{ "schemaVersion": 4, "entityId": "450176", "canonicalName": "MISSION REGIONAL MEDICAL CENTER", "status": "corporate_chain", "statusLabel": "Prime Healthcare Foundation nonprofit system", "summary": "Mission Regional Medical Center is not independent and is not documented as PE-owned. It is a nonprofit hospital in the Prime Healthcare Foundation system. A Texas insurer facility-based disclosure for 2024 claims identifies Rio Grande Valley Emergency Physicians for emergency medicine. NPPES identifies the active physician organization, and a Federal Reserve filing identifies physician Heriberto Alanis as its owner/president. Reviewed sources did not identify a PE sponsor.", "lastReviewed": "2026-07-12", "review": { "reviewer": "Codex targeted Rio Grande Valley ownership and clinical-staffing verification pass", "evidence_grade": "government-corroborated", "confidence": "high", "source_count": 8, "ownership_source_count": 3, "identity_match_method": "Matched by CMS CCN 450176, facility name, city, and address.", "publication_decision": "Publish major nonprofit-system control separately from current and historical clinical staffing relationships." }, "firstGlance": { "taxOwnershipType": "Nonprofit", "operator": "Prime Healthcare Foundation", "operatorType": "Major nonprofit health system", "operatorName": "Prime Healthcare Foundation", "parentSystem": "Prime Healthcare Foundation", "affiliatedSystem": "Prime Healthcare", "directPeOwnership": "No documented PE ownership in reviewed sources", "peRelationship": "No current PE-backed staffing relationship found in reviewed sources.", "currentClinicalStaffing": "Rio Grande Valley Emergency Physicians PLLC — emergency medicine facility-based group", "confidence": "High for ownership/system control; high for the disclosed 2024 emergency-medicine group; no claim about undisclosed contracts.", "evidenceAsOf": "2026-07-12", "bottomLine": "Mission Regional Medical Center should be shown as Prime Healthcare Foundation system-controlled, not independent and not PE-owned." }, "identifiers": { "ccn": "450176", "enrollmentId": "O20050509000397", "npi": "1205833985", "legalOrganization": "MISSION HOSPITAL INC", "address": "900 SOUTH BRYAN ROAD", "city": "MISSION", "state": "TX", "zip": "78572", "county": "HIDALGO", "latitude": 26.1963482003027, "longitude": -98.3143172198314, "aliases": [ { "alias": "MISSION REGIONAL MEDICAL CENTER", "alias_type": "cms_enrollment_dba", "source_id": "source-cms-hospital-enrollments" } ] }, "ownershipHistory": [ { "relationship_id": "prime-foundation-control-450176", "relationship_type": "controls", "effective_date": "2017-07-01", "end_date": "", "status": "confirmed", "source_ids": "source-cms-hospital-all-owners|source-prime-community-benefit-2023|source-mission-chna-2024", "plain_english_summary": "Prime Healthcare Foundation owns/controls Mission Regional Medical Center within its nonprofit hospital system." }, { "relationship_id": "current-emergency-staffing-450176", "relationship_type": "contracts", "effective_date": "2024 claims year; disclosure current May 2025", "end_date": "", "status": "confirmed_facility_based_group", "source_ids": "source-ambetter-2025-facility-groups|source-nppes-rgv-emergency-physicians|source-dallas-fed-rgv-emergency-physicians", "plain_english_summary": "A Texas insurer facility-based disclosure for 2024 claims identifies Rio Grande Valley Emergency Physicians for emergency medicine. NPPES identifies the active physician organization, and a Federal Reserve filing identifies physician Heriberto Alanis as its owner/president. Reviewed sources did not identify a PE sponsor." }, { "relationship_id": "current-pe-check-450176", "relationship_type": "searched_for_current_pe_ownership_or_contract", "effective_date": "2026-07-12", "end_date": "", "status": "searched_not_found", "source_ids": "source-pesp-hospital-tracker|source-cms-hospital-all-owners|source-ambetter-2025-facility-groups|source-nppes-rgv-emergency-physicians|source-dallas-fed-rgv-emergency-physicians", "plain_english_summary": "Reviewed ownership and current staffing sources do not support a current PE-owned