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        <ContractorName>
          <PersonNm>SECOND BASE CORP</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>SAN JUAN</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00911</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>975349</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>52</CntrctRcvdGreaterThan100KCnt>
      <InfoInScheduleOPartVIIIInd>X</InfoInScheduleOPartVIIIInd>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENTS SERVICE REVENUE</Desc>
        <TotalRevenueColumnAmt>161516998</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>161516998</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>161516998</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1868094</TotalRevenueColumnAmt>
        <ExclusionAmt>1868094</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>OTHER OPERATING REVENUES</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>34139372</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>34139372</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>34139372</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>197524464</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>195656370</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>1868094</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>58074091</TotalAmt>
        <ProgramServicesAmt>58074091</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>24882098</TotalAmt>
        <ProgramServicesAmt>24882098</ProgramServicesAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>24674014</TotalAmt>
        <ProgramServicesAmt>24674014</ProgramServicesAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>8232623</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>9286728</ProgramServicesAmt>
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      <InsuranceGrp>
        <TotalAmt>1271258</TotalAmt>
        <ProgramServicesAmt>1271258</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>43334860</TotalAmt>
        <ProgramServicesAmt>43334860</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>UTILITIES</Desc>
        <TotalAmt>6011032</TotalAmt>
        <ProgramServicesAmt>6011032</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PROVISION BAD DEBTS</Desc>
        <TotalAmt>5165398</TotalAmt>
        <ProgramServicesAmt>5165398</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MALPRACTICE COSTS</Desc>
        <TotalAmt>1284890</TotalAmt>
        <ProgramServicesAmt>1284890</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>182216992</TotalAmt>
        <ProgramServicesAmt>182216992</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>54492776</BOYAmt>
        <EOYAmt>45130973</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>139046</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>25000</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>3845065</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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      <LandBldgEquipCostOrOtherBssAmt>237518492</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>110250539</LandBldgEquipAccumDeprecAmt>
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        <BOYAmt>123612190</BOYAmt>
        <EOYAmt>127267953</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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      <InvestmentsProgramRelatedGrp>
        <BOYAmt>7460777</BOYAmt>
        <EOYAmt>8547884</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>10856049</BOYAmt>
        <EOYAmt>12889280</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>265981305</BOYAmt>
        <EOYAmt>279058403</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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      <DeferredRevenueGrp>
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        <EOYAmt>124974</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>112761519</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>20162847</BOYAmt>
        <EOYAmt>23734634</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>162084742</BOYAmt>
        <EOYAmt>159957041</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>103896563</BOYAmt>
        <EOYAmt>119101362</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>103896563</BOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>265981305</BOYAmt>
        <EOYAmt>279058403</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>15307472</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-102673</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc8">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
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        <OtherCostOrOtherBasisAmt>2817788</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2817788</BookValueAmt>
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        <BookValueAmt>92357848</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <BookValueAmt>3569193</BookValueAmt>
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        <BookValueAmt>22054332</BookValueAmt>
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        <OtherCostOrOtherBasisAmt>13840604</OtherCostOrOtherBasisAmt>
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        <BookValueAmt>6468792</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>127267953</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LIABILITY FOR PENSION BENEFITS</Desc>
        <Amt>11508439</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OBLIGATION UNDER DEF. COMPENSATION</Desc>
        <Amt>8547884</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUAL FOR MED. MALPRACTICE CLAIM</Desc>
        <Amt>3678311</Amt>
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      <TotalLiabilityAmt>23734634</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>197524464</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>197524464</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>197524464</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>182216992</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>182216992</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>182216992</TotalExpensesPerForm990Amt>
