TY 2024 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) EVANS HEATH...................................................................... CEO	40.00 .................	X	X			812,297	37,872
(2) KRYSTAL BURGE...................................................................... CHAIRMAN	1.00 .................	X	X			0	0
(3) JIM BAKER...................................................................... VICE CHAIRMAN	1.00 .................	X	X			0	0
(4) ROBERT DEVRIES...................................................................... SECRETARY	1.00 .................	X	X			0	0
(5) SUSAN CHAN...................................................................... TREASURER	1.00 .................	X	X			0	0
(6) KALE BODILY MD...................................................................... DIRECTOR	1.00 .................	X				0	0
(7) SAM ELTERS...................................................................... DIRECTOR	1.00 .................	X				0	0
(8) JOSEPH DORNER...................................................................... DIRECTOR	1.00 .................	X				0	0
(9) DAN DEL MONACO...................................................................... DIRECTOR	1.00 .................	X				0	0
(10) CATHY OTT...................................................................... DIRECTOR	1.00 .................	X				0	0
(11) LYNNE PETERSEN...................................................................... DIRECTOR	1.00 .................	X				0	0
(12) RYAN SWAPP MD...................................................................... DIRECTOR	1.00 .................	X				0	0
(13) BRENT BEDKE MD...................................................................... DIRECTOR	1.00 .................	X				0	0
(14) HOFFMAN JOSHUA...................................................................... CFO	40.00 .................		X			386,558	46,831
(15) MARTIN LESLIE...................................................................... CNO	40.00 .................			X		363,491	39,866
(16) SCHOTT DAVID...................................................................... CAO	40.00 .................			X		411,522	19,752
(17) KAPLAN JEREMY...................................................................... PHYSICIAN	40.00 .................				X	1,184,851	47,562

(A) Name and business address	(B) Description of services	(C) Compensation
HIGH DESERT RADIOLOGY 1308 N STOCKTON HILL ROAD SUITE A1 KINGMAN,AZ86401	RADIOLOGY SERVICES	11,875,032
C&A INDUSTRIES INC PO BOX 3037 OMAHA,NE68103	NURSING/TECH AGENCY	9,840,672
INTERIM PHYSICIANS LLC PO BOX 222045 DALLAS,TX752222045	HOSPITALIST GROUP	6,055,154
MONOLITH DIAGNOSTICS PC PO BOX 6024 KINGMAN,AZ86402	CONTRACT PATHOLOGISTS	2,240,513
ROUTE 66 SURGICAL LLC 9788 CATHEDRAL PINES AVE LAS VEGAS,NV89149	SURGICAL PHYSICIAN GROUP	1,858,000
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 46

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

Name of the organization

KINGMAN HEALTHCARE INC

Employer identification number

94-2916102

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2024

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2024

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
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Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
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Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
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Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
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Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

KINGMAN HEALTHCARE INC

Employer identification number

94-2916102

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2024

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2021	(b) 2022	(c) 2023	(d) 2024	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2024

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

11,358

Total. Add lines 1c through 1i ....................................................................................................

11,358

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	KINGMAN HOSPITAL PAYS ANNUAL DUES IN WHICH A PERCENTAGE OF THEIR DUES IS ATTRIBUTABLE TO LOBBYING. THE AMOUNT SHOWN ON THE LINE ABOVE REPRESENTS THAT PERCENTAGE.

Schedule C (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

KINGMAN HEALTHCARE INC

Employer identification number

94-2916102

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	21,698,675		21,698,675
b	Buildings ....	149,410,162	94,567,132	54,843,030
c	Leasehold improvements	4,619,226	3,904,616	714,610
d	Equipment ....	177,652,286	134,429,213	43,223,073
e	Other .....	1,098,427		1,098,427
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				121,577,815

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
LEASE LIABILITY	11,239,493
NARIC	1,251,981







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	12,491,474
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) (Rev. 1-2025)

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	442,176,794
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	8,362,243
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d	252,501
e	Add lines 2a through 2d .....................			2e	8,614,744
3	Subtract line 2e from line 1..................			3	433,562,050
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	433,562,050

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1	408,093,391
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e	0
3	Subtract line 2e from line 1...................		3	408,093,391
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5	408,093,391

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CHANGE IN NET ASSETS OF KRMC FOUNDATION 252,501.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public Inspection

Name of the organization

KINGMAN HEALTHCARE INC

Employer identification number

94-2916102

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	789,445		789,445	0.190 %
b	Medicaid (from Worksheet 3, column a) . . . . .	62,152,251	36,939,119	25,213,132	6.180 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	21,288,215	46,422,118	0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	84,229,911	83,361,237	26,002,577	6.370 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	318,802		318,802	0.080 %
f	Health professions education (from Worksheet 5) . . .	7,323,891	7,342,526	0	0 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	1,107,833		1,107,833	0.270 %
j	Total. Other Benefits . .	8,750,526	7,342,526	1,426,635	0.350 %
k	Total. Add lines 7d and 7j .	92,980,437	90,703,763	27,429,212	6.720 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

13,055,073

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

56,945,121

Enter Medicare allowable costs of care relating to payments on line 5.....

60,361,933

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-3,416,812

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2024

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)						Other (describe)
1	KINGMAN REGIONAL MEDICAL CENTER 3269 STOCKTON HILL ROAD KINGMAN,AZ86409 WWW.AZKRMC.COM H-0010	X	X	X	X	CANCER CENTER CARDIAC CATH LAB ACUTE REHAB UNIT

Schedule H (Form 990) 2024

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	KINGMAN REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 24

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C FOR URL

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 24

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION C FOR URL

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	KINGMAN REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 150.000000000000%
and FPG family income limit for eligibility for discounted care of 350.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTPS://WWW.AZKRMC.COM/PATIENTS-VISITORS/KRMC-PRICING-FINANCIAL-SERVICES

The FAP application form was widely available on a website (list url):

HTTPS://WWW.AZKRMC.COM/PATIENTS-VISITORS/KRMC-PRICING-FINANCIAL-SERVICES

A plain language summary of the FAP was widely available on a website (list url):
HTTPS://WWW.AZKRMC.COM/PATIENTS-VISITORS/KRMC-PRICING-FINANCIAL-SERVICES

