MID-VALLEY PHYSICIAN ASSOCIATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MID-VALLEY PHYSICIAN ASSOCIATION (EIN 74-2755150)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-15
- IRS object ID
- 201401359349307635
- Schema version
- 2012v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-15T15:00:51-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2800 Post Oak Blvd Ste 3200 | AddressLine1 |
| City | HOUSTON | City |
| State | TX | State |
| ZIP Code | 77056 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 742755150 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MID-VALLEY PHYSICIANS ASSOCIATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % DINAH GONZALEZ CFO | InCareOfName |
| Name Control | MID- | NameControl |
| Phone | 9569695112 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1401 E 8TH STREET | AddressLine1 |
| Address Line2 | PO BOX 1110 Suite | AddressLine2 |
| City | WESLACO | City |
| State | TX | State |
| ZIP Code | 78596 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DINAH L GONZALEZ | Name |
| Title | SECRETARY | Title |
| Phone | 7134994600 | Phone |
| Date Signed | 2014-05-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Amanda Maya | Name |
| Phone | 7134994600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MARIBEL BERNS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1401 3 8TH STREET | AddressLine1 |
| City | WESLACO | City |
| State | TX | State |
| ZIP Code | 78596 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 36132 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1996 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | TO PROMOTE THE GENERAL WELFARE OF THE COMMUNITY BY FACILITATING THE EFFICIENT AND COST EFFECTIVE DELIVERY OF HOSPITAL, PHYSICIAN, AND OTHER HEALTH CARE SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 6 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 10 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 48011 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 36132 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 48011 | TotalRevenuePriorYear |
| Total Revenue Current Year | 36132 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 17574 | OtherExpensePriorYear |
| Other Expenses Current Year | 17545 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 17574 | TotalExpensesPriorYear |
| Total Expenses Current Year | 17545 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 30437 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 18587 | RevenuesLessExpensesCY |
| Total Assets BOY | 303254 | TotalAssetsBOY |
| Total Assets EOY | 200030 | TotalAssetsEOY |
| Total Liabilities BOY | 196360 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 74549 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 106894 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 125481 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROMOTE THE GENERAL WELFARE OF THE COMMUNITY BY FACILITATING THE EFFICIENT AND COST EFFECTIVE DELIVERY OF HOSPITAL, PHYSICIAN, AND OTHER HEALTH CARE SERVICES. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 17545 | Expense |
| Revenue | 36132 | Revenue |
| Description | MID-VALLEY PHYSICIANS ASSOCIATION (MVPA) SECURES MANAGED CARE CONTRACTS WITH PAYORS TO PROVIDE MEDICAL SERVICES TO PAYOR'S ENROLLEES, THROUGH THE MVPA PHYSICIANS. MVPA ALSO RECOGNIZES THE VALUE OF ONGOING EDUCATION AND TRAINING FOR THE MVPA PHYSICIANS AND THEIR OFFICE STAFF AND PROVIDES VARIOUS EDUCATIONAL OPPORTUNITIES TO ACCOMPLISH THIS END. | Description |
| Total Program Service Expense | 17545 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | false | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 3 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 6 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DINAH GONZALEZ CFO | NamePerson |
