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KINGMAN HEALTHCARE INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
KINGMAN HEALTHCARE INC (EIN 94-2916102)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-04-26
IRS object ID
202431179349302093
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-04-26T17:22:34-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 South Tejon Suite 800AddressLine1Txt
CityColorado SpringsCityNm
State AbbreviationCOStateAbbreviationCd
ZIP809039848ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN942916102EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KINGMAN HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% KINGMAN HEALTHCARE INCInCareOfNm
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
Signature2024-02-29SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJOSHUAPersonFirstNm
Person LastHOFFMANPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAdam R Smith CPAPreparerPersonNm
PTINP00958966PTIN
Phone7194714290PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

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$450,812,869GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
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 Independent9VotingMembersIndependentCnt
Total Employee2528TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$9,411,421PYContributionsGrantsAmt
CY Contributions Grants$5,600,063CYContributionsGrantsAmt
PY Program Service Revenue$366,706,107PYProgramServiceRevenueAmt
CY Program Service Revenue$378,262,586CYProgramServiceRevenueAmt
PY Investment Income$3,459,246PYInvestmentIncomeAmt
CY Investment Income$1,673,810CYInvestmentIncomeAmt
PY Other Revenue$8,551,800PYOtherRevenueAmt
CY Other Revenue$12,129,554CYOtherRevenueAmt
PY Total Revenue$388,128,574PYTotalRevenueAmt
CY Total Revenue$397,666,013CYTotalRevenueAmt
PY Grants And Similar Paid$391,615PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$522,840CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$188,902,039PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$188,825,639CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$186,854,142PYOtherExpensesAmt
CY Other Expenses$202,084,948CYOtherExpensesAmt
PY Total Expenses$376,147,796PYTotalExpensesAmt
CY Total Expenses$391,433,427CYTotalExpensesAmt
PY Revenues Less Expenses$11,980,778PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,232,586CYRevenuesLessExpensesAmt
Total Assets BOY$401,711,180TotalAssetsBOYAmt
Total Assets EOY$414,114,244TotalAssetsEOYAmt
Total Liabilities BOY$99,278,652TotalLiabilitiesBOYAmt
Total Liabilities EOY$97,839,507TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$302,432,528NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$316,274,737NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO INSPIRE AND PARTNER WITH OUR COMMUNITY TO ACHIEVE OPTIMAL HEALTH, MIND, BODY AND SPIRIT.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$281,548,507ExpenseAmt
Grant$522,840GrantAmt
Revenue$380,691,769RevenueAmt
DescKINGMAN REGIONAL MEDICAL CENTER (KRMC) IS THE LARGEST HEALTHCARE PROVIDER IN NORTHWEST ARIZONA AND THE ONLY REMAINING NON-PROFIT HOSPITAL IN MOHAVE COUNTY, ARIZONA. AS A 235-BED MULTI-CAMPUS HEALTHCARE SYSTEM, OUR CENTER INCLUDES MORE THAN 2,000 EMPLOYEES, 270 PHYSICIANS/ALLIED HEALTH PROFESSIONALS, AND 150 VOLUNTEERS WHO CARE FOR THE HEALTH NEEDS OF OUR 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$281,548,507TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document47IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2528EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKINGMAN HEALTHCARE INCPersonNm
Phone9287572101PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13269 STOCKTON HILL ROADAddressLine1Txt
CityKINGMANCityNm
State AbbreviationAZStateAbbreviationCd
ZIP86409ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeIndOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
WILLIAM C MCCONNELL
CEO - Through 6/202240.00.0Yes (X)$1,780,343$0$20,384
JEREMY KAPLAN
PHYSICIAN40.00.0$1,163,851$0$39,333Yes (X)
MARK DAVIS
PHYSICIAN40.00.0$1,056,310$0$40,394Yes (X)
ABHINAV OHRI
PHYSICIAN40.00.0$990,407$0$22,913Yes (X)
EDGARDO RIVERA
PHYSICIAN40.00.0$881,968$0$49,138Yes (X)
ROBERT MATHENY
PHYSICIAN40.00.0$768,770$0$36,566Yes (X)
JAMES WELLS
COO40.00.0$370,139$0$31,969Yes (X)
CHRISTINA DIMAMBRO
CFO - END 03/2340.01.0$354,342$0$19,103Yes (X)
LESLIE MARTIN
CNO40.00.0$245,140$0$8,728Yes (X)
JOSHUA HOFFMAN
CFO40.00.0$75,402$0$11,199Yes (X)
KRYSTAL BURGE
CHAIRMAN1.00.0$0$0$0Yes (X)Yes (X)
JAMES BAKER
VICE CHAIRMAN1.01.0$0$0$0Yes (X)Yes (X)
SUSAN CHAN
TREASURER1.00.0$0$0$0Yes (X)
CATHY OTT
DIRECTOR1.00.0$0$0$0Yes (X)
DAN DELMONACO
DIRECTOR1.00.0$0$0$0Yes (X)
KALE BODILY MD
DIRECTOR1.00.0$0$0$0Yes (X)
LYNNE PETERSEN
DIRECTOR1.00.0$0$0$0Yes (X)
ROBERT DEVRIES
SECRETARY1.01.0$0$0$0Yes (X)Yes (X)
RYAN SWAPP
DIRECTOR1.00.0$0$0$0Yes (X)
JOSEPH DORNER
DIRECTOR1.00.0$0$0$0Yes (X)
SAM ELTERS
DIRECTOR1.00.0$0$0$0Yes (X)
HEATH EVANS
CEO - START 02/2340.00.0$0$0$0Yes (X)Yes (X)
SHARMILA PARVATHANENI MD
DIRECTOR1.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,686,672TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$279,727TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K309IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HIGH DESERT RADIOLOGY
695 COUNTRY CLUB DRIVEKINGMANAZ86401RADIOLOGISTS$11,214,990
NI2 HEALTH LLC
22121 17TH AVE SEBOTHELLWA98021ACCOUNTING ASSIST.$3,662,065
AUREUS-FOCUS ONE
11825 Q STOMAHANE68137AGENCY STAFF$22,112,703
MONOLITH DIAGNOSTICS PC
1740 SYCAMORE AVE STE CKINGMANAZ86409PATHOLOGY$2,070,797
CHG COMPANIES INC
PO BOX 972651DALLASTX75397AGENCY STAFF$4,106,783
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt
Government Grants$5,505,917GovernmentGrantsAmt
All Other Contributions$94,146AllOtherContributionsAmt
Noncash Contributions$988NoncashContributionsAmt
