2016-11-14T19:40:18-06:00 2015-12-31 HOLTHOUSE CARLIN & VAN TRIGT LLP 3011 TOWNSGATE ROAD SUITE 400 WESTLAKE VILLAGE CA 91361 990 2015-01-01 741393060 KNAPP MEDICAL CENTER % DAVID GLASSBURN KNAP 9569695112 1401 E 8TH STREET - PO BOX 1110 WESLACO TX 78596 DAVID GLASSBURN CFO 9569695112 2016-11-15 true ROBIN M PAULE P00358939 8053748555 2015 2017-02-10 21:41:12Z DINAH GONZALEZ 1401 E 8TH STREET WESLACO TX 78596 156572366 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. 10 7 985 236 0 3521278 4185469 142807894 150381185 12387 27938 2139235 1977774 148480794 156572366 0 0 0 0 53384139 48071642 0 0 0 92606884 114870545 145991023 162942187 2489771 -6369821 135807365 141434863 89902763 102475222 45904602 38959641 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 148791340 152358959 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 10,345 ADMISSIONS, 35,689 EMERGENCY ROOM VISITS, 1,659 DELIVERIES, AND 3,961 SURGERIES. 148791340 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 true false true true false false false false false false false true false false false true true true true false false true 288 0 true 985 true false false false false false false false false false false X 10 7 false true false false true true true true true false false true true true true true true true true false TX X DAVID GLASSBURN 9569695112 1401 E 8TH STREET WESLACO TX 78596 X WILLIAM D ADAMS REGIONAL CEO/CHAIRMAN 40.0 0.0 X X 343921 0 7779 RONALD BLANCO MD Board Member 1.0 0.0 X 0 0 0 MICHAEL DECANDIA MD Board Member 1.0 1.0 X 0 0 0 RUDY SALINAS Board Member 1.0 0.0 X 0 0 0 MIGUEL TELLO MD Board Member 1.0 41.0 X 0 186768 13917 DINAH L GONZALEZ ADMINISTRATOR/CFO 40.0 2.0 X X 322876 0 10165 ANNA T HINOJOSA CNO 40.0 0.0 X X 177912 0 0 RAMIRO CABALLERO MD BOARD MEMBER 1.0 0.0 X 0 0 0 DANIEL FARRAY MD CMO/Vice Chairman 1.0 0.0 X X 0 0 0 LANCE NEUHUAS BOARD MEMBER 1.0 0.0 X 0 0 0 EMMETT CRAIG REGIONAL HR DIRECTOR 40.0 0.0 X 160757 0 13917 CLAUDIA SANDER DIRECTOR - PHARMACY 40.0 0.0 X 166473 0 9758 MADELENE RAMOS RN 40.0 0.0 X 170150 0 10165 CESAR ORTEGA PHARMACIST 40.0 0.0 X 153671 0 13917 ROGELIO CANTU OR TECH 40.0 0.0 X 162681 0 13917 1658441 186768 93535 60 false true false MCKESSON TECHNOLOGIES INC PO BOX 98347 CHICAGO IL 60693 COMPUTER SERVICES 1589520 HNI MEDICAL SERVICES 75 REMITTANCE DRIVE CHICAGO IL 60675 HOSPITALIST 1426858 McKesson Corp 1220 Sentac DRIVE CARROLLTON TX 75006 PHARMACEUTICALS 4232665 Northstar Anesthesia PA 6225 N State Hwy 161 STE 200 IRVING TX 75038 Anesthesia 1430131 UNITED BLOOD SERVICES PO Box 53022 PHOENIX AZ 85072 Blood Services 1421473 76 X 4185469 435600 4185469 NET PATIENT SERVICE REVENUE 621500 149797863 149797863 RENTAL INCOME 531390 583322 583322 150381185 27938 27938 0 0 0 0 0 0 0 0 0 CAFETERIA/VENDING 900099 554684 554684 PURCHASE DISCOUNTS 900099 78051 78051 EDUCATION SERVICES 900099 86643 86643 1258396 1258396 1977774 156572366 152358959 27938 X 0 0 0 0 862653 733255 129398 0 37102135 31608947 5493188 0 6681406 5690143 991263 3425448 2917547 507901 6050000 5142500 907500 762415 648053 114362 143615 122073 21542 0 0 0 10259697 8735165 1524532 261736 222475 39261 229267 199750 29517 2777376 2360770 416606 0 0 139795 118825 20970 0 0 1819822 1546849 272973 0 5810882 4951396 859486 0 9754208 8304934 1449274 MEDICAL SUPPLIES 18404812 18404812 BAD DEBT EXPENSE 41207986 41207986 MAINTENANCE AND REPAIRS 737561 627366 110195 FOOD REQUISITION 667 567 100 16510706 15247927 1262779 162942187 148791340 14150847 0 X 35955087 33394214 0 0 0 0 16986591 19602184 0 0 0 0 0 0 2953016 3014922 600964 5941795 52658911 11615976 41323649 41042935 0 0 10300380 9624958 0 0 23613208 13596766 4074470 15217089 135807365 141434863 9131751 11048472 0 0 179239 47371 44827332 43560261 0 0 0 0 0 0 0 0 35764441 47819118 89902763 102475222 X 35604222 29334683 10300380 9624958 0 0 45904602 38959641 135807365 141434863 X -6369821 -575140 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 3418 false false false 3418 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 ACTIVITIES. 