HOSPITAL MENONITA GUAYAMA INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- HOSPITAL MENONITA GUAYAMA INC (EIN 66-0876852)
- Tax period
- 2022-04-01 to 2023-03-31
- Filed
- 2024-02-15
- IRS object ID
- 202420469349303057
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-02-15T17:02:14-05:00 | ReturnTs |
| Tax Period End | 2023-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 660703468 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GALINDEZ LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 364152 | AddressLine1Txt |
| City | SAN JUAN | CityNm |
| State Abbreviation | PR | StateAbbreviationCd |
| ZIP | 009364152 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 660876852 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPITAL MENONITA GUAYAMA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 7874341700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1650 | AddressLine1Txt |
| City | CIDRA | CityNm |
| State Abbreviation | PR | StateAbbreviationCd |
| ZIP | 00739 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LYMARI COLON COLON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7874341700 | PhoneNum |
| Signature | 2024-02-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | LYMARI | PersonFirstNm |
| Person Last | COLON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | YELITZA LOPEZ RIVERA | PreparerPersonNm |
| PTIN | P00965097 | PTIN |
| Phone | 7877254545 | PhoneNum |
| Preparation | 2024-02-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RICARDO HERNANDEZ RIVERA | PrincipalOfficerNm |
Foreign Address ForeignAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1650 | AddressLine1Txt |
| City | CIDRA | CityNm |
| Country | RQ | CountryCd |
| Foreign Postal | 00739 | ForeignPostalCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $124,972,298 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SISTEMAMENONITA.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2016 | FormationYr |
| Legal Domicile State | PR | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE COMPETENT, INNOVATIVE AND ACCESIBLE EMERGENCY AND ACUTE HEALTH SERVICES OF EXCELLENCE TO THE RESIDENTS OF THE MUNICIPALITY OF GUAYAMA AND SURROUNDING COMMUNITIES IN AN ENVIRONMENT FULL OF HUMAN WARMTH, WITHOUT DISCRIMINATION FOR RACE, COLOR, SEX, RELIGION, POLITICS, NATIONALITY, AGE OR IMPEDIMENT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 424 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $64,495,815 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $73,185,398 | CYProgramServiceRevenueAmt |
| PY Investment Income | $259,188 | PYInvestmentIncomeAmt |
| CY Investment Income | $794,971 | CYInvestmentIncomeAmt |
| PY Other Revenue | $21,818,105 | PYOtherRevenueAmt |
| CY Other Revenue | $19,501,456 | CYOtherRevenueAmt |
| PY Total Revenue | $86,573,108 | PYTotalRevenueAmt |
| CY Total Revenue | $93,481,825 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $19,260,295 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,497,557 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $34,043,086 | PYOtherExpensesAmt |
| CY Other Expenses | $38,501,886 | CYOtherExpensesAmt |
| PY Total Expenses | $53,303,381 | PYTotalExpensesAmt |
| CY Total Expenses | $58,999,443 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $33,269,727 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $34,482,382 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $149,499,387 | TotalAssetsBOYAmt |
| Total Assets EOY | $185,781,892 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $33,259,981 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $35,008,722 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $116,239,406 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $150,773,170 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PROVIDE COMPETENT, INNOVATIVE AND ACCESIBLE EMERGENCY AND ACUTE HEALTH SERVICES OF EXCELLENCE TO THE RESIDENTS OF THE MUNICIPALITY OF GUAYAMA AND SURROUNDING COMMUNITIES IN AN ENVIRONMENT FULL OF HUMAN WARMTH, WITHOUT DISCRIMINATION FOR RACE, COLOR, SEX, RELIGION, POLITICS, NATIONALITY, AGE OR IMPEDIMENT. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $40,585,172 | ExpenseAmt |