| Telephone Number | 9569695112 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1401 E 8TH STREET | AddressLine1 |
| City | WESLACO | City |
| State | TX | State |
| ZIP Code | 78596 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (13 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|---|
| MIGUEL TELLO MD | |||||||
| CHAIRMAN | 1.0 | 1.0 | X | X | 0 | 0 | 0 |
| ELLEN EYE MD | |||||||
| VICE CHAIR | 1.0 | 0.0 | X | X | |||
| DANIEL FARRAY MD | |||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||
| OLGA GOMEZ MD | |||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||
| HECTOR AMAYA MD | |||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||
| MARIBEL M BERNS | |||||||
| PRESIDENT | 1.0 | 40.0 | X | X | 0 | 105992 | 13144 |
| ALEJANDRO FUENTES MD | |||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||
| JUAN MANUEL ORTIZ MD | |||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||
| JULIO SAVINION MD | |||||||
| CHAIRMAN | 1.0 | 0.0 | X | X | |||
| PEDRO PENALO MD | |||||||
| VICE-CHAIR | 1.0 | 0.0 | X | X | |||
| ALEJANDRO ARIZMENDI MD | |||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||
| JAMES SUMMERSETT | |||||||
| MEMBER | 1.0 | 3.0 | X | 0 | 668205 | 41829 | |
| DINAH L GONZALEZ | |||||||
| SECRETARY | 1.0 | 41.0 | X | 0 | 237211 | 22743 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1011408 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 77716 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REVENUE | 621500 | 2883 | 2883 |
| MEMBERSHIP DUES | 900099 | 33249 | 33249 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 36132 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 36132 | TotalRevenueColumn |
| Related Or Exempt Function Income | 36132 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1000 | Total |
| Program Services | 1000 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Fundraising | 0 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14046 | Total |
| Program Services | 14046 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1188 | Total |
| Program Services | 1188 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100 | Total |
| Program Services | 100 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1188 | Total |
| Program Services | 1188 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | BAD DEBT EXPENSE | Description |
| Total | 23 | Total |
| Program Services | 23 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17545 | Total |
| Program Services | 17545 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 285802 | BOY |
| EOY | 182601 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23 | BOY |
| EOY | 0 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17429 | BOY |
| EOY | 17429 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 303254 | BOY |
| EOY | 200030 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75370 | BOY |
| EOY | 74359 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 120990 | BOY |
| EOY | 190 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 196360 | BOY |
| EOY | 74549 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 106894 | BOY |
| EOY | 125481 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 106894 | BOY |
| EOY | 125481 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 303254 | BOY |
| EOY | 200030 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 18587 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KNAPP MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 741393060 | EIN |
| Type Of Organization | 0 | TypeOfOrganization |
