2023-11-15T21:05:54-06:00 2022-12-31 861065772 DELOITTE TAX LLP 695 TOWN CENTER DRIVE SUITE 1000 COSTA MESA CA 92626 990 2022-01-01 741393060 KNAPP MEDICAL CENTER KNAP 9569695112 1401 E 8TH STREET - PO BOX 1110 WESLACO TX 78596 STEVE ALEMAN CFO 9569695112 2023-11-15 1 STEVE ALEMAN 999009999 0 JOHN W SADOFF JR P00540589 7144367100 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z KAVITHA BHATIA 3480 E GUASTI ROAD ONTARIO CA 91761 103112160 0 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 6 748 20 24336 0 7117512 4012269 125324872 97932324 11044 28408 637679 1104243 133091107 103077244 750 8783 0 0 41254101 43024865 0 0 0 89946960 55988071 131201811 99021719 1889296 4055525 82603873 104377422 34673036 53758651 47930837 50618771 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 TOWARDS ALL, A TEAMWORK ENVIRONMENT, AND EFFICIENT USE OF RESOURCES. 0 0 66703526 8783 98126535 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 5,948 ADMISSIONS, 20,310 EMERGENCY ROOM VISITS, 1,399 DELIVERIES, AND 1,692 SURGERIES. 66703526 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 0 1 124 0 1 748 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 7 6 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X MICHAEL DAVIS 9569695260 1401 E 8TH STREET - PO BOX 1110 WESLACO TX 78596 RAMIRO CABALLERO MD DIRECTOR 1.00 0.00 X 0 0 0 ROSEMARY RECAVARREN MD DIRECTOR 1.00 0.00 X 0 0 0 RONALD BLANCO MD DIRECTOR 1.00 0.00 X 0 0 0 RUDY SALINAS DIRECTOR 1.00 0.00 X 0 0 0 PEDRO MCDOUGAL MD DIRECTOR 1.00 0.00 X 0 0 0 BONNIE GONZALEZ DIRECTOR (AS OF 4/22) 1.00 0.00 X 0 0 0 KAVITHA BHATIA MD PRESIDENT/DIRECTOR 1.00 3.00 X X 0 0 0 RENE J LOPEZ ADMINISTRATOR/CEO (REGIONAL) 40.00 1.00 X 344033 0 34762 MICHAEL DAVIS REGIONAL CFO 40.00 2.00 X 192073 0 41658 ANNA HINOJOSA CNO 40.00 0.00 X 185946 0 33762 STEVE ALEMAN CFO 1.00 8.00 X 0 0 0 ABRAHAM JOEL RICHLIN SECRETARY 1.00 3.00 X 0 0 0 ALEJANDRO HERNANDEZ MD CMO 40.00 0.00 X 0 0 0 MARLENE GAVIA REGISTERED NURSE 36.00 0.00 X 214000 0 18609 GRACIE VILLALPANDO REGISTERED NURSE 40.00 0.00 X 191452 0 37069 THANYA LOPEZ REGISTERED NURSE 36.00 0.00 X 180678 0 0 DAKOTAH R FERNANDEZ REGISTERED NURSE 36.00 0.00 X 179949 0 16593 NICHOLE L GRANADOS REGISTERED NURSE 36.00 0.00 X 175448 0 2294 1663579 0 184747 74 0 1 0 CLINICAL ASSOCIATES INC 1452 HUGHES RD SUITE 244 GRAPEVINE TX 76051 ANESTHESIOLOGY SERVICES 2004483 SMALL HOSPITAL INNOVATIONS 3600 RED RD SUITE 401 MIRAMAR FL 33025 EMERGENCY MEDICINE SERVICES 804167 SOUTH TEXAS BLOOD & TISSUE 6211 IH 10 WEST SAN ANTONIO TX 78201 BLOOD SERVICES 535879 SOUTH HEART CLINIC PLLC 2310 N ED CAREY DR HARLINGEN TX 78550 CARDIOLOGY SERVICES 472500 BIO MED SERVICES INC 3300 E GUASTI RD 1ST FLOOR ONTARIO CA 91761 BIO-MED SERVICES 380214 62 140603 3871666 4012269 NET PATIENT SERVICE RE 621500 97932324 97907988 24336 97932324 63324 63324 576337 0 576337 576337 576337 34916 -34916 -34916 -34916 CAFETERIA/VENDING 900099 307013 307013 OTHER OPERATING REV. 900099 194211 194211 OTHER NON-OPERATING RE 900099 14618 14618 12064 12064 527906 103077244 98102199 24336 938440 X 8783 8783 32748548 21286556 11461992 330540 214851 115689 7387154 4801650 2585504 2558623 1663105 895518 5876500 3819725 2056775 59956 38971 20985 78408 78408 18278168 11880808 6397360 245895 159832 86063 229879 149421 80458 2157570 1402421 755149 33469 21755 11714 176352 176352 5708435 3710483 1997952 2328122 1513279 814843 BILLABLE SUPPLIES 12559303 8163547 4395756 TAXES AND LICENSES 6420485 6420485 MAINTENANCE AND REPAIRS 1060807 689525 371282 OTHER OPERATING EXPENSE 774722 503569 271153 99021719 66703526 32318193 0 894072 1150675 18469338 25793688 1779192 1585975 686493 510099 72309145 43568436 27251371 28740709 83076 82728 2175089 235988 31265242 46277560 82603873 104377422 27501702 8944234 16513 7171334 44797904 34673036 53758651 X 36084818 40140341 11846019 10478430 47930837 50618771 82603873 104377422 4055525 -1367591 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 1872 0 0 0 1872 0 PART II-B, LINE 1: INDIRECT LOBBYING THROUGH TEXAS HOSPITAL ASSOCIATION 4271405 4271405 30713812 12894537 17819275 582133 539224 42909 35837301 29707051 6130250 904494 427624 476870 28740709 ESTIMATED SETTLEMENTS WITH THIRD PARTIES 2081533 RIGHT OF USE FIXED ASSETS, NET 10478430 OTHER CURRENT ASSETS 2938 CONSTRUCTION IN PROCESS 496131 DUE FROM AFFILIATES 18793707 INTERCOMPANY RECEIVABLE 14422226 DUE FROM RELATED ENTITIES 1153 ADVANCED MEDICARE RECEIVABLE 1442 46277560 RIGHT-OF-USE LIABILITY - OPERATING 59944 FINANCING LEASE LIABILITY - LONG-TERM 1802562 OPERATING LEASE LIABILITY - CURRENT 21878 FINANCING LEASE LIABILITY - CURRENT 743938 MALPRACTICE AND WORKERS' COMP RESERVES 2518416 STATE FEE PROGRAMS PAYABLE 28706404 OTHER LONG-TERM LIABILITIES 74722 DUE TO AFFILIATES 6566825 DUE TO RELATED ENTITIES 4303215 44797904 X PART X, LINE 2: THE LITERATURE RELATED TO UNCERTAIN TAX POSITIONS PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR ACCOUNTING FOR UNCERTAIN TAX POSITIONS AND ALSO PROVIDES GUIDANCE ON VARIOUS RELATED MATTERS SUCH AS DE-RECOGNITION, INTEREST, PENALTIES, AND DISCLOSURES REQUIRED. THE COMPANY DOES NOT HAVE ANY ENTITY-LEVEL UNCERTAIN TAX POSITIONS. 1 1 1 X 1 X 450.000000000000 1 1 1 0 0 7431476 2952050 4479426 0.04520 18888689 26951013 0 0.00000 8635764 2929452 5706312 0.05760 34955929 32832515 10185738 0.10280 34955929 32832515 10185738 0.10280 1 0 0 20844618 10308513 10536105 X 1 1 1 1 KNAPP MEDICAL CENTER 1401 E 8TH STREET WESLACO TX 78596 WWW.KNAPPMED.ORG 000480 X X X KNAPP MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X HTTPS://KNAPPMED.ORG/ABOUT-US/COMMUNITY-HEALTH-ASSESSMENT/ X 1 22 1 HTTPS://KNAPPMED.ORG/ABOUT-US/COMMUNITY-HEALTH-ASSESSMENT/ 0 1 X 200.000000000000 450.000000000000 X X X X X 1 1 X X X 1 X HTTPS://KNAPPMED.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ X HTTPS://KNAPPMED.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ X HTTPS://KNAPPMED.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X 1 X 0 0 KNAPP MEDICAL CENTER PART V, SECTION B, LINE 5: THE FY2022 CHNA FOR KNAPP MEDICAL CENTER WAS CONDUCTED DURING THE 2022 CALENDAR YEAR IN PARTNERSHIP WITH FORVIS, LLP, A PUBLIC ACCOUNTING FIRM. THROUGH BOTH QUANTITATIVE AND QUALITATIVE RESEARCH METHODS AND COMMUNITY STAKEHOLDER FEEDBACK, PRIORITY HEALTH NEEDS WERE DETERMINED. COMMUNITY INPUT PLAYED AN INTEGRAL ROLE IN THE FY2022 CHNA. IN ASSESSING AND DETERMINING THE PRIORITY HEALTH NEEDS OF THE COMMUNITY, INPUT WAS SOLICITED AND RECEIVED FROM KEY STAKEHOLDERS WHO ARE KNOWLEDGEABLE OR EXPERTS IN THE FIELD OF PUBLIC HEALTH, REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, AS WELL AS THE UNDERSERVED, LOW-INCOME OR UNEMPLOYED, UNINSURED OR UNDER-INSURED, AND ELDERLY POPULATIONS. THIS INPUT WAS INTENDED TO ASCERTAIN OPINIONS AMONG INDIVIDUALS LIKELY TO BE KNOWLEDGEABLE ABOUT THE COMMUNITY AND INFLUENTIAL OVER THE OPINIONS OF OTHERS REGARDING HEALTH TRENDS AND DISPARITIES IN THE COMMUNITY.KNAPP MEDICAL CENTER SOUGHT TO ENGAGE KEY STAKEHOLDERS WHO EITHER HAD A SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, WERE AFFILIATED WITH LOCAL GOVERNMENT AND SCHOOLS, OR THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS AND TO REPRESENT THE BROADER