MISSION HOSPITAL INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: MISSION HOSPITAL INC (EIN 74-2206635)
Tax period: 2015-10-01 to 2016-09-30
Filed: 2017-08-14
IRS object ID: 201712269349302041
Schema version: 2015v3.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-08-14T19:06:20-05:00	ReturnTs
Tax Period End	2016-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2800 Post Oak Blvd Ste 3200	AddressLine1Txt
City	HOUSTON	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	77056	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	742206635	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MISSION HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% PATRICIA VAN MATRE	InCareOfNm
Business Name Control	MISS	BusinessNameControlTxt
Phone	9563231025	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 SOUTH BRYAN ROAD	AddressLine1Txt
City	MISSION	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78572	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KANE DAWSON	PersonNm
Person Title	CEO	PersonTitleTxt
Signature	2017-08-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Amanda Maya	PreparerPersonNm
PTIN	P01067777	PTIN
Phone	7134994600	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KANE DAWSON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 SOUTH BRYAN ROAD	AddressLine1Txt
City	MISSION	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78572	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$146,070,650	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MISSIONRMC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1954	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE QUALITY CARE AND SUPERIOR SERVICE TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. OUR VISION IS TO BE THE MEDICAL CENTER OF FIRST CHOICE FOR PATIENTS.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1278	TotalEmployeeCnt
Total Volunteers	150	TotalVolunteersCnt
Total Gross UBI	$857,261	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$30,057	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$162,821	PYContributionsGrantsAmt
CY Contributions Grants	$588,871	CYContributionsGrantsAmt
PY Program Service Revenue	$138,535,960	PYProgramServiceRevenueAmt
CY Program Service Revenue	$138,635,159	CYProgramServiceRevenueAmt
PY Investment Income	$386,332	PYInvestmentIncomeAmt
CY Investment Income	$211,358	CYInvestmentIncomeAmt
PY Other Revenue	$822,214	PYOtherRevenueAmt
CY Other Revenue	$780,204	CYOtherRevenueAmt
PY Total Revenue	$139,907,327	PYTotalRevenueAmt
CY Total Revenue	$140,215,592	CYTotalRevenueAmt
PY Grants And Similar Paid	$52,284	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$56,103	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$66,667,595	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$64,749,513	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$75,417	CYTotalFundraisingExpenseAmt
PY Other Expenses	$84,344,405	PYOtherExpensesAmt
CY Other Expenses	$90,379,623	CYOtherExpensesAmt
PY Total Expenses	$151,064,284	PYTotalExpensesAmt
CY Total Expenses	$155,185,239	CYTotalExpensesAmt
PY Revenues Less Expenses	-$11,156,957	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$14,969,647	CYRevenuesLessExpensesAmt
Total Assets BOY	$90,292,698	TotalAssetsBOYAmt
Total Assets EOY	$79,566,657	TotalAssetsEOYAmt
Total Liabilities BOY	$39,712,022	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$43,928,544	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$50,580,676	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$35,638,113	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE QUALITY CARE AND SUPERIOR SERVICE TO THE COMMUNITIES WE SERVE. OUR VISION IS TO BE THE MEDICAL CENTER OF FIRST CHOICE FOR PATIENTS, EMPLOYEES AND PHYSICIANS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$136,071,094	ExpenseAmt
Grant	$56,103	GrantAmt
Revenue	$138,714,916	RevenueAmt
Desc	THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO PATIENTS IN MISSION, TEXAS AND SURROUNDING AREAS.	Desc
Total Program Service Expenses	$136,071,094	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	135	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1278	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	PATRICIA VAN MATRE	PersonNm
Phone	9563231025	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 SOUTH BRYAN ROAD	AddressLine1Txt
City	MISSION	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78572	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RALPH CANTU
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
ELIZABETH GARZA
BOARD MEMBER	2.0	3.0	Yes (X)	$0	$0	$0
J MATTHEW JOHNSON MD
BOARD MEMBER	2.0	2.0	Yes (X)	$0	$0	$0
RUBEN MORENO
VICE CHAIRMAN	2.0	3.0	Yes (X)	$0	$0	$0	Yes (X)
MAURO L REYNA III
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
JESUS RODRIGUEZ MD
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
JOHN A WOMACK
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
ROBERT NORMAN
BOARD MEMBER	2.0	0.0	Yes (X)	$0	$0	$0
ALICIA REQUENEZ
CHAIRWOMAN	2.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
TIMOTHY BROWN
SECRETARY/TREASURER	2.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
RICARDO MARTINEZ
BOARD MEMBER	2.0	3.0	Yes (X)	$0	$0	$0
JAVIER MURILLO MD
BOARD MEMBER	2.0	5.0	Yes (X)	$20,476	$11,533	$0
JAVIER IRUEGAS
CHIEF EXECUTIVE OFFICER	40.0	1.0		$377,430	$0	$54,379	Yes (X)
TIMOTHY J MCVEY
CHIEF FINANCIAL OFFICER	40.0	0.0		$242,145	$0	$22,199	Yes (X)
CARLOS TREVINO
CHIEF OPERATING OFFICER	40.0	5.0		$203,093	$0	$7,709	Yes (X)
KENNETHA FOSTER
CHIEF NURSING OFFICER	40.0	0.0		$137,689	$0	$4,528	Yes (X)
JOSE M MALDONADO
RN3	40.0	0.0		$178,809	$0	$6,275		Yes (X)
IMELDA R OCHOA
PHARMACY DIRECTOR	40.0	0.0		$163,811	$0	$5,675		Yes (X)
BELINDA OLIVO-ROCHA
CLINICAL STAFF PHARMACIST	40.0	0.0		$181,272	$0	$8,020		Yes (X)
VICTORIA AJAYI
CLINICAL STAFF PHARMACIST	40.0	0.0		$171,617	$0	$9,431		Yes (X)
CAROLYNE RUTO
CLINICAL STAFF PHARMACIST	40.0	0.0		$160,289	$0	$6,282		Yes (X)
KATHLEEN MOWERY
VP QUALITY/COMPL -TERM 01/2015	0.0	0.0		$163,478	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,000,109	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$11,533	TotReportableCompRltdOrgAmt
Total Other Compensation	$124,498	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	60	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
REHABCARE GROUP
PO BOX 502096	ST LOUIS	MO	631502096	REHAB SERVICES	$3,065,617
ACEMA GROUP
7907 N 2ND LANE	MCALLEN	TX	78504	ANESTHESIA SERVICES	$1,458,072
BALLARD ANESTHESIA SERVICES
1900 MEADOWHILL	JACKSONVILLE	TX	75766	CRNA SERVICE	$990,532
RIO GRANDE VALLEY EMERGENCY PHYS
PO BOX 8126	WESLACO	TX	78579	ER PHYSICIANS	$834,213
HELP AMERICA
2220 HAINES DRIVE STE 35	HARLINGEN	TX	78550	COLLECTION AGENCY	$627,278

