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MENNONITE GENERAL HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MENNONITE GENERAL HOSPITAL INC (EIN 66-0219758)
Tax period
2012-04-01 to 2013-03-31
Filed
2013-11-15
IRS object ID
201343199349304479
Schema version
2012v2.1
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)
Timestamp2013-11-15T14:00:01-06:00Timestamp
Tax Period End Date2013-03-31TaxPeriodEndDate

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 Date2012-04-01TaxPeriodBeginDate

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 Signed2013-11-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameYELITZA R LOPEZ RIVERAName
Phone7877254545Phone
Date Prepared2013-11-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer 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 Receipts167775513GrossReceipts
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 Employees1561TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year138473014ProgramServiceRevenuePriorYear
Program Service Revenue CY146404130ProgramServiceRevenueCY
Investment Income Prior Year1018304InvestmentIncomePriorYear
Investment Income Current Year949168InvestmentIncomeCurrentYear
Other Revenue Prior Year19151386OtherRevenuePriorYear
Other Revenue Current Year20422215OtherRevenueCurrentYear
Total Revenue Prior Year158642704TotalRevenuePriorYear
Total Revenue Current Year167775513TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year66511025SalariesEtcPriorYear
Salaries Etc Current Year67929554SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year85373313OtherExpensePriorYear
Other Expenses Current Year93411758OtherExpensesCurrentYear
Total Expenses Prior Year151884338TotalExpensesPriorYear
Total Expenses Current Year161341312TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6758366RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6434201RevenuesLessExpensesCY
Total Assets BOY180943784TotalAssetsBOY
Total Assets EOY211120147TotalAssetsEOY
Total Liabilities BOY129895570TotalLiabilitiesBOY
Total Liabilities EOY153599697TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY51048214NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY57520450NetAssetsOrFundBalancesEOY
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
Expense161341312Expense
Revenue166826345Revenue
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)
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 Program Service Expense161341312TotalProgramServiceExpense
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 Employees1561NumberOfEmployees
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 US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
VICTOR ORTIZ
PRESIDENTX000
JOSE RIVERA
VICE PRESIDEX000
HERMANN BAUER
TREASURERX000
LARRY BONILLA
SECRETARYX000
DANIEL OLIVERA
ASSISTANTX000
PEDRO L MELENDEZ ROSARIO
CEO3326000040.00X
RUBEN NORAT
HOSPITAL ADM1611450040.00X
MARTA MERCADO SURO
COO1524230040.00X
JOSE E SOLIVAN RIVERA
CFO1421130040.00X
RENE RIVERA
HOSPITAL ADM1323870040.00X
DAVID MEHNE HAZELWOOD
3929770040.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1313645TotalReportableCompFromOrg
Number Individuals GT100 K6NumberIndividualsGT100K
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
TORCON
328 NEWMAN SPRINGS ROAD RED BANKNJNJ07701CONSTRUCTION24298205
EMERGENCY SERVICES GROUP
PO BOX 1883CIDRAPR00739ER SERVICES6688430
HOSPITAL RADIOLOGY SERVICES
AVENIDA ASHFORD 868 APART 102SAN JUANPR00909RADIOLOGY2367604
DR SILVERIO PEREZ
PMB 360 701-1 AVE PONCE DE LEONSAN JUANPR00907RADIOLOGY2197192
PERFECT CLEANING
URB LOS PASEOS 100 GRAND BLVDSAN JUANPR009265955HOUSEKEEPING SE791501SUITE 112
FieldValueIRS element (for citing)
Number Of Contractors GT100 K45NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENTS SERVICE REVENUEDescription
Total Revenue Column146404130TotalRevenueColumn
Related Or Exempt Function Income146404130RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue146404130TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column949168TotalRevenueColumn
Exclusion$949,168ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PREMIUMS HEALTH PLAN5241141170586411705864
AIBONITO OTHER OPERATING REVE62199033243993324399
CAYEY OTHER OPERATING REVENUE62199029503862950386

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2441566TotalRevenueColumn
Related Or Exempt Function Income2441566RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue20422215TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column167775513TotalRevenueColumn
Related Or Exempt Function Income166826345RelatedOrExemptFunctionIncome
Exclusion$949,168ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total47050143Total
Program Services47050143ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total20879411Total
Program Services20879411ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total19638080Total
Program Services19638080ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total4523514Total
Program Services4523514ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8349877Total
Program Services8349877ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1207221Total
Program Services1207221ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
SUPPLIES3238374032383740
PROVISION BAD DEBTS97465119746511
OTHER EXPENSES97454079745407
UTILITIES65949666594966

