2018-03-30T10:39:49-05:00 2017-06-30 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2016-07-01 942916102 Kingman Hospital Inc % KINGMAN HOSPITAL INC KING 9287572101 3269 STOCKTON HILL ROAD KINGMAN AZ 86409 TIMOTHY BLANCHARD CFO 9287572101 2018-03-28 true Adam R Smith CPA P00958966 7194714290 167.68.126.162 84022720180895000012 2018-03-30 P ED42049D66F1046E576A4D4BB44938B540F74564 7E88F371C52F321CAC265BAA5887B5821BA85A3C 2016 2021-01-29 14:40:06Z Kingman Regional Medical Center BRIAN TURNEY 3269 STOCKTON HILL ROAD KINGMAN AZ 86409 309393875 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. 12 10 2295 114 0 86586 89205 288126178 302845942 1895268 925880 4902796 5289733 295010828 309150760 571564 417425 0 0 144581004 149142317 0 0 0 139817790 153025661 284970358 302585403 10040470 6565357 257488989 286332303 28451146 47880269 229037843 238452034 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 247181382 417425 304685185 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 OTHER WAYS 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 WRITE OFF THE OTHER 50% FOR VICTIMS OF CRIME COLLABORATING WITH THE MOHAVE COUNTY ATTORNEY'S OFFICE. KRMC IS A TEACHING HOSPITAL WITH A GME 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 350% 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. 247181382 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 false false true true true false true 292 0 true 2295 true false false false false false false false false false false X 12 10 false false false false false false false true true false false true true true true true false true true false AZ X KINGMAN HOSPITAL INC 9287572101 3269 STOCKTON HILL ROAD KINGMAN AZ 86409 X DAVID FRENCH CHAIRMAN 1.0 0.0 X X 0 0 0 DONALD VAWTER VICE CHAIRMAN 1.0 0.0 X X 0 0 0 KRYSTAL BURGE SECRETARY 1.0 0.0 X X 0 0 0 JAMES BAKER TREASURER 1.0 0.0 X X 0 0 0 CORAL LOYD DIRECTOR 1.0 0.0 X 0 0 0 ROBERT MATHENY MD DIRECTOR 41.0 0.0 X 774979 0 49548 SANDY MOON DIRECTOR 1.0 0.0 X 0 0 0 CATHY OTT DIRECTOR 1.0 0.0 X 0 0 0 ROD MARQUARDT DIRECTOR 1.0 0.0 X 0 0 0 KALE BODILY DIRECTOR 1.0 0.0 X 0 0 0 SUSAN CHAN DIRECTOR 1.0 0.0 X 0 0 0 BRIAN TURNEY CHIEF EXECUTIVE OFFICER 40.0 0.0 X X 742576 0 43951 RYAN KENNEDY CHIEF OPERATING OFFICER 40.0 0.0 X 248359 0 42924 TIMOTHY BLANCHARD CHIEF FINANCIAL OFFICER 40.0 0.0 X 329507 0 44185 KIM MIYAUCHI CHIEF NURSING OFFICER 40.0 0.0 X 213327 0 30918 THOMAS GAUGHAN CHIEF MEDICAL OFFICER 40.0 0.0 X 345332 0 30000 DENNIS DUNNING PHYSICIAN 40.0 0.0 X 1081103 0 35239 ALAIN ASHER PHYSICIAN 40.0 0.0 X 739715 0 26655 JACOB OLDHAM PHYSICIAN 40.0 0.0 X 695527 0 9835 Jeffrey Lunn PHYSICIAN 40.0 0.0 X 797375 0 40152 Jamal Al-Khatib PHYSICIAN 40.0 0.0 X 762298 0 41599 6730098 0 395006 168 false true false HIGH DESERT RADIOLOGY 695 COUNTRY CLUB DRIVE KINGMAN AZ 86041 RADIOLOGISTS 7919286 Medicus Hospitalists 22 Roulston Rd WINDHAM NH 03087 Hospitalists 3596707 MIDWESTERN UNIVERSITY 19555 N 59TH AVE GLENDALE AZ 85308 GME PROGRAM 1946772 MEDLIANT 969-G EDGEWATER BLVD 698 FOSTER CITY CA 94404 NURSE AGENCY 2529105 AMN HEALTHCARE P O BOX 281939 ATLANTA GA 303871939 NURSE AGENCY 2087286 48 70339 18866 89205 Patient Service Revenue 561110 178034056 178034056 Medicare & Medicaid revenue 561110 121983742 121983742 EHR/PQRS/MEANINGFUL USE PAYMENTS 900099 580420 580420 WELLNESS CENTER REVENUE 561110 1443617 1443617 DURABLE MEDICAL EQUIPMENT REVENUE 900099 392592 392592 411515 411515 302845942 1201521 1201521 0 0 164023 164023 0 164023 164023 96751 372392 -275641 -275641 -275641 0 0 0 0 0 0 343277 -129277 214000 214000 Cafeteria 722514 2544143 2544143 340B Pharmacy 446110 639938 639938 Income from Equity Investees 900099 60175 60175 1667454 1139090 528364 4911710 309150760 304685145 4376410 X 223304 223304 194121 194121 0 0 2841454 2546103 295351 0 115888670 80028425 35860245 2744420 2162665 581755 20194620 15942079 4252541 7473153 5903791 1569362 0 258097 