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	17	CntrctRcvdGreaterThan100KCnt
Related Organizations	$500,000	RelatedOrganizationsAmt
All Other Contributions	$88,871	AllOtherContributionsAmt
Total Contributions	$588,871	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	621500	$136,803,044	$135,976,046	$826,998
OTHER OPERATING REVENUE	900099	$573,398	$573,398
EHR INCENTIVE REVENUE	900099	$909,539	$909,539
MANAGEMENT SERVICES REVENUE	900099	$349,178	$349,178

Field	Value	IRS element (for citing)
Total Program Service Revenue	$138,635,159	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$211,351	TotalRevenueColumnAmt
Unrelated Business Revenue	$30,263	UnrelatedBusinessRevenueAmt
Exclusion	$181,088	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$5,853,965	SecuritiesAmt
Other	$1,100	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$5,853,077	SecuritiesAmt
Other	$1,981	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$888	SecuritiesAmt
Other	-$881	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$881	RelatedOrExemptFuncIncomeAmt
Exclusion	$888	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA	721310	$643,277	$643,277
EDUCATION PROGRAMS	611710	$9,691		$9,691
VENDING	900099	$56,289	$56,289

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$70,947	TotalRevenueColumnAmt
Related Or Exempt Func Income	$70,947	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$780,204	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$140,215,592	TotalRevenueColumnAmt
Related Or Exempt Func Income	$137,887,918	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$857,261	UnrelatedBusinessRevenueAmt
Exclusion	$881,542	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$39,103	TotalAmt
Program Services	$39,103	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$17,000	TotalAmt
Program Services	$17,000	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,069,648	TotalAmt
Program Services	$902,961	ProgramServicesAmt
Management And General	$166,687	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$163,478	TotalAmt
Program Services	$138,212	ProgramServicesAmt
Management And General	$25,266	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$52,017,888	TotalAmt
Program Services	$43,978,461	ProgramServicesAmt
Management And General	$7,964,010	ManagementAndGeneralAmt
Fundraising	$75,417	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$390,669	TotalAmt
Program Services	$324,255	ProgramServicesAmt
Management And General	$66,414	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,049,280	TotalAmt
Program Services	$5,850,902	ProgramServicesAmt
Management And General	$1,198,378	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,058,550	TotalAmt
Program Services	$3,368,597	ProgramServicesAmt
Management And General	$689,953	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,561,159	TotalAmt
Program Services	$1,956,140	ProgramServicesAmt
Management And General	$605,019	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$335,820	TotalAmt
Management And General	$335,820	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$80,599	TotalAmt
Management And General	$80,599	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$14,606,171	TotalAmt
Program Services	$10,163,733	ProgramServicesAmt
Management And General	$4,442,438	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$334,097	TotalAmt
Management And General	$334,097	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,407,835	TotalAmt
Program Services	$740,427	ProgramServicesAmt
Management And General	$667,408	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,626,154	TotalAmt
Program Services	$3,025,160	ProgramServicesAmt
Management And General	$600,994	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,694	TotalAmt
Program Services	$1,406	ProgramServicesAmt
Management And General	$288	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,274,888	TotalAmt
Program Services	$1,058,157	ProgramServicesAmt
Management And General	$216,731	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$7,044,559	TotalAmt
Program Services	$5,846,984	ProgramServicesAmt
Management And General	$1,197,575	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,212,248	TotalAmt
Program Services	$1,836,166	ProgramServicesAmt
Management And General	$376,082	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE	$38,988,470	$38,988,470
MEDICAL SUPPLIES	$15,951,272	$15,951,272
DIETARY EXPENSES	$1,167,483	$1,167,483
REPAIRS	$717,981	$647,012	$70,969

