2019-04-30T20:23:07-05:00 2017-12-31 HOLTHOUSE CARLIN & VAN TRIGT LLP 3011 TOWNSGATE ROAD SUITE 400 WESTLAKE VILLAGE CA 91361 990 2017-01-01 741393060 KNAPP MEDICAL CENTER % GLORIA MONTALVO KNAP 9569695112 1401 E 8TH STREET - PO BOX 1110 WESLACO TX 78596 MICHAEL HEATHER CFO (PHF) 9569695112 2019-04-30 true Stephanie Wilkinson P01231617 8053748555 174.46.231.234 95206420191205000013 2019-04-30 P 3DE82CF03C4C669F244574ECA69CF31BB07201F8 3DE82CF03C4C669F244574ECA69CF31BB07201F8 2017 2019-02-21 02:37:17Z MIKE SARIAN 1401 E 8TH STREET WESLACO TX 78596 135153789 false X WWW.KNAPPMED.ORG X 1962 TX KNAPP MEDICAL CENTER USHERS IN NEW LIFE, MENDS BROKEN BODIES AND PROVIDES DIGNIFIED END OF LIFE CARE, ALWAYS STRIVING FOR CONSISTENT EXCELLENCE, EVERY PATIENT, EVERY TIME. 4 3 870 231 219683 0 3385224 3395574 154398973 130012805 53608 -2727 1890402 1541319 159728207 134946971 0 0 0 0 54814848 48913418 0 0 0 117154238 91557127 171969086 140470545 -12240879 -5523574 97650399 100850367 71536462 78888772 26113937 21961595 X KNAPP MEDICAL CENTER USHERS IN NEW LIFE, MENDS BROKEN BODIES AND PROVIDES DIGNIFIED END OF LIFE CARE, ALWAYS STRIVING FOR CONSISTENT EXCELLENCE, EVERY PATIENT, EVERY TIME TO SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITY, KNAPP VALUES UNSURPASSED CARE AND CARING, APPROPRIATE CLINICALLY ADVANCED SERVICES, RESPECT AND DIGNITY TOWARD ALL, A TEAMWORK ENVIRONMENT, AND EFFICIENT USE OF RESOURCES. false false 109499296 130914673 KNAPP MEDICAL CENTER IS A NOT-FOR-PROFIT, ACUTE CARE HOSPITAL IN SOUTH TEXAS PROVIDING EXCEPTIONAL HEALTHCARE SERVICES TO RESIDENTS OF THE RIO GRANDE VALLEY. DURING THIS REPORTING PERIOD, KNAPP MEDICAL CENTER HAD 8,703 ADMISSIONS, 36,065 EMERGENCY ROOM VISITS, 1,486 DELIVERIES, AND 39,078 SURGERIES. 109499296 true true false true false false false false false false true true false true true true false true false false false false false false false false true true false false true false false false false false false false true false false false false true true true true false false true 142 0 true 870 true true true false false false false false false false false false X 4 3 false true true false true true true true true false false true true true true true true true true false TX X GLORIA MONTALVO 9569695260 1401 E 8TH STREET WESLACO TX 78596 KAVITHA BHATIA MD DIRECTOR 0.0 10.0 X 0 0 0 EUGENE HERNANDEZ DIRECTOR 0.0 1.0 X 0 0 0 WILLIAM RUH DIRECTOR 0.0 1.0 X 0 0 0 DAVID THORSON DIRECTOR 0.0 1.0 X 0 0 0 ANNA T HINOJOSA CNO 40.0 0.0 X 180938 0 6169 RENE LOPEZ ADMINISTRATOR/CEO 40.0 0.0 X 355888 0 19248 DAVID GLASSBURN CFO (REGIONAL) 12.0 16.0 X 80584 90333 0 DON THOMPSON SECRETARY AND GENERAL COUNSEL 0.0 5.0 X 0 0 0 MICHAEL HEATHER CFO (PHF) 0.0 10.0 X 0 0 0 MIKE SARIAN CHAIR, PRESIDENT AND CEO (PHF) 0.0 10.0 X 0 0 0 DANIEL FARRAY MD CMO 1.0 0.0 X 0 0 0 TROY SCHELL SEC/GEN. COUNSEL (UNTIL 08/17) 0.0 5.0 X 0 0 0 EMMETT CRAIG REGIONAL HR DIRECTOR 40.0 0.0 X 161571 0 13917 CLAUDIA SANDER DIRECTOR - PHARMACY 40.0 0.0 X 174261 0 9758 FOMBIN L FONGU PHARMACIST 40.0 0.0 X 165823 0 0 MADELENE RAMOS RN 40.0 0.0 X 157017 0 10571 RIGOBERTO RIVERA PHARMACIST 40.0 0.0 X 151333 0 15076 1427415 90333 74739 52 false true false MCKESSON TECHNOLOGIES INCRELAY HEA PO BOX 98347 CHICAGO IL 60693 COMPUTER SERVICES 1757211 McKesson Corp 1220 Sentac DRIVE CARROLLTON TX 75006 PHARMACEUTICALS 3479260 Northstar Anesthesia PA 6225 N State Hwy 161 STE 200 IRVING TX 75038 Anesthesia 2158245 PRIME HEALTHCARE MANAGEMENT II INC 3300 E GUASTI ROAD 3RD FLOOR ONTARIO CA 91761 MANAGEMENT 5784831 BIO-MED SERVICES INC 3300 E GUASTI ROAD 3RD FLOOR ONTARIO CA 91761 BIO-MEDICAL SERVICES 1821461 16 X 3395574 3395574 NET PATIENT SERVICE REVENUE 621500 130012805 130012805 130012805 -2727 -2727 0 0 610326 206818 403508 0 403508 403508 0 0 0 0 0 0 0 0 0 0 CAFETERIA/VENDING 