BETA

KNAPP MEDICAL GROUP: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
KNAPP MEDICAL GROUP (EIN 27-1619835)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202203199349303930
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-15T12:19:26-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line121700 OXNARD ST STE 300AddressLine1Txt
CityWOODLAND HILLSCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91367ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN271619835EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KNAPP MEDICAL GROUPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKNAPBusinessNameControlTxt
Phone9569695112PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11402 E 8TH STREETAddressLine1Txt
CityWESLACOCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78596ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVE ALEMANPersonNm
Person TitleCFOPersonTitleTxt
Phone9569695112PhoneNum
Signature2022-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSTEVEPersonFirstNm
Person LastALEMANPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAUREN A HAVERLOCKPreparerPersonNm
PTINP00545829PTIN
Phone8185771900PhoneNum
Preparation2022-11-11PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRENE LOPEZPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11402 E 8TH STREETAddressLine1Txt
CityWESLACOCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78596ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$737,506GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.KNAPPCLINIC.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2008FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionTO PROVIDE RESIDENTS WITH ADEQUATE ACCESS TO PRIMARY HEALTH CARE BY EMPLOYING PHYSICIANS AND OPERATING CLINICS IN THE MEDICALLY UNDESERVED AREA OF THE RIO GRANDE VALLEY.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee12TotalEmployeeCnt
Total Volunteers3TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$230,629PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$622,012PYProgramServiceRevenueAmt
CY Program Service Revenue$692,517CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$127PYOtherRevenueAmt
CY Other Revenue$44,989CYOtherRevenueAmt
PY Total Revenue$852,768PYTotalRevenueAmt
CY Total Revenue$737,506CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$826,357PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$609,454CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$528,337PYOtherExpensesAmt
CY Other Expenses$612,950CYOtherExpensesAmt
PY Total Expenses$1,354,694PYTotalExpensesAmt
CY Total Expenses$1,222,404CYTotalExpensesAmt
PY Revenues Less Expenses-$501,926PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$484,898CYRevenuesLessExpensesAmt
Total Assets BOY$270,473TotalAssetsBOYAmt
Total Assets EOY$382,268TotalAssetsEOYAmt
Total Liabilities BOY$14,068,353TotalLiabilitiesBOYAmt
Total Liabilities EOY$14,665,046TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$13,797,880NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$14,282,778NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE RESIDENTS WITH ADEQUATE ACCESS TO PRIMARY HEALTH CARE BY EMPLOYING PHYSICIANS AND OPERATING CLINICS IN THE MEDICALLY UNDERSERVED AREA OF THE RIO GRANDE VALLEY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,137,649ExpenseAmt
Revenue$692,517RevenueAmt
DescTO ESTABLISH PRIMARY HEALTHCARE CLINICS IN THE MID VALLEY AREA AND TO PROVIDE PHYSICIAN OUTREACH SERVICES.Desc
Total Program Service Expenses$1,137,649TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document9IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee12EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMICHAEL DAVISPersonNm
Phone9569695112PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11402 E 8TH STREETAddressLine1Txt
CityWESLACOCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78596ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
RENE LOPEZ
CEO/PRESIDENT (REGIONAL)1.0040.00Yes (X)Yes (X)$0$381,026$1,200
MICHAEL DAVIS
CFO (REGIONAL)/SEC./TREAS.1.0041.00Yes (X)Yes (X)$0$213,207$858
DANIEL FARRAY
BOARD MEMBER1.000.00Yes (X)$0$0$0
MICHAEL DECANDIA
BOARD MEMBER1.001.00Yes (X)$0$0$0
CHARLES ZAREMBA
BOARD MEMBER1.001.00Yes (X)$0$0$0
STEVE ALEMAN
CFO1.0017.00Yes (X)$0$0$0
DARIO E NARRO
MEDICAL DOCTOR40.000.00$324,564$0$1,200Yes (X)
MARICELA G HERNANDEZ
MEDICAL DOCTOR10.000.00$104,343$0$1,200Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$428,907TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$594,233TotReportableCompRltdOrgAmt
Total Other Compensation$4,458TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT REVENUEDesc
Business621500BusinessCd
Total Revenue Column$692,517TotalRevenueColumnAmt
