KINGMAN HEALTHCARE INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- KINGMAN HEALTHCARE INC (EIN 94-2916102)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-13
- IRS object ID
- 202541339349307604
- Schema version
- 2023v6.0
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-05-13T14:51:10-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5415 E HIGH STREET STE 350 | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85054 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | 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) |
|---|---|---|
| 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 | JOSHUA HOFFMAN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9287572101 | PhoneNum |
| Signature | 2025-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAUREN A HAVERLOCK | PreparerPersonNm |
| PTIN | P00545829 | PTIN |
| Phone | 4804443424 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | 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 | HEATH EVANS | 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 | $538,974,993 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | 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 BE ONE OF THE KINDEST, HIGHEST QUALITY HEALTH SYSTEMS IN THE COUNTRY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 2412 | TotalEmployeeCnt |
| Total Volunteers | 150 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,600,063 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,627,738 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $378,262,586 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $376,161,190 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,673,810 | PYInvestmentIncomeAmt |
| CY Investment Income | $14,396,155 | CYInvestmentIncomeAmt |
| PY Other Revenue | $12,129,554 | PYOtherRevenueAmt |
| CY Other Revenue | $9,982,086 | CYOtherRevenueAmt |
| PY Total Revenue | $397,666,013 | PYTotalRevenueAmt |
| CY Total Revenue | $407,167,169 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $522,840 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $415,292 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $188,825,639 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $192,390,110 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $202,084,948 | PYOtherExpensesAmt |
| CY Other Expenses | $194,003,067 | CYOtherExpensesAmt |
| PY Total Expenses | $391,433,427 | PYTotalExpensesAmt |
| CY Total Expenses | $386,808,469 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,232,586 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $20,358,700 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $414,114,244 | TotalAssetsBOYAmt |
| Total Assets EOY | $413,771,141 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $97,839,507 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $80,846,270 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $316,274,737 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $332,924,871 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO INSPIRE AND PARTNER WITH OUR COMMUNITY TO ACHIEVE OPTIMAL HEALTH MIND, BODY AND SPIRIT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $319,674,503 | ExpenseAmt |
| Grant | $415,292 | GrantAmt |
| Revenue | $376,161,190 | RevenueAmt |
| Desc | KINGMAN REGIONAL MEDICAL CENTER (KRMC) IS THE LARGEST HEALTHCARE PROVIDER IN NORTHWEST ARIZONA AND THE ONLY REMAINING NOT-FOR-PROFIT HOSPITAL IN MOHAVE COUNTY, ARIZONA. AS A 235-BED MULTICAMPUS HEALTHCARE SYSTEM, KINGMAN REGIONAL MEDICAL CENTER INCLUDES MORE THAN 1,900 EMPLOYEES, 270 PHYSICIANS/ALLIED HEALTH PROFESSIONALS, AND 150 VOLUNTEERS WHO CARE FOR THE HEALTH NEEDS OF THE COMMUNITY. THE THREE LARGEST PROGRAM SERVICES OF THE ORGANIZATION ARE ACUTE CARE SERVICES, OUTPATIENT PHYSICIAN SERVICES, AND HOME HEALTH SERVICES. WITHIN THESE SERVICE LINES, THE ORGANIZATION OPERATES AN AWARD-WINNING CANCER CENTER, GENERAL SURGERY, PRIMARY AND SPECIALTY CARE SERVICES, INTERVENTIONAL CARDIOLOGY, EMERGENCY MEDICAL AND URGENT CARE SERVICES. | Desc |
| Total Program Service Expenses | $319,674,503 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 172 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2412 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KINGMAN HEALTHCARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| HEATH EVANS | |||||||||
| CEO | 40.00 | Yes (X) | Yes (X) | $570,367 | $0 | $25,468 | |||
| KRYSTAL BURGE | |||||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JAMES BAKER | |||||||||
| VICE CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ROBERT DEVRIES | |||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| SUSAN CHAN | |||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| BRENT BEDKE MD | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAN DEL MONACO | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CATHY OTT | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| LYNNE PETERSEN | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SAM ELTERS | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KALE BODILY MD | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOSEPH DORNER | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RYAN SWAPP MD | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOSHUA HOFFMAN | |||||||||