| Revenue | $92,686,854 | RevenueAmt |
| Desc | PATIENT CARE-THE HOSPITAL PROVIDES GENERAL HEALTH CARE SERVICES TO PATIENTS WITHIN ITS GEOGRAPHICAL LOCATION. EXPENSES INCLUDE HEALTH CARE AND GENERAL AND ADMINSITRATIVE. MEDICAL EXPENSE ASSISTANCE- THE HOSPITAL PROVIDES CHARITY CARE WITHOUT CHARGE OF AN AMOUNT LESS THAN ESTABLISHED RATIOS TO PATIENTS WHO MEET CERTAIN CRITERIA. CHARGES FOREGONE BASED ON STANDARD RATES. | Desc |
| Total Program Service Expenses | $40,585,172 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 424 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPITAL MENONITA GUAYAMA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7874341700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | AVE PEDRO ALBIZU CAMPOS | AddressLine1Txt |
| Address Line2 | URB LA HACIENDA | AddressLine2Txt |
| City | GUAYAMA | CityNm |
| State Abbreviation | PR | StateAbbreviationCd |
| ZIP | 00785 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| ROGELIO DIAZ GARCIA | |||||||
| ADMINISTRATO | 40.00 | Yes (X) | $277,304 | $0 | $38,859 | ||
| JUAN JOSE ROSARIO GUZMAN | |||||||
| DIRECTOR OF | 40.00 | Yes (X) | $105,654 | $0 | $0 | ||
| ELSA MCLASS GONZALEZ | |||||||
| PHARMACIST | 40.00 | $102,749 | $0 | $0 | Yes (X) | ||
| MARIO GARCIA INCERA | |||||||
| UTILIZATION | 40.00 | Yes (X) | $78,759 | $0 | $0 | ||
| LCDA DALIA RODRIGUEZ MAYSONET | |||||||
| ASS. ADMINIS | 40.00 | Yes (X) | $63,446 | $0 | $0 | ||
| KAREN FLORES | |||||||
| NURSING DIRE | 40.00 | Yes (X) | $62,577 | $0 | $0 | ||
| ENEIDA SANTINI GREEN | |||||||
| HR DIRECTOR | 40.00 | Yes (X) | $60,584 | $0 | $0 | ||
| LILLIAM RAMIREZ | |||||||
| DIR. ORG.PER | 40.00 | Yes (X) | $60,233 | $0 | $0 | ||
| YOLANDA RIOS DAVILA | |||||||
| RADIOLOGY | 40.00 | Yes (X) | $46,287 | $0 | $0 | ||
| OMAR CANDELARIO VALDIVIE | |||||||
| NUTRITION DI | 40.00 | Yes (X) | $45,226 | $0 | $0 | ||
| CARLOS M PEREZ FERNANDEZ | |||||||
| HEALTH & SE | 40.00 | Yes (X) | $42,174 | $0 | $0 | ||
| GLADYS RIVERA VELAZQUEZ | |||||||
| DIRECTOR | 40.00 | Yes (X) | $41,067 | $0 | $0 | ||
| VANESSA BERDECIA RUIZ | |||||||
| DIRECTOR | 40.00 | Yes (X) | $40,663 | $0 | $0 | ||
| CARMEN J LOZADA RIVERA | |||||||
| DIRECTOR | 40.00 | Yes (X) | $38,957 | $0 | $0 | ||
| FRANCES SOLIS GARCIA | |||||||
| DIRECTOR | 40.00 | Yes (X) | $38,454 | $0 | $0 | ||
| NILDA L PENA BERMUDEZ | |||||||
| DIRECTOR | 40.00 | Yes (X) | $34,468 | $0 | $0 | ||
| ANTONIO L SANTIAGO MORALES | |||||||
| DIRECTOR | 40.00 | Yes (X) | $25,986 | $0 | $0 | ||
| FRANCISCO AMADOR | |||||||
| DIRECTOR | 40.00 | Yes (X) | $16,736 | $0 | $0 | ||
| OSCAR E DE JESUS GUTIERREZ | |||||||
| DIRECTOR | 40.00 | Yes (X) | $15,885 | $0 | $0 | ||
| GUSTAVO E RODRIGUEZ TORO | |||||||
| DIRECTOR | 40.00 | Yes (X) | $10,336 | $0 | $0 | ||
| MILDRED CRESPO ROSADO | |||||||
| DIRECTOR | 40.00 | Yes (X) | $2,630 | $0 | $0 | ||
| MARGARITA RODRIGUEZ RIVERA | |||||||
| DIRECTOR | 40.00 | Yes (X) | $600 | $0 | $0 | ||
| ANTONIO ZAYAS BERMUDEZ | |||||||
| VICE PRESIDE | $0 | $0 | $0 | Yes (X) | |||
| VICTOR T CORTES HERNANDEZ | |||||||
| VOCAL | $0 | $0 | $0 | Yes (X) | |||
| FRANCISCO D RODRIGUEZ MALDONADO | |||||||
| PRESIDENT | $0 | $0 | $0 | Yes (X) | |||
| CARLOS MATOS | |||||||
| VOCAL | $0 | $0 | $0 | Yes (X) | |||
| EMERITA RIVERA RIOS | |||||||
| SECRETARY | $0 | $0 | $0 | Yes (X) | |||
| ANGEL M AVILES RIVERA | |||||||
| TREASURER | $0 | $0 | $0 | Yes (X) | |||
| JUAN DOMINGO ORTIZ RIVERA | |||||||
| VOCAL | $0 | $0 | $0 | Yes (X) | |||
| LYMARI COLON COLON | |||||||
| CFO | Yes (X) | $0 | $0 | $0 | |||
| RICARDO HERNANDEZ RIVERA | |||||||
| EXECUTIVE DI | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,210,775 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $38,859 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| DESARROLLOS METROPOLITANOS LLC | ||||||