Related Or Exempt Func Income$692,517RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$692,517TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$44,989TotalRevenueColumnAmt
Exclusion$44,989ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$44,989OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$737,506TotalRevenueColumnAmt
Related Or Exempt Func Income$692,517RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$44,989ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$473,362TotalAmt
Program Services$473,362ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,974TotalAmt
Program Services$1,974ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$99,874TotalAmt
Program Services$99,874ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$34,244TotalAmt
Program Services$34,244ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$289,677TotalAmt
Program Services$289,677ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,167TotalAmt
Management And General$8,167ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,230TotalAmt
Program Services$12,230ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$209,899$209,899
EQUIPMENT RENTALS$33,099$33,099
MEDICAL SUPPLIES$16,389$16,389
UTILITIES$12,461$12,461

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$31,028TotalAmt
Management And General$31,028ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,222,404TotalAmt
Program Services$1,137,649ProgramServicesAmt
Management And General$84,755ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$57,751BOYAmt
EOY$97,346EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$30,447BOYAmt
EOY$112,284EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,519BOYAmt
EOY$2,646EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$11,173BOYAmt
EOY$1,246EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$581,541LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$438,952LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$154,818BOYAmt
EOY$142,589EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$14,765BOYAmt
EOY$26,157EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$270,473BOYAmt
EOY$382,268EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$104,720BOYAmt
EOY$189,628EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,963,633BOYAmt
EOY$14,475,418EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,068,353BOYAmt
EOY$14,665,046EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$13,797,880BOYAmt
EOY-$14,282,778EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$13,797,880BOYAmt
EOY-$14,282,778EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$270,473BOYAmt
EOY$382,268EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$484,898ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$212,214OtherCostOrOtherBasisAmt
Depreciation$82,934DepreciationAmt
Book Value$129,280BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,571OtherCostOrOtherBasisAmt
Depreciation$12,919DepreciationAmt
Book Value$10,652BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$345,756OtherCostOrOtherBasisAmt
Depreciation$343,099DepreciationAmt
Book Value$2,657BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$142,589TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
DEPOSITS-$1,883
DUE FROM AFFILIATES$28,040
FieldValueIRS element (for citing)
Total Book Value Other Assets$26,157TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO AFFILIATES$14,475,417
LEASE PAYABLE$1
FieldValueIRS element (for citing)
Total Liability$14,475,418TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE LITERATURE RELATED TO UNCERTAIN TAX POSITIONS PRESCIRBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR ACCOUNTING FOR UNCERTAIN TAX POSITION AND ALSO PROVIDES GUIDANCE ON VARIOUS RELATED MATTERS SUCH AS DE-RECOGNITION, INTEREST, PENALTIES, AND DISCLOSURES REQUIRED. THE COMPANY DOES NOT HAVE ANY ENTITY-LEVEL UNCERTAIN TAX POSITIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RENE LOPEZ
CEO/PRESIDENT (REGIONAL)$0$337,026$0$35,000$0$9,000$0$1,200$0$0$0$382,226$0$0
DARIO E NARRO
MEDICAL DOCTOR$324,564$0$0$0$0$0$1,200$0$0$0$325,764$0$0$0
MICHAEL DAVIS
CFO (REGIONAL)/SEC./TREAS.$0$193,207$0$20,000$0$0$0$858$0$0$0$214,065$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3A RELATED ORGANIZATION USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION: WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY OFFICER COMPENSATION IS ESTABLISHED BY PRIME HEALTHCARE MANAGEMENT, INC IN ACCORDANCE WITH A MANAGEMENT AGREEMENT WITH KNAPP MEDICAL CENTER WHICH IS THE CONTROLLING MEMBER OF KNAPP MEDICAL GROUP. WRITTEN EMPLOYMENT CONTRACTS ARE FORWARDED TO THE FACILITY ONCE EXECUTED. COMPENSATION SURVEY OR STUDIES ARE UTILIZED.
