KNAPP MEDICAL CENTER: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- KNAPP MEDICAL CENTER (EIN 74-1393060)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201723199349319212
- Schema version
- 2016v3.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-15T20:16:45-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLTHOUSE CARLIN & VAN TRIGT LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3011 TOWNSGATE ROAD SUITE 400 | AddressLine1Txt |
| City | WESTLAKE VILLAGE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91361 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 741393060 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KNAPP MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % GLORIA MONTALVO | InCareOfNm |
| Business Name Control | KNAP | BusinessNameControlTxt |
| Phone | 9569695112 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1401 E 8TH STREET - PO BOX 1110 | AddressLine1Txt |
| City | WESLACO | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78596 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL HEATHER | PersonNm |
| Person Title | CFO (PHF) | PersonTitleTxt |
| Signature | 2017-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROBIN M PAULE | PreparerPersonNm |
| PTIN | P00358939 | PTIN |
| Phone | 8053748555 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 172.13.234.0 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 95206420173195000017 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2017-11-15 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | AC144D2C5944885D7D87D465B4329167CD393E1C | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | D0B7512D8211446A79798A7359B3DA21E2768048 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL HEATHER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1401 E 8TH STREET | AddressLine1Txt |
| City | WESLACO | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78596 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $159,728,207 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.KNAPPMED.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1962 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 970 | TotalEmployeeCnt |
| Total Volunteers | 220 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $4,185,469 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,385,224 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $150,381,185 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $154,398,973 | CYProgramServiceRevenueAmt |
| PY Investment Income | $27,938 | PYInvestmentIncomeAmt |
| CY Investment Income | $53,608 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,977,774 | PYOtherRevenueAmt |
| CY Other Revenue | $1,890,402 | CYOtherRevenueAmt |
| PY Total Revenue | $156,572,366 | PYTotalRevenueAmt |
| CY Total Revenue | $159,728,207 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $48,071,642 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $54,814,848 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $114,870,545 | PYOtherExpensesAmt |
| CY Other Expenses | $117,154,238 | CYOtherExpensesAmt |
| PY Total Expenses | $162,942,187 | PYTotalExpensesAmt |
| CY Total Expenses | $171,969,086 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$6,369,821 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$12,240,879 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $141,434,863 | TotalAssetsBOYAmt |
| Total Assets EOY | $97,650,399 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $102,475,222 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $71,536,462 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $38,959,641 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $26,113,937 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $157,327,884 | ExpenseAmt |
| Revenue | $156,289,375 | RevenueAmt |
| Desc | 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 8,523 ADMISSIONS, 35,177 EMERGENCY ROOM VISITS, 1,578 DELIVERIES, AND 4,171 SURGERIES. | Desc |
| Total Program Service Expenses | $157,327,884 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 350 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 970 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | TX | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GLORIA MONTALVO | PersonNm |
| Phone | 9569695260 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1401 E 8TH STREET | AddressLine1Txt |
| City | WESLACO | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78596 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| KAVITHA BHATIA MD | ||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| EUGENE HERNANDEZ | ||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM RUH | ||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| DAVID THORSON | ||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| PREM REDDY MD | ||||||||
| CHAIRMAN/PRESIDENT/CEO | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| TROY SCHELL | ||||||||
| SECRETARY AND GENERAL COUNSEL | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| MICHAEL HEATHER | ||||||||
| CFO (PHF) | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| MIKE SARIAN | ||||||||
| CHAIR, PRESIDENT, AND CEO | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| ANNA T HINOJOSA | ||||||||
| CNO | 40.0 | 0.0 | $181,562 | $0 | $5,675 | Yes (X) | ||
| DINAH L GONZALEZ | ||||||||
| FORMER ADMIN/CFO | 40.0 | 2.0 | $287,774 | $0 | $8,132 | Yes (X) | ||
| RENE LOPEZ | ||||||||
| ADMINISTRATOR/CEO | 40.0 | 0.0 | $278,495 | $0 | $12,585 | Yes (X) | ||
| DAVID GLASSBURN | ||||||||
| CFO (REGIONAL) | 16.0 | 0.0 | $230,797 | $0 | $0 | Yes (X) | ||
| EMMETT CRAIG | ||||||||
| REGIONAL HR DIRECTOR | 40.0 | 0.0 | $168,035 | $0 | $13,917 | Yes (X) | ||
| CLAUDIA SANDER | ||||||||
| DIRECTOR - PHARMACY | 40.0 | 0.0 | $169,350 | $0 | $9,758 | Yes (X) | ||
| MADELENE RAMOS | ||||||||
| RN | 40.0 | 0.0 | $161,323 | $0 | $10,571 | Yes (X) | ||
