2024-04-26T17:22:34-05:00 2023-06-30 FORVIS LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2022-07-01 942916102 KINGMAN HEALTHCARE INC % KINGMAN HEALTHCARE INC KING 9287572101 3269 STOCKTON HILL ROAD KINGMAN AZ 86409 JOSHUA HOFFMAN CFO 9287572101 2024-02-29 true JOSHUA HOFFMAN 999009999 Adam R Smith CPA P00958966 7194714290 2 2022 2023-04-26 12:10:37Z HEATH EVANS 3269 STOCKTON HILL ROAD KINGMAN AZ 86409 450812869 false X AZKRMC.COM X 1980 AZ OUR VISION IS TO BE ONE OF THE KINDEST, HIGHEST QUALITY HEALTH SYSTEMS IN THE COUNTRY. 13 9 2528 12 0 9411421 5600063 366706107 378262586 3459246 1673810 8551800 12129554 388128574 397666013 391615 522840 0 0 188902039 188825639 0 0 0 186854142 202084948 376147796 391433427 11980778 6232586 401711180 414114244 99278652 97839507 302432528 316274737 X TO INSPIRE AND PARTNER WITH OUR COMMUNITY TO ACHIEVE OPTIMAL HEALTH, MIND, BODY AND SPIRIT. false false 281548507 522840 380691769 KINGMAN 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. 281548507 true true false true false false false false false false true false false false true false false true false false false false false false false false true true true true true true false false false false false false false false true false false false false false false true true true false true 47 0 2528 true false false false false false false false false false false true false X 13 9 true false false false false false false true true false false true true true true true true true true true false X KINGMAN HEALTHCARE INC 9287572101 3269 STOCKTON HILL ROAD KINGMAN AZ 86409 X WILLIAM C MCCONNELL CEO - Through 6/2022 40.0 0.0 X 1780343 0 20384 JEREMY KAPLAN PHYSICIAN 40.0 0.0 X 1163851 0 39333 MARK DAVIS PHYSICIAN 40.0 0.0 X 1056310 0 40394 ABHINAV OHRI PHYSICIAN 40.0 0.0 X 990407 0 22913 EDGARDO RIVERA PHYSICIAN 40.0 0.0 X 881968 0 49138 ROBERT MATHENY PHYSICIAN 40.0 0.0 X 768770 0 36566 JAMES WELLS COO 40.0 0.0 X 370139 0 31969 CHRISTINA DIMAMBRO CFO - END 03/23 40.0 1.0 X 354342 0 19103 LESLIE MARTIN CNO 40.0 0.0 X 245140 0 8728 JOSHUA HOFFMAN CFO 40.0 0.0 X 75402 0 11199 KRYSTAL BURGE CHAIRMAN 1.0 0.0 X X 0 0 0 JAMES BAKER VICE CHAIRMAN 1.0 1.0 X X 0 0 0 SUSAN CHAN TREASURER 1.0 0.0 X 0 0 0 CATHY OTT DIRECTOR 1.0 0.0 X 0 0 0 DAN DELMONACO DIRECTOR 1.0 0.0 X 0 0 0 KALE BODILY MD DIRECTOR 1.0 0.0 X 0 0 0 LYNNE PETERSEN DIRECTOR 1.0 0.0 X 0 0 0 ROBERT DEVRIES SECRETARY 1.0 1.0 X X 0 0 0 RYAN SWAPP DIRECTOR 1.0 0.0 X 0 0 0 JOSEPH DORNER DIRECTOR 1.0 0.0 X 0 0 0 SAM ELTERS DIRECTOR 1.0 0.0 X 0 0 0 HEATH EVANS CEO - START 02/23 40.0 0.0 X X 0 0 0 SHARMILA PARVATHANENI MD DIRECTOR 1.0 0.0 X 0 0 0 7686672 0 279727 309 true true false HIGH DESERT RADIOLOGY 695 COUNTRY CLUB DRIVE KINGMAN AZ 86401 RADIOLOGISTS 11214990 NI2 HEALTH LLC 22121 17TH AVE SE BOTHELL WA 98021 ACCOUNTING ASSIST. 