2011-05-16T17:23:39-04:00 2010-06-30 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2009-07-01 741393060 KNAPP MEDICAL CENTER KNAP 9569695112 1401 EAST EIGHT ST - PO BOX 1110 WESLACO TX 78596 James A Summersett 2011-05-16 M Paige Gerich 7134994600 2009 2016-02-24 21:20:13Z JAMES A SUMMERSETT III 1401 E 8TH STREET WESLACO TX 78596 168166516 false X WWW.KNAPPMED.ORG X 1962 TX 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. (CONTINUED ON SCHEDULE O) 15 11 1175 195 0 0 391860 184201 127148098 128772979 -6413453 1026497 848343 965754 121974848 130949431 0 0 0 0 50736531 52175004 0 0 0 75259415 75280586 125995946 127455590 -4021098 3493841 149757286 154642833 72411236 73574511 77346050 81068322 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. LOCATED IN WESLACO, KNAPP WORKS HARD TO PROVIDE STATE-OF-THE-ART TECHNOLOGY, PROGRESSIVE DIAGNOSTIC AND TREATMENT OPTIONS, AND PATIENT-FOCUSED CARE. false false 116289131 129738733 KNAPP MEDICAL CENTER PROVIDES NEEDED HOSPITAL SERVICES REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. FOR THE YEAR ENDING JUNE 30, 2010, KNAPP RECORDED 12,340 INPATIENT ADMISSIONS, INCLUDING NEWBORN, 36,063 EMERGENCY DEPARTMENT VISITS, AND 33,690 ADULT/PEDIATRIC AND 3,156 NEWBORN PATIENT DAYS. 116289131 true true false true false false false false false true false true false false false false false false false false true false false true true false true true false false false false false false true false false false false false true false false false true 204 0 true 1175 true true true false false false false 15 11 true false false false false false false true true false false true true true true true true true true false X JAMES A SUMMERSETT III 9569695112 1401 E 8TH ST WESLACO TX 78596 JAMES A SUMMERSETT 40.0 X X 606916 0 250826 NOBLE ALLEN 1.0 X 0 0 0 SANDRA ESQUIVEL MD 1.0 X 117291 0 0 ANABELL C CARDONA 1.0 X 0 0 0 JULIE GUERRA-RAMIREZ 1.0 X X 0 0 0 RODOLFO GUERRERO MD 1.0 X 130000 0 0 JOHN LACKEY 1.0 X X 0 0 0 ARMANDO MARTINEZ 1.0 X 0 0 0 ROBERT MCALLEN 1.0 X 0 0 0 BLANCA MUNOZ 1.0 X X 0 0 0 ALFONSO OCHOA MD 1.0 X 5969 0 0 BERTHA SUAREZ 1.0 X 0 0 0 NORMA MONTALVO 1.0 X 0 0 0 BRIAN HUMPHREYS JR 1.0 X 0 0 0 MICHAEL SANDER 1.0 X 0 0 0 CURTIS F HALEY JR 40.0 X 362575 0 59968 GARY LIGHT 40.0 X 173570 0 48957 RALPH KEITH KING 40.0 X 218299 0 70436 RUBEN GARZA 40.0 X 232743 0 60429 MADONNA COUGHENOUR 40.0 X 192049 0 43944 CESAR ORTEGA 40.0 X 176790 0 37971 CLAUDIA SANDER 40.0 X 174440 0 52551 2390642 0 625082 56 false true false RIO GRANDE VALLEY ER PHYSICIANS PO BOX 8126 WESLACO TX 78599 PHYSICIAN 850281 WACKENHUT CORPORATION PO BOX 277469 ATLANTA GA 303847469 SECURITY 580831 MEDLINE INDUSTRIES PO BOX 121080 DALLAS TX 75312 OR SERVICES 765993 GENERAL ELECTRIC MEDICAL SYSTEMS PO BOX 843553 DALLAS TX 75284 EQUIPMENT SERVICING 508938 NORTHSTAR ANESTHESIA 4916 OVERTON PLAZA FORT WORTH TX 76109 ANESTHESIA 1089845 16 100000 84201 184201 Net Patient Revenue 900099 128205019 128205019 Rental income 531390 567960 567960 128772979 