2024-11-14T19:25:50-06:00 2023-12-31 861065772 DELOITTE TAX LLP 695 TOWN CENTER DRIVE SUITE 1000 COSTA MESA CA 92626 990 2023-01-01 742206635 MISSION HOSPITAL INC MISS 9563231025 900 SOUTH BRYAN ROAD MISSION TX 78572 STEVE ALEMAN CFO 9563231025 2024-11-14 1 0 JOHN W SADOFF JR P00540589 7144367100 2023 2024-10-15 13:58:12Z MISSION REGIONAL MEDICAL CENTER KAVITHA BHATIA 900 SOUTH BRYAN ROAD MISSION TX 78572 157700721 0 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, EMPLOYEES AND PHYSICIANS. 6 4 1306 50 164301 532 1273502 5164187 116746641 151693352 155197 9972 2899016 820055 121074356 157687566 20013 31911 0 0 63933649 68042032 0 0 0 54884996 64183785 118838658 132257728 2235698 25429838 132172951 132399382 49117055 23913648 83055896 108485734 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. 0 0 110684340 31911 151693352 THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO PATIENTS IN MISSION, TEXAS AND SURROUNDING AREAS. 110684340 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 465 0 1 1306 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 6 4 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X PATRICIA VAN MATRE 9563231025 900 SOUTH BRYAN ROAD MISSION TX 78572 KANE A DAWSON CEO (REGIONAL)/BOARD SECRETARY 40.00 4.00 X X 413429 0 19767 ESTELLA SAENZ BOARD DIRECTOR 2.00 2.00 X 0 0 0 ELIZABETH GARZA BOARD DIRECTOR 2.00 2.00 X 0 0 0 ALICIA REQUENEZ BOARD DIRECTOR 2.00 2.00 X 0 0 0 DEBORAH CORDOVA BOARD DIRECTOR 2.00 2.00 X 0 0 0 PADMINI BHADRIRAJU CMO/VICE CHAIRMAN 40.00 4.00 X X 300000 0 0 LESTER SURROCK CFO (REGIONAL) 16.00 24.00 X 302440 0 48587 CESAR GUERRA CNO 40.00 2.00 X 173898 0 30949 KAVITHA BHATIA PRESIDENT 1.00 3.00 X 0 0 0 STEVE ALEMAN CFO 1.00 8.00 X 0 0 0 ABRAHAM JOEL RICHLIN SECRETARY (END 7/23) 1.00 3.00 X 0 0 0 KATHLEEN AVILA REGIONAL DIR. OF BUS. DEV. 40.00 0.00 X 169739 0 18478 MARTINE ACOSTA REGIONAL DIR. OF CASE MGMT. 40.00 0.00 X 160278 0 28542 MARIA REED NURSE PRACTITIONER 40.00 0.00 X 209945 0 33909 CECILIA ALMAGUER NURSE PRACTITIONER 40.00 0.00 X 208586 0 38364 IMELDA OCHOA PHARMACY DIRECTOR 40.00 0.00 X 199678 0 37247 MARIA CANCINO STAFF RN - 8 HR 36.00 0.00 X 189666 0 17967 BELINDA OLIVO-ROCHA PHARMACIST 40.00 0.00 X 175929 0 30860 2503588 0 304670 74 0 1 0 PRIME HEALTHCARE MANAGEMENT INC 3300 GUASTI RD 3RD FLOOR ONTARIO CA 91761 MANAGEMENT SERVICES 8742436 PRIME HEALTHCARE SERVICES INC 3300 GUASTI RD 3RD FLOOR ONTARIO CA 91761 MEDICAL SERVICES 7188014 LIFEPOINT REHABILITATION OF TEXAS PO BOX 502096 ST LOUIS MO 631502096 REHAB SERVICES 2515479 CLINICAL ASSOCIATES INC 1452 HUGHES RD STE 244 GRAPEVINE TX 76051 ANESTHESIA SERVICES 2209436 MAGELLAN CONSTRUCTION 1414 E MCINTYRE EDINBURG TX 78541 CONSTRUCTION SERVICES 1188834 18 5097546 66641 5164187 NET PATIENT REVENUE 621500 151550058 151385757 164301 OTHER OPERATING REV. 900099 143294 143294 151693352 23127 23127 7615 0 7615 7615 7615 13155 -13155 -13155 -13155 CAFETERIA SALES 900099 537806 537806 OTHER NON-OPERATING RE 900099 253604 253604 VENDING MACHINE COMMIS 900099 12540 12540 8490 8490 812440 157687566 151529051 164301 830027 X 31911 31911 1666107 1499496 166611 50115561 45104005 5011556 569942 455954 113988 11636660 9309328 2327332 4053762 3243010 810752 9093043 2091400 7001643 156964 156964 113547 113547 1922 1922 16752375 13401901 3350474 279922 279922 637567 312408 325159 1331 1065 266 2739844 2191875 547969 53511 42809 10702 14282 11426 2856 357989 286391 71598 3261105 2608884 652221 3139529 2511623 627906 MEDICAL SUPPLIES 15559560 15559560 TAXES AND LICENSES 8171945 8171945 NON-MEDICAL SUPPLIES 2304064 2304064 REPAIRS AND MAINTENANCE 1207819 1207819 337466 337466 132257728 110684340 21573388 0 2025644 845165 3907758 16287579 33806395 1985959 2192963 523425 465159 36403383 12541606 21585161 23861777 905998 843049 817347 731345 88041838 65745771 132172951 132399382 7841869 7683183 41275186 16230465 49117055 23913648 X 83049336 108479174 6560 6560 83055896 108485734 132172951 132399382 25429838 0 X 0 1 X 0 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 1922 0 0 0 1922 0 PART II-B, LINE 1: THE AMOUNT ON LINE 1F ABOVE REPRESENTS THE PORTION OF TEXAS HOSPITAL ASSOCIATION DUES PAID BY THE ORGANIZATION THAT ARE ATTRIBUTABLE TO LOBBYING. 