2016-08-15T09:41:53-05:00 2015-09-30 BKD LLP 2800 Post Oak Blvd Ste 3200 HOUSTON TX 77056 990 2014-10-01 742206635 MISSION HOSPITAL INC % PATRICIA VAN MATRE MISS 9563231025 900 SOUTH BRYAN ROAD MISSION TX 78572 JAVIER IRUEGAS Member 7134994600 2016-08-15 true Amanda Maya P01067777 7134994600 2014 2016-09-27 15:27:22Z MISSION REGIONAL MEDICAL CENTER JAVIER IRUEGAS 900 SOUTH BRYAN ROAD MISSION TX 78572 151828467 false X WWW.MISSIONRMC.ORG X 1954 TX 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. 12 12 1280 160 714745 -113985 194571 162821 136774590 138535960 761818 386332 816726 822214 138547705 139907327 96271 52284 0 0 66681406 66667595 0 0 74984 68901113 84344405 135678790 151064284 2868915 -11156957 103370240 90292698 41523736 39712022 61846504 50580676 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. false false 131036499 52284 138685905 THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO PATIENTS IN MISSION, TEXAS AND SURROUNDING AREAS. 131036499 true true false true false false false false false false true false false true true false false true false false false false false false false false true true true true true true false false false false false false false false false false false false false false false true true true false false true 135 0 true 1280 true true true false false false false false false false false false X 12 12 false false false false false false false true true false false true true true true true true true true true false X PATRICIA VAN MATRE 9563231025 900 SOUTH BRYAN ROAD MISSION TX 78572 X RALPH CANTU BOARD MEMBER 2.0 0.0 X 673 0 0 ELIZABETH GARZA BOARD MEMBER 2.0 3.0 X 0 0 0 J MATHHEW JOHNSON MD BOARD MEMBER 2.0 1.0 X 0 0 0 RUBEN MORENO VICE-CHAIRMAN 2.0 3.0 X X 0 0 0 MAURO L REYNA III BOARD MEMBER 2.0 0.0 X 0 0 0 JEDUS RODRIGUEZ MD BOARD MEMBER 2.0 0.0 X 0 0 0 JOHN A WOMACK BOARD MEMBER 2.0 0.0 X 758 0 0 ROBERT NORMAN BOARD MEMBER 2.0 0.0 X 0 0 0 ALICIA REQUENEZ CHAIRWOMAN 2.0 0.0 X X 0 0 0 TIMOTHY BROWN SECRETARY/TREASURER 2.0 0.0 X X 0 0 0 RICARDO MARTINEZ BOARD MEMBER 2.0 3.0 X 0 0 0 JAVIER MURILLO MD BOARD MEMBER 2.0 1.0 X 0 0 0 JAVIER IRUEGAS CHIEF EXECUTIVE OFFICER 40.0 1.0 X 405881 0 57046 TIMOTHY J MCVEY CHIEF FINANCIAL OFFICER 40.0 0.0 X 237753 0 24212 KATHLEEN MOWERY VICE PRESIDENT QUALITY/COMPLIA 40.0 0.0 X 157427 0 5216 CHERYL ELIZABETH NAIL CHIEF NURSING OFFICER 40.0 0.0 X 179965 0 712 CARLOS TREVINO CHIEF OPERATING OFFICER 40.0 5.0 X 201737 0 8911 SUSAN WILLARS VP OF HUMAN RESOURCES 40.0 0.0 X 99359 0 2745 JOSE M MALDONADO RN3 40.0 0.0 X 187346 0 6270 IMELDA R OCHOA PHARMACY DIRECTOR 40.0 0.0 X 173733 0 5298 BELINDA OLIVO-ROCHA CLINICAL STAFF PHARMACIST 40.0 0.0 X 172770 0 7936 VICTORIA AJAYI CLINICAL STAFF PHARMACIST 40.0 0.0 X 159224 0 8805 JULIO TOVAR CLINICAL STAFF PHARMACIST 40.0 0.0 X 161373 0 704 2137999 0 127855 69 false true false REHABCARE GROUP PO BOX 502096 ST LOUIS MO 631502096 REHAB SERVICES 3447381 ACEMA GROUP 7907 N 2ND LANE MCALLEN TX 78504 ANESTHESIA SERVICES 1548004 EXCITE HEALTH PARTNERS PO BOX 823424 PHILADELPHIA PA 191823424 CONSULTING/TRAINING 1172466 BALLARD ANESTHESIA SERVICES 1900 MEADOWHILL JACKSONVILLE TX 75766 CRNA SERVICE 990267 RIO GRANDE VALLEY EMERGENCY PHYS PO BOX 8126 WESLACO TX 78579 ER PHYSICIANS 819485 15 80000 82821 162821 NET PATIENT REVENUE 621500 137394527 136686795 707732 OTHER OPERATING REVENUE 900099 597958 597958 EHR INCENTIVE REVENUE 900099 543475 543475 138535960 359746 7013 352733 0 0 0 0 0 11942551 5175 11918423 2717 24128 2458 26586 2458 24128 0 0 0 CAFETERIA 721310 621119 621119 EDUCATION PROGRAMS 611710 7407 7407 VENDING 900099 53608 53608 140080 140080 822214 139907327 137978173 714745 1051588 35284 35284 17000 17000 0 0 1319788 1117058 202730 0 52448757 44432872 7940901 74984 478933 392725 86208 8291206 6798789 1492417 4128911 3385707 743204 3004429 2069906 934523 193055 193055 101162 101162 0 0 0 13388706 8897043 4491663 347932 347932 1408089 722245 685844 0 0 3521973 2900680 621293 1952 1601 351 0 27982 27982 1417061 1161990 255071 0 7099746 5821792 1277954 709376 581688 127688 BAD DEBT EXPENSE 36047922 36047922 MEDICAL SUPPLIES 14783854 14783854 EDUCATION 124559 65045 59514 REPAIRS 676041 601774 74267 1490566 1201524 289042 151064284 131036499 19952801 74984 6436025 1030870 10958026 11376172 0 0 13102997 16707919 0 0 0 0 1730719 1277301 1658525 1733391 2492405 2371496 117710308 83082006 37544860 34628302 0 0 927374 952535 0 0 742631 657740 27776678 19556972 103370240 90292698 11770597 12846110 0 0 0 0 29565438 26695701 0 0 0 0 0 0 0 0 187701 170211 41523736 39712022 X 61846504 50580676 0 0 0 0 61846504 50580676 103370240 90292698 X -11156957 -135331 26460 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 13166 false false false 13166 false LOBBYING ACTIVITIES 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 $8,636 PAID TO THE HEALTHY HIDLGO COUNTY POLITICAL ACTION COMMITTEE. 496439 496439 28214573 16166498 12048075 4627955 3645836 982119 84371341 63269672 21101669 34628302 ACCRUED INTEREST RECEIVABLE 22869 DUE FROM AFFILIATES 4494938 DEBT SERVICE FUND 5041784 EST AMOUNTS DUE FROM 3RD PARTY 9997381 19556972 0 ACCRUED INTEREST PAYABLE 170211 170211 103747866 -135331 24002 -111329 103859195 36048132 36048132 139907327 115013694 -2458 -2458 115016152 36048132 36048132 151064284 SCHEDULE D, PART XI, LINE 2D & 4B RECONCILIATION OF REVENUE PER FINANCIAL STATEMENTS TO RETURN: REVENUE PER BOOKS NOT ON RETURN: GAIN ON DISPOSAL IN EXPENSE PER AUDIT $ (2,458) GAIN ON EQUITY INVESTMENT 26,460 -------- TOTAL $ 24,002 REVENUE ON RETURN, NOT ON BOOKS: BAD DEBT EXPENSE IN AUDIT REVENUE $ 36,047,922 MISC EXPENSE RECORDED IN AUDIT REVENUE 210 ------------ TOTAL $ 36,048,132 SCHEDULE D, PART XII, LINE 2D & 4B RECONCILIATION OF EXPENSES PER FINANCIAL STATEMENTS TO RETURN: EXPENSES PER BOOKS NOT ON RETURN: GAIN ON DISPOSAL IN AUDIT EXPENSE $ (2,458) EXPENSES PER RETURN NOT ON BOOKS: BAD DEBT EXPENSE IN AUDIT REVENUE $ 36,047,922 MISC