FURP.ORG / PUBLIC DATA EXPLORER

KINGMAN HEALTHCARE INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
KINGMAN HEALTHCARE INC (EIN 94-2916102)
Tax period
2024-07-01 to 2025-06-30
Filed
2026-05-08
IRS object ID
202601289349304150
Schema version
2024v5.5
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 ReturnHeader

FieldValueIRS element (for citing)
Return2026-05-08T17:44:25-05:00ReturnTs
Tax Period End2025-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY ADVISORY GROUP LPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15415 E HIGH STREET STE 350AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85054ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN942916102EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KINGMAN HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKINGBusinessNameControlTxt
Phone9287572101PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13269 STOCKTON HILL ROADAddressLine1Txt
CityKINGMANCityNm
State AbbreviationAZStateAbbreviationCd
ZIP86409ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOSHUA HOFFMANPersonNm
Person TitleCFOPersonTitleTxt
Phone9287572101PhoneNum
Signature2026-05-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAUREN A HAVERLOCKPreparerPersonNm
PTINP00545829PTIN
Phone4804443424PhoneNum
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1KINGMAN REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerHEATH EVANSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13269 STOCKTON HILL ROADAddressLine1Txt
CityKINGMANCityNm
State AbbreviationAZStateAbbreviationCd
ZIP86409ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$439,083,709GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressAZKRMC.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1980FormationYr
Legal Domicile StateAZLegalDomicileStateCd
Activity Or MissionOUR VISION IS TO BE ONE OF THE KINDEST, HIGHEST QUALITY HEALTH SYSTEMS IN THE COUNTRY.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee2445TotalEmployeeCnt
Total Volunteers162TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,627,738PYContributionsGrantsAmt
CY Contributions Grants$7,373,625CYContributionsGrantsAmt
PY Program Service Revenue$376,161,190PYProgramServiceRevenueAmt
CY Program Service Revenue$420,535,743CYProgramServiceRevenueAmt
PY Investment Income$14,396,155PYInvestmentIncomeAmt
CY Investment Income$5,223,585CYInvestmentIncomeAmt
PY Other Revenue$9,982,086PYOtherRevenueAmt
CY Other Revenue$429,097CYOtherRevenueAmt
PY Total Revenue$407,167,169PYTotalRevenueAmt
CY Total Revenue$433,562,050CYTotalRevenueAmt
PY Grants And Similar Paid$415,292PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$403,393CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$192,390,110PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$188,216,115CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$194,003,067PYOtherExpensesAmt
CY Other Expenses$219,473,883CYOtherExpensesAmt
PY Total Expenses$386,808,469PYTotalExpensesAmt
CY Total Expenses$408,093,391CYTotalExpensesAmt
PY Revenues Less Expenses$20,358,700PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$25,468,659CYRevenuesLessExpensesAmt
Total Assets BOY$413,771,141TotalAssetsBOYAmt
Total Assets EOY$453,136,948TotalAssetsEOYAmt
Total Liabilities BOY$80,846,270TotalLiabilitiesBOYAmt
Total Liabilities EOY$86,113,466TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$332,924,871NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$367,023,482NetAssetsOrFundBalancesEOYAmt
MissionTO INSPIRE AND PARTNER WITH OUR COMMUNITY TO ACHIEVE OPTIMAL HEALTH MIND, BODY AND SPIRIT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$358,785,832ExpenseAmt
Grant$403,393GrantAmt
Revenue$420,535,743RevenueAmt
DescKINGMAN 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 1,769 EMPLOYEES, 263 PHYSICIANS/ALLIED HEALTH PROFESSIONALS, AND 162 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$358,785,832TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document195IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2445EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KINGMAN HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9287572101PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13269 STOCKTON HILL ROADAddressLine1Txt
CityKINGMANCityNm
State AbbreviationAZStateAbbreviationCd
ZIP86409ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
EVANS HEATH
CEO40.00Yes (X)Yes (X)$812,297$0$37,872
KRYSTAL BURGE
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
JIM BAKER
VICE CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
ROBERT DEVRIES
SECRETARY1.00Yes (X)Yes (X)$0$0$0
SUSAN CHAN
TREASURER1.00Yes (X)Yes (X)$0$0$0
KALE BODILY MD
DIRECTOR1.00Yes (X)$0$0$0
SAM ELTERS
DIRECTOR1.00Yes (X)$0$0$0
JOSEPH DORNER
DIRECTOR1.00Yes (X)$0$0$0
DAN DEL MONACO
DIRECTOR1.00Yes (X)$0$0$0
CATHY OTT
DIRECTOR1.00Yes (X)$0$0$0
LYNNE PETERSEN
DIRECTOR1.00Yes (X)$0$0$0
RYAN SWAPP MD
DIRECTOR1.00Yes (X)$0$0$0
BRENT BEDKE MD
DIRECTOR1.00Yes (X)$0$0$0
HOFFMAN JOSHUA
CFO40.00Yes (X)$386,558$0$46,831
MARTIN LESLIE
CNO40.00$363,491$0$39,866Yes (X)
SCHOTT DAVID
CAO40.00$411,522$0$19,752Yes (X)
KAPLAN JEREMY
PHYSICIAN40.00$1,184,851$0$47,562Yes (X)
BRAZE ADAM
PHYSICIAN40.00$858,656$0$55,826Yes (X)
OHRI ABHINAV
PHYSICIAN40.00$771,938$0$32,925Yes (X)
RIVERA EDGARDO
PHYSICIAN40.00$818,011$0$55,773Yes (X)
NGO THIEN
PHYSICIAN40.00$821,356$0$54,502Yes (X)
WELLS JAMES
FORMER CNO0.00$113,961$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,542,641TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$390,909TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K295IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HIGH DESERT RADIOLOGY
1308 N STOCKTON HILL ROAD SUITE A1KINGMANAZ86401RADIOLOGY SERVICES$11,875,032
C&A INDUSTRIES INC
PO BOX 3037OMAHANE68103NURSING/TECH AGENCY$9,840,672
INTERIM PHYSICIANS LLC
PO BOX 222045DALLASTX752222045HOSPITALIST GROUP$6,055,154
MONOLITH DIAGNOSTICS PC
PO BOX 6024KINGMANAZ86402CONTRACT PATHOLOGISTS$2,240,513
ROUTE 66 SURGICAL LLC