3795561 3795561 13855800 4042206 9813594 18316035 8349425 9966610 435987 149975 286012 23861777 CONSTRUCTION IN PROCESS 169652 RIGHT-OF-USE ASSETS - OPERATING 1422268 DUE FROM AFFILIATES 22492765 DUE FROM RELATED PARTIES 41661086 65745771 ESTIMATED SETTLEMENTS WITH THIRD PARTIES 432085 OPERATING LEASE LIABILITY - CURRENT 321731 OPERATING LEASE LIABILITY - LONG-TERM 1216075 FINANCING LEASE LIABILITY - CURRENT 1867138 FINANCING LEASE LIABILITY - LONG-TERM 4443337 MALPRACTICE AND WORKERS' COMP RESERVES 2362906 STATE FEE PROGRAMS PAYABLE 5571343 OTHER LONG-TERM LIABILITIES 15850 16230465 X PART X, LINE 2: THE LITERATURE RELATED TO UNCERTAIN TAX POSITIONS PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR ACCOUNTING FOR UNCERTAIN TAX POSITIONS AND ALSO PROVIDES GUIDANCE ON VARIOUS RELATED MATTERS, SUCH AS DE-RECOGNITION, INTEREST, PENALTIES, AND DISCLOSURES REQUIRED. THE COMPANY DOES NOT HAVE ANY ENTITY-LEVEL UNCERTAIN TAX POSITIONS. THE COMPANY FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND VARIOUS STATE JURISDICTIONS. GENERALLY, THE COMPANY IS SUBJECT TO EXAMINATION BY U.S. FEDERAL (OR STATE AND LOCAL) INCOME TAX AUTHORITIES FOR THREE YEARS FROM THE FILING OF A TAX RETURN. 1 1 1 X 1 X 1 1 0 1 1 19620402 9502494 10117908 0.07650 26636187 46904041 0 0.00000 276861 200 276661 0.00210 46533450 56406735 10394569 0.07860 286415 0 286415 0.00220 280768 0 280768 0.00210 31911 0 31911 0.00020 599094 599094 0.00450 47132544 56406735 10993663 0.08310 1 115337 20664495 14332876 6331619 X 1 1 1 WEST MISSION MEDICAL OFFICE VENTURE MEDICAL OFFICE BUILDING 0.25000 0.75000 2 MISSION MEDICAL OFFICE VENTURE MEDICAL OFFICE BUILDING 0.33330 0.66670 1 1 MISSION REGIONAL MEDICAL CENTER 900 SOUTH BRYAN ROAD MISSION TX 78572 WWW.MISSIONRMC.ORG 317 742206635 X X X MISSION REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 21 1 0 0 1 X HTTPS://MISSIONRMC.ORG/ABOUT-MISSION/FINANCIAL-STATEMENT/ X 1 21 1 HTTPS://MISSIONRMC.ORG/ABOUT-MISSION/FINANCIAL-STATEMENT/ 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 MISSION REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: SURVEY PARTICIPANTS WERE SELECTED FOR PARTICIPATION BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH; THEIR AFFILIATION WITH LOCAL GOVERNMENT, SCHOOLS AND INDUSTRY; OR THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. KEY INFORMANTS REPRESENT THE FOLLOWING TYPES OF ORGANIZATIONS:- MISSION REGIONAL MEDICAL CENTER- LOCAL SCHOOL SYSTEMS AND UNIVERSITIES- PUBLIC HEALTH AGENCIES- MEDICAL PROVIDERS- LOCAL AND COUNTY GOVERNMENT OFFICIALS- LOCAL BUSINESS LEADERSTHE CHNA WAS CONDUCTED BY BKD PERSONNEL. SURVEYS WITH KEY INFORMANTS WERE CONDUCTED BETWEEN JUNE 2021 AND NOVEMBER 2021. PARTICIPANTS WHO PARTICIPATED IN THE SURVEY PROVIDED INPUT ON THE FOLLOWING ISSUES: - HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE PRIMARY COMMUNITY.- BARRIERS TO IMPROVING HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE COMMUNITY.- DELINEATION OF THE MOST IMPORTANT HEALTH ISSUES OR SERVICES DISCUSSED AND ACTIONS NECESSARY FOR ADDRESSING THOSE ISSUES. - OPINIONS REGARDING THE IMPORTANT HEALTH ISSUES THAT AFFECT COMMUNITY RESIDENTS AND THE TYPES OF SERVICES THAT ARE IMPORTANT FOR ADDRESSING THESE ISSUES.