Total Contributions$5,600,063TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue622110$373,559,717$373,559,717
EHR/PQRS/Meaningful Use Payments621100$2,149,796$2,149,796
Wellness Center Revenue900099$1,441,581$1,441,581
HPSA Medicare Payment524114$1,018,781$1,018,781
Other Income900099$92,711$92,711
FieldValueIRS element (for citing)
Total Program Service Revenue$378,262,586TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,650,583TotalRevenueColumnAmt
Exclusion$2,650,583ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$347,098RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$347,098RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$347,098TotalRevenueColumnAmt
Exclusion$347,098ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$46,482,535SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$47,250,328SecuritiesAmt
Other$208,980OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$767,793SecuritiesAmt
Other-$208,980OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$976,773TotalRevenueColumnAmt
Exclusion-$976,773ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$8,691,677GrossSalesOfInventoryAmt
Cost Of Goods Sold$5,687,548CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,004,129TotalRevenueColumnAmt
Exclusion$3,004,129ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria722514$2,815,069$2,815,069
340B Pharmacy446110$2,753,895$2,753,895
Income from Equity Investees624410$2,318,286$2,318,286

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$891,077TotalRevenueColumnAmt
Related Or Exempt Func Income$110,897RelatedOrExemptFuncIncomeAmt
Exclusion$780,180ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$8,778,327OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$397,666,013TotalRevenueColumnAmt
Related Or Exempt Func Income$380,691,769RelatedOrExemptFuncIncomeAmt
Exclusion$11,374,181ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$205,593TotalAmt
Program Services$205,593ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$317,247TotalAmt
Program Services$317,247ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,783,164TotalAmt
Program Services$1,163,978ProgramServicesAmt
Management And General$619,186ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$668,346TotalAmt
Program Services$396,924ProgramServicesAmt
Management And General$271,422ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$149,387,519TotalAmt
Program Services$94,701,597ProgramServicesAmt
Management And General$54,685,922ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,690,734TotalAmt
Program Services$2,392,978ProgramServicesAmt
Management And General$1,297,756ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$23,156,841TotalAmt
Program Services$8,336,032ProgramServicesAmt
Management And General$14,820,809ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,139,035TotalAmt
Program Services$6,427,463ProgramServicesAmt
Management And General$3,711,572ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$198,150TotalAmt
Management And General$198,150ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$212,300TotalAmt
Management And General$212,300ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$16,187TotalAmt
Management And General$16,187ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$130,826TotalAmt
Management And General$130,826ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$72,628,782TotalAmt
Program Services$60,193,624ProgramServicesAmt
Management And General$12,435,158ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$425,585TotalAmt
Program Services$5,470ProgramServicesAmt
Management And General$420,115ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,311,600TotalAmt
Program Services$2,924,640ProgramServicesAmt
Management And General$3,386,960ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,860,033TotalAmt
Program Services$8,471,944ProgramServicesAmt
Management And General$2,388,089ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,160,312TotalAmt
Program Services$3,490,385ProgramServicesAmt
Management And General$2,669,927ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,045,510TotalAmt
Program Services$547,913ProgramServicesAmt
Management And General$497,597ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$597,793TotalAmt
Management And General$597,793ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,242,678TotalAmt
Program Services$7,308,091ProgramServicesAmt
Management And General$7,934,587ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,567,624TotalAmt
Program Services$2,187,856ProgramServicesAmt
Management And General$2,379,768ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$62,289,747$62,201,072$88,675
Repairs & Maintenance$1,275,288$871,709$403,579
Provider Fee$16,707,176$16,707,176
Food$2,453,355$2,335,629$117,726

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$962,002TotalAmt
Program Services$361,186ProgramServicesAmt
Management And General$600,816ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$391,433,427TotalAmt
Program Services$281,548,507ProgramServicesAmt
Management And General$109,884,920ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,219,747BOYAmt
EOY$10,648,891EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$39,588,171BOYAmt
EOY$14,298,651EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$72,943,991BOYAmt
EOY$88,842,459EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$100,035BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,550,125BOYAmt
EOY$8,431,745EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,371,481BOYAmt
EOY$6,078,124EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$343,261,330LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$204,515,159LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$140,347,342BOYAmt
EOY$138,746,171EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$111,911,083BOYAmt
EOY$116,447,105EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$10,478,148BOYAmt