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	KINGMAN REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	KINGMAN REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
KINGMAN REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 5: AS PART OF THE COMMUNITY HEALTH ASSESSMENT PROCESS, MEMBERS OF THE MOHAVE COUNTY COMMUNITY HEALTH COALITION CONDUCTED INTERVIEWS WITH INDIVIDUALS WHO REPRESENT:A) BROAD INTERESTS OF THE COMMUNITY,B) POPULATIONS OF NEED, ANDC) PERSONS WITH SPECIALIZED KNOWLEDGE IN PUBLIC HEALTH.THESE INDIVIDUALS CAME FROM THE FOLLOWING COMMUNITY SECTORS:- SOCIAL SERVICE AGENCIES- LOCAL SCHOOL SYSTEM AND COMMUNITY COLLEGE- LOCAL CITY AND COUNTY GOVERNMENT- PUBLIC HEALTH AGENCIES- INDUSTRY- FAITH COMMUNITY- MEDICAL PROVIDERS
KINGMAN REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 6B: THE CHNA FOR KINGMAN HOSPITAL INC. WAS CONDUCTED WITH MOHAVE COUNTY, ARIZONA.
KINGMAN REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 11: COMMUNITY HEALTH IMPROVEMENT PLAN DISCLOSURE STATEMENT KINGMAN HEALTHCARE INC. (KHI), IN PARTNERSHIP WITH THE MOHAVE COUNTY DEPARTMENT OF PUBLIC HEALTH (MCDPH) LEADS A BROAD COMMUNITY INITIATIVE TO IMPROVE HEALTH AND QUALITY-OF-LIFE IN MOHAVE COUNTY COMMUNITIES. THE INITIATIVE ENGAGES COMMUNITY STAKEHOLDERS AND THE PUBLIC TO MAKE MEASURABLE IMPROVEMENTS IN COMMUNITY HEALTH. IT INVOLVES THE FOLLOWING PROCESS, WHICH IS CONDUCTED ON A THREE-YEAR CYCLE:1. TO UNDERSTAND THE COMMUNITY'S HEALTH STATUS AND NEEDS, THE COMMUNITY HEALTH NEEDS ASSESSMENT PROVIDES A COMPREHENSIVE REVIEW OF THE DEMOGRAPHIC, SOCIAL, AND ECONOMIC FACTORS INFLUENCING THE HEALTH OF MOHAVE COUNTY RESIDENTS. RESEARCHERS COLLECT QUANTITATIVE AND QUALITATIVE DATA REGARDING HEALTH AND QUALITY-OF-LIFE IN MOHAVE COUNTY. THIS PROCESS EXAMINES PRIMARY DATA FROM KEY INFORMANT INTERVIEWS, COMMUNITY SURVEYS, AND FOCUS GROUP AROUND THE COUNTY, AS WELL AS EXISTING SECONDARY DATA TO COMPARE MOHAVE COUNTY TO STATEWIDE AND NATIONAL BENCHMARKRS. THE INFORMATION IS THEN PUBLISHED IN A REPORT CALLED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).2. BASED ON THE INFORMATION IN THE CHNA, KHI AND MCDPH WORK WITH COMMUNITY MEMBERS AND STAKEHOLDERS TO IDENTIFY PRIORITY HEALTH ISSUES. THOSE GROUPS DEVELOP A PLAN TO ADDRESS THE PRIORITY AREAS ACROSS MOHAVE COUNTY COMMUNITIES (KINGMAN, BULLHEAD CITY, LAKE HAVASU CITY, COLORADO CITY, TOPOCK/GOLDEN SHORES, WHITE HILLS, AND DOLAN SPRINGS). WE DOCUMENT THE RESULTS OF THESE PLANNING EFFORTS IN A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR EACH REGION.3. GUIDED BY THE PRIORITIES AND STRATEGIES OUTLINED IN EACH COMMUNITY'S RESPECTIVE CHIP, COMMUNITY PARTICIPANTS COLLABORATE TO IMPLEMENT EACH REGION'S HEALTH IMPROVEMENT PLAN. AS COMMUNITY MEMBERS HAVE MET AND IDEAS HAVE BEEN FLESHED OUT, THERE HAS BEEN AN OVERLAP IN IDEAS, STRATEGIES, AND PEOPLE. AS A RESULT, SEVERAL INDIVIDUAL CITY CHIP GROUPS HAVE BEEN CONSOLIDATED TO ALLOW COMMUNITY LEADERS AND ORGANIZATIONS TO ALLOCATE RESOURCES MORE EFFICIENTLY AND EFFECTIVELY. KHI PLANS TO ADDRESS SIGNIFICANT NEEDS IDENTIFIED IN THE 2024 (TAX YEAR) CHNA AS FOLLOWS:- ACCESS TO CARE - KHI CONTINUES TO IMPLEMENT STRATEGIES TO MEET IDENTIFIED HEALTH AND WELLNESS NEEDS OF OUR COMMUNITY. OUR OVERALL AIM IS TO PROVIDE A FULL RANGE OF HIGH-QUALITY MEDICAL SERVICES IN OUR RURAL HEALTHCARE SYSTEM THAT MEET OR EXCEED THOSE FOUND IN LARGER URBAN AREAS. OUR SUCCESS IS MEASURED BY THE NUMBER OF RESIDENTS WHO CAN AVOID TRAVEL TO OTHER AREAS AND RECEIVE THE MEDICAL SERVICES THEY NEED CLOSE TO HOME. TO THIS AIM, KHI'S IS IMPLEMENTING STRATEGIES TO CONTINUE RECRUITING MEDICAL TALENT AND IMPLEMENTING STATE-OF-THE-ART TECHNOLOGIES FOR DELIVERING HIGH-QUALITY CARE. FOR EXAMPLE, WE PLAN TO CONTINUE BUILDING OUR MEDICAL IMAGING, DIAGNOSTIC, AND SURGICAL CAPABILITIES FOR ADDRESSING COMMON CHRONIC DISEASE CONDITIONS. ADDITIONALLY, TO MEET IDENTIFIED COMMUNITY NEEDS, KHI CONTINUES TO FOCUS ON PROVIDING ADVANCED CAPABILITIES IN CARDIAC CARE, WOUND CARE, CANCER CARE, ALONG WITH REHABILITATION AND PAIN MANAGEMENT THERAPIES.THE FOLLOWING ACTIONS WERE TAKEN DURING FY25 TO ADDRESS ACCESS TO CARE:- CONTINUED TO IMPLEMENT IMPROVEMENTS TO CARE DELIVERY TO INCREASE PATIENT THROUGHPUT AND REDUCE WAIT TIMES FOR APPOINTMENTS.- CONTINUED TO PROVIDE VIRTUAL HEALTHCARE OPTIONS TO INCREASE ACCESS TO HEALTHCARE IN OUR COMMUNITY.- CONTINUED CLINICAL TRIALS AT THE KHI WL NUGENT CANCER CENTER, WHICH GIVES LOCAL CANCER PATIENTS ACCESS TO ADDITIONAL ADVANCED CANCER TREATMENTS CLOSE TO HOME.- INTENSIFIED NATIONWIDE RECRUITING EFFORTS FOR HEALTHCARE PROVIDERS.- CONTINUED INITIATIVES WITHIN KHI'S STRATEGIC PLAN AIMED AT ENHANCING KRMC'S WORK CULTURE FOR ATTRACTING AND RETAINING HEALTHCARE STAFF.- CONTINUED TO UTILIZE MID-LEVEL HEALTHCARE PROVIDERS FOR GENERAL MEDICAL CARE.- CONTINUED TO PROVIDE CHARITY CARE TO LOW-INCOME PATIENTS WITH NO HEALTH INSURANCE AND FINANCIAL ASSISTANCE TO UNDERINSURED RESIDENTS OF MOHAVE COUNTY WHO REQUIRE EMERGENCY CARE, HOSPITALIZATION, OR OTHER MEDICALLY NECESSARY TESTS OR TREATMENTS.- CONTINUED TO PROVIDE FREE (NO OUT-OF-POCKET COST) SCREENING MAMMOGRAMS TO ALL MOHAVE COUNTY RESIDENTS THROUGH KHI'S "CATCH IT EARLY" PROGRAM; ALSO PROVIDED FREE OR REDUCED COST DIAGNOSTIC SERVICES TO LOW-INCOME PATIENTS WHO HAVE AN ABNORMAL SCREENING RESULT.- CONTINUED TO PROVIDE SCHOLARSHIPS FOR MEMBERSHIPS TO KHI'S DEL. E. WEBB WELLNESS CENTER TO QUALIFIED LOW-INCOME PATIENTS WHO NEED TO IMPROVE A HEALTH CONDITION WITH EXERCISE AND ARE UNABLE TO AFFORD A MEMBERSHIP. - TO IMPROVE ACCESS TO PRIMARY CARE SERVICES, KRMC PRIMARY CARE HAS ENABLED SAME DAY SICK VISITS. - CONTINUED TO ADVANCE TECHNOLOGY IN HEALTHCARE BY INSTALLING THE OMNI 32 LEGEND SYSTEM, MAKING KHI THE FIRST HEALTH SYSTEM IN ARIZONA TO UTILIZE THIS INNOVATIVE PLATFORM. THE OMNI LEGEND SYSTEM'S ALL-DIGITAL DESIGN IMPROVES THE DETECTION OF SMALL LESIONS WITH ENHANCED IMAGE QUALITY, AND ITS EFFICIENT PERFORMANCE MAY REDUCE BOTH PROCEDURE TIME AND THE AMOUNT OF RADIOACTIVE TRACER ADMINISTERED TO PATIENTS. - INSTATED A NEW TRANSITIONAL CARE MANAGEMENT MODEL TO ENHANCE TRANSITION FROM INPATIENT SERVICES TO OUTPATIENT FOLLOWUP. WHEN PATIENTS ARE DISCHARGED FROM THE HOSPITAL, A NURSE NAVIGATOR COORDINATES FOLLOWUP APPOINTMENTS, EDUCATES PATIENTS, AND ADDRESSES BARRIERS TO CARE.- LAUNCHED VOLUNTARY SOCIAL DETERMINANTS OF HEALTH SCREENING IN OUTPATIENT PRIMARY CARE CLINICS TO UNDERSTAND HEALTH RELATED SOCIAL NEEDS THAT CAN IMPACT HEALTH OUTCOMES.-EDUCATION KHI CONTINUES TO IMPLEMENT STRATEGIES TO ENSURE ACCESSING QUALITY EDUCATION IS EQUITABLE FOR ALL COMMUNITY MEMBERS. EDUCATION IS IMPORTANT TO HEALTH BECAUSE IT EMPOWERS INDIVIDUALS TO MAKE INFORMED DECISIONS ABOUT THEIR WELLBEING BY PROVIDING KNOWLEDGE ABOUT HEALTHY LIFESTYLES, DISEASE PREVENTION, AND ACCESS TO HEALTHCARE. THIS ULTIMATELY LEADS TO BETTER HEALTH OUTCOMES AND INCREASED LIFE EXPECTANCY. THE MORE EDUCATED SOMEONE IS, THE BETTER EQUIPPED THEY ARE TO NAVIGATE THEIR OWN HEALTH NEEDS AND ADVOCATE FOR THEMSELVES. THE FOLLOWING ACTIONS WERE TAKEN DURING FY25 TO ADDRESS EDUCATION:- CONTINUED TO STRENGTHEN KHI'S GRADUATE MEDICAL EDUCATION AND PHARMACY RESIDENCY PROGRAMS TO ENCOURAGE RESIDENTS WHO GRADUATE TO STAY IN KINGMAN.- CONTINUED TO HOST OCCUPATIONS DAY IN PARTNERSHIP WITH LOCAL HIGH SCHOOL STUDENTS TO SHOWCASE VARIOUS HEALTHCARE CAREER OPPORTUNITIES INCLUDING PATHWAYS IN ENVIRONMENTAL SERVICES, INFORMATION TECHNOLOGY, RADIOLOGY, NURSING, PHARMACY, WELLNESS, AND MORE.- CONTINUED TO PROVIDE PREVENTION AND SCREENING IN COLLABORATION WITH THE MOHAVE COUNTY STREET TEAM, A COMMUNITY OUTREACH INITIATIVE THAT BRINGS HEALTH RESOURCES, EDUCATION, HARM REDUCTION TOOLS, AND ON THE SPOT TESTING TO RURAL AREAS.- CONTINUED TO PROMOTE HEALTHY LIFESTYLE MESSAGING ON SOCIAL MEDIA AND IN VARIOUS KHI PUBLICATIONS TO EDUCATE THE COMMUNITY ON HOW TO REDUCE THEIR HEALTHCARE COSTS BY REDUCING THEIR RISK OF CHRONIC DISEASE THROUGH HEALTHY LIFESTYLE CHOICES (PROPER DIET, EXERCISE, ETC.).- CONTINUED TO PUBLISH PRICING FOR VARIOUS MEDICAL SERVICES AND PROCEDURES ON KRMC'S WEBSITE SO THAT INDIVIDUALS CAN MAKE INFORMED DECISIONS ABOUT THEIR HEALTHCARE COSTS.- INTRODUCED TWO NEW SECONDARY EDUCATION PROGRAMS THROUGH EDUCATIONAL INSTITUTION AND PROVIDER PARTNERSHIP MODELS, WITH EMPHASIS ON TRAINING PROFESSIONALS TO SERVE OR CONTINUE SERVING OUR COMMUNITY. - LAUNCHED A NEW CERTIFIED NURSING ASSISTANT (CNA) PROGRAM IN PARTNERSHIP WITH WESTERN ARIZONA VOCATIONAL EDUCATION DISTRICT #50 (WAVE), ALLOWING GRADUATES TO QUALIFY FOR THE NURSING ASSISTANT STATE EXAM AND OBTAIN CNA CERTIFICATION IN ARIZONA. -LAUNCHED A NEW LEVELUP NURSE INTERNSHIP PROGRAM THAT ALLOWS NURSING STUDENTS TO DEVELOP CLINICAL SKILLS AND CONFIDENCE THROUGH REAL WORLD JOB EXPERIENCE WHILE EARNING AN RN DEGREE. YOUTH ACTIVITIES AND SERVICES YOUTH SERVICES PROVIDE TARGETED, ACCESSIBLE SUPPORT THAT IMPROVES PHYSICAL AND MENTAL WELL-BEING, FOSTERS POSITIVE HABITS DURING CRITICAL DEVELOPMENTAL STAGES, AND ADDRESSES HEALTH INEQUITIES. ENGAGING IN THESE SERVICES BUILDS TRUST IN HEALTHCARE PROVIDERS, MAKING YOUTH MORE LIKELY TO SEEK PREVENTIVE CARE IN ADULTHOOD.THE FOLLOWING ACTIONS WERE TAKEN DURING FY25 TO ADDRESS YOUTH ACTIVITIES AND SERVICES:- CONTINUED TO PROVIDE FULL RANGE OF HEALTHCARE SERVICES FOR CHILDREN AGED 0-18, FROM ROUTINE HEALTH MAINTENANCE AND PREVENTATIVE CARE TO DIAGNOSING AND TREATING COMPLEX MEDICAL PROBLEMS.- CONTINUED TO OFFER SAME DAY APPOINTMENTS FOR CHILDREN WHO ARE ILL OR INJURED ON A FIRST-COME BASIS- CONTINED TO PROVIDE COUNSELING AND MENTAL HEALTH SUPPORT SERVICES TO YOUTH FROM A LICENSED CLINICAL SOCIAL WORKER - CONTINUED TO OFFER ON-SITE EXCLUSIVE CHILDCARE FOR EMPLOYEES TO SUPPORT WORK-LIFE BALANCE AND ALLEVIATE STRESS FOR WORKING PARENTS- CONTINUED TO PROVIDE FREE ANNUAL SPORTS PHYSICALS FOR HIGH SCHOOL STUDENTS IN THE COMMUNITY
SCHEDULE H, PART V, SECTION B, LINE 7A	DIRECT URL WHERE CHNA REPORT IS MADE AVAILABLE TO THE ORGANIZATION'S WEBSITE:HTTPS://WWW.AZKRMC.COM/NEWSROOM/COMMUNITY-HEALTH-ASSESSMENT-COMMUNITY-HEALTH-IMPROVEMENT-PLAN
SCHEDULE H, PART V, SECTION B, LINE 10A	DIRECT URL WHERE IMPLEMENTATION PLAN IS MADE AVAILABLE :HTTPS://WWW.AZKRMC.COM/SITES/DEFAULT/FILES/2025_2028%20MOHAVE%20COUNTY%20COMMUNITY%20HEALTH%20IMPROVEMENT%20PLAN.PDF
CONTINUATION OF SCHEDULE H, PART V, SECTION B, LINE 11	- CONTINUED TO HOST THE ANNUAL KIDS DAY HEALTH AND SAFETY FAIR. CHILDREN AND THEIR PARENTS ARE ABLE TO RECEIVE IMPORTANT INFORMATION ABOUT CHILDREN'S SAFETY, HEALTH, AND NUTRITION FROM KRMC DEPARTMENTS AND LOCAL COMMUNITY BASED ORGANIZATIONS- SUPPORTED THE LAUNCH OF THE KINGMAN BRANCH BOYS & GIRLS CLUB. KBGC OFFERS EDUCATIONAL, ATHLETIC, AND LIFESKILL PROGRAMS FOR YOUTH ENROLLED IN K-12. KHI FUTURE STRATEGIES DO NOT SPECIFICALLY ADDRESS THE FOLLOWING ISSUES IDENTIFIED IN THE 2024 (TAX YEAR) CHNA BECAUSE THEY ARE OUTSIDE THE SCOPE OF OUR CURRENT OPERATIONS.- AFFORDABLE HOUSING - FOOD INSECURITY- FUNDING IN SCHOOLS FOR BEHAVIORAL HEALTH- INTERNET CONNECTIVITY- RIDESHARE PROGRAMSHOWEVER, KRMC PROVIDES MANY PROGRAMS AND SERVICES THAT DIRECTLY OR INDIRECTLY HELP TO IMPROVE OUTCOMES IN THESE HEALTH AREAS. ADDITIONALLY, THROUGH OUR COMMUNITY BENEFIT PROGRAM, WE FINANCIALLY SUPPORT COMMUNITY ORGANIZATIONS THAT DIRECTLY SUPPORT AND ADDRESS THE COMMUNITY NEEDS IDENTIFIED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT.
SCHEDULE H, PART V, SECTION B, LINE 14	THE FACILITY UNDER THE FINANCIAL ASSISTANCE POLICY CALCULATES THE AVERAGE DISCOUNT GIVEN TO MEDICARE AND COMMERCIAL PATIENTS AND THE COMBINED RESULT IS USED TO PROVIDE THAT DISCOUNT TO THE UNINSURED POPULATION.
SCHEDULE H, PART V, SECTION B, LINE 16I	TRANSLATION OF FAP INTO PRIMARY LANGUAGE SPOKEN BY LEP POPULATIONS: KINGMAN HOSPITAL, INC., HAS TRANSLATED THE FAP INTO SPANISH AND HAS PROVIDED THE POLICY IN PAPER AND ON THEIR WEBSITE. KINGMAN HOSPITAL, INC., WOULD CONSIDER TRANSLATING INTO ANOTHER LANGUAGE WHEN IT IS KNOWN THAT PATIENTS WILL NEED THE TRANSLATION AND ARE NOT SERVED BY THE CURRENT FORMS AND STATEMENETS. KINGMAN HOSPITAL, INC. USES DEMOGRAPHIC DATA FROM THEIR SYSTEM AND THE COUNTIES TO DETERMINE IF A PATIENT POPULATION EXISTS THAT IS OVER 1,000 INDIVIDUALS THAT DO NOT SPEAK ENGLISH OR SPANISH.