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    <IRS990ScheduleH documentId="RetDoc7">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent100Ind>X</Percent100Ind>
      <FPGReferenceDiscountedCareInd>false</FPGReferenceDiscountedCareInd>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>false</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>false</AnnualCommunityBnftReportInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>901212</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>901212</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00490</TotalExpensePct>
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      <UnreimbursedCostsGrp>
        <TotalCommunityBenefitExpnsAmt>104536472</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>62972453</DirectOffsettingRevenueAmt>
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      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>105437684</TotalCommunityBenefitExpnsAmt>
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        <NetCommunityBenefitExpnsAmt>42465231</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.23300</TotalExpensePct>
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      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>7037</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>7037</NetCommunityBenefitExpnsAmt>
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      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>132951</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>132951</NetCommunityBenefitExpnsAmt>
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      <TotalOtherBenefitsGrp>
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        <NetCommunityBenefitExpnsAmt>139988</NetCommunityBenefitExpnsAmt>
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      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>105577672</TotalCommunityBenefitExpnsAmt>
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        <TotalExpensePct>0.23380</TotalExpensePct>
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      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>5165398</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>1806486</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>11393040</ReimbursedByMedicareAmt>
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      <MedicareSurplusOrShortfallAmt>2165456</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>3</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HOSPITAL MENONITA CAYEY</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>14 ST BO RINCON SECTOR LOMAS</AddressLine1Txt>
          <CityNm>CAYEY</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00737</ZIPCd>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>2</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HOSPITAL MENONITA DE AIBONITO</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>JOSE C VAZQUEZ ST</AddressLine1Txt>
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          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00705</ZIPCd>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>3</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>HOSPITAL SIQUIATRICO CIMA</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>GERARDO SANTIAGO ST INTERIOR</AddressLine1Txt>
          <CityNm>AIBONITO</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00705</ZIPCd>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>HOSPITAL MENONITA CAYEY</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>false</CHNAConductedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitReportToCreditAgencyInd>X</PermitReportToCreditAgencyInd>
        <CollectionActivitiesInd>true</CollectionActivitiesInd>
        <ReportingToCreditAgencyInd>X</ReportingToCreditAgencyInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedBeforeDischargeInd>X</FAPNotifiedBeforeDischargeInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <OtherMethodUsedInd>X</OtherMethodUsedInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>HOSPITAL MENONITA DE AIBONITO</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>2</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>false</CHNAConductedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitReportToCreditAgencyInd>X</PermitReportToCreditAgencyInd>
        <CollectionActivitiesInd>true</CollectionActivitiesInd>
        <ReportingToCreditAgencyInd>X</ReportingToCreditAgencyInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedBeforeDischargeInd>X</FAPNotifiedBeforeDischargeInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <OtherMethodUsedInd>X</OtherMethodUsedInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>HOSPITAL SIQUIATRICO CIMA</BusinessNameLine1Txt>
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        <FacilityNum>3</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>false</CHNAConductedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitReportToCreditAgencyInd>X</PermitReportToCreditAgencyInd>
        <CollectionActivitiesInd>true</CollectionActivitiesInd>
        <ReportingToCreditAgencyInd>X</ReportingToCreditAgencyInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedBeforeDischargeInd>X</FAPNotifiedBeforeDischargeInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <OtherMethodUsedInd>X</OtherMethodUsedInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, HOSPITAL MENONITA CAYEY - PART V, LINE 13B</FormAndLineReferenceDesc>
        <ExplanationTxt>MENNONITE GENERAL HOSPITAL ESTABLISHES AND REVIEWS ANNUALLY ITS OWN INCOME LEVEL GUIDANCE BASED ON THE FPG ISSUED BY HHS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, HOSPITAL MENONITA CAYEY - PART V, LINE 22D</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL FACILITY CHARGED AN AMOUNT EQUAL TO THE GROSS CHARGES FOR SERVICES PROVIDED TO PRIVATE PATIENTS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 2, HOSPITAL MENONITA DE AIBONITO - PART V, LINE 13B</FormAndLineReferenceDesc>