| PO BOX 9417 | SAN JUAN | PR | 009080417 | CONSTRUCTION | $4,300,181 | |
| GUAYAMA RADIOLOGY SERVICES LLC | ||||||
| AVE PEDRO ALBIZU CAMPOS ESQUINA | GUAYAMA | PR | 00785 | RADIOLOGY | $2,659,350 | URB LA HACIENDA |
| SOUTH-CENTRAL EMERGENCY GROUP LLC | ||||||
| PO BOX 3504 | JUNCOS | PR | 00777 | MEDICAL | $1,912,566 | |
| MULTI-SERVICE SPECIALITS GROUP CORP | ||||||
| PO BOX 10007 | GUAYAMA | PR | 00785 | CLEANING | $740,125 | |
| ISLAND SECURITY INC | ||||||
| CALLE RETIRO NUM 5 ESTE | GUAYAMA | PR | 00784 | SECURITY | $694,452 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 19 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $73,185,398 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $73,185,398 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $73,185,398 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $704,630 | TotalRevenueColumnAmt |
| Exclusion | $704,630 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $581,864 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $581,864 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $581,864 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $581,864 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $31,580,814 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $31,490,473 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $90,341 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $90,341 | TotalRevenueColumnAmt |
| Exclusion | $90,341 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| EQUITY IN SUBSIDIARY | 621110 | $17,863,497 | $17,863,497 |
| ELECTRONIC HEALTH RECORDS | 621110 | $693,237 | $693,237 |
| OTHER INCOME | 621110 | $545,957 | $545,957 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$183,099 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$183,099 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $18,919,592 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $93,481,825 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $92,686,854 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $794,971 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,168,478 | TotalAmt |
| Program Services | $1,168,478 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,765,888 | TotalAmt |
| Program Services | $8,810,322 | ProgramServicesAmt |
| Management And General | $2,955,566 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,563,191 | TotalAmt |
| Program Services | $2,510,847 | ProgramServicesAmt |
| Management And General | $5,052,344 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,251,658 | TotalAmt |
| Program Services | $9,956,293 | ProgramServicesAmt |
| Management And General | $1,295,365 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $900,189 | TotalAmt |
| Management And General | $900,189 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,076,829 | TotalAmt |
| Program Services | $1,672,485 | ProgramServicesAmt |
| Management And General | $1,404,344 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,040,150 | TotalAmt |
| Management And General | $1,040,150 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $11,549,725 | $11,463,022 | $86,703 |
| OTHER EXPENSES | $6,267,718 | $3,814,498 | $2,453,220 |
| UTILITIES | $3,358,923 | $186,819 | $3,172,104 |
| MALPRACTICE COST | $1,002,408 | $1,002,408 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,286 | TotalAmt |
| Management And General | $54,286 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,999,443 | TotalAmt |
| Program Services | $40,585,172 | ProgramServicesAmt |
| Management And General | $18,414,271 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,726,501 | BOYAmt |
| EOY | $41,002,826 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,972,591 | BOYAmt |
| EOY | $13,723,830 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,238,041 | BOYAmt |
| EOY | $1,094,300 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,035,171 | BOYAmt |
