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      <Desc>IN GENERAL TERMS THE ORGANIZATION HAS CONTRIBUTED TO THE WELFARE OF THE COMMUNITY SERVED, PROVIDING COMPREHENSIVE HEALTH CARE OF EXCELLENCE TO CAROLINA CITY AND NEIGHBORING TOWNS. THE ORGANIZATION CONTRIBUTES WITH EDUCATIONAL INSTITUTIONS TO PROVIDE FOR THE EDUCATIONAL PREPARATION OF FUTURE HEALTH PROFESSIONALS THAT BENEFITS THE COMMUNITY SERVED. THE ORGANIZATION ALERTS AND PARTICIPATES IN PREVENTIVE HEALTH PROGRAMS FOR THE COMMUNITY TO MAINTAIN AND INCREASE THEIR LEVEL OF HEALTH. IN ADDITION THE ORGANIZATION PERFORMS RESEARCH TO HELP IMPROVE THE QUALITY OF HEALTH SERVICES THAT IS OFFERED TO THE PUBLIC.</Desc>
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        <Desc>DURING 2022-2023, THE ORGANIZATION SELF-SUSTAIN THE ECONOMIC AND PHYSICAL RESOURCES TO CONTINUE PROVIDING MEDICAL SERVICES ALONG WITH THE FOLLOWING: 1.CONTINUITY IN SUSTAINING THE ECONOMIC AND PHYSICAL RESOURCES TO PROVIDE THE PROVISION OF MEDICAL-HOSPITAL SERVICES OF THE HOSPITAL OF THE UNIVERSITY OF PUERTO RICO, DR. FEDERICO TRILLA TO THE COMMUNITY IT SERVES AND THE CLINICAL AND ACADEMIC OFFERING. 2.CONTINUITY TO THE 2021-2025 STRATEGIC PLAN CONSIDERING THE DEVELOPMENT OF SERVICES TO OUR COMMUNITY WITHIN EXCELLENCE IN CLINICAL SERVICES BY THE MEDICAL FACULTY OF THE MEDICAL SCIENCES CAMPUS OF THE UNIVERSITY OF PUERTO RICO. 3.CONTINUITY IN THE DEVELOPMENT ACTIVITIES INCLUDED IN THE SHORT, MEDIUM AND LONG-TERM DEPARTMENTAL WORK PLAN TOGETHER WITH THE 2021-2025 STRATEGIC PLAN. 4.MONITORING PLANS, PROJECTS, AND PROGRAMS TO ENSURE THAT SHORT, MEDIUM, AND LONG-TERM GOALS AND OBJECTIVES ARE ACHIEVED. 5.WEEKLY AND MONTHLY MEETINGS WITH MEMBERS OF THE EXECUTIVE CABINET, LEADERSHIP TO MONITOR THE IMPLEMENTATION OF STRATEGIC PLANS AND INSTITUTIONAL PROJECTS. 6.CONTINUOUS DEVELOPMENT OF POLICIES AND PROCEDURES TAILORED TO CURRENT CHALLENGES, IN COMPLIANCE WITH REGULATORY AGENDAS RELATED TO C0VID-I9. 7.REVIEW OF DEPARTMENTAL MANUALS IN COMPLIANCE WITH REGULATORY AGENCIES INCLUDING THE INTEGRATION OF THE REGULATIONS OF THE SECRETARY OF HEALTH FOR THE CONSTRUCTION, OPERATION, MAINTENANCE AND LICENSING OF HOSPITALS IN PUERTO RICO (9184). 8.PERIODIC MEETINGS WITH THE UTILIZATION DEPARTMENT TEAM TO CONTINUE DEVELOPING PROCESSES IN WHICH WE CAN DETECT PROSPECTIVE CASES TO BE DENIED AND REDUCE THE PERCENTAGES OF CLINICAL AND ADMINISTRATIVE DENIALS. 9.REDUCTION IN DENIALS BY THE NURSING DEPARTMENT, INCLUDING THOSE RELATED TO TAKING UNCOLLECTED SAMPLES, THROUGH 12-HOUR SHIFTS IN CLINICAL UNITS, ALSO ACHIEVING CONTINUITY IN CARE AND TREATMENT OF PATIENTS, DECREASE IN THE OMISSION OF MEDICATIONS AND THE JUSTIFICATION FOR NON-ADMINISTRATION TO 90% COMPLIANCE. 10.ACQUISITION AND INSTALLATION OF CARDIAC MONITORS WITH THE INTEGRATED CAPNOGRAPH IN THE SPECIALTY UNITS. 11.MONITORING OF THE QUALITY METRICS ESTABLISHED BY THE DIFFERENT MEDICAL PLANS. 12.RECOVERY OF THEIR CRITICAL CONDITION BY 82% IN PATIENTS TREATED IN THE INTENSIVE UNIT. 13.CONTINUITY OF THE SKIN CARE PROGRAM WHICH HAS BEEN HIGHLY SUCCESSFUL IN EXECUTION AND THE HIGH DEGREE OF RECOVERY OF PATIENTS ADMITTED WITH SKIN CONDITIONS, MANAGING TO REDUCE ACQUIRED ULCERS DIRECTLY RELATED TO PROLONGED STAYS. 14.ADEQUATE MANAGEMENT OF FINANCES TO MEET OPERATIONAL AND CAPITAL NEEDS. 