| CESAR ORTEGA | ||||||||
| PHARMACIST | 40.0 | 0.0 | $155,257 | $0 | $13,917 | Yes (X) | ||
| FOMBIN L FONGU | ||||||||
| PHARMACIST | 40.0 | 0.0 | $155,856 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,788,449 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $74,555 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 57 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (true) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PRIME HEALTHCARE MANAGEMENT II INC | |||||
| 3300 E GUASTI ROAD 3RD FLOOR | ONTARIO | CA | 91761 | MANAGEMENT | $1,273,623 |
| McKesson Corp | |||||
| 1220 Sentac DRIVE | CARROLLTON | TX | 75006 | COMPUTER SERVICES | $4,644,453 |
| Northstar Anesthesia PA | |||||
| 6225 N State Hwy 161 STE 200 | IRVING | TX | 75038 | Anesthesia | $2,307,852 |
| JACOB WHITE CONSTRUCTION COMPANY | |||||
| 2000 W PARKWOOD SUITE 100 | FRIENDSWOOD | TX | 77546 | CONSTRUCTION | $2,512,245 |
| BIO-MED SERVICES INC | |||||
| 3300 E GUASTI ROAD 3RD FLOOR | ONTARIO | CA | 91761 | BIO-MEDICAL SERVICES | $1,706,183 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 76 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| All Other Contributions | $3,385,224 | AllOtherContributionsAmt |
| Total Contributions | $3,385,224 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621500 | $153,841,641 | $153,841,641 |
| RENTAL INCOME | 531390 | $557,332 | $557,332 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $154,398,973 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $53,608 | TotalRevenueColumnAmt |
| Exclusion | $53,608 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CAFETERIA/VENDING | 900099 | $575,236 | $575,236 |
| PURCHASE DISCOUNTS | 900099 | $82,398 | $82,398 |
| EDUCATION SERVICES | 900099 | $49,201 | $49,201 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,183,567 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,183,567 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,890,402 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $159,728,207 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $156,289,375 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $53,608 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $774,223 | TotalAmt |
| Program Services | $658,090 | ProgramServicesAmt |
| Management And General | $116,133 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,545,979 | TotalAmt |
| Program Services | $31,969,172 | ProgramServicesAmt |
| Management And General | $5,576,807 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $347,708 | TotalAmt |
| Program Services | $295,944 | ProgramServicesAmt |
| Management And General | $51,764 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,624,706 | TotalAmt |
| Program Services | $10,744,954 | ProgramServicesAmt |
| Management And General | $1,879,752 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,522,232 | TotalAmt |
| Program Services | $2,999,077 | ProgramServicesAmt |
| Management And General | $523,155 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,773,623 | TotalAmt |
| Program Services | $4,907,580 | ProgramServicesAmt |
| Management And General | $866,043 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $412,675 | TotalAmt |
| Program Services | $350,774 | ProgramServicesAmt |
| Management And General | $61,901 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,706 | TotalAmt |
| Program Services | $146,800 | ProgramServicesAmt |
| Management And General | $25,906 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,032,802 | TotalAmt |
| Program Services | $10,234,443 | ProgramServicesAmt |
| Management And General | $1,798,359 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $335,671 | TotalAmt |
| Program Services | $285,358 | ProgramServicesAmt |
| Management And General | $50,313 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $369,184 | TotalAmt |
| Program Services | $313,950 | ProgramServicesAmt |
| Management And General | $55,234 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,900 | TotalAmt |
| Program Services | $79,815 | ProgramServicesAmt |
| Management And General | $14,085 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,263,112 | TotalAmt |
| Program Services | $1,073,645 | ProgramServicesAmt |
| Management And General | $189,467 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,239,900 | TotalAmt |
| Program Services | $5,317,210 | ProgramServicesAmt |
| Management And General | $922,690 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,920,144 | TotalAmt |
| Program Services | $1,633,115 | ProgramServicesAmt |
| Management And General | $287,029 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $17,083,834 | $17,083,834 | |
| BAD DEBT EXPENSE | $56,386,708 | $56,386,708 | |
| MAINTENANCE AND REPAIRS | $2,294,356 | $1,951,906 | $342,450 |
| FOOD EXPENSE | $979,304 | $832,431 | $146,873 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,796,319 | TotalAmt |
| Program Services | $10,063,078 | ProgramServicesAmt |
| Management And General | $1,733,241 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,969,086 | TotalAmt |
| Program Services | $157,327,884 | ProgramServicesAmt |
| Management And General | $14,641,202 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,394,214 | BOYAmt |
| EOY | $3,745,377 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,602,184 | BOYAmt |
| EOY | $17,308,963 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,014,922 | BOYAmt |
| EOY | $2,210,718 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,941,795 | BOYAmt |
| EOY | $577,975 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $59,037,486 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,906,182 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,042,935 | BOYAmt |
| EOY | $43,131,304 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,624,958 | BOYAmt |
