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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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        <ExplanationTxt>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.</ExplanationTxt>
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        <DirectOffsettingRevenueAmt>31624731</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <UnreimbursedCostsGrp>
        <TotalCommunityBenefitExpnsAmt>292342</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>20</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>292322</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00210</TotalExpensePct>
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      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>41382826</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>41080902</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>9025964</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06430</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>373569</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>373569</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00270</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>286077</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>250</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>285827</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00200</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>15943</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>15943</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00010</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>675589</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>250</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>675339</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00480</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>42058415</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>41081152</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>9701303</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06910</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>41888136</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>12566441</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>17690552</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>13161044</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>4529508</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>1 WEST MISSION MEDICAL OFFICE VENTURE</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>MEDICAL OFFICE BUILDING</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.25000</OrgProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.75000</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>2 MISSION MEDICAL OFFICE VENTURE</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>MEDICAL OFFICE BUILDING</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.33330</OrgProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.66670</PhysiciansProfitOrOwnershipPct>
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      <HospitalFacilitiesGrp>
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        <BusinessName>
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        </BusinessName>
        <USAddress>
          <AddressLine1Txt>900 SOUTH BRYAN ROAD</AddressLine1Txt>
          <CityNm>MISSION</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78572</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.MISSIONRMC.ORG</WebsiteAddressTxt>
        <StateLicenseNum>317</StateLicenseNum>
        <SubordinateHospitalEIN>742206635</SubordinateHospitalEIN>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>MISSION REGIONAL MEDICAL CENTER</BusinessNameLine1Txt>
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        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>24</CHNAConductedYr>