1370787 1370787 0 0 36869795 3000 36919838 297247 -50043 -294247 -344290 -344290 0 0 0 Cafeteria/Vending Income 722210 304055 304055 PURCHASE DISCOUNTS 900099 121349 121349 BAD DEBT RECOVERY 900099 335536 335536 204814 204814 965754 130949431 129738733 1026497 0 0 0 0 1502812 1502812 0 39711452 36416857 3294595 1179646 1051512 128134 6824089 6403524 420565 2957005 2635812 321193 91000 91000 260327 104412 155915 197492 197492 0 0 116186 116186 7406995 6239521 1167474 339786 283166 56620 2296182 2011889 284293 1757569 1757569 0 2286814 2055116 231698 91229 57584 33645 0 0 2082086 1837252 244834 0 8231428 7263490 967938 986686 968010 18676 Medical Supplies 11941204 11935401 5803 FOOD REQUISITIONS 677209 643815 33394 Collection Expenses 725336 725336 Bad Debt Expense 31856692 31856692 Repairs and Maintenance 1892972 1827363 65609 2043393 1881379 162014 127455590 116289131 11166459 0 571999 610185 40528652 64461010 17902030 15667484 1961235 1807519 1086131 1193102 158204492 112540198 47358485 45664294 24978858 11401514 2063477 1766230 10764587 7637685 2541832 4433810 149757286 154642833 10051410 9258609 57599124 56808850 1061564 0 3699138 7507052 72411236 73574511 X 76890073 81068322 455977 77346050 81068322 149757286 154642833 X false true true X false X false false false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 9637 false false false 9637 false 1531979 1531979 65934289 41444351 24489938 2854877 2112809 742068 83877461 68983038 14894423 4005886 0 4005886 45664294 0 Due to Affiliates 185250 Interest Rate Swap Agreement 2774647 Interest Payable 24141 Est Self Insurance Costs 2212176 UPL PAYABLE 2225218 OTHER LIABILITIES 85620 7507052 130949431 127455590 3493841 2038514 630549 2669063 6162904 134499253 2038514 1514784 3553298 130945955 3476 3476 130949431 128336349 884235 884235 127452114 3476 3476 127455590 RECONCILIATION OF NET ASSETS FROM FORM 990 TO AUDITED FINANCIAL STATEMENTS SCH D, PART XI, LINE 8 NET ASSETS RELEASED FROM RESTRICTION 455,977 CHANGE IN FV INTEREST RATE SWAP 174,572 --------- 630,549 RECONCILIATION OF AUDITED FINANCIAL STATEMENTS TO FORM 990 SCH D, PARTS XII AND XIII REVENUE ON BOOKS, NOT RETURN: TAX CONTRACTUAL IN AUDIT EXPENSE 884,235 NET ASSETS RELEASED FROM RESTRICTION 455,977 CHANGE IN FV INTEREST RATE SWAP 174,572 --------- 1,514,784 REVENUE ON RETURN, NOT BOOKS: TAX REVENUE IN AUDIT EXPENSE 476 REAL GAIN IN AUDIT EXPENSES 3,000 -------- 103,476 EXPENSES ON BOOKS, NOT RETURN: TAX CONTRACTUAL IN AUDIT EXPENSE 884,235 EXPENSES ON RETURN, NOT BOOKS: TAX REVENUE IN AUDIT EXPENSE 476 REAL GAIN IN AUDIT EXPENSES 3,000 --------- 3,476 true true true X true X true true true false true true 3204872 3204872 0.03350 21976749 19028723 2948026 0.03080 25181621 19028723 6152898 0.06430 65412 1908 63504 0.00070 2728296 2728296 0.02850 97250 97250 0.00100 2890958 1908 2889050 0.03020 28072579 19030631 9041948 0.09450 1360 19162 0.00020 20522 0.00020 true 8485119 2121280 42683192 37297552 5385640 X true true KMC ASC LLC AMBULATORY SURGERY 0.87000 0.13000 KNAPP MEDICAL CENTER

