MENNONITE GENERAL HOSPITAL INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- MENNONITE GENERAL HOSPITAL INC (EIN 66-0219758)
- Tax period
- 2014-04-01 to 2015-03-31
- Filed
- 2015-11-16
- IRS object ID
- 201503209349309070
- Schema version
- 2014v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-16T13:50:31-06:00 | ReturnTs |
| Tax Period End | 2015-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 660703468 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FPV & GALINDEZ CPAS PSC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 364152 | AddressLine1Txt |
| City | SAN JUAN | CityNm |
| State Abbreviation | PR | StateAbbreviationCd |
| ZIP | 009364152 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 660219758 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MENNONITE GENERAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MENN | BusinessNameControlTxt |
| Phone | 7875351001 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 373130 | AddressLine1Txt |
| City | CAYEY | CityNm |
| State Abbreviation | PR | StateAbbreviationCd |
| ZIP | 007373130 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOSE E SOLIVAN | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 7875351001 | PhoneNum |
| Signature | 2015-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | YELITZA R LOPEZ RIVERA | PreparerPersonNm |
| PTIN | P00965097 | PTIN |
| Phone | 7877254545 | PhoneNum |
| Preparation | 2015-11-16 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PEDRO L MELENDEZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 373130 | AddressLine1Txt |
| City | CAYEY | CityNm |
| State Abbreviation | PR | StateAbbreviationCd |
| ZIP | 007373130 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $206,278,104 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1976 | FormationYr |
| Legal Domicile State | PR | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE TO THE COMMUNITY INTEGRATED AND EXCELLENT HEALTH CARE SERVICES IN A WARMTH ATMOSPHERE, WITHOUT DISCRIMINATION OF RACE, COLOR, SEX, RELIGION, POLITICAL BELIEF, NATIONALITY, AGE OR DISABILITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 1669 | TotalEmployeeCnt |
| Total Volunteers | 70 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $168,887,321 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $170,245,644 | CYProgramServiceRevenueAmt |
| PY Investment Income | $11,658,309 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,506,246 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,602,229 | PYOtherRevenueAmt |
| CY Other Revenue | $34,526,214 | CYOtherRevenueAmt |
| PY Total Revenue | $186,147,859 | PYTotalRevenueAmt |
| CY Total Revenue | $206,278,104 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $72,119,506 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $81,646,821 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $89,024,181 | PYOtherExpensesAmt |
| CY Other Expenses | $98,645,878 | CYOtherExpensesAmt |
| PY Total Expenses | $161,143,687 | PYTotalExpensesAmt |
| CY Total Expenses | $180,292,699 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $25,004,172 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $25,985,405 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $235,641,914 | TotalAssetsBOYAmt |
| Total Assets EOY | $265,981,305 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $154,006,452 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $162,084,742 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $81,635,462 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $103,896,563 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PROVIDE TO THE COMMUNITY INTEGRATED AND EXCELLENT HEALTH CARE SERVICES IN A WARMTH ATMOSPHERE, WITHOUT DISCRIMINATION OF RACE, COLOR, SEX, RELIGION, POLITICAL BELIEF, NATIONALITY, AGE OR DISABILITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $180,292,699 | ExpenseAmt |
| Revenue | $204,771,858 | RevenueAmt |
| Desc | PATIENT CARE- THE HOSPITAL PROVIDES GENERAL HEALTH CARE SERVICES TO PATIENTS WITHIN ITS GEOGRAPHICAL LOCATION. EXPENSES INCLUDE HEALTH CARE AND GENERAL AND ADMINISTRATIVE. MEDICAL EXPENSE ASSISTANCE- THE HOSPITAL PROVIDES CHARITY CARE WITHOUT CHARGE OF AN AMOUNT LESS THAN ESTABLISHED RATIOS TO PATIENTS WHO MEET CERTAIN CRITERIA. CHARGES FORGONE BASED ON STANDARD RATES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT CARE- THE HOSPITAL PROVIDES GENERAL HEALTH CARE SERVICES TO PATIENTS WITHIN ITS GEOGRAPHICAL LOCATION. EXPENSES INCLUDES HEALTH CARE AND GENERAL AND ADMINISTRATIVE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $180,292,699 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | Yes (true) | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1669 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MENNONITE GENERAL HOSPITAL INC | PersonNm |