COMMUNITY. KEY STAKEHOLDERS FROM THE COMMUNITY REPRESENTED THE FOLLOWING TYPES OF ORGANIZATIONS AND AGENCIES:- LOCAL, COUNTY, AND STATE GOVERNMENT- PUBLIC HEALTH AGENCIES- MEDICAL PROVIDERS- COMMUNITY AND BUSINESS LEADERSINPUT WAS COLLECTED VIA A STANDARD SURVEY THAT WAS CONDUCTED AND ASSESSED TO COLLECT KEY INFORMANT OPINIONS ON PERCEIVED HEALTH PRIORITIES WITH THE GOAL OF GARNERING FEEDBACK AND RECOMMENDATIONS TO IMPROVE HEALTH AND THE HEALTHCARE EXPERIENCE IN THE COMMUNITY BY ADDRESSING ACCESS TO CARE CHALLENGES AND UNDERLYING SOCIAL DETERMINANTS OF HEALTH AND INEQUITIES.PARTICIPANTS PROVIDED INPUT ON THE FOLLOWING ISSUES: - HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE PRIMARY COMMUNITY- BARRIERS TO IMPROVING HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE COMMUNITY- UNDERSERVED POPULATIONS AND COMMUNITIES OF NEED- OPINIONS REGARDING THE MOST IMPORTANT HEALTH NEEDS IN THE COMMUNITY AND THE TYPE OF SERVICES THAT ARE IMPORTANT IN ADDRESSING THESE NEEDS. KNAPP MEDICAL CENTER PART V, SECTION B, LINE 11: THE FY2022 CHNA WAS CONDUCTED TO BETTER UNDERSTAND THE PRIORITY HEALTH NEEDS OF THE COMMUNITY SERVED BY KNAPP MEDICAL CENTER. AS A RESULT, THE FOLLOWING THREE PRIORITY HEALTH NEEDS WERE IDENTIFIED:1. IMPROVE ACCESS TO PRIMARY CARE SERVICES & SPECIALISTS2. IMPROVE EDUCATION AND SERVICES AROUND CHRONIC DISEASES3. ADDRESS SHORTAGE OF HEALTHCARE WORKERS; PROMOTE HEALTH EDUCATION IMPROVE ACCESS TO PRIMARY CARE SERVICES & SPECIALISTSTHE GOAL IS TO INCREASE THE NUMBER OF PRIMARY CARE PHYSICIANS & SPECIALISTS IN THE MID-VALLEY AREA AND OPERATE CLINICS TO PROVIDE PRIMARY & SPECIALTY CARE IN THE MID-VALLEY.KNAPP MEDICAL CENTER WILL IMPLEMENT THE FOLLOWING STRATEGIES: 1. CONTINUE INTERNAL MEDICINE RESIDENCY PROGRAM AT KNAPP MEDICAL CENTER, WHICH BEGAN IN 2020.2. SEVENTH CLASS OF UTRGV/KNAPP MEDICAL CENTER FAMILY PRACTICE RESIDENCY PROGRAM TO BEGIN IN JULY 2023.3. ADD ADDITIONAL SPECIALISTS TO KNAPP MEDICAL STAFF (INCLUDING CARDIOLOGISTS FOR NEWLY REOPENED CARDIAC CATHETERIZATION LABORATORY, SURGEONS, AND UROLOGISTS).4. RECRUIT A SURGEON TO THE MID-VALLEY.5. BUILD RELATIONSHIPS WITH OTHER HEALTHCARE ORGANIZATIONS AND PHYSICIAN GROUPS IN THE COMMUNITY WHO MAY WISH TO EMPLOY A FAMILY PRACTICE RESIDENT(S) OR INTERNAL MEDICINE RESIDENT(S) ONCE THEY COMPLETE THE 3-YEAR PROGRAM (SUCH AS VALLEY WOMEN'S SPECIALISTS AND GRADUATING RESIDENT DR. INDIRA PERALES). 6. INCREASE ACCESS TO PRIMARY CARE BY OPENING AN URGENT CARE CLINIC TO PROVIDE AFTER-HOURS CARE DURING EVENINGS AND WEEKENDS, BEGINNING IN 2023. 7. CONTINUE TO PROVIDE CLINIC SPACE FOR AN INTERNAL MEDICINE RESIDENCY PROGRAM AT KNAPP MEDICAL CENTER, WITH 36 RESIDENT PHYSICIANS (IN THE KNAPP MEDICAL ARTS PAVILION IN WESLACO). 8. CONTINUE TO OPERATE 'THE CLINIC' FAMILY PRACTICE IN WESLACO, TO INCREASE ACCESS OF CARE IN THE AREA. 9. CONTINUE TO OPERATE A FAMILY PRACTICE RESIDENCY CLINIC IN MERCEDES, TO SEE PATIENTS THERE WHILE TRAINING 18 FAMILY PRACTICE PHYSICIAN RESIDENTS.10. OPEN A SURGICAL CLINIC IN THE MID-VALLEY.IMPROVE EDUCATION AND SERVICES AROUND CHRONIC DISEASESTHE GOAL IS TO PROVIDE FREE HEALTHCARE EDUCATIONAL OPPORTUNITIES AND WORK WITH ELECTED REPRESENTATIVES TO ENCOURAGE EXTENSION OF HEALTH INSURANCE TO UNINSURED RESIDENTS. KNAPP MEDICAL CENTER WILL IMPLEMENT THE FOLLOWING STRATEGIES: 1. CONTINUE FREE SENIOR HEALTH TALKS AND DOC TALKS, TO OFFER RESIDENTS A CHANCE TO HEAR A PHYSICIAN SPEAK AND ANSWER QUESTIONS ON HEALTHCARE TOPICS SUCH AS DIABETES, HEART DISEASE, STROKE, CANCER PREVENTIVE MEDICINE, ETC. 2. CONTINUE FREE HEALTH FAIRS TO ADDRESS KIDNEY DISEASE, HEART DISEASE, DIABETES, WOMEN'S