3662065 AUREUS-FOCUS ONE 11825 Q ST OMAHA NE 68137 AGENCY STAFF 22112703 MONOLITH DIAGNOSTICS PC 1740 SYCAMORE AVE STE C KINGMAN AZ 86409 PATHOLOGY 2070797 CHG COMPANIES INC PO BOX 972651 DALLAS TX 75397 AGENCY STAFF 4106783 13 5505917 94146 988 5600063 Patient Service Revenue 622110 373559717 373559717 EHR/PQRS/Meaningful Use Payments 621100 2149796 2149796 Wellness Center Revenue 900099 1441581 1441581 HPSA Medicare Payment 524114 1018781 1018781 Other Income 900099 92711 92711 378262586 2650583 2650583 0 0 347098 347098 0 347098 347098 46482535 47250328 208980 -767793 -208980 -976773 -976773 0 0 0 0 0 0 8691677 5687548 3004129 3004129 Cafeteria 722514 2815069 2815069 340B Pharmacy 446110 2753895 2753895 Income from Equity Investees 624410 2318286 2318286 891077 110897 780180 8778327 397666013 380691769 11374181 205593 205593 317247 317247 0 0 1783164 1163978 619186 668346 396924 271422 149387519 94701597 54685922 3690734 2392978 1297756 23156841 8336032 14820809 10139035 6427463 3711572 0 198150 198150 212300 212300 16187 16187 0 130826 130826 72628782 60193624 12435158 425585 5470 420115 6311600 2924640 3386960 10860033 8471944 2388089 0 6160312 3490385 2669927 1045510 547913 497597 0 0 597793 597793 0 15242678 7308091 7934587 4567624 2187856 2379768 Medical Supplies 62289747 62201072 88675 Repairs & Maintenance 1275288 871709 403579 Provider Fee 16707176 16707176 Food 2453355 2335629 117726 962002 361186 600816 391433427 281548507 109884920 0 9219747 10648891 39588171 14298651 0 0 72943991 88842459 0 0 0 0 100035 0 7550125 8431745 4371481 6078124 343261330 204515159 140347342 138746171 111911083 116447105 10478148 11429993 2458603 2632766 0 0 2742454 16558339 401711180 414114244 49121389 40851507 0 0 0 0 21142683 34706969 0 0 0 0 22788635 1745382 0 0 6225945 20535649 99278652 97839507 X 299684949 313519583 2747579 2755154 302432528 316274737 401711180 414114244 X 6232586 7435460 174163 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 16187 false false 16187 false Schedule C, Part II-B, Line 1g Lobbying: 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. 21848675 21848675 141064072 84824051 56240021 159022745 116048846 42973899 21325838 3642262 17683576 138746171 0 Estimated Self-Insurance Costs 1011000 Accrued Retirement Obligation 5700895 Accrued Malpractice with NARIC 490324 ROU - LEASE LIABILITY 13333430 20535649 408682765 7435460 5861711 13297171 395385594 130826 2149593 2280419 397666013 394840556 5687548 5687548 389153008 130826 2149593 2280419 391433427 SCHEDULE D, PART X, LINE 2 UNCERTAIN 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 2D REVENUE 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 4B REVENUE ON RETURN, NOT ON BOOKS: 2,149,593 - ACTIVITY OF NARIC INCLUDED IN CONSOLIDATED FINANCIALS, REMOVED FOR TAX RETURN SCHEDULE D, PART XII, LINE 2D 5,687,548 - COST OF GOODS SOLD SCHEDULE D, PART XII LINE 4B EXPENSE ON RETURN, NOT ON BOOKS: 2,149,593 - ACTIVITY OF NARIC INCLUDED IN CONSOLIDATED FINANCIALS, REMOVED FOR TAX RETURN true