2015-11-15T13:10:32-06:00 2014-12-31 HOLTHOUSE CARLIN & VAN TRIGT LLP 3011 TOWNSGATE ROAD SUITE 400 WESTLAKE VILLAGE CA 91361 990 2014-01-01 741393060 KNAPP MEDICAL CENTER % DINAH GONZALEZ KNAP 9569695112 1401 E 8TH STREET - PO BOX 1110 WESLACO TX 78596 DINAH L GONZALEZ CEO & CFO 9569695112 2015-11-13 true ROBIN M PAULE P00358939 8053748555 2014 2016-04-25 22:37:26Z DINAH GONZALEZ 1401 E 8TH STREET WESLACO TX 78596 148480794 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. 7 5 967 159 0 1502810 3521278 68870047 142807894 13894 12387 274834 2139235 70661585 148480794 0 0 0 0 24769914 53384139 0 0 0 45624621 92606884 70394535 145991023 267050 2489771 152377980 135807365 107328508 89902763 45049472 45904602 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 133972402 144947129 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 11,530 ADMISSIONS, 40,968 EMERGENCY ROOM VISITS, 1,836 DELIVERIES, AND 4,237 SURGERIES. 133972402 true true false true false false false false false false true true false false 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 false false false false true true true true false false true 289 0 true 967 true false false false false false false false false false false X 7 5 false true false false true true true true true false false true true true true true true true true false TX X DINAH GONZALEZ 9569695112 1401 E 8TH STREET WESLACO TX 78596 X WILLIAM D ADAMS REGIONAL CEO/CHAIRMAN 40.0 0.0 X X 402599 0 8890 PADMINI BHADRIRAJU 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 1.0 X 0 182572 12757 DINAH L GONZALEZ ADMINISTRATOR/CFO 40.0 2.0 X X 312448 0 8945 ANNA T HINOJOSA CNO 40.0 0.0 X X 157653 0 5667 RAMIRO CABALLERO MD BOARD MEMBER 1.0 0.0 X 0 0 0 DANIEL FARRAY MD BOARD MEMBER 1.0 0.0 X 0 0 0 LANCE NEUHUAS BOARD MEMBER 1.0 0.0 X 0 0 0 EMMETT CRAIG REGIONAL HR DIRECTOR 0.0 0.0 X 158260 0 13917 CLAUDIA SANDER DIRECTOR - PHARMACY 0.0 0.0 X 159087 0 9758 MADELENE RAMOS RN 0.0 0.0 X 170981 0 9758 CESAR ORTEGA PHARMACIST 0.0 0.0 X 150932 0 14519 RIGOBERTO O RIVERA PHARMACIST 0.0 0.0 X 152839 0 13573 1664799 182572 97784 49 false true false Morris Dickson Co LTD PO Box 51367 SHREVEPORT LA 711351367 PHARMACEUTICALS 3399603 MEDLINE INDUSTRIES PO BOX 121080 DALLAS TX 753121080 PHARMACEUTICALS 2525835 McKesson Corp 1220 Sentac DRIVE CARROLLTON TX 75006 Computer Services 1857356 Northstar Anesthesia PA 2000 E Lamar Suite 400 ARLINGTON TX 76006 Anesthesia 1444577 United Blood Services PO Box 53022 PHOENIX AZ 85072 Blood Services 1706427 84 3521278 3521278 NET PATIENT SERVICE REVENUE 621500 142218777 142218777 RENTAL INCOME 531390 589117 589117 142807894 12387 12387 0 0 0 0 0 0 0 0 0 CAFETERIA/VENDING 900099 523770 523770 PURCHASE DISCOUNTS 900099 51580 51580 EDUCATION SERVICES 900099 86848 86848 1477037 1477037 2139235 148480794 144947129 12387 0 0 0 0 896202 761772 134430 0 42031312 35800939 6230373 0 8009487 6853694 1155793 2447138 2080067 367071 6150000 5227500 922500 194172 165046 29126 541 460 81 0 0 0 9818723 9437471 381252 338522 287849 50673 212876 180945 31931 1859608 1580667 278941 0 0 94024 79920 14104 0 0 2007754 1706591 301163 0 5607694 4778697 828997 1071962 911266 160696 MEDICAL SUPPLIES 19537045 19537045 BAD DEBT EXPENSE 37952792 37952792 MAINTENANCE AND REPAIRS 627958 537061 90897 FOOD REQUISITION 3211 2729 482 7130002 6089891 1040111 145991023 133972402 12018621 0 X 33944530 35955087 0 0 0 0 15545543 16986591 0 0 0 0 0 0 3292629 2953016 1126985 600964 49246364 7922715 40407091 41323649 0 0 10203403 10300380 0 0 25574119 23613208 22283680 4074470 152377980 135807365 11487495 9131751 0 0 48121 179239 47208409 44827332 0 0 0 0 408608 0 0 0 48175875 35764441 107328508 89902763 X 35653156 35604222 9396316 10300380 0 0 45049472 45904602 152377980 135807365 X 2489771 -1634641 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 5411 false false false 5411 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. 