1401 EIGHT STREET WESLACO TX 78596

X X X 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. AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS AFTER APPLYING THE COST TO CHARGE RATIO. AMOUNT REPORTED IN ITEM 3 ARE THE ORGANIZATION'S ESTIMATE OF THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE PATIENTS ESTIMATED AT 25%. THE MEDICAL CENTER USES COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICAID OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. 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; THIS WILL ASSIST TO DETERMINE ELIGIBILITY FOR CHARITY CARE. 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, AS WELL AS VIA HEALTH ASSESSMENT SURVEYS CONDUCTED DURING THOSE COMMUNITY EVENTS. IN FISCAL YEAR 2009-2010, 1,923 PEOPLE COMPLETED A SURVEY DISTRIBUTED AT 17 DIFFERENT COMMUNITY EVENTS. FURTHER, FEEDBACK AND INPUT FROM AREA PHYSICIANS IS PROVIDED REGARDING THE TYPES OF PATIENTS THEY SEE IN THEIR OFFICES. THE NUMBER OF OUTPATIENT VISITS BY SERVICE IS TRACKED AND ASSESSED. PATIENTS AND/OR FAMILY MEMBERS ARE INFORMED OF THE CHARITY CARE PROGRAM AT TIME OF REGISTRATION VIA PATIENT INFORMATION HANDBOOK. THERE ARE SIGNS POSTED IN PATIENT ACCESS AREAS DENOTING THE CHARITY CARE POLICY. ALSO, THE CHARITY CARE POLICY AND GUIDELINES IS ADVERTISED YEARLY IN LOCAL NEWSPAPER. 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 IN DEEP 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. SINCE KNAPP MEDICAL CENTER IS LOCATED IN A MEDICALLY UNDERSERVED AREA (MUA), IT IS IMPORTANT TO RECRUIT NEEDED PHYSICIANS TO OUR AREA. DURING THE 2009-10 FISCAL YEAR, ONE INTERNAL MEDICINE PHYSICIAN AND ONE FAMILY PRACTITIONER BEGAN PRACTICING IN OUR SERVICE AREA AND THREE OBSTETRICIANS/GYNECOLOGISTS AGREED TO OPEN OFFICES IN OUR AREA, BUT DID NOT OPEN OFFICES UNTIL THE FOLLOWING FISCAL YEAR. KNAPP EMPLOYEES SERVE ON THE UNIVERSITY OF TEXAS PAN AMERICAN (UTPA) ADVISORY COUNCIL, THE UTPA ADVISORY BOARD FOR NURSING AND THE UNIVERSITY OF TEXAS AT BROWNSVILLE WORKFORCE DEVELOPMENT FOR HEALTHCARE INFORMATION TECHNOLOGY AND REGIONAL EXTENSION CENTERS. THE HOSPITAL IS AN OBSERVATION AND CLINICAL SITE FOR STUDENTS WHO ARE WORKING TOWARD BECOMING LVNS, RNS, NURSE PRACTITIONERS, DIETICIANS, LABORATORY TECHNOLOGISTS, PHARMACISTS, PHYSICIAN ASSISTANTS, HOSPITAL ADMINISTRATORS AND PHYSICIANS. IT IS ALSO AN OBSERVATION SITE FOR THE SOUTH TEXAS INDEPENDENT SCHOOL DISTRICT HEALTH SCIENCES HIGH SCHOOL. KNAPP PARTNERED WITH THE HIDALGO COUNTY JUDGE'S OFFICE IN 2009 TO EDUCATE THE MEDIA AND THE PUBLIC AT LARGE REGARDING H1N1 AND THE NEED FOR FLU VACCINES. ALONG THOSE LINES, KNAPP ESTABLISHED AN EMERGENCY OVERFLOW AREA IN THE EVENT OF AN OUTBREAK. THIS INVOLVED EXTENSIVE TRAINING OF STAFF AND KEY COMMUNITY MEMBERS. EVERY COMMUNITY FAIR/EVENT THAT KNAPP PARTICIPATED IN LATE 2009 AND EARLY 2010 HAD SOME SORT OF INFECTION CONTROL/HAND WASHING COMPONENT INCLUDING THE DISTRIBUTION OF 5,000 HAND SANITIZERS. EMERGENCY RESPONSE IS AN ONGOING EFFORT ON THE PART OF THE HOSPITAL. KNAPP WORKS CLOSELY WITH THE DIRECTOR OF HOMELAND SECURITY FOR THE CITY 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. 