2026-05-08T17:44:25-05:00 2025-06-30 390859910 BAKER TILLY ADVISORY GROUP LP 5415 E HIGH STREET STE 350 PHOENIX AZ 85054 990 2024-07-01 942916102 KINGMAN HEALTHCARE INC KING 9287572101 3269 STOCKTON HILL ROAD KINGMAN AZ 86409 JOSHUA HOFFMAN CFO 9287572101 2026-05-07 1 1 LAUREN A HAVERLOCK P00545829 4804443424 2024 2025-03-06 01:10:19Z KINGMAN REGIONAL MEDICAL CENTER HEATH EVANS 3269 STOCKTON HILL ROAD KINGMAN AZ 86409 439083709 0 X AZKRMC.COM X 1980 AZ OUR VISION IS TO BE ONE OF THE KINDEST, HIGHEST QUALITY HEALTH SYSTEMS IN THE COUNTRY. 13 8 2445 162 0 0 6627738 7373625 376161190 420535743 14396155 5223585 9982086 429097 407167169 433562050 415292 403393 0 0 192390110 188216115 0 0 0 194003067 219473883 386808469 408093391 20358700 25468659 413771141 453136948 80846270 86113466 332924871 367023482 TO INSPIRE AND PARTNER WITH OUR COMMUNITY TO ACHIEVE OPTIMAL HEALTH MIND, BODY AND SPIRIT. 0 0 358785832 403393 420535743 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 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. 358785832 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 195 0 1 2445 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 8 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X KINGMAN HEALTHCARE INC 9287572101 3269 STOCKTON HILL ROAD KINGMAN AZ 86409 EVANS HEATH CEO 40.00 X X 812297 0 37872 KRYSTAL BURGE CHAIRMAN 1.00 X X 0 0 0 JIM BAKER VICE CHAIRMAN 1.00 X X 0 0 0 ROBERT DEVRIES SECRETARY 1.00 X X 0 0 0 SUSAN CHAN TREASURER 1.00 X X 0 0 0 KALE BODILY MD DIRECTOR 1.00 X 0 0 0 SAM ELTERS DIRECTOR 1.00 X 0 0 0 JOSEPH DORNER DIRECTOR 1.00 X 0 0 0 DAN DEL MONACO DIRECTOR 1.00 X 0 0 0 CATHY OTT DIRECTOR 1.00 X 0 0 0 LYNNE PETERSEN DIRECTOR 1.00 X 0 0 0 RYAN SWAPP MD DIRECTOR 1.00 X 0 0 0 BRENT BEDKE MD DIRECTOR 1.00 X 0 0 0 HOFFMAN JOSHUA CFO 40.00 X 386558 0 46831 MARTIN LESLIE CNO 40.00 X 363491 0 39866 SCHOTT DAVID CAO 40.00 X 411522 0 19752 KAPLAN JEREMY PHYSICIAN 40.00 X 1184851 0 47562 BRAZE ADAM PHYSICIAN 40.00 X 858656 0 55826 OHRI ABHINAV PHYSICIAN 40.00 X 771938 0 32925 RIVERA EDGARDO PHYSICIAN 40.00 X 818011 0 55773 NGO THIEN PHYSICIAN 40.00 X 821356 0 54502 WELLS JAMES FORMER CNO 0.00 X 113961 0 0 6542641 0 390909 295 1 1 0 HIGH DESERT RADIOLOGY 1308 N STOCKTON HILL ROAD SUITE A1 KINGMAN AZ 86401 RADIOLOGY SERVICES 11875032 C&A INDUSTRIES INC PO BOX 3037 OMAHA NE 68103 NURSING/TECH AGENCY 9840672 INTERIM PHYSICIANS LLC PO BOX 222045 DALLAS TX 752222045 HOSPITALIST GROUP 6055154 MONOLITH DIAGNOSTICS PC PO BOX 6024 KINGMAN AZ 86402 CONTRACT PATHOLOGISTS 2240513 ROUTE 66 SURGICAL LLC 9788 CATHEDRAL PINES