| EOY | $10,072,188 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,596,766 | BOYAmt |
| EOY | $11,657,672 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,217,089 | BOYAmt |
| EOY | $8,946,202 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,434,863 | BOYAmt |
| EOY | $97,650,399 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,048,472 | BOYAmt |
| EOY | $10,142,710 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,371 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,560,261 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $74,467 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,819,118 | BOYAmt |
| EOY | $61,319,285 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,475,222 | BOYAmt |
| EOY | $71,536,462 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,334,683 | BOYAmt |
| EOY | $16,041,749 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,624,958 | BOYAmt |
| EOY | $10,072,188 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,959,641 | BOYAmt |
| EOY | $26,113,937 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,434,863 | BOYAmt |
| EOY | $97,650,399 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$12,240,879 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$604,825 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $6,251 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $6,251 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1F | FormAndLineReferenceDesc |
| Explanation | AMOUNT REPORTED IN PART II-B, LINE 1F REPRESENTS PORTION OF DUES PAID TO TRADE ASSOCIATIONS THAT IS ATTRIBUTABLE TO LOBBYING ACTIVITES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,271,405 | OtherCostOrOtherBasisAmt |
| Book Value | $4,271,405 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,220,728 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,803,920 | DepreciationAmt |
| Book Value | $20,416,808 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,171,563 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,102,262 | DepreciationAmt |
| Book Value | $15,069,301 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,373,790 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $3,373,790 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $43,131,304 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTEREST IN KMC FOUNDATION | Desc |
| Book Value | $10,072,188 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $10,072,188 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM MEDICARE | Desc |
| Book Value | $8,946,202 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $8,946,202 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $56,103,804 |
| INTEREST RATE SWAP AGREEMENT | $0 |
| OTHER LIABILITIES | $3,121,733 |
| INTEREST PAYABLE | $0 |
| IBNR | $2,064,321 |
| LINE OF CREDIT | $29,427 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $61,319,285 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | 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 DERECOGNITION, INTEREST, PENALTIES AND DISCLOSURES REQUIRED. THE COMPANY DOES NOT HAVE ANY ENTITY LEVEL UNCERTAIN TAX POSITIONS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $710,547 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $710,547 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00610 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,244,697 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,296,390 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,948,307 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06010 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,089,431 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,950,699 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,138,732 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02720 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,044,675 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,247,089 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,797,586 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09340 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,776 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,776 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,776 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,776 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,063,451 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,247,089 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,816,362 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09360 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $56,386,708 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $14,096,677 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $30,035,024 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $26,367,927 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $3,667,097 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KNAPP MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1401 E 8TH STREET | AddressLine1Txt |
| City | WESLACO | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78596 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.KNAPPMED.ORG | WebsiteAddressTxt |
| State License | 000480 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KNAPP MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.knappmed.org/About-Us.aspx | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 17 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.knappmed.org/About-Us.aspx | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.KNAPPMED.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 13 | STATE REGULATIONS ARE ALSO USED TO DETERMINE AMOUNTS CHARGED TO PATIENTS. |
| 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 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 |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 copayment 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 2016, KNAPP DISTRIBUTED 71 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 146 ADULT VOLUNTEERS AND 74 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 |