9788 CATHEDRAL PINES AVELAS VEGASNV89149SURGICAL PHYSICIAN GROUP$1,858,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K46CntrctRcvdGreaterThan100KCnt
Government Grants$7,373,625GovernmentGrantsAmt
Total Contributions$7,373,625TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE622110$402,239,687$402,239,687
OTHER OPERATING REV900099$18,247,532$18,247,532
NET ASSETS RELEASED FROM RESTRICT900099$48,524$48,524
FieldValueIRS element (for citing)
Total Program Service Revenue$420,535,743TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,617,145TotalRevenueColumnAmt
Exclusion$7,617,145ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$344,362RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$38,468RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$305,894RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$305,894TotalRevenueColumnAmt
Exclusion$305,894ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$6,514SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$2,400,074OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$6,514SecuritiesAmt
Other-$2,400,074OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,393,560TotalRevenueColumnAmt
Exclusion-$2,393,560ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$3,206,320GrossSalesOfInventoryAmt
Cost Of Goods Sold$3,083,117CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$123,203TotalRevenueColumnAmt
Exclusion$123,203ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$433,562,050TotalRevenueColumnAmt
Related Or Exempt Func Income$420,535,743RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,652,682ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$172,500TotalAmt
Program Services$172,500ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$230,893TotalAmt
Program Services$230,893ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,002,286TotalAmt
Management And General$2,002,286ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$3,243,486TotalAmt
Program Services$3,127,906ProgramServicesAmt
Management And General$115,580ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$142,257,995TotalAmt
Program Services$122,850,774ProgramServicesAmt
Management And General$19,407,221ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,763,602TotalAmt
Program Services$3,199,062ProgramServicesAmt
Management And General$564,540ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$27,190,202TotalAmt
Program Services$23,111,672ProgramServicesAmt
Management And General$4,078,530ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,758,544TotalAmt
Program Services$8,294,762ProgramServicesAmt
Management And General$1,463,782ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$45,282TotalAmt
Management And General$45,282ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$307,201TotalAmt
Management And General$307,201ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$11,358TotalAmt
Management And General$11,358ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$65,584TotalAmt
Management And General$65,584ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$76,505,136TotalAmt
Program Services$70,347,215ProgramServicesAmt
Management And General$6,157,921ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$513,454TotalAmt
Program Services$595ProgramServicesAmt
Management And General$512,859ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,181,825TotalAmt
Program Services$3,227,894ProgramServicesAmt
Management And General$953,931ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$13,659,269TotalAmt
Program Services$9,274,557ProgramServicesAmt
Management And General$4,384,712ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,339,562TotalAmt
Program Services$4,649,251ProgramServicesAmt
Management And General$690,311ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$672,206TotalAmt
Program Services$551,154ProgramServicesAmt
Management And General$121,052ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$985,792TotalAmt
Management And General$985,792ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,466,019TotalAmt
Program Services$10,325,917ProgramServicesAmt
Management And General$6,140,102ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,684,703TotalAmt
Program Services$1,413,431ProgramServicesAmt
Management And General$271,272ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES, SURGI$72,435,470$72,435,470
AHCCCS-PROVIDER ASSESSM$21,288,215$21,288,215
DUES AND SUBSCRIPTIONS$879,582$549,199$330,383
MINOR EQUIP <$2000$230,548$188,964$41,584

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,202,677TotalAmt
Program Services$3,546,401ProgramServicesAmt
Management And General$656,276ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$408,093,391TotalAmt
Program Services$358,785,832ProgramServicesAmt
Management And General$49,307,559ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$40,576,030BOYAmt
EOY$83,889,927EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$90,734,117BOYAmt
EOY$101,148,665EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$934,055EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$66,431,258BOYAmt
EOY$66,667,560EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$8,337,455BOYAmt
EOY$8,371,641EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,375,690BOYAmt
EOY$5,485,309EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$354,478,776LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$232,900,961LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$130,272,794BOYAmt
EOY$121,577,815EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$28,985,435BOYAmt
EOY$31,020,813EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$8,245,621BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$12,920,255BOYAmt
EOY$13,704,828EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$718,950BOYAmt
EOY$575,160EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$20,173,536BOYAmt
EOY$19,761,175EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$413,771,141BOYAmt
EOY$453,136,948EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$26,741,261BOYAmt