| Phone | 7875351001 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 373130 | AddressLine1Txt |
| City | CAYEY | CityNm |
| State Abbreviation | PR | StateAbbreviationCd |
| ZIP | 007373130 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| VICTOR ORTIZ | |||||||
| PRESIDENT | Yes (X) | $0 | $0 | $0 | |||
| JOSE RIVERA | |||||||
| VICE PRESIDE | Yes (X) | $0 | $0 | $0 | |||
| HERMANN BAUER | |||||||
| TREASURER | Yes (X) | $0 | $0 | $0 | |||
| LARRY BONILLA | |||||||
| SECRETARY | Yes (X) | $0 | $0 | $0 | |||
| DANIEL OLIVERA | |||||||
| ASSISTANT | Yes (X) | $0 | $0 | $0 | |||
| PEDRO L MELENDEZ ROSARIO | |||||||
| CEO | $371,400 | $0 | $325,105 | 40.00 | Yes (X) | ||
| RUBEN NORAT | |||||||
| HOSPITAL ADM | $223,339 | $0 | $18,420 | 40.00 | Yes (X) | ||
| JOSE E SOLIVAN RIVERA | |||||||
| CFO | $190,729 | $0 | $56,069 | 40.00 | Yes (X) | ||
| RENE RIVERA | |||||||
| HOSPITAL ADM | $167,373 | $0 | $47,040 | 40.00 | Yes (X) | ||
| RICARDO HERNANDEZ RIVERA | |||||||
| ASSOCIATE EX | $101,247 | $0 | $98,621 | 40.00 | Yes (X) | ||
| MARTA MERCADO SURO | |||||||
| COO | $46,642 | $0 | $207,534 | 40.00 | Yes (X) | ||
| KERVIN ARROYO TORRES | |||||||
| DOCTOR | $373,946 | $0 | $500 | 40.00 | Yes (X) | ||
| ALBERTO R RIVERA ROSADO | |||||||
| DOCTOR | $233,053 | $0 | $0 | 40.00 | Yes (X) | ||
| DAVID MEHNE HAZELWOOD | |||||||
| DOCTOR | $135,185 | $0 | $274,154 | 40.00 | Yes (X) | ||
| HECTOR RODRIGUEZ ROMAN | |||||||
| CORPORATE EN | $130,408 | $0 | $0 | 40.00 | Yes (X) | ||
| ANA B TORRES HERNANDEZ | |||||||
| ASSOCIATE AD | $127,034 | $0 | $0 | 40.00 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,100,356 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $1,027,443 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 23 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| EMERGENCY SERVICES GROUP | ||||||
| PO BOX 1883 | CIDRA | PR | 00739 | ER SERVICES | $7,461,258 | |
| HOSPITAL RADIOLOGY SERVICES | ||||||
| AVENIDA ASHFORD 868 APART 102 | SAN JUAN | PR | 00909 | RADIOLOGY | $2,717,818 | |
| DR SILVERIO PEREZ | ||||||
| PMB 360 701-1 AVE PONCE DE LEON | SAN JUAN | PR | 00907 | RADIOLOGY | $2,552,539 | |
| PERFECT CLEANING | ||||||
| URB LOS PASEOS 100 GRAND BLVD | SAN JUAN | PR | 009265955 | HOUSEKEEPING SE | $1,211,291 | SUITE 112 |
| PUBLICIDAD TERE SUAREZ | ||||||
| 466 AVENIDA HOSTOS | HATO REY | PR | 00918 | ADVERTISING | $812,620 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 45 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENTS SERVICE REVENUE | Desc |
| Total Revenue Column | $170,245,644 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $170,245,644 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $170,245,644 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,506,246 | TotalRevenueColumnAmt |
| Exclusion | $1,506,246 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER OPERATING REVENUES | 621990 | $34,701,803 | $34,701,803 |
| LOSS ON CONSTRUCTION | 621990 | -$175,589 | -$175,589 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $34,526,214 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $206,278,104 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $204,771,858 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,506,246 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,637,964 | TotalAmt |
| Program Services | $55,637,964 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,008,857 | TotalAmt |
| Program Services | $26,008,857 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,052,142 | TotalAmt |
| Program Services | $22,052,142 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,407,317 | TotalAmt |
| Program Services | $8,407,317 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,467,918 | TotalAmt |
| Program Services | $9,467,918 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,185,202 | TotalAmt |
| Program Services | $1,185,202 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| SUPPLIES | $43,702,267 | $43,702,267 |
| UTILITIES | $6,978,955 | $6,978,955 |
