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HOSPITAL AUXILIO MUTUO INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HOSPITAL AUXILIO MUTUO INC (EIN 66-0486907)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-15
IRS object ID
201342279349304434
Schema version
2011v1.5
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)
Timestamp2013-08-15T18:53:57-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

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 Date2011-10-01TaxPeriodBeginDate

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
CitySAN JUANCity
StatePRState
ZIP Code009191227ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARA DEL L MARTName
TitleFINANCE DIRECTORTitle
Phone7877582000Phone
Date Signed2013-08-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Date Prepared2013-08-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts220101408GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicilePRStateLegalDomicile
Activity Or Mission DescriptionTHE HOSPITAL,S PRIMARY MISSION IS TO MEET THE 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 PUERTIO RICO ON APRIL 29, 1992.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees2539TotalNbrEmployees
Total Nbr Volunteers71TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year195565134ProgramServiceRevenuePriorYear
Program Service Revenue CY208486114ProgramServiceRevenueCY
Investment Income Prior Year46160InvestmentIncomePriorYear
Investment Income Current Year72265InvestmentIncomeCurrentYear
Other Revenue Prior Year11266093OtherRevenuePriorYear
Other Revenue Current Year11543029OtherRevenueCurrentYear
Total Revenue Prior Year206877387TotalRevenuePriorYear
Total Revenue Current Year220101408TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year93149404SalariesEtcPriorYear
Salaries Etc Current Year96553998SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year109475177OtherExpensePriorYear
Other Expenses Current Year120904096OtherExpensesCurrentYear
Total Expenses Prior Year202624581TotalExpensesPriorYear
Total Expenses Current Year217458094TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4252806RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2643314RevenuesLessExpensesCY
Total Assets BOY99616983TotalAssetsBOY
Total Assets EOY97050406TotalAssetsEOY
Total Liabilities BOY41454879TotalLiabilitiesBOY
Total Liabilities EOY36244988TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY58162104NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY60805418NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE HOSPITAL,S PRIMARY MISSION IS TO MEET THE 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 PUERTIO RICO ON APRIL 29, 1992.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense135169454Expense
Revenue208486114Revenue
DescriptionFOR THE YEAR ENDED SEPTEMBER 30, 2012, HOSPITAL INPATIENT ADMISSIONS WERE 20,408. PATIENT DAYS AMOUNTED TO 138,300.Description
Total Program Service Expense135169454TotalProgramServiceExpense
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 OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
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 PersonMARA DE L MARTNamePerson
Telephone Number7877582000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1AVE PONCE DE LENAddressLine1
CitySAN JUANCity
StatePRState
ZIP Code00919ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MOISES SUREZ FERNANDEZ
VICE-PRESIDEX000
RAMN DELGADO RUIBAL
SECRETARYX000
LUIS E CID ABRADELO
TREASURERX000
URBANO RICO MOLINERO
VOWELSX000
MILAGROS ROMERO ACHA
VOWELSX000
JUAN MARIO ALVAREZ CARTAA
VOWELSX000
JESUS SANTOS RIVERA
VOWELSX000
SOR CARMEN ILIANA MONROIG
VOWELSX000
JORGE L MATTA
ADMINISTRATO3193190040.00X
MARA DEL L MART
FINANCE DIRE1376310040.00X
JOS ISADO ZARDON
MEDICAL DIRE2605130040.00X
RAFAEL JACA VZQUEZ
DIRECTOR1703050040.00X
JUAN MARCIAL VEGA
ADMINISTRATO1444480040.00X
CARMEN MARTN JIMENEZ
ADMINISTRATO1364380040.00X
MYRIAM CENTENO CINTRN
ADMINISTRATO1230600040.00X
WILSON COLON DE JESUS
DIRECTOR12303500X
MARA NEGRN SNCHEZ
DIRECTOR1224470040.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1537196TotalReportableCompFromOrg
Number Individuals GT100 K10NumberIndividualsGT100K
Formers ListedfalseFormersListed
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
FRESENIUS MEDICAL CARE
PO BOX 195198SAN JUANPR009195198RENAL MED SERV1517275
MEDSCAN PSC
PO BOX 29460SAN JUANPR009290460RADIOLOGY M S1133254
RJ RESPIRATORY SERVICES INC
LOMAS DEL SOLGURABOPR00778TECH. RESP SERV967320CALLE CASIOPEA 63
EM PHYSICIANS OF PUERTO RICO
PO BOX 29582SAN JUANPR009290582EMERGENCY M S924799
ARROYO MONROUZEAU CSP
UNION PLAZA SIUTE 1600SAN JUANPR009183417LEGAL SERVICES693763PONCE DE LEN AVE
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHOSPITAL AND MEDICAL SERVICESDescription
Total Revenue Column208486114TotalRevenueColumn
Related Or Exempt Function Income208486114RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue208486114TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column72265TotalRevenueColumn
Exclusion$72,265ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PHARMACY39654253965425
PARKING38432133843213
RENT AND OTHER37343913734391
FieldValueIRS element (for citing)
Total Other Revenue11543029TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column220101408TotalRevenueColumn
Related Or Exempt Function Income220029143RelatedOrExemptFunctionIncome
Exclusion$72,265ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total82284529Total
Program Services61597965ProgramServices
Management And General20686564ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total14269469Total
Program Services5204445ProgramServices
Management And General9065024ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10843896Total
Program Services10499686ProgramServices
Management And General344210ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total148063Total
Management And General148063ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4284026Total
Program Services111813ProgramServices
Management And General4172213ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES893280775775555031572527
RENT EXPENSE92371049237104
BAD DEBT EXPENSE33163023316302
PROVISION FOR CLAIM LOSS30659963065996

