2026-04-21T14:13:03-05:00 2025-06-30 390859910 BAKER TILLY ADVISORY GROUP LP 5415 E HIGH STREET STE 350 PHOENIX AZ 85054 990 2024-07-01 742388735 KINGMAN REGIONAL MEDICAL CENTER FOUNDATION KING 9287572101 3269 STOCKTON HILL ROAD KINGMAN AZ 86409 LINDA SHORT PRESIDENT 9287572101 2026-04-16 1 1 LAUREN A HAVERLOCK P00545829 4804443424 2024 2025-03-06 01:10:19Z LINDA SHORT 3269 STOCKTON HILL ROAD KINGMAN AZ 86409 333428 0 X AZKRMC.COM X 1985 AZ TO BUILD GOODWILL, ENCOURAGE COMMUNITY SUPPORT, AND PARTNER WITH KINGMAN REGIONAL MEDICAL CENTER TO PROMOTE A HEALTHIER COMMUNITY. 11 10 0 10 0 0 134841 178646 0 0 61270 138231 -11564 -16031 184547 300846 95934 63100 0 0 0 0 0 0 0 26556 37397 122490 100497 62057 200349 2798466 3050967 0 0 2798466 3050967 TO BUILD GOODWILL, ENCOURAGE COMMUNITY SUPPORT, AND PARTNER WITH KINGMAN REGIONAL MEDICAL CENTER TO PROMOTE A HEALTHIER COMMUNITY. 0 0 84290 63100 0 THE KRMC FOUNDATION HAS DONE FUNDRAISING FOR THE JOAN AND DIANA HOSPICE HOUSE AND THE CATCH IT EARLY PROGRAM THROUGH OUR ANNUAL GOLF TOURNAMENT AND HOSPICE 5K RUN. WE HAVE ALSO INSTITUTED SEVERAL SMALLER FUNDRAISERS TO HELP AID OUR CATCH IT EARLY PROGRAM WHICH SUPPORTS OUR COMMUNITY BY OFFERING FREE MAMMOGRAMS TO WOMEN IN AND AROUND OUR SURROUNDING COMMUNITIES. 84290 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 11 10 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 AZ X THE ORGANIZATION 9287572101 3269 STOCKTON HILL ROAD KINGMAN AZ 86409 ANTHONY SANTARELLI BOARD MEMBER 2.00 40.00 X 0 121589 16304 LINDA SHORT PRESIDENT 2.00 0.00 X X 0 0 0 NICK BAKER VICE PRESIDENT 2.00 0.00 X X 0 0 0 KELLY NUESSLE SECRETARY 2.00 0.00 X X 0 0 0 DAWN BRANNIES TREASURER 2.00 0.00 X X 0 0 0 CHRISTOPHER BRADY BOARD MEMBER 2.00 0.00 X 0 0 0 CAROL KING BOARD MEMBER 2.00 0.00 X 0 0 0 DEAN KOALSKA BOARD MEMBER 2.00 0.00 X 0 0 0 BARBARA MERRITT BOARD MEMBER 2.00 0.00 X 0 0 0 KELLY SHUFFLER BOARD MEMBER 2.00 0.00 X 0 0 0 MINDY TERLESKY BOARD MEMBER 2.00 0.00 X 0 0 0 0 121589 16304 0 0 0 0 0 112585 66061 178646 138231 138231 16551 112585 32582 -16031 -16031 300846 0 0 122200 63100 63100 24313 21190 3123 6045 6045 1107 1107 EVENT TABLES-OTHER NPS 5750 5750 VEHICLE REPAIR 182 182 100497 84290 16207 0 179893 242011 2618573 2808956 2798466 3050967 0 0 X 2570646 2792158 227820 258809 2798466 3050967 2798466 3050967 200349 52152 0 X 0 0 0 X 191414 402833 201630 134841 178646 1109364 191414 402833 201630 134841 178646 1109364 117839 991525 25565 49505 58379 81581 138231 353261 1462625 0.67790 0.75440 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2712137 255689 53799 84291 2937334 2531385 252053 36203 107504 2712137 2352309 178691 58379 57994 2531385 1973374 425358 49506 95929 2352309 1879577 150109 25565 81877 1973374 0.91189 0.01639 0.07172 0 0 0 SCHEDULE D, PART V, LINE 4 TEMPORARILY RESTRICTED NET ASSETS ARE THOSE WHOSE USE BY THE FOUNDATION HAS BEEN LIMITED BY DONORS TO A SPECIFIC TIME PERIOD OR PURPOSE. PERMANTELY RESTRICTED NET ASSETS HAVE BEEN RESTRICTED BY DONORS TO BE MAINTAINED BY THE FOUNDATION IN PERPETUITY. THE ENDOWMENT FUNDS HAVE BEEN RESTRICTED FOR PROGRAM SERVICES AND CAPTIAL IMPROVEMENTS. PROGRAM SERVICES INCLUDE HOSPICE SUPPORT, HEALING GARDEN, HOSPICE MEMORIALS, AND FINANCIAL ASSISTANCE. CAPITAL IMPROVEMENTS INCLUDE THE WALL OF FAME, WELLNESS CENTER AND HEALING GARDEN. GOLF TOURNAMENT 45888 35993 9895 3450 6497 149 3059 RACE FOR HOSPICE 32580 30900 1680 1235 978 5021 1 50668 45692 4976 2460 3323 6410 129136 112585 16551 3450 10192 4450 14490 32582 -16031 1 KINGMAN REGIONAL MEDICAL CENTER 3269 STOCKTON HILL ROAD KINGMAN AZ 86409 942916102 501(C)(3) 63100 0 BREAST CANCER AWARENESS, HOSPICE HOME, EMPLOYEE ASSISTANCE, & CARDIAC REHAB 1 0 PART I, LINE 2: ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: FUND USAGE IS PREDETERMINED BY THE BOARD OF DIRECTORS OF KINGMAN REGIONAL MEDICAL CENTER (KRMC) AND KRMC FOUNDATION. THE KRMC FOUNDATION BOARD MONITORS KRMC'S FINANCIAL REPORTS FOR THE APPROPRIATE USES OF THE GRANT FUNDS. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERSHIP OF THE KINGMAN REGIONAL MEDICAL CENTER FOUNDATION SHALL CONSIST OF ALL PERSONS WHO ARE MEMBERS OF KINGMAN HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE CORPORATION ARE THE BOARD OF DIRECTORS, AND THE BOARD OF DIRECTORS ELECT THE BOARD OF DIRECTORS. 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 GIVEN TO THE BOARD OF DIRECTORS TO REVEIW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FOR A VALID BUSINESS PURPOSE. KINGMAN HEALTHCARE INC 3269 STOCKTON HILL ROAD KINGMAN AZ 86409 942916102 HEALTHCARE-HOSPITAL AZ 501(C)(3) LINE 3 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0