| BILLING AND COLLECTIONS | NEITHER KNAPP MEDICAL CENTER, NOR THIRD PARTIES AUTHORIZED BY KMC, TAKE ANY ACTIONS UPON NON-PAYMENT FROM A PATIENT BEFORE MAKING A REASONABLE EFFORT TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR THE FACILITY'S FINANCIAL ASSISTANCE POLICY. |
| PERCENT OF TOTAL EXPENSE | BAD DEBT EXPENSE OF $56,386,708 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, recently identified that the existing financial assistance policy ("FAP") did not contain every provision required under Treasury Regulations Section 1.501(r)-4 (e.g., excluded providers list) 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. Efforts have been underway since then to prepare a revised systemwide FAP that meets the requirements of the final regulations as well as applicable state laws for the various hospitals across the Foundation health system. This revised FAP will be presented shortly for review and approval by the governing body at the earliest opportunity and will be translated into languages spoken by significant hospital populations. The revised FAP will be 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 application form have inadvertently not been consistently posted on the hospitals website. The dates during which this problem existed are not clear. As of November 15, 2017, this has been corrected and the FAP is posted on the hospitals website. Safeguards have been put in place to communicate with responsible personnel and highlight the importance of web access, and the newly-revised FAP will contain an explicit procedural requirement that the policy be posted on the hospitals website. Despite these inadvertent failures, the hospital has consistently 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EMMETT CRAIG | ||||||||||||||
| REGIONAL HR DIRECTOR | $156,358 | $0 | $5,000 | $0 | $6,677 | $0 | $0 | $0 | $13,917 | $0 | $181,952 | $0 | $0 | $0 |
| CLAUDIA SANDER | ||||||||||||||
| DIRECTOR - PHARMACY | $169,350 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $9,758 | $0 | $179,108 | $0 | $0 | $0 |
| MADELENE RAMOS | ||||||||||||||
| RN | $149,986 | $0 | $10,740 | $0 | $597 | $0 | $0 | $0 | $10,571 | $0 | $171,894 | $0 | $0 | $0 |
| CESAR ORTEGA | ||||||||||||||
| PHARMACIST | $155,257 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $13,917 | $0 | $169,174 | $0 | $0 | $0 |
| FOMBIN L FONGU | ||||||||||||||
| PHARMACIST | $155,856 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $155,856 | $0 | $0 | $0 |
| ANNA T HINOJOSA | ||||||||||||||
| CNO | $164,057 | $0 | $10,000 | $0 | $7,505 | $0 | $0 | $0 | $5,675 | $0 | $187,237 | $0 | $0 | $0 |
| DINAH L GONZALEZ | ||||||||||||||
| FORMER ADMIN/CFO | $272,968 | $0 | $0 | $0 | $14,806 | $0 | $0 | $0 | $8,132 | $0 | $295,906 | $0 | $0 | $0 |
| RENE LOPEZ | ||||||||||||||
| ADMINISTRATOR/CEO | $228,862 | $0 | $38,465 | $0 | $11,168 | $0 | $0 | $0 | $12,585 | $0 | $291,080 | $0 | $0 | $0 |
| DAVID GLASSBURN | ||||||||||||||
| CFO (REGIONAL) | $230,797 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $230,797 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 INC (PHMI) IN ACCORDANCE WITH A MANAGEMENT AGREEMENT WITH KNAPP MEDICAL CENTER. WRITTEN EMPLOYMENT CONTRACTS ARE FORWARDED TO THE FACILITY ONCE EXECUTED. COMPENSATION SURVEY OR STUDIES ARE UTILIZED. |
| UNRELATED ORGANIZATION COMPENSATION: | DAVID GLASSBURN WAS COMPENSATED BY THE UNRELATED ORGANIZATION BELOW: UNRELATED ORGANIZATION NAME: HARLINGEN MEDICAL CENTER ADDRESS: 5501 E EXPRESSWAY 83 HARLINGEN, TEXAS 78550 COMPENSATION TYPE: BASE COMPENSATION COMPENSATION AMOUNT: $230,797 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 INC (PHMI) IN ACCORDANCE WITH A MANAGEMENT AGREEMENT WITH KNAPP MEDICAL CENTER. 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 $ 447,230 CHANGE IN FAIR VALUE SWAP - $ 1,052,055 ------------ OTHER CHANGES TO NET ASSETS - $ 604,825 |
| 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 | THE ORGANIZATION'S GOVERNING BOARD IS AN ADVISORY BOARD THEREFORE THE GOVERNING DECISIONS ARE ULTIMATELY MADE BY PRIME HEALTHCARE FOUNDATION, INC. (PHF) AS THE CORPORATE CONTROLLING MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 3 | EFFECTIVE JANUARY 1, 2013, THE ORGANIZATION IS BEING MANAGED BY PRIME HEALTHCARE MANAGEMENT, 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. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KNAPP MEDICAL CENTER ASC LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1401 E 8TH STREET | AddressLine1Txt |
| City | WESLACO | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78596 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 262887948 | EIN |
| Primary Activities | AMBULATORY SU | PrimaryActivitiesTxt |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Total Income | -$354,858 | TotalIncomeAmt |
| End Of Year Assets | $567,346 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KMC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MID-VALLEY PHYSICIANS ASSOCIATION | ||||||||||
| 1401 E 8TH STREET | WESLACO | TX | 78596 | 742755150 | SUPPORT | TX | 501(C)(3) | 11A | KMC | Yes (true) |
| KNAPP MEDICAL GROUP | ||||||||||
| 1402 E 8TH ST | WESLACO | TX | 78596 | 271619835 | HEALTHCARE | TX | 501(C)(3) | 3 | KMC | Yes (true) |
| PRIME HEALTHCARE FOUNDATION INC | ||||||||||
| 16850 BEAR VALLEY ROAD SUITE 1600 | VICTORVILLE | CA | 92395 | 208065139 | HOSPITAL/MGMT | DE | 501(C)(3) | 3 | NA | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KNAPP MEDICAL GROUP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | P | TransactionTypeTxt |
| Involved | $3,602,885 | InvolvedAmt |
| Method Of Amount Determination | CASH TRANSFER | MethodOfAmountDeterminationTxt |
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