900099 496784 496784 REBATES AND REFUND 900099 373621 373621 LAB SERVICES 621500 219683 219683 47723 31463 16260 1137811 134946971 130914673 219683 417041 0 0 0 0 617409 401316 216093 0 33636378 21863646 11772732 516608 335577 181031 11126459 7232212 3894247 3016564 1960836 1055728 5610632 3646911 1963721 89880 58422 31458 0 0 0 0 8902775 5788754 3114021 89654 58275 31379 325926 211852 114074 0 0 0 73865 48012 25853 0 0 0 0 6635806 4344644 2291162 0 1255860 816801 439059 MEDICAL SUPPLIES 15288155 15288155 BAD DEBT EXPENSE 36514952 36514952 MAINTENANCE AND REPAIRS 3043224 1979246 1063978 FOOD EXPENSE 663394 431206 232188 13063004 8518479 4544525 140470545 109499296 30971249 0 3745377 1430255 0 0 0 0 17308963 17257847 0 0 0 0 0 0 2210718 1990674 577975 797343 63030146 20603793 43131304 42426353 0 0 10072188 11443420 0 0 11657672 9718577 8946202 15785898 97650399 100850367 10142710 10245558 0 0 0 0 0 0 0 0 0 0 0 0 74467 60136 61319285 68583078 71536462 78888772 X 16041749 10518175 10072188 11443420 0 0 26113937 21961595 97650399 100850367 X -5523574 1371232 X false true X true false X false false false false false true 1271 false false false 1271 false PART II-B, LINE 1F AMOUNT REPORTED IN PART II-B, LINE 1F REPRESENTS PORTION OF DUES PAID TO TRADE ASSOCIATIONS THAT IS ATTRIBUTABLE TO LOBBYING ACTIVITES. 4271405 4271405 31957291 9558145 22399146 25986745 11045648 14941097 814705 0 814705 42426353 INTEREST IN KMC FOUNDATION 11443420 F 11443420 DUE FROM MEDICARE 2913535 DUE FROM AFFILIATES 1394310 DUE FROM KNAPP MEDICAL GROUP 11472788 DUE FROM MID VALLEY PHYSICIANS 914 DUE FROM MISSION REGIONAL 4351 15785898 0 DUE TO PRIME HEALTHCARE FDN 62403485 OTHER LIABILITIES 4465472 IBNR 1714121 LINE OF CREDIT 0 68583078 X SCHEDULE D, PART X, LINE 2 THE LITERATURE RELATED TO UNCERTAIN TAX POSITIONS PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR ACCOUNTING FOR UNCERTAIN TAX POSITIONS 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. true true true X true X true true true false true true 1000533 1000533 0.00960 8812066 9339178 -527112 0.00510 16847015 10264720 6582295 0.06330 26659614 19603898 7055716 0.06780 47672 47672 0.00050 47672 47672 0.00050 26707286 19603898 7103388 0.06830 true 36514952 9128738 32428112 23651961 8776151 X true true 1 1 KNAPP MEDICAL CENTER 1401 E 8TH STREET WESLACO TX 78593 WWW.KNAPPMED.ORG 000480 X X X KNAPP MEDICAL CENTER 1 false false true X X X X X X X X X 16 true false false true X SEE PART V, PAGE 8 X true 17 true SEE PART V, PAGE 8 false true X 100 350. X X X X X true true X X X true X www.knappmed.org X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5 THE HOSPITAL FACILITY OBTAINED INPUT FROM KEY STAKEHOLDERS (PERSONS WITH KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, COMMUNITY MEMBERS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY OR PERSONS REPRESENTING VULNERABLE POPULATIONS) IN CONDUCTING ITS MOST RECENT CHNA. THIS INPUT WAS INTENDED TO ASCERTAIN OPINIONS AMONG INDIVIDUALS LIKELY TO BE KNOWLEDGEABLE ABOUT THE COMMUNITY AND INFLUENTIAL OVER THE OPINIONS OF OTHERS ABOUT HEALTH CONCERNS IN THE COMMUNITY. ELECTRONIC SURVEYS WERE DISTRIBUTED TO STAKEHOLDERS REPRESENTING HIDALGO COUNTY. STAKEHOLDERS WERE DETERMINED BASED ON: A) THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, B) THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS, OR C) THEIR AFFILIATION WITH LOCAL GOVERNMENT, SCHOOLS, AND INDUSTRY ADDITIONALLY, TELEPHONE INTERVIEWS WERE CONDUCTED WITH FOUR KEY STAKEHOLDERS. A TOTAL OF 16 STAKEHOLDERS PROVIDED INPUT ON THE FOLLOWING ISSUES: - HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE PRIMARY COMMUNITY - UNDERSREVED POPULATIONS AND COMMUNITIES OF NEED - BARRIERS TO IMPROVING HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE COMMUNITY - OPINIONS REGARDING THE IMPORTANT HEALTH ISSUES THAT AFFECT COMMUNITY RESIDENTS AND THE TYPE OF SERVICES THAT ARE IMPORTANT FOR ADDRESSING THESE ISSUES. THE SURVEY CONSISTED OF A SERIES OF 12 QUESTIONS AND THE TELEPHONE INTERVIEWS CONSISTED OF 14 QUESTIONS. THE KEY STAKEHOLDERS WORKED FOR THE FOLLOWING TYPES OF ORGANIZATIONS AND AGENCIES: - KNAPP MEDICAL CENTER - SOCIAL SERVICE AGENCIES AND NONPROFIT ORGANIZATIONS - LOCAL SCHOOL SYSTEMS AND UNIVERSITIES - OTHER MEDICAL PROVIDERS - LOCAL ELECTED OFFICIALS AND GOVERNMENTAL AGENCIES - LOCAL BUSINESSES - PUBLIC HEALTH AGENCIES PART V, SECTION B, LINE 11 Health needs were identified based on information gathered and analyzed through the 2016 CHNA conducted by KNAPP Medical Center. Using findings obtained through the collection of primary and secondary data, the Medical Center completed an analysis of these inputs to identify community health needs. The following data was analyzed to identify health needs for the community: Leading Causes of Death Leading causes of death for the community and the death rates for the leading causes of death for each county within the Medical Centers CHNA community were compared to U.S. adjusted death rates. Causes of death in which the county rate compared unfavorably to the U.S. adjusted death rate resulted in a health need for the Medical Centers CHNA community. Health Outcomes and Factors An analysis of the County Health Rankings health outcomes and factors data was prepared for each county within Knapps CHNA community. County rates and measurements for health behaviors, clinical care, social and economic factors and the physical environment were compared to state benchmarks. County rankings in which the county rate compared unfavorably (by greater than 30% of the national benchmark) resulted in an identified health need. The indicators falling within the least favorable quartile from the Community Health Status Indicators (CHSI) resulted in an identified health need. Primary Data Health needs identified through key informant interviews were included as health needs. Needs for vulnerable populations were separately reported on the analysis in order to facilitate the prioritization process. Health Needs of Vulnerable Populations Health needs of vulnerable populations were included for ranking purposes. THE FOLLOWING HEALTH NEEDS WERE IDENTIFIED AS THE MOST SIGNIFICANT HEALTH NEEDS FOR THE COMMUNITY: - LACK OF PRIMARY CARE PHYSICIANS - POVERTY/CHILDREN IN POVERTY - LACK OF MENTAL HEALTH PROVIDERS - HEALTHY BEHAVIORS/LIFESTYLE CHANGES - ADULT OBESITY - UNINSURED - LIMITED ACCESS TO HEALTH FOODS - HIGH COST OF HEALTH CARE - DIABETES - SAFE/AFFORDABLE HOUSING - PHYSICAL INACTIVITY THESE NEEDS WERE FURTHER REVIEWED AND PRIORITIZED DURING THE PREPARATION OF THE UPDATED IMPLEMENTATION PLAN. PART V, SECTION B, LINES 7A AND 10A https://www.knappmed.org/About-Us/Community-Health-Assessment.aspx 6 KNAPP SURGERY CENTER 1402 E 6TH ST WESLACO TX 78596 AMBULATORY SURGERY CENTER KNAPP MEDICAL GROUP - WESLACO CLINIC 1600 N WESTGATE DR WESLACO TX 78596 CLINIC KNAPP MEDICAL GROUP - ELSA CLINIC 720 E EDINBURG AVE SUITE 100 ELSA TX 78543 CLINIC KNAPP MEDICAL GROUP - DONNA CLINIC 702 E EXPRESSWAY 83 SUITE A-5 DONNA TX 78537 CLINIC KMG GASTROENTEROLOGY PRACTICE 1330 E 6TH STREET SUITE 20 WESLACO TX 78596 PRACTICE KNAPP MEDICAL GROUP WESLACO EAST CLINIC 1401 E 8TH STREET WESLACO TX 78596 CLINIC PART III, LINE 4 The Company's patient accounts receivable are reduced by allowances for contractual adjustments and doubtful accounts. In evaluating the collectability of patient accounts receivable, the Company analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowances for both contractual adjustments and doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of these allowances. For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and