hospital label or current PE-backed staffing label." } ], "acquisitionEvents": [ { "date": "2017-07-01", "title": "Prime Healthcare Foundation acquisition/control began", "detail": "Mission Regional Medical Center entered the Prime Healthcare Foundation nonprofit hospital system.", "sourceIds": [ "source-cms-hospital-all-owners", "source-prime-community-benefit-2023", "source-mission-chna-2024" ] } ], "financialAndUtilizationSeries": [], "descriptiveTrends": [], "cmsOwnerRecords": [ { "organization": "PRIME HEALTHCARE SERVICES, INC", "role": "OTHER", "percentage": "0", "associationDate": "07/01/2017", "forProfit": "N", "nonprofit": "N", "privateEquityCompany": "", "source_id": "source-cms-hospital-all-owners" }, { "organization": "PRIME HEALTHCARE FOUNDATION - MISSION LLC", "role": "5% OR GREATER DIRECT OWNERSHIP INTEREST", "percentage": "100", "associationDate": "07/01/2017", "forProfit": "N", "nonprofit": "Y", "privateEquityCompany": "", "source_id": "source-cms-hospital-all-owners" }, { "organization": "PRIME HEALTHCARE FOUNDATION INC", "role": "5% OR GREATER INDIRECT OWNERSHIP INTEREST", "percentage": "", "associationDate": "07/01/2017", "forProfit": "N", "nonprofit": "Y", "privateEquityCompany": "", "source_id": "source-cms-hospital-all-owners" } ], "ownershipChain": { "model": "Nonprofit hospital ownership/control, Prime Healthcare system affiliation, and clinical-staffing contracts are separate layers.", "confidence": "high", "nodes": [ { "id": "system:prime-healthcare-foundation", "label": "Prime Healthcare Foundation", "kind": "nonprofit_owner_and_health_system", "evidence": "CMS owner records and official system/hospital documents" }, { "id": "affiliate:prime-healthcare", "label": "Prime Healthcare", "kind": "integrated_health_system_affiliation", "evidence": "Official Prime Healthcare and hospital documents" }, { "id": "staffing:rio-grande-valley-emergency-physicians", "label": "Rio Grande Valley Emergency Physicians PLLC", "kind": "current_emergency_medicine_group", "evidence": "Texas HMO facility-based physician-group disclosure" }, { "id": "facility:450176", "label": "Mission Regional Medical Center", "kind": "hospital", "evidence": "CMS CCN 450176" } ], "edges": [ { "id": "system:prime-healthcare-foundation->facility:450176", "from": "system:prime-healthcare-foundation", "to": "facility:450176", "relationship": "owns and controls within nonprofit system", "confidence": "high", "sourceIds": [ "source-cms-hospital-all-owners", "source-prime-community-benefit-2023", "source-mission-chna-2024" ], "note": "Major-system control, not private-equity ownership." }, { "id": "staffing:rio-grande-valley-emergency-physicians->facility:450176", "from": "staffing:rio-grande-valley-emergency-physicians", "to": "facility:450176", "relationship": "current disclosed emergency-medicine group", "confidence": "high", "sourceIds": [ "source-ambetter-2025-facility-groups", "source-nppes-rgv-emergency-physicians", "source-dallas-fed-rgv-emergency-physicians" ], "note": "Clinical staffing relationship, not hospital ownership." } ], "caveats": [ "Prime Healthcare Foundation nonprofit control is not private-equity ownership.", "Prime Healthcare Services is a separate for-profit entity; CMS reports operational/managerial control at Knapp but only an OTHER association at Mission.", "The insurer disclosure identifies facility-based physician groups for 2024 claims and does not expose every hospital vendor or contract term.", "A location-only SCP Health job listing was not treated as a Mission Regional contract because it did not name the facility." ] }, "ownershipConnections": [ { "entityName": "Prime Healthcare Foundation", "entityKind": "Nonprofit hospital owner and system", "relationship": "owner/controller", "classification": "Major nonprofit system-control layer", "evidenceSourceIds": [ "source-cms-hospital-all-owners", "source-prime-community-benefit-2023", "source-mission-chna-2024" ], "note": "Reason the hospital is no longer shown as independent." }, { "entityName": "Rio Grande Valley Emergency Physicians PLLC", "entityKind": "Emergency-medicine physician