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MENNONITE GENERAL HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MENNONITE GENERAL HOSPITAL INC (EIN 66-0219758)
Tax period
2011-04-01 to 2012-03-31
Filed
2013-02-15
IRS object ID
201340469349301679
Schema version
2011v1.2
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)
Timestamp2013-02-15T11:29:28-06:00Timestamp
Tax Period End Date2012-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PARISSI PSCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1650 MUOZ RIVERA AVE STE 502AddressLine1
CitySAN JUANCity
StatePRState
ZIP Code009184149ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN660219758EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MENNONITE GENERAL HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMENNNameControl
Phone7875351001Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 373130AddressLine1
CityCAYEYCity
StatePRState
ZIP Code007373130ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOSE E SOLIVANName
TitleCHIEF FINANCIAL OFFICERTitle
Phone7875351001Phone
Date Signed2013-02-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameAXEL RAMIREZName
Phone7876419801Phone
Date Prepared2013-02-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPEDRO L MELENDEZNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 373130AddressLine1
CityCAYEYCity
StatePRState
ZIP Code007373130ZIPCode
FieldValueIRS element (for citing)
Gross Receipts163078301GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1976YearFormation
State Legal DomicilePRStateLegalDomicile
Activity Or Mission DescriptionPROVIDE 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees1778TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year135917818ProgramServiceRevenuePriorYear
Program Service Revenue CY142864085ProgramServiceRevenueCY
Investment Income Prior Year520714InvestmentIncomePriorYear
Investment Income Current Year1018304InvestmentIncomeCurrentYear
Other Revenue Prior Year21337197OtherRevenuePriorYear
Other Revenue Current Year19195912OtherRevenueCurrentYear
Total Revenue Prior Year157775729TotalRevenuePriorYear
Total Revenue Current Year163078301TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year62787772SalariesEtcPriorYear
Salaries Etc Current Year66995884SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year82210161OtherExpensePriorYear
Other Expenses Current Year89967648OtherExpensesCurrentYear
Total Expenses Prior Year144997933TotalExpensesPriorYear
Total Expenses Current Year156963532TotalExpensesCurrentYear
Revenues Less Expenses Prior Year12777796RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6114769RevenuesLessExpensesCY
Total Assets BOY150358190TotalAssetsBOY
Total Assets EOY193111365TotalAssetsEOY
Total Liabilities BOY98511069TotalLiabilitiesBOY
Total Liabilities EOY136026200TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY51847121NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY57085165NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROVIDE 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionPATIENT 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.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense158282984Expense
DescriptionPATIENT CARE- THE HOSPITAL PROVIDES GENERAL HEALTH CARE SERVICES TO PATIENTS WITHIN ITS GEOGRAPHICAL LOCATION. EXPENSES INCLUDES HEALTH CARE AND GENERAL AND ADMINISTRATIVE.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp158282984TotalOfOtherProgramServiceExp
Total Program Service Expense158282984TotalProgramServiceExpense
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
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees1778NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTHE ORGANIZATIONNamePerson
Telephone Number7875351001TelephoneNumber