| PROVISION BAD DEBTS | $4,487,165 | $4,487,165 |
| MALPRACTICE COSTS | $2,364,912 | $2,364,912 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,292,699 | TotalAmt |
| Program Services | $180,292,699 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,092,671 | BOYAmt |
| EOY | $54,492,776 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $128,930 | BOYAmt |
| EOY | $128,930 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,255,458 | BOYAmt |
| EOY | $48,190,217 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $37,529 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,544,252 | BOYAmt |
| EOY | $4,316,715 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,902,408 | BOYAmt |
| EOY | $2,564,674 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $224,352,568 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $100,740,378 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,455,399 | BOYAmt |
| EOY | $123,612,190 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,577,979 | BOYAmt |
| EOY | $14,321,448 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,443,045 | BOYAmt |
| EOY | $7,460,777 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,241,772 | BOYAmt |
| EOY | $10,856,049 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $235,641,914 | BOYAmt |
| EOY | $265,981,305 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,505,978 | BOYAmt |
| EOY | $20,020,288 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,250 | BOYAmt |
| EOY | $17,250 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,408,816 | BOYAmt |
| EOY | $121,884,357 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,074,408 | BOYAmt |
| EOY | $20,162,847 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $154,006,452 | BOYAmt |
| EOY | $162,084,742 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,635,462 | BOYAmt |
| EOY | $103,896,563 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,635,462 | BOYAmt |
| EOY | $103,896,563 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $235,641,914 | BOYAmt |
| EOY | $265,981,305 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $25,985,405 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$45,114 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$679,190 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$3,000,000 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,817,788 | OtherCostOrOtherBasisAmt |
| Book Value | $2,817,788 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $124,561,561 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,497,913 | DepreciationAmt |
| Book Value | $91,063,648 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,962,543 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,890,695 | DepreciationAmt |
| Book Value | $6,071,848 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $81,302,648 | OtherCostOrOtherBasisAmt |
| Depreciation | $63,351,770 | DepreciationAmt |
| Book Value | $17,950,878 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,708,028 | OtherCostOrOtherBasisAmt |
| Book Value | $5,708,028 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $123,612,190 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| LIABILITY FOR PENSION BENEFITS | $9,191,896 |
| OBLIGATION UNDER DEF. COMPENSATION | $7,460,777 |
| ACCRUAL FOR MED. MALPRACTICE CLAIM | $3,510,174 |
| OTHER - HEALTH PLAN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $20,162,847 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $206,278,104 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $206,278,104 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $206,278,104 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $180,292,699 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $180,292,699 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $180,292,699 | TotalExpensesPerForm990Amt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $488,634 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $488,634 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $96,783,371 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $67,958,472 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,824,899 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.15990 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $97,272,005 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $67,958,472 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,313,533 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16260 