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      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
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      <OtherLiabilities>
        <Description>RESERVE FOR CLAIMS</Description>
        <Amount>17686611</Amount>
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      <OtherLiabilities>
        <Description>DUE TO RELATED PARTIES</Description>
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      <OtherLiabilities>
        <Description>LONG TERM DEBTS</Description>
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      <TotalCommunityBenefits>
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        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
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      <BadDebtExpenseAmount>6322604</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>5554391</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>40775652</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-35221261</MedicareSurplusOrShortfall>
      <WrittenDebtCollectionPolicy>false</WrittenDebtCollectionPolicy>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>SERVICIOS MDICOS</BusinessNameLine1>
          <BusinessNameLine2>UNIVERSITARIOS INC</BusinessNameLine2>
        </Name>
        <Address>
          <AddressLine1>PO BOX 6021</AddressLine1>
          <City>CAROLINA</City>
          <State>PR</State>
          <ZIPCode>00984</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <TeachingHospital>X</TeachingHospital>
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        <HospitalFacilityName>
          <BusinessNameLine1>SERVICIOS MDICOS</BusinessNameLine1>
        </HospitalFacilityName>
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        <CHNAConducted>false</CHNAConducted>
        <EligibilityCriteriaExplained>false</EligibilityCriteriaExplained>
        <UsesFPGFree>false</UsesFPGFree>
        <UsesFPGDiscounted>false</UsesFPGDiscounted>
        <ExplainsBasis>false</ExplainsBasis>
        <ExplainsApplicationMethod>false</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>false</IncludesPublicityMeasures>
        <ActionsOnNonpayment>false</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <LowestNegotiatedRates>X</LowestNegotiatedRates>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>1</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>CASA DEL VETERANO</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>CARR 592 KM 56 BO AMUELAS</AddressLine1>
            <City>JUANA DIAZ</City>
            <State>PR</State>
            <ZIPCode>00795</ZIPCode>
          </Address>
          <FacilityType>VETERAN STATE HOME</FacilityType>
        </OtherFacilities>
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      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>THE ORGANIZATION ASSESS THE NEEDS OF THE COMMUNITIES USING PREEXISTING INFORMATION EITHER QUANTITATIVE OR STATISTICAL DATA USE ALSO THE OPINION OF THE PROFESSIONALS WHO WORK EVERY DAY WITH THE COMMUNITY</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>THE HOSPITAL SERVES PATIENTS FROM THE NORTHEAST OF PUERTO RICO</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>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</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>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 CALLED MI SALUD 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 201152 AND THE PROPOSED REGULATIONS FOR SECTION 501 R1 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 COMLUMBIA AND NOT ANY US TERRITORY OR FOREIGN COUNTRY THEREFORE THOSE HOSPITALS FACILITIES LOCATED OUTSIDE OF THE 50 STATES OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA SHALL NO BE REQUIRED TO COMPLY WITH THE COMMUNITY HEALTH NEED ASSESMENT PART V LINE 9 10 THE FINANCIAL ASSSITANCE POLICY IS BASED ON MEDICARE COST REPORT RATIO</Explanation>
      </Form990ScheduleHPartVI>
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      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>DOMINGO NEVARES RAMIREZ</NamePerson>
        <Title>EXECUTIVE DIRECTOR</Title>
        <BaseCompensationFilingOrg>150646</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>150646</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc8">
      <GeneralExplanation>
        <Identifier>ELECTION OF MEMBERS AND THEIR RIGHTS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 7A</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DECISIONS SUBJECT TO APPROVAL OF MEMBERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 7B</ReturnReference>
        <Explanation>YES</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11B</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ENFORCEMENT OF CONFLICTS POLICY</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 12C</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR TOP OFFICIAL</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15A</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR OFFICERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15B</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>THE INFORMATION IS AVAILABLE ONLY WHEN REQUIRED. GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO REQUIRED AGENCIES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>RECONCILIATION OF CHANGES - OTHER</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 9</ReturnReference>
        <Explanation>BOOK / TAX DEPRECIATION DIFFERENCE 1,557,158</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 9</ReturnReference>
        <Explanation>OTHER CHANGES -1,557,158</Explanation>
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        </NameOfDisregardedEntity>
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          <AddressLine1>MEDICAL SCIENCES CAMPUS</AddressLine1>
          <City>CAROLINA</City>
          <State>PR</State>
          <ZIPCode>00984</ZIPCode>
        </AddressUS>
        <PrimaryActivities>EDUCATION</PrimaryActivities>
        <LegalDomicileState>PR</LegalDomicileState>
        <DirectControllingEntityName>
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      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
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      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
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      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
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          <BusinessNameLine1>UNIVERSITY OF PUERTO RICO M S CAMP</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>CONTRACT AGREEMENT</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>UNIVERSITY OF PUERTO RICO M S CAMP</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>894250</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
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</Return>