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HOSPITAL AUXILIO MUTUO INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HOSPITAL AUXILIO MUTUO INC (EIN 66-0486907)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-15
IRS object ID
201412279349305071
Schema version
2012v2.3
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

FieldValueIRS element (for citing)
Timestamp2014-08-15T18:49:03-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1FPV & GALINDEZ CPAS PSCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 364152AddressLine1
CitySAN JUANCity
StatePRState
ZIP Code009364152ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN660486907EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL ESPAOL AUXILIO MUTUOBusinessNameLine1
Business Name Line2DE PUERTO RICO INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone7877582000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 191227AddressLine1
Address Line2ROOM/SUITE 191227AddressLine2
CitySAN JUANCity
StatePRState
ZIP Code009191227ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARIA DEL L MARTIName
TitleFINANCE DIRECTORTitle
Phone7877582000Phone
Date Signed2014-05-15DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameIRIS N OTEROName
Phone7877254545Phone
Date Prepared2014-08-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARA DEL L MARTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 191227AddressLine1
CitySAN JUANCity
StatePRState
ZIP Code009191227ZIPCode
FieldValueIRS element (for citing)
Gross Receipts230503509GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicilePRStateLegalDomicile
Activity Or Mission DescriptionTHE HOSPITAL'S PRIMARY MISSION IS TO MEET HEALTH CARE NEEDS IN ITS MARKET AREA THROUGH A BROAD RANGE OF GENERAL AND SPECIALIZED HEALTH CARE SERVICES, INCLUDING IN PATIENT ACUTE CARE, OUTPATIENT SERVICES, AND OTHER HEALTH CARE SERVICES. ACTIVITIES DIRECTLY ASSOCIATED WITH THE FURTHERANCE OF THIS PURPOSE ARE CONSIDERED TO BE OPERATING ACTIVITIES. THE HOSPITAL IS A NON- FOR-PROFIT CORPORATION INCORPORATED UNDER THE LAWS OF THE COMMONWEALTH OF PUERTO RICO ON APRIL 29, 1992.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees2539TotalNbrEmployees
Total Nbr Volunteers59TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year208486114ProgramServiceRevenuePriorYear
Program Service Revenue CY218318268ProgramServiceRevenueCY
Investment Income Prior Year72265InvestmentIncomePriorYear
Investment Income Current Year88750InvestmentIncomeCurrentYear
Other Revenue Prior Year11543029OtherRevenuePriorYear
Other Revenue Current Year12096491OtherRevenueCurrentYear
Total Revenue Prior Year220101408TotalRevenuePriorYear
Total Revenue Current Year230503509TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year96553998SalariesEtcPriorYear
Salaries Etc Current Year99981081SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year120904096OtherExpensePriorYear
Other Expenses Current Year125185181OtherExpensesCurrentYear
Total Expenses Prior Year217458094TotalExpensesPriorYear
Total Expenses Current Year225166262TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2643314RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5337247RevenuesLessExpensesCY
Total Assets BOY97050406TotalAssetsBOY
Total Assets EOY106154548TotalAssetsEOY
Total Liabilities BOY36244988TotalLiabilitiesBOY
Total Liabilities EOY40011884TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY60805418NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY66142664NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE HOSPITAL'S PRIMARY MISSION IS TO MEET HEALTH CARE NEEDS IN ITS MARKET AREA THROUGH A BROAD RANGE OF GENERAL AND SPECIALIZED HEALTH CARE SERVICES, INCLUDING IN PATIENT ACUTE CARE, OUTPATIENT SERVICES, AND OTHER HEALTH CARE SERVICES. ACTIVITIES DIRECTLY ASSOCIATED WITH THE FURTHERANCE OF THIS PURPOSE ARE CONSIDERED TO BE OPERATING ACTIVITIES. THE HOSPITAL IS A NON- FOR-PROFIT CORPORATION INCORPORATED UNDER THE LAWS OF THE COMMONWEALTH OF PUERTO RICO ON APRIL 29, 1992.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense141363104Expense
Revenue218318268Revenue
DescriptionFOR THE YEAR ENDED SEPTEMBER 30, 2013, HOSPITAL INPATIENT ADMISSIONS WERE 20,170. PATIENT DAYS AMOUNTED TO 134,876.Description
Total Program Service Expense141363104TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees2539NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARIA DE L MARTINamePerson
Telephone Number7877582000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1AVE PONCE DE LEONAddressLine1
CitySAN JUANCity
StatePRState
ZIP Code00919ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DON NGEL COCERO SNCHEZ
PRESIDENTX000
DON MOISS SUREZ FERNNDEZ
VICE PRESIDEX000
DON RAMN DELGADO RUIBAL
SECRETARYX000
DON LUIS E CID ABRADELO
TREASURERX000
DON URBANO RICO MOLINERO
VOCALX000
DON JUAN MARIO LVAREZ CARTA
VOCALX000
SOR CARMEN ILIANA MONROIG HC
VOCALX000
DOA MILAGROS ROMERO ACHA
VOCALX000
DOA SANDRA CABANILLAS RIVERA
VOCALX000
JORGE MATTA SERRANO
ADMINISTRATO314615011359140.00X
MARA DE L MART SIERRA
DIRECTOR13896605548540.00X
ELBA CANCEL BELTRN
DIRECTOR1013100467940.00X
LUIS ORTIZ BELMONTE
DIRECTOR981970240540.00X
ENID DOHNERT GRILLASCA
ASSOCIATE AD862780346640.00X
SANDRA DAZ MALDONADO
DIRECTOR860370740540.00X
JOS PASTRANA ARZOLA
ASSOCIATE AD655220370540.00X
MIRESSA RIVERA GERENA
ASSOCIATE AD644250160640.00X
JOS ISADO ZARDON
MEDICAL DIRE26089207737640.00X
RAFAEL JACA VZQUEZ
DIRECTOR1728380429140.00X
JUAN MARCIAL VEGA
ASSOCIATE AD1492920337640.00X
CARMEN MARTN JIMNEZ
ASSOCIATE AD13940201935440.00X
MYRIAM CENTENO CINTRN
DIRECTOR1265050912440.00X
WILSON COLN DE JESS
DIRECTOR1243700306140.00X
MARA NEGRN SNCHEZ
DIRECTOR11877203041040.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2047421TotalReportableCompFromOrg
Total Other Compensation339334TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

