WITH COMMUNITY ORGANIZATIONS TO IMPROVE COMMUNITY HEALTH, EXPAND ACCESS TO HEALTH CARE, OR IN OTHERWAYS BENEFIT THE COMMUNITY. SOME EXAMPLES ARE: - WE WORK WITH THE WOMEN'S HEALTH ORGANIZATION TO PROVIDE DISCOUNTED MAMMOGRAPHY TO SELF-PAY PATIENTS. - WE WORK WITH THE FOSTER GRANDPARENTS ASSOCIATION AND PROVIDE FREE PHYSICAL EXAMS. - WE PAY 50% AND WRITEOFF THE OTHER 50% FOR VICTIMS OF CRIME COLLABORATING WITH THE MOHAVE COUNTY ATTORNEY'S OFFICE. KRMC IS A TEACHING HOSPITAL WITH AGME PROGRAM IN ASSOCIATION WITH MIDWESTERN UNIVERSITY. KRMC OPERATES SEVERAL PHYSICIAN PRACTICES AND A CONTINUITY CLINIC. THERE ARE PLANS TO EXPAND THESE SERVICES TO THE OUTLYING AREAS OF OUR COMMUNITY. IN RECENT YEARS, KRMC HAS EXPANDED SERVICES TO INCLUDE SERVICES THAT ARE NOT USUALLY FOUND IN A RURAL COMMUNITY SUCH AS; INTERVENTIONAL CARDIOLOGY; CANCER DIAGNOSIS AND TREATMENT WITH A STATE-OF-THE-ART CANCER CENTER (CLINICAL AND RADIATION ONCOLOGY); A NEW OUTPATIENT IMAGING AND WOMEN'S HEALTH CENTER; ACUTE REHABILITATION UNIT; CARDIAC SURGICAL UNIT FOR OPEN HEART SURGERY; WOUND CARE AND HYPERBARIC CHAMBER THERAPY. OUR UNCOMPENSATED CARE POLICY IS CALLED QUALIFYING DISCOUNT PROGRAM. OUR PROGRAM IS DEFINED AS CHARITY CARE SERVICES PROVIDED FOR WHICH PAYMENT IS NOT ANTICIPATED BECAUSE OF AN INABILITY TO PAY, AND MAY APPLY TO AN ENTIRE ACCOUNT BALANCE OR A PORTION OF IT. CHARITY CARE IS SEPARATE AND DISTINCT FROM BAD DEBTS, WHICH ARE ACCOUNTS FOR WHICH CREDIT WAS EXTENDED AND PAYMENT IS ANTICIPATED, BUT NOT RECEIVED. OUR QUALIFYING DISCOUNT PROGRAM IS BASED ON A PERCENTAGE OF THE FEDERAL POVERTY LEVEL. KRMC HAS UPDATED ITS CHARITY CARE POLICY TO INCLUDE THOSE PATIENTS WHOSE HOUSEHOLD INCOME IS UP TO 400% OF THE FEDERAL POVERTY LEVEL. THIS PROGRAM IS FOR ALL PATIENTS REGARDLESS OF THEIR PRIMARY INSURANCE STATUS AND IS BASED ON THEIR FAMILY SIZE AND INCOME FROM ALL SOURCES. ORGANIZATIONAL DESCRIPTION FOR TAX EXEMPTION: KRMC OPERATES AN EMERGENCY DEPARTMENT THAT IS OPEN TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY AND COMPLIES WITH ALL EMTALA REGULATIONS. WE HAVE NOTICES IN THE EMERGENCY ROOM THAT INFORMS THE PATIENTS OF THIS FACT; OUR ADMISSIONS STAFF ADVISES ALL PATIENTS WHO PRESENT FOR SERVICES THAT WE ARE CALLING FOR A NURSE AND WILL PERFORM A MEDICAL SCREENING EXAM REGARDLESS OF THEIR ABILITY TO PAY. WE ASSIST THEM AFTER THE MEDICAL SCREENING EXAM WITH DES APPLICATIONS AND IN-SERVICE THEM ON OUR CHARITY PROGRAM IF SHOULD THEY HAVE AN INABILITY TO PAY. KRMC HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. FOR SERVICES THAT WE ARE CALLING FOR A NURSE AND WILL PERFORM A MEDICAL SCREENING EXAM REGARDLESS OF THEIR ABILITY TO PAY. WE ASSIST THEM AFTER THE MEDICAL SCREENING EXAM WITH DES APPLICATIONS AND IN-SERVICE THEM ON OUR CHARITY PROGRAM IF SHOULD THEY HAVE AN INABILITY TO PAY. KRMC HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA.	Desc
Total Program Service Expenses	$202,007,868	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	152	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2429	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	AZ	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KINGMAN HEALTHCARE INC	PersonNm
Phone	9287572101	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3269 STOCKTON HILL ROAD	AddressLine1Txt
City	KINGMAN	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	86409	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Key EmployeeKeyEmployeeInd
JAMAL AL-KHATIB
PHYSICIAN	40.0	0.0	Yes (X)	$921,586	$0	$46,804
Robert Matheny
Physician	40.0	0.0	Yes (X)	$844,713	$0	$52,928
BRIAN TURNEY
CEO - Through May 2020	40.0	0.0		$800,647	$0	$49,049	Yes (X)	Yes (X)
SAADEH SAADEH
PHYSICIAN	40.0	0.0	Yes (X)	$744,783	$0	$52,718
JACOB OLDHAM
PHYSICIAN	40.0	0.0	Yes (X)	$721,054	$0	$24,743
GEOFFREY CORNELSEN
PHYSICIAN	40.0	0.0	Yes (X)	$669,813	$0	$49,283
TIMOTHY BLANCHARD
CFO	40.0	0.0		$342,739	$0	$50,230		Yes (X)
RYAN KENNEDY
COO	40.0	0.0		$293,525	$0	$60,972			Yes (X)
JAMES WELLS
CNO	40.0	0.0		$226,800	$0	$29,702			Yes (X)
DAVID FRENCH
CHAIRMAN	1.0	1.0		$0	$0	$0	Yes (X)	Yes (X)
KRYSTAL BURGE
VICE CHAIRMAN	1.0	0.0		$0	$0	$0	Yes (X)	Yes (X)
JAMES BAKER
TREASURER	1.0	1.0		$0	$0	$0	Yes (X)	Yes (X)
CORAL LOYD
SECRETARY	1.0	0.0		$0	$0	$0	Yes (X)	Yes (X)
LYNNE PETERSEN
DIRECTOR	1.0	0.0		$0	$0	$0	Yes (X)
SANDY MOON
DIRECTOR	1.0	0.0		$0	$0	$0	Yes (X)
CATHY OTT
DIRECTOR	1.0	0.0		$0	$0	$0	Yes (X)
KALE BODILY MD
DIRECTOR	1.0	0.0		$0	$0	$0	Yes (X)
SUSAN CHAN
DIRECTOR	1.0	0.0		$0	$0	$0	Yes (X)
JOSEPH DORNER
DIRECTOR	1.0	0.0		$0	$0	$0	Yes (X)
DAN DELMONACO
DIRECTOR	1.0	0.0		$0	$0	$0	Yes (X)
WILL MCCONNELL
CEO - Beginning June 2020	40.0	0.0		$0	$0	$0	Yes (X)	Yes (X)
CHRISTOPHER PORTER
CHIEF OF STAFF	1.0	0.0		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,565,660	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$416,429	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	242	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HIGH DESERT RADIOLOGY
695 COUNTRY CLUB DRIVE	KINGMAN	AZ	86401	RADIOLOGISTS	$9,031,458
T R ORR
3965 N BANK STREET	KINGMAN	AZ	86409	CONTRACTOR	$8,362,482
NI2 HEALTH LLC
22121 17TH AVE SE	BOTHELL	WA	98021	ACCOUNTING ASSIST.	$2,720,015
AUREUS-FOCUS ONE
11825 Q ST	OMAHA	NE	68137	AGENCY STAFF	$2,611,822
MEDLIANT
969-G EDGEWATER BLVD 698	FOSTER CITY	CA	94404	NURSE AGENCY	$2,639,758

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	16	CntrctRcvdGreaterThan100KCnt
Government Grants	$14,999,999	GovernmentGrantsAmt
All Other Contributions	$2,982,792	AllOtherContributionsAmt
Noncash Contributions	$2,137,228	NoncashContributionsAmt
Total Contributions	$17,982,791	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue	561110	$290,806,185	$290,806,185
EHR/PQRS/Meaningful Use Payments	900099	$708,652	$708,652
Wellness Center Revenue	561110	$1,170,135	$1,170,135
OTHER INCOME	900099	$293,086	$293,086

Field	Value	IRS element (for citing)
Total Program Service Revenue	$292,978,058	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,161,566	TotalRevenueColumnAmt
Exclusion	$2,161,566	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$151,223	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$151,223	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$151,223	TotalRevenueColumnAmt
Exclusion	$151,223	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$43,856,108	SecuritiesAmt