true X true X false true true false true true 779561 779561 0.00200 100336432 65998167 34338265 0.08770 101115993 65998167 35117826 0.08970 253388 253388 0.00060 4610897 5108843 0 0.00000 1067255 1067255 0.00270 5931540 5108843 1320643 0.00330 107047533 71107010 36438469 0.09300 true 30615569 54745665 62867282 -8121617 X true true 1 1 KINGMAN REGIONAL MEDICAL CENTER 3269 STOCKTON HILL ROAD KINGMAN AZ 86409 WWW.AZKRMC.COM H-0010 X X X X CANCER CENTER CARDIAC CATH LAB ACUTE REHAB UNIT 1 KINGMAN REGIONAL MEDICAL CENTER 1 false false true X X X X X X X X X 21 true false true true X SEE PART V, SECTION C, FOR URL true 21 true SEE PART V, SECTION C, FOR URL false true X 150. 0. X X X X true true X X X X true X see part v, section C, for URL X see part v, section C, for URL X Part V, section C, for URL 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 AS PART OF THE COMMUNITY HEALTH ASSESSMENT PROCESS, MEMBERS OF THE MOHAVE COUNTY COMMUNITY HEALTH COALITION CONDUCTED INTERVIEWS WITH INDIVIDUALS WHO REPRESENT: A) BROAD INTERESTS OF THE COMMUNITY, B) POPULATIONS OF NEED, 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 6B THE CHNA FOR KINGMAN HOSPITAL INC. WAS CONDUCTED WITH MOHAVE COUNTY, ARIZONA. SCHEDULE H, PART V, SECTION B, LINE 7A DIRECT 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 10A DIRECT 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 11 COMMUNITY HEALTH IMPROVEMENT PLAN DISCLOSURE STATEMENT KINGMAN HEALTHCARE INC. (KHI), IN PARTNERSHIP WITH THE MOHAVE COUNTY DEPARTMENT OF PUBLIC HEALTH (MCDPH) LEADS A BROAD COMMUNITY INITIATIVE TO IMPROVE HEALTH AND QUALITY-OF-LIFE IN MOHAVE COUNTY COMMUNITIES. THE INITIATIVE ENGAGES COMMUNITY STAKEHOLDERS AND THE PUBLIC TO MAKE MEASURABLE IMPROVEMENTS IN COMMUNITY HEALTH. IT INVOLVES THE FOLLOWING PROCESS, WHICH IS CONDUCTED ON A THREE-YEAR CYCLE: 1. RESEARCHERS COLLECT FACTS AND STATISTICS REGARDING HEALTH AND QUALITY-OF-LIFE IN MOHAVE COUNTY. THIS PROCESS INCLUDES SPEAKING TO MOHAVE COUNTY RESIDENTS TO OBTAIN THEIR INSIGHTS. THE INFORMATION IS THEN PUBLISHED IN A REPORT CALLED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). 2. BASED ON THE INFORMATION IN THE CHNA, KHI AND MCDPH WORK WITH COMMUNITY MEMBERS AND STAKEHOLDERS TO IDENTIFY PRIORITY HEALTH ISSUES. THOSE GROUPS DEVELOP A PLAN TO ADDRESS THE CHOSEN PRIORITIES IN THREE MOHAVE COUNTY REGIONS: KINGMAN, BULLHEAD CITY, AND LAKE HAVASU CITY. WE DOCUMENT THE RESULTS OF THESE PLANNING EFFORTS IN A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR EACH REGION. 3. GUIDED BY THE PRIORITIES AND STRATEGIES OUTLINED IN EACH COMMUNITY'S RESPECTIVE CHIP, COMMUNITY PARTICIPANTS COLLABORATE TO IMPLEMENT EACH REGION'S HEALTH IMPROVEMENT PLAN. KHI PLANS TO ADDRESS SIGNIFICANT NEEDS IDENTIFIED IN THE 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 - 16C DIRECT 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 16I TRANSLATION 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. 