EOY$11,429,993EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$2,458,603BOYAmt
EOY$2,632,766EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,742,454BOYAmt
EOY$16,558,339EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$401,711,180BOYAmt
EOY$414,114,244EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$49,121,389BOYAmt
EOY$40,851,507EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,142,683BOYAmt
EOY$34,706,969EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$22,788,635BOYAmt
EOY$1,745,382EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,225,945BOYAmt
EOY$20,535,649EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$99,278,652BOYAmt
EOY$97,839,507EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$299,684,949BOYAmt
EOY$313,519,583EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,747,579BOYAmt
EOY$2,755,154EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$302,432,528BOYAmt
EOY$316,274,737EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$401,711,180BOYAmt
EOY$414,114,244EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$6,232,586ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$7,435,460NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$174,163OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$16,187DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$16,187TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1gFormAndLineReferenceDesc
ExplanationLobbying: Kingman Hospital pays annual dues in which a percentage of their dues is attributable to lobbying. The amount shown on the line above represents that percentage.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,848,675OtherCostOrOtherBasisAmt
Book Value$21,848,675BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$141,064,072OtherCostOrOtherBasisAmt
Depreciation$84,824,051DepreciationAmt
Book Value$56,240,021BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$159,022,745OtherCostOrOtherBasisAmt
Depreciation$116,048,846DepreciationAmt
Book Value$42,973,899BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,325,838OtherCostOrOtherBasisAmt
Depreciation$3,642,262DepreciationAmt
Book Value$17,683,576BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$138,746,171TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Estimated Self-Insurance Costs$1,011,000
Accrued Retirement Obligation$5,700,895
Accrued Malpractice with NARIC$490,324
ROU - LEASE LIABILITY$13,333,430
FieldValueIRS element (for citing)
Total Liability$20,535,649TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$408,682,765TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$7,435,460NetUnrealizedGainsInvstAmt
Other Revenue$5,861,711OtherRevenueAmt
Revenue Not Reported$13,297,171RevenueNotReportedAmt
Revenue Subtotal$395,385,594RevenueSubtotalAmt
Investment Expenses Not Incld$130,826InvestmentExpensesNotIncldAmt
Other Revenues Not Included$2,149,593OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$2,280,419RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$397,666,013TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$394,840,556TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$5,687,548OtherExpensesIncludedAmt
Expenses Not Reported$5,687,548ExpensesNotReportedAmt
Expenses Subtotal$389,153,008ExpensesSubtotalAmt
Investment Expenses Not Incld2$130,826InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$2,149,593OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$2,280,419ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$391,433,427TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART XI, LINE 2DREVENUE ON BOOKS, NOT ON RETURN: 5,687,548 - COST OF GOODS SOLD 174,163 - CHANGE IN NET ASSETS OF KRMC FOUNDATION 5,861,711 - TOTAL
SCHEDULE D, PART XI, LINE 4BREVENUE ON RETURN, NOT ON BOOKS: 2,149,593 - ACTIVITY OF NARIC INCLUDED IN CONSOLIDATED FINANCIALS, REMOVED FOR TAX RETURN
SCHEDULE D, PART XII, LINE 2D5,687,548 - COST OF GOODS SOLD
SCHEDULE D, PART XII LINE 4BEXPENSE ON RETURN, NOT ON BOOKS: 2,149,593 - ACTIVITY OF NARIC INCLUDED IN CONSOLIDATED FINANCIALS, REMOVED FOR TAX RETURN

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$779,561TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$779,561NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$100,336,432TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$65,998,167DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,338,265NetCommunityBenefitExpnsAmt
Total Expense0.08770TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$101,115,993TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$65,998,167DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,117,826NetCommunityBenefitExpnsAmt
Total Expense0.08970TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$253,388TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$253,388NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,610,897TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,108,843DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,067,255TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,067,255NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,931,540TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,108,843DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,320,643NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$107,047,533TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$71,107,010DirectOffsettingRevenueAmt
Net Community Benefit Expns$36,438,469NetCommunityBenefitExpnsAmt
Total Expense0.09300TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$30,615,569BadDebtExpenseAmt
Reimbursed By Medicare$54,745,665ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$62,867,282CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$8,121,617MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)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
Facility Reporting Group1FacilityReportingGroupCd