| Listed In Governing Doc | true | ListedInGoverningDoc |
| Supported Organization Notified | true | SupportedOrganizationNotified |
| Organized In US | true | OrganizedInUS |
| Amount | $17,545 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 17545 | SumOfAmounts |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years | |
| Land | Land | |
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements | |
| Equipment | Equipment | |
| Other Land Buildings | OtherLandBuildings | |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO AFFILIATES | Description |
| Amount | $190 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 190 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 36109 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | -23 | OtherRevenues |
| Revenue Not Rptd F990 | -23 | RevenueNotRptdF990 |
| Revenue Subtotal | 36132 | RevenueSubtotal |
| Total Revenue Per Form990 | 36132 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 17522 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 17522 | ExpensesSubtotal |
| Other Expenses Not Included | 23 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 23 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 17545 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RECONCILIATION FROM AUDITED FINANCIAL STATEMENTS TO FORM 990 | SCHEDULE D, PART XI, LINE 2D | BAD DEBT EXPENSE IN AUDIT REVENUE $ (23) |
| RECONCILIATION OF FORM 990 TO AUDITED FINANCIAL STATEMENTS | SCHEDULE D, PART XII, LINE 4B | BAD DEBT EXPENSE IN AUDIT REVENUE $ 23 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DINAH L GONZALEZ | ||||||||||||||
| SECRETARY | 0 | 194840 | 0 | 0 | 0 | 42371 | 0 | 4154 | 0 | 18589 | 0 | 259954 | 0 | 0 |
| JAMES SUMMERSETT | ||||||||||||||
| MEMBER | 0 | 451210 | 0 | 0 | 0 | 216995 | 0 | 23102 | 0 | 18727 | 0 | 710034 | 0 | 187567 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| METHODS TO ESTABLISH COMPENSATION OF CEO/EXECUTIVE DIRECTOR | PART 1, LINE 3 | A RELATED ORGANIZATION USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION: COMPENSATION COMMITTEE WRITTEN EMPLOYMENT CONTRACT INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OF COMPENSATION COMMITTEE |
| PARTICIPATION IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | SCHEDULE J, PART I, LINE 4B | JAMES SUMMERSETT - VESTED, BUT NOT RECEIVED $1,027,763 OF WHICH $840,196 WAS REPORTED ON FORM 990 IN PREVIOUS YEARS. DINAH GONZALEZ - VESTED, BUT NOT RECEIVED $40,000 OF WHICH NONE WAS REPORTED ON FORM 990 IN PREVIOUS YEARS. |
| INFORMATION REGARDING COMPENSATION INFORMATION | THE INTENT OF THE COMPENSATION INFORMATION IS TO PROVIDE INFORMATION ON THE TOTAL COMPENSATION PACKAGE PROVIDED TO OFFICERS, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES. INCLUDING THE ANNUAL ACCUMULATION OF SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN BENEFITS PROVIDES USEFUL INFORMATION ON THE ANNUAL COMPENSATION PACKAGE. HOWEVER, BECAUSE THE RETIREMENT PLAN BENEFITS VEST AT YEAR-END AND ARE INCLUDED IN FORM W-2, THIS RESULTS IN DUPLICATE REPORTING OF PREVIOUSLY REPORTED RETIREMENT BENEFITS, WHICH DISTORT THE IMPACTED EMPLOYEES' TOTAL COMPENSATION FOR THE YEAR. THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WAS REVIEWED AND APPROVED BY THE BOARD TO PROVIDE ELIGIBLE EMPLOYEES WITH MARKET-COMPETITIVE RETIREMENT BENEFITS AND TO ENHANCE THE RETENTION OF THE EXECUTIVE TEAM THROUGH FUTURE SERVICE VESTING REQUIREMENTS. THIS TYPE OF PLAN IS VERY COMMON AMONG NON-PROFIT HEALTHCARE SYSTEMS. AN EXECUTIVE MUST WORK FOR A SPECIFIED NUMBER OF YEARS BEFORE VESTING IN THE PLAN. PRIOR TO VESTING, THE BENEFITS ARE SUBJECT TO A "SUBSTANTIAL RISK OF FORFEITURE" AND, THOUGH NO AMOUNT