EXPENSE IN AUDIT REVENUE 210 ------------ TOTAL $ 36,048,132 true true true X false true true false true true 5228710 5228710 0.04550 28458054 24767680 3690374 0.03210 708964 2211 706753 0.00610 34395728 24769891 9625837 0.08370 369595 369595 0.00320 407528 407528 0.00350 7722111 6934293 787818 0.00680 85259 85259 0.00070 8584493 6934293 1650200 0.01420 42980221 31704184 11276037 0.09790 false 36047922 21628753 39005265 33067648 5937617 X true false EAST MISSION MEDICAL OFFICE BUILDING 0.33000 0.67000 WEST MEDICAL VENTURE OFFICE BUILDING 0.25000 0.75000 1 1 MISSION HOSPITAL INC 900 SOUTH BRYAN ROAD MISSION TX 78572 WWW.MISSIONRMC.ORG X X X STATE LICENSE NUMBER 370 MISSION HOSPITAL INC 1 false false true X X X X X X X X 12 true false false true X SEE PART V, SECTION C X true 12 false true false true X 200. 0. X X true true X X X true X X X true X false X true X false false 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 MARCH 1, 2013. 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 22 COMMUNITY LEADERS FROM MISSION AND SURROUNDING COMMUNITIES PARTICIPATED IN THE FOCUS GROUP. THE ACTUAL FOCUS GROUP QUESTIONS AND A A LISTING OF THE PARTICIPANTS IS LOCATED IN THE APPENDIX SECTION OF THE REPORT. THE ORGANIZATIONS REPRESENTED BY COMMUNITY LEADERS WERE: - ASSISTANT DIRECTOR OF PARENT EDUCATORS, HENRY B. GONZALEZ ELEMENTARY - DISTRICT NURSE COORDINATOR, LA JOYA ISD HEALTH SERVICES DEPARTMENT - DIRECTOR, MISSION HOUSING AUTHORITY - BROKER, STAR PROPERTIES REAL ESTATE - COMMUNITY OUTREACH, CONGRESSMAN HENRY CUELLAR - INSURANCE AGENT, PETE JARAMILLO INSURANCE SERVICES - STORE MANAGER, H-E-B PLUS! - LEGAL AIDE, REPRESENTATIVE SERGIO MUNOZ JR. - EPIDIOLOGIST, HIDALGO COUNTY HEALTH DEPARTMENT - EXECUTIVE DIRECTOR, NUESTRA CLINICA DEL VALLE - SUPERINTENDENT, SHARYLAND INDEPENDENT SCHOOL DISTRICT - ELIGIBILITY SPECIALIST, HELP AMERICA - DIRECTOR OF PARENT EDUCATORS, HENRY B. GONZALEZ ELEMENTARY - OWNER, LONE STARR SHREDDING - MARKETING DIRECTOR, MISSION PLAZA PHARMACY - HEALTH SERVICES COORDINATOR, MISSION CONSOLIDATED INDEPENDENT SCHOOL DISTRICT - EXECUTIVE DIRECTOR, LA UNION DEL PUEBLO ENTERO (LUPE) - RV CONTRACTORS - FROST BANK SCHEDULE H, PART V, SECTION B, LINE 7A CHNA AVAILABLE ON HOSPITAL FACILITY'S WEBSITE HTTP://MISSIONRMC.ORG/ABOUT/FINANCIAL-STATEMENT/ 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, AND CHRONIC DISEASE. THE MOST NOTABLE HEALTH NEED NOT ADDRESSED AT THIS TIME IS MENTAL HEALTH. 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 TO MHMR, DHR BEHAVIORAL, AND SOUTH TEXAS BEHAVIOR. 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. 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, LINE 16 THE ORGANIZATION IS IN THE PROCESS OF UPDATING THE FINANCIAL ASSISTANCE POLICY AND WILL HAVE IT, THE APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY AVAILABLE ON A WEBSITE BY OCTOBER 1, 2016. 