Community Benefit Insight - Tax-exempt hospital

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Knapp Medical Center

Knapp Medical Center

1401 East Eight Street
Weslaco, TX 78596

Bed count	233	Medicare provider number	450128	Member of the Council of Teaching Hospitals	YES	Children's hospital	NO

EIN: 741393060

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

3.75%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 4,911,737 3.74 %
Medicaid as % of operating expenses	$ 0 0 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 0 0 %
Subsidized health services as % of operating expenses	$ 0 0 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 14,700 0.01 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 0 0 %
Community building* as % of operating expenses	$ 14,700 0.01 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 14,700 0.01 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 0 0 %
Community support as % of community building expenses	$ 0 0 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 0 0 %
Coalition building as % of community building expenses	$ 0 0 %
Community health improvement advocacy as % of community building expenses	$ 0 0 %
Workforce development as % of community building expenses	$ 0 0 %
Other as % of community building expenses	$ 14,700 100 %
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 29,585,362 22.55 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 32,858,364 111.06 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 101264120 including grants of $ 750) (Revenue $ 125317754)
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 5,235 ADMISSIONS, 17,000 EMERGENCY ROOM VISITS, 1,315 DELIVERIES, AND 1,688 SURGERIES.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

KNAPP MEDICAL CENTER
PART V, SECTION B, LINE 5: 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. KEY STAKEHOLDERS FORUM PARTICIPANTS WERE SELECTED FOR PARTICIPATION BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH; THEIR AFFILIATION WITH LOCAL GOVERNMENT, SCHOOLS AND INDUSTRY; OR THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. KEY STAKEHOLDERS REPRESENT THE FOLLOWING TYPES OF ORGANIZATIONS:- MEDICAL PROVIDERS- LOCAL HEALTHCARE LEADERS- SOCIAL SERVICE AGENCIES- LOCAL SCHOOLS SYSTEMS AND UNIVERSITIES- PUBLIC HEALTH AGENCIES- GOVERNMENT OFFICIALS- LOCAL BUSINESSES ALL FORUMS WERE CONDUCTED BY BKD PERSONNEL. TWO KEY STAKEHOLDER FORUMS WERE CONDUCTED TO GATHER KEY INFORMANT INPUT. THE FORUMS WERE CONDUCTED JOINTLY BY MISSION REGIONAL MEDICAL CENTER AND KNAPP MEDICAL CENTER.PARTICIPANTS WHO PARTICIPATED IN THE FORUMS PROVIDED INPUT ON THE FOLLOWING ISSUES:- HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE PRIMARY COMMUNITY- UNDERSERVED POPULATIONS AND COMMUNITIES OF NEED- BARRIERS TO IMPROVING HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE COMMUNITY- OPINIONS REGARDING THE IMPORTANT HEALTH ISSUES THAT AFFECT COMMUNITY RESIDENTS AND THE TYPE OF SERVICES THAT ARE IMPORTANT FOR ADDRESSING THESE ISSUES.THIS TECHNIQUE REVEALS COMMUNITY INPUT FOR SOME OF THE FACTORS AFFECTING THE VIEWS AND SENTIMENTS ABOUT OVERALL HEALTH AND QUALITY OF LIFE WITHIN THE COMMUNITY.