HEALTH, ETC.3. CONTINUE EDUCATION MESSAGES ON CHRONIC DISEASES AS WELL AS COVID-19 THROUGH SOCIAL MEDIA SUCH AS FACEBOOK AS WELL AS THROUGH PATIENT EDUCATION TV SCREENS IN HOSPITAL WAITING AREA. 4. PROVIDE INFORMATION TO PATIENTS ON HOW TO APPLY FOR INSURANCE COVERAGE.5. HOSPITAL PROVIDES MILLIONS OF DOLLARS IN CHARITY CARE EACH YEAR.6. SUPPORT CREATION OF HEALTH CARE DISTRICT TO HELP ADDRESS UNINSURED POPULATION, BY WORKING WITH OTHER HOSPITALS IN HIDALGO COUNTY AS WELL AS COUNTY AND CITY OFFICIALS AND STATE REPRESENTATIVES. ADDRESS SHORTAGE OF HEALTHCARE WORKERS; PROMOTE HEALTH EDUCATIONTHE GOAL IS TO EXPAND HEALTHCARE EDUCATION IN MID-VALLEY AND CREATE GREATER AWARENESS OF THE EPIDEMIC OF DIABETES IN OUR COMMUNITY, HOW IT CAN BE PREVENTED AND HOW IT CAN BE CONTROLLED. KNAPP MEDICAL CENTER WILL IMPLEMENT THE FOLLOWING STRATEGIES:1. EXPAND HEALTHCARE EDUCATION IN THE MID-VALLEY BY OPENING A NEW NURSING SCHOOL WHICH WILL TRAIN FUTURE RNS TO CARE FOR THE POPULATION IN THE MID-VALLEY AND HELP PROVIDE EDUCATIONAL HEALTHCARE INFORMATION TO PATIENTS. THE TARGET DATE TO OPEN THE RN SCHOOL IS FALL 2023. 2. IMPROVE SERVICES FOR DIABETES AND OTHER PATIENTS WITH CHRONIC DISEASES THROUGH TREATMENT THROUGH THE CLINIC FAMILY PRACTICE AND THE INTERNAL MEDICINE RESIDENCY PROGRAM AT KNAPP IN WESLACO, AS WELL AS THROUGH MID VALLEY URGENT CARE AND THE FAMILY HEALTH CENTER IN MERCEDES; ALONG WITH PROVIDING PATIENTS WITH INFORMATION ON HOW TO PREVENT DIABETES AND MANAGE THE CONDITION. THE HOSPITAL PERFORMED THE FOLLOWING DURING FY'22 TO ADDRESS THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY RELATED TO THE CHNA: - CONTINUED THE UTRGV/KNAPP MEDICAL CENTER FAMILY PRACTICE RESIDENCY PROGRAM. IN ITS SIXTH YEAR OF OPERATIONS, THE FAMILY PRACTICE RESIDENCY PROGRAM AT KNAPP MEDICAL CENTER WELCOMED SIX NEW RESIDENTS IN 2022, AND GRADUATED 6 RESIDENTS. THE TOTAL NUMBER OF RESIDENTS FOR THE YEAR ENDING DECEMBER 31, 2022 WAS 18. GRADUATES OF THE RESIDENCY PROGRAM SERVED PATIENTS IN THE WESLACO, TEXAS AREA, HELPING TO INCREASE ACCESS TO CARE FOR THE POPULATION. FOR EXAMPLE, DR. EDDY BERGES, DR. DANIELA GARCIA, AND DR. CAROLINA GOMEZ DE ZIEGLER ARE AMONG THE GRADUATES WHO CARED FOR AREA PATIENTS DURING 2022. - PROVIDED CLINIC SPACE AND SUPPORT FOR THE INTERNAL MEDICINE RESIDENCY PROGRAM AT KNAPP MEDICAL CENTER, WITH 36 RESIDENT PHYSICIANS PARTICIPATING IN THE PROGRAM. - OPERATED THE CLINIC FAMILY PRACTICE IN WESLACO AND PROVIDED FACILITIES AND SUPPORT FOR THE UTRGV/KNAPP FAMILY HEALTH CENTER IN MERCEDES, TEXAS AND THE INTERNAL MEDICINE RESIDENCY CLINIC AT KNAPP IN WESLACO. - CONDUCTED PLANNING MEETINGS, TO PREPARE FOR THE OPENING OF THE MID VALLEY URGENT CARE CLINIC IN MERCEDES DURING EARLY 2023. - WORKED TO CREATE GREATER AWARENESS OF THE EPIDEMIC OF DIABETES IN OUR COMMUNITY, HOW IT CAN BE PREVENTED AND HOW IT CAN BE CONTROLLED. THIS INCLUDED EDUCATIONAL INFORMATION ON DIABETES, WHICH IS PROVIDED TO PATIENTS, AS WELL AS DIABETES MANAGEMENT WHICH IS PROVIDED FOR PATIENTS AT THE CLINIC FAMILY PRACTICE. PRE-DIABETES AND DIABETES PATIENTS WERE ALSO PROVIDED WITH GLUCOSE CHECKS, A1C TESTS, AND FOOT SCREENINGS. - GREATER AWARENESS WAS ALSO CREATED THROUGH INFORMATION ON SOCIAL MEDIA AS WELL AS ON PATIENT EDUCATION TV SCREENS IN HOSPITAL WAITING AREA.- TO PROMOTE WELLNESS AND PREVENTION/EARLY INTERVENTION AMONG THE ADULT POPULATION, KNAPP MEDICAL CENTER HELD A FREE WOMEN'S HEALTH FAIR IN MAY 2022, WHICH WAS ATTENDED BY MORE THAN 200 PEOPLE. - HELD A WELL-ATTENDED FREE SENIOR HEALTH TALK ON PREVENTIVE MEDICINE IN APRIL 2022.