Community Benefit Insight - Tax-exempt hospital

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Mission Hospital Inc

Mission Regional Medical Center

900 S Bryan Road
Mission, TX 78572

Bed count	297	Medicare provider number	450176	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 742206635

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

9.63%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 13,768,134 8.95 %
Medicaid as % of operating expenses	$ 0 0 %
Costs of other means-tested government programs as % of operating expenses	$ 642,001 0.42 %
Health professions education as % of operating expenses	$ 167,737 0.11 %
Subsidized health services as % of operating expenses	$ 0 0 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 212,723 0.14 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 25,989 0.02 %
Community building* as % of operating expenses	$ 0 0 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	Not available
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 0 0 %
Physical improvements and housing as % of community building expenses	$ 0
Economic development as % of community building expenses	$ 0
Community support as % of community building expenses	$ 0
Environmental improvements as % of community building expenses	$ 0
Leadership development and training for community members as % of community building expenses	$ 0
Coalition building as % of community building expenses	$ 0
Community health improvement advocacy as % of community building expenses	$ 0
Workforce development as % of community building expenses	$ 0
Other as % of community building expenses	$ 0
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 33,522,810 21.78 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 10,056,843 30 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 135278184 including grants of $ 25989) (Revenue $ 153158269)
THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO PATIENTS IN MISSION, TEXAS AND SURROUNDING AREAS.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

MISSION HOSPITAL
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 CENTERLOCAL SCHOOL SYSTEMS AND UNIVERSITIESPUBLIC HEALTH AGENCIESMEDICAL PROVIDERSLOCAL AND COUNTY GOVERNMENT OFFICIALSLOCAL 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 COMMUNITYBARRIERS TO IMPROVING HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE COMMUNITYDELINEATION OF THE MOST IMPORTANT HEALTH ISSUES OR SERVICES DISCUSSED ANDACTIONS NECESSARY FOR ADDRESSING THOSE ISSUESOPINIONS REGARDING THE IMPORTANT HEALTH ISSUES THAT AFFECT COMMUNITY RESIDENTS AND THE TYPES OF SERVICES THAT ARE IMPORTANT FOR ADDRESSING THESE ISSUESTHIS 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 HOSPITAL
PART V, SECTION B, LINE 11: AS A RESULT OF THE ANALYSIS AND THE IMPLEMENTATION PLAN, MRMC IS ADDRESSING CURRENT AND FUTURE HEALTHCARE NEEDS OF THE COMMUNITY BY FOCUSING ON: AFFORDABILITY OF HEALTHCARE, ACCESS TO/AVAILABILITY OF HEALTHCARE AND LIFESTYLE CHOICES.THE MOST NOTABLE HEALTH NEED NOT ADDRESSED AT THIS TIME ARE MENTAL HEALTH, CANCER AND DRUG ABUSE REHABILITATION. UNFORTUNATELY, MRMC DOES NOT HAVE A PSYCHIATRIC IN-PATIENT OR OUTPATIENT UNIT. THEREFORE, MRMC IS FORCED TO REFER PATIENTS WITH A NEED FOR MENTAL HEALTH OR DRUG REHABILITATIVE SERVICES TO TROPICAL TEXAS BEHAVIORAL HEALTH IN EDINBURG, BEHAVIORAL HOSPITAL AT RENAISSANCE IN EDINBURG AND SOUTH TEXAS BEHAVIORAL HEALTH CENTER IN EDINBURG.HOWEVER, WE WILL CONTINUE TO EXPLORE POTENTIAL PARTNERSHIPS AND INTERNAL STRATEGIES TO FIND A WAY TO PROVIDE THESE ESSENTIAL SERVICES TO OUR PATIENTS. EVERY EFFORT WILL BE MADE TO ASSIST OUR EXISTING MENTAL HEALTH PROVIDERS IN MAINTAINING AND/OR EXPANDING THE SERVICES THAT THEY CURRENTLY PROVIDE. THE SAME IS TRUE FOR CANCER CARE. PEOPLE THAT NEED CANCER TREATMENT ARE REFERRED TO TEXAS ONCOLOGY IN MCALLEN AND DOCTORS HOSPITAL AT RENAISSANCE.

PART V, SECTION B, LINE 7A AND 10A
HTTPS://WWW.MISSIONRMC.ORG/ABOUT-MISSION/FINANCIAL-STATEMENT.ASPX

PART V, SECTION B, LINE 16
THE FAP, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY OF FAP CAN BE FOUND BELOW:HTTPS://WWW.MISSIONRMC.ORG/FOR-PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAM.ASPX

Supplemental Information

Schedule H (Form 990) Part VI

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 I, LN 7 COL(F):
"BAD DEBT EXPENSE OF $33,522,810 WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR THE CALCULATION OF ""PERCENT OF TOTAL EXPENSE"" IN THIS COLUMN."

PART III, LINE 2:
THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON LINE 2 IS THE BOOK BALANCE FOR BAD DEBT EXPENSE FOR THE TAX YEAR.

PART III, LINE 3:
THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED TO BE 30% OF THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE.

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 12/31/21. THE AMOUNTS REPORTED FOR REVENUE RECEIVED AND ALLOWABLE COSTS ARE FROM THE 12/31/21 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 4:
MISSION, MCALLEN, LA JOYA, SULLIVAN CITY AND ALTON, TEXAS AND SURROUNDINGAREAS.

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

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 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."

Operating expenses	$ 153,903,202
Total amount spent on community benefits as % of operating expenses	$ 14,816,584 9.63 %