AVE LAS VEGAS NV 89149 SURGICAL PHYSICIAN GROUP 1858000 46 7373625 7373625 PATIENT SERVICE REVENUE 622110 402239687 402239687 OTHER OPERATING REV 900099 18247532 18247532 NET ASSETS RELEASED FROM RESTRICT 900099 48524 48524 420535743 7617145 7617145 344362 38468 305894 305894 305894 6514 0 2400074 6514 -2400074 -2393560 -2393560 3206320 3083117 123203 123203 433562050 420535743 0 5652682 X 172500 172500 230893 230893 2002286 2002286 3243486 3127906 115580 142257995 122850774 19407221 3763602 3199062 564540 27190202 23111672 4078530 9758544 8294762 1463782 45282 45282 307201 307201 11358 11358 65584 65584 76505136 70347215 6157921 513454 595 512859 4181825 3227894 953931 13659269 9274557 4384712 5339562 4649251 690311 672206 551154 121052 985792 985792 16466019 10325917 6140102 1684703 1413431 271272 MEDICAL SUPPLIES, SURGI 72435470 72435470 AHCCCS-PROVIDER ASSESSM 21288215 21288215 DUES AND SUBSCRIPTIONS 879582 549199 330383 MINOR EQUIP <$2000 230548 188964 41584 4202677 3546401 656276 408093391 358785832 49307559 0 40576030 83889927 90734117 101148665 0 934055 66431258 66667560 8337455 8371641 6375690 5485309 354478776 232900961 130272794 121577815 28985435 31020813 8245621 0 12920255 13704828 718950 575160 20173536 19761175 413771141 453136948 26741261 35314539 26120086 19738346 1742841 716118 12156249 17852989 14085833 12491474 80846270 86113466 X 329985789 363816691 2939082 3206791 332924871 367023482 413771141 453136948 X 25468659 8362243 267709 X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 11358 11358 0 PART II-B, LINE 1: KINGMAN HOSPITAL PAYS ANNUAL DUES IN WHICH A PERCENTAGE OF THEIR DUES IS ATTRIBUTABLE TO LOBBYING. THE AMOUNT SHOWN ON THE LINE ABOVE REPRESENTS THAT PERCENTAGE. 21698675 21698675 149410162 94567132 54843030 4619226 3904616 714610 177652286 134429213 43223073 1098427 1098427 121577815 LEASE LIABILITY 11239493 NARIC 1251981 12491474 442176794 8362243 252501 8614744 433562050 0 433562050 408093391 0 408093391 0 408093391 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN NET ASSETS OF KRMC FOUNDATION 252,501. 1 1 1 X 1 X 1 1 1 0 1 1 789445 789445 0.00190 62152251 36939119 25213132 0.06180 21288215 46422118 0 0.00000 84229911 83361237 26002577 0.06370 318802 318802 0.00080 7323891 7342526 0 0.00000 1107833 1107833 0.00270 8750526 7342526 1426635 0.00350 92980437 90703763 27429212 0.06720 1 13055073 0 56945121 60361933 -3416812 X 1 1 1 1 KINGMAN REGIONAL MEDICAL CENTER 3269 STOCKTON HILL ROAD KINGMAN AZ 86409 WWW.AZKRMC.COM H-0010 X X X X CANCER CENTER CARDIAC CATH LAB ACUTE REHAB UNIT KINGMAN REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 24 1 0 1 1 X SEE PART V, SECTION C FOR URL 1 24 1 SEE PART V, SECTION C FOR URL 0 1 X 150.000000000000 350.000000000000 X X X X 1 1 X X X X 1 X HTTPS://WWW.AZKRMC.COM/PATIENTS-VISITORS/KRMC-PRICING-FINANCIAL-SERVICES X HTTPS://WWW.AZKRMC.COM/PATIENTS-VISITORS/KRMC-PRICING-FINANCIAL-SERVICES X HTTPS://WWW.AZKRMC.COM/PATIENTS-VISITORS/KRMC-PRICING-FINANCIAL-SERVICES X X X X X X 1 X 0 X X X X 1 X 0 0 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. 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 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/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 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. 27 1 - OUTPATIENT IMAGING CENTER 1033 SYCAMORE KINGMAN AZ 86409 IMAGING CENTER 2 - KRMC URGENT CARE 1726 BEVERLY AVE KINGMAN AZ 86401 URGENT CARE 3 - KINGMAN FP CLINIC 3801 SANTA ROSA 4TH FLOOR KINGMAN AZ 86401 FAMILY MEDICINE 4 - KRMC PRIMARY CARE 2226 HUALAPAI MTN ROAD KINGMAN AZ 86401 PRIMARY CARE PHYSICIANS 5 - KINGMAN PULMONARY CLINIC 1739 BEVERLY AVE SUITE 203 KINGMAN AZ 86409 PULMONARY MEDICINE 6 - KINGMAN OBGYN ASSOCIATES 1739 BEVERLY AVE SUITE 200 KINGMAN AZ 86409 OBSTETRICS/GYNECOLOGY 7 - KINGMAN ORTHOPEDICS 1739 BEVERLY AVE SUITE 102 KINGMAN AZ 86409 ORTHOPEDIC PHYSICIANS 8 - GOLDEN VALLEY CLINIC 4995 W HWY 68 KINGMAN AZ 86413 FAMILY MEDICINE 9 - KINGMAN CARDIOVASCULAR ASSOCIATES 1739 BEVERLY AVE SUITE 217 KINGMAN AZ 86409 CARDIOLOGY PHYSICIANS 10 - JOSHUA TREE PEDIATRICS 1739 BEVERLY AVE SUITE 204 KINGMAN AZ 86409 PEDIATRICIAN 11 - KRMC PAIN MANAGEMENT CLINIC 3801 SANTA ROSA DR KINGMAN AZ 86401 PAIN MANAGEMENT 12 - EMPLOYEE AND OCCUPATIONAL HEALTH 1739 BEVERLY AVE SUITE 118 KINGMAN AZ 86409 OCCUPATIONAL MEDICINE 13 - MOHAVE SURGICAL SPECIALISTS 3104 STOCKTON HILL ROAD KINGMAN AZ 86401 GENERAL SURGEON 14 - KRMC NEUROLOGY 3801 SANTA ROSA DR KINGMAN AZ 86401 NEUROLOGY 15 - HIGH DESERT GASTROENTEROLGY 1739 BEVERLY AVE SUITE 101 KINGMAN AZ 86409 GASTROENTEROLOGIST 16 - KRMC ENDOCRINOLOGY 3801 SANTA ROSA DR KINGMAN AZ 86401 ENDOCRINOLOGY 17 - KRMC DISEASE MANAGEMENT CLINIC 3801 SANTA ROSA DR KINGMAN AZ 86401 DISEASE MANAGEMENT 18 - KRMC CARDIOTHORACIC SURGERY 1739 BEVERLY AVE SUITE 218 KINGMAN AZ 86409 CARDIOTHORACIC SURGEON 19 - KRMC PHYSIATRY 3801 SANTA ROSA DR KINGMAN AZ 86401 PHYSICAL MEDICINE AND REHAB 20 - KRMC ORTHOPEDIC-HMC 3801 SANTA ROSA DR KINGMAN AZ 86401 CHIROPRACTIC SERVICES 21 - KINGMAN RHEUMATOLOGY AND PRIMARY CARE 1739 BEVERLY AVE SUITE 209 KINGMAN AZ 86409 RHEUMATOLOGIST 22 - KRMC PRE-OP CLINIC 1739 BEVERLY AVE