- THIS TECHNIQUE REVEALS COMMUNITY INPUT FOR SOME OF THE FACTORS AFFECTING THE VIEWS AND SENTIMENTS ABOUT OVERALL HEALTH AND QUALITY OF LIFE WITHIN THE COMMUNITY. MISSION REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: THE FY2021 CHNA WAS CONDUCTED AND A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WAS DEVELOPED TO BETTER UNDERSTAND AND ADDRESS THE PRIORITY HEALTH NEEDS OF THE COMMUNITY SERVED BY MISSION REGIONAL MEDICAL CENTER. AS A RESULT, THE FOLLOWING THREE PRIORITY HEALTH NEEDS WERE IDENTIFIED: 1. LACK OF ACCESS TO PRIMARY CARE, PREVENTATIVE CARE, SPECIALISTS AND SERVICES FOR THE AGING2. LACK OF HEALTH KNOWLEDGE/EDUCATION; POOR NUTRITION AND LIMITED ACCESS TO HEALTHY FOOD OPTIONS AND OBESITY3. CHRONIC DISEASESLACK OF ACCESS TO PRIMARY CARE, PREVENTATIVE CARE, SPECIALISTS AND SERVICES FOR THE AGINGTHE GOAL IS TO IMPROVE ACCESS TO CARE FOR THE UNINSURED OR UNDERINSURED POPULATION AND THE AGED. MISSION REGIONAL MEDICAL CENTER WILL IMPLEMENT THE FOLLOWING STRATEGIES: 1. RECRUIT ADDITIONAL PRIMARY CARE PHYSICIANS (INCLUDING OB/GYN) TO THE AREA EITHER IN PARTNERSHIP WITH OTHER PHYSICIANS OR AS EMPLOYED PHYSICIANS OF MISSION DOCTORS GROUP, AN AFFILIATED ORGANIZATION.2. RECRUIT SPECIALTY PHYSICIANS TO PARTNER WITH EXISTING PHYSICIAN GROUPS OR EXPAND SPECIALISTS EMPLOYED BY MISSION DOCTORS GROUP. AREAS OF FOCUS ARE CARDIOLOGY, ORTHOPEDICS, NEUROLOGY AND GERIATRICS.3. INVESTIGATE THE DEVELOPMENT OF A COMBINATION FREE STANDING EMERGENCY DEPARTMENT AND LOCAL COMMUNITY URGENT CARE CENTER TO PROVIDE OPTIONS IN THE LEVEL OF CARE IN AN UNDERSERVED LOCATION WITHIN MRMC'S SERVICE AREA.4. CONTINUE TO SUPPORT ENROLLMENT ACTIVITY FOR UNINSURED PATIENTS IN TEXAS MEDICAID AND REFERRAL TO STATE AGENCIES FOR ENROLLMENT IN OTHER STATE-SPONSORED PROGRAMS.5. CONTINUE SUPPORT FOR REFERRAL TO FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) IN THE SERVICE AREA.6. INVESTIGATE THE DEVELOPMENT OF A RURAL HEALTH CLINIC IN THE HOSPITAL'S SERVICE AREA TO PROVIDE LOW-COST ACCESS TO PRIMARY CARE PROVIDERS AS AN ALTERNATIVE TO SEEKING CARE IN AREA EMERGENCY DEPARTMENTS.7. COMMUNICATE TO THE COMMUNITY AND LOCAL EMS PROVIDERS THE GERIATRIC EMERGENCY DEPARTMENT ACCREDITATION ACHIEVED BY MISSION REGIONAL MEDICAL CENTER.8. INVESTIGATE THE DEVELOPMENT OF A PATIENT NAVIGATOR PROGRAM FOR THE EMERGENCY DEPARTMENT TO ASSIST PATIENTS IN MAKING FOLLOW-UP APPOINTMENTS WITH PRIMARY CARE PHYSICIANS OR SPECIALISTS, TO REDUCE RECIDIVISM TO THE EMERGENCY DEPARTMENT FOR FOLLOW-UP CARE.9. EXPAND SELF-REFERRAL WELLNESS LAB PANEL TO INCLUDE BLOOD GLUCOSE LEVEL (HA1C) TO SCREEN FOR POTENTIAL DIABETES AND COMMUNICATE AVAILABILITY TO THE COMMUNITY.LACK OF HEALTH KNOWLEDGE/EDUCATION; POOR NUTRITION AND LIMITED ACCESS TO HEALTHY FOOD OPTIONS AND OBESITYTHE GOAL IS TO IMPROVE THE HEALTH KNOWLEDGE OF THE POPULATION AND ACCESS TO HEALTHY CHOICES. MISSION REGIONAL MEDICAL CENTER WILL IMPLEMENT THE FOLLOWING STRATEGIES:1. OFFER SEMINARS TO ADDRESS HEALTH TOPICS AND TO EDUCATE THE COMMUNITY ON RISK FACTORS, PREVENTION MEASURES, DISEASE SYMPTOMS, AND TREATMENT RESOURCES IN PARTNERSHIP WITH THE CITY OF MISSION. 2. INCREASE THE EMPHASIS IN DIABETES EDUCATION ON OBESITY EDUCATION AND HIGH BLOOD PRESSURE AWARENESS AS A CONSEQUENCE OF DIABETES, BY OFFERING QUARTERLY SEMINARS TO THE DIABETIC POPULATION TO INCLUDE MISSION REGIONAL MEDICAL CENTER PATIENTS AND COMMUNITY RESIDENTS.3. INCREASE THE NUMBER OF PATIENTS WHO RECEIVE FREE FLU SHOTS; AND OTHER HEALTH SCREENINGS BY PARTICIPATING IN COMMUNITY HEALTH FAIRS AND WINTER TEXAN EVENTS.4. PROVIDE EDUCATION AT ALL HEALTH FAIRS THAT MISSION REGIONAL MEDICAL CENTER PARTICIPATES IN.5. ALL PATIENTS SEEN AT THE HOSPITAL HAVE BODY MASS INDEX (BMI) COMPUTED BASED ON WEIGHT AND HEIGHT. THOSE WITH A BMI OF 30 OR GREATER WILL BE PROVIDED WITH EDUCATIONAL MATERIALS FOR WEIGHT CONTROL AND A NUTRITIONAL CONSULT TO DISCUSS HEALTHY LIFESTYLE CHANGES.6. CREATE EDUCATIONAL TOPICS ON OUR WEBSITE IN ENGLISH AND SPANISH.CHRONIC DISEASESTHE GOAL IS TO IMPROVE THE IDENTIFICATION OF CHRONIC DISEASES IN THE POPULATION AND AWARENESS OF TREATMENT AND CONTROL FACTORS. MISSION REGIONAL MEDICAL CENTER WILL IMPLEMENT THE FOLLOWING STRATEGIES:1. DURING THE COMMUNITY HEALTH FAIRS, SCREEN FOR SIGNS OF DIABETES THROUGH GLUCOSE BLOOD TESTS AND PROVIDE EDUCATIONAL MATERIALS TO THE POPULATION.2. PROVIDE EDUCATION ON DIABETES SELF-MANAGEMENT AND DIETARY CONTROLS AT LEAST QUARTERLY EITHER ON SITE OR DURING COMMUNITY HEALTH FAIRS.3. OFFER LOW-COST SCREENING FOR HEART DISEASE (CT-CALCIUM SCORING) THAT CAN BE "SELF-REFERRED" FOR PATIENTS WITH CERTAIN CO-MORBID CONDITIONS AND PERIPHERAL VASCULAR DISEASE (ABI).4. PROVIDE PERIODIC EDUCATION ON BLOOD PRESSURE CONTROL THROUGH MONITORING, DIET AND EXERCISE.5. PROMOTE THE WELLNESS SCREENING LABS AND REFERRAL TO A PRIMARY CARE PHYSICIAN IF THE PARTICIPANT DOES NOT HAVE ONE.6. PROVIDE SCREENING FOR PERIPHERAL VASCULAR DISEASE AND EDUCATION ON WAYS TO LIMIT PROGRESSION OF THE DISEASE THROUGH DIET, EXERCISE AND SMOKING CESSATION.7. DEVELOP EXERCISE ACTIVITIES WHERE CITIZENS CAN WALK TOGETHER WITH OUR STAFF AND TALK ABOUT HEALTH BY UTILIZING LOCAL HIKE AND BIKE TRAILS.8. IDENTIFY AT-RISK PATIENTS DURING VISITS TO ANY OF OUR CLINICS.BUILDING UPON THE CURRENT CHNA AND IMPLEMENTATION STRATEGY, THE HOSPITAL DID THE FOLLOWING DURING FY'23 TO ADDRESS THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY:- PROVIDED EDUCATION TO SEVERAL EMERGENCY MEDICAL SERVICE COMPANIES IN OUR AREA- OFFERED WEIGHT LOSS SEMINARS- PROVIDED BLOOD PRESSURE SCREENINGS- PROVIDED QUANTA FLO SCREENINGS- PROVIDED FREE MAMMOGRAMS- PROVIDED LOW COST LAB SERVICES- PROVIDED LOW COST CT HEART SAVER CALCIUM SCORING- PROVIDED DIABETES AND PREDIABETES INFORMATION AT HEALTH FAIRS- PROVIDED FREE PREGNANCY TESTS - PROVIDED HEALTH EDUCATION/INFORMATION TO WINTER TEXANS- HOSTED BLOOD DONATION DRIVESTHE MOST NOTABLE HEALTH NEEDS NOT ADDRESSED AT THIS TIME ARE MENTAL HEALTH AND DRUG ABUSE REHABILITATION. UNFORTUNATELY, MISSION REGIONAL MEDICAL CENTER DOES NOT HAVE A PSYCHIATRIC IN-PATIENT OR OUTPATIENT UNIT. THEREFORE, MISSION REGIONAL MEDICAL CENTER IS FORCED TO REFER PATIENTS WITH A NEED FOR MENTAL HEALTH OR DRUG REHABILITATIVE SERVICES TO TROPICAL TEXAS BEHAVIORAL HEALTH IN EDINBURG, BEHAVIORAL HOSPITAL AT RENAISSANCE IN EDINBURG AND SOUTH TEXAS BEHAVIORAL HEALTH CENTER IN EDINBURG. HOWEVER, WE WILL CONTINUE TO EXPLORE POTENTIAL PARTNERSHIPS AND INTERNAL STRATEGIES TO FIND A WAY TO PROVIDE THESE ESSENTIAL SERVICES TO OUR PATIENTS. EVERY EFFORT WILL BE MADE TO ASSIST OUR EXISTING MENTAL HEALTH PROVIDERS IN MAINTAINING AND/OR EXPANDING THE SERVICES THAT THEY CURRENTLY PROVIDE. THE SAME IS TRUE FOR CANCER CARE. PEOPLE THAT NEED CANCER TREATMENT ARE REFERRED TO TEXAS ONCOLOGY IN MCALLEN AND DOCTORS HOSPITAL AT RENAISSANCE. MISSION REGIONAL MEDICAL CENTER: PART V, SECTION B, LINE 16A: THE FAP FOR MISSION REGIONAL MEDICAL CENTER CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://MISSIONRMC.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ MISSION REGIONAL MEDICAL CENTER:PART V, SECTION B, LINE 16B: THE FAP APPLICATION FOR MISSION REGIONAL MEDICAL CENTER CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://MISSIONRMC.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/MISSION REGIONAL MEDICAL CENTER:PART V, SECTION B, LINE 16C: THE PLAIN LANGUAGE SUMMARY OF THE FAP FOR MISSION REGIONAL MEDICAL CENTER CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://MISSIONRMC.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/ 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. PART III, LINE 4: NO SEPARATE FINANCIAL STATEMENTS WERE PREPARED FOR THE TAX PERIOD. THE HOSPITAL IS INCLUDED IN THE PRIME FOUNDATION CONSOLIDATED FINANCIAL STATEMENT GOING FORWARD. PART III, LINE 8: THERE IS NO SHORTFALL RELATED TO THE MEDICARE PROGRAM FOR PERIOD ENDING 12/31/23. THE AMOUNTS REPORTED FOR REVENUE RECEIVED AND ALLOWABLE COSTS ARE FROM THE 12/31/23 COST REPORT. PART III, LINE 9B: PRIME HEALTHCARE NONPROFIT FACILITIES MAY USE THE SERVICES OF AN EXTERNAL COLLECTION AGENCY FOR THE COLLECTION OF PATIENT DEBT. NO DEBT SHALL BE ADVANCED FOR COLLECTION UNTIL THE DIRECTOR OF THE HOSPITAL PFS OR HIS/HER DESIGNEE HAS REVIEWED THE ACCOUNT AND APPROVED THE ADVANCEMENT OF THE DEBT TO COLLECTION. PRIME HEALTHCARE NONPROFIT FACILITIES SHALL OBTAIN AN AGREEMENT FROM EACH COLLECTION AGENCY THAT IT UTILIZES TO COLLECT PATIENT DEBT