Other	$26,500	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$43,635,297	SecuritiesAmt
Other	$485,909	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$220,811	SecuritiesAmt
Other	-$459,409	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$238,598	TotalRevenueColumnAmt
Exclusion	-$238,598	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$2,348,610	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$2,446,409	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$97,799	TotalRevenueColumnAmt
Exclusion	-$97,799	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria	722514	$2,591,838	$2,591,838
340B Pharmacy	446110	$2,250,452	$2,250,452
Income from Equity Investees	624410	$2,987,700		$2,987,700

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$529,437	TotalRevenueColumnAmt
Related Or Exempt Func Income	$54,573	RelatedOrExemptFuncIncomeAmt
Exclusion	$474,864	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$8,359,427	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$321,296,668	TotalRevenueColumnAmt
Related Or Exempt Func Income	$296,020,331	RelatedOrExemptFuncIncomeAmt
Exclusion	$7,293,546	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$159,197	TotalAmt
Program Services	$159,197	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$401,265	TotalAmt
Program Services	$401,265	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,113,096	TotalAmt
Program Services	$2,295,358	ProgramServicesAmt
Management And General	$817,738	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$130,096,857	TotalAmt
Program Services	$83,668,851	ProgramServicesAmt
Management And General	$46,428,006	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,266,703	TotalAmt
Program Services	$2,091,064	ProgramServicesAmt
Management And General	$1,175,639	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$21,557,363	TotalAmt
Program Services	$6,192,503	ProgramServicesAmt
Management And General	$15,364,860	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,418,305	TotalAmt
Management And General	$8,418,305	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$182,250	TotalAmt
Management And General	$182,250	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$174,840	TotalAmt
Management And General	$174,840	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$20,068	TotalAmt
Management And General	$20,068	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$81,704	TotalAmt
Management And General	$81,704	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$47,581,740	TotalAmt
Program Services	$36,388,199	ProgramServicesAmt
Management And General	$11,193,541	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$534,190	TotalAmt
Program Services	$10,585	ProgramServicesAmt
Management And General	$523,605	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,854,682	TotalAmt
Program Services	$914,168	ProgramServicesAmt
Management And General	$3,940,514	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,955,796	TotalAmt
Program Services	$2,238,977	ProgramServicesAmt
Management And General	$6,716,819	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,051,700	TotalAmt
Program Services	$1,563,404	ProgramServicesAmt
Management And General	$3,488,296	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$833,308	TotalAmt
Program Services	$427,511	ProgramServicesAmt
Management And General	$405,797	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$154,181	TotalAmt
Management And General	$154,181	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$15,366,614	TotalAmt
Program Services	$5,500,385	ProgramServicesAmt
Management And General	$9,866,229	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,981,098	TotalAmt
Program Services	$2,338,344	ProgramServicesAmt
Management And General	$1,642,754	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$51,708,974	$51,464,865	$244,109
Repairs & Maintenance	$1,381,731	$594,383	$787,348
Provider Fee	$5,285,008	$5,285,008
Food	$2,024,260		$2,024,260

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$978,820	TotalAmt
Program Services	$473,801	ProgramServicesAmt
Management And General	$505,019	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$316,163,750	TotalAmt
Program Services	$202,007,868	ProgramServicesAmt
Management And General	$114,155,882	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,634,165	BOYAmt
EOY	$8,426,810	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$13,580,033	BOYAmt
EOY	$29,039,300	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$66,591,090	BOYAmt
EOY	$64,337,910	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$99,087	BOYAmt
EOY	$136,599	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,593,427	BOYAmt
EOY	$6,949,447	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,719,617	BOYAmt
EOY	$5,940,400	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$300,286,274	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$166,920,326	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$125,689,730	BOYAmt
EOY	$133,365,948	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$96,712,036	BOYAmt
EOY	$107,494,975	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$7,406,621	BOYAmt
EOY	$10,394,321	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,923,408	BOYAmt
EOY	$2,017,029	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,083,141	BOYAmt
EOY	$1,904,466	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$332,032,355	BOYAmt
EOY	$370,007,205	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$35,565,179	BOYAmt
EOY	$34,741,687	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$117,939	BOYAmt
EOY	$39,736,953	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$31,206,601	BOYAmt
EOY	$26,538,115	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,302,580	BOYAmt
EOY	$4,999,782	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$72,192,299	BOYAmt
EOY	$106,016,537	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$257,649,159	BOYAmt
EOY	$261,716,259	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,190,897	BOYAmt
EOY	$2,274,409	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$259,840,056	BOYAmt
EOY	$263,990,668	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$332,032,355	BOYAmt