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$69,193	TotalAmt
Program Services	$69,193	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$155,185,239	TotalAmt
Program Services	$136,071,094	ProgramServicesAmt
Management And General	$19,038,728	ManagementAndGeneralAmt
Fundraising	$75,417	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,030,870	BOYAmt
EOY	$1,394,165	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$11,376,172	BOYAmt
EOY	$14,665,397	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$16,707,919	BOYAmt
EOY	$14,422,285	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,277,301	BOYAmt
EOY	$581,063	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,733,391	BOYAmt
EOY	$1,538,578	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,371,496	BOYAmt
EOY	$4,945,460	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$120,124,334	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$90,022,831	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$34,628,302	BOYAmt
EOY	$30,101,503	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$952,535	BOYAmt
EOY	$1,005,121	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$657,740	BOYAmt
EOY	$572,847	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$19,556,972	BOYAmt
EOY	$10,340,238	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$90,292,698	BOYAmt
EOY	$79,566,657	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$12,846,110	BOYAmt
EOY	$17,691,919	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$26,695,701	BOYAmt
EOY	$23,680,964	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$170,211	BOYAmt
EOY	$2,555,661	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$39,712,022	BOYAmt
EOY	$43,928,544	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$50,580,676	BOYAmt
EOY	$35,638,113	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$50,580,676	BOYAmt
EOY	$35,638,113	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$90,292,698	BOYAmt
EOY	$79,566,657	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$14,969,647	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$25,502	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$52,586	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$36,664	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$36,664	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	LOBBYING ACTIVITIES	FormAndLineReferenceDesc
Explanation	THE AMOUNT ON LINE 1F ABOVE REPRESENTS THE PORTION OF THA AND AHA DUES PAID BY THE ORGANIZATION THAT ARE ATTRIBUTABLE TO LOBBYING. THE AMOUNT ALSO INCLUDES $28,710 PAID TO THE HEALTHY HIDALGO COUNTY POLITICAL ACTION COMMITTEE.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$496,439	OtherCostOrOtherBasisAmt
Book Value	$496,439	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,204,512	OtherCostOrOtherBasisAmt
Depreciation	$17,217,879	DepreciationAmt
Book Value	$9,986,633	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,635,780	OtherCostOrOtherBasisAmt
Depreciation	$3,798,117	DepreciationAmt
Book Value	$837,663	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$87,787,603	OtherCostOrOtherBasisAmt
Depreciation	$69,006,835	DepreciationAmt
Book Value	$18,780,768	BookValueAmt

Field	Value	IRS element (for citing)
Other Land Buildings		OtherLandBuildingsGrp
Total Book Value Land Buildings	$30,101,503	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
ACCRUED INTEREST RECEIVABLE	$13,143
DUE FROM AFFILIATIES	$5,289,824
DEBT SERVICE FUND	$5,037,271

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$10,340,238	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
ACCRUED INTEREST PAYABLE	$152,062
EST AMOUNTS DUE TO 3RD PARTY	$2,403,599

Field	Value	IRS element (for citing)
Total Liability	$2,555,661	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$101,255,087	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$25,502	NetUnrealizedGainsInvstAmt
Other Revenue	$53,467	OtherRevenueAmt
Revenue Not Reported	$27,965	RevenueNotReportedAmt
Revenue Subtotal	$101,227,122	RevenueSubtotalAmt
Other Revenues Not Included	$38,988,470	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$38,988,470	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$140,215,592	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$116,197,650	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$881	OtherExpensesIncludedAmt
Expenses Not Reported	$881	ExpensesNotReportedAmt
Expenses Subtotal	$116,196,769	ExpensesSubtotalAmt
Other Expenses Not Included	$38,988,470	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$38,988,470	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$155,185,239	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART XI, LINE 2D	RECONCILIATION OF REVENUE PER FINANCIAL STATEMENTS TO RETURN: REVENUE PER BOOKS NOT ON RETURN: GAIN ON EQUITY INVESTMENT $ 52,586 LOSS ON DISPOSAL IN EXPENSE PER AUDIT 881 -------- 53,467
SCHEDULE D, PART XI, LINE 4B	RECONCILIATION OF REVENUE PER FINANCIAL STATEMENTS TO RETURN: REVENUE ON RETURN, NOT ON BOOKS: BAD DEBT EXPENSE IN AUDIT REVENUE $ 38,988,470
SCHEDULE D, PART XII, LINE 2D	RECONCILIATION OF EXPENSES PER FINANCIAL STATEMENTS TO RETURN: EXPENSES PER BOOKS, NOT ON RETURN: LOSS ON DISPOSAL IN AUDIT EXPENSE $ 881
SCHEDULE D, PART XII, LINE 4B	RECONCILIATION OF EXPENSES PER FINANCIAL STATEMENTS TO RETURN: EXPENSES PER RETURN, NOT ON BOOKS: BAD DEBT EXPENSE IN AUDIT REVENUE $ 38,988,470

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,936,910	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,936,910	NetCommunityBenefitExpnsAmt
Total Expense	0.05970	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,716,870	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,983,386	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,733,484	NetCommunityBenefitExpnsAmt
Total Expense	0.04070	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,032,105	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,511	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,027,594	NetCommunityBenefitExpnsAmt
Total Expense	0.00880	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,685,885	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,987,897	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,697,988	NetCommunityBenefitExpnsAmt
Total Expense	0.10920	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$441,421	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$441,421	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$428,127	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$428,127	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,660,910	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,543,965	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,116,945	NetCommunityBenefitExpnsAmt
Total Expense	0.01820	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$127,480	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$127,480	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,657,938	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,543,965	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,113,973	NetCommunityBenefitExpnsAmt
Total Expense	0.02680	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,343,823	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,531,862	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,811,961	NetCommunityBenefitExpnsAmt
Total Expense	0.13600	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$38,988,470	BadDebtExpenseAmt
Bad Debt Expense Attributable	$23,393,081	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$36,379,659	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$29,631,620	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$6,748,039	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	false	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
EAST MISSION MEDICAL
OFFICE BUILDING	0.33	0.67
WEST MEDICAL VENTURE
OFFICE BUILDING	0.25	0.75