THAT THE AGENCY WILL COMPLY WITH THE REQUIREMENTS OF THIS POLICY AND APPLICABLE STATE LAW. FOR ACCOUNTING PURPOSES, ANY ACCOUNT THAT QUALIFIES FOR BAD DEBT UNDER THE HOSPITAL'S INTERNAL POLICY, BUT IS NOT DEEMED AS BAD DEBT (RESULTING FROM REVENUE RECOGNITION ACCOUNTING STANDARDS), WILL BE CONSIDERED AND REPORTED AS PATIENT FINANCIAL ASSISTANCE AS A REDUCTION TO HOSPITAL REVENUE.IF A PATIENT DOES NOT APPLY FOR FINANCIAL ASSISTANCE OR IS DENIED FINANCIAL ASSISTANCE AND FAILS TO PAY THEIR BILL, THE PATIENT MAY BE SUBJECT TO VARIOUS COLLECTION ACTIONS, INCLUDING EXTRAORDINARY COLLECTION ACTIONS. NOTWITHSTANDING THE FOREGOING, NEITHER THE HOSPITAL NOR ANY COLLECTION AGENCY WITH WHICH IT CONTRACTS SHALL ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS (I) AT ANY TIME PRIOR TO ONE HUNDRED FIFTY (150) DAYS FOLLOWING THE FIRST POST DISCHARGE STATEMENT SENT TO A PATIENT OR (II) WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY. IN ADDITION, AND EVEN IF THE ABOVE TWO CONDITIONS ARE SATISFIED, HOSPITAL OR ITS CONTRACTED COLLECTION AGENCIES MUST SEND A NOTICE TO THE PATIENT AT LEAST THIRTY (30) DAYS BEFORE COMMENCING ANY EXTRAORDINARY COLLECTION ACTIONS, WHICH SPECIFIES THE FOLLOWING: (I) COLLECTION ACTIVITIES THE HOSPITAL OR CONTRACTED COLLECTION AGENCY MAY TAKE, (II) THE DATE AFTER WHICH SUCH ACTIONS MAY BE TAKEN (WHICH DATE SHALL BE NO EARLIER THAN THIRTY (30) DAYS OF THE NOTICE DATE, (III) THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE PATIENTS. A COPY OF THE PLAIN LANGUAGE SUMMARY WILL BE INCLUDED WITH SUCH NOTICE. REASONABLE EFFORTS MUST BE MADE (AND DOCUMENTED) TO ORALLY NOTIFY PATIENTS OF THIS POLICY. IF THE PATIENT APPLIES FOR FINANCIAL ASSISTANCE, ANY EXTRAORDINARY COLLECTION ACTIONS THAT MAY BE IN PROCESS WILL BE SUSPENDED IMMEDIATELY PENDING THE DECISION ON THE PATIENT'S APPLICATION. IN ADDITION, IF A PATIENT IS ATTEMPTING TO QUALIFY FOR ELIGIBILITY UNDER THIS POLICY AND IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE HOSPITAL BY NEGOTIATING A REASONABLE PAYMENT PLAN OR MAKING REGULAR PARTIAL PAYMENTS OF A REASONABLE AMOUNT, THE HOSPITAL SHALL NOT SEND THE UNPAID BILL TO ANY COLLECTION AGENCY.THE HOSPITAL SHALL NOT, IN DEALING WITH PATIENTS ELIGIBLE UNDER THIS POLICY, USE WAGE GARNISHMENTS OR LIENS ON PRIMARY RESIDENCES AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS. PART VI, LINE 2: THE ORGANIZATION ASSESSED HEALTH NEEDS VIA THE HEALTH NEEDS ASSESSMENT PROCESS THAT WAS UNDERTAKEN TO COMPLETE THE CHNA. SURVEYS WITH KEY INFORMANTS WERE CONDUCTED ON BETWEEN JUNE 2021 AND NOVEMBER 2021. SURVEY PARTICIPANTS WERE SELECTED FOR PARTICIPATION BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH; THEIR AFFILIATION WITH LOCAL GOVERNMENT, SCHOOLS AND INDUSTRY; OR THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. KEY INFORMANTS REPRESENT THE FOLLOWING TYPES OF ORGANIZATIONS:MISSION REGIONAL MEDICAL CENTERLOCAL SCHOOL SYSTEMS AND UNIVERSITIESPUBLIC HEALTH AGENCIESMEDICAL PROVIDERSLOCAL AND COUNTY GOVERNMENT OFFICIALSLOCAL BUSINESS LEADERS 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 REPRESENTATIVE ON SITE AT 956-323-1804." PART VI, LINE 4: MISSION HOSPITAL, INC. SERVES SOUTHWEST HIDALGO COUNTY AND SOUTHEAST STARR COUNTY WHICH INCLUDES MISSION, MCALLEN, LA JOYA, SULLIVAN CITY, ALTON, AND PALMVIEW. THIS AREA HAS LOWER THAN AVERAGE HOUSEHOLD INCOME, HIGHER THAN AVERAGE UNINSURED PATIENTS, AND CONSISTS OF URBAN AND RURAL AREAS. TWENTY-EIGHT PERCENT OF THE POPULATION IS BELOW THE FEDERAL POVERTY LEVEL. TWENTY-SIX PERCENT OF THE POPULATION IS FOREIGN BORN, MAINLY LATIN AMERICAN. 88% OF THE POPULATION IS WHITE AND 91% ARE HISPANIC OR LATINO. THE POPULATION MAKING UP THE LARGEST AGE GROUPS ARE: 5YR-19YR - 28%, 20YR-34YR - 21%, AND 25YR-49YR - 19%. PART VI, LINE 5: THE 2021 CHNA WAS COMPRISED OF BOTH QUANTITATIVE AND QUALITATIVE RESEARCH COMPONENTS. A BRIEF SYNOPSIS OF THE RESEARCH COMPONENTS IS INCLUDED BELOW WITH FURTHER DETAILS PROVIDED THROUGHOUT THE DOCUMENT: QUANTITATIVE DATA:- A SECONDARY STATISTICAL DATA PROFILE DEPICTING POPULATION AND HOUSEHOLD STATITICS, EDUCATION AND ECONOMIC MEASURES, MORBIDITY AND MORTALITY RATES, INCIDENCE RATES, AND OTHER HEALTH STATISTICS FOR HIDALGO COUNTY WAS COMPILED.