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 8 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 2015. THE AMOUNTS REPORTED FOR REVENUE RECEIVED AND ALLOWABLE COSTS ARE FROM THE FY 2015 COST REPORT (USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE). SCHEDULE H, PART III, SECTION C, LINE 9B CURRENTLY, 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 2013. 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 PROMOTION OF COMMUNITY HEALTH HEALTHWORKS: MRMC BRINGS A TEAM OF HEALTH CARE PROVIDERS AND HEALTH EDUCATORS TO SCHOOL DISTRICTS, COMMUNITY ORGANIZATIONS, NON-PROFIT HEALTH CARE ORGANIZATIONS, MIGRANT WORKER'S COUNCILS, AND CHURCH ORGANIZATIONS. THE TEAM PROVIDES HEALTH SCREENINGS, VACCINES, AND HEALTH EDUCATION TO THE COMMUNITY. THE PURPOSE OF HEALTHWORKS IS TO EDUCATE PEOPLE ABOUT LIVING HEALTHIER LIVES, MANAGING CHRONIC CONDITIONS, AND IDENTIFYING THOSE PEOPLE WHO MAY BE AT RISK FOR DIABETES, HYPERTENSION, HEART DISEASE, OSTEOPOROSIS, OBESITY, AND COPD. RURAL MATERNITY CLINICS: THE TWO MATERNITY CLINICS ARE LOCATED IN RURAL AREAS (SULLIVAN CITY AND ALTON) WHERE ACCESS TO CARE IS LIMITED. THE PURPOSE OF THE CLINICS IS TO PROVIDE ACCESS TO PRE-NATAL CARE FOR EXPECTANT MOTHERS IN THOSE RURAL AREAS. WELL INFORMED LECTURE SERIES: A SERIES OF LECTURES ARE SCHEDULED THROUGHOUT THE YEAR ON VARIOUS TOPICS OF INTEREST TO THE COMMUNITY. THE PURPOSE IS TO INFORM AND EDUCATE THE COMMUNITY AT LARGE ABOUT HEALTH TOPICS THAT IMPACT THE COMMUNITY. ONE OF THE TOP HEALTH TOPICS RECENTLY HAS BEEN OBESITY. MISSION REGIONAL MEDICAL CENTER IS AN AMERICAN HEART ASSOCIATION TRAINING CENTER. MRMC IS A CONTRACTED PROVIDER FOR LIFE SUPPORT CLASSES ;( BASIC LIFE SUPPORT, AED AND CPR-BLS), (ADVANCED CARDIAC LIFE SUPPORT-ACLS), (PEDIATRIC ADVANCED LIFE SUPPORT- PALS) AND HEART-SAVER CLASSES. IN ORDER TO MEET THE NEEDS OF OUR STUDENT POPULATION WISHING TO ENTER THE MEDICAL/NURSING FIELDS OF STUDY, WE OFFER THEIR REQUIRED BLS CLASSES. IN THE SPIRIT OF FOLLOWING OUR MISSION AND VISION FOR MRMC TO EDUCATE THE COMMUNITY, THE HOSPITAL EDUCATION DEPARTMENT PROVIDES THE STUDENTS WITH A DEEPLY DISCOUNTED RATE OF $15 TO TAKE THESE CLASSES AT OUR FACILITY. WE ALSO OFFER CLASSES TO THE GENERAL PUBLIC AT A DISCOUNTED RATE OF $30.00. THE TRADITIONAL PRICE OF A BLS HEALTHCARE PROVIDER CLASS WHICH IS THE CLASS REQUIRED OF MEDICAL/NURSING PROGRAMS IS $65 ACROSS THE RIO GRANDE VALLEY. WE OFFER THE CLASSES AT $15 WHICH GIVES PARTICIPANTS A DISCOUNT OF $50. AS A NOT FOR PROFIT ENTITY, OUR FOCUS IS TO PROVIDE QUALITY EDUCATIONAL PROGRAMS NOT ONLY FOR OUR STAFF, BUT FOR ALL OF THE MEDICAL, NURSING COMMUNITIES THAT WE SERVE, AS WELL AS THE GENERAL PUBLIC. WE PROVIDE JOB SHADOWING OPPORTUNITIES FOR HIGH SCHOOL STUDENTS TO STIMULATE THEM AND ENCOURAGE THEM IN THEIR PURSUIT OF MEDICAL AND NURSING CAREERS. THIS DOES ENTAIL MANY HOURS OF PLANNING AND EXPENSE TO PROVIDE THE STAFF, MEETING ROOMS AND REFRESHMENTS TO MAKE THE EVENTS SUCCESSFUL AND SATISFYING TO THE STUDENTS. OVER THE COURSE OF OUR FISCAL YEAR, WE HOST AND PLACE 60-70 NURSING AND ALLIED HEALTH