15.CONSTRUCTION IN PROCESS FOR THAT YEAR OF 7,222,900: A.REMODELING AND EXPANSION OF ADULT AND PEDIATRIC EMERGENCY ROOM B.REMODELING OF THE INTENSIVE UNIT 16.THE EXTERNAL AUDIT (SINGLE AUDIT) OF THE FEDERAL FUNDS RECEIVED FOR COVID-19 STIMULI WAS SATISFACTORILY CARRIED OUT, AS REQUIRED BY FEDERAL AND LOCAL REGULATORY AGENCIES: A.CORONAVIRUS RELIEF FUND HHS STIMULUS: 1,018,771.87 17.EXPANSION AND IMPROVEMENTS TO THE CLINICAL SERVICES OFFERED BY THE HOSPITAL, ACQUIRING CUTTING-EDGE TECHNOLOGY IN THE CLINICAL MANAGEMENT OF OUR PATIENTS. 18.ACQUISITION AND INVESTMENT OF 2,515,656 IN EQUIPMENT TO STRENGTHEN THE HOSPITAL'S CLINICAL SERVICES. 19.REPRESENTATION OF THE HOSPITAL IN PROFESSIONAL MEETINGS AND SEMINARS, SUCH AS: HOSPITAL ASSOCIATION, COLLEGE OF HEALTH SERVICES ADMINISTRATORS, ACHE, ASES AND DEPARTMENT OF HEALTH. 20.IMPLEMENTATION OF THE PRENATAL CARE PROGRAM NAMED AURORA AS A STRATEGY TO REDUCE DISPARITIES IN ACCESS TO HEALTH IN THE POPULATION OF FEMALE PATIENTS WITH VULNERABLE SOCIODEMOGRAPHIC CHARACTERISTICS. DURING THE FIRST YEAR OF THE PROGRAM, 118 PATIENTS WERE IMPACTED THROUGH 20 GROUPS AND 145 SESSIONS. AS AN ACHIEVEMENT OF THE PROGRAM, 95% OF THE PROGRAM'S BIRTHS WERE COMPLETED, ACHIEVING A PREMATURITY RATE OF 5.8%. ONLY 1 IN 18 BIRTHS WAS PREMATURE. 21.DEVELOPMENT AND PARTICIPATION IN COMMUNITY OUTREACH ACTIVITIES EACH QUARTER TO INCREASE ACCESSIBILITY TO SERVICES AND PROVIDE HEALTH CARE PREVENTION INFORMATION IN THE CAROLINA AND CANOVANAS COMMUNITY. AMONG THE SERVICES OFFERED ARE TAKING VITALS, GLUCOSE TESTS AND REFERRALS TO HEALTH SERVICES. 22.COLLABORATION WITH NON-PROFIT ORGANIZATIONS AND FAITH-BASED ORGANIZATIONS TO CHANNEL HEALTH SERVICES AND DISSEMINATE INFORMATION OF BENEFIT TO OUR COMMUNITY. AMONG THE ORGANIZATIONS ARE MARCH OF DIMES, TRIPLE S FOUNDATION, LIFELINK, SUSAN G. KOMEN AND SEVERAL CHURCHES. 23.PARTICIPATION IN DISEASE AWARENESS CAMPAIGNS, TO PROMOTE A HEALTH CARE PREVENTION MESSAGE ON OUR SOCIAL NETWORKS, INFORMATION BROCHURES, EDUCATIONAL TALKS WITH HEALTH PROFESSIONALS. 24.POLICIES AND PROCEDURES FOR PATIENT SERVICE TEMPERED TO CURRENT CHALLENGES. 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      <Form990PartVIISectionAGrp>
        <PersonNm>GELNA C CALDERON ROJAS</PersonNm>
        <TitleTxt>CORP COMPLIA</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>60577</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHADEE M CORDERO ROSA</PersonNm>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>31458</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELISABEL CABAN COLON</PersonNm>
        <TitleTxt>ASSOCIATE A</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>18723</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HECTOR MERCADO CORPORAN</PersonNm>
        <TitleTxt>PHYSICAL PLA</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RAFAEL TORRES MARTINEZ</PersonNm>
        <TitleTxt>MARKETING DI</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>863144</TotalReportableCompFromOrgAmt>
      <IndivRcvdGreaterThan100KCnt>2</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CARDINAL HEALTH PR 220 INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>URB GOLDEN GATE 113</AddressLine1Txt>
            <AddressLine2Txt>CALLE RUBI</AddressLine2Txt>
            <CityNm>GUAYNABO</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00968</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL &amp; SURGI</ServicesDesc>
        <CompensationAmt>1520943</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>PRECISE RADIOLOGY PSC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PMB 439 SUITE 112 100 GRAN BOULEVAR</AddressLine1Txt>
            <CityNm>SAN JUAN</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00929</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RADIOLOGY CONTR</ServicesDesc>
        <CompensationAmt>1169372</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>RANGER AMERICAN</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 29105</AddressLine1Txt>
            <CityNm>SAN JUAN</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>009290105</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY SERVIC</ServicesDesc>
        <CompensationAmt>1015990</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>NORTH JANITORIAL</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 362617</AddressLine1Txt>
            <CityNm>SAN JUAN</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>009362617</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MAINTENANCE</ServicesDesc>
        <CompensationAmt>997714</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>FACILITIES ENGINNERING SER</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 163</AddressLine1Txt>
            <AddressLine2Txt>SAINTJUST STATION</AddressLine2Txt>
            <CityNm>SAINT JUST</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00978</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION CO</ServicesDesc>
        <CompensationAmt>923922</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>33</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>1358219</GovernmentGrantsAmt>
      <TotalContributionsAmt>1358219</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <TotalRevenueColumnAmt>55343829</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>55343829</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>55343829</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>349883</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>349883</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>87138</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>87138</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>87138</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>87138</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>SHORT-TERM ACUTE CARE PAYMENT</Desc>
        <TotalRevenueColumnAmt>1515178</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1515178</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <TotalRevenueColumnAmt>1116135</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1116135</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA SALES</Desc>
        <TotalRevenueColumnAmt>1089027</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1089027</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>151046</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>151046</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>3871386</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>61010455</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>59652236</RelatedOrExemptFuncIncomeAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>927994</TotalAmt>
        <ProgramServicesAmt>80000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>847994</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>18320156</TotalAmt>
        <ProgramServicesAmt>13952735</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4367421</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PayrollTaxesGrp>
        <TotalAmt>3634180</TotalAmt>
        <ProgramServicesAmt>2528153</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1106027</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>283904</TotalAmt>
        <ManagementAndGeneralAmt>283904</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>75753</TotalAmt>
        <ManagementAndGeneralAmt>75753</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>9163271</TotalAmt>
        <ProgramServicesAmt>6181894</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2981377</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <InterestGrp>
        <TotalAmt>738806</TotalAmt>
        <ManagementAndGeneralAmt>738806</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>2621823</TotalAmt>
        <ManagementAndGeneralAmt>2621823</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES &amp; REPAIRS</Desc>
        <TotalAmt>19062168</TotalAmt>
        <ProgramServicesAmt>16464158</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2598010</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER OPERATING COSTS</Desc>
        <TotalAmt>5190619</TotalAmt>
        <ProgramServicesAmt>148753</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5041866</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>60018674</TotalAmt>
        <ProgramServicesAmt>39355693</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20662981</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>19133946</BOYAmt>
        <EOYAmt>15302085</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>9218697</BOYAmt>
        <EOYAmt>9793204</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>1052478</BOYAmt>
        <EOYAmt>1027050</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>625319</BOYAmt>
        <EOYAmt>734544</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>42843445</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>20776782</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>18608622</BOYAmt>
        <EOYAmt>22066663</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>280726</BOYAmt>
        <EOYAmt>504115</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>48919788</BOYAmt>
        <EOYAmt>49427661</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>6457262</BOYAmt>
        <EOYAmt>10205645</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>1358219</BOYAmt>
      </GrantsPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>15375700</BOYAmt>
        <EOYAmt>12501628</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>23191181</BOYAmt>
        <EOYAmt>22707273</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>25728607</BOYAmt>
        <EOYAmt>26720388</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>25728607</BOYAmt>
        <EOYAmt>26720388</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>48919788</BOYAmt>
        <EOYAmt>49427661</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>991781</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc8">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>11447783</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5243562</DepreciationAmt>
        <BookValueAmt>6204221</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>23166050</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>14597849</DepreciationAmt>
        <BookValueAmt>8568201</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>8229612</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>935371</DepreciationAmt>
        <BookValueAmt>7294241</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>22066663</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LONG TERM DEBT</Desc>