258097 213873 213873 44197 44197 0 58879 58879 38426173 34504425 3921748 528861 417800 111061 5333316 4213320 1119996 5966664 4713665 1252999 0 5188071 4098576 1089495 1124349 888236 236113 0 0 110530 87319 23211 0 15374213 12145628 3228585 4111109 3962877 148232 Medical Supplies 43862710 43862710 Bad Debt Expense 23374268 23374268 Provider Fee 3461920 3461920 Food 2186940 1727683 459257 3401490 2722467 679024 302585403 247181382 55404021 0 6206618 3514637 17736329 49205177 0 0 58945847 53735924 0 0 0 0 327336 260394 6353951 6126413 2673399 2486160 254638684 153959554 100795076 100679130 58252287 62150922 4201521 5493460 1591978 1712080 0 0 404647 968006 257488989 286332303 24291567 23858858 0 0 109849 81089 0 19337208 0 0 0 0 649097 633923 0 0 3400633 3969191 28451146 47880269 X 227196659 236481642 1841184 1970392 0 0 229037843 238452034 257488989 286332303 X 6565357 2728732 120102 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 44197 false false 44197 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. 21298675 21298675 103799552 58586477 45213075 122025102 92097542 29927560 7515355 3275535 4239820 100679130 0 Estimated Self-Insurance Costs 1153000 Accrued Retirement Obligation 2816191 3969191 287590171 2728732 249379 2978111 284612060 58879 24479821 24538700 309150760 278175980 129277 129277 278046703 58879 24479821 24538700 302585403 SCHEDULE D, PART XI, LINE 2D REVENUE ON BOOKS, NOT ON RETURN: COST OF GOODS SOLD 129,277 CHANGE IN NET ASSETS OF KRMC FOUNDATION 120,102 TOTAL 249,379 SCHEDULE D, PART XI, LINE 4B REVENUE ON RETURN, NOT ON BOOKS: BAD DEBT NET WITH REVENUE ON FINANCIALS, TREATED AS EXPENSE ON TAX RETURN 23,374,268 ACTIVITY OF NARIC INCLUDED IN CONSOLIDATED FINANCIALS, REMOVED FOR TAX RETURN 1,105,553 TOTAL 24,479,821 SCHEDULE D, PART XII, LINE 2D EXPENSE ON BOOKS, NOT ON RETURN: COST OF GOODS SOLD 129,277 SCHEDULE D, PART XII LINE 4B EXPENSE ON RETURN, NOT ON BOOKS: BAD DEBT NET WITH REVENUE ON FINANCIALS, TREATED AS EXPENSE ON TAX RETURN 23,374,268 ACTIVITY OF NARIC INCLUDED IN CONSOLIDATED FINANCIALS, REMOVED FOR TAX RETURN 1,105,553 TOTAL 24,479,821 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. true true X true X true X true true true false true true 1441731 1441731 0.00520 59300114 17326645 41973469 0.15090 60741845 17326645 43415200 0.15610 701357 701357 0.00250 3053933 4198376 0.00000 567619 567619 0.00200 4322909 4198376 1268976 0.00450 65064754 21525021 44684176 0.16060 true 23374268 71632630 70810199 822431 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 15 true false true true X see part V, Section C for URL X true 15 true see part V, Section C for URL false true X 150. 350. X 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 for URL X X X X X true X 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 WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE: https://www.azkrmc.com/wp-content/uploads/2016/08/KRMC_Mohave-County-Depar tment-of-Public-Health_CHA-Report_Final.pdf SCHEDULE H, PART V, SECTION B, LINE 10A DIRECT URL WHERE IMPLEMENTATION PLAN IS MADE WIDELY AVAILABLE: https://www.azkrmc.com/wp-content/uploads/2016/08/KRMC-Implementation-Plan .pdf SCHEDULE H, PART V, SECTION B, LINE 11 In 2016, Kingman Hospital Inc. (KHI), in partnership with the Mohave County Department of Public Health (MCDPH), began the ongoing community health assessment and community health improvement planning process in Mohave County, AZ. Since then, KHI has actively participated with community stakeholders to identify and address health and quality of life issues in Mohave County, AZ. Our process involves performing a community health assessment and developing a community health improvement plan every three years. As a result of our initial community health assessment, which was published in 2013, KHI and MCDPH have led a coalition of community stakeholders in identifying priority health issues and in