co-payment balances due for which third-party coverage exists for part of the bill), the Company records a provision for doubtful accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the expected rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. PART III, LINE 8 THE MEDICAL CENTER USES COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. PART III, LINE 9B CHARITY ACCOUNTS ARE THOSE WHICH HAVE EXHAUSTED THEIR RESOURCES, OR DID NOT QUALIFY FOR THIRD-PARTY ASSISTANCE, AND/OR GUARANTOR DOES NOT HAVE RESOURCES TO PAY THE ACCOUNT. GUARANTOR MUST COMPLETE A MONTHLY BUDGET SHEET; THEY WILL ASSIST TO DETERMINE ELIGIBILITY FOR CHARITY CARE. NEEDS ASSESSMENT THE HEALTH CARE NEEDS OF THE COMMUNITIES SERVED BY KNAPP MEDICAL CENTER ARE ASSESSED IN A VARIETY OF WAYS INCLUDING DIRECT INPUT FROM THE COMMUNITY DURING COMMUNITY EVENTS AND TELEPHONE SURVEYS. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PATIENTS AND/OR FAMILY MEMBERS ARE INFORMED OF THE CHARITY CARE PROGRAM AT TIME OF REGISTRATION VIA THE PATIENT INFORMATION HANDBOOK. THERE ARE SIGNS POSTED IN PATIENT ACCESS AREAS DENOTING THE CHARITY CARE POLICY. ALSO, THE CHARITY CARE POLICY AND GUIDELINES ARE ADVERTISED YEARLY IN LOCAL NEWSPAPERS. COMMUNITY INFORMATION THE PRIMARY SERVICE AREA FOR KNAPP MEDICAL CENTER ENCOMPASSES AN ARRAY OF DIFFERENT TOWNS AND CITIES IN WHAT IS CONSIDERED THE MID-VALLEY AREA. EACH COMMUNITY HAS ITS OWN DISTINCT CULTURE, FINANCIAL AND SOCIO-ECONOMIC DEMOGRAPHICS. IN GENERAL, THE OVERALL AREA IS LOCATED IN EASTERN HIDALGO COUNTY DEEP IN SOUTH TEXAS. THIS AREA IS PREDOMINATELY HISPANIC, WITH A HIGH SPANISH SPEAKING POPULATION, HIGH ILLITERACY RATE, HIGH PREVALENCE OF DIABETES, HIGH BIRTH RATES, AND HIGH UNINSURED AND UNDERINSURED INDIVIDUALS WHO LACK A MEDICAL HOME. COMMUNITY BUILDING ACTIVITIES SINCE KNAPP MEDICAL CENTER IS LOCATED IN A MEDICALLY UNDERSERVED AREA (MUA), IT IS IMPORTANT TO RECRUIT NEEDED PHYSICIANS TO OUR AREA. EMERGENCY RESPONSE IS AN ONGOING EFFORT ON THE PART OF THE HOSPITAL. KNAPP WORKS CLOSELY WITH THE DIRECTOR OF HOMELAND SECURITY FOR THE CITIES OF WESLACO AND DONNA AND PARTNERS WITH OTHER AREA AGENCIES (HIDALGO COUNTY, POLICE, FIRE, EMS, ETC.) TO ENSURE THAT EVERYONE UNDERSTANDS PROCESSES AND PROCEDURES IN THE EVENT OF A REAL COMMUNITY-WIDE EMERGENCY DUE TO A NATURAL DISASTER OR MAN-MADE INCIDENT. KNAPP PARTICIPATED IN THE DARE TO PREPARE DISASTER FAIRS THAT WERE ORGANIZED BY THE HIDALGO COUNTY HEALTH DEPARTMENT. SIX FAIRS WERE HELD THROUGHOUT HIDALGO COUNTY TO EDUCATE COUNTY RESIDENTS ABOUT DISASTER PREPARATION. KNAPP'S SAFETY DEPARTMENT PARTNERED WITH THE WESLACO POLICE DEPARTMENT FOR KNAPP'S TWO ANNUAL FAIRS DISTRIBUTING INFORMATION ON HOME SAFEGUARDS DURING HURRICANES AND HALLOWEEN SAFETY AWARENESS FOR CHILDREN AND ADULTS. KNAPP SERVES AS A DISTRIBUTION AND TRAINING SITE FOR CAR SEATS PROVIDED THROUGH THE SAFE RIDER PROGRAM OF THE DEPARTMENT OF STATE HEALTH SERVICES TO LOW INCOME FAMILIES WHO HAVE A VEHICLE WITH A WORKING SAFETY BELT. ELIGIBLE FAMILIES MUST TAKE A ONE HOUR TRAINING COURSE TO LEARN THE PROPER USE OF THE CAR SEAT TO KEEP THEIR CHILD SAFE. DURING 2017, KNAPP DISTRIBUTED 75 SEATS. KNAPP IS A TRAINING CENTER FOR THE AMERICAN HEART ASSOCATION'S CERTIFICATION PROGRAMS: BASIC LIFE SUPPORT (BLS), ADVANCED CARDIOVASCULAR LIFE SUPPORT (ACLS), AND PEDIATRIC ADVANCED LIFE SUPPORT (PALS), AND IS FULLY ACCREDITED AS A PROVIDER OF CONTINUING MEDICAL EDUCATION (CME) BY THE TEXAS MEDICAL ASSOCIATION. THE KNAPP WELLNESS PROGRAM OFFERS A SERIES OF LOW-COST LAB SCREENINGS THROUGH THE OUTPATIENT DEPARTMENT. THE KNAPP WOMEN'S HEALTH DEPARTMENT COORDINATES AN ANNUAL BREASTFEEDING CONFERENCE FOR LOCAL WIC EDUCATORS AND OTHER CASE MANAGERS AT KNAPP'S CONFERENCE CENTER AND OF COURSE, KNAPP OFFERS BREAST FEEDING EDUCATION THROUGH THE FAMILY BIRTHING