- A REVIEW AND ANALYSIS OF HOSPITAL DISCHARGE DATA, IN-PATIENT AND OUTPATIENT DATA, CLINIC AND ER DATA.QUALITATIVE DATA:- SURVEYS WITH KEY INFORMANTS WERE CONDUCTED BETWEEN JUNE 2021 AND NOVEMBER 2021.- KEY INFORMANTS REPRESENT THE FOLLOWING TYPES OF ORGANIZATIONS:MISSION REGIONAL MEDICAL CENTER, LOCAL SCHOOL SYSTEMS AND UNIVERSITIES, PUBLIC HEALTH AGENCIES, MEDICAL PROVIDERS, LOCAL AND COUNTY GOVERNMENT OFFICIALS AND LOCAL BUSINESS LEADERS.- COMMUNITY LEADERS PROVIDED COMMENTS ON THE FOLLOWING ISSUES: GENERAL OPINIONS REGARDING HEALTH AND QUALITY OF LIFE IN THE COMMUNITY, BARRIERS TO IMPROVING HEALTH AND QUALITY OF LIFE, IMPORTANT HEALTH ISSUES THAT AFFECT THE COMMUNITY AND TYPES OF SERVICES THAT ARE IMPORTANT FOR ADDRESSING THESE ISSUES AND DELINEATION OF THE MOST IMPORTANT HEALTH ISSUES OR SERVICES DISCUSSED AND ACTIONS NECESSARY FOR ADDRESSING THOSE ISSUES.KEY THEMES AND CONCLUSIONSBASED ON INFORMATION GATHERED THROUGH THE CHNA PROCESS, THREE MAIN AREAS OF PRIORITY WERE IDENTIFIED, ALONG WITH THE CORRELATED COMMUNITY HEALTH NEED:- ACCESS TO / AVAILABILITY OF HEALTH CARE SERVICES, WHICH INCLUDES LACK OF PRIMARY CARE PHYSICIANS / HOURS, LACK OF SPECIALISTS / HOURS, PREVENTATIVE CARE AND SERVICES FOR THE AGING- HEALTHY LIFESTYLE CHOICES, WHICH INCLUDES LACK OF HEALTH KNOWLEDGE / EDUCATION, POOR NUTRITION / LIMITED ACCESS TO HEALTHY FOOD OPTIONS AND OBESITY.- MANAGEMENT AND TREATMENT OF CHRONIC DISEASES, SUCH AS HEART DISEASE, STROKE, KIDNEY, CANCER AND DIABETESSOME OF THE "NEEDS" IDENTIFIED IN OUR 2021 CHNA CANNOT BE DIRECTLY ADDRESSED BY MISSION REGIONAL MEDICAL CENTER (MRMC) WITHOUT THE SUPPORT OF OTHER PROVIDERS AND RESOURCES, THESE INCLUDE:- MENTAL HEALTH- CANCER- DRUG ABUSE REHABILITATIONUNFORTUNATELY, MRMC DOES NOT HAVE A PSYCHIATRIC IN-PATIENT OR OUTPATIENT UNIT NOR ARE WE LICENSED TO CARE FOR THIS SPECIALIZED PATIENT POPULATION. PATIENTS WITH A NEED FOR MENTAL HEALTH OR DRUG REHABILITATIVE SERVICES ARE REFERRED TO TROPICAL TEXAS BEHAVIORAL HEALTH IN EDINBURG, BEHAVIORAL HOSPITAL AT RENAISSANCE IN EDINBURG, AND SOUTH TEXAS BEHAVIORAL HEALTH CENTER IN EDINBURG. THE SAME IS TRUE FOR CANCER CARE. PEOPLE THAT NEED CANCER TREATMENT ARE REFERRED TO TEXAS ONCOLOGY IN MCALLEN AND DOCTORS HOSPITAL AT RENAISSANCE. HOWEVER, WE WILL CONTINUE TO EXPLORE POTENTIAL PARTNERSHIPS AND INTERNAL STRATEGIES TO FIND A WAY TO PROVIDE THESE ESSENTIAL SERVICES TO OUR PATIENTS. EVERY EFFORT WILL BE MADE TO ASSIST OUR EXISTING HEALTHCARE PROVIDERS IN MAINTAINING AND/OR EXPANDING THE SERVICES THAT THEY CURRENTLY PROVIDE. PART VI, LINE 6: MISSION HOSPITAL IS A SUBSIDIARY OF PRIME HEALTHCARE FOUNDATION, INC. (PHF). PHF AND ITS SUBSIDIARIES ARE THEIR OWN HEALTH SYSTEM MANAGED BY PRIME HEALTHCARE MANAGEMENT, INC. PART VI, LINE 7, REPORTS FILED WITH STATES TX 0 CITY OF MISSION 1201 E 8TH STREET MISSION TX 78572 746001738 GOVT 6500 0 EVENT SPONSORSHIP AND GENERAL SUPPORT 1 0 PART I, LINE 2: AS THE GRANT MADE IN 2023 WAS A DONATION/SPONSORSHIP OF EVENT(S) TO THE CITY OF MISSION, THIS WAS NOT MONITORED AS TO SEE HOW SPONSORSHIPS ARE SPENT. X 1 1 0 0 0 0 0 0 0 1 0 KANE A DAWSON CEO (REGIONAL)/BOARD SECRETARY 374532 0 25000 0 13897 0 2600 0 17167 0 433196 0 0 0 LESTER SURROCK CFO (REGIONAL) 230730 0 63341 0 8369 0 30000 0 18587 0 351027 0 0 0 PADMINI BHADRIRAJU CMO/VICE CHAIRMAN 300000 0 0 0 0 0 0 0 0 0 300000 0 0 0 CECILIA ALMAGUER NURSE PRACTITIONER 202397 0 2500 0 3689 0 30000 0 8364 0 246950 0 0 0 MARIA REED NURSE PRACTITIONER 203756 0 2500 0 3689 0 18100 0 15809 0 243854 0 0 0 IMELDA OCHOA PHARMACY DIRECTOR 189220 0 4388 0 6070 0 28863 0 8384 0 236925 0 0 0 MARIA CANCINO STAFF RN - 8 HR 172336 0 17280 0 50 0 6000 0 11967 0 207633 0 0 0 BELINDA OLIVO-ROCHA PHARMACIST 167810 0 