| CFO | 40.00 | Yes (X) | $307,139 | $0 | $37,058 | ||||
| DAVID SCHOTT | |||||||||
| CAO | 40.00 | $311,375 | $0 | $6,776 | Yes (X) | ||||
| LESLIE MARTIN | |||||||||
| CNO | 40.00 | $265,267 | $0 | $32,326 | Yes (X) | ||||
| JEREMY KAPLAN | |||||||||
| PHYSICIAN | 40.00 | $1,180,673 | $0 | $45,829 | Yes (X) | ||||
| MARK DAVIS | |||||||||
| PHYSICIAN | 40.00 | $877,291 | $0 | $34,406 | Yes (X) | ||||
| ADAM BRAZE | |||||||||
| PHYSICIAN | 40.00 | $826,727 | $0 | $58,918 | Yes (X) | ||||
| ABHINAV OHRI | |||||||||
| PHYSICIAN | 40.00 | $825,911 | $0 | $26,239 | Yes (X) | ||||
| EDGARDO RIVERA | |||||||||
| PHYSICIAN | 40.00 | $815,812 | $0 | $54,905 | Yes (X) | ||||
| CHRISTINA DIMAMBRO | |||||||||
| FORMER CFO | 0.00 | $383,485 | $0 | $22,145 | Yes (X) | ||||
| JAMES WELLS | |||||||||
| FORMER CNO | 0.00 | $318,876 | $0 | $18,829 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,682,923 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $362,899 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 273 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MONOLITH DIAGNOSTICS | |||||
| PO BOX 6024 | KINGMAN | AZ | 86402 | CONTRACT PATHOLOGISTS | $2,240,513 |
| J ROAD LLC | |||||
| 3169 20TH STREET N | ARLINGTON | VA | 222015135 | CONTRACT PHYSICIAN | $836,308 |
| GHILONI PLLC | |||||
| 1404 FOOTHILLS MILLS STREET | HENDERSON | NV | 89012 | CONTRACT PHYSICIAN | $577,850 |
| BRYAN A FICARRA JR | |||||
| 4126 W SANDRA TERRACE | PHOENIX | AZ | 85053 | CONTRACT PHYSICIAN | $398,596 |
| DAVID ELKINS MD | |||||
| 336 SKYLINE DRIVE | VISTA | CA | 92084 | CONTRACT PHYSICIAN | $379,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $95,934 | RelatedOrganizationsAmt |
| Government Grants | $6,530,245 | GovernmentGrantsAmt |
| All Other Contributions | $1,559 | AllOtherContributionsAmt |
| Noncash Contributions | $14,944 | NoncashContributionsAmt |
| Total Contributions | $6,627,738 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 622110 | $372,015,075 | $372,015,075 |
| EHR/PQRS/MEANINGFUL USE PAYMENTS | 621100 | $2,194,757 | $2,194,757 |
| WELLNESS CENTER REVENUE | 900099 | $1,692,349 | $1,692,349 |
| HPSA MEDICARE PAYMENT | 524114 | $230,426 | $230,426 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,583 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,583 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $376,161,190 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,110,474 | TotalRevenueColumnAmt |
| Exclusion | $5,110,474 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $330,090 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $330,090 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $330,090 | TotalRevenueColumnAmt |
| Exclusion | $330,090 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $137,441,150 | SecuritiesAmt |
| Other | $39,870 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $128,195,339 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,245,811 | SecuritiesAmt |
| Other | $39,870 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,285,681 | TotalRevenueColumnAmt |
| Exclusion | $9,285,681 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $8,620,776 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $3,612,485 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,008,291 | TotalRevenueColumnAmt |
| Exclusion | $5,008,291 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA | 722514 | $3,244,323 | $3,244,323 |
| 300B PHARMACY | 446110 | $285,361 | $285,361 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,114,021 | TotalRevenueColumnAmt |
| Exclusion | $1,114,021 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,643,705 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $407,167,169 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $376,161,190 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $24,378,241 | 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 | $136,550 | TotalAmt |
| Program Services | $136,550 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $278,742 | TotalAmt |
| Program Services | $278,742 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,706,840 | TotalAmt |
| Management And General | $1,706,840 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $721,041 | TotalAmt |
| Management And General | $721,041 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,349,854 | TotalAmt |
| Program Services | $81,706,954 | ProgramServicesAmt |
| Management And General | $19,642,900 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,968,815 | TotalAmt |
| Program Services | $7,717,283 | ProgramServicesAmt |
| Management And General | $1,251,532 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,892,067 | TotalAmt |
| Program Services | $26,581,307 | ProgramServicesAmt |
| Management And General | $4,310,760 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,751,493 | TotalAmt |
| Program Services | $47,325,814 | ProgramServicesAmt |
| Management And General | $1,425,679 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,395 | TotalAmt |
| Program Services | $4,395 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,355 | TotalAmt |
| Management And General | $209,355 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,358 | TotalAmt |
| Management And General | $11,358 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,344 | TotalAmt |