formulating community task forces to address the issues. These task forces continue to meet on a regular basis to set goals, objectives, and implement actions for improvement. KHI continues to lead and be an active participant in the community task forces to address priority health issues selected by community stakeholders and assist however possible in meeting community-directed goals. The current issues selected by community stakeholders, corresponding task forces, goals, and KHI activities are described below. A. Economic Conditions Economic insecurity is often associated with poor health. Mohave County's high rates of poverty, unemployment, and lack of educational achievement create barriers for accessing health services, healthy food, recreation, and other necessities that contribute to a healthy lifestyle. Mohave County Economic Task Force Goal: Strengthen new and existing businesses within Mohave County through education and one-on-one assistance utilizing existing Economic Development Agencies. KHI Strategies: 1) Maintain hospital growth and viability. A healthy, growing hospital with more physicians and healthcare services is vital to the economy of Kingman and surrounding communities. As the largest private employer in Mohave County, KHI has added 800 jobs to the Kingman economy over the past 10 years. 2) Purchase goods and services from local vendors. KHI gives priority to local businesses when procuring goods and services for various hospital functions, advertising and promotion, facility expansion, and other hospital operations. KHI spends over $10 million annually with local vendors. 3) Educate and employ local talent. KHI gives priority to hiring local applicants when filling open hospital positions. We coordinate with local high schools to inform students of career opportunities and partner with Mohave Community College and state universities to hire healthcare workers (nurses, medical technicians, etc.) trained through their respective programs. KHI funds scholarships to help local students who are pursuing careers in healthcare with their educational costs. We also provide tuition reimbursement to current employees seeking further education to advance their careers. 4) Support economic development, education, and job training efforts in our community. KHI is an active member of the Kingman Chamber of Commerce, participates in various committees that focus on business development, and supports education and job training efforts via scholarships, job shadowing and support of student organizations, such as HOSA (Health Occupation Student Association) in our local high schools. B. Youth Risk/Protective Factors The results of the community health assessment as reported in the Community Health Profile for Mohave County, 2016 show high rates of substance abuse, antisocial behavior, and delinquency among Mohave County youth as compared to state and national statistics. Therefore, our community coalition has chosen to address risk factors that can lead to problem behaviors among children and adolescents in our community.Mohave County Youth Task Force Goal: Reduce youth risk factors and increase youth protective factors in Mohave County. KHI Strategies: 1) Provide training and education to new parents. KHI provides culturally-appropriate information and education to new parents in our community to help increase family bonding and other protective factors in their child's life. 2) Provide outreach in schools to educate children on healthy living skills. Through KHI's Kare Bear program, we use a fun and engaging approach to educate local children on the importance of living healthy. Kare Bear visits local classrooms to talk about and demonstrate such topics as sun safety, hand hygiene, bike safety and helmet use, water safety, cough etiquette, oral hygiene. 