Schedule H (Form 990) 2024

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?27
Name and address		Type of Facility (describe)
1	1 - OUTPATIENT IMAGING CENTER 1033 SYCAMORE KINGMAN,AZ86409	IMAGING CENTER
2	2 - KRMC URGENT CARE 1726 BEVERLY AVE KINGMAN,AZ86401	URGENT CARE
3	3 - KINGMAN FP CLINIC 3801 SANTA ROSA 4TH FLOOR KINGMAN,AZ86401	FAMILY MEDICINE
4	4 - KRMC PRIMARY CARE 2226 HUALAPAI MTN ROAD KINGMAN,AZ86401	PRIMARY CARE PHYSICIANS
5	5 - KINGMAN PULMONARY CLINIC 1739 BEVERLY AVE SUITE 203 KINGMAN,AZ86409	PULMONARY MEDICINE
6	6 - KINGMAN OBGYN ASSOCIATES 1739 BEVERLY AVE SUITE 200 KINGMAN,AZ86409	OBSTETRICS/GYNECOLOGY
7	7 - KINGMAN ORTHOPEDICS 1739 BEVERLY AVE SUITE 102 KINGMAN,AZ86409	ORTHOPEDIC PHYSICIANS
8	8 - GOLDEN VALLEY CLINIC 4995 W HWY 68 KINGMAN,AZ86413	FAMILY MEDICINE
9	9 - KINGMAN CARDIOVASCULAR ASSOCIATES 1739 BEVERLY AVE SUITE 217 KINGMAN,AZ86409	CARDIOLOGY PHYSICIANS
10	10 - JOSHUA TREE PEDIATRICS 1739 BEVERLY AVE SUITE 204 KINGMAN,AZ86409	PEDIATRICIAN
11	11 - KRMC PAIN MANAGEMENT CLINIC 3801 SANTA ROSA DR KINGMAN,AZ86401	PAIN MANAGEMENT
12	12 - EMPLOYEE AND OCCUPATIONAL HEALTH 1739 BEVERLY AVE SUITE 118 KINGMAN,AZ86409	OCCUPATIONAL MEDICINE
13	13 - MOHAVE SURGICAL SPECIALISTS 3104 STOCKTON HILL ROAD KINGMAN,AZ86401	GENERAL SURGEON
14	14 - KRMC NEUROLOGY 3801 SANTA ROSA DR KINGMAN,AZ86401	NEUROLOGY
15	15 - HIGH DESERT GASTROENTEROLGY 1739 BEVERLY AVE SUITE 101 KINGMAN,AZ86409	GASTROENTEROLOGIST
16	16 - KRMC ENDOCRINOLOGY 3801 SANTA ROSA DR KINGMAN,AZ86401	ENDOCRINOLOGY
17	17 - KRMC DISEASE MANAGEMENT CLINIC 3801 SANTA ROSA DR KINGMAN,AZ86401	DISEASE MANAGEMENT
18	18 - KRMC CARDIOTHORACIC SURGERY 1739 BEVERLY AVE SUITE 218 KINGMAN,AZ86409	CARDIOTHORACIC SURGEON
19	19 - KRMC PHYSIATRY 3801 SANTA ROSA DR KINGMAN,AZ86401	PHYSICAL MEDICINE AND REHAB
20	20 - KRMC ORTHOPEDIC-HMC 3801 SANTA ROSA DR KINGMAN,AZ86401	CHIROPRACTIC SERVICES
21	21 - KINGMAN RHEUMATOLOGY AND PRIMARY CARE 1739 BEVERLY AVE SUITE 209 KINGMAN,AZ86409	RHEUMATOLOGIST
22	22 - KRMC PRE-OP CLINIC 1739 BEVERLY AVE SUITE 103 KINGMAN,AZ86401	PRE-OP CARE FACILITY
23	23 - KINGMAN UROLOGY CLINIC 1712 SYCAMORE KINGMAN,AZ86409	UROLOGIST
24	24 - KRMC PALLIATIVE CARE 3269 N STOCKTON HILL RD KINGMAN,AZ86409	PALLIATIVE CARE
25	25 - BEHAVORIAL HEALTH INSTITUTIONS 3801 SANTA ROSA DR KINGMAN,AZ86401	BEHAVORIAL HEALTH
26	26 - KRMC HIGH DESERT VEIN CENTER-KINGMAN 2002 STOCKTON HILL RD 103 KINGMAN,AZ76401	VEIN CENTER
27	27 - KRMC HOSPICE 3269 STOCKTON HILL ROAD KINGMAN,AZ86409	HOSPICE SERVICES