group", "relationship": "current facility-based clinical group", "classification": "Current PE link searched but not found", "evidenceSourceIds": [ "source-ambetter-2025-facility-groups", "source-nppes-rgv-emergency-physicians", "source-dallas-fed-rgv-emergency-physicians" ], "note": "This is a staffing relationship, not hospital ownership." } ], "directConnections": [ "Mission Regional Medical Center -> Prime Healthcare Foundation: nonprofit owner/system control confirmed.", "Mission Regional Medical Center -> Prime Healthcare: integrated health-system affiliation confirmed.", "Mission Regional Medical Center -> Rio Grande Valley Emergency Physicians PLLC: current emergency-medicine facility-based group identified." ], "actions": [ "Show as Prime Healthcare Foundation nonprofit system-controlled, not independent.", "Do not label as PE-owned.", "Show Rio Grande Valley Emergency Physicians PLLC as the current disclosed emergency-medicine group, with no current PE link found." ], "importantLinks": [ { "label": "CMS Hospital Enrollments", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments", "sourceId": "source-cms-hospital-enrollments", "note": "Confirms the nonprofit enrollments, legal organizations, facility names, locations, NPIs, and CCNs for Knapp and Mission Regional." }, { "label": "CMS Hospital All Owners", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners", "sourceId": "source-cms-hospital-all-owners", "note": "For Knapp, reports Prime Healthcare Foundation Inc. as 100% direct owner and operational/managerial controller and Prime Healthcare Services Inc. as a separate for-profit operational/managerial controller. For Mission, reports Prime Healthcare Foundation - Mission LLC as 100% direct owner, Prime Healthcare Foundation Inc. as an indirect owner, and Prime Healthcare Services Inc. only with role OTHER. CMS does not flag these organizations as private-equity companies." }, { "label": "Prime Healthcare 2023 Community Benefit Report", "url": "https://www.primehealthcare.com/wp-content/uploads/2024/03/PHS_2023-Community-Benefit-Report-3.6.24.pdf", "sourceId": "source-prime-community-benefit-2023", "note": "Prime Healthcare identifies Knapp and Mission Regional in its Prime Healthcare Foundation hospital growth timeline." }, { "label": "Mission Regional Medical Center 2024 Community Health Needs Assessment", "url": "https://missionrmc.org/wp-content/uploads/2025/08/Mission-Regional-Medical-Center-CHNA-2024-Final-1.pdf", "sourceId": "source-mission-chna-2024", "note": "Current hospital document describes Mission Regional as a 297-bed nonprofit acute-care hospital and member of Prime Healthcare Foundation." }, { "label": "Private Equity Hospital Tracker", "url": "https://pestakeholder.org/private-equity-hospital-tracker/", "sourceId": "source-pesp-hospital-tracker", "note": "The repo-local imported tracker rows for CCNs 450128 and 450176 report Currently PE? = N and no PE firm." }, { "label": "Texas HMO facility-based physician-group disclosure", "url": "https://www.ambetterhealth.com/content/dam/centene/Superior/Ambetter/PDFs/Annual-OON-HBP-Superior-HMO.pdf", "sourceId": "source-ambetter-2025-facility-groups", "note": "For claims from January through December 2024, identifies Small Hospital Innovations as Knapp emergency medicine provider and Rio Grande Valley Emergency Physicians as Mission Regional emergency medicine provider. This supports a facility-based clinical relationship, not hospital ownership." }, { "label": "NPPES record for Rio Grande Valley Emergency Physicians PLLC", "url": "https://npiregistry.cms.hhs.gov/provider-view/1801877212", "sourceId": "source-nppes-rgv-emergency-physicians", "note": "Identifies active emergency-medicine organization NPI 1801877212 and its authorized physician official. NPPES does not establish hospital ownership or a PE sponsor." }, { "label": "MNB Ventures 2020 FR Y-6 public report", "url": "https://www.dallasfed.org/-/media/Documents/banking/nic/fry-6/2020/1231/FRY6_3305434_Full_Revised_Public_20201231_1%20of%201.pdf", "sourceId": "source-dallas-fed-rgv-emergency-physicians", "note": "Identifies