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1222442Total
Program Services1222442ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total161341312Total
Program Services161341312ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9669662BOY
EOY13126580EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1250000BOY
EOY378930EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY43425571BOY
EOY38444884EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3830302BOY
EOY4249878EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1410252BOY
EOY2351862EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis205977991LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec82041632LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY99277582BOY
EOY123936359EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY8792624BOY
EOY11657399EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY5232715BOY
EOY5684793EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8055076BOY
EOY11289462EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY180943784BOY
EOY211120147EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY19009040BOY
EOY18358546EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY17250BOY
EOY182848EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY102188431BOY
EOY120654829EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8680849BOY
EOY14403474EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY129895570BOY
EOY153599697EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY51048214BOY
EOY57520450EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY51048214BOY
EOY57520450EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY180943784BOY
EOY211120147EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses6434201ReconcilationRevenueExpenses
Reconciliation Unrealized Invest38035ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1360770OtherCostOrOtherBasis
Book Value1360770BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis122022551OtherCostOrOtherBasis
Depreciation28838493Depreciation
Book Value93184058BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis71334208OtherCostOrOtherBasis
Depreciation53203139Depreciation
Book Value18131069BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11260462OtherCostOrOtherBasis
Book Value11260462BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings123936359TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
ASSETS WHOSE USE IS LIMITED5978855
DEFERRED FINANCING COSTS5310607
FieldValueIRS element (for citing)
Total Book Value Other Assets11289462TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
LIABILIITY FOR PENSION BENEFITS$5,930,271
OBLIGATION UNDER DEF. COMPENSATION$5,684,793
ACCRUAL FOR MED. MALPRACTICE CLAIM$2,788,410
FieldValueIRS element (for citing)
Total Of Amounts14403474TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt167813548TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments38035NetUnrealizedGainsInvestments
Revenue Not Rptd F99038035RevenueNotRptdF990
Revenue Subtotal167775513RevenueSubtotal
Total Revenue Per Form990167775513TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt161341312TotExpensesEtcAuditedFinclStmt
Expenses Subtotal161341312ExpensesSubtotal
Total Expenses Per Form990161341312TotalExpensesPerForm990

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 Expense156031TotalCommunityBenefitExpense
Net Community Benefit Expense156031NetCommunityBenefitExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense74434343TotalCommunityBenefitExpense
Direct Offsetting Revenue49759139DirectOffsettingRevenue
Net Community Benefit Expense24675204NetCommunityBenefitExpense
Percent Of Total Expense0.16270PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense74590374TotalCommunityBenefitExpense
Direct Offsetting Revenue49759139DirectOffsettingRevenue
Net Community Benefit Expense24831235NetCommunityBenefitExpense
Percent Of Total Expense0.16270PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense6162TotalCommunityBenefitExpense
Net Community Benefit Expense6162NetCommunityBenefitExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense817256TotalCommunityBenefitExpense
Direct Offsetting Revenue716275DirectOffsettingRevenue
Net Community Benefit Expense100981NetCommunityBenefitExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense79103TotalCommunityBenefitExpense
Net Community Benefit Expense79103NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense902521TotalCommunityBenefitExpense
Direct Offsetting Revenue716275DirectOffsettingRevenue
Net Community Benefit Expense186246NetCommunityBenefitExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense75492895TotalCommunityBenefitExpense
Direct Offsetting Revenue50475414DirectOffsettingRevenue
Net Community Benefit Expense25017481NetCommunityBenefitExpense
Percent Of Total Expense0.16270PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$9,746,511BadDebtExpenseAmount
Amount Attributable To165991AmountAttributableTo
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 NumberHospitalFacilityNumberCHNA ConductedCHNAConductedEligibility 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
1falsetruefalsefalsetrueXXXXtruetrueXtrueXtrueXXXXXtrueXfalsefalse
HOSPITAL MENONITA DE AIBONITO
2falsetruefalsefalsetrueXXXXtruetrueXtrueXtrueXXXXXtrueXfalsefalse
HOSPITAL SIQUIATRICO CIMA
3falsetruefalsefalsetrueXXXXtruetrueXtrueXtrueXXXXXtrueXfalsefalse

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities11NumberOfOtherFacilities

Other Facilities OtherFacilities (11 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
EQUIPO MEDICO
JOSE C VAZQUEZ STREETAIBONITOPR00705MEDICAL EQUIPMENT
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 1 BASED ON THE PROVISIONS OF NOTICE 201152 AND THE PROPOSED REGULATIONS FOR SECTION 501R1 OF THE INTERNAL REVENUE CODE THE TERM STATE AS INCLUDED IN THE DEFINITION FOR HOSPITAL FACILITY INCLUDES ONLY THE 50 STATES AND THE DISTRICT OF COLUMBIA AND NOT ANY US TERRITORY OR FOREIGN COUNTRY THEREFORE THOSE HOSPITAL FACILITIES LOCATED OUTSIDE OF THE 50 STATES OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA SHALL NOT BE REQUIRED TO COMPLY WITH THE COMMUNITY HEALTH NEED ASSESSMENT PART V 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 (4 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
PEDRO L MELENDEZ ROSARIO
CEO332600332600
RUBEN NORAT
HOSPITAL ADMINISTRAT161145161145
MARTA MERCADO SURO
COO152423152423
DAVID MEHNE HAZELWOOD
392977392977

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 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.
OTHER FEES FOR SERVICESFORM 990, PART IX, LINE 11GPROFESSIONAL FEES 19,638,080 0 0

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 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 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