3) Encourage physical fitness at community elementary schools. KHI sponsors a physical education program called Project Fit America at five elementary schools in Kingman. The program includes equipment, teacher training, curriculum, and other resources to help kids be active and healthy. 4) Provide free general health screenings at local schools and at special outreach events. Resident doctors with KHI's Family Practice Residency program visit each of Kingman's middle schools and high schools during the school year providing students a free basic physical, as well as information on making good healthcare choices and providing a forum for the students to talk about their health concerns. They also provide free immunizations, height and weight measurements at the hospitals annual "Kids Day Health Expo" where an average 700 children participate. 5) Provide youth opportunities for positive community engagement through the KHI Volunteen program. KHI's youth volunteer program (Volunteens) provides high school students (ages 14 to 19) an opportunity to serve the community in many areas of KHI- nursing, wellness center, laboratory, physician offices, nutrition services, and day care center. 6) Provide job shadowing to students interested in health-related occupations. In partnership with Kingman High School's HOSA (Health Occupations Students of America) program, KHI hosts hundreds of high school students every February who spend a day with hospital technologists, nurses, doctors, or administrators to observe their work activities. 7) Encourage youth responsibility and safety through the Safe Sitter program. KHI provides Safe Sitter training to area youth. This well-rounded youth development program aims to reduce the number of avoidable and unintentional deaths among children being cared for by babysitters. Program graduates are able to handle emergencies when caring for younger children and are equally equipped with the tools needed to stay safe when home alone. 8) Provide financial support to community youth organizations and activities. KHI provides donations and other support to many community organizations that provide programs, services, and support to local children and families. C. Substance Abuse & Mental Health The results of the community health assessment as reported in the Community Health Profile for Mohave County, 2016 show high rates of substance abuse and mental health problems among Mohave County adults as compared to state and national statistics. Unfortunately, most of rural America is without the necessary resources to adequately address the pandemic increase in people who are impacted by mental health and substance abuse problems. KHI does not have the resources that would be required to effect the changes that are needed to adequately address the lack of mental health and substance abuse care in our service area. However, we will continue to explore potential partnerships and internal strategies to find a way to provide these essential services to our patients. Every effort will be made to assist our existing mental health and substance abuse providers in maintaining and/or expanding the services that they currently provide. With that, KHI's strategies for addressing substance abuse and mental health issues in our community include: 1) Provide financial support and participate on community initiatives that address substance abuse in our community. KHI is actively involved in the following community initiatives; providing leadership, financial donations, and other resources. 