CLASSES. THE KNAPP CONFERENCE CENTER IS FREQUENTLY OFFERED FREE TO NUMEROUS GOVERNMENTAL AND NON-PROFIT ORGANIZATIONS WHO NEED A PLACE TO PROVIDE EDUCATION AND SKILLS TRAINING FOR HEALTH PROFESSIONALS AND THE PUBLIC. KNAPP WORKS WITH PLANNED PARENTHOOD ON A PROJECT CALLED "BRAS ENDING CANCER." PROCEEDS FROM THIS FUNDRAISER PROVIDE VOUCHERS FOR INDIGENT WOMEN NEEDING MAMMOGRAMS. FUNDING IS AVAILABLE FOR FOLLOW UP CARE BUT NO FUNDS WERE AVAILABLE FOR SCREENINGS BEFORE THIS PROGRAM BEGAN. PLANNED PARENTHOOD ISSUES THE AVAILABLE VOUCHERS AND PROVIDES FOLLOW UP TO THE SCREENINGS. THE VOLUNTEER PROGRAM IS A LARGE PART OF KNAPP WITH 131 ADULT VOLUNTEERS AND 100 TEENS AGES 15-18 AS JUNIOR VOLUNTEERS. THE JUNIOR VOLUNTEER PROGRAM ALLOWS TEENS TO VOLUNTEER IN SEVERAL AREAS TO EXPLORE CAREER OPTIONS. EACH SUMMER KNAPP CONDUCTS A SAFE SITTER COURSE TO TRAIN 11-15YR OLDS IN SAFE CHILD CARE PROCEDURES INCLUDING CPR. KNAPP IS A MEMBER OF THE WESLACO AREA CHAMBER OF COMMERCE, RIO GRANDE VALLEY PARTNERSHIP, AND MERCEDES CHAMBER OF COMMERCE. THE HOSPITAL PARTICIPATES IN LEADERSHIP MID VALLEY, SPONSORED BY THE WESLACO AREA CHAMBER, SPONSORING A CLASS MEMBER AND PROVIDING ONE OF THE EDUATIONAL SESSIONS ON LOCAL AND NATIONAL HEALTHCARE SERVICES AND ISSUES. KNAPP ALSO HAS PARTICIPATED IN THE TEXAS SCHOLARS PROGRAM WITH STAFF SPEAKING TO EIGHTH GRADERS ENCOURAGING THEM TO STAY IN SCHOOL AND TAKE CHALLENGING COURSES TO BE BETTER PREPARED FOR JOBS UPON GRADUATION. KNAPP EMPLOYEES SERVE ON THE SOUTH TEXAS COMMUNITY COLLEGE RN AND LVN ADVISORY BOARD, THE UNIVERSITY OF TEXAS AT BROWNSVILLE WORKFORCE DEVELOPMENT FOR HEALTHCARE INFORMATION TECHNOLOGY AND REGIONAL EXTENSION CENTERS, THE RIO GRANDE VALLEY HEALTH INFORMATION EXCHANGE BOARD, SOUTH TEXAS COLLEGE RESPIRATORY THERAPY ADVISORY BOARD, TEXAS STATE TECHNICAL INSTITUTE SURGICAL TECHNOLOGY ADVISORY BOARD AND THE HEALTH INFORMATION TECHNOLOGY ADVISORY COMMITTEE. THE HOSPITAL IS AN OBSERVATION AND CLINICAL SITE FOR STUDENTS WHO ARE WORKING TOWARD BECOMING LICENSED VOCATIONAL NURSES, REGISTERED NURSES, NURSE PRACTITIONERS, DIETITIANS, MEDICAL TECHNOLOGISTS (LAB), LAB TECHNICIANS, TRANSCRIPTIONISTS, HEALTH INFORMATION TECHNICIANS, SOCIAL WORKERS, PHARMACISTS, PHARMACY TECHNICIANS, PHYSICIAN ASSISTANTS, PHYSICIANS, RESPIRATORY THERAPISTS, RADIOLOGIC TECHNOLOGISTS, SONOGRAPHERS, SURGICAL TECHNOLOGISTS, MEDICAL OFFICE ASSISTANTS, MEDICAL ASSISTANTS, EMERGENCY MEDICAL TECHNICIANS, PHYSICAL THERAPY ASSISTANTS, PHLEBOTOMY TECHNICIANS, EKG TECHNICIANS, MEDICAL BILLERS, AND OCCUPATIONAL THERAPY ASSISTANTS. SCHOOL AFFILIATION FOR OBSERVATION AND/OR CLINIC ROTATIONS INCLUDE GALVESTON COLLEGE, KAPLAN COLLEGE, HEALTHWEBCE-EMERGENCY MEDICAL TECHNOLOGY, LAREDO COMMUNITY COLLEGE, NIGHTINGALE'S SCHOOL OF NURSING & TECHNOLOGY, RGV CAREERS - AN INSTITUTE FOR HIGHER LEARNING, SOUTH TEXAS COLLEGE, SOUTH TEXAS HIGH SCHOOL FOR HEALTH PROFESSIONS (MED HIGH), SOUTH TEXAS VO-TECH, TEXAS STATE TECHNICAL COLLEGE, UNIVERSITY OF THE INCARNATE WORD FEIK SCHOOL OF PHARMACY, UNIVERSITY OF TEXAS AT AUSTIN, UNIVERSITY OF TEXAS AT BROWNSVILLE, UNIVERSITY OF TEXAS PAN AMERICAN, VALLEY GRANDE INSTITUTE FOR ACADEMIC STUDIES AND WESLACO INDEPENDENT SCHOOL DISTRICT. IN ADDITION, RESIDENTS (ALREADY PHYSICIANS) WHO ARE WITH THE MCALLEN FAMILY PRACTICE RESIDENCY PROGRAM DO A CLINICAL ROTATION AT KNAPP, AND THE CITY OF WESLACO EMS DEPARTMENT PARTICIPATES IN CLINICAL TRAINING PROGRAMS AT KNAPP. AURORA HOUSE IS A LICENSED SPECIAL CARE FACILITY WHICH PROVIDES A RESIDENCE FOR THOSE NEEDING END-OF-LIFE CARE. KNAPP HOSPICE STAFF CARE FOR PATIENTS AND FAMILIES AT AURORA HOUSE AND ALSO MENTOR NURSING STUDENTS FROM SOUTH TEXAS COLLEGE. THE HOSPICE SOCIAL WORKER ALSO IS A PRECEPTOR FOR SOCIAL WORK STUDENTS FROM THE UNIVERSITY OF TEXAS PAN AMERICAN. KNAPP MEDICAL CENTER'S ANNUAL CHRISTMAS