2025-03-14T10:46:07+00:00 2024-04-30 440160260 Forvis Mazars LLP 1551 N Waterfront Pkwy Ste 300 Wichita KS 672066601 990 2023-05-01 480761700 NINNESCAH VALLEY HEALTH SYSTEMS INC NINN 6205323147 PO BOX 376 KINGMAN KS 67068 Preston Sauers CEO 6205323147 2025-03-14 true true Brian Todd P00422601 3162652811 2025-03-14 2023 2025-03-06 01:10:19Z KINGMAN HEALTHCARE CENTER PRESTON SAUERS PO BOX 376 KINGMAN KS 67068 20190643 false X WWW.KINGMANHC.COM X 1996 KS EXCEPTIONAL CARE. EVERY TIME. ACUTE CARE HOSPITAL MEETING THE PRIMARY HEALTHCARE NEEDS OF KINGMAN COUNTY AND THE SURROUNDING COMMUNITIES. 7 7 181 25 0 0 1351723 1088660 17544598 18706042 37197 155857 200207 221445 19133725 20172004 8396 450 0 0 9599652 9938383 0 0 0 8673057 9495821 18281105 19434654 852620 737350 15886147 17183075 6870302 7423715 9015845 9759360 EXCEPTIONAL CARE. EVERY TIME. BE THE FACILITY OF CHOICE BY LEADING WELLNESS THROUGH INNOVATION, PARTNERSHIPS, COMPASSION, AND QUALITY. false false 14541435 450 18738868 HEALTH CARE SERVICES PROVIDED TO THE PEOPLE OF KINGMAN COUNTY AND THE SURROUNDING COMMUNITIES. DURING THE FISCAL YEAR 2024, THE HOSPITAL HAD 1,242 INPATIENT DAYS, 2,138 EMERGENCY ROOM VISITS, AND 275 SURGERIES. TOTAL OUTPATIENT VISITS TOTALED 26,412. IN ADDITION, THE HOSPITAL PROVIDES TWO RURAL HEALTH CLINICS. ONE CLINIC IS WITHIN THE CITY OF KINGMAN AND ONE IS IN THE NEIGHBORING COMMUNITY OF CUNNINGHAM. TOTAL CLINIC VISITS TOTALED 11,068 FOR FISCAL YEAR 2024. 14541435 true true false true false false false false false true false false true true false true false false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 32 0 true 181 true false false false false false false false false false false false false X 7 7 false false false false false false false true true false false true true true true true true true true false X THAD TURNER 6205323147 750 WEST D AVENUE KINGMAN KS 67068 ANDREW PIESTER VICE CHAIRMAN/DIRECTOR 1.0 0.0 X X 0 0 0 ANGIE MALONEY SECRETARY/DIRECTOR 1.0 0.0 X X 0 0 0 GREG SCHREINER CHAIRMAN/DIRECTOR BEG 08/23 1.0 0.0 X X 0 0 0 NEIL FREUND CHAIRMAN/DIRECTOR END 08/23 1.0 0.0 X X 0 0 0 ROGER VANLANDINGHAM DIRECTOR/PT YR TREASURER END 08/23 1.0 0.0 X X 0 0 0 STEVE WITTY TREASURER/DIRECTOR BEG 08/23 1.0 1.0 X X 0 0 0 AMY WALLACE DIRECTOR BEG 08/23 1.0 0.0 X 0 0 0 MICHELE KYLE DIRECTOR 1.0 0.0 X 0 0 0 PRESTON SAUERS CEO 40.0 1.0 X 203126 0 18492 THAD TURNER CFO 40.0 0.0 X 111976 0 38859 CHERIE MORRIS PHYSICIAN 40.0 0.0 X 253411 0 12924 DENNIS KALMAR PHYSICIAN ASSISTANT 40.0 0.0 X 170865 0 5603 ERIN BAXA PHYSICIAN 40.0 0.0 X 426522 0 37865 JOSEPH GERBER PHYSICIAN 40.0 0.0 X 161312 0 20658 KIMBERLY WIDLER APRN 40.0 0.0 X 157707 0 16027 1484919 0 150428 13 false true false PSYCHIATRIC MEDICAL CARE LLC 8 CADILLAC DRIVE 230 BRENTWOOD TN 37027 GERIATRIC OUTPATIENT BEHAVIORAL HEALTH PROGRAM 502077 TRUBRIDGE PO BOX 11407 BIRMINGHAM AL 35246 EHR SERVICES 271910 WICHITA SURGICAL SPECIALISTS 551 N HILLSIDE SUITE 201 WICHITA KS 67214 CONTRACTED SURGEON 198127 ATHENAHEALTH INC PO BOX 415615 BOSTON MA 022415615 EHR SERVICES 