2) Maintain a smoke-free campus at KHI. KHI is committed to promoting good health, which includes preventing as well as treating disease. Smoking related illnesses (including those related to environmental tobacco smoke) comprise the largest proportion of preventable diseases. Therefore, KHI prohibits smoking at all its facilities and on hospital grounds, including parking lots and ramps. D. Accessible/Affordable Healthcare Access to health resources is critical to the health of our community's residents. The results of the community health assessment as reported in the Community Health Profile for Mohave County, 2016 show that there are number of specific barriers to obtaining proper healthcare in Mohave County. Mohave County Accessible/Affordable Healthcare Task Force Goal: Increase provider availability and reduce financial, cultural, and transportation barriers that impede access to healthc 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 22B Kingman Regional Medical Center will not charge patients who are eligible for financial assistance more for emergency care than the amounts generally billed (AGB) to insured patients. AGB is calculated using the "look-back" method based on claims sent to Medicare fee-for-service and all private commercial insurers for emergency and medically necessary care. 32 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 1739 Beverly Ave Suite 106 Kingman AZ 86409 Urologist GME Resident Clinic 2202 Stockton Hill Rd Suite 101 Kingman AZ 86401 Family Medicine Kingman ENT Clinic 1739 Beverly Ave Suite 106 Kingman AZ 86409 Ear, Nose & Throat Physicians 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 Orthopedic Surgery Clinic 1739 BEVERLY AVE SUITE 102 Kingman AZ 86409 Orthopedic Surgeons Kingman Family Practice 1739 Beverly Ave Suite 209 Kingman AZ 86409 Family Medicine Hillcrest Surgical 3939 Stockton Hill Road Kingman AZ 86409 General Surgeon Mohave Pain Management 3801 SANTA ROSA Kingman AZ 86401 Pain Management Physicians EMPLOYEE & 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 1726 BEVERLY AVE Kingman AZ 86409 POST HOSPITAL CARE DESERT VIEW HEALTHCARE 1871 GATES AVE KINGMAN AZ 86401 FAMILY MEDICINE KRMC PHYSIATRY 3801 SANTA ROSA Kingman AZ 86401 Physical Medicine & Rehab Meadview Medical Services 330 E Meadview Meadview AZ 86444 FAMILY MEDICINE Kingman Rheumatology 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 86409 DISEASE MANAGEMENT PAIN MANAGEMENT CLINIC 3801 Santa Rosa KINGMAN AZ 86409 PAIN MANAGEMENT KRMC HOSPICE 3269 STOCKTON HILL ROAD KINGMAN AZ 86409 HOSPICE SERVICES KRMC HUALAPAI CAMPUS 3801 SANTA ROSA KINGMAN AZ 86401 ACUTE REHABILITATION Infectious Disease Clinic 1739 Beverly Ave Suite 221 Kingman AZ 86409 Infectious Disease Physician 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 I, Line 7, Column (f) BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 BUT EXCLUDED FOR PURPOSES OF CALCULATING PERCENTAGES IN THIS COLUMN EQUAL $23,374,268. SCHEDULE H, PART III, Section A, LINE 2 THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. 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 A, LINE 4 THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSES IS LOCATED IN FOOTNOTE 1 ON PAGE 9 OF THE ATTACHED FINANCIAL STATEMENTS. 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 hospitals 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. SCHEDULE H, PART III, Section C, LINE 9b ONCE THE PATIENT IS BILLED AND CONTACTED, THEY ARE INFORMED OF OPTIONS AND OF THE QUALIFYING DISCOUNT PROGRAM (QDP). 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 QDP, 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 2016 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 HTTP://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 HOSPITAL 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. - PUBLISHING A QUARTERLY 8-PAGE NEWSLETTER (CALLED HEALTHWISE), WHICH CONTAINS IMPORTANT HEALTH INFORMATION FOR THE PUBLIC. THE NEWSLETTER IS FREE AND DISTRIBUTED THROUGHOUT NORTHWEST ARIZONA. - PROVIDING FREE GROWTH MATS AND CAR SEATS FOR BABIES BORN AT KRMC. - 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 H, Part VI, Line 7 The community benefit report is filed in the following states: Arizona true BOYS & GIRLS CLUB OF KINGMAN 301 N 1ST STREET KINGMAN AZ 86401 860743950 501(C)(3) 15000 