EOY$35,314,539EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$26,120,086BOYAmt
EOY$19,738,346EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,742,841BOYAmt
EOY$716,118EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$12,156,249BOYAmt
EOY$17,852,989EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,085,833BOYAmt
EOY$12,491,474EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$80,846,270BOYAmt
EOY$86,113,466EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$329,985,789BOYAmt
EOY$363,816,691EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,939,082BOYAmt
EOY$3,206,791EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$332,924,871BOYAmt
EOY$367,023,482EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$413,771,141BOYAmt
EOY$453,136,948EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$25,468,659ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$8,362,243NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$267,709OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$11,358OtherActivitiesAmt
Total Lobbying Expenditures$11,358TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationKINGMAN 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

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$149,410,162OtherCostOrOtherBasisAmt
Depreciation$94,567,132DepreciationAmt
Book Value$54,843,030BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,619,226OtherCostOrOtherBasisAmt
Depreciation$3,904,616DepreciationAmt
Book Value$714,610BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$177,652,286OtherCostOrOtherBasisAmt
Depreciation$134,429,213DepreciationAmt
Book Value$43,223,073BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,098,427OtherCostOrOtherBasisAmt
Book Value$1,098,427BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$121,577,815TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
LEASE LIABILITY$11,239,493
NARIC$1,251,981
FieldValueIRS element (for citing)
Total Liability$12,491,474TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$442,176,794TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$8,362,243NetUnrealizedGainsInvstAmt
Other Revenue$252,501OtherRevenueAmt
Revenue Not Reported$8,614,744RevenueNotReportedAmt
Revenue Subtotal$433,562,050RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$433,562,050TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$408,093,391TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$408,093,391ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$408,093,391TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART XI, LINE 2D - OTHER ADJUSTMENTS:FormAndLineReferenceDesc
ExplanationCHANGE IN NET ASSETS OF KRMC FOUNDATION 252,501.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent350Yes (X)Percent350Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$789,445TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$789,445NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$62,152,251TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$36,939,119DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,213,132NetCommunityBenefitExpnsAmt
Total Expense0.06180TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,288,215TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$46,422,118DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$84,229,911TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$83,361,237DirectOffsettingRevenueAmt
Net Community Benefit Expns$26,002,577NetCommunityBenefitExpnsAmt
Total Expense0.06370TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$318,802TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$318,802NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,323,891TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,342,526DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,107,833TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,107,833NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,750,526TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,342,526DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,426,635NetCommunityBenefitExpnsAmt
Total Expense0.00350TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$92,980,437TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$90,703,763DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,429,212NetCommunityBenefitExpnsAmt
Total Expense0.06720TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$13,055,073BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$56,945,121ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$60,361,933CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,416,812MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KINGMAN REGIONAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13269 STOCKTON HILL ROADAddressLine1Txt
CityKINGMANCityNm
State AbbreviationAZStateAbbreviationCd
ZIP86409ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.AZKRMC.COMWebsiteAddressTxt
State LicenseH-0010StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherCANCER CENTER CARDIAC CATH LAB ACUTE REHAB UNITOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1KINGMAN REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted24CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION C FOR URLOwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt24ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION C FOR URLStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care350.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.AZKRMC.COM/PATIENTS-VISITORS/KRMC-PRICING-FINANCIAL-SERVICESFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.AZKRMC.COM/PATIENTS-VISITORS/KRMC-PRICING-FINANCIAL-SERVICESFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.AZKRMC.COM/PATIENTS-VISITORS/KRMC-PRICING-FINANCIAL-SERVICESFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
KINGMAN REGIONAL MEDICAL CENTERPART 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 CENTERPART V, SECTION B, LINE 6B: THE CHNA FOR KINGMAN HOSPITAL INC. WAS CONDUCTED WITH MOHAVE COUNTY, ARIZONA.