CompensationCompensation
MEDSCAN PSC
1165771
FRESENIUS MEDICAL CARE
1062268
ST GIANNA PEDRIATICS LLC
1014941
RJ RESPIRATORY SERVICES INC
900638
EM PHYSICIANS OF PUERTO RICO
820920
FieldValueIRS element (for citing)
Number Of Contractors GT100 K15NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHOSPITAL AND MEDICAL SERVICESDescription
Total Revenue Column218318268TotalRevenueColumn
Related Or Exempt Function Income218318268RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue218318268TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column88750TotalRevenueColumn
Exclusion$88,750ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PARKING39025693902569
RENT AND OTHER38982453898245
PHARMACY38279603827960

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column467717TotalRevenueColumn
Related Or Exempt Function Income467717RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue12096491TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column230503509TotalRevenueColumn
Related Or Exempt Function Income230414759RelatedOrExemptFunctionIncome
Exclusion$88,750ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2047421Total
Management And General2047421ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total19838125Total
Management And General19838125ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total62728971Total
Program Services62728971ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7240458Total
Management And General7240458ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8126106Total
Program Services5305829ProgramServices
Management And General2820277ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10986503Total
Program Services10695777ProgramServices
Management And General290726ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total150507Total
Management And General150507ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4079957Total
Management And General4079957ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES933985806263252730766053
RENT EXPENSE90000009000000
PROVISION FOR CLAIM LOSS63581896358189
BAD DEBT EXPENSE12080241208024

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3421Total
Management And General3421ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total225166262Total
Program Services141363104ProgramServices
Management And General83803158ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY12708919BOY
EOY21917586EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY43441328BOY
EOY39798153EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2343908BOY
EOY2543825EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1039326BOY
EOY1472747EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis36001838LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12604114LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY22437538BOY
EOY23397724EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3091529BOY
EOY3116632EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11987858BOY
EOY13907881EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY97050406BOY
EOY106154548EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY27003702BOY
EOY26371091EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY9241286BOY
EOY13640793EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY36244988BOY
EOY40011884EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY60805418BOY
EOY66142664EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY60805418BOY
EOY66142664EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY97050406BOY
EOY106154548EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses5337247ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5700OtherCostOrOtherBasis
Book Value5700BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis638251OtherCostOrOtherBasis
Depreciation247531Depreciation
Book Value390720BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis22516233OtherCostOrOtherBasis
Depreciation8237182Depreciation
Book Value14279051BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12841654OtherCostOrOtherBasis
Depreciation4119401Depreciation
Book Value8722253BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings23397724TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM RELATED PARTIES4991605
OTHER ASSETS4034331
ESTIMATED THIRD PARTY PAYOR SETTLE2638418
ASSETS SET ASIDE UNDER INSURANCE2171012
OTHER RECEIVABLES72515
FieldValueIRS element (for citing)
Total Book Value Other Assets13907881TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
RESERVE FOR MALPRACTICE LOSS$9,760,143
OTHER LIABILITIES$3,851,355
DUE TO RELATED PARTIES$29,295
FieldValueIRS element (for citing)
Total Of Amounts13640793TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt230503509TotRevenueEtcAuditedFinclStmt
Revenue Subtotal230503509RevenueSubtotal
Total Revenue Per Form990230503509TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt225166262TotExpensesEtcAuditedFinclStmt
Expenses Subtotal225166262ExpensesSubtotal
Total Expenses Per Form990225166262TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierEXPENSE AMOUNTS INCLUDED ON RETURN - OTHERIdentifier
Return ReferenceSCHEDULE D, PAGE 4, PART XII, LINE 4BReturnReference
ExplanationBOOK / TAX DEPRECIATION DIFFERENCE 4,079,957Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicyfalseCharityCarePolicy
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense516952TotalCommunityBenefitExpense
Net Community Benefit Expense516952NetCommunityBenefitExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense36786TotalCommunityBenefitExpense
Net Community Benefit Expense36786NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense553738TotalCommunityBenefitExpense
Net Community Benefit Expense553738NetCommunityBenefitExpense
Percent Of Total Expense0.00250PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense553738TotalCommunityBenefitExpense
Net Community Benefit Expense553738NetCommunityBenefitExpense
Percent Of Total Expense0.00250PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,208,024BadDebtExpenseAmount
Amount Reimbursed By Medicare10436032AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare19725522CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-9289490MedicareSurplusOrShortfall
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL ESPAOL AUXILIO MUTUOBusinessNameLine1
Business Name Line2DE PUERTO RICO INCBusinessNameLine2