176613 BUCHANAN TECHNOLOGIES INC PO BOX 790379 ST LOUIS MO 63179 MANAGED NETWORK AND IT SERVICES 154983 10 970614 118046 1088660 NET PATIENT SERVICE REVENUE 621300 17221360 17221360 340B PHARMACY REVENUE 456110 1484682 1484682 0 0 0 0 18706042 159700 159700 41550 41550 0 41550 41550 14796 18639 0 -3843 -3843 -3843 EMPLOYEE/GUEST MEALS 900099 26627 26627 INTEREST ON PATIENT ACCOUNTS 900099 10266 10266 143002 22560 0 120442 179895 20172004 18738868 0 344476 X 450 450 381979 381979 8208090 6530626 1677464 119774 98177 21597 632238 522402 109836 596302 456459 139843 4070 4070 80589 80589 2898 2898 2304764 1162935 1141829 0 32253 32253 1128253 774278 353975 212757 29060 183697 81712 24335 57377 117624 81018 36606 884082 608944 275138 183004 25984 157020 MEDICAL SUPPLIES 3611751 3611751 EQUIPMENT RENTAL & MAINTENANCE 515404 459430 55974 DUES & SUBSCRIPTIONS 125928 81847 44081 FOOD 73608 73608 137124 131 136993 0 19434654 14541435 4893219 0 -495 49251 5610586 5837986 2115489 2579152 0 0 0 0 322163 295029 77813 127203 18554495 12010961 6585442 6543534 272852 46739 0 57585 63750 844712 1640431 15886147 17183075 1482044 1810501 0 0 5169876 5120472 218382 492742 6870302 7423715 X 8685408 9648871 330437 110489 9015845 9759360 15886147 17183075 X 737350 6165 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 2898 false false false 2898 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A PORTION OF THE ANNUAL DUES PAID TO KHA AND AHA ARE USED FOR LOBBYING. 74923 74923 9632022 4969974 4662048 8547378 6831126 1716252 300172 209861 90311 6543534 DUE FROM THIRD PARTY 530000 ROU Assets 492742 ACCRUED INTEREST RECEIVABLE 111272 Other Receivables 506417 1640431 OPERATING LEASE LIABILITIES 492742 492742 20172004 0 0 20172004 0 0 20172004 19434654 0 0 19434654 0 0 19434654 Schedule D, Part X, Line 2 Uncertain Tax Position THE SYSTEM HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C) 3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE SYSTEM IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE SYSTEM RECOGNIZES THE FINANCIAL STATEMENT BENEFIT OF A TAX POSITION ONLY AFTER DETERMINING THAT THE RELEVANT TAX AUTHORITY WOULD MORE LIKELY THAN NOT SUSTAIN THE POSITION FOLLOWING AN AUDIT. true true X true X true X true true false true true 91385 1524 89861 0.0046 884457 695227 189230 0.0097 0 0.0 0 0 975842 696751 279091 0.0144 128771 128771 0.0066 0 0.0 136703 33839 102864 0.0053 0 0.0 0 0.0 0 0 265474 33839 231635 0.0119 0 0 1241316 730590 510726 0.0263 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 911061 0 6299183 9767119 -3467936 X true true 1 1 KINGMAN HEALTHCARE CENTER 750 W D AVENUE KINGMAN KS 67068 WWW.KINGMANHC.COM H048001 X X X X KINGMAN HEALTHCARE CENTER 1 false false true X X X X X X X X X 21 true false false true X HTTPS://WWW.KINGMANHC.COM/DOCS/KINGMAN_CHNA.PDF X true 21 true HTTPS://WWW.KINGMANHC.COM/DOCS/2022_CHNA_IMPLEMENTATION_STRATEGY.PDF false true X 100.0 200.0 X X X true true X X X X true X https://www.kingmanhc.com/docs/Patient_Financial_Policy_081324.pdf X