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,071 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,071 | NetCommunityBenefitExpnsAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $75,770 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $75,770 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $79,841 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $79,841 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $97,351,846 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $67,958,472 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,393,374 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16300 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,487,165 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,354,217 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $17,045,361 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $9,997,787 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $7,047,574 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 3 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (3 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd |
|---|---|---|---|---|---|---|---|
| HOSPITAL MENONITA CAYEY | |||||||
| 1 | 14 ST BO RINCON SECTOR LOMAS | CAYEY | PR | 00737 | Yes (X) | Yes (X) | Yes (X) |
| HOSPITAL MENONITA DE AIBONITO | |||||||
| 2 | JOSE C VAZQUEZ ST | AIBONITO | PR | 00705 | Yes (X) | Yes (X) | Yes (X) |
| HOSPITAL SIQUIATRICO CIMA | |||||||
| 3 | GERARDO SANTIAGO ST INTERIOR | AIBONITO | PR | 00705 | Yes (X) | ||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | Income Level CriteriaIncomeLevelCriteriaInd | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit Report To Credit AgencyPermitReportToCreditAgencyInd | Collection ActivitiesCollectionActivitiesInd | Reporting To Credit AgencyReportingToCreditAgencyInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HOSPITAL MENONITA CAYEY | |||||||||||||||||||||||||||
| 1 | false | false | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (true) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (true) |
| HOSPITAL MENONITA DE AIBONITO | |||||||||||||||||||||||||||
| 2 | false | false | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (true) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (true) |
| HOSPITAL SIQUIATRICO CIMA | |||||||||||||||||||||||||||
| 3 | false | false | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (true) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (true) |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, HOSPITAL MENONITA CAYEY - PART V, LINE 13B | MENNONITE GENERAL HOSPITAL ESTABLISHES AND REVIEWS ANNUALLY ITS OWN INCOME LEVEL GUIDANCE BASED ON THE FPG ISSUED BY HHS. |
| FACILITY 1, HOSPITAL MENONITA CAYEY - PART V, LINE 22D | THE HOSPITAL FACILITY CHARGED AN AMOUNT EQUAL TO THE GROSS CHARGES FOR SERVICES PROVIDED TO PRIVATE PATIENTS. |
| FACILITY 1, HOSPITAL MENONITA CAYEY - PART V, LINE 24 | THE HOSPITAL FACILITY CHARGED AN AMOUNT EQUAL TO THE GROSS CHARGES FOR SERVICES PROVIDED TO PRIVATE PATIENTS. |
| FACILITY 2, HOSPITAL MENONITA DE AIBONITO - PART V, LINE 13B | MENNONITE GENERAL HOSPITAL ESTABLISHES AND REVIEWS ANNUALLY ITS OWN INCOME LEVEL GUIDANCE BASED ON THE FPG ISSUED BY HHS. |
| FACILITY 2, HOSPITAL MENONITA DE AIBONITO - PART V, LINE 22D | THE HOSPITAL FACILITY CHARGED AN AMOUNT EQUAL TO THE GROSS CHARGES FOR SERVICES PROVIDED TO PRIVATE PATIENTS. |
| FACILITY 2, HOSPITAL MENONITA DE AIBONITO - PART V, LINE 24 | THE HOSPITAL FACILITY CHARGED AN AMOUNT EQUAL TO THE GROSS CHARGES FOR SERVICES PROVIDED TO PRIVATE PATIENTS. |
| FACILITY 3, HOSPITAL SIQUIATRICO CIMA - PART V, LINE 13B | MENNONITE GENERAL HOSPITAL ESTABLISHES AND REVIEWS ANNUALLY ITS OWN INCOME LEVEL GUIDANCE BASED ON THE FPG ISSUED BY HHS. |
| FACILITY 3, HOSPITAL SIQUIATRICO CIMA - PART V, LINE 22D | THE HOSPITAL FACILITY CHARGED AN AMOUNT EQUAL TO THE GROSS CHARGES FOR SERVICES PROVIDED TO PRIVATE PATIENTS. |
| FACILITY 3, HOSPITAL SIQUIATRICO CIMA - PART V, LINE 24 | THE HOSPITAL FACILITY CHARGED AN AMOUNT EQUAL TO THE GROSS CHARGES FOR SERVICES PROVIDED TO PRIVATE PATIENTS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 9 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| CENTRO DE SALUD COAMO | ||||
| 138 LUIS MUOZ MARIN AVENUE | COAMO | PR | 00769 | EMERGENCY ROOM - 24 HOURS |
| CENTRO DE SALUD CIDRA | ||||
| JIBARO INDUSTRIAL AVENUE | CIDRA | PR | 00739 | EMERGENCY ROOM - 24 HOURS |