EOY	$370,007,205	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$5,132,918	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$767,305	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,749,611	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$20,068	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$20,068	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1g	FormAndLineReferenceDesc
Explanation	Lobbying: Kingman Hospital pays annual dues in which a percentage of their dues is attributable to lobbying. The amount shown on the line above represents that percentage.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,698,675	OtherCostOrOtherBasisAmt
Book Value	$21,698,675	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$117,819,672	OtherCostOrOtherBasisAmt
Depreciation	$70,726,886	DepreciationAmt
Book Value	$47,092,786	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$139,708,647	OtherCostOrOtherBasisAmt
Depreciation	$92,838,297	DepreciationAmt
Book Value	$46,870,350	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,059,280	OtherCostOrOtherBasisAmt
Depreciation	$3,355,143	DepreciationAmt
Book Value	$17,704,137	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$133,365,948	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Estimated Self-Insurance Costs	$1,116,000
Accrued Retirement Obligation	$3,883,782

Field	Value	IRS element (for citing)
Total Liability	$4,999,782	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$320,386,200	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$767,305	NetUnrealizedGainsInvstAmt
Other Revenue	$696,798	OtherRevenueAmt
Revenue Not Reported	$1,464,103	RevenueNotReportedAmt
Revenue Subtotal	$318,922,097	RevenueSubtotalAmt
Investment Expenses Not Incld	$81,704	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$2,292,867	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$2,374,571	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$321,296,668	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$316,235,588	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$2,446,409	OtherExpensesIncludedAmt
Expenses Not Reported	$2,446,409	ExpensesNotReportedAmt
Expenses Subtotal	$313,789,179	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$81,704	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$2,292,867	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$2,374,571	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$316,163,750	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2	UNCERTAIN TAX POSITIONS: Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.
SCHEDULE D, PART XI, LINE 2D	REVENUE ON BOOKS, NOT ON RETURN: 2,446,409 - COST OF GOODS SOLD 93,621 - CHANGE IN NET ASSETS OF KRMC FOUNDATION (1,843,232) - Goodwill Impairment 696,798 - TOTAL
SCHEDULE D, PART XI, LINE 4B	REVENUE ON RETURN, NOT ON BOOKS: 2,292,867 - ACTIVITY OF NARIC INCLUDED IN CONSOLIDATED FINANCIALS, REMOVED FOR TAX RETURN
SCHEDULE D, PART XII, LINE 2D	EXPENSE ON BOOKS, NOT ON RETURN: 2,446,409 - COST OF GOODS SOLD
SCHEDULE D, PART XII LINE 4B	EXPENSE ON RETURN, NOT ON BOOKS: 2,292,867 - ACTIVITY OF NARIC INCLUDED IN CONSOLIDATED FINANCIALS, REMOVED FOR TAX RETURN

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$535,085	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$535,085	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$76,351,997	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,460,021	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,891,976	NetCommunityBenefitExpnsAmt
Total Expense	0.06870	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$76,887,082	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,460,021	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,427,061	NetCommunityBenefitExpnsAmt
Total Expense	0.07040	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$512,286	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$512,286	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,199,861	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,686,645	DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$902,710	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$902,710	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,614,857	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,686,645	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,414,996	NetCommunityBenefitExpnsAmt
Total Expense	0.00440	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$82,501,939	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$59,146,666	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,842,057	NetCommunityBenefitExpnsAmt
Total Expense	0.07480	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$59,720,353	BadDebtExpenseAmt
Reimbursed By Medicare	$66,682,803	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$68,358,429	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,675,626	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KINGMAN REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3269 STOCKTON HILL ROAD	AddressLine1Txt
City	KINGMAN	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	86409	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.AZKRMC.COM	WebsiteAddressTxt
State License	H-0010	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	CANCER CENTER CARDIAC CATH LAB ACUTE REHAB UNIT	OtherDesc
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	KINGMAN REGIONAL MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C, FOR URL	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C, FOR URL	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	see part v, section C, for URL	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	see part v, section C, for URL	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	Part V, section C, for URL	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	AS PART OF THE COMMUNITY HEALTH ASSESSMENT PROCESS, MEMBERS OF THE MOHAVE COUNTY COMMUNITY HEALTH COALITION CONDUCTED INTERVIEWS WITH INDIVIDUALS WHO REPRESENT: A) BROAD INTERESTS OF THE COMMUNITY, B) POPULATIONS OF NEED, AND C) PERSONS WITH SPECIALIZED KNOWLEDGE IN PUBLIC HEALTH. THESE INDIVIDUALS CAME FROM THE FOLLOWING COMMUNITY SECTORS: - SOCIAL SERVICE AGENCIES - LOCAL SCHOOL SYSTEM AND COMMUNITY COLLEGE - LOCAL CITY AND COUNTY GOVERNMENT - PUBLIC HEALTH AGENCIES - INDUSTRY - FAITH COMMUNITY - MEDICAL PROVIDERS
SCHEDULE H, PART V, SECTION B, LINE 6B	THE CHNA FOR KINGMAN HOSPITAL INC. WAS CONDUCTED WITH MOHAVE COUNTY, ARIZONA.
SCHEDULE H, PART V, SECTION B, LINE 7A	Direct URl where CHNA Report is made available to the organizations website: https://www.azkrmc.com/sites/default/files/2019-07/PinnaclePrevention_Moha veCounty_Report_Rev_8-22-19.pdf veCounty_Report_Rev_8-22-19.pdf
SCHEDULE H, PART V, SECTION B, LINE 10A	Direct URL where Implementation plan is made widely available: http://www.azkrmc.com/community/community-health-improvement-initiative
SCHEDULE H, PART V, SECTION B, LINE 11	Community Health Improvement Plan Disclosure Statement Kingman Healthcare Inc. (KHI), in partnership with the Mohave County Department of Public Health (MCDPH) leads a broad community initiative to improve health and quality-of-life in Mohave County communities. The initiative engages community stakeholders and the public to make measurable improvements in community health. It involves the following process, which is conducted on a three-year cycle: 1. Researchers collect facts and statistics regarding health and quality-of-life in Mohave County. This process includes speaking to Mohave County residents to obtain their insights. The information is then published in a report called a Community Health Needs Assessment (CHNA). 2. Based on the information in the CHNA, KHI and MCDPH work with community members and stakeholders to identify priority health issues. Those groups develop a plan to address the chosen priorities in three Mohave County regions: Kingman, Bullhead City, and Lake Havasu City. We document the results of these planning efforts in a Community Health Improvement Plan (CHIP) for each region. 3. Guided by the priorities and strategies outlined in each community's respective CHIP, community participants collaborate to implement each region's health improvement plan. KHI plans to address significant needs identified in the 2019 CHNA as follows: - Mental Health - KHI continues to implement strategies to integrate behavioral health services in all KHI primary care clinics and certain specialty clinics (pain clinic, cancer center, etc.). The program educates staff and implements processes for identifying and treating patients who are struggling with depression or who are otherwise at high risk for self-harm. - Substance abuse- KHI continues to implement strategies to address the opioid crises and other substance abuse issues. These strategies include implementing an evidence-based program in the KHI Emergency Department, acute care areas, and outpatient clinics for identifying patients who have addiction risks or current addiction issues. We are now screening most patients for these risk factors. Once identified, behavioral health specialists work with them to ensure they have resources, education, support and treatment when appropriate. Additionally, KHI's team of substance counselors, psychology nurses, and psychiatrists provide MAT (Medication Assisted Treatment) for Opioid addiction. - Health care needs- KHI continues to implement strategies to meet identified health and wellness needs of our community. Our overall aim is to provide a full range of high-quality medical services in our rural healthcare system that meet or exceed those found in larger urban areas. Our success is measured by the number of residents who can avoid travel to other areas and receive the medical services they need close to home. To this aim, KHI's is implementing strategies to continue recruiting medical talent and implementing state-of-the-art technologies for delivering high-quality care. For example we plan to continue building our medical imaging, diagnostic, and surgical capabilities for addressing common chronic disease conditions. Additionally, to meet identified community needs, KHI continues to focus on providing advanced capabilities in cardiac care, wound care, cancer care, along with rehabilitation and pain management therapies. - Provider shortages-Attracting adequate numbers of healthcare providers is one of KHI's biggest challenges? both now and for the foreseeable future. Like the rest of the country, we need more providers to meet healthcare needs in our community. But, the nationwide shortage of doctors and other healthcare providers continues to intensify. One key KHI strategy for alleviating the problem is to continue building and strengthening KHI's medical residency program. The current priority is choosing strong candidates who would consider staying in Kingman after completing their training. In addition to its physician training programs, KHI strategies include employing more nurse practitioners and physician assistants to provide general medical care. Additionally, KHI is working to implement telemedicine technology for evaluating, diagnosing, and treating certain health conditions. - Health Care Costs- KHI continues to implement strategies to assist residents in reducing their healthcare costs. Chief among our strategies is to educate the community on how to reduce their risk of chronic disease through healthy lifestyle choices (proper diet, exercise, not smoking, etc.). We continue to promote healthy lifestyle messaging in our publications, advertising, health fairs, health lectures, and other public communications. Additionally, specific information is provided to patients during visits with their primary care provider. Other KHI strategies for reducing healthcare costs involve strict fiscal management along with cost transparency to the public for making informed healthcare cost decisions. KHI future strategies do not specifically address the following issues identified in the 2019 CHNA because they are outside the scope of our current operations. - Food insecurity - Excessive housing cost - High residential segregation - Cost of transportation for low-income residents However, KRMC provides many programs and services that directly or indirectly help to improve outcomes in these health areas. Additionally, through our community benefit program, we financially support community organizations that directly support and address the community needs identified by the Community Health Needs Assessment.
SCHEDULE H, PART V, SECTION B, LINE 16A - 16C	DIRECT URL FOR FAP POLICY, AND PLAIN LANGUAGE SUMMARY: https://azkrmc.ellucid.com/documents/view/2507/?security=d3f302e5c4b6592fa fd6426cc38d133e69a18e9b DIRECT URL FOR FAP APPLICATION FORM: https://azkrmc.ellucid.com/documents/view/2896/?security=10bbcd6bcfbe5e62b 384d66a5ba639becd1790ab
SCHEDULE H, PART V, SECTION B, LINE 16I	TRANSLATION OF FAP INTO PRIMARY LANGAUGE SPOKEN BY LEP POPULATIONS: KINGMAN HOSPITAL, INC., HAS TRANSLATED THE FAP INTO SPANISH AND HAS PROVIDED THE POLICY IN PAPER AND ON THEIR WEBSITE. KINGMAN HOSPITAL, INC., WOULD CONSIDER TRANSLATING INTO ANOTHER LANGUAGE WHEN IT IS KNOWN THAT PATIENTS WILL NEED THE TRANSLATION AND ARE NOT SERVED BY THE CURRENT FORMS AND STATEMENTS. KINGMAN HOSPITAL, INC. USES DEMOGRAPHIC DATA FROM THEIR SYSTEM AND THE COUNTIES TO DETERMINE IF A PATIENT POPULATION EXISTS THAT IS OVER 1,000 INDIVIDUALS THAT DO NOT SPEAK ENGLISH OR SPANISH.

