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        <Description>Net Patient Revenue</Description>
        <BusinessCode>621500</BusinessCode>
        <TotalRevenueColumn>127181704</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>127106827</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>74877</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Other Operating Revenue</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>568362</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>568362</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>EHR INCENTIVE REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>1811795</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1811795</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>129561861</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>1189810</TotalRevenueColumn>
        <ExclusionAmount>1189810</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossAmountSalesAssets>
        <Securities>3383000</Securities>
        <Other>35775</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>3400843</Securities>
        <Other>99069</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>-17843</Securities>
        <Other>-63294</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-81137</TotalRevenueColumn>
        <ExclusionAmount>-81137</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>CAFETERIA</Description>
        <BusinessCode>722210</BusinessCode>
        <TotalRevenueColumn>629848</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>629848</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>EDUCATION PROGRAMS</Description>
        <BusinessCode>611710</BusinessCode>
        <TotalRevenueColumn>7646</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>7646</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>VENDING</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>76760</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>76760</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>110866</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>110866</RelatedOrExemptFunctionIncome>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>825120</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>131563255</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>130312104</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>74877</UnrelatedBusinessRevenue>
        <ExclusionAmount>1108673</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>7125</Total>
        <ProgramServices>7125</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>24000</Total>
        <ProgramServices>24000</ProgramServices>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>1544262</Total>
        <ProgramServices>1297914</ProgramServices>
        <ManagementAndGeneral>246348</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>58864</Total>
        <ProgramServices>58864</ProgramServices>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>54683019</Total>
        <ProgramServices>46659376</ProgramServices>
        <ManagementAndGeneral>7969925</ManagementAndGeneral>
        <Fundraising>53718</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>418297</Total>
        <ProgramServices>309616</ProgramServices>
        <ManagementAndGeneral>108681</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>4682925</Total>
        <ProgramServices>3466221</ProgramServices>
        <ManagementAndGeneral>1216704</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>4373638</Total>
        <ProgramServices>3237292</ProgramServices>
        <ManagementAndGeneral>1136346</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>277994</Total>
        <ManagementAndGeneral>277994</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>58057</Total>
        <ManagementAndGeneral>58057</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>15722660</Total>
        <ProgramServices>11298149</ProgramServices>
        <ManagementAndGeneral>4424511</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>426514</Total>
        <ManagementAndGeneral>426514</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>1671184</Total>
        <ProgramServices>797088</ProgramServices>
        <ManagementAndGeneral>874096</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>2344046</Total>
        <ProgramServices>1818131</ProgramServices>
        <ManagementAndGeneral>525915</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>3117</Total>
        <ProgramServices>2307</ProgramServices>
        <ManagementAndGeneral>810</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>3557</Total>
        <ManagementAndGeneral>3557</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>1798059</Total>
        <ProgramServices>1330893</ProgramServices>
        <ManagementAndGeneral>467166</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>6915932</Total>
        <ProgramServices>5119055</ProgramServices>
        <ManagementAndGeneral>1796877</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>1048392</Total>
        <ProgramServices>776002</ProgramServices>
        <ManagementAndGeneral>272390</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>18664356</Total>
        <ProgramServices>18664356</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>15007363</Total>
        <ProgramServices>15007363</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DIETARY EXPENSE</Description>
        <Total>1027842</Total>
        <ProgramServices>1027842</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>REPAIRS</Description>
        <Total>621020</Total>
        <ProgramServices>506547</ProgramServices>
        <ManagementAndGeneral>114473</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>456282</Total>
        <ProgramServices>168206</ProgramServices>
        <ManagementAndGeneral>288076</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>131838505</Total>
        <ProgramServices>111576347</ProgramServices>
        <ManagementAndGeneral>20208440</ManagementAndGeneral>