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 PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)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 Conducted21CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION C, FOR URLOwnWebsiteURLTxt
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION C, FOR URLStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care0.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLsee part v, section C, for URLFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLsee part v, section C, for URLFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLPart V, section C, for URLFAPSummaryOnWebsiteURLTxt
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 (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
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 (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5AS PART OF THE COMMUNITY HEALTH ASSESSMENT PROCESS, MEMBERS OF THE MOHAVE COUNTY COMMUNITY HEALTH COALITION CONDUCTED INTERVIEWS WITH INDIVIDUALS WHO REPRESENT: A) BROAD INTERESTS OF THE COMMUNITY, B) POPULATIONS OF NEED, AND C) PERSONS WITH SPECIALIZED KNOWLEDGE IN PUBLIC HEALTH. THESE INDIVIDUALS CAME FROM THE FOLLOWING COMMUNITY SECTORS: - SOCIAL SERVICE AGENCIES - LOCAL SCHOOL SYSTEM AND COMMUNITY COLLEGE - LOCAL CITY AND COUNTY GOVERNMENT - PUBLIC HEALTH AGENCIES - INDUSTRY - FAITH COMMUNITY - MEDICAL PROVIDERS
SCHEDULE H, PART V, SECTION B, LINE 6BTHE CHNA FOR KINGMAN HOSPITAL INC. WAS CONDUCTED WITH MOHAVE COUNTY, ARIZONA.
SCHEDULE H, PART V, SECTION B, LINE 7ADIRECT URL WHERE CHNA REPORT IS MADE AVAILABLE TO THE ORGANIZATIONS WEBSITE: https://www.azkrmc.com/sites/default/ files/2022-06/Mohave%20CHNA%20Report%20Final%2022-05-22.pdf
SCHEDULE H, PART V, SECTION B, LINE 10ADIRECT URL WHERE IMPLEMENTATION PLAN IS MADE WIDELY AVAILABLE: https://www.azkrmc.com/sites/default/files/2022-06/Kingman%20Regional%20Me dical%20Center%20Community%20Health%20Needs%20Implementation%20Strategies% 20(2022-2025)%20Final%20Draft%5B2%5D.pdf
SCHEDULE H, PART V, SECTION B, LINE 11COMMUNITY HEALTH IMPROVEMENT PLAN DISCLOSURE STATEMENT KINGMAN HEALTHCARE INC. (KHI), IN PARTNERSHIP WITH THE MOHAVE COUNTY DEPARTMENT OF PUBLIC HEALTH (MCDPH) LEADS A BROAD COMMUNITY INITIATIVE TO IMPROVE HEALTH AND QUALITY-OF-LIFE IN MOHAVE COUNTY COMMUNITIES. THE INITIATIVE ENGAGES COMMUNITY STAKEHOLDERS AND THE PUBLIC TO MAKE MEASURABLE IMPROVEMENTS IN COMMUNITY HEALTH. IT INVOLVES THE FOLLOWING PROCESS, WHICH IS CONDUCTED ON A THREE-YEAR CYCLE: 1. RESEARCHERS COLLECT FACTS AND STATISTICS REGARDING HEALTH AND QUALITY-OF-LIFE IN MOHAVE COUNTY. THIS PROCESS INCLUDES SPEAKING TO MOHAVE COUNTY RESIDENTS TO OBTAIN THEIR INSIGHTS. THE INFORMATION IS THEN PUBLISHED IN A REPORT CALLED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). 2. BASED ON THE INFORMATION IN THE CHNA, KHI AND MCDPH WORK WITH COMMUNITY MEMBERS AND STAKEHOLDERS TO IDENTIFY PRIORITY HEALTH ISSUES. THOSE GROUPS DEVELOP A PLAN TO ADDRESS THE CHOSEN PRIORITIES IN THREE MOHAVE COUNTY REGIONS: KINGMAN, BULLHEAD CITY, AND LAKE HAVASU CITY. WE DOCUMENT THE RESULTS OF THESE PLANNING EFFORTS IN A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR EACH REGION. 3. GUIDED BY THE PRIORITIES AND STRATEGIES OUTLINED IN EACH COMMUNITY'S RESPECTIVE CHIP, COMMUNITY PARTICIPANTS COLLABORATE TO IMPLEMENT EACH REGION'S HEALTH IMPROVEMENT PLAN. KHI PLANS TO ADDRESS SIGNIFICANT NEEDS IDENTIFIED IN THE 2019 CHNA AS FOLLOWS: - MENTAL HEALTH - KHI CONTINUES TO IMPLEMENT STRATEGIES TO INTEGRATE BEHAVIORAL HEALTH SERVICES IN ALL KHI PRIMARY CARE CLINICS AND CERTAIN SPECIALTY CLINICS (PAIN CLINIC, CANCER CENTER, ETC.). THE PROGRAM EDUCATES STAFF AND IMPLEMENTS PROCESSES FOR IDENTIFYING AND TREATING PATIENTS WHO ARE STRUGGLING WITH DEPRESSION OR WHO ARE OTHERWISE AT HIGH RISK FOR SELF-HARM. THE FOLLOWING ACTIONS WERE TAKEN DURING FY21 TO ADDRESS MENTAL HEALTH: . EXPANDED KHI'S INTEGRATED BEHAVIORAL HEALTH PROGRAM. SPECIFICALLY, IN FY21, WE HIRED ADDITIONAL STAFF TO PROVIDE PROGRAM SERVICES. . CONTINUED TO PROVIDE INPATIENT PSYCHIATRIC SERVICES. . CONTINUED TO COLLABORATE WITH COMMUNITY STAKEHOLDERS AND MENTAL HEALTH EXPERTS THROUGH THE MOHAVE COUNTY MENTAL HEALTH RESOURCE TEAM (MHRT) TO ADDRESS MENTAL HEALTH NEEDS IN THE COMMUNITY. . CONTINUED TO PROVIDE FINANCIAL SUPPORT FOR COMMUNITY INITIATIVES THAT ADDRESS MENTAL HEALTH NEEDS IN OUR COMMUNITY. - SUBSTANCE ABUSE- KHI CONTINUES TO IMPLEMENT STRATEGIES TO ADDRESS THE OPIOID CRISES AND OTHER SUBSTANCE ABUSE ISSUES. THESE STRATEGIES INCLUDE IMPLEMENTING AN EVIDENCE-BASED PROGRAM IN THE KHI EMERGENCY DEPARTMENT, ACUTE CARE AREAS, AND OUTPATIENT CLINICS FOR IDENTIFYING PATIENTS WHO HAVE ADDICTION RISKS OR CURRENT ADDICTION ISSUES. WE ARE NOW SCREENING MOST PATIENTS FOR THESE RISK FACTORS. ONCE IDENTIFIED, BEHAVIORAL HEALTH SPECIALISTS WORK WITH THEM TO ENSURE THEY HAVE RESOURCES, EDUCATION, SUPPORT AND TREATMENT WHEN APPROPRIATE. ADDITIONALLY, KHI'S TEAM OF SUBSTANCE COUNSELORS, PSYCHOLOGY NURSES, AND PSYCHIATRISTS PROVIDE MAT (MEDICATION ASSISTED TREATMENT) FOR OPIOID ADDICTION. THE FOLLOWING ACTIONS WERE TAKEN DURING FY21 TO ADDRESS SUBSTANCE ABUSE: . THROUGH KHI'S INTEGRATED BEHAVIORAL HEALTH PROGRAM, CONTINUED TO SCREEN PATIENTS WHO HAVE ADDICTION RISKS OR CURRENT ADDICTION ISSUES IN THE KRMC EMERGENCY DEPARTMENT, ACUTE CARE AREAS, AND OUTPATIENT CLINICS AND REFER PATIENTS TO APPROPRIATE RESOURCES FOR EDUCATION, TREATMENT, AND SUPPORT. . CONTINUED TO PROVIDE MEDICATION ASSISTED TREATMENT (MAT) FOR OPIOID ADDICTION. . CONTINUED TO COLLABORATE WITH COMMUNITY STAKEHOLDERS AND MENTAL HEALTH EXPERTS THROUGH THE MOHAVE SUBSTANCE TREATMENT EDUCATION & PREVENTION PARTNERSHIP (MSTEPP) TO ADDRESS SUBSTANCE ABUSE IN THE COMMUNITY. . CONTINUED TO PROVIDE FINANCIAL SUPPORT FOR COMMUNITY INITIATIVES THAT ADDRESS SUBSTANCE ABUSE IN OUR COMMUNITY. - HEALTH CARE NEEDS - KHI CONTINUES TO IMPLEMENT STRATEGIES TO