| Management And General | $130,344 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,602,104 | TotalAmt |
| Program Services | $56,161,903 | ProgramServicesAmt |
| Management And General | $7,440,201 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $564,301 | TotalAmt |
| Program Services | $2,914 | ProgramServicesAmt |
| Management And General | $561,387 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,074,690 | TotalAmt |
| Program Services | $1,967,430 | ProgramServicesAmt |
| Management And General | $2,107,260 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,813,402 | TotalAmt |
| Program Services | $5,337 | ProgramServicesAmt |
| Management And General | $10,808,065 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,448,857 | TotalAmt |
| Program Services | $2,611,761 | ProgramServicesAmt |
| Management And General | $1,837,096 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $683,163 | TotalAmt |
| Program Services | $624,312 | ProgramServicesAmt |
| Management And General | $58,851 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,166,444 | TotalAmt |
| Program Services | $615,384 | ProgramServicesAmt |
| Management And General | $551,060 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,961,929 | TotalAmt |
| Program Services | $9,248,738 | ProgramServicesAmt |
| Management And General | $6,713,191 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $959,441 | TotalAmt |
| Program Services | $959,441 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES AND MA | $62,613,649 | $55,396,195 | $7,217,454 |
| AHCCS - PROVIDER ASSESS | $19,067,122 | $19,067,122 | |
| DUES AND SUBSRIPTIONS | $713,047 | $344,815 | $368,232 |
| LICENSE AND PERMITS | $235,930 | $174,570 | $61,360 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,743,536 | TotalAmt |
| Program Services | $8,743,536 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $386,808,469 | TotalAmt |
| Program Services | $319,674,503 | ProgramServicesAmt |
| Management And General | $67,133,966 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,648,891 | BOYAmt |
| EOY | $40,576,030 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,298,651 | BOYAmt |
| EOY | $90,734,117 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,842,459 | BOYAmt |
| EOY | $66,431,258 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,431,745 | BOYAmt |
| EOY | $8,337,455 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,078,124 | BOYAmt |
| EOY | $6,375,690 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $350,800,073 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $220,527,279 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,746,171 | BOYAmt |
| EOY | $130,272,794 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,447,105 | BOYAmt |
| EOY | $28,985,435 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,429,993 | BOYAmt |
| EOY | $8,245,621 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,632,766 | BOYAmt |
| EOY | $12,920,255 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $718,950 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,558,339 | BOYAmt |
| EOY | $20,173,536 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $414,114,244 | BOYAmt |
| EOY | $413,771,141 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,851,507 | BOYAmt |
| EOY | $26,741,261 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,706,969 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,745,382 | BOYAmt |
| EOY | $27,862,927 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $12,156,249 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,535,649 | BOYAmt |
| EOY | $14,085,833 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,839,507 | BOYAmt |
| EOY | $80,846,270 | 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 | $313,519,583 | BOYAmt |
| EOY | $329,985,789 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,755,154 | BOYAmt |
| EOY | $2,939,082 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $316,274,737 | BOYAmt |
| EOY | $332,924,871 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $414,114,244 | BOYAmt |
| EOY | $413,771,141 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $20,358,700 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,075,800 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$2,632,766 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
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
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $0 | CurrentYearAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $11,358 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $11,358 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | 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
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 | $153,276,825 | OtherCostOrOtherBasisAmt |
| Depreciation | $93,427,293 | DepreciationAmt |
| Book Value | $59,849,532 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $172,232,546 | OtherCostOrOtherBasisAmt |
| Depreciation | $127,099,986 | DepreciationAmt |
| Book Value | $45,132,560 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,592,027 | OtherCostOrOtherBasisAmt |
| Book Value | $3,592,027 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $130,272,794 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| LEASE LIABILITY | $12,758,330 |