Address Foreign AddressForeign

FieldValueIRS element (for citing)
Address Line1PO BOX 373130AddressLine1
CityCAYEYCity
CountryRQCountry
Postal Code00737-3130PostalCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
VICTOR ORTIZ
PRESIDENT0.00X000
JOSE RIVERA
VICE PRESIDE0.00X000
HERMANN BAUER
TREASURER0.00X000
JOSE VARGAS
SECRETARY0.00X000
REXIE NAVARRO
ASSISTANT0.00X000
PEDRO L MELENDEZ ROSARIO
CEO40.0033041800X
RUBEN NORAT
HOSPITAL ADM40.0018202900X
MARTA MERCADO SURO
COO40.0017718100X
JOSE E SOLIVAN RIVERA
CFO40.0016121900X
RENE RIVERA
HOSPITAL ADM40.0015013800X
DAVID MEHNE HAZELWOOD
40.0033060000X
DOMINGO TORRES ZAYAS
0.0036628100X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1697866TotalReportableCompFromOrg
Number Individuals GT100 K7NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensationAddress Line2AddressOfContractor/AddressUS/AddressLine2
TORCON
328 NEWMAN SPRINGS ROAD RED BANKNJNJ07701CONSTRUCTION26514604
EMERGENCY SERVICES GROUP
PO BOX 1883CIDRAPR00739ER SERVICES5928386
HOSPITAL RADIOLOGY SERVICES
AVENIDA ASHFORD 868SAN JUANPR00909RADIOLOGY2302225APARTAMENTO 102
DR SILVERIO PEREZ
PMB 360 701-1 AVE PONCE DE LEONSAN JUANPR00907RADIOLOGY2094505
PHILIPS MEDICAL SYSTEM
200 WISTON CHURCCHILL AVE SUITE 302SAN JUANPR00926EQUIPMENT MAINT682149
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENTS SERVICE REVENUEDescription
Total Revenue Column142864085TotalRevenueColumn
Related Or Exempt Function Income142864085RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue142864085TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1018304TotalRevenueColumn
Exclusion$1,018,304ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PREMIUMS HEALTH PLAN5241141274351812743518
CAYEY OTHER OPERATING REVENUE62199033346183334618
AIBONITO OTHER OPERATING REVE62199030618793061879

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column55897TotalRevenueColumn
Related Or Exempt Function Income55897RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue19195912TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column163078301TotalRevenueColumn
Related Or Exempt Function Income162059997RelatedOrExemptFunctionIncome
Exclusion$1,018,304ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total45286137Total
Program Services45286137ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total17876302Total
Program Services17876302ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3833445Total
Program Services3833445ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total19442816Total
Program Services19442816ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total3053290Total
Program Services3053290ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6934067Total
Program Services6934067ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1232101Total
Program Services1232101ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
SUPPLIES3475357234753572
OTHER EXPENSES1019436610194366
UTILITIES66005636600563
PROVISION BAD DEBTS60191816019181

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1737692Total
Program Services1737692ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total156963532Total
Program Services156963532ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY18787710BOY
EOY9683574EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1128930BOY
EOY1250000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY38188265BOY
EOY47331486EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3909703BOY
EOY4168302EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1544973BOY
EOY1490446EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis176237376LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec73626538LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY67467729BOY
EOY102610838EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6758267BOY
EOY8792624EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY4687855BOY
EOY5232715EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7884758BOY
EOY12551380EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY150358190BOY
EOY193111365EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY15941694BOY
EOY19790551EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY17250BOY
EOY17250EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY70491670BOY
EOY102188431EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY12060455BOY
EOY14029968EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY98511069BOY
EOY136026200EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY51847121BOY
EOY57085165EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY51847121BOY
EOY57085165EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY150358190BOY
EOY193111365EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses6114769ReconcilationRevenueExpenses
Reconcilation Other Changes5990568ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1368770OtherCostOrOtherBasis
Book Value1368770BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis47406584OtherCostOrOtherBasis
Depreciation25320076Depreciation
Book Value22086508BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis68796082OtherCostOrOtherBasis
Depreciation48306462Depreciation
Book Value20489620BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis58665940OtherCostOrOtherBasis
Book Value58665940BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings102610838TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
ASSETS WHOSE USE IS LIMITED4329589
GOODWILL4308673
DEFERRED FINANCING COSTS3913118
FieldValueIRS element (for citing)
Total Book Value Other Assets12551380TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
OBLIGATION UNDER DEF. COMPENSATION$5,232,715
LIABILIITY FOR PENSION BENEFITS$5,031,971
ACCRUAL FOR MED. MALPRACTICE CLAIM$3,765,282
FieldValueIRS element (for citing)
Total Of Amounts14029968TotalOfAmounts
Total Revenue163078301TotalRevenue
Total Expenses156963532TotalExpenses
Excess Or Deficit For Year6114769ExcessOrDeficitForYear
Prior Period Adjustments-500772PriorPeriodAdjustments
Other$6,934,067OtherAmount
Total Adjustments6433295TotalAdjustments
Excess Or Deficit Per FS12548064ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt163078301TotRevenueEtcAuditedFinclStmt
Revenue Subtotal163078301RevenueSubtotal
Total Revenue Per Form990163078301TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt150530237TotExpensesEtcAuditedFinclStmt
Prior Year Adjustments500772PriorYearAdjustments
Expenses Not Rptd F990500772ExpensesNotRptdF990
Expenses Subtotal150029465ExpensesSubtotal
Other Expenses Not Included6934067OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt6934067ExpensesNotRptdOnFinStmt
Total Expenses Per Form990156963532TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8BOOK / TAX DEPRECIATION DIFFERENCE 6,934,067
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 4BBOOK / TAX DEPRECIATION DIFFERENCE 6,934,067