TOY DRIVES PROVIDE TOYS AND BLANKETS FOR CHILDREN WHO ARE IN THE CARE OF CHILD PROTECTIVE SERVICES. IN ADDITION, MANY COMMUNITY CHILDREN IN WESLACO WERE PROVIDED A GIFT AS A RESULT OF THE RAMIRO SALAS TOY DRIVE. SANTA GAVE TOYS AND CANDY ALONG TO CHILDREN LIVING IN A LOW-INCOME NEIGHBORHOOD OUTSIDE THE CITY LIMITS. OTHER INFORMATION KNAPP MEDICAL CENTER HAS AN OPEN MEDICAL STAFF. KNAPP OFFERS A STRONG VOLUNTEER PROGRAM FOR TEENS, COLLEGE STUDENTS NEEDING VOLUNTEER SERVICE IN THEIR FIELD OF STUDY AND RETIREES, WHO OFTEN REMARK THAT THEY RECEIVE MORE FROM VOLUNTEERING THAN WHAT THEY GIVE. LIST OF ALL STATES IN WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT: TEXAS PERCENT OF TOTAL EXPENSE BAD DEBT EXPENSE OF $36,514,952 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR THE CALCULATION OF "PERCENT OF TOTAL EXPENSE" IN THIS COLUMN. PART III, LINE 2 THE AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 3 THE AMOUNT REPORTED IN ITEM 3 IS THE ORGANIZATION'S ESTIMATE OF THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE PATIENTS ESTIMATED AT 25% OF LINE 2. AFFILIATED HEALTH CARE SYSTEM ROLES KNAPP MEDICAL CENTER (THE MEDICAL CENTER) OPERATES AN ACUTE CARE HOSPITAL LOCATED IN WESLACO, TEXAS. THE MEDICAL CENTER PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT, EMERGENCY ROOM AND PHYSICIAN SERVICES TO PATIENTS LIVING IN THE MID-RIO GRANDE VALLEY OF SOUTH TEXAS. THE MEDICAL CENTER IS THE SOLE MEMBER OF MID-VALLEY PHYSICIAN'S ASSOCIATION (MVPA), A NONPROFIT ENTITY. ON JULY 1, 2008, THE MEDICAL CENTER PURCHASED THE WESLACO EYE SURGERY CENTER (THE CENTER), A FREESTANDING SURGERY CENTER LOCATED IN WESLACO, TEXAS. THE CENTER PROVIDES AMBULATORY SURGICAL SERVICES TO PATIENTS RESIDING IN WESLACO, TEXAS. IN PRIOR YEARS, APPROXIMATELY 13% OF MEMBERSHIP UNITS WERE OWNED BY AREA PHYSICIANS. DURING 2013, THE MEDICAL CENTER BOUGHT BACK THOSE UNITS AND AS OF 12/31/2013, THE MEDICAL CENTER IS THE SOLE MEMBER OF THE CENTER. IN APRIL 2008, THE MEDICAL CENTER CREATED KNAPP MEDICAL GROUP (THE GROUP), A NONPROFIT ORGANIZATION THAT PROVIDES PHYSICIAN SERVICES. OPERATIONS AT THE GROUP BEGAN IN FEBRUARY 2010. ON 1/1/2013, SOLE MEMBERSHIP OF THE MEDICAL CENTER WAS TRANSFERRED TO PRIME HEALTHCARE FOUNDATION, INC. (PHF). Disclosure pursuant to Revenue Procedure 2015-21: Professional advisors to Prime Healthcare Foundation, Inc., the sole member of the hospital, identified that the hospitals financial assistance policy (FAP) did not contain every provision required under Treasury Regulations Section 1.501(r)-4 and may not have been consistently available on the hospitals website. These issues were identified by auditors on July 21, 2017 and by legal counsel on August 4, 2017. All identified issues were corrected during late 2017 and early 2018 and the updated FAP was adopted by the board on May 2, 2018. The FAP, FAP plain language summary, and financial assistance application (including translations thereof, as applicable) have been posted on the hospital website. In other words, effective as of such 2018 date, the hospital can check all of the boxes in Part V, Line 16(A) through and including Line 16(I). A revised FAP was prepared that meets the requirements of the final regulations. This revised FAP was reviewed and approved by the board of directors of the hospital. The updated FAP has been translated into languages spoken by significant hospital populations. It is widely publicized, including on the hospitals website, in paper form by mail and in key hospital areas such as admissions and emergency room, through inclusion of information in billing statements, and conspicuous signage at the facility. It was also brought to the attention of management that the FAP, Plain Language Summary, and/or application form have at times inadvertently not been posted on the