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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>BASED ON THE PROVISION 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, THE DISTRICT OF COLUMBIA AND NOT ANY US TERRITORY OR FOREING 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. HOWEVER, THE HOSPITAL'S PLAN IS TO CONDUCT A COMMUNITY HEALTH NEED ASSESMENT IN THE NEAR FUTURE AND INCORPORATE ITS FINDINGS TO THEIR STRATEGIC AND OPERATIONAL PLANS. THE FINANCIAL ASSISTANCE PROGRAM PROVIDES SERVICES TO APPROXIMATELY 25% OF THE MEDICALLY INDIGENT PATIENTS. THE HOSPITAL PARTICIPATES IN HEALTH CLINICS AND PROVIDES HEALTH SERVICE PROMOTIONS TO THE COMMUNITY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EVERY DIRECTOR, OFFICER OR EMPLOYEE IS REQUIRED TO DISCLOSE ANY INTEREST THAT MAY RISE A CONFLICT OF INTEREST. EVERY MEMBER OF THE BOARD OF DIRECTOR IS REQUIRED TO SUBMIT AT LEAST EVERY TWO YEARS, A CERTIFICATION ON THIS MATTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION IS EVALUATED BY COMPARISON WITH MARKET THROUGH BENCHMARKING WITH OTHER SIMILAR HOSPITALS, JOB EXPERIENCE, EXPERTISE AND PERFORMANCE, CAREER TRACK, AMONG OTHER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>INFORMATION IS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>6,459,665 2,447,834 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc6">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FUNDACIN DAMAS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PARRA MEDICAL PLAZA SUITE 1009</AddressLine1Txt>
          <AddressLine2Txt>2225 PONCE BY PASS</AddressLine2Txt>
          <CityNm>PONCE</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00717</ZIPCd>
        </USAddress>
        <EIN>660652710</EIN>
        <PrimaryActivitiesTxt>CHARITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>DAMAS SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2213 PONCE BY PASS</AddressLine1Txt>
          <CityNm>PONCE</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00717</ZIPCd>
        </USAddress>
        <EIN>660711235</EIN>
        <PrimaryActivitiesTxt>HEALTH SRV</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>678</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>15554</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>FUNDACION DAMAS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>189809</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>