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        <CHNAConductedWithOtherFcltsInd>0</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>0</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>HTTPS://MISSIONRMC.ORG/ABOUT-MISSION/FINANCIAL-STATEMENT/</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>24</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>HTTPS://MISSIONRMC.ORG/ABOUT-MISSION/FINANCIAL-STATEMENT/</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>300.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>450.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE PART V, SECTION C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>MISSION REGIONAL MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: THE FY2024 CHNA FOR MISSION REGIONAL MEDICAL CENTER WAS CONDUCTED IN 2024. MISSION REGIONAL MEDICAL CENTER OBTAINED INPUT FROM KEY STAKEHOLDERS SUCH AS PERSONS WITH KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, PERSONS REPRESENTING VULNERABLE POPULATIONS, OR COMMUNITY MEMBERS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY TO ASCERTAIN OPINIONS AMONG INDIVIDUALS LIKELY TO BE KNOWLEDGEABLE ABOUT THE COMMUNITY AND INFLUENTIAL OVER THE OPINIONS OF OTHERS ABOUT HEALTH CONCERNS IN THE COMMUNITY.FOCUS GROUPS WITH SEVENTEEN KEY INFORMANTS WERE CONDUCTED IN AUGUST 2024. PARTICIPANTS WERE SELECTED BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH, THEIR AFFILIATION WITH LOCAL GOVERNMENT AND SCHOOLS, OR THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS AND REPRESENT A BROAD ASPECT OF THE COMMUNITY. KEY INFORMANTS FROM THE COMMUNITY WORKED FOR THE FOLLOWING TYPES OF ORGANIZATIONS AND AGENCIES:- LOCAL, COUNTY, AND STATE GOVERNMENT- PUBLIC HEALTH AGENCIES- MEDICAL PROVIDERS- COMMUNITY AND BUSINESS LEADERSTHE FOCUS GROUPS UTILIZED A STANDARD FORMAT. PARTICIPANT'S OPINIONS WERE COLLECTED WITHOUT JUDGING THE TRUTHFULNESS OR ACCURACY OF THEIR REMARKS. PARTICIPANTS PROVIDED COMMENTS ON THE FOLLOWING ISSUES: - HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE COMMUNITY - BARRIERS TO IMPROVING HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE COMMUNITY - OPINIONS REGARDING THE IMPORTANT HEALTH ISSUES THAT AFFECT THE RESIDENTS OF THE CHNA COMMUNITY AND THE TYPES OF SERVICES THAT ARE IMPORTANT FOR ADDRESSING THESE ISSUES - DELINEATION OF THE MOST IMPORTANT HEALTH CARE ISSUES OR SERVICES DISCUSSED AND ACTIONS NECESSARY FOR ADDRESSING THOSE ISSUES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>MISSION REGIONAL MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: THE FY2024 CHNA WAS CONDUCTED TO BETTER UNDERSTAND AND ADDRESS THE PRIORITY HEALTH NEEDS OF THE COMMUNITY SERVED BY MISSION REGIONAL MEDICAL CENTER. AS A RESULT, THE FOLLOWING FOUR PRIORITY HEALTH NEEDS WERE IDENTIFIED: 1. CHRONIC DISEASES (HEART DISEASE, STROKE, KIDNEY CANCER, DIABETES)2. UNINSURED/LIMITED INSURANCE/ACCESS3. LACK OF PRIMARY CARE PHYSICIANS/HOURS4. LACK OF SPECIALISTS/HOURSCHRONIC DISEASES (HEART DISEASE, STROKE, KIDNEY CANCER, DIABETES)THE DATA SUGGESTS THAT THE POPULATION IN THE MISSION REGIONAL MEDICAL CENTER SERVICE AREA HAS A HIGHER INCIDENCE OF DIABETES (TYPE II) AND OBESITY THAN IN THE STATE AND THE COUNTRY. CHRONIC UNCONTROLLED DIABETES IMPACTS KEY ORGANS, CAUSING ISSUES WITH KIDNEYS, HEART AND CIRCULATORY PROBLEMS, ESPECIALLY PERIPHERAL APPENDAGES (FEET). MISSION REGIONAL MEDICAL CENTER WILL IMPLEMENT THE FOLLOWING STRATEGIES: 1. PROVIDE COMMUNITY HEALTH SCREENINGS IN CONNECTION WITH THE CITY OF MISSION, MISSION CONSOLIDATED INDEPENDENT SCHOOL DISTRICT AND SENIOR COMMUNITIES.2. PROVIDE LOW COST HEART SCREENINGS (CALCIUM SCORING) FOR SELF-REFERRAL. 3. PROVIDE LOW-COST BASIC LAB PANELS FOR MONITORING CRITICAL HEALTH VALUES (CHOLESTEROL, LIPIDS, CREATININE, ETC.). 4. PROVIDE COMMUNITY EDUCATION THROUGH "DOC TALKS" ON WARNING SIGNS AND LIFESTYLE CHANGES TO IMPROVE HEALTH AROUND CHRONIC DISEASES. 5. PROVIDE STROKE EDUCATION TO AREA EMT'S AND EMS AND SENIORS QUARTERLY.6. PROVIDE HEALTH SCREENINGS WITH QUANTA FLOW FOR PERIPHERAL VASCULAR DISEASE AND DIABETES.7. MAINTAIN STROKE CERTIFICATION FOR EMERGENCY DEPARTMENT AND WORK WITH AREA NEUROSURGEONS FOR PROMPT RESPONSE AND EVALUATION. UNINSURED/LIMITED INSURANCE/ACCESSTHE POPULATION IN THE MISSION REGIONAL MEDICAL CENTER SERVICE AREA HAS A SIGNIFICANT PERCENT OF THE POPULATION BELOW 100% OF THE FEDERAL POVERTY LEVEL. MANY OF THESE QUALIFY FOR MEDICAID, ESPECIALLY WOMEN AND CHILDREN; HOWEVER, TEXAS IS NOT AN EXPANSION STATE AND MANY MALES OVER THE AGE OF 18 DO NOT QUALIFY FOR MEDICAID. 