IS REPORTED IN FORM W-2 OR RECEIVED BY THE EXECUTIVE, THE FORM 990 REQUIRES DISCLOSURE AS DEFERRED COMPENSATION. ONCE AN EXECUTIVE SATISFIES THE PLAN'S REQUIREMENTS FOR VESTING, THE EXECUTIVE BECOMES "VESTED" AND THE BENEFITS DEFERRED DURING THE PREVIOUS YEARS BECOME FULLY AND IMMEDIATELY TAXABLE IN THE CURRENT YEAR AND REPORTABLE IN THE EXECUTIVE'S FORM W-2. PER IRS INSTRUCTIONS, COMPENSATION IS REPORTED ON THE FORM 990 ACCORDING TO FORM W-2 RULES, THUS DUPLICATING THE REPORTING OF RETIREMENT PLAN BENEFITS. THE PLAN APPLIES WITHHOLDING FOR FEDERAL TAXES ON THE TAXABLE AMOUNT AND REMITS TO THE GOVERNMENT. THE REMAINING AMOUNT IS HELD IN THE PLAN UNTIL THE EXECUTIVE'S RETIREMENT. THE RETIREMENT PLAN BENEFITS ARE STILL SUBJECT TO CREDITOR RISK UNTIL RETIREMENT WHEN THE FUNDS ARE ACTUALLY DISTRIBUTED TO THE EXECUTIVES. THOUGH NO AMOUNTS ARE RECEIVED BY THE EXECUTIVE UNTIL RETIREMENT, THE IRS REQUIRES REPORTING OF THE BENEFITS AT THE TIME THEY ARE DEFERRED AND, AGAIN, AT THE TIME THEY ARE INCLUDED IN THE FORM W-2. THE "OTHER COMPENSATION" DISCLOSED IN COLUMN B (III) IN THE CURRENT YEAR INCLUDES THE VESTED BENEFITS OF SEVERAL YEARS' WORTH OF PREVIOUSLY DEFERRED RETIREMENT BENEFITS IF THE DEFERRED COMPENSATION WAS NOT REPORTED A SECOND TIME, THE REPORTING WOULD BE AS FOLLOWS: NAME: JAMES SUMMERSETT BASE COMPENSATION: 451,210 BONUS AND INCENTIVE PAY: OTHER REPORTABLE COMPENSATION: 29,428 RETIREMENT AND DEFERRED COMPENSATION: 23,102 NONTAXABLE BENEFITS: 18,727 TOTAL COMPENSATION: 522,467 CURRENT YEAR ACCRUAL FOR TAXABLE SERP PLAN, NOT DISTRIBUTED: 187,567 NAME: DINAH GONZALEZ BASE COMPENSATION: 194,840 BONUS AND INCENTIVE PAY: OTHER REPORTABLE COMPENSATION: 2,371 RETIREMENT AND DEFERRED COMPENSATION: 4,154 NONTAXABLE BENEFITS: 18,589 TOTAL COMPENSATION: 219,954 CURRENT YEAR ACCRUAL FOR TAXABLE SERP PLAN, NOT DISTRIBUTED: 40,000 | |
| SUMMARY: | SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN BENEFITS ARE VERY COMMON IN NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS. THESE PLANS NORMALLY ARE STRUCTURED SO THAT EXECUTIVES ARE CREDITED WITH FUNDS WHICH ARE PUT INTO AN ACCOUNT CALLED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE KNAPP PLAN WAS SPECIFICALLY DESIGNED TO BE "MIDDLE MARKET" - NOT ON THE HIGH OR LOW END OF PLANS AT ORGANIZATIONS OF SIMILAR SCOPE AND SIZE. WHEN THESE SERP FUNDS ARE REPORTED ON THE ORGANIZATION'S 990 FORM, THEY ARE DOUBLE REPORTED PER IRS REQUIREMENTS. EACH YEAR FUNDS ARE DEPOSITED IN THE SERP, THEY ARE REPORTED ON THE FORM 990 FOR EACH PARTICIPATING EXECUTIVE AS DEFERRED COMPENSATION. THEN, AT VESTING (AN EMPLOYMENT PERIOD OF AT LEAST FIVE YEARS FOR THE KNAPP PLAN), THE FULL, ACCUMULATED AMOUNT, AS WELL AS ANY INTEREST EARNED, IS REPORTED AS INCOME ON THE W-2, AGAIN ON THE FORM 990 AND IS TAXED AT THAT TIME. THE EXECUTIVES ARE REQUIRED TO PAY OUT OF POCKET FOR TAX LIABILITY NOT COVERED BY THE SERP PLAN. THESE FUNDS ARE NOT ACCESSIBLE BY THE EXECUTIVE UNTIL THEY ARE FULLY VESTED AND THEY HAVE REACHED NORMAL RETIREMENT AGE. DURING THIS TIME, THE EXECUTIVES REMAIN A GENERAL CREDITOR OF THE ORGANIZATION. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DELEGATION OF CONTROL TO A MANAGEMENT COMPANY OR OTHER PERSON | FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION DELEGATES THE CREDENTIALING OF PHYSICIANS TO A CONTRACTED COMPANY. |
| CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990, PART VI, SECTION A, LINE 6 | KNAPP MEDICAL CENTER IS THE SOLE MEMBER OF MID-VALLEY PHYSICIANS ASSOCIATION, INC. |