KINGMAN REGIONAL MEDICAL CENTERPART 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. TO UNDERSTAND THE COMMUNITY'S HEALTH STATUS AND NEEDS, THE COMMUNITY HEALTH NEEDS ASSESSMENT PROVIDES A COMPREHENSIVE REVIEW OF THE DEMOGRAPHIC, SOCIAL, AND ECONOMIC FACTORS INFLUENCING THE HEALTH OF MOHAVE COUNTY RESIDENTS. RESEARCHERS COLLECT QUANTITATIVE AND QUALITATIVE DATA REGARDING HEALTH AND QUALITY-OF-LIFE IN MOHAVE COUNTY. THIS PROCESS EXAMINES PRIMARY DATA FROM KEY INFORMANT INTERVIEWS, COMMUNITY SURVEYS, AND FOCUS GROUP AROUND THE COUNTY, AS WELL AS EXISTING SECONDARY DATA TO COMPARE MOHAVE COUNTY TO STATEWIDE AND NATIONAL BENCHMARKRS. 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 PRIORITY AREAS ACROSS MOHAVE COUNTY COMMUNITIES (KINGMAN, BULLHEAD CITY, LAKE HAVASU CITY, COLORADO CITY, TOPOCK/GOLDEN SHORES, WHITE HILLS, AND DOLAN SPRINGS). 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. AS COMMUNITY MEMBERS HAVE MET AND IDEAS HAVE BEEN FLESHED OUT, THERE HAS BEEN AN OVERLAP IN IDEAS, STRATEGIES, AND PEOPLE. AS A RESULT, SEVERAL INDIVIDUAL CITY CHIP GROUPS HAVE BEEN CONSOLIDATED TO ALLOW COMMUNITY LEADERS AND ORGANIZATIONS TO ALLOCATE RESOURCES MORE EFFICIENTLY AND EFFECTIVELY. KHI PLANS TO ADDRESS SIGNIFICANT NEEDS IDENTIFIED IN THE 2024 (TAX YEAR) CHNA AS FOLLOWS:- ACCESS TO CARE - 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 FY25 TO ADDRESS ACCESS TO CARE:- 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.- CONTINUED CLINICAL TRIALS AT THE KHI WL NUGENT CANCER CENTER, WHICH GIVES LOCAL CANCER PATIENTS ACCESS TO ADDITIONAL ADVANCED CANCER TREATMENTS CLOSE TO HOME.- INTENSIFIED NATIONWIDE RECRUITING EFFORTS FOR HEALTHCARE PROVIDERS.- CONTINUED INITIATIVES WITHIN KHI'S STRATEGIC PLAN AIMED AT ENHANCING KRMC'S WORK CULTURE FOR ATTRACTING AND RETAINING HEALTHCARE STAFF.- CONTINUED TO UTILIZE MID-LEVEL HEALTHCARE PROVIDERS FOR GENERAL MEDICAL CARE.- 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.- 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. - TO IMPROVE ACCESS TO PRIMARY CARE SERVICES, KRMC PRIMARY CARE HAS ENABLED SAME DAY SICK VISITS. - CONTINUED TO ADVANCE TECHNOLOGY IN HEALTHCARE BY INSTALLING THE OMNI 32 LEGEND SYSTEM, MAKING KHI THE FIRST HEALTH SYSTEM IN ARIZONA TO UTILIZE THIS INNOVATIVE PLATFORM. THE OMNI LEGEND SYSTEM'S ALL-DIGITAL DESIGN IMPROVES THE DETECTION OF SMALL LESIONS WITH ENHANCED IMAGE QUALITY, AND ITS EFFICIENT PERFORMANCE MAY REDUCE BOTH PROCEDURE TIME AND THE AMOUNT OF RADIOACTIVE TRACER ADMINISTERED TO PATIENTS. - INSTATED A NEW TRANSITIONAL CARE MANAGEMENT MODEL TO ENHANCE TRANSITION FROM INPATIENT SERVICES TO OUTPATIENT FOLLOWUP. WHEN PATIENTS ARE DISCHARGED FROM THE HOSPITAL, A NURSE NAVIGATOR COORDINATES FOLLOWUP APPOINTMENTS, EDUCATES PATIENTS, AND ADDRESSES BARRIERS TO CARE.- LAUNCHED VOLUNTARY SOCIAL DETERMINANTS OF HEALTH SCREENING IN OUTPATIENT PRIMARY CARE CLINICS TO UNDERSTAND HEALTH RELATED SOCIAL NEEDS THAT CAN IMPACT HEALTH OUTCOMES.