| DEFERRED COMPENSATION | $1,327,503 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $14,085,833 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $409,739,210 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$1,075,800 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $3,778,185 | OtherRevenueAmt |
| Revenue Not Reported | $2,702,385 | RevenueNotReportedAmt |
| Revenue Subtotal | $407,036,825 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $130,344 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $130,344 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $407,167,169 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $390,290,610 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $3,612,485 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $3,612,485 | ExpensesNotReportedAmt |
| Expenses Subtotal | $386,678,125 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $130,344 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $130,344 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $386,808,469 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | COST OF GOODS SOLD 3,612,485. CHANGE IN NET ASSETS OF KRMC FOUNDATION 165,700. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | COST OF GOODS SOLD 3,612,485. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $596,210 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $596,210 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $60,380,301 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,232,019 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,148,282 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04950 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,067,121 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $39,428,638 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $80,043,632 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $80,660,657 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,744,492 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05100 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $216,445 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $216,445 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,758,012 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,323,086 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $986,360 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $986,360 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,960,817 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,323,086 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,202,805 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $87,004,449 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $86,983,743 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,947,297 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05410 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $32,278,038 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $57,918,857 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $59,249,831 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,330,974 | 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 (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | 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 |
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 | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C FOR URL | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C FOR URL | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350.000000000000 | 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 (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | 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 (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.AZKRMC.COM/PATIENTS-VISITORS/KRMC-PRICING-FINANCIAL-SERVICES | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.AZKRMC.COM/PATIENTS-VISITORS/KRMC-PRICING-FINANCIAL-SERVICES | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.AZKRMC.COM/PATIENTS-VISITORS/KRMC-PRICING-FINANCIAL-SERVICES | 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 (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | 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 (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| KINGMAN REGIONAL MEDICAL CENTER | 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, ANDC) 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 |
| KINGMAN REGIONAL MEDICAL CENTER | PART V, SECTION B, LINE 6B: THE CHNA FOR KINGMAN HOSPITAL INC. WAS CONDUCTED WITH MOHAVE COUNTY, ARIZONA. |