        <ExplanationTxt>MENNONITE GENERAL HOSPITAL ESTABLISHES AND REVIEWS ANNUALLY ITS OWN INCOME LEVEL GUIDANCE BASED ON THE FPG ISSUED BY HHS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 2, HOSPITAL MENONITA DE AIBONITO - PART V, LINE 22D</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL FACILITY CHARGED AN AMOUNT EQUAL TO THE GROSS CHARGES FOR SERVICES PROVIDED TO PRIVATE PATIENTS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 3, HOSPITAL SIQUIATRICO CIMA - PART V, LINE 13B</FormAndLineReferenceDesc>
        <ExplanationTxt>MENNONITE GENERAL HOSPITAL ESTABLISHES AND REVIEWS ANNUALLY ITS OWN INCOME LEVEL GUIDANCE BASED ON THE FPG ISSUED BY HHS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 3, HOSPITAL SIQUIATRICO CIMA - PART V, LINE 22D</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL FACILITY CHARGED AN AMOUNT EQUAL TO THE GROSS CHARGES FOR SERVICES PROVIDED TO PRIVATE PATIENTS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>11</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CENTRO DE SALUD CIDRA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>JIBARO INDUSTRIAL AVENUE</AddressLine1Txt>
            <CityNm>CIDRA</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00739</ZIPCd>
          </USAddress>
          <FacilityTxt>EMERGENCY ROOM - 24 HOURS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CENTRO DE SALUD COAMO</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>138 LUIS MUOZ MARIN AVENUE</AddressLine1Txt>
            <CityNm>COAMO</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00769</ZIPCd>
          </USAddress>
          <FacilityTxt>EMERGENCY ROOM - 24 HOURS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CENTRO DE SALUD BARRANQUITAS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>53 BARCELO STREET</AddressLine1Txt>
            <CityNm>BARRANQUITAS</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00794</ZIPCd>
          </USAddress>
          <FacilityTxt>EMERGENCY ROOM - 24 HOURS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CENTRO DE SALUD OROCOVIS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>155 STREET SECTOR EL DESVIO</AddressLine1Txt>
            <CityNm>OROCOVIS</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00720</ZIPCd>
          </USAddress>
          <FacilityTxt>EMERGENCY ROOM -24 HOURS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>RAYOS X DE OROCOVIS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4 OF JULY STREET</AddressLine1Txt>
            <CityNm>OROCOVIS</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00720</ZIPCd>
          </USAddress>
          <FacilityTxt>X-RAYS CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CENTRO DE SALUD DE AGUAS BUENAS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>98 MUOZ RIVERA STREET</AddressLine1Txt>
            <CityNm>AGUAS BUENAS</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00703</ZIPCd>
          </USAddress>
          <FacilityTxt>EMERGENCY ROOM - 24 HOURS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CENTRO DE SALUD COMERIO</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>CARR 778 BO VEGA REDONDA</AddressLine1Txt>
            <CityNm>COMERIO</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00782</ZIPCd>
          </USAddress>
          <FacilityTxt>EMERGENCY ROOM- 24 HOURS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>EQUIPO MEDICO</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>JOSE C VAZQUEZ STREET</AddressLine1Txt>
            <CityNm>AIBONITO</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00705</ZIPCd>
          </USAddress>
          <FacilityTxt>MEDICAL EQUIPMENT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HOSPICIO</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3 CALLE DR TROYER</AddressLine1Txt>
            <CityNm>AIBONITO</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00705</ZIPCd>
          </USAddress>
          <FacilityTxt>OTHER HOSPICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SALUD EN EL HOGAR</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>URB TURABO GARDEN CARRETERA 172</AddressLine1Txt>
            <CityNm>CAGUAS</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00726</ZIPCd>
          </USAddress>
          <FacilityTxt>HOME CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>RAYOS X DE BARRANQUITAS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8 BARCELO STREET</AddressLine1Txt>
            <CityNm>BARRANQUITAS</CityNm>
            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00794</ZIPCd>
          </USAddress>
          <FacilityTxt>X-RAYS CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL STATEMENTS NOTE- "THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS AN AMOUNT THAT MANAGEMENT BELIEVES WILL BE ADEQUATE TO ABSORB POSSIBLE LOSSES ON EXISTING RECEIVABLES THAT MAY BECOME UNCOLLECTIBLE BASED ON EVALUATIONS OF THE COLLECTABILITY OF THE RECEIVABLES AND PRIOR CREDIT LOSS EXPERIENCE. BECAUSE OF UNCERTAINTIES INHERENT IN THE ESTIMATION PROCESS, MANAGEMENT'S ESTIMATE CREDIT OF LOSSES INHERENT IN THE RECEIVABLES OUTSTANDING AND THE RELATED ALLOWANCE MAY CHANGE IN THE NEAR TERM".</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8 - MEDICARE EXPLANATION</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 RESPOSIBLE 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 RECOMENDATION 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>PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>A MINIMUM OF FOUR COLLECTION EFFORTS TO PATIENTS 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 SEND BEFORE THE COLLECTION DEPARTMENT DECIDE 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 RECOMMENDS THE ELIMINATION OF THE ACCOUNT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ADDITIONAL INFORMATION</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 THE COMMUNITY HEALTH NEED ASSESSMENT.PART V,SECTION B, LINE 9 &amp; LINE 10 - THE FINANCIAL ASSISTANCE POLICY IS BASED ON MEDICARE COST REPORT RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <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>PEDRO L MELENDEZ ROSARIO</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>350205</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>62500</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>153482</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>566187</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSE E SOLIVAN RIVERA</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>216941</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>30000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>24500</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>271441</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RUBEN NORAT ROIG</PersonNm>