Field	Value	IRS element (for citing)
Facility	30	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (30 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
OUTPATIENT IMAGING CENTER
1033 SYCAMORE	KINGMAN	AZ	86409	IMAGING CENTER
KINGMAN CARDIOVASCULAR ASSOC
1739 BEVERLY AVE SUITE 217	KINGMAN	AZ	86409	CARDIOLOGY PHYSICIANS
KINGMAN UROLOGY CLINIC
1712 SYCAMORE	KINGMAN	AZ	86409	UROLOGIST
KINGMAN FP CLINIC
2202 STOCKTON HILL RD SUITE 101	KINGMAN	AZ	86401	FAMILY MEDICINE
KINGMAN ENT CLINIC
1739 BEVERLY AVE SUITE 108	KINGMAN	AZ	86409	EAR, NOSE AND THROAT PHYSICIAN
KINGMAN PULMONARY CLINIC
1739 BEVERLY AVESUITE 203	KINGMAN	AZ	86409	PULMONARY MEDICINE
MOHAVE SURGICAL SPECIALISTS
3104 STOCKTON HILL ROAD	KINGMAN	AZ	86401	GENERAL SURGEON
KRMC CARDIOTHORACIC SURGERY
1739 BEVERLY AVE SUITE 218	KINGMAN	AZ	86409	CARDIOTHORACIC SURGEON
KINGMAN ORTHOPEDICS
1739 BEVERLY AVE SUITE 102	KINGMAN	AZ	86409	ORTHOPEDIC PHYSICIANS
HIGH DESERT GASTROENTEROLGY
1739 BEVERLY AVE SUITE 101	KINGMAN	AZ	86409	GASTROENTEROLOGIST
HILLCREST SURGICAL
3939 STOCKTON HILL ROAD	KINGMAN	AZ	86409	GENERAL SURGEON
KRMC PRIMARY CARE
2226 HUALAPAI MTN ROAD	KINGMAN	AZ	86401	PRIMARY CARE PHYSICIANS
EMPLOYEE AND OCCUPATIONAL HEALTH
1739 BEVERLY AVE SUITE 118	KINGMAN	AZ	86409	OCCUPATIONAL MEDICINE
KRMC PRIMARY CARE
2226 HUALAPAI MTN ROAD	KINGMAN	AZ	86401	PRIMARY CARE PHYSICIANS
GOLDEN VALLEY CLINIC
4995 W HWY 68	GOLDEN VALLEY	AZ	86413	FAMILY MEDICINE
SUNSHINE CANYON HEALTHCARE
2202 STOCKTON HILL RD SUITE 100	KINGMAN	AZ	86401	FAMILY MEDICINE
KINGMAN OBGYN ASSOCIATES
1739 BEVERLY AVE SUITE 200	KINGMAN	AZ	86409	OBSTETRICS/GYNECOLOGY
KRMC URGENT CARE
1726 BEVERLY AVE	KINGMAN	AZ	86401	URGENT CARE
KRMC PRE-OP CLINIC
1739 BEVERLY AVE SUITE 103	KINGMAN	AZ	86409	PRE-OP CARE FACILITY
POST HOSPITAL CARE CLINIC
3116 STOCKTON HILL ROAD	KINGMAN	AZ	86409	POST HOSPITAL CARE
KRMC PHYSIATRY
3801 SANTA ROSA	KINGMAN	AZ	86401	PHYSICAL MEDICINE AND REHAB
KRMC PAIN MANAGEMENT CLINIC
3801 SANTA ROSA	KINGMAN	AZ	86409	PAIN MANAGEMENT
KINGMAN RHEUMATOLOGY AND PRIMARY CARE
1739 BEVERLY AVE SUITE 209	KINGMAN	AZ	86409	RHEUMATOLOGIST
JOSHUA TREE PEDIATRICS
1739 BEVERLY AVE SUITE 204	KINGMAN	AZ	86409	PEDIATRICIAN
KRMC DISEASE MANAGEMENT CLINIC
3801 SANTA ROSA	KINGMAN	AZ	86401	DISEASE MANAGEMENT
KRMC PAIN MANAGEMENT CLINIC
3801 SANTA ROSA	KINGMAN	AZ	86401	PAIN MANAGEMENT
KRMC HOSPICE
3269 STOCKTON HILL ROAD	KINGMAN	AZ	86409	HOSPICE SERVICES
KRMC HUALAPAI CAMPUS
3801 SANTA ROSA	KINGMAN	AZ	86401	ACUTE REHABILITATION
BEHAVORIAL HEALTH INSTITUTIONS
3801 SANTA ROSA	KINGMAN	AZ	86401	BEHAVORIAL HEALTH
OUTPATIENT NUTRITION AND DIABETES EDUC
3801 SANTA ROSA SUITE D	KINGMAN	AZ	86401	NUTRITION EDUCATION

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3c	Description of other factors used to determine Financial Assistance: Kingman regional Medical Center also uses a PAtients Asset LEvel, Medical Indigency and insurance to determine the eligibility for free or discounted care.
SCHEDULE H, PART I, LINE 7	THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINES 7A AND 7B. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE INFORMATION FOR LINES 7E THROUGH 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS.
SCHEDULE H, PART III, SECTION A, LINE 2	THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED June 30, 2020. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
SCHEDULE H, PART III, SECTION A, LINE 3	THE ORGANIZATION DOES NOT CONSIDER ANY OF ITS BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART III, SECTION B, LINE 8	THE ORGANIZATION IS A SOLE COMMUNITY NOT-FOR PROFIT HOSPITAL THAT PROVIDES HEALTHCARE SERVICES TO COMMUNITY RESIDENTS AND VISITORS IN A RURAL SETTING WITH LIMITED ACCESS TO SPECIALIST CARE. ACCESSIBLE, HIGH-QUALITY HEALTHCARE SERVICE IS IMPORTANT FOR THE OVERALL HEALTH OF ALL RESIDENTS AND NOT FULLY AVAILABLE IN MOST RURAL SETTINGS. WHERE MEDICARE IS CALCULATED TO PAY AT EXPECTED COST, RURAL CARE IS OFTEN MORE EXPENSIVE AS PATIENTS TEND TO HAVE A HIGHER THAN AVERAGE ACUITY AND LENGTH OF STAY DUE TO LIMITED SPECIALIST CARE IN THE TREATMENT AND PATIENT CARE FOLLOW UP PROCESS. ADDITIONALLY, PATIENT VOLUMES ARE MORE RESTRICTED AND SEASONALLY IMPACTED IN RURAL SETTINGS AS COMPARED TO METROPOLITAN SETTINGS, WHICH AFFECTS THE HOSPITAL'S OPPORTUNITY TO SPREAD THE FIXED COSTS OVER MORE PATIENT CARE EXPERIENCES. ALSO RELATIVE TO THE SEASONAL PATIENT FLUCTUATIONS, RURAL HOSPITALS TEND TO HAVE A HIGHER NEED FOR AGENCY TRAVEL NURSES TO SUPPLEMENT THE HIGHER CENSUS TIMES WHICH IS 40% HIGHER COSTS THAN EMPLOYED STAFF. PHYSICIAN RECRUITMENT IS ALSO A MAJOR CHALLENGE FOR SOLE COMMUNITY PROVIDERS AND THEREFORE MUST UTILIZE LOCUM TENENS PHYSICIANS AT A MUCH HIGHER COST THAN EMPLOYED PHYSICIANS. MEDICARE SHORTFALLS IN RURAL SETTINGS REFLECT THE EXCESS COST OF REQUIRED CARE OVER THE CALCULATED AVERAGE EXPECTED COST FOR PARTICIPANTS IN THE MEDICARE PROGRAM. FOR THESE REASONS, MEDICARE SHORTFALLS SHOULD BE CONSIDERED PART OF THE COMMUNITY BENEFIT PROVIDED.