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MISSION HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 SOUTH BRYAN ROAD	AddressLine1Txt
City	MISSION	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78572	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MISSIONRMC.ORG	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	STATE LICENSE NUMBER 370	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MISSION HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	MISSION REGIONAL MEDICAL CENTER'S SECOND COMPONENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT ESSENTIAL TO RENDERING A COMPLETE PICTURE OF THE HEALTH NEEDS OF OUR COMMUNITY CALLS FOR QUALITATIVE DATA COLLECTED USING A FOCUS GROUP MEETING WITH MISSION COMMUNITY LEADERS APRIL 14, 2016. THE GOAL OF THE FOCUS GROUP IS TO GET DIRECT INPUT FROM COMMUNITY LEADERS RELATED TO TOP COMMUNITY HEALTH NEEDS. FOCUS GROUPS ALLOW EACH PARTICIPANT TO FEEL COMFORTABLE AND TO SPEAK OPENLY AND CONTRIBUTE TO THE DISCUSSION. A FACILITATOR EXPLAINS TO PARTICIPANTS THAT THERE ARE NO WRONG ANSWERS, JUST DIFFERENT EXPERIENCES AND POINTS OF VIEW. THIS PROCESS ENSURES THAT EACH PARTICIPANT SHARES THEIR EXPERIENCES FROM THEIR POINT OF VIEW, EVEN IF IT IS DIFFERENT FROM WHAT OTHERS HAVE TO SAY. SPECIFICALLY, FOCUS GROUP PARTICIPANTS WERE ASKED TO IDENTIFY AND DISCUSS WHAT THEY PERCEIVED TO BE THE TOP HEALTH ISSUES AND/OR CONCERNS IN THEIR COMMUNITIES. THE FOCUS GROUP PROCESS GATHERS VALUABLE QUALITATIVE AND ANECDOTAL DATA REGARDING THE BROAD HEALTH INTERESTS OF THE COMMUNITIES SERVED BY THE MEDICAL FACILITIES WITHIN THE SERVICE AREA OF MISSION REGIONAL MEDICAL CENTER. FOCUS GROUP INPUT IS SUBJECT TO THE LIMITATIONS OF THE IDENTIFIED TARGET POPULATIONS (I.E., LANGUAGE, VOCABULARY, PERSPECTIVE, KNOWLEDGE, ETC.) TOP COMMUNITY CONCERNS INCLUDE ACCESS TO PRIMARY, PREVENTIVE, MENTAL AND DENTAL HEALTHCARE HEALTHY BEHAVIORS, AND COMMUNITY INFRASTRUCTURE. APPROXIMATELY 26 COMMUNITY LEADERS FROM MISSION AND SURROUNDING COMMUNITIES PARTICIPATED IN THE FOCUS GROUP. THE ACTUAL FOCUS GROUP QUESTIONS AND A LISTING OF THE PARTICIPANTS IS LOCATED IN THE APPENDIX SECTION OF THE REPORT. THE ORGANIZATIONS REPRESENTED BY COMMUNITY LEADERS WERE: - SAINT PAUL CHURCH - HIDALGO COUNTY HEALTH DEPT. - LA UNION DEL PUEBLO - COMFORT HOUSE - MISSION FOOD BANK - INSURANCE AGENT, PETE JARAMILLO INSURANCE SERVICES - STATE REPRESENTATIVE SERGIO MUNOZ JR. - MISSION CISD HEALTH SERVICE - NUESTRA CLINICA DEL VALLE - SUPERINTENDENT, MCISD - HELP AMERICA - MISSION POLICE CHIEF - MISSION CITY MANAGER - MISSION CONSOLIDATED INDEPENDENT SCHOOL DISTRICT - RV CONTRACTORS - TEXAS REGIONAL BANK - MISSION CHAMBER - MRMC AUXILIARY - MRMC CASE MANAGEMENT
SCHEDULE H, PART V, SECTION B, LINE 11	AS A RESULT OF THE ANALYSIS AND THE IMPLEMENTATION PLAN, MRMC IS ADDRESSING CURRENT AND FUTURE HEALTHCARE NEEDS OF THE COMMUNITY BY FOCUSING ON: OBESITY, DIABETES, HEART DISEASE/STROKE AND ACCESS TO HEALTHCARE. THE MOST NOTABLE HEALTH NEED NOT ADDRESSED AT THIS TIME ARE MENTAL HEALTH, CANCER AND DRUG ABUSE REHABILITATION. UNFORTUNATELY, MRMC DOES NOT HAVING A PSYCHIATRIC IN-PATIENT OR OUTPATIENT UNIT. THEREFORE, MRMC IS FORCED TO REFER PATIENTS WITH A NEED FOR MENTAL HEALTH OR DRUG REHABILITATIVE SERVICES TO TROPICAL TEXAS BEHAVIORAL HEALTH IN EDINBURG, BEHAVIORAL HOSPITAL AT RENAISSANCE IN EDINBURG AND SOUTH TEXAS BEHAVIORAL HEALTH CENTER IN EDINBURG. HOWEVER, WE WILL CONTINUE TO EXPLORE POTENTIAL PARTNERSHIPS AND INTERNAL STRATEGIES TO FIND A WAY TO PROVIDE THESE ESSENTIAL SERVICES TO OUR PATIENTS. EVERY EFFORT WILL BE MADE TO ASSIST OUR EXISTING MENTAL HEALTH PROVIDERS IN MAINTAINING AND/OR EXPANDING THE SERVICES THAT THEY CURRENTLY PROVIDE. THE SAME IS TRUE FOR CANCER CARE. PEOPLE THAT NEED CANCER TREATMENT ARE REFERRED TO TEXAS ONCOLOGY IN MCALLEN AND DOCTORS HOSPITAL AT RENAISSANCE.
SCHEDULE H, PART V, SECTION B, LINE 13A	FOR DISCOUNTED CARE, THE HOSPITAL OFFERS A 30% PROMPT-PAY DISCOUNT TO ALL SELF PAY INDIVIDUALS, REGARDLESS OF THEIR INCOME, WHO ARE WILLING TO PAY THEIR ACCOUNT IN FULL. IN ADDITION, THE ORGANIZATION OFFERS MEDICARE RATES TO SELF-PAY INDIVIDUALS FOR MEDICALLY-NECESSARY SERVICES.
SCHEDULE H, PART V, SECTION B, LINES 7A & 10A	COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY THE IMPLEMENTATION STRATEGY IS INCLUDED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IS POSTED ONLINE AT THE FOLLOWING WEBSITE ADDRESS: http://missionrmc.org/images/uploads/2016_CHNA_Full-Report.pdf
SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C	THE FAP, FAP APPLICATION FORM AND FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY WAS WIDELY AVAILABLE ON THE FOLLOWING WEBSITE: http://missionrmc.org/patients-visitors/financial-assistance-options/