hospitals website. The dates during which this problem existed are not clear. Safeguards have been put in place to communicate with responsible personnel and highlight the importance of web access, and the newly-revised FAP contains an explicit procedural requirement that the policy be posted on the hospitals website. Despite these inadvertent failures, the hospital has at all times had a financial assistance program in effect that is consistent with the intent of Code Section 501(r) and has publicized the availability of charity care and discounted care through a written summary notice provided to all patients (including in languages spoken by significant hospital populations), conspicuous notices posted in the emergency department and admissions office, and notices (including translations) included in billing statements to patients who have not provided proof of insurance. Therefore the hospital does not believe there have been qualifying individuals who were unaware of the program. X X X X X false false false false false false false false false EMMETT CRAIG REGIONAL HR DIRECTOR 155266 0 0 0 6305 0 0 0 13917 0 175488 0 0 0 CLAUDIA SANDER DIRECTOR - PHARMACY 150261 0 0 0 24000 0 0 0 9758 0 184019 0 0 0 FOMBIN L FONGU PHARMACIST 165699 0 0 0 124 0 0 0 0 0 165823 0 0 0 ANNA T HINOJOSA CNO 170327 0 10000 0 611 0 0 0 6169 0 187107 0 0 0 RENE LOPEZ ADMINISTRATOR/CEO 326100 0 20000 0 9788 0 0 0 19248 0 375136 0 0 0 DAVID GLASSBURN CFO (REGIONAL) 78500 88000 2084 2333 0 0 0 0 0 0 80584 90333 0 0 MADELENE RAMOS RN 156744 0 0 0 273 0 0 0 10571 0 167588 0 0 0 RIGOBERTO RIVERA PHARMACIST 151290 0 0 0 43 0 0 0 15076 0 166409 0 0 0 METHODS TO ESTABLISH COMPENSATION OF CEO/EXECUTIVE DIRECTOR PART 1, LINE 3 A RELATED ORGANIZATION USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION: WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY OFFICER COMPENSATION IS ESTABLISHED BY PRIME HEALTHCARE MANAGEMENT II, INC. IN ACCORDANCE WITH A MANAGEMENT AGREEMENT. WRITTEN EMPLOYMENT CONTRACTS ARE FORWARDED TO THE FACILITY ONCE EXECUTED. COMPENSATION SURVEY OR STUDIES ARE UTILIZED. PRIME HEALTHCARE MANAGEMENT IIINC SEE PART V 5784831 MANAGEMENT FEES true BIO-MED SERVICES INC SEE PART V 1821461 BIO-MEDICAL SERVICES false HARLINGEN MEDICAL CENTER SEE PART V 219683 LAB SERVICES false PART IV, LINE (1), COLUMN (B) ENTITY IS OWNED BY A FORMER DIRECTOR AND OFFICER OF THE ORGANIZATION WHO RESIGNED FROM SUCH POSITIONS ON JANUARY 29,2016, AND LATER RESIGNED FROM A NON-VOTING POSITION (CHAIR-EMERITUS) ON OCTOBER 27, 2016. PART IV, LINES (2) AND (3), COLUMN (B) ENTITY IS INDIRECTLY OWNED BY FAMILY MEMBERS OF A FORMER DIRECTOR AND OFFICER OF THE ORGANIZATION WHO RESIGNED FROM SUCH POSITIONS ON JANUARY 29, 2016, AND LATER RESIGNED FROM A NON-VOTING POSITION (CHAIR EMERITUS) ON OCTOBER 27, 2016. ONE SUCH FAMILY MEMBER IS A DIRECTOR OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORMS ARE REVIEWED BY THE ORGANIZATION'S CFO AND OUTSIDE COUNSEL PRIOR TO FILING AND THEN THE RETURNS ARE PROVIDED TO THE BOARD FOR THEIR REVIEW CONTEMPORANEOUSLY WITH THEIR FILING. FORM 990, PART VI, SECTION B, QUESTION 12C THE 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, LINES 15A & 15B A RELATED ORGANIZATION USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION: WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY OFFICER COMPENSATION IS ESTABLISHED BY PRIME HEALTHCARE MANAGEMENT II, INC. IN ACCORDANCE WITH A MANAGEMENT AGREEMENT. WRITTEN EMPLOYMENT CONTRACTS ARE FORWARDED TO THE FACILITY ONCE EXECUTED. COMPENSATION SURVEY OR STUDIES ARE UTILIZED. FORM 990, PART VI, QUESTION 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 CHANGE IN INTEREST IN KCCF $1,371,232 FORM 990, PART VI, SECTION A, LINE 6 ON JANUARY 1, 2013, SOLE CORPORATE CONTROLLING MEMBERSHIP OF THE MEDICAL CENTER WAS