4271405 4271405 27954008 6010869 21943139 20243013 5605107 14637906 190485 0 190485 41042935 INTEREST IN KMC FOUNDATION 9624958 F 9624958 DUE FROM MEDICARE 5422927 DUE FROM AFFILIATE 9794162 15217089 0 DUE TO AFFILIATES 39227695 INTEREST RATE SWAP AGREEMENT 3796412 OTHER LIABILITIES 2982959 INTEREST PAYABLE 11437 INSURANCE CLAIMS AND RESERVES RECOVERABLE 1800615 47819118 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 DERECOGNITION, 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 1174479 1174479 0.00960 20740870 19147214 1593656 0.01310 5175894 2241995 2933899 0.02410 27091243 21389209 5702034 0.04680 15799 15799 0.00010 15799 15799 0.00010 27107042 21389209 5717833 0.04690 true 41207986 10301996 34285474 30424702 3860772 X true true 1 1 KNAPP MEDICAL CENTER 1401 E 8TH STREET WESLACO TX 78596 WWW.KNAPPMED.ORG X X X KNAPP MEDICAL CENTER 1 false false true X X X X X X X X X 13 true false false true X WWW.KNAPPMED.ORG X true 13 true www.knappmed.org true false true X 100 200. X X X X X true true X X X X true X WWW.KNAPPMED.ORG X X true X false X X X X true X false false PART V, SECTION B, LINE 5 There were 400 completed telephone surveys representing a random sample of individuals 18 and over. Additionally, four focus groups were held in the defined community. The focus groups included meeting with 44 key informants in the community, including physicians, other health professionals, social services providers, employers and other community leaders. PART V, SECTION B, LINE 13 STATE REGULATIONS ARE ALSO USED TO DETERMINE AMOUNTS CHARGED TO PATIENTS. PART V, SECTION B, LINE 11 THE HEALTHCARE 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, TOWNHALL MEETINGS, AND TELEPHONE SURVEYS. 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 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 2015, KNAPP DISTRIBUTED 147 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 163 ADULT VOLUNTEERS AND 73 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 $41,207,986 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. PART I, LINE 7 THE AMOUNTS INCLUDED ON PART I, LINE 7 ARE FOR THE FISCAL YEAR JULY 1, 2014 THROUGH JUNE 30, 2015 BECAUSE THE MEDICAL CENTER'S MEDICARE COST REPORT WAS PREPARED FOR THAT TAX YEAR. THE MEDICAL CENTER RECEIVED APPROVAL TO CHANGE TO CALENDAR YEAR REPORTING FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. A CALENDAR YEAR REPORT WILL BE AVAILABLE FOR 2016. PART III, SECTION B, LINES 5 & 6 THE AMOUNTS INCLUDED ON PART III, SECTION B, LINES 5 & 6 ARE FOR THE FISCAL YEAR JULY 1, 2014 THROUGH JUNE 30, 2015 BECAUSE THE MEDICAL CENTER'S MEDICARE COST REPORT WAS PREPARED FOR THAT TAX YEAR. THE MEDICAL CENTER RECEIVED APPROVAL TO CHANGE TO CALENDAR YEAR REPORTING FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. A CALENDAR YEAR REPORT WILL BE AVAILABLE FOR 2016. 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). MEDICAL CENTER WAS TRANSFERRED TO PRIME HEALTHCARE FOUNDATION, INC. (PHF). X X X X X false false false false false false false false false WILLIAM D ADAMS REGIONAL CEO/CHAIRMAN 316259 0 20000 0 7662 0 0 0 7779 0 351700 0 0 0 MIGUEL TELLO MD Board Member 0 186539 0 0 0 229 0 0 0 13917 0 200685 0 0 DINAH L GONZALEZ ADMINISTRATOR/CFO 274860 0 25000 0 23016 0 0 0 10165 0 333041 0 0 0 EMMETT CRAIG REGIONAL HR DIRECTOR 160525 0 0 0 232 0 0 0 13917 0 174674 0 0 0 CLAUDIA SANDER DIRECTOR - PHARMACY 164632 0 0 0 1841 0 0 0 9758 0 176231 0 0 0 MADELENE RAMOS