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 BEAST FEEDING EDUCATION THROUGH THE FAMILY BIRTHING CLASSES. KNAPP PROVIDES TRAINING TO YOUNG ADULTS AGE 11-15 TO PREPARE THEM FOR BABYSITTING INCLUDING INFANT CPR VIA OUR ANNUAL SAFE SITTER CLASS. 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 MEDICAL CENTER PROVIDES OFFICE SPACE INSIDE THE HOSPITAL TO THE TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES AND PAYS THE SALARY EXPENSE FOR A STATE EMPLOYEE TO ASSIST PATIENTS TO QUALIFY FOR MEDICAID BENEFITS. THIS SERVICE EXPEDITES THE PROCESS FOR UNINSURED INDIVIDUALS TO BE SEEN FOR ON-GOING HEALTH CARE NEEDS AND THIS LOCATION IS MORE CONVENIENT FOR THESE INDIVIDUALS. KNAPP IS A MEMBER OF THE WESLACO AREA CHAMBER OF COMMERCE, RIO GRANDE VALLEY PARTNERSHIP AND MERCEDES CHAMBER OF COMMERCE. KNAPP PARTICIPATES IN COMMUNITY FAIRS SPONSORED BY THESE ORGANIZATIONS AND OTHERS TO EDUCATE THE PUBLIC AND PROVIDE HEALTH SCREENINGS. SINCE DIABETES AND OBESITY ARE PREVALENT IN OUR AREA, SCREENINGS USUALLY INCLUDE BODY FAT ANALYSIS, DISTRIBUTION OF EDUCATIONAL MATERIALS AND DISPLAYS SHOWING WHAT 5 POUNDS OF FAT LOOKS LIKE AND THE AMOUNT OF SALT, SUGAR AND FAT IN POPULAR FOODS MIXED WITH DISPLAYS SHOWING WHAT SMOKING DOES TO THE LUNGS, AND SUBSTANCE ABUSE TO THE BODY. EVERY YEAR, KNAPP PARTICIPATES IN THE RIO GRANDE VALLEY LIVESTOCK SHOW WITH AN EDUCATIONAL BOOTH IN THE PLANET AGRICULTURE AREA. DURING THE 10-DAY EVENT, KNAPP PROVIDES BODY-FAT ANALYSIS SCREENINGS AND DISTRIBUTES EDUCATIONAL MATERIAL ABOUT UPCOMING COMMUNITY SEMINARS PRESENTED BY THE PHYSICIANS AND ON DISPLAY ARE VARIOUS MODELS ABOUT SALT, SUGAR AND FAT CONTENTS IN WELL-KNOWN FOODS. THE HOSPITAL ALSO PROVIDES A LISTING OF THE AREA PHYSICIANS AND INFORMATION ABOUT THE KNAPP WELLNESS PROGRAM THAT PROVIDES LOW COST SCREENINGS FOR COMMON EXAMS INCLUDING CHOLESTEROL CHECKS, BLOOD GLUCOSE SCREENINGS, PSA TESTS AND MORE. THE SCREENINGS ARE PROVIDED WITHOUT THE NEED FOR A DOCTOR'S ORDER, IF THE INDIVIDUAL MEETS CERTAIN CRITERIA. KNAPP USES THE OPPORTUNITY AT THIS EVENT TO ALSO SURVEY THE COMMUNITY AT LARGE ABOUT HEALTH RELATED ISSUES. THE HOSPITAL THEN TAKES THAT DATA TO FORMULATE NEW PROGRAMS AND EDUCATION FOR THE COMMUNITY. DURING THE LIVESTOCK SHOW EVENT IN MARCH 2010, THERE WERE 63,450 PEOPLE THAT VISITED THE PLANET AGRICULTURE AREA, INCLUDING KNAPP'S BOOTH. THERE WERE 609 COMMUNITY NEEDS SURVEYS COMPLETED AT THE EVENT AND 5,000 BAGS OF INFORMATION WERE DISTRIBUTED. SIMILAR TO THE LIVESTOCK SHOW, INFORMATION AND SCREENINGS ARE CONDUCTED AT THE ANNUAL ONE-DAY TEXAS ONION FEST COMMUNITY EVENT HELD IN WESLACO. IN MARCH 2010, THERE WERE 9,000 ATTENDEES AT THE EVENT AND 213 COMPLETED THE COMMUNITY NEEDS QUESTIONNAIRE. FURTHER, 1,000 BAGS FILLED WITH OF HEALTH EDUCATION WERE DISTRIBUTED. ALSO, DURING THE MONTH OF MARCH 2010, KNAPP PARTICIPATED