SCHEDULE J, PART II, ITEM (2)DARIO E. NARRO'S BASE COMPENSATION INCLUDES $120,000 FOR SERVICES PAID TO AN UNRELATED ENTITY, FOR WHICH KNAPP MEDICAL GROUP WAS REIMBURSED.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6KNAPP MEDICAL CENTER IS THE SOLE MEMBER OF KNAPP MEDICAL GROUP.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBER SHALL APPOINT EACH SUCCESSION TO A DIRECTOR WHOSE TERM HAS EXPIRED.
FORM 990, PART VI, SECTION A, LINE 7BACTION RESERVED TO THE MEMBER: THE FOLLOWING MATTERS ARE RESERVED SOLELY TO THE MEMBER AND, FOLLOWING CONSULTATION WITH THE BOARD OF DIRECTORS SHALL REQUIRE THE AFFIRMATIVE ACTION OF THE MEMBER TO BE EFFECTIVE: (A) APPROVAL AND ADOPTION OF ANNUAL OPERATION AND CAPITAL BUDGETS OF THE CORPORATION; (B) ANY FINANCIAL EXPENDITURE WHICH DEVIATES FROM THE CORPORATION'S ANNUAL OPERATION AND CAPITAL BUDGETS IF THE SUM OF SUCH FINANCIAL EXPENDITURE AND THE SUM OF ALL PRIOR FINANCIAL EXPENDITURES WHICH THEMSELVES DEVIATE FROM THE CORPORATION'S ANNUAL AND CAPITAL BUDGETS, PER FISCAL YEAR, EXCEED $5,000,000 (C) THE SALE, LEASE, MORTGAGE, OR OTHER TRANSFER OR ENCUMBRANCE OF THE REAL PROPERTY OF THE CORPORATION; (D) ANY SALE, LEASE, MORTGAGE, OR OTHER TRANSFER OR ENCUMBRANCE (COLLECTIVELY, "TRANSFER") OF THE PERSONAL PROPERTY AND ASSETS OF THE CORPORATION, OUT OF THE ORDINARY COURSE OF BUSINESS OF THE CORPORATION, IF THE SUM OF SUCH TRANSFER AND THE SUM OF ALL PRIOR TRANSFERS, PER FISCAL YEAR, EXCEED $5,000,000 (E) ANY MERGER, ACQUISITION, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION; (F) BORROWING OR LENDING OF MONEY OR THE CREATION OF INDEBTEDNESS THROUGH THE GUARANTY OF ANOTHER'S DEBT OR SIMILAR ACTION; (G) GIVING OR SEEKING OF GRANTS; (H) SETTLEMENT OF CLAIMS OR LITIGATION; (I) APPOINTMENT AND REMOVAL OF DIRECTORS IN ACCORDANCE WITH ARTICLE 3 OF THESE BYLAWS; (J) APPOINTMENT AND REMOVAL OF OFFICERS IN ACCORDANCE WITH ARTICLE 4 OF THESE BYLAWS; (K) CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION; (L) APPROVAL OF ANY STRATEGIC PLAN, BUSINESS PLAN, OR MISSION PLAN OF THE CORPORATION; (M) CONTRACTS IN WHICH THE CORPORATION ASSUMES FINANCIAL RISK, INCLUDING BUT NOT LIMITED TO MANAGED CARE CONTRACTS, AND PHYSICIAN PRACTICE ACQUISITION CONTRACTS; AND (N) APPROVAL AND ADOPTION OF THE SALARIES, COMPENSATION AND OTHER BENEFITS TO BE PAID TO PHYSICIANS EMPLOYED BY THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BBEFORE FILING, FORM 990 IS REVIEWED BY A FOUNDATION'S BOARD MEMBER AND SECRETARY, THEN CIRCULATED TO THE BOARD CONTEMPORANEOUS WITH THE FILING OF THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS MONITORED BY THE REVIEW OF QUESTIONNAIRES THAT OFFICERS, DIRECTORS, AND KEY EMPLOYEES COMPLETE ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15A RELATED ORGANIZATION USES THE FOLLOWING TO ESTABLISH COMPENSATION: WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY OFFICER COMPENSATION IS ESTABLISHED BY PRIME HEALTHCARE MANAGEMENT, INC IN ACCORDANCE WITH A MANAGEMENT AGREEMENT WITH KNAPP MEDICAL CENTER WHICH IS THE CONTROLLING MEMBER OF KNAPP MEDICAL GROUP. WRITTEN EMPLOYMENT CONTRACTS ARE FORWARDED TO THE FACILITY ONCE EXECUTED. COMPENSATION SURVEY OR STUDIES ARE UTILIZED.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GOTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 289,677. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 289,677.
FORM 990, PART VI, SECTION B, LINES 13 AND 14ALTHOUGH THE ORGANIZATION HAS ANSWERED "NO" TO HAVING A WRITTEN WHISTLE BLOWER POLICY AND WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY, THE ORGANIZATION FOLLOWS THE POLICIES OF THE RELATED ORGANIZATION AND SOLE MEMBER, KNAPP MEDICAL CENTER.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
KNAPP MEDICAL CENTER
1401 E 8TH STWESLACOTX78596741393060HOSPITALTX501(C)(3)LINE 3PHF0
MID-VALLEY PHYSICIANS ASSOCIATION
1403 E 8TH STWESLACOTX78596742755150SUPPORTTX501(C)(3)LINE 12A, IKMC0
PRIME HEALTHCARE FOUNDATION INC
3300 E GUASTI ROAD SUITE 300ONTARIOCA91761208065139HOSPITAL/MGMTDE501(C)(3)LINE 30N/A
OHIO VALLEY HOME HEALTH SERVICES INC
425 W FIFTH STREETEAST LIVERPOOLOH43920341014198HEALTHCAREOH501(C)(3)LINE 9PHF-EAS LIV0
CITY HOSPITAL ASSOCIATION
425 W FIFTH STREETEAST LIVERPOOLOH43920340714583HOSPITALOH501(C)(3)LINE 3PHF-EAS LIV0
CALIFORNIA UNIVERSITY OF SCIENCE AND MED
3300 E GUASTI ROAD SUITE 300ONTARIOCA91761464141445EDUCATIONCA501(C)(3)LINE 2PHF0
MISSION HOSPITAL INC
900 SOUTH BRYAN ROADMISSIONTX78572742206635HOSPITALTX501(C)(3)LINE 3PHF-MISSION0
MISSION HOSPITAL FOUNDATION
900 SOUTH BRYAN ROADMISSIONTX78572542076455SUPPORTTX501(C)(3)LINE 12A, IMISSION HOSP0
MISSION DOCTORS GROUP
906 SOUTH BRYAN ROAD SUITE 209MISSIONTX78572742798500HEALTHCARETX501(C)(3)LINE 3MISSION HOSP0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
SIGNATURE PAMPA MEDICAL GROUP
ONE MEDICAL PLAZAPAMPATX79065800458752PHYSICIAN SERVICESTXN/AC0
LANDMARK PHYSICIAN SERVICES
115 CASS AVEWOONSOCKETRI02895205025078PHYSICIAN SERVICESDEN/AC0
LANDMARK PHYSICIAN ASSOCIATES PC
115 CASS AVEWOONSOCKETRI02895050473637INACTIVEDEN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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