| KINGMAN REGIONAL MEDICAL CENTER | 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 2022 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 TREATINGPATIENTS WHO ARE STRUGGLING WITH DEPRESSION OR WHO ARE OTHERWISE AT HIGH RISK FOR SELF-HARM.THE FOLLOWING ACTIONS WERE TAKEN DURING FY21 TO ADDRESS MENTAL HEALTH:- EXPANDED KHI'S INTEGRATED BEHAVIORAL HEALTH PROGRAM. SPECIFICALLY, IN FY21, WE HIRED ADDITIONAL STAFF TO PROVIDE PROGRAM SERVICES.- CONTINUED TO PROVIDE INPATIENT PSYCHIATRIC SERVICES.- CONTINUED TO COLLABORATE WITH COMMUNITY STAKEHOLDERS AND MENTAL HEALTH EXPERTS THROUGH THE MOHAVE COUNTY MENTAL HEALTH RESOURCE TEAM (MHRT) TO ADDRESS MENTAL HEALTH NEEDS IN THE COMMUNITY.- CONTINUED TO PROVIDE FINANCIAL SUPPORT FOR COMMUNITY INITIATIVES THAT ADDRESS MENTAL HEALTH NEEDS IN OUR COMMUNITY.- 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 WHOHAVE 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. THE FOLLOWING ACTIONS WERE TAKEN DURING FY21 TO ADDRESS SUBSTANCE ABUSE:- THROUGH KHI'S INTEGRATED BEHAVIORAL HEALTH PROGRAM, CONTINUED TO SCREEN PATIENTS WHO HAVE ADDICTION RISKS OR CURRENT ADDICTION ISSUES IN THE KRMC EMERGENCY DEPARTMENT, ACUTE CARE AREAS, AND OUTPATIENT CLINICS AND REFER PATIENTS TO APPROPRIATE RESOURCES FOR EDUCATION, TREATMENT, AND SUPPORT.- CONTINUED TO PROVIDE MEDICATION ASSISTED TREATMENT (MAT) FOR OPIOID ADDICTION.- CONTINUED TO COLLABORATE WITH COMMUNITY STAKEHOLDERS AND MENTAL HEALTH EXPERTS THROUGH THE MOHAVE SUBSTANCE TREATMENT EDUCATION & PREVENTION PARTNERSHIP (MSTEPP) TO ADDRESS SUBSTANCE ABUSE IN THE COMMUNITY.- CONTINUED TO PROVIDE FINANCIAL SUPPORT FOR COMMUNITY INITIATIVES THAT ADDRESS SUBSTANCE ABUSE IN OUR COMMUNITY.- 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.THE FOLLOWING ACTIONS WERE TAKEN DURING FY21 TO ADDRESS HEALTHCARE NEEDS:- CONTINUED TO IMPLEMENT IMPROVEMENTS TO CARE DELIVERY TO INCREASE PATIENT THROUGHPUT AND REDUCE WAIT TIMES FOR APPOINTMENTS.- CONTINUED TO PROVIDE VIRTUAL HEALTHCARE OPTIONS TO INCREASE ACCESS TO HEALTHCARE IN OUR COMMUNITY.- EXPANDED CLINICAL TRIALS AT THE KHI WL NUGENT CANCER CENTER, WHICH GIVES LOCAL CANCER PATIENTS ACCESS TO ADDITIONAL ADVANCED CANCER TREATMENTS CLOSE TO HOME.- CONTINUED TO COLLABORATE WITH MAYO CLINIC TO FOR MEDICAL EXPERTISE AND RESEARCH, WHICH ENABLES KHI TO ADDRESS MORE TYPES OF MEDICAL CONDITIONS AT A LOCAL LEVEL AND PROVIDES COMMUNITY MEMBERS FURTHER OPTIONS FOR RECEIVING QUALITY CARE CLOSE TO HOME.- 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.THE FOLLOWING ACTIONS WERE TAKEN DURING FY21 TO ADDRESS PROVIDER SHORTAGES:- INTENSIFIED NATIONWIDE RECRUITING EFFORTS FOR HEALTHCARE PROVIDERS.- DEVELOPED SPECIFIC INITIATIVES WITHIN KHI'S NEW STRATEGIC PLAN AIMED ATENHANCING KRMC'S WORK CULTURE FOR ATTRACTING AND RETAINING HEALTHCARE STAFF.- CONTINUED TO UTILIZE MID-LEVEL HEALTHCARE PROVIDERS FOR GENERAL MEDICAL CARE.- CONTINUED TO STRENGTHEN KHI'S MEDICAL RESIDENCY PROGRAM TO ENCOURAGE MEDICAL STUDENTS WHO GRADUATE THE PROGRAM TO STAY IN KINGMAN.- 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.THE FOLLOWING ACTIONS WERE TAKEN DURING FY21 TO ADDRESS HEALTHCARE COSTS:- CONTINUED TO PROMOTE HEALTHY LIFESTYLE MESSAGING ON SOCIAL MEDIA AND IN VARIOUS KHI PUBLICATIONS TO EDUCATE THE COMMUNITY ON HOW TO REDUCE THEIR HEALTHCARE COSTS BY REDUCING THEIR RISK OF CHRONIC DISEASE THROUGH HEALTHY LIFESTYLE CHOICES (PROPER DIET, EXERCISE, ETC.).- CONTINUED TO PUBLISH PRICING FOR VARIOUS MEDICAL SERVICES AND PROCEDURES ON KRMC'S WEBSITE SO THAT INDIVIDUALS CAN MAKE INFORMED DECISIONS ABOUT THEIR HEALTHCARE COSTS.- PROVIDED FREE TELEMEDICINE SERVICES FOR MINOR HEALTH CONDITIONS ON KHI'S "CARE ANYWHERE" PLATFORM (KHI BEGAN WAIVING THE $15 FEE FOR CARE ANYWHERE AT THE START OF THE COVID PANDEMIC).- CONTINUED TO PROVIDE CHARITY CARE TO LOW-INCOME PATIENTS WITH NO HEALTH INSURANCE AND FINANCIAL ASSISTANCE TO UNDERINSURED RESIDENTS OF MOHAVE COUNTY WHO REQUIRE EMERGENCY CARE, HOSPITALIZATION, OR OTHER MEDICALLY NECESSARY TESTS OR TREATMENTS.- CONTINUED TO PROVIDE FREE (NO OUT-OF-POCKET COST) SCREENING MAMMOGRAMS TO ALL MOHAVE COUNTY RESIDENTS THROUGH KHI'S "CATCH IT EARLY" PROGRAM; ALSO PROVIDED FREE OR REDUCED COST DIAGNOSTIC SERVICES TO LOW-INCOME PATIENTS WHO HAVE AN ABNORMAL SCREENING RESULT. |
| SCHEDULE H, PART V, SECTION B, LINE 7A | DIRECT URL WHERE CHNA REPORT IS MADE AVAILABLE TO THE ORGANIZATION'S WEBSITE:HTTPS://WWW.AZKRMC.COM/NEWSROOM/COMMUNITY-HEALTH-ASSESSMENT-COMMUNITY-HEALTH-IMPROVEMENT-PLAN |
| SCHEDULE H, PART V, SECTION B, LINE 10A | DIRECT URL WHERE IMPLEMENTATION PLAN IS MADE AVAILABLE :HTTPS://WWW.AZKRMC.COM/SITES/DEFAULT/FILES/2022-06/KINGMAN%20REGIONAL%20MEDICAL%20CENTER%20COMMUNITY%20HEALTH%20NEEDS%20IMPLEMENTATION%20STRATEGIES%20(2022-2025)%20FINAL%20DRAFT%5B2%5D.PDF |
| CONTINUATION OF SCHEDULE H, PART V, SECTION B, LINE 11 | - CONTINUED TO PROVIDE SCHOLARSHIPS FOR MEMBERSHIPS TO KHI'S DEL. E. WEBB WELLNESS CENTER TO QUALIFIED LOW-INCOME PATIENTS WHO NEED TO IMPROVE A HEALTH CONDITION WITH EXERCISE AND ARE UNABLE TO AFFORD A MEMBERSHIP. 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 RESIDENTSHOWEVER, 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 14 | THE FACILITY UNDER THE FINANCIAL ASSISTANCE POLICY CALCULATES THE AVERAGE DISCOUNT GIVEN TO MEDICARE AND COMMERCIAL PATIENTS AND THE COMBINED RESULT IS USED TO PROVIDE THAT DISCOUNT TO THE UNINSURED POPULATION. |
| SCHEDULE H, PART V, SECTION B, LINE 16I | TRANSLATION OF FAP INTO PRIMARY LANGUAGE 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 STATEMENETS. 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 | 27 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (27 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - KRMC URGENT CARE | ||||
| 1726 BEVERLY AVENUE | KINGMAN | AZ | 86401 | URGENT CARE |
| 2 - OUTPATIENT IMAGING CENTER | ||||
| 1033 SYCAMORE | KINGMAN | AZ | 86409 | IMAGING CENTER |
| 3 - KINGMAN PULMONARY CLINIC | ||||
| 1739 BEVERLY AVENUE SUITE 203 | KINGMAN | AZ | 86409 | PULMONARY MEDICINE |