        <TitleTxt>HOSPITAL ADMINISTRAT</TitleTxt>
        <BaseCompensationFilingOrgAmt>187587</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>44855</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>12462</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>244904</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICARDO HERNANDEZ RIVERA</PersonNm>
        <TitleTxt>ASSOCIATE EX. DIRECT</TitleTxt>
        <BaseCompensationFilingOrgAmt>113649</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>30000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>101750</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>245399</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KERVIN ARROYO TORRES</PersonNm>
        <TitleTxt>DOCTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>366701</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>13920</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>78355</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>458976</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROGELIO DIAZ GARCIA</PersonNm>
        <TitleTxt>OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>167167</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>30000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>2000</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>199167</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AXEL ARROYO</PersonNm>
        <TitleTxt>OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>156113</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>156113</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RENE RIVERA MOLINA</PersonNm>
        <TitleTxt>HOSPITAL ADMINISTRAT</TitleTxt>
        <BaseCompensationFilingOrgAmt>124155</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>30000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>54854</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>209009</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc5">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>LCDO MARIO PRIETO</PersonNm>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>25000</OriginalPrincipalAmt>
        <BalanceDueAmt>25000</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>25000</TotalBalanceDueAmt>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT CARE- THE HOSPITAL PROVIDES GENERAL HEALTH CARE SERVICES TO PATIENTS WITHIN ITS GEOGRAPHICAL LOCATION. EXPENSES INCLUDES HEALTH CARE AND GENERAL AND ADMINISTRATIVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TAX RETURN IS PREPARED BY CONTRACTED EXTERNAL CERTIFIED PUBLIC ACCOUNTANT. THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER, THE CHIEF EXECUTIVE OFFICER AND THE PRESIDENT OF THE BOARD OF DIRECTORS. THE RETURN IS SIGNED BY THE CHIEF FINANCIAL OFFICER OR THE CHIEF EXECUTIVE OFFICER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MENNONITE GENERAL HOSPITAL HAS A WRITTEN POLICY THAT APPLIES TO THE GOVERNING BODY. BESIDES SAID POLICY, THE CONTRACTS OF OFFICERS, DIRECTORS AND KEY EMPLOYEES INCLUDE A CONFLICT OF INTEREST CLAUSE. THE AUDIT AND LEGAL DEPARTMENT CONTINUOUSLY EVALUATE TRANSACTIONS TO ASSURE THE COMPLIANCE WITH THE POLICY AND CONTRACTUAL CLAUSES. IN ESSENCE, BOTH WAYS ASSURE THAT THE OFFICER, DIRECTOR OR EMPLOYEE PUTS THE CORPORATION'S INTERESTS BEFORE THEIR OWN. WE TAKE INTO ACCOUNT THAT THE CONFLICTS OF INTERESTS MAY BE ECONOMICAL, OF PERSONAL RELATIONS, OF POWER OF STATUS, AMONG OTHER POSSIBILITIES. THROUGH THESE MEASURES THE COMPANY ALSO ASSURES THE CONFIDENTIALITY OF THE INFORMATION AND BUSINESS STRATEGIES. IF A POTENTIAL CONFLICT IS DISCOVERED, IT IS ANALYZED AT CORPORATIVE LEVEL AND THE CONFLICTIVE CONTRACT IS TERMINATED. SINCE WE ARE PROACTIVE AVOIDING CONFLICTS OF INTERESTS TRANSACTIONS, THE ONLY GROUP THAT HAS RESTRICTIONS DUE TO POSSIBLE CONFLICTS OF INTERESTS IS THE GOVERNING BODY. THE POLICY THAT APPLIES TO THIS GROUP STATES THAT THE MEMBER WITH THE CONFLICT MAY PARTICIPATE BUT WILL NOT BE INCLUDED IN THE QUORUM OF THE MEETING DISCUSSING THE CONFLICTIVE TRANSACTION, NEITHER CAN VOTE OR USE ITS PERSONAL INFLUENCE TO AFFECT THE VOTE REGARDING THE TRANSACTION. THE MINUTES OF THE MEETING WILL REFLECT THAT A DISCOVERY WAS DONE, THE ABSTENTION OF THE MEMBER DURING THE VOTING PROCESS AND THE QUORUM SITUATION.</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 RECRUITING. THEY COMPARE WITH MARKET THROUGH BENCHMARKING WITH OTHER SIMILAR HOSPITALS, JOB EXPERIENCE, EXPERTISE AND PERFORMANCE, CAREER TRACK, AMONG OTHER. 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 RECRUITING. THEY COMPARE WITH MARKET THROUGH BENCHMARKING WITH OTHER SIMILAR HOSPITALS, JOB EXPERIENCE, EXPERTISE AND PERFORMANCE, CAREER TRACK, AMONG OTHER. 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 EMPLOYEES, BOARD MEMBERS AND OTHER AGENCIES AS REQUIRED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL FEES 24,674,014 0 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRIBUTION TO RELATED PARTY -102,673 TOTAL -102,673</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOGAR AURORA INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <EIN>660586357</EIN>
        <PrimaryActivitiesTxt>HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CASA AIBONITO INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <EIN>660387637</EIN>
        <PrimaryActivitiesTxt>HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CASA BARRANQUITAS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <EIN>660479283</EIN>
        <PrimaryActivitiesTxt>HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOSPITAL MENONITA CAGUAS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <EIN>660776102</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <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>false</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>
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