-EDUCATION KHI CONTINUES TO IMPLEMENT STRATEGIES TO ENSURE ACCESSING QUALITY EDUCATION IS EQUITABLE FOR ALL COMMUNITY MEMBERS. EDUCATION IS IMPORTANT TO HEALTH BECAUSE IT EMPOWERS INDIVIDUALS TO MAKE INFORMED DECISIONS ABOUT THEIR WELLBEING BY PROVIDING KNOWLEDGE ABOUT HEALTHY LIFESTYLES, DISEASE PREVENTION, AND ACCESS TO HEALTHCARE. THIS ULTIMATELY LEADS TO BETTER HEALTH OUTCOMES AND INCREASED LIFE EXPECTANCY. THE MORE EDUCATED SOMEONE IS, THE BETTER EQUIPPED THEY ARE TO NAVIGATE THEIR OWN HEALTH NEEDS AND ADVOCATE FOR THEMSELVES. THE FOLLOWING ACTIONS WERE TAKEN DURING FY25 TO ADDRESS EDUCATION:- CONTINUED TO STRENGTHEN KHI'S GRADUATE MEDICAL EDUCATION AND PHARMACY RESIDENCY PROGRAMS TO ENCOURAGE RESIDENTS WHO GRADUATE TO STAY IN KINGMAN.- CONTINUED TO HOST OCCUPATIONS DAY IN PARTNERSHIP WITH LOCAL HIGH SCHOOL STUDENTS TO SHOWCASE VARIOUS HEALTHCARE CAREER OPPORTUNITIES INCLUDING PATHWAYS IN ENVIRONMENTAL SERVICES, INFORMATION TECHNOLOGY, RADIOLOGY, NURSING, PHARMACY, WELLNESS, AND MORE.- CONTINUED TO PROVIDE PREVENTION AND SCREENING IN COLLABORATION WITH THE MOHAVE COUNTY STREET TEAM, A COMMUNITY OUTREACH INITIATIVE THAT BRINGS HEALTH RESOURCES, EDUCATION, HARM REDUCTION TOOLS, AND ON THE SPOT TESTING TO RURAL AREAS.- 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.- INTRODUCED TWO NEW SECONDARY EDUCATION PROGRAMS THROUGH EDUCATIONAL INSTITUTION AND PROVIDER PARTNERSHIP MODELS, WITH EMPHASIS ON TRAINING PROFESSIONALS TO SERVE OR CONTINUE SERVING OUR COMMUNITY. - LAUNCHED A NEW CERTIFIED NURSING ASSISTANT (CNA) PROGRAM IN PARTNERSHIP WITH WESTERN ARIZONA VOCATIONAL EDUCATION DISTRICT #50 (WAVE), ALLOWING GRADUATES TO QUALIFY FOR THE NURSING ASSISTANT STATE EXAM AND OBTAIN CNA CERTIFICATION IN ARIZONA. -LAUNCHED A NEW LEVELUP NURSE INTERNSHIP PROGRAM THAT ALLOWS NURSING STUDENTS TO DEVELOP CLINICAL SKILLS AND CONFIDENCE THROUGH REAL WORLD JOB EXPERIENCE WHILE EARNING AN RN DEGREE. YOUTH ACTIVITIES AND SERVICES YOUTH SERVICES PROVIDE TARGETED, ACCESSIBLE SUPPORT THAT IMPROVES PHYSICAL AND MENTAL WELL-BEING, FOSTERS POSITIVE HABITS DURING CRITICAL DEVELOPMENTAL STAGES, AND ADDRESSES HEALTH INEQUITIES. ENGAGING IN THESE SERVICES BUILDS TRUST IN HEALTHCARE PROVIDERS, MAKING YOUTH MORE LIKELY TO SEEK PREVENTIVE CARE IN ADULTHOOD.THE FOLLOWING ACTIONS WERE TAKEN DURING FY25 TO ADDRESS YOUTH ACTIVITIES AND SERVICES:- CONTINUED TO PROVIDE FULL RANGE OF HEALTHCARE SERVICES FOR CHILDREN AGED 0-18, FROM ROUTINE HEALTH MAINTENANCE AND PREVENTATIVE CARE TO DIAGNOSING AND TREATING COMPLEX MEDICAL PROBLEMS.- CONTINUED TO OFFER SAME DAY APPOINTMENTS FOR CHILDREN WHO ARE ILL OR INJURED ON A FIRST-COME BASIS- CONTINED TO PROVIDE COUNSELING AND MENTAL HEALTH SUPPORT SERVICES TO YOUTH FROM A LICENSED CLINICAL SOCIAL WORKER - CONTINUED TO OFFER ON-SITE EXCLUSIVE CHILDCARE FOR EMPLOYEES TO SUPPORT WORK-LIFE BALANCE AND ALLEVIATE STRESS FOR WORKING PARENTS- CONTINUED TO PROVIDE FREE ANNUAL SPORTS PHYSICALS FOR HIGH SCHOOL STUDENTS IN THE COMMUNITY