TRANSFERRED TO PRIME HEALTHCARE FOUNDATION, INC. (PHF). FORM 990, PART VI, SECTION A, LINE 7A PRIME HEALTHCARE FOUNDATION, INC. (PHF) HAS THE POWER TO APPOINT THE BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B Prime Healthcare Foundation, Inc. (PHF), the sole corporate member, holds certain reserved powers as set forth in the articles of incorporation. PHF has the power to appoint the board members and approve any amendments of the organization's articles or bylaws. FORM 990, PART VI, SECTION A, LINE 3 EFFECTIVE JANUARY 1, 2013, THE ORGANIZATION IS BEING MANAGED BY PRIME HEALTHCARE MANAGEMENT II, INC., AN AFFILIATE OF PRIME HEALTHCARE FOUNDATION, INC. (PHF). FORM 990, PART IV, LINE 20B THE AUDITED FINANCIAL STATEMENTS THAT ARE ATTACHED TO THIS RETURN INCLUDE PRIME HEALTHCARE FOUNDATION INC. AND ITS SUBSIDIARIES, INCLUDING KNAPP MEDICAL CENTER AND KNAPP MEDICAL CENTER ASC, LLC. THE OTHER ENTITIES INCLUDED IN THE AUDITED FINANCIAL STATEMENTS ARE NOT INCLUDED IN THIS RETURN AS THEY ARE SEPARATE ENTITIES FOR TAX PURPOSES THAT FILE THEIR OWN TAX RETURNS. WILDFIRE DISASTER RELIEF EXTENSION DISCLOSURE On November 13, 2018, the Internal Revenue Service announced in CA-2018-13 that victims of wildfires that took place beginning on November 8, 2018 in California may qualify for tax relief. The relief applies to affected taxpayers in certain counties of California. The announcement indicates that it is applicable to tax-exempt organizations that operate on a calendar-year basis and had previously been granted an automatic extension to file until November 15, 2018. Since the organization engages a tax preparer in the covered disaster area (Ventura county) to prepare its Federal Form 990, Return of Organization Exempt from Income Tax, and the records necessary to file the calendar-year 2017 Federal Form 990 are located in the covered disaster area, the postponed due date for the Federal Form 990 is now April 30, 2019. The organization respectfully requests relief from any late filing penalty or interest. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION'S CERTIFICATE OF FORMATION WAS AMENDED AND RESTATED ON DECEMBER 15, 2017. THE SIGNIFICANT CHANGES TO THE CERTIFICATE OF FORMATION ARE AS FOLLOWS: - THE NAME OF THE SOLE MEMBER WAS UPDATED TO PRIME HEALTHCARE FOUNDATION, INC. TO CORRECT AN ERROR IN THE PREVIOUS CERTIFICATE OF FORMATION. - THE MINIMUM NUMBER OF DIRECTORS WAS REDUCED FROM FIVE TO FOUR. KNAPP MEDICAL CENTER ASC LLC 1401 E 8TH STREET WESLACO TX 78596 262887948 AMBULATORY SU TX -187308 88562 KMC MID-VALLEY PHYSICIANS ASSOCIATION 1401 E 8TH STREET WESLACO TX 78596 742755150 SUPPORT TX 501(C)(3) 11A KMC true KNAPP MEDICAL GROUP 1402 E 8TH ST WESLACO TX 78596 271619835 HEALTHCARE TX 501(C)(3) 3 KMC true PRIME HEALTHCARE FOUNDATION INC 3300 E GUASTI ROAD SUITE 300 ONTARIO CA 91761 208065139 HOSPITAL/MGMT DE 501(C)(3) 3 NA false OHIO VALLEY HOME HEALTH SERVICES INC 425 WEST FIFTH STREET EAST LIVERPOOL OH 43920 341014198 HEALTHCARE OH 501(C)(3) 9 PHF-EAST LIV false CITY HOSPITAL ASSOCIATION 425 WEST FIFTH STREET EAST LIVERPOOL OH 43920 340714583 HOSPITAL OH 501(C)(3) 3 PHF-EAST LIV false CALIFORNIA UNIVERSITY OF SCIENCE AND MED 3300 E GUASTI ROAD SUITE 300 ONTARIO CA 91761 464141445 EDUCATION CA 501(C)(3) 2 PHF false MISSION HOSPITAL INC 900 SOUTH BRYAN ROAD MISSION TX 78572 742206635 HOSPITAL TX 501(C)(3) 3 PHF-MISSION false MISSION HOSPITAL FOUNDATION 900 SOUTH BRYAN ROAD MISSION TX 78572 542076455 SUPPORT TX 501(C)(3) 11A MISSION HOSP false MISSION DOCTORS GROUP 906 SOUTH BRYAN ROAD STE 209 MISSION TX 78572 742798500 HEALTHCARE TX 501(C)(3) 3 MISSION HOSP false false false false false false false false false false false false false false true true true false false false KNAPP MEDICAL GROUP P 1160542 CASH TRANSFER KNAPP MEDICAL GROUP N 143690 FMV