31.1% OF THE POPULATION IN THE SERVICE AREA ARE UNINSURED. MISSION REGIONAL MEDICAL CENTER WILL IMPLEMENT THE FOLLOWING STRATEGIES: 1. CONTINUE TO REVIEW UNFUNDED PATIENTS FOR QUALIFYING FOR MEDICAID OR MARKET PLACE INSURANCE PLANS AND REFER TO COMPANIES TO ASSIST IN COMPLETION OF MEDICAID APPLICATIONS AND FILING WITH THE STATE AND WITH HIDALGO COUNTY INDIGENT PROGRAM. 2. PROVIDE CASH PRICES FOR PATIENTS SEEKING PRIMARY CARE PHYSICIAN SERVICES IN OUR MONARCH CLINIC.3. CONTINUE PROMOTION OF "DISPENSARY OF HOPE" THROUGH THE MISSION REGIONAL OUTPATIENT PHARMACY WHICH PROVIDES FREE MEDICATIONS TO QUALIFYING INDIVIDUALS. 4. CONTINUE TO WORK WITH FRESENIUS ON IDENTIFYING PATIENTS THAT ARE END STAGE RENAL DIALYSIS PATIENTS IN NEED OF CONTINUING DIALYSIS THAT ARE UNINSURED AND GET THEM ENROLLED IN THE PROGRAM WITH BCBS THAT WILL COVER THIS TREATMENT AND OTHER HEALTHCARE SERVICES. LACK OF PRIMARY CARE PHYSICIANS/HOURSTHE DATA SUGGEST THAT THE POPULATION IN MISSION REGIONAL MEDICAL CENTER'S SERVICE AREA DOES NOT HAVE ADEQUATE ACCESS TO PRIMARY CARE SERVICES EITHER DUE TO A LACK IN THE NUMBER OF PHYSICIANS OR THEIR AVAILABILITY IN A REASONABLE AMOUNT OF TIME. MANY AREAS WITHIN MISSION REGIONAL MEDICAL CENTER'S SERVICE AREA ARE DESIGNATED HEALTHCARE PROFESSIONAL SHORTAGE AREAS. THERE IS A HIGHER PERCENTAGE OF UNINSURED INDIVIDUALS IN MISSION REGIONAL MEDICAL CENTER'S SERVICE AREA THAN THE TEXAS AVERAGE. THIS HINDERS ESTABLISHING A PRIMARY CARE PROVIDER AND MANY SEEK THEIR PRIMARY CARE NEEDS THROUGH THE EMERGENCY DEPARTMENT OF THE AREA HOSPITALS. MISSION REGIONAL MEDICAL CENTER WILL IMPLEMENT THE FOLLOWING STRATEGIES: 1. CONTINUE EXPANSION OF PRIMARY CARE CLINIC (MONARCH CLINIC) PROVIDERS WITH FAMILY PRACTICE PHYSICIANS AND FAMILY PRACTICE-OBSTETRIC PHYSICIANS. 2. INVESTIGATE EXPANSION OF OFFICE HOURS TO LATE HOURS DURING THE WEEK AND OFFICE HOURS ON WEEKENDS TO ALLOW WORKING PATIENTS OPTIONS FOR CARE WITHOUT HAVING TO TAKE TIME OFF FROM WORK. 3. INVESTIGATE OPENING AN URGENT CARE CLINIC TO PROVIDE FOR LOWER COST OPTIONS FOR EMERGENCY DEPARTMENTS FOR THOSE SEEKING CARE WHO DO NOT HAVE A PRIMARY CARE PROVIDER.4. DEVELOP A FAMILY PRACTICE MEDICAL RESIDENCY PROGRAM TO DEVELOP PHYSICIANS WITH THE INTENT OF PLACING THESE PHYSICIANS IN THE HOSPITAL'S SERVICE AREA. 5. CONTINUE DEVELOPMENT OF MATERNAL HEALTH CLINIC OF MISSION PROVIDING FREE PREGNANCY TESTING AND PRENATAL CARE TO UNINSURED PATIENTS.6. DEVELOP A FREE STANDING EMERGENCY DEPARTMENT AFFILIATED WITH THE HOSPITAL TO PROVIDE ANOTHER ACCESS PORTAL TO CARE IN WESTERN HIDALGO COUNTY AND EASTERN STARR COUNTY THAT IS CLOSER TO THE PATIENT'S HOME. LACK OF SPECIALISTS/HOURSTHE DATA SUGGEST THAT THE POPULATION IN MISSION REGIONAL MEDICAL CENTER'S SERVICE AREA DOES NOT HAVE ADEQUATE ACCESS TO SPECIALTY SERVICES EITHER DUE TO A LACK IN THE NUMBER OF PHYSICIANS OR THEIR AVAILABILITY IN A REASONABLE AMOUNT OF TIME. MANY AREAS WITHIN MISSION REGIONAL MEDICAL CENTER'S SERVICE AREA ARE DESIGNATED HEALTHCARE PROFESSIONAL SHORTAGE AREAS. THERE IS A HIGHER PERCENTAGE OF UNINSURED INDIVIDUALS IN MISSION REGIONAL MEDICAL CENTER'S SERVICE AREA THAN THE TEXAS AVERAGE.MISSION REGIONAL MEDICAL CENTER WILL IMPLEMENT THE FOLLOWING STRATEGIES: 1. CONTINUE TO TARGET SPECIALTY SERVICES THAT ARE IN SHORT SUPPLY IN THE HOSPITAL'S SERVICE AREA AND RECRUIT PHYSICIANS AS EITHER EMPLOYED PHYSICIANS OR ASSIST PHYSICIAN PRACTICES IN THE RECRUITMENT OF THESE PHYSICIANS THROUGH INCOME GUARANTEES.2. CONTINUE TO DEVELOP CARDIOLOGY COVERAGE THROUGH THE MISSION HEART &amp; VASCULAR CLINIC THROUGH CONTRACTED PROVIDERS OR RECRUITED PRACTITIONERS STARTING A PRACTICE.3. ENGAGE WITH AREA CARDIOLOGISTS WANTING TO EXPAND INTO THE HOSPITAL'S SERVICE AREA AS INDEPENDENT PHYSICIAN PRACTICES. 4. ASSIST IN THE RECRUITMENT OF ADDITIONAL GENERAL SURGEONS TO THE HOSPITAL'S SERVICE AREA. 5. ASSIST IN THE RECRUITMENT OF UROLOGISTS TO THE HOSPITAL'S SERVICE AREA AS THIS HAS BEEN IDENTIFIED AS A SPECIALTY THAT IS HIGHLY LIMITED IN REGARDS TO PROVIDERS. NO ACTIONS WERE TAKEN DURING THE FISCAL YEAR RELATED TO THE MOST RECENT CHNA BECAUSE THE CHNA WAS ADOPTED AT THE END OF THE TAX YEAR. HOWEVER, THE HOSPITAL DID THE FOLLOWING DURING FY'24 TO ADDRESS THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY RELATED TO THE PRIOR CHNA. - RECRUITED DR. TORICES TO PARTNER WITH DR. DEL PINO, SPECIALIZING IN BARIATRIC SURGERIES.- PROVIDED HEALTH SCREENINGS AND EDUCATION DURING SEVERAL ANNUAL HEALTH FAIRS SPONSORED BY LOCAL BUSINESSES AND CITY ENTITIES.- PROVIDED FREE MAMMOGRAMS TO INDIGENT PATIENTS AS PART OF DONATIONS RECEIVED DURING THE ANNUAL MISSION PINK WALK FOR BREAST CARE AWARENESS.- ENTERED CONTRACT WITH RENAISSANCE CARDIOLOGY, TO PROVIDE CARDIAC SERVICES FROM LOCAL PROVIDERS (THROUGH MISSION HEART &amp; VASCULAR CLINIC).THE MOST NOTABLE HEALTH NEEDS NOT ADDRESSED AT THIS TIME ARE LACK OF HEALTH EDUCATION, PREVENTATIVE CARE, POOR NUTRITION, SERVICES FOR THE AGING, OBESITY, AND SHORTAGE OF HEALTHCARE WORKERS.MISSION REGIONAL MEDICAL CENTER DOES NOT HAVE THE CAPACITY TO ADDRESS ALL NEEDS. HOWEVER, WE WILL CONTINUE TO EXPLORE POTENTIAL PARTNERSHIPS AND INTERNAL STRATEGIES TO FIND A WAY TO PROVIDE THESE ESSENTIAL SERVICES TO OUR PATIENTS.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 REGIONALMEDICAL 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 FORMISSION REGIONAL MEDICAL CENTER CAN BE FOUND AT THE FOLLOWING LINK:HTTPS://MISSIONRMC.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO SEPARATE FINANCIAL STATEMENTS WERE PREPARED FOR THE TAX PERIOD. THE HOSPITAL IS INCLUDED IN THE PRIME FOUNDATION CONSOLIDATED FINANCIAL STATEMENT GOING FORWARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS NO SHORTFALL RELATED TO THE MEDICARE PROGRAM FOR PERIOD ENDING 12/31/24. THE AMOUNTS REPORTED FOR REVENUE RECEIVED AND ALLOWABLE COSTS ARE FROM THE 12/31/24 COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ASSESSED HEALTH NEEDS VIA THE HEALTH NEEDS ASSESSMENT PROCESS THAT WAS UNDERTAKEN TO COMPLETE THE CHNA. SURVEYS WITH KEY INFORMANTS WERE CONDUCTED IN AUGUST 2024. 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 LEADERS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>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."</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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. THE RACE OF THE HIDALGO COUNTY POPULATION IS 51% WHITE, AND TOTAL POPULATION BY ETHNICITY ALONE IS 92% HISPANIC OR LATINO. THE POPULATION MAKING UP THE LARGEST AGE GROUPS ARE: 5YR-17YR - 16.4%, 65+YR - 16.5%, AND 25YR-34YR - 13.7%. COUNTIES WITHIN THE CHNA COMMUNITY WITH THE HIGHEST RATES OF UNEMPLOYMENT ARE STARR (33.5%) AND HIDALGO (27.7%).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISSION HOSPITAL, INC. HAS BEEN SERVING WESTERN HIDALGO COUNTY AND EASTERN STARR COUNTY RESIDENTS FOR OVER 70 YEARS. AS THE SERVICE AREA HAS GROWN, SO HAS THE SERVICES NEEDED TO BE PROVIDED BY THE HOSPITAL. MISSION HOSPITAL, INC. CONTINUES TO ACHIEVE RECOGNITION IN EXCELLENCE AND PATIENT SAFETY FROM VARIOUS ORGANIZATIONS AND MAKES INVESTMENTS IN COMMUNITY HEALTH SERVICES, EDUCATION AND RESEARCH, AND FREE AND LOW-COST CARE. THROUGH OUTREACH, PROGRAMS, COLLABORATION, HEALTH EDUCATION, DONATIONS, FREE OR DISCOUNTED CARE, AND MORE, MISSION HOSPITAL, INC. GIVES BACK TO THEIR COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>TX</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <SeverancePaymentInd>0</SeverancePaymentInd>
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      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KANE DAWSON</PersonNm>