SCHEDULE H, PART V, SECTION B, LINE 7ADIRECT 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 10ADIRECT URL WHERE IMPLEMENTATION PLAN IS MADE AVAILABLE :HTTPS://WWW.AZKRMC.COM/SITES/DEFAULT/FILES/2025_2028%20MOHAVE%20COUNTY%20COMMUNITY%20HEALTH%20IMPROVEMENT%20PLAN.PDF
CONTINUATION OF SCHEDULE H, PART V, SECTION B, LINE 11- CONTINUED TO HOST THE ANNUAL KIDS DAY HEALTH AND SAFETY FAIR. CHILDREN AND THEIR PARENTS ARE ABLE TO RECEIVE IMPORTANT INFORMATION ABOUT CHILDREN'S SAFETY, HEALTH, AND NUTRITION FROM KRMC DEPARTMENTS AND LOCAL COMMUNITY BASED ORGANIZATIONS- SUPPORTED THE LAUNCH OF THE KINGMAN BRANCH BOYS & GIRLS CLUB. KBGC OFFERS EDUCATIONAL, ATHLETIC, AND LIFESKILL PROGRAMS FOR YOUTH ENROLLED IN K-12. KHI FUTURE STRATEGIES DO NOT SPECIFICALLY ADDRESS THE FOLLOWING ISSUES IDENTIFIED IN THE 2024 (TAX YEAR) CHNA BECAUSE THEY ARE OUTSIDE THE SCOPE OF OUR CURRENT OPERATIONS.- AFFORDABLE HOUSING - FOOD INSECURITY- FUNDING IN SCHOOLS FOR BEHAVIORAL HEALTH- INTERNET CONNECTIVITY- RIDESHARE PROGRAMSHOWEVER, 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 14THE 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 16ITRANSLATION 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.
FieldValueIRS element (for citing)
Facility27FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (27 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - OUTPATIENT IMAGING CENTER
1033 SYCAMOREKINGMANAZ86409IMAGING CENTER
2 - KRMC URGENT CARE
1726 BEVERLY AVEKINGMANAZ86401URGENT CARE
3 - KINGMAN FP CLINIC
3801 SANTA ROSA 4TH FLOORKINGMANAZ86401FAMILY MEDICINE
4 - KRMC PRIMARY CARE
2226 HUALAPAI MTN ROADKINGMANAZ86401PRIMARY CARE PHYSICIANS
5 - KINGMAN PULMONARY CLINIC
1739 BEVERLY AVE SUITE 203KINGMANAZ86409PULMONARY MEDICINE
6 - KINGMAN OBGYN ASSOCIATES
1739 BEVERLY AVE SUITE 200KINGMANAZ86409OBSTETRICS/GYNECOLOGY
7 - KINGMAN ORTHOPEDICS
1739 BEVERLY AVE SUITE 102KINGMANAZ86409ORTHOPEDIC PHYSICIANS
8 - GOLDEN VALLEY CLINIC
4995 W HWY 68KINGMANAZ86413FAMILY MEDICINE
9 - KINGMAN CARDIOVASCULAR ASSOCIATES
1739 BEVERLY AVE SUITE 217KINGMANAZ86409CARDIOLOGY PHYSICIANS
10 - JOSHUA TREE PEDIATRICS
1739 BEVERLY AVE SUITE 204KINGMANAZ86409PEDIATRICIAN
11 - KRMC PAIN MANAGEMENT CLINIC
3801 SANTA ROSA DRKINGMANAZ86401PAIN MANAGEMENT
12 - EMPLOYEE AND OCCUPATIONAL HEALTH
1739 BEVERLY AVE SUITE 118KINGMANAZ86409OCCUPATIONAL MEDICINE
13 - MOHAVE SURGICAL SPECIALISTS
3104 STOCKTON HILL ROADKINGMANAZ86401GENERAL SURGEON
14 - KRMC NEUROLOGY
3801 SANTA ROSA DRKINGMANAZ86401NEUROLOGY
15 - HIGH DESERT GASTROENTEROLGY
1739 BEVERLY AVE SUITE 101KINGMANAZ86409GASTROENTEROLOGIST
16 - KRMC ENDOCRINOLOGY
3801 SANTA ROSA DRKINGMANAZ86401ENDOCRINOLOGY
17 - KRMC DISEASE MANAGEMENT CLINIC
3801 SANTA ROSA DRKINGMANAZ86401DISEASE MANAGEMENT
18 - KRMC CARDIOTHORACIC SURGERY
1739 BEVERLY AVE SUITE 218KINGMANAZ86409CARDIOTHORACIC SURGEON
19 - KRMC PHYSIATRY
3801 SANTA ROSA DRKINGMANAZ86401PHYSICAL MEDICINE AND REHAB
20 - KRMC ORTHOPEDIC-HMC
3801 SANTA ROSA DRKINGMANAZ86401CHIROPRACTIC SERVICES