        <Amt>4852820</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTIES</Desc>
        <Amt>3453768</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RESERVE FOR CLAIMS</Desc>
        <Amt>2429146</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CURRENT PORTION OF LONG TERM DEBT</Desc>
        <Amt>1526426</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERTARING LEASE LIAB. NET OF CURREN</Desc>
        <Amt>171054</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CURRENT PORTION OF OPER. LEASE LIABI</Desc>
        <Amt>68414</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>12501628</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>61010455</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>61010455</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>61010455</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>60018674</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>60018674</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>60018674</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc7">
      <FinancialAssistancePolicyInd>false</FinancialAssistancePolicyInd>
      <AnnualCommunityBnftReportInd>false</AnnualCommunityBnftReportInd>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>38160755</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>25804875</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>12355880</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.20590</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>38160755</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>25804875</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>12355880</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.20590</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>38160755</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>25804875</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>12355880</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.20590</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <ReimbursedByMedicareAmt>10779108</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>2643245</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>8135863</MedicareSurplusOrShortfallAmt>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>SERVICIOS MDICOS</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>UNIVERSITARIOS INC</BusinessNameLine2Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 6021</AddressLine1Txt>
          <CityNm>CAROLINA</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00984</ZIPCd>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>SERVICIOS MDICOS</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>UNIVERSITARIOS INC</BusinessNameLine2Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>false</CHNAConductedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>false</EligCriteriaExplainedInd>
        <ExplainedBasisInd>false</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>false</AppFinancialAsstExplnInd>
        <IncludesPublicityMeasuresInd>false</IncludesPublicityMeasuresInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <OtherActionsTakenInd>X</OtherActionsTakenInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicareInd>X</LookBackMedicareInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, SERVICIOS MDICOS - PART V, LINE 20E</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL DOES NOT HAVE FINANCIAL ASSITANCE POLICY PER SE, BUT IF A PATIENT IS IDENTIFIED TO BE MEDICALLY INDIGENT, HOSPITAL PERSONNEL WILL ASSIST THE PATIENT AND ORIENT THEM OF THE PROCESS TO OBTAIN THE GOVERMENT HEALTH INSURANCE KNOW AS MI SALUD.