| 4 - KINGMAN OBGYN ASSOCIATES | ||||
| 1739 BEVERLY AVENUE SUITE 200 | KINGMAN | AZ | 86409 | OBSTETRICS/GYNECOLOGY |
| 5 - KRMC PRIMARY CARE | ||||
| 2226 HUALAPAI MOUNTAIN ROAD | KINGMAN | AZ | 86401 | PRIMARY CARE PHYSICIANS |
| 6 - KINGMAN FP CLINIC | ||||
| 3801 SANTA ROSA 4TH FLOOR | KINGMAN | AZ | 86401 | FAMILY MEDICINE |
| 7 - KRMC HOSPICE | ||||
| 3269 STOCKTON HILL ROAD | KINGMAN | AZ | 86409 | HOSPICE SERVICES |
| 8 - KINGMAN ORTHOPEDICS | ||||
| 1739 BEVERLY AVENUE SUITE 102 | KINGMAN | AZ | 86409 | ORTHOPEDIC PHYSICIANS |
| 9 - GOLDEN VALLEY CLINIC | ||||
| 4995 W HIGHWAY 68 | KINGMAN | AZ | 86413 | FAMILY MEDICINE |
| 10 - KINGMAN CARDIOVASCULAR ASSOCIATES | ||||
| 1739 BEVERLY AVENUE SUITE 217 | KINGMAN | AZ | 86409 | CARDIOLOGY PHYSICIANS |
| 11 - MOHAVE SURGICAL SPECIALISTS | ||||
| 3104 STOCKTON HILL ROAD | KINGMAN | AZ | 86401 | GENERAL SURGEON |
| 12 - KRMC PAIN MANAGEMENT CLINIC | ||||
| 3801 SANTA ROSA DRIVE | KINGMAN | AZ | 86401 | PAIN MANAGEMENT |
| 13 - JOSHUA TREE PEDIATRICS | ||||
| 1739 BEVERLY AVENUE SUITE 204 | KINGMAN | AZ | 86409 | PEDIATRICIAN |
| 14 - EMPLOYEE AND OCCUPATIONAL HEALTH | ||||
| 1739 BEVERLY AVENUE SUITE 118 | KINGMAN | AZ | 86409 | OCCUPATIONAL MEDICINE |
| 15 - KRMC NEUROLOGY | ||||
| 3801 SANTA ROSA DRIVE | KINGMAN | AZ | 86401 | NEUROLOGY |
| 16 - KRMC DISEASE MANAGEMENT CLINIC | ||||
| 3801 SANTA ROSA DRIVE | KINGMAN | AZ | 86401 | DISEASE MANAGEMENT |
| 17 - HIGH DESERT GASTROENTEROLGY | ||||
| 1739 BEVERLY AVENUE SUITE 101 | KINGMAN | AZ | 86409 | GASTROENTEROLOGIST |
| 18 - KRMC ENDOCRINOLOGY | ||||
| 3801 SANTA ROSA DRIVE | KINGMAN | AZ | 86401 | ENDOCRINOLOGY |
| 19 - KRMC PHYSIATRY | ||||
| 3801 SANTA ROSA DRIVE | KINGMAN | AZ | 86401 | PHYSICAL MEDICINE AND REHAB |
| 20 - KRMC CARDIOTHORACIC SURGERY | ||||
| 1739 BEVERLY AVENUE SUITE 218 | KINGMAN | AZ | 86409 | CARDIOTHORACIC SURGEON |
| 21 - KRMC PALLIATIVE CARE | ||||
| 3269 N STOCKTON HILL ROAD | KINGMAN | AZ | 86409 | PALLIATIVE CARE |
| 22 - KINGMAN RHEUMATOLOGY AND PRIMARY CARE | ||||
| 1739 BEVERLY AVENUE SUITE 209 | KINGMAN | AZ | 86409 | RHEUMATOLOGIST |
| 23 - KRMC ORTHOPEDIC-HMC | ||||
| 3801 SANTA ROSA DR | KINGMAN | AZ | 86401 | CHIROPRACTIC SERVICES |
| 24 - KINGMAN UROLOGY CLINIC | ||||
| 1712 SYCAMORE | KINGMAN | AZ | 86409 | UROLOGIST |
| 25 - KRMC PRE-OP CLINIC | ||||
| 1739 BEVERLY AVENUE SUITE 103 | KINGMAN | AZ | 86401 | PRE-OP CARE FACILITY |
| 26 - BEHAVORIAL HEALTH INSTITUTIONS | ||||
| 3801 SANTA ROSA DRIVE | KINGMAN | AZ | 86401 | BEHAVORIAL HEALTH |
| 27 - KRMC HIGH DESERT VEIN CENTER-KINGMAN | ||||
| 2002 STOCKTON HILL ROAD 103 | KINGMAN | AZ | 76401 | VEIN CENTER |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| 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 71 WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS. |
| PART III, LINE 2: | AFTER ALL THIRD-PARTY PAYERS ARE PROPERLY BILLED, PAYMENTS AND CONTRACTUAL ADJUSTMENTS ARE APPLIED TO THE ACCOUNTS ACCORDING TO THE CONTRACTS, AND THE REMAINING DEBT IS THE FINANCIAL RESPONSIBILITY OF THE PATIENT. ANY ELIGIBLE DISCOUNTS ARE APPLIED TO THE ACCOUNTS PRIOR TO DETERMINING PATIENT RESPONSIBILITY AMOUNTS. KINGMAN REGIONAL MEDICAL CENTER WILL NOT BILL A PATIENT FOR ANY AMOUNT THAT AN INSURANCE COMPANY IS OBLIGATED TO PAY. KINGMAN REGIONAL MEDICAL CENTER WILL NOT REFER ACCOUNTS FOR COLLECTION WHILE A CLAIM ON THE ACCOUNT IS STILL PENDING PAYER PAYMENT. KINGMAN REGIONAL MEDICAL CENTER WILL NOT REFER ACCOUNTS FOR COLLECTION WHERE THE PATIENT HAS INITIALLY APPLIED FOR FINANCIAL ASSISTANCE AND KINGMAN REGIONAL MEDICAL CENTER HAS NOT YET NOTIFIED THE PATIENT OF FINAL DETERMINATION.THE KRMC UNCOMPENSATED CARE POLICY PROVIDES CHARITY CARE FOR ACCOUNTS WHERE PAYMENT IS NOT ANTICIPATED. CHARITY CARE IS SEPARATE AND DISTINCT FROM BAD DEBTS, WHICH ARE ACCOUNTS FOR WHICH CREDIT WAS EXTENDED AND PAYMENT IS ANTICIPATED, BUT NOT RECEIVED. THE HOSPITAL'S QUALIFYING DISCOUNT PROGRAM CAN 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. |
| PART III, 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. |
| PART III, LINE 4: | REFER TO PAGE 20 OF THE AUDITED FINANCIAL STATEMENTS. |
| PART III, 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. |
| PART III, 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. |
| PART VI, LINE 2: | SINCE 2011, KRMC, IN PARTNERSHIP WITH THE MOHAVE COUNTY DEPARTMENT OF PUBLIC HEALTH, HAS LED A MAJOR COMMUNITY HEALTH INITIATIVE TO IMPROVE HEALTH AND QUALITY OF LIFE IN MOHAVE COUNTY. A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ALONG WITH A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IS COMPLETED EVERY THREE YEARS. THE, MOST RECENT PLAN WAS COMPLETED AND REVIEWED BY THE KINGMAN HEALTHCARE, INC. BOARD IN 2022. THE FINDINGS ARE DOCUMENTED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT, WHICH DETAILS HEALTH AND WELLNESS STATISTICS AND IDENTIFIES COMMUNITY NEEDS FOR HEALTH SERVICES IN MOHAVE COUNTY. THE PLANS OF ACTION TO IMPROVE THE FINDINGS PER THE CHNA, CAN BE FOUND IN THE 2022-2025 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) REPORT. KRMC IS CURRENTLY COMPLETING THE 2025 VERSION OF THE CHNA AND CHIP REPORT WITH A RELEASE DATE EXPECTED IN SUMMER 2025. THE CHNA AND CHIP REPORTS ARE AVAILABLE FOR THE PUBLIC ON THE KRMC WEBSITE WWW.AZKRMC.COM. |