| EOY | $109,958 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $58,042,747 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $13,477,278 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,463,917 | BOYAmt |
| EOY | $44,565,469 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,068,236 | BOYAmt |
| EOY | $20,148,361 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $57,925,322 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,994,930 | BOYAmt |
| EOY | $7,211,826 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $149,499,387 | BOYAmt |
| EOY | $185,781,892 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,774,299 | BOYAmt |
| EOY | $12,808,900 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $482,195 | BOYAmt |
| EOY | $105,039 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $19,253,816 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,003,487 | BOYAmt |
| EOY | $2,840,967 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,259,981 | BOYAmt |
| EOY | $35,008,722 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,239,406 | BOYAmt |
| EOY | $150,773,170 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,239,406 | BOYAmt |
| EOY | $150,773,170 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $149,499,387 | BOYAmt |
| EOY | $185,781,892 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $34,482,382 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $58,020 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$6,638 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,677,000 | InvestmentCostOrOtherBasisAmt |
| Book Value | $1,677,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $32,300,593 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $6,188,386 | DepreciationAmt |
| Book Value | $26,112,207 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $12,319,006 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $6,116,157 | DepreciationAmt |
| Book Value | $6,202,849 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $11,746,148 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $1,172,735 | DepreciationAmt |
| Book Value | $10,573,413 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $44,565,469 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT IN SUBSIDIARY | Desc |
| Book Value | $57,925,322 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $57,925,322 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| OPERATING LEASE LIABILITY - NET CURR | $2,347,225 |
| DUE TO RELATED PARTY | $318,225 |
| OPERATING LEASE LIABILITY | $175,517 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,840,967 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $93,539,845 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $58,020 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $58,020 | RevenueNotReportedAmt |
| Revenue Subtotal | $93,481,825 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $93,481,825 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $58,999,443 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $58,999,443 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $58,999,443 | TotalExpensesPerForm990Amt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $191,566 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,219,427 | DirectOffsettingRevenueAmt |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,072,159 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,588,399 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,483,760 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07600 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,263,725 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,807,826 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,483,760 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07600 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,485 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,485 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,485 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,485 