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE YEARS ENDED JUNE 30, 2023 AND 2022, 49% AND 43% RESPECTIVELY, OF THE AMOUNTS RESERVED AS UNCOLLECTIBLE ARE RELATED TO THIRD-PARTY PAYORS, 51% AND 57%, RESPECTIVELY, ARE RELATED TO SELF-PAY PATIENTS, WHICH INCLUDES DEDUCTIBLES AND CO-INSURANCE WHICH THE COMPANY ACCOUNTS FOR AS PATIENT BALANCE. ALSO, DURING THE YEARS 2023 AND 2022, THE COMPANY ACCOUNTED FOR 23,221,888 AND 487,245, RESPECTIVELY, FOR ACCOUNTS WRITTEN-OFF, OF WHICH 8,291,738 AND 487,245, RESPECTIVELY, CORRESPOND TO SELF-PAY PATIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL WILL ISSUE 3 COLLECTION LETTERS, TO THE GUARANTOR OF THE ACCOUNT. IF NO COLLECTION IS OBTAINED AS THE RESULT OF THESE LETTERS, THE ACCOUNT IS SENT TO A COLLECTION AGENCY FOR FURTHER COLLECTION EFFORTS. THE COLLECTION AGENCY WILL DETERMINE AFTER THEIR COLLECTION ACTIONS, IF THE ACCOUNT IS UNCOLLECTIBLE OR NOT. WHEN THE COLLECTION AGENCY DETERMINES ACCOUNTS THAT ARE NOT COLLECTIBLE, THE CFO WILL PRESENT THEM TO THE FINANCE COMMITEE OF THE BOARD OF DIRECTORS FOR A PRE-APPROVAL TO BE WRITTEN OFF AND FURTHER PRESENTATION TO THE BOARD OF DIRECTORS FOR FINAL WRITE OFF APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ASSESS THE NEEDS OF THE COMMUNITIES USING PRE-EXISTING INFORMATION EITHER QUANTITATIVE OR STATISTICAL DATA. USE ALSO THE OPINION OF THE PROFESSIONALS WHO WORK EVERY DAY WITH THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL DOES NOT HAVE FINANCIAL ASSITANCE POLICY PER SE, BUT IF A PATIENT IS IDENTIFIED TO BE MEDICALLY INDIGENT, HOSPITAL PERSONNEL WILL ASSITS THE PATIENT AND ORIENT THEM OF THE PROCESS TO OBTAIN THE GOVERMENT HEALTH INSURANCE KNOW AS MI SALUD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL SERVES PATIENTS MOSTLY FROM THE NORTHEAST OF PUERTO RICO</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FACILITY PROMOTES HEALTH CARE IMPROVEMENT BECAUSE IT IS A TEACHING HOSPITAL AND SERVES THE FEDERAL AND STATE INDIGENT PATIENTS AT THE NORTHEAST OF PUERTO RICO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL DE LA UNIVERSIDAD DE PUERTO RICO- DR. FEDERICO TRILLA, ADMINISTERED BY SERVICIOS MEDICOS UNIVERSITARIOS, INC. OFFERS PATIENTS WHO DO NOT HAVE MEDICAL INSURANCE AND DO NOT QUALIFY FOR THE PUERTO RICO HEALTH PLAN, CALLED "MI SALUD" THE SAME RATES THAT AGREE WITH THE PUERTO RICO HEALTH PLAN. IT INCLUDES HOSPITALIZATION, EMERGENCY SERVICES, IMAGING, AND OTHERS.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>YELITZA SANCHEZ RODRIGUEZ</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>151200</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>151200</TotalCompensationFilingOrgAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING 2022-2023, THE ORGANIZATION SELF-SUSTAIN THE ECONOMIC AND PHYSICAL RESOURCES TO CONTINUE PROVIDING MEDICAL SERVICES ALONG WITH THE FOLLOWING: 1.CONTINUITY IN SUSTAINING THE ECONOMIC AND PHYSICAL RESOURCES TO PROVIDE THE PROVISION OF MEDICAL-HOSPITAL SERVICES OF THE HOSPITAL OF THE UNIVERSITY OF PUERTO RICO, DR. FEDERICO TRILLA TO THE COMMUNITY IT SERVES AND THE CLINICAL AND ACADEMIC OFFERING. 2.CONTINUITY TO THE 2021-2025 STRATEGIC PLAN CONSIDERING THE DEVELOPMENT OF SERVICES TO OUR COMMUNITY WITHIN EXCELLENCE IN CLINICAL SERVICES BY THE MEDICAL FACULTY OF THE MEDICAL SCIENCES CAMPUS OF THE UNIVERSITY OF PUERTO RICO. 3.CONTINUITY IN THE DEVELOPMENT ACTIVITIES INCLUDED IN THE SHORT, MEDIUM AND LONG-TERM DEPARTMENTAL WORK PLAN TOGETHER WITH THE 2021-2025 STRATEGIC PLAN. 4.MONITORING PLANS, PROJECTS, AND PROGRAMS TO ENSURE THAT SHORT, MEDIUM, AND LONG-TERM GOALS AND OBJECTIVES ARE ACHIEVED. 