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            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>009290105</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY SERVIC</ServicesDesc>
        <CompensationAmt>1066365</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>47</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>14231684</GovernmentGrantsAmt>
      <TotalContributionsAmt>14231684</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <TotalRevenueColumnAmt>46914393</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>46914393</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>46914393</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>8311</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8311</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
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        <RealAmt>650272</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>650272</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>650272</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>650272</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>SHORT-TERM ACUTE CARE PAYMENT</Desc>
        <TotalRevenueColumnAmt>3768176</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3768176</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>ELECTRONIC HEALTH RECORD INCE</Desc>
        <TotalRevenueColumnAmt>1043039</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1043039</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <TotalRevenueColumnAmt>493649</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>493649</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>555526</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>555526</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>5860390</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>67665050</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>53433366</RelatedOrExemptFuncIncomeAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>409620</TotalAmt>
        <ProgramServicesAmt>70714</ProgramServicesAmt>
        <ManagementAndGeneralAmt>338906</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>187064</TotalAmt>
        <ManagementAndGeneralAmt>187064</ManagementAndGeneralAmt>
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        <TotalAmt>13533385</TotalAmt>
        <ProgramServicesAmt>10062673</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3470712</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>2717989</TotalAmt>
        <ProgramServicesAmt>1824157</ProgramServicesAmt>
        <ManagementAndGeneralAmt>893832</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>254055</TotalAmt>
        <ManagementAndGeneralAmt>254055</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>70392</TotalAmt>
        <ManagementAndGeneralAmt>70392</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>8149873</TotalAmt>
        <ProgramServicesAmt>5440508</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2709365</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>149900</TotalAmt>
        <ManagementAndGeneralAmt>149900</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ManagementAndGeneralAmt>2115790</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES &amp; REPAIRS</Desc>
        <TotalAmt>14041443</TotalAmt>
        <ProgramServicesAmt>11996276</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2045167</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER OPERATING COSTS</Desc>
        <TotalAmt>4312568</TotalAmt>
        <ProgramServicesAmt>133507</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4179061</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROVISION FOR MALPRACTICE</Desc>
        <TotalAmt>943064</TotalAmt>
        <ManagementAndGeneralAmt>943064</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>240000</TotalAmt>
        <ManagementAndGeneralAmt>240000</ManagementAndGeneralAmt>
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        <TotalAmt>47125143</TotalAmt>
        <ProgramServicesAmt>29527835</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17597308</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <EOYAmt>35943225</EOYAmt>
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        <EOYAmt>30957368</EOYAmt>
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        <EOYAmt>38282005</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>20649821</EOYAmt>
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        <EOYAmt>20649821</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>49981932</BOYAmt>
        <EOYAmt>58931826</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>20539907</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-6072714</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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        <DepreciationAmt>4041532</DepreciationAmt>
        <BookValueAmt>2910962</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>10533883</DepreciationAmt>
        <BookValueAmt>5971073</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>789720</DepreciationAmt>
        <BookValueAmt>5797975</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>14680010</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTIES</Desc>
        <Amt>13924631</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LONG TERM DEBT</Desc>
        <Amt>7735107</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>UNEARNED REVENUE</Desc>
        <Amt>4042928</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RESERVE FOR CLAIMS</Desc>
        <Amt>2700000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CURRENT PORTION OF LONG TERM DEBT</Desc>
        <Amt>2554702</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>30957368</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>67665050</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>67665050</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>67665050</TotalRevenuePerForm990Amt>
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      <ExpensesSubtotalAmt>47125143</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>47125143</TotalExpensesPerForm990Amt>