28 OUTPATIENT IMAGING CENTER 1033 SYCAMORE KINGMAN AZ 86409 IMAGING CENTER KINGMAN CARDIOVASCULAR ASSOC 1739 BEVERLY AVE SUITE 217 KINGMAN AZ 86409 CARDIOLOGY PHYSICIANS KINGMAN UROLOGY CLINIC 1712 SYCAMORE KINGMAN AZ 86409 UROLOGIST KINGMAN FP CLINIC 2202 STOCKTON HILL RD SUITE 101 KINGMAN AZ 86401 FAMILY MEDICINE KINGMAN ENT CLINIC 1739 BEVERLY AVE SUITE 108 KINGMAN AZ 86409 EAR, NOSE AND THROAT PHYSICIAN KINGMAN PULMONARY CLINIC 1739 BEVERLY AVESUITE 203 KINGMAN AZ 86409 PULMONARY MEDICINE MOHAVE SURGICAL SPECIALISTS 3104 STOCKTON HILL ROAD KINGMAN AZ 86401 GENERAL SURGEON KRMC CARDIOTHORACIC SURGERY 1739 BEVERLY AVE SUITE 218 KINGMAN AZ 86409 CARDIOTHORACIC SURGEON KINGMAN ORTHOPEDICS 1739 BEVERLY AVE SUITE 102 KINGMAN AZ 86409 ORTHOPEDIC PHYSICIANS HIGH DESERT GASTROENTEROLGY 1739 BEVERLY AVE SUITE 101 KINGMAN AZ 86409 GASTROENTEROLOGIST HILLCREST SURGICAL 3939 STOCKTON HILL ROAD KINGMAN AZ 86409 GENERAL SURGEON KRMC PRIMARY CARE 2226 HUALAPAI MTN ROAD KINGMAN AZ 86401 PRIMARY CARE PHYSICIANS EMPLOYEE AND OCCUPATIONAL HEALTH 1739 BEVERLY AVE SUITE 118 KINGMAN AZ 86409 OCCUPATIONAL MEDICINE GOLDEN VALLEY CLINIC 4995 W HWY 68 GOLDEN VALLEY AZ 86413 FAMILY MEDICINE SUNSHINE CANYON HEALTHCARE 2202 STOCKTON HILL RD SUITE 100 KINGMAN AZ 86401 FAMILY MEDICINE KINGMAN OBGYN ASSOCIATES 1739 BEVERLY AVE SUITE 200 KINGMAN AZ 86409 OBSTETRICS/GYNECOLOGY KRMC URGENT CARE 1726 BEVERLY AVE KINGMAN AZ 86401 URGENT CARE KRMC PRE-OP CLINIC 1739 BEVERLY AVE SUITE 103 KINGMAN AZ 86409 PRE-OP CARE FACILITY POST HOSPITAL CARE CLINIC 3116 STOCKTON HILL ROAD KINGMAN AZ 86409 POST HOSPITAL CARE KINGMAN RHEUMATOLOGY AND PRIMARY CARE 1739 BEVERLY AVE SUITE 209 KINGMAN AZ 86409 RHEUMATOLOGIST KRMC PHYSIATRY 3801 SANTA ROSA KINGMAN AZ 86401 PHYSICAL MEDICINE AND REHAB KRMC PAIN MANAGEMENT CLINIC 3801 SANTA ROSA KINGMAN AZ 86409 PAIN MANAGEMENT JOSHUA TREE PEDIATRICS 1739 BEVERLY AVE SUITE 204 KINGMAN AZ 86409 PEDIATRICIAN KRMC DISEASE MANAGEMENT CLINIC 3801 SANTA ROSA KINGMAN AZ 86401 DISEASE MANAGEMENT KRMC HOSPICE 3269 STOCKTON HILL ROAD KINGMAN AZ 86409 HOSPICE SERVICES KRMC HUALAPAI CAMPUS 3801 SANTA ROSA KINGMAN AZ 86401 ACUTE REHABILITATION BEHAVORIAL HEALTH INSTITUTIONS 3801 SANTA ROSA KINGMAN AZ 86401 BEHAVORIAL HEALTH OUTPATIENT NUTRITION AND DIABETES EDUC 3801 SANTA ROSA SUITE D KINGMAN AZ 86401 NUTRITION EDUCATION SCHEDULE H, PART I, LINE 3C DESCRIPTION OF OTHER FACTORS USED TO DETERMINE FINANCIAL ASSISTANCE: KINGMAN REGIONAL MEDICAL CENTER ALSO USES A PATIENTS ASSET LEVEL, MEDICAL INDIGENCY AND INSURANCE TO DETERMINE THE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. SCHEDULE H, PART I, LINE 7 THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINES 7A AND 7B. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO CHARGES. THE INFORMATION FOR LINES 7E THROUGH 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 2 THE 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 3 THE ORGANIZATION DOES NOT CONSIDER ANY OF ITS BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. SCHEDULE H, PART III, SECTION B, LINE 8 THE ORGANIZATION IS A SOLE COMMUNITY NOT-FOR PROFIT HOSPITAL THAT PROVIDES HEALTHCARE SERVICES TO COMMUNITY RESIDENTS AND VISITORS IN A RURAL SETTING WITH LIMITED ACCESS TO SPECIALIST CARE. ACCESSIBLE, HIGH-QUALITY HEALTHCARE SERVICE IS IMPORTANT FOR THE OVERALL HEALTH OF ALL RESIDENTS AND NOT FULLY AVAILABLE IN MOST RURAL SETTINGS. WHERE MEDICARE IS CALCULATED TO PAY AT EXPECTED COST, RURAL CARE IS OFTEN MORE EXPENSIVE AS PATIENTS TEND TO HAVE A HIGHER THAN AVERAGE ACUITY AND LENGTH OF STAY DUE TO LIMITED SPECIALIST CARE IN THE TREATMENT AND PATIENT CARE FOLLOW UP PROCESS. ADDITIONALLY, PATIENT VOLUMES ARE MORE RESTRICTED AND SEASONALLY IMPACTED IN RURAL SETTINGS AS COMPARED TO METROPOLITAN SETTINGS, WHICH AFFECTS THE HOSPITAL'S OPPORTUNITY TO SPREAD THE FIXED COSTS OVER MORE PATIENT CARE EXPERIENCES. ALSO RELATIVE TO THE SEASONAL PATIENT FLUCTUATIONS, RURAL HOSPITALS TEND TO HAVE A HIGHER NEED FOR AGENCY TRAVEL NURSES TO SUPPLEMENT THE HIGHER CENSUS TIMES WHICH IS 40% HIGHER COSTS THAN EMPLOYED STAFF. PHYSICIAN RECRUITMENT IS ALSO A MAJOR CHALLENGE FOR SOLE COMMUNITY PROVIDERS AND THEREFORE MUST UTILIZE LOCUM TENENS PHYSICIANS AT A MUCH HIGHER COST THAN EMPLOYED PHYSICIANS. MEDICARE SHORTFALLS IN 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 9B ONCE THE PATIENT IS BILLED AND CONTACTED, THEY ARE INFORMED OF OPTIONS AND OF THE FINANCIAL ASSISTANCE POLICY (FAP). THE OTHER OPTIONS INCLUDE PAYING UP FRONT OR NO INTEREST PAYMENTS WITHIN A SCHEDULED NUMBER OF DAYS. A CASH DISCOUNT IS AVAILABLE TO THE PATIENT. IF QUALIFIED FOR THE FAP, THE APPROPRIATE QUALIFYING AMOUNT IS ADJUSTED TO CHARITY CARE. IF A BALANCE REMAINS THAT DOES NOT QUALIFY, THE PATIENT HAS CASH DISCOUNT AND NO INTEREST PAYMENT PLAN AS DESCRIBED ABOVE. FOR PATIENTS THAT THE HOSPITAL IS UNABLE TO CONTACT: - EIGHT ACCOUNT STATEMENTS ARE SENT. - THREE LETTERS EXPLAINING THAT IF THE PATIENT FAILS TO CONTACT PATIENT FINANCIAL SERVICES, COLLECTION EFFORTS WILL BE PASSED TO AN AGENCY. THE ABOVE IS A MINIMUM OF 120 DAY PROCESS FOR ALL PATIENT PAYER TYPES. ONCE THE PATIENT ACCOUNT IS SUBMITTED TO A COLLECTION AGENCY, IT IS ADJUSTED TO BAD DEBT. SCHEDULE H, PART VI, LINE 2 NEEDS 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 3 PATIENT 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 4 COMMUNITY 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 5 PROMOTION 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. true CORNERSTONE MISSION 3049 SYCAMORE KINGMAN AZ 86409 860960036 501(C)(3) 11000 HOMELESS SHELTER FOR MEN ARIZONA YOUTH PARTNERSHIP 1902 PACIFIC AVE KINGMAN AZ 86401 860669087 501(C)(3) 6000 SUPPORT HOMELESS SHELTER FOR TEENAGE BOYS KINGMAN AID TO ABUSED PEOPLE 1770 AIRWAY AVE KINGMAN AZ 86409 860601113 501(C)(3) 