21 - KINGMAN RHEUMATOLOGY AND PRIMARY CARE
1739 BEVERLY AVE SUITE 209KINGMANAZ86409RHEUMATOLOGIST
22 - KRMC PRE-OP CLINIC
1739 BEVERLY AVE SUITE 103KINGMANAZ86401PRE-OP CARE FACILITY
23 - KINGMAN UROLOGY CLINIC
1712 SYCAMOREKINGMANAZ86409UROLOGIST
24 - KRMC PALLIATIVE CARE
3269 N STOCKTON HILL RDKINGMANAZ86409PALLIATIVE CARE
25 - BEHAVORIAL HEALTH INSTITUTIONS
3801 SANTA ROSA DRKINGMANAZ86401BEHAVORIAL HEALTH
26 - KRMC HIGH DESERT VEIN CENTER-KINGMAN
2002 STOCKTON HILL RD 103KINGMANAZ76401VEIN CENTER
27 - KRMC HOSPICE
3269 STOCKTON HILL ROADKINGMANAZ86409HOSPICE SERVICES

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 PAGES 17 & 18 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 MAY 2025. 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 2025-2028 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) REPORT. 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

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
MSTEPP INC
2730 E ANDY DEVINE AVEKINGMANAZ86401262119427501(C)3$35,000$0PROVIDES SOLUTIONS FOR SUBSTANCE ABUSE
KINGMAN AID TO ABUSED PEOPLE
1770 AIRWAY AVEKINGMANAZ86401860601113501(C)3$24,000$0PROVIDES SHELTER & ASSISTANCE FOR ABUSED PERSONS IN THE KINGMAN AREA
KINGMAN AREA FOOD BANK
2930 E BUTLER AVEKINGMANAZ86409860503686501(C)3$18,000$0COMMUNITY FOOD BANK
KATHRYN HEIDENREICH ADULT CENTER INC
1776 AIRWAY AVEKINGMANAZ86401860397271501(C)3$15,000$0PROVIDES ASSISTANCE TO THE ELDERLY, TRANSPORTATION TO PHYS. APPTS, MEALS TO HOMEBOUND PERSONS
NORTHERN LIGHTS MINISTRY
1485 NORTHERN AVEKINGMANAZ86409873872189501(C)3$15,000$0NORTHERN LIGHTS MINISTRYIN KINGMAN, AZ, IS A COMMUNITY-BASED ORGANIZATION FOCUSED ON PROVIDING, SPIRITUAL GUIDANCE, AND SUPPORT SERVICES TO THE LOCAL COMMUNITY. THEY ARE KNOWN FOR OPERATING A MOBILE UNIT THAT PROVIDES FREE, ESSENTIAL SERVICES, INCLUDING SHOWERS AND LAUNDRY FOR THOSE IN NEED.
KINGMAN CANCER CARE UNIT
PO BOX 3014KINGMANAZ86402860753651501(C)3$13,000$0PROVDES ASSISTANCE FOR CANCER PATIENTS IN KINGMAN AREA, TRANSPORTATION, HEALTHCARE EQUIP ETC.
CORNERSTONE MISSION PROJECT INC
3049 SYCAMOREKINGMANAZ86401860960036501(C)3$12,000$0PROGRAM TO HELP HOMELESS MEN IN KINGMAN AREA, EDUCATION & JOB SKILLS
KINGMAN CARES
1210 E AMES AVEKINGMANAZ86409841832560501(C)3$10,000$0BASIC FOOD, SHELTER AND FOR PEOPLE/FAMILY IN CRISIS
KINGSMEN OF ROUTE 66 INC DBA THE KINGSMEN
PO BOX 6211KINGMANAZ86402860763818501(C)3$10,000$0PRESERVING THE WESTERN HERITAGE THAT STIMULATED THE GROWTH AND IDENTITY OF KINGMAN, AZ. SUPPORT OF CIVIC & CHARITABLE INITIATIVES TO PROMOTE KINGMAN, INCLUDING PRODUCTION OF KINGMAN RODEOS.
KINGMANS HEALING HOOVES INC
4390 N GLEN RDKINGMANAZ86409352439100501(C)3$8,500$0EAL/EAP, HORSEMANSHIP RIDING LESSONS, AND RIDERS WITH DISABILITIES RIDING LESSONS
ARIZONA YOUTH PARTNERSHIP
7575 W TWIN PEAKS RD 165TUCSONAZ85743860669087501(C)3$6,000$0THE YOUTH SERVICES DIVISION FOCUSES ON PROVIDING INFORMATION, RESOURCES AND PROGRAMMING TO YOUTH AND COMMUNITY MEMBERS.