| PART VI, LINE 3: | WHEN PATIENTS INDICATE THEY MIGHT NEED ASSISTANCE WITH BILLING, KRMC HAS FINANCIAL COUNSELORS AVAILABLE TO DISCUSS THE HOSPITAL'S PATIENT ASSISTANCE PROGRAM. IN ADDITION, IN PATIENTS WHO ARE REGISTERED AS SELF PAY ARE PROACTIVELY VISITED BY HOSPITAL COUNSELORS TO DISCUSS OPTIONS, INCLUDING HELPING THE PATIENT ENROLL IN MEDICAID AND OTHER PATIENT BENEFIT PROGRAMS. KRMC HAS PROGRAM DESCRIPTIONS IN BOTH ENGLISH AND SPANISH ONLINE TO EXPLAIN THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP) APPLICATION AS WELL AS A PRICE TRANSPARANCY ONLINE WEBPAGE. THE HOSPITAL WEBSITE ALSO INLCUDES SECTIONS ABOUT THE KRMC POLICY COMBATING SURPRISE BILLS AND A DESCPTION OF HOW TO UNDERSTAND THE BILLING. FURTHER INFORMATION ABOUT ASSISTANCE PROGRAMS AND THE AFFORDABLE CARE ACT ARE INCLUDED ON BILLING STATEMENT FROM KRMC. OTHER FORMS OF COMMUNICATION INLCUDE PUBLIC HEALTH FAIRS AND EDUCATIONAL OPPORTUNITIES, PUBLISHED HEALTHCARE ARTICLES AND POSTINGS ON VARIOUS SOCIAL MEDIA PLATFORMS. |
| PART VI, LINE 4: | AS A REGIONAL HEALTHCARE FACILITY, KRMC AND ITS CLINICAL PRACTICES PROVIDE HEALTHCARE SERVICES FOR THE COMMUNITIES IN MOHAVE COUNTY, ARIZONA (APPROXIMATELY 13,470 SQUARE MILES). KRMC, WHICH IS LOCATED IN THE CITY OF KINGMAN, ARIZONA (POPULATION OF 35,334 IN 2023), IS THE LARGEST HOSPITAL BETWEEN LAS VEGAS, NEVADA, AND PHOENIX, ARIZONA. OVERALL, THE ESTIMATED POPULATION IN RURAL MOHAVE COUNTY IS 220,816 WITH AN ESTIMATED 16.8 PERSONS PER SQUARE MILE. THE KRMC PAYOR MIX FOR THE MEDICAID AND THE UNINSURED POPULATION IS 21.5% WITH AN ADDITIONAL 55% PERCENT COMING FROM MEDICARE. ACCORDING TO THE CENSUS BUREAU, IN 2024 AN ESTIMATED 16.8% OF THE POPULATION IN MOHAVE COUNTY LIVED AT OR BELOW THE POVERTY LINE, WHICH IS HIGHER THAN THE NATIONAL AVERAGE OF 12.4%. THE MEDIAN INCOME IN 2023 FOR THE COUNTY WAS $55,799, A 4.12% INCREASE FROM 2022-23. EDUCATIONALLY, 88.2% OF PEOPLE 25 OR OLDER ARE HIGH SCHOOL GRADUATES WITH 14.9% HAVING EARNED A BACHELOR'S DEGREE OF HIGHER. IN DECEMBER 2024, THE UNEMPLOYMENT RATE FOR MOHAVE COUNTY WAS 4.2% WHILE THE HIGHEST RATE OF UNEMPLOYMENT IN ARIZONA IS YUMA COUNTY AT 11.9% DURING THE SAME TIME PERIOD. WITHIN MOHAVE COUNTY, THERE ARE THREE OTHER HOSPITALS PROVIDING HEALTHCARE SERVICES TO THE COMMUNITY. |
| PART VI, LINE 5: | KINGMAN HEALTHCARE, INC. 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 AND 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 (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| MSTEPP | ||||||||
| 2730 E ANDY DEVINE AVENUE | KINGMAN | AZ | 86401 | 262119427 | 501(C)(3) | $35,000 | $0 | PROVIDES SOLUTIONS FOR SUBSTANCE ABUSE |
| KINGMAN AID TO ABUSED PEOPLE | ||||||||
| 1770 AIRWAY AVENUE | KINGMAN | AZ | 86409 | 860601113 | 501(C)(3) | $22,000 | $0 | PROVIDES SHELTER & ASSISTANCE FOR ABUSED PERSONS IN THE KINGMAN AREA |
| KATHERINE HEIDENREICH ADULT CENTER | ||||||||
| 1776 AIRWAY AVENUE | KINGMAN | AZ | 86401 | 860397271 | 501(C)(3) | $15,000 | $0 | PROVIDES ASSISTANCE TO THE ELDERLY, TRANSPORTATION TO PHYS. APPTS, MEALS TO HOMEBOUND PERSONS |
| KINGMAN CANCER CARE UNIT | ||||||||
| PO BOX 3014 | KINGMAN | AZ | 86402 | 860753651 | 501(C)(3) | $13,000 | $0 | PROVDES ASSISTANCE FOR CANCER PATIENTS IN KINGMAN AREA, TRANSPORTATION, HEALTHCARE EQUIPMENT, ETC. |
| CORNERSTONE MISSION | ||||||||
| 3049 SYCAMORE | KINGMAN | AZ | 86409 | 860960036 | 501(C)(3) | $11,000 | $0 | PROGRAM TO HELP HOMELESS MEN IN KINGMAN AREA, EDUCATION & JOB SKILLS |
| KINGMAN AREA FOOD BANK | ||||||||
| 2930 E BUTLER AVENUE | KINGMAN | AZ | 86409 | 860503686 | 501(C)(3) | $10,000 | $0 | COMMUNITY FOOD BANK |
| KINGMANS HEALING HOOVES | ||||||||
| 4390 N GLEN ROAD | KINGMAN | AZ | 86409 | 352439100 | 501(C)(3) | $8,500 | $0 | EAL/EAP, HORSEMANSHIP RIDING LESSONS, AND RIDERS WITH DISABILITIES RIDING LESSONS |
| ARIZONA YOUTH PARTNERSHIP | ||||||||
| 1902 PACIFIC AVENUE | KINGMAN | AZ | 86401 | 860669087 | 501(C)(3) | $6,500 | $0 | TEACHES HOMELESS TEENAGE BOYS THE SKILLS TO REFUSE ALCOHOL, TOBACCO AND DRUGS |
| YUCCA COMMUNITY FOOD PANTRY | ||||||||
| PO BOX 303 | YUCCA | AZ | 86438 | 384139944 | 501(C)(3) | $5,550 | $0 | COMMUNITY FOOD BANK |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 9 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | EMPLOYEE EDUCATION BENEFITS | GrantTypeTxt |
| Recipient | 74 | RecipientCnt |
| Cash Grant | $278,742 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: KHI ACCOUNTING POLICIES AND PROCEDURES ARE FOLLOWED FOR GRANT FUNDS INCLUDING SPECIFIC REQUIREMENTS FOR GRANT PROGRAMS. | 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 | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | 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 | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEREMY KAPLAN | ||||||||||||||
| PHYSICIAN | $844,533 | $0 | $336,140 | $0 | $0 | $0 | $13,200 | $0 | $32,629 | $0 | $1,226,502 | $0 | $0 | $0 |
| MARK DAVIS | ||||||||||||||
| PHYSICIAN | $498,053 | $0 | $379,238 | $0 | $0 | $0 | $9,900 | $0 | $24,506 | $0 | $911,697 | $0 | $0 | $0 |
| ADAM BRAZE | ||||||||||||||
| PHYSICIAN | $826,727 | $0 | $0 | $0 | $0 | $0 | $19,800 | $0 | $39,118 | $0 | $885,645 | $0 | $0 | $0 |
| EDGARDO RIVERA | ||||||||||||||