Schedule H (Form 990) 2024

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	DESCRIPTION OF OTHER FACTORS USED TO DETERMINE FINANCIAL ASSISTANCE: KINGMAN REGIONAL MEDICAL CENTER ALSO USES A PATIENTS ASSET LEVEL, MEDICAL INDIGENCY AND INSURANCE TO DETERMINE THE ELIGIBILITY FOR FREE OR DISCOUNTED CARE.
PART I, LINE 7:	THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINES 7A AND 7B. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE INFORMATION FOR LINES 7E THROUGH 71 WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS.
PART III, LINE 2:	AFTER ALL THIRD-PARTY PAYERS ARE PROPERLY BILLED, PAYMENTS AND CONTRACTUAL ADJUSTMENTS ARE APPLIED TO THE ACCOUNTS ACCORDING TO THE CONTRACTS, AND THE REMAINING DEBT IS THE FINANCIAL RESPONSIBILITY OF THE PATIENT. ANY ELIGIBLE DISCOUNTS ARE APPLIED TO THE ACCOUNTS PRIOR TO DETERMINING PATIENT RESPONSIBILITY AMOUNTS. KINGMAN REGIONAL MEDICAL CENTER WILL NOT BILL A PATIENT FOR ANY AMOUNT THAT AN INSURANCE COMPANY IS OBLIGATED TO PAY. KINGMAN REGIONAL MEDICAL CENTER WILL NOT REFER ACCOUNTS FOR COLLECTION WHILE A CLAIM ON THE ACCOUNT IS STILL PENDING PAYER PAYMENT. KINGMAN REGIONAL MEDICAL CENTER WILL NOT REFER ACCOUNTS FOR COLLECTION WHERE THE PATIENT HAS INITIALLY APPLIED FOR FINANCIAL ASSISTANCE AND KINGMAN REGIONAL MEDICAL CENTER HAS NOT YET NOTIFIED THE PATIENT OF FINAL DETERMINATION.THE KRMC UNCOMPENSATED CARE POLICY PROVIDES CHARITY CARE FOR ACCOUNTS WHERE PAYMENT IS NOT ANTICIPATED. CHARITY CARE IS SEPARATE AND DISTINCT FROM BAD DEBTS, WHICH ARE ACCOUNTS FOR WHICH CREDIT WAS EXTENDED AND PAYMENT IS ANTICIPATED, BUT NOT RECEIVED. THE HOSPITAL'S QUALIFYING DISCOUNT PROGRAM CAN INCLUDE THOSE PATIENTS WHOSE HOUSEHOLD INCOME IS UP TO 350% OF THE FEDERAL POVERTY LEVEL. THIS PROGRAM IS FOR ALL PATIENTS REGARDLESS OF THEIR PRIMARY INSURANCE STATUS AND IS BASED ON THEIR FAMILY SIZE AND INCOME FROM ALL SOURCES.
PART III, LINE 3:	THE ORGANIZATION DOES NOT CONSIDER ANY OF ITS BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
PART III, LINE 4:	REFER TO PAGES 17 & 18 OF THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE ORGANIZATION IS A SOLE COMMUNITY NOT-FOR PROFIT HOSPITAL THAT PROVIDES HEALTHCARE SERVICES TO COMMUNITY RESIDENTS AND VISITORS IN A RURAL SETTING WITH LIMITED ACCESS TO SPECIALIST CARE. ACCESSIBLE, HIGH-QUALITY HEALTHCARE SERVICE IS IMPORTANT FOR THE OVERALL HEALTH OF ALL RESIDENTS AND NOT FULLY AVAILABLE IN MOST RURAL SETTINGS. WHERE MEDICARE IS CALCULATED TO PAY AT EXPECTED COST, RURAL CARE IS OFTEN MORE EXPENSIVE AS PATIENTS TEND TO HAVE A HIGHER THAN AVERAGE ACUITY AND LENGTH OF STAY DUE TO LIMITED SPECIALIST CARE IN THE TREATMENT AND PATIENT CARE FOLLOW UP PROCESS. ADDITIONALLY, PATIENT VOLUMES ARE MORE RESTRICTED AND SEASONALLY IMPACTED IN RURAL SETTINGS AS COMPARED TO METROPOLITAN SETTINGS, WHICH AFFECTS THE HOSPITAL'S OPPORTUNITY TO SPREAD THE FIXED COSTS OVER MORE PATIENT CARE EXPERIENCES. ALSO RELATIVE TO THE SEASONAL PATIENT FLUCTUATIONS, RURAL HOSPITALS TEND TO HAVE A HIGHER NEED FOR AGENCY TRAVEL NURSES TO SUPPLEMENT THE HIGHER CENSUS TIMES WHICH IS 40% HIGHER COSTS THAN EMPLOYED STAFF. PHYSICIAN RECRUITMENT IS ALSO A MAJOR CHALLENGE FOR SOLE COMMUNITY PROVIDERS AND THEREFORE MUST UTILIZE LOCUM TENENS PHYSICIANS AT A MUCH HIGHER COST THAN EMPLOYED PHYSICIANS. MEDICARE SHORTFALLS IN RURAL SETTINGS REFLECT THE EXCESS COST OF REQUIRED CARE OVER THE CALCULATED AVERAGE EXPECTED COST FOR PARTICIPANTS IN THE MEDICARE PROGRAM. FOR THESE REASONS, MEDICARE SHORTFALLS SHOULD BE CONSIDERED PART OF THE COMMUNITY BENEFIT PROVIDED.
PART III, LINE 9B:	ONCE THE PATIENT IS BILLED AND CONTACTED, THEY ARE INFORMED OF OPTIONS AND OF THE FINANCIAL ASSISTANCE POLICY (FAP). THE OTHER OPTIONS INCLUDE PAYING UP FRONT OR NO INTEREST PAYMENTS WITHIN A SCHEDULED NUMBER OF DAYS. A CASH DISCOUNT IS AVAILABLE TO THE PATIENT. IF QUALIFIED FOR THE FAP, THE APPROPRIATE QUALIFYING AMOUNT IS ADJUSTED TO CHARITY CARE. IF A BALANCE REMAINS THAT DOES NOT QUALIFY, THE PATIENT HAS CASH DISCOUNT AND NO INTEREST PAYMENT PLAN AS DESCRIBED ABOVE. FOR PATIENTS THAT THE HOSPITAL IS UNABLE TO CONTACT:- EIGHT ACCOUNT STATEMENTS ARE SENT.- THREE LETTERS EXPLAINING THAT IF THE PATIENT FAILS TO CONTACT PATIENT FINANCIAL SERVICES, COLLECTION EFFORTS WILL BE PASSED TO AN AGENCY. THE ABOVE IS A MINIMUM OF 120 DAY PROCESS FOR ALL PATIENT PAYER TYPES. ONCE THE PATIENT ACCOUNT IS SUBMITTED TO A COLLECTION AGENCY, IT IS ADJUSTED TO BAD DEBT.
PART VI, LINE 2:	SINCE 2011, KRMC, IN PARTNERSHIP WITH THE MOHAVE COUNTY DEPARTMENT OF PUBLIC HEALTH, HAS LED A MAJOR COMMUNITY HEALTH INITIATIVE TO IMPROVE HEALTH AND QUALITY OF LIFE IN MOHAVE COUNTY. A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ALONG WITH A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IS COMPLETED EVERY THREE YEARS. THE MOST RECENT PLAN WAS COMPLETED AND REVIEWED BY THE KINGMAN HEALTHCARE, INC. BOARD IN MAY 2025. THE FINDINGS ARE DOCUMENTED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT, WHICH DETAILS HEALTH AND WELLNESS STATISTICS AND IDENTIFIES COMMUNITY NEEDS FOR HEALTH SERVICES IN MOHAVE COUNTY. THE PLANS OF ACTION TO IMPROVE THE FINDINGS PER THE CHNA, CAN BE FOUND IN THE 2025-2028 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) REPORT. THE CHNA AND CHIP REPORTS ARE AVAILABLE FOR THE PUBLIC ON THE KRMC WEBSITE WWW.AZKRMC.COM.
PART VI, LINE 3:	WHEN PATIENTS INDICATE THEY MIGHT NEED ASSISTANCE WITH BILLING, KRMC HAS FINANCIAL COUNSELORS AVAILABLE TO DISCUSS THE HOSPITAL'S PATIENT ASSISTANCE PROGRAM. IN ADDITION, IN PATIENTS WHO ARE REGISTERED AS SELF PAY ARE PROACTIVELY VISITED BY HOSPITAL COUNSELORS TO DISCUSS OPTIONS, INCLUDING HELPING THE PATIENT ENROLL IN MEDICAID AND OTHER PATIENT BENEFIT PROGRAMS. KRMC HAS PROGRAM DESCRIPTIONS IN BOTH ENGLISH AND SPANISH ONLINE TO EXPLAIN THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP) APPLICATION AS WELL AS A PRICE TRANSPARANCY ONLINE WEBPAGE. THE HOSPITAL WEBSITE ALSO INLCUDES SECTIONS ABOUT THE KRMC POLICY COMBATING SURPRISE BILLS AND A DESCPTION OF HOW TO UNDERSTAND THE BILLING. FURTHER INFORMATION ABOUT ASSISTANCE PROGRAMS AND THE AFFORDABLE CARE ACT ARE INCLUDED ON BILLING STATEMENT FROM KRMC. OTHER FORMS OF COMMUNICATION INLCUDE PUBLIC HEALTH FAIRS AND EDUCATIONAL OPPORTUNITIES, PUBLISHED HEALTHCARE ARTICLES AND POSTINGS ON VARIOUS SOCIAL MEDIA PLATFORMS.
PART VI, LINE 4:	AS A REGIONAL HEALTHCARE FACILITY, KRMC AND ITS CLINICAL PRACTICES PROVIDE HEALTHCARE SERVICES FOR THE COMMUNITIES IN MOHAVE COUNTY, ARIZONA (APPROXIMATELY 13,470 SQUARE MILES). KRMC, WHICH IS LOCATED IN THE CITY OF KINGMAN, ARIZONA (POPULATION OF 35,334 IN 2023), IS THE LARGEST HOSPITAL BETWEEN LAS VEGAS, NEVADA, AND PHOENIX, ARIZONA. OVERALL, THE ESTIMATED POPULATION IN RURAL MOHAVE COUNTY IS 220,816 WITH AN ESTIMATED 16.8 PERSONS PER SQUARE MILE. THE KRMC PAYOR MIX FOR THE MEDICAID AND THE UNINSURED POPULATION IS 21.5% WITH AN ADDITIONAL 55% PERCENT COMING FROM MEDICARE. ACCORDING TO THE CENSUS BUREAU, IN 2024 AN ESTIMATED 16.8% OF THE POPULATION IN MOHAVE COUNTY LIVED AT OR BELOW THE POVERTY LINE, WHICH IS HIGHER THAN THE NATIONAL AVERAGE OF 12.4%. THE MEDIAN INCOME IN 2023 FOR THE COUNTY WAS $55,799, A 4.12% INCREASE FROM 2022-23. EDUCATIONALLY, 88.2% OF PEOPLE 25 OR OLDER ARE HIGH SCHOOL GRADUATES WITH 14.9% HAVING EARNED A BACHELOR'S DEGREE OF HIGHER. IN DECEMBER 2024, THE UNEMPLOYMENT RATE FOR MOHAVE COUNTY WAS 4.2% WHILE THE HIGHEST RATE OF UNEMPLOYMENT IN ARIZONA IS YUMA COUNTY AT 11.9% DURING THE SAME TIME PERIOD. WITHIN MOHAVE COUNTY, THERE ARE THREE OTHER HOSPITALS PROVIDING HEALTHCARE SERVICES TO THE COMMUNITY.
PART VI, LINE 5:	KINGMAN HEALTHCARE, INC. IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES RELATING TO HEALTHCARE IN HOSPITAL DISTRICT #1 OF MOHAVE COUNTY. ITS PRIMARY FUNCTION IS TO OPERATE KINGMAN REGIONAL MEDICAL CENTER (KRMC). KRMC'S BOARD OF DIRECTORS CONSISTS OF 13 MEMBERS HOLDING TERMS OF THREE YEARS. ALL BOARD MEMBERS ARE COMMUNITY-MINDED INDIVIDUALS WHO DO NOT RECEIVE COMPENSATION FOR THEIR SERVICES ON THE KRMC BOARD. ALL EXCESS FUNDS ARE KEPT FOR THE BENEFIT AND DEVELOPMENT OF THE COMMUNITY'S HEALTH SERVICES AS DETERMINED BY OUR LOCAL BOARD. WITH THIS, OUR HOSPITAL AVERAGE INPATIENT CHARGES HAVE REMAINED SIGNIFICANTLY BELOW THE ARIZONA AVERAGE FOR THE SAME TYPES OF PATIENTS. ADDITIONALLY, EXCESS FUNDS ACCUMULATED SINCE KRMC WAS ORGANIZED, HAVE BEEN UTILIZED TO PAY CAMPUS EXPANSION AND IMPROVEMENTS, STATE-OF-THE-INDUSTRY TECHNOLOGY, AND COMPETITIVE SALARIES FOR EMPLOYEES. KRMC CONTINUALLY INVESTS IN ADVANCED MEDICAL TECHNOLOGIES. FROM SPECIALIZED DIAGNOSTIC CAPABILITIES TO ADVANCED TREATMENTS IN CARDIAC CARE AND CANCER, PATIENTS AT KRMC BENEFIT FROM SOME OF THE MOST SOPHISTICATED MEDICAL TECHNOLOGIES IN THE REGION. IN 2007, KRMC RECEIVED THE GOVERNOR'S ARIZONA INNOVATION AWARD IN RECOGNITION FOR ITS INVESTMENT IN TECHNOLOGY AND SERVICES NOT NORMALLY SEEN IN A RURAL COMMUNITY. KRMC IS A MAJOR COMMUNITY PARTNER DEDICATED TO ENHANCING THE OVERALL QUALITY-OF-LIFE IN NORTHWEST ARIZONA. WE OFFER MANY SERVICES AND PROGRAMS TO BENEFIT THE COMMUNITY, ESPECIALLY OUR MOST VULNERABLE CITIZENS - CHILDREN, ELDERLY, THOSE IN ILL HEALTH, AND THOSE IN SOCIO-ECONOMIC DISTRESS. EXAMPLES OF OUR COMMUNITY BUILDING ACTIVITIES INCLUDE:- CONDUCTING PUBLIC HEALTH LECTURES AT THE HOSPITAL AND AT AREA NURSING HOMES AND BUSINESSES (MONTHLY).- CONDUCTING HEALTH FAIRS, WHICH ARE FREE AND OPEN TO THE PUBLIC (8 HEALTH FAIRS PER YEAR).- OFFERING A VARIETY OF FREE SUPPORT GROUPS TO HELP PEOPLE WHO ARE WORKING TO CHANGE A BEHAVIOR OR WHO ARE DEALING WITH A LOSS, CONDITION, OR DISEASE.- SPONSORING PHYSICAL FITNESS PROGRAMS AT COMMUNITY ELEMENTARY SCHOOLS TO HELP KIDS BE ACTIVE, FIT, AND HEALTHY.- PLACING DEFIBULATORS IN OUR COMMUNITY'S HIGH TRAFFIC PUBLIC PLACES TO PROVIDE IMMEDIATE LIFESAVING TREATMENT TO SOMEONE WITH CARDIAC ARREST.- PROVIDING FREE OR LOW COST MAMMOGRAMS TO UNINSURED OR UNDERINSURED WOMEN RESIDING IN THE HOSPITAL DISTRICT OF MOHAVE COUNTY.- PROVIDING SCHOLARSHIPS FOR QUALIFIED INDIVIDUALS WHO CANNOT AFFORD A MEMBERSHIP TO KRMC'S DEL E. WEBB WELLNESS CENTER.- PROVIDING SCHOLARSHIPS TO HELP NURSING STUDENTS WITH THEIR EDUCATIONAL COSTS.- PROVIDING CASH CONTRIBUTIONS, FREE SERVICES, OR OTHER SUPPORT TO OVER 40 LOCAL ORGANIZATIONS THAT SERVE THE NEEDS OF OUR COMMUNITY (E.G, BOYS AND GIRLS CLUB, KINGMAN FOOD BANK, SARAH'S HOUSE, ETC.).- HELPING UNINSURED/UNDERINSURED PATIENTS WITH THEIR HEALTHCARE COSTS THROUGH KRMC'S CHARITY CARE PROGRAM. ADDITIONALLY, KRMC IS ONE OF THE AREA'S LARGEST CONTRIBUTORS TO THE LOCAL ECONOMY. WE EMPLOY OVER 1800 PEOPLE AND DURING THE PAST YEAR SPENT OVER $10,000,000 WITH LOCAL BUSINESSES.