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	FOR DISCOUNTED CARE, THE HOSPITAL OFFERS A 30% PROMPT-PAY DISCOUNT TO ALL SELF PAY INDIVIDUALS, REGARDLESS OF THEIR INCOME, WHO ARE WILLING TO PAY THEIR ACCOUNT IN FULL. IN ADDITION, THE ORGANIZATION OFFERS MEDICARE RATES TO SELF PAY INDIVIDUALS FOR MEDICALLY-NECESSARY SERVICES.
SCHEDULE H, PART III, SECTION A, LINE 2	THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON LINE 2 IS THE BAD DEBT EXPENSE REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION A, LINE 3	THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED TO BE 60% OF THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE.
SCHEDULE H, PART III, SECTION A, LINE 4	THE FINANCIAL STATEMENT FOOTNOTE ADDRESSING THE ORGANIZATION'S BAD DEBT EXPENSE AND ACCOUNTS RECEIVABLE IS LOCATED ON PAGE 9 OF THE AUDITED FINANCIAL STATEMENTS (ATTACHED TO FORM 990).
SCHEDULE H, PART III, SECTION B, LINE 8	THERE IS NO SHORTFALL RELATED TO THE MEDICARE PROGRAM FOR FY 2016. THE AMOUNTS REPORTED FOR REVENUE RECEIVED AND ALLOWABLE COSTS ARE FROM THE FY 2016 COST REPORT (USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE).
SCHEDULE H, PART III, SECTION C, LINE 9B	IN FY 2016, THE HOSPITAL'S DEBT COLLECTION POLICY DOES NOT SPECIFICALLY ADDRESS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE AND FINANCIAL ASSISTANCE. THE HOSPITAL HAS SEPARATE POLICIES ADDRESSING QUALIFICATION FOR CHARITY CARE AND FINANCIAL ASSISTANCE.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT THE ORGANIZATION COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR FISCAL YEAR 2016. MISSION REGIONAL MEDICAL CENTER EMPLOYEES AND COMMUNITY MEMBERS RESPONDED TO A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY. ENGLISH AND SPANISH VERSIONS OF THE SURVEY WERE DISTRIBUTED THROUGHOUT THE COMMUNITY. AN ONLINE VERSION OF THE SURVEY WAS ALSO DEVELOPED TO FACILITATE COMMUNITY RESPONSE. KEY FINDINGS THAT EMERGED FROM THE ASSESSMENT INCLUDED: (1) ALL GROUPS CONSISTENTLY IDENTIFIED THE PRIMARY HEALTH ISSUES OF OBESITY, DIABETES, HEART PROBLEMS, AND HYPERTENSION; (2) ALL GROUPS IDENTIFIED THE COST OF CARE, LACK OF INSURANCE, AND INSUFFICIENT FINANCIAL RESOURCES AS BARRIERS TO RECEIVING NEEDED CARE; AND (3) ALL GROUPS MADE SIMILAR SUGGESTIONS FOR GRASSROOTS OUTREACH EFFORTS TO PROVIDE COMMUNITY EDUCATION, ESTABLISHING PARTNERSHIPS, AND IMPROVING ACCESS TO FREE OR DISCOUNTED CLINICS, PARTICULARLY FOCUSING ON PREVENTIVE CARE. THE NEEDS ASSESSMENT IDENTIFIED A VARIETY OF COMMUNITY HEALTH NEEDS. SOME OF THE NEEDS IDENTIFIED REPRESENT SERVICES NOT CURRENTLY OFFERED BY MISSION REGIONAL MEDICAL CENTER BUT ARE OFFERED BY OTHER ORGANIZATIONS WITHIN THE COMMUNITY SUCH AS CARDIOVASCULAR SURGERY AND RADIATION ONCOLOGY. WHILE IT IS NOT FINANCIALLY FEASIBLE TO OFFER SERVICES FOR EVERY HEALTH NEED IDENTIFIED IN THE NEEDS ASSESSMENT, MISSION REGIONAL MEDICAL CENTER PROVIDES ACCESS TO ACUTE CARE AND OUTPATIENT HEALTH CARE SERVICES FOR THE COMMUNITY IT SERVES AS EVIDENCED BY THE EXTRAORDINARILY HIGH LEVEL OF UNCOMPENSATED CARE RENDERED YEAR AFTER YEAR.
SCHEDULE H, PART VI, LINE 3	PATIENTS' EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE ORGANIZATION MAKES INFORMATION REGARDING ELIGIBILITY FOR CHARITY CARE AVAILABLE TO ALL PATIENTS AND VISITORS OF THE HOSPITAL BY POSTING INFORMATION REGARDING CHARITY CARE THROUGHOUT THE HOSPITAL. POSTED INFORMATION INCLUDE THE FOLLOWING CHARITY CARE POLICY: "IF YOU ARE NOT ELIGIBLE FOR COVERAGE UNDER GOVERNMENTAL HEALTH CARE PROGRAMS AND YOUR FINANCIAL CONDITION IS SUCH THAT YOU ARE NOT ABLE TO PAY FOR HOSPITAL SERVICES, YOU MAY BE ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE PROGRAM. TO APPLY FOR CHARITY CARE, YOU MUST COMPLETE A FINANCIAL ASSISTANCE APPLICATION, PROVIDE REQUESTED FINANCIAL VERIFICATION DOCUMENTS AND BE SCREENED BY A COUNSELOR TO DETERMINE ELIGIBILITY. IF DETERMINED ELIGIBLE FOR ASSISTANCE, YOU MAY RECEIVE NEEDED SERVICES AT NO CHARGE OR AT A DISCOUNTED AMOUNT." "MISSION REGIONAL MEDICAL CENTER HAS A TRADITION OF SERVING THE POOR, THE NEEDY AND ALL WHO REQUIRE HEALTH CARE SERVICES, WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY FOR HEALTH CARE COSTS. THROUGH A VARIETY OF PROGRAMS, MISSION REGIONAL MEDICAL CENTER PROVIDES DIRECT MEDICAL CARE, HEALTH SCREENING, HEALTH PROMOTION, AND EDUCATION FREE OF CHARGE OR AT DISCOUNTED RATES. FOR INFORMATION ABOUT CHARITY CARE PROGRAMS OFFERED BY MISSION REGIONAL MEDICAL CENTER AND ASSISTANCE IN APPLYING FOR CHARITY CARE, PLEASE CONTACT THE BUSINESS OFFICE AT 956-323-1804."