SCHEDULE H, PART III, SECTION C, LINE 9B	ONCE THE PATIENT IS BILLED AND CONTACTED, THEY ARE INFORMED OF OPTIONS AND OF THE FINANCIAL ASSISTANCE POLICY (FAP). THE OTHER OPTIONS INCLUDE PAYING UP FRONT OR NO INTEREST PAYMENTS WITHIN A SCHEDULED NUMBER OF DAYS. A CASH DISCOUNT IS AVAILABLE TO THE PATIENT. IF QUALIFIED FOR THE FAP, THE APPROPRIATE QUALIFYING AMOUNT IS ADJUSTED TO CHARITY CARE. IF A BALANCE REMAINS THAT DOES NOT QUALIFY, THE PATIENT HAS CASH DISCOUNT AND NO INTEREST PAYMENT PLAN AS DESCRIBED ABOVE. FOR PATIENTS THAT THE HOSPITAL IS UNABLE TO CONTACT: - EIGHT ACCOUNT STATEMENTS ARE SENT. - THREE LETTERS EXPLAINING THAT IF THE PATIENT FAILS TO CONTACT PATIENT FINANCIAL SERVICES, COLLECTION EFFORTS WILL BE PASSED TO AN AGENCY. THE ABOVE IS A MINIMUM OF 120 DAY PROCESS FOR ALL PATIENT PAYER TYPES. ONCE THE PATIENT ACCOUNT IS SUBMITTED TO A COLLECTION AGENCY, IT IS ADJUSTED TO BAD DEBT.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT: SINCE 2011, KRMC, IN PARTNERSHIP WITH THE MOHAVE COUNTY DEPARTMENT OF PUBLIC HEALTH, HAS LED A MAJOR COMMUNITY INITIATIVE TO IMPROVE HEALTH AND QUALITY OF LIFE IN MOHAVE COUNTY. THE MOHAVE COUNTY COMMUNITY HEALTH IMPROVEMENT INITIATIVE INVOLVES PERFORMING A COMMUNITY HEALTH ASSESSMENT AND DEVELOPING A COMMUNITY HEALTH IMPROVEMENT PLAN EVERY THREE YEARS. A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR MOHAVE COUNTY WAS COMPLETED IN THE SPRING OF 2019 AND THE FINDINGS ARE DOCUMENTED IN THE COMMUNITY HEALTH PROFILE FOR MOHAVE COUNTY, ARIZONA, WHICH DETAILS HEALTH AND WELLNESS STATISTICS AND COMMUNITY NEEDS FOR HEALTH SERVICES IN MOHAVE COUNTY COMMUNITIES. ADDITIONALLY, KRMC DEVELOPED GOALS AND STRATEGIES FOR ADDRESSING THE PRIORITY HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH ASSESSMENT, WHICH ARE DOCUMENTED IN THE KINGMAN REGIONAL MEDICAL CENTER IMPLEMENTATION PLAN FOR THE MOHAVE COUNTY COMMUNITY HEALTH IMPROVEMENT INITIATIVE. THE CHNA AND IMPLEMENTATION PLAN ARE AVAILABLE FOR THE PUBLIC ON THE KRMC WEBSITE WWW.AZKRMC.COM
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: KRMC HAS POLICIES ONLINE TO EXPLAIN OUR FAP APPLICATION AS WELL AS ON OUR STATEMENTS. THERE IS INFORMATION ABOUT THE AFFORDABLE CARE ACT DURING OPEN ENROLLMENT AND WE PROVIDE A FAIR TO ASSIST. PUBLIC RELATIONS SENDS OUT ADS AS WELL AS POSTING ON TWITTER AND FACEBOOK. EACH PATIENT SERVICE REPRESENTATIVE HAS BEEN EDUCATED ABOUT OUR ASSISTANCE PROGRAMS AS WELL. WE ALSO HAVE A VENDOR ON SITE TO ASSIST WITH AHCCCS AND OTHER PROGRAMS FOR ASSISTANCE.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: KRMC SERVES AN APPROXIMATE 1500 SQUARE MILE GEOGRAPHIC AREA IN MOHAVE COUNTY, ARIZONA CALLED HOSPITAL DISTRICT NUMBER ONE OF MOHAVE COUNTY. THE DISTRICT INCLUDES THE CITY OF KINGMAN (POP. 28,500) AND NUMEROUS SMALLER OUTLAYING COMMUNITIES. THE TOTAL ESTIMATED POPULATION OF THE DISTRICT IS 78,000, WITH AN ESTIMATED 11.6 PERSONS PER SQUARE MILE. ACCORDING TO THE LATEST STATISTICS OF THE U.S. CENSUS BUREAU, THE RACIAL MIX OF THE POPULATION IS 77.5% CAUCASIAN, 1.4% AFRICAN AMERICAN, 3% NATIVE AMERICAN AND 16.2% HISPANIC OR LATINO ORIGIN. U.S. CENSUS BUREAU STATISTICS FOR 2014 SHOW 20.8% OF MOHAVE COUNTY'S POPULATION IS 100% BELOW THE FEDERAL POVERTY LEVEL. THE MEDIAN HOUSEHOLD INCOME IS $38,456. THE CURRENT UNEMPLOYMENT RATE IN MOHAVE COUNTY IS 7.5% (AS OF JUNE 2015) APPROXIMATELY 83.7% OF THE COUNTY'S POPULATION OVER AGE 25 ARE HIGH SCHOOL GRADUATES, WITH 12% OF THE POPULATION OVER AGE 25 HOLDING A BACHELOR'S DEGREE OR HIGHER.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: KINGMAN HEALTHCARE INCORPORATED IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES RELATING TO HEALTHCARE IN HOSPITAL DISTRICT #1 OF MOHAVE COUNTY. ITS PRIMARY FUNCTION IS TO OPERATE KINGMAN REGIONAL MEDICAL CENTER (KRMC). KRMC'S BOARD OF DIRECTORS CONSISTS OF 13 MEMBERS HOLDING TERMS OF THREE YEARS. ALL BOARD MEMBERS ARE COMMUNITY-MINDED INDIVIDUALS WHO DO NOT RECEIVE COMPENSATION FOR THEIR SERVICES ON THE KRMC BOARD. ALL EXCESS FUNDS ARE KEPT FOR THE BENEFIT AND DEVELOPMENT OF THE COMMUNITY'S HEALTH SERVICES AS DETERMINED BY OUR LOCAL BOARD. WITH THIS, OUR HOSPITAL AVERAGE INPATIENT CHARGES HAVE REMAINED SIGNIFICANTLY BELOW THE ARIZONA AVERAGE FOR THE SAME TYPES OF PATIENTS. ADDITIONALLY, EXCESS FUNDS ACCUMULATED SINCE KRMC WAS ORGANIZED, HAVE BEEN UTILIZED TO PAY CAMPUS EXPANSION / IMPROVEMENTS, STATE-OF-THE-INDUSTRY TECHNOLOGY, AND COMPETITIVE SALARIES FOR EMPLOYEES. KRMC CONTINUALLY INVESTS IN ADVANCED MEDICAL TECHNOLOGIES. FROM SPECIALIZED DIAGNOSTIC