4586 0 3533 0 22500 0 8360 0 206789 0 0 0 CESAR GUERRA CNO 158101 0 15000 0 797 0 3900 0 27049 0 204847 0 0 0 MARTINE ACOSTA REGIONAL DIR. OF CASE MGMT. 153946 0 2000 0 4332 0 12648 0 15894 0 188820 0 0 0 KATHLEEN AVILA REGIONAL DIR. OF BUS. DEV. 163914 0 5000 0 825 0 10220 0 8258 0 188217 0 0 0 PART I, LINE 1A 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 12/31/23, THERE WERE NO 1099'S ISSUED TO BOARD MEMBERS FOR AMOUNTS EXCEEDING THE $600 FORM 1099 THRESHOLD. THE HOSPITAL MAINTAINS CLUB MEMBERSHIP FOR BUSINESS USE BY OFFICERS OF THE HOSPITAL. NO OFFICERS USED THE COUNTRY CLUB FOR PERSONAL USE DURING THE CALENDAR YEAR 2023, THUS NO ADDITIONAL SALARY WAS ADDED TO THEIR W-2'S. PART I, LINE 3 A RELATED ORGANIZATION USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION: WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY OFFICER COMPENSATION IS ESTABLISHED BY PRIME HEALTHCARE MANAGEMENT, INC. IN ACCORDANCE WITH A MANAGEMENT AGREEMENT. WRITTEN EMPLOYMENT CONTRACTS ARE FORWARDED TO THE FACILITY ONCE EXECUTED. COMPENSATION SURVEY OR STUDIES ARE UTILIZED. PART I, LINE 7 BONUS PAYMENTS TO OFFICERS ARE DISCRETIONARY. PRIME HEALTHCARE MANAGEMENT INC SEE PART V 9093043 MANAGEMENT FEES 1 PRIME HEALTHCARE MANAGEMENT INC SEE PART V 1172299 BUSINESS OFFICE SERVICES 0 BIO-MED SERVICES INC SEE PART V 1907333 MEDICAL EQUIPMENT MANAGEMENT 0 HARLINGEN MEDICAL CENTER SEE PART V 492427 LAB SERVICES, SALARIES AND OTHER EXPENSES 0 MD HOSPITALISTS SEE PART V 751003 HOSPITALIST COVERAGE 0 DR PADMINI BHADRIRIAJU SEE PART V 300000 CONTRACT SHARING 0 PART IV, LINES 1 AND 2, COLUMN B: ENTITY IS INDIRECTLY OWNED BY DR. PREM REDDY, FOUNDER OF PRIME HEALTHCARE FOUNDATION AND A FORMER DIRECTOR AND OFFICER OF PRIME HEALTHCARE FOUNDATION WHO RESIGNED FROM SUCH POSITIONS ON JANUARY 29, 2016, AND LATER RESIGNED FROM A NON-VOTING POSITION (CHAIR-EMERITUS) ON OCTOBER 27, 2016. ENTITY IS ALSO INDIRECTLY OWNED BY DR. KAVITHA BHATIA, WHO HAS A FAMILY RELATIONSHIP WITH DR. PREM REDDY, SERVES AS PRESIDENT OF THE ORGANIZATION, AND SERVES AS PRESIDENT AND CHAIR OF THE BOARD OF PRIME HEALTHCARE FOUNDATION. PART IV, LINES 3 AND 4, COLUMN B: ENTITY IS OWNED BY DR. PREM REDDY, FOUNDER OF PRIME HEALTHCARE FOUNDATION AND A FORMER DIRECTOR AND OFFICER OF PRIME HEALTHCARE FOUNDATION WHO RESIGNED FROM SUCH POSITIONS ON JANUARY 29, 2016, AND LATER RESIGNED FROM A NON-VOTING POSITION (CHAIR-EMERITUS) ON OCTOBER 27, 2016. ENTITY IS ALSO DIRECTLY OWNED BY DR. KAVITHA BHATIA, WHO HAS A FAMILY RELATIONSHIP WITH DR. PREM REDDY, SERVES AS PRESIDENT OF THE ORGANIZATION, AND SERVES AS PRESIDENT AND CHAIR OF THE BOARD OF PRIME HEALTHCARE FOUNDATION. PART IV, LINE 5, COLUMN B: ENTITY IS OWNED BY A FORMER DIRECTOR AND OFFICER OF PRIME HEALTHCARE FOUNDATION. PART IV, LINE 6: COLUMN B: DR. PADMINI BHADRIRIAJU IS CMO/VICE CHAIRMAN OF MISSION HOSPITAL, INC. AND CMO OF THE RIO GRANDE VALLEY AREA. HER CONTRACT PAYMENT IS SHARED BY EACH OF THE THREE HOSPITALS IN THE RIO GRANDE VALLEY AREA. FORM 990, PART VI, SECTION A, LINE 2 DR. KAVITHA BHATIA, ABRAHAM JOEL RICHLIN AND STEVEN ALEMAN HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION IS BEING MANAGED BY PRIME HEALTHCARE MANAGEMENT, INC., AN AFFILIATE OF PRIME HEALTHCARE FOUNDATION, INC. (PHF). THE COMPANY PROVIDES MANAGEMENT AND ADMINISTRATIVE SERVICES TO THE FILING ORGANIZATION AND EACH OF THE HOSPITAL FACILITIES IN THE ORGANIZATION. SERVICES INCLUDE, MANAGEMENT, LEGAL, INFORMATION TECHNOLOGY AND REVENUE CYCLE MANAGEMENT. THE FOLLOWING OFFICERS LISTED ON PART VII ARE EMPLOYED BY THE MANAGEMENT COMPANY TO PROVIDE SERVICES TO A VARIETY OF HOSPITALS ON AN AS-NEEDED BASIS AND RECEIVED THE FOLLOWING AMOUNT OF COMPENSATION FROM THE MANAGEMENT COMPANY FOR SERVICES PROVIDED TO PRIME HEALTHCARE FOUNDATION AND ITS SUBSIDIARIES: KAVITHA BHATIA - $66,540 STEVE ALEMAN - $73,103 ABRAHAM JOEL RICHLIN - $57,093 FORM 990, PART VI, SECTION A, LINE 6 PRIME HEALTHCARE FOUNDATION, INC. (PHF) IS THE SOLE CORPORATE