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION MISSION, MCALLEN, LA JOYA, SULLIVAN CITY AND ALTON, TEXAS AND SURROUNDING AREAS.
SCHEDULE H, PART VI, LINE 5	The 2016 CHNA was comprised of both quantitative and qualitative research components. A brief synopsis of the research components is included below with further details provided throughout the document: Quantitative Data: - A Secondary Statistical Data Profile depicting population and household statitics, education and economic measures, morbidity and mortality rates, incidence rates, and other health statistics for Hidalgo County was compiled. - A review and analysis of hospital discharge data, in-patient and out-patient data, clinic and ER data. - A Community Health Needs Assessment survey tool was developed to collect primary data from residents in Starr and Hidalgo counties. The survey was modeled after other hospital CHNA which assessed health status, health risk behaviors, preventive health practices, and health care access primarily related to chronic disease and injury. Qualitative Data: - Key Informant Interviews were conducted with 20 local physicians. - A Concentrated Focus Group meeting was conducted with 26 community members in April 2016. Community Survey A survey tool was also created and used to secure additional input from our community respondents. The tool was also accessible on-line. The development of the survey tool included analysis of insights from the Secondary Statistical Data Profile, a review of several existing instruments including the Behavioral Risk Factor Surveillance System (BRSFF) and other community health needs assessment surveys. It was determined that the goals of the assessment would be best served by crafting questions that sought to identify what residents thought were the most important factors in improving their own health. As such, a unique instrument was developed by the hospital CHNA Team. The on-line survey was promoted through a variety of methods including face-book, linked In and the hospital website. Paper Survey A paper survey was also available to serve as an instrument to reach larger groups through community-based partnerships in both English and Spanish. Distribution and collection of these surveys at events and meetings, after church services, during case management sessions and Community Health Clinic appointments, and during focus groups were the primary avenues for reaching additional residents. The relationship-building strategy set the stage for enrolling key community partners that were uniquely positioned to reach residents in underserved communities. See appendix for a list of community partners and support organizations. Focus Groups One focus group session, lasting 1.5 hours, was held with community leaders and stakeholders from Hidalgo and Starr counties. Participants were recruited based on their efforts on engaging lower income and minority populations. A written agenda was provided to participants, as well as lunch and refreshments. Each individual was also asked to complete the paper survey and an additional questionnaire. Key Themes And Conclusions Several overarching themes emerged from the Community Survey, the Community Focus Group Session, the Physician Survey, the Texas BRFFS, and the Morbidity and Mortality data. - Diabetes was ranked at the top in the Community Survey and the Focus Group session - Obesity consistently ranked near the top - Mental health and community resources, were perceived as pressing health concerns - Poverty and the Uninsured Conclusions Each of the research components from the CHNA reveal specific points of feedback worthy of attention from Mission Regional Medical Center and its community partners. However, it is important to undertake a process that pulls key themes from each component and prioritizes the community needs. The 2016 CHNA Team participated in a roundtable discussion to rank the community health needs based on three characteristics: prevalence of the issue, effectiveness of interventions and the hospitals capacity to address the