RN 159537 0 10375 0 238 0 0 0 10165 0 180315 0 0 0 CESAR ORTEGA PHARMACIST 153501 0 0 0 170 0 0 0 13917 0 167588 0 0 0 ANNA T HINOJOSA CNO 156438 0 15000 0 6474 0 0 0 0 0 177912 0 0 0 ROGELIO CANTU OR TECH 162455 0 0 0 226 0 0 0 13917 0 176598 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 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. A WESLACO HEALTH FACILITIES DEVELOPMENT CORP 2008A 740393060 950871BR3 2008-12-04 38310000 CONSTRUCTION, EQUIPMENT, REFUNDING false false false B WESLACO HEALTH FACILITIES DEVELOPMENT CORP 2008B 740393060 950871BS1 2008-12-04 18920000 REFUNDING false false false A 0 0 0 38310000 21638429 0 502558 69013 0 16296072 0 0 2011 true false true true B 0 0 0 19920000 18634651 0 251266 34083 0 0 0 0 2011 false true true true A false false true true false 0 false false false true B false false true true false 0 false false false true A false true false false true true MORGAN KEEGANRAYMON 29.5 false false true TRANSAMERICA LIFE 1.833 true false true B false true false false true true MORGAN KEEGANRAYMON 29.5 false false true TRANSAMERICA LIFE 1.833 true false true A false B false X 1 435600 FMV 0 false false false SCHEDULE M, PART I, COLUMN (B) THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS RECEIVED IN COLUMN(B) OF PART I. 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 INTERNAL ACCOUNTANTS. THEY ARE THEN PLACED IN A BOARD PORTAL FOR FINAL REVIEW BEFORE 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 FAIR VALUE SWAP $ 100,282 CHANGE IN INTEREST IN KCCF - $675,422 ------------ OTHER CHANGES TO NET ASSETS - 575,140 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 IX LINE 24 - OTHER EXPENSES DESCRIPTION:BANK CHARGES TOTAL EXPENSES:83486 PROGRAM SERVICES:70963 MANAGEMENT AND GENERAL:12523 FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:UTILITIES TOTAL EXPENSES:1498918 PROGRAM SERVICES:1294557 MANAGEMENT AND GENERAL:204361 FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:BENEFITS EXPENSE TOTAL EXPENSES:42146 PROGRAM SERVICES:35824 MANAGEMENT AND GENERAL:6322 FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:FREIGHT EXPENSE TOTAL EXPENSES:183965 PROGRAM SERVICES:156370 MANAGEMENT AND GENERAL:27595 FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:AUTO EXPENSE TOTAL EXPENSES:39912 PROGRAM SERVICES:33925 MANAGEMENT AND GENERAL:5987 FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:POSTAGE TOTAL EXPENSES:48512 PROGRAM SERVICES:41235 MANAGEMENT AND GENERAL:7277 FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:RECRUITING EXPENSE TOTAL EXPENSES:168711 PROGRAM SERVICES:143405 MANAGEMENT AND GENERAL:25306 FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:DUES AND SUBSCRIPTION TOTAL EXPENSES:216032 PROGRAM SERVICES:183627 MANAGEMENT AND GENERAL:32405 FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:TAXES TOTAL EXPENSES:5516477 PROGRAM SERVICES:4689641 MANAGEMENT AND GENERAL:826836 FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:TELEPHONE TOTAL EXPENSES:140963 PROGRAM SERVICES:119819 MANAGEMENT AND GENERAL:21144 FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:RENTALS TOTAL EXPENSES:654833 PROGRAM SERVICES:561810 MANAGEMENT AND GENERAL:93023 FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:IMPAIRMENT LOSS ON GOODWILL TOTAL EXPENSES:7916751 PROGRAM SERVICES:7916751 KNAPP MEDICAL CENTER ASC LLC 1401 E 8TH STREET WESLACO TX 78596 262887948 AMBULATORY SU TX -432749 579938 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 16850 BEAR VALLEY ROAD SUITE 1600 VICTORVILLE CA 92395 208065139 MANAGEMENT DE 501(C)(3) 3 NA false false false false false false false false false false false false false false false false true false false false KNAPP MEDICAL GROUP P 2450502 CASH TRANSFER