MEET IDENTIFIED HEALTH AND WELLNESS NEEDS OF OUR COMMUNITY. OUR OVERALL AIM IS TO PROVIDE A FULL RANGE OF HIGH-QUALITY MEDICAL SERVICES IN OUR RURAL HEALTHCARE SYSTEM THAT MEET OR EXCEED THOSE FOUND IN LARGER URBAN AREAS. OUR SUCCESS IS MEASURED BY THE NUMBER OF RESIDENTS WHO CAN AVOID TRAVEL TO OTHER AREAS AND RECEIVE THE MEDICAL SERVICES THEY NEED CLOSE TO HOME. TO THIS AIM, KHI'S IS IMPLEMENTING STRATEGIES TO CONTINUE RECRUITING MEDICAL TALENT AND IMPLEMENTING STATE-OF-THE-ART TECHNOLOGIES FOR DELIVERING HIGH-QUALITY CARE. FOR EXAMPLE WE PLAN TO CONTINUE BUILDING OUR MEDICAL IMAGING, DIAGNOSTIC, AND SURGICAL CAPABILITIES FOR ADDRESSING COMMON CHRONIC DISEASE CONDITIONS. ADDITIONALLY, TO MEET IDENTIFIED COMMUNITY NEEDS, KHI CONTINUES TO FOCUS ON PROVIDING ADVANCED CAPABILITIES IN CARDIAC CARE, WOUND CARE, CANCER CARE, ALONG WITH REHABILITATION AND PAIN MANAGEMENT THERAPIES. THE FOLLOWING ACTIONS WERE TAKEN DURING FY21 TO ADDRESS HEALTHCARE NEEDS: . CONTINUED TO IMPLEMENT IMPROVEMENTS TO CARE DELIVERY TO INCREASE PATIENT THROUGHPUT AND REDUCE WAIT TIMES FOR APPOINTMENTS. . CONTINUED TO PROVIDE VIRTUAL HEALTHCARE OPTIONS TO INCREASE ACCESS TO HEALTHCARE IN OUR COMMUNITY. . EXPANDED CLINICAL TRIALS AT THE KHI WL NUGENT CANCER CENTER, WHICH GIVES LOCAL CANCER PATIENTS ACCESS TO ADDITIONAL ADVANCED CANCER TREATMENTS CLOSE TO HOME. . CONTINUED TO COLLABORATE WITH MAYO CLINIC TO FOR MEDICAL EXPERTISE AND RESEARCH, WHICH ENABLES KHI TO ADDRESS MORE TYPES OF MEDICAL CONDITIONS AT A LOCAL LEVEL AND PROVIDES COMMUNITY MEMBERS FURTHER OPTIONS FOR RECEIVING QUALITY CARE CLOSE TO HOME. - PROVIDER SHORTAGES-ATTRACTING ADEQUATE NUMBERS OF HEALTHCARE PROVIDERS IS ONE OF KHI'S BIGGEST CHALLENGES? BOTH NOW AND FOR THE FORESEEABLE FUTURE. LIKE THE REST OF THE COUNTRY, WE NEED MORE PROVIDERS TO MEET HEALTHCARE NEEDS IN OUR COMMUNITY. BUT, THE NATIONWIDE SHORTAGE OF DOCTORS AND OTHER HEALTHCARE PROVIDERS CONTINUES TO INTENSIFY. ONE KEY KHI STRATEGY FOR ALLEVIATING THE PROBLEM IS TO CONTINUE BUILDING AND STRENGTHENING KHI'S MEDICAL RESIDENCY PROGRAM. THE CURRENT PRIORITY IS CHOOSING STRONG CANDIDATES WHO WOULD CONSIDER STAYING IN KINGMAN AFTER COMPLETING THEIR TRAINING. IN ADDITION TO ITS PHYSICIAN TRAINING PROGRAMS, KHI STRATEGIES INCLUDE EMPLOYING MORE NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS TO PROVIDE GENERAL MEDICAL CARE. ADDITIONALLY, KHI IS WORKING TO IMPLEMENT TELEMEDICINE TECHNOLOGY FOR EVALUATING, DIAGNOSING, AND TREATING CERTAIN HEALTH CONDITIONS. THE FOLLOWING ACTIONS WERE TAKEN DURING FY21 TO ADDRESS PROVIDER SHORTAGES: . INTENSIFIED NATIONWIDE RECRUITING EFFORTS FOR HEALTHCARE PROVIDERS. . DEVELOPED SPECIFIC INITIATIVES WITHIN KHI'S NEW STRATEGIC PLAN AIMED 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 STRENGTHEN KHI'S MEDICAL RESIDENCY PROGRAM TO ENCOURAGE MEDICAL STUDENTS WHO GRADUATE THE PROGRAM TO STAY IN KINGMAN. - HEALTH CARE COSTS- KHI CONTINUES TO IMPLEMENT STRATEGIES TO ASSIST RESIDENTS IN REDUCING THEIR HEALTHCARE COSTS. CHIEF AMONG OUR STRATEGIESIS TO EDUCATE THE COMMUNITY ON HOW TO REDUCE THEIR RISK OF CHRONIC DISEASE THROUGH HEALTHY LIFESTYLE CHOICES (PROPER DIET, EXERCISE, NOT SMOKING, ETC.). WE CONTINUE TO PROMOTE HEALTHY LIFESTYLE MESSAGING IN OUR PUBLICATIONS, ADVERTISING, HEALTH FAIRS, HEALTH LECTURES, AND OTHER PUBLIC COMMUNICATIONS. ADDITIONALLY, SPECIFIC INFORMATION IS PROVIDED TO PATIENTS DURING VISITS WITH THEIR PRIMARY CARE PROVIDER. OTHER KHI STRATEGIES FOR REDUCING HEALTHCARE COSTS INVOLVE STRICT FISCAL MANAGEMENT ALONG WITH COST TRANSPARENCY TO THE PUBLIC FOR MAKING INFORMED HEALTHCARE COST DECISIONS. THE FOLLOWING ACTIONS WERE TAKEN DURING FY21 TO ADDRESS HEALTHCARE COSTS: . CONTINUED TO PROMOTE HEALTHY LIFESTYLE MESSAGING ON SOCIAL MEDIA AND IN VARIOUS KHI PUBLICATIONS TO EDUCATE THE COMMUNITY ON HOW TO REDUCE THEIR HEALTHCARE COSTS BY REDUCING THEIR RISK OF CHRONIC DISEASE THROUGH HEALTHY LIFESTYLE CHOICES (PROPER DIET, EXERCISE, ETC.). . CONTINUED TO PUBLISH PRICING FOR VARIOUS MEDICAL SERVICES AND PROCEDURES ON KRMC'S WEBSITE SO THAT INDIVIDUALS CAN MAKE INFORMED DECISIONS ABOUT THEIR HEALTHCARE COSTS. . PROVIDED FREE TELEMEDICINE SERVICES FOR MINOR HEALTH CONDITIONS ON KHI'S "CARE ANYWHERE" PLATFORM (KHI BEGAN WAIVING THE $15 FEE FOR CARE ANYWHERE AT THE START OF THE COVID PANDEMIC). . CONTINUED TO PROVIDE CHARITY CARE TO LOW-INCOME PATIENTS WITH NO HEALTH INSURANCE AND FINANCIAL ASSISTANCE TO UNDERINSURED RESIDENTS OF MOHAVE COUNTY WHO REQUIRE EMERGENCY CARE, HOSPITALIZATION, OR OTHER MEDICALLY NECESSARY TESTS OR TREATMENTS. . CONTINUED TO PROVIDE FREE (NO OUT-OF-POCKET COST) SCREENING MAMMOGRAMS TO ALL MOHAVE COUNTY RESIDENTS THROUGH KHI'S "CATCH IT EARLY" PROGRAM; ALSO PROVIDED FREE OR REDUCED COST DIAGNOSTIC SERVICES TO LOW-INCOME PATIENTS WHO HAVE AN ABNORMAL SCREENING RESULT. . CONTINUED TO PROVIDE SCHOLARSHIPS FOR MEMBERSHIPS TO KHI'S DEL. E. WEBB WELLNESS CENTER TO QUALIFIED LOW-INCOME PATIENTS WHO NEED TO IMPROVE A HEALTH CONDITION WITH EXERCISE AND ARE UNABLE TO AFFORD A MEMBERSHIP. KHI FUTURE STRA
SCHEDULE H, PART V, SECTION B, LINE 16A - 16CDIRECT URL FOR FAP POLICY: https://azkrmc.ellucid.com/pman/documents/view/2507/ ?security=d3f302e5c4b6592fafd6426cc38d133e69a18e9b DIRECT URL FOR PLAIN LANGUAGE SUMMARY: https://www.azkrmc.com/sites/default/ files/2022-04/Kingman%20Healthcare%20Plain%20Language%20Summary.pdf DIRECT URL FOR FAP APPLICATION FORM: https://azkrmc.ellucid.com/pman/documents/view/2896/ ?security=10bbcd6bcfbe5e62b384d66a5ba639becd1790ab
SCHEDULE H, PART V, SECTION B, LINE 16ITRANSLATION OF FAP INTO PRIMARY LANGAUGE 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 STATEMENTS. 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)
Facility28FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (28 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
OUTPATIENT IMAGING CENTER
1033 SYCAMOREKINGMANAZ86409IMAGING CENTER