        <TitleTxt>CEO (REGIONAL)/BOARD SECRETARY</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>35000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>15856</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2600</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17162</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>445098</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LESTER SURROCK</PersonNm>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PADMINI BHADRIRAJU</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>325000</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARIA REED</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>44972</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>10628</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20426</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16866</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>270124</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CECILIA ALMAGUER</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>183310</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>33596</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>10757</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>30500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8923</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>267086</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>IMELDA OCHOA</PersonNm>
        <TitleTxt>PHARMACY DIRECTOR</TitleTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>6114</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8947</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>247615</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CESAR GUERRA</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15000</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>801</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>214605</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALMA GUTIERREZ</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>7832</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>14720</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8928</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>207735</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARIA GARZA</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>200983</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>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 12/31/24, 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 2024, THUS NO ADDITIONAL SALARY WAS ADDED TO THEIR W-2'S.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUS PAYMENTS TO OFFICERS ARE DISCRETIONARY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>PRIME HEALTHCARE MANAGEMENT INC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>8683439</TransactionAmt>
        <TransactionDesc>MANAGEMENT FEES</TransactionDesc>
        <SharingOfRevenuesInd>1</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>PRIME HEALTHCARE MANAGEMENT INC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>1242416</TransactionAmt>
        <TransactionDesc>BUSINESS OFFICE SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>BIO-MED SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>2026695</TransactionAmt>
        <TransactionDesc>MEDICAL EQUIPMENT MANAGEMENT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>HARLINGEN MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
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        <TransactionDesc>LAB SERVICES, SALARIES AND OTHER EXPENSES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>CATALYST HOSPITALISTS GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>625000</TransactionAmt>
        <TransactionDesc>HOSPITALIST COVERAGE</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>PRIME HEALTHCARE SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>8449889</TransactionAmt>
        <TransactionDesc>MEDICAL SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINES 1, 2, AND 6, COLUMN B:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINES 3 AND 4, COLUMN B:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 5, COLUMN B:</FormAndLineReferenceDesc>