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total680632Total
Management And General680632ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total217458094Total
Program Services135169459ProgramServices
Management And General82288635ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY10447311BOY
EOY12708919EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY44774623BOY
EOY43441328EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3164498BOY
EOY2343908EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY983694BOY
EOY1039326EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis32527419LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec10089881LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY21028992BOY
EOY22437538EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3070855BOY
EOY3091529EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY16147010BOY
EOY11987858EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY99616983BOY
EOY97050406EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY27645005BOY
EOY27003702EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3500000BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY10309874BOY
EOY9241286EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY41454879BOY
EOY36244988EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY58162104BOY
EOY60805418EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY58162104BOY
EOY60805418EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY99616983BOY
EOY97050406EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2643314ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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

Buildings Buildings

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

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis601196OtherCostOrOtherBasis
Depreciation207047Depreciation
Book Value394149BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis20440422OtherCostOrOtherBasis
Depreciation6888813Depreciation
Book Value13551609BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11480101OtherCostOrOtherBasis
Depreciation2994021Depreciation
Book Value8486080BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings22437538TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM RELATED PARTIES4708573
LONG TERM DEFFERED COMPENSATION3327272
ASSETS SET ASIDE UNDER INSURANCE2143718
ESTIMATED THIRD PARTY PAY OR SETTLE1437126
OTHER ASSETS357882
OTHER RECEIVABLES13287
FieldValueIRS element (for citing)
Total Book Value Other Assets11987858TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
RESERVE FOR MALPRACTICE LOSS$5,914,013
LONG TERM DEFFERED COMPENSATION$3,327,273
FieldValueIRS element (for citing)
Total Of Amounts9241286TotalOfAmounts
Total Revenue220101408TotalRevenue
Total Expenses217458094TotalExpenses
Excess Or Deficit For Year2643314ExcessOrDeficitForYear
Excess Or Deficit Per FS2643314ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt220101408TotRevenueEtcAuditedFinclStmt
Revenue Subtotal220101408RevenueSubtotal
Total Revenue Per Form990220101408TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt217458094TotExpensesEtcAuditedFinclStmt
Expenses Subtotal217458094ExpensesSubtotal
Total Expenses Per Form990217458094TotalExpensesPerForm990