KINGMAN CARDIOVASCULAR ASSOC
1739 BEVERLY AVE SUITE 217KINGMANAZ86409CARDIOLOGY PHYSICIANS
KINGMAN UROLOGY CLINIC
1712 SYCAMOREKINGMANAZ86409UROLOGIST
KINGMAN FP CLINIC
2202 STOCKTON HILL RD SUITE 101KINGMANAZ86401FAMILY MEDICINE
KINGMAN ENT CLINIC
1739 BEVERLY AVE SUITE 108KINGMANAZ86409EAR, NOSE AND THROAT PHYSICIAN
KINGMAN PULMONARY CLINIC
1739 BEVERLY AVESUITE 203KINGMANAZ86409PULMONARY MEDICINE
MOHAVE SURGICAL SPECIALISTS
3104 STOCKTON HILL ROADKINGMANAZ86401GENERAL SURGEON
KRMC CARDIOTHORACIC SURGERY
1739 BEVERLY AVE SUITE 218KINGMANAZ86409CARDIOTHORACIC SURGEON
KINGMAN ORTHOPEDICS
1739 BEVERLY AVE SUITE 102KINGMANAZ86409ORTHOPEDIC PHYSICIANS
HIGH DESERT GASTROENTEROLGY
1739 BEVERLY AVE SUITE 101KINGMANAZ86409GASTROENTEROLOGIST
HILLCREST SURGICAL
3939 STOCKTON HILL ROADKINGMANAZ86409GENERAL SURGEON
KRMC PRIMARY CARE
2226 HUALAPAI MTN ROADKINGMANAZ86401PRIMARY CARE PHYSICIANS
EMPLOYEE AND OCCUPATIONAL HEALTH
1739 BEVERLY AVE SUITE 118KINGMANAZ86409OCCUPATIONAL MEDICINE
GOLDEN VALLEY CLINIC
4995 W HWY 68GOLDEN VALLEYAZ86413FAMILY MEDICINE
SUNSHINE CANYON HEALTHCARE
2202 STOCKTON HILL RD SUITE 100KINGMANAZ86401FAMILY MEDICINE
KINGMAN OBGYN ASSOCIATES
1739 BEVERLY AVE SUITE 200KINGMANAZ86409OBSTETRICS/GYNECOLOGY
KRMC URGENT CARE
1726 BEVERLY AVEKINGMANAZ86401URGENT CARE
KRMC PRE-OP CLINIC
1739 BEVERLY AVE SUITE 103KINGMANAZ86409PRE-OP CARE FACILITY
POST HOSPITAL CARE CLINIC
3116 STOCKTON HILL ROADKINGMANAZ86409POST HOSPITAL CARE
KINGMAN RHEUMATOLOGY AND PRIMARY CARE
1739 BEVERLY AVE SUITE 209KINGMANAZ86409RHEUMATOLOGIST
KRMC PHYSIATRY
3801 SANTA ROSAKINGMANAZ86401PHYSICAL MEDICINE AND REHAB
KRMC PAIN MANAGEMENT CLINIC
3801 SANTA ROSAKINGMANAZ86409PAIN MANAGEMENT
JOSHUA TREE PEDIATRICS
1739 BEVERLY AVE SUITE 204KINGMANAZ86409PEDIATRICIAN
KRMC DISEASE MANAGEMENT CLINIC
3801 SANTA ROSAKINGMANAZ86401DISEASE MANAGEMENT
KRMC HOSPICE
3269 STOCKTON HILL ROADKINGMANAZ86409HOSPICE SERVICES
KRMC HUALAPAI CAMPUS
3801 SANTA ROSAKINGMANAZ86401ACUTE REHABILITATION
BEHAVORIAL HEALTH INSTITUTIONS
3801 SANTA ROSAKINGMANAZ86401BEHAVORIAL HEALTH
OUTPATIENT NUTRITION AND DIABETES EDUC
3801 SANTA ROSA SUITE DKINGMANAZ86401NUTRITION EDUCATION

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3CDESCRIPTION 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.
SCHEDULE H, PART I, LINE 7THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINES 7A AND 7B. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO CHARGES. THE INFORMATION FOR LINES 7E THROUGH 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS.
SCHEDULE H, PART III, SECTION A, LINE 2THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2023. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
SCHEDULE H, PART III, SECTION A, LINE 3THE ORGANIZATION DOES NOT CONSIDER ANY OF ITS BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART III, SECTION B, LINE 8THE 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 RURALSETTINGS 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.
SCHEDULE H, PART III, SECTION C, LINE 9BONCE 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.
SCHEDULE H, PART VI, LINE 2NEEDS ASSESSMENT: SINCE 2011, KRMC, IN PARTNERSHIP WITH THE MOHAVE COUNTY DEPARTMENT OF PUBLIC HEALTH, HAS LED A MAJOR COMMUNITY INITIATIVE TO IMPROVE HEALTH AND QUALITY OF LIFE IN MOHAVE COUNTY. THE MOHAVE COUNTY COMMUNITY HEALTH IMPROVEMENT INITIATIVE INVOLVES PERFORMING A COMMUNITY HEALTH ASSESSMENT AND DEVELOPING A COMMUNITY HEALTH IMPROVEMENT PLAN EVERY THREE YEARS. A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR MOHAVE COUNTY WAS COMPLETED IN THE SPRING OF 2019 AND THE FINDINGS ARE DOCUMENTED IN THE COMMUNITY HEALTH PROFILE FOR MOHAVE COUNTY, ARIZONA, WHICH DETAILS HEALTH AND WELLNESS STATISTICS AND COMMUNITY NEEDS FOR HEALTH SERVICES IN MOHAVE COUNTY COMMUNITIES. ADDITIONALLY, KRMC DEVELOPED GOALS AND STRATEGIES FOR ADDRESSING THE PRIORITY HEALTH ISSUES IDENTIFIED IN THE COMMUNITY HEALTH ASSESSMENT, WHICH ARE DOCUMENTED IN THE KINGMAN REGIONAL MEDICAL CENTER IMPLEMENTATION PLAN FOR THE MOHAVE COUNTY COMMUNITY HEALTH IMPROVEMENT INITIATIVE. THE CHNA AND IMPLEMENTATION PLAN ARE AVAILABLE FOR THE PUBLIC ON THE KRMC WEBSITE WWW.AZKRMC.COM.
SCHEDULE H, PART VI, LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: KRMC HAS POLICIES ONLINE TO EXPLAIN OUR FAP APPLICATION AS WELL AS ON OUR STATEMENTS. THERE IS INFORMATION ABOUT THE AFFORDABLE CARE ACT DURING OPEN ENROLLMENT AND WE PROVIDE A FAIR TO ASSIST. PUBLIC RELATIONS SENDS OUT ADS AS WELL AS POSTING ON TWITTER AND FACEBOOK. EACH PATIENT SERVICE REPRESENTATIVE HAS BEEN EDUCATED ABOUT OUR ASSISTANCE PROGRAMS AS WELL. WE ALSO HAVE A VENDOR ON SITE TO ASSIST WITH AHCCCS AND OTHER PROGRAMS FOR ASSISTANCE.
SCHEDULE H, PART VI, LINE 4COMMUNITY INFORMATION: KRMC SERVES AN APPROXIMATE 1500 SQUARE MILE GEOGRAPHIC AREA IN MOHAVE COUNTY, ARIZONA CALLED HOSPITAL DISTRICT NUMBER ONE OF MOHAVE COUNTY. THE DISTRICT INCLUDES THE CITY OF KINGMAN (2021 POPULATION 32,589) WHERE THE HOSPITAL IS LOCATED, AND NUMEROUS SMALLER OUTLAYING COMMUNITIES. THE TOTAL ESTIMATED POPULATION OF THE HOSPITAL DISTRICT IS 82,000, WITH AN ESTIMATED AVERAGE 54.7 PERSONS PER SQUARE MILE. THE SERVICE AREA IS CONSIDERED TO BE A RURAL POPULATION. BASED ON PAYER MIX THE MEDICAID POPULATION IS 20.1%, AND THE MEDICARE POPULATION IS 54.4% OF OUR TOTAL PATIENT POPULATION. THE U.S. 2021 CENSUS BUREAU POPULATION ESTIMATE FOR MOHAVE COUNTY, ARIZONA IS 217,692. THE 2021 CENSUS ESTIMATES 15.3% OF MOHAVE COUNTY'S POPULATION IS BELOW THE FEDERAL POVERTY LEVEL. THE MEDIAN HOUSEHOLD INCOME IS $47,686. APPROXIMATELY 86.4% OF THE COUNTY'S POPULATION OVER AGE 25 ARE HIGH SCHOOL GRADUATES, WITH 13.4% OF THE POPULATION OVER AGE 25 HOLDING A BACHELOR'S DEGREE OR HIGHER. THE UNEMPLOYMENT RATE IN MOHAVE COUNTY AT JUNE 2021 IS 8.2%. WITHIN MOHAVE COUNTY THERE ARE THREE OTHER HOSPITALS SERVING THE POPULATION HOWEVER THEY ARE NOT WITHIN THE HOSPITAL DISTRICT BOUNDRIES.