physician Heriberto Alanis as owner/president of Rio Grande Valley Emergency Physicians LLC. It does not prove that no later ownership change occurred." } ], "sources": [ { "source_id": "source-cms-hospital-enrollments", "title": "CMS Hospital Enrollments", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "", "retrieved_at": "2026-07-12", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments", "reliability_tier": "government", "research_note": "Confirms the nonprofit enrollments, legal organizations, facility names, locations, NPIs, and CCNs for Knapp and Mission Regional.", "source_type": "government", "what_this_source_proves": "Confirms the nonprofit enrollments, legal organizations, facility names, locations, NPIs, and CCNs for Knapp and Mission Regional.", "what_this_source_does_not_prove": "No single source proves every vendor relationship, every contract term, or the absence of undisclosed investment." }, { "source_id": "source-cms-hospital-all-owners", "title": "CMS Hospital All Owners", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "", "retrieved_at": "2026-07-12", "url": "https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners", "reliability_tier": "government", "research_note": "For Knapp, reports Prime Healthcare Foundation Inc. as 100% direct owner and operational/managerial controller and Prime Healthcare Services Inc. as a separate for-profit operational/managerial controller. For Mission, reports Prime Healthcare Foundation - Mission LLC as 100% direct owner, Prime Healthcare Foundation Inc. as an indirect owner, and Prime Healthcare Services Inc. only with role OTHER. CMS does not flag these organizations as private-equity companies.", "source_type": "government", "what_this_source_proves": "For Knapp, reports Prime Healthcare Foundation Inc. as 100% direct owner and operational/managerial controller and Prime Healthcare Services Inc. as a separate for-profit operational/managerial controller. For Mission, reports Prime Healthcare Foundation - Mission LLC as 100% direct owner, Prime Healthcare Foundation Inc. as an indirect owner, and Prime Healthcare Services Inc. only with role OTHER. CMS does not flag these organizations as private-equity companies.", "what_this_source_does_not_prove": "No single source proves every vendor relationship, every contract term, or the absence of undisclosed investment." }, { "source_id": "source-prime-community-benefit-2023", "title": "Prime Healthcare 2023 Community Benefit Report", "publisher": "Prime Healthcare", "publication_date": "2024-03", "retrieved_at": "2026-07-12", "url": "https://www.primehealthcare.com/wp-content/uploads/2024/03/PHS_2023-Community-Benefit-Report-3.6.24.pdf", "reliability_tier": "primary", "research_note": "Prime Healthcare identifies Knapp and Mission Regional in its Prime Healthcare Foundation hospital growth timeline.", "source_type": "primary", "what_this_source_proves": "Prime Healthcare identifies Knapp and Mission Regional in its Prime Healthcare Foundation hospital growth timeline.", "what_this_source_does_not_prove": "No single source proves every vendor relationship, every contract term, or the absence of undisclosed investment." }, { "source_id": "source-mission-chna-2024", "title": "Mission Regional Medical Center 2024 Community Health Needs Assessment", "publisher": "Mission Regional Medical Center", "publication_date": "2024", "retrieved_at": "2026-07-12", "url": "https://missionrmc.org/wp-content/uploads/2025/08/Mission-Regional-Medical-Center-CHNA-2024-Final-1.pdf", "reliability_tier": "primary", "research_note": "Current hospital document describes Mission Regional as a 297-bed nonprofit acute-care hospital and member of Prime Healthcare Foundation.", "source_type": "primary", "what_this_source_proves": "Current hospital document describes Mission Regional as a 297-bed nonprofit acute-care hospital and member of Prime Healthcare Foundation.", "what_this_source_does_not_prove": "No single source proves every vendor relationship, every contract term, or the absence of undisclosed investment." }, { "source_id": "source-pesp-hospital-tracker", "title": "Private