5.WEEKLY AND MONTHLY MEETINGS WITH MEMBERS OF THE EXECUTIVE CABINET, LEADERSHIP TO MONITOR THE IMPLEMENTATION OF STRATEGIC PLANS AND INSTITUTIONAL PROJECTS. 6.CONTINUOUS DEVELOPMENT OF POLICIES AND PROCEDURES TAILORED TO CURRENT CHALLENGES, IN COMPLIANCE WITH REGULATORY AGENDAS RELATED TO C0VID-I9. 7.REVIEW OF DEPARTMENTAL MANUALS IN COMPLIANCE WITH REGULATORY AGENCIES INCLUDING THE INTEGRATION OF THE REGULATIONS OF THE SECRETARY OF HEALTH FOR THE CONSTRUCTION, OPERATION, MAINTENANCE AND LICENSING OF HOSPITALS IN PUERTO RICO (9184). 8.PERIODIC MEETINGS WITH THE UTILIZATION DEPARTMENT TEAM TO CONTINUE DEVELOPING PROCESSES IN WHICH WE CAN DETECT PROSPECTIVE CASES TO BE DENIED AND REDUCE THE PERCENTAGES OF CLINICAL AND ADMINISTRATIVE DENIALS. 9.REDUCTION IN DENIALS BY THE NURSING DEPARTMENT, INCLUDING THOSE RELATED TO TAKING UNCOLLECTED SAMPLES, THROUGH 12-HOUR SHIFTS IN CLINICAL UNITS, ALSO ACHIEVING CONTINUITY IN CARE AND TREATMENT OF PATIENTS, DECREASE IN THE OMISSION OF MEDICATIONS AND THE JUSTIFICATION FOR NON-ADMINISTRATION TO 90% COMPLIANCE. 10.ACQUISITION AND INSTALLATION OF CARDIAC MONITORS WITH THE INTEGRATED CAPNOGRAPH IN THE SPECIALTY UNITS. 11.MONITORING OF THE QUALITY METRICS ESTABLISHED BY THE DIFFERENT MEDICAL PLANS. 12.RECOVERY OF THEIR CRITICAL CONDITION BY 82% IN PATIENTS TREATED IN THE INTENSIVE UNIT. 13.CONTINUITY OF THE SKIN CARE PROGRAM WHICH HAS BEEN HIGHLY SUCCESSFUL IN EXECUTION AND THE HIGH DEGREE OF RECOVERY OF PATIENTS ADMITTED WITH SKIN CONDITIONS, MANAGING TO REDUCE ACQUIRED ULCERS DIRECTLY RELATED TO PROLONGED STAYS. 14.ADEQUATE MANAGEMENT OF FINANCES TO MEET OPERATIONAL AND CAPITAL NEEDS. 15.CONSTRUCTION IN PROCESS FOR THAT YEAR OF 7,222,900: A.REMODELING AND EXPANSION OF ADULT AND PEDIATRIC EMERGENCY ROOM B.REMODELING OF THE INTENSIVE UNIT 16.THE EXTERNAL AUDIT (SINGLE AUDIT) OF THE FEDERAL FUNDS RECEIVED FOR COVID-19 STIMULI WAS SATISFACTORILY CARRIED OUT, AS REQUIRED BY FEDERAL AND LOCAL REGULATORY AGENCIES: A.CORONAVIRUS RELIEF FUND HHS STIMULUS: 1,018,771.87 17.EXPANSION AND IMPROVEMENTS TO THE CLINICAL SERVICES OFFERED BY THE HOSPITAL, ACQUIRING CUTTING-EDGE TECHNOLOGY IN THE CLINICAL MANAGEMENT OF OUR PATIENTS. 18.ACQUISITION AND INVESTMENT OF 2,515,656 IN EQUIPMENT TO STRENGTHEN THE HOSPITAL'S CLINICAL SERVICES. 19.REPRESENTATION OF THE HOSPITAL IN PROFESSIONAL MEETINGS AND SEMINARS, SUCH AS: HOSPITAL ASSOCIATION, COLLEGE OF HEALTH SERVICES ADMINISTRATORS, ACHE, ASES AND DEPARTMENT OF HEALTH. 20.IMPLEMENTATION OF THE PRENATAL CARE PROGRAM NAMED AURORA AS A STRATEGY TO REDUCE DISPARITIES IN ACCESS TO HEALTH IN THE POPULATION OF FEMALE PATIENTS WITH VULNERABLE SOCIODEMOGRAPHIC CHARACTERISTICS. DURING THE FIRST YEAR OF THE PROGRAM, 118 PATIENTS WERE IMPACTED THROUGH 20 GROUPS AND 145 SESSIONS. AS AN ACHIEVEMENT OF THE PROGRAM, 95% OF THE PROGRAM'S BIRTHS WERE COMPLETED, ACHIEVING A PREMATURITY RATE OF 5.8%. ONLY 1 IN 18 BIRTHS WAS PREMATURE. 21.DEVELOPMENT AND PARTICIPATION IN COMMUNITY OUTREACH ACTIVITIES EACH QUARTER TO INCREASE ACCESSIBILITY TO SERVICES AND PROVIDE HEALTH CARE PREVENTION INFORMATION IN THE CAROLINA AND CANOVANAS COMMUNITY. AMONG THE SERVICES OFFERED ARE TAKING VITALS, GLUCOSE TESTS AND REFERRALS TO HEALTH SERVICES. 