        <ExplanationTxt>ENTITY IS OWNED BY DR. PADMINI BHADRIRIAJU, CMO/VICE CHAIRMAN OF MISSION HOSPITAL, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>DR. KAVITHA BHATIA, JAMES GILMAN, ERICA SWANHOLT, AND STEVE ALEMAN HAVE A BUSINESS RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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 - $72,283 STEVE ALEMAN - $84,445 JAMES GILMAN - $72,118 ERICA SWANHOLT - $45,458</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIME HEALTHCARE FOUNDATION, INC. (PHF) IS THE SOLE CORPORATE CONTROLLING MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIME HEALTHCARE FOUNDATION, INC. (PHF) HAS THE POWER TO APPOINT THE BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS MONITORED BY THE REVIEW OF QUESTIONNAIRES THAT OFFICERS, DIRECTORS, AND KEY EMPLOYEES COMPLETE ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PHYSICIAN ON-CALL MED FEES: PROGRAM SERVICE EXPENSES 5,006,455. MANAGEMENT AND GENERAL EXPENSES 1,251,614. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,258,069. MEDICAL DIRECTOR FEES: PROGRAM SERVICE EXPENSES 89,274. MANAGEMENT AND GENERAL EXPENSES 22,318. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 111,592. UNFUNDED PHYS MED FEES: PROGRAM SERVICE EXPENSES 619,666. MANAGEMENT AND GENERAL EXPENSES 154,917. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 774,583. CONSULT &amp; MGMT FEES: PROGRAM SERVICE EXPENSES 317,237. MANAGEMENT AND GENERAL EXPENSES 79,309. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 396,546. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,775,435. MANAGEMENT AND GENERAL EXPENSES 443,859. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,219,294. MEDICAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 111,276. MANAGEMENT AND GENERAL EXPENSES 27,819. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 139,095. COLLECTION FEES: PROGRAM SERVICE EXPENSES 450,200. MANAGEMENT AND GENERAL EXPENSES 112,550. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 562,750. OTH PURCH SVCS: PROGRAM SERVICE EXPENSES 4,773,481. MANAGEMENT AND GENERAL EXPENSES 1,193,370. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,966,851. OTH PURCH SVCS BIO-MED: PROGRAM SERVICE EXPENSES 1,299,878. MANAGEMENT AND GENERAL EXPENSES 324,969. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,624,847. OTHER PURCHASED SERVICES BUSINESS OFFICE: PROGRAM SERVICE EXPENSES 1,063,800. MANAGEMENT AND GENERAL EXPENSES 265,950. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,329,750. OTHER PURCH SVCS INFO TECH: PROGRAM SERVICE EXPENSES 13,480. MANAGEMENT AND GENERAL EXPENSES 3,370. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,850. OTHER PURCH SVCS TELECOMM: PROGRAM SERVICE EXPENSES 16,928. MANAGEMENT AND GENERAL EXPENSES 4,232. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,160. SOFTWARE SUBSCRIPTIONS INFO TECH: PROGRAM SERVICE EXPENSES 559,822. MANAGEMENT AND GENERAL EXPENSES 139,955. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 699,777. OTH PURCH SVCS ENGINEERING: PROGRAM SERVICE EXPENSES 16,664. MANAGEMENT AND GENERAL EXPENSES 4,167. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,831.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>KNAPP MEDICAL GROUP</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>1401 E 8TH ST</AddressLine1Txt>
          <CityNm>WESLACO</CityNm>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>1403 E 8TH ST</AddressLine1Txt>
          <CityNm>WESLACO</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78596</ZIPCd>
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        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
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          <ZIPCd>78596</ZIPCd>
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        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>PHF</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PRIME HEALTHCARE FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>3300 E GUASTI ROAD SUITE 300</AddressLine1Txt>
          <CityNm>ONTARIO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>91761</ZIPCd>
        </USAddress>
        <EIN>208065139</EIN>
