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HOSPITAL AUXILIO MUTUO INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HOSPITAL AUXILIO MUTUO INC (EIN 66-0486907)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-05-11
IRS object ID
201241329349302474
Schema version
2010v3.7
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)
Timestamp2012-05-11T16:23:10-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

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 Date2010-10-01TaxPeriodBeginDate

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 Signed2012-05-08DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Date Prepared2012-05-11DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts206877387GrossReceipts
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 Employees2230TotalNbrEmployees
Total Nbr Volunteers57TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year189286738ProgramServiceRevenuePriorYear
Program Service Revenue CY195565134ProgramServiceRevenueCY
Investment Income Prior Year46404InvestmentIncomePriorYear
Investment Income Current Year46160InvestmentIncomeCurrentYear
Other Revenue Prior Year11186086OtherRevenuePriorYear
Other Revenue Current Year11266093OtherRevenueCurrentYear
Total Revenue Prior Year200519228TotalRevenuePriorYear
Total Revenue Current Year206877387TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year90270210SalariesEtcPriorYear
Salaries Etc Current Year93149404SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year105808508OtherExpensePriorYear
Other Expenses Current Year109475177OtherExpensesCurrentYear
Total Expenses Prior Year196078718TotalExpensesPriorYear
Total Expenses Current Year202624581TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4440510RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4252806RevenuesLessExpensesCY
Total Assets BOY97853206TotalAssetsBOY
Total Assets EOY99616983TotalAssetsEOY
Total Liabilities BOY43943908TotalLiabilitiesBOY
Total Liabilities EOY41454879TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY53909298NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY58162104NetAssetsOrFundBalancesEOY
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
Expense123829545Expense
Revenue195565134Revenue
DescriptionFOR THE YEAR ENDED SEPTEMBER 30, 2011, HOSPITAL INPATIENT ADMISSIONS WERE 21,667. PATIENT DAYS AMOUNTED TO 142,960.Description
Total Program Service Expense123829545TotalProgramServiceExpense
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 Employees2230NumberOfEmployees
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 PolicyfalseDocumentRetentionPolicy
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 (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
ANGEL COCERO SNCHEZ
PRESIDENT1.00X000
MOISES SUREZ FERNANDEZ
VICE-PRESIDE1.00X000
RAMN DELGADO RUIBAL
SECRETARY1.00X000
LUIS E CID ABRADELO
TREASURER1.00X000
URBANO RICO MOLINERO
VOWELS1.00X000
MILAGROS ROMERO ACHA
VOWELS1.00X000
JUAN MARIO ALVAREZ CARTAA
VOWELS1.00X000
JESUS SANTOS RIVERA
VOWELS1.00X000
SOR CARMEN ILIANA MONROIG
VOWELS1.00X000
JORGE L MATTA
ADMINISTRATO40.0038437500X
MARA DEL L MART
FINANCE DIRE40.0013207900X
JOS ISADO ZARDON
MEDICAL DIRE40.0025302800X
RAFAEL JACA VZQUEZ
DIRECTOR40.0015770700X
JUAN MARCIAL VEGA
ADMINISTRATO40.0013764600X
CARMEN MARTN JIMENEZ
ADMINISTRATO40.0012739000X
WILSON COLON DE JESUS
DIRECTOR40.0011449000X
MYRIAM CENTENO CINTRN
ADMINISTRATO40.0011394100X
MARA NEGRN SNCHEZ
DIRECTOR40.0011342500X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1534081TotalReportableCompFromOrg
Number Individuals GT100 K9NumberIndividualsGT100K
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 SERV1676183
BEST PROFESSIONAL XR
PMB399CAROLINAPR009846022TECH SER. LAB.1317259PO BOX 6022
MEDSCAN PSC
PO BOX 29460SAN JUANPR009290460RADIOLOGY M S1180968
RJ RESPIRATORY SERVICES INC
LOMAS DEL SOLGURABOPR00778THERAPY SERV.1041483CALLE CASIOPEA 63
EM PHYSICIANS OF PUERTO RICO
PO BOX 29582SAN JUANPR009290582EMERGENCY M S1019651
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHOSPITAL AND MEDICAL SERVICESDescription
Total Revenue Column195565134TotalRevenueColumn
Related Or Exempt Function Income195565134RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue195565134TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column46160TotalRevenueColumn
Exclusion$46,160ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PHARMACY38104703810470
RENT AND OTHER37892553789255
PARKING36663683666368
FieldValueIRS element (for citing)
Total Other Revenue11266093TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column206877387TotalRevenueColumn
Related Or Exempt Function Income206831227RelatedOrExemptFunctionIncome
Exclusion$46,160ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total79594684Total
Program Services59631409ProgramServices
Management And General19963275ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total13554720Total
Program Services5068150ProgramServices
Management And General8486570ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9892224Total
Program Services9645793ProgramServices
Management And General246431ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total221999Total
Management And General221999ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4155433Total
Program Services118516ProgramServices
Management And General4036917ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES801880024936567730822325
RENT EXPENSE82064638206463
BAD DEBT EXPENSE46950604695060
PROVISION FOR CLAIM LOSS21159962115996

