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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>13846</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NELSON QUINONES SANTOS</PersonNm>
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        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>11955</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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        </ContractorName>
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      <ContractorCompensationGrp>
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          <PersonNm>PEOPLE TEMPORARY SERVICES</PersonNm>
        </ContractorName>
        <ServicesDesc>TEMPORARY SERV</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>JIMENEZ SEDA ARCHILLA</PersonNm>
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      <ContractorCompensationGrp>
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          <PersonNm>SIFRE MUNOZ NOYA PSC</PersonNm>
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      <ContractorCompensationGrp>
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        <Desc>OTHER INCOME</Desc>
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        <RelatedOrExemptFuncIncomeAmt>723914</RelatedOrExemptFuncIncomeAmt>
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        <ProgramServicesAmt>969491</ProgramServicesAmt>
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        <ProgramServicesAmt>760207</ProgramServicesAmt>
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        <ProgramServicesAmt>340769</ProgramServicesAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>81942</TotalAmt>
        <ProgramServicesAmt>81942</ProgramServicesAmt>
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      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>2807483</ProgramServicesAmt>
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        <ProgramServicesAmt>33055</ProgramServicesAmt>
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        <TotalAmt>697586</TotalAmt>
        <ManagementAndGeneralAmt>697586</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>1345873</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ManagementAndGeneralAmt>222611</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3120960</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>2037162</ProgramServicesAmt>
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        <ProgramServicesAmt>150000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>157114</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>34780903</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11948672</ManagementAndGeneralAmt>
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        <EOYAmt>224978</EOYAmt>
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      <TotalLiabilitiesGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>5622015</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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        <Desc>LONG TERM DEBT</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTIES</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>RESERVE FOR CLAIMS</Desc>
        <Amt>1286136</Amt>
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      <TotalLiabilityAmt>26617600</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>52351590</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>52351590</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>52351590</TotalRevenuePerForm990Amt>
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      <CommunityHealthServicesGrp>
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        <TotalExpensePct>0.00010</TotalExpensePct>
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      <TotalOtherBenefitsGrp>
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        <TotalExpensePct>0.00010</TotalExpensePct>
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      <TotalCommunityBenefitsGrp>
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        <TotalExpensePct>0.04810</TotalExpensePct>
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      <BadDebtExpenseReportedInd>false</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>2590531</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>8179556</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>2614002</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>5565554</MedicareSurplusOrShortfallAmt>
      <WrittenDebtCollectionPolicyInd>false</WrittenDebtCollectionPolicyInd>
      <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>
        </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>false</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LowestNegotiatedRatesInd>X</LowestNegotiatedRatesInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2 - NEEDS ASSESSMENT</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>PART VI, LINE 4 - COMMUNITY INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL SERVES PATIENTS FROM THE NORTHEAST OF PUERTO RICO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH</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>ADDITIONAL INFORMATION</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, THE SAME RATES THAT AGREE WITH THE PUERTO RICO HEALTH PLAN. IT INCLUDES HOSPITALIZATION, EMERGENCY SERVICES, IMAGING, AND OTHERS. PART V, 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" INCLUDED 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 NEEDS ASSESSMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING 2014 THE ORGANIZATION REGULARLY EDUCATED THE PUBLIC IN PREVENTIVE HEALTH PROGRAMS AND PERFORMED INVESTIGATIONS TO IMPROVE THE QUALITY OF HEALTH SERVICES OFFERED TO THE CITIZENS. FURTHERMORE, THE ORGANIZATION EXPANDED AND IMPROVED THE SERVICES OFFERED TO PEDIATRIC AND OBSTETRIC PATIENTS, ACQUIRED NEW EQUIPMENT TO IMPROVE THE QUALITY OF SERVICES OFFERED, SUCH AS CARDIAC MONITORS AND MICROSCOPES. THE ORGANIZATION DEVELOPED THE NUTRITIONAL MANAGEMENT AND SKIN CARE COMMITTEE AND COMPLIED WITH THE INSTITUTIONAL PROGRAMS OF QUALITY AND RISK CONTROL, INFECTION CONTROL AMONG OTHERS. ADDITIONALLY DURING THE YEAR, THE ORGANIZATION MADE SEVERAL INFRASTRUCTURE IMPROVEMENTS TO THE HOSPITAL FACILITIES.</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 WHO WILL BE THE EXECUTIVE DIRECTOR OF SERVICIOS MEDICOS UNIVERSITARIOS 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 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>NO DOCUMENTS AVAILABLE TO THE PUBLIC</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTED SERVICES 2,807,483 2,721,411 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGES 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        </DisregardedEntityName>
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          <AddressLine1Txt>MEDICAL SCIENCES CAMPUS</AddressLine1Txt>
          <CityNm>CAROLINA</CityNm>
          <StateAbbreviationCd>PR</StateAbbreviationCd>
          <ZIPCd>00984</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>EDUCATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PR</LegalDomicileStateCd>
        <DirectControllingEntityName>
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        </DirectControllingEntityName>
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      <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>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</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>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>UNIVERSITY OF PUERTO RICO M S CAMP</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>41700</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CONTRACT AGREEMENT</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>