- HOSTED AN IMPORTANT COMMUNITY EVENT WHICH INCLUDED TRAINING ON ACTIVE SHOOTER RESPONSE STRATEGIES IN JUNE 2022. THIS TIMELY EVENT WAS ATTENDED BY MORE THAN 100 PEOPLE.- OFFERED FREE TRAINING TO NEW PARENTS ON PROPER INSTALLATION OF INFANT CAR SEATS AND BOOSTER SEATS FOR YOUNG CHILDREN. SINCE SEPTEMBER 2009, KNAPP MEDICAL CENTER HAS DISTRIBUTED 949 INFANT AND BOOSTER SEATS TO INDIGENT FAMILIES AT NO CHARGE (INCLUDING 20 CAR SEATS IN 2022). - OFFERED FREE LACTATION CLASSES ON BREASTFEEDING FOR NEW MOTHERS. - WORKED WITH ITS SISTER HOSPITALS TO PLAN THE OPENING OF A NEW NURSING SCHOOL WHICH WILL BE HEADQUARTERED IN WESLACO. THE SCHOOL, WHEN OPENED IN 2023, WILL OFFER AN ASSOCIATE DEGREE OF NURSING PROGRAM AT NO CHARGE FOR STUDENTS WHO WORK AS A REGISTERED NURSE AT KNAPP MEDICAL CENTER OR ONE OF ITS SISTER HOSPITALS FOR A 36-MONTH PERIOD AFTER THEY GRADUATE AND PASS THE STATE EXAM. THIS INITIATIVE WILL EXPAND HEALTHCARE EDUCATION IN THE RIO GRANDE VALLEY. - HOSTED HEALTH FAIRS AT THE HOSPITAL AND PARTICIPATION IN 5K WALK/RUNS AND SCHOOL AND COMMUNITY EVENTS PROMOTING FITNESS AND HEALTHY EATING. - PROVIDED A CULTURALLY SENSITIVE CHART FOR DIETICIANS TO USE IN TEACHING DIABETES AND RENAL FAILURE PATIENTS ABOUT PORTION CONTROL AND MEAL PLANNING. THE CHARTS USED VISUAL CUES TO FOOD CHOICES RATHER THAN WORDS. THE CHARTS PROVIDED A VALUABLE EDUCATIONAL RESOURCE, ESPECIALLY FOR THE AREA'S HISPANIC POPULATION WHICH IS AT GREATER RISK FOR DEVELOPING DIABETES.- PROVIDED FRUIT AND VEGETABLE TRAYS AT HEALTH FAIRS AND OTHER EVENTS, VEGETARIAN OPTIONS, AND HEALTHY FOOD OPTIONS IN THE HOSPITAL CAFETERIA. - PROVIDE INFORMATION TO PATIENTS ON HOW TO APPLY FOR INSURANCE COVERAGE AND HOW TO ACCESS PROGRAMS FOR WHICH THEY MAY BE ELIGIBLE, TO HELP WITH THEIR HEALTHCARE NEEDS. - PROVIDED SEVERAL MILLIONS OF DOLLARS IN CHARITY CARE IN 2022.SOME ISSUES IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT HAVE NOT BEEN ADDRESSED IN THIS PLAN. IN INITIAL DISCUSSION AND SUBSEQUENT PRIORITIZATION, KNAPP MEDICAL CENTER CONSIDERED THE LEVELS TO WHICH SOME NEEDS WERE ALREADY BEING ADDRESSED IN THE SERVICE AREA. ADDITIONALLY, SOME COMMUNITY NEEDS FALL OUT OF THE SCOPE OF EXPERTISE AND RESOURCES OF KNAPP MEDICAL CENTER. 3 1 - KNAPP MEDICAL GROUP - WESLACO CLINIC 1401 E 8TH STREET WESLACO TX 78596 CLINIC 2 - KNAPP MEDICAL GROUP - NEUROLOGIST 1302 E 8TH STREET WESLACO TX 78596 CLINIC 3 - KNAPP MEDICAL GROUP - GASTROENTEROLOGY 1330 E 6TH STREET SUITE 20 WESLACO TX 78596 PRACTICE PART I, LINE 7: 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 4: THE COMPANY'S PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS AND DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE COMPANY ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCES FOR BOTH CONTRACTUAL ADJUSTMENTS AND DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THESE ALLOWANCES. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES DUE FOR WHICH THIRD PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE COMPANY RECORDS A PROVISION FOR DOUBTFUL ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE EXPECTED RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 8: THE MEDICAL CENTER USES COST REPORT METHODOLOGY, WHICH APPORTIONS ROUTINE COSTS BASED ON MEDICARE OR MEDICAID DAYS TO TOTAL DAYS AND APPORTIONS ANCILLARY COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. PART III, LINE 9B: CHARITY ACCOUNTS ARE THOSE WHICH HAVE EXHAUSTED THEIR RESOURCES, OR DID NOT QUALIFY FOR THIRD-PARTY ASSISTANCE, AND/OR GUARANTOR DOES NOT HAVE RESOURCES TO PAY THE ACCOUNT. GUARANTOR MUST COMPLETE A MONTHLY BUDGET SHEET; THEY WILL ASSIST TO DETERMINE