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CarefalseAmountsBudgetedForCharityCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense92039TotalCommunityBenefitExpense
Net Community Benefit Expense92039NetCommunityBenefitExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense73243108TotalCommunityBenefitExpense
Direct Offsetting Revenue46538260DirectOffsettingRevenue
Net Community Benefit Expense26704848NetCommunityBenefitExpense
Percent Of Total Expense0.17540PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense73335147TotalCommunityBenefitExpense
Direct Offsetting Revenue46538260DirectOffsettingRevenue
Net Community Benefit Expense26796887NetCommunityBenefitExpense
Percent Of Total Expense0.17540PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense5474TotalCommunityBenefitExpense
Net Community Benefit Expense5474NetCommunityBenefitExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense915132TotalCommunityBenefitExpense
Direct Offsetting Revenue733713DirectOffsettingRevenue
Net Community Benefit Expense181419NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense143938TotalCommunityBenefitExpense
Net Community Benefit Expense143938NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1064544TotalCommunityBenefitExpense
Direct Offsetting Revenue733713DirectOffsettingRevenue
Net Community Benefit Expense330831NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense74399691TotalCommunityBenefitExpense
Direct Offsetting Revenue47271973DirectOffsettingRevenue
Net Community Benefit Expense27127718NetCommunityBenefitExpense
Percent Of Total Expense0.17560PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$6,019,181BadDebtExpenseAmount
Amount Attributable To1424955AmountAttributableTo
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities3NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24Hours
HOSPITAL MENONITA CAYEY
114 ST BO RINCON SECTOR LOMASCAYEYPR00737XXX
HOSPITAL MENONITA DE AIBONITO
2JOSE C VAZQUEZ STAIBONITOPR00705XXX
HOSPITAL SIQUIATRICO CIMA
3GERARDO SANTIAGO ST INTERIORAIBONITOPR00705X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeUses FPG DiscountedUsesFPGDiscountedExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentPermit Report To Credit AgencyPermitReportToCreditAgencyCollection ActivitiesCollectionActivitiesReport To Credit AgencyReportToCreditAgencyNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyMedicare RateMedicareRateAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
HOSPITAL MENONITA CAYEY
1truefalsefalsetrueXXXXtruetrueXtrueXtrueXXXXXtrueXfalsefalse
HOSPITAL MENONITA DE AIBONITO
2truefalsefalsetrueXXXXtruetrueXtrueXtrueXXXXXtrueXfalsefalse
HOSPITAL SIQUIATRICO CIMA
3truefalsefalsetrueXXXXtruetrueXtrueXtrueXXXXXtrueXfalsefalse

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities10NumberOfOtherFacilities