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      <FinancialAssistancePolicyInd>false</FinancialAssistancePolicyInd>
      <AnnualCommunityBnftReportInd>false</AnnualCommunityBnftReportInd>
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        <TotalExpensePct>0.00980</TotalExpensePct>
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      <UnreimbursedMedicaidGrp>
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      <TotalFinancialAssistanceTyp>
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        <DirectOffsettingRevenueAmt>15778516</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>19598483</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.42570</TotalExpensePct>
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      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>34917905</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>15778516</DirectOffsettingRevenueAmt>
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        <TotalExpensePct>0.42570</TotalExpensePct>
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      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
      <ReimbursedByMedicareAmt>10399307</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>2667389</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>7731918</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 A FINANCIAL ASSISTANCE POLICY PER SE, BUT IF A PATIENT IS INDENTIFIED 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 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL WILL ISSUE 3 COLLECTION LETTERS, TO THE GUARANTOR OF THE ACCOUNT. IF NO COLLETION 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 COMMITTEE 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 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>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc4">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <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>DIRAIDA MALDONADO RIVERA</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>187064</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>187064</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING 2020-2021, THE ORGANIZATION SELF-SUSTAINED THE ECONOMIC AND PHYSICAL RESOURCES TO CONTINUE PROVIDING MEDICAL SERVICES ALONG WITH THE FOLLOWING: 1- GAVE CONTINUITY TO THE STRATEGIC PLAN 2021-2025 CONSIDERING THE DEVELOPMENT OF OUR MEDICAL SERVICES, AND OTHER ACTIVITIES INCLUDED ON THE DEPARTMENTAL WORK PLAN OF THE STRATEGIC PLAN. 2- FOLLOWED UP ON THE PLANS, PROJECTS AND PROGRAMS TO ASSURE THAT ALL GOALS (SHORT-TERM AND LONG-TERM) AND OBJECTIVES ARE ACCOMPLISHED. 3- WEEKLY AND MONTHLY MEETINGS WITH MEMBERS OF THE EXECUTIVE BOARD (LEADERSHIP) TO FOLLOW UP ON THE IMPLEMENTATION OF THE STRATEGIC PLANS AND INSTITUTIONAL PROJECTS. 4- CONTINUED DEVELOPMENT OF THE POLICIES AND PROCEDURES TO BE IN ACCORDANCE TO THE CURRENT CHALLENGES AND IN COMPLIANCE WITH THE REGULATORY AGENCIES. 5- CONTINUE THE OFFERING OF COVID ID NOW TESTS AND BINAX NOW COVID-AG CARD WITH THE CONTINUED EDUCATION PROVIDED TO THE PERSONNEL. 6- REVISED THAT ALL DEPARTMENTAL MANUALS COMPLY WITH THE REGULATIONS IMPOSED BY REGULATORY AGENCIES INCLUDING THE INTEGRATION OF THE DEPARTMENT OF HEALTH'S. 7- ACQUISITION AND INSTALLATION OF CARDIAC MONITORS WITH CAPNOGRAPH IN THE CLINIC UNITS. 8- INTEGRATING NURSING PERSONNEL IN SCREENING AREAS REDUCING THE RISK OF SPREADING THE COVID-19 TO EMPLOYEES, RESIDENTS OR VISITORS. 9- CONTINUITY ON THE TRAINING OF 100% OF THE PERSONNEL IN THE USE OF PERSONAL PROTECTION IN THE MANAGEMENT OF PATIENTS WITH COVID-19 GUARANTEEING PHYSICAL BARRIERS, SOCIAL DISTANCING IN ACCORDANCE WITH EXECUTIVE ORDERS ISSUED BY THE GOVERNOR OF PUERTO RICO. 10- FOLLOWED UP ON THE METRICS OF QUALITY IMPOSED BY THE DIFFERENT MEDICAL PLANS. 11- RECOVERY OF 82% OF THE PATIENTS IN CRITICAL CONDITION CARED FOR IN INTENSIVE CARE UNIT. 12- INAUGURATION OF THE CENTER FOR WOMEN. 13- ADEQUATE MANAGEMENT OF THE FINANCES OF THE ORGANIZATION TO COMPLY WITH OPERATIONAL AND FINANCIAL NEEDS. 14- CONSTRUCTIONS IN PROCESS FOR 5,635,591. 15- SUCCESSFULLY PERFORMED THE SINGLE AUDIT FOR THE COVID-19 FEDERAL GRANTS RECEIVED. 16- OBTAINED NEW FUNDS AND ECONOMIC STIMULUS. 17- EXPANDED AND IMPROVED CLINICAL SERVICES PROVIDED BY THE HOSPITAL ACQUIRING VANGUARD TECHNOLOGY. 18- ACQUISITION AND INVESTMENTS OF 1,424,691 IN EQUIPMENT TO IMPROVE THE CLINICAL SERVICES PROVIDED BY THE HOSPITAL. 19- BEGAN THE SECOND PHASE OF THE PROJECT OF INSTALLATION OF ELECTRICAL GENERATOR TO IMPROVE THE ELECTRICAL SYSTEM AND ITS REDUNDANCY. 20- OPTIMIZED THE INFORMATION SYSTEMS INFRASTRUCTURE WITH THE FOCUS ON CYBERSECURITY, RELIABILITY, INTEGRITY AND AVAILABILITY OF THE SYSTEMS NEEDED TO THE OPERATIONS. (EXAMPLES: FIBER OPTIC TELECOMMUNICATIONS, TELECOM SWITCHES) 21- VIRTUALIZATION AND MIGRATION OF WINDOWS AND LINUX SERVERS - SUCCESSFULLY COMPLETED THE UPDATES AND MIGRATION OF THE PHYSICAL SERVERS TO A VIRTUAL SETUP. INSTALLED DELL SERVERS AND STORAGE UNITS. AMONG OTHERS.</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 HUMAN RESOURCES DIRECTOR AND 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>PROFESSIONAL CONTRACTED SERV 5,440,508 2,709,365 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>CUMMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIP -6,072,714</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>UNIVERSITY OF PUERTO RICO</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>MEDICAL SCIENCES CAMPUS</AddressLine1Txt>
          <CityNm>CAROLINA</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00984</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>EDUCATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
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      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>UNIVERSITY OF PUERTO RICO M S CAMP</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>158545</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>RENT BASED ON MARKET RATE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>UNIVERSITY OF PUERTO RICO M S CAMP</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>894250</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