https://www.kingmanhc.com/docs/Financial_Assistance_Application_2021.pdf X https://www.kingmanhc.com/docs/Plain_Language_Summary_2021.pdf X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Kingman HealthCare Center. KINGMAN HEALTHCARE CENTER ENGAGED FORVIS, LLP TO CONDUCT A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED UTILIZING VARIOUS THIRD PARTIES. THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF DEATH AND MORBIDITY INFORMATION WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY COUNTYHEALTHRANKINGS.ORG. HEALTH FACTORS WITH SIGNIFICANT OPPORTUNITY FOR IMPROVEMENT WERE NOTED. INTERVIEWS WERE HELD WITH VARIOUS PROFESSIONALS REPRESENTING A CROSS-SECTION OF INDUSTRIES AND ORGANIZATIONS WITHIN THE COMMUNITY'S POPULATION. THE MAIN OBJECTIVE OF THE INTERVIEWS WAS TO RECEIVE FEEDBACK ON COMMUNITY HEALTH AND WELLNESS ATTRIBUTES, STRENGTHS, AND CHALLENGES. TOPICS INCLUDED QUESTIONS ABOUT 1) HEALTH AND QUALITY OF LIFE, 2) UNDERSERVED AND UNDERREPRESENTED POPULATIONS, 3) BARRIERS, AND 4) COVID-19. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Kingman Healthcare Center. FOR MENTAL HEALTH ISSUES, KHC HAS IMPLEMENTED SENIOR LIFE SOLUTIONS, WHICH PROVIDES GERIATRIC PSYCHIATRIC OUTPATIENT SERVICES. KHC ALSO EMPLOYS A LICENSED SOCIAL WORKER WHO LEADS A CAREGIVER SUPPORT GROUP. SPORTS PHYSICALS FOR SCHOOL-AGED CHILDREN HAVE BEEN EXPANDED INTO COMPREHENSIVE ANNUAL WELLNESS VISITS. FOR PRIMARY CARE PHYSICIANS, KHC HAS RECRUITED TWO PHYSICIANS - ONE JOINED IN 2023 AND ONE WILL JOIN IN 2025. FOR DISEASE PREVENTION & MANAGEMENT, KHC HAS IMPLEMENTED A CHRONIC CARE MANAGEMENT PROGRAM AND WORKS WITH PATIENTS TO DEVELOP A COMPREHENSIVE CARE PLAN. FOR CHRONIC DISEASE PREVENTION, THE HOSPITAL PROVIDES LAB AND RADIOLOGY SERVICES FOR THE CARE NET CLINIC (REDUCED COST OR FREE SERVICES) TO SERVE THE INDIGENT AND UNINSURED RESIDENTS OF KINGMAN COUNTY. THE HOSPITAL HAS HIRED A DIETICIAN TO EDUCATE AND PROVIDE CONSULTATION SERVICES FOR CARDIAC, WEIGHT LOSS, AND DIABETIC PATIENTS. FOR SERVICES NEEDED RELATED TO MENTAL ILLNESS AND MENTAL HEALTH, THE HOSPITAL ER TREATS THOSE WITH MENTAL ILLNESS SYMPTOMS AND REFERS/TRANSFERS THEM TO THEIR NEXT LINE OF CARE. FOR LACK OF HEALTH KNOWLEDGE AND AWARENESS OF SERVICES, THE HOSPITAL REGULARLY USES SOCIAL MEDIA TO REACH AS MANY RESIDENTS OF THE COUNTY AS POSSIBLE. THE HOSPITAL ALSO REGULARLY USES THE LOCAL NEWSPAPER TO INFORM THE COMMUNITY OF SERVICES AVAILABLE. 2 KINGMAN HEALTHCARE CENTER FAMILY CLINIC 750 W D AVENUE KINGMAN KS 67068 RURAL HEALTH CLINIC CUNNINGHAM CLINIC 112 N MAIN CUNNINGHAM KS 67035 RURAL HEALTH CLINIC Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG USED IN DETERMINING ELIGIBILITY THE HOSPITAL USED FACTORS OTHER THAN FPG IN DETERMINING ELIGIBILITY FOR PROVIDING FREE OR DISCOUNTED CARE. THESE FACTORS INCLUDED: MEDICAL INDIGENCY, INSURANCE STATUS, AND UNDERINSURANCE STATUS. Schedule H, Part I, Line 7 COSTING METHODOLOGY USED TO CALCULATE AMOUNTS THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLE OF PART I, LINE 7, OF SCHEDULE H, IS A COST TO CHARGE RATIO. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount ONCE REASONABLE EFFORTS HAVE BEEN EXHAUSTED (AS REQUIRED BY IRS 501(R)) THE CHARGES ARE TURNED OVER TO A COLLECTION AGENCY. THESE CHARGES ARE EXPENSED TO BAD DEBT EXPENSE. DURING THE COURSE OF THE YEAR, ANY BAD DEBT RECOVERIES ARE NETTED AGAINST BAD DEBT EXPENSE. SHOULD THE HOSPITAL BE NOTIFIED OF A BANKRUPTCY, THE ASSOCIATED CHARGES ARE EXPENSED TO BAD DEBT EXPENSE. FURTHERMORE, PROVISIONS ARE MADE FOR SELF-PAY CHARGES TO ALLOW FOR THE EXPECTED UNCOLLECTABLE CHARGES. THE METHOD USED FOR THE ALLOWANCE IS A 6-MONTH LOOK BACK TO DETERMINE THE COLLECTABILITY OF SELF-PAY ACCOUNTS. Schedule H, Part III, Line 3 Bad Debt Expense Methodology A COST TO CHARGE RATIO IS USED TO DETERMINE AMOUNTS OF BAD DEBT AT COST AND BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE CHARITY CARE POLICY. THE COST TO CHARGE RATIO IS MULTIPLIED BY THE CHANGES IN BAD DEBT. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote NOT APPLICABLE DUE TO ADOPTION OF ASC 606 REVENUE FROM CONTRACTS WITH CUSTOMERS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE SYSTEM USES MEDICARE COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS (ROOM AND BOARD) BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance AFTER FOLLOWING BILLING PROCEDURES AND DETERMINING NO INSURANCE COVERAGE APPLIES TO OUTSTANDING AMOUNTS DUE, THE FOLLOWING PROCEDURES ARE IN PLACE: THE FIRST STATEMENT IS SENT TO THE PATIENT AFTER 30 DAYS; THE SECOND STATEMENT IS SENT AFTER 60 DAYS; THE THIRD STATEMENT IS SENT AFTER 90 DAYS; THE FINAL STATEMENT IS SENT AFTER 120 DAYS; THE ACCOUNT IS SENT TO A THIRD-PARTY COLLECTION AGENCY IF NO PROGRESS ON THE ACCOUNT IS MADE. Schedule H, Part V, Section B, Line 16a FAP website - KINGMAN HEALTHCARE CENTER: Line 16a URL: https://www.kingmanhc.com/docs/Patient_Financial_Policy_081324.pdf; Schedule H, Part V, Section B, Line 16b FAP Application website - KINGMAN HEALTHCARE CENTER: Line 16b URL: https://www.kingmanhc.com/docs/Financial_Assistance_Application_2021.pdf; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - KINGMAN HEALTHCARE CENTER: Line 16c URL: https://www.kingmanhc.com/docs/Plain_Language_Summary_2021.pdf; Schedule H, Part VI, Line 2 Needs assessment ONE SIGNIFICANT WAY IS THE COMMUNITY HEALTH NEEDS ASSESSMENT. IN ORDER TO COMPLETE THE CHNA, AS REQUIRED BY IRC SECTION 501(R), POPULATION DEMOGRAPHICS AND SOCIOECONOMIC CHARACTERISTICS OF THE COMMUNITY WERE GATHERED AND REPORTED UTILIZING VARIOUS THIRD PARTIES. THE HEALTH STATUS OF THE COMMUNITY WAS THEN REVIEWED. INFORMATION ON THE LEADING CAUSES OF DEATH AND MORBIDITY INFORMATION WAS ANALYZED IN CONJUNCTION WITH HEALTH OUTCOMES AND FACTORS REPORTED FOR THE COMMUNITY BY WWW.COUNTYHEALTHRANKINGS.ORG. HEALTH FACTORS WITH SIGNIFICANT OPPORTUNITY FOR IMPROVEMENT WERE NOTED. COMMUNITY INPUT WAS PROVIDED THROUGH KEY INFORMANT INTERVIEWS OF SEVEN STAKEHOLDERS. INFORMATION GATHERED WAS ANALYZED AND REVIEWED TO IDENTIFY HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS, AND MINORITY GROUPS AND