ELIGIBILITY FOR CHARITY CARE. PART VI, LINE 2: THE HOSPITAL FACILITY OBTAINED INPUT FROM KEY STAKEHOLDERS (PERSONS WITH KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, COMMUNITY MEMBERS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY OR PERSONS REPRESENTING VULNERABLE POPULATIONS) IN CONDUCTING ITS MOST RECENT CHNA. THIS INPUT WAS INTENDED TO ASCERTAIN OPINIONS AMONG INDIVIDUALS LIKELY TO BE KNOWLEDGEABLE ABOUT THE COMMUNITY AND INFLUENTIAL OVER THE OPINIONS OF OTHERS ABOUT HEALTH CONCERNS IN THE COMMUNITY. PART VI, LINE 3: PATIENTS AND/OR FAMILY MEMBERS ARE INFORMED OF THE CHARITY CARE PROGRAM AT TIME OF REGISTRATION VIA THE PATENT INFORMATION HANDBOOK. THERE ARE SIGNS POSTED IN PATIENT ACCESS AREAS DENOTING THE CHARITY CARE POLICY. ALSO, THE CHARITY CARE POLICY AND GUIDLINES ARE ADVERTISED YEARLY IN LOCAL NEWSPAPERS. PART VI, LINE 4: 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 SOCIOECONOMIC 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. PART VI, LINE 5: 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 PARTICIPATES IN EVENTS AND CONFERENCE CALLS THAT ARE ORGANIZED BY THE HIDALGO COUNTY HEALTH DEPARTMENT TO ADDRESS PREPARATION FOR DISASTERS AND ONGOING CRISIS EVENTS. KNAPP PARTNERS WITH THE WESLACO POLICE DEPARTMENT TO INCREASE COMMUNITY AWARENESS OF SAFETY ISSUES, INCLUDING THE DANGERS OF ALCOHOL & DRUG ABUSE.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. TO BE ELIGIBLE FOR A CAR SEAT, THE PARENT MUST RECEIVE TRAINING ON PROPER CAR SEAT INSTALLATION AND HOW TO CORRECTLY FIT CHILD HARNESSES. KNAPP OFFERS THIS TRAINING FREE-OF-CHARGE, AS WELL AS FREE CHILDBIRTH EDUCATION CLASSES FOR EXPECTANT PARENTS. SINCE SEPTEMBER 2009, KNAPP MEDICAL CENTER HAS DISTRIBUTED MORE THAN 900 INFANT AND BOOSTER SEATS TO INDIGENT FAMILIES.KNAPP IS A TRAINING CENTER FOR THE AMERICAN HEART ASSOCIATION'S CERTIFICATION PROGRAMS: BASIC LIFE SUPPORT (BLS), ADVANCED CARDIOVASCULAR LIFE SUPPORT (ACLS), AND PEDIATRIC ADVANCED LIFE SUPPORT (PALS), AND IS FULLY ACCREDITED A PROVIDER OF CONTINUING MEDICAL EDUCATION (CME) BY THE TEXAS MEDICAL ASSOCIATION. KNAPP IS ALSO ACCREDITED AS A PROVIDER OF CONTINUING NURSING EDUCATION (CNE) CREDITS FOR NURSES, BY THE AMERICAN NURSES CREDENTIALING CENTER.THE KNAPP WOMEN'S HEALTH DEPARTMENT HAS COORDINATED BREASTFEEDING CONFERENCES FOR LOCAL WIC EDUCATORS AND OTHER CASE MANAGERS AT KNAPP'S CONFERENCE CENTER AND KNAPP OFFERS BREAST FEEDING EDUCATION THROUGH FREE FAMILY BIRTHING CLASSES.THE KNAPP CONFERENCE CENTER IS FREQUENTLY MADE AVAILABLE AT NO CHARGE TO GOVERNMENTAL AND NON-PROFIT ORGANIZATIONS WHO NEED A PLACE TO PROVIDE EDUCATION AND SKILLS TRAINING FOR HEALTH PROFESSIONALS AND THE PUBLIC.THE KNAPP VOLUNTEER PROGRAM ASSISTS STUDENTS NEEDING VOLUNTEER HOURS TO GAIN VOLUNTEER EXPERIENCE IN A HEALTHCARE SETTING AND FOR OLDER ADULTS WHO ENJOY VOLUNTEERING AND FEEL A SENSE OF PURPOSE IN DOING SO. IN 2022, 20 PEOPLE SERVED AS VOLUNTEERS.IN ADDITION, THE KNAPP MEDICAL CENTER VOLUNTEER AUXILIARY PROVIDES A CULTURALLY-SENSITIVE CHART FOR DIETICIANS TO USE IN TEACHING DIABETES AND RENAL FAILURE PATIENTS ABOUT PORTION CONTROL AND MEAL PLANNING. THE CHART USES VISUAL CUES TO FOOD CHOICES RATHER THAN WORDS. THE CHARTS PROVIDE A VALUABLE EDUCATIONAL RESOURCE, ESPECIALLY FOR THE AREA'S HISPANIC POPULATION WHICH IS AT GREATER RISK FOR DEVELOPING DIABETES.