        <Fundraising>53718</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>10344201</BOY>
        <EOY>8130274</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>27956402</BOY>
        <EOY>24553760</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>11959853</BOY>
        <EOY>13055143</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
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        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <BOY>611449</BOY>
        <EOY>401228</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>1809012</BOY>
        <EOY>1742304</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>1405310</BOY>
        <EOY>1850805</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>107774092</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>65667875</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>43291911</BOY>
        <EOY>42106217</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>775237</BOY>
        <EOY>871332</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <BOY>997310</BOY>
        <EOY>912417</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>5481901</BOY>
        <EOY>7731145</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>104632586</BOY>
        <EOY>101354625</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>10441076</BOY>
        <EOY>9750092</EOY>
      </AccountsPayableAccruedExpenses>
      <GrantsPayable>
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        <EOY>0</EOY>
      </GrantsPayable>
      <DeferredRevenue>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>37419648</BOY>
        <EOY>34919912</EOY>
      </TaxExemptBondLiabilities>
      <EscrowAccountLiability>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </EscrowAccountLiability>
      <LoansFromOfficersDirectors>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </LoansFromOfficersDirectors>
      <MortNotesPyblSecuredInvestProp>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </MortNotesPyblSecuredInvestProp>
      <UnsecuredNotesLoansPayable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <BOY>1123262</BOY>
        <EOY>221004</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>48983986</BOY>
        <EOY>44891008</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>55648600</BOY>
        <EOY>56463617</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>55648600</BOY>
        <EOY>56463617</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>104632586</BOY>
        <EOY>101354625</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-275250</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>1090267</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
      <ContribByControllingIndividual>false</ContribByControllingIndividual>
      <ContributionByRelatedParty>false</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>false</ContribBy35ControlledEntity>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>true</GrantsOtherOrganizations>
      <GrantsOtherOrganizationsAmount>9384</GrantsOtherOrganizationsAmount>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>false</OtherActivities>
      <TotalLobbyingExpendituresIIB>9384</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>LOBBYING ACTIVITIES</Identifier>
        <ReturnReference>SCH C, PART II-B, LINE 1F</ReturnReference>
        <Explanation>THE AMOUNT ON LINE 1F ABOVE REPRESENTS THE PORTION OF THA AND AHA DUES PAID BY THE TAXPAYER THAT ARE ATTRIBUTABLE TO LOBBYING.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <CurrentYearMinus3Years />
      <Land>
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        <BookValue>501526</BookValue>
      </Land>
      <Buildings>
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        <Depreciation>12748080</Depreciation>
        <BookValue>14275799</BookValue>
      </Buildings>
      <LeaseholdImprovements>
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        <Depreciation>3145484</Depreciation>
        <BookValue>1413652</BookValue>
      </LeaseholdImprovements>
      <Equipment>
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        <BookValue>25915240</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>42106217</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>ACCRUED INTEREST RECEIVABLE</Description>
        <BookValue>247831</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DUE FROM AFFILIATES</Description>
        <BookValue>670067</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEBT SERVICE FUND</Description>
        <BookValue>5052213</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>EST AMOUNTS DUE FROM 3RD PARTY</Description>
        <BookValue>1761034</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>7731145</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>ACCRUED INTEREST PAYABLE</Description>
        <Amount>221004</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>221004</TotalOfAmounts>
      <TotalRevenue>131563255</TotalRevenue>
      <TotalExpenses>131838505</TotalExpenses>
      <ExcessOrDeficitForYear>-275250</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>76607</NetUnrealizedGLOnInvestments>
      <OtherAmount>116596</OtherAmount>
      <TotalAdjustments>193203</TotalAdjustments>
      <ExcessOrDeficitPerFS>-82047</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>113155396</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>76607</NetUnrealizedGainsInvestments>
      <OtherRevenues>179890</OtherRevenues>
      <RevenueNotRptdF990>256497</RevenueNotRptdF990>
      <RevenueSubtotal>112898899</RevenueSubtotal>
      <OtherRevenuesNotIncluded>18664356</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>18664356</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>131563255</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>113237443</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>63294</OtherExpensesIncluded>
      <ExpensesNotRptdF990>63294</ExpensesNotRptdF990>
      <ExpensesSubtotal>113174149</ExpensesSubtotal>
      <OtherExpensesNotIncluded>18664356</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>18664356</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>131838505</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>OTHER CHANGE IN NET ASSETS</Identifier>
        <ReturnReference>SCH D, PART XI, LINE 8</ReturnReference>
        <Explanation>OTHER CHANGE IN NET ASSETS GAIN ON EQUITY INVESTMENT $116,596</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF REVENUE PER FINANCIAL STATEMENTS TO RETURN:</Identifier>
        <ReturnReference>SCH D, PART XII, LINE 2D AND 4B</ReturnReference>
        <Explanation>REVENUE PER BOOKS NOT ON RETURN: LOSS ON DISPOSAL IN EXPENSE PER AUDIT $ 63,294 GAIN ON EQUITY INVESTMENT 116,596 ---------- TOTAL $179,890 REVENUE ON RETURN, NOT ON BOOKS: BAD DEBT EXPENSE IN AUDIT REVENUE $18,664,356</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF EXPENSES PER FINANCIAL STATEMENTS TO RETURN:</Identifier>
        <ReturnReference>SCH D, PART XIII, LINE 2D AND 4B</ReturnReference>
        <Explanation>EXPENSES PER BOOKS NOT ON RETURN: LOSS ON DISPOSAL IN AUDIT EXPENSE $63,294 EXPENSES PER RETURN NOT ON BOOKS: BAD DEBT EXPENSE IN AUDIT REVENUE $18,664,356</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>false</FPGReferenceDiscountedCare>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>7796728</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>7796728</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06890</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>30054445</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>25982308</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4072137</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03600</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>982155</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>5484</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>976671</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00860</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>38833328</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>25987792</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>12845536</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.11350</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>622717</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>622717</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00550</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>447864</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>447864</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00400</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>4893537</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>4412835</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>480702</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00420</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>39955</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>39955</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>6004073</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>4412835</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1591238</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01410</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>44837401</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>30400627</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>14436774</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.12760</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>18664356</BadDebtExpenseAmount>
      <AmountAttributableTo>11198613</AmountAttributableTo>
      <AmountReimbursedByMedicare>54437589</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>40833077</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>13604512</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>false</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>EAST MISSION MED VEN</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>OFFICE BUILDINGS</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.33000</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.67000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>EAST MISSION OFFICE</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>OFFICE BUILDINGS</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.33000</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.67000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>WEST MEDICAL VENTURE</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>OFFICE BUILDINGS</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.25000</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.75000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>MISSION HOSPITAL INC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>900 SOUTH BRYAN ROAD</AddressLine1>
          <City>MISSION</City>
          <State>TX</State>
          <ZIPCode>78572</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>MISSION HOSPITAL INC</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>200.</FPGFreePercent>
        <UsesFPGDiscounted>false</UsesFPGDiscounted>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <UninsuredDiscount>X</UninsuredDiscount>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <MedicareRate>X</MedicareRate>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART V, QUESTION 10</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART III, LINE 4</Identifier>
        <Explanation>ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART III, LINE 8</Identifier>
        <Explanation>THERE IS NO SHORTFALL RELATED TO THE MEDICARE PROGRAM FOR FY 2012. THE AMOUNTS REPORTED ON LINES 5 AND 6 ABOVE ARE FROM THE FY 2012 COST REPORT (USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE).</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART III, LINE 9B</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART VI, LINE 2</Identifier>
        <ReturnReference>NEEDS ASSESSMENT</ReturnReference>