Other Facilities OtherFacilities (10 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
CENTRO DE SALUD COAMO
138 LUIS MUOZ MARIN AVENUECOAMOPR00769EMERGENCY ROOM - 24 HOURS
CENTRO DE SALUD CIDRA
JIBARO INDUSTRIAL AVENUECIDRAPR00739EMERGENCY ROOM - 24 HOURS
CENTRO DE SALUD BARRANQUITAS
53 BARCELO STREETBARRANQUITASPR00794EMERGENCY ROOM - 24 HOURS
CENTRO DE SALUD OROCOVIS
155 STREET SECTOR EL DESVIOOROCOVISPR00720EMERGENCY ROOM -24 HOURS
CENTRO DE SALUD DE AGUAS BUENAS
98 MUOZ RIVERA STREETAGUAS BUENASPR00703EMERGENCY ROOM - 24 HOURS
HOSPICIO
3 CALLE DR TROYERAIBONITOPR00705OTHER HOSPICE
RAYOS X DE BARRANQUITAS
8 BARCELO STREETBARRANQUITASPR00794X-RAYS CENTER
RAYOS X DE OROCOVIS
4 OF JULY STREETOROCOVISPR00720X-RAYS CENTER
CLINICAS EXTERNAS
2 DR TROYER STREETAIBONITOPR00705OUTPATIENT PHYSICIANS CLINIC
RESIDENCIA DE ENFERMERAS
B-7 URB VILLAS ROSALESAIBONITOPR00705SKILLED NURSING HOME

Form990 Schedule H Part VI Form990ScheduleHPartVI (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BAD DEBT EXPENSE EXPLANATIONPART III LINE 4FINANCIAL 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 COLLECTIBILITY OF THE RECEIVABLES AND PRIOR CREDIT LOSS EXPERIENCE BECAUSE OF UNCERTAINTIES INHERENT IN THE ESTIMATION PROCESS MANAGEMENTS ESTIMATE OF CREDIT LOSSES INHERENT IN THE RECEIVABLES OUTSTANDING AND THE RELATED ALLOWANCE MAY CHANGE IN THE NEAR TERM
MEDICARE EXPLANATIONPART III LINE 8ALL 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 MEDICAREMEDICAID 100 INDIGENCE AND MEDICAREREFORM THE SAME PROCESS IS USED EXCEPT THE THREE COLLECTION EFFORTS WILL NOT APPLY THE MEDICARE PROGRAM WILL REIMBURSE THE CORRESPONDING PERCENT
COLLECTION PRACTICES EXPLANATIONPART III LINE 9BA 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 INFORMATIONPART VIPART V LINE 9 LINE 10 THE FINANCIAL ASSISTANCE POLICY IS BASED ON MEDICARE COST REPORT RATIO

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 (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
PEDRO L MELENDEZ ROSARIO
330418330418
RUBEN NORAT
182029182029
MARTA MERCADO SURO
177181177181
JOSE E SOLIVAN RIVERA
161219161219
RENE RIVERA
150138150138
DAVID MEHNE HAZELWOOD
330600330600
DOMINGO TORRES ZAYAS
366281366281

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ALL OTHER ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4DPATIENT CARE- THE HOSPITAL PROVIDES GENERAL HEALTH CARE SERVICES TO PATIENTS WITHIN ITS GEOGRAPHICAL LOCATION. EXPENSES INCLUDES HEALTH CARE AND GENERAL AND ADMINISTRATIVE.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE 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.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CMENNONITE 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.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AHUMAN 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.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BHUMAN 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.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THIS 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

EINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
HOGAR AURORA INC
660586357HOUSINGPR501C37NAfalse
CASA AIBONITO INC
660387637HOUSINGPRNAfalse
CASA BARRANQUITAS
660479283HOUSINGPRNAfalse
HOSPITAL MENONITA CAGUAS INC
660776102HOSPITALPRNAfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
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 OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL MENONITA CAGUAS INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeBTransactionType
Amount Involved8000000AmountInvolved
Method Of Amt DeterminationCOST BASISMethodOfAmtDetermination