Schedule H (Form 990) 2024

Additional Data

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
KINGMAN HEALTHCARE INC

Employer identification number
94-2916102

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) MSTEPP INC 2730 E ANDY DEVINE AVE KINGMAN,AZ86401	26-2119427	501(C)3	35,000	PROVIDES SOLUTIONS FOR SUBSTANCE ABUSE
(2) KINGMAN AID TO ABUSED PEOPLE 1770 AIRWAY AVE KINGMAN,AZ86401	86-0601113	501(C)3	24,000	PROVIDES SHELTER & ASSISTANCE FOR ABUSED PERSONS IN THE KINGMAN AREA
(3) KINGMAN AREA FOOD BANK 2930 E BUTLER AVE KINGMAN,AZ86409	86-0503686	501(C)3	18,000	COMMUNITY FOOD BANK
(4) KATHRYN HEIDENREICH ADULT CENTER INC 1776 AIRWAY AVE KINGMAN,AZ86401	86-0397271	501(C)3	15,000	PROVIDES ASSISTANCE TO THE ELDERLY, TRANSPORTATION TO PHYS. APPTS, MEALS TO HOMEBOUND PERSONS
(5) NORTHERN LIGHTS MINISTRY 1485 NORTHERN AVE KINGMAN,AZ86409	87-3872189	501(C)3	15,000	NORTHERN LIGHTS MINISTRYIN KINGMAN, AZ, IS A COMMUNITY-BASED ORGANIZATION FOCUSED ON PROVIDING, SPIRITUAL GUIDANCE, AND SUPPORT SERVICES TO THE LOCAL COMMUNITY. THEY ARE KNOWN FOR OPERATING A MOBILE UNIT THAT PROVIDES FREE, ESSENTIAL SERVICES, INCLUDING SHOWERS AND LAUNDRY FOR THOSE IN NEED.
(6) KINGMAN CANCER CARE UNIT PO BOX 3014 KINGMAN,AZ86402	86-0753651	501(C)3	13,000	PROVDES ASSISTANCE FOR CANCER PATIENTS IN KINGMAN AREA, TRANSPORTATION, HEALTHCARE EQUIP ETC.
(7) CORNERSTONE MISSION PROJECT INC 3049 SYCAMORE KINGMAN,AZ86401	86-0960036	501(C)3	12,000	PROGRAM TO HELP HOMELESS MEN IN KINGMAN AREA, EDUCATION & JOB SKILLS
(8) KINGMAN CARES 1210 E AMES AVE KINGMAN,AZ86409	84-1832560	501(C)3	10,000	BASIC FOOD, SHELTER AND FOR PEOPLE/FAMILY IN CRISIS
(9) KINGSMEN OF ROUTE 66 INC DBA THE KINGSMEN PO BOX 6211 KINGMAN,AZ86402	86-0763818	501(C)3	10,000	PRESERVING THE WESTERN HERITAGE THAT STIMULATED THE GROWTH AND IDENTITY OF KINGMAN, AZ. SUPPORT OF CIVIC & CHARITABLE INITIATIVES TO PROMOTE KINGMAN, INCLUDING PRODUCTION OF KINGMAN RODEOS.
(10) KINGMANS HEALING HOOVES INC 4390 N GLEN RD KINGMAN,AZ86409	35-2439100	501(C)3	8,500	EAL/EAP, HORSEMANSHIP RIDING LESSONS, AND RIDERS WITH DISABILITIES RIDING LESSONS
(11) ARIZONA YOUTH PARTNERSHIP 7575 W TWIN PEAKS RD 165 TUCSON,AZ85743	86-0669087	501(C)3	6,000	THE YOUTH SERVICES DIVISION FOCUSES ON PROVIDING INFORMATION, RESOURCES AND PROGRAMMING TO YOUTH AND COMMUNITY MEMBERS.
(12) YUCCA COMMUNITY FOOD PANTRY 12349 SOUTH FRONTAGE ROAD/PO BOX 303 YUCCA,AZ86438	38-4139944	501(C)3	6,000	COMMUNITY FOOD BANK