STUDENTS IN OUR FACILITY, PROVIDING THEM WITH A LUNCH GRATIS. OUR HOSPITAL EDUCATION LIAISON SPECIALISTS SPEND TIME WITH EACH GROUP OF NURSING, RESPIRATORY, RADIOLOGY, PHYSICAL THERAPY, NURSING ASSISTANTS, PHLEBOTOMY, EKG TECH, PHARMACY TECHS AND PHARMACY STUDENTS RELAYING THE INFORMATION THEY NEED AS THEY OBTAIN THEIR TRAINING IN A PROFESSIONAL HOSPITAL ENVIRONMENT. WE ALSO PROVIDE SAFE SITTER BABYSITTING CLASSES TO THE COMMUNITY'S CHILDREN AGES 11-13 TEACHING THEM MEDICALLY ACCURATE AND SAFE BABYSITTING SKILLS. THESE CLASSES TEACH THESE YOUNG AND EAGER KIDS SERIOUS LIFE LESSONS THAT WILL SERVE THEM THROUGHOUT THEIR TEEN AND ADULT YEARS. THE CLASS DOES REQUIRE SEVERAL INSTRUCTORS AT ALL TIMES TO MAINTAIN SAFE GUIDELINES FOR HAVING THIS AGE GROUP IN A CLASSROOM SETTING. WE ONLY CHARGE THE STUDENT'S PARENTS FOR THE COST OF THE BACKPACK WITH ALL OF THE NOTEBOOKS AND EQUIPMENT FOR THE CLASS. LUNCH AND SNACKS ARE PROVIDED. WE ALSO OFFER SCHOLARSHIPS IF THERE IS A FINANCIAL HARDSHIP. IN SUMMARY, MISSION REGIONAL MEDICAL CENTER PROVIDES VARIED AND NUMEROUS EDUCATIONAL PROGRAMS TO OUR STAFF AND OUR COMMUNITY AT A NOMINAL FEE OR AT NO COST. WE ARE PROUD TO SERVE OUR COMMUNITY AND STAFF BY PROVIDING THE BEST EDUCATIONAL OPPORTUNITIES AVAILABLE. SCHEDULE H, PART VI, LINE 7 ALL STATE WHICH ORGANIZATION FILES A COMMUNITY BENEFIT PROGRAM TEXAS SCHEDULE H, PART I, LINE 7, COLUMN F BAD DEBT EXPENSE OF $36,047,922 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. true CITY OF MISSION 1201 E 8TH STREET MISSION TX 78572 746001738 MUNICIPALITY 5087 FMV DONATION OF LAND STREET RIGHT OF WAY MISSION HOSPITAL FOUNDATION 900 S BRYAN ROAD MISSION TX 78572 542076455 501(C)(3) 20811 FMV 2 SCHOLARSHIPS 17 17000 BOOK SCHEDULE I, PART I, LINE 2 THE ORGANIZATION EVALUATES AND MONITORS DONEES BASED ON PUBLIC AND PRIVATE DATA. X X true true X X X X X false true false false false false false false false JAVIER IRUEGAS CHIEF EXECUTIVE OFFICER 378740 0 0 0 27141 0 53239 0 3807 0 462927 0 0 0 TIMOTHY J MCVEY CHIEF FINANCIAL OFFICER 218089 0 0 0 19664 0 20092 0 4120 0 261965 0 0 0 KATHLEEN MOWERY VICE PRESIDENT QUALITY/COMPLIA 139518 0 0 0 17909 0 4112 0 1104 0 162643 0 0 0 CHERYL ELIZABETH NAIL CHIEF NURSING OFFICER 160635 0 0 0 19330 0 0 0 712 0 180677 0 0 0 CARLOS TREVINO CHIEF OPERATING OFFICER 182149 0 0 0 19588 0 5547 0 3364 0 210648 0 0 0 JOSE M MALDONADO RN3 179360 0 1600 0 6386 0 0 0 6270 0 193616 0 0 0 IMELDA R OCHOA PHARMACY DIRECTOR 173733 0 0 0 0 0 3414 0 1884 0 179031 0 0 0 BELINDA OLIVO-ROCHA CLINICAL STAFF PHARMACIST 170270 0 2500 0 0 0 5190 0 2746 0 180706 0 0 0 VICTORIA AJAYI CLINICAL STAFF PHARMACIST 156724 0 2500 0 0 0 4299 0 4506 0 168029 0 0 0 JULIO TOVAR CLINICAL STAFF PHARMACIST 158873 0 2500 0 0 0 310 0 394 0 162077 0 0 0 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 12/31/14, THERE WERE TWO (2) 1099S ISSUED TO BOARD MEMBERS FOR AMOUNTS EXCEEDING THE $600 FORM 1099 THRESHOLD. THE BOARD MEMBERS WERE JOHN WOMACK (1099 AMOUNT = $757.96) AND RALPH CANTU (1099 AMOUNT= $672.56). THE HOSPITAL MAINTAINS CLUB MEMBERSHIP FOR BUSINESS USE BY OFFICERS OF THE HOSPITAL. ANY PERSONAL EXPENSES ARE PAID DIRECTLY TO THE COUNTRY CLUB BY THE INDIVIDUAL AND A PERCENTAGE OF PERSONAL USE OF TOTAL CLUB DUES IS INCLUDED ON THE EXECUTIVE'S W-2. 