SCHEDULE H, PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH: KINGMAN HEALTHCARE INCORPORATED IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES RELATING TO HEALTHCARE IN HOSPITAL DISTRICT #1 OF MOHAVE COUNTY. ITS PRIMARY FUNCTION IS TO OPERATE KINGMAN REGIONAL MEDICAL CENTER (KRMC). KRMC'S BOARD OF DIRECTORS CONSISTS OF 13 MEMBERS HOLDING TERMS OF THREE YEARS. ALL BOARD MEMBERS ARE COMMUNITY-MINDED INDIVIDUALS WHO DO NOT RECEIVE COMPENSATION FOR THEIR SERVICES ON THE KRMC BOARD. ALL EXCESS FUNDS ARE KEPT FOR THE BENEFIT AND DEVELOPMENT OF THE COMMUNITY'S HEALTH SERVICES AS DETERMINED BY OUR LOCAL BOARD. WITH THIS, OUR HOSPITAL AVERAGE INPATIENT CHARGES HAVE REMAINED SIGNIFICANTLY BELOW THE ARIZONA AVERAGE FOR THE SAME TYPES OF PATIENTS. ADDITIONALLY, EXCESS FUNDS ACCUMULATED SINCE KRMC WAS ORGANIZED, HAVE BEEN UTILIZED TO PAY CAMPUS EXPANSION / IMPROVEMENTS, STATE-OF-THE-INDUSTRY TECHNOLOGY, AND COMPETITIVE SALARIES FOR EMPLOYEES. KRMC CONTINUALLY INVESTS IN ADVANCED MEDICAL TECHNOLOGIES. FROM SPECIALIZED DIAGNOSTIC CAPABILITIES TO ADVANCED TREATMENTS IN CARDIAC CARE AND CANCER, PATIENTS AT KRMC BENEFIT FROM SOME OF THE MOST SOPHISTICATED MEDICAL TECHNOLOGIES IN THE REGION. IN 2007, KRMC RECEIVED THE GOVERNOR'S ARIZONA INNOVATION AWARD IN RECOGNITION FOR ITS INVESTMENT IN TECHNOLOGY AND SERVICES NOT NORMALLY SEEN IN A RURAL COMMUNITY. KRMC IS A MAJOR COMMUNITY PARTNER DEDICATED TO ENHANCING THE OVERALL QUALITY-OF-LIFE IN NORTHWEST ARIZONA. WE OFFER MANY SERVICES AND PROGRAMS TO BENEFIT THE COMMUNITY, ESPECIALLY OUR MOST VULNERABLE CITIZENS-CHILDREN, ELDERLY, THOSE IN ILL HEALTH, AND THOSE IN SOCIO-ECONOMIC DISTRESS. EXAMPLES OF OUR COMMUNITY BUILDING ACTIVITIES INCLUDE: - CONDUCTING PUBLIC HEALTH LECTURES AT THE HOSPITAL AND AT AREA NURSING HOMES AND BUSINESSES (MONTHLY). - CONDUCTING HEALTH FAIRS, WHICH ARE FREE AND OPEN TO THE PUBLIC (8 HEALTH FAIRS PER YEAR). - OFFERING A VARIETY OF FREE SUPPORT GROUPS TO HELP PEOPLE WHO ARE WORKING TO CHANGE A BEHAVIOR OR WHO ARE DEALING WITH A LOSS, CONDITION, OR DISEASE. - 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 (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
CORNERSTONE MISSION
3049 SYCAMOREKINGMANAZ86409860960036501(C)(3)$11,000HOMELESS SHELTER FOR MEN
ARIZONA YOUTH PARTNERSHIP
1902 PACIFIC AVEKINGMANAZ86401860669087501(C)(3)$6,000SUPPORT HOMELESS SHELTER FOR TEENAGE BOYS
KINGMAN AID TO ABUSED PEOPLE
1770 AIRWAY AVEKINGMANAZ86409860601113501(C)(3)$24,000SUPPORT FOR SHELTER FOR ABUSED PEOPLE
KINGMAN CANCER CARE
PO BOX 3014KINGMANAZ86402860753651501(C)(3)$13,000ASSISTS CANCER PATIENTS IN KINGMAN AREA
KINGMAN SALVATION ARMY
PO BOX 3367KINGMANAZ86402941156347501(C)(3)$6,000NUTRITION PROGRAMS, HOT LUNCHES FOR HOMELESS
KATHERINE HEIDENREICH ADULT CENTER
1776 AIRWAY AVEKINGMANAZ86401860397271501(C)(3)$15,000TRANSPORTATION TO PHYSICIANS, MEALS FOR ELDERLY
MSTEPP
2730 E ANDY DEVINE AVEKINGMANAZ86401262119427501(C)(3)$35,000PROVIDES SOLUTIONS FOR SUBSTANCE ABUSE
KINGMAN AREA FOOD BANK
2930 E BUTLER AVEKINGMANAZ86409860503686501(C)(3)$10,000COMMUNITY FOOD BANK
YUCCA COMMUNITY FOOD PANTRY
PO BOX 303YUCCAAZ86438384139944501(C)(3)$5,850COMMUNITY FOOD BANK
FieldValueIRS element (for citing)
Total501c3 Org9Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient74RecipientCnt
Cash Grant$317,247CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: FUND USAGE IS PREDETERMINED BY THE BOARD OF DIRECTORS OF KINGMAN REGIONAL MEDICAL CENTER (KRMC). SCHOLARSHIPS ARE PROVIDED TO STUDENTS IN THE U.S. FOR TUITION AND RELATED EDUCATIONAL EXPENSES ONLY.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 (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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 OrgsTotalCompensationRltdOrgsAmt
CHRISTINA DIMAMBRO
CFO - END 03/23$330,347$0$22,875$0$1,120$0$0$0$19,103$0$373,445$0
JEREMY KAPLAN
PHYSICIAN$825,122$0$338,729$0$0$0$9,150$0$30,183$0$1,203,184$0
MARK DAVIS
PHYSICIAN$714,431$0$341,879$0$0$0$9,150$0$31,244$0$1,096,704$0
EDGARDO RIVERA
PHYSICIAN$586,701$0$295,267$0$0$0$18,300$0$30,838$0$931,106$0
ABHINAV OHRI
PHYSICIAN$520,743$0$469,664$0$0$0$12,200$0$10,713$0$1,013,320$0
ROBERT MATHENY
PHYSICIAN$725,935$0$42,835$0$0$0$17,400$0$19,166$0$805,336$0
JAMES WELLS
COO$327,697$0$41,883$0$559$0$510$0$31,459$0$402,108$0
LESLIE MARTIN
CNO$244,689$0$0$0$451$0$8,564$0$164$0$253,868$0
WILLIAM C MCCONNELL
CEO - Through 6/2022$437,266$0$0$0$1,343,077$0$6,692$0$13,692$0$1,800,727$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4ADESCRIPTION OF SEVERANCE PAYMENT OR CHANGE OF CONTROL PAYMENT: WILLIAM MCCONNELL RECEIVED A QUALIFYING PAYMENT IN THE AMOUNT OF $1,343,077.