3835805 3835805 27125323 3821190 23304133 17554125 4101525 13452600 731111 0 731111 41323649 INTEREST IN KMC FOUNDATION 10300380 F 10300380 0 DUE TO AFFILIATES 28924321 INTEREST RATE SWAP AGREEMENT 3896695 OTHER LIABILITIES 2922688 INTEREST PAYABLE 20737 35764441 X SCHEDULE D, PART X, LINE 2 The organization recognizes the tax benefit from uncertain tax positions only if it is more likely than not that the tax positions will be sustained on examination by tax authorities based on the technical merits of the position. The tax benefit is measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. Since no tax liability is disclosed in the footnote above, no liability is included in the organization's financial statements. true true true X true X true true true false true true 930739 930739 0.00860 24110274 20967650 3142624 0.02910 3758419 1626697 2131722 0.01970 28799432 22594347 6205085 0.05740 15532 15532 0.00010 15532 15532 0.00010 28814964 22594347 6220617 0.05750 true 37952792 9488198 37829235 28341104 9488131 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 X true true X X X X true X X 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 MEDICAL CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT ESTIMATED NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE MEDICAL CENTER PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION, AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE MEDICAL CENTER BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF tHE ACCOUNT. 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 2014, KNAPP DISTRIBUTED 77 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 MORE THAN 200 ADULT VOLUNTEERS AND 57 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 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 DECEMBER 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 BEGA 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 $37,952,792. 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, 2013 THROUGH JUNE 30, 2014 BECAUSE THE MEDICAL CENTER'S MEDICARE COST REPORT WAS PREPARED FOR THAT TAX YEAR. THE MEDICAL CENTER HAS APPLIED FOR AND IS AWAITING APPROVAL TO CHANGE TO CALENDAR YEAR REPORTING WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. 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, 2013 THROUGH JUNE 30, 2014 BECAUSE THE MEDICAL CENTER'S MEDICARE COST REPORT WAS PREPARED FOR THAT TAX YEAR. THE MEDICAL CENTER HAS APPLIED FOR AND IS AWAITING APPROVAL TO CHANGE TO CALENDAR YEAR REPORTING WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. X X X X X false false false false false false false false false WILLIAM D ADAMS REGIONAL CEO/CHAIRMAN 374409 0 20000 0 8190 0 0 0 8890 0 411489 0 0 0 MIGUEL TELLO MD Board Member 0 171858 0 10424 0 290 0 0 0 12757 0 195329 0 0 DINAH L GONZALEZ ADMINISTRATOR/CFO 249242 0 40000 0 23206 0 0 0 8945 0 321393 0 0 0 EMMETT CRAIG REGIONAL HR DIRECTOR 151801 0 0 0 6459 0 0 0 13917 0 172177 0 0 0 CLAUDIA SANDER DIRECTOR - PHARMACY 157380 0 0 0 1707 0 0 0 9758 0 168845 0 0 0 MADELENE RAMOS RN 170258 0 0 0 723 0 0 0 9758 0 180739 0 0 0 CESAR ORTEGA PHARMACIST 150702 0 0 0 230 0 602 0 13917 0 165451 0 0 0 ANNA T HINOJOSA CNO 141050 0 10000 0 6603 0 128 0 5539 0 163320 0 0 0 RIGOBERTO O RIVERA PHARMACIST 152712 0 0 0 127 0 3815 0 9758 0 166412 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 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 ($1,731,618) CHANGE IN INTEREST IN KCCF $96,977 ------------ OTHER CHANGES TO NET ASSETS ($1,634,641) 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). 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