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            <StateAbbreviationCd>PR</StateAbbreviationCd>
            <ZIPCd>00727</ZIPCd>
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        <Desc>OPERATING LEASE LIABILITY - NET CURR</Desc>
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        <Desc>OPERATING LEASE LIABILITY</Desc>
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        <BusinessName>
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        </BusinessName>
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          <AddressLine1Txt>AVE PEDRO ALBIZU CAMPOS</AddressLine1Txt>
          <AddressLine2Txt>URB LA HACIENDA GUAYAMA</AddressLine2Txt>
          <CityNm>GUAYAMA</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00785</ZIPCd>
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        <ResearchFacilityInd>X</ResearchFacilityInd>
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      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>HOSPITAL MENONITA GUAYAMA INC</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
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        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
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        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, HOSPITAL MENONITA GUAYAMA, INC. - PART V, LINE 13B</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL MENONITA GUAYAMA ESTABLISHES AND REVIEWS ANNUALLY ITS OWN INCOME LEVEL GUIDANCE BASED ON THE FPG ISSUED BY HHS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>WE COORDINATE WITH SCHOOLS FROM THE TOWNS OF MAUNABO, PATILLAS, ARROYO, GUAYAMA, AND SALINAS TO ENGAGE WITH STUDENTS. SCHOOL SUPPLIES ARE PROVIDED, WHILE CHILDREN'S CHARACTERS ARE INTRODUCED TO FACILITATE INTERACTIVE AND ENJOYABLE ACTIVITIES. IN ADDITION, PSYCHOLOGICAL SUPPORT FOR EDUCATORS IS ARRANGED THROUGH CIMA, AND WE OFFER INFORMATIVE SESSIONS TO STUDENTS ON TOPICS INCLUDING NUTRITION, DISEASE PREVENTION (COVID), BULLYING, AND MORE. IN COLLABORATION WITH THE LOCAL MUNICIPALITIES, WE ACTIVELY PARTICIPATE IN EDUCATIONAL INITIATIVES AND OUTREACH ACTIVITIES FOR BOTH EMPLOYEES AND THE BROADER COMMUNITY. RECOGNIZING THE IMPORTANCE OF SPORTS IN YOUTH DEVELOPMENT, WE SUPPORT VARIOUS SPORTS ACTIVITIES SUCH AS BASEBALL, BASKETBALL, MARATHONS, LITTLE LEAGUES, AND VOLLEYBALL. WE ESTABLISH PARTNERSHIPS WITH SPORTS TEAMS TO OFFER SCREENING CLINICS FOR PLAYERS. FURTHERMORE, WE HAVE DEVELOPED A PROGRAM THAT SIMPLIFIES THE PROCESS FOR PATIENTS AND THE GENERAL PUBLIC TO ACCESS LABORATORY TESTS AT HOME, ALONG WITH THE DELIVERY OF MEDICATIONS TO THEIR RESIDENCES, ENSURING THAT PATIENTS ADHERE TO THEIR TREATMENT REGIMENS. IN COLLABORATION WITH LOCAL INDUSTRIES, WE CREATE MUTUAL AGREEMENTS TO PROVIDE PREVENTIVE HEALTH INITIATIVES FOR THEIR EMPLOYEES, INCLUDING THE DELIVERY OF HEALTH CLINICS. WE ALSO WORK CLOSELY WITH INDUSTRY EMERGENCY PLANS TO ENSURE THAT, IN THE EVENT OF AN INCIDENT, PROTOCOLS ARE FOLLOWED EFFECTIVELY IN ACCORDANCE WITH ESTABLISHED EMERGENCY PROCEDURES. ANNUALLY, WE FORGE PARTNERSHIPS WITH GOVERNMENT AGENCIES TO DEFINE AND REVIEW PROTOCOLS FOR HURRICANE SEASON PREPAREDNESS, ENSURING CLEAR AND EFFICIENT COMMUNICATION WITH KEY GOVERNMENT LEADERS. TO ADDRESS THE SPIRITUAL NEEDS OF OUR PATIENTS, WE MAINTAIN A DEDICATED TEAM OF CHAPLAINS. ADDITIONALLY, WE COLLABORATE WITH OTHER RELIGIOUS DENOMINATIONS TO PLAN JOINT ACTIVITIES AND DELIVER A COHESIVE, UNIFIED MESSAGE TO THE COMMUNITY.</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 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 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 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 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 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>
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      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>true</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>ROGELIO DIAZ GARCIA</PersonNm>
        <TitleTxt>ADMINISTRATOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>261157</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>70880</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>332037</TotalCompensationFilingOrgAmt>
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        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 5A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PAID COMPENSATION TO ITS OFFICERS CONTINGENT ON THE ORGANIZATION'S REVENUES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVIDE COMPETENT, INNOVATIVE AND ACCESIBLE EMERGENCY AND ACUTE HEALTH SERVICES OF EXCELLENCE TO THE RESIDENTS OF THE MUNICIPALITY OF GUAYAMA AND SURROUNDING COMMUNITIES IN AN ENVIRONMENT FULL OF HUMAN WARMTH, WITHOUT DISCRIMINATION FOR RACE, COLOR, SEX, RELIGION, POLITICS, NATIONALITY, AGE OR IMPEDIMENT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MENNONITE GENERAL HOSPITAL, INC. IS THE SOLE MEMBER OF THE ENTITY.</ExplanationTxt>
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      <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>
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      <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 CHIEF FINANCIAL OFFICER, THE CHIEF EXECUTIVE OFFICER OR THE PRESIDENT OF THE BOARD OF DIRECTORS. THE RETURN IS SIGNED BY THE CHIEF FINANCIAL OFFICER, THE CHIEF EXECUTIVE OFFICER OR ANY OTHER OFFICER DULY AUTHORIZED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INTERNAL AUDIT DEPARTMENT CONTINUOUSLY EVALUATES TRANSACTIONS TO ASSURE THE COMPLIANCE WITH THE POLICY AND CONTRACTUAL CLAUSES IN EVERY DEPARTMENT.</ExplanationTxt>
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      <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 OTHERS. FINAL RECOMMENDATION IS EVALUATED AND APPROVED AT CORPORATE LEVEL. THE CHIEF EXECUTIVE OFFICER IS ALSO APPROVED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
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      <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 OTHERS. FINAL RECOMMENDATION IS EVALUATED AND APPROVED AT CORPORATE LEVEL. THE CHIEF EXECUTIVE OFFICER IS ALSO APPROVED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
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      <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>
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        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>11,519,871 1,476,723 0</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY TRANSFER TO PARENT COMPANY -6,000,000</ExplanationTxt>
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      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
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      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
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</Return>