        <PrimaryActivitiesTxt>HOSPITAL/MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OHIO VALLEY HOME HEALTH SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>425 W FIFTH STREET</AddressLine1Txt>
          <CityNm>EAST LIVERPOOL</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43920</ZIPCd>
        </USAddress>
        <EIN>341014198</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PHF-EAS LIV</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CITY HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>425 W FIFTH STREET</AddressLine1Txt>
          <CityNm>EAST LIVERPOOL</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43920</ZIPCd>
        </USAddress>
        <EIN>340714583</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PHF-EAS LIV</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CALIFORNIA UNIVERSITY OF SCIENCE AND MED</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3300 E GUASTI ROAD SUITE 300</AddressLine1Txt>
          <CityNm>ONTARIO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>91761</ZIPCd>
        </USAddress>
        <EIN>464141445</EIN>
        <PrimaryActivitiesTxt>EDUCATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 2</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PHF</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MISSION HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>900 SOUTH BRYAN ROAD</AddressLine1Txt>
          <CityNm>MISSION</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78572</ZIPCd>
        </USAddress>
        <EIN>542076455</EIN>
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        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MISSION HOSPITAL</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MISSION DOCTORS GROUP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
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          <CityNm>MISSION</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78572</ZIPCd>
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        <EIN>742798500</EIN>
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        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>SIGNATURE PAMPA MEDICAL GROUP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>ONE MEDICAL PLAZA</AddressLine1Txt>
          <CityNm>PAMPA</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>79065</ZIPCd>
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        <EIN>800458752</EIN>
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        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>LANDMARK PHYSICIAN SERVICES</BusinessNameLine1Txt>
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          <AddressLine1Txt>115 CASS AVE</AddressLine1Txt>
          <CityNm>WOONSOCKET</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>PHYSICIAN SERVICES</PrimaryActivitiesTxt>
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        <DirectControllingNACd>N/A</DirectControllingNACd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>LANDMARK PHYSICIAN ASSOCIATES PC</BusinessNameLine1Txt>
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          <AddressLine1Txt>115 CASS AVE</AddressLine1Txt>
          <CityNm>WOONSOCKET</CityNm>
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          <ZIPCd>02895</ZIPCd>
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        <EIN>050473637</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
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      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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          <BusinessNameLine1Txt>MISSION DOCTORS GROUP</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>1934514</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MISSION DOCTORS GROUP</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>60514</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MISSION DOCTORS GROUP</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>99886</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>