        <Explanation>THE ORGANIZATION IS IN THE PROCESS OF COMPLETING AN UPDATED COMMUNITY HEALTH NEEDS ASSESSMENT FOR FISCAL YEAR 2013. PREVIOUSLY, IN 2009, FIVE HUNDRED 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 MOST RECENTLY COMPLETED 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</Identifier>
        <Explanation>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 INCLUDES 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."</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <Explanation>MISSION, MCALLEN, LA JOYA, SULLIVAN CITY &amp; ALTON, TEXAS AND SURROUNDING AREAS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PROMOTION OF COMMUNITY HEALTH</Identifier>
        <Explanation>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 &amp; 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 &amp; 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>ALL STATES WHICH ORGANIZATION FILES A COMMUNITY BENEFIT PROGRAM</Identifier>
        <Explanation>TEXAS</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART I, LINE 7, COLUMN F</Identifier>
        <Explanation>BAD DEBT EXPENSE OF $18,664,356 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.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <NoGrantMoreThan5000>X</NoGrantMoreThan5000>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>SCHOLARSHIPS</TypeOfGrant>
        <NumberOfRecipients>24</NumberOfRecipients>
        <AmountOfCashGrant>24000</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURES USED TO MONITOR THE USE OF GRANT FUNDS IN U.S.</Identifier>
        <ReturnReference>SCHEDULE I, PART I, QUESTION 2</ReturnReference>
        <Explanation>THE ORGANIZATION EVALUATES AND MONITORS DONEES BASED ON PUBLIC AND PRIVATE DATA.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <TravelForCompanions>X</TravelForCompanions>
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>JAVIER IRUEGAS</NamePerson>
        <BaseCompensationFilingOrg>288201</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>52693</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>5253</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>3940</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>350087</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>TIM MCVEY</NamePerson>
        <BaseCompensationFilingOrg>184755</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>23894</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>679</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>6268</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>215596</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CARLOS TREVINO</NamePerson>
        <BaseCompensationFilingOrg>161774</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>14143</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>4731</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>4534</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>185182</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KATHLEEN MOWERY</NamePerson>
        <BaseCompensationFilingOrg>136077</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>12861</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>3882</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>1103</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>153923</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOSE M MALDONADO</NamePerson>
        <BaseCompensationFilingOrg>180678</BaseCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>7171</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>187849</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CAROLYNE RUTO</NamePerson>
        <BaseCompensationFilingOrg>146991</BaseCompensationFilingOrg>
        <BonusFilingOrg>5000</BonusFilingOrg>
        <DeferredCompFilingOrg>3997</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>2832</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>158820</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SABELLA JUNG YOUNG</NamePerson>
        <BaseCompensationFilingOrg>153677</BaseCompensationFilingOrg>
        <BonusFilingOrg>5000</BonusFilingOrg>
        <DeferredCompFilingOrg>1545</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>857</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>161079</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>IMELDA OCHOA</NamePerson>
        <BaseCompensationFilingOrg>166179</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>3275</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>1674</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>171128</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>VICTORIA AJAYI</NamePerson>
        <BaseCompensationFilingOrg>185113</BaseCompensationFilingOrg>
        <BonusFilingOrg>5000</BonusFilingOrg>
        <DeferredCompFilingOrg>4435</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>4105</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>198653</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PHILIP JUDE FRACIA</NamePerson>
        <BaseCompensationFilingOrg>232491</BaseCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>2835</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>235326</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KERRY JENKINS</NamePerson>
        <BaseCompensationFilingOrg>143480</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>13855</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>2488</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>3940</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>163763</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SCH J, PART I, QUESTION 1A</Identifier>
        <ReturnReference>TRAVEL FOR COMPANIONS &amp; CLUB DUES</ReturnReference>
        <Explanation>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 12/31/11, ZERO (0) 1099S WERE ISSUED TO BOARD MEMBERS FOR AMOUNTS EXCEEDING THE $600 FORM 1099 REPORTING THRESHOLD. 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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SCH J, PART I, QUESTION 4B</Identifier>