CAPABILITIES TO ADVANCED TREATMENTS IN CARDIAC CARE AND CANCER, PATIENTS AT KRMC BENEFIT FROM SOME OF THE MOST SOPHISTICATED MEDICAL TECHNOLOGIES IN THE REGION. IN 2007, KRMC RECEIVED THE GOVERNOR'S ARIZONA INNOVATION AWARD IN RECOGNITION FOR ITS INVESTMENT IN TECHNOLOGY AND SERVICES NOT NORMALLY SEEN IN A RURAL COMMUNITY. KRMC IS A MAJOR COMMUNITY PARTNER DEDICATED TO ENHANCING THE OVERALL QUALITY-OF-LIFE IN NORTHWEST ARIZONA. WE OFFER MANY SERVICES AND PROGRAMS TO BENEFIT THE COMMUNITY, ESPECIALLY OUR MOST VULNERABLE CITIZENS- CHILDREN, ELDERLY, THOSE IN ILL HEALTH, AND THOSE IN SOCIO-ECONOMIC DISTRESS. EXAMPLES OF OUR COMMUNITY BUILDING ACTIVITIES INCLUDE: - CONDUCTING PUBLIC HEALTH LECTURES AT THE HOSPITAL AND AT AREA NURSING HOMES AND BUSINESSES (MONTHLY). - CONDUCTING HEALTH FAIRS, WHICH ARE FREE AND OPEN TO THE PUBLIC (8 HEALTH FAIRS PER YEAR) - OFFERING A VARIETY OF FREE SUPPORT GROUPS TO HELP PEOPLE WHO ARE WORKING TO CHANGE A BEHAVIOR OR WHO ARE DEALING WITH A LOSS, CONDITION, OR DISEASE. - SPONSORING PHYSICAL FITNESS PROGRAMS AT COMMUNITY ELEMENTARY SCHOOLS TO HELP KIDS BE ACTIVE, FIT, AND HEALTHY. - PLACING DEFIBULATORS IN OUR COMMUNITY'S HIGH - TRAFFIC PUBLIC PLACES TO PROVIDE IMMEDIATE LIFESAVING TREATMENT TO SOMEONE WITH CARDIAC ARREST. - PROVIDING FREE OR LOW COST MAMMOGRAMS TO UNINSURED OR UNDERINSURED WOMEN RESIDING IN THE HOSPITAL DISTRICT OF MOHAVE COUNTY. - PROVIDING SCHOLARSHIPS FOR QUALIFIED INDIVIDUALS WHO CANNOT AFFORD A MEMBERSHIP TO KRMC'S DEL E. WEBB WELLNESS CENTER. - PROVIDING SCHOLARSHIPS TO HELP NURSING STUDENTS WITH THEIR EDUCATIONAL COSTS. - PROVIDING CASH CONTRIBUTIONS, FREE SERVICES, OR OTHER SUPPORT TO OVER 40 LOCAL ORGANIZATIONS THAT SERVE THE NEEDS OF OUR COMMUNITY (E.G, BOYS AND GIRLS CLUB, KINGMAN FOOD BANK, SARAH'S HOUSE, ETC.). - HELPING UNINSURED/UNDERINSURED PATIENTS WITH THEIR HEALTHCARE COSTS THROUGH KRMC'S CHARITY CARE PROGRAM. ADDITIONALLY, KRMC IS ONE OF THE AREA'S LARGEST CONTRIBUTORS TO THE LOCAL ECONOMY. WE EMPLOY OVER 1800 PEOPLE AND DURING THE PAST YEAR SPENT OVER $10,000,000 WITH LOCAL BUSINESSES.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
BOYS & GIRLS CLUB OF KINGMAN
301 N 1ST STREET	KINGMAN	AZ	86401	860743950	501(C)(3)	$13,500	PROVIDES EDUCATION & MEALS TO CHILDREN
CORNERSTONE MISSION
3049 SYCAMORE	KINGMAN	AZ	86409	860960036	501(C)(3)	$12,000	HOMELESS SHELTER FOR MEN
ARIZONA YOUTH PARTNERSHIP
1902 PACIFIC AVE	KINGMAN	AZ	86401	860669087	501(C)(3)	$5,500	SUPPORT HOMELESS SHELTER FOR TEENAGE BOYS
KINGMAN AID TO ABUSED PEOPLE
1770 AIRWAY AVE	KINGMAN	AZ	86409	860601113	501(C)(3)	$20,700	SUPPORT FOR SHELTER FOR ABUSED PEOPLE
KINGMAN CANCER CARE
PO BOX 3014	KINGMAN	AZ	86402	860753651	501(C)(3)	$10,000	ASSISTS CANCER PATIENTS IN KINGMAN AREA
KATHERINE HEIDENREICH ADULT CENTER
1776 AIRWAY AVE	KINGMAN	AZ	86401	860397271	501(C)(3)	$15,000	TRANSPORTATION TO PHYSICIANS, MEALS FOR ELDERLY
Arizona Department of Health Services
150 N 18th Ave	Phoenix	AZ	85007	866004791	Dept of Health	$9,000

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	95	RecipientCnt
Cash Grant	$401,265	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: FUND USAGE IS PREDETERMINED BY THE BOARD OF DIRECTORS OF KINGMAN REGIONAL MEDICAL CENTER (KRMC). SCHOLARSHIPS ARE PROVIDED TO STUDENTS IN THE U.S. FOR TUITION AND RELATED EDUCATIONAL EXPENSES ONLY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt
JAMAL AL-KHATIB
PHYSICIAN	$673,872	$0	$247,714	$0	$0	$11,200	$0	$35,604	$0	$968,390	$0
GEOFFREY CORNELSEN
PHYSICIAN	$643,894	$0	$25,919	$0	$0	$11,200	$0	$38,083	$0	$719,096	$0	$0
SAADEH SAADEH
PHYSICIAN	$662,409	$0	$82,374	$0	$0	$16,800	$0	$35,918	$0	$797,501	$0	$0
JACOB OLDHAM
PHYSICIAN	$721,054	$0	$0	$0	$0	$11,200	$0	$13,543	$0	$745,797	$0	$0
BRIAN TURNEY
CEO - Through May 2020	$718,886	$0	$81,761	$0	$0	$16,800	$0	$32,249	$0	$849,696	$0	$0
RYAN KENNEDY
COO	$268,270	$0	$25,255	$0	$0	$16,800	$0	$44,172	$0	$354,497	$0
TIMOTHY BLANCHARD
CFO	$342,739	$0	$0	$0	$0	$16,800	$0	$33,430	$0	$392,969	$0	$0
JAMES WELLS
CNO	$209,300	$0	$17,500	$0	$0	$0	$0	$29,702	$0	$256,502	$0	$0
Robert Matheny
Physician	$844,713					$16,800		$36,128		$897,641

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I, LINE 6A	FormAndLineReferenceDesc
Explanation	COMPENSATION CONTINGENT ON NET EARNINGS OF THE ORGANIZATION: EMPLOYED PHYSICIANS ARE ELIGIBLE FOR BONUSES BASED ON EITHER REVENUES OR BUSINESS LINE INCOME DEPENDING ON THEIR INDIVIDUAL EMPLOYMENT CONTRACTS.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY
A	813526584	2017-03-31	$20,000,000	CAPITAL PROJECTS	false	false	false