Schedule H IRS990ScheduleH

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

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense441463TotalCommunityBenefitExpense
Net Community Benefit Expense441463NetCommunityBenefitExpense
Percent Of Total Expense0.00210PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense4938TotalCommunityBenefitExpense
Net Community Benefit Expense4938NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense446401TotalCommunityBenefitExpense
Net Community Benefit Expense446401NetCommunityBenefitExpense
Percent Of Total Expense0.00210PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense446401TotalCommunityBenefitExpense
Net Community Benefit Expense446401NetCommunityBenefitExpense
Percent Of Total Expense0.00210PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$3,316,301BadDebtExpenseAmount
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberBusiness Name Line2Name/BusinessNameLine2Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospital
HOSPITAL ESPAOL AUXILIO MUTUO
1DE PUERTO RICO INCPO BOX 191227SAN JUANPR009191227X
CLNICA EXPRESO AUXILIO MUTUO
2CARR199 LAS CUMBRESAN JUANPR00928X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumberCHNA ConductedCHNAConductedEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeUses FPG DiscountedUsesFPGDiscountedExplains BasisExplainsBasisExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyAverage Negotiated RatesAverageNegotiatedRatesAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
HOSPITAL ESPAOL AUXILIO MUTUO
1falsefalsefalsefalsefalsefalsefalsefalsefalsetrueXfalsefalse
CLNICA EXPRESO AUXILIO MUTUO
2falsefalsefalsefalsefalsefalsefalsefalsefalsetrueXfalsefalse

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferencePART VIReturnReference
ExplanationPART VI 1 THE 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 AGINGACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE HOSPITAL POLICIES 5PROMOTION OF COMMUNITY HEALTH THE ENTITY PROVIDES FOR THE ACTIVITIES IN THE HOSPITAL FACILITIES FOR THE BENEFIT OF THE COMMUNITY FOR EXAMPLE SUPPORT FOR PULMONAR HYPERTENSION PR SOCIETY FOR TERAPEUTIC HIPNOSIS KIDNEY PR FOUNDATION SOCIEDAD PUERTORRIQUEA DE ENDOMETRIOSIS PREGNANT CONFERENCES CEREBRAL DEATH LIFELINK ONCOLOGY SOCIETY NURSING CONFERENCESExplanation

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 (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
JORGE L MATTA
319319319319
JOS ISADO ZARDON
260513260513
RAFAEL JACA VZQUEZ
170305170305

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONTHE HOSPITAL,S PRIMARY MISSION IS TO MEET THE 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 PUERTIO RICO ON APRIL 29, 1992.
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6THE ORGANIZATION HAVE 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)ALL PERSON THAT ACCEPT 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 THE 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 PERFORM THE REVIEW OF THE 990 FORM 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 REPONSIBILITY OF THE BOARD MEMBERS TO GOVERN THE INSTITUTION AND THE COMMUNITY INTEREST WITH HONESTY, EXERCISING THEIR BEST CARE, SKILL AND JUDGEMENTS FOR THE BENEFIT OF THE INSTITUTION AND ITS MEMBERS; AND THE MATTER OF ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST CAN BEST BE HANDLED THROUGH FULL DISCLOSURE OF ANY SUCH INTEREST, TOGETHER WITH ABSTENTION IN ANY VOTE WHERE IN THE INTEREST IS INVOLVED. THE FOLLOWING POLICY OF DUALITY AND CONFLICT OF INTEREST IS HERE BY ADOPTED: 1) ANY BOARD MEMBER HAVING A POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHOULD NOT VOTE OR USE HIS PERSONAL INFLUENCE ON THE MATTER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING, EVEN WHERE PERMITTED BY LAW. ALSO, THIS IS APPLICABLE TO ADMINISTRATIVE EMPLOYEES.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC

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 Line1Y BENEFICIENCIA DE PUERTO RICOAddressLine1
CitySAN JUANCity
StatePRState
ZIP Code00919ZIPCode
FieldValueIRS element (for citing)
EIN660178704EIN
Primary ActivitiesPROPERTYPrimaryActivities
Legal Domicile StatePRLegalDomicileState
Exempt Code Section501C3ExemptCodeSection
Direct Controlling Entity NAN/ADirectControllingEntityNA
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
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