2021-05-03T12:09:57-05:00 2020-06-30 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2019-07-01 942916102 KINGMAN HEALTHCARE INC % KINGMAN HEALTHCARE INC KING 9287572101 3269 STOCKTON HILL ROAD KINGMAN AZ 86409 TIMOTHY BLANCHARD CFO 9287572101 2020-11-15 true Adam R Smith CPA P00958966 7194714290 2019 2022-09-23 18:48:47Z Kingman Regional Medical Center C WILLIAM MCCONNELL 3269 STOCKTON HILL ROAD KINGMAN AZ 86409 367864283 false X AZKRMC.COM X 1980 AZ 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. 13 12 2429 12 0 325823 17982791 329377235 292978058 397046 1922968 8392874 8412851 338492978 321296668 543796 560462 0 0 169227208 166452324 0 0 0 163263351 149150964 333034355 316163750 5458623 5132918 332032355 370007205 72192299 106016537 259840056 263990668 X 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. false false 202007868 560462 296020331 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. 202007868 true true false true false false false false false false true false false false true false false true false false false false false false false false true true true true true true false false false false false false false false false false true false false false false true true true false true 152 0 2429 true false false false false false false false false false false false false X 13 12 false false false false false false false true true false false true true true true true true true true true AZ X KINGMAN HEALTHCARE INC 9287572101 3269 STOCKTON HILL ROAD KINGMAN AZ 86409 X JAMAL AL-KHATIB PHYSICIAN 40.0 0.0 X 921586 0 46804 Robert Matheny Physician 40.0 0.0 X 844713 0 52928 BRIAN TURNEY CEO - Through May 2020 40.0 0.0 X X 800647 0 49049 SAADEH SAADEH PHYSICIAN 40.0 0.0 X 744783 0 52718 JACOB OLDHAM PHYSICIAN 40.0 0.0 X 721054 0 24743 GEOFFREY CORNELSEN PHYSICIAN 40.0 0.0 X 669813 0 49283 TIMOTHY BLANCHARD CFO 40.0 0.0 X 342739 0 50230 RYAN KENNEDY COO 40.0 0.0 X 293525 0 60972 JAMES WELLS CNO 40.0 0.0 X 226800 0 29702 DAVID FRENCH CHAIRMAN 1.0 1.0 X X 0 0 0 KRYSTAL BURGE VICE CHAIRMAN 1.0 0.0 X X 0 0 0 JAMES BAKER TREASURER 1.0 1.0 X X 0 0 0 CORAL LOYD SECRETARY 1.0 0.0 X X 0 0 0 LYNNE PETERSEN DIRECTOR 1.0 0.0 X 0 0 0 SANDY MOON DIRECTOR 1.0 0.0 X 0 0 0 CATHY OTT DIRECTOR 1.0 0.0 X 0 0 0 KALE BODILY MD DIRECTOR 1.0 0.0 X 0 0 0 SUSAN CHAN DIRECTOR 1.0 0.0 X 0 0 0 JOSEPH DORNER DIRECTOR 1.0 0.0 X 0 0 0 DAN DELMONACO DIRECTOR 1.0 0.0 X 0 0 0 WILL MCCONNELL CEO - Beginning June 2020 40.0 0.0 X X 0 0 0 CHRISTOPHER PORTER CHIEF OF STAFF 1.0 0.0 X 0 0 0 5565660 0 416429 242 false true false HIGH DESERT RADIOLOGY 695 COUNTRY CLUB DRIVE KINGMAN AZ 86401 RADIOLOGISTS 9031458 T R ORR 3965 N BANK STREET KINGMAN AZ 86409 CONTRACTOR 8362482 NI2 HEALTH LLC 22121 17TH AVE SE BOTHELL WA 98021 ACCOUNTING ASSIST. 2720015 AUREUS-FOCUS ONE 11825 Q ST OMAHA NE 68137 AGENCY STAFF 2611822 MEDLIANT 969-G EDGEWATER BLVD 698 FOSTER CITY CA 94404 NURSE AGENCY 2639758 16 14999999 2982792 2137228 17982791 Patient Service Revenue 561110 290806185 290806185 EHR/PQRS/Meaningful Use Payments 900099 708652 708652 Wellness Center Revenue 561110 1170135 1170135 OTHER INCOME 900099 293086 293086 292978058 2161566 2161566 0 0 151223 151223 0 151223 151223 43856108 26500 43635297 485909 220811 -459409 -238598 -238598 0 0 0 0 0 0 2348610 2446409 -97799 -97799 Cafeteria 722514 2591838 2591838 340B Pharmacy 446110 2250452 2250452 Income from Equity Investees 624410 2987700 2987700 529437 54573 474864 8359427 321296668 296020331 7293546 X 159197 159197 401265 401265 0 0 3113096 2295358 817738 0 130096857 83668851 46428006 3266703 2091064 1175639 21557363 6192503 15364860 8418305 8418305 0 182250 182250 174840 174840 20068 20068 0 81704 81704 47581740 36388199 11193541 534190 10585 523605 4854682 914168 3940514 8955796 2238977 6716819 0 5051700 1563404 3488296 833308 427511 405797 0 0 154181 154181 0 15366614 5500385 9866229 3981098 2338344 1642754 Medical Supplies 51708974 51464865 244109 Repairs & Maintenance 1381731 594383 787348 Provider Fee 5285008 5285008 Food 2024260 2024260 978820 473801 505019 316163750 202007868 114155882 0 7634165 8426810 13580033 29039300 0 0 66591090 64337910 0 0 0 0 99087 136599 6593427 6949447 3719617 5940400 300286274 166920326 125689730 133365948 96712036 107494975 7406621 10394321 1923408 2017029 0 0 2083141 1904466 332032355 370007205 35565179 34741687 0 0 117939 39736953 31206601 26538115 0 0 0 0 0 0 0 0 5302580 4999782 72192299 106016537 X 257649159 261716259 2190897 2274409 259840056 263990668 332032355 370007205 X 5132918 767305 -1749611 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 20068 false false 20068 false Schedule C, Part II-B, Line 1g 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. 