        <ReturnReference>PARTICIPANTS IN OR PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN</ReturnReference>
        <Explanation>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 $52,693 $38,943 TIM MCVEY $23,894 $10,144 CARLOS TREVINO $14,143 NONE SUSAN WILLARS $11,254 NONE KATHLEEN MOWERY $12,861 NONE 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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>HIDALGO COUNTY HEALTH SERVICES CORP 04302011</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>742556640</IssuerEIN>
        <CUSIPNumber>429338DG8</CUSIPNumber>
        <DateIssued>2008-05-20</DateIssued>
        <IssuePrice>15276437</IssuePrice>
        <DescriptionOfPurpose>REFUND OF 1996 BONDS</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>HIDALGO COUNTY HEALTH SERVICES CORP 02022012</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>742556640</IssuerEIN>
        <CUSIPNumber>429338DB4</CUSIPNumber>
        <DateIssued>2005-02-03</DateIssued>
        <IssuePrice>19879284</IssuePrice>
        <DescriptionOfPurpose>REDEEM 2003 BONDS</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>HIDALGO COUNTY HEALTH SERVICES CORP 02282012</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>742556640</IssuerEIN>
        <CUSIPNumber>429338CM6</CUSIPNumber>
        <DateIssued>2007-03-07</DateIssued>
        <IssuePrice>12899056</IssuePrice>
        <DescriptionOfPurpose>ADVANCE REFUND OF 1996 BONDS</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>15276437</TotalProceeds>
        <AmountInReserveFund>1286001</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>15112799</RefundingEscrow>
        <IssuanceCostsFromProceeds>163638</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>19879284</TotalProceeds>
        <AmountInReserveFund>2254156</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>19506500</RefundingEscrow>
        <IssuanceCostsFromProceeds>326463</IssuanceCostsFromProceeds>
        <CreditEnhancement>46321</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2005</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>13734925</TotalProceeds>
        <AmountInReserveFund>1071250</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>12639865</RefundingEscrow>
        <IssuanceCostsFromProceeds>257981</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>true</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0</PrcntgePrvtBusinessUseByOthers>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0</PrcntgePrvtBusinessUseByOthers>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0</PrcntgePrvtBusinessUseByOthers>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>true</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>PEGGY IRUEGAS</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>WIFE OF CEO</Relationship>
        <AmountOfTransaction>27980</AmountOfTransaction>
        <DescriptionOfTransaction>SALARIES/WAGES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>JAVIER ESCOBEDO</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BROTHER-IN-LAW OF OFFICER</Relationship>
        <AmountOfTransaction>10043</AmountOfTransaction>
        <DescriptionOfTransaction>SALARIES/WAGES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MISSION VASCULAR LAB</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>OWNER=DIRECTOR RODRIGUEZ</Relationship>
        <AmountOfTransaction>209990</AmountOfTransaction>
        <DescriptionOfTransaction>VASCULAR TESTING</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>DALYN JENKINS</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DAUGHTER OF OFFICER</Relationship>
        <AmountOfTransaction>20841</AmountOfTransaction>
        <DescriptionOfTransaction>SALARIES/WAGES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, QUESTION 11B</Identifier>
        <ReturnReference>DESCRIBE PROCESS TO REVIEW 990</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, QUESTION 12C</Identifier>
        <ReturnReference>DESCRIBE HOW CONFLICT OF INTEREST POLICY IS MONITORED &amp; ENFORCED</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, QUESTION 19</Identifier>
        <ReturnReference>DESCRIBE WHETHER DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, QUESTION 16B</Identifier>
        <ReturnReference>ADOPTION OF WRITTEN POLICY &amp; STEPS TAKEN TO SAFEGUARD EXEMPT STATUS</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, QUESTIONS 15A AND 15B</Identifier>
        <ReturnReference>PROCESS TO REVIEW COMPENSATION OF CEO, OFFICERS, &amp; KEY EMPLOYEES</ReturnReference>
        <Explanation>THE ORGANIZATION USES AN INDEPENDENT CONSULTING FIRM TO PERFORM A COMPENSATION ANALYSIS (LAST REVIEW PERFORMED IN 2007 BY CLARK CONSULTING). 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART XI, LINE 5</Identifier>
        <ReturnReference>OTHER CHANGES IN NET ASSETS</ReturnReference>
        <Explanation>PRIOR PERIOD ADJUSTMENT TO AUDIT $897,064 UNREALIZED GAINS AND LOSSES 76,607 GAIN ON EQUITY INVESTMENT 116,596 ---------- $1,090,267</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MISSION HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>900 SOUTH BRYAN ROAD</AddressLine1>
          <City>MISSION</City>
          <State>TX</State>
          <ZIPCode>78572</ZIPCode>
        </AddressUS>
        <EIN>542076455</EIN>
        <PrimaryActivities>SUPPORT</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MISSION HOSP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MISSION DOCTORS GROUP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>906 SOUTH BRYAN ROAD SUITE 209</AddressLine1>
          <City>MISSION</City>
          <State>TX</State>
          <ZIPCode>78572</ZIPCode>
        </AddressUS>
        <EIN>742798500</EIN>
        <PrimaryActivity>MEDICAL SERVICE</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MISSION HOSP</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C-Corp</TypeOfEntity>
        <ShareOfTotalIncome>67903</ShareOfTotalIncome>
        <ShareOfEOYAssets>82918</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>