YUCCA COMMUNITY FOOD PANTRY
12349 SOUTH FRONTAGE ROAD/PO BOXYUCCAAZ86438384139944501(C)3$6,000$0COMMUNITY FOOD BANK303
FieldValueIRS element (for citing)
Total501c3 Org12Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeEMPLOYEE EDUCATION BENEFITSGrantTypeTxt
Recipient51RecipientCnt
Cash Grant$230,893CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationORGANIZATION'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

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KAPLAN JEREMY
PHYSICIAN$850,203$0$334,648$0$0$0$13,800$0$33,762$0$1,232,413$0$0$0
BRAZE ADAM
PHYSICIAN$852,037$0$6,619$0$0$0$20,700$0$35,126$0$914,482$0$0$0
NGO THIEN
PHYSICIAN$476,638$0$344,718$0$0$0$20,700$0$33,802$0$875,858$0$0$0
RIVERA EDGARDO
PHYSICIAN$608,216$0$209,795$0$0$0$20,700$0$35,073$0$873,784$0$0$0
EVANS HEATH
CEO$646,455$0$164,492$0$1,350$0$0$0$37,872$0$850,169$0$0$0
OHRI ABHINAV
PHYSICIAN$615,012$0$156,926$0$0$0$19,950$0$12,975$0$804,863$0$0$0
HOFFMAN JOSHUA
CFO$306,375$0$79,547$0$636$0$10,350$0$36,481$0$433,389$0$0$0
SCHOTT DAVID
CAO$331,943$0$78,911$0$668$0$5,965$0$13,787$0$431,274$0$0$0
MARTIN LESLIE
CNO$315,108$0$46,774$0$1,609$0$20,700$0$19,166$0$403,357$0$0$0
WELLS JAMES
FORMER CNO$0$0$0$0$113,961$0$0$0$0$0$113,961$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4AONE INDIVIDUAL REPORTED ON PART VII RECEIVED A SEVERANCE PAYMENT IN 2024. DETAILS OF THE AGREEMENTS ARE AVAILABLE UPON REQUEST.
PART I, LINE 7STRATEGICALLY 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY
A8135265842017-12-29$20,000,000CAPITAL PROJECTS000
ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY
B8135265842021-09-28$30,000,000CAPITAL PROJECTS000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmt
A$14,576,896$20,000,000$89,500$19,910,500201900Yes (1)Yes (1)
B$15,684,759$30,000,000$126,564$22,505,03600Yes (1)Yes (1)$7,368,400

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.0000000Yes (1)
B00000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B000Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationISSUER NAME: ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/27/2021 ISSUER NAME: ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2025ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (8 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
SARAH SCHRITTER
FAMILY MEMBER OF DAN DEL MONACO$199,651EMPLOYEE PAY0
FRANCESCO SINOPOLI
FAMILY MEMBER OF JAMES BAKER$186,726EMPLOYEE PAY0
MEAGAN FLUMMER
FAMILY MEMBER OF DAN DEL MONACO$152,305EMPLOYEE PAY0
AMANDA BAKER
FAMILY MEMBER OF JAMES BAKER$146,443EMPLOYEE PAY0
KAREN WATERS
FAMILY MEMBER OF JOSEPH DORNER$116,027EMPLOYEE PAY0
KAITLYN DEL MONACO
FAMILY MEMBER OF DAN DEL MONACO$46,065EMPLOYEE PAY0
MONOLITH DIAGNOSTICS PC
100% CONTROLLED ENTITY OF BRENT BEDKE, MD AND RYAN SWAPP, MD$2,289,119PAYMENTS FOR MEDICAL SERVICES0
LEVELUP HEALTHCARE CONSULTING LLC
100% CONTROLLED ENTITY OF SARA EVANS, FAMILY MEMBER OF HEATH EVANS$107,150PAYMENTS FOR CONSULTING SERVICES0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2BRENT BEDKE AND RYAN SWAPP HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CTHE 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 15THE 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 19THE 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 IX, LINE 11GPURCHASED SERVICES AND PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 70,347,215. MANAGEMENT AND GENERAL EXPENSES 6,157,921. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 76,505,136.
FORM 990, PART XI, LINE 9:OTHER CHANGE 267,709.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
NORTHWEST ARIZONA REGIONAL INSURANCE
4041 N CENTRAL AVENUEPHOENIXAZ85012208081486INSURERAZ501(C)(3)LINE 12A, IKRMCYes (1)
KINGMAN REGIONAL MEDICAL CENTER FOUNDATION
3269 STOCKTON HILL ROADKINGMANAZ86409742388735COMMUNITY SUPPORTAZ501(C)(3)LINE 7Yes (1)N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1KX VENTURESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13269 N STOCKTON HILL ROADAddressLine1Txt
CityKINGMANCityNm
State AbbreviationAZStateAbbreviationCd
ZIP86409ZIPCd
FieldValueIRS element (for citing)
EIN843415074EIN
Primary ActivitiesLAND DEVELOPMENTPrimaryActivitiesTxt
Legal Domicile StateAZLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Predominant Income TypeLEASEPredominantIncomeTypeTxt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.85000OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
NORTHWESTERN ARIZONA REGIONAL INSURANCE
R$2,441,923INTERCO AMOUNT
NORTHWESTERN ARIZONA REGIONAL INSURANCE
S$1,000,000INTERCO AMOUNT