22.COLLABORATION WITH NON-PROFIT ORGANIZATIONS AND FAITH-BASED ORGANIZATIONS TO CHANNEL HEALTH SERVICES AND DISSEMINATE INFORMATION OF BENEFIT TO OUR COMMUNITY. AMONG THE ORGANIZATIONS ARE MARCH OF DIMES, TRIPLE S FOUNDATION, LIFELINK, SUSAN G. KOMEN AND SEVERAL CHURCHES. 23.PARTICIPATION IN DISEASE AWARENESS CAMPAIGNS, TO PROMOTE A HEALTH CARE PREVENTION MESSAGE ON OUR SOCIAL NETWORKS, INFORMATION BROCHURES, EDUCATIONAL TALKS WITH HEALTH PROFESSIONALS. 24.POLICIES AND PROCEDURES FOR PATIENT SERVICE TEMPERED TO CURRENT CHALLENGES. A.POLICY FOR HANDLING INTERNAL COMPLAINTS AND GRIEVANCES B.MANAGEMENT POLICY FOR PATIENTS WITH COMMUNICATION BARRIERS 25.IMPLEMENTATION OF A VIRTUAL COMMUNICATION SYSTEM FOR PATIENTS WITH COMMUNICATION BARRIERS, GUARANTEEING 100% COMPLIANCE IN COMMUNICATION WITH PATIENTS. 26.60% INCREASE IN COMPLETED SURVEYS OF ADMITTED PATIENTS AND IMPLEMENTATION OF A SATISFACTION SURVEY PROGRAM IN THE EMERGENCY ROOM AND ANCILLARY SERVICES. 27.THE SATISFACTION INDEX FOR ADMITTED PATIENTS REACHED 90% IN THE FOLLOWING SERVICES: ADMISSIONS, NURSING, MEDICAL FACULTY, SOCIAL WORK, PHYSICAL PLANT, PERSONNEL, GENERAL SATISFACTION, AND HOSPITAL RECOMMENDATION. 28.ACHIEVEMENT OF A CUMULATIVE AVERAGE OF GENERAL SATISFACTION FOR THE PERIOD OF 95% PATIENT SATISFACTION (+1% VS. 2022).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS IS COMPOSED OF: THE PRESIDENT OF THE UNIVERSITY OF PUERTO RICO, THE DEAN OF THE MEDICINE SCHOOL OF THE MEDICAL SCIENCE CAMPUS OF THE UNIVERSITY OF PUERTO RICO, A MEMBER OF THE BOARD OF TRUSTEES OF THE UNIVERSITY OF PUERTO RICO, A SECRETARY AND THREE ADDITIONAL MEMBERS, WHO ARE APPOINTED BY THE PRESIDENT OF THE UNIVERSITY OF PUERTO RICO AND ARE RATIFIED BY THE BOARD OF TRUSTEES OF THE UNIVERSITY OF PUERTO RICO IN DISPOSITION THAT ONE OF THE THREE MEMBERS MUST BE A HEALTH CARE ADMINISTRATOR. ALL THE MEMBERS OF THE BOARD OF DIRECTORS HAVE THE RIGHT TO VOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>YES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE REVIEW PROCESS OF THE FORM 990 IS UNDER THE RESPONSIBILITY OF THE BOARD OF DIRECTORS FINANCE COMMITTEE OF SERVICIOS MEDICOS UNIVERSITARIOS, INC. SUCH COMMITTEE AT THE SAME TIME, DELEGATES THIS TASK TO THE FINANCE DIRECTOR, WHO PERFORMS THE REVIEW OF THE 990 FORM AND IS AUTHORIZED TO PROVIDE THE RELEASE FOR THE FINAL ISSUANCE OF THE FORM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IF IT IS DETERMINED THAT THERE COULD BE A CONFLICT OF INTEREST AMONG THE EMPLOYEES OF THE ENTITY, THIS MUST BE COMMUNICATED TO THE PERSONNEL SUPERVISOR, WHO WILL CONSULT WITH TOP MANAGEMENT IF DEEMED NECESSARY. IN CASES WHERE ADDITIONAL INFORMATION IS NECESSARY, THE MANAGEMENT HAS TO CONSULT WITH THE LEGAL DIVISION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS APPROVES THE COMPENSATIONS OF THE CEO AND THE CFO AND SUCH COMPENSATIONS ARE EXAMINED EVERY TWO OR THREE YEARS, DEPENDING ON THE ECONOMIC SITUATION OF THE ENTITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS APPROVES THE COMPENSATIONS OF THE CEO AND THE CFO AND SUCH COMPENSATIONS ARE EXAMINED EVERY TWO OR THREE YEARS, DEPENDING ON THE ECONOMIC SITUATION OF THE ENTITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPANY IS A COMPONENT UNIT OF THE UNIVERSITY AND IS DISCRETELY PRESENTED IN THE UNIVERSITY'S FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTED SERVICES 6,181,894 2,981,377 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGES 0</ExplanationTxt>
      </SupplementalInformationDetail>
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