IN THE FIRST ANNUAL WINTER TEXAN APPRECIATION DAY HELD IN WESLACO AND PROVIDED A BODY FAT ANALYSIS SCREENING AND EDUCATION MODELS, DISPLAYS AND INFORMATION TO 700 SENIOR VISITORS. IN ADDITION TO KNAPP'S PARTICIPATION IN AREA COMMUNITY HEALTH FAIRS, KNAPP ANNUAL CONDUCTS TWO HEALTH FAIRS ON SITE. THE FIT N FUN FALL FESTIVAL HELD IN OCTOBER REACHED 1,100 INDIVIDUALS, MOSTLY FAMILIES WITH YOUNG CHILDREN. SCREENINGS INCLUDED A PULMONARY FUNCTION TEST, A FLEXIBILITY SCREENING, CHOLESTEROL SCREENING VOUCHERS, SKIN SCREENING, HAND GRIP ASSESSMENTS, BLOOD PRESSURE SCREENINGS, AND BLOOD AND SUGAR SCREENING CERTIFICATES. OTHER EDUCATIONAL INFORMATION PROVIDED INCLUDED: BREASTFEEDING AND CHILDBIRTH INFORMATION; EDUCATION ON INJURY PREVENTION; CASE MANAGEMENT INFORMATION, HOSPICE EDUCATION, INFORMATION OF PREVENTION AND SIGNS OF ELDER ABUSE, INFORMATION ABOUT ALLERGIES AND NEWBORN CARE; UPCOMING VALLEY HEALTH SEMINARS; ORGAN AND TISSUE DONATION; PREVENTION OF INFECTION AND HAND WASHING; BODY MASS INDEX EDUCATION AND THE FOOD GUIDE PYRAMID. MODELS WERE ON DISPLAY REGARDING THE AFFECTS OF DRUGS, ALCOHOL AND SMOKING. IN ADDITION, A BLOOD DRIVE WAS HELD DURING THE FAIR FOR THE COMMUNITY TO PARTICIPATE. DURING THE MAY FIT N FUN FAIR, 50 BLOOD SUGAR SCREENINGS AND 89 CHOLESTEROL SCREENINGS WERE CONDUCTED. OTHER SCREENINGS INCLUDED A PULMONARY FUNCTION TEST; BLOOD PRESSURE SCREENING AND BODY FAT ANALYSIS. A TOTAL OF 244 INDIVIDUALS FROM THE COMMUNITY ATTENDED THE FAIR. OTHER COMMUNITY BUILDING ACTIVITIES THAT KNAPP PARTICIPATED IN WAS A PARTNERSHIP WITH THE LOCAL COMMUNITY COLLEGE TO COORDINATE A DIABETES SYMPOSIUM MADE UP OF LOCAL EXPERTS IN THIS FIELD WHERE THE COMMUNITY COULD COME AND LEARN AND SEEK ANSWERS TO QUESTIONS REGARDING DIABETES. ATTENDANCE AT THAT EVENT WAS 200. KNAPP ALSO PARTICIPATES IN AN ANNUAL DIABETES ALERT DAY WITH THE LOCAL GROCERY STORES. DURING THE EVENT, KNAPP DIETITIANS PROVIDE GLUCOSE SCREENINGS TO SHOPPERS AND THEY PROVIDE COUNSELING ON PORTION SIZES, HEALTHY FOOD SUBSTITUTION OPTIONS AND MORE. IN MARCH 2010, 70 SHOPPERS AT TWO DIFFERENT STORE LOCATIONS RECEIVED THE FREE COUNSELING. BECAUSE THE AREA HAS A LARGE INFLUX OF RETIREES FROM NORTHERN STATES DURING THE WINTER MONTHS, KNAPP PARTNERED WITH A LOCAL RV PARK AND COORDINATED THE FIRST ANNUAL SENIOR HEALTH FAIR AT THE PARK AND IN THE MID-VALLEY AREA. THE EVENT WAS GEARED TOWARD THAT POPULATION AND THEIR PARTICULAR HEALTH NEEDS. THERE WERE 683 INDIVIDUALS FROM THE SURROUNDING AREA THAT ATTENDED THE EVENT AND RECEIVED SCREENINGS AND HEALTH EDUCATION FROM THE 10 KNAPP BOOTHS THAT PARTICIPATED. DURING THE THIRD VALLEY HEALTH SEMINARS SEASON, KNAPP PARTNERED WITH FIVE AREA PHYSICIANS TO PROVIDE HEALTH EDUCATION TO THE COMMUNITY FREE OF CHARGE. TOPICS FOR THE SEASON INCLUDED: HEART FAILURE; BUILDING BETTER BONES; HEART DISEASE IN WOMEN; A MATTER OF LIFE AND BREATH - INTERVENTIONAL PULMONOLOGY; AND GETTING YOUR BACK ON TRACK - LEARNING HOW TO STOP BACK PAIN IN ITS TRACKS. IN ADDITION TO THE PRESENTATIONS