need. Once this prioritization process was complete, the CHNA Team discussed the results and elected to address the following needs in various capacities through hospital specific implementation plans and partnerships. The prioritized needs are listed below: 1. DIABETES: Improve management and prevention of Diabetes - Promote Diabetes self-management - Promote Diabetes Prevention Activities 2. OBESITY: Increase the percentage of adults and youth who are at a healthy weight - Promote Good Nutrition - Promote Healthy Lifestyle (exercise, healthy foods) - Wellness challenge to employees 3. HEART DISEASE/STROKE: Raise community awareness to reduce incidence of heart disease and stroke - Target healthy heart education and prevention interventions in community - Partner with local non-profits to raise awareness of risk factors for heart attacks and strokes 4. ACCESS TO HEALTHCARE: Bring screenings, vaccinations and health education to people who otherwise would not receive health care intervention. - Increase number of people receiving free flu shots - Increase number of people receiving health screenings - Increase number of women receiving free mammograms Some of the "needs" identified in our 2016 CHNA cannot be directly addressed by Mission Regional Medical Center (MRMC) without the support of other providers and resources, these include: - Mental Health - Cancer - Drug Abuse Rehabilitation Unfortunately, MRMC does not have a psychiatric in-patient or out- patient unit nor are we licensed to care for this specialized patient population. Patients with a need for mental health or drug rehabilitative services are referred to Tropical Texas Behavioral Health in Edinburg, Behavioral Hospital at Renaissance in Edinburg, and South Texas Behavioral Health Center in Edinburg. The same is true for cancer care. People that need cancer treatment are referred to Texas Oncology in McAllen and Doctors Hospital at Renaissance. However, we will continue to explore potential partnerships and internal strategies to find a way to provide these essential services to our patients. Every effort will be made to assist our existing healthcare providers in maintaining and/or expanding the services that they currently provide.
SCHEDULE H, PART VI, LINE 7	STATE IN WHICH THE ORGANIZATION FILES A COMMUNITY BENEFIT PROGRAM: TEXAS
SCHEDULE H, PART I, LINE 7, COLUMN F	BAD DEBT EXPENSE OF $38,988,470 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR THE CALCULATION OF "PERCENT OF TOTAL EXPENSE" IN THIS COLUMN.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MISSION HOSPITAL FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 S BRYAN ROAD	AddressLine1Txt
City	MISSION	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78572	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	542076455	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$37,203	CashGrantAmt
Valuation Method Used	FMV	ValuationMethodUsedDesc
Purpose Of Grant	CHARITY	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	SCHOLARSHIPS	GrantTypeTxt
Recipient	17	RecipientCnt
Cash Grant	$17,000	CashGrantAmt
Valuation Method Used	BOOK	ValuationMethodUsedDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION EVALUATES AND MONITORS DONEES BASED ON PUBLIC AND PRIVATE DATA.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAVIER IRUEGAS
CHIEF EXECUTIVE OFFICER	$315,003	$0	$0	$0	$62,427	$0	$51,638	$0	$2,741	$0	$431,809	$0	$0	$0
TIMOTHY J MCVEY
CHIEF FINANCIAL OFFICER	$204,019	$0	$0	$0	$38,126	$0	$18,117	$0	$4,082	$0	$264,344	$0	$0	$0
CARLOS TREVINO
CHIEF OPERATING OFFICER	$180,022	$0	$0	$0	$23,071	$0	$5,415	$0	$2,294	$0	$210,802	$0	$0	$0
JOSE M MALDONADO
RN3	$171,072	$0	$1,500	$0	$6,237	$0	$0	$0	$6,275	$0	$185,084	$0	$0	$0
IMELDA R OCHOA
PHARMACY DIRECTOR	$161,868	$0	$0	$0	$1,943	$0	$3,161	$0	$2,514	$0	$169,486	$0	$0	$0
BELINDA OLIVO-ROCHA
CLINICAL STAFF PHARMACIST	$178,772	$0	$2,500	$0	$0	$0	$5,274	$0	$2,746	$0	$189,292	$0	$0	$0
VICTORIA AJAYI
CLINICAL STAFF PHARMACIST	$169,117	$0	$2,500	$0	$0	$0	$4,920	$0	$4,511	$0	$181,048	$0	$0	$0
CAROLYNE RUTO
CLINICAL STAFF PHARMACIST	$157,789	$0	$2,500	$0	$0	$0	$3,450	$0	$2,832	$0	$166,571	$0	$0	$0
KATHLEEN MOWERY
VP QUALITY/COMPL -TERM 01/2015	$53,451	$0	$0	$0	$110,027	$0	$0	$0	$0	$0	$163,478	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 1A