THE COMMUNITY AS A WHOLE. HEALTH NEEDS WERE RANKED UTILIZING A WEIGHTING METHOD THAT WEIGHS: 1. THE SIZE OF THE PROBLEM, 2. THE SERIOUSNESS OF THE PROBLEM, 3. THE PREVALENCE OF COMMON THEMES, AND 4. THE ALIGNMENT WITH HOSPITAL'S RESOURCES. AN INVENTORY OF HEALTH CARE FACILITIES AND OTHER COMMUNITY RESOURCES POTENTIALLY AVAILABLE TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA WAS PREPARED AND COLLABORATIVE EFFORTS WERE IDENTIFIED. OTHER THAN THE CHNA, HOSPITAL STAFF REVIEWS STATISTICAL DATA PROVIDED BY THE KANSAS HOSPITAL ASSOCIATION, KDHE, AND OTHERS. THE HOSPITAL ALSO IS INVOLVED IN THE COMMUNITY WITH LOCAL ORGANIZATIONS LIKE THE ROTARY CLUB, LIONS CLUB, LOCAL CHURCHES, AND OTHERS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE HOSPITAL POSTS SIGNS ABOUT THE AVAILABILITY OF THE CHARITY CARE PROGRAM IN THE HOSPITAL AND AT THE KINGMAN HEALTH DEPARTMENT. ALL THE LOCAL PHYSICIANS KNOW ABOUT THE HOSPITAL'S CHARITY CARE PROGRAM SO THAT IF A PATIENT NEEDS SERVICES THEY CAN INFORM THE PATIENT ABOUT IT. THE HOSPITAL HAS A STAND WITH BROCHURES ON THE CHARITY CARE PROGRAM AS WELL AS BROCHURES ON OTHER PROGRAMS SUCH AS MEDICAID, CHILDREN'S MERCY, AND UNICARE. THE HOSPITAL EMPLOYS A PATIENT ADVOCATE WHO WILL HELP PATIENTS COMPLETE THE CHARITY CARE PROCESS AND ANSWER ANY QUESTIONS ABOUT THE PROGRAM. THIS EMPLOYEE WILL ALSO HELP PATIENTS WITH MEDICAID APPLICATIONS IF IT IS DETERMINED THAT THE PATIENT MIGHT QUALIFY FOR THIS PROGRAM. Schedule H, Part VI, Line 4 Community information THE HOSPITAL IS LOCATED IN A RURAL COMMUNITY IN KINGMAN COUNTY KANSAS. THIS COUNTY IS IN SOUTH CENTRAL KANSAS. KINGMAN COUNTY HAS APPROXIMATELY 7,400 RESIDENTS WITH APPROXIMATELY 8% OF THE POPULATION FALLING UNDER THE POVERTY GUIDELINES, AND 22% BEING OVER THE AGE OF 65. THE HOSPITAL IS THE ONLY HOSPITAL LOCATED IN THE COUNTY AND THE NEXT CLOSEST HOSPITAL IS OVER 20 MILES AWAY. Schedule H, Part VI, Line 5 Promotion of community health THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY IN SEVERAL WAYS. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. THE HOSPITAL ALSO RECRUITS AND PROVIDES SPACE TO SPECIALISTS SO THEY CAN CONDUCT CLINICS AND PROVIDE SERVICES FOR PATIENTS IN THE COMMUNITY. THE HOSPITAL ALSO PROVIDES FREE CLINICS AND SCREENINGS THROUGHOUT THE YEAR. X X X false false false false false false false false false PRESTON SAUERS CEO 203126 0 0 0 0 0 5167 0 13325 0 221618 0 0 0 THAD TURNER CFO 111976 0 0 0 0 0 3104 0 35755 0 150835 0 0 0 ERIN BAXA PHYSICIAN 426522 0 0 0 0 0 10686 0 27179 0 464387 0 0 0 CHERIE MORRIS PHYSICIAN 253411 0 0 0 0 0 0 0 12924 0 266335 0 0 0 DENNIS KALMAR PHYSICIAN ASSISTANT 170865 0 0 0 0 0 4299 0 1304 0 176468 0 0 0 KIMBERLY WIDLER APRN 157707 0 0 0 0 0 3203 0 12824 0 173734 0 0 0 JOSEPH GERBER PHYSICIAN 161312 0 0 0 0 0 0 0 20658 0 181970 0 0 0 Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE CFO REVIEWS A DRAFT OF THE 990 AND ALL REQUIRED SCHEDULES. THE ENTIRE BOARD IS THEN PROVIDED WITH AN ELECTRONIC COPY OF THE FORM 990 AND ALL REQUIRED SCHEDULES PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy BOARD MEMBERS AND OFFICERS AT THE TIME OF HIRE AND ANNUALLY THEREAFTER ARE REMINDED OF THE CONFLICT OF INTEREST GUIDELINES COVERED IN THE CORPORATION'S GOVERNING BODY BYLAWS AND ARE ASKED TO SIGN A CONFLICT OF INTEREST STATEMENT. ANY CONFLICT OF INTEREST MUST BE DISCLOSED TO THE BOARD AND/OR CEO. ANY MEMBER WITH A CONFLICT OF INTEREST SHALL ABSENT THEMSELVES FROM THE DISCUSSION OF THE ISSUE BEFORE THE BOARD AND MUST ABSTAIN FROM VOTING ON ANY ISSUE IN WHICH A CONFLICT IS PRESENT. Form 990, Part VI, Line 15a Process to establish compensation of top management official ALL RAISES ARE APPROVED BY THE BOARD OF DIRECTORS. SALARIES AND WAGES ARE COMPARED ANNUALLY TO THE KANSAS HOSPITAL ASSOCIATION'S SALARY AND WAGE SURVEY FOR REASONABLENESS. THE BOARD DESIGNATES THE HUMAN RESOURCE DIRECTOR TO REVIEW THE SURVEY AND MAKE ANY ADJUSTMENTS NECESSARY. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE HUMAN RESOURCES OFFICER AND THE CEO CONDUCTED THE REVIEW. THE REVIEW IS CONDUCTED YEARLY AND WAS LAST COMPLETED IN 2024. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue All Other Revenue - Total Revenue: 143002, Related or Exempt Function Revenue: 22560, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 120442; Form 990, Part IX, Line 11g Other Fees Purchased Services - Total Expense: 1225636, Program Service Expense: 241743, Management and General Expenses: 983893, Fundraising Expenses: ; Lab Fees - Total Expense: 176635, Program Service Expense: 176635, Management and General Expenses: , Fundraising Expenses: ; Physician Fees - Total Expense: 159557, Program Service Expense: 159557, Management and General Expenses: , Fundraising Expenses: ; Data Processing Fees - Total Expense: 154682, Program Service Expense: , Management and General Expenses: 154682, Fundraising Expenses: ; Anesthesiology Fees - Total Expense: 72895, Program Service Expense: 72895, Management and General Expenses: , Fundraising Expenses: ; Pharmacy Fees - Total Expense: 49022, Program Service Expense: 49022, Management and General Expenses: , Fundraising Expenses: ; Speech Therapy Fees - Total Expense: 18094, Program Service Expense: 18094, Management and General Expenses: , Fundraising Expenses: ; Physical Therapy Fees - Total Expense: 7294, Program Service Expense: 7294, Management and General Expenses: , Fundraising Expenses: ; Collection Fees - Total Expense: 3254, Program Service Expense: , Management and General Expenses: 3254, Fundraising Expenses: ; Imaging Services - Total Expense: 103390, Program Service Expense: 103390, Management and General Expenses: , Fundraising Expenses: ; ER/Surgery Services - Total Expense: 334305, Program Service Expense: 334305, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN INTEREST IN NET ASSETS OF KCHF - 6165; KINGMAN HEALTHCARE CENTER FOUNDATION 750 W D AVENUE KINGMAN KS 67068 481095031 SUPPORT NVHS KS 501(c)(3) Type III-O NA false false false false false false false false false false false false false false false false false false false false