HAVING BEEN MADE AVAILABLE LIVE AT THE KNAPP CONFERENCE CENTER, THE ONE-HOUR PROGRAMS WERE VIDEOTAPED AND MADE AVAILABLE VIA THE WEBSITE FOR LIVE SIMULCAST AND CONTINUOUS VIEWING AFTER THE SEMINAR. THE PROGRAMS WERE ALSO ANOTHER OPPORTUNITY TO CAPTURE FEEDBACK FROM THE COMMUNITY ABOUT HEALTH RELATED ISSUES AND CONCERNS. DURING FEBRUARY 2010 (HEART MONTH), KNAPP PARTNERED WITH THE LOCAL RADIO STATION TO PROMOTE GOOD HEART HEALTH IN A PROGRAM CALLED "FROM THE HEART - FOR THE HEART." THE PROGRAM BROUGHT AWARENESS TO HEART DISEASE AND ENCOURAGED INDIVIDUALS TO TAKE ACTION TO REDUCE THEIR RISK OF HEART COMPLICATIONS. THE HOSPITAL ALSO PARTICIPATES IN LEADERSHIP MID VALLEY, SPONSORED BY THE WESLACO AREA CHAMBER, SPONSORING A CLASS MEMBER AND PROVIDING ONE OF THE EDUCATIONAL SESSIONS ON LOCAL AND NATIONAL HEALTHCARE SERVICES AND ISSUES. VOLUNTEERISM IS A LARGE PART OF KNAPP WITH MORE THAN 150 ADULT VOLUNTEERS AND 50-90 TEENS AGES 15-18 AS OTHER THAN THE CEO/PRESIDENT WHO SERVES AS A BOARD DIRECTOR, ALL OTHER KNAPP BOARD DIRECTORS ARE COMMUNITY MEMBERS AND SERVE ON THE BOARD AS A VOLUNTEER. 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 THAT WHAT THEY GIVE. IN JANUARY 2010, THE WORLD WATCHED AS THE POOREST COUNTRY IN THE WESTERN HEMISPHERE WAS DEVASTATED BY AN EARTHQUAKE. KNAPP MEDICAL CENTER, LIKE MANY OTHER HOSPITALS AROUND THE COUNTRY, GOT INVOLVED AND PARTICIPATED IN A HAITIAN RELIEF OPERATION WITH HOPE INTERNATIONAL MEDICAL MISSIONS. KNAPP CONTRIBUTED FINANCIALLY FOR COMMUNITY HEALTH IMPROVEMENT SERVICES AND GAVE FOUR OF ITS NURSES TIME AWAY TO HELP WITH THE RELIEF EFFORT. EACH NURSE VOLUNTEERED FOR A TWO WEEK SHIFT. 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. KNAPP MEDICAL CENTER FOUNDATION (THE FOUNDATION) IS A FUND-RAISING ORGANIZATION FOR THE MEDICAL CENTER. THE MEDICAL CENTER IS THE SOLE MEMBER OF THE FOUNDATION. 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 THE WESLACO AREA. DURING 2010, THE CENTER ISSUED ADDITIONAL MEMBERSHIP UNITS TO LOCAL PHYSICIANS, WHICH RESULTED IN A REDUCTION IN THE MEDICAL CENTER'S OWNERSHIP INTEREST TO 87.03%. 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. TX X false true X X X X X false true false false false false false false false JAMES A SUMMERSETT 515527 0 91389 0 0 0 242342 0 8484 0 857742 0 CURTIS F HALEY JR 329531 0 33044 0 0 0 51484 0 8484 0 422543 0 RALPH KEITH KING 196144 0 22155 0 0 0 61952 0 8484 0 288735 0 RUBEN GARZA 212207 0 20536 0 0 0 47829 0 12600 0 293172 0 MADONNA COUGHENOUR 177174 0 14875 0 0 0 35460 0 8484 0 235993 0 GARY LIGHT 152045 0 21525 0 0 0 36357 0 12600 0 222527 0 CESAR ORTEGA 176790 0 0 0 0 0 25371 0 12600 0 214761 0 CLAUDIA SANDER 159555 0 14885 0 0 0 39951 0 12600 0 226991 0 INFORMATION REGARDING BENEFITS PROVIDED SCHEDULE J, PART I, LINE 1 THE ORGANIZATION OFFERS REIMBURSEMENTS TO EMPLOYEES FOR HALF OF THE FEES PAID FOR HEALTH CLUB MEMBERSHIP. THIS IS A STANDARD BENEFIT OFFERED TO ALL EMPLOYEES. PARTICIPATION IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B