Address Address

FieldValueIRS element (for citing)
Address Line1PO BOX 191227AddressLine1
CitySAN JUANCity
StatePRState
ZIP Code009191227ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL ESPAOL AUXILIO MUTUOBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedfalseEligibilityCriteriaExplained
Uses FPG FreefalseUsesFPGFree
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasisfalseExplainsBasis
Explains Application MethodfalseExplainsApplicationMethod
Includes Publicity MeasuresfalseIncludesPublicityMeasures
Actions On NonpaymentfalseActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Average Negotiated RatesXAverageNegotiatedRates
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
EXCLUSIONS FROM PERCENT OF TOTAL EXPENSEPART I LINE 7 COLUMN FTHE HOSPITAL MAKES JUDGMENTS AS TO THE COLLECTABILITY OF ACCOUNTS RECEIVABLE BASED ON HISTORICAL TRENDS AND FUTURE EXPECTATIONS MANAGEMENT ESTIMATES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS WHICH SUBSTANTIALLY REPRESENTS THE AMOUNT OF UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE THIS ALLOWANCE ADJUSTS GROSS PATIENT SERVICE ACCOUNTS RECEIVABLE DOWNWARD TO THEIR ESTIMATED NET RECEIVABLE VALUE TO DETERMINE THE ALLOWANCE FOR DOUBTFUL ACCOUNTS MANAGEMENT REVIEWS SPECIFIC CUSTOMER RISK FOR ACCOUNTS OVER 180 DAYS USING HOSPITALS ACCOUNTS RECEIVABLE AGING ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE HOSPITAL POLICIES
COMMUNITY BUILDING ACTIVITIESPART IITHE ENTITY PROVIDES FOR THE ACTIVITIES IN THE HOSPITAL FACILITIES FOR THE BENEFIT OF THE COMMUNITY FOR EXAMPLE KIDNEY PR FOUNDATION SOCIEDAD PUERTORRIQUEA DE ENDOMETRIOSIS PREGNANT CONFERENCES CEREBRAL DEATH LIFELINK ONCOLOGY SOCIETY NURSING CONFERENCES ESCUELA DE ENFERMERAS ANESTESISTAS GRUPO DE HIPERTENSION PULMONAR ASOCIACION DE TECNICOS DE CIRUGIA ESCUELA DE ENFERMEROS ANESTESISTAS CURSO DE HIPNOSIS PRESS CONFERENCE FROM THE STATE ELECTIONS COMMISSION ASOCIACION PUERTORRIQUEA DE FISIOTERAPIA ASOCIACION DE EPIDEMIOLOGOS CONFERENCIA DE LACTANCIA CONFERENCE TO PREGNANT WOMEN REUNION DE PACIENTES DE ENDOMETRIOSIS PREGNANTS SYMPOSIUM AMERICAN CANCER ASSOCIATION ASOCIACION DE HELICONIAS REPASO DE REVALIDA DE SONOGRAFISTAS BLOOD BANK