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,273,210 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,807,826 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,493,245 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07620 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $54,286 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $670,866 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $5,591,265 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $1,914,651 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $3,676,614 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | false | WrittenDebtCollectionPolicyInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPITAL MENONITA GUAYAMA INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | AVE PEDRO ALBIZU CAMPOS | AddressLine1Txt |
| Address Line2 | URB LA HACIENDA GUAYAMA | AddressLine2Txt |
| City | GUAYAMA | CityNm |
| State Abbreviation | PR | StateAbbreviationCd |
| ZIP | 00785 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPITAL MENONITA GUAYAMA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | false | CHNAConductedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FACILITY 1, HOSPITAL MENONITA GUAYAMA, INC. - PART V, LINE 13B | FormAndLineReferenceDesc |
| Explanation | HOSPITAL MENONITA GUAYAMA ESTABLISHES AND REVIEWS ANNUALLY ITS OWN INCOME LEVEL GUIDANCE BASED ON THE FPG ISSUED BY HHS. | ExplanationTxt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART III, LINE 2 | SEE PAGE 8 OF AUDITED FINANCIAL STATEMENTS. |
| SCHEDULE H, PART III, LINE 8 | ALL PATIENTS ARE RESPONSIBLE OF CHARGES NOT COVERED BY MEDICARE PART A AND B. THE MEDICARE PROGRAM ESTABLISHES THAT THE HOSPITAL SHOULD MAKE AT LEAST THREE COLLECTION EFFORTS WHEN THE PATIENT IS RESPOSIBLE FOR THE ACCOUNT. THIS REQUIREMENT APPLIES TO PATIENTS WITH PRIVATE MEDICARE OR 0% INDIGENCE. IF THE COLLECTION EFFORTS TO THE PATIENTS ARE UNSUCCESSFUL MEDICARE WILL REIMBURSE THE HOSPITAL THE AMOUNT NOT PAID. THE COLLECTION DEPARTMENT WILL TRANSFER THIS AMOUNT TO BAD DEBTS. A RECOMMENDATION FOR THE ELIMINATION OF THE ACCOUNT SHALL FOLLOW ONCE A COST REPORT IS PREPARED AND AN AUDIT PROCEDURE IS CONCLUDED. FOR PATIENTS WITH MEDICARE-MEDICAID 100% INDIGENCE AND MEDICARE-REFORM THE SAME PROCESS IS USED EXCEPT THE THREE COLLECTION EFFORTS WILL NOT APPLY. THE MEDICARE PROGRAM WILL REIMBURSE THE CORRESPONDING PERCENT. |
| SCHEDULE H, PART III, LINE 9B | A MINIMUM OF FOUR COLLECTION EFFORTS TO PATIENTS SHOULD BE DONE BEFORE ELIMINATING AN ACCOUNT. THE FIRST ONE MUST BE DONE AT THE MOMENT THE SERVICE IS PERFORMED OR DURING THE TIME THE PATIENT IS HOSPITALIZED. THREE COLLECTION LETTERS WILL BE SEND BEFORE THE COLLECTION DEPARTMENT DECIDES IF THEY WILL REFER THE ACCOUNT TO A COLLECTIONS AGENCY OR RECOMMENDS THE ELIMINATION OF THE ACCOUNT. ALL COLLECTION EFFORTS TO THE HEALTH INSURANCE WILL USE AS GUIDELINES RULE NO. 73 OF JANUARY 15, 2003, PROMPT PAYMENT TO HEALTH CARE SERVICES PROVIDER. IF NO RESPONSE, THE COLLECTION DEPARTMENT WILL DECIDE IF THEY WILL CHARGE THE PATIENT OR RECOMMEND THE ELIMINATION OF THE ACCOUNT. |
| SCHEDULE H, PART VI | PART V,SECTION B, LINE 1 - BASED ON THE PROVISIONS OF NOTICE 2011-52 AND THE REGULATIONS FOR SECTION 501(R)(1) OF THE INTERNAL REVENUE CODE,THE TERM "STATE", AS INCLUDED IN THE DEFINITION FOR "HOSPITAL FACILITY",INCLUDES ONLY THE 50 STATES AND THE DISTRICT OF COLUMBIA AND NOT ANY US TERRITORY OR FOREIGN COUNTRY. THEREFORE, THOSE HOSPITAL FACILITIES LOCATED OUTSIDE OF THE 50 STATES OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA SHALL NOT BE REQUIRED TO COMPLY WITH THE COMMUNITY HEALTH NEED ASSESSMENT. PART V,SECTION B, LINE 9 & LINE 10 - THE FINANCIAL ASSISTANCE POLICY IS BASED ON MEDICARE COST REPORT RATIO. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROGELIO DIAZ GARCIA | PersonNm |
| Title | ADMINISTRATOR | TitleTxt |
| Base Compensation Filing Org | $215,504 | BaseCompensationFilingOrgAmt |
| Bonus Filing Organization | $61,800 | BonusFilingOrganizationAmount |