SUITE 103 KINGMAN AZ 86401 PRE-OP CARE FACILITY 23 - KINGMAN UROLOGY CLINIC 1712 SYCAMORE KINGMAN AZ 86409 UROLOGIST 24 - KRMC PALLIATIVE CARE 3269 N STOCKTON HILL RD KINGMAN AZ 86409 PALLIATIVE CARE 25 - BEHAVORIAL HEALTH INSTITUTIONS 3801 SANTA ROSA DR KINGMAN AZ 86401 BEHAVORIAL HEALTH 26 - KRMC HIGH DESERT VEIN CENTER-KINGMAN 2002 STOCKTON HILL RD 103 KINGMAN AZ 76401 VEIN CENTER 27 - KRMC HOSPICE 3269 STOCKTON HILL ROAD KINGMAN AZ 86409 HOSPICE SERVICES 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. 1 MSTEPP INC 2730 E ANDY DEVINE AVE KINGMAN AZ 86401 262119427 501(C)3 35000 0 PROVIDES SOLUTIONS FOR SUBSTANCE ABUSE KINGMAN AID TO ABUSED PEOPLE 1770 AIRWAY AVE KINGMAN AZ 86401 860601113 501(C)3 24000 0 PROVIDES SHELTER & ASSISTANCE FOR ABUSED PERSONS IN THE KINGMAN AREA KINGMAN AREA FOOD BANK 2930 E BUTLER AVE KINGMAN AZ 86409 860503686 501(C)3 18000 0 COMMUNITY FOOD BANK KATHRYN HEIDENREICH ADULT CENTER INC 1776 AIRWAY AVE KINGMAN AZ 86401 860397271 501(C)3 15000 0 PROVIDES ASSISTANCE TO THE ELDERLY, TRANSPORTATION TO PHYS. APPTS, MEALS TO HOMEBOUND PERSONS NORTHERN LIGHTS MINISTRY 1485 NORTHERN AVE KINGMAN AZ 86409 873872189 501(C)3 15000 0 NORTHERN 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 3014 KINGMAN AZ 86402 860753651 501(C)3 13000 0 PROVDES ASSISTANCE FOR CANCER PATIENTS IN KINGMAN AREA, TRANSPORTATION, HEALTHCARE EQUIP ETC. CORNERSTONE MISSION PROJECT INC 3049 SYCAMORE KINGMAN AZ 86401 860960036 501(C)3 12000 0 PROGRAM TO HELP HOMELESS MEN IN KINGMAN AREA, EDUCATION & JOB SKILLS KINGMAN CARES 1210 E AMES AVE KINGMAN AZ 86409 841832560 501(C)3 10000 0 BASIC FOOD, SHELTER AND FOR PEOPLE/FAMILY IN CRISIS KINGSMEN OF ROUTE 66 INC DBA THE KINGSMEN PO BOX 6211 KINGMAN AZ 86402 860763818 501(C)3 10000 0 PRESERVING 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 RD KINGMAN AZ 86409 352439100 501(C)3 8500 0 EAL/EAP, HORSEMANSHIP RIDING LESSONS, AND RIDERS WITH DISABILITIES RIDING LESSONS ARIZONA YOUTH PARTNERSHIP 7575 W TWIN PEAKS RD 165 TUCSON AZ 85743 860669087 501(C)3 6000 0 THE YOUTH SERVICES DIVISION FOCUSES ON PROVIDING INFORMATION, RESOURCES AND PROGRAMMING TO YOUTH AND COMMUNITY MEMBERS. YUCCA COMMUNITY FOOD PANTRY 12349 SOUTH FRONTAGE ROAD/PO BOX 303 YUCCA AZ 86438 384139944 501(C)3 6000 0 COMMUNITY FOOD BANK 12 0 EMPLOYEE EDUCATION BENEFITS 51 230893 PART I, LINE 2: 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. X X X X 1 0 0 0 0 0 0 1 0 KAPLAN JEREMY PHYSICIAN 850203 0 334648 0 0 0 13800 0 33762 0 1232413 0 0 0 BRAZE ADAM PHYSICIAN 852037 0 6619 0 0 0 20700 0 35126 0 914482 0 0 0 NGO THIEN