PROVIDES EDUCATION & MEALS TO CHILDREN CORNERSTONE MISSION 3049 SYCAMORE KINGMAN AZ 86409 860960036 501(C)(3) 14500 HOMELESS SHELTER FOR MEN ARIZONA YOUTH PARTNERSHIP 1902 PACIFIC AVE KINGMAN AZ 86401 860669087 501(C)(3) 7500 SUPPORT HOMELESS SHELTER FOR TEENAGE BOYS KINGMAN AID TO ABUSED PEOPLE 1770 AIRWAY AVE KINGMAN AZ 86409 860601113 501(C)(3) 24000 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 Jerry Ambrose Veterans Council PO Box 4463 Kingman AZ 86402 461967830 501(c)(3) 10000 Provide Assistance to Veterans The kingsmen PO Box 6211 Kingman AZ 86402 860763188 6000 Rodeo Sponsorship 7 SCHOLARSHIPS 81 194121 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 ROBERT MATHENY MD DIRECTOR 678956 0 36649 0 59374 0 15900 0 33648 0 824527 0 0 0 DENNIS DUNNING PHYSICIAN 814665 0 266438 0 0 0 10600 0 24639 0 1116342 0 0 0 ALAIN ASHER PHYSICIAN 702780 0 0 0 36935 0 2337 0 24318 0 766370 0 0 0 JACOB OLDHAM PHYSICIAN 658522 0 19005 0 18000 0 7063 0 2772 0 705362 0 0 0 Jeffrey Lunn PHYSICIAN 683746 0 84394 0 29235 0 13250 0 26902 0 837527 0 0 0 Jamal Al-Khatib PHYSICIAN 652310 0 109988 0 0 0 7950 0 33649 0 803897 0 0 0 BRIAN TURNEY CHIEF EXECUTIVE OFFICER 616194 0 68920 0 57462 0 15900 0 28051 0 786527 0 0 0 KIM MIYAUCHI CHIEF NURSING OFFICER 188991 0 14030 0 10306 0 12997 0 17921 0 244245 0 0 0 RYAN KENNEDY CHIEF OPERATING OFFICER 214001 0 26577 0 7781 0 15345 0 27579 0 291283 0 0 0 THOMAS GAUGHAN CHIEF MEDICAL OFFICER 327332 0 0 0 18000 0 7338 0 22662 0 375332 0 0 0 TIMOTHY BLANCHARD CHIEF FINANCIAL OFFICER 293897 0 35610 0 0 0 10600 0 33585 0 373692 0 0 0 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 A 662792 0 20000000 0 0 0 103200 0 0 7456601 0 12440199 2017 false false false true A false false false false 0 false false false true A false true false false false false 0 false 0 false true A true FORM 990, PART VI, SECTION B, LINE 11B Process to Review the Form 990: 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 Process for Monitoring Compliance with Conflict of Interest Policy: 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 Review of CEO or Top Mgmt Official Compensation: A BENEFITS AND COMPENSATION ANALYST PREPARES A STUDY BASED ON EXTERNAL COMPARISONS OF SIMILAR POSITIONS IN SIMILAR SIZED ORGANIZATIONS IN THE INDUSTRY. THE STUDY IS REVIEWED BY A COMPENSATION COMMITTEE THEN SUBMITTED TO THE 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 Review of Other Officer or Key Employees Compensation: A BENEFITS AND COMPENSATION ANALYST PREPARES A STUDY BASED ON EXTERNAL COMPARISONS OF SIMILAR POSITIONS IN SIMILAR SIZED ORGANIZATIONS IN THE INDUSTRY. THE STUDY IS REVIEWED BY A 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 Describe how Governing Documents are made Available to the Public: 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: CHANGE IN NET ASSETS OF KRMC FOUNDATION 120,102 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTIONS/CLAIMS ASSISTANCE TOTAL FEES:1058120 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:1680247 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:10999912 FORM 990 PART IX LINE 11G DESCRIPTION:EQUIPMENT SERVICE CONTRACTS TOTAL FEES:2561144 FORM 990 PART IX LINE 11G DESCRIPTION:INSTRUCTOR FEES TOTAL FEES:63592 FORM 990 PART IX LINE 11G DESCRIPTION:NURSE REGISTRY TOTAL FEES:4460047 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:16717701 FORM 990 PART IX LINE 11G DESCRIPTION:RELAY HEALTH FEES TOTAL FEES:205504 FORM 990 PART IX LINE 11G DESCRIPTION:RECRUITING TOTAL FEES:102163 FORM 990 PART IX LINE 11G DESCRIPTION:BILLING TOTAL FEES:85027 FORM 990 PART IX LINE 11G DESCRIPTION:TESTING TOTAL FEES:492716 NORTHWESTERN ARIZONA REGIONAL INSURANCE 4041 N CENTRAL AVE PHOENIX AZ 85012 208081486 INSURER AZ 501(C)(3) Line 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 443756 interco amount NORTHWESTERN ARIZONA REGIONAL INSURANCE M & R 2395978 interco amount