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 $47,733 TIM MCVEY NONE $13,444 THE CEO AND CFO (AND PREVIOUS CFO) PARTICIPATE IN A 457(F) PLAN. THE PARTICIPANTS HAVE AGREED (IN THE SERP AGREEMENT) TO MAKE THEMSELVES AVAILABLE TO MRMC FOR A TWO-YEAR PERIOD FOLLOWING THEIR TERMINATION FROM THE ORGANIZATION, OTHERWISE THEY RISK LOSING ALL OF THE MONIES ACCUMULATED IN THEIR RESPECTIVE SERP ACCOUNTS. A HIDALGO COUNTY HEALTH SERVICES CORP 04302011 742556640 429338DG8 2008-05-20 15276437 REFUND OF 1996 BONDS false false false B HIDALGO COUNTY HEALTH SERVICES CORP 02022012 742556640 429338DB4 2005-02-03 19879284 REDEEM 2003 BONDS false false false C HIDALGO COUNTY HEALTH SERVICES CORP 02282012 742556640 429388CM6 2007-03-07 12899056 ADVANCE REFUND OF 1996 BONDS false false false A 4510000 0 15276437 1286001 0 15112799 163638 0 0 0 0 0 2008 true false true true B 12700000 0 19879284 2254156 0 19506500 326463 46321 0 0 0 0 2005 false false true true C 3180000 0 13734925 1071250 0 12639865 257981 0 0 0 0 0 2008 false true true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true A false false false true false false 0 false false false 0 false false B false false false true false false 0 false false false 0 false false C false false false true false false 0 false false false 0 true false A false B false C false SCHEDULE K, PART IV, LINE 2C 2005 BONDS - 02/02/2014 2007 Bonds - 02/28/2014 2008 Bonds - 04/30/2014 FORM 990, PART VI, SECTION B, LINE 11B DESCRIBE PROCESS TO REVIEW 990 THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORM IS REVIEWED BY THE ORGANIZATION'S CFO, CONTROLLER, AND ASSISTANT CONTROLLER PRIOR TO FILING. EACH MEMBER OF THE GOVERNING BOARD RECEIVES A COPY OF THE FORM FOR REVIEW. THE FINANCE COMMITTEE REVIEWS THE FORM 990 IN DETAIL AT A FINANCE COMMITTEE MEETING. 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, LINE 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 $26,460 MISSION HOSPITAL FOUNDATION 900 SOUTH BRYAN ROAD MISSION TX 78572 542076455 SUPPORT TX 501(C)(3) 11A MISSION HOSP true MISSION DOCTORS GROUP 906 SOUTH BRYAN ROAD MISSION TX 78572 742798500 HEALTHCARE TX 501(C)(3) 3 MISSION HOSP true MISSION MEDICAL OFFICE VENTURE 900 SOUTH BRYAN ROAD MISSION TX 78572 742561952 LEASING TX NA EXCLUDED -21063 371260 false 0 true 0.33333 false true true false false false false false false true false false false true true true true true true MISSION HOSPITAL FOUNDATION C 80000 BOOK VALUE MISSION HOSPITAL FOUNDATION O 84500 BOOK VALUE MISSION DOCTOR'S GROUP O 362262 BOOK VALUE MISSION DOCTOR'S GROUP P 53452 BOOK VALUE MISSION DOCTOR'S GROUP R 431092 BOOK VALUE MISSION MEDICAL OFFICE VENTURE J 230140 BOOK VALUE