PHYSICIAN 476638 0 344718 0 0 0 20700 0 33802 0 875858 0 0 0 RIVERA EDGARDO PHYSICIAN 608216 0 209795 0 0 0 20700 0 35073 0 873784 0 0 0 EVANS HEATH CEO 646455 0 164492 0 1350 0 0 0 37872 0 850169 0 0 0 OHRI ABHINAV PHYSICIAN 615012 0 156926 0 0 0 19950 0 12975 0 804863 0 0 0 HOFFMAN JOSHUA CFO 306375 0 79547 0 636 0 10350 0 36481 0 433389 0 0 0 SCHOTT DAVID CAO 331943 0 78911 0 668 0 5965 0 13787 0 431274 0 0 0 MARTIN LESLIE CNO 315108 0 46774 0 1609 0 20700 0 19166 0 403357 0 0 0 WELLS JAMES FORMER CNO 0 0 0 0 113961 0 0 0 0 0 113961 0 0 0 PART I, LINE 4A ONE INDIVIDUAL REPORTED ON PART VII RECEIVED A SEVERANCE PAYMENT IN 2024. 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. A ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY 813526584 2017-12-29 20000000 CAPITAL PROJECTS 0 0 0 B ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY 813526584 2021-09-28 30000000 CAPITAL PROJECTS 0 0 0 A 14576896 20000000 89500 19910500 2019 0 0 1 1 B 15684759 30000000 126564 22505036 7368400 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER 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: 06/30/2025 SARAH SCHRITTER FAMILY MEMBER OF DAN DEL MONACO 199651 EMPLOYEE PAY 0 FRANCESCO SINOPOLI FAMILY MEMBER OF JAMES BAKER 186726 EMPLOYEE PAY 0 MEAGAN FLUMMER FAMILY MEMBER OF DAN DEL MONACO 152305 EMPLOYEE PAY 0 AMANDA BAKER FAMILY MEMBER OF JAMES BAKER 146443 EMPLOYEE PAY 0 KAREN WATERS FAMILY MEMBER OF JOSEPH DORNER 116027 EMPLOYEE PAY 0 KAITLYN DEL MONACO FAMILY MEMBER OF DAN DEL MONACO 46065 EMPLOYEE PAY 0 MONOLITH DIAGNOSTICS PC 100% CONTROLLED ENTITY OF BRENT BEDKE, MD AND RYAN SWAPP, MD 2289119 PAYMENTS FOR MEDICAL SERVICES 0 LEVELUP HEALTHCARE CONSULTING LLC 100% CONTROLLED ENTITY OF SARA EVANS, FAMILY MEMBER OF HEATH EVANS 107150 PAYMENTS FOR CONSULTING SERVICES 0 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 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FOR A VALID BUSINESS PURPOSE. FORM 990, PART IX, LINE 11G PURCHASED 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. NORTHWEST ARIZONA REGIONAL INSURANCE 4041 N CENTRAL AVENUE PHOENIX AZ 85012 208081486 INSURER AZ 501(C)(3) LINE 12A, I KRMC 1 KINGMAN REGIONAL MEDICAL CENTER FOUNDATION 3269 STOCKTON HILL ROAD KINGMAN AZ 86409 742388735 COMMUNITY SUPPORT AZ 501(C)(3) LINE 7 N/A 1 KX VENTURES 3269 N STOCKTON HILL ROAD KINGMAN AZ 86409 843415074 LAND DEVELOPMENT AZ N/A LEASE 0 1 0.85000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 NORTHWESTERN ARIZONA REGIONAL INSURANCE R 2441923 INTERCO AMOUNT NORTHWESTERN ARIZONA REGIONAL INSURANCE S 1000000 INTERCO AMOUNT