CONTROLLING MEMBER. FORM 990, PART VI, SECTION A, LINE 7A PRIME HEALTHCARE FOUNDATION, INC. (PHF) HAS THE POWER TO APPOINT THE BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B PRIME HEALTHCARE FOUNDATION, INC. (PHF), THE SOLE CORPORATE MEMBER, HOLDS CERTAIN RESERVED POWERS AS SET FORTH IN THE ARTICLES OF INCORPORATION. PHF HAS THE POWER TO APPOINT THE BOARD MEMBERS AND APPROVE ANY AMENDMENTS OF THE ORGANIZATION'S ARTICLES OR BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE FORM 990. ONCE PREPARED, THE FORMS ARE REVIEWED BY THE ORGANIZATION'S CFO AND OUTSIDE COUNSEL PRIOR TO FILING AND THEN THE RETURNS ARE PROVIDED TO THE BOARD FOR THEIR REVIEW CONTEMPORANEOUSLY WITH THEIR FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS MONITORED BY THE REVIEW OF QUESTIONNAIRES THAT OFFICERS, DIRECTORS, AND KEY EMPLOYEES COMPLETE ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 A RELATED ORGANIZATION USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION: WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY OFFICER COMPENSATION IS ESTABLISHED BY PRIME HEALTHCARE MANAGEMENT, INC. IN ACCORDANCE WITH A MANAGEMENT AGREEMENT. WRITTEN EMPLOYMENT CONTRACTS ARE FORWARDED TO THE FACILITY ONCE EXECUTED. COMPENSATION SURVEY OR STUDIES ARE UTILIZED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 4,718,236. MANAGEMENT AND GENERAL EXPENSES 1,179,559. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,897,795. OUTSIDE PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 835,212. MANAGEMENT AND GENERAL EXPENSES 208,803. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,044,015. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 6,479,458. MANAGEMENT AND GENERAL EXPENSES 1,619,864. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,099,322. CONSULTING AND MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 417,662. MANAGEMENT AND GENERAL EXPENSES 104,415. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 522,077. COLLECTION FEES: PROGRAM SERVICE EXPENSES 579,779. MANAGEMENT AND GENERAL EXPENSES 144,945. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 724,724. SOFTWARE SUBSCRIPTIONS/INFO. TECH.: PROGRAM SERVICE EXPENSES 367,298. MANAGEMENT AND GENERAL EXPENSES 91,824. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 459,122. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 4,256. MANAGEMENT AND GENERAL EXPENSES 1,064. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,320. KNAPP MEDICAL GROUP 1401 E 8TH ST WESLACO TX 78596 271619835 HEALTHCARE TX 501(C)(3) LINE 3 KMC 0 MID-VALLEY PHYSICIANS ASSOCIATION 1403 E 8TH ST WESLACO TX 78596 742755150 SUPPORT TX 501(C)(3) LINE 12A, I KMC 0 KNAPP MEDICAL CENTER 1401 E 8TH ST WESLACO TX 78596 741393060 HEALTHCARE TX 501(C)(3) LINE 3 PHF 0 PRIME HEALTHCARE FOUNDATION INC 3300 E GUASTI ROAD SUITE 300 ONTARIO CA 91761 208065139 HOSPITAL/MGMT DE 501(C)(3) LINE 3 N/A 0 OHIO VALLEY HOME HEALTH SERVICES INC 425 W FIFTH STREET EAST LIVERPOOL OH 43920 341014198 HEALTHCARE OH 501(C)(3) LINE 10 PHF-EAS LIV 0 CITY HOSPITAL ASSOCIATION 425 W FIFTH STREET EAST LIVERPOOL OH 43920 340714583 HOSPITAL OH 501(C)(3) LINE 3 PHF-EAS LIV 0 CALIFORNIA UNIVERSITY OF SCIENCE AND MED 3300 E GUASTI ROAD SUITE 300 ONTARIO CA 91761 464141445 EDUCATION CA 501(C)(3) LINE 2 PHF 0 MISSION HOSPITAL FOUNDATION 900 SOUTH BRYAN ROAD MISSION TX 78572 542076455 SUPPORT TX 501(C)(3) LINE 12A, I MISSION HOSPITAL 1 MISSION DOCTORS GROUP 906 SOUTH BRYAN ROAD SUITE 209 MISSION TX 78572 742798500 HEALTHCARE TX 501(C)(3) LINE 3 MISSION HOSPITAL 1 SIGNATURE PAMPA MEDICAL GROUP ONE MEDICAL PLAZA PAMPA TX 79065 800458752 PHYSICIAN SERVICES TX N/A C 0 LANDMARK PHYSICIAN SERVICES 115 CASS AVE WOONSOCKET RI 02895 205025078 PHYSICIAN SERVICES DE N/A C 0 LANDMARK PHYSICIAN ASSOCIATES PC 115 CASS AVE WOONSOCKET RI 02895 050473637 INACTIVE DE N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 MISSION DOCTORS GROUP P 2313544 BOOK VALUE MISSION DOCTORS GROUP Q 94027 BOOK VALUE