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
JORGE MATTA SERRANO
ADMINISTRATOR314615113591428206
MARA DE L MART SIERRA
DIRECTOR13896655485194451
JOS ISADO ZARDON
MEDICAL DIRECTOR26089277376338268
RAFAEL JACA VZQUEZ
DIRECTOR1728384291177129
JUAN MARCIAL VEGA
ASSOCIATE ADMINISTRA1492923376152668
CARMEN MARTN JIMNEZ
ASSOCIATE ADMINISTRA13940219354158756

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONTHE HOSPITAL'S PRIMARY MISSION IS TO MEET HEALTH CARE NEEDS IN ITS MARKET AREA THROUGH A BROAD RANGE OF GENERAL AND SPECIALIZED HEALTH CARE SERVICES, INCLUDING IN PATIENT ACUTE CARE, OUTPATIENT SERVICES, AND OTHER HEALTH CARE SERVICES. ACTIVITIES DIRECTLY ASSOCIATED WITH THE FURTHERANCE OF THIS PURPOSE ARE CONSIDERED TO BE OPERATING ACTIVITIES. THE HOSPITAL IS A NON- FOR-PROFIT CORPORATION INCORPORATED UNDER THE LAWS OF THE COMMONWEALTH OF PUERTO RICO ON APRIL 29, 1992.
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6THE ORGANIZATION HAS MEMBERS.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7ABOARD OF DIRECTORS MEMBERS SHOULD BE ELECTED FOR A ONE YEAR TERM AND AT LEAST THEY HAVE TO COMPLY WITH THE FOLLOWING REQUIREMENTS: 1) ANY POSITIONS OF THE BOARD OF DIRECTORS COULD BE OCCUPIED BY THE SAME PERSON, WITH THE EXCEPTION OF THE PRESIDENT AND SECRETARY THAT CAN NOT BE OCCUPIED BY THE SAME PERSON. 2) THE PRESIDENT AND VICE-PRESIDENT SHOULD BE AT LEAST 33 YEARS OLD AND THE VOWELS 25 YEARS OLD. 3) ANY PERSON THAT ACCEPTS TO BE PART OF THE BOARD OF DIRECTORS SHOULD ATTEND ALL MEETINGS APPOINTED AND HIS/HER RESPONSIBILITIES ARE NOT TRANSFERABLE.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE REVIEW PROCESS OF FORM 990 IS UNDER THE RESPONSIBILITY OF THE BOARD OF DIRECTORS FINANCE COMMITTEE. SUCH COMMITTEE AT THE SAME TIME, DELEGATES THIS TASK TO THE FINANCE DIRECTOR, WHO PERFORMS THE REVIEW OF FORM 990 AND IS AUTHORIZED TO PROVIDE THE RELEASE FOR THE FINAL ISSUANCE OF THE FORM.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CIT IS THE RESPONSIBILITY OF THE BOARD MEMBERS TO GOVERN THE INSTITUTION AND THE COMMUNITY INTEREST WITH HONESTY, EXERCISING THEIR BEST CARE, SKILL AND JUDGMENTS FOR THE BENEFIT OF THE INSTITUTION AND ITS MEMBERS; AND THE MATTER OF ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST CAN BE BEST HANDLED THROUGH FULL DISLOSURE OF ANY SUCH INTEREST, TOGETHER WITH ABSTENTION IN ANY VOTE WHERE THE INTEREST IS INVOLVED. THE FOLLOWING POLICY OF DUALITY AND CONFLICT OF INTEREST IS HEREBY ADOPTED: 1) ANY BOARD MEMBER HAVING A POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHOULD NOT VOTE OR USE HIS/HER PERSONAL INFLUENCE ON THE MATTER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING, EVEN WHEN PERMITTED BY LAW. ALSO, THIS IS APPLICABLE TO ADMINISTRATIVE EMPLOYEES.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19AVAILABLE UPON REQUEST TO THE REQUIRED GOVERNMENTAL AGENCIES.
RECONCILIATION OF CHANGES - OTHERFORM 990, PART XI, LINE 9BOOK / TAX DEPRECIATION DIFFERENCE 4,079,957

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SOCIEDAD ESPAOLA AUXILIO MUTUOBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 191227AddressLine1
CitySAN JUANCity
StatePRState
ZIP Code009191227ZIPCode
FieldValueIRS element (for citing)
EIN660178770EIN
Primary ActivitiesPROPERTYPrimaryActivities
Legal Domicile StatePRLegalDomicileState
Exempt Code Section501C2ExemptCodeSection

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
SOCIEDAD ESPAOLA AUXILIO MUTUO
J9000000
SOCIEDAD ESPAOLA AUXILIO MUTUO
K10274388
SOCIEDAD ESPAOLA AUXILIO MUTUO
N88755
SOCIEDAD ESPAOLA AUXILIO MUTUO
P3198319
SOCIEDAD ESPAOLA AUXILIO MUTUO
Q2500000