| PHYSICIAN | $576,274 | $0 | $239,538 | $0 | $0 | $0 | $19,800 | $0 | $35,105 | $0 | $870,717 | $0 | $0 | $0 |
| ABHINAV OHRI | ||||||||||||||
| PHYSICIAN | $625,648 | $0 | $200,263 | $0 | $0 | $0 | $13,200 | $0 | $13,039 | $0 | $852,150 | $0 | $0 | $0 |
| HEATH EVANS | ||||||||||||||
| CEO | $569,726 | $0 | $0 | $0 | $641 | $0 | $0 | $0 | $25,468 | $0 | $595,835 | $0 | $0 | $0 |
| CHRISTINA DIMAMBRO | ||||||||||||||
| FORMER CFO | $174,341 | $0 | $0 | $0 | $209,144 | $0 | $0 | $0 | $22,145 | $0 | $405,630 | $0 | $0 | $0 |
| JOSHUA HOFFMAN | ||||||||||||||
| CFO | $306,857 | $0 | $0 | $0 | $282 | $0 | $2,212 | $0 | $34,846 | $0 | $344,197 | $0 | $0 | $0 |
| JAMES WELLS | ||||||||||||||
| FORMER CNO | $110,216 | $0 | $0 | $0 | $208,660 | $0 | $4,957 | $0 | $13,872 | $0 | $337,705 | $0 | $0 | $0 |
| DAVID SCHOTT | ||||||||||||||
| CAO | $311,189 | $0 | $0 | $0 | $186 | $0 | $0 | $0 | $6,776 | $0 | $318,151 | $0 | $0 | $0 |
| LESLIE MARTIN | ||||||||||||||
| CNO | $264,053 | $0 | $0 | $0 | $1,214 | $0 | $16,011 | $0 | $16,315 | $0 | $297,593 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4A | TWO INDIVIDUALS REPORTED ON PART VII RECEIVED SEVERANCE PAYMENTS IN 2023. DETAILS OF THE AGREEMENTS ARE AVAILABLE UPON REQUEST. |
| PART I, LINE 7 | STRATEGICALLY IDENTIFIED ROLES WITHIN THE ORGANIZATION ARE ELIGIBLE FOR BONUSES BASED ON THE DISCRETION OF THE BOARD, INCLUDING THE ABILITY TO SET GOALS AND TARGETS FOR THOSE BONUSES. |
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 | 2017-12-29 | $20,000,000 | CAPITAL PROJECTS | 0 | 0 | 0 |
| ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY | |||||||
| B | 813526584 | 2021-09-28 | $30,000,000 | CAPITAL PROJECTS | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $12,463,184 | $20,000,000 | $89,500 | $19,910,500 | 2019 | 0 | 0 | Yes (1) | Yes (1) | |
| B | $11,416,730 | $30,000,000 | $126,564 | $22,505,036 | 0 | 0 | 0 | Yes (1) | $7,368,400 |
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 | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
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 | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| FRANCESCO SINOPOLI | |||
| FAMILY MEMBER OF JAMES BAKER, VICE CHAIRMAN OF THE BOARD | $199,315 | EMPLOYEE PAY | 0 |
| SARAH SCHRITTER | |||
| RELATIONSHIP WITH DAN DEL MONACO, DIRECTOR OF THE BOARD | $168,015 | EMPLOYEE PAY | 0 |
| AMANDA BAKER | |||
| FAMILY MEMBER OF JAMES BAKER, VICE CHAIRMAN OF THE BOARD | $143,536 | EMPLOYEE PAY | 0 |
| MEAGAN FLUMMER | |||
| FAMILY MEMBER OF DAN DEL MONACO, DIRECTOR OF THE BOARD | $142,149 | EMPLOYEE PAY | 0 |
| KAREN WATERS | |||
| FAMILY MEMBER OF JOSEPH DORNER, DIRECTOR OF THE BOARD | $117,709 | EMPLOYEE PAY | 0 |
| KAITLYN DEL MONACO | |||
| FAMILY MEMBER OF DAN DEL MONACO, DIRECTOR OF THE BOARD | $44,113 | EMPLOYEE PAY | 0 |
| MONOLITH DIAGNOSTICS PC | |||
| 100% CONTROLLED ENTITY OF BRENT BEDKE, MD AND RYAN SWAPP, MD | $2,263,850 | PAYMENTS FOR MEDICAL SERVICES | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | BRENT BEDKE AND RYAN SWAPP HAVE A BUSINESS RELATIONSHIP. |
| 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 CONTROLLER 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 15 | 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 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 C, LINE 18 | 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 VI, SECTION C, LINE 19 | 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 IX, LINE 11G | NURSING AGENCY & CONTRACT LABOR, ETC: PROGRAM SERVICE EXPENSES 45,154,325. MANAGEMENT AND GENERAL EXPENSES 165,101. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,319,426. CONTRACT & EQUIPMENT SERVICES: PROGRAM SERVICE EXPENSES 10,955,578. MANAGEMENT AND GENERAL EXPENSES 5,936,441. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,892,019. CONSULTING FEES,PATIENT FINANCIAL SERVICES COLLECTION AGENCY, & NI2: PROGRAM SERVICE EXPENSES 52,000. MANAGEMENT AND GENERAL EXPENSES 1,338,659. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,390,659. |
| FORM 990, PART XI, LINE 9: | CHANGE IN NET ASSETS OF KRMC FOUNDATION 165,700. OTHER CHANGE -2,798,466. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTHWEST ARIZONA REGIONAL INSURANCE | |||||||||||
| 4041 N CENTRAL AVENUE | PHOENIX | AZ | 85012 | 208081486 | INSURER | AZ | 501(C)(3) | LINE 12A, I | KRMC | Yes (1) | |
| KINGMAN REGIONAL MEDICAL CENTER FOUNDATION | |||||||||||
| 3269 STOCKTON HILL ROAD | KINGMAN | AZ | 86409 | 742388735 | COMMUNITY SUPPORT | AZ | 501(C)(3) | LINE 7 | Yes (1) | N/A | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KX VENTURES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3269 N STOCKTON HILL ROAD | AddressLine1Txt |
| City | KINGMAN | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86409 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 843415074 | EIN |
| Primary Activities | LAND DEVELOPMENT | PrimaryActivitiesTxt |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | LEASE | PredominantIncomeTypeTxt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Ownership | 0.85000 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| NORTHWESTERN ARIZONA REGIONAL INSURANCE | ||
| R | $1,934,834 | INTERCO AMOUNT |
| NORTHWESTERN ARIZONA REGIONAL INSURANCE | ||
| S | $1,000,000 | INTERCO AMOUNT |
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