| Nontaxable Benefits Filing Org | $38,859 | NontaxableBenefitsFilingOrgAmt |
| Total Compensation Filing Org | $316,163 | TotalCompensationFilingOrgAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | PROVIDE COMPETENT, INNOVATIVE AND ACCESIBLE EMERGENCY AND ACUTE HEALTH SERVICES OF EXCELLENCE TO THE RESIDENTS OF THE MUNICIPALITY OF GUAYAMA AND SURROUNDING COMMUNITIES IN AN ENVIRONMENT FULL OF HUMAN WARMTH, WITHOUT DISCRIMINATION FOR RACE, COLOR, SEX, RELIGION, POLITICS, NATIONALITY, AGE OR IMPEDIMENT. |
| FORM 990, PAGE 6, PART VI, LINE 6 | MENNONITE GENERAL HOSPITAL, INC. IS THE SOLE MEMBER OF THE ENTITY. |
| FORM 990, PAGE 6, PART VI, LINE 7A | AS THE SOLE MEMBER, MENNONITE GENERAL HOSPITAL HAS THE POWER TO APPOINT SOME OF THE MEMBERS OF THE BOARD OF DIRECTORS, PURSUANT TO THE CORPORATION BYLAWS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE TAX RETURN IS PREPARED BY A CONTRACTED EXTERNAL CERTIFIED PUBLIC ACCOUNTANT. THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER, THE CHIEF EXECUTIVE OFFICER OR THE PRESIDENT OF THE BOARD OF DIRECTORS. THE RETURN IS SIGNED BY THE CHIEF FINANCIAL OFFICER, THE CHIEF EXECUTIVE OFFICER OR ANY OTHER OFFICER DULY AUTHORIZED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE INTERNAL AUDIT DEPARTMENT CONTINUOUSLY EVALUATES TRANSACTIONS TO ASSURE THE COMPLIANCE WITH THE POLICY AND CONTRACTUAL CLAUSES IN EVERY DEPARTMENT. |
| FORM 990, PAGE 6, PART VI, LINE 15A | HUMAN RESOURCES EVALUATES THE COMPENSATION FOR ANY POSITION WHEN THE POSITION IS AVAILABLE FOR RECRUITING. THEY COMPARE WITH MARKET THROUGH BENCHMARKING WITH OTHER SIMILAR HOSPITALS, JOB EXPERIENCE, EXPERTISE AND PERFORMANCE, CAREER TRACK, AMONG OTHERS. FINAL RECOMMENDATION IS EVALUATED AND APPROVED AT CORPORATE LEVEL. THE CHIEF EXECUTIVE OFFICER IS ALSO APPROVED BY THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | HUMAN RESOURCES EVALUATES THE COMPENSATION FOR ANY POSITION WHEN THE POSITION IS AVAILABLE FOR RECRUITING. THEY COMPARE WITH MARKET THROUGH BENCHMARKING WITH OTHER SIMILAR HOSPITALS, JOB EXPERIENCE, EXPERTISE AND PERFORMANCE, CAREER TRACK, AMONG OTHERS. FINAL RECOMMENDATION IS EVALUATED AND APPROVED AT CORPORATE LEVEL. THE CHIEF EXECUTIVE OFFICER IS ALSO APPROVED BY THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THIS INFORMATION IS AVAILABLE ONLY WHEN REQUIRED. GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO REQUIRED AGENCIES. THE CONFLICT OF INTEREST POLICY IS AVAILABLE TO ALL EMPLOYEES, BOARD MEMBERS AND OTHER AGENCIES AS REQUIRED. |
| FORM 990, PART IX, LINE 11G | OTHER FEES 9,956,293 1,295,365 0 |
| FORM 990, PART XI, LINE 9 | CUMULATIVE EFFECT OF ADOPTION OF ASU NO. 2016-02 -6,638 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HOSPITAL MENONITA CAGUAS INC | ||||||||||
| PO BOX 1650 | CIDRA | PR | 007391650 | 660776102 | HOSPITAL | PR | 501C3 | 3 | N/A | false |
| HOSPITAL MENONITA HUMACAO INC | ||||||||||
| PO BOX 1650 | CIDRA | PR | 007391650 | 660938154 | HOSPITAL | PR | 501C3 | 3 | N/A | false |
| MENNONITE GENERAL HOSPITAL INC | ||||||||||
| PO BOX 1650 | CIDRA | PR | 007391650 | 660219758 | HOSPITAL | PR | 501C3 | 3 | N/A | false |
| HOSPITAL MENONITA PONCE INC | ||||||||||
| PO BOX 1650 | CIDRA | PR | 007391650 | 661021071 | HOSPITAL | PR | 501C3 | 3 | N/A | false |
| HOGAR AURORA INC | ||||||||||
| 5 JAZMIN ST | AIBONITO | PR | 00705 | 660586357 | HOUSING | PR | 501C3 | 7 | N/A | false |
| CASA BARRANQUITAS INC | ||||||||||
| CALLE BARCELO NO 2 | BARRANQUITAS | PR | 00794 | 660479283 | HOUSING | PR | 501C3 | 7 | N/A | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| PLAN DE SALUD MENONITA INC | |||||||||
| PO BOX 44 | AIBONITO | PR | 00705 | 660636242 | HEALTH PLA | PR | N/A | C CORP | false |
| CARIBE RX INC | |||||||||
| PO BOX 1650 | CIDRA | PR | 007391650 | 661014079 | DRUGS WHOL | PR | N/A | C CORP | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PLAN DE SALUD MENONITA | ||
| M | $490,922 | CONTRACT |
| MENNONITE GENERAL HOSPITAL INC | ||
| K | $152,666 | FMV |