21698675 21698675 117819672 70726886 47092786 139708647 92838297 46870350 21059280 3355143 17704137 133365948 0 Estimated Self-Insurance Costs 1116000 Accrued Retirement Obligation 3883782 4999782 320386200 767305 696798 1464103 318922097 81704 2292867 2374571 321296668 316235588 2446409 2446409 313789179 81704 2292867 2374571 316163750 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 true true X true X true X true true true false true true 535085 535085 0.00170 76351997 54460021 21891976 0.06870 76887082 54460021 22427061 0.07040 512286 512286 0.00160 4199861 4686645 902710 902710 0.00280 5614857 4686645 1414996 0.00440 82501939 59146666 23842057 0.07480 true 59720353 66682803 68358429 -1675626 X true true 1 1 KINGMAN REGIONAL MEDICAL CENTER 3269 STOCKTON HILL ROAD KINGMAN AZ 86409 WWW.AZKRMC.COM H-0010 X X X X CANCER CENTER CARDIAC CATH LAB ACUTE REHAB UNIT 1 KINGMAN REGIONAL MEDICAL CENTER 1 false false true X X X X X X X X X 19 true false true true X SEE PART V, SECTION C, FOR URL X true 18 true SEE PART V, SECTION C, FOR URL false true X 150. 350. X X X X true true X X X X true X see part v, section C, for URL X see part v, section C, for URL X Part V, section C, for URL X X X X X X true X false X X X X true X false false 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. 30 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 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. true BOYS & GIRLS CLUB OF KINGMAN 301 N 1ST STREET KINGMAN AZ 86401 860743950 501(C)(3) 13500 PROVIDES EDUCATION & MEALS TO CHILDREN CORNERSTONE MISSION 3049 SYCAMORE KINGMAN AZ 86409 860960036 501(C)(3) 12000 HOMELESS SHELTER FOR MEN ARIZONA YOUTH PARTNERSHIP 1902 PACIFIC AVE KINGMAN AZ 86401 860669087 501(C)(3) 5500 SUPPORT HOMELESS SHELTER FOR TEENAGE BOYS KINGMAN AID TO ABUSED PEOPLE 1770 AIRWAY AVE KINGMAN AZ 86409 860601113 501(C)(3) 20700 SUPPORT FOR SHELTER FOR ABUSED PEOPLE KINGMAN CANCER CARE PO BOX 3014 KINGMAN AZ 86402 860753651 501(C)(3) 10000 ASSISTS CANCER PATIENTS IN KINGMAN AREA KATHERINE HEIDENREICH ADULT CENTER 1776 AIRWAY AVE KINGMAN AZ 86401 860397271 501(C)(3) 15000 TRANSPORTATION TO PHYSICIANS, MEALS FOR ELDERLY Arizona Department of Health Services 150 N 18th Ave Phoenix AZ 85007 866004791 Dept of Health 9000 7 SCHOLARSHIPS 95 401265 SCHEDULE I, PART I, LINE 2 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. X X X X false false false false false true false false false JAMAL AL-KHATIB PHYSICIAN 673872 0 247714 0 0 11200 0 35604 0 968390 0 GEOFFREY CORNELSEN PHYSICIAN 643894 0 25919 0 0 0 11200 0 38083 0 719096 0 SAADEH SAADEH PHYSICIAN 662409 0 82374 0 0 0 16800 0 35918 0 797501 0 JACOB OLDHAM PHYSICIAN 721054 0 0 0 0 0 11200 0 13543 0 745797 0 BRIAN TURNEY CEO - Through May 2020 718886 0 81761 0 0 0 16800 0 32249 0 849696 0 RYAN KENNEDY COO 268270 0 25255 0 0 16800 0 44172 0 354497 0 TIMOTHY BLANCHARD CFO 342739 0 0 0 0 0 16800 0 33430 0 392969 0 JAMES WELLS CNO 209300 0 17500 0 0 0 0 0 29702 0 256502 0 Robert Matheny Physician 844713 16800 36128 897641 SCHEDULE J, PART I, LINE 6A 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. A ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY 813526584 2017-03-31 20000000 CAPITAL PROJECTS false false false B Arizona Industrial Development authority 813526584 2017-12-29 20000000 Capital Projects false false false A 8905646 0 20000000 0 0 0 103200 0 0 19896800 0 0 2019 false false false true B 4556239 0 20000000 0 0 0 89500 0 0 19910500 0 0 2019 false false false true A false false false false 0 false false false true B false false false false 0 false false false true A false true false false false false 0 false 0 false true B false true false false false false 0 false 0 false true A true B true X 1 2115244 Fair Market Value X 7 21984 Fair Market Value 1 false false false SCHEDULE M, PART I, COLUMN B Number of contributions or items contributed: THE NUMBER IN COLUMN B REPRESENTS THE TOTAL NUMBER OF CONTRIBUTIONS RECEIVED. 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 NORTHWEST ARIZONA REGIONAL INSURANCE 4041 N CENTRAL AVE PHOENIX AZ 85012 208081486 INSURER AZ 501(C)(3) 12A KRMC true false false false true false false false false false false false false true false true false false true false NORTHWESTERN ARIZONA REGIONAL INSURANCE D 184656 Interco Amount NORTHWESTERN ARIZONA REGIONAL INSURANCE M & R 2322042 interco amount