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) Rev. 1-2025

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) EMPLOYEE EDUCATION BENEFITS	51	230,893
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: KHI ACCOUNTING POLICIES AND PROCEDURES ARE FOLLOWED FOR GRANT FUNDS INCLUDING SPECIFIC REQUIREMENTS FOR GRANT PROGRAMS.

Schedule I (Form 990) Rev. 1-2025

Additional Data

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Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

KINGMAN HEALTHCARE INC

Employer identification number

94-2916102

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1KAPLAN JEREMY PHYSICIAN	(i) (ii)	850,203 ------------- 0	334,648 ------------- 0	0 ------------- 0	13,800 ------------- 0	33,762 ------------- 0	1,232,413 ------------- 0	0 ------------- 0
2BRAZE ADAM PHYSICIAN	(i) (ii)	852,037 ------------- 0	6,619 ------------- 0	0 ------------- 0	20,700 ------------- 0	35,126 ------------- 0	914,482 ------------- 0	0 ------------- 0
3NGO THIEN PHYSICIAN	(i) (ii)	476,638 ------------- 0	344,718 ------------- 0	0 ------------- 0	20,700 ------------- 0	33,802 ------------- 0	875,858 ------------- 0	0 ------------- 0
4RIVERA EDGARDO PHYSICIAN	(i) (ii)	608,216 ------------- 0	209,795 ------------- 0	0 ------------- 0	20,700 ------------- 0	35,073 ------------- 0	873,784 ------------- 0	0 ------------- 0
5EVANS HEATH CEO	(i) (ii)	646,455 ------------- 0	164,492 ------------- 0	1,350 ------------- 0	0 ------------- 0	37,872 ------------- 0	850,169 ------------- 0	0 ------------- 0
6OHRI ABHINAV PHYSICIAN	(i) (ii)	615,012 ------------- 0	156,926 ------------- 0	0 ------------- 0	19,950 ------------- 0	12,975 ------------- 0	804,863 ------------- 0	0 ------------- 0
7HOFFMAN JOSHUA CFO	(i) (ii)	306,375 ------------- 0	79,547 ------------- 0	636 ------------- 0	10,350 ------------- 0	36,481 ------------- 0	433,389 ------------- 0	0 ------------- 0
8SCHOTT DAVID CAO	(i) (ii)	331,943 ------------- 0	78,911 ------------- 0	668 ------------- 0	5,965 ------------- 0	13,787 ------------- 0	431,274 ------------- 0	0 ------------- 0
9MARTIN LESLIE CNO	(i) (ii)	315,108 ------------- 0	46,774 ------------- 0	1,609 ------------- 0	20,700 ------------- 0	19,166 ------------- 0	403,357 ------------- 0	0 ------------- 0
10WELLS JAMES FORMER CNO	(i) (ii)	0 ------------- 0	0 ------------- 0	113,961 ------------- 0	0 ------------- 0	0 ------------- 0	113,961 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 4A	ONE INDIVIDUAL REPORTED ON PART VII RECEIVED A SEVERANCE PAYMENT IN 2024. DETAILS OF THE AGREEMENTS ARE AVAILABLE UPON REQUEST.
PART I, LINE 7	STRATEGICALLY IDENTIFIED ROLES WITHIN THE ORGANIZATION ARE ELIGIBLE FOR BONUSES BASED ON THE DISCRETION OF THE BOARD, INCLUDING THE ABILITY TO SET GOALS AND TARGETS FOR THOSE BONUSES.

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

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- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
KINGMAN HEALTHCARE INC

Employer identification number
94-2916102

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY	81-3526584		12-29-2017	20,000,000	CAPITAL PROJECTS		X		X		X
B	ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY	81-3526584		09-28-2021	30,000,000	CAPITAL PROJECTS		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	14,576,896		15,684,759
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	20,000,000		30,000,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	89,500		126,564
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	19,910,500		22,505,036
11 Other spent proceeds .............			7,368,400
12 Other unspent proceeds .............
13 Year of substantial completion .............	2019
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X
16 Has the final allocation of proceeds been made? ..........	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............	0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X
b Exception to rebate? ........		X		X
c No rebate due? .........	X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X

Schedule K (Form 990) (Rev. 1-2025)

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X

Part Ⅴ

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/27/2021 ISSUER NAME: ARIZONA INDUSTRIAL DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/30/2025

Schedule K (Form 990) (Rev. 1-2025)

Additional Data

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Software Version:

- TIN:

Schedule L
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

KINGMAN HEALTHCARE INC

Employer identification number

94-2916102

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No




Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) (Rev. 1-2025)

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) SARAH SCHRITTER	FAMILY MEMBER OF DAN DEL MONACO	199,651	EMPLOYEE PAY		No
(2) FRANCESCO SINOPOLI	FAMILY MEMBER OF JAMES BAKER	186,726	EMPLOYEE PAY		No
(3) MEAGAN FLUMMER	FAMILY MEMBER OF DAN DEL MONACO	152,305	EMPLOYEE PAY		No
(4) AMANDA BAKER	FAMILY MEMBER OF JAMES BAKER	146,443	EMPLOYEE PAY		No
(5) KAREN WATERS	FAMILY MEMBER OF JOSEPH DORNER	116,027	EMPLOYEE PAY		No
(6) KAITLYN DEL MONACO	FAMILY MEMBER OF DAN DEL MONACO	46,065	EMPLOYEE PAY		No
(7) MONOLITH DIAGNOSTICS PC	100% CONTROLLED ENTITY OF BRENT BEDKE, MD AND RYAN SWAPP, MD	2,289,119	PAYMENTS FOR MEDICAL SERVICES		No
(8) LEVELUP HEALTHCARE CONSULTING LLC	100% CONTROLLED ENTITY OF SARA EVANS, FAMILY MEMBER OF HEATH EVANS	107,150	PAYMENTS FOR CONSULTING SERVICES		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

KINGMAN HEALTHCARE INC

Employer identification number

94-2916102

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2	BRENT BEDKE AND RYAN SWAPP HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY A THIRD-PARTY PREPARER WITH A DETAIL REVIEW BEING CONDUCTED BY THE CONTROLLER AND ACCOUNTANT OF THE ORGANIZATION. A FINAL COPY OF THE FORM 990 IS THEN E-MAILED TO THE BOARD OF DIRECTORS BEFORE THE RETURN IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	THE EXECUTIVE ASSISTANT TO THE CEO ANNUALLY DISTRIBUTES THE POLICY DOCUMENTS AND FORMS TO ALL MANAGERS AND BOARD MEMBERS. THE RELATED FORMS CONTAIN WRITTEN EXPLANATIONS BY MANAGERS AND BOARD MEMBERS. IF A POTENTIAL CONFLICT ARISES, THE SITUATION IS THEN REVIEWED BY THE CEO. IF A CONFLICT OF INTEREST COVERED BY THIS POLICY EXISTS, WHETHER OR NOT LISTED ON A DISCLOSURE FORM, THEN THE PERSON INVOLVED WITH THE POTENTIAL CONFLICT OF INTEREST RECUSES THEMSELF FROM VOTING ON THE MATTER.
FORM 990, PART VI, SECTION B, LINE 15	THE CHRO PREPARES A STUDY BASED ON EXTERNAL COMPARISONS OF SIMILAR POSITIONS IN SIMILAR SIZED ORGANIZATIONS IN THE INDUSTRY. THE STUDY IS REVIEWED BY AN INDEPENDENT COMPENSATION COMMITTEE THEN SUBMITTED TO THE EXECUTIVE BOARD FOR FINAL APPROVAL. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION PROCESS ARE KEPT ON FILE. THIS STUDY IS CONDUCTED ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FOR A VALID BUSINESS PURPOSE.
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES AND PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 70,347,215. MANAGEMENT AND GENERAL EXPENSES 6,157,921. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 76,505,136.
FORM 990, PART XI, LINE 9:	OTHER CHANGE 267,709.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