24000 SUPPORT FOR SHELTER FOR ABUSED PEOPLE KINGMAN CANCER CARE PO BOX 3014 KINGMAN AZ 86402 860753651 501(C)(3) 13000 ASSISTS CANCER PATIENTS IN KINGMAN AREA KINGMAN SALVATION ARMY PO BOX 3367 KINGMAN AZ 86402 941156347 501(C)(3) 6000 NUTRITION PROGRAMS, HOT LUNCHES FOR HOMELESS KATHERINE HEIDENREICH ADULT CENTER 1776 AIRWAY AVE KINGMAN AZ 86401 860397271 501(C)(3) 15000 TRANSPORTATION TO PHYSICIANS, MEALS FOR ELDERLY MSTEPP 2730 E ANDY DEVINE AVE KINGMAN AZ 86401 262119427 501(C)(3) 35000 PROVIDES SOLUTIONS FOR SUBSTANCE ABUSE KINGMAN AREA FOOD BANK 2930 E BUTLER AVE KINGMAN AZ 86409 860503686 501(C)(3) 10000 COMMUNITY FOOD BANK YUCCA COMMUNITY FOOD PANTRY PO BOX 303 YUCCA AZ 86438 384139944 501(C)(3) 5850 COMMUNITY FOOD BANK 9 SCHOLARSHIPS 74 317247 0 SCHEDULE I, PART I, LINE 2 ORGANIZATION'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. X X X X true false false false false true false false false CHRISTINA DIMAMBRO CFO - END 03/23 330347 0 22875 0 1120 0 0 0 19103 0 373445 0 JEREMY KAPLAN PHYSICIAN 825122 0 338729 0 0 0 9150 0 30183 0 1203184 0 MARK DAVIS PHYSICIAN 714431 0 341879 0 0 0 9150 0 31244 0 1096704 0 EDGARDO RIVERA PHYSICIAN 586701 0 295267 0 0 0 18300 0 30838 0 931106 0 ABHINAV OHRI PHYSICIAN 520743 0 469664 0 0 0 12200 0 10713 0 1013320 0 ROBERT MATHENY PHYSICIAN 725935 0 42835 0 0 0 17400 0 19166 0 805336 0 JAMES WELLS COO 327697 0 41883 0 559 0 510 0 31459 0 402108 0 LESLIE MARTIN CNO 244689 0 0 0 451 0 8564 0 164 0 253868 0 WILLIAM C MCCONNELL CEO - Through 6/2022 437266 0 0 0 1343077 0 6692 0 13692 0 1800727 0 SCHEDULE J, PART I, LINE 4A DESCRIPTION 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 6A COMPENSATION 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. A ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY 813526584 2017-03-31 20000000 CAPITAL PROJECTS false false true B Arizona Industrial Development authority 813526584 2017-12-29 20000000 Capital Projects false false false C ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY 813526584 2021-09-28 30000000 Capital Projects false false false A 17701161 0 20000000 0 0 0 103200 0 0 19896800 0 0 2019 false false true true B 10380505 0 20000000 0 0 0 89500 0 0 19910500 0 0 2019 false false true true C 7211365 0 30000000 0 0 0 126564 0 0 19323532 0 10549904 false false false true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true A false false false true false false 0 false 0 false true B false false false true false false 0 false 0 false true C false true false false false false 0 false 0 false true A true B true C true 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. KAREN WATERS SEE PART V 116399 EMPLOYEE PAY false FRANCESCO SINOPOLI SEE PART V 157155 EMPLOYEE PAY false SARAH SCHRITTER SEE PART V 144167 EMPLOYEE PAY true MEAGAN FLUMMER SEE PART V 140223 EMPLOYEE PAY false AMANDA BAKER SEE PART V 78930 EMPLOYEE PAY false KAITLYN DELMONACO SEE PART V 