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total202624581Total
Program Services123829545ProgramServices
Management And General78795036ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3450747BOY
EOY10447311EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY58971060BOY
EOY44774623EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2940314BOY
EOY3164498EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY804241BOY
EOY983694EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis31086804LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec10057812LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY18910028BOY
EOY21028992EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3306248BOY
EOY3070855EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9470568BOY
EOY16147010EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY97853206BOY
EOY99616983EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY28372908BOY
EOY27645005EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY8290000BOY
EOY3500000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY7281000BOY
EOY10309874EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY43943908BOY
EOY41454879EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY53909298BOY
EOY58162104EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY53909298BOY
EOY58162104EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY97853206BOY
EOY99616983EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses4252806ReconcilationRevenueExpenses
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 Basis540121OtherCostOrOtherBasis
Depreciation174598Depreciation
Book Value365523BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis20540476OtherCostOrOtherBasis
Depreciation7983234Depreciation
Book Value12557242BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis10000507OtherCostOrOtherBasis
Depreciation1899980Depreciation
Book Value8100527BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings21028992TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM RELATED PARTIES5998600
ASSETS SET ASIDE UNDER INSURANCE5266687
LONG TERM DEFFERED COMPENSATION2913205
ESTIMATED THIRD PARTY PAY OR SETTLE1396749
OTHER ASSETS565526
OTHER RECEIVABLES6243
FieldValueIRS element (for citing)
Total Book Value Other Assets16147010TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
RESERVE FOR MALPRACTICE LOSS$7,323,029
LONG TERM DEFFERED COMPENSATION$2,913,205
DUE TO RELATED PARTIES$73,640
FieldValueIRS element (for citing)
Total Of Amounts10309874TotalOfAmounts
Total Revenue206877387TotalRevenue
Total Expenses202624581TotalExpenses
Excess Or Deficit For Year4252806ExcessOrDeficitForYear
Excess Or Deficit Per FS4252806ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt206877387TotRevenueEtcAuditedFinclStmt
Revenue Subtotal206877387RevenueSubtotal
Total Revenue Per Form990206877387TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt202624581TotExpensesEtcAuditedFinclStmt
Expenses Subtotal202624581ExpensesSubtotal
Total Expenses Per Form990202624581TotalExpensesPerForm990

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicyfalseCharityCarePolicy
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$4,695,060BadDebtExpenseAmount
Written Debt Collection PolicyfalseWrittenDebtCollectionPolicy
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 NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeUses FPG DiscountedUsesFPGDiscountedExplains BasisExplainsBasisExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
HOSPITAL ESPAOL AUXILIO MUTUO
1falsefalsefalsefalsefalsefalsefalsefalsetruefalsefalse
CLNICA EXPRESO AUXILIO MUTUO
2falsefalsefalsefalsefalsefalsefalsefalsetruefalsefalse

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
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
384375384375
JOS ISADO ZARDON
253028253028
RAFAEL JACA VZQUEZ
157707157707

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 6BOD (BOARD OF DIRECTORS).
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 OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
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 Line1SOCIEDAD ESPAOLA AUXILIO MUTUOBusinessNameLine1
Business Name Line2Y BENEFICIENCIA DE PUERTO RICOBusinessNameLine2
FieldValueIRS element (for citing)
Transaction TypeJTransactionType
Amount Involved7800000AmountInvolved