Equity Hospital Tracker", "publisher": "Private Equity Stakeholder Project", "publication_date": "2026-04-03 snapshot", "retrieved_at": "2026-07-12", "url": "https://pestakeholder.org/private-equity-hospital-tracker/", "reliability_tier": "research", "research_note": "The repo-local imported tracker rows for CCNs 450128 and 450176 report Currently PE? = N and no PE firm.", "source_type": "research", "what_this_source_proves": "The repo-local imported tracker rows for CCNs 450128 and 450176 report Currently PE? = N and no PE firm.", "what_this_source_does_not_prove": "No single source proves every vendor relationship, every contract term, or the absence of undisclosed investment." }, { "source_id": "source-ambetter-2025-facility-groups", "title": "Texas HMO facility-based physician-group disclosure", "publisher": "Superior HealthPlan / Ambetter", "publication_date": "2025-05", "retrieved_at": "2026-07-12", "url": "https://www.ambetterhealth.com/content/dam/centene/Superior/Ambetter/PDFs/Annual-OON-HBP-Superior-HMO.pdf", "reliability_tier": "regulated-plan-disclosure", "research_note": "For claims from January through December 2024, identifies Small Hospital Innovations as Knapp emergency medicine provider and Rio Grande Valley Emergency Physicians as Mission Regional emergency medicine provider. This supports a facility-based clinical relationship, not hospital ownership.", "source_type": "regulated-plan-disclosure", "what_this_source_proves": "For claims from January through December 2024, identifies Small Hospital Innovations as Knapp emergency medicine provider and Rio Grande Valley Emergency Physicians as Mission Regional emergency medicine provider. This supports a facility-based clinical relationship, not hospital ownership.", "what_this_source_does_not_prove": "No single source proves every vendor relationship, every contract term, or the absence of undisclosed investment." }, { "source_id": "source-nppes-rgv-emergency-physicians", "title": "NPPES record for Rio Grande Valley Emergency Physicians PLLC", "publisher": "Centers for Medicare & Medicaid Services", "publication_date": "", "retrieved_at": "2026-07-12", "url": "https://npiregistry.cms.hhs.gov/provider-view/1801877212", "reliability_tier": "government", "research_note": "Identifies active emergency-medicine organization NPI 1801877212 and its authorized physician official. NPPES does not establish hospital ownership or a PE sponsor.", "source_type": "government", "what_this_source_proves": "Identifies active emergency-medicine organization NPI 1801877212 and its authorized physician official. NPPES does not establish hospital ownership or a PE sponsor.", "what_this_source_does_not_prove": "No single source proves every vendor relationship, every contract term, or the absence of undisclosed investment." }, { "source_id": "source-dallas-fed-rgv-emergency-physicians", "title": "MNB Ventures 2020 FR Y-6 public report", "publisher": "Federal Reserve Bank of Dallas", "publication_date": "2020-12-31", "retrieved_at": "2026-07-12", "url": "https://www.dallasfed.org/-/media/Documents/banking/nic/fry-6/2020/1231/FRY6_3305434_Full_Revised_Public_20201231_1%20of%201.pdf", "reliability_tier": "government-filing", "research_note": "Identifies physician Heriberto Alanis as owner/president of Rio Grande Valley Emergency Physicians LLC. It does not prove that no later ownership change occurred.", "source_type": "government-filing", "what_this_source_proves": "Identifies physician Heriberto Alanis as owner/president of Rio Grande Valley Emergency Physicians LLC. It does not prove that no later ownership change occurred.", "what_this_source_does_not_prove": "No single source proves every vendor relationship, every contract term, or the absence of undisclosed investment." } ], "limitations": [ "Current clinical-staffing conclusions are limited to publicly identified facility-based groups; private contract documents were not available.", "A searched-not-found PE result is not proof that no undisclosed investor or vendor relationship exists." ], "trackerContext": { "currentlyPe": "N", "peFirm": "" } }