THE ORGANIZATION REIMBURSES BOARD MEMBERS FOR SPOUSAL TRAVEL IN SOME CIRCUMSTANCES. ANY REIMBURSED TRAVEL IS REPORTED TO THE BOARD MEMBERS FOR INCLUSION IN THEIR TAX RETURN. FORMS 1099 ARE PREPARED FOR EACH BOARD MEMBER WHEN THE TOTAL AMOUNT EXCEEDS $600. DURING THE YEAR ENDED 12/31/15, THERE WERE NO 1099'S ISSUED TO BOARD MEMBERS FOR AMOUNTS EXCEEDING THE $600 FORM 1099 THRESHOLD. THE HOSPITAL MAINTAINS CLUB MEMBERSHIP FOR BUSINESS USE BY OFFICERS OF THE HOSPITAL. NO OFFICERS USED THE COUNTRY CLUB FOR PERSONAL USE DURING THE CALENDAR YEAR 2015, THUS NO ADDITIONAL SALARY WAS ADDED TO THEIR W2'S.

SCHEDULE J, PART I, LINE 4B

PARTICIPANTS IN OR PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE FOLLOWING INDIVIDUALS PARTICIPATE IN OR RECEIVED PAYMENT FROM A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP): PARTICIPANTS IN 457(F) REPORTED IN W-2 DEFERRED COMPENSATION JAVIER IRUEGAS NONE $43,989 TIM MCVEY NONE $12,500 THE CEO AND CFO PARTICIPATE IN A SERP PLAN AND MUST BE AVAILABLE FOR 2 YEARS FOLLOWING THEIR TERMINATION TO RECEIVE THE DISTRIBUTIONS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
HIDALGO COUNTY HEALTH SERVICES CORP 04302011
A	742556640	428388CM6	2008-05-20	$15,276,437	REFUND OF 1996 BONDS	false	false	false
HIDALGO COUNTY HEALTH SERVICES CORP 02282012
B	742556640	429338DB4	2005-02-03	$19,879,284	REDEEM 2003 BONDS	false	false	false
HIDALGO COUNTY HEALTH SERVICES CORP 02282012
C	742556640	429388CM6	2007-03-07	$12,899,056	ADVANCE REFUND OF 1996 BONDS	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$5,260,000	$0	$15,276,437	$1,286,001	$0	$15,112,799	$163,638	$0	$0	$0	$0	$0	2008	Yes (true)	false	Yes (true)	Yes (true)
B	$12,700,000	$0	$19,879,284	$2,254,156	$0	$19,506,500	$326,463	$46,321	$0	$0	$0	$0	2005	false	false	Yes (true)	Yes (true)
C	$3,180,000	$0	$13,734,925	$1,071,250	$0	$12,639,865	$257,981	$0	$0	$0	$0	$0	2008	false	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	false	false	false	false	false	0	false	false
0
B	false	false	false	Yes (true)	false	false	false	false	false	0	false	false
0
C	false	false	false	Yes (true)	false	false	false	false	false	0	Yes (true)	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false
C	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART IV, LINE 2C	FormAndLineReferenceDesc
Explanation	2005 BONDS - 02/02/2014 2007 Bonds - 02/28/2014 2008 Bonds - 04/30/2014	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	DESCRIBE PROCESS TO REVIEW 990 THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. THE FORM IS THEN REVIEWED BY THE CONTROLLER AND INTERIM CEO FOR ACCURACY AND COMPLETENESS. THE ORGANIZATION IS UNDERGOING A BOARD TRANSITION AT THE TIME OF FILING THE RETURN. FORM 990 WILL BE AVAILABLE TO THE NEW BOARD AFTER FILING.
FORM 990, PART VI, SECTION B, LINE 12C	DESCRIBE HOW CONFLICT OF INTEREST POLICY IS MONITORED & ENFORCED ALL EMPLOYEES ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. THE BOARD REVIEWS AND RESOLVES, IF NECESSARY, ANY TRANSACTIONS AS THEY ARISE THROUGHOUT THE YEAR ON A ROUTINE BASIS.
FORM 990, PART VI, SECTION B, LINES 15A & 15B	PROCESS TO REVIEW COMPENSATION OF CEO, OFFICERS, & KEY EMPLOYEES THE ORGANIZATION USES AN INDEPENDENT CONSULTING FIRM TO PERFORM A COMPENSATION ANALYSIS (LAST REVIEW PERFORMED IN 2014 BY SULLIVAN AND COTTER). USING THIS DATA, THE COMPENSATION COMMITTEE OF THE BOARD REVIEWS SENIOR LEADER COMPENSATION AMOUNTS. THE COMMITTEE BRINGS ITS FINDINGS TO THE BOARD FOR REVIEW AND APPROVAL. IN THE YEARS BETWEEN COMPENSATION REVIEWS, THE COMPENSATION COMMITTEE REVIEWS ECONOMIC FACTORS AND OTHER DATA TO DETERMINE IF THE RESULTS OF THE SURVEY ARE STILL VALID.
FORM 990, PART VI, SECTION C, LINE 19	DESCRIBE WHETHER DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. QUARTERLY FINANCIAL STATEMENTS AND THE ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON DAC.
FORM 990, PART VI, LINE 16B	ADOPTION OF WRITTEN POLICY & STEPS TAKEN TO SAFEGUARD EXEMPT STATUS ALTHOUGH THE ORGANIZATION DOES NOT HAVE A WRITTEN POLICY REGARDING JOINT VENTURE PARTICIPATION, IT HAS TAKEN STEPS TO SAFEGUARD ITS EXEMPT STATUS WITH RESPECT TO SUCH JOINT VENTURE ARRANGEMENTS, INCLUDING REVIEW OF ALL SUCH VENTURES WITH LEGAL COUNSEL.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS GAIN/LOSS ON EQUITY INVESTMENT $ 52,586
FORM 990, PART VI, SECTION A, LINE 4	THE BYLAWS OF THE ORGANIZATION WERE REVISED EFFECTIVE 08/23/2016.
FORM 990, PART VI, SECTION B, LINE 11A	THE ORGANIZATION IS UNDERGOING A BOARD TRANSITION AT THE TIME OF FILING THE RETURN AND IS UNABLE TO PROVIDE A COPY TO THE GOVERNING BODY PRIOR TO FILING.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
MISSION HOSPITAL FOUNDATION
900 SOUTH BRYAN ROAD	MISSION	TX	78572	542076455	SUPPORT	TX	501(C)(3)	11A	MISSION HOSP	Yes (true)
MISSION DOCTORS GROUP
906 SOUTH BRYAN ROAD	MISSION	TX	78572	742798500	HEALTHCARE	TX	501(C)(3)	3	MISSION HOSP	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	MISSION MEDICAL OFFICE VENTURE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	900 SOUTH BRYAN ROAD	AddressLine1Txt
City	MISSION	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78572	ZIPCd

Field	Value	IRS element (for citing)
EIN	742561952	EIN
Primary Activities	LEASING	PrimaryActivitiesTxt
Legal Domicile State	TX	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	EXCLUDED	PredominantIncomeTypeTxt
Share Of Total Income	$46,708	ShareOfTotalIncomeAmt
Share Of EOY Assets	$366,108	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.33333	OwnershipPct

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MISSION DOCTOR'S GROUP
A	$20,736	BOOK VALUE
MISSION HOSPITAL FOUNDATION
C	$500,000	BOOK VALUE
MISSION HOSPITAL FOUNDATION
O	$74,425	BOOK VALUE
MISSION DOCTOR'S GROUP
O	$235,430	BOOK VALUE
MISSION MEDICAL OFFICE VENTURE
P	$247,769	BOOK VALUE
MISSION DOCTOR'S GROUP
R	$527,845	BOOK VALUE