KNAPP MEDICAL CENTER
PART V, SECTION B, LINE 11: HEALTH NEEDS WERE IDENTIFIED BASED ON INFORMATION GATHERED AND ANALYZED THROUGH THE 2021 CHNA CONDUCTED BY KNAPP MEDICAL CENTER. USING FINDINGS OBTAINED THROUGH THE COLLECTION OF PRIMARY AND SECONDARY DATA, THE MEDICAL CENTER COMPLETED AN ANALYSIS OF THESE INPUTS TO IDENTIFY COMMUNITY HEALTH NEEDS. THE FOLLOWING DATA WAS ANALYZED TO IDENTIFY HEALTH NEEDS FOR THE COMMUNITY:LEADING CAUSES OF DEATHLEADING CAUSES OF DEATH FOR THE COMMUNITY AND THE DEATH RATES FOR THE LEADING CAUSES OF DEATH FOR EACH COUNTY WITHIN THE MEDICAL CENTER'S CHNA COMMUNITY WERE COMPARED TO U.S. ADJUSTED DEATH RATES. CAUSES OF DEATH IN WHICH THE COUNTY RATE COMPARED UNFAVORABLY TO THE U.S. ADJUSTED DEATH RATE RESULTED IN A HEALTH NEED FOR THE MEDICAL CENTER'S CHNA COMMUNITY.HEALTH OUTCOMES AND FACTORSAN ANALYSIS OF THE COUNTY HEALTH RANKINGS HEALTH OUTCOMES AND FACTORS DATA WAS PREPARED FOR EACH COUNTY WITHIN KNAPP'S CHNA COMMUNITY. COUNTY RATES AND MEASUREMENTS FOR HEALTH BEHAVIORS, CLINICAL CARE, SOCIAL AND ECONOMIC FACTORS AND THE PHYSICAL ENVIRONMENT WERE COMPARED TO STATE BENCHMARKS. COUNTY RANKINGS IN WHICH THE COUNTY RATE COMPARED UNFAVORABLY(BY GREATER THAN 30% OF THE NATIONAL BENCHMARK) RESULTED IN AN IDENTIFIED HEALTH NEED. THE INDICATORS FALLING WITHIN THE LEAST FAVORABLE QUARTILE FROM THE COMMUNITY HEALTH STATUS INDICATORS (CHSI) RESULTED IN AN IDENTIFIED HEALTH NEED.PRIMARY DATAHEALTH NEEDS IDENTIFIED THROUGH KEY INFORMANT INTERVIEWS WERE INCLUDED AS HEALTH NEEDS. NEEDS FOR VULNERABLE POPULATIONS WERE SEPARATELY REPORTED ON THE ANALYSIS IN ORDER TO FACILITATE THE PRIORITIZATION PROCESS. HEALTH NEEDS OF VULNERABLE POPULATIONS HEALTH NEEDS OF VULNERABLE POPULATIONS WERE INCLUDED FOR RANKING PURPOSES.THE FOLLOWING HEALTH NEEDS WERE IDENTIFIED AS THE MOST SIGNIFICANT HEALTH NEEDS FOR THE COMMUNITY:- LACK OF PRIMARY CARE PHYSICIANS/ ACCESS TO PRIMARY CARE PHYSICIANS- HEALTHY BEHAVIORS/LIFESTYLE CHANGES - OBESITY - UNINSURED / LIMITED INSURANCE / ACCESS - AFFORDABILITY OF HEALTHCARE SERVICES - LACK OF MENTAL HEALTH PROVIDERS / ADDICTION PROVIDERS AND SERVICES - CHRONIC DISEASES (HEART DISEASE, STROKE, KIDNEY, CANCER, DIABETES)- POOR NUTRITION / LIMITED ACCESS TO HEALTH FOOD OPTIONS- LACK OF SPECIALISTS / ACCESS TO SPECIALISTS - LACK OF HEALTH KNOWLEDGE / EDUCATION THESE NEEDS WERE FURTHER REVIEWED AND PRIORITIZED DURING THE PREPARATION OF THE UPDATED IMPLEMENTATION PLAN. KNAPP MEDICAL CENTER IS WORKING TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED ABOVE BY COMMITTING TO THE FOLLOWING IN THE MOST RECENTLY IMPLEMENTED IMPLEMENTATION STRATEGY:- INCREASE THE NUMBER OF PRIMARY CARE PHYSICIANS & SPECIALISTS IN THE MID-VALLEY AREA- OPERATE CLINICS TO PROVIDE PRIMARY CARE IN THE MID-VALLEY- PROVIDE FREE HEALTHCARE EDUCATIONAL OPPORTUNITIES- WORK WITH ELECTED REPRESENTATIVES TO ENCOURAGE EXTENSION OF HEALTH INSURANCE TO UNINSURED RESIDENTS-CREATE GREATER AWARENESS OF THE EPIDEMIC OF DIABETES IN OUR COMMUNITY, HOW IT CAN BE PREVENTED AND HOW IT CAN BE CONTROLLED-ENCOURAGE RESIDENTS TO PURSUE FITNESS AND HEALTHY EATING- HELP BUILD A COMMUNITY CULTURE WHICH VALUES EXERCISE AND HEALTHY EATING- OFFER HEALTHY FOODS AT ALL HOSPITAL-RELATED EVENTSSOME 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.

PART V, SECTION B, LINES 7A AND 10A:
HTTPS://WWW.KNAPPMED.ORG/ABOUT-US/COMMUNITY-HEALTH-ASSESSMENT.ASPX

PART V, SECTION B, LINE 16
THE FAP, FAP APPLICATION, AND PLAIN LANGUAGE FAP CAN BE FOUND HERE:HTTPS://WWW.KNAPPMED.ORG/PATIENTS-VISITORS/FOR-PATIENTS/ADMISSION-FINANCIAL-ARRANGEMENTS/

Supplemental Information

Schedule H (Form 990) Part VI

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 2:
THE AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS.

PART III, LINE 3:
THE AMOUNT REPORTED IN ITEM 3 IS THE ORGANIZATION'S ESTIMATE OF THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE PATIENTS IS 0% OF LINE 2. THE HOSPITAL SEPARATELY RECORDS CHARITY CARE EXPENSE, AND THAT AMOUNT WAS $34,858,364 FOR THE CURRENT YEAR.

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 SOCIO-ECONOMIC DEMOGRAPHICS. IN GENERAL, THE OVERALL AREA IS LOCATED IN EASTERN HIDALGO COUNTY DEEP IN SOUTH TEXAS. THIS AREA IS PREDOMINATELY HISPANIC, WITH A HIGH SPANISH SPEAKING POPULATION, HIGH ILLITERACY RATE, HIGH PREVALENCE OF DIABETES, HIGH BIRTH RATES, AND HIGH UNINSURED AND UNDERINSURED INDIVIDUALS WHO LACK A MEDICAL HOME.

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. 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 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.TO PROMOTE WELLNESS AND CANCER PREVENTION / EARLY INTERVENTION AMONG THE ADULT POPULATION, KNAPP MEDICAL CENTER HELD A FREE HEALTH TALK ON ""COLON CANCER SCREENING & PREVENTION"" IN NOV. 2021. 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 2021, 17 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."

Operating expenses	$ 131,201,811
Total amount spent on community benefits as % of operating expenses	$ 4,926,437 3.75 %