31472 EMPLOYEE PAY true Schedule L, Part IV, Line 1 DESCRIPTION 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 DELMONACO FORM 990, PART VI, SECTION A, LINE 2 BUSINESS OR FAMILY TRANSACTION: CHRISTOPHER PORTER AND KALE BODILY HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY A THIRD-PARTY PREPARER WITH A DETAIL REVIEW BEING CONDUCTED BY THE CONTROLLER AND ACCOUNTANT OF THE ORGANIZATION. A FINAL COPY OF THE FORM 990 IS THEN E-MAILED TO THE BOARD OF DIRECTORS BEFORE THE RETURN IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE EXECUTIVE ASSISTANT TO THE CEO ANNUALLY DISTRIBUTES THE POLICY DOCUMENTS AND FORMS TO ALL MANAGERS AND BOARD MEMBERS. THE RELATED FORMS CONTAIN WRITTEN EXPLANATIONS BY MANAGERS AND BOARD MEMBERS. IF A POTENTIAL CONFLICT ARISES, THE SITUATION IS THEN REVIEWED BY THE CEO. IF A CONFLICT OF INTEREST COVERED BY THIS POLICY EXISTS, WHETHER OR NOT LISTED ON A DISCLOSURE FORM, THEN THE PERSON INVOLVED WITH THE POTENTIAL CONFLICT OF INTEREST RECUSES THEMSELF FROM VOTING ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15A & 15B THE CHRO PREPARES A STUDY BASED ON EXTERNAL COMPARISONS OF SIMILAR POSITIONS IN SIMILAR SIZED ORGANIZATIONS IN THE INDUSTRY. THE STUDY IS REVIEWED BY AN INDEPENDENT COMPENSATION COMMITTEE THEN SUBMITTED TO THE EXECUTIVE BOARD FOR FINAL APPROVAL. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION PROCESS ARE KEPT ON FILE. THIS STUDY IS CONDUCTED ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FOR A VALID BUSINESS PURPOSE. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: 174,163 - CHANGE IN NET ASSETS OF KRMC FOUNDATION FORM 990 PART IX LINE 11G DESCRIPTION:NURSING TOTAL FEES:26124970 FORM 990 PART IX LINE 11G DESCRIPTION:LAB TOTAL FEES:337136 FORM 990 PART IX LINE 11G DESCRIPTION:TESTING TOTAL FEES:2876714 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:15150513 FORM 990 PART IX LINE 11G DESCRIPTION:EQUIPMENT SERVICE CONTRAC TOTAL FEES:3979598 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:22573143 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:699669 FORM 990 PART IX LINE 11G DESCRIPTION:EMPLOYEE RECRUITING TOTAL FEES:85064 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION TOTAL FEES:88041 FORM 990 PART IX LINE 11G DESCRIPTION:INSTRUCTOR FEES TOTAL FEES:83582 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL DIRECTORSHIP TOTAL FEES:630352 NORTHWEST ARIZONA REGIONAL INSURANCE 4041 N CENTRAL AVE PHOENIX AZ 85012 208081486 INSURER AZ 501(C)(3) 12A KRMC true KX VENTURES LLC 3269 N STOCKTON HILL RD KINGMAN AZ 86409 843415074 LAND DEVELOPMENT AZ NA LEASE 0 0 false 0 true 0.85000 false false false true true false false false false false false true true true false false true false NORTHWESTERN ARIZONA REGIONAL INSURANCE D 458147 INTERCO AMOUNT NORTHWESTERN ARIZONA REGIONAL INSURANCE E 490324 INTERCO AMOUNT NORTHWESTERN ARIZONA REGIONAL INSURANCE M & R 1966756 INTERCO AMOUNT