PARTICIPANTS IN SERP: JAMES A SUMMERSETT - 181,506; RALPH KING - 11,521; RUBEN GARZA - 7,595; GARY LIGHT - 18,799; MADONNA COUGHENOUR - 12,410; CURTIS HALEY - 0 WESLACO HEALTH FACILITES DEVELOPMENT CORP 740393060 950871br3 2008-12-04 57230000 CONSTRUCTION, EQUIPMENT, REFUNDING false false 57378979 40273080 6965215 856920 9283765 true true false true false false true false true false false true true MORGAN KEEGAN 29.5 true TRANSAMERICA LIFE 1.83 true false false MONTALVO INSURANCE AGENCY OWNER=FAMILY OF DIRECTOR 46766 INSURANCE false PROCESS TO REVIEW FORM 990 FORM 990, PART VI, SECTION A, LINE 11A 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. REGULARLY AND CONSISTENTLY MONITOR WRITTEN CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS MONITORED BY THE REVIEW OF QUESTIONNAIRES THAT OFFICERS, DIRECTORS, AND KEY EMPLOYEES COMPLETE ANNUALLY. PROCESS FOR DETERMING COMPENSATION FORM 990, PART VI, SECTION B, QUESTIONS 15A & 15B The Executive Compensation Committee ("Committee") of the Board of Directors determines appropriate compensation for KMC's executives and other disqualified persons. As part of this process, KMC establishes the rebuttable presumption of reasonableness under Intermediate Sanctions regulations. Thus, executive compensation programs and decisions are approved, in advance of their implementation, by the Committee as follows: - The Committee is comprised of members of the Board of Directors, who are independent of KMC management, have no personal interest in the compensation arrangements, are not related to, or under the control of any individual whose compensation arrangement is being reviewed and have no material business relationship with KMC. - The Committee relies upon appropriate, independent comparability data to support its decision making process. - The Committee adequately documents its determinations on a timely basis. GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AVAILABLE TO PUBLIC FORM 990, PART VI, SECTION C, QUESTION 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. ISSUANCE COSTS FROM PROCEEDS SCHEDULE K, PART II, LINE 5 UNDERWRITERS DISCOUNT $296,150 COST OF ISSUANCE $457,674 CREDIT ENHANCEMENT FEES $103,096 -------------- $856,920 POST-ISSUANCE COMPLIANCE POLICY SCHEDULE K, PART III, LINE 7 THE ORGANIZATION HAS NOT ADOPTED MANAGEMENT PRACTICES AND PROCEDURES TO ENSURE POST-ISSUANCE COMPLIANCE OF IT'S TAX-EXEMPT BOND LIABILITIES AND HAS THEREFORE ANSWERED "NO" TO THE QUESTION. HOWEVER, THE ORGANIZATION IS CURRENTLY IN THE PROCESS OF ADOPTING A POLICY. RELATIONSHIPS BETWEEN OFFICERS, DIRECTORS AND KEY EMPLOYEES FORM 990, PART VI, LINE 2 DR. SANDRA ESQUIVEL, DR. RODOLFO GUERRERO AND DR. ALFONSO OCHOA HAVE A BUSINESS RELATIONSHIP. MISSION STATEMENT FORM 990, PART I, LINE 1 (CONTINUED FROM PAGE 1) LOCATED IN WESLACO, KNAPP WORKS HARD TO PROVIDE STATE-OF-THE-ART TECHNOLOGY, PROGRESSIVE DIAGNOSTIC AND TREATMENT OPTIONS, AND PATIENT-FOCUSED CARE. 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