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Software Version:

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SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

KINGMAN HEALTHCARE INC

Employer identification number

94-2916102

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)NORTHWEST ARIZONA REGIONAL INSURANCE 4041 N CENTRAL AVENUE PHOENIX,AZ85012 20-8081486	INSURER	AZ	501(C)(3)	LINE 12A, I	KRMC	Yes
(2)KINGMAN REGIONAL MEDICAL CENTER FOUNDATION 3269 STOCKTON HILL ROAD KINGMAN,AZ86409 74-2388735	COMMUNITY SUPPORT	AZ	501(C)(3)	LINE 7	N/A	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) KX VENTURES 3269 N STOCKTON HILL ROAD KINGMAN,AZ86409 84-3415074	LAND DEVELOPMENT	AZ	N/A	LEASE				No		Yes		85.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) NORTHWESTERN ARIZONA REGIONAL INSURANCE	R	2,441,923	INTERCO AMOUNT
(2) NORTHWESTERN ARIZONA REGIONAL INSURANCE	S	1,000,000	INTERCO AMOUNT

Schedule R (Form 990) (Rev. 1-2025)

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: OUR VISION IS TO BE ONE OF THE KINDEST, HIGHEST QUALITY HEALTH SYSTEMS IN THE COUNTRY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	13
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	8
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	2,445
6	Total number of volunteers (estimate if necessary) .............	6	162
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	6,627,738	7,373,625
9	Program service revenue (Part VIII, line 2g) .........	376,161,190	420,535,743
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	14,396,155	5,223,585
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	9,982,086	429,097
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	407,167,169	433,562,050
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	415,292	403,393
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	192,390,110	188,216,115
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	194,003,067	219,473,883
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	386,808,469	408,093,391
19	Revenue less expenses. Subtract line 18 from line 12.......	20,358,700	25,468,659
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	413,771,141	453,136,948
21	Total liabilities (Part X, line 26).............	80,846,270	86,113,466
22	Net assets or fund balances. Subtract line 21 from line 20.....	332,924,871	367,023,482

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 358,785,832 including grants of $ 403,393 ) (Revenue $ 420,535,743 )
	KINGMAN REGIONAL MEDICAL CENTER (KRMC) IS THE LARGEST HEALTHCARE PROVIDER IN NORTHWEST ARIZONA AND THE ONLY REMAINING NOT-FOR-PROFIT HOSPITAL IN MOHAVE COUNTY, ARIZONA. AS A 235-BED MULTICAMPUS HEALTHCARE SYSTEM, KINGMAN REGIONAL MEDICAL CENTER INCLUDES 1,769 EMPLOYEES, 263 PHYSICIANS/ALLIED HEALTH PROFESSIONALS, AND 162 VOLUNTEERS WHO CARE FOR THE HEALTH NEEDS OF THE COMMUNITY. THE THREE LARGEST PROGRAM SERVICES OF THE ORGANIZATION ARE ACUTE CARE SERVICES, OUTPATIENT PHYSICIAN SERVICES, AND HOME HEALTH SERVICES. WITHIN THESE SERVICE LINES, THE ORGANIZATION OPERATES AN AWARD-WINNING CANCER CENTER, GENERAL SURGERY, PRIMARY AND SPECIALTY CARE SERVICES, INTERVENTIONAL CARDIOLOGY, EMERGENCY MEDICAL AND URGENT CARE SERVICES.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses358,785,832

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) BRAZE ADAM........................................................................ PHYSICIAN	40.00 .......................	X		858,656	0	55,826
(19) OHRI ABHINAV........................................................................ PHYSICIAN	40.00 .......................	X		771,938	0	32,925
(20) RIVERA EDGARDO........................................................................ PHYSICIAN	40.00 .......................	X		818,011	0	55,773
(21) NGO THIEN........................................................................ PHYSICIAN	40.00 .......................	X		821,356	0	54,502
(22) WELLS JAMES........................................................................ FORMER CNO	0.00 .......................		X	113,961	0	0

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	6,542,641	0	390,909

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	7,373,625

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		7,373,625

		Business Code
2a	PATIENT SERVICE REVENUE	622110	402,239,687	402,239,687
b	OTHER OPERATING REV	900099	18,247,532	18,247,532
c	NET ASSETS RELEASED FROM RESTRICT	900099	48,524	48,524
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		420,535,743

3 Investment income (including dividends, interest, and othersimilar amounts) ......			7,617,145			7,617,145
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	344,362
b	Less: rental expenses	6b	38,468
c	Rental income or (loss)	6c	305,894
d	Net rental income or (loss).......			305,894			305,894
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	6,514
b	Less: cost or other basis and sales expenses	7b	0	2,400,074
c	Gain or (loss)	7c	6,514	-2,400,074
d	Net gain or (loss).........			-2,393,560			-2,393,560
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	3,206,320
b	Less: cost of goods sold ..		10b	3,083,117
c	Net income or (loss) from sales of inventory..			123,203			123,203

Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			433,562,050	420,535,743	0	5,652,682

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	172,500	172,500
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	230,893	230,893
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	2,002,286		2,002,286
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	3,243,486	3,127,906	115,580
7	Other salaries and wages........	142,257,995	122,850,774	19,407,221
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,763,602	3,199,062	564,540
9	Other employee benefits .......	27,190,202	23,111,672	4,078,530
10	Payroll taxes ...........	9,758,544	8,294,762	1,463,782
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	45,282		45,282
c	Accounting ...........	307,201		307,201
d	Lobbying ...........	11,358		11,358
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	65,584		65,584
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	76,505,136	70,347,215	6,157,921
12	Advertising and promotion ....	513,454	595	512,859
13	Office expenses .......	4,181,825	3,227,894	953,931
14	Information technology ......	13,659,269	9,274,557	4,384,712
15	Royalties ..
16	Occupancy ...........	5,339,562	4,649,251	690,311
17	Travel ............	672,206	551,154	121,052
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	985,792		985,792
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	16,466,019	10,325,917	6,140,102
23	Insurance ...	1,684,703	1,413,431	271,272
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES, SURGI	72,435,470	72,435,470
b	AHCCCS-PROVIDER ASSESSM	21,288,215	21,288,215
c	DUES AND SUBSCRIPTIONS	879,582	549,199	330,383
d	MINOR EQUIP <$2000	230,548	188,964	41,584
e	All other expenses	4,202,677	3,546,401	656,276
25	Total functional expenses. Add lines 1 through 24e	408,093,391	358,785,832	49,307,559	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			40,576,030	1	83,889,927
2	Savings and temporary cash investments .........			90,734,117	2	101,148,665
3	Pledges and grants receivable, net ......			0	3	934,055
4	Accounts receivable, net .............			66,431,258	4	66,667,560
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			8,337,455	8	8,371,641
9	Prepaid expenses and deferred charges ......			6,375,690	9	5,485,309
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	354,478,776
b	Less: accumulated depreciation	10b	232,900,961	130,272,794	10c	121,577,815
11	Investments—publicly traded securities .			28,985,435	11	31,020,813
12	Investments—other securities. See Part IV, line 11 .....			8,245,621	12	0
13	Investments—program-related. See Part IV, line 11 ..			12,920,255	13	13,704,828
14	Intangible assets ...............			718,950	14	575,160
15	Other assets. See Part IV, line 11 ...........			20,173,536	15	19,761,175
16	Total assets. Add lines 1 through 15 (must equal line 33)...			413,771,141	16	453,136,948

17	Accounts payable and accrued expenses .....	26,741,261	17	35,314,539
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	26,120,086	20	19,738,346
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	1,742,841	23	716,118
24	Unsecured notes and loans payable to unrelated third parties ..	12,156,249	24	17,852,989
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	14,085,833	25	12,491,474
26	Total liabilities. Add lines 17 through 25..	80,846,270	26	86,113,466

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	329,985,789	27	363,816,691
28	Net assets with donor restrictions ...........	2,939,082	28	3,206,791
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	332,924,871	32	367,023,482
33	Total liabilities and net assets/fund balances ........	413,771,141	33	453,136,948