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 EDUCATIONAL 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 HAVE SERVED 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 HAS SERVED AS 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 HAVE INCLUDED 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 RIO GRANDE VALLEY, VALLEY GRANDE INSTITUTE FOR ACADEMIC STUDIES AND WESLACO INDEPENDENT SCHOOL DISTRICT. IN ADDITION, RESIDENTS (ALREADY PHYSICIANS) WHO ARE WITH THE UTRGV/KNAPP 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 HELPS SPONSOR EVENTS THROUGHOUT THE YEAR TO BENEFIT AURORA HOUSE.KNAPP MEDICAL CENTER PARTICIPATES IN MANY CHARITABLE EVENTS IN THE COMMUNITY, INCLUDING FOOD DRIVES TO BENEFIT NEEDY FAMILIES AND HOLIDAY TOY DRIVES FOR NEEDY CHILDREN.OTHER INFORMATIONKNAPP MEDICAL CENTER HAS AN OPEN MEDICAL STAFF. KNAPP HAS OFFERED VOLUNTEER PROGRAM FOR TEENS, COLLEGE STUDENTS NEEDING VOLUNTEER SERVICE IN THEIR FIELD OF STUDY AND FOR RETIREES, WHO HAVE OFTEN REMARKED THAT THEY RECEIVE MORE FROM VOLUNTEERING THAN WHAT THEY GIVE. PART VI, LINE 6: 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. 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 PROVIDED AMBULATORY SURGICAL SERVICES TO PATIENTS RESIDING IN WESLACO, TEXAS. IN PRIOR YEARS, APPROXIMATELY 13% OF MEMBERSHIP UNITS WERE OWNED BY AREA PHYSICIANS. DURING 2013, THE MEDICAL CENTER BOUGHT BACK THOSE UNITS AND AS OF 12/31/2013, THE MEDICAL CENTER IS THE SOLE MEMBER OF THE CENTER. IN APRIL 2008, THE MEDICAL CENTER CREATED KNAPP MEDICAL GROUP (THE GROUP), A NONPROFIT ORGANIZATION THAT PROVIDES PHYSICIAN SERVICES. OPERATIONS AT THE GROUP BEGAN IN FEBRUARY 2010. ON 1/1/2013, SOLE MEMBERSHIP OF THE MEDICAL CENTER WAS TRANSFERRED TO PRIME HEALTHCARE FOUNDATION, INC (PHF). PART VI, LINE 7, REPORTS FILED WITH STATES TX 0 0 0 0 0 0 0 1 0 RENE J LOPEZ ADMINISTRATOR/CEO (REGIONAL) 305406 0 25000 0 13627 0 27000 0 7762 0 378795 0 0 0 MICHAEL DAVIS REGIONAL CFO 169461 0 20000 0 2612 0 27000 0 14658 0 233731 0 0 0 MARLENE GAVIA REGISTERED NURSE 212635 0 0 0 1365 0 18609 0 0 0 232609 0 0 0 GRACIE VILLALPANDO REGISTERED NURSE 180663 0 9000 0 1789 0 21483 0 15586 0 228521 0 0 0 ANNA HINOJOSA CNO 162164 0 15000 0 8782 0 26000 0 7762 0 219708 0 0 0 DAKOTAH R FERNANDEZ REGISTERED NURSE 168095 0 0 0 11854 0 11562 0 5031 0 196542 0 0 0 THANYA LOPEZ REGISTERED NURSE 180678 0 0 0 0 0 0 0 0 0 180678 0 0 0 NICHOLE L GRANADOS REGISTERED NURSE 170448 0 5000 0 0 0 2294 0 0 0 177742 0 0 0 PART I, 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. IN ACCORDANCE WITH A MANAGEMENT AGREEMENT. WRITTEN EMPLOYMENT CONTRACTS ARE FORWARDED TO THE FACILITY ONCE EXECUTED. COMPENSATION SURVEY OR STUDIES ARE UTILIZED. PART I, LINE 7 BONUSES ARE PAID IN THE LAST PAY PERIOD OF THE YEAR AND ARE DISCRETIONARY. PRIME HEALTHCARE MANAGEMENT INC SEE PART V 5876500 MANAGEMENT FEES 1 BIO-MED SERVICES INC SEE PART V 1520312 MEDICAL EQUIPMENT MANAGEMENT 0 PRIME HEALTHCARE MANAGEMENT INC SEE PART V 776925 BUSINESS OFFICE SERVICES 1 PART IV, LINES 1 AND 3, COLUMN B: ENTITY IS INDIRECTLY OWNED BY DR. PREM REDDY, FOUNDER OF PRIME HEALTHCARE FOUNDATION AND A FORMER DIRECTOR AND OFFICER OF PRIME HEALTHCARE FOUNDATION WHO RESIGNED FROM SUCH POSITIONS ON JANUARY 29, 2016, AND LATER RESIGNED FROM A NON-VOTING POSITION (CHAIR-EMERITUS) ON OCTOBER 27, 2016. ENTITY IS ALSO INDIRECTLY OWNED BY DR. KAVITHA BHATIA, WHO HAS A FAMILY RELATIONSHIP WITH DR. PREM REDDY, SERVES AS PRESIDENT OF THE ORGANIZATION, AND SERVES AS PRESIDENT AND CHAIR OF THE BOARD OF PRIME HEALTHCARE FOUNDATION. PART IV, LINE 2, COLUMN B: ENTITY IS OWNED BY DR. PREM REDDY, FOUNDER OF PRIME HEALTHCARE FOUNDATION AND A FORMER DIRECTOR AND OFFICER OF PRIME HEALTHCARE FOUNDATION WHO RESIGNED FROM SUCH POSITIONS ON JANUARY 29, 2016, AND LATER RESIGNED FROM A NON-VOTING POSITION (CHAIR-EMERITUS) ON