Expand on this post by describing challenges associated with selecting the most critical areas of the MCR. An Indiana nonprofit, 103-bed acute care hospital, Goshen Health serves northern Indiana and nearby towns. It offers health care and financial assistance via programs that improve community health. Goshen Health receives Medicare and Medicaid reimbursements per agreements and laws. Goshen Health invoices patients and third-party payors many days after services are performed or patients are discharged. Revenue is realized when performance obligations are met (Indiana Department of Health 2022). Clinical integration, quality patient care, and changing reimbursement are driving healthcare companies to reorganize delivery to increase efficiency and patient-provider coordination (Pink, G. H., & Song, P. H. 2020). The three Goshen health departments report intensive care unit revenue $13,524,911. It costs 3,664,003. Hospice cost 6,245,733 and home health agency 2,846,629, 2,784,790. The acute care and hospice departments make money while home health loses (Indiana Department of Health 2022). According to the research, hospice and critical care contribute significantly to facility revenue. Changes in patient education and incentive to comply with therapy can reduce visits and boost income. Increased diagnostic rates will affect Intensive Care reimbursement. Goshen Health will hire other specialists to help