Arizona Industrial Development authority
B	813526584	2017-12-29	$20,000,000	Capital Projects	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$8,905,646	$0	$20,000,000	$0	$0	$0	$103,200	$0	$0	$19,896,800	$0	$0	2019	false	false	false	Yes (true)
B	$4,556,239	$0	$20,000,000	$0	$0	$0	$89,500	$0	$0	$19,910,500	$0	$0	2019	false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0	false	false	false	Yes (true)
B	false	false	false	false	0	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp

Real Estate Commercial RealEstateCommercialGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$2,115,244	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Fair Market Value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	7	ContributionCnt
Noncash Contributions Rpt F990	$21,984	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Fair Market Value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Form8283 Received	1	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I, COLUMN B	FormAndLineReferenceDesc
Explanation	Number of contributions or items contributed: THE NUMBER IN COLUMN B REPRESENTS THE TOTAL NUMBER OF CONTRIBUTIONS RECEIVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY A THIRD PARTY PREPARER WITH A DETAIL REVIEW BEING CONDUCTED BY THE GENERAL ACCOUNTING MANAGER AND ACCOUNTANT OF THE ORGANIZATION. A FINAL COPY OF THE FORM 990 IS THEN E-MAILED TO THE BOARD OF DIRECTORS BEFORE THE RETURN IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	THE EXECUTIVE ASSISTANT TO THE CEO ANNUALLY DISTRIBUTES THE POLICY DOCUMENTS AND FORMS TO ALL MANAGERS AND BOARD MEMBERS. THE RELATED FORMS CONTAIN WRITTEN EXPLANATIONS BY MANAGERS AND BOARD MEMBERS. IF A POTENTIAL CONFLICT ARISES, THE SITUATION IS THEN REVIEWED BY THE CEO. IF A CONFLICT OF INTEREST COVERED BY THIS POLICY EXISTS, WHETHER OR NOT LISTED ON A DISCLOSURE FORM, THEN THE PERSON INVOLVED WITH THE POTENTIAL CONFLICT OF INTEREST RECUSES THEMSELF FROM VOTING ON THE MATTER.
FORM 990, PART VI, SECTION B, LINE 15A	THE CHRO PREPARES A STUDY BASED ON EXTERNAL COMPARISONS OF SIMILAR POSITIONS IN SIMILAR SIZED ORGANIZATIONS IN THE INDUSTRY. THE STUDY IS REVIEWED BY AN Independent COMPENSATION COMMITTEE THEN SUBMITTED TO THE Independent EXECUTIVE BOARD FOR FINAL APPROVAL. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION PROCESS ARE KEPT ON FILE. THIS STUDY IS CONDUCTED ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15B	THE CHRO PREPARES A STUDY BASED ON EXTERNAL COMPARISONS OF SIMILAR POSITIONS IN SIMILAR SIZED ORGANIZATIONS IN THE INDUSTRY. THE STUDY IS REVIEWED BY AN Independent COMPENSATION COMMITTEE THEN SUBMITTED TO THE KHI BOARD OF DIRECTORS FOR FINAL APPROVAL. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION PROCESS ARE KEPT ON FILE. THIS STUDY IS CONDUCTED ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FOR A VALID BUSINESS PURPOSE.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS: 93,621 - CHANGE IN NET ASSETS OF KRMC FOUNDATION (1,843,232) - Goodwill Impairment (1,749,611) - Total
FORM 990 PART IX LINE 11G	DESCRIPTION:NURSING TOTAL FEES:3249866
FORM 990 PART IX LINE 11G	DESCRIPTION:LAB TOTAL FEES:703507
FORM 990 PART IX LINE 11G	DESCRIPTION:TESTING TOTAL FEES:2254322
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN FEES TOTAL FEES:21298220
FORM 990 PART IX LINE 11G	DESCRIPTION:BILLING TOTAL FEES:12009
FORM 990 PART IX LINE 11G	DESCRIPTION:EQUIPMENT SERVICE CONTRACT TOTAL FEES:2247930
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT SERVICES TOTAL FEES:15741826
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING TOTAL FEES:1552799
FORM 990 PART IX LINE 11G	DESCRIPTION:EMPLOYEE RECRUITING TOTAL FEES:108694
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION TOTAL FEES:394585
FORM 990 PART IX LINE 11G	DESCRIPTION:INSTRUCTOR FEES TOTAL FEES:17982

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NORTHWEST ARIZONA REGIONAL INSURANCE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4041 N CENTRAL AVE	AddressLine1Txt
City	PHOENIX	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	85012	ZIPCd

Field	Value	IRS element (for citing)
EIN	208081486	EIN
Primary Activities	INSURER	PrimaryActivitiesTxt
Legal Domicile State	AZ	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	12A	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	KRMC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
NORTHWESTERN ARIZONA REGIONAL INSURANCE
D	$184,656	Interco Amount
NORTHWESTERN ARIZONA REGIONAL INSURANCE
M & R	$2,322,042	interco amount