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          <USAddress>
            <AddressLine1Txt>PMB 439 SUITE 113 100 GRAN BOULEVAR</AddressLine1Txt>
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            <StateAbbreviationCd>PR</StateAbbreviationCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>NORTH JANITORIALS</PersonNm>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
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        <ManagementAndGeneralAmt>688044</ManagementAndGeneralAmt>
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          <AddressLine1Txt>PO BOX 6021</AddressLine1Txt>
          <CityNm>CAROLINA</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
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        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
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        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <OtherActionsTakenInd>X</OtherActionsTakenInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicareInd>X</LookBackMedicareInd>
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        <GrossChargesInd>false</GrossChargesInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, SERVICIOS MDICOS - PART V, LINE 20E</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL DOES NOT HAVE FINANCIAL ASSISTANCE 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 GOVERNMENT HEALTH INSURANCE KNOW AS MI SALUD.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE YEARS ENDED JUNE 30, 2024 AND 2023, 52% AND 49% RESPECTIVELY, OF THE AMOUNTS RESERVED AS UNCOLLECTIBLE ARE RELATED TO THIRD-PARTY PAYORS, 48% AND 51%, 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 2024 AND 2023, THE COMPANY ACCOUNTED FOR 458,816 AND 23,221,888, RESPECTIVELY, FOR ACCOUNTS WRITTEN-OFF, OF WHICH NIL AND 8,291,738, RESPECTIVELY, CORRESPOND TO SELF-PAY PATIENTS. FOR MORE DETAILS, PLEASE REFER TO NOTE 3, PAGE 16 OF FINANCIAL STATEMENTS.</ExplanationTxt>
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      <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>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING 2023-2024, THE ORGANIZATION SELF-SUSTAIN THE ECONOMIC AND PHYSICAL RESOURCES TO CONTINUE PROVIDING MEDICAL SERVICES ALONG WITH THE FOLLOWING: 1.AURORA PROGRAM RESULTS (NOVEMBER 2023): THE PUERTO RICO DEPARTMENT OF HEALTH RECOGNIZED OUR IMPLEMENTATION OF THE AURORA PROGRAM, A PIONEERING INITIATIVE THAT, IN JUST TWO YEARS, HAS PROVEN EFFECTIVE IN REDUCING PREMATURE BIRTHS. THIS UNIQUE MODEL ON THE ISLAND POSITIONS OUR HOSPITAL AS A LEADER IN PERINATAL HEALTH. 2.HISTORIC ACCREDITATION (DECEMBER 2023): IN DECEMBER 2023, WE RECEIVED, FOR THE FIRST TIME, FULL AND UNCONDITIONAL ACCREDITATION FROM THE JOINT COMMISSION, REAFFIRMING OUR COMMITMENT TO EXCELLENCE, PATIENT SAFETY, AND QUALITY HEALTHCARE SERVICES. 3.COLLABORATION AGREEMENT WITH THE LUNAS PROJECT (MARCH 2024): WE PARTNERED FOR THE IMPLEMENTATION OF THE "HOPE IN THE BOX" PROGRAM, WHICH AIMS TO PROVIDE DIRECT AND TANGIBLE SUPPORT TO MOTHERS AND FATHERS DURING THE PROCESS OF PERINATAL OR NEONATAL LOSS THROUGH A GIFT OF HOPE. EACH "HOPE IN A BOX" IS INTENDED TO PROMOTE A HEALTHY GRIEVING PROCESS, OFFERING HOPE AND SUPPORT TO THOSE FACING PERINATAL OR NEONATAL LOSS. 4.RECOGNITION IN ORGAN DONATION (APRIL 2024): WE WERE RECOGNIZED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AND LIFELINK FOR OUR EXEMPLARY LEADERSHIP IN PROMOTING ORGAN AND TISSUE DONATION. 5.INNOVATION AWARD (APRIL 2024): WE RECEIVED THE TEAM OF THE YEAR AWARD AT THE LIFELINK INNOVATION AWARDS, ACKNOWLEDGING OUR EFFECTIVE STRATEGIES AND THE EXTRAORDINARY TEAMWORK DEMONSTRATED BY OUR PROFESSIONALS. 6.RECOGNITION OF OUR HEROES (MAY 2024): SEVERAL OF OUR EMPLOYEES WERE HONORED BY THE PUERTO RICO HOSPITAL ASSOCIATION IN CATEGORIES SUCH AS COMMUNITY IMPACT, PATIENT IMPACT, AND RESPONSE TO EXTRAORDINARY EVENTS. THE STORY OF JENNIFER SNCHEZ AND LITTLE SARAH DEEPLY MOVED US AND REMINDED US OF THE TRUE PURPOSE OF OUR VOCATION. 7.CELEBRATING OUR LEGACY (MAY 2024): DURING HOSPITAL WEEK, WE HONORED THE FOUNDERS OF OUR INSTITUTION AND STAFF MEMBERS WHO HAVE DEDICATED 40 YEARS OF CONTINUOUS SERVICE TO OUR COMMUNITY, HIGHLIGHTING THE VALUE OF THEIR CAREERS AND LEGACY. 8.CENTER OF EXCELLENCE (DECEMBER 2024): WE ENDED THE YEAR WITH THE RE- ACCREDITATION AS A CENTER OF EXCELLENCE IN BARIATRIC AND METABOLIC SURGERY BY THE SURGICAL REVIEW CORPORATION, REMAINING THE ONLY HOSPITAL IN PUERTO RICO TO HOLD THIS PRESTIGIOUS CERTIFICATION. 9.HOSPITAL REPRESENTATION AT PROFESSIONAL MEETINGS AND SEMINARS: OUR INSTITUTION WAS REPRESENTED AT EVENTS SUCH AS THE COLLEGE OF HEALTH SERVICES ADMINISTRATORS, THE HOSPITAL ASSOCIATION, ACHE, ASES, AND THE DEPARTMENT OF HEALTH. 10.CAPITAL IMPROVEMENTS INVESTMENT: AN ONGOING INVESTMENT OF 4,261,591 IN CAPITAL IMPROVEMENTS, INCLUDING REMODELING OF PATIENT-USE BATHROOMS, RENOVATION AND EXPANSION OF THE EMERGENCY ROOM, INTENSIVE CARE UNIT AND MEDICAL GAS SYSTEMS, AND THE ACQUISITION OF AN X-RAY MACHINE.</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>
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      <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 7,403,003 3,114,814 0</ExplanationTxt>
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