SCHEDULE J, PART I, LINE 6ACOMPENSATION CONTINGENT ON NET EARNINGS OF THE ORGANIZATION: SENIOR LEADERSHIP AND EMPLOYED PHYSICIANS ARE ELIGIBLE FOR BONUS BASED ON INDIVIDUALS MEETING SPECIFIC PREVIOUSLY SET FINANCIAL TRIGGERS, SUCH AS: - REVENUES OR BUSINESS LINE INCOME DEPENDING ON THEIR INDIVIDUAL EMPLOYMENT CONTRACTS. - MEETING OR EXCEEDING BUDGETED FISCAL YEAR OPERATION MARGIN.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY
A8135265842017-03-31$20,000,000CAPITAL PROJECTSfalsefalseYes (true)
Arizona Industrial Development authority
B8135265842017-12-29$20,000,000Capital Projectsfalsefalsefalse
ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY
C8135265842021-09-28$30,000,000Capital Projectsfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$17,701,161$0$20,000,000$0$0$0$103,200$0$0$19,896,800$0$02019falsefalseYes (true)Yes (true)
B$10,380,505$0$20,000,000$0$0$0$89,500$0$0$19,910,500$0$02019falsefalseYes (true)Yes (true)
C$7,211,365$0$30,000,000$0$0$0$126,564$0$0$19,323,532$0$10,549,904falsefalsefalseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0falsefalsefalseYes (true)
Bfalsefalsefalsefalse0falsefalsefalseYes (true)
Cfalsefalsefalsefalse0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
BfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
CfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part IV, Line 2c, Column (a)THE 3/31/2017 BOND ISSUANCE IN COLUMN B PERFORMED THE ARBRITRAGE CALCULATION ON DECEMBER 27, 2022, AND NO REBATE WAS DUE.
Schedule K, Part IV, Line 2c, Column (b)THE 12/29/2017 BOND ISSUANCE IN COLUMN B PERFORMED THE ARBRITRAGE CALCULATION ON DECEMBER 27, 2022, AND NO REBATE WAS DUE.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
KAREN WATERS
SEE PART V$116,399EMPLOYEE PAYfalse
FRANCESCO SINOPOLI
SEE PART V$157,155EMPLOYEE PAYfalse
SARAH SCHRITTER
SEE PART V$144,167EMPLOYEE PAYYes (true)
MEAGAN FLUMMER
SEE PART V$140,223EMPLOYEE PAYfalse
AMANDA BAKER
SEE PART V$78,930EMPLOYEE PAYfalse
KAITLYN DELMONACO
SEE PART V$31,472EMPLOYEE PAYYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part IV, Line 1FormAndLineReferenceDesc
ExplanationDESCRIPTION OF RELATIONSHIP BETWEEN INTERESTED PERSON: KAREN WATERS HAS A FAMILY RELATIONSHIP WITH JOSEPH DORNER FRANCESCO SINOPOLI HAS A FAMILY RELATIONSHIP WITH JAMES BAKER SARAH SCHRITTER HAS A FAMILY RELATIONSHIP WITH DAN DELMONACO MEAGAN FLUMMER HAS A FAMILY RELATIONSHIP WITH DAN DELMONACO AMANDA BAKER HAS A FAMILY RELATIONSHIP WITH JAMES BAKER KAITLYN DELMONACO HAS A FAMILY RELATIONSHIP WITH DAN DELMONACOExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2BUSINESS OR FAMILY TRANSACTION: CHRISTOPHER PORTER AND KALE BODILY 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 15A & 15BTHE 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 XI, LINE 9OTHER CHANGES IN NET ASSETS: 174,163 - CHANGE IN NET ASSETS OF KRMC FOUNDATION
FORM 990 PART IX LINE 11GDESCRIPTION:NURSING TOTAL FEES:26124970
FORM 990 PART IX LINE 11GDESCRIPTION:LAB TOTAL FEES:337136
FORM 990 PART IX LINE 11GDESCRIPTION:TESTING TOTAL FEES:2876714
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN FEES TOTAL FEES:15150513
FORM 990 PART IX LINE 11GDESCRIPTION:EQUIPMENT SERVICE CONTRAC TOTAL FEES:3979598
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT SERVICES TOTAL FEES:22573143
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTING TOTAL FEES:699669
FORM 990 PART IX LINE 11GDESCRIPTION:EMPLOYEE RECRUITING TOTAL FEES:85064
FORM 990 PART IX LINE 11GDESCRIPTION:COLLECTION TOTAL FEES:88041
FORM 990 PART IX LINE 11GDESCRIPTION:INSTRUCTOR FEES TOTAL FEES:83582
FORM 990 PART IX LINE 11GDESCRIPTION:MEDICAL DIRECTORSHIP TOTAL FEES:630352

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST ARIZONA REGIONAL INSURANCEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14041 N CENTRAL AVEAddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85012ZIPCd
FieldValueIRS element (for citing)
EIN208081486EIN
Primary ActivitiesINSURERPrimaryActivitiesTxt
Legal Domicile StateAZLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status12APublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1KRMCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1KX VENTURES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13269 N STOCKTON HILL RDAddressLine1Txt
CityKINGMANCityNm
State AbbreviationAZStateAbbreviationCd
ZIP86409ZIPCd
FieldValueIRS element (for citing)
EIN843415074EIN
Primary ActivitiesLAND DEVELOPMENTPrimaryActivitiesTxt
Legal Domicile StateAZLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeLEASEPredominantIncomeTypeTxt
Share Of Total Income$0ShareOfTotalIncomeAmt
Share Of EOY Assets$0ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
UBI Code V$0UBICodeVAmt
General Or Managing PartnerYes (true)GeneralOrManagingPartnerInd
Ownership0.85000OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
NORTHWESTERN ARIZONA REGIONAL INSURANCE
D$458,147INTERCO AMOUNT
NORTHWESTERN ARIZONA REGIONAL INSURANCE
E$490,324INTERCO AMOUNT
NORTHWESTERN ARIZONA REGIONAL INSURANCE
M & R$1,966,756INTERCO AMOUNT