| MEMBERS OR STOCKHOLDERS WHO CAN ELECT MEMBERS OF THE GOVERNING BODY | FORM 990, PART VI, SECTION A, LINE 7A | THE DIRECTORS ARE ELECTED AT THE ANNUAL MEETING OF THE MEMBERS AND ARE SUBJECT TO APPROVAL BY A MAJORITY VOTE OF THE BOARD WHEN REPLACING A DIRECTOR WHOSE TERM HAS EXPIRED. AN UNEXPECTED VACANCY MAY BE FILLED BY THE BOARD THROUGH A SPECIAL MEETING WITH A MAJORITY VOTE SUBJECT TO APPROVAL BY THE MEMBER. |
| DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY MEMBERS OR STOCKHOLDERS | FORM 990, PART VI, SECTION A, LINE 7B | IN SOME INSTANCES, DECISIONS OF THE BOARD OF DIRECTORS REQUIRE APPROVAL BY THE MEMBER, KNAPP MEDICAL CENTER. |
| PROCESS TO REVIEW THE FORM 990 | FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S INTERNAL ACCOUNTANTS PRIOR TO FILING. |
| PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY | FORM 990, PART VI, SECTIOIN B, LINE 12C | UPON BECOMING AWARE OF A CONFLICT OF INTEREST, THE MATTER IS ADDRESSED BY THE BOARD OF DIRECTORS. |
| GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC | FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| DESCRIBE THE PROCESS USED FOR DETERMINING COMPENSATION OF INDIVIDUALS | FORM 990, PART VI, SECTION B, LINES 15A AND 15B | A RELATED ORGANIZATION USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION: COMPENSATION COMMITTEE WRITTEN EMPLOYMENT CONTRACT INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OF COMPENSATION COMMITTEE |
| MATERIAL DIFFERENCES IN VOTING RIGHTS | FORM 990, PART VI, SECTION A, LINE 1A | NEITHER THE DIRECTORS NOR THE MEMBERS HAVE THE POWER TO VOTE "ON ALL MATTERS" THAT COME BEFORE THE BOARD. THE VOTING RIGHTS FOR THE DIRECTORS AND MEMBERS ARE DISTINCT AND ALL DEPEND ON THE ISSUE AT STAKE. |
| DELEGATION OF MANAGEMENT DUTIES | FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION DELEGATES THE CREDENTIALING OF PHYSICIANS TO A CONTRACTED COMPANY. |
| RETURN COPY PROVIDED TO BOARD PRIOR TO FILING | FORM 990, PART VI, SECTION B, LINE 11A | ALTHOUGH THE ORGANIZATION HAS ANSWERED "NO" TO QUESTION 11A, THE ORGANIZATION WILL BE PROVIDING A COPY OF THE FILED FORM 990 TO THE BOARD SHORTLY AFTER THE RETURN HAS BEEN FILED. |
| OTHER FEES FOR SERVICES | FORM 990, PART IX, LINE 11G | CREDENTIALING FILE MAINTENANCE SERVICES $13,989 OTHER SERVICES $ 57 __________ TOTAL FEES FOR SERVICES $ 14,046 |
| POLICIES | FORM 990, PART VI, SECTION B, LINES 13 & 14 | ALTHOUGH THE ORGANIZATION HAS ANSWERED "NO" TO HAVING A WRITTEN WHISTLEBLOWER POLICY AND WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY, THE ORGANIZATION FOLLOWS THE POLICIES OF THE RELATED ORGANIZATION AND SOLE MEMBER, KNAPP MEDICAL CENTER. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| KNAPP MEDICAL CENTER | ||||||||||
| 1401 E 8TH STREET | WESLACO | TX | 78596 | 741393060 | HOSPITAL | TX | 501(C)(3) | 3 | NA | false |
| KNAPP MEDICAL CENTER FOUNDATION | ||||||||||
| 1401 E 8TH STREET | WESLACO | TX | 78596 | 742213711 | SUPPORT KMC | TX | 501(C)(3) | 11A | KMC | false |
| KNAPP MEDICAL GROUP | ||||||||||
| 1402 E 8TH ST | WESLACO | TX | 78596 | 271619835 | HEALTHCARE | TX | 501(C)(3) | 3 | KMC | false |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KNAPP MEDICAL CENTER ASC LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1401 E 8TH ST | AddressLine1 |
| City | WESLACO | City |
| State | TX | State |
| ZIP Code | 78596 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 262887948 | EIN |
| Primary Activity | AMBULATORY SU | PrimaryActivity |
| Legal Domicile State | TX | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KMC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 0 | ShareOfTotalIncome |
| Share Of EOY Assets | 0 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| Code V | $0 | CodeVAmount |
| General Or Managing Partner | false | GeneralOrManagingPartner |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Comments