OCTOBER 27, 2016. ENTITY IS ALSO DIRECTLY OWNED BY DR. KAVITHA BHATIA, WHO HAS A FAMILY RELATIONSHIP WITH DR. PREM REDDY, SERVES AS PRESIDENT OF THE ORGANIZATION, AND SERVES AS PRESIDENT AND CHAIR OF THE BOARD OF PRIME HEALTHCARE FOUNDATION. FORM 990, PART IV, LINE 20B: THE AUDITED FINANCIAL STATEMENTS THAT ARE ATTACHED TO THIS RETURN INCLUDE PRIME HEALTHCARE FOUNDATION, INC. AND ITS SUBSIDIARIES, INCLUDING KNAPP MEDICAL CENTER AND KNAPP MEDICAL CENTER ASC, LLC. THE OTHER ENTITIES INCLUDED IN THE AUDITED FINANCIAL STATEMENTS ARE NOT INCLUDED IN THIS RETURN AS THEY ARE SEPERATE ENTITIES FOR TAX PURPOSES THAT FILE THEIR OWN TAX RETURNS. FORM 990, PART VI, SECTION A, LINE 2 KAVITHA BHATIA, ABRAHAM JOEL RICHLIN AND STEVEN ALEMAN HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION IS BEING MANAGED BY PRIME HEALTHCARE MANAGEMENT, INC., AN AFFILIATE OF PRIME HEALTHCARE FOUNDATION, INC. (PHF). THE COMPANY PROVIDES MANAGEMENT AND ADMINISTRATIVE SERVICES TO THE FILING ORGANIZATION AND EACH OF THE HOSPITAL FACILITIES IN THE ORGANIZATION. SERVICES INCLUDE, MANAGEMENT, LEGAL, INFORMATION TECHNOLOGY AND REVENUE CYCLE MANAGEMENT. THE FOLLOWING OFFICERS LISTED ON PART VII ARE EMPLOYED BY THE MANAGEMENT COMPANY TO PROVIDE SERVICES TO A VARIETY OF HOSPITALS ON AN AS-NEEDED BASIS AND RECEIVED THE FOLLOWING AMOUNT OF COMPENSATION FROM THE MANAGEMENT COMPANY FOR SERVICES PROVIDED TO PRIME HEALTHCARE FOUNDATION AND ITS SUBSIDIARIES: KAVITHA BHATIA - $60,098 STEVE ALEMAN - $66,108 ABRAHAM JOEL RICHLIN - $54,088 FORM 990, PART VI, SECTION A, LINE 6 PRIME HEALTHCARE FOUNDATION, INC. (PHF). IS THE SOLE CORPORATE CONTROLLING MEMBER. 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 PRIME HEALTHCARE FOUNDATION, INC. (PHF), THE SOLE CORPORATE MEMBER, HOLDS CERTAIN RESERVED POWERS AS SET FORTH IN THE ARTICLES OF INCORPORATION. PHF HAS THE POWER TO APPOINT THE BOARD MEMBERS AND APPROVE ANY AMENDMENTS OF THE ORGANIZATION'S ARTICLES OR BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORMS ARE REVIEWED BY THE ORGANIZATION'S CFO AND OUTSIDE COUNSEL PRIOR TO FILING AND THEN THE RETURNS ARE PROVIDED TO THE BOARD FOR THEIR REVIEW CONTEMPORANEOUSLY WITH THEIR FILING. FORM 990, PART VI, SECTION B, LINE 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, LINE 15 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. IN ACCORDANCE WITH A MANAGEMENT AGREEMENT. WRITTEN EMPLOYMENT CONTRACTS ARE FORWARDED TO THE FACILITY ONCE EXECUTED. COMPENSATION SURVEY OR STUDIES ARE UTILIZED. 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. FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 2,931,094. MANAGEMENT AND GENERAL EXPENSES 1,578,282. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,509,376. OUTSIDE PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,374,289. MANAGEMENT AND GENERAL EXPENSES 740,001. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,114,290. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,093,125. MANAGEMENT AND GENERAL EXPENSES 2,203,991. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,297,116. COLLECTION FEES: PROGRAM SERVICE EXPENSES 173,313. MANAGEMENT AND GENERAL EXPENSES 93,323. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 266,636. SOFTWARE SUBSCRIPTIONS/INFO TECH: PROGRAM SERVICE EXPENSES 4,408. MANAGEMENT AND GENERAL EXPENSES 2,374. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,782. MEDICAL SCHOOL CONTRACTORS: PROGRAM SERVICE EXPENSES 3,304,579. MANAGEMENT AND GENERAL EXPENSES 1,779,389. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,083,968. 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