| CENTRO DE SALUD BARRANQUITAS | ||||
| 53 BARCELO STREET | BARRANQUITAS | PR | 00794 | EMERGENCY ROOM - 24 HOURS |
| CENTRO DE SALUD OROCOVIS | ||||
| 155 STREET SECTOR EL DESVIO | OROCOVIS | PR | 00720 | EMERGENCY ROOM -24 HOURS |
| CENTRO DE SALUD DE AGUAS BUENAS | ||||
| 98 MUOZ RIVERA STREET | AGUAS BUENAS | PR | 00703 | EMERGENCY ROOM - 24 HOURS |
| EQUIPO MEDICO | ||||
| JOSE C VAZQUEZ STREET | AIBONITO | PR | 00705 | MEDICAL EQUIPMENT |
| HOSPICIO | ||||
| 3 CALLE DR TROYER | AIBONITO | PR | 00705 | OTHER HOSPICE |
| RAYOS X DE BARRANQUITAS | ||||
| 8 BARCELO STREET | BARRANQUITAS | PR | 00794 | X-RAYS CENTER |
| RAYOS X DE OROCOVIS | ||||
| 4 OF JULY STREET | OROCOVIS | PR | 00720 | X-RAYS CENTER |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY | 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". |
| PART III, LINE 8 - MEDICARE EXPLANATION | 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. |
| PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION | 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. |
| ADDITIONAL INFORMATION | 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 & LINE 10 - THE FINANCIAL ASSISTANCE POLICY IS BASED ON MEDICARE COST REPORT RATIO. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| PEDRO L MELENDEZ ROSARIO | ||||
| CEO | $335,800 | $35,600 | $325,105 | $696,505 |
| RUBEN NORAT | ||||
| HOSPITAL ADMINISTRAT | $187,982 | $35,357 | $18,420 | $241,759 |
| JOSE E SOLIVAN RIVERA | ||||
| CFO | $155,167 | $35,562 | $56,069 | $246,798 |
| RENE RIVERA | ||||
| HOSPITAL ADMINISTRAT | $133,228 | $34,145 | $47,040 | $214,413 |
| RICARDO HERNANDEZ RIVERA | ||||
| ASSOCIATE EX. DIRECT | $70,647 | $30,600 | $98,621 | $199,868 |
| MARTA MERCADO SURO | ||||
| COO | $15,311 | $31,331 | $207,534 | $254,176 |
| KERVIN ARROYO TORRES | ||||
| DOCTOR | $373,346 | $600 | $500 | $374,446 |
| ALBERTO R RIVERA ROSADO | ||||
| DOCTOR | $232,453 | $600 | $233,053 | |
| DAVID MEHNE HAZELWOOD | ||||
| DOCTOR | $134,585 | $600 | $274,154 | $409,339 |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PEDRO MELENDEZ | PersonNm |
| Relationship With Org | CEO | RelationshipWithOrgTxt |
| Loan Purpose | SALARY ADVANCE | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $105,000 | OriginalPrincipalAmt |
| Balance Due | $37,529 | BalanceDueAmt |
| Default | false | DefaultInd |
| Board Or Committee Approval | Yes (true) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (true) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $37,529 | TotalBalanceDueAmt |
Grnt Asst Bnft Interested Prsn GrntAsstBnftInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GLORIMAR ORTIZ | PersonNm |
| Relationship With Org | BOD MEMBER DAUGHTER | RelationshipWithOrgTxt |
| Cash Grant | $29,830 | CashGrantAmt |
| Type Of Assistance | GRANT | TypeOfAssistanceTxt |
| Assistance Purpose | EDUCATION | AssistancePurposeTxt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEDRO MELENDEZ ANADON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAM. MEMBER CEO | RelationshipDescriptionTxt |
| Transaction | $10,500 | TransactionAmt |
| Transaction | EXTERMINATING SERVIC | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4D | PATIENT CARE- THE HOSPITAL PROVIDES GENERAL HEALTH CARE SERVICES TO PATIENTS WITHIN ITS GEOGRAPHICAL LOCATION. EXPENSES INCLUDES HEALTH CARE AND GENERAL AND ADMINISTRATIVE. |
| FORM 990, PAGE 6, PART VI, LINE 11B | 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. |
| FORM 990, PAGE 6, PART VI, LINE 12C | 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. |
| FORM 990, PAGE 6, PART VI, LINE 15A | 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. |
| FORM 990, PAGE 6, PART VI, LINE 15B | 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. |
| FORM 990, PAGE 6, PART VI, LINE 19 | 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. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL FEES 22,052,142 0 0 |
| FORM 990, PART XI, LINE 9 | CONTRIBUTION TO RELATED PARTY 3,000,000 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|
| HOGAR AURORA INC | ||||||
| 660586357 | HOUSING | PR | 501C3 | 7 | NA | false |
| CASA AIBONITO INC | ||||||
| 660387637 | HOUSING | PR | NA | false | ||
| CASA BARRANQUITAS | ||||||
| 660479283 | HOUSING | PR | NA | false | ||
| HOSPITAL MENONITA CAGUAS INC | ||||||
| 660776102 | HOSPITAL | PR | NA | false | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |