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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotalOtherCompensationAmt>40053</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
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      <ContractorCompensationGrp>
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        <ContractorAddress>
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          </USAddress>
        </ContractorAddress>
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        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
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          <USAddress>
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        </ContractorAddress>
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        <ContractorName>
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        <ServicesDesc>CONSTRUCTION</ServicesDesc>
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          <FacilityTxt>EMERGENCY ROOM - 24 HOURS</FacilityTxt>
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      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL MENONITA HUMACAO CARRIES OUT VARIOUS SOCIAL IMPACT INITIATIVES IN HEALTH, COMMUNITY, EDUCATION, AND WELL-BEING. THROUGH HEALTH FAIRS, THEY PROVIDE ACCESS TO INFORMATION AND SERVICES TO APPROXIMATELY 200 PEOPLE PER EVENT. IN THE COMMUNITY, THEY DONATE TOYS AND SCHOOL SUPPLIES TO CHILDREN IN VULNERABLE SITUATIONS, IMPACTING AROUND 30 CHILDREN PER LOCATION, IN ADDITION TO PARTICIPATING IN SCHOOL ACTIVITIES BENEFITING 150 CHILDREN PER EVENT. WITHIN THE HOSPITAL, THEY ORGANIZE INFORMATIONAL TABLES ON SUICIDE PREVENTION AND DOMESTIC VIOLENCE, REFLECTION ACTIVITIES, AND VISITS TO PEDIATRIC PATIENTS WITH GIFT DELIVERIES. IN THE EDUCATIONAL FIELD, THEY OFFER TRAINING FOR FUTURE HEALTHCARE PROFESSIONALS, JOB INTERVIEW GUIDANCE FOR YOUNG PEOPLE, AND PSYCHOEDUCATIONAL WORKSHOPS FOR EMPLOYEES. THESE INITIATIVES ARE SUPPORTED BY HOSPITAL STAFF, EXTERNAL COLLABORATORS, AND VARIOUS PARTNER ORGANIZATIONS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE PAGE 9 OF AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>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 RESPONSIBLE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>A MINIMUM OF FOUR COLLECTION EFFORTS TO PATIENS 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 SENT 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>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 COMMUNITY HEALTH NEED ASSESSMENT. PART V, SECTION B, LINE 9 &amp; 10 - THE FINANCIAL ASSISTANCE POLICY IS BASED ON MEDICARE COST REPORT RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVIDE COMPETENT, INNOVATIVE AND ACCESIBLE EMERGENCY AND ACUTE CARE HEALTH SERVICES OF EXCELLENCE TO THE RESIDENTS OF THE MUNICIPALITY OF HUMACAO AND SURROUNDING COMMUNITIES IN AN ENVIRONMENT FULL OF HUMAN WARMTH, WITHOUT DISCRIMINATION FOR RACE, COLOR, SEX, RELIGION, POLITICS, NATIONALITY, AGE OR IMPEDIMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>AS THE SOLE MEMBER, MENNONITE GENERAL HOSPITAL HAS THE POWER TO MAKE ANY GOVERNANCE DECISIONS OF THE ORGANIZATION, PURSUANT TO THE CORPORATION BYLAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TAX RETURN IS PREPARED BY A CONTRACTED EXTERNAL CERTIFIED PUBLIC ACCOUNTANT. THE RETURN IS REVIEWED BY THE CHEIF FINANCIAL OFFICER, THE CHEIF EXECUTIVE OFFICER OR THE PRESIDENT OF THE BOARD OF DIRECTORS. THE RETURN IS SIGNED BY THE CHEIF FINANCIAL OFFICER OR THE CHEIF EXECUTIVE OFFICER OR ANY OTHER OFFICER DULY AUTHORIZED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INTERNAL AUDIT DEPARTMENT CONTINUOSLY EVALUATES TRANSACTIONS TO ASSURE THE COMPLIANCE WIH THE POLICY AND CONTRACTUAL CLAUSES IN EVERY DEPARTMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>HUMAN RESOURCES EVALUATES THE COMPENSATION FOR ANY POSITION WHEN THE POSITION IS AVAILABLE FOR RECRUTING. 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 CEO COMPENSATION IS ALWAYS EVALUATED THIS WAY BUT APPROVED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>HUMAN RESOURCES EVALUATES THE COMPENSATION FOR ANY POSITION WHEN THE POSITION IS AVAILABLE FOR RECRUTING. 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 CEO COMPENSATION IS ALWAYS EVALUATED THIS WAY BUT APPROVED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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 EMPLOYESS, BOARD MEMBERS AND OTHER AGENCIES AS REQUIRED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>9,036,208 803,533 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY TRANSFER TO PARENT COMPANY -6,000,000</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOSPITAL MENONITA PONCE INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CASA BARRANQUITAS INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>CALLE BARCELO NO 2</AddressLine1Txt>
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          <ZIPCd>00794</ZIPCd>
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        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
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        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOGAR AURORA INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>5 JAZMIN ST</AddressLine1Txt>
          <CityNm>AIBONITO</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00705</ZIPCd>
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        <EIN>660586357</EIN>
        <PrimaryActivitiesTxt>HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
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        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PLAN DE SALUD MENONITA INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO BOX 44</AddressLine1Txt>
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          <ZIPCd>00705</ZIPCd>
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        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CARIBE RX INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO BOX 1650</AddressLine1Txt>
          <CityNm>CIDRA</CityNm>
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        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>STRATEGIC PROVIDERS ALLIANCE INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>PO BOX 1650</AddressLine1Txt>
          <CityNm>CIDRA</CityNm>
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        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</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>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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        <TransactionTypeTxt>M</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>CONTRACT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PLAN DE SALUD MENONITA</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>27324</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MENNONITE GENERAL HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>114860</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>6000000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>